33rd week of 2015 patent applcation highlights part 5 |
Patent application number | Title | Published |
20150223785 | SYSTEMS AND METHODS RELATED TO COLLECTION OF BIOLOGICAL FLUIDS - Collection of biological fluids. At least some of the example embodiments are polymeric sleeves including: an elongate body that defines a first end, a second end opposite the first end, and a longitudinal central axis; a main passageway through the elongate body along the central axis, the main passageway extends from the first end to the second end, and the main passageway having a first aperture on the first end and a second aperture on the second end; a first member suspended over the first aperture on the first end, the first member having a first initial passageway substantially aligned with the main passageway; and a first plurality of stanchion portions that extend between the first member and the first end. | 2015-08-13 |
20150223786 | ASSISTIVE DEVICE FOR REMOVING A BIOLOGICAL SAMPLE FROM AN INTRAOSSEOUS DEVICE, AND RELATED KITS AND METHODS - This disclosure includes embodiments of assistive apparatuses or devices, kits, and methods for assisting with removal of a biological sample from an intraosseous device. Some of the present assistive apparatuses comprise: a body including a first end and a second end, and defining a channel with a first portion having a first transverse dimension, a second portion disposed between the first portion and the second end and having a second transverse dimension that is smaller than the first transvers dimension, and a longitudinal axis extending through the first portion and the second portion, the body further including a protrusion extending laterally outward relative to the longitudinal axis; where the channel is configured to receive a portion of an intraosseous device having a hub and a cannula extending from the hub, with the first portion of the channel receiving a part of the hub, and the second portion of the channel receiving a part of the cannula while preventing passage of the hub through the second portion. | 2015-08-13 |
20150223787 | SINGLE-INSERTION, MULTIPLE SAMPLING BIOPSY DEVICE USABLE WITH VARIOUS TRANSPORT SYSTEMS AND INTEGRATED MARKERS - A biopsy device includes a biopsy sample extraction needle having a sample extraction end, a recovery end, and a transport channel linking the extraction and recovery ends. In a first configuration, a valve has a first position wherein the valve directly connects a pump to an ambient vent and the pump can reduce the pressure in at least the sample extraction end. In a second configuration, the valve has a second position wherein the valve directly connects the pump to a fluid reservoir and the pump can draw fluid from the fluid reservoir. In a third configuration, the valve has a third position wherein the valve directly connects the pump to the extraction end and the pump can supply fluid to the extraction end to flush fluid along the transport channel from the extraction end to the recovery end to transport a sample along the transport channel. | 2015-08-13 |
20150223788 | ENDOSCOPIC BIOPSY INSTRUMENT, ENDOSCOPE, AND METHOD FOR TAKING A BIOPSY SAMPLE - An endoscopic biopsy instrument ( | 2015-08-13 |
20150223789 | SHAPED CIRCUIT BOARDS SUITABLE FOR USE IN ELECTROSURGICAL DEVICES AND ROTATABLE ASSEMBLIES INCLUDING SAME - An electrosurgical instrument includes a housing having an elongated shaft extending therefrom and a rotatable member disposed on the housing and operably connected to the elongated shaft. The elongated shaft defines a longitudinal axis extending therealong. The rotatable member is configured to rotate the elongated shaft about the longitudinal axis upon actuation thereof. The rotatable member includes an inner surface defining an interior space therein configured to house at least one printed circuit board about the elongated shaft. | 2015-08-13 |
20150223790 | ARTICULATING SURGICAL APPARATUS - An endoscopic instrument includes a housing having shaft extending therefrom that defines a longitudinal axis therethrough. The shaft includes an articulating section disposed thereon. The articulating section has a central annulus extending therealong and first and second pluralities of bores. The first plurality of bores configured to receive corresponding tendons therethrough and the second plurality of bores configured to receive corresponding conductive leads therethrough. An end effector assembly operatively connected to a distal end of the shaft including a pair of first and second jaw members. The corresponding conductive leads transition from a first state for enabling articulation of the shaft about the articulating section, to a second state for disabling articulation of the shaft about the articulating section. | 2015-08-13 |
20150223791 | CLOSING OPENINGS IN ANATOMICAL TISSUE - A device for closing at least one opening leading to an anatomical cavity is delivered via a catheter positioned in a first opening leading to the anatomical cavity. An orientation control unit is positioned within the anatomical cavity. The orientation control unit defines an orientation of a portion of a tissue surface within the anatomical cavity that is skewed with respect to the first opening and orients a closure member of the device with the tissue surface. An occluding member and a constricting unit of the device are positioned within the anatomical cavity with the occluding member blocking a portion of an opening that is constricted by the constricting unit. An intermediate member of the device is positioned within the anatomical cavity and a closure unit employing at least one piercing element pierces through the intermediate member into a tissue wall surrounding the anatomical cavity. | 2015-08-13 |
20150223792 | SYSTEM AND METHOD FOR TRANSAPICAL ACCESS AND CLOSURE - Embodiments are described for creating and closing tissue access ports, such as transapical access ports, which involve placement of an introducer across the subject tissue structure, and deployment of a controllable port closure device assembly configured to remain in place with a ratcheting mechanism, and to hold the tissue surrounding the previous access port location closed against a sealing disc with proximal and distal strut assemblies, after the introducer has been removed. | 2015-08-13 |
20150223793 | METHODS AND DEVICES FOR CAPTURING AND FIXING LEAFLETS IN VALVE REPAIR - The present invention provides methods and devices for grasping, and optional repositioning and fixation of the valve leaflets to treat cardiac valve regurgitation, particularly mitral valve regurgitation. Such grasping will typically be atraumatic providing a number of benefits. For example, atraumatic grasping may allow repositioning of the devices relative to the leaflets and repositioning of the leaflets themselves without damage to the leaflets. However, in some cases it may be necessary or desired to include grasping which pierces or otherwise permanently affects the leaflets. In some of these cases, the grasping step includes fixation. | 2015-08-13 |
20150223794 | SUPER ELASTIC LOOP EXTRALUMINAL MATERIALS DELIVERY INSTRUMENT - A materials delivery instrument is provided and includes an outer sheath and an instrument movably mounted within the outer sheath. The instrument includes a treatment lumen extending substantially the length of the instrument for receipt of treatment material. A super elastic wire is positioned in at least a distal end of the instrument. The super elastic wire forms a loop in an unstressed state to allow the instrument to encircle an anastomosis formed between a pair of tubular tissue sections. The super elastic wire is in a stressed state when the instrument is retracted within the outer sheath and in the unstressed state when the instrument is extended from the outer sheath to enclose the anastomosis. A proximal end of the super elastic wire is oriented substantially perpendicular to a plane formed by the loop to allow the instrument to lie parallel to the tubular tissue sections during the spraying of the anastomosis. A source of air pressure may be provided through the instrument to facilitate spraying the treatment material onto the anastomosis. | 2015-08-13 |
20150223795 | LAPAROSCOPIC RETRACTOR DEVICES - Devices for performing medical procedures such as laparoscopic surgery are provided herein. For example, this document provides laparoscopic retractor devices. In some embodiments, the laparoscopic retractor devices provided herein include two retractor blades that can be expanded or contracted. Further, in some embodiments an elastic covering is included, and the retractor blades are disposed within the elastic covering. | 2015-08-13 |
20150223796 | Assembly Method For A Microsurgical Instrument, And Pivotable Retractor - The present invention discloses an assembly method for a microsurgical instrument, which has a proximal handle mechanically connected to a hollow shaft. The shaft is coupled releasably to a tool head via a bayonet connection. The handle has at least one actuation device, which is operatively coupled to an actuation rod that is guided in the shaft. The bayonet connection has two bayonet elements with respective longitudinal slits which are aligned in a locked state of the bayonet connection, wherein at least one longitudinally movable cam is guided axially in the longitudinal slits. The actuation rod is inserted with its proximal end portion into the handle and has a flattened part, which is engaged by a clamping block arranged on the handle in a fixed position with respect to the longitudinal axis. Moreover, a pivotable retractor is disclosed. | 2015-08-13 |
20150223797 | Retractor and operating method - A retractor for endoscopic surgery, having a first shaft portion, in which an actuation device is movable, and a second shaft portion coupled pivotably thereon. A transmission arm is articulated on a distal end of the actuation device. A retraction structure is connected to a distal end of the second shaft portion, which retraction structure can be releasably coupled, with its other end, to the second shaft portion via a coupling device. The coupling device has a slide, which is guided in the second shaft portion. The transmission arm is articulated on the second shaft portion by way of a peg-and-slot connection and is operatively coupled to the slide in order to move the latter longitudinally, wherein the coupling device can be transferred to a release state by longitudinal movement of the slide. An operating method for the retractor is also disclosed. | 2015-08-13 |
20150223798 | FLOATING, MULTI-LUMEN-CATHETER RETRACTOR SYSTEM FOR A MINIMALLY-INVASIVE, OPERATIVE GASTROINTESTINAL TREATMENT - Improved methods and devices for performing an endoscopic surgery are provided. Systems are taught for operatively treating gastrointestinal disorders endoscopically in a stable, yet dynamic operative environment, and in a minimally-invasive manner. Such systems include, for example, an endoscopic surgical suite. The surgical suite can have a reversibly-expandable retractor that expands to provide a stable, operative environment within a subject. The expansion can be asymmetric around a stabilizer subsystem to maximize space for a tool and an endoscope to each be maneuvered independently to visualize a target tissue and treat the target tissue from outside the patient in a minimally invasive manner. | 2015-08-13 |
20150223799 | Method and Apparatus for Forming a Suture Connector in Situ - A system for forming a suture connector in situ includes a suture connector placement device having a handle, an outer shaft, an intermediate shaft, and a push rod, and a suture connector having a sleeve and a plug. The intermediate shaft is slidingly disposed through a lumen of the outer shaft, and the push rod is slidingly disposed through a lumen of the intermediate shaft. When the suture connector is in a loaded configuration within the suture connector placement device, the sleeve is radially disposed between the intermediate shaft and the outer shaft and the plug is positioned proximal to the sleeve within the lumen of the intermediate shaft. Distal advancement of the push rod moves the plug into the sleeve and proximal retraction of the intermediate shaft releases the resilient sleeve onto the plug, thereby securing two suture portions between the sleeve and the plug. | 2015-08-13 |
20150223800 | TISSUE REPAIR - An apparatus includes a flexible fixation member having a body with a longitudinal extent and a width, the body defining a plurality of openings through the body, each of the plurality of openings formed substantially cross wise through the width of the body, and a suture having two terminal ends, the suture being interwoven through each of the plurality of openings in the body of the fixation member such that multiple portions of the fixation member are slidably coupled to the suture and configurable to form a cluster within a surgical site. | 2015-08-13 |
20150223801 | Collapsible Tissue Anchor Device and Method - Collapsible tissue anchor device and method for inserting into a tissue structure in a first non-collapsed configuration and collapsing into a second collapsed configuration. A sleeve is provided having a bolt or shank extending through an interior. The bolt or shank exerts a force upon the sleeve to collapse it thereby forming flanges that engage or abut tissue. A sling, suture, mesh or the like may be coupled to a portion of the anchor to support tissue or an organ. | 2015-08-13 |
20150223802 | MEDICAL KIT FOR CONSTRICTING TISSUE OR A BODILY ORIFICE, FOR EXAMPLE, A MITRAL VALVE - A device, kit and method may include or employ an implantable device (e.g., annuloplasty implant) and a plurality of tissue anchors. The implantable device is positionable in a cavity of a bodily organ (e.g., a heart) and operable to constrict a bodily orifice (e.g., a mitral valve). Each of the tissue anchors may be guided into precise position by an intravascularly or percutaneously techniques. Constriction of the orifice may be accomplished via a variety of structures, for example an articulated annuloplasty ring, the ring attached to the tissue anchors. The annuloplasty ring may be delivered in an unanchored, generally elongated configuration, and implanted in an anchored generally arched, arcuate or annular configuration. Such may approximate the septal and lateral (clinically referred to as anterior and posterior) annulus of the mitral valve, to move the posterior leaflet anteriorly and the anterior leaflet posteriorly, thereby improving leaflet coaptation to reduce mitral regurgitation. | 2015-08-13 |
20150223803 | MENISCAL REPAIR DEVICE - An implant for repairing tears in soft tissue, such as a meniscus, may include a lead anchoring member and a trailing anchoring member interlaced by a looped strand member. The lead anchoring member and the trailing anchoring member may be formed of a suture material having a diameter greater than a diameter of the strand member. The lead anchoring member and the trailing anchoring member may deform into a suture mass in response to a lead of the strand member being placed under tension to thereby cinch the looped portion. A self-locking locking knot may prevent loosening of the looped portion. | 2015-08-13 |
20150223804 | SUTURE DELIVERY DEVICE FOR SUTURING TISSUE - Systems are provided for delivering a suture to close a surgical opening. An elongated deployment member may have at its distal end a retracted counterforce member. The counterforce member may be inserted into the surgical opening and deployed to resist being withdrawn from the opening. A compression member may be slid down the elongated member to compress the tissue to be sutured against the counterforce member. Suture passers loaded with suture ends may be passed through needle tubes within the elongated member to emerge from the elongated member and pierce the tissue to be sutured, then deposit the suture ends with a suture catcher. The suture passers may be withdrawn, leaving the suture ends. The suture catcher may be retracted, retaining the suture ends and the device—elongated member, retracted suture catcher, and retained suture end—may be withdrawn from the surgical opening. The suture may then be completed. | 2015-08-13 |
20150223805 | SURGICAL DEVICE HAVING MULTIPLE DRIVERS - A surgical device is provided, the surgical device including a first driver for performing a first movement function; a second driver for performing a second movement function; a first rotatable drive shaft configured, upon actuation, to cause selective engagement of one of the first and second drivers with a second rotatable drive shaft, wherein the second rotatable drive shaft is configured to drive the selectively engaged one of the first and second drivers. Third and fourth drivers may also be included. The drivers may function to rotate a shaft portion of the surgical device relative to, and about the longitudinal axis of, a handle; move a jaw portion relative to the shaft portion; move a first jaw relative to a second jaw; and/or move a surgical member within the second jaw. | 2015-08-13 |
20150223806 | Fasteners, Deployment Systems, and Methods for Ophthalmic Tissue Closure and Fixation of Ophthalmic Prostheses and Other Uses - Methods and devices for ophthalmic tissue closure and fixation of ophthalmic prostheses are provided. In accordance with some embodiments, devices for both grasping and clipping a plurality of ocular tissue and ocular prostheses are provided. Various device embodiments are provided for both malleable clips and delivery of normally closed clips (i.e. shape memory). The device may accommodate a plurality of clips which include, but are not limited to: malleable metals, absorbable, shape memory, drug-eluting, and adhesive dispensing. The clips may be pigmented to match the colors of associated tissue (cornea, iris, conjunctiva, sclera, retina) to serve to camouflage fixation clips for healing duration or permanently. According to one aspect, shallow angle access to anatomy may be provided by specialized angulation of device shaft and closure jaws that are intended to access the eye through a small self-healing cornea incision and/or any ocular tissue. | 2015-08-13 |
20150223807 | DELIVERY DEVICE AND METHOD FOR COMPLIANT TISSUE FASTENERS - Devices, systems, and methods for closing the base of a left atrial appendage or other tissue structure comprise a device applicator having jaws, a shaft, and a handle. First and second triggers on a handle are configured to close the jaws and a closure device in a step-wise manner where tissue penetrating fasteners within the closure device are engaged by studs on the jaws, where the studs must be released prior to the opening of the jaws. | 2015-08-13 |
20150223808 | System and Method For Making Tapered Looped Suture - An active anvil assembly for use in forming a looped suture is provided. The active anvil assembly includes an anvil member, a first sensor operably connected to the anvil member, and a control assembly. The first sensor is configured for measuring at least one of force, torque, and distance feedback. Also provided are systems and methods for forming a looped suture including an active anvil assembly. | 2015-08-13 |
20150223809 | DELIVERABLE SURGICAL INSTRUMENT - In various embodiments, a shaftless end effector is disclosed. The end effector can comprise an anvil assembly including a staple forming surface. The end effector can also comprise a staple cartridge channel configured to receive a staple cartridge therein. The end effector can include a closure system configured to close the anvil. In various instances, the closure system can also form the staples contained within the staple cartridge. The end effector can also include a cutting member configured to cut tissue positioned intermediate the anvil and the staple cartridge. In various instances, the cutting member can be actuated by the closure system. In other instances, the end effector can include an independent system for actuating the cutting member. In various instances, the end effector can be delivered to a surgical site through a trocar and then operated by one or more actuators that are assembled to the end effector. | 2015-08-13 |
20150223810 | SURGICAL INSTRUMENT HAVING A PLASTIC SURFACE - A surgical instrument including a handle portion, a body portion, a movable handle, a tool assembly, a drive beam and a closure apparatus is disclosed. At least one of the closure apparatus and a contact surface of the tool assembly include a plastic surface. The body portion extends distally from the handle portion. The movable handle is located on the handle portion and is in mechanical cooperation with a drive member. The tool assembly includes an anvil, a cartridge assembly and a contact surface. The drive beam includes a proximal engagement portion and is configured to engage a portion of the drive member. The closure apparatus is configured to engage the contact surface of the tool assembly. At least a partial actuation of the movable handle moves the closure apparatus distally into engagement with the contact surface to approximate the anvil and the cartridge assembly. | 2015-08-13 |
20150223811 | MULTI-USE LOADING UNIT - A cartridge assembly is disclosed. The cartridge assembly includes a channel and a removable assembly in releasable engagement with the channel. The removable assembly includes a cartridge body and a support plate. The cartridge body includes an engagement structure disposed adjacent a proximal end thereof. The support plate is configured to mechanically engage the cartridge body and includes an engagement structure disposed adjacent a proximal end thereof. The engagement structure of the cartridge body is configured for longitudinal alignment with the engagement structure of the support plate. The engagement structures of the cartridge body and the engagement structure of the support plate are configured to mechanically engage the engagement structure of the channel when the removable assembly is engaged with the channel. | 2015-08-13 |
20150223812 | DEVICE AND METHOD FOR CONTROLLING COMPRESSION OF TISSUE - A method and device for controlling the compression of tissue include clamping tissue between a first clamping member and a second clamping member by driving at least one of the clamping members with an electric motor toward a predetermined tissue gap between the clamping members and, during the clamping, monitoring a parameter of the electric motor indicative of a clamping force exerted to the tissue by the clamping members. The method and device include, during the clamping, controlling the electric motor, based on the monitored parameter, to limit the clamping force to a predetermined maximum limit. | 2015-08-13 |
20150223813 | APPARATUS AND METHODS FOR OCCLUDING A HOLLOW ANATOMICAL STRUCTURE - A clamp having at least first and second elongate clamping portions adapted to be placed on opposite sides of the hollow anatomical structure. The first and second elongate clamping portions respectively include ends coupled together with respective resilient urging members configured to urge at least one of the first and second elongate clamping portions toward the other of the first and second elongate clamping portions from an open position into a clamping position to occlude the hollow anatomical structure. The clamp includes tissue ingrowth structure on the clamping portions. | 2015-08-13 |
20150223814 | SYSTEM FOR CLOSING A WOUND - A system for wound closure has at least two closure elements. One closure element is detachably tethered to another closure element. Each closure element includes: a base member with an integral strap hingably connected to the base member, and a lock member slidably disposed on the strap and being lockable on the strap. Alternatively, the base member defines a plane and the strap being affixed to the base member at an angle to the plane. The system may further include a wound covering disposed between the straps and the wound. The wound covering may be a laminate having at least two layers; a first layer is a moisture impervious layer adapted to contain body heat, and a second hydrophilic layer is adapted to retain moisture. | 2015-08-13 |
20150223815 | END EFFECTOR IDENTIFICATION BY MECHANICAL FEATURES - According to one aspect of the present disclosure, a surgical instrument is disclosed. The instrument includes a handle portion, a body portion extending distally from the handle portion and defining a first longitudinal axis and a loading unit. The loading unit includes a tool assembly, the loading adapted to be coupled to the body portion. The instrument also includes a sensor tube movably positioned within the body portion, the sensor tube adapted to engage the loading unit and a load switch coupled to a microcontroller. The load switch is adapted to be actuated by the sensor tube when the sensor tube is engaged by the loading unit being inserted into the body portion. | 2015-08-13 |
20150223816 | SURGICAL CUTTING AND FASTENING INSTRUMENT WITH APPARATUS FOR DETERMINING CARTRIDGE AND FIRING MOTION STATUS - Sensor arrangements for determining the position of a firing element in an end effector of a surgical instrument. In various forms, the sensor arrangement comprises a resistive element supported in the end effector. As the firing element translates within the end effector, it movingly contacts the resistive element to generate signals indicative of the firing element position. In other arrangements, the sensor can detect the status or presence of a staple cartridge in the end effector. The sensor arrangement can communicate with a memory device, processor and indicator. | 2015-08-13 |
20150223817 | IMPLANTABLE FLOW CONNECTOR - A system for coupling a first space within the body of a patient with a second space within the body of the patient including a flow connector insertable into the first and second spaces within the body, the flow connector having a conduit having a lumen having a first orifice at a first portion of the conduit and a second orifice at a second portion of the conduit, the conduit providing communication between the first and second spaces within the body. A retention device retains the conduit with respect to the first space within the body and is engageable with the first space within the body. | 2015-08-13 |
20150223818 | Circular Stapling Instrument - A circular stapling instrument including a stapling forming assembly that is actuated independently from actuation of the cutting assembly is provided. The instrument includes a handle assembly, an elongate body extending from the handle assembly, a cartridge assembly mounted on a distal end of the elongate body. The cartridge assembly includes a pusher and a knife assembly. The knife assembly is selectively fixed relative to the pusher. | 2015-08-13 |
20150223819 | INTRA-ABDOMINAL PRESSURE TO PROMOTE HEMOSTASIS AND SURVIVAL - Systems, methods and kits for treating hemorrhages within cavities are provided. The methods utilize the application of a rapid spike of pressure to the closed cavity, followed by a steady state pressure or pressures. | 2015-08-13 |
20150223820 | MITRAL VALVE TREATMENT DEVICE HAVING LEFT ATRIAL APPENDAGE CLOSURE - A heart treatment device includes an annuloplasty ring for restoring function to a mitral valve, an occluder configured and arranged for implantation within a left atrial appendage and a connector interconnecting the annuloplasty ring and the occluder. | 2015-08-13 |
20150223821 | REDUCING FLOW THROUGH A TUBULAR STRUCTURE - A method for reducing or stopping flow through a tubular structure of a patient can include positioning an elongate member within a lumen of the tubular structure. The elongate member can be arranged to form a frame having a distal opening and a proximal opening. The elongate member can substantially reduce or totally obstruct, with a flow reducing member coupled to the frame, flow of at least one of emboli and fluid flowing through the lumen. The flow reducing member can comprise a one-way valve that moves in response to fluid flow to substantially prevent distal flow through the distal opening and to allow proximal flow through the distal opening. | 2015-08-13 |
20150223822 | METHOD FOR FORMING A PATIENT SPECIFIC SURGICAL GUIDE MOUNT - A method includes mapping a contoured surface of at least one bone onto a digital model of a resection guide locator using a processor to create a digital model of a customized resection guide locator and manufacturing the customized resection guide locator. The customized resection guide locator includes a complementary surface of the at least one bone and a wall having a shape that is complementary to an outer profile of a resection guide and defining a pocket. A first elongate slot and at least one first hole are positioned within the pocket such that the first elongate slot aligns with a second elongate slot defined by the resection guide and the at least one first hole aligns with at least one second hole defined by the resection guide when the resection guide is received within the pocket of the customized resection guide locator. | 2015-08-13 |
20150223823 | SURGICAL TOOL FOR LSS DECOMPRESSION - A cutting device includes a lower jaw extending between a proximal end and a distal end. The distal end terminates with a cavity and a blunt tip. An upper jaw extends between and proximal end a distal end. The upper jaw is configured for translation along the lower jaw. The upper jaw includes a cutting tip configured to cut bone. | 2015-08-13 |
20150223824 | JIG WITH TARGETING FEATURE - The present invention relates to a surgical jig incorporating a targeting feature. The surgical jig includes a jig body with a first end, a second end, an anchoring opening, and a neck portion at the first end of the jig body. The neck portion allows the surgical jig to releasably attach to an anchor such as a bone plate. A guiding body with at least one guide opening formed within is attached to the jig body at the jig body's second end. A targeting feature is fixedly associated with the guide opening of the guiding body and can include a first region and a second region with the first region having a different imaging property than the second region. | 2015-08-13 |
20150223825 | DISPOSABLE MEDICAL DRILL GUIDE - A drill guide which is disposable and may be packaged in a kit with varying drill guides and sleeve guides is disclosed. Said device may have medical waste collection indentations, regions, or wells, whereby medical waste is removed and disposed of along with said device. | 2015-08-13 |
20150223826 | METHODS FOR IMPLANTING A JOINT PROSTHESIS - A novel and improved elbow prosthesis and method of implanting same including a novel aggregate prosthesis having a retaining system in conjunction with a set plate. | 2015-08-13 |
20150223827 | METHOD AND SYSTEM FOR PERFORMING INTERSPINOUS SPACE PREPARATION FOR RECEIVING AN IMPLANT - A method and system are provided for preparing an interspinous space to receive an implantable device. The system may comprise a cutting tool guide having a guiding surface for directing a cutting tool therethrough and a holder for positioning the cutting tool guide relative to the interspinous space. The holder may be configured to adjustably attach to at least one of a pair of spinous processes defining the interspinous space. | 2015-08-13 |
20150223829 | Devices and Methods for Vascular Recanalization - In some embodiments, a medical device for recanalizing a vessel having a blockage and restoring blood flow through an obstructed blood vessel includes an expandable member coupled to a core wire and a hypotube that are movable relative to each other to manipulate the expandable member between various configurations. The expandable member having a capture structure in an expanded configuration. The expandable member can include multiple interstices formed by woven mesh filaments or braided strands through which the material blocking the vessel can pass. The capture structure can include a shape on its external surface that facilitates dislodgement and capture of the material within capture spaces created by the expandable member. Some embodiments include a capture sack or cap for capturing material and preventing material from migrating down stream of the blockage. Superoxygenated blood can be infused distal to the blockage to minimize loss of function during an ischemic event. | 2015-08-13 |
20150223830 | ROTATIONAL THROMBECTOMY WIRE WITH BLOCKING DEVICE - A thrombectomy apparatus for breaking up thrombus or other obstructive material in a lumen of a vascular graft or vessel. The apparatus includes a wire having a first configuration and a second deployed configuration, the wire having a straighter configuration in the first configuration. The wire is operatively connected to a motor for rotation of the wire to contact and break up the thrombus or other obstructive material. A blocking device at a distal portion of the apparatus is movable between a collapsed configuration and an expanded configuration, and is configured in the expanded configuration to block thrombus dislodged by rotation of the wire. | 2015-08-13 |
20150223831 | SURGICAL SHAVER ASSEMBLY - A surgical shaver assembly according to an exemplary aspect of the present disclosure includes, among other things, an outer tube and an inner tube rotatably received within a hollow passage of the outer tube. The inner tube includes a distal portion and a window that extends through the distal portion. | 2015-08-13 |
20150223832 | SYSTEM, METHOD, AND APPARATUS FOR CONFIGURATION, DESIGN, AND OPERATION OF AN ACTIVE CANNULA ROBOT - The present invention relates to a system and apparatus for implementing a method for identifying tube parameters of a curved tube of an active cannula for operating on a target in a patient. The method includes the step (a) of acquiring a model of the patient anatomy including the target. The method also includes the step (b) of selecting a set of parameters characterizing a curved tube. The method also includes the step (c) of computing a workspace for an active cannula having the selected curved tube parameters. The method also includes the step (d) of comparing the workspace to the anatomical model to determine the degree to which an active cannula having the selected curved tube parameters covers the target. The method also includes the step (e) of repeating steps (b) through (d) through a defined number of curved tube parameter sets. The method also includes the step (f) of identifying the curved tube parameters that provide an active cannula with an optimal degree of target coverage. | 2015-08-13 |
20150223833 | TROCAR SEAL ASSEMBLY - A cannula and trocar assembly, including a septum seal assembly is provided. The septum seal assembly includes a shield and a septum seal for creating a gas-tight seal around a surgical instrument that is inserted into and through the cannula assembly without causing damage to the seal assembly. | 2015-08-13 |
20150223834 | SINGLE PORT DEVICE WITH MULTI-LUMEN CAP - A surgical access apparatus includes an access member defining a longitudinal axis and having a longitudinal passageway for reception and passage of a surgical object and an access housing mountable to the access member. The access housing includes a diaphragm mounted thereto. The diaphragm is adapted for rotational movement about the longitudinal axis relative to the access housing. The diaphragm defines at least one internal pocket and has a seal assembly disposed within the internal pocket. The seal assembly has an interface seal member adapted for establishing a fluid tight seal about the surgical object. The seal assembly is adapted for selective movement within the pocket about multiple axes in response to manipulation of the surgical object. | 2015-08-13 |
20150223835 | SURGICAL ACCESS ASSEMBLY AND METHOD OF USE THEREFOR - A surgical access assembly includes an access port and a seal anchor. The access port includes a proximal ring, an intermediate ring, a distal ring, and a sleeve defining a passage therethrough. In particular, the proximal, intermediate and distal rings are concentrically arranged with the passage of the sleeve, and the sleeve extends between the proximal and distal rings. The seal anchor is adapted to be at least partially disposed in the access port, and defines a lumen therethrough. At least one of the proximal, intermediate, and distal rings is configured and dimensioned to engage the seal anchor in a sealing relation therewith. | 2015-08-13 |
20150223836 | LAPAROSCOPIC INSTRUMENT AND TROCAR SYSTEM AND RELATED SURGICAL METHOD - Laparoscopic instruments and cannulas are provided for performing laparoscopic procedures entirely through the umbilicus. Generally S-shaped laparoscopic instruments placed through the C-shaped trocar sleeves or through the cannula and instrument holder unit provide markedly improved degrees of instruments' freedom during trans-umbilical laparoscopic procedures. | 2015-08-13 |
20150223837 | WOUND PROTECTOR INCLUDING BALLOON WITHIN INCISION - A surgical access device is disclosed herein. The surgical access device includes a housing adapted for insertion into an incision in tissue and at least one inflatable portion disposed on the housing. The housing defines a proximal end and a distal end and has a lumen extending therethrough for the reception of a surgical access portal. The at least one inflatable portion has a deflated state and an inflated state and the housing is insertable into the incision in tissue when the at least one inflatable portion is in the deflated state. The housing is adapted to form a substantially fluid tight seal with the incision in tissue and with a surgical access portal inserted therethrough when the at least one inflatable portion is in the inflated state. | 2015-08-13 |
20150223838 | Articulating Method Including A Pre-Bent Tube - A surgical device is provided including an access port having a tubular member with a first ring secured at a proximal end and a second ring secured at a distal end; an articulation structure having an outer tube and an inner tube; and a control mechanism coupled to one end of the inner tube for advancing the inner tube through the outer tube; wherein the outer tube includes at least one rigid section and at least one flexible section and the inner tube includes at least two pre-bent sections. | 2015-08-13 |
20150223839 | APPARATUS AND METHODS FOR CUTTING AN ATRIAL WALL - A method includes coupling, at least temporarily, a support member adjacent to a target tissue. The support member is configured to support the target tissue and to define a path along which a cutting device can move. The method includes moving the cutting device along the path defined by the support member to cut and/or dilate the target tissue. In some embodiments, the method optionally includes disposing a cannula of a device within the cut defined in target tissue. The cannula is coupled to the target tissue such that a lumen defined by the cannula is in fluid communication with a volume defined at least in part by the target tissue. | 2015-08-13 |
20150223840 | Hair Restoration - A surgical apparatus for hair removal surgery includes an extraction module, a visualization component and a bridging component. The extraction module includes independently controllable coring and clipping devices. The visualization component acts to align a target hair follicle with the extraction module. The extraction module also includes at least one independently controllable suction port. The instrument also includes a dissection module having a tissue separating device. | 2015-08-13 |
20150223841 | Amniotic Membrane Perforator with Integrated Safety Case - Amniotomy procedures rupture the amniotic sac as needed in order to accelerate the birthing process and prevent various complications. An amniotic membrane perforator with integrated safety case includes an elongated shaft, a safety hood, and a piercing member to be used in an amniotomy procedure. The piercing member is positioned within the safety hood at one end of the elongated shaft. The amniotic membrane perforator is manually manipulated such that the piercing member and the safety hood interface with amniotic membrane. Using gentle pressure, piercing member is forced through the amniotic membrane, rupturing the amniotic membrane and releasing amniotic fluid. The release of amniotic fluid produces a hormone like effect stimulating contractions to accelerate the birthing process. | 2015-08-13 |
20150223842 | External Bone Fixation Device - The present application discloses embodiments related to an external bone fixation device configured to correct bone deformities or repair bone injuries. The device can include a plurality of bases configured to be attached to portions of a bone and a plurality of struts configured to be adjustable in length to change the position and orientation of the plurality of bases and the attached bone portions. | 2015-08-13 |
20150223843 | BONE SCREW SYSTEM AND METHOD - An improved bone screw is disclosed which includes a shaft with distal portion having a threaded surface thereon, a sleeve having an opening which receives the shaft such that the shaft is able to move within the sleeve without moving the sleeve. A compressive device may be incorporated between the sleeve and the proximal portion of the shaft such that the compressive device forces the shaft and sleeve towards at least a portion each other, thereby maintaining the compressive load at the union of the fracture. As additional compression is exerted on the load from weight bearing, the force may be reduced, but the head of the sleeve is still substantially maintained against the lateral cortex. | 2015-08-13 |
20150223844 | ORTHOPEDIC FIXATION DEVICES AND METHODS OF INSTALLATION THEREOF - The present invention is generally directed to orthopedic fixation devices that comprise a coupling element and a bone fastener, whereby the bone fastener can be loaded into the coupling element through the bottom of a bore in the coupling element. The orthopedic fixation devices described herein can include modular locking clamp assemblies that can be fixed onto fasteners that are already implanted in bone. The modular locking clamp assemblies can include polyaxial locking clamp assemblies, as well as monoaxial locking clamp assemblies. | 2015-08-13 |
20150223845 | BONE FIXING SYSTEM - This disclosure provides a system for securing a bone to a rod, the system comprising a ligature, a body, and two fasteners. The ligature has two free ends and an intermediate portion therebetween, the intermediate portion being configured to engage a bone. A portion of a rod can be fastened to the body using one of the fasteners. The ligature can be fastened to the body using another one of the fasteners. The two fasteners are distinct from one another and are adapted to fasten two free end portions of the ligature to the body independently from fastening the portion of the rod to the body. | 2015-08-13 |
20150223846 | Multiplanar Bone Anchor System - The present teachings provide one or more surgical implements for repairing damaged tissue, such as in the case of a spinal fixation procedure. A bone anchor is provided. The anchor can include a bone fastener. The bone fastener can include a head and a second end adapted to engage an anatomy. The bone fastener can extend along a longitudinal axis. The anchor can also include a coupling arrangement coupled to the head of the bone fastener so that the bone fastener is rotatable about the longitudinal axis to define a first plane of motion. The anchor can further include a saddle, which can be coupled to the coupling arrangement. The saddle can be movable relative to at least one of the bone fastener and the coupling arrangement to define a second plane of motion. | 2015-08-13 |
20150223847 | IMPLANT SYSTEM AND METHOD FOR STABILIZATION OF A SACRO-ILIAC JOINT - A sacro-iliac implant includes a body extending from a first portion having an outer surface configured for fixation with a sacrum to a second portion having an outer surface being spaced apart and non-continuous with the outer surface of the first portion. A sleeve is disposed about the body and configured for implantation within at least an ilium. The sleeve extends from a first portion to a second portion having an inner surface and a flange disposed to engage an outer non-articular surface of the ilium. The inner surface of the second portion of the sleeve is engageable with the outer surface of the second portion of the body to cause axial translation of the body relative to the sleeve such that naturally separated articular surfaces of the sacrum and ilium are drawn into fixation to immobilize the SI joint. Methods of use are disclosed. | 2015-08-13 |
20150223848 | INTRAMEDULLARY IMPLANT, SYSTEM, AND METHOD FOR INSERTING AN IMPLANT INTO A BONE - An intramedullary implant, system, and method for placement within a bone system are provided by the invention. The implant includes a body with at least one pair of beams arranged about a longitudinal axis of the body. The beams are each fixed to the body and each have an end. The end of one of the beams of a pair is releasably coupled to the other beam of the pair. The beams are each deflectable between (i) a coupled and biased position for insertion of the beams into a respective bone, and (ii) an uncoupled position for gripping bone. The beams of each pair in the uncoupled position being arranged so as to compressively engage the bone. | 2015-08-13 |
20150223849 | INTRAMEDULLARY IMPLANT, SYSTEM, AND METHOD FOR INSERTING AN IMPLANT INTO A BONE - An intramedullary implant system, and method for placement within a bone system are provided by the invention. The implant includes a body with at least one pair of beams arranged about a longitudinal axis of the body. The beams are each fixed to the body and each have an end. The end of one of the beams of a pair is releasably coupled to the other beam of the pair by a k-wire from one end of which extends a flexible tail. The beams are each deflectable between (i) a coupled and biased position for insertion of the beams into a respective bone, and (ii) an uncoupled position for gripping bone. The beams of each pair in the uncoupled position being arranged so as to compressively engage the bone. | 2015-08-13 |
20150223850 | Apparatus and Method for Use in the Treatment of Hammertoe - The apparatus and method is directed to a pair of self-tapping, interconnecting, externally and internally threaded devices that, when installed between two separate pieces of material, will draw and hold the material together as a single threaded unit. While the pair of threaded devices are being fastened into the host material, due to the unique design of their threads, no radial outward forces are produced that could cause cracking or splitting of the sections of the material into which they are installed. The external threads are helically defined into the exterior of each half of the device with a right hand thread defined into one half and a left hand thread into the other half. When the two halves are being fastened together, the increased thread pitch on one of the halves continuously draws the halves into each other even when the internal threads have already been maximally tightened. | 2015-08-13 |
20150223851 | Foot Bone Plate Providing Fixation and Compression - A foot bone plate provides both fixation of two bones or bone portions and compression across their juncture. The foot bone plate has a plurality of bone screw bores positioned to receive and hold a bone screw on both sides of the two bones/bone portions (i.e. fixation), and a lateral flange positioned to receive and hold a bone screw across the foot bones/foot bone portions juncture (i.e. compression). The foot bone plate has an elongate body having a plurality of bores along its length configured to receive and hold a bone screw generally perpendicular to the foot bone plate and into the two foot bone portions. A flange is positioned at a side of the plate and includes a bore to receive and hold a bone screw. The flange and flange bore positions and holds the bone screw such that it extends through the juncture of the two bones/bone portions. | 2015-08-13 |
20150223852 | Ulna Osteotomy System - A bone plate includes a first three-part combination hole extending through a proximal portion of the plate, a first portion configured to engage a threaded head portion of a bone fixation element, a second portion configured to receive a bone fixation element along an axis substantially perpendicular to a longitudinal axis of the bone and a third portion defining a screw axis extending toward the distal end of the elongated body at a non-perpendicular angle relative to the longitudinal axis in combination with a first two-part combination hole extending through the proximal portion, a first threaded portion configured to engage a threaded head portion of a bone fixation element and a second portion defining an elongated slot extending along a longitudinal axis of the plate for receiving a bone fixation element so that the plate may slide along its longitudinal axis relative to the bone fixation element. | 2015-08-13 |
20150223853 | BONE FIXATION SYSTEM - A bone fixation system has a bone implant with an implant body. The implant body defines an upper surface, a bone-facing surface spaced from the upper surface along a transverse direction, and at least one aperture defined by an inner wall. A bone fixation element is configured for insertion at least partially through the aperture. The bone fixation element has a head and a shaft that extends relative to the head in a distal direction. The head defines a ridge and at least one thread that is spaced from the ridge in the distal direction. The ridge is configured to compress a bone implant against the at least one thread so as to fixedly retain the bone implant with respect to the head. | 2015-08-13 |
20150223854 | ADJUSTABLE DEVICES FOR TREATING ARTHRITIS OF THE KNEE - A method of changing a bone angle includes creating an osteotomy between a first portion and a second portion of a tibia of a patient; creating a cavity in the tibia by removing bone material along an axis extending in a substantially longitudinal direction from a first point at the tibial plateau to a second point; placing a non-invasively adjustable implant into the cavity, the non-invasively adjustable implant comprising an adjustable actuator having an outer housing and an inner shaft, telescopically disposed in the outer housing, and a driving element configured to be remotely operable to telescopically displace the inner shaft in relation to the outer housing; coupling one of the outer housing or the inner shaft to the first portion of the tibia; coupling the other of the outer housing or the inner shaft to the second portion of the tibia; and remotely operating the driving element to telescopically displace the inner shaft in relation to the outer housing, thus changing an angle between the first portion and second portion of the tibia. | 2015-08-13 |
20150223855 | BONE FIXATION SYSTEM - A bone fixation system is provided. The bone fixation system may include a plate, one or more fasteners configured to attach the plate to a target anatomical location such as bone, and a surgical device that facilitates the attachment of the plate and the fasteners. | 2015-08-13 |
20150223856 | INTRAMEDULLARY FIXATION ASSEMBLY AND METHOD OF USE - A method for applying compression to a joint includes providing an intramedullary fixation assembly having a proximal screw member positioned at a proximal end of the intramedullary fixation assembly and a lag screw member positioned at a distal end of the intramedullary fixation assembly. Medullary canals are drilled in a first and second bone and the medullary canals are reamed. The proximal screw member is inserted into the first bone and a drill is used create a dorsal hole in the first bone. The lag screw member is slideably coupled to the dorsal hole and to the proximal screw member and into the second medullary canal. A torque is applied to the lag screw member to apply compression to the joint. | 2015-08-13 |
20150223857 | INSTRUMENTS AND METHODS FOR TENSIONING A SPINAL TETHER - Various methods and devices are provided for tensioning a tether. In one embodiment, a tether tensioning device is provided and includes an elongate shaft adapted to be positioned adjacent to a bone anchor implanted in bone, and a tensioning mechanism pivotally associated with the elongate shaft and adapted to couple to a tether seated across the bone anchor and to pivot relative to the elongate shaft to apply a tensioning force to the tether. | 2015-08-13 |
20150223858 | SYSTEM AND METHOD FOR MEASURING CURRENT OF AN ELECTROSURGICAL GENERATOR - An electrosurgical generator includes an RF output stage, a DC blocking capacitor, a measuring circuit, and a sensor circuit. The RF output stage generates electrosurgical energy for application to an active electrode. The DC blocking capacitor is electrically coupled between the RF output stage and the active electrode. The measuring circuit is coupled to the DC blocking capacitor and measures the voltage across the DC blocking capacitor. The sensor circuit determines the current of the electrosurgical energy as a function of the voltage across the DC blocking capacitor. | 2015-08-13 |
20150223859 | FLUID CONTROL SYSTEM FOR A MEDICAL DEVICE - The present invention provides a medical device having an elongate body with both a proximal end and a distal end, wherein the elongate body defines an intake lumen and an exhaust lumen. The medical device also has a first pliable element defining a cooling chamber disposed at a point along the elongate body, with the cooling chamber being in fluid communication with the intake lumen and the exhaust lumen. A second pliable element is provided which at least partially encloses the first pliable element, thereby defining a junction between the first and second pliable element. A check valve is included which is in fluid communication with the junction between the first pliable element and second pliable element, the valve further being in fluid communication with the exhaust lumen. Additionally, the medical device may include sensors or other monitoring means in fluid communication with the junction and the cooling chamber. | 2015-08-13 |
20150223860 | METHOD AND APPARATUS FOR CRYOADHESION - A method and system for continuously delivering cryotreatment to a treatment device. In one embodiment, the system may include a first PID circuit in the fluid delivery line and a second PID circuit in the fluid return line, and the first and second PID circuits may operate simultaneously to continuously provide coolant to a cryotreatment device during the inflation phase, ablation phase, and warming (or thawing) phase while providing for temperature adjustment. Alternatively, the system may include a bypass line by which coolant may bypass the subcooler system and be delivered to the cryotreatment device at non-ablation temperatures during the inflation phase. During the ablation phase, coolant may flow through the subcooler system. | 2015-08-13 |
20150223861 | VESSEL SEALING INSTRUMENT WITH REDUCED THERMAL SPREAD AND METHOD OF MANUFACTURING THEREFOR - An electrosurgical vessel sealing instrument having a first and a second opposing jaw member at a distal end thereof, wherein each jaw member includes a jaw housing, an inner tissue engaging surface, and an insulating layer disposed therebetween. The instrument includes the ability to move the jaw members relative to one another from a first position wherein the jaw members are disposed in spaced relation relative to one another to a second position wherein the jaw members cooperate to grasp tissue. The jaws include a tissue-contacting seal plate having obverse and reverse surfaces. A series of ribs extend from the reverse surface of the seal plate into an insulating layer, which, in turn, is affixed to a jaw housing. The ribbed structure of the seal plate reduces thermal spread and edge cutting during vessel sealing procedures, leading to improved surgical outcomes. | 2015-08-13 |
20150223862 | MONOPOLAR PENCIL WITH INTEGRATED BIPOLAR/LIGASURE TWEEZERS - An electrosurgical pencil with integrated tweezers includes-an elongated housing having an open distal end and an actuator operatively associated therewith. First and second jaw members extend distally through the open distal end of the elongated housing and are transitionable between a closed position and an open position upon actuation of an actuator. One or both of the jaw members is configured to treat tissue with monopolar energy and both jaw members are configured to treat tissue with bipolar energy. One or more switches is operably coupled to a controller disposed in the housing and configured to activate the first and second jaw members to treat tissue with monopolar and bipolar energy. | 2015-08-13 |
20150223863 | METHODS FOR SIMULTANEOUS CARDIAC SUBSTRATE MAPPING USING SPATIAL CORRELATION MAPS BETWEEN NEIGHBORING UNIPOLAR ELECTROGRAMS - A base cardiac electrogram signal at a base electrode is recorded for a predetermined amount of time. A plurality of cardiac electrogram signals at a plurality of electrodes other than the base electrode are recorded for the predetermined amount of time. The base cardiac electrogram signal is compared with each of the plurality of cardiac electrogram signals. The similarities between the base cardiac electrogram signal and each of the plurality of cardiac electrogram signals is determined. A specific area of cardiac tissue where the base electrode is positioned is mapped based at least in part on the determined similarities. | 2015-08-13 |
20150223864 | ELECTROSURGICAL APPARATUS WITH REAL-TIME RF TISSUE ENERGY CONTROL - A radio-frequency (RF) amplifier having a direct response to an arbitrary signal source to output one or more electrosurgical waveforms within an energy activation request, is disclosed. The RF amplifier includes a phase compensator coupled to an RF arbitrary source, the phase compensator configured to generate a reference signal as a function of an arbitrary RF signal from the RF arbitrary source and a phase control signal; at least one error correction amplifier coupled to the phase compensator, the at least one error correction amplifier configured to output a control signal at least as a function of the reference signal; and at least one power component coupled to the at least one error correction amplifier and to a high voltage power source configured to supply high voltage direct current thereto, the at least one power component configured to operate in response to the control signal to generate at least one component of the at least one electrosurgical waveform. | 2015-08-13 |
20150223865 | SYSTEM AND METHOD FOR DC TISSUE IMPEDANCE SENSING - A system and method for transmitting electrosurgical energy from a generator to an electrosurgical instrument are provided. The electrosurgical system includes a generator adapted to generate electrosurgical energy for treating tissue. The generator includes one or more active output terminals which supply energy to the tissue. The active output terminals are operatively connected to one or more active leads. The generator also includes one or more return output terminals which returns energy from the tissue. The return output terminals are operatively connected to at least one return lead. The system also includes an electrosurgical instrument operatively connected to the one or more active leads and one or more return electrodes operatively connected to one or more return leads. The system further includes an electrosurgical cable including one or more active leads and one or more return leads. The one or more active leads and one or more return leads are wound in a double helix fashion such that the electrical field along the cable is mitigated along the length thereof. | 2015-08-13 |
20150223866 | METHODS AND SYSTEMS FOR ABLATION OF THE RENAL PELVIS - Apparatus, systems, and methods provide access to the renal pelvis of a kidney to treat renal nerves embedded in tissue surrounding the renal pelvis. Access to the renal pelvis may be via the urinary tract or via minimally invasive incisions through the abdomen and kidney tissue. Treatment is effected by exchanging energy, typically delivering heat or extracting heat through a wall of the renal pelvis, or by delivering active substances to ablate a thin layer of tissue lining at least a portion of the renal pelvis to disrupt renal nerves within the tissue lining of the renal pelvis. | 2015-08-13 |
20150223867 | TEMPERATURE-SENSING ELECTRICALLY-CONDUCTIVE TISSUE-CONTACTING PLATE AND METHODS OF MANUFACTURING SAME - An end-effector assembly includes opposing jaw members movably mounted with respect to one another. At least one of the jaw members includes a temperature-sensing electrically-conductive tissue-contacting plate having a tissue-contacting surface and a bottom surface. A first layer is disposed on one or more portions of the bottom surface of the temperature-sensing electrically-conductive tissue-contacting plate. The first layer includes an electrically-insulative material. One or more openings are formed in the first layer. One or more electrically-conductive traces are formed over the electrically-insulative material and associated with the one or more openings. One or more temperature sensors are coupled to the bottom surface of the temperature-sensing electrically-conductive tissue-contacting plate and associated with the one or more openings. The one or more openings are each configured to receive at least a portion of the one or more temperature sensors therein. The one or more temperature sensors are electrically coupled to the one or more electrically-conductive traces. | 2015-08-13 |
20150223868 | TEMPERATURE-SENSING ELECTRICALLY-CONDUCTIVE TISSUE-CONTACTING PLATE CONFIGURED FOR USE IN AN ELECTROSURGICAL JAW MEMBER, ELECTROSURGICAL SYSTEM INCLUDING SAME, AND METHODS OF CONTROLLING VESSEL SEALING USING SAME - An electrosurgical system includes an electrosurgical instrument, an electrosurgical power generating source, and a controller. The electrosurgical instrument includes a shaft extending from a housing. The shaft includes a distal end configured to support an end-effector assembly. The end-effector assembly includes opposing jaw members movably mounted with respect to one another and moveable from a first position in spaced relation relative to one another to at least one subsequent position wherein the jaw members cooperate to grasp tissue therebetween. At least one of the jaw members includes a temperature-sensing electrically-conductive tissue-contacting plate defining a bottom surface. One or more temperature sensors are coupled to the bottom surface. The controller is configured to control one or more operating parameters associated with the electrosurgical power generating source based on one or more signals indicative of a tissue impedance value and indicative of a temperature sensed by the one or more temperature sensors. | 2015-08-13 |
20150223869 | SURGICAL INSTRUMENT COMPRISING ELECTRODE SUPPORT - A branch of an instrument comprising a metal part, which is embodied in one piece seamlessly, which comprises the electrode support as well as the electrode plate and connection webs. Preferably, this metal part is produced in an additive production method, for example selective laser melting (SLM). The branches are suitable for instruments for open surgery as well as for laparoscopic and flexible endoscopic instruments. | 2015-08-13 |
20150223870 | VESSEL SEALER AND DIVIDER - An endoscopic bipolar forceps includes a housing and a shaft, the shaft having an end effector assembly at a distal end thereof, which includes two jaw members for grasping tissue therebetween. Each jaw member is adapted to connect to an electrosurgical energy source, enabling them to affect a tissue seal to tissue held therebetween. A drive assembly is included within the housing for moving the jaw members. A movable handle is also included, such that movement of the handle actuates the drive assembly to move the jaw members relative to each other. A knife channel is included within the end effector configured to allow reciprocation of a knife blade within the knife channel. The knife blade includes a proximal edge adapted to engage a proximal edge of the end effector to impede translation of the knife blade when the jaw members are in an open configuration and the knife blade is retracted within the end effector assembly. | 2015-08-13 |
20150223871 | SURGICAL INSTRUMENT WITH A SEPARABLE COAXIAL JOINT - A surgical instrument includes an elongated shaft having a proximal structural member and a proximal drive member that is selectively movable with respect to the proximal structural member. A modular end effector is removably coupled to the elongated shaft, and has a distal structural member and a distal drive member that is operatively coupled to a pair of jaw members. A separable joint is defined between the elongated shaft and the end effector. The separable joint includes laterally prominent and laterally indented portions of each of the proximal and distal structural members and of each of the proximal and distal drive members. The structural members are interlocked to resist longitudinal separation and permit lateral separation. The drive members are movable relative to structural members to move the separable joint to a locked configuration wherein the drive members prohibit lateral separation of the structural members. | 2015-08-13 |
20150223872 | SURGICAL INSTRUMENTS WITH REMOVABLE COMPONENTS - A surgical instrument includes a handle coupled to a source of electrosurgical energy. A pair of opposed jaw members is operatively coupled to a distal end of the handle such that the jaw members selectively move between open and closed positions. A base supported on one of the jaw members includes a mechanical mating feature and an electrically conductive region in electrical communication with the source of electrosurgical energy. A selectively removable seal plate includes a complementarily engaging a mechanical mating feature and an electrically conductive region positioned to contact the electrically conductive region of the base when the mechanical mating features of the base and seal plate are engaged. The complimentarily-engaging mechanical mating features include a pair of spaced protrusions and a pair of spaced recesses open to opposing sides of the base or the seal plate such that the seal plate may be twisted onto the base. | 2015-08-13 |
20150223873 | BLADE DEPLOYMENT MECHANISMS FOR SURGICAL FORCEPS - A forceps includes first and second shafts, each having a jaw member disposed at a distal end thereof. At least one jaw member is moveable from an open to a closed position for grasping tissue therebetween. At least one jaw member is configured for reciprocation of a blade therethrough. A trigger assembly includes a trigger and at least one linkage coupled to the trigger and to the blade such that rotation of the trigger translates the blade between the retracted and the extended position. An interference member moveable between a locked position and an unlocked position is also provided. The interference member is configured to engage the linkage(s) when in the locked position to inhibit translation of the blade from the retracted to the extended position. | 2015-08-13 |
20150223874 | BLADE DEPLOYMENT MECHANISMS FOR SURGICAL FORCEPS - A forceps includes first and second shafts, each having a jaw member disposed at a distal end thereof. At least one jaw member is moveable from an open to a closed position for grasping tissue therebetween. At least one jaw member is configured for reciprocation of a blade therethrough. A trigger assembly includes a trigger and at least one linkage coupled to the trigger and to the blade such that rotation of the trigger translates the blade between the retracted and the extended position. An interference member moveable between a locked position and an unlocked position is also provided. The interference member is configured to engage the linkage(s) when in the locked position to inhibit translation of the blade from the retracted to the extended position. | 2015-08-13 |
20150223875 | BIPOLAR FORCEPS - A bipolar forceps may include a first forceps arm having a first forceps arm aperture, a first forceps jaw, and a first forceps arm conductor tip; a second forceps arm having a first forceps arm aperture, a second forceps jaw, and a second forceps arm conductor tip; and an input conductor isolation mechanism having a first forceps arm housing and a second forceps arm housing. The first forceps arm may be disposed in the first forceps arm housing and the second forceps arm may be disposed in the second forceps arm housing. An application of a force to a lateral portion of the forceps arms may be configured to close the forceps jaws. A reduction of a force applied to a lateral portion of the forceps arms may be configured to open the forceps jaws. | 2015-08-13 |
20150223876 | ABLATION DEVICE USING BIPOLAR STEAM GENERATION - An ablation device includes first and second electrodes and an absorbent medium. The ablation device may include a permeable spacer or other mechanisms to position the ablation device in the uterus. The absorbent medium configured to absorb a conductive fluid and optionally to distend. A current can be applied to the first and second electrodes to convert the conductive fluid to a vapor or steam for ablation of the uterus. | 2015-08-13 |
20150223877 | METHODS AND SYSTEMS FOR TREATING NERVE STRUCTURES - There is provided a method of treating a patient comprising: screening a patient suffering from signs and/or symptoms of at least one medical condition secondary to increased sympathetic tone; selecting the patient for treatment by ablation of at least one neural structure containing sympathetic nerves to reduce the sympathetic tone, the neural structure comprises one or more of: celiac ganglion, superior mesenteric ganglion, inferior mesenteric ganglion, aorticorenal ganglion; selecting a target of at least one measurable parameter affected by the sympathetic tone; ablating at least a portion of the neural structure to deactivate the portion of the neural structure; monitoring changes in the at least one measurable parameter; comparing the at least one measurable parameter to the selected target; and performing another ablation of the same neural structure, and/or another neural structure, based on the comparison. | 2015-08-13 |
20150223878 | DEVICE FOR TREATMENT OR EVACUATION OF INTERVERTEBRAL DISC - A method of positioning an arcuate tool against inner annular walls of the disc that particularly facilitates reaching posterior and postero-lateral portions of the inner annulus of the disc by arthroscopy. An elongated, arcuate and shape memory tool such as a catheter is positioned against the inner annular wall of the disc, and particularly on the posterior and postero-lateral portions of the inner annulus of the disc, which are portions of the disc to be treated. The deformable and arcuate tool retains its predetermined arcuate shape when no pressure or force is applied to the tool. | 2015-08-13 |
20150223879 | ENERGY DELIVERY DEVICES - An energy delivery device may include an elongate member having a proximal portion, a distal portion, and a lumen extending therebetween. The device may include a deployment member extending through the lumen toward a distal tip of the energy delivery device, and an expandable basket having a plurality of curved electrode legs. Each of the curved electrode legs may have a first end coupled to the distal portion of the elongate member and a second end coupled to the deployment member, and each of the plurality of curved electrode legs may have at least one energy insulated region and one energy active region. The device also may include at least one temperature sensing element coupled to said expandable basket. | 2015-08-13 |
20150223880 | METHOD FOR THE TREATMENT OF BENIGN PROSTATIC HYPERPLASIA - A method for the treatment of benign prostatic hyperplasia includes ablating at least a portion of one or more veins in the testicular drainage system in a human. For example, at least a portion of one or more of the internal spermatic veins in a human male may be ablated using a radiofrequency device. | 2015-08-13 |
20150223881 | MICROWAVE ANTENNA WITH CHOKE - According to one aspect of the present disclosure, a microwave antenna assembly is disclosed. The antenna assembly includes a feedline having an inner conductor, an outer conductor and an inner insulator disposed therebetween and a radiating portion including a dipole antenna having a proximal portion and a distal portion. The antenna assembly also comprises a sheath disposed over the feedline and the radiating portion defining a chamber around the feedline and the radiating portion. The chamber is adapted to circulate coolant fluid therethrough. The antenna assembly further includes a connection hub having cable connector coupled to the feedline, an inlet fluid port and an outlet fluid port. The connection hub includes a bypass tube configured to provide for flow of the coolant fluid from the cable connector directly to the outlet fluid port. | 2015-08-13 |
20150223882 | METHODS AND DEVICES FOR FLUID ENHANCED MICROWAVE ABLATION THERAPY - Devices and methods for fluid enhanced ablation therapy using microwave antennas are described herein that provide improved heat transfer into a target volume of tissue and improved antenna cooling compared to prior art designs. In one embodiment, fluid can be introduced into a target volume of tissue along with the delivery of therapeutic energy from a microwave antenna positioned within the target volume of tissue. The fluid can become heated by cooling the microwave antenna and, if additional heating of the fluid is desired, a heating element disposed within the microwave antenna can supplementally heat the fluid prior to introduction into the target volume of tissue. | 2015-08-13 |
20150223883 | ELECTROSURGICAL DEVICES WITH BALUN STRUCTURE FOR AIR EXPOSURE OF ANTENNA RADIATING SECTION AND METHOD OF DIRECTING ENERGY TO TISSUE USING SAME - An energy applicator for directing energy to tissue includes a feedline having an inner conductor, an outer conductor and a dielectric material disposed therebetween, and an antenna assembly having a radiating section operably coupled to the feedline. The energy applicator also includes a first balun structure configured to substantially confine energy to the radiating section when the energy applicator is energized and disposed in tissue, and a second balun structure configured to substantially prevent energy emitted from the radiating section from propagating proximal to the second balun structure along the feedline when the energy applicator is energized but not disposed in tissue. | 2015-08-13 |
20150223884 | ENERGY-DELIVERY DEVICES WITH FLEXIBLE FLUID-COOLED SHAFT, INFLOW / OUTFLOW JUNCTIONS SUITABLE FOR USE WITH SAME, AND SYSTEMS INCLUDING SAME - An energy-delivery device suitable for delivery of energy to tissue includes an antenna assembly, a chamber defined about the antenna assembly, and a cable having a proximal end suitable for connection to an electrosurgical energy source. The energy-delivery device also includes a flexible, fluid-cooled shaft coupled in fluid communication with the chamber. The flexible, fluid-cooled shaft is configured to contain a length of the cable therein and adapted to remove heat along the length of the cable during delivery of energy to the antenna assembly. | 2015-08-13 |
20150223885 | MICROWAVE SURFACE COAGULATOR WITH RETRACTABLE BLADE - An ablation instrument having an ergonomic handle that includes an actuator adapted to selectively extend and retract a blade that is pivotably mounted within an aperture assembly coupled to the housing by a shaft. The shaft extends distally from the handle and includes a coaxial feedline, a wire conduit disposed along a longitudinal axis of the shaft, and a pull wire disposed within the wire conduit and having a proximal and a distal end, wherein a proximal end of the pull wire is operably coupled to the actuator. The aperture assembly is coupled to a distal end of the shaft and includes a reflector having a closed upper portion, and an open lower portion from which the blade may be extended for use. Also disclosed is an ablation system that includes the above-described ablation instrument, a source of ablation energy, and optionally, a source of coolant for cooling the shaft and aperture assembly. | 2015-08-13 |