The present disclosure relates to a dynamic-seal-less self-actuating growing rod system (100) comprising at least one cylindrical static rod (2), at least one piston rod (6), coaxially coupled with said static rod (2) and configured to distract longitudinally out of the static rod (2); at least one fluid source (8) holding at least one sterile biocompatible fluid at a pre-determined pressure; at least one fluid transfer port (10) configured to transfer said sterile biocompatible fluid in said fluid source (8) to at least one fluid receptacle (12) at the same pre-determined pressure, wherein said at least one fluid receptacle (12) is in contact with said second piston end (6b) of said piston rod (6) at a first receptacle end (12a) and is connected to said fluid transfer port (10) at a second receptacle end (12b).

A handheld surgical instrument comprising an energy storage element, wherein the energy storage element is a spring coupled to the impacting mechanism, an impacting mechanism has a tip configured to impact a bone, wherein the tip includes a tapered point, a power transmission mechanism is configured to transmit energy from the energy storage element to the impacting mechanism, wherein the power transmission mechanism includes a semi-flexible metal wire guided by a hollow shaft, wherein the hollow shaft includes a distal end, the semi-flexible metal wire is includes a bend toward the distal end, a trigger mechanism is configured to release energy from the energy storage element, wherein the bend includes an angle between 14 degrees and 46 degrees, wherein the trigger mechanism includes a manual lever which, when actuated, simultaneously retracts the tip and charges the energy storage element.

A medical apparatus is described for providing visualization of a surgical site. The medical apparatus includes an electronic display disposed within a display housing, the electronic display configured to produce a two-dimensional image. The medical apparatus includes a display optical system disposed within the display housing, the display optical system comprising a plurality of lens elements disposed along an optical path. The display optical system is configured to receive the two-dimensional image from the electronic display, produce a beam with a cross-section that remains substantially constant along the optical path, and produce a collimated beam exiting the opening in the display housing. The medical apparatus can also include an auxiliary video camera configured to provide an oblique view of a patient on the electronic display without requiring a surgeon to adjust their viewing angle through oculars viewing the electronic display.

Diffusion and infusion resistant implantable devices and methods for reducing pulsatile pressure are provided. The implantable device includes a balloon implantable within a blood vessel of a patient, e.g., the pulmonary artery. The balloon is injected with a fluid mixture comprising a constituent fluid(s) and a diffusion-resistant gas to provide optimal balloon volume and limit fluid diffusion throughout multiple cardiac cycles. The fluid mixture may be pressurized such that the balloon is transitionable between an expanded state and a collapsed state responsive to pressure fluctuations in the blood vessel.

A robotic surgical system includes a fluid drive system and a surgical instrument removably positioned in operative engagement with the drive system. A sterile barrier covers non-sterile portions of the surgical system. Features of the sterile barrier are used to transfer motion output from the fluid drive system to the instrument for actuation of the instrument.

An improved flexible endoscopic instrument to precisely and efficiently obtains samples of flat polyps and multiple polyps from a patient by debriding one or more polyps and retrieving the debrided polyps without having to alternate between using a separate cutting tool and a separate sample retrieving tool and may be used with an endoscope. In one aspect, the cutting tool is coupled to a flexible torque coil or torque rope that is configured to transfer rotational energy from a powered actuator through the length of the endoscope onto the cutting tool.

A medical device and method for the treatment of a sinus opening includes a handle, a guide catheter, a guide wire, a balloon catheter, a guide wire movement mechanism and a balloon catheter movement mechanism. The handle has proximal and distal ends and a longitudinal axis along the length of the handle. The guide catheter is attached to the distal end of the handle and has a catheter lumen. The guide wire and balloon catheter are both disposed at least partially in the handle and catheter lumen. The guide wire movement mechanism and the balloon catheter movement mechanism are both operatively disposed on the handle. In addition, the guide wire movement mechanism is configured for advancement and retraction of the guide wire through the handle and catheter lumen by user operation of the guide wire movement mechanism. Moreover, the guide wire movement mechanism includes an integrated guide wire locking and rotation mechanism configured for rotation of the guide wire and for securely locking and unlocking the guide wire to the guide wire movement mechanism. Furthermore, the balloon catheter movement mechanism is configured for advancement and retraction of the balloon catheter through the handle and catheter lumen by user operation of the balloon catheter movement mechanism.

Stepper motor with a housing 1,2,4,6,16, in which a cylindrical rotor 11,15 fixed on a central shaft 12 can rotate but not translate along an axial direction. There are cylindrical translators 9, 14 on both sides of the rotors 11, 15, where the translators 9, 14 are sealed fit in a cylindrical space within the housing 6 and around the central shaft 12 and where the translators 9, 14 can only translate in an axial direction, where in one axial position of a translator 9, 14 a set of triangular asymmetric teeth 20 located on the translator 9, 14 can interact and fit into a set of triangular asymmetric teeth 21 on the rotor 11, 15, where the shape of the teeth 21 on both sides of the rotor 11, 15 is symmetric and where one of the sets of teeth 20, 21 between one translator 9 (14) and the rotor 11 (15) and a set of teeth 20, 21 between the other translator 9 (14) and the rotor 11 (15) are tangentially shifted, i.e. offset over a length equal to half the width of a tooth 20, 21 and where the translators 9, 14 can be moved by a pressure difference between the part of the cylindrical space between the housing 6 and a translator 9, 14 and the part of the cylindrical space between the translator 9, 14 and the rotor 11, 15.

A robotic surgical system includes a fluid drive system and a surgical instrument removably positioned in operative engagement with the drive system. A sterile barrier covers non-sterile portions of the surgical system. Features of the sterile barrier are used to transfer motion output from the fluid drive system to the instrument for actuation of the instrument.

A sleeve for enforcing the end of a hollow organ so that it can be connected with a further end of a hollow organ, the sleeve comprising a cylindrical shape and being configured to be pushed over the end of the hollow organ and for turning-over the end of the hollow organ projecting from the sleeve around an end of the sleeve, wherein the sleeve has an adjustable diameter.