36th week of 2019 patent applcation highlights part 4 |
Patent application number | Title | Published |
20190269360 | SYSTEM AND METHOD FOR EARLY DETECTION OF MILD COGNITIVE IMPAIRMENT IN SUBJECTS - This disclosure relates generally to detection of mild cognitive impairments in subjects. The method and system proposed provides a continuous/seamless monitoring platform for MCI detection in subjects by continuously monitoring routine activities of subjects (Activities of Daily Living (ADL)) in a smart environment using plurality of passive, unobtrusive, binary, unobtrusive non-intrusive sensors embedded in living infrastructure. The proposed method and system detects symptoms of MCI at the onset of the disease, while also addressing issue of sensor failures that causes gaps in the data. The collected sensor data is pre-processed in several stages which includes which includes pre-processing of sensor data, behavior deviation detection, and abnormality detection and so on. Further, the disclosure also proposes an autoencoder based technique, to reduce the dimension of the data to find personalized deviations in behavior of a subject which is used to detect if a subject could be a potential case of MCI. | 2019-09-05 |
20190269361 | DETECTION DEVICE - A detection device detecting changes in positive and negative feelings related to mild cognitive impairment is provided. This detection device includes: a detector detecting heartbeat information of a subject; a calculating unit calculating a maximum Lyapunov exponent from the heartbeat information, the maximum Lyapunov exponent indicating to what extent heartbeat intervals vary; a feeling determination unit determining whether the subject has a negative feeling with brain fatigue, anxiety or depression, or a positive feeling without brain fatigue, anxiety and depression, based on the maximum Lyapunov exponent; a change determination unit determining whether the positive or negative feeling of the subject has changed, based on frequency of occurrence of the negative or positive feeling in a predetermined period; and an output unit outputting a result of determination by the change determination unit. | 2019-09-05 |
20190269362 | DEVICE AND METHOD FOR USER-ACTUATED MIXING OF DRY REAGENT WITH LIQUID - A device for a user-actuated mixing mechanism includes a cartridge with a dry reagent compartment, a liquid reservoir, and a fluidic barrier. The fluidic barrier is capable of separating the dry reagent compartment from the liquid reservoir. The dry reagent compartment may contain at least one lyophilized enzyme and the liquid reservoir may contain at least one liquid reagent. The liquid reservoir is capable of receiving a target analyte from secretions of a test subject using the device. When the fluidic barrier is removed from the cartridge, the dry reagent compartment is in contact with the liquid reservoir such that the lyophilized enzyme is capable of reacting with the target analyte from the test subject. | 2019-09-05 |
20190269363 | PORTABLE ELECTRONIC DEVICE, ACCESSORY, AND OPERATING METHOD THEREFOR - Provided are a portable electronic device, an accessory, and an operation method thereof. The portable electronic device includes a light source irradiating light to skin, at least one light detector detecting light received from the skin, at least one memory storing an instruction, and a processor, by executing the instruction, controlling the light source to irradiate the light and analyzing a skin state based on light detected by the light detector. | 2019-09-05 |
20190269364 | MEASUREMENT DEVICE FOR ASSESSING KNEE MOVEMENT - A measurement device for assessing knee movement comprises: an elongated base member; a moveable (or sliding) member configured for movement along and relative to the elongated base member; and indicia on an upper surface of the elongated base member to reflect the relative position of the moveable member with respect to the elongated base member. The measurement device may also include multiple blocks arranged in a stack on the elongated base member to measure knee extension of a patient. | 2019-09-05 |
20190269365 | Dynamic Quantitative Brain Activity Data Collection Devices, Systems, and Methods - In some aspects, the present disclosure relates to devices, systems, and methods for collecting brain activity data. In some embodiments, a head-worn device collects EEG data using a plurality of sensors that are positioned at multiple points across the scalp of the subject. Each of the sensors can be constructed with a housing having an absorbent portion that can be moistened with the conductive fluid. The sensors can be held in position at a subject's head through the use of a framework of flexible bands that are adjustable to accommodate different head sizes. | 2019-09-05 |
20190269366 | Device for Acquiring Brain Activity Signals - The present disclosure relates to an acquisition device intended to be positioned on the head of a user in order to perform an encephalogram. The device comprises at least one acquisition electrode ( | 2019-09-05 |
20190269367 | SYSTEMS AND METHODS FOR ACTIVATING TRANSDUCERS - Transducer-based systems and methods may be configured to display a graphical representation of a transducer-based device, the graphical representation including graphical elements corresponding to transducers of the transducer-based device, and also including between graphical elements respectively associated with a set of the transducers and respectively associated with a region of space between the transducers of the transducer-based device. Selection of graphical elements and/or between graphical elements can cause activation of the set of transducers associated with the selected elements. Transducer activation characteristics, such as initiation time, activation duration, activation sequence, and energy delivery characteristics, can vary based on numerous factors. Visual characteristics of graphical elements and between graphical elements can change based on an activation-status of the corresponding transducers. Activation requests for a set of transducers can be denied if it is determined that a transducer in the set of transducers is unacceptable for activation. | 2019-09-05 |
20190269368 | Robotic Surgical System and Method for Automated Creation of Ablation Lesions - A system for ablating tissue includes an ablation catheter for insertion into the body of a patient and a robotic controller for moving the catheter within the body. The robotic controller advances the catheter until the catheter contacts the tissue surface, maintains contact between the catheter and the tissue surface, and moves the catheter along a predetermined path to create a substantially continuous lesion of ablated tissue. A display device may be used to present a graphical representation of an area of tissue to be ablated. A user interface permits selection of a plurality of treatment points on the graphical representation. The interface is preferably coupled to the controller and catheter such that the controller may cause the catheter to automatically ablate tissue at and between the plurality of treatment points in response to the received user input. | 2019-09-05 |
20190269369 | EMPLOYEE HEALTH MONITORING - Provided are embodiments of systems, computer medium and computer-implemented methods for employee health monitoring. Provided is an employee health monitoring system that includes an employee workstation having an employee computer and health sensors to sense health conditions of an employee working at the employee computer and generate health data corresponding to the health conditions sensed, and a health monitoring server to collect the health data, generate, based on the health data collected, a health profile and a health plan for the employee, and present, to the employee, the health profile and the health plan for the employee. | 2019-09-05 |
20190269370 | PHYSIOLOGICAL PARAMETER SYSTEM - A physiological parameter system has one or more parameter inputs responsive to one or more physiological sensors. The physiological parameter system may also have quality indicators relating to confidence in the parameter inputs. A processor is adapted to combine the parameter inputs, quality indicators and predetermined limits for the parameters inputs and quality indicators so as to generate alarm outputs or control outputs or both. | 2019-09-05 |
20190269371 | SYSTEMS, DEVICES, AND METHODS FOR PERFORMING BREATHING EXERCISES, IMPROVING LUNG FUNCTION, PERFORMING PULMONARY MONITORING, AND/OR DETERMINING LUNG CAPACITY AND PEAK EXPIRATORY FLOW - Systems, devices, and methods for determining a user's lung capacity may employ a sound-producing breathing device and a recording device such as a microphone included in a user electronic device (e.g., smart phone or tablet computer). A user may inhale or exhale through the sound-producing breathing device, thereby producing a sound that is received by the microphone and communicated to a processor. The processor may analyze the received sound recording to determine one or more sound intensity values over, for example, the duration of the received sound and/or points in time within the sound recording. The sound intensity values may then be used to determine the user's lung capacity. | 2019-09-05 |
20190269372 | METHOD AND SYSTEM FOR DETECTING EVENTS IN AN INPUT SIGNAL USING VOLATILE MEMRISTOR STATE CHANGE - The present invention provides a method for detecting events in an input signal. The method volatile resistive switching component to detect the events in the input signal. The method comprising identifying the events based on sampling an output from the resistive switching component. | 2019-09-05 |
20190269373 | BIOSIGNAL PROCESSING METHOD AND APPARATUS - A method and apparatus for processing a biosignal is disclosed. The apparatus may extract reference points from a waveform of a biosignal, determine a pulse direction of the biosignal based on the extracted reference points, and determine a feature point of the biosignal based on a feature point determining method corresponding to the determined pulse direction of the biosignal. | 2019-09-05 |
20190269374 | X-Ray Reduction System - A multiple frames imaging system is disclosed with capability of differential x-ray exposure of different input areas of an image intensifier or other x-ray detector. Collimators are provided to control the amount of radiation in various regions of the image and image processing is provided to provide the display of images of different qualities. Motion methods are provided to move the collimators to produce optimal image frames. | 2019-09-05 |
20190269375 | FILTRATION METHODS FOR DUAL-ENERGY X-RAY CT - Systems and method for performing X-ray computed tomography (CT) that can improve spectral separation and decrease motion artifacts without increasing radiation dose are provided. The systems and method can be used with either a kVp-switching source or a single-kVp source. When used with a kVp-switching source, an absorption grating and a filter grating can be disposed between the X-ray source and the sample to be imaged. Relative motion of the filter and absorption gratings can by synchronized to the kVp switching frequency of the X-ray source. When used with a single-kVp source, a combination of absorption and filter gratings can be used and can be driven in an oscillation movement that is optimized for a single-kVp X-ray source. With a single-kVp source, the absorption grating can also be omitted and the filter grating can remain stationary. | 2019-09-05 |
20190269376 | SYSTEM AND METHOD FOR CABINET X-RAY SYSTEM WITH CAMERA AND X-RAY IMAGES SUPERIMPOSITION - The present disclosure relates to the field of a cabinet x-ray incorporating an x-ray tube, an x-ray detector, and a real-time camera, either High Definition or Standard Resolution, for the production of organic and non-organic images. The computing device receives video data from the real-time camera and the x-ray detector and creates, based on the video data, a superimposed image of the captured x-ray image with the captured real-time image. In particular, the disclosure relates to a system and method with corresponding apparatus for capturing a real-time image simultaneously with the x-ray image allowing a cabinet x-ray unit to display a superimposed image of the two images and optimizes the images to result in a superimposed image with exact orientation of the 2 images and overlaying the 2 images on the display. | 2019-09-05 |
20190269377 | AUTOMATIC EXPOSURE CONTROL FOR X-RAY IMAGING - In an x-ray imaging method, the acquisition of a signal image is split off into acquisition of two or more subimages or frames. The first subimage may be acquired with an exposure of a low dose followed by a readout cycle. The dose of the exposure for acquiring the first subimage can be chosen such that it is below the default dose for a particular anatomy. The first subimage may be used to calculate or estimate the parameters of exposure for acquiring a second or subsequent images subimage. The estimation may be such that the total dose received by the imager, in acquiring the first and second subimages, achieves an expected target value to provide an image of good quality. The first and second subimages can be combined to form the final image. A detector array supporting automatic exposure control (AEC) includes AEC pixels providing AEC signals. The AEC pixels are independently or individually addressable and/or readable. | 2019-09-05 |
20190269378 | AUTOMATIC AIR-CALIBRATION - A computed tomography system has an x-ray source, x-ray detector, a gantry, and a controller configured to automatically initiate an air-calibration using the source and detector with air in an air space and to determine gain values for channels of the detector from the automatically initiated air-calibration. A computed tomography system having a patient bore, a controller, an x-ray source, and a detector is calibrated by receiving a setting for a medical scan to be performed by the computed tomography system for a particular patient, the setting being one of a plurality of optional values, scanning air and not the patient in the patient bore with the source and the detector using the setting, determining a gain value based on the scanning with the setting and not the other optional values, and scanning the patient with the source and the detector using the setting and the gain value. | 2019-09-05 |
20190269379 | Quantification of Blood Flow with Ultrasound B-mode Imaging - For quantification of blood flow by an ultrasound system, B-mode images generated with a multi-transmit, coherent image formation produce swirling or other speckle patterns in the blood regions. These patterns, as represented in specially formed B-mode images, are tracked over time to indicate two or three-dimensional velocity vectors of the blood at a B-mode resolution. Various visualizations may be provided at the same resolution, including the velocity flow field, flow direction, vorticity, vortex size, vortex shape, and/or divergence. | 2019-09-05 |
20190269380 | BLOOD FLOW DISPLAYING METHOD, APPARATUS AND DEVICE FOR ULTRASONIC SYSTEM - Provided are a blood flow displaying method, apparatus and device for an ultrasonic system. The method includes: determining a current pulse recurrence frequency of the ultrasonic system, determining a current extraction factor according to the current pulse recurrence frequency and a preset reference pulse recurrence frequency, extracting a target gradation sequence from a preset gradation set according to the current extraction factor, and displaying a blood flow velocity currently detected by the ultrasonic system using a spectrum of the target gradation sequence. | 2019-09-05 |
20190269381 | ULTRASONIC CROSS-SECTIONAL IMAGE MEASUREMENT APPARATUS - An ultrasonic cross-sectional image measuring device has: a living body compressing device including an annular compression band wrapped around a portion of the living body, an ultrasonic transmission plate material allowing transmission of ultrasonic waves, disposed on a portion of the compression band, and brought into close contact with the portion of the living body, and an actuator adjusting a tension of the compression band to change a compression pressure of the ultrasonic transmission plate material to the living body; a container including an opening closed by the ultrasonic transmission plate material and filled with a liquid; an ultrasonic probe housed in the container and transmitting and receiving ultrasonic waves through the ultrasonic transmission plate material to and from the portion of the living body; and a control device generating an ultrasonic cross-sectional image based on an ultrasonic signal received by the ultrasonic probe. | 2019-09-05 |
20190269382 | Ultrasonic Guidance of Subacromial Bursa - This invention provides an ultrasonic guidance method of subacromial bursa, which images subacromial bursa easily under ultrasound through specific positioning with patient's another hand appropriately pushing the elbow joint and allow needle insertion through near-end needle insertion from long axis of supraspinatus tendon. Moreover, the bursal fluid can be positional drained by the specific positioning and ultrasonic detector is moved to a sagittal plane around a greater tubercle of humerus for drawing bursal fluid through near-end needle insertion. As a result, in the invention, it is to medially rotate greater tubercle of humerus as possible to prevent lower margin of scapular bone from blocking the imaging of subacromial bursa and to allow SASD bursal fluid pooling near greater tubercle of humerus. | 2019-09-05 |
20190269383 | Probe Cable Support - A probe cable support ( | 2019-09-05 |
20190269384 | METHOD AND APPARATUS FOR ANNOTATING ULTRASOUND EXAMINATIONS - An ultrasound imaging system includes a processor to associate an ultrasound image with one or more pictographs that correspond to the image. A processor provides ultrasound image data to one or more trained neural networks that classify the image data. The processor is programmed to select one or more pictographs that correspond to the classified image data for presentation to the operator. In some embodiments, the processor is programmed to use a neural network to determine if an ultrasound image captured during an examination corresponds to one or more required views for a particular type of examination. | 2019-09-05 |
20190269385 | DUAL MODE ULTRASOUND TRANSDUCER (DMUT) SYSTEM AND METHOD FOR CONTROLLING DELIVERY OF ULTRASOUND THERAPY - A dual-mode ultrasound system provides real-time imaging and therapy delivery using the same transducer elements of a transducer array. The system may use a multi-channel driver to drive the elements of the array. The system uses a real-time monitoring and feedback image control of the therapy based on imaging data acquired using the dual-mode ultrasound array (DMUA) of transducer elements. Further, for example, multi-modal coded excitation may be used in both imaging and therapy modes. Still further, for example, adaptive, real-time refocusing for improved imaging and therapy can be achieved using, for example, array directivity vectors obtained from DMUA pulse-echo data. | 2019-09-05 |
20190269386 | REMOTE ULTRASONIC DIAGNOSIS WITH CONTROLLED IMAGE DISPLAY QUALITY - An ultrasound system and method enable ultrasonic imaging by inexperienced personnel under the guidance of a remotely located diagnostic imaging expert. Improper use of the scanning device is prevented by controlling the device to present only low quality images to the person conducting the scan, while images of high quality are sent to the remote expert for diagnosis. Thus, an effective diagnosis by the expert is facilitated while providing at the scanning site only images which, while sufficient to provide visual guidance of the scanning procedure, cannot be used improperly by persons at the site of the patient being scanned. | 2019-09-05 |
20190269387 | POWER CONTROL ARRANGEMENTS FOR SURGICAL INSTRUMENTS AND BATTERIES - Various embodiments are directed to battery unit for use with surgical instruments. The battery units may comprise a plurality of cells and include a translatable discharge drain. When attached to the surgical instrument, the discharge drain may electrically connect an anode of the battery unit to a cathode of the battery unit, for example, via a resistive element in order to drain the battery unit. | 2019-09-05 |
20190269388 | OPERATING SELF-ANTAGONISTIC DRIVES OF MEDICAL INSTRUMENTS - A medical instrument including a shaft and an actuated structure mounted at a distal end of the shaft can employ a pair of tendons connected to the actuated structure, extending down the shaft, and respectively wound around a capstan in opposite directions. A passive preload system may maintain minimum tensions in the tendons. | 2019-09-05 |
20190269389 | DEVICE FOR TREATMENT OF ANAL FISTULA - Disclosed is a device ( | 2019-09-05 |
20190269390 | DEVICE AND METHOD FOR ASSISTING LAPAROSCOPIC SURGERY - RULE BASED APPROACH - A surgical controlling system includes a controller having a processing means communicable with a controller's database, said controller configured to control the spatial position of a surgical tool. The controller's database is in communication with movement detection means. The controller's database is configured to store a predetermined set of rules according to which allowed and restricted movements of the surgical tool are determined, each detected movement by said movement detection means of said at least one surgical tool being determined as either an allowed movement or as a restricted movement according to said predetermined set of rules. The system automatically real-time analyzes and determines the location of each anatomical element in the surgical environment. | 2019-09-05 |
20190269391 | DEVICE AND METHOD FOR ASSISTING LAPAROSCOPIC SURGERY - RULE BASED APPROACH - A method for assisting a surgical operator in performing a surgical procedure uses a surgical controlling system includes a controller having a processing means communicable with a controller's database, said controller configured to control the spatial position of a surgical tool. The controller's database is in communication with movement detection means. The controller's database is configured to store a predetermined set of rules according to which allowed and restricted movements of the surgical tool are determined, each detected movement by said movement detection means of said at least one surgical tool being determined as either an allowed movement or as a restricted movement according to said predetermined set of rules. The system automatically real-time analyzes and determines the location of each anatomical element in the surgical environment. | 2019-09-05 |
20190269392 | APPARATUS AND METHODS TO CREATE AND MAINTAIN AN INTRA-ATRIAL PRESSURE RELIEF OPENING - The present disclosure relates to a method and a device for treating heart failure by normalizing elevated blood pressure in the left and right atria of a heart of a mammal. The present disclosure includes methods for creating and maintaining an opening in the atrial septum. Tools for making an opening and enlarging the opening are also disclosed. Use of the techniques and tools described herein prolongs the patency of an intra-atrial pressure relief opening. | 2019-09-05 |
20190269393 | RETRACTOR FOR SMALL-INCISION ENDOSCOPIC SURGERY - This retractor easily ensures a surgical field as desired by an operator, can flexibly ensure and change the surgical field in accordance with the surgical site and the surgical situation, and can easily be moved to a desired position in the surgical site and taken out after the surgery. A retractor | 2019-09-05 |
20190269394 | MAGNARETRACTOR SYSTEM AND METHOD - A system and method for performing surgical procedures within a body cavity, e.g. abdomen, uses a magnetized device is utilized to allow a surgeon to control intra-abdominal organs and objects. The system and method allows a surgeon to perform an intra-abdominal procedure without the need to position surgical tools inside of the body cavity. Additional surgical ports are not necessary as the magnetized device allows the surgeon to retract or position various objects within the abdomen. | 2019-09-05 |
20190269395 | FAR CORTEX INTRAOSSEOUS SUTURE ANCHOR - A suture anchor includes a bone attachment portion configured for engagement in cortical bone, and a body portion that is coupled to the bone attachment portion and includes a plurality of holes for passage of sutures. | 2019-09-05 |
20190269396 | DEVICES, SYSTEMS, AND METHODS FOR ATTACHING SOFT TISSUE TO BONE TISSUE - A suture anchoring device for fixing a soft tissue to a bone tissue is disclosed that enables the exchange of sutures between anchors after implantation. The suture anchoring device may include a body that is inserted into the bone tissue, a suture exchange fitting situation within a passage formed within the body, and one or more pre-loaded sutures looped through the suture exchange fitting and projecting proximally from a proximal opening formed in the body. Surgical kits and surgical methods for performing various repair procedures using one or more suture anchoring device are also disclosed. | 2019-09-05 |
20190269397 | SURGICAL CONSTRUCTS AND METHODS OF TISSUE REPAIR - Systems and methods for soft tissue to bone repairs employing tensionable knotless anchors, without knot tying. The tensionable knotless anchors may be used by themselves or in combination with additional constructs (which may have a similar or different configuration, i.e., modified according to the specific repair) to achieve novel remplissage and soft tissue repairs. | 2019-09-05 |
20190269398 | SUTURE-MATERIAL-HANDLING DEVICE AND SYSTEM FOR PRODUCING A SUTURE KNOT - The invention relates to a suture-material-handling device for a thread ( | 2019-09-05 |
20190269399 | IMPLANT HOLDER AND SUTURE GUIDE - A delivery system is disclosed having an implant retainer configured to releasably hold an implant unit and maintain the implant unit in a fixation location relative to target tissue in a subject's body during an implantation procedure. A first suture guide portion may be disposed on a first side of the implant retainer and configured to guide a suture needle during the implantation procedure. A second suture guide portion may be disposed on a second side of the implant retainer, opposite the first side, and configured to guide the suture needle after the suture needle exits the first suture guide portion. | 2019-09-05 |
20190269400 | TISSUE THICKNESS COMPENSATOR COMPRISING A RESERVOIR - In various embodiments, a tissue thickness compensator can comprise a compressible extracellular matrix and a bioabsorbable material dispersed within the extracellular matrix, wherein the bioapsorption of the bioabsorbable material is configured to leave behind channels in the extracellular matrix. The tissue thickness compensator can also comprise generation means for generating the ingrowth of tissue into the channels. In at least one embodiment, the tissue thickness compensator can comprise dissolvable wicking members which, when dissolved, can leave behind channels in the tissue thickness compensator. In certain embodiments, the tissue thickness compensator can comprise at least one rupturable capsule. | 2019-09-05 |
20190269401 | DEVICES AND METHODS FOR SUTURE PLACEMENT - A suturing device includes a needle, a suture, an elongate body, an actuator and a curved needle holder. The needle has first end, which is pointed, a second end, a curved distal section and a straighter proximal section, which is straight or has a radius of curvature greater than the curved distal section. The suture connects with the needle. The actuator includes a mechanism operable to move the needle with respect to the elongate body. The curved needle holder extends away from a distal end portion or is provided as part of the distal end portion of the elongate body. The curved needle holder includes an inner surface defining a curved needle passage for holding the needle and a distal opening through which the needle exits the curved needle holder. The needle frictionally engages the inner surface when the needle is in a retracted position. | 2019-09-05 |
20190269402 | SURGICAL STAPLE HAVING A DEFORMABLE MEMBER WITH A NON-CIRCULAR CROSS-SECTIONAL GEOMETRY - A surgical staple including at least two deformable members which can be bent upon contacting an anvil of a surgical stapler. In various embodiments, at least a portion of the deformable members can include a non-circular cross-section which can dictate the direction and manner in which the deformable members are bent. In at least one embodiment, the non-circular cross-section can include a flat portion which can cause the deformable members to bend in the direction of the flat portion. In various embodiments, the at least two deformable members can be connected by a dissolvable or bioabsorbable crown. In at least one various embodiment, the crown can dissolve and can, depending on the cross-sectional geometry of the deformable members, reduce the force or pressure applied to soft tissue captured within the staple by the bent deformable member. | 2019-09-05 |
20190269403 | TISSUE THICKNESS COMPENSATOR COMPRISING CONTROLLED RELEASE AND EXPANSION - A tissue thickness compensator may generally comprise a first layer comprising a first biocompatible material sealingly enclosed in a water impermeable material and a second layer comprising a second biocompatible material comprising at least one encapsulation, wherein the first biocompatible material expands when contacted with a fluid. The tissue thickness compensator may comprise a haemostatic agent, an anti-inflammatory agent, an antibiotic agent, anti-microbial agent, an anti-adhesion agent, an anti-coagulant agent, a medicament, and/or pharmaceutically active agent. The encapsulation may comprise a biodegradable material to degrade in vivo and/or in situ. The tissue thickness compensator may comprise a hydrogel. The reaction product may comprise a fluid-swellable composition. Articles of manufacture comprising the tissue thickness compensator and methods of making and using the tissue thickness compensator are also described. | 2019-09-05 |
20190269404 | ADJUSTMENT MECHANISM FOR ADJUSTING FORMED STAPLE HEIGHT OF SUTURE STAPLE IN STAPLER AND STAPLER COMPRISING SAME - An adjustment mechanism for adjusting a formed staple height of a suture staple in a stapler comprises a first handle portion and a second handle portion. The first handle portion comprises a cartridge support located at a distal end, a cartridge assembly, a drive assembly, and the adjustment mechanism for adjusting a formed staple height of a suture staple, and the second handle portion comprises an anvil located at a distal end. The cartridge assembly comprises suture staples, and the drive assembly can drive a suture staple to leave the cartridge assembly to reach the anvil to be pressed and formed. The adjustment structure adjusts a distance between the drive assembly and the anvil to adjust a formed staple height of a suture staple in a stapler. This application further relates to a stapler, comprising the adjustment mechanism for adjusting a formed staple height of a suture staple in a stapler. | 2019-09-05 |
20190269405 | ADAPTER WITH CENTERING MECHANISM FOR ARTICULATION JOINT - A joint assembly of an adapter defines a first longitudinal axis and includes first and second hinges, first and second rings, a joint cover, and a biasing mechanism. The joint cover has first and second cover portions. The first ring is pivotally coupled to the first hinge and the first cover portion is pivotally coupled to the first hinge to define a first joint center. The second ring is pivotally coupled to the second cover portion and the second hinge is pivotally coupled to the second ring to define a second joint center that is spaced from the first joint center. The first and second joint centers define a cover axis of the joint cover. The biasing mechanism is engaged with the first ring and the joint cover to bias the joint cover towards an aligned configuration in which the cover axis is aligned with the first longitudinal axis. | 2019-09-05 |
20190269406 | HANDLING OF FASTENERS WITHIN A SURGICAL INSTRUMENT - Surgical instruments and their methods of use are disclosed. In some embodiments, the surgical instrument may include a handle and an elongated shaft assembly extending distally from the handle. The surgical instrument may also include a fastener deployment system for deploying fasteners from the elongated shaft assembly including a reciprocating driveshaft disposed within the elongated shaft assembly. The driveshaft may include an internal channel and at least one guide surface shaped and arranged to maintain an orientation of at least one fastener in the channel of the driveshaft. In other embodiments, the fastener deployment system may include a follower disposed within the elongated shaft assembly for displacing one or more fasteners within the elongated shaft assembly towards a distal fastener deployment position. | 2019-09-05 |
20190269407 | SURGICAL CUTTING INSTRUMENT THAT ANALYZES TISSUE THICKNESS - A surgical instrument with a tissue-clamping end effector, where actuation of the instrument is locked out when the thickness of the tissue clamped in the end effector is not within a specified thickness range. The end effector may comprise a tissue thickness module that senses the thickness of the tissue clamped in the end effector. The surgical instrument also comprises a control circuit in communication with the tissue thickness module. The control circuit prevents actuation of a working portion of the end effector when the thickness of the tissue clamped in the end effector is not within the specified thickness range. | 2019-09-05 |
20190269408 | SURGICAL STAPLING APPARATUS INCLUDING AN ANVIL AND CARTRIDGE EACH HAVING COOPERATING MATING SURFACES - Surgical stapling apparatus are disclosed including an anvil having a working surface with a shaped topography; and a staple cartridge, in juxtaposition with the anvil. The staple cartridge includes a working surface with shaped topography which is complementary to the shaped topography of the working surface of the shaped anvil. When the anvil and the staple cartridge are approximated with or toward one another, at least a portion of the working surface of the anvil cooperates with at least a portion of the working surface of the staple cartridge to enhance alignment of the staple cartridge and the anvil in at least one of a transverse and longitudinal direction. | 2019-09-05 |
20190269409 | BUTTRESS FIXATION FOR A CIRCULAR STAPLER - A stapling apparatus includes a body portion, a staple cartridge disposed within the body portion, and a buttress removably attached to the staple cartridge. The staple cartridge includes a plurality of staple receiving slots defined in a tissue contacting surface of the staple cartridge, with each staple receiving slot of the plurality of staple receiving slots including a staple disposed therein. The buttress includes a plurality of tabs at an outer edge of the buttress. The buttress is releasably retained on the staple cartridge by at least one tab of the plurality of tabs extending into a staple receiving slot of the plurality of staple receiving slots defined in the staple cartridge. | 2019-09-05 |
20190269410 | USE OF REMOTE ISCHEMIC CONDITIONING TO IMPROVE OUTCOME AFTER MYOCARDIAL INFARCTION - The invention provides methods for reducing the incidence and/or severity and/or delaying the onset of heart dysfunction/failure and improving overall survival through the use of remote ischemic per-conditioning and post-conditioning. | 2019-09-05 |
20190269411 | OCCLUSIVE DEVICES - An implant can include a single- or dual-layer braided body having a variable porosity. In a dual-layer body, first and second longitudinal sections, having respective first and second porosities, can be overlapped such that the first and second porosities overlap each other. The dual-layer construction can cumulatively provide a third porosity at a distal portion and a fourth porosity at a proximal portion. The third and fourth porosities can each be greater than each of the first and second porosities. | 2019-09-05 |
20190269412 | Proximal Perivalvular Occlusion System - An occlusion device intended for blocking perivalvular leak channels that are found following heart valve implantation between the heart valve and the surrounding tissue. The occlusion device has a stent and a covering that is attached to the stent surface. A blocking fabric extends across the lumen of the stent to block blood flow. The stent pattern and wall structure provide for small radius of curvature bends to fill narrow channels that cause the perivalvular leaks. | 2019-09-05 |
20190269413 | APPARATUS AND METHOD OF MONOFILAMENT IMPLANT DELIVERY IN A BODY VESSEL OF A PATIENT - Embodiments of the present disclosure are directed to methods, systems and devices for implanting a spatially bent and/or twisted implant in a patient. In some embodiments, such a method includes providing a mono-filament implant configured to assume an undeployed, substantially linear state or linear-like state and a spatially bent and/or twisted deployed state, with the plant having a proximal and a distal end. In the undeployed state, the implant includes a shape which corresponds to that of a lumen of a hollow needle which may be used to deliver the implant. The method may also include creating a puncture in a vessel of the patient and positioning said distal end of the needle (and thus, the implant) in the vessel through the puncture. The method may further include converting the implant from the undeployed state to the deployed state such that the proximal end of the implant is proximate said puncture. | 2019-09-05 |
20190269414 | Occlusion Device - Provided herein is an occlusion device for implantation into a body lumen or aneurysm comprising, a continuous compressible mesh structure comprising axial mesh carriages configured end to end, wherein each end of each carriage is a pinch point in the continuous mesh structure. Also provided herein is a kit comprising the occlusion device disclosed herein and a means for delivery thereof. Methods of manufacture and use of the occlusion device are also disclosed. | 2019-09-05 |
20190269415 | SHOULDER ARTHROPLASTY INSTRUMENTATION - Patient specific shoulder component implant instruments are described for hemi and total, normal and reverse shoulder arthroplasty. | 2019-09-05 |
20190269416 | ARTHROSCOPIC SURGICAL DEVICE - An arthroscopic bone tunneling and suturing device including a bone-engaging needle driving assembly including a bone-engaging needle and being adapted for arthroscopic insertion into engagement with a patient's bone at a first bone location through an arthroscopic incision and for driving the needle forwardly along a generally arcuate tunneling path through the bone at least to a second bone location and a bone-engaging pin driving assembly arranged for operative engagement with the bone-engaging needle driving assembly and being adapted for arthroscopic insertion into engagement with a patient's bone at a third bone location through the arthroscopic incision. | 2019-09-05 |
20190269417 | APPARATUS AND METHODS FOR BONE ACCESS AND CAVITY PREPARATION - Apparatus and methods for preparing the interior of a bone for therapy. The therapy may include therapy for a bone fracture. The apparatus and methods may involve orienting a surgical instrument for proper deployment in the interior of the bone. An instrument guide may be positioned and retained against translation along, and rotation about one or more of three substantially orthogonal axes. Apparatus placed exterior to the bone may register the guide to a region inside the bone that is designated for preparation or treatment. One or more broaching members may be used to prepare the region for treatment. A broaching member may be expandable inside the bone. A broaching member may be flexible such that it broaches bone having a relatively lower density and it leaves bone having a relatively higher density substantially intact. | 2019-09-05 |
20190269418 | ORBITAL TROCAR HOLE CARVING DEVICE WITH DETACHABLE HANDLE AND ASSOCIATED METHODS - The present disclosure provides methods for forming or enlarging holes in objects. Objects may include bone tissue and methods for fixing matched medical plates to bodies. The movable trocar with toroidal interface is adjustable relative to the surface. The present disclosure also provides for products produced by the methods of the present disclosure and for apparatuses used to perform the methods of the present disclosure. | 2019-09-05 |
20190269419 | HIP JOINT INSTRUMENT AND METHOD - A method of treating a hip joint of a human patient using a pelvic drill comprising a driving member, a bone contacting and an operating device for operating said driving member. The method comprise the steps of cutting the skin of the human patient, dissecting an area of the pelvic bone on the opposite side from the acetabulum, creating a hole in said dissected area using said pelvic drill, said hole passing through the pelvic bone and into the hip joint of the human patient, and providing at least one hip joint surface to the hip joint, through said hole in the pelvic bone of the human patient. In one embodiment the method includes inserting a needle or tube like instrument into the patient's body for filling a part of the patient's body with gas and thereby expanding a cavity within the body. | 2019-09-05 |
20190269420 | HANDHELD DEVICES FOR USE IN MEDICAL PROCEDURES - The invention is a system and a handheld device for use in open or minimally invasive surgical procedures, such as a bone implant fixation procedure. The handheld device is configured to perform various functions during a bone implant fixation procedure, including performing at least one of: penetration of a bone to form a hole or opening for receipt of a screw; neuromonitoring, in cooperation with a neuromonitoring device, of the hole during, or post-, formation of the hole so as to sense any nearby nerves adjacent to the hole that may be in the path of a screw, or otherwise affected, when a screw is placed within the hole; neurostimulation, in cooperation with a neuromonitoring device, of nerves adjacent to the hole during, or post-, formation of the hole; and measuring of a depth of the hole and providing a digital measurement of the depth to assist the surgeon in selecting the appropriate length of screw. | 2019-09-05 |
20190269421 | ORBITAL TROCAR DEVICE WITH DETACHABLE HANDLE AND ASSOCIATED METHODS - The present disclosure provides methods for forming or enlarging holes in bone tissue and methods for fixing matched medical plates to bodies. The present disclosure also provides for products produced by the methods of the present disclosure and for apparatuses used to perform the methods of the present disclosure. | 2019-09-05 |
20190269422 | BI-CRUCIATE KNEE SYSTEM - An instrumentation set for preparing a proximal tibia during a bi-cruciate retaining procedure can include a tibial resection block and a stylus. The tibial resection block can be configured to be fixed to an anterior portion of the proximal tibia. The tibial resection block can define a slot that extends in a medial-lateral direction when the tibial resection block is fixed to the proximal tibia. The stylus can have a first block attachment feature and a second block attachment feature. The first block attachment feature can be offset from the stylus a first distance. The second block attachment feature can be offset from the stylus a second distance. The first and second block attachment features of the stylus can be selectively and alternatively received by the slot of the tibial resection block to position the stylus at distinct offset locations relative to the slot. | 2019-09-05 |
20190269423 | ARTHROSCOPIC SHOULDER ARTHROPLASTY AND METHOD THEREOF - A novel method and instrumentation for insertion of humeral and glenoid total shoulder implant using arthroscopic visualization for bony preparation as well as insertion of components through small incisions. Mini instruments and cannulated guides and reamers are used in order to perform the procedure under direct arthroscopic visualization. For ease of insertion, the components are inserted separately and assembled in situ. Securing the humeral components in place is accomplished with bicortical screw transfixing the central peg of component. | 2019-09-05 |
20190269424 | CENTRAL CLOT STABILIZER AND MANIPULATOR - A clot encasement and removal device for removing a vascular obstruction is disclosed. The encasement device comprises proximal and distal capture members and a central stabilizer. The central stabilizer provides several points of contact for interacting with and manipulating an intravascular obstruction. The central stabilizer may be coupled to the distal capture member, allowing the central stabilizer and distal capture member to be manipulated in unison. The central stabilizer may reside on a distinct delivery wire, enabling independent control of proximal and distal capture members and the central stabilizer. The proximal capture member may comprise a furrowed delivery wire to enable retraction of at least a portion of the central stabilizer within the proximal capture member. | 2019-09-05 |
20190269425 | WOVEN WIRE INTRALUMINAL DEVICE - An intraluminal device including an elongated structure formed of a plurality of wires may be provided. The intraluminal device may include a plurality of sets of looped wires longitudinally located at an intermediate area of the elongated structure. The sets of looped wires may be spaced circumferentially about the elongated structure and may be configured to cooperate with each other to form a plurality of clot entry openings. The intraluminal device may also include at least one grouping of woven wires that may be longitudinally located adjacent to the intermediate area and may be configured such that when an opening force is exerted on the elongated structure, the at least one grouping of woven wires may provide structural support to hold open first interstices between the plurality of sets of looped wires. | 2019-09-05 |
20190269426 | LOW PROFILE ELECTRODES FOR AN ANGIOPLASTY SHOCK WAVE CATHETER - Described herein are low-profile electrodes for use with an angioplasty shockwave catheter. A low-profile electrode assembly may have an inner electrode, an insulating layer disposed over the inner electrode such that an opening in the insulating layer is aligned with the inner electrode, and an outer electrode sheath disposed over the insulating layer such that an opening in the outer electrode sheath is coaxially aligned with the opening in the insulating layer. This layered configuration allows for the generation of shockwaves that propagate outward from the side of the catheter. In some variations, the electrode assembly has a second inner electrode, and the insulating layer and outer electrode may each have a second opening that are coaxially aligned with the second inner electrode. An angioplasty shockwave catheter may have a plurality of such low-profile electrode assemblies along its length to break up calcified plaques along a length of a vessel. | 2019-09-05 |
20190269427 | METHODS AND SYSTEMS FOR IMPROVING THE PREVENTION OF COLORECTAL CANCER - A method for improving the prevention of colorectal cancer in a patient, comprising: conducting a colonoscopy which includes a first medical professional navigating a colonoscope in a colon of the patient and, simultaneously, a second medical professional controlling a tip of the colonoscope to perform at least one medical procedure. | 2019-09-05 |
20190269428 | TISSUE ENGAGEMENT DEVICES, SYSTEMS, AND METHODS - Devices and related methods to engage tissue layers to access the space between the layers are provided. The access devices include engagement arms that can be deployed and retracted to easily engage the top tissue layer and allow it to be separated from the underlying layer. The engagement arms are coupled to an actuation rod that is in turn coupled to a switch or lever that allows a user to control the actuation from outside the patient. The engagement arms and coupling to the actuation rod are unique and compact to ensure the entire mechanism fits in a small diameter shaft. | 2019-09-05 |
20190269430 | SYSTEMS AND METHODS FOR ASSEMBLING TISSUE GRAFTS - Systems and methods for assembling a plurality of tissue grafts are provided. A method includes harvesting the plurality of micro tissue grafts from a donor site, arranging the plurality of micro tissue grafts in a desired orientation, forming a tissue construct containing the plurality of micro tissue grafts arranged in the desired orientation, and applying the tissue construct to a recipient site. | 2019-09-05 |
20190269431 | RECIPROCATING ROTARY SURGICAL CUTTING DEVICE AND SYSTEM FOR TISSUE RESECTING, AND METHOD FOR ITS USE - An endoscopic tissue resecting system that includes a reciprocating rotary surgical instrument for cutting tissue that includes a planetary gear assembly to vary rotational speed. A method of cutting and detaching tissue includes positioning an outer member such that tissue is located within a window in the outer member, engaging the tissue with an inner member, and simultaneously rotating at an increased speed relative to a rotary driver and translating the inner member to cut the tissue. A tangential cutting force is applied to the tissue with the inner member to mechanically cut and detach the tissue. | 2019-09-05 |
20190269432 | Negative Pressure Tissue Debridement Devices, Systems, And Methods - In some embodiments, a debridement tool may include a housing, a reduced-pressure lumen, a debridement head, an impeller, and a drive system. The debridement head may be moveable relative to the housing. The impeller may be positioned in fluid communication with the reduced-pressure lumen and be moveable relative to the housing by operation of reduced pressure being applied to the impeller. The drive system may be coupled between the impeller and the debridement head and be configured to impart movement from the impeller to the debridement head. | 2019-09-05 |
20190269433 | SLANTED DRIVE AXIS ROTARY SURGICAL CUTTING TOOLS AND POWERED HANDPIECES - A surgical cutting tool adapted to be rotatably driven by a motor. The surgical cutting tool includes an elongated shaft defining intermediate and coupling portions. A shape of the intermediate portion defines a primary central axis of the shaft. The coupling portion includes a tang having a tapered cylindrical shape that defines a drive axis. The drive axis is slanted with respect to the primary central axis. When coupled to the motor of a powered handpiece, the tang transmits an input or drive force from the motor to the intermediate portion as a torque about the primary central axis. In some embodiments, the drive axis extends through a centroid of first and second spaced apart cross-sectional planes of the tang, the first and second planes each being perpendicular to the primary central axis. | 2019-09-05 |
20190269434 | ENDOVASCULAR DEVICES AND METHODS - Devices and methods for the treatment of chronic total occlusions are provided. One disclosed embodiment comprises a method of facilitating treatment via a vascular wall defining a vascular lumen containing an occlusion therein. The method includes providing an intravascular device having a distal portion with a side port, inserting the device into the vascular lumen, positioning the distal portion in the vascular wall, directing the distal portion within the vascular wall such that the distal portion moves at least partially laterally, and directing the side port towards the vascular lumen. | 2019-09-05 |
20190269435 | METHOD FOR PAINLESS RENAL DENERVATION USING A PERI-VASCULAR TISSUE ABLATION CATHETER WITH SUPPORT STRUCTURES - An intravascular catheter for peri-vascular and/or peri-urethral tissue ablation includes multiple needles advanced through supported guide tubes which expand around a central axis to engage the interior surface of the wall of the renal artery or other vessel of a human body allowing the injection an ablative fluid for ablating tissue, and/or nerve fibers in the outer layer or deep to the outer layer of the vessel, or in prostatic tissue. The system may also include a means to limit and/or adjust the depth of penetration of the ablative fluid into and beyond the tissue of the vessel wall. The catheter may also include structures which provide radial and/or lateral support to the guide tubes so that the guide tubes expand uniformly and maintain their position against the interior surface of the vessel wall as the sharpened injection needles are advanced to penetrate into the vessel wall. A method can involve injection/infusion of the ablative fluid over an extended time period of at least 10 seconds or with two injections at two different penetration depths to reduce or eliminate patient pain during ablation. | 2019-09-05 |
20190269436 | LAPAROSCOPIC SIZING INSTRUMENT - An apparatus includes a handle assembly, a shaft assembly, an end effector, and an auto-tensioning feature. The handle assembly includes a body and a plunger. The shaft assembly includes an external sheath that is fixed to the handle body and an interior shaft that is coupled to the plunger. The interior shaft is slidable relative to the external sheath. The end effector is configured to encompass a bodily lumen and includes a flexible member extending distally from the interior shaft. A first coupling element is fixed to the distal tip of the flexible member. A second coupling element is fixed to the external sheath. The first and second coupling elements are magnetically attracted to each other and are biased toward each other such that the flexible member defines an adjustable loop. The auto-tensioning feature is configured to bias the plunger portion proximally relative to the handle body. | 2019-09-05 |
20190269437 | LOW FRICTION CANNULA SEALS FOR MINIMALLY INVASIVE ROBOTIC SURGERY - Embodiments of a cannula seal are disclosed. In some embodiments, a cannula seal can include a base portion that engages with a cannula; and a seal portion integrally formed with the base portion that slidebly engages with an instrument shaft such that an insertion frictional force between the seal portion and the instrument shaft for insertion of the instrument shaft is symmetrical and substantially equal with a retraction frictional force. | 2019-09-05 |
20190269438 | SPINAL CORRECTION CONSTRUCT AND METHOD - A method for treating a spinal disorder includes the steps of: disposing an expandable spinal construct in a selected configuration; fixing the spinal construct in the selected configuration with a member; attaching a first end of the spinal construct with tissue; attaching a second end of the spinal construct with tissue; and disengaging the member from the spinal construct to release the spinal construct from the selected configuration. Implants, surgical instruments, systems and methods are disclosed. | 2019-09-05 |
20190269439 | PIVOTAL BONE ANCHOR ASSEMBLY WITH LOCK AND RELEASE INSERT - A polyaxial bone screw assembly includes a threaded shank body having an upper portion, a receiver member or head, a retaining and articulating structure, and a pressure insert disposed between the shank upper portion and a rod. The receiver has a U-shaped cradle defining a channel for receiving a spinal fixation rod and a receiver cavity. The retaining and articulating structure attaches to the shank and rotates with the shank in the cavity during positioning. The pressure insert presses upon the shank upper portion and not the retaining and articulating structure. | 2019-09-05 |
20190269440 | MIS CROSS-CONNECTOR - A bone fixation system for implanting in bone, the system comprising a plurality of bone fastener assemblies that attach to bone, a pair of elongate members that attach to the plurality of bone fastener assemblies, a connector member that contacts the pair of elongate members, and a plurality of locking caps that secure the connector member and the elongate members to the plurality of bone fastener assemblies, wherein at least one of the plurality of locking caps comprises a cap portion and a hook portion, where the cap portion is adapted to rotate while the hook portion is stationary. | 2019-09-05 |
20190269441 | VERTEBRAL STABILISATION DEVICE - A vertebral stabilisation device, consisting of at least two linking elements arranged to link two separate vertebrae together, and attachment elements for attaching the ends of each linking element to the two separate vertebrae, characterised in that the length of the linking elements and the arrangement of the attachment elements are such that each linking element can extend diagonally between the two vertebrae to which it is attached, intersecting the mean sagittal plane of the vertebral column, the two linking elements intersecting substantially at said plane, and in that at least the attachment elements situated on a same side of the mean sagittal plane of the vertebral column and on separate vertebrae are not attached to each other. | 2019-09-05 |
20190269442 | SPINOUS PROCESS PLATE FIXATION ASSEMBLY - A spinous process plate fixation assembly is provided that has a pin plate including a first central aperture and a pin plate interior surface. The assembly has a lock plate including a second central aperture and a lock plate interior surface opposingly facing the pin plate interior surface. The interior surfaces have a pluralities of spikes extending therefrom. A pin receptacle is disposed within the pin plate and is configured to receive a lock pin. A pivoting lock mechanism is disposed within the lock plate. A connector shaft extends from the pin plate to the lock plate and passes through the first central aperture and the second central aperture. The connector shaft includes a pin side configured to receive the lock pin, and a lock side opposite the shaft side, the lock side configured to operatively engage the pivoting lock mechanism so as to secure the plates and the shaft. | 2019-09-05 |
20190269443 | DISTAL TIBIAL PLATING SYSTEM - Bone plates for engaging bone members are described herein. The bone plates can receive one or more screws to secure the bone plates to an underlying bone member. The one or more screws can be inserted into bone plate holes that can be considered locking or non-locking. The bone plates described herein can have particular combinations of locking and/or non-locking holes. Additional bone plate holes can be used to accept sutures, K-wire, or other instrumentation. | 2019-09-05 |
20190269444 | BONE PLATE - A bone plate has an underside on the side of the bone, an upper side and a plurality of holes in the plate connecting the underside with the upper side, with a central hole axis. At least one of these holes in the plate has an internal jacket surface that tapers towards the underside, while the internal jacket surface has N≥3 recesses which extend radially away from the axis of the hole. | 2019-09-05 |
20190269445 | Bone Plates and Associated Screws - A bone plate includes a bone-contacting surface, an upper surface opposite the bone-contacting surface, and a hole having a circumference and extending from the upper surface to the bone-contacting surface. The hole includes a first portion having a plurality of substantially parallel lips, each lip extends around the circumference of the hole and defines a diameter of the hole. The diameters of the hole, as defined by the lips, decrease in a direction from the upper surface to a center of the hole and increase in a direction from the center of the hole toward the bone-contacting surface. | 2019-09-05 |
20190269446 | DISTAL TIBIAL PLATING SYSTEM - Systems for treating bone fractures are disclosed. Exemplary systems may include a backpack and one or more bone plates for engaging bone members. The backpack may be configured to be temporarily attached to the bone plate in order to provide trajectories for fasteners received by the bone plate. The bone plates can receive one or more screws to secure the bone plates to an underlying bone member. The one or more screws can be inserted into bone plate holes that can be considered locking or non-locking. The bone plates described herein can have particular combinations of locking and/or non-locking holes. Additional bone plate holes can be used to accept sutures, K-wire, or other instrumentation. | 2019-09-05 |
20190269447 | STERNAL CLOSURE CERCLAGE, PLATE IMPLANT AND INSTRUMENTATION - A system including a bone punch tool and a needle guide. The bone punch tool can include a support arm having a support arm proximal portion and a support arm distal portion, a pivot arm having a pivot arm proximal portion and a pivot arm distal portion, and an arcuate punch configured to punch through bone. The pivot arm distal portion can be pivotably coupled to the support arm distal portion, such that the pivot arm proximal portion is configured to be moved away from the support arm proximal portion to extend the arcuate punch into a punch position to punch an arcuate hole through bone. The needle guide can be configured to guide a needle through the arcuate hole. | 2019-09-05 |
20190269448 | Surgical Ratcheting Assembly - Disclosed are devices, systems and methods for improving medical instruments and related tools, such as a ratcheting module that can be attached to various surgical instruments used during surgery. | 2019-09-05 |
20190269449 | VAPOR ABLATION SYSTEMS AND METHODS - A vapor delivery system and method is provided that is adapted for treating prostate tissue. The vapor delivery system includes a vapor delivery needle configured to deliver condensable vapor energy to tissue. In one method, the vapor delivery system is advanced transurethrally into the patient to access the prostate tissue. The vapor delivery system includes a generator unit and an inductive heating system to produce a high quality vapor for delivery to tissue. Methods of use are also provided. | 2019-09-05 |
20190269450 | DUAL-FUNCTION PLASMA AND NON-IONISING MICROWAVE COAGULATING ELECTROSURGICAL INSTRUMENT AND ELECTROSURGICAL APPARATUS INCORPORATING THE SAME - An electrosurgical device that is capable of both generating a plasma to perform surface coagulation and emitting a non-ionising microwave field (in the absence of plasma) to perform coagulation at a deeper level. The device comprises a probe tip that is connected to receive radiofrequency (RF) and/or microwave frequency energy from a generator, and also defines a flow path for a gas. The probe tip is adjustable between a first configuration, in which it defines a bipolar (e.g. coaxial) structure to produce a high electric field from the received RF and/or microwave frequency energy across the flow path for the gas to strike and sustain plasma and a second configuration, in which it defines an antenna structure to emit non-ionising microwave energy into tissue. | 2019-09-05 |
20190269451 | MONOPOLAR RETURN ELECTRODE GRASPER WITH RETURN ELECTRODE MONITORING - An electrosurgical system includes a generator, a delivery device, a return device, and a return electrode monitor (REM). The delivery device is in electrical communication with the generator and has a delivery electrode configured to deliver electrosurgical energy to tissue. The return device has a first jaw member including a first return electrode and a second jaw member including a second return electrode. The first and second jaw members are configured to capture tissue between the first and second return electrodes. The REM is disposed within the generator and is in electrical communication with the first and second return electrodes to return electrosurgical energy delivered to tissue to the generator. The REM is configured to determine a size of a return contact area of the first and second return electrodes with tissue to prevent delivery of electrosurgical energy from the generator to tissue when the size of the return contact are is below a threshold size. | 2019-09-05 |
20190269452 | SYSTEM AND APPARATUS FOR AUTOMATIC ACTIVATION USING RADIO FREQUENCY SENSOR - A system and apparatus for automatic smoke evacuation using an RF sensor. The system and apparatus utilizes an RF sensor for automatic activation of an evacuator that evacuates smoke and/or debris during the use of any electrosurgical instrument or surgical instrument that is capable of generating smoke and/or debris and capable of producing a radiofrequency during its operation. Exemplary embodiments of the system and apparatus for automatic smoke evacuation include both wired and wireless embodiments. | 2019-09-05 |
20190269453 | VAPORIZATION ELECTRODES AND ELECTROSURGICAL DEVICES EQUIPPED THEREWITH - Vaporization electrodes having functional surfaces with non-smooth semispherical shapes, and electrosurgical devices equipped therewith. The electrodes include a base oppositely disposed from its functional surface. The non-smooth semispherical shape of a functional surface is defined by a plurality of individual planar and/or cylindrical surfaces that intersect each other to define edges therebetween. | 2019-09-05 |
20190269454 | SURGICAL INSTRUMENT WITH SWITCH ACTIVATION CONTROL - A surgical instrument includes a housing and an elongated shaft operably coupled to an actuating mechanism moveable between an actuated position and an unactuated position. An end effector includes a pair of opposing first and second jaw members and is adapted to connect to a source of electrosurgical energy. A switch is moveable between an activated position to initiate delivery of electrosurgical energy to the end effector and a deactivated position to terminate delivery of electrosurgical energy to the end effector. A switch activation member is configured to move the switch between an activated position and a deactivated position. A switch control member is configured to maintain the switch in the activated position during at least partial movement of the actuating mechanism from the actuated position to the unactuated position. | 2019-09-05 |
20190269455 | MEDICAL FORCEPS WITH OFFSET TEETH - A forceps including a gripping assembly. The gripping assembly includes an upper jaw and a lower jaw. The upper jaw includes a proximal end and a distal end. The upper jaw includes an upper tooth having an upper proximally facing canted tooth surface and an upper distally facing canted tooth surface. The lower jaw includes a proximal end, and a distal end. The lower jaw includes a socket having a lower distally facing canted socket surface and a lower proximally facing socket surface. The upper jaw, the lower jaw, or both are moveable so that the gripping assembly moves between an open position and a gripping position. In the gripping position, a gap is defined between the upper distally facing canted tooth surface and the lower proximally facing socket surface. | 2019-09-05 |
20190269456 | NEEDLE AND TINE DEPLOYMENT MECHANISM - A needle electrode deployment shaft includes a central member and a plurality of needle electrodes. The central member has a plurality of needle advancement channels formed therein. The needle electrodes are disposed within the advancement channels and each advancement channel terminates in a ramp portion which deflects the needles radially outwardly as they are axially advanced. The ramps may be spirally or acutely configured in order to increase the distance through which the needles may be bent as they are axially advanced. Additionally, the central member may have a radially reduced distal tip in order to decrease tissue insertion forces. | 2019-09-05 |
20190269457 | ELECTROSURGICAL CONNECTION UNIT - An electrosurgical connection unit for a surgical robot arm to connect an electrosurgical instrument attached to the arm to an electrosurgical generator. The electrosurgical connection unit includes an input port connectable to the electrosurgical generator, the input port configured to receive a driving electrosurgical signal and output one or more activation signals; an output port connectable to the electrosurgical instrument, the output port configured to output the driving electrosurgical signal received on the input port; one or more activation switch units, wherein activation of an activation switch unit causes an activation signal to be output from the input port indicating a driving electrosurgical signal with a desired waveform is to be activated; and a control unit configured to selectively activate one of the one or more activation switch units in response to a control signal. | 2019-09-05 |
20190269458 | CATHETER HAVING TWO-PIECE CONNECTOR FOR A SPLIT HANDLE ASSEMBLY - A catheter and method for the treatment of a patient having atrial flutter or other arrhythmia comprises an elongated catheter body having an outer wall, proximal and distal ends, and at least one lumen extending therethrough. Further it has a distal tip section comprising a flexible tubing having a proximal end and a distal end and a plurality of lumens extending therethrough. The proximal end of the tip section is fixedly attached to the distal end of the catheter body. The tip section further comprises a nitinol tube having slots formed therein which causes the distal tip section to deflect using the same puller-wire action used to cause the deflectable catheter to deflect at a point proximal to the distal tip section. | 2019-09-05 |
20190269459 | METHODS, SYSTEMS, AND DEVICES FOR DESIGNING AND MANUFACTURING A SPINAL ROD - According to the invention, the process includes the steps of: a) taking a sagittal preoperative x-ray of the vertebral column of the patient to be treated, extending from the cervical vertebrae to the femoral heads; b) on that x-ray, identifying points on S1, S2, T12 et C7; c) depicting, on the said x-ray, curved segments beginning at the center of the plate of S1 et going to the center of the plate of C7; e) identifying, on that x-ray, the correction(s) to be made to the vertebral column, including the identification of posterior osteotomies to make; f) pivoting portions of said x-ray relative to other portions of that x-ray, according to osteotomies to be made; g) performing, on said x-ray, a displacement of the sagittal curvature segment extending over the vertebral segment to be corrected; h) from a straight vertebral rod (TV), producing the curvature of that rod according to the shape of said sagittal curvature segment in said displacement position. | 2019-09-05 |
20190269460 | CUSTOMIZED SURGICAL GUIDE AND CUSTOMIZED SURGICAL GUIDE GENERATING METHOD AND GENERATING PROGRAM - The present invention relates to a customized surgical guide device and a customized surgical guide generating method and program. A customized surgical guide generating method comprises the steps of: acquiring body surface data and treatment area data from medical image data by a computer; a first shape data generating step, wherein the first shape data is data which corresponds to the shape of the body part cover; a target point setting step of setting one or more target points; setting individual first points on the body surface accessible to the target point with a medical tool; setting a guide tube length on the basis of a distance from the first point to the target point; and generating final shape data in which one or more guide tubes are combined to the first shape data by applying the guide tube length to the first point. | 2019-09-05 |