Globus Medical, Inc.

Gyrus Acmi, Inc.

Gmedelaware 2 LLC

Kyphon Sarl

Olympus Medical Systems Corporation

Spiration, Inc.

Kyphon Inc.

Facet Solutions, Inc

Gyrus Acmi, Inc D/b/a Olympus Surgical Technologies America

Christopher R Ralph

Richard J Broman

Mark Kuiper

Mark A Reiley

Leonard Tokish

David J Yager

Mark Charbonneau

Susan Rogers

David Michael Rosler

Michael J Funk

David Thomas Stinson

Cin Abidin

Robert M Scribner

Richard W Layne

Jason T Panzenbeck

Philip Berg

John Arthur Ohrt

Anthony V Finazzo

Paul M Sand

Thomas McLeer

Jean-Martin Baillargeon

Jorge A Ochoa

Sean S Suh

Matthew M Quest

Sean Sung-Ho Suh

Devin Lee Joseph Looijen

David A Herrin

Alex Hsia

Cesar Abalos Ico

Taylor N Tyson

Christine N Jurevicius

Madeline C Graham

Matthew E Nickeson

Anthony H Siuda

Christine L Seto

Nathan J Dale

Sujeeth Parthiban

David Michael Rosier

Phillip Berg

Mark K Kuiper

Susan L Rogers

Jorge Ochoa

Tom Mcleer

A device and system for allowing real-time viewing of a procedure beyond a distal end of an endoscope. An exemplary device includes a sheath that has at least two lumens and a handle. The handle includes a connector that connects to a proximal end of an endoscope, a shaft portion that rotatably connects to a proximal end of the connector and a manifold that is slidably received by the shaft portion. The manifold connects to the sheath and allows for insertion of a radial ultrasound probe and a medical tool into the sheath. A stopping device in the manifold avoids accidental needle deployment.

Real-time sampling system

An elongated access device used in a medical system. The elongated access device slidably receives a medical tool and an ultrasound probe. The elongated access device includes a sheath and an intraluminal tip attached to the distal end of the sheath. The intraluminal tip includes ramp and nose donuts being spaced apart from one another and configured to be attached to one or more elongated sleeves. One or more orientation pins are engaged with the respective ramp and nose donuts and may be anchored within the sheath. The medical tool is engaged with a ramp formed in the ramp donut or a ramp received within the ramp donut. The ultrasound probe is configured to engage with the intraluminal tip so as to ensure that the medical tool directionality is oriented toward a target during a procedure.

Real-time sampling device

Disclosed embodiments include apparatuses, systems, and methods for providing a sheath tip with an angled distal face to conform the sheath to a surface of tissue toward which the sheath is being extended to potentially help reduce or avoid tissue damage upon extending a sheath to convey an elongated instrument for sampling or treatment. In an illustrative embodiment, an apparatus includes a sheath tip configured to be positioned at an end of a sheath that is extendable toward a tissue at an angle to a surface of the tissue. The sheath tip has a distal end that is angled such that a periphery of the sheath tip at the distal end is configured to generally conform to the surface of the tissue.

Sheath tip with angled distal face

An apparatus for controlling advancement of a sheath or a catheter at a distal end of an endoscope. An exemplary apparatus includes a flexible sheath that receives a medical device within an internal lumen and is received within a working channel of an endoscope. The apparatus also includes a component that is at least one of external or internal to the sheath. The component causes a change in longitudinal motion friction of the sheath above a predefined threshold amount as the sheath moves relative to an exit ramp of the endoscope.

Sheath location indicator and overextension preventer

A medical instrument having an aspiration needle, handle device and an actuation force limiter. The actuation force limiter provides an active or passive force release mechanism that keeps the force from overpowering operation of the needle.

Needle device with activation force limiter

Disclosed embodiments include apparatuses, systems, and methods for providing an atraumatic sheath tip. Various disclosed embodiments seek to help reduce or avoid unnecessary tissue damage upon a sheath being extended to convey an elongated instrument for sampling or treatment. In an illustrative embodiment, an apparatus includes a deformable sheath tip configured to be positioned at a distal end of a sheath. The sheath defines therein a lumen configured to convey an elongated instrument. The sheath tip has a base end disposable at the distal end of the sheath and a contact end. The sheath tip has a first column strength along an axis of the sheath tip that is less than a second column strength of the sheath and a first degree of deformability that is greater than a second degree of deformability of the sheath.

Compliant, atraumatic sheath tips

Disclosed embodiments include apparatuses and methods for using a tip member to deposit or collect a supply of material from within a body. In an illustrative embodiment, an apparatus includes a tip body defining an annular chamber. A tip receptacle is configured to be joinable with a lumen and to receive a fluid flow therethrough and to convey the fluid flow into the annular chamber. A material distribution element is fluidly coupled with the annular chamber, wherein when the fluid flow is introduced into the annular chamber. The material distribution element diffusively passes the fluid flow out of multiple egress points in at least one of a distal end and a lateral surface of the tip body.

Distal needle and stylet tips

A needle apparatus having a sheath with a protective hypotube insert and a method of making the needle sheath. An example needle apparatus includes a handle, a needle having a proximal end connected to the handle and a sheath. The sheath is configured to receive of the needle. The sheath includes a proximal end connected to the handle, a distal end, a lumen and the protective insert. The lumen passes from the proximal end to the distal end of the sheath. The protective insert is received within the lumen at the distal end of the sheath when force and/or heat are applied.

Sheaths for needle delivery

Disclosed embodiments include apparatuses, systems, and methods for providing a sheath tip with an angled distal face to conform the sheath to a surface of tissue toward which the sheath is being extended to potentially help reduce or avoid tissue damage upon extending a sheath to convey an elongated instrument for sampling or treatment. In an illustrative embodiment, an apparatus includes a sheath tip positionable at an end of a sheath configured to convey an elongated medical instrument to a location adjacent a detection range of a detecting device. The sheath tip includes a distal member that extends a finite distance beyond the end of the sheath. The distal member is detectable by the detecting device when the end of the sheath is within the finite distance of the detection range of the detecting device.

Sheath with detectable leader

Disclosed embodiments include flexible tube assemblies, flexible needle assemblies, systems, methods of fabricating a flexible tube, and methods of fabricating a flexible needle. In an illustrative, non-limiting embodiment, a flexible tube assembly includes: a flexible tube having a proximal end with a proximal strain relief section and a distal end with a distal strain relief section, the proximal strain relief section being located between the proximal end and the distal strain relief section and the distal strain relief section being located between the distal end and the proximal strain relief section, the distal end defining an opening therein, at least a portion of at least one of the proximal strain relief section and the distal strain relief section defining therein a spiral cut with a continuously variable pitch; and tubing disposed in an airtight manner over an exterior surface of the flexible tube at least the portion of the at least one of the proximal strain relief section and the distal strain relief section defining therein the spiral cut with a continuously variable pitch.

Variable pitch flexible needle

An adaptable spinal facet joint prosthesis may include a pedicle fixation element; a laminar fixation element; and a facet joint bearing surface having a location adaptable with respect at least one of the pedicle fixation element and the laminar fixation element. Methods of implanting an adaptable spinal facet joint prosthesis may include determining a desired position for a facet joint bearing surface; and attaching a prosthesis comprising a facet joint bearing surface to a pedicle portion of a vertebra and a lamina portion of a vertebra to place the facet joint bearing surface in the desired position. A facet joint prosthesis implant tool may include a tool guide adapted to guide a vertebra cutting tool; and first and second fixation hole alignment elements extending from the saw guide. Systems for treating spinal pathologies may include intervertebral discs in combination with spinal and facet joint prostheses.

Crossbar spinal prosthesis having a modular design and systems for treating spinal pathologies

The disclosure discloses methods, devices, systems and kits for repairing, replacing and/or augmenting natural facet joint surfaces and/or facet capsules. An implantable facet joint device of one embodiment comprises a cephalad facet joint element and a caudal facet joint element. The cephalad facet joint element includes a member adapted to engage a first vertebra, and an artificial cephalad bearing member. The caudal facet joint element includes a connector adapted for fixation to a second vertebra at a fixation point and an artificial caudal bearing member adapted to engage the cephalad bearing member. The artificial caudal bearing member is adapted for a location lateral to the fixation point. In another embodiment, an implantable facet joint device comprises a cephalad crossbar adapted to extend mediolaterally relative to a spine of a patient, the crossbar having opposite first and second ends, a connector element adapted to connect the crossbar to a first vertebra, a first artificial cephalad bearing member adapted for connection to the first end of the crossbar and adapted to engage a first caudal facet joint element connected to a second vertebra, and a second artificial cephalad bearing member adapted for connection to the second end of the crossbar and adapted to engage a second caudal facet joint element connected to the second vertebra.

Minimally invasive spine restoration systems, devices, methods and kits

Growing community of inventors

Woodinville, WA, United States of America

Christopher R Ralph