Abstract:
A medical device with an articulating shaft assembly includes at least one slat member which has a cross section that allows it to be substantially flexible in a first plane and relatively stiff in the plane perpendicular to the first plane. A bendable section located at the working end of the device includes at least a portion of one or more slat members, such that the bendable section will articulate in the first plane in response to tensive and/or compressive forces applied to the bendable section. The device also includes a shaft section which is coupled to and supports the bendable section, and at least one control mechanism arranged to cause the tensive and/or compressive forces needed to articulate the bendable section to be applied to the bendable section.
Abstract:
A microfracture instrument for applying microfracture therapy to a bone, the microfracture instrument comprising: an elongated shaft comprising a distal end and a proximal end; a needle comprising a body terminating in at least one sharp point, the needle being movably mounted to the distal end of the shaft for movement between an extended position for engaging the bone with the at least one sharp point of the needle and a retracted position for withdrawing the at least one sharp point of the needle from the bone; and a drive shaft movably mounted to the elongated shaft, the drive shaft being connected to the body of the needle so that movement of the drive shaft relative to the elongated shaft moves the needle between its extended position and its retracted position.
Abstract:
A medical device (10) includes an articulating shaft (20, 20a, 20b, 20c, 20d, 20e, or 20f) with a pair of slat assemblies (31, 33). By moving an articulator (37), the slat assemblies (31, 33) are configured to concurrently push while the other pulls in order to bend the articulating shaft (20). The articulating shaft (20) includes a series of pivot members (26, 26a, 26b, 26c, 26d, 126e and 226e, or 126f and 226f). The pivot members (26) may include inner links (126e, 126f) and outer links (226e, 226f) . A method for articulating a shaft of a medical device is also provided.
Abstract:
A tissue positioning device comprising a biocompatible member having a size and shape suitable for placement within a space adjacent to a tissue to be positioned and which acts to maintain the tissue in a desired position. The member may be a rigid or flexible spacer having a defined shape, or a bladder capable of receiving and being at least partially expanded by a filler material. The device can made from a variety of materials or a composite of materials as needed, and may include one or more attachment means by which it can be secured to nearby tissues such that it is maintained in a desired spatial location. The filler material can be any of a number of substances, including liquids, gases, a curable liquid such as bone cement or urethane foam, or a spring.
Abstract:
A medical device (10) includes an articulating shaft (20, 20a, 20b, 20c, 20d, 20e, or 20f) with a pair of slat assemblies (31, 33). By moving an articulator (37), the slat assemblies (31, 33) are configured to concurrently push while the other pulls in order to bend the articulating shaft (20). The articulating shaft (20) includes a series of pivot members (26, 26a, 26b, 26c, 26d, 126e and 226e, or 126f and 226f). The pivot members (26) may include inner links (126e, 126f) and outer links (226e, 226f) . A method for articulating a shaft of a medical device is also provided.
Abstract:
A suture anchor (e.g. 100) for knotlessly securing nearby tissue to bone is formed from an anchor body (e.g. 101/102) that includes a mechanism for being securely anchored to the bone, an elongated suture puller (e.g. 122) extending through the anchor body with a proximal end for being pulled in a proximal direction by a surgeon and a distal end (e.g. 125) with a suitable mechanism for engaging suture (e.g. 127), suture (e.g. 132) carried by the engaging mechanism (e.g. 127) at the distal end (e.g. 125) of the elongated suture puller (e.g. 122), and a suture locking mechanism (e.g. 110) that substantially prevents the suture (e.g. 122) from moving in at least a first direction after being pulled into and through the anchor body (e.g. 101/102) by the elongated suture puller (e.g. 122).
Abstract:
A surgical suturing device (10) having an axis extending between a proximal end and a distal end is operable to move a suture (32) through body tissue (34). A handle assembly (110) is coupled to an elongated shaft (14) having a hollow configuration. An actuating rod (16) is disposed to extend between the handle assembly (110) and the shaft (14). A thumb actuation assembly is coupled to a proximal end of the actuating rod (16) for moving the rod both axially and rotationally. A needle assembly (2) at the distal end of the actuating rod (16) is movable with the actuating rod (16) between an extended state and a retracted state and at various angular orientations. Bifurcated portions (24, 26) of the needle assembly (20) define a suture slot (28), the bifurcated portions having a proximate relationship when the needle assembly (20) is in the retracted state and having a separated relationship when the needle assembly (20) is in the extended state. The needle assembly (20) is biased to the retracted state and the bifurcated portions (24, 26) are biased to the separated relationship. A handle assembly (110) is operable to move the needle assembly (20) between a free suture state and a captured suture state. In an associated method of use, the needle is bifurcated to form at least one pair of arms (24, 26 or 26b, 38b) to define a suture slot (28).
Abstract:
An articulating shaft includes an outer tubular member having a longitudinal axis and portions defining a slot. An inner tubular member is disposed within the outer member and movable about the axis of the outer member. A wedge carried by the inner member is movable within the slot in an interference fit with the slot portions to articulate the outer member. In an associated method, the inner member can be turned in a first direction to bend the outer member in an associated second direction, and the inner member can be turned in a third direction to move the outer member in an associated fourth direction.