Abstract: Instruments and methods for resecting tissue from the interior of a patient's body with a motor-driven rotating tubular cutter.

Abstract: A method for operating an electrosurgical system including an ultrasound generator and an ultrasonic instrument, includes the steps: determining an initial resonant frequency of the ultrasonic instrument by the ultrasound generator, energizing the ultrasonic instrument by the ultrasound generator with an operating amplitude and an operating frequency which correspond to the initial resonant frequency, tracking the operating frequency of the ultrasound generator with changes in the resonant frequency of the ultrasonic instrument, and terminating the energizing of the ultrasonic instrument by the ultrasound generator. A method terminates the energizing of the ultrasonic instrument by the ultrasound generator, in a decay phase the operating amplitude of the ultrasound generator is reduced to zero with a predefined or predefinable rate of change. An ultrasound generator is also presented.

Abstract: A loosening detection structure used to detect loosening of a bolt includes a material that is disposed between a fixing subject steel plate and a head portion of a metal bolt for fixing the steel plate and either attached to a seating surface of the head portion of the bolt or attached to a washer disposed between the steel plate and the head portion of the bolt, and that has electrical characteristics that vary in response to variation in a force for fastening the bolt to the steel plate.

Abstract: A blade having an attachment portion including an aperture defining an anchor center, the attachment portion configured to couple with an oscillating power tool. The blade also has a first blade portion having a first cutting edge, and a second blade portion having a second cutting edge. The first and second blade portions are generally coplanar and extend away from the attachment portion in an outward direction. The first cutting edge has a first horizontal linear dimension measured perpendicular to the outward direction, the first horizontal linear dimension being 3.5 to 4.0 inches to generally correspond with a first dimension of a single outlet gang box. The second cutting edge has a second horizontal linear dimension measured perpendicular to the outward direction, the second horizontal linear dimension being 2.1 to 2.6 inches to generally correspond with a second dimension of the single outlet gang box.

Abstract: A saw gear set comprising a set of saw blades and a saw drive (1), wherein each saw blade of the set is configured to be coupled to the saw drive (1) by means of a coupling mechanism (100), which coupling mechanism (100) is configured to transmit a driving force of the saw drive (1) to the saw blade in a force transmission point, for oscillating the saw blade around a pivot axis (300). Each saw blade of the set is configured to be pivotably borne around the pivot axis (300). In operation, an oscillation angle (?) around the pivot axis (300) is different for each saw blade of the set depending on a pivot distance between the pivot axis (300) and the force transmission point which varies for each saw blade of the set.

Abstract: An alignment guide for total ankle replacement surgery and a method of creating and using the alignment guide. The alignment guide has a surface that interfaces with a corresponding surface of a superior aspect a talus of a patient, and as second surface portion that interfaces with a corresponding distal surface of a section of a tibia of the patient. When the alignment guide is in position, it maintains the ankle of the patient in a preselected position.

Abstract: A surgical guidance system (SGS) for performing a cruciate pivot osteotomy in canines to treat cranial cruciate ligament disease. The SGS comprises a guide, a jig, and a plate. The guide is first placed over the tibia until it interacts with specific anatomical features of the tibia, thereby marking the proper position for the jig to be placed. After the jig has been secured, a blade defines an osteotomy within a proximal portion of the tibia. A portion of the jig is then cranially rotated providing a rotational correction of the proximal tibia. A compressive force is then applied to the osteotomy by the jig. Next the multiplane locking plate is placed over the osteotomy as dictated by the features of the jig. After initially securing the plate into its correct position, the jig is removed and the plate is then secured to the cranial surface of the tibia.

Abstract: The present disclosure relates generally to orthopaedic surgical tools used to cut and/or resect a bone of a patient during an orthopaedic surgical procedure such as, for example, a joint replacement procedure.

Abstract: A saw gear set comprising a set of saw blades and a saw drive (1), wherein each saw blade of the set is configured to be coupled to the saw drive (1) by means of a coupling mechanism (100), which coupling mechanism (100) is configured to transmit a driving force of the saw drive (1) to the saw blade in a force transmission point, for oscillating the saw blade around a pivot axis (300). Each saw blade of the set is configured to be pivotably borne around the pivot axis (300). In operation, an oscillation angle (?) around the pivot axis (300) is different for each saw blade of the set depending on a pivot distance between the pivot axis (300) and the force transmission point which varies for each saw blade of the set.

Abstract: The saw blade comprising a bar and a blade. The distal end of the bar formed with a distal end opening and a discharge port formed in at least one of the top and bottom faces that opens into the distal end opening, the discharge port for discharging debris. The bar is formed with a geometric feature for receiving a coupling member to hold the bar to the saw, the geometric feature being an opening that extends through the bar. The blade having a blade base disposed in the distal end opening of the bar and a blade crown that extends forward from the blade base and forward of the distal end of the bar.

Abstract: An electrically driven orthopedic impactor may include an adapter for interfacing between the adapter and a surgical implement. The adapter may have a first surface that transmits a forward impact energy and a second surface that transmits a reverse impact energy. The adapter can connect to the surgical implement and to the orthopedic impactor without the use of external tools. The adapter may connect to the impactor via a pushing motion and may disconnect from the impactor via a reciprocal sleeve. A sensor can communicate a spatial orientation of the adapter with respect to at least one reference point that is not located on the adapter or the impactor. A communication device may transmit frequency information or impact energy information to the impactor based on a type of surgical implement attached to the adapter.

Abstract: An oscillatory power tool that is capable of using various types of cutting tools is disclosed. The power tool includes an output shaft for mounting one of the cutting tools and driving the cutting tool in an oscillating rotary motion. An end of the output shaft has a driving section for engaging with a securing section of the cutting tool. The power tool further includes a fastener connected to the output shaft at the end and connectable to the securing section of the cutting tool for fastening the cutting tool to the end of the output shaft. The driving section has a fitting surface for contacting a surface of the securing section. Through a close fit between the friction surface and the surface of the securing section, the power tool can be connected with different types of cutting tools, which greatly improves the universality and convenience of the power tool.

Abstract: A blade coupling mechanism for a hand-held surgical cutting instrument includes a first coupling member including a first blade-contacting surface and a first outer perimeter sidewall adjacent the first blade contacting surface. It also includes a second coupling member including a second blade-contacting surface facing the first blade-contacting surface of the first coupling member. The second coupling member includes a second outer perimeter sidewall adjacent the second blade contacting surface. The second blade-contacting surface and the second outer perimeter sidewall meet to define an outer edge. The second coupling member including a bore through the second blade contacting surface. The bore and the second blade contacting surface meeting to define an inner edge. Blade-engaging protrusions project from at least one of the first and second blade-contacting surfaces. The protrusions are spaced closer to the outer edge than the inner edge.

Abstract: A saw blade includes a main body having a first surface, a second surface on an opposite side of the main body from the first surface, a proximal edge portion, a distal edge portion, and first and second side portions extending between the proximal and distal edge portions. The proximal edge portion is configured to be coupled to a rotatable hub such that the saw blade is held in a curved shape with the first surface defining an outer radius when the saw blade is coupled to the rotatable hub. The distal edge portion includes a plurality of cutting teeth, and the second surface includes a cutting structure configured such that a radius of an arc swept by the cutting structure when the saw blade is rotated is substantially equal to the outer radius of the first surface.

Abstract: A handheld oscillating tool includes a blade attachment system having a tool mounting portion configured to enable the tool mounting portion to be releasably secured to a tool holder of an oscillating tool such that the blade attachment system oscillates with the tool holder and a blade mounting portion configured to releasably retain a blade with a planar body of the blade arranged substantially perpendicular to the oscillation axis and with one of the leading edge and the trailing edge of the blade positioned forwardly with respect to the tool mounting portion.

Abstract: An osteotomy procedure may be performed to correct a misalignment of a bone, such as a bunion deformity. In some examples, the osteotomy procedure involves making a first crescentic-shaped cut transecting a first metatarsal, thereby forming a concave-shaped end and a convex-shaped end on opposed bone portions. The method further involves making a second crescentic-shaped cut across the concave-shaped end of one bone portion and thereafter moving the bone portions relative to each other in multiple planes to correct an anatomical misalignment.

Abstract: Methods, systems and apparatuses including apparatuses that can be used in knee replacement procedures are disclosed. According to one example, a method is disclosed that can include determining a desired flexion space between a tibia and a femur with the patient's knee joint oriented in flexion, referencing a tibia resection guide along the tibia a distance from the desired flexion space, resecting a proximal end portion of the tibia with the tibia resection guide, inserting an intramedullary rod into the femur with the patient's knee joint in flexion, tensioning the patient's knee joint to create a flexion gap by separating the tibia and the femur, sequent to tensioning the patient's knee joint, reorienting the femur into extension relative to the tibia and re-tensioning the patient's knee joint to create an extension gap that substantially matches the flexion gap.

Abstract: A blade coupling mechanism for a hand-held surgical cutting instrument includes a first coupling member including a first blade-contacting surface and a first outer perimeter sidewall adjacent the first blade contacting surface. It also includes a second coupling member including a second blade-contacting surface facing the first blade-contacting surface of the first coupling member. The second coupling member includes a second outer perimeter sidewall adjacent the second blade contacting surface. The second blade-contacting surface and the second outer perimeter sidewall meet to define an outer edge. The second coupling member including a bore through the second blade contacting surface. The bore and the second blade contacting surface meeting to define an inner edge. Blade-engaging protrusions project from at least one of the first and second blade-contacting surfaces. The protrusions are spaced closer to the outer edge than the inner edge.

Abstract: An apparatus for removal of a femoral implant may include a handle portion and a cutting blade opposite the handle portion. The cutting blade may include a cutting edge, wherein the cutting edge includes a non-linear shape to substantially match at least a portion of a profile of the femoral implant to be removed.

Abstract: A hand-held electromechanical surgical device is configured to selectively connect with a surgical accessory. The surgical device includes a power-pack, an outer shell housing, and a gasket. The power-pack is configured to selectively control a surgical accessory. The outer shell housing includes a distal half-section and a proximal half-section, the distal half-section and the proximal half-section together defining a cavity configured to selectively encase substantially the entire power-pack therein. The gasket is located between the distal half-section and the proximal half-section of the outer shell housing. The gasket is configured to create a seal between the distal half-section and the proximal half-section and to provide a sterile barrier between the power-pack and an outside environment outside the outer shell housing.

Abstract: A surgical sagittal and a saw blade cartridge. The saw has a head to which the blade cartridge is releasably mounted and a clamping assembly that releasably hold the cartridge to the head. The blade cartridge includes a blade bar, a blade head mounted to the bar and at least one drive rod that actuates the blade head. A rib projects from the blade bar to stiffen the cartridge. The rib extends over the blade bar so as to extend both proximally and distally relative to where the clamp assembly bears against the blade bar. The rib reduces skiving of the cartridge when a load is applied to either the top or bottom surface of the blade bar.

Abstract: An intervertebral implant component of an intervertebral implant includes an outer surface for engaging an adjacent vertebra and an inner surface. A keel extends from the outer surface and is designed to be disposed in a slot provided in the adjacent vertebra. This keel extends in a plane which is non-perpendicular to the outer surface; and preferably there are two of the keels extending from the outer surface which are preferably offset laterally from one another. In another embodiment, an anterior shelf is provided at an anterior end of the outer surface, and this anterior shelf extends vertically away from the inner surface in order to help prevent bone growth from the adjacent vertebra towards the inner surface. Further in accordance with disclosed embodiments, various materials, shapes and forms of construction of the component and/or keel provide various benefits.

Abstract: A tool for use with is configured with a tool centering element and a fastening portion with form-locking elements for axial mounting and fastening onto a drive shaft of a hand-held power tool. The drive shaft is drivable in oscillating fashion and the centering element centers the tool relative to the drive shaft. The tool form-locking elements define a rotary position of the tool relative to the drive shaft. The centering element may be a through-hole in a fastening portion of the tool or, may be a fastening screw that passes through an axially centered through hole in the fastening portion to the tool for securing the toll and fastening screw in a bore within the drive shaft to which the tool is attached for intended operation.

Abstract: A surgical cutting blade for cutting bone material when the blade is coupled to a hand-held surgical saw includes a distal portion comprising a plurality of cutting teeth, a shank portion adjacent the distal portion, and a proximal portion adjacent the shank portion. The proximal portion may include a longitudinally extending slot having a proximal opening. The slot may be shaped to receive a portion of the surgical saw through the proximal opening. The proximal portion may have a plurality of deflectable fingers respectively separated from a plurality of main body portions by respective gaps. The plurality of deflectable fingers may extend adjacent the longitudinally extending slot, and may deflect into the gaps to increase and decrease a width of a portion of the slot.

Abstract: A saw blade provided with two walls set apart from each other and with blade teeth arranged on each wall in a pattern along the distal end of each wall and on the inner surface of each wall. During a single cutting motion, the distal teeth provide the initial cut and the inner teeth remove additional material along the pathway. This increases the amount of material removed in one cut, leaving a small amount of material (bone) at the bottom of the slot for the surgeon to remove in the final step. Thus, the blade configuration and the tooth pattern of the saw blade improves the cutting efficiency.

Abstract: A surgical saw includes a shaft, a first saw blade mounted on the shaft, a second saw blade mounted on the shaft parallel to the first saw blade, the first saw blade having a first tooth having two distal tips, and the second saw blade having a second tooth with a distal tip, the second tooth bent towards the first saw blade and the distal tip of the second tooth aligned with a centerline between the two distal tips of the first tooth.

Abstract: Instruments and methods for reducing and stabilizing bone fractures are presented, which include providing a cavity in bone, such as a vertebra, wherein the cavity is proximate to an endplate of the bone, such as a vertebra endplate, and wherein the cavity extends radially from a passage into the cavity. The methods further include providing a device, such as an inflatable device, into the cavity and manipulating the device for expansion. The cavity may be expanded thereby reducing and/or stabilizing the fracture. The fracture may be further reduced and/or stabilized by adding a material into the cavity.

Abstract: A device for converting a rotational movement into a rotatively oscillating movement is described comprising a drive shaft, a second, rotatively oscillating shaft, a driving mechanism, a housing, and a gearing mechanism comprising a movable lever. A sawing device is also described.

Abstract: The present invention relates to a medical handheld device including at least one power unit, at least one power consumer, at least one actuation element and at least one switching device which is movable from a first switching position into a second switching position when the actuation element is actuated. The invention also relates to a power unit for use in a handheld device according to the invention. The invention also relates to a power unit for use in a medical handheld device, wherein the power unit includes at least one power consumer, at least one power source, and at least one switching device which is arranged to be moved from a first switching position into the second switching position when the actuation element is actuated by the user to provided power from the voltage source to operate the power consumer and/or the handheld device.

Abstract: A sagittal saw blade with a blade body the distal end of which has spaced apart tines. Plural teeth extend forward from each of the tines. The void space between the tines functions as a chip catchment into which bone chips formed by cutting by the blade are able to flow. At least one web extends between the tines, across the chip catchment.

Abstract: A surgical saw includes a shaft, a first saw blade mounted on the shaft, a second saw blade mounted on the shaft parallel to the first saw blade, the first saw blade having a first tooth having two distal tips, and the second saw blade having a second tooth with a distal tip, the second tooth bent towards the first saw blade and the distal tip of the second tooth aligned with a centerline between the two distal tips of the first tooth.

Abstract: Instruments and methods for reducing and stabilizing bone fractures are presented. One method provides for cutting a portion of a bone having a fracture to create a cavity, wherein the cavity is substantially axisymmetric, and expanding the volume of the cavity thereby reducing the fracture. The fracture may be further reduced and/or stabilized by adding a material, such as an implant, in-situ curable material and/or in-situ hardenable material.

Abstract: A cutting saw blade for use with an oscillatory power tool used in surgical bone cutting procedures including a blade having a distal end provided with teeth whose tips are located on a tangent line perpendicular to the long axis of the blade. The teeth are configured substantially as right triangles with their hypotenuses facing either towards the center of the blade or away from the center of the blade. A central tooth can be optionally provided. The surgical saw blade may have a distal end having at least one pair of teeth configured to be adjacent to each other and each of the pair of teeth is configured as a right triangle each having a hypotenuse which is oriented at least one of towards and away from the centrally positioned long axis.

Abstract: A polymeric, surgical clip having first and second curved legs joined at their proximal ends by a flexible hinge section and movable from an open position to a closed position for clamping a vessel between curved opposing inner surfaces. The first leg terminates at its distal end in a female locking member comprising a resilient inwardly turned hook having a recess in the mouth of the hook, and the second leg member terminates in a male locking member complimentary to the female locking member and comprising a detent such that when the first and second leg members are moved from an open position to a closed position about the hinge section the hook member will deflect about the distal end of the second leg member thereby engulfing the male locking member in the mouth of the hook and matingly engaging the detent in the recess thereof, thus securely locking the clip in the closed position. The locking feature provides greater closure security to the clip when clamping large diameter or uncompressible tissue.

Abstract: A handle-sheath may be molded for of a flexible material and may be shaped and dimensioned so as to be stretched over a conventional handle, thereby permitting the sheath to be conveniently removed and replaced. An internal flushing mechanism is preferably provided for sanitizing the interior of the sheath without requiring the sheath to be removed from the handle. The handle sheath may be molded from a tear-resistant, soft touch, elastic polymer such as thermoplastic elastomer (otherwise known as “TPE”). The interior may be provided with inwardly facing support studs and/or channel walls which define a plurality of individual-contact areas between the sheath and the handle, each of which providing a respective localized intimate contact area for frictionally securing the sheath to the handle, and at the same time defining channels which facilitate the maintenance of a sanitary condition between the handle sheath and the underlying structure, as will be described in more detail hereinafter.

Abstract: A saw blade for medical, in particular surgical, applications having a recess for mounting the saw blade inside a saw which exerts an saw movement, especially an oscillating saw movement, to the saw blade. In order to improve the dynamic behavior of the saw blade, longitudinal flat areas of a surface of the saw blade are provided with a plurality of superficial impressions of a defined contour that are aligned at an angle to the longitudinal axis of the saw blade.

Abstract: A connector assembly for connecting a surgical saw blade to a housing of a surgical instrument. The connector assembly allows a surgeon to align, insert and lock the surgical blade in the collet of the surgical instrument without any special tools, and further provides a stable and robust platform for mounting the surgical saw blade thereto. The connector assembly includes a cam lever assembly for allowing the user to apply a clamping force to the surgical saw blade with minimum actuation force.

Abstract: The present invention relates to a surgical saw blade comprising a clamping portion and a working area provided with a toothing, wherein a plurality of recesses are formed in the working area.

Abstract: A kit (10) for resection of bone (12) for use in implantation of a joint prosthesis (14) is provided. The kit (10) includes a guide (16), a tool (26) and a stop (32). The guide (16) defines an opening (20) through the guide (16). The guide (16) is in cooperation with the bone (12). The tool (26) may be constrained within the opening (20) of the guide (16). The tool (26) includes a cutting edge (30) for resection of bone (12). The stop (32) cooperates with the guide (16) and the tool (26) to limit the movement of the tool (26) within the guide (16) so that the position of the cutting edge (30) with respect to the bone (12)m may be controlled. The stop (32) includes a plurality of positions (34) with respect to the tool (26) and the guide (16).

Abstract: The present invention relates to a method of producing a surgical saw blade comprising a clamping portion and a working area provided with a toothing, wherein the clamping portion and the working area are produced by means of an etching method and the toothing is subsequently cut by means of a laser type cutting method.

Abstract: An ultrasonic surgical hand piece is caused to be driven with an output displacement that is correlated with the phase margin, which is the difference of the resonant frequency and the anti-resonant frequency of the hand piece. A frequency sweep is conducted to find the resonant frequency and the anti-resonant frequency for the hand piece. The resonant frequency is measured at a point during the frequency sweep where the impedance of the hand piece is at its minimum. The anti-resonant frequency is measured at a point during the frequency sweep where the impedance of the hand piece is at its maximum. Using a target or specific output displacement, a drive current is calculated based on the phase margin which is the difference between the resonant frequency and the anti-resonant frequency. The hand piece is caused to be driven with the output displacement, by accordingly controlling the current output from a generator console for driving the hand piece.

Abstract: A bone saw blade includes a blade body having a cutting section, a hub section and a shank located between the cutting section and the hub section. The blade body is first formed having a substantially uniform Rockwell hardness between approximately Rc 49 and Rc 63 throughout. Next, a cathodic arc process is used to coat the cutting section with a hard, wear-resistant metal nitride coating. During the coating process, ion impingement on the surface of the cutting section creates heat that beneficially anneals the cutting section. Significant annealing of the shank and hub section is prevented during the coating process by stacking the blade bodies together with blade blanks that are formed without cutting sections. The heat generated during coating is insufficient to raise the temperature of the large mass above the annealing temperature of the blade material. The resultant blade has a high strength shank and hub section.

Abstract: A blade and a blade assembly wherein the blade has a front, beveled, sharpened edge, two side edges meeting at a point spaced from the front edge and at least one attachment structure extending outwardly from each side edge. A blade holder, which extends beyond the side edges and attachment structures of the blade, sits on a top surface of the blade and is attached to the blade by a portion thereof which receives the attachment structures. The holder has an opening in an exposed surface to receive an extension from a drive mechanism such that when the drive mechanism is activated the blade is caused to vibrate or oscillate. The blade is oscillated in a lateral fashion when driven by a rod rotating along a circular path.

Abstract: The invention relates to a saw blade (1) for medical, in particular, surgical applications which comprises a recess (3) for mounting the saw blade inside a saw which exerts a saw movement, especially an oscillating saw movement, onto the saw blade (1). In order to improve the dynamic behavior of the saw blade (1), the invention provides that the flat area (6) of the saw blade (1) has a number of superficial impressions (5) of a defined contour.

Abstract: The invention relates to a surgical saw blade having a flat, plate-shaped body (1) being provided with a toothing (2) at least one edge portion, said toothing comprising a plurality of uncrossed teeth, said teeth each consisting of groups comprising three teeth (3, 4, 5) of different shape, or wherein the toothing (2) comprises pairs (5, 6) of two teeth (3, 4) being arranged symmetrically to each other in relation to a plane perpendicular to the center plane of the body (1).

Abstract: A connector assembly for connecting a surgical saw blade to a housing of a surgical instrument. The connector assembly allows a surgeon to align, insert and lock the surgical blade in the collet of the surgical instrument without any special tools, and further provides a stable and robust platform for mounting the surgical saw blade thereto. The connector assembly includes a cam lever assembly for allowing the user to apply a clamping force to the surgical saw blade with minimum actuation force.

Abstract: The present invention relates to a method of producing a surgical saw blade comprising a clamping portion and a working area provided with a toothing, wherein the clamping portion and the working area are produced by means of an etching method and the toothing is subsequently cut by means of a laser type cutting method.

Abstract: The present invention relates to a surgical saw blade comprising a clamping portion and a working area provided with a toothing, wherein a plurality of recesses are formed in the working area.

Abstract: A method and apparatus for the treatment of thrombosis, venous insufficiency, and the like, and in particular to an Automated Compulsory Blood Extraction System (ACBES) configured to provide an efficient and safe means for the measured extraction of blood utilizing a device providing, in effect, an artificial leech, but without the infection, control, care, and other limitations associated with the medicinal leech. The preferred embodiment of the present invention utilizes recent micro technological advances to provide a micro mechanical device which mimics and improves upon the bloodletting properties of the medicinal leech utilizing a micro mechanical valve, micropump, and micro sensor arraignment cooperating with a tertiary jaw array having teeth situated thereon.

Abstract: A surgical instrument is provided for cutting a cranial disc from a skull cap. A cylindrical trepanning cutter is provided with teeth on its frontal edge. The teeth cut in both peripheral directions. A driving means drives the trepanning cutter with a periodically altering direction of rotation through an angle of rotation of substantially less than 360.degree.. The angle is at least large enough for the teeth to be displaced by one tooth spacing along the frontal edge of the cylindrical trepanning cutter.