US Pat. No. 9,387,050

SURGICAL SYSTEM HAVING DETACHABLE COMPONENT AND STATE DETECTION CIRCUIT FOR DETECTION OF STATE OF ATTACHMENT OF DETACHABLE COMPONENT

GYRUS ACMI INC., Southbo...

1. A surgical system comprising:
a console comprising:
an electrical isolation device;
a therapy signal generator configured to generate a therapy signal; and
a controller configured to control the therapy signal generator;
a first component configured to be directly or indirectly detachably attached to the console, wherein the first component
is configured to be driven by the therapy signal to therapeutically affect a biological tissue;

a sensor circuit arranged to the console, the sensor circuit comprising:
a device state signal generation circuit configured to generate a device state signal; and
a reference circuit configured to provide a baseline signal based on the device state signal; and
a first target state identifying circuit arranged to the first component,
wherein the first target state identifying circuit is configured to be selectively electrically connected in a first connected
state to the sensor circuit, and

wherein in the first connected state, the first target state identifying circuit is configured to provide a first target state
identifying signal based on the device state signal,

wherein the sensor circuit is configured to output a feedback signal based on the baseline signal and the first target state
identifying signal through the electrical isolation device, and

wherein the controller is configured to control the therapy signal generator based on the feedback signal.

US Pat. No. 9,271,797

ROBOTIC SURGERY

Gyrus ACMI, Inc., Southb...

1. A robotic tool holder, comprising:
a housing, configured to be gripped by a human hand;
a retaining cup at a distal end of the housing;
a wireless transmitter, located within the housing; and
a plurality of individual controls attached to the housing, each of the controls being configured for both a first mode and
a second mode of operation, such that in the first mode of operation of the robotic tool holder, the controls are configured
to activate respective motions of a first surgical tool physically attached to the housing, by insertion of the first surgical
tool into the retaining cup, in response to manipulation of the controls by the human hand, and in the second mode of operation
of the robotic tool holder, the controls are configured to activate via the wireless transmitter respective motions of a second
surgical tool remote from and disconnected from the housing in response to the manipulation.

US Pat. No. 10,011,895

ASSEMBLY FABRICATION AND MODIFICATION OF ELASTICITY IN MATERIALS

Gyrus ACMI, Inc., Southb...

1. A method for manufacturing an ultrasonic probe assembly comprising:receiving the ultrasonic probe assembly including a first portion of material and a second portion of material, the first portion of material having a different modulus of elasticity than the second portion of material; and
exposing the ultrasonic probe assembly to a heating/cooling cycle, exposure of the ultrasonic probe assembly to the heating/cooling cycle modifying a modulus of elasticity of the first portion of material and a modulus of elasticity of the second portion of material.

US Pat. No. 9,439,716

BIPOLAR COAGULATION PROBE AND SNARE

GYRUS ACMI, INC., Southb...

1. An electrosurgical device comprising:
a probe having a proximal end and a distal end;
bipolar surface electrodes adjacent the distal end of the probe, the bipolar surface electrodes being separated from each
other by a gap and extending over the distal end of the probe;

a bipolar snare extending distally from the distal end of the probe and including first and second snare electrodes, the bipolar
snare including a handpiece coupled to a proximal end of at least one of the snare electrodes, the handpiece being configured
to be manipulated by a user to tighten the bipolar snare around a part of a stem of a pedunculated tissue structure to be
removed;

first and second terminals by which the electrosurgical device is coupled to a bipolar energy source; and
circuitry coupling the first and second terminals to the bipolar surface electrodes and to the first and second snare electrodes,
the circuitry coupling the first and second terminals to proximal ends of the bipolar surface electrodes and to proximal ends
of the first and second snare electrodes, the circuitry including a first relay by which the first terminal is selectively
coupled to either (i) the proximal end of a first one of the bipolar surface electrodes, or (ii) the proximal end of the first
snare electrode.

US Pat. No. 9,386,908

NAVIGATION USING A PRE-ACQUIRED IMAGE

GYRUS ACMI, INC. (D.B.A. ...

1. A method for endoscopic evaluation, comprising:
capturing an initial image of a surface under investigation using a first endoscope;
delineating within the initial image a target region of interest containing first elements, surrounded by a peripheral region
containing second elements, the target region of interest having a location defined with respect to the peripheral region;

performing a first characterization of the first elements in the initial image, thereby generating an initial target region
measure;

recording information indicating that a medical procedure was executed after capturing the initial image;
after capturing the initial image, capturing a subsequent image of the surface under investigation using a second endoscope;
identifying the peripheral region in the subsequent image, by matching elements appearing in the subsequent image to the second
elements in the initial image, irrespective of the first elements in the target region;

computing the location of the target region of interest in the subsequent image in response to the peripheral region identified
in the subsequent image;

performing a second characterization of the target region in the computed location in the subsequent image, thereby generating
a subsequent target region measure;

comparing the initial and subsequent target region measures by computing a fraction of the initial and subsequent target region
measures;

setting a first predetermined threshold value if the information is recorded before acquiring the subsequent image; and
confirming that the procedure has been performed when the fraction of the initial and subsequent target region measures is
less than the first predetermined threshold value.

US Pat. No. 9,332,242

DUAL SENSOR IMAGING SYSTEM

Gyrus ACMI, Inc., Southb...

1. A medical apparatus comprising:
a first imaging device comprising a first image sensor having a first field of view;
a second imaging device comprising a second image sensor having a second field of view smaller than the first field of view;
and

a processor configured to:
process a first image acquired by the first image sensor so as to generate a first processed image having a first image magnification,
process a second image acquired by the second image sensor so as to generate a second processed image having a second image
magnification,

adjust the first image magnification by digital zoom of the first processed image to be equal to the second image magnification
so as to form an adjusted first image, and

generate a stereoscopic image based on the adjusted first image and the processed second image.

US Pat. No. 9,131,957

AUTOMATIC TOOL MARKING

GYRUS ACMI, INC., Southb...

1. Surgical apparatus, comprising:
a trocar having a tubular member with a tubular member distal end and a tubular member proximal end, configured for insertion
into a body cavity, and defining a passageway configured to allow passage of

a surgical tool comprising a tool proximal end and a tool distal end, from the tubular member proximal end to a position in
which the tool distal end projects beyond the tubular member distal end; and

an indicator mounted on the trocar configured to apply indications onto surgical tools in the passageway, such that the indications
can be identified by an endoscope in the body cavity while the tool distal end projects beyond the tubular member distal end.

US Pat. No. 9,254,075

LOCATION OF FRAGMENTS DURING LITHOTRIPSY

Gyrus ACMI, Inc., Southb...

1. A medical apparatus, comprising:
a lithotripsic device comprising a laser configured to break a stone into one or more fragments in a body lumen;
an endoscope configured to obtain a captured image in the body lumen; and
an image processor configured:
to process the captured image and create a processed image for display on a monitor, and
to process and display a track of a movement of at least one of the stone or the one or more fragments.

US Pat. No. 9,072,519

ANTI-RETROPULSION SYSTEMS AND METHODS

Gyrus ACMI, INC., Southb...

1. An anti-retropulsion device comprising:
a plurality of expandable segments extending along a longitudinal axis;
a distal collar positioned distally of the expandable segments; and
a proximal collar positioned proximally of the expandable segments;
wherein the expandable segments have a corresponding plurality of expandable members,and
wherein each of the expandable members are configured to expand or contract radially and circumferentially in correspondence
with a change in spacing between the distal collar and the proximal collar, and

wherein the anti-retropulsion device is configured to be inserted into a body lumen and when the expandable members expand
in the body lumen, the expandable members in one of the expandable segments are circumferentially offset relative to the expandable
members in another one of the expandable segments such that formation of longitudinally extending gaps between the expandable
members is prevented so that debris are prevented from moving in the body lumen past the expandable members.

US Pat. No. 9,282,985

AIMING BEAM DETECTION FOR SAFE LASER LITHOTRIPSY

GYRUS ACMI, INC., Southb...

1. Medical apparatus, comprising:
an endoscope, which comprises a distal end configured for insertion into a body cavity and which comprises an imaging assembly,
configured to capture and output an image of a region of the body cavity in proximity to the distal end;

an energy guide;
an energy source, configured to emit pulses of energy through the energy guide; and
a control unit, which is configured to process the image so as to identify a target mass in the body cavity and to verify
that an aiming beam directed through the energy guide is incident on the target mass and, responsively to so verifying, to
actuate the energy source to direct a pulse of the energy via the energy guide onto the target mass,

wherein the control unit permits repeated actuation of the energy source even when the aiming beam does not appear in the
image to be incident on the target mass, so that the energy source continues to direct further pulses of the energy via the
energy guide for a predefined time interval following emission of the pulse of energy onto the target mass and then, after
the predefined time interval, inhibits operation of the energy source when the aiming beam still does not appear in the image
to be incident on the target mass.

US Pat. No. 9,131,979

INTEGRATED BLADE ASSEMBLY AND IDENTIFICATION CIRCUIT

GYRUS ACMI, INC., Southb...

1. An interchangeable tip comprising,
a. a stylet;
b. a blade module including;
i. a connection enclosure and
ii. a control enclosure including two or more pins;
wherein a signal across the two or more pins has a capacitance of zero for determining a type of the interchangeable tip.

US Pat. No. 9,065,107

DESTRUCTIVE BATTERY CLOSURE

Gyrus ACMI, INC., Southb...

1. An article comprising:
(a) a battery support containing battery lead wires,
(b) an opposing battery support attached to the battery support to create a battery closure, and
(c) one or more batteries,
(d) a battery bulkhead,
(e) a first battery bulkhead joining member, and
(f) a second battery bulkhead joining member;
wherein the one or more batteries are secured to the opposing battery support, the one or more batteries supply energy to
a device, and removing the opposing battery support from the battery closure disables transmission of electricity from the
one or more batteries via the battery lead wires to the device;

wherein the first battery bulkhead joining member attaches the battery bulkhead to the battery support, and the second battery
bulkhead joining member attaches the battery bulkhead to the opposing battery support;

wherein the battery support allows mechanical release of the opposing battery support from the battery closure once coupled
in either a first or a second position; and

wherein the battery bulkhead stays engaged to the battery support by the first battery bulkhead joining member when the opposing
battery support is in the first position, and the battery bulkhead is retained in the second battery bulkhead joining member
and released from the first battery bulkhead joining member when the opposing battery support is in the second position.

US Pat. No. 9,358,036

BLADE POSITIONING DEVICE

GYRUS ACMI, INC., Southb...

1. A microdebrider comprising:
a. a handpiece;
b. an interchangeable tip connected to the handpiece;
c. an outer tube rotatably connected to the interchangeable tip, the outer tube including an outer tube window;
d. an inner tube extending at least partially through the outer tube, the inner tube including an inner tube window;
e. a lock selector connected to the inner tube; and
f. a bias device including an actuation selector, the actuation selector including two or more fingers;
wherein the bias device is movable, and upon movement of the bias device into contact with the lock selector the inner tube
is immobilized so that the inner tube window is aligned with the outer tube window, aligned with a wall of the outer tube,
or in a condition therebetween;

wherein one of the two or more fingers is a director.

US Pat. No. 9,192,402

RETRIEVAL BASKET APPARATUS

Gyrus ACMI, Inc., Southb...

1. An object removal tool comprising:
a basket device comprising a basket section;
a sheath on the basket device, where the sheath is adapted to longitudinally slide on the basket device; and
a control connected to the basket device and the sheath, where the control is configured to longitudinally move the sheath
on the basket device to close the basket section on an object,

where the control comprises a cam member having a cam surface adapted to cam against a portion of the sheath as the sheath
and the cam member are rotated relative to each other,

where the cam member is configured to longitudinally move the sheath while a proximal end of the basket device remains substantially
stationary, where the cam member rotates a helix which translates the rotational motion to longitudinal motion via a pin,
where the pin is connected to the sheath, where the pin extends into a cutout portion of the helix.

US Pat. No. 9,089,337

ELECTROSURGICAL SYSTEM HAVING GRASPER AND SNARE WITH SWITCHABLE ELECTRODE

GYRUS ACMI, INC., Southb...

1. An electrosurgical system comprising:
a grasper having a first jaw and a second jaw that are movable relative to each other between an open condition and a closed
condition so as to be capable of grasping tissue, the grasper including a first electrode disposed on the first jaw and that
is attachable to a first output of an energy supply, the grasper including a third electrode disposed on the second jaw and
that is selectively attachable to a second output of the energy supply, the third electrode is electrically isolated from
the first electrode;

a snare having a second electrode that is selectively attachable to the second output of the energy supply; and
switching circuitry that selectively couples the second electrode or the third electrode to the second output of the energy
supply, the switching circuitry being switchable between at least first and second positions, (i) the switching circuitry
coupling the second electrode to the second output of the energy supply when in the first position to enable the grasper and
the snare to operate as a bipolar electrosurgical system, and (ii) the switching circuitry disconnecting the second electrode
from the second output of the energy supply when in the second position and coupling the second output of the energy supply
to the third electrode when in the second position so that the grasper operates as a bipolar grasper when the switching circuitry
is in the second position.

US Pat. No. 9,265,581

RELAY BASED TOOL CONTROL

Gyrus ACMI, Inc., Southb...

11. Medical apparatus, comprising:
a local medical tool;
a remote medical tool, located remotely from the local medical tool;
a lockable joint, physically connected to the local medical tool, operable in a locked state or in an unlocked state;
a handle, physically connected to the lockable joint, so that in the locked state of the joint, movements of the handle are
directly transferred to corresponding movements of the local medical tool;

sensors, configured, in the unlocked state of the joint to measure motions of the handle with respect to the lockable joint;
and

a controller, which in the unlocked state of the joint receives indications of the motions of the handle with respect to the
lockable joint, and which is configured to apply the indications to generate corresponding motions for the remote medical
tool.

US Pat. No. 9,486,268

BATTERY PACK ATTACHED TO A CABLE

GYRUS ACMI, INC., Southb...

1. An article comprising:
(i) a handheld device including:
(a) a housing;
(b) a powered element within the housing;
(ii) a battery pack;
(iii) an external cable having:
(a) a first segment containing battery lead wires and an irrigation line; and
(b) a second segment containing the irrigation line;
wherein the handheld device is connected by the external cable to a functional system and the functional system is a console
which houses an irrigation system;

wherein the housing is connected to the battery pack by the first segment of the external cable;
wherein the battery pack is attached to the functional system by the second segment of the external cable; and
wherein the battery pack supplies power to the powered element.

US Pat. No. 9,138,134

ENDOSCOPE WITH AN IMPROVED WORKING CHANNEL

GYRUS ACMI, INC., Southb...

1. Medical apparatus, comprising: an endoscope, comprising an insertion tube, having a proximal end and a distal end, which
is configured for insertion into a body cavity of a subject, and containing a working channel, which conveys a liquid from
the proximal end to a target region in the body cavity adjacent to the distal end; a fluid sensor, contained in the distal
end of the endoscope, which measures a rate of flow of the liquid in the working channel; and a control unit which is configured
to regulate the flow of the liquid in the working channel responsively to the measured rate of flow; wherein the working channel
has a segment adjacent to the distal end of the endoscope that is narrowed, a converging segment proximal to the narrowed
segment, and a diverging segment distal to the narrowed segment, thus defining a Venturi tube; wherein the diameter of the
converging segment narrows from about 2.5 times greater than the diameter of the narrowed segment to about the same diameter
as the narrowed segment; wherein the diameter of the diverging segment expands from about the same diameter as the narrowed
segment to about 3 times greater than the diameter of the narrowed segment; and the liquid exits the working channel in a
divergent cone to irrigate the entire target region such that it clears blood and/or debris.

US Pat. No. 10,042,156

ILLUMINATION BALANCING AND SOLID STATE NARROW BAND IMAGING UTILIZING FIBER BUNDLE DESIGN AND ASSEMBLY TECHNIQUES IN ENDOSCOPES

Gyrus ACMI, Inc., Southb...

1. An illumination apparatus for use in an endoscope, the endoscope having a distal end, and at least a first illumination window and a second illumination window disposed at the distal end of the endoscope, the illumination apparatus comprising:at least a first light source and a second light source; and
at least a first fiber bundle and a second fiber bundle, the first fiber bundle having a first plurality of optical fibers segregated to form at least a first fiber sub-bundle and a second fiber sub-bundle;
wherein each of the first fiber sub-bundle, the second fiber sub-bundle, and the second fiber bundle has a distal end and a proximal end,
wherein the proximal end of each of the first fiber sub-bundle and the second fiber sub-bundle is configured to receive light emitted by at least the first light source,
wherein the proximal end of the second fiber bundle is configured to receive light emitted by at least the second light source,
wherein the respective distal ends of the first fiber sub-bundle and the second fiber sub-bundle are configured to direct the light emitted by the first light source to the first illumination window and the second illumination window, respectively, at the distal end of the endoscope,
wherein the distal end of the second fiber bundle is configured to direct the light emitted by the second light source to the second illumination window at the distal end of the endoscope.

US Pat. No. 9,414,848

ROTARY TOOL WITH IMPROVED COUPLING ASSEMBLY

Gyrus ACMI, Inc., Southb...

1. A surgical device comprising:
a handle assembly;
a locking collar; and
a set of replaceable bits that load along an axis into said handle assembly;
wherein said locking collar is fully removable from said handle assembly, said locking collar loads axially to a first position,
and said locking collar rotates between said first position and a second position;

wherein, in said first position, said locking collar is free to be axially removed from said handle assembly and said replaceable
bits are free to be loaded or unloaded from said handle assembly;

wherein, in said second position, said locking collar is prevented from axial movement relative to said handle assembly and
said replaceable bits are prevented from being received within, or removed from, said handle assembly; and

said locking collar is guided to said first position and between said first position and said second position by a groove
in said handle assembly mating with a member carried by said locking collar.

US Pat. No. 9,204,963

STABILIZING IMPLANT WITH EXPANDABLE SEGMENTS

Gyrus ACMI, Inc., Southb...

1. An article, comprising:
an implant member that is expandable in at least one direction;
the implant member comprising two or more segments, the two or more segments being adjacent to one another; and
two or more subcutaneous access ports for providing access for adjusting a mechanical stabilization mechanism within the implant
member,

wherein a horizontal slice of the implant is wider at one end and narrower at the other end and a vertical slice is consistent
along its length,

wherein the two or more segments are independently adjustable, and
wherein the implant member is adapted to support the vocal folds of a patient.

US Pat. No. 9,265,516

BLADE RETENTION MECHANISM FOR SURGICAL INSTRUMENT

GYRUS ACMI, Inc., Southb...

1. A surgical apparatus, comprising;
a. a main body including;
i. a first generally cylindrical passage having a proximal end and a distal end;
ii. a second radially extending passage extending from the first generally cylindrical passage; and
iii. a recess;
b. a collet member supported for rotational movement in the first cylindrical passage of the main body, the collet member
including:

i. a first surface;
ii. a passage having a first length; and
iii. an inner surface;
c. a biasing member biasing the collet member in a first rotational direction within the first generally cylindrical passage
of the main body;

d. a lack member having a second length, the lock member aligned in the passage of the collet member and extending radially
inward beyond the inner surface of the collet member, the second length of the lock member being greater than the first length
of the passage of the collet member wherein the collet member limits the lock member and retains the lock member within the
first generally cylindrical passage of the main body; and

e. an actuator radially movable in the second radially extending passage of the main body, the actuator including a second
surface for engaging the first surface of the collet member wherein radially inward movement of the actuator against a force
of the biasing member rotates the collet member within the first generally cylindrical passage and moves the lock member from
a first locked position to a second unlocked position wherein the lock member can move radially outward to be at least partially
located in the recess of the main body.

US Pat. No. 9,242,079

URETERAL STENTS WITH WAVEFORM INTERLAYERS AND INTERSTITCHING

GYRUS ACMI, INC., Southb...

1. A ureteral stent comprising:
a tubular body defining a lumen and having (i) a distal kidney section to be placed in or near a patient's kidney, (ii) a
proximal bladder section to be placed within the patient's bladder, and (iii) a ureter section between the distal and proximal
sections to be placed within the patient's ureter, at least one of the distal kidney section and the proximal bladder section
having a pigtail shape in a deployed configuration, and

the tubular body having a first material layer and a second material layer, each of which extend through at least a portion
of a length of the tubular body,

wherein:
the second material layer has a second stiffness that is different from a first stiffness of the first material layer, and
a cross-section area of the first material layer and of the second material layer varies along the length of the tubular body
in order to vary a stiffness characteristic along the length of the tubular body.

US Pat. No. 9,480,828

TREATMENT METHOD FOR THE INFERIOR TURBINATE

GYRUS ACMI, INC., Southb...

1. A method comprising:
a) creating one or more pockets sufficiently large to completely enclose one or more implants within an inferior turbinate
of a patient, wherein the one or more pockets are created by a debrider instrument or an electrical energy instrument; and

b) inserting the one or more implants into the one or more pockets with the debrider instrument or the electrical energy instrument
after the one or more or more pockets are created, wherein the one or more implants contain one or more therapeutic compounds.

US Pat. No. 9,144,454

ELECTROSURGICAL COLPOTOMY DEVICE

GYRUS ACMI, INC., Southb...

1. A bipolar electrosurgical colpotomy device comprising:
a colpotomy cup that includes a proximal end, a distal end, a hollow portion at the distal end, a rim around the hollow portion
at the distal end, and a first electrode located adjacent to the rim, the rim being configured to contact an internal surface
of a patient's cervico-vaginal junction; and

a bag configured to contain tissue, the bag having a closed end and an open end that defines an opening, the bag including
a second electrode located adjacent to the opening, the bag being configured to surround the patient's uterus and the opening
being configured to fit over an external surface of the patient's cervico-vaginal junction,

wherein the first and second electrodes are configured to vaporize tissue at the patient's cervico-vaginal junction by electrosurgical
energy passing through the tissue disposed between the first and second electrodes upon application of a voltage potential
between the first and second electrodes.

US Pat. No. 9,392,214

HIGH DEFINITION VIDEO RECORDER/PLAYER

GYRUS ACMI, INC., Southb...

1. Apparatus, comprising:
a host processor, which is configured to receive video data encapsulated in a standard definition transmission format, and
to store the encapsulated video data in a memory; and

a data converter, which is configured:
to receive high definition video data as a sequence of packets,
to encapsulate the sequence of packets in the standard definition transmission format, and
to convey the encapsulated packets to the host processor so that the host processor stores the packets in the memory,
wherein the data converter is configured to receive the encapsulated packets in the standard definition transmission format
from the host processor, to extract the sequence of packets from the encapsulated packets, and to transmit the sequence of
packets as high definition video data.

US Pat. No. 9,504,478

ROTARY TOOL WITH IMPROVED COUPLING ASSEMBLY

Gyrus ACMI , Inc., South...

1. A surgical device comprising:
a handle assembly comprising a rotatable drive shaft;
a removable handle assembly adapter for connection to said handle assembly, said removable handle assembly adapter comprising
a rotatable transmission shaft for connection to said rotatable drive shaft of said handle assembly; and

a removable nosepiece assembly for connection to said removable handle assembly adapter and for selectively securing the shaft
of a working element to said rotatable transmission shaft of said removable handle assembly adapter;

wherein said removable handle assembly adapter and said removable nosepiece assembly each comprise a locking collar; and
wherein said removable handle assembly adapter and said handle assembly each comprise a connector assembly, said connector
assembly comprising:

a housing comprising an opening;
a collet sleeve disposed within said opening and connected to an input shaft, said collet sleeve comprising a lumen for receiving
an output shaft;

a locking element movable relative to said collet sleeve between (i) a locked position in which said output shaft is secured
to said collet sleeve, and (ii) an unlocked position in which said output shaft is not secured to said collet sleeve; and

a cam element movable relative to said collet sleeve between (i) a first position in which said locking element is free to
assume its said unlocked position, and (ii) a second position in which said cam element cams said locking element into said
locked position;

such that movement of said locking collar causes said cam element to move between said first position and said second position;
wherein said housing comprises an L-shaped slot, and further wherein said locking collar comprises a follower for extending
into said L-shaped slot;

wherein said L-shaped slot comprises a first leg and a second leg, and further wherein said first leg extends longitudinally
along said housing and said second leg extends circumferentially along said housing;

wherein said follower is disposed in said first leg of said L-shaped slot when said locking collar is being mounted onto,
or dismounted from, said housing, and further wherein said follower is disposed in said second leg of said L-shaped slot when
said locking collar is rotated so as to cause said biasing collar to move said cam element into said second position.

US Pat. No. 9,452,014

INTEGRATED BLADE ASSEMBLY AND IDENTIFICATION CIRCUIT

GYRUS ACMI, INC., Southb...

1. An interchangeable tip comprising:
a. a stylet;
b. a blade module including:
i. an enclosure that electrically connects, signally connects, or both the interchangeable tip to a power source, a signal
source, or both; and

ii. blade circuitry having:
1. one or more switches for controlling operation of one or more functions of the interchangeable tip;
wherein the interchangeable tip is connectable to and separable from a handpiece.

US Pat. No. 9,409,002

URETERAL STENT WITH ANTI-MIGRATION FEATURES

GYRUS ACMI, INC., Southb...

1. A ureteral stent comprising:
a tubular body defining a lumen and having (i) a distal kidney section to be placed in or near a patient's kidney, (ii) a
proximal bladder section to be placed partly within or near the patient's bladder, and (iii) a ureter section between the
distal and proximal sections to be placed within the patient's ureter;

a first anti-migration feature provided at the proximal bladder section and including one or more projections extending outward
from the tubular body;

a second anti-migration feature provided at the distal kidney section, the proximal bladder section, or both,
the first anti-migration feature extending less than a total length of the proximal bladder section and being configured to
not enter the patient's bladder, and

the one or more projections including one or more protrusions configured to move from a delivery position in which the one
or more protrusions do not protrude radially beyond an outer circumference of the tubular body, to a deployment position in
which the one or more protrusions protrude radially beyond the outer circumference of the tubular body; and

a slideable outer tube disposed co-axial and outward of the tubular body, the outer tube including one or more apertures through
which the one or more protrusions protrude when in the deployment position.

US Pat. No. 9,445,863

COMBINATION ELECTROSURGICAL DEVICE

GYRUS ACMI, INC., Southb...

1. An electrosurgical system comprising:
a handpiece including:
a first working arm,
a second working arm, and
an activation circuit having only two switch states, the two switch states being a first switch state and a second switch
state,

wherein a therapy current is conducted between the first working arm and the second working arm when the activation circuit
is in the second switch state and the handpiece is in a first position configuration;

wherein the therapy current is conducted between the first working arm or the second working arm, and an adjacent handpiece
component when the activation circuit is in the second switch state and the handpiece is in a second configuration; and

wherein the therapy current is not conducted when the activation circuit is in the first switch state; and
wherein the second working arm includes a bypass that electrically connects the adjacent handpiece component to a generator.

US Pat. No. 9,526,404

ENDOSCOPE ILLUMINATION SYSTEM

GYRUS ACMI, INC., Southb...

1. Apparatus, comprising:
an endoscope, comprising:
a tube having a proximal end and a distal end configured for insertion into a body cavity;
an image sensor, mounted at the distal end and configured to generate image signals of a region of the body cavity in response
to illumination received therefrom;

a handle, configured to fixedly connect to the proximal end of the tube and configured to be held by an operator of the endoscope
for manipulation thereof;

a driver circuit mounted within the handle, which is powered by a direct (DC) current and is configured to generate pulse-width-modulated
(PWM) current; and

an illumination source, mounted within the handle, configured to receive the PWM current and in response to illuminate the
body cavity so as to provide the illumination received therefrom;

a camera control unit (CCU), which is external to the endoscope and is configured to provide the DC current to the driver
circuit, to control the image sensor and to generate an image of the body cavity in response to receipt of the image signals,
and to output a digital control signal indicative of a target luminous flux of the illumination source while varying a level
of the DC current according to the target luminous flux; and

a single cable connected between the CCU and the handle and configured to transfer the DC current and the digital control
signal to the driver circuit and to transfer the image signals to the CCU,

wherein the driver circuit is configured to generate and apply the PWM current to the illumination source when the digital
control signal indicates that the target luminous flux is below a predefined bounding value, and to pass the DC current through
to supply the DC current to the illumination source when the digital control signal indicates that the target luminous flux
is above the predefined bounding value.

US Pat. No. 9,510,739

ENDOSCOPE SMALL IMAGING SYSTEM

GYRUS ACMI, INC., Southb...

1. An endoscope camera, comprising:
a cylindrical enclosure having an enclosure diameter;
a rectangular array of imaging pixels formed on a planar substrate acting as a supporting frame for the array, which has a
first side of a first length and a second side of a second length, wherein the first length is longer than the second length,
and the array is mounted within the enclosure so that a plane face of the array is parallel to the enclosure diameter;

a right-angle transparent prism having a rectangular entrance face, an exit face, and an hypotenuse configured to reflect
radiation from the entrance face to the exit face, the entrance face having a first edge of the first length and a second
edge of the second length, the prism being mounted within the enclosure so that the first edge is parallel to the enclosure
diameter with the exit face cemented to the plane face of the array; and

anamorphic optics, configured to receive incoming radiation from an object, mounted so as to transmit the incoming radiation
to the array via the entrance and exit faces of the prism and to form an image on the array that is distorted responsively
to an aspect ratio of the exit face.

US Pat. No. 9,107,578

PANORAMIC ORGAN IMAGING

GYRUS ACMI, INC., Southb...

1. An imaging apparatus, comprising:
a pattern projecting device configured when in use to project a pattern onto a wall of a body cavity, wherein the pattern
comprises at least a first section and a second section;

an illumination device configured to direct an illumination light onto the wall of the body cavity;
an imaging device configured when in use and while in a first orientation directed to the first section of the pattern projected
onto the wall, to acquire a first pattern image of the first section of the projected pattern and a first wall image of the
wall of the body cavity under the illumination light, and when in use and while in a second orientation directed to the second
section of the pattern projected onto the wall, to acquire a second pattern image of the second section of the projected pattern
and a second wall image of the wall of the body cavity under the illumination light; and

a processor, which switches between the pattern projecting device and the illumination device intermittently so as to toggle
the pattern projecting device and the illumination device such that the imaging device acquires the first and the second pattern
images during the use of the pattern projecting device and acquires the first and the second wall images during the use of
the illumination light, and stitches the first wall image to the second wall image using the first pattern image and the second
pattern image.

US Pat. No. 9,681,885

SURGICAL SYSTEM HAVING DETACHABLE COMPONENT AND STATE DETECTION CIRCUIT FOR DETECTION OF STATE OF ATTACHMENT OF DETACHABLE COMPONENT

GYRUS ACMI INC., Southbo...

1. A surgical system component for operating with a console of a surgical system,
wherein the console comprises:
an electrical isolation device;
a therapy signal generator configured to generate a therapy signal;
a controller configured to control the therapy signal generator; and
a sensor circuit comprising:
a device state signal generation circuit configured to generate a device state signal; and
a reference circuit configured to provide a baseline signal based on the device state signal, and
wherein the surgical system component comprises:
a first component configured to be directly or indirectly detachably attached to the console, wherein the first component
is configured to be driven by the therapy signal to therapeutically affect a biological tissue; and

a first target state identifying circuit arranged to the first component,
wherein the first target state identifying circuit is configured to be selectively electrically connected in a first connected
state to the sensor circuit,

wherein in the first connected state, the first target state identifying circuit is configured to provide a first target state
identifying signal based on the device state signal,

wherein in response to the baseline signal and the first target state identifying signal, the sensor circuit is configured
to output a feedback signal through the electrical isolation device, and

wherein in response to the feedback signal, the controller is configured to control the therapy signal generator.

US Pat. No. 9,504,490

EAR PRESSURE EQUALIZING TUBE AND INSERTION DEVICE

GYRUS ACMI, INC., Southb...

1. A device comprising:
a. a rigid shaft having a first terminal end and a second terminal end;
b. a flexible tube substantially enclosed within the rigid shaft;
c. a plunger, at least a portion of which is joined with the flexible tube;
d. an activation mechanism adapted for engaging the plunger and releasing the plunger so that upon activation of the activation
mechanism, the plunger can be extended toward the first terminal end of the rigid shaft;

e. a plunger retrieval button for returning the device to a ready position;
f. a suction tube located inside a proximal end of a handle of the device;
g. a suction connector located adjacent the second terminal end of the rigid shaft and adapted for receiving a tubing for
connecting a vacuum device; and

h. a plunger retrieval button suction hole located on a top portion of the plunger retrieval button and protruding down to
meet with the suction tube.

US Pat. No. 9,113,935

OSCILLATING LITHOTRIPTER

Gyrus ACMI, INC., Southb...

11. A tip element for a lithotripter, the tip element comprising:
a proximal end configured for attachment to a waveguide of the lithotripter, the lithotripter comprising an evacuation lumen,
the evacuation lumen capable of supporting active suction;

a distal end configured for placement against at least one urinary tract stone, the lithotripter transmitting energy from
the tip element to the at least one urinary tract stone to break up the at least one urinary tract stone into fragments;

a tip element passage extending between the proximal end and the distal end, the tip element passage communicating with a
lumen of the waveguide for at least one of suctioning and irrigating a urinary tract, the tip element having at least one
slot with angled sides extending from the distal end towards the proximal end along the length of the slot; and

an insert positioned in the tip element passage, the insert including a sharp distal most edge,
wherein the distal end has one or more sharp edges to maintain contact between the at least one urinary tract stone and the
distal end.

US Pat. No. 9,345,386

ADJUSTABLE ENDOSCOPE SHEATH

GYRUS ACMI, INC., Southb...

1. An endoscope sheath comprising:
a sheath tube extending along a longitudinal axis between a proximal end and a distal end, the sheath tube configured to receive
at least a portion of an endoscope;

a hub adapter connected to the sheath tube, the hub adapter including an arm configured to engage at least a portion of the
endoscope so that the hub adapter and the sheath tube are restricted from rotating about the longitudinal axis; and

a knob configured to engage a shoulder of the endoscope and the sheath tube so that movement of the knob relative to the hub
adapter moves the sheath tube axially along the longitudinal axis without the endoscope axially moving along the longitudinal
axis.

US Pat. No. 9,332,894

ENDOSCOPE SYSTEM INCLUDING A RESILIENT RESERVOIR

GYRUS ACMI, Inc., Southb...

1. A system comprising:
a) a sheath configured to receive all or a portion of an endoscope;
b) an irrigation line connecting the sheath to an irrigation source;
c) a suction line connecting the sheath to a suction source; and
d) a control module located between the sheath, and the irrigation source and the suction source, the control module controls
flow of irrigation fluid from the irrigation source to the sheath and movement of suction between the suction source and the
sheath, the control module comprising:

i) an actuation member;
ii) a resilient reservoir in communication with the irrigation line and the actuation member;
iii) a valve in communication with the suction line; and
iv) a controller in communication with the actuation member and the valve
wherein compression of the resilient reservoir with the actuation member moves irrigation fluid from the resilient reservoir
to the sheath so that the irrigation fluid assists in cleaning the endoscope, and

wherein during the compression of the resilient reservoir, the actuation member also triggers a response from the controller
which initiates movement of the valve so that the valve opens and suction from the suction line is applied to the sheath after
the irrigation fluid begins moving from the resilient reservoir to the sheath but before the irrigation fluid stops moving
from the resilient reservoir to the sheath.

US Pat. No. 9,326,661

LINE OF SIGHT WIRELESS ENDOSCOPY

GYRUS ACMI, INC., Southb...

1. Endoscope imaging apparatus, comprising:
an endoscope, configured to be inserted into a body cavity of a patient;
an image sensor configured by means of the endoscope to form an image of the body cavity, and to transmit image signals in
response to the image formed;

an optical transmitter, physically connected to the endoscope, configured to receive the image signals, to encode the image
signals, and to transmit optical radiation comprising the encoded image signals;

an optical receiver with a mounting fixture configured for connection to a light boom, the receiver being configured to receive
the optical radiation, to decode the optical radiation to recover the image signals, and to transmit the recovered image signals
as a radio-frequency image signal; and

a camera control unit, configured to receive the recovered image signals and in response to display the image on a screen.

US Pat. No. 9,320,508

EXPANDABLE MEDICAL ACCESS SHEATH

Gyrus ACMI, Inc., Southb...

1. A medical access sheath assembly comprising:
a first member comprising a length with a channel therethrough, where the first member comprises a wall having a gap through
the wall, where the channel is configured to expand from a first cross-sectional size to a larger second cross-sectional size,
and where the gap is configured to enlarge as the channel expands;

a second member connected to the first member, where the second member extends across the gap, and where the second member
is configured to expand from a first configuration to a second configuration; and

a third member removably located within the channel, wherein the third member is configured to keep the second member in the
first configuration when the third member is located in the channel, and wherein the third member is configured to release
the second member to the second configuration when the third member is removed from the channel.

US Pat. No. 9,216,030

LAPAROSCOPIC FORCEPS ASSEMBLY

GYRUS ACMI, INC., Southb...

1. A laparoscopic forceps comprising:
a) a handpiece;
b) a biasing member;
c) a tubular member including:
i. an outer tube, and
ii. an inner tube, wherein the outer tube and inner tube are configured for relative axial motion when acted upon by the biasing
member; and

d) two or more jaws that extend out of the tubular member and the two or more jaws pivot on a common axis that is anchored
to the inner tube, wherein each of the two or more jaws has an arcuate section;

e) a blade and the blade includes a pin recess that receives a portion of a pin so that the blade is movable along a longitudinal
axis of the tubular member;

wherein the outer tube, during actuation of the biasing member, overruns the two or more jaws so that the two or more jaws
are moved towards each other; wherein one or more spacing members extend across a distal opening of the tubular member and
between the two or more jaws; and

wherein the two or more jaws are closable by the relative movement of the tubular member and the two or more jaws towards
each other so that the tubular member advances over the arcuate section of the two or more jaws, and the two or more are openable
by the relative movement of the tubular member and the two or more jaws away from each other so that the one or more spacing
members extend between the two or more jaws so that the two or more jaws are moved apart.

US Pat. No. 9,078,664

BIPOLAR SURGICAL INSTRUMENT WITH TWO HALF TUBE ELECTRODES

GYRUS ACMI, INC., Southb...

1. A surgical instrument comprising:
a hollow tubular member having a closed distal working end, a proximal end and an outer surface, with an opening in a side
wall at or adjacent the distal working end;

a first electrical insulation layer disposed on at least part of the outer surface of the hollow tubular member;
a first electrode disposed on an outer surface of the first electrical insulation layer, the first electrode being electrically
isolated from the hollow tubular member by the first electrical insulation layer; and

a second electrode disposed on the outer surface of the first electrical insulation layer, the second electrode being electrically
isolated from the hollow tubular member by the first electrical insulation layer,

wherein (i) the first and second electrodes are electrically isolated from each other, (ii) the first electrode includes a
first active segment, (iii) the second electrode includes a second active segment, and (iv) the first and second active segments
are disposed respectively on opposite sides of the opening in the side wall of the hollow tubular member within about 3.0
mm of the opening in the side wall of the hollow tubular member so that the opening is located between the first and second
active segments and a line that is perpendicular to and passes through a longitudinal axis of the hollow tubular member intersects
the first and second active segments on the opposite sides of the opening.

US Pat. No. 10,117,660

IMPACT DRILL LITHOTRIPTER

GYRUS ACMI, INC., Southb...

16. A lithotripter for fragmenting urinary tract stones, the lithotripter comprising:a motor operable to produce a rotational motion, having an electromagnetic rotor disposed within a stator coil of the motor, the electromagnetic rotor rotating within the stator coil at times electrical energy is supplied to the stator coil;
a first cam directly coupled to the electromagnetic rotor of the motor, forming an integrated unit with the motor, the rotational motion produced by the motor resulting in rotational motion of the first cam;
a second cam selectively engages with the first cam, converting the rotational motion of the first cam to a linear waveform that is transmitted through the second cam;
a driver housing, wherein the motor, the first cam, and the second cam are disposed in the driver housing;
a biasing member positioned distally to the second cam between a distal end of the driver housing and the second cam, urging the second cam against the first cam; and
a wave guide shaft coupled to the second cam, transmitting the linear waveform to at least one urinary tract stone to break up the at least one urinary tract stone into fragments.

US Pat. No. 10,327,835

HEAT PIPE COOLING ARRANGEMENT FOR ELECTROSURGICAL DEVICES

GYRUS ACMI, INC., Southb...

1. An electrosurgical device comprising:a forceps including:
i) a handpiece;
ii) a first working arm including an electrode;
iii) a second working arm including an electrode;
iv) a blade electrode;
v) one or more heat pipes in the first working arm, the second working arm, or both, wherein the one or more heat pipes are sealed with a closed proximal end and a closed distal end, and wherein the one or more heat pipes include a fluid sealed within the one or more heat pipes;
vi) one or more heat sinks located on the handpiece, and wherein the one or more heat sinks are connected to the one or more heat pipes,
vii) one or more fluid evacuation conduits having one or more openings and configured to remove smoke, air, or both from a region proximate to the first working arm, the second working arm, or both, and to move the air across the one or more heat sinks so that heat is dissipated from the one or more heat sinks through forced convection;
wherein the electrosurgical device is capable of being switched between a first electrical configuration so that the electrosurgical device delivers a first therapy current through the first working arm, the second working arm, or both, and a second electrical configuration so that the electrosurgical device delivers a second therapy current through the blade electrode;
wherein the closed distal end of the one or more heat pipes is in contact with the electrode of the first working arm, the electrode of the second working arm, or both; and
wherein the first working arm is moveable toward and away from the second working arm, the second working arm is moveable toward and away from the first working arm, or both.

US Pat. No. 9,186,164

IMPACT LITHOTRIPSY TIP

Gyrus ACMI, Inc., Southb...

1. An apparatus, comprising:
a stone retrieval device insertable through a proximal end of a working channel of an endoscope to retrieve a stone at a distal
end of an endoscope shaft; and

a lithotripsy shaft with a distal tip including one or more fixed guide features to accommodate passage there through of the
stone retrieval device and insertable through the proximal end of the working channel of the endoscope;

wherein the stone retrieval device extends from the distal end of the endoscope shaft through the lithotripsy shaft,
wherein the lithotripsy shaft is configured to cause stone destruction.

US Pat. No. 10,028,644

OBLONG ENDOSCOPE SHEATH

GYRUS ACMI, INC., Southb...

1. An endoscope sheath comprising:a proximal end;
a distal end having a distal end region;
a surface extending between and connecting the proximal end and the distal end; anda plurality of positioning devices located along the surface;wherein the endoscope sheath is configured to:(1) receive all or a portion of an endoscope having a cylindrical end, and
(2) provide a conduit for communicating fluid between the proximal end of the endoscope sheath and the distal end of the endoscope sheath when the endoscope is inserted inside the sheath;
wherein the distal end region of the endoscope sheath includes the plurality of positioning devices that secure the cylindrical end of the endoscope against a portion of an inner wall of the surface extending between the proximal end and the distal end so that a fluid barrier is created between the cylindrical end of the endoscope and the portion of the inner wall,
wherein the plurality of positioning devices are two or more hemispherical dimples that displace the cylindrical end of the endoscope against the portion of the inner wall,
wherein the endoscope sheath includes an end stop, the end stop is located at the distal end of the endoscope sheath, the end stop prevents movement of the endoscope past the distal end of the endoscope sheath when the cylindrical end of the endoscope is received in the endoscope sheath;
wherein the end stop is a planar wall that is located at the distal-most end of the sheath, the planar wall extends perpendicularly to a longitudinal axis of the endoscope sheath, the end stop extends from a first side of the surface towards a second opposing side of the surface and terminates at a straight edge that is located at the distal-most end of the sheath and is located between the first side of the surface and the second opposing side of the surface, and
wherein the endoscope sheath includes an opening extending at an angle from the straight edge of the end stop at the distal-most end of the endoscope sheath towards the second opposing side of the surface and towards the proximal end of the endoscope sheath,
wherein a full circumferential edge of the opening lies on a single plane, and
wherein the two or more hemispherical dimples are located proximate to the opening on the second opposing side and displace the endoscope from the second opposing side of the surface to the first side of the surface so that the conduit is created at the second opposing side so that irrigation fluid is moved over a viewing lens of the endoscope and the angle of the opening substantially matches an angle of the viewing lens.

US Pat. No. 9,452,011

COMBINATION ELECTROSURGICAL DEVICE

GYRUS ACMI, INC., , MA (U...

5. An electrosurgical device comprising:
a. forceps including:
i. a first working arm and
ii. a second working arm;
b. a blade electrode;
c. an immobilization feature that is slidable along the electrosurgical device;
d. one or more first activation buttons; and
e. one or more second activation buttons;
wherein the electrosurgical device is capable of being switched between a first electrical configuration so that the electrosurgical
device delivers a first therapy current through the first working arm, the second working arm, or both, and a second electrical
configuration so that the electrosurgical device delivers a second therapy current through the blade electrode;

wherein the first working arm and the second working arm of the forceps are immobilized in the second electrical configuration
by the immobilization feature being moved from a first position to a second position so that both the forceps and the first
therapy current are disabled, and

wherein the blade electrode extends between and beyond the first working arm and the second working arm in the second electrical
configuration;

wherein the electrosurgical device includes a shuttle that slides along the forceps and the immobilization feature is part
of the shuttle and the immobilization feature assists in disabling both the forceps and the first therapy current; and

wherein the shuttle has a second position where the shuttle impedes movement of one or more of the one or more first activation
buttons for applying the first therapy current and a first position where the shuttle impedes movement of one or more of the
one or more second activation buttons for applying the second therapy current so that only the one or more first activation
buttons or the one or more second activation buttons are impeded from movement at one time.

US Pat. No. 9,198,719

ELECTROSURGICAL FIBROID ABLATION SYSTEM AND METHOD

GYRUS ACMI, INC., Southb...

1. An electrosurgical fibroid ablation system comprising:
a catheter having (i) a sharp distal tip configured to pierce tissue, (ii) a hollow interior, (iii) a sideward-facing exit
hole adjacent to the distal tip, and (iv) a guide member adjacent to the exit hole, at least a portion of the guide member
being located within the hollow interior of the catheter; and

a flexible probe movably disposed within the hollow interior of the catheter and having a distal end that can be extended
outward of the catheter through the exit hole so as to enter a fibroid when the exit hole of the catheter is positioned adjacent
to the fibroid, the distal end of probe being flexible and including at least two electrodes to perform bipolar ablation,

wherein the guide member deflects the distal end of the probe when the probe is advanced through the catheter so that the
distal end of the probe exits the exit hole at a predefined angle relative to the catheter, and

wherein the guide member is a pivoting plate that is movably mounted to a pivot point within the catheter to pivot about the
pivot point so that the guide member is adjustable to adjust the predefined angle at which the distal end of the probe exits
through the exit hole.

US Pat. No. 9,681,914

APPARATUS AND METHOD FOR TUBESET WITH DRIVE AXLE

Gyrus ACMI, Inc., Southb...

1. A device comprising:
a. a handpiece having one or more attachment ports and one or more tracks;
b. a tubeset having:
i. one or more attachment features for connecting the tubeset to the one or more attachment ports in the handpiece;
ii. a drivetrain;
c. a removable tip having an attachment arm for attaching to the one or more attachment ports in the handpiece;
wherein the handpiece includes an attachment port that attaches the handpiece to an active lead and a return lead and the
device is adapted to use only the active lead or both leads so that the device can switch between bi-polar energy and mono-polar
energy;

wherein the drivetrain includes a coupler that attaches the drivetrain to the removable tip so that the drivetrain moves at
least a portion of the removable tip;

wherein the tubeset, the hand piece, the drivetrain, one or more power transfer devices, or a combination thereof are made
of plastic, and

wherein the coupler is hollow so that items may be moved through the coupler while the coupler is attached to the removable
tip.

US Pat. No. 9,532,802

EAR PRESSURE EQUALIZING TUBE AND INSERTION DEVICE

GYRUS ACMI, INC., Southb...

1. A method comprising:
a) providing a device in a ready position;
b) locating a first ventilation tube within a shaft tip, the shaft tip being attached to a first terminal end of a rigid shaft
and the rigid shaft containing at least a portion of a plunger assembly;

c) placing at least a portion of the first ventilation tube proximate an ear canal;
d) depressing an activation mechanism, whereby the movement of the activation mechanism causes a release of opposing plunger
flats;

e) actuating a plunger retrieval button which includes a suction hole located on the plunger retrieval button to return the
device to the ready position.

US Pat. No. 9,118,057

BATTERY PACK ATTACHED TO A CABLE

GYRUS ACMI, INC., Southb...

1. An article comprising:
i. a handheld device including:
(a) a housing; and
(b) a powered element within the housing;
ii. a battery pack; and
iii. an external cable having:
(a) a first segment containing battery lead wires and electrosurgical lead wires; and
(b) a second segment containing the electrosurgical lead wires;
wherein the handheld device is connected by the external cable to a functional system;
wherein the housing is connected to the battery pack by the first segment of the external cable;
wherein the battery pack is connected to the functional system by the second segment of the external cable;
wherein the battery pack supplies power to the powered element;
wherein the functional system includes a console which enables the handheld device; and
wherein the console houses a generator which supplies electrical energy to the handheld device separate from the powered element.

US Pat. No. 10,039,589

ENFORCEMENT DEVICE FOR LIMITED USAGE PRODUCT

Gyrus ACMI, Inc., Southb...

1. A medical device, comprising;a powered surgical element;
at least one powered surgical element connection adapted for connecting the powered surgical element to a power source;
an activation circuit configured to selectively provide an activation signal to a controller such that the controller directs the power source to provide power to the powered surgical element, the activation circuit including:
an activation switch;
a pair of activation circuit connections that connect the activation circuit to the controller; and
a termination circuit electrically connected to at least one of the pair of activation circuit connections, the termination circuit further comprising:
a monitoring circuit; and
a deactivation circuit,
the monitoring circuit configured to detect a triggering event and monitor the current in one or more of the pair of activation circuit connections until a predetermined deactivation pattern following the triggering event is met, the deactivation circuit operable to interrupt one or more of the pair of activation circuits connections for disabling the activation circuit based on the predetermined deactivation pattern, the triggering event defined by a first time the powered surgical element is powered on and the deactivation pattern is based on count of a discrete number of times current is applied to the powered surgical element or an aggregate duration of the time that current is applied to the powered surgical element;
the medical device being detachable from a console containing the power source.

US Pat. No. 9,901,389

OFFSET FORCEPS

Gyrus ACMI, Inc., Southb...

1. An electrosurgical device comprising:
a forceps including:
(i) a first working arm having a contact surface;
(ii) a second working arm having a contact surface;
(iii) a skewing device connected to both the first working arm and the second working arm, wherein the skewing device includes
a pathway located on a side of the skewing device and proximate to the first working arm or the second working arm;

(iv) a pin connected to the first working arm or the second working arm and located within the pathway;
(vi) a bias feature connected to the skewing device so that application of a force on the bias feature moves the skewing device
along the pin located within the pathway so that the forceps move between a first electrical configuration and a second electrical
configuration,

wherein when the forceps is in the first electrical configuration the contact surface of the first working arm and the contact
surface of the second working arm are directly opposing, facing, and aligned with each other and are laterally movable relative
to each other, and during lateral movement in the first electrical configuration the contact surface of the first working
arm and the contact surface of the second working arm remain directly opposing, facing, and aligned with each other and the
contact surface of the first working arm and the contact surface of the second working arm can be used to grip an item between
the first working arm and the second working arm so that the forceps is configured to deliver a first therapy current through
the first working arm, the second working arm, or both;

wherein when the forceps is in the second electrical configuration the contact surface of the first working arm and the contact
surface of the second working arm face each other, are in planar contact, and askew relative to each other and an electrode
edge is formed on at least one side of the forceps so that a second therapy current extends from the electrode edge;

wherein both the first working arm and the second working arm are configured to be electrically connected to a voltage source,
in the first electrical configuration, so that the first therapy current flows between the first working arm and the second
working arm; and

wherein the first working arm is configured to be electrically disconnected from the voltage source, the second working arm
is configured to be electrically connected to the voltage source, and a return electrode is configured to be electrically
connected to the voltage source, in the second electrical configuration, so that the second therapy current flows between
the return electrode and the second working arm which is connected to the voltage source.

US Pat. No. 9,241,609

METHOD AND APPARATUS FOR CONVERSION OF SIGNALS FROM A FIRST TYPE OF IMAGE SENSOR TO A SECOND TYPE OF CAMERA CONTROL UNIT

Gyrus ACMI, Inc., Southb...

1. A conversion module comprising:
a first interface for enabling electrical communication between said conversion module and an image sensor;
said image sensor being interchangeable between a Complimentary Metal Oxide Semiconductor (CMOS) and a Charge Coupled Device
(CCD) image sensor;

a second interface for enabling electrical communication between said conversion module and a camera control unit (CCU); and
conversion circuitry in communication with said first interface and said second interface, said conversion circuitry receiving
signals of a first type from said first interface and being of a first stream type or a second stream type, converting said
signals of a first type to signals of a second type, formatting the received signals to suit the CCU, and providing said signals
of a second type to said second interface, the second interface interchangeable between connection to a CCD based CCU and
a CMOS based CCU;

the conversion circuitry further including:
an Analog-to-Digital (A/D) converter in a first data path and in communication with said first interface and said second interface;
a Digital-to-Analog (D/A) converter in a second data path and in communication with said first interface and said second interface;
a controller for directing the first type signal to either the first data path or the second data path based on the image
sensor type being CCD or CMOS, respectively;

timing circuitry in communication with said A/D converter, said D/A converter and said first interface; and
power circuitry for providing power to said A/D converter, said D/A converter, said timing circuitry, and said first interface,
the first data path for processing received signals of the first stream type and the second data path for processing received
signal of the second stream type.

US Pat. No. 9,918,728

STONE FRAGMENT SUCTION DEVICE

Gyrus ACMI, Inc., Southb...

1. An apparatus comprising:
a steerable access sheath, the steerable access sheath comprising:
a proximal end, a distal end, a tip at the distal end, a central lumen, and an outer lumen;
a suction conduit positioned within the central lumen, the suction conduit extending from the distal end to the proximal end;
the outer lumen having one or more channels therethrough, the central lumen positioned in the outer lumen;
at least a portion of the one or more channels being fluid flow channels; and
the one or more fluid flow channels extending from the proximal end to the distal end, the one or more fluid flow channels
including one or more targeted exit conduits and in fluid communication with the one or more fluid flow channels proximal
to the tip, and the one or more targeted exit conduits having exit pathways oriented to create a directed flow at the distal
tip, wherein the one or more fluid flow channels are configured to generate turbulence within a region of interest.

US Pat. No. 9,782,525

MULTI-WAY VALVE FOR A MEDICAL INSTRUMENT

GYRUS ACMI, INC., Southb...

1. A medical device comprising: a first port; a second port in fluid communication with the first port; a third port in selective
fluid communication with both the first port and the second port; an upstream sealing surface; a plurality of downstream retaining
surfaces; a surface passage defined between adjacent downstream retaining surfaces; a chamber wall extending between the upstream
sealing surface and the downstream retaining surfaces; a plurality of wall passages that are notches defined in the chamber
wall; a sealing membrane located between the upstream sealing surface and the downstream retaining surfaces, the sealing membrane
is disposed between the third port and both the first port and the second port; and a resilient biasing member that is a spring
that is located on at least one of the downstream retaining surfaces, the resilient biasing member is in contact with an edge
portion of a downstream face of the sealing membrane, wherein during a condition of reduced or no-flow of fluid at the third
port, the biasing member biases the sealing member into a first position so that an upstream face of the sealing membrane
at least partially engages the upstream sealing surface preventing fluid communication between the third port and both the
first port and the second port, wherein movement of the fluid supplied to the third port causes the biasing member to compress
allowing the fluid to move the sealing membrane from the first position to a second position so that the upstream face of
the sealing member disengages the upstream sealing surface and the downstream face of the sealing membrane at least partially
engages the downstream retaining surfaces allowing fluid communication through at least some of the surface passages and at
least some of the wall passages between the third port and the first port.

US Pat. No. 9,528,664

ILLUMINATION BALANCING AND SOLID STATE NARROW BAND IMAGING UTILIZING FIBER BUNDLE DESIGN AND ASSEMBLY TECHNIQUES IN ENDOSCOPES

GYRUS ACMI, INC., Southb...

1. An illumination apparatus for use in an endoscope, the endoscope having a distal end, and at least a first illumination
window and a second illumination window disposed at the distal end of the endoscope, the illumination apparatus comprising:
at least a first semiconductor light source and a second semiconductor light source; and
at least a first fiber bundle and a second fiber bundle, the first fiber bundle having a first plurality of optical fibers
segregated to form at least a first fiber sub-bundle and a second fiber sub-bundle, the second fiber bundle having a second
plurality of optical fibers segregated to form at least a third fiber sub-bundle and a fourth fiber sub-bundle,

wherein each of the first fiber sub-bundle, the second fiber sub-bundle, the third fiber sub-bundle, and the fourth fiber
sub-bundle has a distal end and a proximal end,

wherein the proximal end of each of the first fiber sub-bundle and the second fiber sub-bundle is configured to receive light
emitted by at least the first semiconductor light source,

wherein the proximal end of each of the third fiber sub-bundle and the fourth fiber sub-bundle is configured to receive light
emitted by at least the second semiconductor light source,

wherein the respective distal ends of the first fiber sub-bundle and the second fiber sub-bundle are configured to direct
the light emitted by the first semiconductor light source to the first illumination window and the second illumination window,
respectively, at the distal end of the endoscope, and

wherein the respective distal ends of the third fiber sub-bundle and the fourth fiber sub-bundle are configured to direct
the light emitted by the second semiconductor light source to the first illumination window and the second illumination window,
respectively, at the distal end of the endoscope.

US Pat. No. 9,474,438

CONTINUOUS FLOW ENDOSCOPE SYSTEMS

GYRUS ACMI, Inc., Southb...

1. An endoscope comprising:
a hollow outer sheath defining a longitudinal axis, and being configured for insertion into a patient's body;
a hollow inner sheath configured to slideably receive a first internal instrument, the hollow inner sheath being receivable
within the hollow outer sheath; and

a working element configured to rotatably support at least the first internal instrument and a second internal instrument
such that at least the first internal instrument and the second internal instrument are rotatable about a common axis of rotation
being substantially coextensive with the longitudinal axis of the hollow outer sheath,

wherein the working element comprises at least one guide rail extending longitudinally along the common axis of rotation and
an actuator block being slideably mountable to the at least one guide rail, the actuator block being so securable to at least
one of the first internal instrument and the second internal instrument as to be able to urge the at least one of the first
internal instrument and the second internal instrument longitudinally of the hollow outer sheath as the actuator block slides
along the at least one guide rail,

wherein the hollow inner sheath is fixedly attached to the working element such that rotation of the working element causes
rotation of the hollow inner sheath, the first internal instrument, and the second internal instrument,

wherein the hollow inner sheath is an axially asymmetric tubular structure along its length,
wherein the working element further comprises a grommet configured to sealingly receive the first internal instrument and
the second internal instrument in respective first and second bores, and

wherein the first bore defines a first lip configured to urge against the first internal instrument and a second lip configured
to urge against the second internal instrument, wherein the first lip extends radially inwardly from an outer circumference
of the first bore and the second lip extends radially inwardly from an outer circumference of the second bore.

US Pat. No. 10,046,138

ATRAUMATIC URETERAL ACCESS SHEATH

Gyrus ACMI, Inc., Southb...

1. A non-uniform axial-stiffness ureteral access sheath, comprising:an inner liner;
a reinforcement layer adjacent the inner liner; and
an outer jacket adjacent the reinforcement layer and having an outer surface tapered along its length, the outer jacket comprising:
a first proximal jacket portion having a first end and an opposing second end;
a second distal jacket portion having a first end and an opposing second end;
wherein the second jacket portion has a lower durometer than the first jacket portion, the first and second jacket portions have the same uniform thickness and the first end of the second jacket portion section abuts the second end of the first jacket portion.

US Pat. No. 10,070,882

APPARATUS AND METHOD FOR CUTTING TISSUE

Gyrus ACMI, Inc., Southb...

1. A cutting instrument comprising:an outer tube comprising a distal end and a proximal end;
an inner tube rotatably disposed within said outer tube, said inner tube comprising a distal end, a proximal end and a region intermediate said distal end and said proximal end, said region comprising a plurality of slits formed in said inner tube so as to render said region of said inner tube flexible; and
a bellows disposed adjacent to said plurality of slits so as to render said region of said inner tube fluid-tight, said bellows comprising a distal end, a proximal end, and a longitudinal axis extending therebetween, said bellows further comprising an inner surface facing said inner tube and an outer surface facing said outer tube, said outer surface of said bellows comprising a plurality of alternating peaks and troughs, said peaks extending radially away from said longitudinal axis of said bellows so as to define a peripheral edge which lies in a plane perpendicular to the longitudinal axis of said bellows, and each of said troughs being disposed between a pair of said peaks;
wherein each of said plurality of peaks comprises at least one notch formed in the peripheral edge, whereby to fluidically connect said troughs together and thereby allow fluid to pass by said peaks.

US Pat. No. 9,895,160

SURGICAL OPERATING APPARATUS WITH TEMPERATURE CONTROL

GYRUS ACMI INC., Southbo...

1. A probe comprising:
a probe distal end body comprising a first electrode;
a vibration transmission body removably connected to the probe distal end body,
wherein the vibration transmission body is configured to transmit ultrasonic vibration generated by an ultrasonic transducer
remote from the probe distal end body to the probe distal end body by mechanical vibration transmission, and to transmit current
to the first electrode, and

wherein an interior surface of the probe distal end body and an interior surface of the vibration transmission body define
an interior space; and

a heat dissipation unit,
wherein at least a portion of the heat dissipation unit is arranged in the interior space defined by the probe distal end
body and the vibration transmission body, and

wherein the heat dissipation unit is configured to dissipate heat, generated remotely from the ultrasonic transducer at the
probe distal end body by one or both of the mechanical vibration transmission and the current, along the at least a portion
of the heat dissipation unit arranged in the interior space and away from the probe distal end body,

wherein the interior space extends along a longitudinal axis between a distal end and a proximal end,
wherein the distal end of the interior space is closed, and
wherein the distal end of the interior space corresponds with a first node position of the ultrasonic vibration.

US Pat. No. 9,668,805

COMBINATION ELECTROSURGICAL DEVICE

GYRUS ACMI INC, Southbor...

1. An electrosurgical system comprising: a handpiece including: a first power connector; a second power connector; and one
or more moveable members having a first position and a second position, wherein the one or more movable members include a
bipolar arm that moves longitudinally along the handpiece between the first position and the second position; and an activation
circuit having a first switch state and a second switch state, wherein the activation circuit in the first switch state does
not allow either a first electrosurgical therapy signal or a second electrosurgical therapy signal to exit the handpiece;
wherein when the activation circuit is in the second switch state and the one or more moveable members are in the first position
the activation circuit allows the first electrosurgical therapy signal to exit the handpiece so that a first therapy current
extends between the first power connector and the second power connector, wherein when the activation circuit is in the second
switch state and the one or more moveable members are in the second position the activation circuit allows the second electrosurgical
therapy signal to exit the handpiece so that a second therapy current extends between the first power connector and the second
power connector, wherein the handpiece is electrically connected to a generator that is capable of producing the first electrosurgical
therapy current and the second electrosurgical therapy current, and the second electrosurgical therapy current is monopolar
energy.

US Pat. No. 9,936,967

RETRIEVAL BASKET APPARATUS

Gyrus ACMI, Inc., Southb...

1. An object removal tool comprising:a basket device comprising a basket section;
a sheath on the basket device, where the basket device is adapted to longitudinally slide on the sheath; and
a control comprising a holder and a bracket, where the control is connected to the basket device and the sheath, where the control is configured to longitudinally move the basket device on the sheath to close the basket section on an object, where the holder is configured to be removably connected to a port of an endoscope, and where the bracket is movably connected to the holder,
where the control comprises a cam member having a cam surface adapted to cam against a portion of the basket device as the basket device and the cam member are rotated relative to each other.

US Pat. No. 9,452,009

COMBINATION ELECTROSURGICAL DEVICE

GYRUS ACMI, INC., Southb...

1. An electrosurgical device comprising:
forceps having:
a first working arm,
a second working arm,
wherein the electrosurgical device has a first electrosurgical configuration where the first working arm and the second working
arm are in an opposed position so that the forceps deliver a first therapy current that flows between the first working arm
and the second working arm;

wherein the electrosurgical device has a second electrosurgical configuration when the first working arm, the second working
arm, or both are repositionable relative to each other so that the first working arm is extended with respect to the second
working arm or vice versa and a second therapy current is delivered from the first working arm to a remote electrode;

wherein the forceps have a handpiece that a user grips during use and the handpiece includes a track that the second working
arm moves along so that the second working arm is extendable and retractable;

wherein a bias device is located within the handpiece so that when the second working arm is fully extended the bias device
extends the second working arm from the track in the handpiece; and

wherein the second working arm includes a guide lock that guides the second working arm along the track in the handpiece and
assists in locking the second working arm proximate to the handpiece so that the second working arm is not damaged in the
second electrosurgical configuration, and the guide lock extends from the track when the second working arm is fully extended
and the electrosurgical device is in the first electrosurgical configuration.

US Pat. No. 9,827,001

BLADE RETENTION MECHANISM FOR SURGICAL INSTRUMENT

GYRUS ACMI, INC., Southb...

1. A surgical apparatus including:
a) a handpiece having a passage adapted for receiving a surgical tool; and
b) a retention assembly integrated into the handpiece, the retention assembly including:
(i) a collet assembly including:
a collet member having a first inclined surface; and
a biasing member;
(ii) two buttons having a supplementary inclined surface supplementary with the first inclined surface of the collet member;
wherein radial movement of the two buttons relative to an insertion direction of the surgical tool into the passage causes
rotational movement of the collet member by interaction between the first inclined surface and the supplementary inclined
surface so that the collet assembly moves from a locked position to an unlocked position too uncouple or allow insertion of
the surgical tool from the surgical apparatus; and

wherein releasing the two buttons results in the biasing member moving the collet assembly from the unlocked position to the
locked position so that the retention assembly selectively retains the surgical too in the surgical apparatus.

US Pat. No. 9,561,046

INSTRUMENT WITH RESILIENT JAWS

GYRUS ACMI, INC., Southb...

1. An instrument comprising:
a forceps comprising:
i. a hand piece;
ii. a tubular member connected to the hand piece; and
iii. a jaw assembly connected to the hand piece, the jaw assembly comprising:
a. a first jaw element comprising a gripping section and a flexing section, the flexing section includes an arcuate section;
b. a second jaw element opposing the first jaw element, the second jaw element comprises a gripping section;
wherein the tubular member is moveable onto the arcuate section of the first jaw element so that the flexing section of the
first jaw element is flexed and the jaw assembly is moved into a closed position,

wherein the first jaw element and optionally the second jaw element includes a stiffening spine so that the jaw assembly is
substantially rigid in the closed position,

wherein in the closed position, an edge of the stiffening spine included on the first jaw element contacts the arcuate section
of the first jaw element so that a uniform gripping pressure is provided along a gripping portion of the first jaw element
and a gripping portion of the second jaw element, and

wherein when the jaw assembly is in an open position, a gap is defined between the edge of the stiffening spine and the arcuate
section of the first jaw element.

US Pat. No. 9,854,138

FIXED PATTERN NOISE REDUCTION

GYRUS ACMI, INC., Southb...

1. A method, comprising:
receiving signals, from a rectangular array of sensor elements arranged in rows and columns, corresponding to an image captured
by the array;

analyzing the signals along a row or a column to identify one or more local turning points within the row or the column;
processing the signals at the identified local turning points to determine whether the signals at the local turning point
meet a given condition;

calculating corrected values of the signals corresponding to the image captured by the array of sensor elements at the identified
local turning points, by adding to the identified turning points meeting the given condition, a predetermined value which
reduces the amplitude if the turning point is a maximum and which increases the amplitude if the turning point is a minimum,
so as to reduce the fixed pattern noise in the image; and

displaying the captured image with the calculated corrected values.

US Pat. No. 9,851,741

ENDOSCOPIC CUTTING FORCEPS WITH JAW CLAMP LEVER LATCHING MECHANISM

Gyrus ACMI, Inc., Southb...

1. A latching system comprising:
a first unit;
a second unit comprising a latch pin, said second unit being movably mounted to said first unit so that said latch pin moves
in a prescribed motion;

a selector plate movably mounted to said first unit; and
a latch plate comprising a labyrinth for selectively receiving said latch pin, said latch plate being movably mounted to said
selector plate;

wherein said latch plate moves linearly relative to said selector plate; and
wherein said prescribed motion is linear motion.

US Pat. No. 9,827,395

INTERVENTIONAL SINUS ENDOSCOPE

Gyrus ACMI, Inc., Southb...

1. An apparatus, comprising: a therapy delivery device, comprising:
a multi-lumen catheter comprising at least a first lumen and a second lumen, the first lumen surrounding the second lumen;
and

an endoscope and an endoscope shaft,
wherein a distal end of the endoscope shaft is insertable through said second lumen of the multi-lumen catheter,
wherein the first lumen of the multi-lumen catheter is an expandable lumen at a distal end, and
wherein the distal end of the first lumen comprises a plurality of pores along a top surface, and selectively expands upon
injection of a therapy such that the distal end of the first lumen expands more than a section of the first lumen extending
towards the distal end of the first lumen,

wherein the section of the first lumen comprises a non-compliant polymer having a compliance range of 0-10%, and the distal
end of the first lumen comprises a compliant polymer having a compliance range of 20-100%.

US Pat. No. 9,662,168

APPARATUS AND METHOD FOR TUBESET WITH DRIVE AXLE

Gyrus ACMI, Inc., Southb...

1. A device comprising:
a. a handpiece having one or more attachment ports and one or more tracks;
b. a tubeset having:
a plurality of tubes extending through the tubeset that are configured to pass one or more fluids through the tubeset, and
one or more attachment features for connecting the tubeset to the one or more attachment ports in the handpiece;
c. a removable tip having an attachment arm for attaching to the one or more attachment ports in the handpiece;
wherein the tubeset includes an image guidance port configured for attaching an image guidance sensor.

US Pat. No. 9,584,755

ENDOSCOPE WITH HIGH DEFINITION VIDEO RECORDER/PLAYER

GYRUS ACMI, INC., Southb...

1. Apparatus, comprising:
an endoscope comprising a high definition video camera;
a host processor, which is configured to receive video data encapsulated in a standard definition transmission format, and
to store the encapsulated video data in a memory;

a data converter, which is configured:
to receive high definition video data originating from an image captured by the high definition video camera as a sequence
of packets,

to encapsulate the sequence of packets in the standard definition transmission format, and
to convey the encapsulated packets to the host processor so that the host processor stores the packets in the memory; and
a codec which is configured to compress the high definition video data as the sequence of packets, and to convert the sequence
of packets to video data in a high definition transmission format,

wherein the codec is configured to receive the sequence of packets from the data converter, and to convert the sequence of
packets to video data in a high definition transmission format suitable for a screen displaying high definition video.

US Pat. No. 9,820,825

SURGICAL SYSTEM HAVING PLURALITY OF DETACHABLY ATTACHABLE COMPONENTS AND CIRCUIT FOR DETECTING TARGET STATES OF DETACHABLY ATTACHABLE COMPONENTS AND PERFORMING CONTROL BASED ON DETECTED TARGET STATES, AND METHOD FOR PROVIDING SURGI

GYRUS ACMI INC., Southbo...

1. A surgical system comprising:
a console comprising:
a function module configured to be controlled to perform a predetermined function; and
a controller configured to control the function module;
a first component configured to be directly or indirectly detachably attached to the console;
a second component configured to be directly or indirectly detachably attached to one of the console and the first component,
a target state detection circuit arranged to the console, the target state detection circuit comprising:
a detection signal generation circuit configured to generate a detection signal; and
a reference circuit configured to provide a baseline signal based on the detection signal;
a first target state identification circuit arranged to the first component,
wherein the first target state identification circuit is configured to be selectively electrically connected in a first attached
state to the target state detection circuit, and

wherein in the first attached state, the target state detection circuit and the first target state identification circuit
are configured to provide a first attachment state signal based on the detection signal; and

a second target state identification circuit arranged to the second component,
wherein the second target state identification circuit is configured to be selectively electrically connected in a second
attached state to the target state detection circuit, and

wherein in the second attached state, the target state detection circuit and the second target state identification circuit
are configured to provide a second attachment state signal based on the detection signal,

wherein the target state detection circuit is configured to output a feedback signal based on the baseline signal, the first
attachment state signal, and the second attachment state signal, and

wherein the controller is configured to control the function module based on the feedback signal.

US Pat. No. 10,071,221

REMOVABLE ANGLED GUIDEWIRE STORAGE DEVICE

GYRUS ACMI, INC., Southb...

1. An article comprising:i) a guidewire having an angled portion that is arranged at an angle relative to a remainder of the guidewire, and
ii) a removable angled guidewire storage device,
wherein a distal end of the removable angled guidewire storage device comprises a conical shape having a wall configured to contact and maintain the angled portion of the guidewire at the angle relative to the reminder of the guidewire;
wherein a larger end of the conical shape is located distal of a smaller end of the conical shape;
wherein a proximal end of the removable angled guidewire storage device comprises an opening that is adapted to fit over at least a portion of an introducer; and
wherein the angled guidewire storage device includes an internal channel having walls extending between the conical shape and the opening at the proximal end of the angled guidewire storage device for receiving and holding the guidewire.

US Pat. No. 10,004,521

FEEDBACK DEPENDENT LITHOTRIPSY ENERGY DELIVERY

Gyrus ACMI, Inc., Southb...

11. A method for optimizing a lithotripsy apparatus having a lithotripsy shaft configured to transmit an energy at two different frequencies for fragmenting stones, the method comprising:sensing with a sensing device an operational parameter for adjusting the stone-fragmenting energy;
wherein a processor determines the operational parameter after collecting signal data indicating the following operational conditions:
a) the lithotripsy shaft is in contact with a stone;
b) type of stone;
c) amount of force being applied by a user;
d) whether the user is applying force in excess of a predetermined threshold; and
e) physical characteristics of a stone;
and optimizing two frequencies according to the operational conditions.

US Pat. No. 9,257,763

HYBRID INTERCONNECT

GYRUS ACMI, INC., Southb...

1. Apparatus, comprising:
an integrated circuit comprising a first set of terminals and a second set of terminals:
wire bonds connected to the first set of terminals; and
a connector connected to the integrated circuit, the connector comprising:
a dielectric substrate having a first side and a second side;
wire bond terminals, attached to the first side of the substrate, that receive the wire bonds; and
solder bump terminals, attached to the second side of the substrate so as to be insulated from the wire bond terminals, and
coupled via solder balls with the second set of terminals of the integrated circuit, wherein the solder bump terminals are
arranged in a solder bump terminal configuration, and the second set of terminals of the integrated circuit are arranged in
an integrated circuit terminal configuration which is congruent to the solder bump terminal configuration.

US Pat. No. 9,931,129

SMALL FRAGMENT RETRIEVAL DEVICE

Gyrus ACMI, Inc., Southb...

1. A medical device comprising:a collection wire configured for entering a patient's anatomy, the collection wire including a distal end with a fibrous structure comprising a plurality of tips, the plurality of tips being configured to attract stone fragments from the patient's anatomy, wherein the fibrous structure comprises a first end and an opposite second end, wherein a distalmost point of the distal end is between the first end and the second end, and wherein the plurality of tips include at least one of:
i) a magnetic outer surface; and
ii) a nanofunctional molecule bonded to an outer surface.

US Pat. No. 10,024,746

INLINE PRESSURE TRANSDUCER

GYRUS ACMI, INC., Southb...

1. A method of determining fluid pressure inside a conduit, the method comprising:a) positioning the conduit in a surgical system, the surgical system comprising:
i) a pair of first sensors;
ii) a pair of second sensors;
iii) a first member comprising a pair of first projections; and
iv) a second member comprising a first of second projections, the second member is spaced apart from the first member defining a space therebetween;
wherein the conduit is positioned in the space between the first member and the second member;
wherein the conduit is configured to expand in response to an increase in the fluid pressure inside the conduit, which causes the conduit to apply a force on the first member, the second member, or both, which then causes one or both of the first member and the second member to move away from each other and apply a force on the pair of first sensors, the pair of second sensors, or both via the corresponding pair of first projections, the pair of second projections, or both,
b) generating one or more electrical signals with the pair of first sensors, the pair of second sensors, or both, the one or more electrical signals corresponding to the force applied on the pair of first sensors, the pair of second sensors or both; and
c) determining the fluid pressure inside the conduit by converting the one or more electrical signals into a fluid pressure value through a controller.

US Pat. No. 9,974,552

OSCILLATING LITHOTRIPTER

Gyrus ACMI, Inc., Southb...

8. A method for clearing stone debris or stone dust from a kidney, comprising:providing a fluid inflow into the kidney through a lumen of a waveguide of a lithotripter, the lithotripter provided with a tip element having a passage, the tip element including a distal end provided with a plurality of curved ends, each curved end being an angled tip with a sloped tab end defining a distal corner and a bent in portion defining a sharp corner proximal of the distal corner, each curved end terminating distally with a sharp edge; and
providing suction to remove the stone debris or stone dust,
wherein the distal end is configured to limit the size of fragments from the at least one urinary tract stone drawn into the tip element passage during suctioning.

US Pat. No. 9,748,057

DEVICE WITH MOVABLE BUTTONS OR SWITCHES

GYRUS ACMI, INC., Southb...

1. A surgical device comprising:
a. one or more functional elements; and
b. a selector assembly including:
i. one or more activation buttons,
ii. one or more circuit boards with one or more circuit board switches, and
iii. a shuttle in communication with the one or more circuit boards to move the one or more circuit boards between at least
a first position and a second position so that the one or more circuit boards are moveable relative to the one or more activation
buttons;

wherein the one or more functional elements provide a first function when the one or more circuit boards are in the first
position aligning the one or more circuit board switches with the one or more activation buttons so that when the one or more
buttons are selectively actuated, the one or more buttons contact the one or more circuit board switches, and the one or more
functional elements provide a second function when the one or more circuit boards are in the second position.

US Pat. No. 9,901,364

HEAT PIPE COOLED BURR INCLUDING SURGICAL INSTRUMENTS EMBODYING SAME

Gyrus ACMI, Inc., Southb...

1. A surgical instrument comprising:
a burr having a given shape;
a heat pipe being arranged so as to absorb heat energy at a first end thereof and dissipate the heat energy at least at a
second end thereof;

wherein the heat pipe includes a sealed internal cavity extending between the first and second ends and a phase change medium
within the internal cavity, where the heat pipe transfers heat energy between the first and second ends by the continuous
evaporation and condensation of the phase change medium within the internal cavity;

wherein the burr and heat pipe are arranged so that the heat pipe first end is thermally coupled to the burr such that at
least some heat energy being developed by the burr when in use is absorbed by the heat pipe first end and is communicated
in the direction of the heat pipe second end;

a tubular member that is connected to the burr and extends outwardly from the burr such that a longitudinal extending portion
of the heat pipe is disposed within the tubular member; and

wherein the burr includes a cavity that is configured and arranged to receive at least a portion of the heat pipe first end
therein.

US Pat. No. 10,080,641

URETERAL STENTS WITH WAVEFORM INTERLAYERS AND INTERSTITCHING

GYRUS ACMI, INC., Southb...

1. A ureteral stent comprising:a tubular body defining a lumen and having: (i) a kidney section to be placed in or near a patient's kidney, (ii) a bladder section to be placed within the patient's bladder, and (iii) a ureter section between the kidney and bladder sections to be placed within the patient's ureter, the tubular body having:
a first material layer; and
a stiffening member that extends through at least a portion of a length of the tubular body, the stiffening member having a stiffness characteristic that varies along its length and including at least one strand that is embedded within the first material layer, a cross-sectional shape of the at least one strand varying along the length of the tubular body.

US Pat. No. 9,692,036

DESTRUCTIVE BATTERY CLOSURE

GYRUS ACMI, INC., Southb...

1. An article comprising:
(a) a battery support containing battery lead wires attached to one or more terminals;
(b) an opposing battery support attached to the battery support to create a battery closure;
(c) one or more batteries having one or more battery contacts in the opposing battery support;
(d) one or more activation tabs; and
(e) one or more spring-loaded member shaving a linear axis;
wherein the one or more terminals are attached to the one or more spring-loaded members;
wherein the one or more activation tabs are spaced between the one or more terminals and the one or more battery contacts;
wherein the one or more spring-loaded members provide a biasing force that biases the one or more terminals against the one
or more activation tabs keeping the one or more activation tabs in place in either a first position or a second position of
the opposing battery support;

wherein the opposing battery support is moveable from the first position to the second position relative to the battery support
by moving the opposing battery support along the linear axis and toward the one or more spring-loaded members to compress
the one or more spring-loaded members so that the biasing force is greater in the second position than in the first position;
and

wherein the opposing battery support is securely connected to the battery support in both the first position and the second
position.

US Pat. No. 9,585,547

ADJUSTABLE ENDOSCOPE SHEATH

GYRUS ACMI, INC., Southb...

1. An endoscope sheath comprising:
a sheath tube extending along a longitudinal axis between a proximal end and a distal end, the sheath tube defining a passageway
that is configured to receive a tubular portion of an endoscope;

a hub connected to the proximal end of the sheath tube; and
a hub adapter engaging the hub and configured to engage the endoscope, the hub adapter having only a single port, the single
port is in communication with both an irrigation source and a suction source, the single port is adapted to provide irrigation
fluid from the irrigation source and suction from the suction source to the same passageway that is configured to receive
the tubular portion of the endoscope;

wherein the hub is separable from the hub adapter so that the hub and the sheath tube are separable from the hub adapter and
the endoscope,

wherein the sheath tube is rotatable about the longitudinal axis without rotation of the hub adapter, and
wherein the sheath tube is restricted from moving axially along the longitudinal axis relative to the hub adapter;
wherein one of the hub adapter and the hub includes a flange and the other of the hub adapter and the hub includes a channel;
wherein the flange rotationally engages the channel so that the sheath tube is rotatable about the longitudinal axis;
wherein after the flange engages the channel, a proximal side and a distal side of the flange is constrained within the channel
so that the sheath tube is restricted from moving axially along the longitudinal axis;

wherein the flange includes a plurality of radial projections and the channel includes a plurality of mating radial notches,
and after the radial projection are received into the radial notches the flange is rotatable within the channel; and

wherein after the flange is engaged in the channel, aligning the radial projections with the mating radial notches enables
the sheath tube and the hub to be separable from the hub adapter and the endoscope.

US Pat. No. 9,724,115

RETRACTION FORCE SENSING BASKET

Gyrus ACMI, Inc., Southb...

12. A stone retrieval device comprising:
a sheath;
a stone retrieval basket including a distal region with a plurality of basket wires and a proximal region with one or more
core wires, the stone retrieval basket being contained within the sheath and movable out of a distal opening of the sheath
to cause the plurality of basket wires to open into a basket shape;

a lock mechanism for locking a position of the stone retrieval basket with respect to a position of the sheath, the lock mechanism
including a first protrusion associated with a first member and a set of notches associated with a second member, the first
member being contained in the second member and movable relative to the second member, the first protrusion being engaged
with one notch of the set of notches when the lock mechanism is in the locked position, the one or more core wires being attached
to a third member contained in the first member, the third member being movable relative to the first member and including
a second protrusion, the second protrusion being engaged with the first protrusion when the lock mechanism is in the locked
position; and

a basket force controller including a first control stage and a second control stage, the first control stage including a
sensor for measuring force on the stone retrieval basket when the lock mechanism is in an unlocked position and the second
control stage including a sensor for measuring force on the stone retrieval basket when the lock mechanism is in a locked
position.

US Pat. No. 9,937,031

URETERAL STENT WITH ANTI-MIGRATION FEATURES

GYRUS ACMI, INC., Southb...

1. A ureteral stent comprising:a tubular body defining a lumen and having (i) a distal kidney section to be placed in or near a patient's kidney, (ii) a proximal bladder section to be placed partly within or near the patient's bladder, and (iii) a ureter section between the distal and proximal sections to be placed within the patient's ureter;
a first anti-migration feature provided entirely at the proximal bladder section and including one or more projections extending outward from the tubular body, the first anti-migration feature being distally spaced from a proximal end of the tubular body; and
a second anti-migration feature provided at the distal kidney section, the second anti-migration feature including a coiled structure,
wherein the one or more projections include a set of pads that are separated from each other, and a first subset of the pads closer to a proximal end of the tubular body have a relatively larger surface area than a second subset of the pads closer to a distal end of the tubular body.

US Pat. No. 9,713,502

NARROW BAND IMAGING WITH SURGICAL LOUPES

GYRUS ACMI, INC., Southb...

1. Apparatus, comprising:
a housing, configured to be mounted in proximity to a human eye;
optics, retained by the housing and configured to focus optical radiation from a scene to an image viewable by the human eye;
a tunable wavelength filter, retained by the housing and configured to sequentially toggle between filtering the optical radiation
from the scene by a first wavelength and by a second wavelength different from the first wavelength;

a neutral density filter retained by the housing and configured to apply a first transmission level to the optical radiation
filtered by the first wavelength and to apply a second transmission level to the optical radiation filtered by the second
wavelength; and

a processor configured to generate respective contrast metrics of the image for multiple different pairs of wavelengths and
transmission levels, and responsively to the contrast metrics, to select the first wavelength and first transmission level
and the second wavelength and second transmission level so as to maximize a contrast of the image viewable by the human eye.

US Pat. No. 9,788,848

LAPAROSCOPIC FORCEPS ASSEMBLY

GYRUS ACMI, INC., Southb...

1. A laparoscopic forceps comprising:
a handpiece including a distal end portion;
a tubular member protruding from the distal end portion of the handpiece, the tubular member having a distal end,
a pair of jaws having legs that are disposed within the tubular member and partially protruding from the distal end of the
tubular member, the pair of jaws and the tubular member being movable relative to each other in a direction parallel to a
longitudinal axis of the tubular member;

wherein each of the pair of jaws has an arcuate section, and the pair of jaws are closable by advancing the tubular member
over the arcuate section of the jaws; and

an operable mechanism for creating relative motion between the pair of jaws and the tubular member along a direction parallel
to the axis of the tubular member,

wherein at the distal end portion of the tubular member there is a profile shape that is non-circular; and
wherein the profile shape is a pair of flattened surfaces on a top surface and a bottom surface and a pair of flattened surfaces
on a pair of opposing side surfaces located adjacent the top surface and the bottom surface, and a gap extends between the
pair of flattened surfaces on the top surface and the bottom surface and the pair of flattened surfaces on the pair of opposing
side surfaces located adjacent the top and bottom surfaces.

US Pat. No. 9,763,685

COMBINATION MEDICAL DEVICE

Gyrus ACMI, Inc., Southb...

1. A device comprising:
a first arm;
a second arm interconnected to the first arm, wherein the first arm and the second arm are biased towards each other by a
closing force;

a biasing member disposed between the first arm and the second arm, wherein the biasing member has a first position that biases
the first arm and the second arm away from each other against the closing force and a second position that does not oppose
the closing force,

wherein the biasing member includes a first connector pivotally connected to the first arm and a second connector pivotally
connected to the second arm, and wherein the first connector is pivotally connected to the second connector,

the first connector has a first surface, the second connector has a second surface, and the first surface contacts the second
surface when the biasing member is in the first position,

wherein the first arm has a first distal end and a first proximate end, the second arm has a second distal end and a second
proximate end, and the first proximate end is interconnected to the second proximate end to bias the first distal end and
the second distal end towards one another,

wherein the first connector is connected to the second connector at a pivot point,
wherein the pivot point remains on a plane defined by the first arm and the second arm when the biasing member is in the first
position and the second position and the pivot point is closer to the first and second distal ends when in the first position
than when in the second position.

US Pat. No. 9,757,185

QUADRIPOLAR FORCEPS

Gyrus ACMI, Inc., Southb...

1. A method of operating electrosurgical forceps, comprising the steps of:
providing electrosurgical forceps including a pair of opposing first and second jaw members, each jaw member including at
least a first elongated straight electrode member and a second elongated straight electrode member, wherein the first and
second elongated straight electrode members included in the first and second jaw members, respectively, are disposed directly
opposite one another, wherein the second and first elongated straight electrode members included in the first and second jaw
members, respectively, are disposed directly opposite one another, wherein the first elongated straight electrode members
included in the respective jaw members are disposed diagonally opposite one another, wherein the second elongated straight
electrode members included in the respective jaw members are disposed diagonally opposite one another, wherein the first elongated
straight electrode member included in each jaw member has a proximal end and a distal end, and wherein the second elongated
straight electrode member included in each jaw member has a proximal end and a distal end;

connecting a first non-conductive bridge member between the distal ends of the first and second elongated straight electrode
members included in the first jaw member;

operatively connecting the proximal ends of the first elongated straight electrode members included in the respective jaw
members to a first high frequency electric power source;

operatively connecting the proximal ends of the second elongated straight electrode members included in the respective jaw
members to a second high frequency electric power source, the first elongated straight electrode members being electrically
isolated from the second elongated straight electrode members; and

grasping tissue by the pair of opposing first and second jaw members to allow current to flow diagonally through the tissue
between one or both of the first elongated straight electrode members and the second elongated straight electrode members.

US Pat. No. 9,750,393

LOCATION OF FRAGMENTS DURING LITHOTRIPSY

GYRUS ACMI, INC., Southb...

1. A method, comprising:
providing a lithotripsic device comprising a laser configured to break a stone into one or more fragments in a body lumen;
configuring an endoscope to obtain a captured image in the body lumen;
processing the captured image and creating a processed image for display on a monitor; and
processing and displaying a track of a movement of at least one of the stone or the one or more fragments.

US Pat. No. 9,844,408

REPLACABLE DEBRIDER BLADE MODULE WITH LATCHING MECHANISM

GYRUS ACMI, INC., Southb...

1. A blade assembly comprising:
a. a tip including two or more tubes, wherein the two or more tubes include at least:
iii. an outer tube and
iv. an inner tube; and
b. a mechanical enclosure including:
v. a locking spline having a longitudinal axis; and
vi. a slide lock that is movable between a locked position and an unlocked position within the mechanical enclosure;
wherein the slide lock moves between the locked position and the unlocked position along a longitudinal axis of the locking
spline, and the slide lock in the locked position extends over the locking spline forming a locked state so that rotational
movement of the locking spline, around the longitudinal axis of the locking spline, is prevented; and
wherein the outer tube is coupled to the locking spline so that rotational movement of the outer tube, around the longitudinal
axis of the locking spline, is prevented during the locked state;
wherein a biasing member is located between the slide lock and the locking spline so that the biasing member assists in moving
the slide lock off of the locking spline forming an unlocked state when the locking spline is in the unlocked position.

US Pat. No. 9,999,754

DELIVERY METHOD FOR BIODEGRADABLE STENTS

Gyrus ACMI, Inc., Southb...

1. A method of identifying a guidewire for the proper delivery of a biodegradable stent into a treatment site of a patient, the method comprising determining the surface hydrophilicity or surface hydrophobicity of a guidewire through measuring a contact angle of its surface; and determining the surface hydrophilicity or surface hydrophobicity of a biodegradable stent through measuring a contact angle of its surface, wherein the guidewire is proper for the delivery of the stent when the guidewire is a hydrogel coated guidewire having a contact angle of between about 20 and about 80 degrees and the stent is a chitosan based stent having a contact angle of between about 20 and about 80 degrees.

US Pat. No. 9,901,388

HAND SWITCHED COMBINED ELECTROSURGICAL MONOPOLAR AND BIPOLAR DEVICE

Gyrus ACMI, Inc., Southb...

1. An electrical cable comprising:
a first plug, including a first, second and third conductor extending therefrom, wherein the first and second conductors are
first and second electrosurgical leads and the third conductor is a first electrosurgical activation switch return lead;

a first electrosurgical activation switch connected between one of the electrosurgical leads and the first electrosurgical
activation switch return lead;

a second plug adapted to plug including a fourth, fifth and a sixth conductor extending therefrom, wherein the fourth conductor
is a third electrosurgical lead and the fifth and sixth conductors are second and third electrosurgical activation switch
return leads;

a second electrosurgical activation switch connected between the fourth conductor and the fifth conductor;
a third electrosurgical activation switch connected between the fourth conductor and the sixth conductor;
wherein the third conductor is a shared conductivity line integrated with one of the fifth or sixth conductors.

US Pat. No. 9,642,640

LITHOTRIPTER WITH IMPROVED STERILIZATION TIME

Gyrus ACMI, INC., Southb...

1. An apparatus, comprising:
a lithotripter, comprising:
a handle, the handle having a handle distal end and a handle proximal end;
a driver resource contained within the handle, the driver resource having a driver resource distal end and a driver resource
proximal end;

a probe housed within the handle, the probe having a probe distal end and a probe proximal end, the probe distal end terminating
at the distal end of the apparatus at a point distal from the handle distal end, the probe proximal end terminating proximal
to the driver resource proximal end;

a removable passageway extending through the handle and at least partially containing the probe, the removable passageway
having a removable passageway proximal end and a removable passageway distal end; and

a shielding insert surrounding at least a portion of the probe, the shielding insert having a shielding insert proximal end
and a shielding insert distal end, the shielding insert proximal end terminating proximal to the proximal end of the driver
resource, the shielding insert being contained in the removable passageway,

wherein the probe proximal end is contained within the handle,
wherein the driver resource causes the probe to move in a direction parallel with a longitudinal axis of the probe,
wherein the handle further comprises one or more distal end seals, one or more proximal end seals, or a combination thereof
positioned adjacent to the shielding insert and between the shielding insert and the handle to provide a fluid tight sealing
directly adjacent to the shielding insert.

US Pat. No. 10,327,794

FORCEPS WITH A ROTATION ASSEMBLY

GYRUS ACMI, INC., Southb...

1. A forceps comprising:a) a stylet having a distal end and a proximal end region, the stylet comprising:
(i) a hollow tube having a proximal end region and a longitudinal axis;
(ii) one or more assemblies that are extendable through the hollow tube, the one or more assemblies comprising;
1) one or more support rods having a distal end and a proximal end region;
2) one or more functional attachments at the distal end of the one or more support rods;
b) a hand piece comprising,
(i) one or more housing structures defining a cavity that houses the proximal end region of the stylet;
(ii) one or more actuating mechanisms in communication with the proximal end region of the stylet, the one or more actuating mechanisms comprising:
1) a bearing fitting located on the proximal end region of the stylet, the bearing fitting being both rotatably and axially moveable and having one of the one or more support rods extending therethrough;
2) a shuttle in communication with the bearing fitting, the shuttle constrained by a plurality of guide ridges attaches to the one or more housing structures so that the shuttle is movable along a longitudinal axis and restricted from rotational movement around the longitudinal axis;
3) a socket housed by the shuttle, the socket receiving the bearing fitting so that the bearing fitting is rotatable relative to the shuttle; and
4) one or more levers in communication with the stylet so that movement of the one or more levers causes movement of the hollow tube or movement of the one or more assemblies; and
wherein the movement of the hollow tube and the movement of the one or more assemblies are relative to each other.

US Pat. No. 9,936,963

STONE FRAGMENT SUCTION DEVICE

Gyrus Acmi, Inc., Southb...

1. An apparatus comprising:a steerable access sheath having a proximal end and a distal end;
a tip at the distal end; and
a suction conduit positioned within a central lumen of the steerable access sheath, the steerable access sheath including an outer lumen, the central lumen positioned within the outer lumen, the outer lumen including one or more channels therethrough, the steerable access sheath further comprising a radiopaque material at a location along a length of the steerable access sheath to enable tracking with a remote fluoroscopic device.

US Pat. No. 9,855,091

SURGICAL DEVICE HAVING CHANGEABLE ELEMENTS

Gyrus ACMI, Inc., Southb...

1. An electrosurgical device comprising:
an elongate first member;
an elongate second member disposed adjacent to the first member, the second member being at least movably coupled to the first
member;

a first electrode coupled to the first member, at least a portion of the first electrode being movable with respect to the
first member into a first electrode first position and a first electrode second position;

a second electrode coupled to the second member, the first and second electrodes being configured to apply a current to a
tissue;

a first device distal end;
a second device distal end; and
a device proximal end, the first electrode having a first electrode first portion and a first electrode second portion, the
first electrode first portion forming the first device distal end when the first electrode is in the first electrode first
position, the first electrode second portion forming the first device distal end when the first electrode is in the first
electrode second position,

wherein in the first electrode first position, the first electrode second portion is disposed closer to the device proximal
end than the first electrode first portion is disposed with respect to the device proximal end.

US Pat. No. 9,737,319

ANTI-RETROPULSION SYSTEMS AND METHODS

GYRUS ACMI, INC., Southb...

1. A method comprising:
positioning an anti-retropulsion device at a desired location; and
expanding an expandable portion of the anti-retropulsion device, the expandable portion comprises plurality of expandable
segments that extend along a longitudinal axis, and each of the plurality of expandable segments have a corresponding plurality
of expandable members; and

wherein after the expanding, the expandable members in one of the expandable segments are circumferentially offset relative
to the expandable members in another one of the expandable segments such that formation of longitudinally extending gaps between
the expandable members, and extending along an entire longitudinal length of the expandable members, is prevented.

US Pat. No. 10,085,622

CONTROL OF A BASKET RETRIEVAL DEVICE

GYRUS ACMI, INC., Southb...

1. A medical system comprising:I. a medical device, the medical device including a handle and a mechanism for moving a distal end of the medical device, the medical device including a connector port projecting from the handle, the connector port is adapted to connect to a light source and to provide illumination to the medical system; and
II. an auxiliary medical device, the auxiliary medical device comprising:
i. a basket retrieval device including a basket sheath disposed over a basket wire, the basket sheath, the basket wire, or both are received into a working channel of the medical device;
ii. a knob assembly in communication with the basket retrieval device, the knob assembly includes an opening, the connector port of the medical device projects through the opening and the knob assembly, the knob assembly comprises a circular member that is rotatable about an outer surface of the connector port so that the basket sheath, the basket wire, or both move within the working channel of the medical device; and
iii. a base connected to the knob assembly, the base removably connecting the auxiliary medical device to the handle of the medical device,
wherein the medical device is an endoscope, a ureteroscope, or both, and the basket retrieval device includes a basket connected to a distal end of the basket wire,
wherein the handle and the base are configured to be simultaneously gripped with a hand of a user,
wherein the mechanism is configured to be moved with a first finger of the hand to move the distal end of the medical device and the knob assembly is configured to be rotated with a second finger of the hand to move the basket sheath, the basket wire, or both relative to the distal end of the medical device,
wherein moving the mechanism with the first finger causes the distal end of the medical device to deflect, bend, or both,
wherein rotating the knob assembly with the second finger in a first direction causes the basket wire and the basket to deploy from the basket sheath, the distal end of the medical device or both so that an object can be captured,
wherein rotating the knob assembly with the second finger in a second direction causes the basket wire and the basket to collapse, retract, or both into the basket sheath, the distal end of the medical device, or both, and
wherein a biasing member that is in communication with the knob assembly helps rotate the knob assembly from the first direction back to the second direction.

US Pat. No. 9,877,738

OSCILLATING LITHOTRIPTER

Gyrus ACMI, Inc., Southb...

1. A lithotripter for fragmenting urinary tract stones, the lithotripter comprising:
an ultrasonic driver configured to produce an ultrasonic waveform having an ultrasonic frequency;
a sonic driver configured to produce a sonic waveform having a sonic frequency selected according to a size of a urinary tract
stone, the sonic driver being mechanically coupled to the ultrasonic driver;

a stone size detector for detecting the size of the urinary tract stone, the stone size detector comprising at least one detector
selected from a group of detectors consisting of an optical detector and an ultrasonic echo detector, the lithotripter being
configured to automatically set at least one of the sonic driver or the ultrasonic driver to produce the sonic or ultrasonic
waveform at the selected frequency according to the size of the urinary tract stone;

a driver housing, the ultrasonic driver and the sonic driver being disposed within the driver housing; and
a wave guide shaft for transmitting the ultrasonic and sonic waveforms to at least one urinary tract stone, the wave guide
shaft being driven by at least one of the ultrasonic driver and the sonic driver.

US Pat. No. 9,820,763

LITHOTRIPSY APPARATUS USING A FLEXIBLE ENDOSCOPE

GYRUS ACMI, INC., Southb...

1. An apparatus, comprising:
lithotripsy shaft for passing energy to a stone and causing destruction to the stone;
a handle connected to a proximal end of the lithotripsy shaft;
a stone retrieval device which extends through the lithotripsy shaft, wherein the stone retrieval device comprises wires or
filaments at a distal end for retrieval of a stone;

a lithotripsy shaft driver attached to a platform for driving the lithotripsy shaft under power; and
a translation mechanism contained on the handle for adjusting a longitudinal position of at least one of the stone retrieval
device, and the lithotripsy shaft;

wherein one or more guide features at a distal end of the lithotripsy shaft facilitate passage of the wires or filaments of
the stone retrieval device there through.

US Pat. No. 9,763,730

ELECTROSURGICAL INSTRUMENT

Gyrus ACMI, Inc., Southb...

1. An electrosurgical instrument comprising:
a. a first arm carrying a first and second electrode, the first arm including a front edge;
b. a second arm, having a front edge that directly opposes the front edge of the first arm, the second arm carrying one of
a nonconductor element or one or more conductive elements;

wherein only one of the first electrode, second electrode, or one or more conductive elements passes energy in a monopolar
mode and at least two of the first electrode, second electrode, or one or more conductive elements pass energy in a bipolar
mode; and

wherein the first and second electrodes are formed as two conductors having a thermal joint therebetween, the first electrode
formed by a first lobe and the second electrode formed by a second lobe, and the thermal joint formed as an indentation in
between the first and second lobes.

US Pat. No. 9,707,028

MULTI-MODE COMBINATION ELECTROSURGICAL DEVICE

GYRUS ACMI, INC., Southb...

1. An electrosurgical device comprising:
a. forceps including:
a first working arm, and
a second working arm;
b. a blade;
c. one or more sliders that move along the forceps between at least a first position and a second position;
d. a first activation button; and
e. a second activation button;
wherein the electrosurgical device is capable of being switched between:
A. a first configuration wherein:
the first working arm and the second working arm are free to move in a direction towards each other so as to grasp tissue
therebetween,

the blade is retracted within a distal end of the first working arm and a distal end of the second working arm, and
the first activation button is configured to produce a first therapy signal; and
B. a second configuration wherein:
the first working arm and the second working arm are secured together to prevent movement in a direction towards each other,
and

the blade is extended so that a distal end of the blade is substantially flush with the distal end of the first working arm
and the distal end of the second working arm;

wherein at least one of the one or more sliders disable the second activation button when the at least one slider is in the
first position, and

wherein the at least one slider in the second position: secures the first working arm and the second working arm so that movement
of the first working arm and the second working arm are prevented in a direction towards each other, extends the blade, or
enables the second activation button to produce a second therapy signal.

US Pat. No. 9,681,883

FORCEPS WITH A ROTATION ASSEMBLY

GYRUS ACMI, INC., Southb...

1. A forceps comprising:
(a) a stylet having a distal end and a proximal end region, the stylet comprising;
(i) a hollow tube having a proximal end region and a longitudinal axis;
(ii) one or more assemblies that are extendable through the hollow tube, the one or more assemblies comprising;
1) one or more support rods having a distal end and a proximal end region;
2) one or more functional attachments at the distal end of the one or more support rods;
(b) a hand piece comprising;
(i) one or more housing structures defining a cavity that houses the proximal end region of the stylet;
(ii) one or more actuating mechanisms in communication with the proximal end region of the stylet, the one or more actuating
mechanisms comprising;

1) a bearing fitting located on the proximal end region of the stylet, the bearing fitting being both rotatable and axially
moveable and having one of the one or more support rods extending therethrough;

2) a shuttle in communication with the bearing fitting, the shuttle constrained by a plurality of guide ridges so that the
shuttle is movable along the longitudinal axis and restricted from rotational movement around the longitudinal axis;

3) a socket housed by the shuttle, the socket receiving the bearing fitting so that the bearing fitting is rotatable relative
to the shuttle; and

4) one or more levers in communication with the stylet so that movement of the one or more levers causes movement of the hollow
tube or movement of the one or more assemblies;

wherein the movement of the hollow tube and the movement of the one or more assemblies are relative to each other;
wherein a rotation mechanism comprises:
(a) a rotation wheel held by the one or more housing structures;
(b) one or more control blocks coupled to the rotation wheel; and
(c) the one or more assemblies being in communication with the one or more control blocks so that rotating the rotation wheel
thereby rotates the stylet around the longitudinal axis of the hollow tube, or rotates the one or more assemblies around the
longitudinal axis of the hollow tube, or both

wherein the movement of the one or more levers in communication with the stylet causes the shuttle and the socket to move
along the longitudinal axis, the bearing fitting being moved by the shuttle, and the socket and the bearing fitting allowing
portions of the stylet to be movable along the longitudinal axis while also being rotatable around the longitudinal axis,
thereby causing the one or more assemblies to be rotatable around the longitudinal axis while also movable along the longitudinal
axis, the movement of the one or more assemblies being independent of the hollow tube or in combination with the hollow tube.

US Pat. No. 10,555,725

THERMAL MECHANISM TO PREVENT REPROCESSING OR REUSE OF MECHANICAL SURGICAL DEVICES

Gyrus Acmi, Inc., Southb...

1. A surgical apparatus comprising:a mechanism that is configured to perform an operational motion of the surgical apparatus; and
at least one transformation member having an original shape and a deformed shape, the at least one transformation member connecting the mechanism together, when the at least one transformation member is in the deformed shape so that the mechanism is capable of performing the operational motion;
wherein after the transformation member is subject a transition temperature, the at least one transformation member disengages a portion of the mechanism so that the mechanism is prevented from performing the operational motion; and
wherein the at least one transformation member is at least partially comprised of a shape-memory material.

US Pat. No. 10,058,234

SURGEON CONTROLLED ENDOSCOPE DEVICE AND METHOD

Gyrus ACMI, Inc., Southb...

1. A medical apparatus comprising:an endoscopic tool comprising first and second members longitudinally slideable relative to each other; and
a control connected to a proximal end of the endoscopic tool, where the control comprises a housing and a slider, where the slider is slideably connected to the housing, where the slider has the first member and/or the second member connected thereto, and where the housing comprises a connector configured to removeably connect the housing to an endoscope distal end deflection control lever of an endoscope, where the slider is configured to slide laterally between lateral sides of the endoscope, where the endoscope distal end deflection control lever is configured to control deflection of a distal end of the endoscope, and where the connector is configured to connect the control to the endoscope distal end deflection control lever such that the control is moved with the endoscope distal end deflection control lever when the endoscope distal end deflection control lever is moved to deflect the distal end of the endoscope.

US Pat. No. 9,918,774

RESISTIVELY HEATED ELECTROSURGICAL DEVICE

GYRUS ACMI, INC., Southb...

1. A medical device, comprising:
i. a hand piece comprising a first electrode including a heater, a second electrode, and a third electrode;
ii. a heating power supply selectively providing heating power to the heater; and
iii. a therapy power supply selectively providing therapeutic power to the first electrode,
wherein the medical device is changeable between operating in a first electrosurgical configuration and in a second electrosurgical
configuration,

wherein in the first electrosurgical configuration, the heating power supply provides the heating power to the heater to heat
the first electrode and the therapy power supply provides the therapeutic power to the first electrode,

wherein in the second electrosurgical configuration, the second electrode is in communication with the therapy power supply
and the second electrode is also in communication with the first electrode, the third electrode, or both, and

wherein in the second electrosurgical configuration, the medical device operates in a bipolar mode.

US Pat. No. 9,737,232

SURGICAL POSITIONING CIRCUIT

Gyrus Acmi, Inc., Southb...

1. A method of sensing a surgical target comprising:
disposing a signal source on a distal side of a surgical target;
orienting a positioning device on a proximate side of the surgical target, the positioning device responsive to the signal
source;

receiving, by each of a plurality of sensors in the positioning device, strength signals indicative of a field strength from
the signal source at the sensors;

adjusting, based on a previous calibration, each of the strength signals to accommodate a variance between the strength of
the signals received by each of the sensors;

using a multiple channel voltage comparator for comparing the adjusted strength signals; and
determining, from the adjusted received strength signals, when the positioning device is aligned with the signal source.

US Pat. No. 10,182,861

RECONFIGURABLE ELECTROSURGICAL DEVICE

GYRUS ACMI, INC., Southb...

1. An electrosurgical device comprising: forceps including: i. a first working arm including an arm securing mechanism; ii. a second working arm including an arm securing mechanism; and iii. a slider including an immobilization member that is extendable between the arm securing mechanism of the first working arm and the arm securing mechanism of the second working arm; a blade; wherein the electrosurgical device is capable of being switched between: A. a first mechanical configuration where the first working arm and second working arm are free to move towards each other to grasp tissue therebetween; B. a second mechanical configuration where the first working arm and second working arm are secured together by the immobilization member extending between the arm securing mechanism of the first working arm and the arm securing member of the second working arm so that movement of the first working arm and the second working arm towards each other is prevented; and C. a third mechanical configuration where the first working arm and second working arm are secured together by the immobilization member extending between the arm securing mechanism of the first working arm and the arm securing mechanism of the second working arm so that the first working arm and the second working arm are prevented from moving towards each other, and the blade is substantially flush with or extends beyond a distal end of the first working arm and the second working arm; and wherein the electrosurgical device is configured to: deliver a bipolar current between the first working arm and the second working arm, and to prevent current from flowing from the blade when the electrosurgical device is in the first mechanical configuration and the second mechanical configuration; and deliver current through the blade when the electrosurgical device is in the third mechanical configuration.

US Pat. No. 10,022,040

ENDOSCOPE SYSTEM INCLUDING A RESILIENT RESERVOIR

GYRUS ACMI, INC., Southb...

1. A method comprising:a) connecting a sheath to an endoscope;
b) connecting a delivery line to the sheath;
c) connecting a suction source to a control module by a suction line;
d) connecting an irrigation source to the control module by an irrigation line; and
e) connecting the control module to the delivery line by the suction line and the irrigation line so that suction and irrigation fluid extend through the control module;
wherein application of the irrigation fluid and application of the suction are provided by a single event.

US Pat. No. 9,895,157

MECHANICAL CONVERTER ASSEMBLY AND IMPLEMENTATIONS

Gyrus ACMI, Inc., Southb...

1. A lithotripsy system comprising:
a shaft; and
a mechanical converter assembly, the mechanical converter assembly comprising:
an input element to receive a mechanical drive signal from a driver resource;
a lever stack including multiple levers, the lever stack translating the mechanical drive signal received at the input element
into a mechanical output signal that translationally moves a shaft, the mechanical drive signal is a mechanical drive force
and the mechanical output signal is a mechanical output force;

an output element operable to apply the mechanical output signal produced by the lever stack to the shaft, the lever stack
further includes: a housing in which the multiple levers are disposed, the multiple levers including at least a first lever
and a second lever, the first lever receiving the mechanical drive force from the input element, the first lever pivoting
in the housing to convert the mechanical drive force into a first internal drive force conveyed up the lever stack to the
second lever, the second lever pivoting to convert the first internal drive force up the lever stack toward the output element;

a spring disposed between the shaft and the output element and configured to assist in returning the output element to an
initial condition and to apply a force to the shaft towards the output element, wherein the initial condition is when little
force or no force is applied to the input element.

US Pat. No. 10,098,524

ENDOSCOPE SHEATH ARM

GYRUS ACMI, INC., Southb...

1. An endoscope sheath comprising:a. a tube extending along a longitudinal axis between a proximal end and a distal end, the tube defining only a single passageway between the proximal end and the distal end, the passageway is configured to receive all or a portion of a shaft of an endoscope, the endoscope including a light post that extends from a proximal end region of the endoscope,
b. an arm attached to and extending from a proximal end region of the endoscope sheath;
c. a port configured to provide ingress and egress of irrigation fluid, suction, or both through the passageway that also is configured to receive the shaft of the endoscope;
wherein the arm has one or more features that are in communication with the light post to connect the endoscope sheath to the endoscope to prevent movement of the endoscope sheath both axially and rotationally with respect to the endoscope,
wherein the tube includes an outer surface that is graspable by a user, the outer surface is free from rotating relative to the endoscope after the one or more features of the arm are in communication with the light post,
wherein the endoscope sheath includes a flare that axially extends in a proximal direction from the proximal end of the tube, the flare includes a facing surface that is generally perpendicular to the longitudinal axis of the tube, the flare and the facing surface are both formed from a pliable material that is elastically deformed to form a fluid seal with a shoulder of the endoscope when the facing surface abuts the shoulder of the endoscope and the one or more features of the arm are in communication with the light post so that the irrigation fluid, suction, or both, are prevented from leaking between the endoscope sheath and the endoscope, the shoulder of the endoscope being a surface of the endoscope that is generally perpendicular to the longitudinal axis of the tube, and
wherein after the one or more features of the arm are in communication with the light post thereby connecting the endoscope sheath to the endoscope, an outer circumferential surface of the endoscope that is located immediately proximal to the shoulder of the endoscope and medial to a plane forming a tangent with the outer circumference of the endoscope is free from being encircled within the endoscope sheath, wherein the plane is orthogonal to a central axis of the light post.

US Pat. No. 9,782,216

MEDICAL FORCEPS WITH VESSEL TRANSECTION CAPABILITY

GYRUS ACMI, INC., Southb...

1. A surgical device comprising:
a. forceps including:
i. a first working jaw, and
ii. a second working jaw; and
b. a blade extending along a longitudinal axis and located between the first working jaw and the second working jaw, the blade
including:

i. a notched section, the notched section comprising a proximal edge and a distal edge, at least one of the proximal edge
and the distal edge is linear and generally perpendicular to the longitudinal axis, the notched section comprises an upper
edge extending between the proximal edge and the distal edge,

wherein the blade is moveable along the longitudinal axis while tissue is gripped between the first working jaw and the second
working jaw so, that the tissue is cut with the proximal edge or the distal edge of the notched section without repositioning
the first working jaw, the second working jaw, or both,

wherein the blade is a blade electrode that is configured to deliver a first therapy current,
wherein a distal end of the blade electrode is moveable beyond a distal-most end of the forceps so that that the distal end
of the blade electrode functions as an electrosurgical blade,

wherein the blade is rotatable between a first rotated position and a second rotated position, and
wherein in the first rotated position, the upper edge of the notched section faces either the first working jaw or the second
working jaw, and in the second rotated position the upper edge of the notched section faces a direction between the first
working jaw and the second working jaw.

US Pat. No. 10,653,500

SYSTEM AND METHOD FOR PREVENTING REUSE OF MEDICAL DEVICE

Gyrus ACMI, Inc., Southb...

1. A medical system comprising:a medical device configured to generate a first code or coded message; and
a controller, where the controller is configured to be in electronic communication with the medical device, where the controller comprises a processor and a memory, where the controller is configured to generate a second code or coded message based upon information received from the medical device, where the controller is configured to transmit the second code or coded message to the medical device,
where the medical device is configured to block the medical device from being used when the first code or coded message and the second code or coded message are not the same or identical.

US Pat. No. 10,561,433

FORCEPS JAW MECHANISM

Gyrus Acmi, Inc., Southb...

1. An instrument comprising:a) an outer member that extends along a longitudinal axis;
b) an inner member received in the outer member, the inner member comprising:
i) a first moveable arm; and
ii) a second moveable arm;
c) a jaw assembly that is moveable between an open position and a closed position, the jaw assembly comprising:
i) a first jaw; and
ii) a second jaw;
wherein the first jaw is connected to the first moveable arm at a first pivot joint, the first jaw is connected to the outer member at a second pivot joint;
wherein the second jaw is connected to the second moveable arm at a third pivot joint, the second jaw is connected to the outer member at a fourth pivot joint;
wherein the second pivot joint and the fourth pivot joint are located on opposite sides of the longitudinal axis, and both the second pivot joint and the fourth pivot joint are aligned along a horizontal axis that extends generally perpendicular to the longitudinal axis;
wherein the inner member is adapted to be moved distally relative to the outer member so that the first jaw pivots about the second pivot joint towards the second jaw and the second jaw pivots about the fourth pivot joint towards the first jaw thus moving the jaw assembly from the open position towards the closed position,
wherein a proximal end of the first moveable arm and a proximal end of the second movable arm each cantilever from a distal end of the inner member;
wherein a distal end of the first moveable arm and a distal end of the second movable arm both displace relative to the longitudinal axis when the jaw assembly is moved from the closed position toward the open position;
wherein the distal end of the first moveable arm and the distal end of the second movable arm both displace relative to the longitudinal axis when the jaw assembly is moved from the open position toward the closed position,
wherein the first moveable arm and the second movable arm are bendable;
wherein both the first moveable arm and the second movable arm bend towards the longitudinal axis when the jaw assembly is moved from the open position toward the closed position;
wherein the first moveable arm and the second movable arm both bend away from the longitudinal axis when the jaw assembly is moved from the closed position to the open position.

US Pat. No. 10,433,897

ENFORCEMENT DEVICE FOR LIMITED USAGE PRODUCT

Gyrus Acmi, Inc., Southb...

1. A medical device, comprising:a powered surgical element;
at least one powered surgical element lead adapted to connect the powered surgical element to a power source;
a termination circuit electrically coupled to the at least one powered surgical element lead, the termination circuit including:
a monitoring circuit; and
a deactivation circuit,
the monitoring circuit configured to detect a predetermined deactivation pattern by monitoring a therapy current in the at least one powered surgical element lead until the predetermined deactivation pattern following a triggering event is met, the triggering event defined by a first sensing of the therapy current through the at least one powered surgical element lead;
the deactivation circuit configured to interrupt the at least one powered surgical element lead for disabling the powered surgical element based on the occurrence of the predetermined deactivation pattern; and
the medical device detachable from a console containing the power source.

US Pat. No. 10,285,773

LITHROTRIPTER WITH IMPROVED STERILIZATION TIME

GYRUS ACMI, INC., Southb...

1. An apparatus, comprising:a lithotripter, comprising:
a handle, the handle having a handle distal end and a handle proximal end;
a driver resource contained within the handle, the driver resource having a driver resource distal end and a driver resource proximal end;
a probe housed within the handle, the probe having a probe distal end and a probe proximal end, the probe distal end terminating at the distal end of the apparatus at a point distal from the handle distal end, the probe proximal end terminating proximal to the driver resource proximal end;
a removable passageway contained within a central lumen of the driver resource; and
a shielding insert surrounding at least a portion of the probe, the shielding insert having a shielding insert proximal end and a shielding insert distal end, the shielding insert proximal end terminating proximal to the proximal end of the driver resource, and the shielding insert distal end terminating distal to the distal end of the driver resource, wherein the probe proximal end is contained within the handle,
wherein the driver resource causes the probe to move in a direction parallel with a longitudinal axis of the probe,
wherein the handle further comprises one or more distal end seals, one or more proximal end seals, or a combination thereof positioned adjacent to the shielding insert and between the shielding insert and the handle to provide a fluid tight sealing directly adjacent to the shielding insert.

US Pat. No. 10,238,276

ELECTRONIC ENDOSCOPE CLEANER SHEATH

Gyrus ACMI, Inc., Southb...

1. Apparatus for cleaning a distal tip of an endoscope, the apparatus comprising:a shaft of the endoscope;
a driver configured to be mounted over and engaging with the shaft of the endoscope, the driver adapted for generating transverse physical waves along a length of the shaft;
a source configured for powering the driver; and
a sheath configured for transmitting the waves, said waves effecting a physical cleaning of the distal tip of the endoscope.

US Pat. No. 10,178,997

HIGH-SPEED POWERED HAND TOOL WITH IMPROVED MOTOR COOLING

Gyrus ACMI, Inc., Southb...

1. A surgical device comprising:a handpiece comprising a distal end and a proximal end;
a chamber formed within said handpiece;
a motor disposed within said chamber;
an exhaust port in fluid communication with said chamber, said exhaust port being configured for attachment to a suction source so as to apply suction to said chamber; and
at least one inlet port in fluid communication with said chamber, said at least one inlet port being configured to allow ambient air to be drawn into said chamber;
wherein said chamber is defined by at least one longitudinally-extending wall, said motor is defined by at least one longitudinally-extending wall, and further wherein at least one longitudinally-extending gap is formed between said at least one longitudinally-extending wall of said motor and said at least one longitudinally-extending wall of said chamber;
wherein said surgical device is configured so that when suction is applied to said exhaust port, ambient air is drawn into said at least one inlet port, along said at least one longitudinally-extending gap and out said exhaust port;
wherein said exhaust port and said at least one inlet port are both disposed at one of said distal end of said handpiece and said proximal end of said handpiece; and
wherein said at least one longitudinally-extending gap comprises a first longitudinally-extending gap and a second longitudinally-extending gap, and further wherein said exhaust port is in fluid communication with said first longitudinally-extending gap, said at least one inlet port is in fluid communication with said second longitudinally extending gap, and further wherein said first longitudinally-extending gap is in fluid communication with said second longitudinally-extending gap at a location which is remote from said one of said distal end of said handpiece and said proximal end of said handpiece.

US Pat. No. 9,694,119

SURGICAL INSTRUMENT

GYRUS ACMI, INC., Southb...

1. A surgical instrument comprising:
a hollow tubular member having a distal end;
a handpiece connected to a proximal end of the hollow tubular member and having a suction passage in fluid connection with
the hollow tubular member;

a suction pump that is configured to produce suction at the distal end of the hollow tubular member; and
a pressurization unit provided between the suction passage and the suction pump, the pressurization unit comprising:
an outer valve portion having a first port connected to the suction passage, a second port connected to the suction pump,
and a third port;

a pressurization device connected to the third port, the pressurization device having a movable part that is configured to
generate pressurized fluid when the movable part is moved; and

an inner valve portion that is slidably provided within the outer valve portion, the inner valve portion including a first
flow passage that is a bore which passes through the inner valve portion, the first flow passage fluidically connecting the
first port and the second port of the outer valve portion to each other when the inner valve portion is in a first position,

the inner valve portion configured to move from the first position to a second position to create a second flow passage that
passes between an exterior surface of the inner valve portion and an interior surface of the outer valve portion to fluidically
connect the first port and the third port of the outer valve portion to each other when the inner valve portion is in the
second position, the second passage does not pass through the inner valve portion;

wherein the pressurization unit is configured such that the pressurized fluid from the pressurization device causes the inner
valve portion to move from the first position to the second position, thereby providing positive pressure to the hollow tubular
member.

US Pat. No. 10,363,066

TISSUE RESECTION DEVICE

Gyrus ACMI, Inc., Southb...

1. A medical device, the device comprising:an outer tubular member having a proximal end and a distal end;
a middle tubular member having a proximal end and a distal end, the middle tubular member configured to be received within the outer tubular member and capable of being rotatable relative to the outer tubular member; and
an inner tubular member configured to be received within the middle tubular member and capable of reciprocating and also capable of being rotatable relative to the middle tubular member;
wherein the outer tubular member comprises a first opening, wherein the middle tubular member comprises a second opening, and wherein the first opening is aligned with the second opening, wherein the outer tubular member comprises a first window between the first opening and the proximal end, wherein the middle tubular member comprises a second window between the second opening and the proximal end,
wherein the inner tubular member is configured to reciprocate and rotate while the middle tubular member and the outer tubular member are configured to be stationary, and wherein the middle tubular member is configured to be rotatable relative to the outer tubular member while the inner tubular member is configured to be stationary.

US Pat. No. 10,292,757

ELECTROSURGICAL INSTRUMENT

Gyrus ACMI, Inc., Southb...

1. An electrosurgical instrument comprising:(a) a first arm carrying a first and second electrode and having a top edge, a bottom edge and two substantially parallel side edges such that one or more of the first and second electrodes extends from the bottom edge and beyond the top edge of the first arm and wherein the top edge and bottom edge are substantially parallel to one another and the bottom edge is an inside edge of the first arm adjacent the second arm;
(b) a first, second and third insulating portion located on the first arm, the second insulating portion arranged so that it is coextensive with and located in between the first and second electrode, the first and third insulating portions also arranged coextensive with the first and second electrode but free of any contact with the second insulating portion;
(c) a second arm opposing the first arm, the second arm carrying a single conductive element and a first and second insulating portion, the first and second insulating portions being free of direct contact with one another;
wherein the conductive element is a floating electrode and opposes both the first electrode and the second electrode and wherein the floating electrode is offset from and does not permanently align with the first or second electrode on the first arm.

US Pat. No. 9,717,524

VAGINAL CUFF CLOSURE TOOL AND METHOD

Gyrus ACMI, Inc., Southb...

1. A method of closing a vaginal cuff of a vaginal canal, the vaginal cuff being formed at a distal end of the vaginal canal
and the vaginal canal forming a vaginal opening at a proximal end of the vaginal canal, the method comprising:
advancing a hollow sleeve member with an open interior section and a sleeve proximal and a sleeve distal end into a patient's
anatomy;

advancing a first probe and a second probe through the open interior section of the hollow sleeve member and into the patient's
anatomy through the sleeve distal end, the first probe having a first tissue manipulator disposed at a probe distal end of
the first probe and the second probe having a second tissue manipulator disposed at a probe distal end of the second probe;

grasping a first tissue portion of the vaginal cuff with the first tissue manipulator and grasping a second tissue portion
of the vaginal cuff with the second tissue manipulator, the first and second tissue portions being spaced apart from each
other by a lateral space;

moving at least one of the hollow sleeve member and the first and second probes relative to each other by advancing the hollow
sleeve member toward the vaginal cuff over the first and second probes, thereby bringing together the distal ends of the first
and second probes and the first and second tissue portions to reduce or eliminate the lateral space.

US Pat. No. 10,595,927

COMBINATION MEDICAL DEVICE

GYRUS ACMI, INC., Southb...

1. A device comprising:a first arm having a first distal end and a first proximate end;
a second arm having a second distal end and a second proximate end, the second arm interconnected to the first arm, wherein the first arm and the second arm are biased towards each other by a closing force;
a shuttle;
a biasing member disposed between the first arm and the second arm, the biasing member having a first position that provides an opening force that biases the first arm and the second arm away from each other against the closing force, and having a second position that does not oppose the closing force, the biasing member having a first connector pivotally connected to the first arm and a second connector pivotally connected to the second arm, and the first connector and the second connector are pivotally connected to the shuttle at a pivot point, the first connector having a first surface and the second connector having a second surface, and the first surface contacts the second surface when the biasing member is in the first position.

US Pat. No. 10,166,036

VARIABLE SUCTION CONTROL

Gyrus ACMI, Inc., Southb...

1. An apparatus comprising:a housing forming a handle and a shaft, the shaft extends from the handle, and the housing defines a suction channel from a distal end of the shaft and through the handle;
an electrical conductor extending from the handle through the shaft to the distal end of the shaft; and
a suction control valve connected to the suction channel at the handle, the suction control valve comprises:
a valve body having a first channel and a second channel connected to the first channel, the first channel forms a portion of the suction channel, the second channel having a recessed seat at an entrance to the second channel;
a valve barrel rotatably connected to the valve body, the valve barrel comprises a rotatable ring surrounding the valve body and forming a portion of the housing, the ring comprises an orifice configured to be rotated into and out of registration with an end of the second channel as the ring is rotated about the valve body; and
a seal configured to be aligned with the second channel at times the valve barrel is rotated to an open position and to a closed position, the seal comprising a first end and an opposite second end, the first end of the seal is received at the recessed seat, the seal comprising an opening extending from the first end of the seal to the opposite second end of the seal.

US Pat. No. 10,117,563

POLYP DETECTION FROM AN IMAGE

GYRUS ACMI, INC., Southb...

7. An apparatus for inspecting a body cavity, the apparatus comprising:an endoscope configured to be inserted into the body cavity and comprising a camera and a first illuminator and a second illuminator, similar to the first illuminator, in different, respective locations on the endoscope,
wherein the camera is configured to acquire a first image of the body cavity while the cavity is illuminated by the first illuminator and to acquire a second image of the cavity while the cavity is illuminated by the second illuminator; and
a processor configured to form a comparison between the second image and the first image by calculating intensity differences between corresponding pixels of the first image and the second image, and
to identify an area of the body cavity as a suspect region in response to a difference in shadowing between the first and second images that is found in the comparison, by finding in the region a certain number of contiguous pixels for which the intensity differences are greater than an average intensity difference, and
to display one of the acquired images on a monitor while marking the suspect region on the one of the acquired images.

US Pat. No. 10,085,793

OFFSET FORCEPS

GYRUS ACMI, Inc., Southb...

1. An electrosurgical device comprising:a forceps including:
i) a first working arm having a distal end including a body, a tip, a connection surface, and a contact surface which is substantially flat, wherein the tip extends from a first side of the body and the connection surface extends from a second side of the body which is opposite of the first side of the body and is perpendicular to the contact surface;
ii) a second working arm having a distal end including a body, a tip, a connection region, and a contact surface which is substantially flat, wherein the tip extends from a first side of the body and the connection surface extends from a second side of the body which is opposite of the first side of the body and is perpendicular to the contact surface;
wherein when the forceps is in a bipolar position, the contact surface of the first working arm and the contact surface of the second working arm are substantially opposite each other so that the contact surface of the first working arm and the contact surface of the second working arm face each other and can be used to grip an item between the first working arm and the second working arm so that a first therapy current can be passed between the first working arm and the second working arm through the item;
wherein when the forceps is in a monopolar position, the first working arm and the second working arm are in planar contact, the contact surface of the first working arm and the contact surface of the second working arm are askew relative to each other, the connection surface of the first working and the connection surface of the second working arm are aligned and in planar contact, and the tip of both the first working arm and the second working arm each form an electrode edge on opposing sides of the forceps so that a second therapy current extends from the electrode edges;
wherein the first therapy current is a bipolar current and the second therapy current is a monopolar current;
wherein the first working arm and the second working arm each include an axis, and the first working arm rotates around the axis of the first working arm and the second working arm rotates around the axis of the second working arm during reconfiguration between the monopolar position and the bipolar position or vice versa;
wherein both the first working arm and the second working arm are configured to be electrically connected to a voltage source, in the bipolar position, so that the first therapy current flows between the first working arm and the second working arm; and
wherein the first working arm is configured to be electrically disconnected form the voltage source, the second working arm is configured to be electrically connected to the voltage source, and a return electrode is configured to be electrically connected to the voltage source, in the monopolar position, so that the second therapy current flows between the return electrode and the second working arm which is connected to the voltage source.

US Pat. No. 10,709,314

ENDOSCOPE TOOL POSITION HOLDER

Gyrus ACMI Inc., Southbo...

1. An apparatus comprising:a first end configured to connect to a control of an endoscope object removal tool, where the first end comprises a pocket configured to receive a portion of the endoscope object removal tool, where the pocket comprises an entrance in a front end of the pocket, a rear end which is closed and deflectable sides to resiliently deflect to hold the endoscope object removal tool when the endoscope object removal tool is inserted into the entrance, wherein the first end comprises a one-piece member, wherein the resiliently deflectable sides are adapted to snap on to a proximal end of a handle of the endoscope object removal tool without another member therebetween, and wherein the pocket and the resiliently deflectable sides are adapted to snap on to the endoscope object removal tool such that a majority of the endoscope object removal tool extends distally beyond the entrance of the pocket;
a second end having a connector configured to be received into a slot on a handle of an endoscope and retained therein to removably connect the second end to the endoscope; and
a spine connecting the first end to the second end, where the spine is connected to the first end by a connection at a portion of the first end which forms the closed rear end of the pocket, where the spine comprises a plurality of serially interconnected members which are rotatable relative to each other using connections in which a flexing movement of the members is limited by an engagement of an outer surface of each of the members with an interior surface of a successive member, where connections of the members to one another comprise friction locks, where the friction locks are configured to be temporarily unlocked by overcoming friction forces at the friction locks such that the spine is semi-flexible.

US Pat. No. 10,292,759

ELECTROSURGICAL DEVICE FOR VESSEL SEALING

GYRUS ACMI, INC., Southb...

1. An end effector assembly of a forceps comprising:a first jaw member;
a second jaw member, the first jaw member and the second jaw member being selectively positionable relative to one another, at least one of the jaw members including an electrically conductive tissue engaging surface configured to connect to an electrosurgical energy source, at least one of the jaw members including two blade channels defined therein and extending therealong and a feed in member positioned between the two blade channels, the feed in member being selectively positionable; and
a cutting blade that is translatable such that selective positioning of the feed in member enables the cutting blade to selectively enter into at least one of the two blade channels.

US Pat. No. 10,631,717

ENDOSCOPE SHEATH ARM

Gyrus Acmi, Inc., Southb...

1. An endoscope sheath comprising:a. a tube extending along a longitudinal axis and configured to receive at least a portion of a shaft of an endoscope, the endoscope including a light post; and
b. an arm attached to and extending from the endoscope sheath, the arm is configured to engage the light post;
wherein a proximal end of the endoscope sheath includes a flare that is configured to form a fluid seal with a shoulder of the endoscope upon the arm engaging the light post, the fluid seal is configured to prevent one or more fluids from escaping between the flare and the shoulder; and
wherein the shoulder of the endoscope is generally orthogonal to the longitudinal axis of the tube.

US Pat. No. 10,595,990

OSSEOINTEGRATIVE ADJUSTABLE OSSICULAR PROSTHESIS

Gyrus ACMI, Inc., Southb...

15. An otologic prosthesis, comprising:a set of crimping prongs positioned at a distal end of the otologic prosthesis, the set of crimping prongs being joined at a proximal end thereof and open at a distal end thereof;
a lattice structure provided on a surface of each crimping prong in the set of crimping prongs; and
a stem connecting the set of crimping prongs to a TM plate at a proximal end, the stem comprising an annular snap-fit mechanism and a slit formed along a proximal portion of the stem, the TM plate comprising a plug,
wherein the plug is configured to be inserted into the annular snap-fit mechanism to secure the stem to the TM plate,
wherein the stem is configured to be cut for sizing.

US Pat. No. 10,456,191

SURGICAL FORCEPS AND LATCHING SYSTEM

GYRUS ACMI, INC., Southb...

1. A surgical forceps comprising:a first working arm and a second working arm configured to move in a direction that is towards each other and a direction away from each other, and the first working arm and the second working arm are movable in the direction towards each other or the direction away from each other, in a manner that creates a resilient moving force;
an electromagnetic latching system including two or more electromagnetic latches;
wherein the electromagnetic latching system is configured to create a force that is superimposed upon the resilient moving force, wherein the force comprises one or more of the following:
(i) the force biases the first working arm, the second working arm, or both in a direction of the resilient moving force; or
(ii) the force biases the first working arm, the second working arm, or both in an opposite direction as the resilient moving force; and
wherein a bipolar current extends between the first working arm and the second working arm and the force is created when a first activation button is energized; and
wherein the electromagnetic latching system has fine adjustment by a first of the two or more electromagnetic latches creating the force and a second of the two or more electromagnetic latches creating one or more adjustable forces that are applied in a same direction, an opposite direction, or both as the force forming an adjusted force so that the adjusted force assists a user in moving the first working arm and the second working arm together or apart.

US Pat. No. 10,413,350

ELECTROSURGICAL DEVICE VESSEL SEALING AND CUTTING

GYRUS ACMI, INC., Southb...

1. A jaw assembly of a forceps, the jaw assembly comprising:a first jaw body having an effecting surface and a medial edge disposed longitudinally on the effecting surface;
a second jaw body having a first effecting surface and a second effecting surface, the second effecting surface being stepped off from the first effecting surface, the second jaw body also having a medial edge that is located between the first effecting surface and the second effecting surface,
wherein the first jaw body and the second jaw body are disposed in opposition relative to one another, and at least one of the jaw bodies is movable relative to the other jaw body between an open position and a closed position for the jaw bodies to grasp tissue there between,
wherein in both the closed position and the open position, the medial edge of the first jaw body is in opposition to the medial edge of the second jaw body,
wherein in the closed position, a lateral gap is defined between the medial edge of the first jaw body and the medial edge of the second jaw body, and wherein lateral movement of the first jaw body or the second jaw body closes the lateral gap to cut the tissue.

US Pat. No. 10,349,961

RETRACTION FORCE SENSING BASKET

Gyrus ACMI, Inc., Southb...

1. A method of determining a force on a stone retrieval basket comprising:capturing a stone with the stone retrieval basket;
measuring the force on the stone retrieval basket with a force sensor; and providing an indication to a user of the stone retrieval basket to
determining if the force on the stone retrieval basket exceeds a predetermined maximum force, wherein the indication is one of visual, pop-up flag, tactile or sonic.

US Pat. No. 10,349,963

SURGICAL APPARATUS WITH JAW FORCE LIMITER

Gyrus ACMI, Inc., Southb...

1. A forceps comprising:a first jaw member;
a second jaw member, the first jaw member and the second jaw member being in opposing relation relative to one another, at least one of the first jaw member and the second jaw member being relatively movable from a first open position when the first jaw member and the second jaw member are disposed in spaced relation relative to one another to a second clamping position when the first jaw member and the second jaw member cooperate to grasp tissue therebetween;
a drive rod assembly; and
a moveable handle attached to a fixed handle, the moveable handle configured to move relative to the fixed handle to move the drive rod assembly for imparting movement of at least one of the first jaw member and the second jaw member from the first position and the second position, the moveable handle having an actuator with a lost motion connection between the first and second jaw members and the actuator,
wherein the lost motion connection includes a yoke on the end of the moveable handle and a drive shuttle, the yoke including flanges and the drive shuttle being configured so that if a force imparted on the drive rod assembly exceeds a predetermined amount of force, the flanges of the yoke deflect outwardly to allow relative axial motion between the yoke and the shuttle, which allows relative movement between the moveable handle and the fixed handle without the first jaw member moving relative to the second jaw member.

US Pat. No. 10,537,336

ELECTROMECHANICAL SLIDER VALVE SUCTION CONTROLLER

Gyrus ACMI, Inc., Southb...

1. A fluid management assembly comprising:a handpiece;
a slider based fluid control mechanism housed in the handpiece;
the handpiece having a suction cannula, a coupling, and a drive shaft, wherein the coupling is connected to the driveshaft by a gear therebetween, and wherein the handpiece is configured such that the coupling is between an attachment and the suction cannula when the attachment is attached to the handpiece; and
a fluid occluding member configured to be in communication with the fluid control mechanism; the fluid occluding member being separate from the handpiece.

US Pat. No. 10,632,285

CONTROL MECHANISM FOR MEDICAL DEVICE

Gyrus ACMI, Inc., Southb...

1. An apparatus, comprising:a sheath configured to be at least partially inserted into a body of a patient, the sheath having a distal end and a proximal end;
a housing coupled to the proximal end of the sheath; and
a control mechanism operably coupled to the housing and slidable to move the sheath relative to the housing, the control mechanism comprising:
a locking mechanism for locking the control mechanism in place relative to the housing;
a deflection mechanism for articulating a distal end of the sheath; and
a saddle slidable relative to the locking mechanism and the deflection mechanism;
wherein a device is coupled to the saddle and is extendable from and retractable within the sheath;
wherein the locking mechanism comprises a shim configured to be urged against the housing; and
wherein the locking mechanism further comprises a threaded nut and a screw, the screw being movable in an axial direction by an operator to urge the shim against the housing.

US Pat. No. 10,631,836

LAPAROSCOPIC SURGICAL DEVICE WITH FLARED TUBE

Gyrus Acmi, Inc., Southb...

1. A surgical device, comprising:1) a handpiece having a distal end portion;
2) a tubular member extending from the distal end portion, the tubular member having a lumen therethrough, the lumen comprising:
a) a proximal lumen portion having a proximal end that extends from the distal end portion of the handpiece,
b) a distal lumen portion,
c) a first central lumen portion, and
d) a second central lumen portion, the second central portion connected to and being located between a distal end of the proximal lumen portion and a proximal end of the first central lumen portion,
wherein the distal lumen portion diverges along an entire length of the distal lumen portion as the distal lumen portion extends away from the first central lumen portion in a distal direction and terminates at a distal opening that forms a distal end of the tubular member, and the second central lumen portion diverges as the second central lumen portion extends away from the first central lumen portion in a proximal direction;
wherein an end effector is configured to extend out of the distal end of the tubular member and the distal opening is smaller than the end effector so that when the end effector and the tubular member are moved into contact, the distal end of the tubular member overruns a proximal portion of the end effector driving the end effector from a first position to a second position;
wherein the tubular member has wall with a uniform thickness about the distal lumen portion, the first central lumen portion, the second central lumen portion, and the proximal lumen portion; and
wherein a diameter of the distal inner edge is less than a diameter of an entire length the proximal lumen portion.

US Pat. No. 10,456,154

ELECTROSURGICAL FORCEPS WITH RESILIENT JAWS

GYRUS ACMI, INC., Southb...

1. An instrument comprising:a forceps comprising:
i. a hand piece;
ii. a tubular member connected to the hand piece; and
iii. a jaw assembly connected to the hand piece, the jaw assembly comprising:
a. a first jaw element comprising a gripping section and a flexing section, the flexing section includes an arcuate section;
b. a second jaw element opposing the first jaw element, the second jaw element comprises a gripping section;
wherein the tubular member is moveable onto the arcuate section of the first jaw element so that the flexing section of the first jaw element is flexed and the jaw assembly is moved into a closed position,
wherein the first jaw element, the second jaw element, or both includes a stiffening spine so that the jaw assembly is substantially rigid in the closed position,
wherein the first jaw element is electrically conductive, and the second jaw element is electrically conductive, and the first jaw element, the second jaw element, or both includes an electrically insulating jaw shroud, and
wherein the stiffening spine secures the jaw shroud to the first jaw element, the second jaw element, or both.

US Pat. No. 10,441,748

FLEXIBLE AND/OR PUSHABLE TUBULAR DEVICE

GYRUS ACMI, INC., Southb...

1. A medical device comprising:a tubular member having a proximal end, a distal end, an outer surface, an inner surface, a longitudinal direction along a length of the tubular member, a passage extending from the proximal end to the distal end extending along the longitudinal direction, and a cross-section perpendicular to the longitudinal direction;
wherein the tubular member includes
i) a plurality of helical axial support components in a stacked arrangement including at least a first axial support component and a second axial support component located adjacent to and above the first axial support component in the distal direction, wherein each of the plurality of helical axial support components has a top edge surface facing the proximal end and a bottom edge surface facing the distal end,
the top edge surface of the first axial support component has a first portion, a second portion, a third portion, and a fourth portion in sequential order around a circumference of the top edge surface of the first axial support component,
the bottom edge surface of the second axial support component has a corresponding first portion, a corresponding second portion, a corresponding third portion, and a corresponding fourth portion in sequential order around a circumference of the bottom edge surface of the second axial support component,
wherein the first and third portions of the top edge surface of the first axial support component contacts the corresponding first and third portions of the bottom edge surface of the second axial support component so that an axial force is translated between the adjacent first and second axial support components, and the second and fourth portions of the top edge surface of the first axial support component are spaced apart from the corresponding second and fourth portions of the bottom edge surface of the second axial support component so that the axial direction can bend between the adjacent first and second axial support components; and
ii) one or more lateral support components in contact with the plurality of helical axial support components for reducing lateral movement between adjacent pairs of the plurality of helical axial support components.

US Pat. No. 10,531,885

MEDICAL RETRIEVAL DEVICE

Gyrus ACMI Inc., Southbo...

1. A medical retrieval tool comprising:a sheath; and
a basket device connected to the sheath, where the basket device comprises a shaft and a basket located at a distal end of the shaft, where the shaft is movably located in the sheath;
where the basket comprises a first basket cage section and a second basket cage section, where the first basket cage section is located in front of the second basket cage section, where the basket is configured to be extended from a distal end of the sheath in a plurality of deployment modes comprising:
a first deployment mode where the first basket cage section is deployed in a first fully expanded shape and the second basket cage section is located in the sheath; anda second deployment mode where both the first basket cage section and the second basket cage section are deployed out of the distal end of the sheath,where, when the basket is in the second deployment mode, and when a front end of the basket is pressed against a surface with a predetermined force, the first and second basket cage sections are configured to change shape into a single basket cage section which is larger than the second basket cage section.

US Pat. No. 10,456,163

RETRACTION MECHANISM FOR MEDICAL DEVICE

Gyrus ACMI, Inc., Southb...

1. A device, comprising:a retractable shaft;
a shaft biasing spring; and
an actuator button;
wherein the retractable shaft is biased away from the actuator button by the shaft biasing spring;
wherein a magnetic attracting force is created between the retractable shaft and the actuator button upon actuation of the actuator button;
wherein before actuation, a distance between the actuator button and the retractable shaft is great enough that the magnetic attracting force is less than a biasing force of the shaft biasing spring such that the retractable shaft is biased away from the actuator button;
wherein upon actuation, the actuator button is depressed to make the distance between the actuator button and the retractable shaft sufficiently small such that the magnetic attracting force is greater than the biasing force of the shaft biasing spring to allow the retractable shaft to be biased towards the actuator button; and
wherein the actuator button comprises a button return spring that biases the actuator button away from the retractable shaft.

US Pat. No. 10,426,451

EXPANDABLE MEDICAL ACCESS SHEATH

Gyrus ACMI, Inc., Southb...

1. A medical access sheath comprising:a first member, where the first member comprises a gap through a wall of the first member, where the first member comprises a first material; and
a second member connected to the first member, where the second member comprises a different second material,
where the first and second members form a tube, where the gap extends along a length of the tube measured along a longitudinal axis of the tube, where the wall of the first member forms a first wall portion of the tube along the length of the tube, and where the second member extends across the gap such that the second member forms a second wall portion of the tube at the gap along the length of the tube.

US Pat. No. 10,413,305

INTEGRATED SUCTION AND COOLING OF ANGLED BURR

Gyrus ACMI, Inc., Southb...

1. A surgical device comprising:a cutting burr having a fluted extension;
a flexible shaft having a distal end and a proximal end, the distal end configured to be connectable to the fluted extension of the cutting burr;
an elongated fluted shaft configured to be connectable to the proximal end of the flexible shaft, wherein at least a majority of the flexible shaft is between the cutting burr and the elongated fluted shaft;
a sheath configured to receive all or portion of the flexible shaft and the elongated fluted shaft; and
an outer tube configured to receive the sheath such that there is enough space for fluid irrigation between the outer tube and the sheath.

US Pat. No. 10,350,025

SYSTEM AND METHOD FOR PREVENTING REUSE OF MEDICAL DEVICE

Gyrus ACMI, Inc., Southb...

1. A method comprising:identifying a device unit comprising querying the device unit for information identifying the device unit and receiving information identifying the device unit;
determining a use state of the device unit;
controlling operation of the device unit according to the determination, wherein receiving information identifying the device unit comprises receiving device unit use state information; andwherein determining the use state of the device unit comprises determining whether the use state information for the device unit indicates that the device unit has been used or whether the use state information for the device unit indicates that the device unit has not been used, and, if the use state information for the device unit indicates that the device unit has been used:determining whether the information identifying the device unit is equal to a previous information identifying a last identified device unit; anddetermining, if the information identifying the device unit is equal to the previous information identifying the last identified device unit, whether a period of time associated with the present identification exceeds a threshold.

US Pat. No. 10,321,929

APPARATUS AND METHOD FOR CUTTING TISSUE

Gyrus ACMI, Inc., Southb...

1. A cutting instrument comprising:an outer tube comprising a distal end, a proximal end, and a longitudinal axis extending therebetween, said outer tube consisting of a single window formed therein, said window of said outer tube having a leading edge extending between first and second leading edge ends, a trailing edge extending between first and second trailing edge ends, a first side edge connecting said first leading edge end of said leading edge to said first trailing edge end of said trailing edge, and a second side edge connecting said second leading edge end of said leading edge to said second trailing edge end of said trailing edge;
wherein said first leading edge end of said leading edge of said window of said outer tube is disposed distal to said second leading edge end of said leading edge of said window of said outer tube, and further wherein said first trailing edge end of said trailing edge of said window of said outer tube is disposed distal to said second trailing edge end of said trailing edge of said window of said outer tube; and
an inner tube rotatably disposed within said outer tube, said inner tube comprising a non-ellipsoidal opening having a leading edge and a trailing edge;
wherein at least one of said leading edge of said non-ellipsoidal opening of said inner tube and said trailing edge of said non-ellipsoidal opening of said inner tube comprises a canted edge; and
wherein said window of said outer tube is progressively increasingly blocked, from said leading edge of said window to said trailing edge of said window, during successive phases of rotation of said inner tube within said outer tube, and completely blocked by said inner tube during a phase of the rotation of said inner tube within said outer tube.

US Pat. No. 10,271,895

COMBINATION ELECTROSURGICAL DEVICE

GYRUS ACMI INC, Southbor...

1. An electrosurgical device comprising:forceps having:
a first working arm,
a second working arm,
an immobilization feature, and
a handpiece that a user grips during use and the handpiece includes a track that the second working arm moves along so that the second working arm is extendable and retractable;
wherein the electrosurgical device has a first electrosurgical configuration where the first working arm and the second working arm are in an opposed position so that the forceps deliver a first therapy current that flows between the first working arm and the second working arm;
wherein the electrosurgical device has a second electrosurgical configuration when the first working arm, the second working arm, or both are repositionable relative to each other so that the first working arm is extended with respect to the second working arm or vice versa and a second therapy current is delivered from the first working arm to a remote electrode;
wherein the second working arm is immobilized in the second electrosurgical configuration by the immobilization feature so that the first working arm and the second working arm are locked together and the forceps are disabled and the second working arm is locked in a retracted position where the second working arm is moved into contact with the handpiece; and
wherein the immobilization feature is a guide lock extending from the second working arm and the guide lock extends into the track so that the first working arm and the second working arm are prevented from moving relative to each other and the guide lock and the track guide the second working arm along the handpiece and assist in locking the second working arm proximate to the handpiece so that the second working arm is not damaged in the second electrosurgical configuration.

US Pat. No. 10,485,566

FORCEPS WITH TISSUE STOP

GYRUS ACMI, INC., Southb...

1. Forceps comprising:a hand piece;
a jaw assembly, the jaw assembly is moveable between an open position and a closed position, the jaw assembly comprises:
a gripping section; and
an anchoring section located proximal to the gripping section, the anchoring section is adapted to connect the jaw assembly to the hand piece; and
a web adapted to block an anatomical feature from extending beyond a proximal end of the gripping section;
wherein the web is configured to remain stationary relative to the anchoring section while the jaw assembly is moved between the open position and the closed position; and
wherein a central portion of the web is bowed away from a center axis of the jaw assembly.

US Pat. No. 10,478,205

LITHOTRIPSY APPARATUS USING A FLEXIBLE ENDOSCOPE

Gyrus ACMI, Inc., Southb...

1. A method, comprising:manipulating a deflection section at a distal tip of an endoscope toward a stone within the body;
inserting a lithotripsy shaft and a stone retrieval device into a proximal end of a working channel of the endoscope, the lithotripsy shaft and the stone retrieval device configured to extend through the working channel and the deflection section;
extending the stone retrieval device from a distal tip of the deflection section through the lithotripsy shaft;
capturing a stone with the stone retrieval device and bringing the stone substantially in line with a longitudinal axis of a substantially straight or slightly curved portion of the deflection section;
withdrawing the stone retrieval device within the substantially straight or slightly curved shaft of the lithotripsy shaft through a plurality of guide protrusions at a distal tip of the lithotripsy shaft, wherein the plurality of guide protrusions facilitate passage of wires or filaments of the stone retrieval device there through;
extending the lithotripsy shaft toward the stone; and
driving the lithotripsy shaft under power with a lithotripsy shaft driver toward the stone to break it up with force.

US Pat. No. 10,478,052

OBLONG ENDOSCOPE SHEATH

GYRUS ACMI, INC., Southb...

1. An endoscope sheath comprising:a sheath having:
a proximal end,
a distal end, and
a tube extending between the proximal end and the distal end with a single passage;
wherein the sheath is configured to receive all or a portion of an endoscope and provide inside the tube a conduit for communicating fluid between the proximal end of the sheath and the distal end of the sheath when the endoscope is inserted inside the sheath, and
wherein the tube has a non-cylindrical shape that has a cross-section with a circular portion having a diameter substantially matching a diameter of the endoscope and one or more tangent portions that have one or more segments that are tangent to the circular portion at one or more points,
wherein at least a part of a side of the endoscope contacts the circular portion when the endoscope is inserted into the tube, so that the conduit is formed between the side of the endoscope and inside of the tube opposite the circular portion in which the endoscope contacts, and
wherein a cross-sectional shape of the sheath that is orthogonal to a longitudinal axis is varied along a length of the sheath.

US Pat. No. 10,278,712

ROTARY TOOL WITH IMPROVED COUPLING ASSEMBLY

Gyrus ACMI, Inc., Southb...

1. A surgical device comprising:a handle assembly comprising a rotatable drive shaft;
a removable handle assembly adapter for connection to said handle assembly, said removable handle assembly adapter comprising a rotatable transmission shaft for connection to said rotatable drive shaft of said handle assembly; and
a removable nosepiece assembly for connection to said removable handle assembly adapter and for selectively securing the shaft of a working element to said rotatable transmission shaft of said removable handle assembly adapter;
wherein said removable handle assembly adapter and said removable nosepiece assembly each comprise a locking collar; and
wherein said removable handle assembly adapter and said handle assembly each comprise a connector assembly, said connector assembly comprising:
a housing comprising an opening;
a collet sleeve disposed within said opening and connected to an input shaft, said collet sleeve comprising a lumen for receiving an output shaft;
a locking element movable relative to said collet sleeve between (i) a locked position in which said output shaft is secured to said collet sleeve, and (ii) an unlocked position in which said output shaft is not secured to said collet sleeve; and
a cam element movable relative to said collet sleeve between (i) a first position in which said locking element is free to assume its said unlocked position, and (ii) a second position in which said cam element cams said locking element into said locked position;
such that movement of said locking collar causes said cam element to move between said first position and said second position.

US Pat. No. 10,792,060

INSTRUMENT WITH A CONTROLLED JAW MOVEMENT

Gyrus Acmi, Inc., Southb...

1. An instrument, comprising: a) a hand piece; b) an introducer extending from the hand piece; c) a pair of jaws extending from the introducer, the pair of jaws comprising a first jaw and a second jaw; d) an actuator in communication with both the hand piece and the pair of jaws; e) a first constraint comprising a first slot and a mating first pin, the first pin fixedly coupled to the actuator; f) a second constraint comprising a second slot and a mating second pin, the second pin fixedly coupled to the actuator; and g) a third constraint comprising a link that is pivotally connected at one end to the introducer and at the other end to the first jaw, wherein both of the first slot and the second slot are located on the first jaw.

US Pat. No. 10,517,629

DISPOSABLE DEBRIDER WITH CANNULATED SOLENOID

Gyrus ACMI, Inc., Southb...

1. A medical device comprising:two coaxially aligned solenoids;
a cannulated armature configured to be received within the two coaxially aligned solenoids, wherein the two coaxially aligned solenoids are between a proximal end cap of the medical device and a distal end cap of the medical device, wherein the cannulated armature comprises a proximal end and a distal end, wherein a portion of the proximal end cap is received within a first one of the two coaxially aligned solenoids, wherein a portion of the distal end cap is received within a second one of the two coaxially aligned solenoids; and
a first elastomer spacer and a second elastomer spacer, wherein the first elastomer spacer is between the proximal end cap and the proximal end of the armature, and wherein the second elastomer spacer is between the distal end cap and the distal end of the armature.

US Pat. No. 10,314,601

SURGICAL TOOL FOR REMOVING KIDNEY STONE

Gyrus ACMI, Inc., Southb...

1. A tool for use by a surgeon for operating a basket device for capturing an object to be removed from a body of an animal, the tool comprising:a controller adapted to be coupled to the basket device for selectively controlling the basket device and moving it between a first, closed position and a second, open position, the controller comprising:
a piston and cylinder mechanism;
a sheath having a first end and a second end, the sheath adapted to receive the basket device and to have the basket device longitudinally slide with respect thereto between the first, closed position and the second, open position;
wherein a piston of the piston and cylinder mechanism is adapted to be coupled to one of the basket device and the sheath and a cylinder of the piston and cylinder mechanism is adapted to be coupled to the other of the basket device and the sheath and wherein the piston and the cylinder of the piston and cylinder mechanism may each be independently operated to separately actuate the basket device and the sheath;
wherein a proximal end of the sheath is received at a passage at an end of the cylinder;
a handle coupled to the cylinder;
a plunger coupled to the piston for sealingly engaging an inner wall of the cylinder; and
wherein the controller is configured to longitudinally move the sheath and the basket device with respect to each other to selectively operate opening and closing of the basket.

US Pat. No. 10,751,075

DEVICE FOR AXIAL ATTACHMENT AND RADIAL DETACHMENT OF DISPOSABLE BLADES

Gyrus ACMI, Inc., Southb...

1. A medical apparatus, comprising:an adapter configured to be fastened to a surgical handpiece, the adapter having a lumen, and the lumen having an interior surface;
a tool hub configured to be releasably fastened to the adapter by a snap-in mechanism at the interior surface of the lumen; and
a releasing member configured to release the tool hub from the adapter by a twisting force on the releasing member, where the releasing member receives an end of the tool hub and is movably connected thereto, where the releasing member comprises a restoring mechanism coupled to the tool hub and is configured to restore the releasing member from a twisted state to a normal standing state upon removal of the twisting force, and where the restoring mechanism comprises a biasing member configured to bias the releasing member relative to the tool hub towards the normal standing state.

US Pat. No. 10,702,636

MEDICAL DEVICE

Gyrus ACMI, Inc., Southb...

1. A medical device comprising:a first hollow member configured to allow air or an inert gas passage;
a second hollow member having a distal end and a proximal end, the proximal end configured to be connectable to a vacuum or suction source;
a housing member configured to receive both the first hollow member and the second hollow member; and
a push button configured to be operably connected to the housing member, the push button including a head portion and a stem portion, the stem portion having a terminal end surface opposite the head portion and a slot longitudinally defined in the stem portion,
wherein when the push button is not depressed, surfaces defining the slot are configured to engage the first hollow member and cause the first hollow member to be occluded, and
wherein, when the push button is depressed, surfaces defining the slot are configured to disengage from the first hollow member such that the first hollow member is not occluded, and the terminal end surface of the stem portion is configured to occlude the second hollow member.

US Pat. No. 10,702,331

SURGICAL DEVICE HAVING CHANGEABLE ELEMENTS

Gyrus Acmi, Inc., Southb...

1. An electrosurgical device kit comprising:an elongate first member with a first projection;
an elongate second member disposed adjacent to the first member, the second member having a second projection and being at least movably coupled to the first member; the first and second projections being parallel with their respective elongate members,
a first electrode head;
a second electrode head; and
a third electrode head,
wherein each of the first electrode head and the second electrode head is removably attachable independently of each other to the first member, so that either the first electrode head or the second electrode head remains attached to the first member when the other electrode head is removed from the first member and the third electrode head remains attached to the second member, and wherein the third electrode head is removably attachable independently of the first electrode head and the second electrode head to the second member, so that the first electrode head or the second electrode head remains attached to the first member,
wherein the first, second, and third electrode heads are configured to apply a current to a tissue, the first and second electrode heads being non-identical, and
wherein each of the first electrode head, the second electrode head, and the third electrode head includes a cavity configured to attach the respective electrode head to the first projection or the second projection.

US Pat. No. 10,639,200

MYRINGOTOMY TOOL WITH MULTIPLE TOOL HEADS

Gyrus ACMI, Inc., Southb...

1. A myringotomy device, comprising:a housing;
an elongated tube extending from the housing;
a retractable cutting tool extendable through the elongated tube, the cutting tool comprising a blade; and
a cannula extendable through the elongated tube, wherein the cutting tool is disposed within the cannula;
wherein the cutting tool is configured such that when advanced out of the elongated tube, the blade of the cutting tool extends beyond a distal end of the elongated tube and seals the elongated tube; and
wherein the cutting tool is configured such that when retracted, the blade is retracted into the elongated tube and a fluid conduit is created from the distal end of the elongated tube to the housing;
wherein when the cutting tool is retracted within the cannula, a weep hole in the cannula is configured to be covered by at least a portion of the cutting tool to cause the fluid conduit to be created.

US Pat. No. 10,325,736

DEVICE WITH MOVABLE BUTTONS OR SWITCHES

GYRUS ACMI, INC., Southb...

1. A surgical device comprising:a. one or more functional elements, and
b. a selector assembly including:
i. one or more activation buttons,
ii. one or more circuit boards with one or more circuit board switches, and
iii. a shuttle in communication with the one or more activation buttons to move the one or more activation buttons between at least a first position and a second position so that the one or more activation buttons are moveable relative to the one or more circuit board switches;
wherein the one or more functional elements provide a first function when the one or more activation buttons are in the first position, and the one or more functional elements provide a second function when the one or more activation buttons are in the second position;
wherein the surgical device is capable of being switched between a first electrical state and a second electrical state by moving the shuttle between the first position and the second position;
wherein in the first electrical state a first of the one or more activation buttons is aligned with a first of the one or more circuit board switches so that the one or more functional elements are operable to provide the first function when the first of the one or more activation buttons is selectively actuated; and
wherein in the second electrical state the first of the one or more activation buttons is misaligned with the first of the one or more circuit board switches so that the one or more functional elements are not operable to provide the first function when the first of the one or more activation buttons is selectively activated.

US Pat. No. 10,965,912

SYSTEM AND METHOD FOR CONTROLLING AND SELECTING SOURCES IN A ROOM ON A NETWORK

Gyrus Acmi, Inc., Southb...

1. A system for creating a virtual presence for a remote viewer at a remote device, the system comprising:one or more medical sources in a room of a medical facility, the one or more medical sources being configured to provide one or more video streams; and
a controller coupled to the one or more medical sources and to a monitor in the room, the controller being configured to:
automatically determine particular ones of the one or more video streams to make available to display;
receive a request to display a video stream of the particular ones of the one or more video streams, made available to display, via the monitor;
in response to receiving the request to display the video stream, transmit the video stream to the monitor;
receive, from the remote device, a request for the video stream displayed via the monitor;
in response to receiving, from the remote device, the request for the video stream, transmit the video stream displayed via the monitor to the remote device; and
automatically change the video stream displayed via the monitor relative to a status of the room, wherein the status of the room includes at least one of: a state of a patient, a status of the one or more medical sources, or a medical procedure being performed.

US Pat. No. 10,751,160

REMOVABLE ANCHORED LUNG VOLUME REDUCTION DEVICES

Gyrus ACMI, Inc., Southb...

1. A one-way valve device comprising:a frame structure comprising:
a hub section at a proximal end; and
a plurality of anchors at a distal end; and
a one-way valve component comprising a frameless membrane component, the frameless membrane component comprising a distal base section configured to be attached to at least a portion of the hub section,
wherein the one-way valve device is configured to transition between a closed configuration and an open configuration,
wherein the anchors and the frameless membrane component are at first radial positions in the closed configuration and at second radial positions in the open configuration, the first radial positions being closer to a central longitudinal axis of the one-way valve device than the second radial positions
wherein the frameless membrane component comprises a flexible, injection molded material, the injection molded material comprises a plurality of petals, the petals comprising:
a base section that extends from the distal base section; and
a plurality of petals coupled to the base section,
wherein when the one-way valve device is in the open configuration, the petals curve away from the central longitudinal axis of the one-way valve device from a distal end to a proximal end,
wherein a proximal section of at least one of the petals comprises at least one of a material or an amount of material configured to be more flexible than other sections of the at least one proximal petal.

US Pat. No. 10,751,077

TISSUE RESECTION DEVICE

Gyrus ACMI, Inc., Southb...

1. A medical device comprising:an outer tubular member having a proximal end and a distal end;
a middle tubular member having a proximal end, a distal end, and a beveled gear disposed at the proximal end, the middle tubular member configured to be received within the outer tubular member;
an inner tubular member having a proximal end, a distal end, and a beveled gear disposed at the proximal end, the inner tubular member configured to be received within the middle tubular member; and
an engagement gear configured to engage the beveled gear of the middle tubular member and the beveled gear of the inner tubular member;
wherein the inner tubular member is configured to be rotatable in one direction while the middle tubular member is configured to be simultaneously rotatable in an opposite direction through the engagement gear; and
wherein the distal end of the middle tubular member forms a closed configuration with the distal end of the outer tubular member when the inner tubular member and the middle tubular member are not rotating.

US Pat. No. 10,646,244

SURGICAL TOOL WITH SHEATH

GYRUS ACMI, INC., Southb...

1. A surgical tool comprising:a main unit including:
an inner tube having a first end and a second end, the inner tube including a cutting surface at the first end and a flexible portion located between the first end and the second end; and
an outer tube having a first end and a second end, the outer tube including a cutting window at the first end and a flexible portion located between the first end and the second end, the inner tube received within the outer tube so as to align the cutting surface of the inner tube with the cutting window of the outer tube;
a rigid sheath having a first end and a second end, the rigid sheath removably receives the main unit such that the cutting window extends beyond an opening of the first end of the rigid sheath; and
a connector including:
a first connector located directly on the outer tube adjacent to the second end of the outer tube such that the flexible portion of the outer tube is located between the first connector and the first end of the outer tube; and
a second connector that is located at the second end of the rigid sheath and has an outer diameter equal to or smaller than a central portion of the rigid sheath between the first end and the second end of the rigid sheath, the first connector when connected to the second connector detachably couples the rigid sheath to the outer tube,
wherein the main unit is configured to be completely removable from the rigid sheath when the first and second connectors are uncoupled from each other.

US Pat. No. 10,610,291

RECONFIGURABLE INSTRUMENT

Gyrus Acmi, Inc., Southb...

1. An instrument comprising:a pair of working arms comprising:
i. a first arm;
ii. a second arm;
iii. a first electrode located on the first arm; and
iv. a second electrode located on the second arm; and
a moveable member comprising:
i. a passive circuit element;
ii. a first terminal; and
iii. a second terminal;
wherein the moveable member is moveable to a first position and to a second position;
wherein in the first position, the first terminal is in electrical communication with the first electrode, and the second terminal is in electrical communication with the second electrode so that in the first position an electrical circuit is completed, the completed electrical circuit comprises the passive circuit element, the first terminal, the second terminal, the first electrode, and the second electrode;
wherein an impedance is measured of the passive circuit element in the completed electrical circuit;
wherein the instrument is adapted to provide a modality based on the measured impedance; and
wherein in the second position, at least one of the first terminal and the second terminal is free of electrical communication with the respective first electrode and second electrode so that the electrical circuit is open.

US Pat. No. 10,736,687

QUADRIPOLAR FORCEPS

Gyrus Acmi, Inc., Southb...

1. Electrosurgical forceps, comprising:a pair of opposing first and second jaw members operative to grasp tissue therebetween, each jaw member including at least a first elongated straight electrode member and a second elongated straight electrode member,
wherein the first and second elongated straight electrode members included in the first and second jaw members, respectively, are disposed directly opposite one another, and the second and first elongated straight electrode members included in the first and second jaw members, respectively, are disposed directly opposite one another,
wherein the first elongated straight electrode members included in the respective jaw members are disposed diagonally opposite one another, the second electrode members included in the respective jaw members are disposed diagonally opposite one another, and
the first elongated straight electrode member included in each jaw member having a proximal end and a distal end, and the second elongated straight electrode member included in each jaw member having a proximal end and a distal end;
a first non-conductive bridge member connected between the distal ends of the first and second elongated straight electrode members included in the first jaw member;
the proximal ends of the first elongated straight electrode members included in the respective jaw members operatively connected to a first high frequency electric power source,
wherein the first high frequency electric power source is connected across the diagonally opposing first elongated straight electrode members and directs bipolar energy diagonally through living tissue between the diagonally opposing first elongated straight electrode members;
the proximal ends of the second elongated straight electrode members included in the respective jaw members operatively connected to a second high frequency electric power source, wherein the second high frequency electric power source is connected across the diagonally opposing second elongated straight electrode members and directs bipolar energy diagonally through the living tissue between the diagonally opposing second elongated straight electrode members, the first elongated straight electrode members being electrically isolated from the second elongated straight electrode members
the pair of opposing first and second jaw members adapted for grasping tissue to allow current to flow diagonally through the grasped tissue between one or both of the first elongated straight electrode members and the second elongated straight electrode members.

US Pat. No. 10,675,054

HEAT PIPE COOLED BURR INCLUDING SURGICAL INSTRUMENTS EMBODYING SAME

Gyrus Acmi, Inc., Southb...

1. A surgical instrument comprising:a rotating cutting implement for use in processing a part of a mammalian body;
a heat pipe being arranged to absorb heat energy at a first end thereof and dissipate the heat energy at least at a second end thereof;
wherein the heat pipe includes a sealed internal cavity extending between the first and second ends and a phase change medium within the internal cavity, where the heat pipe transfers heat energy between the first and second ends by the continuous evaporation and condensation of the phase change medium within the internal cavity; and
wherein the rotating cutting implement and heat pipe are arranged so that the heat pipe first end is thermally coupled to the rotating cutting implement so that at least some heat energy being developed by the rotating cutting implement when in use is absorbed by the heat pipe first end and is communicated in the direction of the heat pipe second end.

US Pat. No. 10,658,802

GRAVITY PLUG AND CONNECTOR

Gyrus Acmi, Inc., Southb...

1. An electrical plug comprising: one or more connection elements;a body portion housing the one or more connection elements and the body portion extending parallel to a longitudinal axis of the one or more connection elements;
a connection section connected to the body portion and extending from the body portion at an obtuse angle;
a radius located on the body portion, the connection section, a joint that connects the body portion and the connection section, or a combination thereof, wherein the radius is a sub-flush radius that is a finger relief located at a center of gravity of the plug; and a cord connected to an end of the connection section;
wherein the body portion and the connection section are connected at a joint and the joint includes the finger relief on an underside of the joint at the center of gravity of the plug, and
wherein the plug comprises a boss with an outer bore having a D-shape, and an inner bore having a circular-shape, the circular-shaped inner bore is concentric with a curved portion of the D-shaped outer bore.

US Pat. No. 10,610,248

SURGICAL APPARATUS WITH JAW FORCE LIMITER

Gyrus ACMI, Inc., Southb...

1. A forceps comprising:a first jaw member;
a second jaw member, the first jaw member and the second jaw member being in opposing relation relative to one another, at least one of the first jaw member and the second jaw member being relatively movable from a first open position when the first jaw member and the second jaw member are disposed in spaced relation relative to one another to a second clamping position when the first jaw member and the second jaw member cooperate to grasp tissue therebetween;
a drive rod assembly; and
a moveable handle attached to a fixed handle, the moveable handle configured to move relative to the fixed handle to move the drive rod assembly for imparting movement of at least one of the first jaw member and the second jaw member from the first position and the second position, the moveable handle having an actuator with a lost motion connection between the first and second jaw members and the actuator,
wherein the lost motion connection includes a yoke and a drive shuttle, the yoke including flanges and the drive shuttle being configured so that if a force imparted on the drive rod assembly exceeds a predetermined amount of force, the flanges of the yoke deflect outwardly to allow relative axial motion between the yoke and the shuttle, which allows relative movement between the moveable handle and the fixed handle without the first jaw member moving relative to the second jaw member.

US Pat. No. 10,524,810

MEDICAL DEVICE FOR CAPTURING STONE FRAGMENTS

Gyrus ACMI, Inc., Southb...

1. A medical device for capturing one or more stone fragments, the medical device comprising:a sheath having a proximal end and a distal end;
a handle at the proximal end of the sheath; and
a basket operable with the handle, the basket having a collapsed configuration at times the basket is positioned within the sheath and having a closed expanded configuration at times the basket is positioned beyond the distal end of the sheath, the basket including a plurality of wires that capture the stone fragments;
the plurality of wires forming a first set of petals having a first configuration and a second set of petals having a second configuration different from the first configuration, where the first and second set of petals are configured to expand to another expanded configuration which is larger than the closed expanded configuration to release the stone fragments when a size of the one or more stone fragments exceeds a predetermined limit;
wherein the plurality of wires being able to reset into the closed expanded configuration after releasing the one or more stone fragments.

US Pat. No. 10,520,004

CAPTIVE SCREW DEVICE

Gyrus Acmi, Inc., Southb...

1. An apparatus, comprising:a captive screw, comprising:
an upper portion, an upper middle portion, a central middle portion, a lower middle portion, and a lower portion;
the central middle portion comprising a threaded portion;
the lower portion comprising a barbed portion;
the upper middle portion and the lower middle portion comprising a smooth portion; and
the upper portion comprising a grip portion,
wherein the captive screw is configured with a first attachment portion and a second attachment portion to attach to a first member of an auxiliary device, and
wherein the captive screw is configured to act as a set screw with respect to a second member of an auxiliary device,
wherein the second attachment portion is flexible.

US Pat. No. 10,368,940

MEDICAL FORCEPS WITH OFFSET TEETH

GYRUS ACMI, INC., Southb...

1. A forceps comprising:a gripping assembly extending along a longitudinal axis, the gripping assembly comprising:
an upper jaw including 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; and
a lower jaw including 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 that is perpendicular to the longitudinal axis;
wherein the upper jaw, the lower jaw, or both are moveable so that the gripping assembly moves between an open position and a gripping position,
wherein in the gripping position, a gap is defined between the upper distally facing canted tooth surface and the lower proximally facing socket surface,
wherein the lower distally facing canted socket surface is substantially parallel to the upper proximally facing canted tooth surface,
wherein an upper peak is defined between the upper proximally facing canted tooth surface and the upper distally facing canted tooth surface, and a valley is defined between the lower distally facing canted socket surface and the lower proximally facing socket surface, and
wherein an axis extending through the upper peak and generally perpendicular to the longitudinal axis of the gripping assembly is offset relative to an axis extending through the valley and generally perpendicular to the longitudinal axis of the gripping assembly.

US Pat. No. 10,987,153

FORCEPS WITH ACTIVE JAW ENTRAPMENT OF TISSUE

Gyrus Acmi, Inc., Southb...

1. A forceps comprising: a first jaw and a second jaw, at least one of which is moveable between an open position and a closed position, the first jaw having a first face and the second jaw having a second face that opposes the first face of the first jaw, wherein a first portion of the first face has a first sealing surface with a first electrode and a second portion of the second face has a second sealing surface with a second electrode, the first and second sealing surfaces configured to treat tissue; a third jaw that is carried on and translates along the first jaw, the third jaw being positioned between the first jaw and the second jaw, the third jaw having a third face that opposes the second face of the second jaw, the first face and the third face defining a capture zone, the capture zone being a gap between the first face and the third face; and a third jaw closing mechanism that brings the third jaw into a position approximating the first jaw, wherein the capture zone decreases to pinch tissue located in the capture zone when the at least one jaw that is moveable moves to the closed position.

US Pat. No. 10,893,900

COMBINATION ELECTROSURGICAL DEVICE

Gyrus Acmi, Inc., Southb...

1. An electrosurgical device comprising:a hand held portion comprising:
one or more power connectors that are configured to connect the hand held portion of the electrosurgical device to a generator;
a housing including:
a spring pin located within the housing of the hand held portion, the spring pin having a contact arm with a cantilever connection;
a portion of a blade electrode, located within the housing, the blade electrode being movable between a first position and a second position relative to the spring pin while remaining within the housing; and
an insulator sleeve receiving a portion of the blade electrode;
wherein the electrosurgical device is capable of being switched between a first configuration and a second configuration so that the electrosurgical device delivers a therapy current through the blade electrode;
wherein the spring pin is in contact with the insulator sleeve when the electrosurgical device is in the first configuration; and
wherein the spring pin is located between the housing and the portion of the blade electrode located within the housing and the spring pin is movable to extend the contact arm into direct contact with the blade electrode, when the blade electrode is in the second position, so that power is provided to the blade electrode through the spring pin.

US Pat. No. 10,881,842

URETERAL STENT

Gyrus Acmi, Inc., Southb...

1. A ureteral stent comprising:a proximal end comprising a retention feature having a coiled shape;
a distal end opposite the proximal end; and
a middle portion between the proximal end and the distal end, where loops of the coiled shape increase in size as the coiled shape extends away from the middle portion,
wherein the middle portion comprises at least one opening having smooth opening surfaces, wherein the middle portion comprises a conduit passing through the middle portion, where the at least one opening extends through a side wall of the middle portion into the conduit, where the at least one opening comprises rounded edges at the side wall adjacent the conduit, where the rounded edges are at an interior face of the side wall forming the conduit, and where the rounded edges are configured to reduce turbulence of fluid flow through the conduit.

US Pat. No. 10,828,087

HAND SWITCHED COMBINED ELECTROSURGICAL MONOPOLAR AND BIPOLAR DEVICE

Gyrus Acmi, Inc., Southb...

1. An electrical cable for a monopolar/bipolar device comprising:a first plug configured to plug into a bipolar outlet and including three conductors extending therefrom wherein a first and second conductor are bipolar HF leads, and a third conductor is a bipolar switch return lead;
a bipolar activation switch connecting one of the bipolar HF leads and the bipolar switch return lead;
a second plug configured to plug into a monopolar outlet and including two conductors extending therefrom wherein a fourth conductor is a monopolar HF lead and a fifth conductor is a monopolar switch return lead;
a first monopolar activation switch connecting the monopolar HF lead and the monopolar switch return lead;
wherein the bipolar switch return lead is a shared conductivity line integrated with the monopolar switch return lead, so that the device is configured to use four or fewer conductors.