3850results about "Fasteners" patented technology

Methods and devices for consistently and accurately controlling the depth of the graft tunnel. A sheath is inserted into the bone until a stop member on the sheath contacts the bone. A cutting member is then deployed to drill a larger bore in the tunnel until making contact with the distal end of the sheath. The cutting member may be drawn retrograde within the tunnel, or driven antegrade from an opening opposite the opening in which the sheath resides. The drill and the sheath can then be removed, leaving the tunnel that includes a tunnel portion sized to fit a graft so that the graft fits tightly within the tunnel portion and is flush with the opening of the tunnel.

The invention discloses an endoscope with a built-in grabbing mechanism, and relates to the technical field of medical instruments. According to the technical scheme, the device comprises a clamp assembly, a driving outer pipe and a driving inner wire; the grabbing mechanism further comprises a grabbing mechanism shell, a first moving seat and a second moving seat, wherein the first moving seat and the second moving seat are arranged in the grabbing mechanism shell. The near end of the driving outer tube is connected with the first moving seat, and the near end of the driving inner wire is connected with the second moving seat; when the second moving seat is fixed relative to the grabbing mechanism shell, the first moving seat moves towards the far end direction relative to the grabbing mechanism shell so as to control the clamp assembly to execute the clamping action. According to the invention, the clamping action is carried out while forward extension is carried out, so that high-precision operation is facilitated, and tissues can be accurately clamped; and moreover, the grabbing mechanism is integrated in the endoscope handle, so that accurate single-hand control is facilitated, meanwhile, the clamping action is controlled in a button mode, the human engineering is met, and operation is convenient.

Provided herein are several embodiments for an anchor device for insertion into a bone, all of which include a post suitable for implantation into a bone, and a cord housing coupled to the post. The cord housing has a lower housing with a cradle for receiving therein at least one cord, and an upper housing with a clamp for placement over the at least one cord inserted into the cradle. The joining of the upper housing to the lower housing forms a cord channel by the cradle and the clamp, to encase the at least one cord placed into the cradle. The cord housing also has means for fastening the upper housing to the lower housing and securing the at least one cord within the cord channel.

A metatarsus adductus technique may involve cutting an end of one or both of a second metatarsal and an intermediate cuneiform to create a wedge-shaped opening between the end of the second metatarsal and the intermediate cuneiform. The method may further involve cutting an end of one or both of a third metatarsal and a lateral cuneiform to also create a wedge-shaped opening between the end of the third metatarsal and the lateral cuneiform. The second metatarsal and the third metatarsal can then be moved in a transverse plane to close a metatarsus adductus angle. Movement of the second and third metatarsal may close the wedge-shaped openings forming during bone cutting. With the second and third metatarsals appropriately realigned, the clinician can fixate the moved position of the second metatarsal and the third metatarsal.

A suture button system for fixing a syndesmotic injury comprises a flexible fixation implant and an inserter device used to deploy the implant across bones. The flexible fixation implant typically comprises a flexible connector and two suture buttons which interface with the bone surface or a bone plate or washer. The flexible connector comprises a plurality of suture strands. The buttons typically have a feature which allows them to interface with an instrument used to deploy the implant across the two bones. The inserter device is configured to interface with the flexible fixation implant and to position it across bones through a pre-drilled bone tunnel. The inserter device may comprise an cannulated insertion rod and a handle.

A bone anchoring surgical system comprising a bone anchoring device comprising a bone anchor body configured to anchor a bone; and a deformable structure associated with the bone anchor body and located distally or proximally to the bone anchor body, the deformable structure configured to expand following deployment thereof in a target inner body skeleton position.

The invention relates to the technical field of neurosurgical intelligent operations, and discloses a neuroendoscopic surgery intelligent puncture positioning system based on image navigation, and the system comprises a preoperative modeling module which constructs a preoperative tissue model and a corresponding elastic tensor field based on a three-dimensional medical image of a patient; the image fusion module is used for receiving the data of the preoperative modeling module, collecting intraoperative endoscopic images, predicting the tensor disturbance of tissues through a deep learning model, and feeding back the updated tensor disturbance to the tensor updating module; and the tensor updating module is in two-way communication with the image fusion module and is used for superposing tensor disturbance obtained by processing the intraoperative image with the preoperative tensor. Through fusion of an image navigation technology and preoperative modeling, a three-dimensional positioning frame based on neuroendoscopy operation requirements is constructed, intelligent planning and real-time correction of a puncture path are realized, important brain regions and vascular structures are effectively avoided, intra-operative risks are reduced, and positioning precision and safety are improved.

A bone insert includes a cap having a convex top surface, an elongated stem, and a barrier between the cap and the stem. The stem of the bone insert is inserted into a hole formed in a host bone until the barrier is pressed against the exposed bone. The bone implant can be placed against a small focus contact point on the cap. Liquid cement can be injected into a space volume between the host bone and a bone implant. The cap can be made of a material and / or have surface features that create a strong bond with the cement when the liquid cement cures. The stem can be made of a material and / or have bone ingrowth surface features that create a strong bond with the bone.

A dynamic reference base (DRB) and associated method are provided for rigidly affixing an array frame to bone for use in navigated or robotic surgery. The DRB includes a bridge element that includes a connecting rod having a distal end and a proximal end; a clamp coupled to the distal end of the connecting rod; a first and a second pin guide extending distally from the clamp; a locking nut disposed on the clamp; and a clutch coupled to the proximal end of the connecting rod, the clutch being adapted to couple to the array frame. The DRB also includes the array frame, which is couplable to the clutch, and is adapted to include a plurality of tracking markers disposed thereon.

The invention discloses a sacroiliac joint fixing device, and relates to the technical field of surgical instruments, the sacroiliac joint fixing device comprises an outer nail, an inner nail and a connector, threads are arranged on the peripheral wall of the outer nail, a containing hole is formed in the outer nail, a bolt head is arranged at the rear end of the outer nail, a plurality of open grooves are formed in the peripheral wall of the outer nail, the open grooves are communicated with the containing hole, and a porous structure is formed on the peripheral wall of the outer nail; the inner nail is arranged in the containing hole in a penetrating mode, the diameter of the inner nail is smaller than that of the containing hole, and the connector is detachably connected to the bolt head. The sacroiliac joint can be effectively fixed for a long time.

In some embodiments, a method comprises disposing a portion of a flexible fastening band into contact with a first bone portion and into contact with a second bone portion. The portion of the flexible fastening band having a substantially uniform shape configured to substantially compliment a shape of the first bone portion and a shape of the second bone portion. The method further includes inserting the portion of the flexible fastening band into a fastener and advancing the portion of the flexible fastening band through the fastener until the first bone portion and the and the second bone portion are stabilized.

The invention discloses a thoracoscope minimally invasive cardiac surgery navigation system based on multi-modal image fusion, and the system comprises the steps: constructing a 5D heart digital twin containing an anatomical structure, a soft tissue boundary, metabolic activity and electrophysiological information through fusing preoperative CT, MRI, PET and intraoperative ultrasonic images; real-time dynamic registration is realized by using an electrocardio gating driven biomechanical model; superposing the multi-color coding navigation information to the visual field of the thoracoscope through a wavelength selection type spectroscope; a dynamic risk scoring model is constructed based on the distance, the speed and the tissue vulnerability, and three-level grading intervention is triggered; a miniature force feedback actuator is integrated to realize closed-loop control; and pre-operation virtual drilling and post-operation federal learning optimization are supported. The system remarkably improves the surgical precision and safety, and is suitable for high-difficulty heart minimally invasive surgeries such as mitral valve repair and atrial fibrillation ablation.

The invention discloses a constipation patient defaecation device and mobile terminal integrated system based on endoscope visualization and air bag assistance, and relates to the technical field of medical instruments, the constipation patient defaecation device comprises a display terminal, a connecting line, an operating handle and a comprehensive pipe, and the two ends of the operating handle are connected with the connecting line and the comprehensive pipe respectively. According to the non-invasive, high-safety and portable constipation patient defecation device, through the integrated design of endoscope real-time visual positioning, air bag auxiliary mechanical defecation and mobile terminal data interaction, the invasive operation pain is reduced, the defecation time is shortened, the complication risk is reduced, and the constipation patient defecation efficiency is improved. The pressure sensor monitors the internal pressure of the air bag in real time and feeds back the internal pressure to the dynamic pressure upper limit module and the mobile terminal in real time, and double protection of a hardware pressure release valve and software pressure limiting is triggered when the pressure exceeds the limit. The problems of high intestinal injury risk, low treatment efficiency, limited application scene and the like caused by operation blindness, function singleness or high invasiveness in the prior art are solved.

The present application relates to a kind of snare cutting knives for endoscope, including proximal handle, tube body assembly, cutting assembly and limiting component;Proximal handle is equipped with limiting sliding slot;The proximal end of tube body assembly is connected with proximal handle, and the distal end of tube body assembly is equipped with insulating protection tube;Cutting assembly includes cutting ring and cutting head, and cutting head is set to the distal end of cutting ring;Limiting component includes sliding part and limiting control wire, sliding part is slidably arranged in limiting sliding slot, and the proximal end of limiting control wire is fixedly connected with sliding part, and sliding part is used to drive limiting control wire axial movement;When limiting control wire moves to the distal end of insulating protection tube, cutting head and insulating protection tube abut each other and are fixed;When limiting control wire exits insulating protection tube, cutting head can continue to move relative to insulating protection tube.

The invention relates to an adjustable electric intracavity cutting stitching instrument, and relates to the technical field of stitching instruments. The device comprises a handle, a rotating head, a suturing rod and a suturing head, the suturing rod is connected with the handle, the suturing rod is sleeved with an outer pipe, the handle is used for driving the outer pipe to move in the length direction of the suturing rod, and the rotating head is rotationally connected to the handle, fixed to the outer pipe and used for driving the outer pipe to drive the suturing rod to rotate. The sewing head is rotatably connected to the end, away from the handle, of the sewing rod through a rotating assembly, a driving assembly is arranged on the sewing rod, connected with the rotating assembly and used for driving the rotating assembly to rotate, a handle and a rotating motor are arranged on the rotating head, the rotating motor is connected with the driving assembly through an electromagnetic clutch, and the handle is rotatably connected to the rotating head. And the base is fixed with the driving assembly. According to the invention, manual or automatic adjustment can be carried out according to conditions so as to realize the effect of accurate control or rapid control.

A spinal fixation system includes a plurality of bone anchors, each having an anchor portion and a shank head with an upper spherical surface having a first diameter extending downward to an inner edge of an annular shelf spaced below a hemisphere plane, and a lower spherical surface having a second diameter greater than the first diameter extending downward from an outer edge of the annular shelf toward a neck extending between the shank head and anchor portion. The system also includes both pivoting and non-pivoting receiver sub-assemblies, with each receiver sub-assembly including a receiver having a central bore with a seating surface adjacent a bottom opening and a channel for receiving a rod. Each receiver sub-assembly also includes one of a multiplanar retaining structure, a monoplanar retaining structure, or a monoaxial retaining structure positioned therein and slidably engageable with the seating surface after capturing the shank head upon its uploading through the bottom opening.

The utility model discloses a magnetic traction operation field exposure system magnet adjusting structure and a traction device, and relates to the technical field of medical instruments.The magnetic traction operation field exposure system magnet adjusting structure is applied to the traction device of an endoscope and comprises a driving source and an outer magnet connected with the driving end of the driving source, and the driving source drives the outer magnet to move; the magnet is used for getting close to or away from the inner magnet to adjust the magnetic force between the inner magnet and the outer magnet. According to the magnet adjusting structure and the traction device of the magnetic traction operation field exposure system, the magnitude of magnetic force can be controlled, and traction and release in the operation process can be accurately and conveniently controlled.

Orthopedic fixation devices, assemblies, instruments, and methods relating to the same. The orthopedic fixation device may include a tulip head with one or more internal components configured to secure a bone fastener, such as a saddle, retaining clip, and friction ring. A spinal rod may be secured in the tulip head, for example, with a locking cap, thereby securing the bone fastener. One or more instruments, such as screwdrivers and correction instruments may be used for reduction, derotation, compression and / or distraction.

The utility model provides a slave hand device and a surgical robot, and relates to the technical field of medical equipment. The slave hand device comprises a base, a guide assembly, a telescopic assembly and a limiting assembly. The guide assembly is connected with the base, and the telescopic assembly is connected with the guide assembly, so that the telescopic assembly and the guide assembly can be fixedly installed. One end of the telescopic assembly can be connected with the surgical instrument piece, the telescopic assembly moves relative to the guide assembly in the telescopic direction, the surgical instrument piece can also move in the telescopic direction, and therefore the surgical instrument piece can be conveniently adjusted to the designated position. The limiting assembly can limit the telescopic assembly in the telescopic direction of the telescopic assembly, and excessive stretching of the telescopic assembly in the telescopic direction can be avoided. After the guiding assembly, the telescopic assembly and the limiting assembly are assembled in advance, the guiding assembly and the limiting assembly are installed on the base, then the telescopic assembly, the guiding assembly and the limiting assembly are installed in a matched mode, and therefore the modularization degree and the integration degree of the slave manipulator device are higher.

The invention discloses a surgical tool system based on a flexible arm and a minimally invasive surgical robot, the surgical tool system comprises a flexible arm sleeve assembly and a manual driving mechanism, a distal end of the sleeve assembly is provided with a tip, the tip is at least integrated with a surgical tool and an endoscope camera, and the proximal end of the sleeve assembly is connected with the manual driving mechanism; a regulating cable for controlling the tail end of the surgical tool to move is arranged in the sleeve assembly in a penetrating manner, and the near end of the regulating cable is connected with the manual driving mechanism; a rotating module, a push-pull module and a regulation and control cable control module are arranged in the manual driving mechanism, the rotating module is used for achieving overall rotation of the cannula assembly, the push-pull module is used for achieving bending of the far end of the cannula assembly, and the regulation and control cable control module is used for tensioning / loosening a regulation and control cable to achieve opening and closing of the tail end of the surgical tool. According to the minimally invasive surgery robot, the surgical tool can rotate, bend and open and close the tail end under the control of the manual driving mechanism, the minimally invasive surgery operation requirement is met, the minimally invasive surgery robot has multiple degrees of freedom, and the surgical tool can conveniently reach a deeper surgery area.

The utility model discloses a flexible surgical instrument and an instrument driving device thereof, a motor barrel of the instrument driving device is provided with a clamping hook assembly, and the clamping hook assembly comprises a first motor, a linkage disc, two clamping pins and two connecting rods, the bayonet lock is configured to be capable of moving between a clamping state and a clamping releasing state relative to the first clamping groove on the side of the flexible instrument device; the output end of the first motor is in transmission connection with the linkage disc so as to drive the linkage disc to rotate; one ends of the two connecting rods are rotationally connected with the linkage disc, and the other ends of the two connecting rods are rotationally connected with the two clamping pins respectively; and the central positions of the two connecting rods, which are rotationally connected with the linkage disc, are symmetrically arranged relative to the rotating center of the linkage disc. Under the driving of the first motor, the two clamping pins are synchronously driven to move based on the crank sliding block mechanism, and clamping connection of the clamping pins is achieved. And when the flexible instrument device needs to be disassembled, the first motor can drive the bayonet lock to rotate to a clamping releasing state, and good operability is achieved.

The invention discloses a bionic lantern frame composite internal fixing device and a preparation method, and relates to the technical field of orthopedic medical instruments, the bionic lantern frame composite internal fixing device comprises an implant and a multi-rod bridging structure, the multi-rod bridging structure is composed of a plurality of longitudinal connecting rods and transverse locking nails, and the implant is composed of a plurality of multi-level bionic structures; the multi-layer bionic structure comprises two hexagonal upper and lower layer structures which are symmetrically arranged and a middle spiral layer structure arranged between the two hexagonal upper and lower layer structures. According to the invention, inspired from honeycomb and ox horn macro-microstructure, the multi-level bionic structure prepared by adopting a coupling bionic technology has excellent mechanical properties and strong buffering and vibration absorbing capabilities, can be effectively matched with the mechanical properties of natural bones, and can effectively avoid secondary injury and stress shielding effect after implantation of a patient; the composite coating introduced through an electrochemical deposition method solves the problems that a single implant structure is insufficient in biocompatibility, insufficient in antibacterial property and weak in osteogenic differentiation capacity.

The present invention refers to an implant, comprising a body, a bone contacting outer member having an elongate geometry, wherein the outer member is attached to the body, and a support member having an elongate geometry, wherein the support member is attached to the body, wherein the support member is attached to the outer member, wherein the outer member has a bone contacting outer surface, wherein the elongate geometry of the outer member has an outwardly facing surface portion, wherein the outwardly facing surface portion is a curved surface portion including a first distal surface region, a proximal surface region and a second distal surface region, wherein the first distal surface region is configured as a vertebral contacting surface and wherein the second distal surface region is configured as a vertebral contacting surface, and wherein the support member is attached to the outer member at a location proximate the proximal surface region.

The invention discloses a rod end pedicle screw connector and a spine stabilizing device, and the connector comprises a first maintaining part which is provided with a cylindrical cavity, a main accommodating groove and an extrusion cavity; the second retaining part is arranged in the columnar cavity and is fixed with the rod-shaped part; the main gland is screwed with the upper cavity wall of the columnar cavity; a first sub-gland for pressing the second holding member; the wrapping part is arranged in the extrusion cavity and used for clamping the ball head of the screw; a force transmission part is arranged between the wrapping part and the main gland and used for transmitting pressure applied by the main gland to the wrapping part. An elastic component is arranged in the columnar cavity and is provided with a first combining end and a second combining end, and the two combining ends are allowed to be close to or far away from each other and the first combining end is allowed to swing in any direction relative to the second combining end through elastic deformation; the first combination end is fixedly connected to the second holding part, and the second combination end is fixedly connected to the first holding part or the force transmission part.

A bone fusion assembly includes a bone plate having a plurality of through openings extending therethrough. The through openings include at least one fusion screw opening sized to allow a screw guide to be at least partially inserted therein and a plurality of fixation screw through openings. The screw guide includes a body having a proximal end, a distal end, and a through-passage extending between the proximal end and the distal end. A K-wire a sized to extend through the through-passage in the body of the screw guide.

A telescopic nail with rotational stability, where the female component is externally D-Shaped through a special burnishing process or a plastic deformation, and the male component nests in the form of the female. The male component is partially D-Shaped to lock the two components together for easy removal. The thread of the tapered head of the female component has multi-leads and is synched with the multi-lead thread of the proximal head on the male components. The number of leads and the length of the thread are adaptable to the child's bone anatomy in such ay there is no intrusion of the bone joint. The male and female are locked together as an assembled nail and inserted simultaneously in the bone intramedullary canal. In case of revision or hardware removal surgeries, the assembly nail components are removed simultaneously together.

A coupling assembly for coupling a rod to a bone anchoring element, including a receiving part having first and second ends, a recess at the first end for the rod, and an accommodation space for a head of the bone anchoring element, the accommodation space having an opening at the second end to permit insertion of the head into the receiving part, a retainer element configured to be arranged at least partially in the accommodation space and to hold at least part of the head, and a spring element configured to be arranged at least partially in the accommodation space and to be compressed in an axial direction. The retainer element and the spring element are separate parts. When the retainer element and the spring element are in the accommodation space of the receiving part in a first position, the spring element extends into the recess of the receiving part.

According to the anastomosis nail releasing device and the suturing device, a driving assembly, a needle pushing plate and a containing cavity used for containing anastomosis nails in the anastomosis nail releasing device are sequentially stacked, that is, the needle pushing plate serves as a boundary, so that structures between the driving assembly and the containing cavity do not interfere with each other, on one hand, no other structures exist in the containing cavity, and on the other hand, no other structures exist in the containing cavity; therefore, the containing cavity can contain larger anastomosis nails, the larger anastomosis nails can penetrate through thick human tissue, even if the containing cavity can contain anastomosis nails of various sizes, the application range of the product is widened, and the product can be applied to more operation scenes. On the other hand, no other structure is arranged in the cavity for installing the driving assembly, so that enough space is provided for installing the driving assembly with a complex structure or a large size, the driving assembly has strong driving force, and the anastomosis nail driven by the driving assembly can more effectively penetrate through the human tissue; therefore, effectiveness and reliability of product sewing are guaranteed.

The utility model provides a slave hand device and a surgical robot, and relates to the technical field of medical equipment. The slave hand device comprises a containing arm, a telescopic arm and a button assembly. And the telescopic arm is connected with the accommodating arm, so that the telescopic arm and the accommodating arm are fixedly mounted. One end of the telescopic arm can be connected with the puncture cylinder, the telescopic arm extends or retracts relative to the containing arm, the distance between the puncture cylinder connected to the telescopic arm and the containing arm can be adjusted, and therefore the puncture cylinder can be conveniently adjusted to the designated position. The supporting part in the telescopic arm is arranged in the shell, so that the supporting part can be supported on the inner wall of the shell, and the whole telescopic arm has better structural strength. The button assembly is arranged on the supporting part, so that the supporting part can support and mount the button assembly, and the supporting part has better structural strength, so that the structural stability is better when the button assembly is arranged on the supporting part.

The present technology includes patient-specific spinal fusion devices, which may include an interbody implant that is designed to be positioned within a disc space between two vertebral bodies and one or more fixation elements that can anchor the interbody implant to the vertebral bodies. The fusion devices include one or more retention mechanisms for retaining the fixation elements within corresponding lumens or bore holes extending through the interbody implant. Methods for designing and manufacturing patient-specific spinal fusion devices are also described herein.