A fracture fixation system includes an intramedullary nail having a proximal nail hole, wherein an inner surface of the proximal nail hole has a non-circular shape in a plane perpendicular to an axis along which the proximal nail hole extends; a plate having an inner surface for placement against a surface of a bone, the plate defining a proximal plate hole adjacent a proximal end of the plate extending through the plate; and a peg extending along a peg axis and configured for insertion into the proximal nail hole, wherein a body of the peg has an outer surface defining a non-circular shape in a plane perpendicular to the peg axis, the peg further including a lateral end adjacent to the body and configured to engage the proximal plate hole, the lateral end having a reduced cross-section that is smaller than a maximum cross-section of the body of the peg.

A method of operating a surgical stapling device comprising a lockout for preventing the surgical stapling device from operating. The method comprises contacting a first authentication key protruding from a surgical staple cartridge in actuation contact with the lockout in the surgical stapling device to move the lockout into an intermediate position, contacting a second authentication key protruding from the surgical stapling cartridge distal to the first authentication key into other actuation contact with the lockout in the surgical stapling device to move the lockout from the intermediate position into an unlocked position, and operating the surgical stapling device.

A delivery device (40) and a delivery system (100) are provided. The delivery device (40) includes an operating handle (410), a regulating member (420) and a first driving assembly (450), where the operating handle (410) includes an accommodating cavity; in a natural state, the regulating member (420) includes a bent section (422), and an end of the regulating member (420) that is away from the bent section (422) extends into the accommodating cavity; the first driving assembly (450) is arranged on the operating handle (410), is connected to the regulating member (420), and is configured to control an axial displacement of the regulating member (420), so that the bent section (422) of the regulating member (420) abuts against an implantable instrument to realize forming of the implantable instrument. The delivery device (40) can form the implantable instrument.

A medical instrument set having a guide tube and a medical instrument which can be introduced into the guide tube for processing and removing tissue in an intervertebral disc space between two adjacent vertebral bodies. The instrument has a shaft which is rotatable about its extension direction. A set of bristles comprising at least two bristles, with at least one space therebetween, is provided in a distal end region. The space is such that, during rotation of the shaft about its extension direction, processed tissue is movable in an axial direction inside the space. The invention further relates to a medical device and to a medical method.

An internal intramedullary fixation device for the stabilization of bone in arthrodesis and fractures of the foot and hand is disclosed. During implantation in medullary canals of bones, the device grasps the edges of the canals, stabilizing the bones, internally, during a healing process. The intramedullary fixation device comprises arrow-shaped proximal and distal heads comprising tips and a pairs of wings, the heads being sized to fit within an intramedullary canal of a bone. The intramedullary fixation device also comprises a rigid body defining a longitudinal axis connecting the proximal and distal heads. The rigid body comprises an intermediate portion, a distal neck portion connecting the rigid body to the distal head, and a proximal neck portion connecting the rigid body to the proximal head, the neck portions having a cross-sectional area smaller than a cross-section area of the intermediate portion.

The present invention relates to a surgical device for clamping in tissue, wherein the surgical device comprises a first clamp, a second clamp, and an elongated dimensionally stable connector and its use within a minimally invasive or open surgical treatment for effecting tissue to be self-hold.

Delivery devices configured to deliver therapeutic and visualization devices to a surgical site are disclosed. An example delivery device may include a proximally disposed handle; a shaft extending distally from the handle, the shaft including a therapeutic device lumen configured to deliver a working end of a therapeutic device therethrough, a first portion of the shaft being steerable; and a space-making element disposed proximate a distal end portion of the shaft and configured to separate biological tissues to create or expand a working space. At least a portion of the space-making element may be reconfigurable between a retracted configuration and an expanded configuration.

Thrombectomy systems are disclosed that utilize a knowledge base comprising intra-procedural and inter-procedural (i.e., historical) measurement data that is correlated to deterministic events that predicate each measurement. Each thrombectomy procedure is thereby a compendium of cause and effect experimentation; experimental data are retained, in addition to being utilized intra-procedurally to determine future experimental configurations (deterministic events). Herein, experimental data comprise variable measurement data of intensive physical properties of the aspirate within the catheter (e.g., viscosity=10 cP, % thrombus=15%, thrombus load=25%, etc.). Knowledge-based thrombectomy systems engender procedure standardization across multiple thrombectomy systems, facilities and clinicians by standardizing the sequence of intra-procedural, deterministic events. Some embodiments feature a plurality of subsystems (experimental factors) such as Liquid Column Oscillator, Harmonic Oscillator, frequency, aspiration rate, infusion rate, mechanical or hydrodynamic lance, catheter position and/or configuration, etc.; these subsystems being operable at a plurality of setpoints (experimental levels). A knowledge base is compiled that identifies and exploits efficacious experimental configurations and abandons or modifies inefficacious experimental configurations.

A method for forming a surgical snare, the method comprising: providing a plurality of filaments; braiding the plurality of filaments together so as to form a braided tubular construct comprising: a proximal tube having an open proximal end, an open distal end, and a proximal tube lumen extending there between; a distal tube having an open proximal end, an open distal end, and a distal tube lumen extending there between; and a loop region disposed between the distal end of the proximal tube and the proximal end of the distal tube, the loop region comprising at least one loop structure, the at least one loop structure comprising at least three of the plurality of filaments braided together; inserting the distal end of the distal tube into the open distal end of the proximal tube and into the proximal tube lumen such that (i) the distal tube is disposed in the proximal tube lumen such that the at least one loop structure extends distally of the distal end of the proximal tube in the form of at least one loop, and (ii) the distal tube lumen extends from a point located distal to the proximal end of the proximal tube to the at least one loop.

Disclosed are vascular occluder, kit and method of use thereof. The vascular occluder includes an occluder body extending longitudinally between an occluder body distal end and an occluder body proximal end. The occluder body is elastically compressible longitudinally from a preliminary deployed configuration to a compressed deployed configuration. Vascular occluder includes a tension member configured to tether the occluder body proximal end to the occluder body distal end and to tighten therebetween when the occluder body is in the compressed deployed configuration. The occluder body includes a proximal tubular body segment and a distal tubular body segment, and when in the compressed deployed configuration, the proximal tubular body segment is located inside of, and/or provides structural support to, the distal tubular body segment.