A biopsy needle guide comprises a base, a flexible strap, a bracket, a needle guide bracket, and several locking mechanisms. The base has a first locking mechanism and a concave inner surface that conforms with an ultrasound probe. The flexible strap has a first end coupled to the base and a second free end coupled to the base with the first locking mechanism. The bracket is slidably disposed in a slotted region in the base. The needle guide bracket is configured to receive a biopsy needle guide and the needle guide bracket is slidably disposed in a slotted region in the bracket. Other locking mechanisms permit or prevent movement of the bracket relative to the base as well as movement of the needle guide bracket relative to the bracket.

Some adjustable radiography template devices include a base member including one or more first radiopaque (RO) markers; an arm pivotally coupled to the base member; and a marker member slidably coupled to the arm and including a second RO marker. Some methods of using adjustable radiography template devices include locating a base member on a skin of a patient; locating a marker member of on the skin of the patient; and while a second RO marker is aligned with a puncture site of the blood vessel, marking a location of the second RO marker on the skin of the patient.

Systems, devices, and methods for performing Lapidus bunionectomy procedures are disclosed. An example method includes inserting a plurality of metatarsal pins into the first metatarsal at a first predetermined spacing relative to the first tarsometatarsal (TMT) joint, excising the first TMT joint by cutting the bases of the first metatarsal and the first cuneiform proximate the first TMT joint, inserting a plurality of cuneiform pins into the first cuneiform at a second predetermined spacing relative to the first TMT joint, compressing the first TMT joint using a compressor block such that a cut face of the first metatarsal contacts a cut face of the first cuneiform, and fixing the first TMT joint using a bone plate and a plurality of bone screws. At least one of the plurality of bone screws may be a cross screw extending at an angle of less than 90 degrees relative to the bone plate and may anchor the resected first TMT joint to the second metatarsal or the second cuneiform to prevent recurrence of the bunion.

This invention provides a nasal guard, which can be constructed according to various manufacturing techniques (e.g. molding. 3D printing, etc.) for use during nasal sinus and skull base surgery to reduce aerosolized transmission to protect surgical staff, conserve the volatile supply of personal protective equipment (PPE) and reduce the introduction of particles into the operating room. The novel nasal guard, according to embodiments of this invention, can be readily applied to the patient's nose/nasal region during surgery and, while exposing the nostrils for access by surgical procedures, reduces aerosol emission from the nares. This allows for an adequate seal on a variety of face sizes/shapes without impeding access for surgical tools and/or does not otherwise interfere with surgical approach. The nasal guard herein is also compatible with standard suction equipment. The nasal guard is easy-to-use and ergonomic, and can be (is) constructed from biocompatible materials.

A trajectory guiding apparatus and one or more methods associated therewith for facilitating precision-guided alignment and implantation of a DBS therapy device in a patient. A pivotally rotatable stage is pivotally coupled to a base support and a vertical support operative to support a slider assembly arranged to accommodate an instrumentation column (IC) containing the therapy device. A first gimbal drive is disposed between the pivotally rotatable stage and the base support, wherein the first gimbal drive is actuatable to cause a first pivotal motion of the slider assembly including the IC, the first pivotal motion defined along a first arcuate path pivoted around a first pivotal axis. A second gimbal drive is disposed between the pivotally rotatable stage and the vertical support, wherein the second gimbal drive is actuatable to cause a second pivotal motion of the slider assembly including the IC, the second pivotal motion defined along a second arcuate path pivoted around a second pivotal axis perpendicular to the first pivotal axis.

A stabilizer system for supporting a medical device includes a platform and a stabilizer body positioned on the platform and being slidably translatable about the platform. The platform includes a translation actuator configured to engage with a receiving member of the stabilizer body. Actuation of the translation actuator passes a force to the receiving member of the stabilizer body and causes the stabilizer body to translate relative to the platform. The stabilizer body includes a base and one or more support wings extending from the base to support a medical device. A straddle actuator is coupled to a support wing and is configured to engage with the medical device. Actuation of the straddle actuator passes a force to the medical device and causes at least a portion of the medical device to translate relative to the stabilizer body.

A small gauge surgical instrument is shown with advantages such as diminished “play” at the tip. A surgical instrument assembly is also shown with support along a length of the instrument that can be selected by the surgeon. Devices and method described provide adjustability of the instrument without protruding into a gripping surface of the instrument.

An intraosseous access device for accessing an intraosseous space of a patient includes a manual driver and a sternal locator. The handle is connected to an inner penetrator hub, and an inner penetrator extends from the inner penetrator hub. An outer penetrator hub is releasably engaged to the inner penetrator hub. A protective cover is slidably coupled to the handle. The protective cover is operable to move from an extended position where the inner penetrator is covered, to a retracted position where the inner penetrator is exposed. The sternal locator includes a base; a collar extending from a first surface of the base for securing the intraosseous access device to restrict longitudinal separation of the intraosseous access device from the locator. The locator may be removed from the patient while the outer penetrator remains inserted in an intraosseous space of the patient.

An apparatus operable to provide access to a sternal intraosseous space in a first mode of operation and operable to provide access to a peripheral intraosseous space in a second mode of operation. The apparatus includes a manual driver and a stabilizer. The manual driver has a handle, an inner penetrator hub, and an outer penetrator hub. The stabilizer has a housing, an outer sleeve coupled to the housing and configured to move from an extended position to a retracted position in the first mode of operation, and a protective shield coupled to the stabilizer housing and configured to move from an exposed position to a shielded position in the first mode of operation. The manual driver is securely engaged to the stabilizer in the first mode of operation, and the manual driver is detached from the stabilizer in the second mode of operation.

An intraosseous access device is operable to provide access to a sternal intraosseous space in a first mode of operation and operable to provide access to a peripheral intraosseous space in a second mode of operation. The device includes an outer sleeve, an inner penetrator hub, and an outer penetrator hub. A protective shield is telescopically coupled to the outer sleeve. The protective shield is operable to move from an expanded position to a retracted position in both the first and second modes of operation. A bone probe ring is disposed within the protective shield and configured to move between an extended position and a retracted position in both the first and second modes of operation. An actuator is operable to manually move the protective shield and the bone probe ring to the retracted position when in the second mode of operation.