A decompression surgery system includes an instrument shuttle configured to engage a first side of a target anatomical location, the instrument shuttle including a track. The system further includes a working channel configured to couple to and advance along the track of the instrument shuttle, the working channel having a distal end configured to engage a second side of the target anatomical location so that the target anatomical location is positioned between a portion of the instrument shuttle and the distal end of the working channel. The working channel is configured to receive one or more instruments therethrough.

A surgical instrument includes an end effector located at a distal end of a shaft and is selectively movable between an open configuration and a closed configuration. The end effector includes a guide with an ultrasonic blade extending therefrom and a clamp arm having a clamp pad and movable relative to the ultrasonic blade. The end effector further includes a tissue stop encircling the guide and having a leading surface. The tissue stop is configured to prevent tissue from moving proximally past the clamp pad during a closure stroke. In some versions, a leading surface of the tissue stop prevents tissue from moving proximally. The tissue stop may include a pair of deflectable flaps having the leading surface, wherein the deflectable flaps abut the clamp arm or other features of the end effector as the closure stroke is performed.

A patient-specific jig for confirming a correct contour of a fixation element in an operative setting, the patient-specific jig including a jig body having a top end and a bottom end provided at opposite ends of a longitudinal axis of the jig body, and an inner contour guide disposed in a front surface of the jig body, the inner contour guide having a shaped cross-section and being shaped in a contoured curve along the longitudinal axis of the jig body, wherein the contoured curve conforms to a set of patient-specific geometric parameters.

An intramedullary fixation device used in bone fixation and stabilization on a patient includes a longitudinally extending rigid body, a distal head disposed at a distal end of the body and sized for insertion into an intramedullary canal of a phalanx of the patient, the distal head having a central core portion and a plurality of extending distal wings radially projecting from the central core portion. A proximal head at a proximal end of the body is sized for insertion into an intramedullary canal of a phalanx of the patient. It has a central core portion and a plurality of proximal wings extending radially outwardly from the central core portion.

An intramedullary fixation device used in bone fixation and stabilization on a patient includes a longitudinally extending rigid body, a distal head disposed at a distal end of the body and sized for insertion into an intramedullary canal of a phalanx of the patient, the distal head having a central core portion and a plurality of extending distal wings radially projecting from the central core portion. A proximal head at a proximal end of the body is sized for insertion into an intramedullary canal of a phalanx of the patient. It has a central core portion and a plurality of proximal wings extending radially outwardly from the central core portion.

A medical instrument with a hollow shaft, a handle at the proximal end, and a tool at the distal end such that the tool is rotatable about the longitudinal axis of the shaft via an actuation rod connected to the handle, the actuation rod composed of two parts, with mutually facing end-face toothing arrangements.

A device for aspirating a thrombus has an elongate shaft and a housing with an actuator coupled to the shaft. Pull wire lumens are disposed in a side wall of the elongate shaft and they have one end coupled to an actuator, and the opposite end coupled to the distal portion of the elongate shaft. Actuation of the actuator in a first direction steers the distal portion of the elongate shaft into a first configuration or changes a size or a shape of the lumen in the elongate shaft. Actuation of the actuator in the opposite direction releases tension in the pull wires to steer the elongate shaft into a second configuration or further changes the size or shape of the lumen.

Surgical anchor constructs, fixation devices, and methods of manufacturing, as well as methods for tissue repairs are disclosed. A soft suture anchor has a sheath with varying densities along the length of the sheath. The anchor sheath can have different segments with different densities which can be provided in a pattern or a random manner. The segments with different densities allow secure fixation of the soft anchor within bone, and attachment of first tissue to second tissue.

Systems and methods are provided for performing tensionable knotless cardiac valve procedures. A locking ferrule that includes a one-way locking mechanism may be utilized as part of the tensionable knotless cardiac valve procedure for tensioning and locking one or more strands of suture. In other implementations, the one-way locking mechanism may be integrated as part of a prosthetic device or other surgical device that can be utilized in combination with the prosthetic device.

Systems, devices, and methods for stabilization of bones and/or joints are disclosed. A medical implant may be inserted into a treatment site, such as an interspinous process space. The implant may have an outer body, an inner body coupled to the outer body, distal wings coupled to the inner body, proximal wings coupled to the outer body, and a threaded screw coupled to the inner body and outer body. The threaded screw may be configured to couple to a driver head of an insertion tool and the outer body may be configured to couple to an attachment member of an insertion tool. Actuating the insertion tool may actuate the threaded screw to thereby transition the proximal wings and the distal wings from a closed configuration to a deployed configuration, and from a deployed configuration to a clamped configuration.