Abstract: The invention provides an articulating mechanism useful, for example, for remote manipulation of various surgical instruments and diagnostic tools within, or to, regions of the body. Movement of segments at the proximal end of the mechanism results in a corresponding, relative movement of segments at the distal end of the mechanism. The proximal and distal segments are connected by a set of cables in such a fashion that each proximal segment forms a discrete pair with a distal segment. This configuration allows each segment pair to move independently of one another and also permits the articulating mechanism to undergo complex movements and adopt complex configurations.

Abstract: An apparatus for the repair of a cardiovascular valve has leaflets comprising a grasper capable of grabbing and co-apting the leaflets of the valve. In a preferred embodiment, the grasper has jaws that grasp and immobilize the leaflets, and then a fastener is inserted to co-apt the leaflets. The apparatus is particularly useful for repairing mitral valves to cure mitral regurgitation.

Abstract: A tissue conveyor includes a conveyor body having a proximal end and a distal end. The proximal end includes a handle allowing for operator control of an end effector located at the distal end. The end effector includes a grasper assembly composed of a first jaw bar and a second jaw bar connected by a support base to define a cavity into which tissue is drawn. A first conveyor member is positioned upon the first jaw bar for movement along an internal surface of the first jaw bar and a second conveyor member is positioned upon the second jaw bar for movement along an internal surface of the second jaw bar.

Abstract: The present invention provides a suction dome for atraumatically grasping, manipulating, and/or extracting tissues. The suction dome may be used with a surgical instrument having a suction channel. Such instruments include, for example: forceps, laparoscopes, endoscopes, bronchoscopes, and catheters. The suction dome comprises an outer wall non-permeable membrane and a tissue-engaging permeable membrane base. The non-permeable membrane may be supported by a plurality of expanding arms and defines a chamber in communication with the suction channel of the instrument.

Abstract: A bone clamp, in one example, includes a first scissor arm and a second scissor arm pivotally connected to the first scissor arm. A guide is pivotally attached to the first scissor arm and a first clamping member with a drill or wire receiving channel therethrough is pivotally connected to the second scissor arm and slideable through the guide. A second clamping member is fixed to the guide. In this way, when a bone is clamped between the first and second clamping members, a drill and/or wire can proceed through the first clamping member and into the bone between the first and second clamping members.

Abstract: Devices, tools and methods for minimally invasive implantation of a dynamic interspinous implant device for distracting between spinous processes and providing dynamic stabilization. One exemplary device includes a main body including a shaft having a longitudinal axis; a first clamping mechanism having first and second jaws configured to clamp a spinous process of a first vertebra, and a second clamping mechanism having third and fourth jaws configured to clamp a spinous process of a second vertebra. The first, second, third and fourth jaws extend transversely from the shaft and at least two of two of the jaws are releasably mounted to the shaft and are mountable to and removable from the shaft by relative movement between the respective jaw and the shaft in a direction normal to a longitudinal axis of the shaft.

Abstract: The invention includes a forceps and collection assembly for acquiring and storing a plurality of tissue samples in a single pass, and accompanying mechanisms for use with the forceps and collection assembly. The accompanying mechanisms include an endoscope working channel cap assembly configured to minimize compression of a pouch of the forceps and collection assembly as it traverses a seal of the cap assembly, and a flush adapter configured to be coupled to the pouch so as to assist in removing tissue samples in the pouch by flowing fluid through the pouch.

Abstract: A clamp including first and second clamp members, at least one of which can be pivoted between an open orientation and a closed orientation.

Abstract: A novel surgical clamp having a pair of jaws, which may be used to ablate or create leisons in tissue. In embodiment, the jaws have an articulated position wherein the jaws are separated and not parallel to one another, an opened position wherein the jaws are separated and substantially parallel to one another, and a closed position wherein the jaws are adjacent and substantially parallel to one another. One or more of the jaws can articulate independent of the other jaw. Other embodiments are described in the attached specification.

Abstract: A surgical tool system. Various embodiments of the surgical tool system may comprise surgical instrument that has a handle assembly that operably supports a drive system therein for generating drive motions upon actuation of a movable handle portion operably coupled to the handle assembly. An elongated body protrudes from the handle assembly and operably supports a control rod therein that interfaces with the drive system. The surgical tool system further includes at least two surgical tools selected from the group of surgical tools consisting of: manipulators, nippers, scissors, endocutters, tissue thickness measurement devices, staple appliers, clip appliers, syringes for applying glue, sealant, drugs or medicaments and cauterization devices wherein each of the surgical tool within the group of surgical tools at least has a housing that is removably couplable to the elongated body and a drive assembly that is removably couplable to the control rod for receiving the drive motions therefrom.

Abstract: The invention relates to a surgical instrument comprising a shank and a slide which is mounted so as to be slideable along the shank. At least one guide element guided in at least one longitudinal groove is provided on the shank or the slide. The shank and the slide are each connected to a handle part, one handle part being mobile in relation to the other handle part about a pivot and being provided with a slot in which a cross bracket of the slide engages. The invention is characterized in that the position of the handle part in relation to the other handle part can be altered in the region of the pivot.

Abstract: A hand held instrument is provided in one embodiment in a kit for use in positioning a constraining ring of an acetabular liner system and includes a shaft including a first coupling member, and a plurality of heads, each of the plurality of heads including (i) a base configured to couple with the first coupling member and (ii) a pair of resilient gripper arms, each of the pair of resilient gripper arms defining a constraining ring reception area having a size different from the constraining ring reception area defined by the pair of gripper arms of each of the other of the plurality of heads.

Abstract: An electrosurgical apparatus, system, and method are disclosed. The apparatus, includes an elongate member defines a longitudinal opening. An elongate actuator member is slideably movable within the longitudinal opening. A proximal jaw member having a proximal portion is fixedly coupled to a distal end of the elongate flexible member. A distal jaw member has a proximal portion fixedly coupled to a distal end of the elongate actuator member. A first aperture is defined between the distal portion of the distal jaw member and the proximal portion of the distal jaw member. The distal jaw member is slideably movable relative to the proximal jaw member. The system includes a handle portion to receive a proximal end of the elongate actuator member of the apparatus. A method includes preparing the apparatus for surgery.

Abstract: A surgical punch including an upper jaw and lower jaw that are coupled at their proximal ends. The jaws have cutting edges at their distal end configured to cut in a direction from the distal ends of the jaws towards the proximal ends of the jaws. The center of rotation of the cutting trajectory can be located above the initial cutting point of the lower jaw. The upper jaw can include a reversed slope leading edge. The jaws can be slidably coupled to each other. The coupling member can include a pin and slot to couple the movable jaw to an actuating rod.

Abstract: A surgical instrument has a main shaft underlying a slide member. The slide member is movable in a proximal-distal direction. The distal end of the slide member has an open position and a closed position. The closed position is spaced from the open position in the proximal-distal direction. There is a gap between the distal end of the slide member and the distal end of the main shaft when the instrument is in the open position. The gap is smaller when the instrument is in the closed position. An implant can be received in the gap and delivered to a damaged tissue site using the instrument. An implant protector can be used when delivering the implant with the instrument. A pivotable implant cover can be used to protect the implant instead of the slide member.

Abstract: The invention relates to a dental forceps with two articulated parts, which are connected to each other at a pivot and which each exhibit a handle at one end and at the other end a working end with an inside area, such that the inside area exhibits a corrugated area which runs perpendicular to the longitudinal axis, and such that a longitudinal groove is positioned within the inside area, starting at the distal end of the working end and running along the longitudinal axis of the working end, and such that a recessed cavity is positioned in the longitudinal groove, starting at the distal end, and the radius of curvature of the recessed cavity is smaller than the radius of curvature of the longitudinal groove.

Abstract: The invention is directed to a surgical instrument comprising an elongate tube extending along an axis including a camming rod and an actuation mechanism operably connected to the camming rod, the camming rod having a camming pin and a camming projection; a first jaw spine having a first cam slot, a first interior camming surface, and a first exterior camming surface; and a second jaw spine having a second cam slot, a second interior camming surface, and a second exterior camming surface, the second jaw spine pivotally connected to the first jaw spine at a common pivot pin operably connected to the elongate tube to open and close the jaw spines in response to movement of the actuation mechanism. The camming pin rides along the first and second interior camming surfaces and operates to close the jaw spines when the camming rod is moved proximally.

Abstract: A surgical tool assembly includes a pair of opposing jaws pivotally connected to each other. Further, at least one viewing opening may be provided in at least one of the opposing jaws. In this regard, the at least one viewing opening may extend from an upper to a lower surface of the opposing jaw in which the viewing opening is provided. Additionally, the at least one viewing opening may include a material retainer provided proximate the lower surface of the opposing jaw in which the at least one viewing opening is provided. Further, the material retainer may include an inclined surface inclined towards a central axis of the at least one viewing opening. Further, a grasping insert may be molded onto a lower surface of the opposing jaw in which the viewing opening is provided and an elastomeric material of the grasping inserts may within the at least one viewing opening, the material of the grasping inserts covering the inclined surface of the first material retainer.

Abstract: A resecting device is disclosed. The resecting device comprises: a handle having a jaw trigger slidably engaged with said handle and mechanically engaged with a spring mechanism communicating a biasing force to said jaw trigger; a fixed shaft portion having a first and a second end, wherein said fixed shaft portion first end is affixed to said housing, wherein said fixed shaft portion second end forms a first jaw member, and wherein said first jaw member has a tissue contact area; and a slidable shaft portion in communication with said spring mechanism and slidable relative to said fixed shaft portion.

Abstract: A deployment handle for an implant deployment device (100) facilitates withdrawal of a sheath (32). The sheath (32) is gripped between a first cam cleat (122) and a first ledge (124) and a second cam cleat (126) and a second ledge (128). The first cam cleat (122) and the first ledge (124) are attached to a carriage (120), which moves in a withdrawal direction upon actuation of a lever (130). During movement of the carriage (120) in the withdrawal direction, the first cam cleat (122) grips the sheath (32) or a sheath pulling member (118) thus causing movement of the sheath (32) in the withdrawal direction. During this movement, the second cam cleat (126) releases its grip upon the sheath (32) or a sheath pulling member (118). Upon release of the lever (130), the carriage (120) moves in a direction opposite to the withdrawal direction by means of a helical spring (140).

Abstract: The tissue fastening apparatus includes: a tissue fastening tool provided with a first tissue fixing section which is hooked onto a first biological tissue and a second tissue fixing section which is hooked onto a second biological tissue adjacent to the first biological tissue; a stent provided with a dilating portion having a diameter which increases from a front end to a rear end of the dilating portion, an indwelled portion which is connected the dilating portion, and a through hole which passes through the dilating portion and the indwelled portion in a longitudinal direction of the stent; and an applicator provided with a tubular puncturing tool in which the tissue fastening tool is inserted, a fastening tool pusher inserted into the puncturing tool to dispenses the tissue fastening tool inserted into the puncturing tool from a distal end of the puncturing tool, and a sheath into which the puncturing tool is inserted to shift the stent which is detachably disposed at the distal end of the sheath relativ

Abstract: The invention is directed to a surgical instrument comprising an elongate tube extending along an axis including a camming rod and an actuation mechanism operably connected to the camming rod, the camming rod having a camming pin and a camming projection; a first jaw spine having a first cam slot, a first interior camming surface, and a first exterior camming surface; and a second jaw spine having a second cam slot, a second interior camming surface, and a second exterior camming surface, the second jaw spine pivotally connected to the first jaw spine at a common pivot pin operably connected to the elongate tube to open and close the jaw spines in response to movement of the actuation mechanism. The camming pin rides along the first and second interior camming surfaces and operates to close the jaw spines when the camming rod is moved proximally.

Abstract: Apparatus configured for the removal of polyps are provided and include a first jaw member including first and second elongated members, the first and second elongated members having proximal and distal ends and defining a channel therebetween; and a second jaw member having proximal and distal ends and defining a tissue contacting surface, the proximal end of the second jaw member being pivotably coupled between the proximal ends of the first and second elongated members, wherein the distal end of the second jaw member is in a spaced apart relationship with the first jaw member when in a first position, and the distal end of the second jaw member extends into the channel defined between the distal ends of first and second elongated members when in a second position.

Abstract: Methods and devices are provided for reducing a spinal fixation element into a spinal implant element. In one exemplary embodiment, a spinal rod reduction device is provided for reducing a spinal fixation element into a spinal implant element. The spinal rod reduction device can include a fastener engaging member for engaging at least a portion a spinal implant element, a reduction member for engaging at least a portion of a spinal fixation element, and a handle assembly mated to the reduction member. The handle assembly can be designed in such a way that actuation of the handle assembly causes movement of the reduction member relative to the fastener engaging member and the movement of the reduction member reduces the spinal fixation element into the spinal implant element. Two different styles of spinal rod reduction devices are discussed in detail. Various techniques are also provided for reducing a spinal fixation element into a spinal implant element.

Abstract: Methods and devices are provided for reducing a spinal fixation element into a spinal implant element. In one exemplary embodiment, a spinal rod reduction device is provided for reducing a spinal fixation element into a spinal implant element. The spinal rod reduction device can include a fastener engaging member for engaging at least a portion a spinal implant element, a reduction member for engaging at least a portion of a spinal fixation element, and a handle assembly mated to the reduction member. The handle assembly can be designed in such a way that actuation of the handle assembly causes movement of the reduction member relative to the fastener engaging member and the movement of the reduction member reduces the spinal fixation element into the spinal implant element. Two different styles of spinal rod reduction devices are discussed in detail. Various techniques are also provided for reducing a spinal fixation element into a spinal implant element.

Abstract: The invention relates to a medical instrument having a hollow shaft, a tool positioned on the distal end of the shaft consisting of a rigid jaw member and a jaw member that can rotate with respect to the rigid jaw member, as well as a handle positioned on the proximal end of the shaft. The tool and the handle are in active connection with one another by a push-pull rod mounted in the shaft, and the jaw members of the tool are mounted on one another by pins. It is proposed with the invention that the push-pull rod should be configured as a hollow slide tube mounted in the shaft so that it can slide axially and is in active connection with the rotatable jaw member by an actuation element that is essentially rod-shaped.

Abstract: A surgical instrument includes a tubular member, a partition member for partitioning the inside of the tubular member, first and second shafts movable in forward and backward directions, an end effector, a base member connected to the second shaft, a supporting pin for supporting the base member to mount the end effector on the tubular member, a first connection member being movable in both forward and backward directions in the base member to open and close jaws connected to the end effector, a second connection member being movable through a joint formed by the supporting pin, a first operation control portion for manipulating the end effector via the first shaft, and a second operation control portion for moving the second shaft in both forward and backward directions to control the angle of the joint.

Abstract: Bending pliers are described for perforated bone plates with two jaws movable relative to one another. A receiving jaw has two spaced receptacles for insertion into holes of a bone plate to be received. A pressure-exerting jaw comprises a pressure-exerting element which, when the bending pliers are actuated, cooperates with a received bone plate in a region between the two receptacles. The receptacles have an outside diameter which is variable along their axial extent in order to cooperate, preferably in a form-fitting manner, with different hole types.

Abstract: Provided is a surgical tools having multiple functions exhibited by end effector parts, which is small-sized and inexpensive, and which can eliminate the necessity of replacement of surgical tools. The surgical tools incorporating: a tip end portion having a plurality of end effector parts, and a tool sleeve through which a transmission mechanism of driving force for applying driving force to the tip end portion is led. The plurality of end effector parts comprise a pair of a first end effector part and a second end effector part so as to have a first tool function, and a third end effector part mated with one or both of the first end effector part and the second end effector part so as to have a second tool function.

Abstract: The invention relates to a surgical instrument, e.g. forceps, and method to be used for suturing tissue, the surgical instrument comprising a first arm and a second arm that are spring-connected at a proximal end, while at a distal end the first arm and the second arm can be moved towards each other, and wherein at least the first arm and/or the second arm can be provided with a bullet that is suitable for receiving and affixing a surgical needle, wherein the bullet is designed for being positioned at the distal end, at an inside and/or lower side of the end of an arm.

Abstract: An inserter for implanting an intervertebral spacer into a spinal disc space is disclosed. The inserter comprises a jaw assembly connected to a shaft assembly that is connected to a handle assembly. The user operates the handle assembly to open and close the jaw assembly to thereby connect to and release from the intervertebral spacer. Furthermore, the handle assembly is operable to lock and unlock rotation of the jaw assembly while still connected thereto to permit angulation of the jaw assembly relative to the shaft assembly without losing hold of the intervertebral spacer.

Abstract: The invention relates to a device for preparing tissue discs, in particular cartilaginous discs. A device for preparing tissue discs that is of simple structure and ensures safe handling comprises, in addition to a clamping device for securing a tissue block by clamping, at least one cutting device for treating the tissue block held in the clamping device.

Abstract: An inserter for implanting a spinal implant such as an intervertebral spacer into a spinal disc space is disclosed. The inserter comprises a jaw assembly connected to a shaft assembly that is connected to a handle assembly. The shaft assembly includes an angled portion in which the distal end of the instrument is displaced from the proximal end of the instrument affording the clinician a more unobstructed view of the operative site. The user operates the handle assembly at the proximal end to open and close the jaw assembly to thereby connect to and release from the intervertebral spacer.

Abstract: An inserter for implanting a spinal implant such as an intervertebral spacer into a spinal disc space is disclosed. The inserter comprises a jaw assembly connected to a shaft assembly that is connected to a handle assembly. The user operates the handle assembly to open and close the jaw assembly to thereby connect to and release from the implant. Furthermore, the handle assembly is operable to lock and unlock rotation of the jaw assembly while still connected thereto to permit angulation of the jaw assembly relative to the shaft assembly without losing hold of the implant.

Abstract: An atraumatic hemostatic clamp, being an artery/vein clamp in the field of medical instruments, mainly includes a left clamp body (1) and a right clamp body (2) which are joined by a hinge and may be divided into jaws (3) and handles (4) by the hinge. The jaws (3) have a curved configuration with ends extending upwardly. Serrated portions (8) with serrations projecting from engaging surfaces are formed on both ends of each of the jaws (3) of the left and right clamp bodies (1), (2). A groove (9) is formed between the serrated portions (8) on both ends. Therefore, this atraumatic hemostatic clamp has a simple structure and can provide a reliable grasp without causing trauma to bodily vessels, thus solving the problem of the conventional hemostatic clamp that vessel trauma may be easily caused.

Abstract: The invention relates to a medical instrument, in particular an endoscopic instrument, with an instrument shaft, a tool positioned on the distal end of the instrument shaft, and a handle, which can be secured on the instrument shaft so that it can be moved in an axial extension of the instrument shaft. In order to create an instrument which makes possible a comfortable, safe, and reliable handling even with the most varied application purposes, it is proposed with the invention that the handle can be secured on the instrument shaft so that it can be moved by at least one degree of freedom with respect to the instrument shaft.

Abstract: A spinal implant insertion device is hereby provided. The device includes an insertion blade assembly having a set of opposed insertion blades wherein the assembly is adapted to slide from a retracted position to an extended position relative to an elongate shaft. In the extended position, a blades are adapted to be positioned above and below a portion of a spinal implant so as to shield the portion of the implant during delivery to an intervertebral space. The insertion blades assembly can also be modular so as to utilize a wide range of distinct insertion blades. Additionally, a method for delivering a spinal implant to an intervertebral space is herein provided. Like above, the method utilizes an insertion blade assembly adapted to slide along a shaft of a spinal implant insertion device.

Abstract: Embodiments include a surgical device and a method. An embodiment of the surgical instrument includes at least one grasping jaw, the at least one grasping jaw being adapted to deliver surgical staples by a force generated from a force generator mechanism that is contained within the at least one grasping jaw or is in a proximity to the at least one grasping jaw. Another embodiment includes at least one grasping jaw, at least one delivery mechanism adapted to deliver surgical fasteners, the delivery mechanism being located in a proximity to or contained within the at least one grasping jaw, the surgical fasteners containing at least one shape-transforming material, at least one sensor, at least one chemical tissue sealant and at least one cutter. A method includes: grasping a body organ/tissue with at least one grasping jaw, adjusting a configuration of the grasping in response to a signal or a datum or an image, and releasing a surgical staple/fastener in response to the signal, datum or image.

Abstract: The invention describes a disposable device for operations on the arteria haemorroidalis, which comprises a retractor tube (1), closed and rounded on the end (101) which is inserted in the anal cavity, and open and diverging on the external end (201) to which is connected a griping handle (M) which removable houses a luminous source (F). In the connection zone of the handle to the external mouth of the retractor there is provided a channel (C) which contains a parabola (5) which reflects the light supplied from said luminous source (F) and which sends the reflected light inside of the same retractor, to illuminate a lateral window (8) through which appears the rectal mucosa upon which the operation must be made for the ligature of the arteria haemorroidalis.

Abstract: Forceps with a pair of scissor-like arms that are pivotally connected to each other and that continue past the pivot to form a catheter guide. At least two and preferably three bends are disposed in the arms immediately before the pivot, which allow the medical professional to place the guiding end of the forceps in the correct place while maintaining good visual contact with the patient's vocal cords. An alternative embodiment provides a fourth bend near the guiding end of the forceps that allows for easier insertion of a catheter in some patients, such as children.

Abstract: An obtained tissue extractor is used in combination with a biopsy forceps. The biopsy forceps includes an elongate insertion portion to be inserted into a body, and a biopsy cup provided at a tip of the insertion portion, including a pair of cup bodies which obtains a living body tissue, and having holes communicating with the inside of the cup bodies. The obtained tissue extractor includes protrusions, and the protrusions enter the inside of the cup bodies from the holes of the cup bodies when the cup bodies are driven to open in a state set at the distal end of the insertion portion, in order to release the obtained tissue from the cup bodies.

Abstract: A tool, system and method for separating connected orthopaedic components are disclosed. The system includes two orthopaedic components that are connected end to end. One of the orthopaedic components has a notch that receives a cam carried by the tool. The notch and cam are sized and shaped so that when the cam is turned, the cam forces the two components apart. The invention is particularly useful when Morse tapers are used to connect the components. The invention can be used with the modular orthopaedic implants as well as with modular trials used intraoperatively. The cam can be removably mounted on the tool.

Abstract: An improved bone retractor tool includes a pair of arms pivotably connected to one in a pliers-like configuration and a pair of tissue engagement plates each having forward and rearward portions, each of the pair of tissue engagement plates mounted on the upper end of one of the pair of arms and extending generally parallel with one another when the pair of arms are in closed position. Forward bone engagement spikes are mounted on and extend forwards from the forward portions of the tissue engagement plates. A releasable securement mechanism is mounted on the pair of arms for releasably retaining the pair of arms in a selected position relative to one another, and a tensioning device is mounted on the pair of arms for tensioning the lower ends away from one another thereby forcing the pair of tissue engagement plates towards one another upon the securement mechanism being released.

Abstract: A forceps for a double eyelid. The forceps includes an upper support plate and a lower support plate. The upper support plate is attached to the front side of the handle and has one or more needles arranged in a front region of the inner surface of the upper support plate. The lower support plate corresponds to the upper support plate and is attached to the front side of the handle and having accommodation recesses corresponding to the needles and being formed in a front region of the inner surface of the lower support plate.

Abstract: A bone retractor that may be used as a femoral elevator. The bone retractor includes a clamp for attaching the bone retractor to an operating room bed rail, a post attached to the clamp via a hinged joint, a mount slidably attached to the post and a hook coupled to the mount which in turn is attached to the post. A shaft passes through the interior of the post and attaches to clamp. The clamp has a lower jaw and an upper jaw. An opening is formed in the lower jaw and an end of the shaft is engaged in the opening. The shaft has two sections with a universal joint connecting these two sections. The born retractor is attached to the operating room bed rail by applying clamp to the bed rail. With bone retractor attached to the bed rail, the post is lowered towards the wound. The hook is placed under the bone, and the bone exposed by holding the hook or the post and lifting the bone out of the wound.

Abstract: An apparatus and method for advancement of a spinal rod in a spinal implant, wherein the apparatus includes a body and a handle attached to the body. A shaft is slidably attached to the body, the shaft is coupled to the handle and has a first end adapted to engage the spinal rod. At least one retractor blade is attached to the body and the spinal implant. The operation of the handle results in the shaft persuading the spinal rod in the spinal implant. The force exerted by the shaft on the spinal rod is limited to a pre-selected force. The apparatus can also be operated in a non-limiting mode when a reduction retractor blade is used.

Abstract: The invention relates to an instrument for preparing and/or machining a femoral head (11) embodied on a femoral neck (19). Said instrument comprises tactile forceps (91) that are provided with two forked levers (13, 15) and two tactile jaws (23, 25), each of which is assigned to one of the forked levers (13, 15). The forked levers are interconnected at a fulcrum (93). The inventive instrument features a manipulating end and a working end. The tactile jaws are located at the working end of the instrument. A guiding element (28) is provided which encompasses a centering pin (21) and is mounted and/or guided at least at two points (105, 107) spaced apart from each other in the direction of the centering pin (21) in such a way that the centering pin (21) always lies on a central plane (12) of the tactile forceps (91) regardless of an opening angle of the tactile forceps (91), said central plane (12) containing the fulcrum (93).

Abstract: A remotely controllable system and method for positioning and operating a scleral depressor. A track is positioned to encircle at least a portion of the eye. One or more independent thrusters, or actuators, are radially positionable about the eye. An actuator is selectively deployable and selectively retractable by remote control. Thrusters may be mechanically operated and include pneumatic, hydraulic, electrical, chemical or other power supply forces. Remote control is provided by hand-operated controls, foot-operated switches or voice-operated control. A light source is positioned about at least a portion of the eye to provide transcleral illumination.

Abstract: Devices and methods for creating holes in the articular process of the vertebra are provided. One embodiment of the invention comprises a drill head comprising a frame, punch arm with punch tip and opposing plate. Methods of using the resulting holes to anchor or stabilize facet joint prosthesis, and also altering the spacing and motion at the facet joints of the vertebral column, are provided.

Abstract: A tissue fixation system is provided for dynamic and rigid fixation of tissue. A fastener connected with an elongate fastening member, such as a cable, wire, suture, rod, or tube, is moved through a passage between opposite sides of tissue. A medical device is used to secure the fastener to the elongate fastening member. The medical device includes a tensioning mechanism for tensioning the elongate fastening member. As crimping mechanism is used to secure the fastener to the elongated member, where a cutting mechanism cut the excess portion of the elongated member.