Implementations described herein are directed toward an improved orthopedic arthroscopy system that reduces the number of necessary arthroscopic portals while at the same time improving endoscopic visualization and instrumentation capability within the joint space. Main embodiments of the disclosed system replace the traditional rod endoscope with a rotatable, optical cannula through which instruments can be used to manipulate tissue and perform surgery. By adding the cannula rotation capability, visualization of instrument tool tip can be easily adjusted. The disclosed system would eliminate the need for unnecessary wrist rotation by the surgeon thereby making it easier to coordinate hand position while performing surgical tasks.

A surgical instrument including an articulating region. An outer tube and an inner tube are axially fixed to one another distal to the articulating region and axially movable relative to one another proximal to the articulating region. Relative movement of the inner and outer tubes provides for articulation of the articulating tube assembly to a curved configuration. A working tool may be removably directed through a central cannula defined by the inner tube. The working tool may include a shaft having a flexible region configured to be arranged within the articulating region. The shaft may rotate within the inner tube with the articulating tube assembly in the curved configuration. The working tool may include a housing hub configured to be coupled with a handle to removably position the flexible region within the articulating region. Multiple working tools may be interchangeably directed through the central cannula.

Systems and methods herein are directed to an endoscopic device with a drip flange, including the assembly and use of the endoscopic device. The endoscopic device with a drip flange may be positioned to abut an aperture into an operative cavity and inserted through the aperture. An endoscopic procedure may be performed, during which fluid moves along an outside surface of the elongate shaft, the fluid moving from the distal end toward the proximal end, and where the fluid is directed to a drip flange coupled to the outside surface of the elongate shaft between the distal tip and a proximal end of the elongate shaft.

Systems and methods herein are directed to an endoscopic device with a drip flange, including the assembly and use of the endoscopic device. The endoscopic device with a drip flange may be positioned to abut an aperture into an operative cavity and inserted through the aperture. An endoscopic procedure may be performed, during which fluid moves along an outside surface of the elongate shaft, the fluid moving from the distal end toward the proximal end, and where the fluid is directed to a drip flange coupled to the outside surface of the elongate shaft between the distal tip and a proximal end of the elongate shaft.

A holder for intervertebral foramen endoscope fusion includes an inner rod, an anti-torsion sleeve and an outer sleeve which are sleeved from inside to outside and are movable relatively along an axial direction. The inner rod is configured for pushing the expanding part inside a fusion cage. A head end of the anti-torsion sleeve is provided with an external thread section, the external thread section is configured for matching and connecting with the screw plug mounting hole of a holding body of the fusion cage, and the tail end of the anti-torsion sleeve is provided with a matching structure for matching with the bone grafting funnel. A head end of the outer sleeve is matched with the holding body of the fusion cage to restrict the rotation of the fusion cage along an axis of the fusion cage. A surgical instrument assembly is also provided.

A holder for intervertebral foramen endoscope fusion includes an inner rod, an anti-torsion sleeve and an outer sleeve which are sleeved from inside to outside and are movable relatively along an axial direction. The inner rod is configured for pushing the expanding part inside a fusion cage. A head end of the anti-torsion sleeve is provided with an external thread section, the external thread section is configured for matching and connecting with the screw plug mounting hole of a holding body of the fusion cage, and the tail end of the anti-torsion sleeve is provided with a matching structure for matching with the bone grafting funnel. A head end of the outer sleeve is matched with the holding body of the fusion cage to restrict the rotation of the fusion cage along an axis of the fusion cage. A surgical instrument assembly is also provided.

An access device for accessing an intervertebral disc having an outer shield comprising an access shield with a larger diameter (˜16-30 mm) that reaches from the skin down to the facet line, with an inner shield having a second smaller diameter (˜5-12 mm) extending past the access shield and reaches down to the disc level. This combines the benefits of the direct visual microsurgical/mini open approaches and the percutaneous, “ultra-MIS” techniques.

An access device for accessing an intervertebral disc having an outer shield comprising an access shield with a larger diameter (˜16-30 mm) that reaches from the skin down to the facet line, with an inner shield having a second smaller diameter (˜5-12 mm) extending past the access shield and reaches down to the disc level. This combines the benefits of the direct visual microsurgical/mini open approaches and the percutaneous, “ultra-MIS” techniques.

Various embodiments of the invention provide systems and methods to assist or guide an arthroscopic surgery (e.g., surgery of the shoulder, knee or hip) or other surgical procedure by the placement of arbitrary landmarks in one or more locations in surgical field of view. The systems and methods comprise steps of receiving a video stream from an arthroscopic or other imaging device; receiving one or more sets of coordinates of one or more landmarks; overlaying the one or more landmarks on the video stream; and displaying the overlay on one or more display devices intraoperatively so as to be used by an operator during the arthroscopic or other medical procedure.

Various embodiments of the invention provide systems and methods to assist or guide an arthroscopic surgery (e.g., surgery of the shoulder, knee or hip) or other surgical procedure by the placement of arbitrary landmarks in one or more locations in surgical field of view. The systems and methods comprise steps of receiving a video stream from an arthroscopic or other imaging device; receiving one or more sets of coordinates of one or more landmarks; overlaying the one or more landmarks on the video stream; and displaying the overlay on one or more display devices intraoperatively so as to be used by an operator during the arthroscopic or other medical procedure.