The present invention provides a method and apparatus to decrease acute and late skin toxicity for breast cancer patients undergoing radiation therapy. This invention will enable better breast positioning during therapy, eliminating skin folds and reducing the skin dose below that required for development of moist desquamation. The present invention has the potential to reduce the volume of normal tissue and organs at risk of being irradiated during a course of whole breast radiation therapy.

Systems and methods are described for correcting sagittal imbalance in a spine including instruments for performing the controlled release of the anterior longitudinal ligament through a lateral access corridor and hyper-lordotic lateral implants.

Various embodiments of a dural elevating and cutting apparatus and methods of use are disclosed herein.

A retractable syringe device includes: a handle including a hollow body for receiving a syringe through an opening of the handle, the hollow body including a syringe actuator that moves the syringe between a distal position and a proximal position; and an instrument distally extending from the handle, the instrument including a channel extending through the instrument, the channel configured to receive a needle coupled to the syringe. When the syringe is in the distal position, a distal end of the needle distally extends from the instrument, and when the syringe is in the proximal position, the distal end of the needle is retracted into the channel. The handle of the device can include a fixed or removable structure for removably coupling to a proximal end of a shaft of an endoscope.

A surgical evacuation apparatus and method for evacuating a biological material from a body cavity. The surgical evacuation apparatus has a shaft and a scoop extending from a distal end of the shaft. The shaft has a supply inlet for connecting to a pressurized fluid source and an outlet for connecting to a vacuum source. An evacuation channel extends from the scoop to the outlet. A fluid supply channel extends in the shaft from the supply inlet towards the distal end and intersects the evacuation channel proximate the scoop. Material desired to be removed from the body cavity is collected in the scoop by a user. The biological material collected in the scoop is broken up by a fluid stream from the supply channel and is drawn into the evacuation channel by a vacuum applied by the vacuum source and is removed from the body cavity.

A surgical instrument end effector includes a first jaw configured to receive a staple cartridge and a second jaw that includes an anvil having a plurality of staple forming pockets. The first and second jaws are operable to clamp and staple tissue positioned therebetween. A tip member is movably disposed at a distal end of the anvil and is configured to toggle relative to the anvil between a first discrete position and a second discrete position. The tip member in the first discrete position is oriented angularly toward the first jaw, and the tip member in the second discrete position is oriented angularly away from the first discrete position.

A positioning wand for assisting in positioning at least one of a first magnetic implant and a second magnetic implant configured for forming an anastomosis between two adjacent walls of a digestive tract of a patient is provided. The positioning wand can include an elongated member sized and configured to be inserted into an abdominal cavity of the patient, and a distal tip provided at a distal end of the elongated member. The distal tip can include a guide magnet configured to magnetically couple with the at least one of the first and second magnetic implants through a wall of the digestive tract to position the at least one of the first and second magnetic implants to a desired site of the anastomosis. The distal tip can be configured to be moveable in response to a contact pressure upon contact with the wall of the digestive tract.

Dental instruments, assemblies, and components for a dental instrument are described with a two-piece tip that includes a flexible tip end and a stiff shank. Various methods of assembly are described for securing the flexible tip end to the shank including utilizing a slot in the shank and one or more pins inserted through the tip and shank, a securing material, and forming the shank with a distal portion coupled to a portion of the flexible tip end.

A surgical instrument end effector includes a first jaw configured to receive a staple cartridge and a second jaw that includes an anvil having a plurality of staple forming pockets. The first and second jaws are operable to clamp and staple tissue positioned therebetween. A tip member is movably disposed at a distal end of the anvil and is configured to toggle relative to the anvil between a first discrete position and a second discrete position. The tip member in the first discrete position is oriented angularly toward the first jaw, and the tip member in the second discrete position is oriented angularly away from the first discrete position.

A device for the collection of biological samples comprising a cylindrical body with a proximal end and a distal end. In addition, the cylindrical body includes a tab located within the cylindrical body, between the proximal end and the distal end; and a stop located on the inner surface of the cylindrical body between the proximal end and the distal end. In addition, the device includes a rod located within the cylindrical body, wherein the rod has a proximal tip and a distal tip sticking out from the distal end of the cylindrical body; and a tab located between the proximal tip and the distal tip. Also, the device includes a brush with a distal connection connected to the proximal tip of the rod, wherein the distal connection is located apart from the stop in the proximal direction. On the other hand, when the rod moves longitudinally along the cylindrical body in the proximal direction, the rod connects the flange to the tab. Furthermore, when the rod moves longitudinally along the cylindrical body in the distal direction, it causes the distal connection of the brush to strike against the cylindrical body stop, causing the brush to detach from the rod.