A device for fracturing calcifications in heart valves including an expandable stabilizer and expandable impactor arms assembled on and deployed by a delivery system, wherein the delivery system is operable to move the impactor arms, while in an expanded position, with respect to the stabilizer with sufficient energy so as to fracture a calcification located in tissue which is sandwiched between the stabilizer and the impactor arms.

Systems for insufflation and recirculation of insufflation fluid in a surgical procedure include a control unit having a fluid pump, a supply conduit, a return fluid conduit and a pressure-controlled valve. The pressure-controlled valve is in fluid communication with an insufflation gas supply, the supply conduit and the return conduit and is adapted and configured to respond to pressure control signals to adjust position and thereby system flow parameters, to reduce entrainment of air from the surrounding environment, and to increase the concentration of insufflation gas in an operative space, and/or to reduce an overpressure condition in the operative space.

Apparatus for controlling motion of an invasive probe relative to a sheath enclosing the probe. The apparatus includes an outer casing, configured for connection to the sheath. The apparatus further includes a drive mechanism, fixedly connected to the outer casing. The drive mechanism has a first set of components, configured to translate the probe along a direction parallel to as axis of the probe, in order to advance and retract the probe with respect to the sheath in a translational stepwise manner. The drive mechanism also includes a second set of components, configured to rotate the probe around the axis of the probe, in order to rotate the probe clockwise and counter-clockwise, with respect to the sheath, in a rotational stepwise manner.

Elastomer-based soft-robotic micro-tentacles capable of winding around and holding microscale objects and methods of fabricating same are provided. To realize the thin, highly deformable microtubes, a fabrication technique based on in situ thermal solidification of PDMS dip-coated around a cylindrical template and direct peeling of the cured structure is presented. This process is capable to asymmetrize the microtube's cross-sectional shape and enable the microtube to bend up to a single turn. To amplify the bending into a life-like, multi-turn spiraling motion, a semi-analytical model to shape-engineer the microtube and turn it into a micro-tentacle was produced. As a result, a hump is added to the microtube to enable the multi-turn spiraling motion.

A robotic surgical system includes a hydraulic drive system and a surgical instrument removably positioned in operative engagement with the hydraulic drive system.

A method of changing a bone angle includes creating an osteotomy between a first portion and a second portion of a tibia of a patient; creating a cavity in the tibia by removing bone material along an axis extending in a substantially longitudinal direction from a first point at the tibial plateau to a second point; placing a non-invasively adjustable implant into the cavity, the non-invasively adjustable implant comprising an adjustable actuator having an outer housing and an inner shaft, telescopically disposed in the outer housing, and a driving element configured to be remotely operable to telescopically displace the inner shaft in relation to the outer housing; coupling one of the outer housing or the inner shaft to the first portion of the tibia; coupling the other of the outer housing or the inner shaft to the second portion of the tibia; and remotely operating the driving element to telescopically displace the inner shaft in relation to the outer housing, thus changing an angle between the first portion and second portion of the tibia.

A bi-directional pneumatic impactor for imparting impact forces to an object. The impactor includes a support structure having at least one grip member and a piston reciprocally moveable along a piston axis. A pressure control system coupled with the support structure and adapted to be connected to a supply of pressurized air. The pressure control system reciprocatingly moves the piston along the piston axis to generate forceful impacts at one or both ends of the reciprocal movement. An impact transfer assembly disposed on the support structure is adapted to be coupled with the object whereby the impact transfer assembly transfers impact forces to the object in the driving and/or the retracting directions. A control spool may be used to control the supply of pressurized air to the piston cylinder. The impact transfer assembly may include a hammer pin extending axially through the piston.

A catheter can restore the patency of a body lumen, for example, by removing tissue from a body lumen (e.g., a blood vessel). The catheter can be a rotational catheter having a rotatable drive shaft and a tissue-removing element secured to the drive shaft to be driven in rotation by the drive shaft. The catheter can have an abrasive burr configured to abrade tissue in a body lumen. The catheter can have an expandable tissue-removing element. The catheter can include a balloon and an inflation conduit. The catheter can also be configured to move over a guidewire through a body lumen. In one embodiment, the catheter comprises an over-the-wire, balloon-expandable, rotational, and abrasive tissue-removing catheter.

A method for controlling gas composition in a surgical cavity during an endoscopic surgical procedure includes monitoring for a plurality of gas species in a gas flow from a surgical cavity of a patient. The method includes measuring the plurality of gas species in the gas flow from the surgical cavity and determining if the gas species measured in the gas flow from the surgical cavity are each present and/or within a respective desired range. The method includes adding gas into the surgical cavity if one or more gas species in the plurality of gas species is outside of the respective desired range so as to bring a composition of gas species in the surgical cavity within the respective desired range.

One aspect relates to an engine including a working system, having a first piston-cylinder system, comprising a working piston and a working cylinder. The working piston divides the working cylinder into a first working cylinder portion and a second working cylinder portion, a valve system, having a first valve connection and a valve element. The valve system and the working system are connected in a gas conducting manner, the first valve connection can be connected to a negative pressure source, and the valve element is movably arranged in the valve system such that, in a first valve position, the valve element connects the first valve connection to the first working cylinder portion, and, in a second valve position, connects the first valve connection to the second working cylinder portion in a gas conducting manner.