A self-contained, battery powered transseptal crossing system is disclosed. An elongate, flexible electrically conductive needle body has a proximal end and a distal end. An insulation layer surrounds the sidewall and leaves exposed a distal electrode tip. A generator is configured to deliver RF energy to the electrode tip, and includes a processos configured to take impedance measurements at the tip to confirm contact with the intra atrial septum and / or confirm entry into the left atrium.

Disclosed are a puncture sealing system and methods of locating a depth of an arteriotomy. The systems can include elongated catheters that are configured to identify the depth within a vessel so that the depth relative to a distal end of the catheter is known during or after a puncture sealing procedure.

A treatment system includes an insert that is resiliently deflectable. The tip portion of the insert can be configured to be coupled to the trailing portion of an implant. A guide tube having an internal lumen is configured to permit passage of the tip portion and the body portion of the insert through a guide tube. The guide tube can have a length that is less than that of the insert. Treatment systems include a plurality of inserts, each insert differing from in at least one of length, diameter, and curvature. Treating a patient can include sizing a fistula using an insert.

A handle for a medical device includes a proximal segment defining a proximal lumen extending therethrough and sized and shaped to receive an endoscopic medical device therein. A medial segment is received within a distal portion of the proximal segment and has an outer diameter smaller than an inner diameter thereof. A medial lumen extends through the proximal segment and is open to the proximal lumen. A distal segment is received within a distal portion of the medial segment and defines a distal lumen extending therethrough open to the medial lumen. The distal segment has an outer diameter smaller than an inner diameter of the medial segment. The medial segment includes a first movement limiting mechanism limiting movement of an endoscopic medical device inserted therethrough along an axis of the distal lumen and a second movement limiting mechanism limiting advancement of an endoscope attached to the distal body portion.

A system for drilling a bore in a bone (7) and measuring a depth of the bore during surgery, said system comprising: a drill (5) comprising a drill chuck (6) for holding a drill bit; a drill bit (3) mounted in the drill chuck; at least one sensor (11,12) arranged to produce signals for determining the depth of the bore, preferably comprising a strain gauge (11) arranged to produce a signal representing a force exerted on the system during drilling, and a distance sensor (12) arranged to produce a signal representing a distance between a reference point on the system and the bone surface during drilling; first communication means (19) arranged to communicate said signals to electronic processing means; electronic processing means (16) arranged to receive said signals from said first communication means and to determine a depth of a bore from said signals; second communication means (13a) arranged to communicate said determined depth to output means; output means (2) for outputting information about the determined depth of the bore received from said second communication means; wherein said drill bit is part of a rotatable drill bit unit (1), which may or may not comprise said drill chuck; and said at least one sensor and one of said first and second communication means are mounted in the drill bit unit.

A device (25) for drilling holes in bone and configured to determine bone screw length, the device (25) including a surgical power drill (2) comprising: a) a housing (12) and; b) a measuring device (1) releasably attached or fixed to the housing (12), wherein the measuring device (1) is configured to measure the distance (x) covered by the housing (12) in the direction of the longitudinal axis (7) and relative to a surface of an implant (26) or a bone during a drilling process, wherein the measuring device (1) comprises a processing unit (14) to record the distance (x) covered with respect to time; the processing unit (14) comprises one or more differentiators to determine at least the first and second derivatives of the distance (x) covered with respect to time; and the processing unit (14) further comprises a peak detector to analyze one or more peaks occurring in the graph of the highest derivative with respect to time, and wherein the measuring device (1) comprises a laser device or an ultrasound position sensor for displacement assessment.

A medical device includes a head having a base and a piercing member fluidly connected to the base. The medical device includes a tube having a proximal end, a distal end, a first central channel extending from the proximal end to distal end, and a longitudinal axis extending substantially centrally through the first central channel, the distal end of the tube being removably attached to the base. The medical device includes a plunger slidably disposed partly within the first central channel of the tube, the plunger defining a second central channel, and the longitudinal axis extending substantially centrally through the second central channel. In some examples, the medical device includes an optic assembly having a light source and a light pipe that is disposed partly within the second central channel and being configured to receive radiation emitted by the light source; and direct the radiation through the piercing member.

In various embodiments, a surgical instrument, systems including the surgical instrument, and methods of use of the surgical instrument are disclosed. The surgical instrument includes a handle body extending from a proximal end to a distal end substantially along a longitudinal axis. The handle body defines a first channel sized and configured to receive a guide element therein. A plurality of indicators are formed on the handle body. Each of the plurality of indicators correspond to a size of one of a plurality of fixation elements sized and configured for insertion into a bone. A countersink element is coupled to a distal end of the body. The countersink element defines a second channel sized and configured to receive the guide element therethrough that is circumferentially located with and coupled to the first channel. The countersink element includes a head sized and configured to form a countersink in the bone.

This disclosure includes surgical depth gauges and related methods. Some gauges have a probe assembly including a probe having proximal and distal ends, the distal end including one or more prongs, each having a distal-most tip, being movable between a retracted position and a deployed position in which the tip is farther from a longitudinal axis of the probe than when the prong is in the retracted position, and being biased toward the deployed position. Some probe assemblies include a cannula having proximal and distal ends, where the probe is disposable within the cannula such that moving the distal end of the probe toward and away from the distal end of the cannula causes each of the prongs to move between the retracted and deployed positions. Some depth gauges include a sleeve disposable over the probe assembly.

An instrument sleeve is provided for use with a surgical rotary instrument having a tube extending to a distal tube end, and a cutting accessory having a head and a shank extending from the head adapted to be rotatably supported by the tube of the rotary instrument. The instrument sleeve comprises a sleeve body extending between proximal and distal sleeve portions, a first lumen for receiving at least a portion of the tube of the rotary instrument, and a shield extension coupled to the sleeve body. The shield extension extends between proximal and distal shield portions the proximal shield portion engaged with the distal sleeve portion and adapted to minimize tissue wrap about the cutting accessory shank.