Disclosed are ultrasonic and electrosurgical devices. The disclosed embodiments include a surgical instrument comprising a waveguide, and end effector and an electrical switch. The waveguide may comprise a proximal end and a distal end, wherein the proximal end is configured to couple to an ultrasonic transducer and one output of a radio frequency (RF) generator. The end effector may comprise an ultrasonic blade and a clamp arm coupled. The ultrasonic blade may be mechanically coupled to the distal end of the waveguide and electrically coupled to the waveguide. The clamp arm may comprise a movable jaw member electrically coupled to another output of the RF generator such that an electrical current can pass through the movable jaw member and the ultrasonic blade through tissue located between the movable jaw member and the ultrasonic blade. The electrical switch may be configured to electrically couple to the RF generator and the movable jaw member, wherein the switch is operable to cause the surgical instrument to deliver electrical current from the RF generator to the movable jaw member for a first period, and to cause the surgical instrument to deliver ultrasonic energy to the ultrasonic blade for a second period.

The invention provides a method for locating radioactive material implanted in a living body, the method having the steps of implanting a stent into the body, the stent containing the radioactive material; imaging the body to determine a first position of the stent relative to remote points on the body; determining a second position of the stent at a second time later than the time of the implanting step; and measuring the distance between said first position and said second position. Also provided is a system for determining movement of a radiation source implanted in a living body, the device having a radiographic film overlaying a region of the body so as to oppose the radiation source, whereby the film is positioned relative to a reference point on the body; a grid disposed between the film and the body; and a radio-opaque substrate overlaying the film.

An X-ray system is described with a scatter radiation shielding device to be mounted underneath an operating table. The shielding device (10) comprises one or more layers of a radiation blocking material (6) and a cut-out (8) in the one or more layers. The cut-out extends from a point in or near a center of the one or more layers towards an edge to allow radiation transmission to pass. The shielding device is rotatable around a rotation axis. The shielding device substantially reduces the scatter radiation originating from the patient.

In general, thermal debriding tools and methods of using thermal debriding tools are provided. In an exemplary embodiment, a thermal debriding tool is configured to be advanced minimally invasively, e.g., arthroscopically, into a patient and to cut tissue using electrical energy. The thermal debriding tool includes a heating element configured to be positioned in contact with tissue and to be heated. The heated heating element is configured to cut the tissue so as to allow the thermal debriding tool to cut the tissue using electrical energy. The heating element can be a resistive heating element that is configured to become hot when a current is delivered to the heating element. The thermal debriding tool can include an actuator configured to be actuated to cause the current to be delivered to the heating element, thereby allowing the heating element to be heated on demand.

Disclosed are ultrasonic and electrosurgical devices. The disclosed embodiments include a surgical instrument comprising a waveguide, and end effector and an electrical switch. The waveguide may comprise a proximal end and a distal end, wherein the proximal end is configured to couple to an ultrasonic transducer and one output of a radio frequency (RF) generator. The end effector may comprise an ultrasonic blade and a clamp arm coupled. The ultrasonic blade may be mechanically coupled to the distal end of the waveguide and electrically coupled to the waveguide. The clamp arm may comprise a movable jaw member electrically coupled to another output of the RF generator such that an electrical current can pass through the movable jaw member and the ultrasonic blade through tissue located between the movable jaw member and the ultrasonic blade. The electrical switch may be configured to electrically couple to the RF generator and the movable jaw member, wherein the switch is operable to cause the surgical instrument to deliver electrical current from the RF generator to the movable jaw member for a first period, and to cause the surgical instrument to deliver ultrasonic energy to the ultrasonic blade for a second period.

Some embodiments of a shielding device can include a base and a shield coupled to the base. The shielding device can be used to provide protection for a healthcare worker (e.g., physician, nurse, technician) during a medical procedure.

A surgical retractor has a shaft having a proximal end portion and a distal end portion. A handle assembly is coupled to the proximal end portion of the shaft and an end effector is coupled to the distal end portion of the shaft. The end effector includes a retractor, a first arm is configured to articulate the end effector and a second arm configured to transition the retractor between an expanded state and a collapsed state.

A multi-layer, fiber-reinforced composite orthopaedic fixation device having a design selected based on a desired characteristic of the orthopaedic fixation device. The design may be selected according to a model of the device, the model defining design constraints, and the design may comprise a pattern of the fiber angle for each layer. The selection of a design may be analyzed using finite element analysis to determine whether the design will comprise the desired characteristic.

A medical hand guard that serve as a protective barrier between a user's hand and potentially contaminated surfaces is disclosed. The medical hand guard can comprise a base pad and first and second pockets that are configured to receive a respective thumb and finger of the user. The medical hand guard can define a contact surface opposite the first and second pockets.

A surgical instrument includes a body, an ultrasonic blade, a clamp arm, and a resilient member. The body includes an electrical conductor and defines a longitudinal axis. The clamp arm is pivotably coupled with the body at a pivot assembly. The clamp arm is operable to compress tissue against the ultrasonic blade. The clamp arm includes an electrode operable to apply RF energy to tissue, wherein the clamp arm is configured to be loaded onto and removed from the body at the pivot assembly along a path that is transverse to the longitudinal axis defined by the body. The resilient member is located within the pivot assembly. The resilient member is configured to provide electrical continuity between the electrode of the clamp arm and the electrical conductor of the body.