Devices and methods for stabilizing bone. The devices and methods may provide a more balanced proximal and distal compression when stabilizing bone. An exemplary device may comprise a staple member including a bridge connecting a first leg to a second leg. The device also may comprise a resilient arm elongated between a fixed end and a free end, and projecting from the first leg and/or from an end region of the bridge adjoining the first leg. At least a portion of the resilient arm intermediate the fixed and free ends may be inwardly adjacent and spaced from an upper region of the first leg.

In accordance with one aspect of the disclosure, a surgical fastener is disclosed. The surgical fastener includes a base at a proximal end of the surgical fastener. A first arm and a second arm extend helically from the base about a longitudinal axis towards a distal end of the surgical fastener. A first needle capture zone is disposed on a distal portion of the first arm, and a second needle capture zone is disposed on a distal portion of the second arm. The first needle capture zone and the second needle capture zone are configured to engage with a respective first needle and a second needle when the first and the second needle are extending from a fastener deployment device and disengage with the respective first and second needle when the first and the second needle are retracting into the fastener deployment device.

An anchor device configured to connect a plurality of tissues to each other, includes a shaft having a longitudinal axis; and a first anchor part and a second anchor part which are separated from each other and which are each formed in the shaft. The first anchor part includes a plurality of elongated anchor arms that are allowed to be expanded in a direction of separating from the longitudinal axis of the shaft toward the second anchor part with a first position of the shaft being a base point. The second anchor part includes a plurality of elongated anchor arms that are allowed to be expanded in a direction of separating from the longitudinal axis of the shaft toward the first anchor part with a second position of the shaft being a base point.

The present application discloses surgical auxiliary equipment for sutureless closed skin incisions in the deep fascia of limbs, comprising subcutaneous negative pressure drainage device, incision closing device, negative pressure device above skin and a plurality of drainage needles, and used for draining the effusions in subcutaneous soft tissues through a plurality of drainage needles. Meanwhile, edge of the skins are squeezed by the incision closing device, and the inner cavity of the subcutaneous incision is forced to be maintained in a closed state during healing and rehabilitation process under the pressure of a negative pressure drainage device, the subcutaneous negative pressure drainage device delivers liquid drug to the inner cavity of the subcutaneous incision while draining effusions in the inner cavity of the subcutaneous incision, to ensure that the environment in the inner cavity of the subcutaneous incision is maintained in a state that facilitates the recovery of the incision.

A modular bone fixation implant includes a center post having exterior bone engaging features and configured to be implanted within a bone. The center post includes an aperture at an outer end of the center post. One or more interchangeable modular components may be placed within the bone and anchored to the aperture of the center post. Interchangeable modular components may include staples, bone plates, and spacers, each having at least a first end including a post engaging arm sized and shaped to seat within an interlocking feature of the aperture. A locking screw is provided to anchor all components to the center post when the interchangeable modular components have been placed.

A method is provided including introducing, during a transcatheter procedure, a tissue anchor into a cardiac chamber of a heart of a subject, while a tissue-coupling element of the tissue anchor is constrained by a deployment tool. The tissue-coupling element is delivered distally through a cardiac wall. The tissue anchor is at least partially released from the deployment tool such that the tissue-coupling element is unconstrained by the deployment tool. After the tissue-coupling element is delivered through the cardiac wall and the tissue anchor is at least partially released from the deployment tool, whether the tissue-coupling element overlies a coronary blood vessel is ascertained, and, if the tissue-coupling element overlies the coronary blood vessel, the tissue anchor is rotated until the tissue-coupling element no longer overlies the coronary blood vessel. Thereafter, the tissue-coupling element is proximally pulled by applying tension to the tissue anchor. Other embodiments are also described.

A new shape changing staple and instrument for the fixation of structures to include bone tissue and industrial materials. This new staple stores elastic mechanical energy to exert force on fixated structures to enhance their security and in bone affect its healing response. This staple once placed changes shape in response to geometric changes in the materials structure, including healing bone tissue. The staple is advanced over prior staples due to its: 1) method of operation, 2) high strength, 3) method of insertion, 4) compressive force temperature independence, 5) energy storing staple retention and delivery system, 6) compatibility with reusable or single use product configuration, 7) efficient and cost effective manufacturing methods, and 8) reduction in the steps required to place the device. In addition to the staple's industrial application an embodiment for use in the fixation of the musculoskeletal system is shown with staple, cartridge, and extrusion handle.

A hard tissue fixation staple-plate interlocking device can include a recess in a staple body or a plate. The device can also include a locking part of the other of the staple body or plate. The device can be reconfigurable between an insertion configuration and an interlocked configuration. In the insertion configuration, the locking part can slide into the recess in a translation sliding motion that is parallel to a sliding motion of the legs of the staple, as the legs of the staple slide through the holes in the plate. In the interlocked configuration, the locking part can be at least partially in the recess, and recess surface portions can engage part surface portions and inhibit movement of the staple and plate out of the interlocked configuration. Also, multiple staples and screws can be interlocked with the plate, with staples being at non-parallel angles to each other.

A system and associated method for manipulating tissues and anatomical or other structures in medical applications for the purpose of treating diseases or disorders or other purposes. In one aspect, the system includes a delivery device including a flexible portion that is suited to access target anatomy. The flexibility of an elongate portion of the delivery device can be varied. Additionally, the delivery device can include structure that maintains the positioning of the delivery device in patient anatomy.

A surgical instrument, operable to compress, staple, and cut tissue, includes a body, a shaft, and an end effector with a pair of jaws. A placement tip that is bent, angled, or curved and extends distally from one of the jaws of the end effector. The placement tip is elastically deformable when the placement tip is subject to a clamping force, such as when the end effector is closed with the jaws in contact or when tissue is clamped between the jaws of the end effector. When the placement tip deflects, relative angles defined in part by the placement tip vary compared to an initial state without the clamping force. Furthermore, a distal end of the placement tip may change position based on the state of deflection of the placement tip in response to the clamping force.