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15131results about "Internal osteosythesis" patented technology

Articulating surgical stapling instrument incorporating a two-piece E-beam firing mechanism

A surgical severing and stapling instrument, suitable for laparoscopic and endoscopic clinical procedures, clamps tissue within an end effector of an elongate channel pivotally opposed by an anvil. An E-beam firing bar moves distally through the clamped end effector to sever tissue and to drive staples on each side of the cut. The E-beam firing bar affirmatively spaces the anvil from the elongate channel to assure properly formed closed staples, especially when an amount of tissue is clamped that is inadequate to space the end effector. In particular, an upper pin of the firing bar longitudinally moves through an anvil slot and a channel slot is captured between a lower cap and a middle pin of the firing bar to assure a minimum spacing. Forming the E-beam from a thickened distal portion and a thinned proximal strip enhances manufacturability and facilitates use in such articulating surgical instruments.
Owner:ETHICON ENDO SURGERY INC +1

Surgical stapling instrument incorporating an uneven multistroke firing mechanism having a rotary transmission

A surgical stapling and severing instrument particularly suited to endoscopic procedures incorporates a handle that produces separate closing and firing motions to actuate an end effector. In particular, the handle produces multiple firing strokes in order to reduce the required amount of force required to fire (i.e., staple and sever) the end effector. Varying the center of rotation, circumferential length, and depth of cam lobes in a cam disk that interacts with the firing trigger via a drive wedge allows optimization. In particular, mechanical advantages during specific firing strokes mitigates increased force to fire at the end effector, enabling a more uniform tactile force at the firing trigger.
Owner:CILAG GMBH INT

Lockout arrangement for a surgical stapler

A surgical stapling instrument including a latch for securing first and second jaw members together, a cutting member which can be advanced and / or retracted relative to first and second jaw members, and, in addition, a lock which can prevent, or at least inhibit, the cutting member from being moved, or at least advanced, relative to the first and second jaw members before the latch has been closed. In at least one embodiment, the latch can be configured to engage the lock as the latch is moved from a fully open position to a fully closed position and operably disengage the lock from the cutting member.
Owner:CILAG GMBH INT

Surgical device having multiple drivers

A surgical device is provided, the surgical device including a first driver for performing a first movement function; a second driver for performing a second movement function; a first rotatable drive shaft configured, upon actuation, to cause selective engagement of one of the first and second drivers with a second rotatable drive shaft, wherein the second rotatable drive shaft is configured to drive the selectively engaged one of the first and second drivers. Third and fourth drivers may also be included. The drivers may function to rotate a shaft portion of the surgical device relative to, and about the longitudinal axis of, a handle; move a jaw portion relative to the shaft portion; move a first jaw relative to a second jaw; and / or move a surgical member within the second jaw.
Owner:TYCO HEALTHCARE GRP LP

Powered surgical instrument

A surgical instrument including a housing, an endoscopic portion, a shaft portion and an end effector is disclosed. The endoscopic portion extends distally from the housing and defines a longitudinal axis. The shaft portion is selectively connectable to a distal end of the endoscopic portion. The end effector is selectively connectable to a distal end of the shaft portion.
Owner:TYCO HEALTHCARE GRP LP

Apparatus for endoscopic procedures

A surgical system has a jaw assembly including a plurality of fasteners, an anvil and a drive beam for pushing an actuation sled. A drive screw imparts motion to the drive beam. An elongated body is configured to connect with the jaw assembly. A drive link connects a flexible drive shaft to the drive screw, the drive link being disposed off-axis. The jaw assembly and elongated body are separable from each other.
Owner:TYCO HEALTHCARE GRP LP

End effector for use with a surgical cutting and stapling instrument

An end effector for a surgical cutting and stapling instrument. In various embodiments, the end effector may include an elongate channel that is configured to support a staple cartridge therein and which is also operably coupled to a surgical cutting and stapling instrument. An anvil may be movably supported relative to the elongate channel for selective movement between an open position and a closed position wherein tissue is clamped between the anvil and a staple cartridge supported within the elongate channel in response to a closing motion applied thereto from the surgical cutting and stapling instrument. At least one light source may be provided on at least one of the staple cartridge and the elongate channel. The light sources may interface with the anvil to provide a visual indication viewable through a portion of the anvil to indicate a position of tissue clamped between the anvil and the staple cartridge.
Owner:CILAG GMBH INT

Surgical apparatus with indicator

An apparatus and system are disclosed for indicating relative positions of elements in a surgical apparatus. The indicating elements can include electrical circuitry that provides means for activating visual, audible or tactile indicators, thereby alerting the user that an event has occured with respect to the instrument.
Owner:UNITED STATES SURGICAL CORP

Materials delivery system for stapling device

There is disclosed a materials delivery system for use with a surgical stapling instrument having at least one jaw including a knife slot. The materials delivery system includes a series of treatment material receiving pockets positioned adjacent the knife slot such that a portion of each pocket is open to the knife slot. A source of treatment material is positioned within the pockets such that passage of the knife blade adjacent to the pockets repeatedly coats the knife blade with the treatment material.
Owner:COVIDIEN LP

Instrument introducer

Instrument introducers are disclosed which facilitate the insertion of a surgical instrument into a cavity or a body of a patient. In one embodiment, the instrument introducer includes a hollow elongate cylindrical body including a distal end portion terminating in a distal edge and a proximal end portion, the cylindrical body defining a central longitudinal axis, and an elastomeric cap secured to the distal end portion of the cylindrical body, the cap including a distal end wall having an outer terminal edge and an annular side wall depending from the outer terminal edge thereof. The distal end wall includes an aperture formed therein, wherein a center of the aperture is coaxially aligned with the central longitudinal axis.
Owner:TYCO HEALTHCARE GRP LP

Crimp and release of suture holding buttress material

A mechanism is provided for crimping and releasing a suture securing a strip of buttress material to an end effector. The mechanism includes a retention member movably mounted within the end effector. The retention member is movable from a first position crimping the suture to the end effector to a second position releasing the suture from the end effector. The mechanism additionally includes a follower member, engageable with the retention member, and movable in response to actuation of a surgical instrument to move the retention member between the first and second positions. A lock mechanism is also provided to secure the retention member in the first position. The follower member operates to disengage the lock mechanism.
Owner:TYCO HEALTHCARE GRP LP

Osteogenic implants derived from bone

An osteogenic osteoimplant in the form of a flexible sheet comprising a coherent mass of bone-derived particles, the osteoimplant having a void volume not greater than about 32% and a method of making an osteogenic osteoimplant having not greater than about 32% void volume, the method comprising: providing a coherent mass of bone-derived particles; and, mechanically shaping the coherent mass of bone-derived particles to form an osteogenic osteoimplant in the form of a flexible sheet.
Owner:WARSAW ORTHOPEDIC INC

Linear cutting and stapling device with selectively disengageable cutting member

A surgical stapling instrument including a selectively actuatable cutting member. The stapling instrument may be used as a surgical stapler without cutting tissue or, if desired, the surgeon may selectively actuate the cutting member to cut tissue as the staples are being deployed and formed. A stapling instrument can include an actuator knob that has at least one pusher bar attached thereto. Advancement of the actuator knob in a distal direction causes the pusher bars to apply a firing motion to the staples contained within a staple cartridge supported within the stapling instrument. A knife bar may be selectively coupleable to the actuator knob by a selector switch that is movable from an actuated position wherein movement of the actuator knob in the distal direction advances the knife bar which has a cutting blade portion to advance between rows of staples in the staple cartridge to an unactuated position wherein movement of the actuator knob advances the pusher bars without advancing the knife bar.
Owner:ETHICON ENDO SURGERY INC

Buttress retention system for linear endostaplers

An end effector for use with a surgical stapler comprising a staple cartridge having a tissue contacting surface, a first side surface, and a second side surface opposite the first side surface, an anvil plate having a tissue contacting surface, a first side surface, and a second side surface opposite the first side surface, wherein the first and second side surfaces of each of the staple cartridge and anvil plate have overmolded zones, a buttress releasably disposed on the tissue contacting surfaces of each of the staple cartridge and the anvil plate, and a pair of sutures wherein each suture is bonded to the respective overmolded zones of the first and second side surfaces configured to retain the respective buttress atop the respective tissue contacting surfaces.
Owner:TYCO HEALTHCARE GRP LP

Anterior buttress staple

An anterior buttress staple and screw system is provided that can be used to hold an implant such as a disc prosthesis in place and thereby prevent its migration out of the spinal column. The buttress staple comprises a screw locking plate having a screw locking design that prevents the screw from backing up and away from the plate. The screw is configured to provide an interference fit with the screw locking plate, and can be used as a staple removal tool during revision surgery when the screw locking plate needs to be lifted from the bone surface on which it is attached.
Owner:DEPUY ACROMED INC

Systems for percutaneous bone and spinal stabilization, fixation and repair

InactiveUS6127597ASize of wire can be enlarged and reducedEnlarging and reducing sizeInternal osteosythesisFluid pressure measurement using pistonsSpinal columnProsthesis
Systems for bone and spinal stabilization, fixation and repair include intramedullar nails, intervertebral cages and prostheses, remotely activatable prostheses, tissue extraction devices, and electrocautery probes. The intramedullar nails, intervertebral cages and prostheses, are designed for expansion from a small diameter for insertion into place to a larger diameter which stabilizes, fixates or repairs the bone, and further can be inserted percutaneously. Remotely activatable prostheses can be activated from an external unit to expand and treat prosthesis loosening. Tissue extraction devices, and electrocautery probes are used to remove tissue from desired areas.
Owner:KYPHON

Surgical fasteners and related implant devices having bioabsorbable components

Surgical implants including fasteners and related devices which are partially bioabsorbable. The implants are constructed of a non-bioabsorbable base comprising metals and or high strength plastic materials. The base is partially or completely coated with a bioabsorbable material which can have its own mechanical features, such as the threads on a screw. Attachment elements are provided on the base to enhance the mechanical attachment of the bioabsorbable material to the base. The implants can withstand the torques and stresses encountered during surgery and, following implantation, in the body.
Owner:BIODYNAMICS

Shaft, e.g., for an electro-mechanical surgical device

A shaft being, e.g., flexible, that includes an elongated outer sheath, at least one drive shaft disposed within the outer sheath and a ring non-rotatably mounted on the at least one rotatable drive shaft and at least one light source mounted within the shaft, such that, upon rotation of the at least one rotatable drive shaft, the ring alternately blocks and allows light from the light source to be detected. The shaft may also include a moisture sensor disposed within the outer sheath of the shaft and configured to detect moisture within the outer sheath. The shaft may include couplings that connect a distal end of the outer sheath to a surgical attachment and a proximal end of the outer sheath to a remote power console.
Owner:TYCO HEALTHCARE GRP LP

Hand held surgical handle assembly, surgical adapters for use between surgical handle assembly and surgical end effectors, and methods of use

Adapter assemblies are provided for selectively interconnecting a surgical end effector that is configured to perform at least a pair of functions and a surgical device that is configured to actuate the end effector, wherein the end effector includes a first axially translatable drive member and a second axially translatable drive member, and wherein the surgical device includes a first rotatable drive shaft and a second rotatable drive shaft.
Owner:TYCO HEALTHCARE GRP LP

Methods and systems for detecting clamping or firing failure

Systems and methods are provided for detecting failure in clamping of a material and / or firing of a staple into a clamped material and indicating such failure to a user on a user interface. The system and methods are particularly suited for use with end effectors having closing and / or firing mechanisms coupled to an actuator. By monitoring a driving parameter of an actuator that effects the clamping and / or firing, the systems and methods provide an indication of failure in response to the monitored drive parameter. In some embodiments, an indication of failure is output when the monitored drive parameter is outside an acceptable range of desired driving parameters during clamping and / or firing. The disclosed systems and methods are particularly beneficial when used for minimally invasive surgery.
Owner:INTUITIVE SURGICAL OPERATIONS INC +1

Surgical instrument with rapid post event detection

A surgical instrument is disclosed, the instrument including: a handle assembly; a jaw assembly including a staple cartridge containing a plurality of staples and an anvil to form the plurality of staples upon firing; a lockout mechanism configured to prevent reuse of the jaw assembly; a drive assembly at least partially located within the handle and connected to the jaw assembly; a motor operatively coupled to the drive assembly; and a controller operatively coupled to the motor, the controller configured to control supply of electrical current to the motor and to monitor a current draw of the motor, wherein the controller is further configured to terminate the supply of electrical current to the motor in response to a drop in the current draw.
Owner:TYCO HEALTHCARE GRP LP

Non-metallic implant devices and intra-operative methods for assembly and fixation

This invention relates to orthopedic implants and to methods of treating bone defects. More specifically, but not exclusively, the present invention is directed to non-metallic implants and to methods for intra-operative assembly and fixation of orthopedic implants to facilitate medical treatment. The non-metallic implant assembly can be secured to underlying tissue by a fastener, such as a bone screw, that is capable of swelling on contact with fluid in the underlying tissue. Alternatively, the non-metallic implant assembly can be assembled intra-operatively using a fastener that is adhesively bonded to a bone plate or the bone plate can be deformed using heat, force, or solvents to inhibit withdrawal of the fastener. In preferred embodiments, both the fastener and the bone plate are formed of biodegradable material.
Owner:WARSAW ORTHOPEDIC INC
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