US Pat. No. 10,188,585

DEVICE FOR THE SUBLINGUAL ADMINISTRATION OF A MEDICATION FORMED FROM DISSOLVING A TABLET IN A LIQUID

1. A device for the sublingual administration of a liquid medication formed from dissolving a tablet in a dissolving liquid comprising:an upper portion connected to a lower portion;
the upper portion comprising:
a bottom surface having at least one post and opposite the bottom surface, a cylindrical cavity having a base wall;
a hollow needle having a piercing tip extending upward from the base wall; the cylindrical cavity sized to receive and align an external source containing a dissolving liquid, said hollow needle capable of piercing one end of the external source by the piercing tip;
the lower portion comprising:
a recess sized to accept a tablet of medication, the recess having a base wall having an exit pathway to a discharge located at the side of the lower portion opposite the recess for sublingual administration; and,
when the upper portion and lower portion are connected, the interior space within the recess bordered by the base wall of the upper portion form a chamber having an interior volume and the at least one post sufficiently extends into the chamber to fracture a tablet of medication positioned within the chamber and the needle is a conduit for a dissolving liquid to enter the chamber.

US Pat. No. 10,188,584

MEDICINAL XIDING VIAL AND DISPENSING APPARATUS AND INJECTION APPARATUS THEREOF

1. An assembly of a reversely pressed medicinal vial and a reversely pressed injection apparatus, comprising the reversely pressed medicinal vial and the reversely pressed injection apparatus,wherein the reversely pressed medicinal vial includes a vial body whose inner wall is a straight cylinder, a first piston is disposed on a position close to a vial opening of the vial body, a blind hole is disposed at a center of an outer bottom surface of the first piston, and the vial opening is provided with an outer edge protruding radially outwardly from the vial opening and a seal cap is fixed on the outer edge to prevent the first piston from falling off;
wherein the reversely pressed injection apparatus includes an injection tube, a fixed push rod and an inner needle which longitudinally penetrates the fixed push rod are provided at a bottom center of the injection tube inside the injection tube, a needle head of the inner needle sticks out of the fixed push rod, an outer needle is provided at an outlet port of the injection tube, a tail part of the outer needle is communicated with a tail part of the inner needle, an inner wall of the injection tube is clearance-fitting with the outer edge of the vial opening, and a free end of the fixed push rod is fitted and connected with the blind hole at the center of the outer bottom surface of the first piston,
wherein an annular sealing gasket that is integrated therewith is disposed at the outer bottom surface of the first piston and positioned between the vial opening and the seal cap; and
wherein the free end of the fixed push rod is sleeved with an annular blade, and when the reversely pressed medicinal vial is assembled with the reversely pressed injection apparatus, the annular blade cuts and separates the first piston from the annular sealing gasket, the inner needle impales into the first piston, the first piston is pushed into the vial body in a direction away from the vial opening by the fixed push rod, and the annular sealing gasket is disposed at the vial opening.

US Pat. No. 10,188,583

PORT CONFIGURATIONS FOR A FLUIDS CONTAINER

BAXTER INTERNATIONAL INC....

1. A container closure for use in dispensing fluids from a container, comprising:a base constructed and arranged for being attached to a mouth of the container;
a first port disposed on said base and in fluid communication with the mouth;
a second port disposed on said base in fluid communication with the mouth; and
said first and second ports being visually differentiated from each other,
wherein axes of both generally-cylindrical ports relative to said base are not parallel and do not intersect and lie in uncommon planes, and the orientation of said second port relative to the first port is described by two independent angles.

US Pat. No. 10,188,582

OUT OF PHASE CHEST COMPRESSION AND VENTILATION

ZOLL Medical Corporation,...

1. A system for providing emergency care to a patient, the system comprising:a backboard arranged to support the patient;
a chest compressor attached to the backboard and positioned to engage the patient at the chest, the chest compressor configured to provide multiple chest compression cycles to the patient, wherein the multiple chest compression cycles are configured to provide a compression of the sternum to a compressed sternal position followed by a hold of the sternum in the compressed sternal position followed by a release of the sternum from the compressed sternal position;
a cuirass attached to the backboard and positioned to engage the patient at the abdomen, the cuirass configured to generate negative pressure to pull outward on the abdomen and to provide multiple abdominal compression cycles to the patient wherein the multiple abdominal compression cycles are configured to provide a compression of the abdomen to a compressed abdominal position followed by a hold of the abdomen in the compressed abdominal position followed by a release of the abdomen from the compressed abdominal position; and
a defibrillator comprising one or more processors configured to:
control the chest compressor to perform the multiple chest compression cycles and the cuirass to perform the multiple abdominal compression cycles according to a programmed sequence such that the compression of the sternum to the compressed sternal position occurs during the hold of the abdomen in the compressed abdominal position and after the compression of the abdomen to the compressed abdominal position and such that the release of the sternum from the compressed sternal position occurs over a pre-determined time interval, and
control the cuirass to generate the negative pressure to pull outward on the abdomen prior to the compression of the abdomen to the compressed abdominal position.

US Pat. No. 10,188,580

SYSTEMS AND METHODS FOR PROVIDING ENVIRONMENT INFORMATION USING AN UNMANNED VEHICLE

1. A system for providing, to a user, navigation directions to a destination at a destination location, the system comprising:a device worn around a neck of the user and configured to receive an identification of the destination from the user, search for the destination location, and communicate, to an unmanned vehicle, the identification of the destination when the device is unable to determine the destination location; and
the unmanned vehicle for determining the destination location when the device is unable to determine the destination location, the unmanned vehicle having a camera configured to detect image data, and being configured to:
determine an information collecting location,
automatically move to the information collecting location,
detect the image data at the information collecting location,
determine whether the destination is detected from the image data at the information collecting location,
determine the destination location when the destination is detected from the image data at the information collecting location, and
communicate, to the device, the destination location,
wherein the device is further configured to determine and output the navigation directions to guide the user from a current location of the user to the destination location.

US Pat. No. 10,188,579

METHOD FOR CONTROLLING A WALKING ASSISTANT APPARATUS

National Chiao Tung Unive...

1. A method for controlling a walking assistant apparatus, the walking assistant apparatus including a processor, a motion unit, a support unit that is disposed on the motion unit and that includes a handle component operable by a user, a first scanning device disposed on the support unit, and a torque sensor disposed on the handle component, the method comprising the steps of:a) scanning, by the first scanning device, the user so as to generate scanning information associated with gait of the user;
b) detecting, by the torque sensor, a detected torque applied thereto about a vertical axis;
c) estimating, by the processor, a moving speed of the user based on the scanning information;
d) calculating, by the processor, a compliant motion speed based at least on the moving speed of the user, and a compliant rotational speed based on the detected torque detected in step b); and
e) controlling, by the processor, the motion unit to move at the compliant motion speed and to turn at the compliant rotational speed so as to bring the walking assistant apparatus to move at the compliant motion speed and to turn at the compliant rotational speed;
wherein step a) includes scanning the user so as to generate the scanning information that includes a first entry of distance information scanned at a first time instance and a second entry of distance information scanned at a second time instance after the first time instance;
wherein step c) includes the sub-steps of
calculating a first distance between the first scanning device and the user at the first time instance based on the first entry of distance information,
calculating a second distance between the first scanning device and the user at the second time instance based on the second entry of distance information, and
calculating the moving speed of the user based on the first distance, the second distance and a difference between the first time instance and the second time instance; and
step d) includes calculating the compliant motion speed based on the detected torque and the second distance.

US Pat. No. 10,188,578

POWERED HANDLE BAR APPARATUS FOR STAIRCASE, RAMP OR LEVEL WALK AREA WALKING ASSISTANCE FOR CHALLENGED INDIVIDUALS

1. A powered handle bar apparatus for walking assistance comprises:a trolley support bar;
a handle;
a handle operating system;
a control box;
a drive assembly;
an access control reader;
at least one accessory;
a power source;
the trolley support bar being mounted on to a solid surface area;
the control box being terminally connected to the trolley support bar;
the handle being operatively coupled to the trolley support bar by the drive assembly;
the access control reader, the at least one accessory, and the power source being integrated into the control box;
the drive assembly, the access control reader, and the at least one accessory being electrically connected to the power source through the handle operating system;
the at least one accessory comprises a landline phone system;
the landline phone system comprises a phone interface and a phone module;
the phone interface being adjacently connected to the handle;
the phone module being mounted within the control box; and
the phone interface being communicably coupled to the phone module.

US Pat. No. 10,188,575

CERVICAL ORTHOTIC DEVICE

Core Products Internation...

1. A cervical orthotic device comprising:a base having a length and a width;
sidewalls extending upwardly from the base, wherein the sidewalls include:
opposingly paired lateral sidewalls; and
opposingly paired longitudinal sidewalls:
a cervical support surface opposite said base and uniting said sidewalls, the cervical support surface having a cervical engagement ridge extending parallel with, and in the same direction as, the width of the base, the cervical support surface also including:
a first planar portion adjacent a first longitudinal sidewall of the opposingly paired longitudinal sidewalls and extending therefrom;
a second planar portion adjacent a second longitudinal sidewall of the opposingly paired longitudinal sidewalls and extending therefrom; and
an arcuate portion intermediate the first planar portion and the second planar portion and extending from a first lateral sidewall of the opposingly paired lateral sidewalls to the other lateral sidewall of the opposingly paired lateral sidewalls, the arcuate portion delimiting the cervical engagement ridge for the cervical support surface;
wherein an apex of the cervical engagement ridge defines a height of the cervical orthotic device from the base;
wherein a ratio of a maximum height of the cervical orthotic device to the length is greater than or equal to 1.1575; and
wherein a height of the first longitudinal sidewall of the opposingly paired longitudinal sidewalls is about 1.5 times a height of the second longitudinal sidewall of the opposingly paired longitudinal sidewalls.

US Pat. No. 10,188,574

PATELLA GRIPPER AND DEVICE FOR MOVING A PATELLA COMPRISING SUCH A PATELLA GRIPPER

1. A device for moving a patella with a patella gripper for a patella, comprising:the patella gripper comprising:
a retaining element having a lower face and
a contact finger apparatus, which is arranged on the lower face of the retaining element and is configured to grip the patella,
wherein the contact finger apparatus comprises at least two contact finger units, which are arranged on opposite sides of the retaining element,
wherein the contact finger apparatus is rotatably arranged on the retaining element so that the contact finger apparatus can be rotated on an axis that is aligned perpendicularly to the longitudinal axis of the retaining element and perpendicularly to the transverse axis of the retaining element,
and wherein the contact finger apparatus is adapted to move the patella in one of the cranial-caudal direction and in the medial-lateral direction by the at least two contact finger units;
a leg holding device configured to receive a leg of a patient;
one or more drive units for moving the at least two contact finger units; and
a control unit for controlling the one or more drive units,
wherein the at least two contact finger units are moved linearly with respect to at least one of the retaining element and the leg holding device by the one or more drive units.

US Pat. No. 10,188,570

METHOD OF REDUCING SURGEON FATIGUE DURING AN OPERATION WHILE REDUCING COLLECTION OF FLUIDS FROM THE OPERATION ON THE FLOOR OF THE OPERATING ROOM BY ABSORBING FLUIDS LEAKING ONTO THE FLOOR OF THE OPERATING ROOM AND APPARATUS THEREFOR

XODUS MEDICAL, INC., , PA...

1. An absorbent, anti-fatigue operating room mat comprising:a support layer to be disposed on the floor of an operating room during performance of an operating room procedure;
a fluid-resistant layer being disposed on top of said support layer during performance of an operating room procedure;
a fluid-absorbent layer being disposed on top of said fluid-resistant layer during performance of an operating room procedure;
a shock-absorbing layer being disposed on top of said fluid-absorbent layer during performance of an operating room procedure;
said shock-absorbing layer comprising shock-absorbing foam material to absorb shocks and reduce fatigue on operating room personnel standing on said anti-fatigue operating room mat;
said shock-absorbing layer comprising holes to permit passage of operating room fluids, generated during performance of an operating room procedure, through said shock-absorbing layer and to said fluid-absorbent layer;
said fluid-absorbent layer comprising a fluid-absorbent material to absorb, capture, contain, and retain operating room fluids that pass through said holes in said shock-absorbing layer to thereby minimize deposition of the operating room fluids on the floor of an operating room;
said fluid-resistant layer comprising a fluid-resistant material to resist the passage of operating room fluids, not absorbed by said fluid-absorbent layer, through and out of said anti-fatigue operating room mat; and
said support layer comprising an anti-skid material to minimize or prevent unwanted sliding or skidding of the anti-fatigue operating room mat on the floor of an operating room during performance of an operating room procedure.

US Pat. No. 10,188,566

LIFTING MECHANISM

ACCORA LIMITED, (GB)

1. A lifting assembly comprising:a telescopic post assembly including a first tubular member, a second tubular member slidingly engaged with the first tubular member, and a third tubular member slidingly engaged with the second tubular member, the first, second and third tubular members being coaxial;
an actuator configured to move the second tubular member axially with respect to the first tubular member; and
a pulley mechanism comprising:
a first wheel rotatably mounted at a first end of the second tubular member;
a second wheel rotatably mounted at a second end of the second tubular member;
a first length of cable having a first end fixed to the first tubular member and a second end fixed to the third tubular member, the first length of cable being engaged with the first wheel; and
a second length of cable having a first end fixed to the first tubular member and a second end fixed to the third tubular member, the second length of cable being engaged with the second wheel,
wherein the pulley mechanism is arranged such that the movement of the third tubular member relative to the first tubular member is at a greater speed than the movement of the second tubular member relative to the first tubular member.

US Pat. No. 10,188,564

ABSORBENT ARTICLE COMPRISING FLUID HANDLING ZONES

1. An absorbent article comprising:a. a topsheet comprising a first nonwoven;
b. a backsheet;
c. an absorbent core disposed between the topsheet and the backsheet;
d. a second nonwoven disposed between the first nonwoven and the absorbent core;
e. a first fluid handling zone comprising a first portion of the topsheet and comprising a first Transverse Fluid Travel Distance, wherein the first portion comprises a first macro feature having an area greater than 2 mm2, and a first micro feature having an area less than that of the first macro feature, wherein the first macro feature and the first micro feature comprise apertures extending out of plane;
f. a second fluid handling zone comprising a second portion of the topsheet and comprising a second Transverse Fluid Travel Distance, wherein the second portion comprises a second macro feature that is different than the first macro feature, and wherein the second macro feature has an area of less than 5 mm2;
g. wherein the first Transverse Fluid Travel Distance is greater than the second Transverse Fluid Travel Distance; and
h. wherein the second portion further comprises micro features.

US Pat. No. 10,188,563

ABSORBENT ARTICLES WITH PULPLESS RIFFLED CORE

DSG Technology Holdings L...

1. A disposable absorbent article disposed in a generally flat, open condition, the disposable absorbent article comprising:a central body including an absorbent core, a front longitudinal edge, and a rear longitudinal edge opposite said front longitudinal edge, wherein said front and rear edges of said central body define, at least partially, front and rear waist portions respectively and said central body is characterized by a longitudinal centerline extending across said front and rear edges; and
wherein the absorbent core comprises:
a riffled substrate comprising a plurality of peaks and a plurality of troughs;
a flat substrate coupled to the riffled substrate; and
superabsorbent polymer disposed between the riffled substrate and the flat substrate;
wherein the footprint of the riffled substrate is substantially the same as the footprint of the flat substrate; and
wherein the surface area of the riffled substrate is greater than the surface area of the flat substrate; and
wherein the peaks and troughs of the riffled substrate are spaced apart from the flat substrate.

US Pat. No. 10,188,561

NONWOVEN FABRIC LAMINATE, ABSORBENT ARTICLE HAVING NONWOVEN FABRIC LAMINATE, AND PROCESS FOR PRODUCING NONWOVEN FABRIC LAMINATE

LIVEDO CORPORATION, Ehim...

1. An absorbent article comprising an exterior sheet formed of a plurality of nonwoven fabric layers, whereinthe exterior sheet is located on an outer side of the absorbent article and has a first nonwoven fabric layer, a second nonwoven fabric layer and a third nonwoven fabric layer from the outer side of the absorbent article,
the first nonwoven fabric layer, the second nonwoven fabric layer and the third nonwoven fabric layer are joined to each other at a first joining part by heat-embossing,
the second nonwoven fabric layer and the third nonwoven fabric layer are further joined to each other at a second joining part by heat-embossing, and
the first joining part and the second joining part have a different shape from each other.

US Pat. No. 10,188,560

ABSORBENT ARTICLE HAVING FINGER TABS AND METHODS OF MANUFACTURING SAME

KIMBERLY-CLARK WORLDWIDE,...

1. A method of manufacturing an absorbent article, the method comprising:feeding a first web of material in a machine direction;
feeding a second web of material in the machine direction, the second web being spaced from the first web by a gap;
attaching an absorbent assembly to the first web and the second web such that the absorbent assembly spans the gap between the first and second webs;
forming a partial cut line through the second web, wherein the second web includes opposing side edges extending in the machine direction, the partial cut line spaced from the side edges of the second web;
folding the first web into face-to-face relationship with the second web after forming the partial cut line; and
cutting the first and second webs after folding the first web into face-to-face relationship with the second web to separate the absorbent article from the first and second webs, the partial cut line defining at least one finger tab on the absorbent article.

US Pat. No. 10,188,559

DISPOSABLE DIAPER WITH BUTTOCKS PART STRETCHING UNIT

UNICHARM CORPORATION, Eh...

1. A disposable diaper, comprising:a front waistline region;
a back waistline region; and
a crotch region positioned between the front waistline region and the back waistline region;
a product longitudinal direction oriented from the front waistline region to the back waistline region;
a product widthwise direction orthogonal to the product longitudinal direction:
an absorber running across the crotch region and extending to at least one of the front waistline region and the back waistline region;
a pair of side flaps extending across the front waistline region, the crotch region, and the back waistline region, said pair of side flaps being disposed on opposite sides of the absorber in the product widthwise direction; and
a pair of fastening tapes each extending, in the product widthwise direction, in the back waistline region outward of the pair of side flaps, respectively, said pair of fastening tapes being releasably attachable to the front waistline region;
wherein
each side flap of the pair of side flaps has:
a lateral edge including an leg opening unit concave toward a center of the absorber in the product widthwise direction, said leg opening unit having a center in the product longitudinal direction;
a leg stretching unit disposed inward of the leg opening unit in the product widthwise direction and stretchable in the product longitudinal direction; and
a buttocks part stretching unit running across the crotch region and the back waistline region, and stretchable in the product longitudinal direction;
the leg opening unit in said each side flap has:
a backside leg opening unit positioned backward of the center of the leg opening unit in the product longitudinal direction; and
a foreside leg opening unit positioned forward of the center of the leg opening unit in the product longitudinal direction,
wherein an area between the backside leg opening unit and a straight line, which passes through the center of the absorber in the product widthwise direction and which is parallel to the product longitudinal direction, is larger than an area between the foreside leg opening unit and the straight line, and
in said each side flap,
said buttocks part stretching unit is disposed outward of the leg stretching unit in the product widthwise direction,
a front end of the buttocks part stretching unit is positioned backward of the center of the leg opening unit in the product longitudinal direction and reaches the lateral edge of the side flap, and
a plurality of convex units convex away from the absorber in the product widthwise direction is formed only in the backside leg opening unit and outward of the front end of the buttocks part stretching unit in the product widthwise direction.

US Pat. No. 10,188,558

MALE URINARY INCONTINENCE DEVICE

1. A method of treating urinary incontinence in a human male having a penis having a penis head, the method comprising the steps of:a) providing a wrap configured to absorb urine and having:
i) a distal region configured to absorb urine and comprised of a plurality of layers, the distal region further comprising a front surface, a rear surface opposite the front surface, a distal region left side, a distal region right side, a distal region length extending from the distal region left side to the distal region right side, a distal region proximal end, a distal region distal end, a distal region width extending from the distal region proximal end to the distal region distal end and generally perpendicular to the distal region length;
ii) a lengthwise foldline located at the proximal end of the distal region and extending generally parallel to the distal region length;
iii) a proximal region configured to absorb urine and comprised of a plurality of layers, the proximal region further comprising a proximal region distal end extending from the distal region at the lengthwise foldline, the proximal region further comprising a proximal region proximal end, a proximal region width extending from the proximal region proximal end to the proximal region distal end, a proximal region left side, a proximal region right side, a length extending from the proximal region left side to the proximal region right side;
iv) a left widthwise foldline extending through the proximal and distal regions generally along the proximal and distal region widths; and
v) a right widthwise foldline located to the right of the left widthwise foldline and extending through the proximal and distal regions generally along the proximal and distal region widths,
wherein the front surface of the proximal region left side comprises a left side fastener configured to removably attach to the distal region rear surface, and wherein the front surface of the proximal region right side comprises a right side fastener configured to removably attach to the proximal region rear surface;
b) placing the head of the penis of the male on the proximal region front surface;
c) before or after step b), folding the distal region along the lengthwise foldline so that the distal region front surface faces the proximal region front surface; and
d) folding the left side of the proximal region and the left side of the distal region together along the left widthwise foldline toward the head of the user's penis, attaching the left side fastener to the distal region rear surface, and then folding the right side of the proximal region and the right side of the distal region together along the right widthwise foldline toward the head of the penis, and attaching the right side fastener to the proximal region rear surface,wherein after step d), the right sides of the proximal region and distal region are located in front of the left sides of the proximal region and the distal region and further wherein after steps b) and c), the head of the penis is located between the front surface of the proximal region and the front surface of the distal region.

US Pat. No. 10,188,557

APPARATUS AND PROCESS FOR TRANSFERRING SUBSTRATE MATERIAL AND PARTICULATE MATERIAL

1. An apparatus for making a structure that comprises a combination of a particulate material and a substrate material, including:a) a first moving endless surface with a direction of movement (MD) and with one or more of reservoirs, said first moving endless surface and reservoirs thereof being for transferring particulate material to:
b) a second moving endless surface with a direction of movement (MD) carrying a substrate material for receiving said particulate material from said first moving endless surface in a receiving zone and for transferring said combination of said particulate material and said substrate material in a transferring zone, said second moving endless surface being in said receiving zone adjacent a first vacuum chamber and being in gas communication therewith, and said second moving endless surface being in said transferring zone adjacent a second vacuum chamber, and being in gas communication therewith, said receiving zone and said transferring zone being adjacent (in MD) one another,
c) an adhesive application unit for applying adhesive to said combination of said substrate and said particulate material, said adhesive application unit positioned downstream of said first moving endless surface opposite said second moving endless surface and said second vacuum chamber in said transferring zone;
wherein the ratio of the said negative vacuum pressure in said first vacuum chamber to the negative vacuum pressure in said second vacuum chamber is at least 4:3; and
d) an anvil roll downstream of said transferring zone for receiving said combination of said particulate material and said substrate material and combining said combination with a further substrate material.

US Pat. No. 10,188,556

WOUND BARRIER PAD

1. A sacral wound barrier pad device for treating a wound on a patient, comprising:a first sacral pad having a first internal wall that defines a first interior opening;
a second sacral pad having a second internal wall that defines a second interior opening, wherein said first sacral pad is adhered to said second sacral pad, said sacral pads being aligned such that said first interior opening corresponds generally to said second interior opening so as to permit placement of said sacral wound barrier pad device on a patient such that no sacral pad surface is positioned directly over a wound; and
a resilient, semi-rigid insert situated between said first sacral pad and said second sacral pad, wherein said insert may be at least partially folded whereby when applied to said patient said insert generates an expansion force upon said first sacral pad, said second sacral pad, and skin of said patient to prevent a shearing force from being applied to said wound.

US Pat. No. 10,188,554

WOUND DRESSING

IWMT Intellectual Propert...

1. A wound dressing, for absorbing exudate from a wound on which the wound dressing is placed, comprising:a porous, highly absorptive fiber dressing made up of two or more different types of absorbent material comprising a first absorbent material in the form of a non-woven fabric and a second absorbent material in the form of a woven mesh fabric; and
a negative surface charge on a surface of the dressing, wherein the negative surface charge is created though friction, and further wherein the negative surface charge on the wound dressing attracts positive ions from the wound exudate to form an electric double layer that attracts negative charged particles comprising bacteria and cytokines to the surface of the dressing.

US Pat. No. 10,188,553

DEVICES AND METHODS FOR RESHAPING CARTILAGE STRUCTURES

Chondrocyte, LLC, Hender...

1. A method of shaping a subject's ear to a desired final shape and/or position, the method comprising:lasing the subject's ear so as to stimulate chondrogenesis in the ear;
fitting to the subject's lased ear an integral device comprising:
a first surface configured to fit against and be adhered to the subject's head behind the lased ear, and
a second surface configured to retain the lased ear in a desired final shape and/or position;
wherein, upon fitting of the integral device onto the subject's head and lased ear, the lased ear is maintained in the desired shape and/or position with respect to the subject's head; and
maintaining the integral device on the lased ear until the ear is reshaped to the desired final shape and/or position.

US Pat. No. 10,188,552

SURGICAL SYSTEM PROVIDING HANDS-FREE CONTROL OF A SURGICAL TOOL

The Johns Hopkins Univers...

1. A surgical system providing hands-free control of at least one surgical tool, comprising:a robot having a tool connector;
a smart tool attached to said tool connector of said robot; and
a feedback control system configured to communicate with said smart tool to provide feedback control of said robot,
wherein said smart tool comprises:
a tool comprising a tool shaft having a distal end and a proximal end;
a strain sensor arranged at a first position along said tool shaft;
at least one of a second strain sensor or a torque-force sensor arranged at a second position along said tool shaft, said second position being more towards said proximal end of said tool shaft than said first position; and
a signal processor configured to communicate with said strain sensor and said at least one of said second strain sensor or said torque-force sensor to receive detection signals therefrom,
wherein said signal processor is configured to process said detection signals to determine a magnitude and position of a lateral component of a force applied to said tool shaft when said position of said applied force is between said first and second positions,
wherein said lateral component of said force is a component of said force that lies in a plane that is orthogonal to said tool shaft at said position at which said force is applied, and
wherein said feedback system controls said robot to move in response to at least said magnitude and position of said lateral component of said force applied to said tool shaft when said position of said applied force is between said first and second positions so as to cancel said force applied to said tool shaft to thereby provide hands-free control of said at least one surgical tool.

US Pat. No. 10,188,550

APPARATUS AND METHODS FOR DRUG DELIVERY USING MULTIPLE RESERVOIRS

CLEARSIDE BIOMEDICAL, INC...

1. An apparatus, comprising:a housing;
a cartridge assembly, at least a portion of the cartridge assembly configured to be movably disposed in the housing, the cartridge assembly including a first movable member and a second movable member, the second movable member including a seal member configured to form a fluidic seal with an inner surface of the first movable member, the first movable member defining an inner volume bounded by the seal member and the inner surface of the first movable member, at least a portion of the second movable member being movably disposed in the inner volume between a first position and a second position relative to the first movable member;
a first reservoir disposed within the inner volume such that the first reservoir is disposed in a distal position relative to the second movable member, the first reservoir containing a drug when the second movable member is in its first position relative to the first movable member, the first reservoir not being in fluid communication with the inner volume when the second movable member is in its first position, the first reservoir being placed in fluid communication with the inner volume when the second movable member is in its second position relative to the first movable member, the first movable member including a valve member configured to be transitioned from a closed configuration when the second movable member is in its first position relative to the first movable member to an open configuration (1) when the second movable member is moved toward its second position relative to the first movable member, and (2) in response to an increase in pressure within the first reservoir by distal movement of the second movable member from its first position towards its second position, the valve member further configured to be transitioned from the open configuration to the closed configuration after the second movable member is moved towards its second position relative to the first movable member; and
a second reservoir at least partially defined by the housing, a portion of the first movable member being movably disposed in the second reservoir, the second reservoir being fluidically isolated from the inner volume when the second movable member is in its first position relative to the first movable member and the valve member is in its closed configuration, the second reservoir being placed in fluid communication with the inner volume when the second movable member is moved toward its second position relative to the first movable member to receive a volume of the drug from the first reservoir and the valve member is in its open configuration, the first movable member and the second movable member collectively configured to be moved distally from a first position relative to the housing to a second position relative to the housing to expel the volume of the drug from the second reservoir.

US Pat. No. 10,188,549

EXOTHERMIC THERAPEUTIC NATURAL MASSAGE SHELLS

FOREVER YOUNG INTERNATION...

1. An exothermic natural massage shell, comprising:a natural bivalve shell comprising a first half and a second half adhered together with an adhesive to form a hollow chamber;
an aperture formed in the first half to provide a portal to the hollow chamber of the bivalve shell;
an exothermic reactant disposed inside the hollow chamber of the bivalve shell, the reactant being removably inserted through the portal;
wherein the reactant is combined with an activator inside the hollow chamber of the bivalve shell which causes an exothermic reaction that heats the bivalve shell and maintains the bivalve shell at a substantially constant elevated temperature for a duration of time, the hollow chamber and the portal being reusable for repeated exothermic reactions wherein addition of water to the reactant inside the hollow chamber creates an exothermic gel that transfers heat to one or more walls of the halves of the natural bivalve shell; and
wherein the adhesive adhering the first half of the bivalve shell to the second half of the bivalve shell comprises a first elastomeric polymer bonding agent with coefficient of expansion properties operable to maintain first and second halves securely adhered through repeated heating and cooling cycles and a second flexible resin sealant that makes the adhesive moisture-proof.

US Pat. No. 10,188,548

ARTIFICIAL HYPOTHALAMUS FOR BODY TEMPERATURE REGULATION

National Guard Health Aff...

1. An artificial hypothalamus system comprising:a plurality of sensors;
a thermal management system configured to apply optimal temperature regulation via one or more of a fan and a temperature adjustment mechanism; and
a control system, communicably coupled to the plurality of sensors, and the thermal management system, wherein circuitry of the control system is configured to
determine if sensor data from the plurality of sensors is in a predetermined normal range,
convert the sensor data to fuzzy values when the sensor data is not in the predetermined normal range,
combine one or more related consequents of the predetermined fuzzy rules, wherein the consequent is determined based on the evaluation of an antecedent,
evaluate the combined consequents to determine a centroid value using a centroid method, and
transmit the centroid value to the thermal management system to activate the thermal management system to a predetermined activation level based on the centroid value.

US Pat. No. 10,188,547

APPARATUS AND METHOD FOR USING A PORTABLE THERMAL DEVICE TO REDUCE ACCOMMODATION OF NERVE RECEPTORS

CAREWAVE MEDICAL, INC., ...

1. A heating device for therapeutically heating skin to reduce accommodation of thermal nerve receptors, comprising:a heat delivery element adapted to be worn proximate to the skin of a user; and
a microprocessor control unit configured to control the heat delivery element;
wherein the microprocessor control unit is programmed to maintain at least one cycle of skin temperature having:
a ramp-up temperature period,
a peak temperature,
a ramp-down temperature period, and
a soak temperature,
wherein the soak temperature is lower than the peak temperature, and wherein the soak temperature is greater than a body temperature.

US Pat. No. 10,188,546

INTRAUTERINE DEVICE WITH CONTROLLED COPPER ION ELUTION

SEBELA VLC LIMITED, Hami...

1. An intrauterine contraceptive device with a controlled ion release rate, the contraceptive device comprising:only one elongate shape memory member sized to fit completely within a human uterus and comprising a first metal having a first galvanic potential, wherein the elongate shape memory member further comprises;
a bottom loop disposed at a bottom of the contraceptive device;
multiple twists located above the bottom loop, forming a spring portion;
a middle portion comprising two parts of the elongate shape memory member extending upward from the multiple twists to form an oval shape;
two bends in the elongate shape memory member at a location above the oval shape of the middle portion, wherein the bends cause the elongate member to cross over itself;
two arms extending from the two bends in opposite directions, wherein one of the arms extends from one of the two bends and the other arm extends from the other of the two bends;
a first end loop forming a first tissue contact surface at an end of one of the two arms; and
a second end loop forming a second tissue contact surface at an end of the other of the two arms, wherein the intrauterine contraceptive device is configured such that, when it is delivered into the human uterus, only the first and second tissue contact surfaces contact the human uterus; and
multiple substance delivery sleeves coupled with the elongate shape memory member and comprising a second metal having a second galvanic potential different from the first galvanic potential, wherein the multiple substance delivery sleeves are coupled with the elongate shape memory member at locations to locally deliver a substance to the uterus in an area near a fallopian tube and an area near a cervical os, the multiple substance delivery sleeves comprising:
at least a first sleeve disposed around the elongate shape memory member on one of the two arms near the first end loop;
at least a second sleeve disposed around the elongate shape memory member on the other of the two arms near the second end loop; and
at least a third sleeve disposed around the elongate shape memory member and threaded within the bottom loop,
wherein the first metal and the second metal are configured to control a galvanic potential difference between the elongate shape memory member and the multiple substance delivery sleeves and thereby provide the controlled ion release rate.

US Pat. No. 10,188,545

FLEXIBLE CONE-SHAPED INTRA-VAGINAL SUPPORT DEVICE

WATKINS-CONTI PRODUCTS, I...

11. A vaginal insert device for use in improving symptoms associated with pelvic organ prolapse, urinary incontinence, or both pelvic organ prolapse and urinary incontinence, comprising:an upper portion, which is made of an elastic and non-absorbent material, having a cone-shaped body, having a circular transverse cross-section throughout a length of the upper portion, having a wall with an interior side and an exterior side, an upper open end, a lower end, and a hollow interior, wherein a circumference of the upper portion decreases from the upper open end to the lower end, wherein the upper open end of the upper portion is the innermost portion of the vaginal insert device during insertion, and wherein the wall of the upper portion is configured to be squeezed to make the upper portion into a more compact shape for easier insertion of the vaginal insert device, and wherein said wall expands hack to its original shape alter the insertion;
an exterior rim surrounding and protruding from the exterior side of the wall of the upper portion, the exterior rim being adjacent to said upper open end;
a plurality of ridges surrounding and protruding from the exterior side of the wall of the upper portion, the plurality of ridges being spaced apart from the upper open end to the lower end, wherein the plurality of ridges are distributed along an entire length of the upper portion from the lower end to the exterior rim;
wherein said upper portion, with said exterior rim and said plurality of ridges, hold the vaginal insert device securely in place to impose pressure on the urethral sphincter, or to support pelvic organs, or to both impose pressure on the urethral sphincter and support pelvic organs, when the device is inserted; and
a stem extending from said lower end of said upper portion, wherein the upper portion and the stem comprise an integral one-piece device made from said elastic and non-absorbent material, wherein the stem is configured to be accessed from the exterior of a vagina when the vaginal insert device is inserted in said vagina, and wherein said stem assists in removal of the vaginal insert device.

US Pat. No. 10,188,544

PENILE IMPLANT

POWELL DEVELOPMENT GROUP,...

1. A penile implement comprising:a top film;
a bottom film adhered to the top film such that a reservoir exists between the top film and bottom film, wherein each of the top film and bottom film are distinct films that are welded, or glued to one another;
an adhesive layer formed on the bottom film;
a bottom release layer covering at least a portion of the adhesive layer; and
wherein a hole is formed in the bottom film, whereby during use, a user may remove the bottom release layer and adhere the bottom film with a user's penis such that bodily fluids secreted from the user's penis pass through the hole and into the reservoir formed between the top film and bottom film.

US Pat. No. 10,188,543

FOLDING MENSTRUAL CUP

Guangzhou Tianyuan Silico...

1. A folding menstrual cup comprising:an outer cup body with a top and a bottom, wherein a top accommodating cavity is formed inside the outer cup body and a round opening is provided at the top of the outer cup body; at a side opposite to the opening, the bottom of the outer cup body is connected to a flow guiding pipe via a folding part;
the flow guiding pipe with a pipe orifice in communication with the top accommodating cavity of the outer cup body, where a valve controlling communication to the pipe orifice is arranged on the flow guiding pipe; and
the folding part being capable of protruding upward and enabling the top end of the flow guiding pipe to extend into the top accommodating cavity of the outer cup body along with the folding part; wherein the folding part is capable of straightening downward and a bottom accommodating cavity is formed inside the folding part.

US Pat. No. 10,188,542

COMPLETE FLOW DIVERSION INTESTINAL OSTOMY SURGERY KIT

Jianjiang Lin, Hangzhou ...

1. A flow diversion intestinal ostomy surgery kit, comprising:at least an ostomy tube, said ostomy tube comprising: a tube body; near the front end of the tube body a deformable balloon; said tube body forming a drainage section at a preceding part of the balloon; a fine tube is provided within a tube wall of said tube body or inside said tube body; a front end of the fine tube penetrates the tube wall of said tube body and is in communication with an inner cavity of the balloon; a rear end of the fine tube connects a connector for injecting fluid into the balloon with a one-way valve; said connector is equipped with a manometer for measuring pressure caused by the balloon impressed to the intestinal wall; said balloon and an intestinal wall form a sealed structure that blocks matters inside of an intestine after filled with fluid via said connector; there is a drainage port at the drainage section for guiding matters inside of the intestine out by said tube body;
wherein said flow diversion intestinal ostomy surgery kit further comprises a ring-shaped fixing plate; an exterior wall of the tube body is provided with a ring-shaped groove; said ostomy tube is fixedly connected to an abdominal wall of a patient via the ring-shaped fixing plate that matches the ring-shaped groove;
wherein an inner ring of said ring-shaped fixing plate is provided with four jaws configured to touch the ostomy tube body and extending along a diameter of said ring-shaped fixing plate, said jaws provided in pairs with an end of each jaw configured to be directly across the ostomy tube body from another jaw end, a space between ends of the four jaws is slightly smaller than an outer diameter of said tube body, said ring-shaped fixing plate stuck in said ring-shaped groove by way of pressing said jaws.

US Pat. No. 10,188,541

IMMOBILIZING SPLINTS

1. An immobilizing splint for an antecubital intravenous injection site, the splint comprising:a sleeve of a flexible foam material configured to be selectively and removably closed around an elbow of an arm of a patient;
a preformed opening in the sleeve configured to allow visual access to an antecubital fossa of the elbow, wherein the preformed opening has a presized perimeter that is closed and continuous;
at least two straps configured to close the sleeve around the elbow, wherein each strap of the at least two straps includes a hook-and-loop fastener; and
two stiffening members configured to maintain the elbow in an at least substantially extended position when the sleeve is closed around the elbow to prevent a kink in a portion of an intravenous supply tube that underlies the splint when the sleeve is closed around the elbow, wherein the stiffening members are positioned in the sleeve on opposite sides of the preformed opening such that, when the sleeve is closed around the elbow in a position that allows visual access to the antecubital fossa through the preformed opening, the stiffening members are positioned on an anterior side of the arm.

US Pat. No. 10,188,540

SACROILIAC BELT

BRACE FIT LLC, Owariasah...

1. A sacroiliac belt comprising a belt pair that forms a pelvic holding loop to hold a user's pelvis from a buttock side or a lumbar back side, entirely wrapping the pelvis, the belt pair comprising:a ring-shaped ilium belt (A) configured to be wound around the user's waist, surrounding the user's right and left ilia; and
a second belt selected from:
either a buttock belt (B1) configured to be wound around the user's waist passing under the user's buttocks, lifting up the buttocks; or
a lumbar belt (B2) configured to be wound around the user's waist passing the user's lumbar back, which is a back side of the user's lumbar curve located immediately above the pelvis, wherein:
the second belt is shorter than the ilium belt,
the sacroiliac belt comprises rings at both ends of the second belt,
while the ilium belt placed through the rings, the both ends of the second belt each connected to the ilium belt in a pair of connection areas placed inside both ends of the ilium belt through a reversible connection through which the both ends of the second belt are reversibly connected to the pair of connection areas on the ilium belt via touch fasteners that consist of first and second components, the first components attached in the connection areas on the ilium belt, the second components attached on the both ends of the second belt the first components have widths within which positions of connection between the first and second components are adjustable,
the second belt comprises:
a band-shaped main portion;
the rings, and
a pair of connection portions each comprising the second components of the touch fasteners, and connected to both ends of the main portion via the rings,the both ends of the main portion and the connection portions each attached to the rings in a movable manner along rims of the rings, andthe rings are placed more inside the both ends of the second belt than the second components are.

US Pat. No. 10,188,539

STABILIZING SYSTEM FOR A KNEE BRACE

SpringLoaded Technology I...

1. A knee brace for assisting the extension or flexing of a limb, comprisingsubstantially rigid upper and lower frames connected by a hinge,
the upper frame comprising hinge arms each having one end connected to the hinge and an opposite end connected to the other hinge arm by an upper leg bearing member for bearing against a user's leg above the knee,
the lower frame comprising first and second hinge arms extending in a first direction and each having one end connected to the hinge and an opposite end connected to the other hinge arm by a lower leg bearing member for bearing against the user's leg below the knee, a first strap support being provided on the first hinge arm and an opposing second strap support being provided on the second hinge arm,
at least one upper securing member for fixing the upper frame to the user's leg, and
a stabilizing strap for fixing the lower frame to the user's leg, the stabilizing strap comprising a substantially inelastic element for circumscribing the user's leg and a fixing element for securing the inelastic element in a set position, the inelastic element extending through the first and second strap supports, such that when the brace is in use the stabilizing strap is inhibited from moving relative to the lower frame in the first direction to support the lower frame on the user's leg and is slidable relative to the lower frame in a second direction that is orthogonal to the first direction, wherein when the knee brace is in use the stabilizing strap follows the user's leg motion in the second direction without shifting the lower frame relative to the user's leg in the first direction.

US Pat. No. 10,188,538

HYBRID TRIGGER WIRE FOR ENDOGRAFTS

Cook Medical Technologies...

1. An endovascular prosthesis delivery system comprising:an inner cannula;
a prosthesis comprising graft material releasably secured to the inner cannula, the prosthesis having a radially-inwardly contracted delivery configuration and a radially-expanded deployed configuration, wherein the prosthesis comprises at least two suture loops secured to an outer surface of the prosthesis and circumferentially spaced from each other;
a releasable trigger wire extending along at least a portion of a length of the prosthesis, wherein the releasable trigger wire extends through the graft material and into a graft lumen, wraps around a circumference of the inner cannula, extends back through the graft material to exit the graft lumen and extends through at least one of the at least two suture loops to retain the prosthesis in the radially-inwardly contracted delivery configuration.

US Pat. No. 10,188,537

APPARATUS FOR FOLDING OR UNFOLDING A MEDICAL IMPLANT, AND IMPLANT

Venus Medtech (Hangzhou) ...

1. A foldable and/or unfoldable medical implant comprising:at least three tension threads for folding and/or unfolding the implant; and
at least one first ring having a channel for guiding some or all of the tension threads around the implant at an outside or an circumference thereof, wherein three of the tension threads are wound along or around the outside or circumference of the implant in a manner such that each part of the outside or circumference is covered or contacted by two of the tension treads,
the medical implant further comprises at least a second ring having a channel, and at least three posts, the at least three posts being arranged between the first ring and the second ring in order to connect them with each other and/or to maintain the distance between them, each of the at least three posts having at least two openings through which the tension threads are guided from an inside of the implant to an outside of the implant and back from the outside to the inside, wherein the tension threads are guided to the outside through a first opening of a first one of the posts and back to the inside through a second opening of a second one of the posts, the first opening being different from the second opening, and the first post being different from the second post.

US Pat. No. 10,188,535

MEDICAL DEVICES HAVING ENHANCED PERFORMANCE

Boston Scientific Scimed,...

1. A medical device, comprising:an expandable framework of oriented polymer fibers, wherein a binding polymer portion of one polymer fiber and a fibrous polymer reinforcement portion of another polymer fiber form a reinforced composite region, wherein the fibrous polymer reinforcement portion comprises, relative to a longitudinal axis of the framework, one of the following fractions, any two of the following fractions, or all three of the following fractions:
a first fraction oriented at a first angle relative to the longitudinal axis;
a second fraction oriented at a second angle relative to the longitudinal axis; and
a third fraction oriented at a third angle relative to the longitudinal axis.

US Pat. No. 10,188,534

STENT HAVING REDUCED PASSAGE OF EMBOLI AND STENT DELIVERY SYSTEM

Covidien LP, Mansfield, ...

1. An expandable tubular stent for implantation in a body lumen comprising:a structural portion extending along an axis being radially expandable thereabout and having a first expanded percentage open area, the structure portion including a plurality of struts; and
a barrier portion affixed to the structural portion and having a second expanded percentage open area, the barrier portion including a plurality of pores extending therethrough, the barrier portion being at least partially made of metal;
the stent having a composite expanded percentage open area within a range of 65% to 95%, wherein the composite expanded percentage open area is calculated by finding a difference between an area of the pores of the expanded barrier portion and an area of said pores occluded by the struts of the expanded structural portion, and dividing said difference by surface area of the expanded stent.

US Pat. No. 10,188,533

MINIMAL SURFACE AREA CONTACT DEVICE FOR HOLDING PLAQUE TO BLOOD VESSEL WALL

Intact Vascular, Inc., W...

1. An intravascular device comprising:a frame consisting of only a single column of cells, the frame comprising:
a pair of concentric side rings comprising a single distal undulating ring and a single proximal undulating ring spaced apart coaxially from each other, each of said pair of concentric side rings having a compressed state and an expanded state and forming one end of the device; and
a plurality of longitudinally extending bridge members connecting the pair of concentric side rings, wherein each bridge member of the plurality of longitudinally extending bridge members connects to one of the pair of concentric side rings at one end and to the other of the pair of concentric side rings at an opposite end of the device; and
each of the bridge members comprising two pointed barbs extending from the bridge members in at least one of a circumferential manner and a tangential manner, wherein each of the two pointed barbs has a V-shape structure, and wherein a pointed end of the V-shape structure is pointed in a direction perpendicular to the longitudinal axis of the device;
wherein each cell of the single column of cells comprises a portion of each of the pair of concentric side rings and two of the plurality of longitudinally extending bridge members.

US Pat. No. 10,188,532

BLOOD-FLOW TUBING

Vascular Flow Technologie...

1. An intravascular stent comprising:a tubular member having an internal surface and an external surface,
wherein the tubular member has an internal helical formation to induce spiral-flow therethrough, and wherein the internal helical formation is provided on a portion of the internal surface and the internal surface extends beyond said portion,
wherein the internal helical formation has a helix angle between 5 and 50 degrees relative to a longitudinal axis of the stent, and wherein the tubular member is selected from the group consisting of:
(a) a tubular mesh member;
(b) a tubular member formed from a wire; or
(c) a tubular member of a mesh material that is formed from expanded sheet.

US Pat. No. 10,188,531

PROSTHESIS SOCKET WITH A RIGID STRUCTURE ARRANGED BETWEEN AN INTERNAL DEFORMABLE LAYER AND AN EXTERNAL DEFORMABLE LAYER

POMMIER ORTHOPEDIE, Vill...

1. A socket to interface a lower limb which has undergone amputation and a modular element, to be fastened to the socket at a distal end the socket comprising:an internal deformable layer consisting of silicone rubber, designed to be in contact with the lower limb that has undergone amputation;
an external deformable layer consisting of silicone rubber; and
a rigid structure arranged between the internal deformable layer and the external deformable layer,
wherein the socket extends along a longitudinal direction from a proximal end to the distal end, said proximal end defining an outer opening of the socket through which the lower limb that has undergone amputation is received, and
wherein the rigid structure comprises at least two posts and a base, each post extending along the longitudinal direction of the socket from the base located at the distal portion to an end of the post such that a distance from the end of the post to the proximal end of the socket is less than half a length of the post along said longitudinal direction, wherein ends of the at least two posts are not linked, so that the ends separate and approach each other due to an effect of a deformation of the internal layer and of the external layer, wherein the at least two posts and the base of the rigid structure are made together from a single monolithic rigid material, and
wherein, between two successive posts of the at least two posts, a first part of the external deformable layer is in contact with a first part of the internal deformable layer and wherein each of the at least two successive posts separates a second part of the external deformable layer from a second part of the internal deformable layer.

US Pat. No. 10,188,530

PROVISIONAL TIBIAL PROSTHESIS SYSTEM

Zimmer, Inc., Warsaw, IN...

1. A tibial prosthesis system for implantation on a resected surface of a proximal tibia, the tibial prosthesis system comprising:a bearing component having a superior surface and an inferior surface;
a base component having a superior surface and an inferior surface, wherein the base component having a protrusion extending from the superior surface and configured to mate with a recess in the bearing component, the protrusion having a first feature configured to couple with a second feature of the bearing component when the protrusion is inserted into the recess to prevent significant relative movement between the bearing component and the base component in a medial/lateral direction and an anterior/posterior direction, and wherein the first feature and the second feature are configured to allow the bearing component to be movable relative to the base component in a proximal/distal direction; and
a shim component insertable between the inferior surface of the bearing component and the superior surface of the base component, wherein upon insertion the shim component is configured to engage both the bearing component and the base component to restrain the bearing component from significant relative movement in the proximal/distal direction relative to the base component, and wherein the shim component is configured to be disposed between the inferior surface of the bearing component and the superior surface of the base component.

US Pat. No. 10,188,529

DEVICES AND METHODS FOR INTER-VERTEBRAL ORTHOPEDIC DEVICE PLACEMENT

1. An instrument assembly for delivery of an orthopedic implant to a target location within a spinal segment of a subject, comprising:an orthopedic implant;
an implant insertion member comprising a first elongated curvilinear body and an internal bore, at least a portion of said internal bore is extended from a proximal opening to a distal opening along a curvilinear trajectory, said internal bore configured for advancement of said orthopedic implant from said proximal opening to said distal opening; and
a fixation member comprising a first segment configured to attach onto a proximal segment of said implant insertion member, and a second segment configured to attach onto a first surface of said spinal segment, said fixation member configured to limit movement of said implant insertion member relative to said target location in at least one plane;
wherein said orthopedic implant is sized to be advanced from said proximal opening to said distal opening of said internal bore and onto said target location.

US Pat. No. 10,188,528

INTERVETERBRAL DISC PROSTHESIS INSERTION ASSEMBLIES

LDR Medical, Rosieres Pr...

1. An intervertebral disc prosthesis insertion assembly having a longitudinal axis extending from an insertion end of the intervertebral disc prosthesis insertion assembly to a tool-attachment end of the intervertebral disc prosthesis insertion assembly and comprising:an intervertebral disc prosthesis;
a pin having a central axis and an insertion tool coupler; and
an insertion adapter comprising
a first arm comprising a first jaw disposed along the insertion end and a first tang disposed along the tool-attachment end, and
a second arm comprising a second jaw disposed along the insertion end and a second tang disposed along the tool-attachment end;
the intervertebral disc prosthesis insertion assembly having
an assembled configuration in which the pin is inserted into the first arm and the second arm with the central axis extending in the direction of the longitudinal axis, the first jaw and the first tang disposed on a first side of the central axis, the second jaw and the second tang disposed on a second side of the central axis opposite the first side, and the intervertebral disc prosthesis retained between the first jaw and the second jaw by the insertion of the pin into the first arm and the second arm, and
a released configuration in which the pin is outside the first arm and the second arm and the intervertebral disc prosthesis is released from the first jaw and the second jaw.

US Pat. No. 10,188,527

EXPANDABLE AND ADJUSTABLE LORDOSIS INTERBODY FUSION SYSTEM

SPINEEX, INC., Fremont, ...

1. A spinal implant device for placement between vertebral bodies, the device comprising:an expandable shell;
at least one wedge member;
at least one drive shaft; and
the expandable shell comprising a top member and a bottom member, at least the bottom member having tracking for receiving the at least one wedge member, the at least one drive shaft engaging with the at least one wedge member for moving the at least one wedge member along the tracking, the at least one wedge member engaging the top member and the bottom member, the at least one wedge member comprising a tapered configuration having an external helical thread, whereby the top member and bottom member move relative to each other in response to rotation of the at least one wedge member along the tracking to effect an expansion of the shell, the tracking comprising a cascading series of risers on interior surfaces of each of the top and bottom members, the cascading series of risers comprising individual riser members increasing in height along the interior surfaces and delivering corresponding staggered spaces in between the individual riser members so that the individual riser members and the corresponding spaces on the top member overlap the individual riser members and the corresponding spaces on the bottom member, permitting an interlocking engagement of the top and bottom members when the top and bottom members are in a contracted position, whereby the cascading series of risers on the interior surface of the top member intermesh with the cascading series of risers on the interior surface of the bottom member, and wherein the tracking is configured to increase a longitudinal position of the at least one wedge member along and relative to the interior surfaces of the top and bottom members within the shell as it travels along the tracking whereby the at least one wedge member engages the top and bottom members to selectively contact the shell.

US Pat. No. 10,188,526

SPINAL IMPLANT SYSTEM AND METHOD

Warsaw Orthopedic, Inc., ...

15. A surgical instrument comprising:a tubular shaft;
a first rotatable arm connected with the shaft;
a second rotatable arm connected with the shaft; and
a drive rod translatable relative to the shaft and including at least one ramp that is translatable relative to the shaft to engage and rotate the arms relative to the shaft between a capture orientation and a release orientation with an interbody implant,
the rod being engageable with the interbody implant to move at least a portion of the interbody implant between a contracted configuration and an expanded configuration.

US Pat. No. 10,188,524

ROTATIONAL DRIVE MECHANISM, TOOL AND METHODS FOR USING SAME

AESCULAP IMPLANT SYSTEMS,...

1. A spinal interbody device, comprising:a front surface;
a rear surface substantially opposed to the front surface;
an upper surface connected to the front surface and the rear surface;
a lower surface opposed to the upper surface and connected to each of the front surface and the rear surface;
at least one opening formed at the front surface, the at least one opening extending through the front surface;
at least one projection; and
a drive mechanism disposed adjacent the at least one opening and configured to move the at least one projection so that the at least one projection moves through at least one of the upper surface and the lower surface, the drive mechanism including a cam plate,
wherein the at least one opening formed at the front surface includes at least one first camming groove and the cam plate includes at least one second camming groove defined therein for retaining and guiding the at least one projection when the front surface is disposed adjacent to the cam plate, and at least one of the first camming groove and second camming groove is a spiral slot.

US Pat. No. 10,188,523

PROSTHETIC ANKLE COMPONENTS

Biomet UK Healthcare Limi...

1. A first prosthetic ankle component comprising:a first bearing surface configured to slidably engage a second bearing surface of a second prosthetic ankle component when in an installed configuration; and
one or more protrusions protruding from the first bearing surface, the protrusions being configured to be received by one or more corresponding receiving portions provided on the second prosthetic ankle component,
wherein the one or more protrusions are further configured such that the interaction with the receiving portions permits the first and second prosthetic ankle components to slide with respect to one another in an interface plane defined by the interface between the first and second bearing surfaces, and wherein the protrusions are further configured to restrict the first and second prosthetic ankle components moving away from one another in a direction with a component perpendicular to the interface plane, and wherein the protrusion includes an abutment surface configured to abut a closed end of the of the second prosthetic ankle component to limit a sliding movement in a first direction; and
wherein the first prosthetic ankle component further comprises a lip, the lip being provided at or towards an edge of the first bearing surface, the lip being configured to limit sliding movement of the first and second prosthetic ankle components in a second direction which is opposite the first direction by having an abutment surface configured to abut a surface of the second prosthetic component, wherein the abutment surface of the protrusion and the abutment surface of the lip are opposed to and facing each other so as to limit sliding movement in both the first direction and the second direction which is opposite the first direction.

US Pat. No. 10,188,522

SYSTEM FOR REPLACEMENT OF AT LEAST A PORTION OF A CARPAL ARTICULAR SURFACE OF A RADIUS

TOBY ORTHOPAEDICS, INC., ...

1. A system for replacement of at least a portion of a carpal articular surface of a radius, the system comprising:a prosthesis having a plate-like portion and at least one portion, said plate-like portion having an exterior surface formed thereon, and said at least one portion being positioned opposite from said exterior surface and being adapted to directly contact an interior portion of the radius, said at least one portion having at least one aperture provided therein, said exterior surface being sized and shaped to approximate the surface of the at least a portion of the carpal articular surface of the radius, and said at least one aperture of said at least one a portion of said prosthesis being adapted to receive at least one fastener therein;
a bone plate having a first end an opposite second end, and a length and a longitudinal axis extending between said first end and said second end, said bone plate having a width perpendicular to the length of said bone plate, said bone plate having an upper surface, a lower surface, and a thickness extending between said upper surface and said lower surface, said lower surface being adapted to contact an exterior of the radius, said bone plate having at least one opening passing from said upper surface through said lower surface and being configured to receive said at least one fastener therethrough, at least a portion of said bone plate being configured to be attached to the radius proximate of the distal end thereof, said bone plate and said at least one portion of said prosthesis being spaced from one another when said system is assembled and being adapted to clamp a portion of the radius between said lower surface of said bone plate and said at least one portion of said prosthesis via said at least one fastener drawing said bone plate and said at least one portion of said prosthesis toward one another; and
said at least one fastener having a first end for insertion through said at least one opening and into said at least one aperture, said at least one fastener being configured to secure attachment of said prosthesis and said bone plate to one another across a portion of the radius.

US Pat. No. 10,188,521

MULTIPLE-CAM, POSTERIOR-STABILIZED KNEE PROSTHESIS

MEDIDEA, LLC, Ann Arbor,...

1. A total knee replacement system comprising:a distal femoral knee-replacement component and a tibial component having a bearing surface and a tibial post with a posterior surface, wherein the distal femoral knee-replacement component comprises:
a body having a pair of medial and lateral condylar protrusions and an intercondylar region therebetween dimensioned to receive the tibial post, the body further having a cam mechanism bridging the intercondylar region, the cam mechanism having at least a first, second and third cam surface areas, with each of the first, second and third cam surface areas having a convex shape in a sagittal plane with different centers of radius;
the first convex cam surface area engaged with the posterior surface of the tibial post at approximately ninety degrees of flexion;
the second convex cam surface area being located anterior to the first cam surface area, when the knee is in extension and positioned posterior of the tibial post; and
the third convex cam surface area being located posterior to the first cam surface area, when the knee is in extension, and engaging the posterior surface of the tibial post after ninety degrees of flexion;
wherein none of the first, second and third cam surface areas engage the posterior surface of the tibial post when the knee is in extension; and
wherein the cam mechanism includes at least one concave cam surface area in the sagittal plane between at least two of the three convex cam surface areas.

US Pat. No. 10,188,520

MODULAR LATERAL HIP AUGMENTS

Biomet Manufacturing, LLC...

1. A femoral implant for a hip, comprising:a proximal femoral body implant comprising:
a proximal femoral body portion;
a distal stem coupled to the proximal femoral body portion; and
a femoral head coupled to a neck portion of the proximal femoral body portion;
a lateral plate having a T-shaped configuration coupled to a lateral side of the proximal femoral body implant, the lateral plate comprising:
a lateral surface and a medial surface configured to be positioned adjacent to at least the lateral side of the proximal femoral body implant, at least one of the medial and lateral surfaces of the lateral plate defining a soft tissue attachment surface;
a projection extending from the medial surface and being configured to mate with a recess formed in the lateral side of the proximal femoral body implant;
an aperture formed in the lateral plate and extending through the projection such that the aperture is configured to be coaxially aligned with a lateral bore formed in the proximal femoral body implant; and
at least one threaded bore extending from one of the lateral surface or the medial surface, the threaded bore being configured to receive a plate fastener for securing soft tissue to the lateral plate; and
an implant fastener configured to be received through the aperture and configured to be threadably secured to the lateral bore of the proximal femoral body implant to couple the lateral plate to the proximal femoral body implant, the fastener having a length sufficient to also pass through a portion of the femur for securing the portion of the femur to the lateral plate and the proximal femoral body implant,
wherein the recess is coaxial with the lateral bore formed in the proximal femoral body implant,
wherein the projection includes a tapered cylindrical portion and the recess includes a complementary shaped tapered counterbore adapted to receive the tapered cylindrical portion in a press fit configuration, and
wherein the lateral plate further comprises a proximal end adapted to extend a distance beyond a proximal end of the proximal femoral body implant, the proximal end of the lateral plate including a sharp projection configured to attach the lateral plate to the soft tissue.

US Pat. No. 10,188,518

ANNULOPLASTY RING WITH VARIABLE CROSS-SECTION

Edwards Lifesciences Corp...

15. An elongated annuloplasty ring, comprising:an elongated ring body comprising an inner single piece metallic structural support surrounded by a suture permeable interface, the ring body surrounding a central open area through which passes a flow axis and being discontinuous so as to define two free ends at a break in continuity around a periphery of the ring body, wherein the ring body has a relaxed configuration shaped to mimic a three-dimensional path along a non-planar native valve annulus,
wherein the structural support has a radial cross-section that gradually changes around a length of the structural support and has a C-shaped part in a mid-portion, and wherein the two free ends of the structural support are rectangular in radial cross-section and are more flexible in bending about the flow axis than the C-shaped part of the cross-section, and wherein the two free ends of the ring body are axially offset from each other.

US Pat. No. 10,188,517

INVERSION DELIVERY DEVICE AND METHOD FOR A PROSTHESIS

HLT, Inc., Maple Grove, ...

1. A method for inverting an invertible device comprising:advancing a first predetermined length of an invertible device distally from a delivery catheter, thereby establishing a target position;
limiting movement of said first predetermined length of said invertible device, thereby keeping said first predetermined length at said target position; and,
distally advancing a second predetermined length of said invertible device from said catheter so as to invert said second predetermined length into said first predetermined length.

US Pat. No. 10,188,516

STENT LOADING TOOL AND METHOD FOR USE THEREOF

Medtronic Ventor Technolo...

1. A loading system for loading a valve prosthesis into a delivery catheter, the loading system comprising:a loading tool comprising a loading tool connection member, wherein the loading tool connection member comprises a first plurality of prongs, wherein the loading tool connection member includes an open state with the first plurality of prongs flared outwardly and a closed state with the first plurality of prongs radially contracted;
a valve prosthesis including a radially compressed configuration and a radially expanded configuration, the valve prosthesis comprising valve prosthesis connection members configured to removably engage with a respective one of the first plurality of prongs, wherein the loading tool is configured to engage the valve prosthesis with the valve prosthesis in the radially expanded configuration and the loading tool in the open state; and
a crimping tool comprising a proximal end and a distal end, wherein the diameter of the distal end is greater than the diameter of the proximal end,
wherein the loading tool connection member, in the open state while engaged with the valve prosthesis in the radially expanded configuration, is configured to pass through the crimping tool such that the valve prosthesis crimps from the radially expanded configuration to the radially compressed configuration and the loading tool connection member radially contracts from the open state to the closed state.

US Pat. No. 10,188,514

TRANSCATHETER VALVE PROSTHESIS

HIGHLIFE SAS, Paris (FR)...

1. A heart valve system, the system comprising:a radially self-expandable tubular body having an inflow end and an outflow end, the tubular body including a plurality of beams at the outflow end of the tubular body; and
a valve coupled to the outflow end of the tubular body such that an entirety of the valve is distal of the inflow end of the tubular body, the valve including a plurality of valve leaflets,
wherein:
each valve leaflet is supported by only two beams of the plurality of beams,
connection points link the inflow end of the tubular body and the plurality of beams, a number of connection points being equivalent to a number of the valve leaflets, and
each beam of the plurality of beams is directly connected to an adjacent beam so that the plurality of beams extends the entire circumferential length of the tubular body at the outflow end.

US Pat. No. 10,188,513

PROSTHETIC TISSUE VALVES

CORMATRIX CARDIOVASCULAR,...

1. A prosthetic valve for modulating fluid flow through a cardiovascular structure during cardiac cycles of a heart, said fluid flow exhibiting a plurality of positive and negative flow pressures during said cardiac cycles, said prosthetic valve comprising:a valve structure comprising a remodelable conical shaped sheet member, said sheet member comprising an extracellular matrix (ECM) composition, said ECM composition comprising acellular ECM from a mammalian tissue source,
said sheet member further comprising an open proximal annulus engagement end configured to engage said cardiovascular structure and receive said fluid flow therein and a closed distal end,
said sheet member further comprising a plurality of linear interstices disposed between said sheet member open proximal annulus engagement end and said closed distal end, wherein said plurality of linear interstices do not extend to said closed distal end,
said sheet member being configured to transition from an expanded position when said proximal annulus engagement end of said sheet member is engaged to said cardiovascular structure and receives said fluid flow therein, and said fluid flow exhibits a first positive flow pressure of said plurality of positive flow pressures, to a collapsed position when said fluid flow exhibits a first negative flow pressure of said plurality of negative flow pressures,
said plurality of linear interstices being configured to transition from an open position, when said sheet member is in said expanded position, to a closed position, when said sheet member is in said collapsed position,
said closed distal end of said sheet member being configured to block said fluid flow therethrough when said plurality of linear interstices are in said open and closed positions, wherein when said plurality of linear interstices are in said open position, said plurality of linear interstices allow said fluid flow to be transmitted through said plurality of linear interstices and sheet member, and wherein when said plurality of linear interstices are in said closed position, said plurality of linear interstices and said closed distal end of said sheet member jointly block said fluid flow through said sheet member,
said sheet member being further configured to remodel, and induce host cell and tissue proliferation, remodeling of damaged cardiovascular tissue and regeneration of new cardiovascular tissue and tissue structures with site-specific structural and functional properties, when said proximal annulus engagement end of said sheet member is engaged to said cardiovascular structure, wherein said proximal annulus engagement end of said sheet member is disposed proximate damaged tissue of said cardiovascular structure; and
a biodegradable multi-link support stent structure disposed in said sheet member.

US Pat. No. 10,188,512

REVERSIBLE CAVITARY TENSION MEMBRANE

1. An apparatus for supporting and uniformly covering at least in one plane a cavity structure without obstructing the flow of fluid through the cavity structure, the apparatus comprising:an expandable membrane configured to transition between an expanded state and a shrunken state, wherein the membrane is comprised of a first layer and a second layer, the edges of which are joined together to create a closed chamber between the first layer and the second layer, the membrane comprising:
an internal face and an external face opposite the internal face;
a tension mechanism disposed between the internal face and the external face and configured to exert force on the first layer and the second layer to place the expandable membrane in the expanded state;
and at least one orifice disposed between the internal face and the external face, wherein the external face is in fluid communication through the orifice with an empty space defined by the internal face of the membrane when the membrane is in the expanded state.

US Pat. No. 10,188,511

BIOPROSTHETIC TISSUE WITH REDUCED CALCIFICATION

Edwards Lifesciences Corp...

1. A packaged bioprosthetic device comprising:an at least partially cross-linked pericardial tissue comprising functional groups that have been blocked, removed or altered by reacting the functional groups with capping agents, wherein the functional groups are one or both of aldehyde groups and carboxylic acid groups; and
a packaging storing the at least partially cross-linked biological tissue without a liquid preservative solution.

US Pat. No. 10,188,510

PROSTHETIC TISSUE VALVES

CorMatrix Cardiovascular,...

1. A prosthetic valve for modulating fluid flow through a cardiovascular structure during cardiac cycles of a heart, said fluid flow exhibiting a plurality of positive and negative flow pressures during said cardiac cycles, said prosthetic valve comprising:a remodelable biological tissue structure comprising a continuous tubular member,
said tubular member comprising an adaptive tissue regeneration system configured to engage said cardiovascular structure and induce modulated healing of damaged cardiovascular tissue of said cardiovascular structure concomitantly with stress-induced hypertrophy of said tubular member when said tubular member is subjected to cardiac cycle induced physical stimuli,
said modulated healing of said damaged cardiovascular tissue comprising inflammation modulation of said damaged cardiovascular tissue and induced neovascularization, remodeling of said damaged cardiovascular tissue and regeneration of new cardiovascular tissue and tissue structures with site-specific structural and functional properties,
said stress-induced hypertrophy of said tubular member comprising adaptive remodeling of said tubular member, wherein said tubular member remodels and forms functioning valve structures that are similar to native valve structures,
said adaptive tissue regeneration system comprising a tubular member material component and a tubular member physical structure component,
said tubular member material component comprising an extracellular matrix (ECM) composition, said ECM composition comprising acellular ECM from a mammalian tissue source,
said tubular member physical structure component comprising a sheet member comprising a proximal valve annulus engagement end and a distal end, said proximal valve annulus engagement end of said sheet member being configured to engage a valve annulus region of said cardiovascular structure,
said proximal valve annulus engagement end comprising a circumferential ribbon connection region and a plurality of equally spaced ribbons projecting from said circumferential ribbon connection region toward said sheet member distal end,
each of said plurality of ribbons comprising proximal and distal ends, a first edge region extending from said proximal end of each of said plurality of ribbons to said distal end of each of said plurality of ribbons and a second edge region extending from said proximal end of each of said plurality of ribbons to said distal end of each of said plurality of ribbons,
said proximal end of each of said plurality of ribbons being connected to said circumferential ribbon connection region,
said plurality of ribbons being positioned circumferentially about said circumferential ribbon connection region, wherein said first edge regions of said plurality of ribbons are positioned proximate said second edge regions of said plurality of ribbons, wherein a plurality of fluid flow modulating regions is formed between adjacent ribbons of said plurality of ribbons,
said distal ends of said plurality of ribbons being engaged to each other in a joined relationship, wherein fluid flow through said sheet member at said joined distal ends of said plurality of ribbons is restricted while said fluid flow is allowed to be transmitted through said fluid flow modulating regions when in an open position,
said sheet member being configured to transition from an expanded position when said proximal valve annulus engagement end of said sheet member is engaged to said valve annulus region of said cardiovascular structure and receives said fluid flow therein, and said fluid flow exhibits a first positive flow pressure of said plurality of positive flow pressures, to a collapsed position when said fluid flow exhibits a first negative flow pressure of said plurality of negative flow pressures,
said plurality of fluid flow modulating regions being configured to transition from said open position when said sheet member is in said expanded position, wherein said plurality of fluid flow modulating regions allow said fluid flow to be transmitted through said sheet member, to a closed position when said sheet member is in said collapsed position, wherein said plurality of fluid flow modulating regions restrict said fluid flow through said sheet member.

US Pat. No. 10,188,509

PROSTHETIC TISSUE VALVES

CORMATRIX CARDIOVASCULAR,...

1. A prosthetic valve for modulating fluid flow through a cardiovascular structure during cardiac cycles of a heart, said fluid flow exhibiting a plurality of positive and negative flow pressures during said cardiac cycles, said prosthetic valve comprising:a remodelable biological tissue structure comprising a conical shaped sheet member, said sheet member comprising an extracellular matrix (ECM) composition, said ECM composition comprising acellular ECM from a mammalian tissue source,
said sheet member further comprising an open proximal annulus engagement end configured to engage said cardiovascular structure and receive said fluid flow therein and a closed distal end,
said sheet member further comprising a plurality of linear interstices disposed between said sheet member open proximal annulus engagement end and said closed distal end, wherein said plurality of linear interstices do not extend to said closed distal end,
said sheet member being configured to transition from an expanded position when said proximal annulus engagement end of said sheet member is engaged to said cardiovascular structure and receives said fluid flow therein, and said fluid flow exhibits a first positive flow pressure of said plurality of positive flow pressures, to a collapsed position when said fluid flow exhibits a first negative flow pressure of said plurality of negative flow pressures,
said plurality of linear interstices being configured to transition from an open position, when said sheet member is in said expanded position, to a closed position, when said sheet member is in said collapsed position,
said closed distal end of said sheet member being configured to block said fluid flow therethrough when said plurality of linear interstices are in said open and closed positions, wherein when said plurality of linear interstices are in said open position, said plurality of linear interstices allow said fluid flow to be transmitted through said plurality of linear interstices and said sheet member, and wherein when said plurality of linear interstices are in said closed position, said plurality of linear interstices and said distal end of said sheet member jointly block said fluid flow through said sheet member,
said sheet member being further configured to remodel, and induce host cell and tissue proliferation, remodeling of damaged cardiovascular tissue and regeneration of new cardiovascular tissue and tissue structures with site-specific structural and functional properties, when said proximal annulus engagement end of said sheet member is engaged to said cardiovascular structure, wherein said proximal annulus engagement end of said sheet member is disposed proximate damaged tissue of said cardiovascular structure.

US Pat. No. 10,188,508

BIOENGINEERED VOCAL FOLD MUCOSA FOR FUNCTIONAL VOICE RESTORATION

Wisconsin Alumni Research...

1. An engineered vocal fold mucosa comprising:(a) an engineered non-vascularized lamina propria comprising a scaffold comprising polymerized collagen populated by a plurality of human vocal fold fibroblasts (VFFs); and
(b) an engineered stratified squamous epithelium in contact with the engineered non-vascularized lamina propria of (a), the stratified squamous epithelium comprising a plurality of human vocal fold epithelial cells (VFEs);
wherein the engineered vocal fold mucosa, when implanted into a larynx, exhibits vibratory function and acoustic output of a native human vocal fold mucosa.

US Pat. No. 10,188,507

INTRAOCULAR LENS INJECTION SYSTEM AND CONTROLLER FOR CONTROLLING INTRAOCULAR LENS INJECTION DEVICE

NIDEK CO., LTD., Gamagor...

1. An intraocular lens injection system comprising:a push-out member comprising a drive part, the push-out member configured to push out an intraocular lens by use of the drive part, wherein the intraocular lens comprises an optical part and a support part configured to support the optical part in a patient's eye;
an observation member configured to obtain an observed image of the intraocular lens which is configured to be pushed out by the push-out member; and
a controller that determines a drive parameter of the drive part based on the observed image,
wherein the controller is configured to determine the drive parameter according to at least a shape of the support part.

US Pat. No. 10,188,506

INTRAOCULAR LENS INSERTER

Alcon Pharmaceuticals, Lt...

1. An implant inserter comprising:a compressed gas storage portion comprising a compressed gas cartridge configured to release a compressed gas into the compressed gas storage portion;
a hydraulic portion containing a substantially incompressible fluid;
a piston disposed between the compressed gas cartridge and the hydraulic portion and configured to impart pressure of the released compressed gas in the compressed gas storage portion to the substantially incompressible fluid in the hydraulic portion;
an actuator portion comprising a button or lever and a plunger mounted for sliding movement between a retracted position and an extended position, the actuator portion configured to allow a user to control a flow of the substantially incompressible fluid through the hydraulic portion to move the plunger from the retracted position to the extended position by using the button or lever; and
an implant retaining portion comprising an implant for insertion into a treatment region of an animal and aligned with the plunger such that the plunger pushes the implant when the plunger moves from the retracted position toward the extended position.

US Pat. No. 10,188,505

MATERIALS AND METHODS FOR IMPROVED BONE TENDON BONE TRANSPLANTATION

RTI Surgical, Inc., Alac...

1. A method of conducting orthopedic surgery on a recipient comprising:before the surgery, obtaining a bone/tendon allograft comprising (a) a first human bone block said first human bone block pre-shaped before surgery as a first pre-shaped dowel bone block having a dowel diameter specially adapted for fixation in a bone tunnel having a tunnel diameter for which the dowel is adapted, and (b) a tendon attached to said first human bone block via a naturally occurring attachment;
during the surgery, implanting the first human bone block in said bone tunnel having a diameter for which the first pre-shaped dowel bone block is adapted.

US Pat. No. 10,188,504

WHIPSTITCHED GRAFT CONSTRUCT AND METHOD OF MAKING THE SAME

ARTHREX, INC., Naples, F...

1. A method of forming a graft, comprising:forming a stitched region in a tendon strand by threading a suture loop/needle construct through the tendon strand and advancing the suture loop/needle construct in a direction toward an end of the tendon strand, wherein the suture loop/needle construct includes a continuous suture loop attached to a needle.

US Pat. No. 10,188,503

PROSTHESIS HAVING PIVOTING FENESTRATION

Cook Medical Technologies...

1. A prosthesis, comprising:a graft having a tubular body and a surface comprising a first biocompatible material;
at least one pivoting fenestration having a diameter extending from a sidewall of the graft;
a first perimeter having a first diameter and surrounding the at least one pivoting fenestration;
a band of flexible material surrounding the first perimeter and having a flexible frame;
a second perimeter in the side wall surrounding the band of flexible material and having a second diameter greater than the first perimeter diameter;
a first non-pivoting fenestration having a diameter disposed in the side wall of the graft; and
a second non-pivoting fenestration having a diameter disposed in the side wall of the graft,
where the band of material has a first diameter substantially the same as the first perimeter diameter and a second diameter substantially the same as the diameter of the second perimeter, and where the diameter of the band of material decreases in a direction away from the surface of the graft from the second perimeter to the first perimeter;
where the at least one pivoting fenestration is pivotable in any direction away from an axis perpendicular to a longitudinal axis of the prosthesis,
where at least one of the first non-pivoting fenestration and the second non-pivoting fenestration has a scallop configuration.

US Pat. No. 10,188,502

AORTIC GRAFT DEVICE

Cook Medical Technologies...

1. A prosthesis comprising:a unitary tube of graft material, the unitary tube of graft material comprising:
a stented graft portion having an outer perimeter, an inner lumen, a first end, a second end,
a completely unstented crimped portion integrally formed with and extending from the first end of the stented graft portion to form a junction between the unstented crimped portion and the first end of stented graft portion, the unstented crimped portion having an outer perimeter, and the junction having a circumference,
a plurality of independent ring stents extending from the junction to the second end of the stented graft portion including a first stent ring and a series of undulating ring stents extending distally from the first ring stent to the distal end of the stented graft portion,
a collar substantially at the junction between the first end of the stented graft portion and the unstented crimped portion and extending about the circumference of the junction,
at least one fenestration in the tube of graft material, and
a branch extending from the at least one fenestration in the tube of graft material,
wherein the first ring stent of the plurality of ring stents is disposed directly adjacent to the collar,
wherein the collar extends radially away from and beyond the entire outer perimeters of both the stented graft portion and the unstented crimped portion, such that the collar is configured to provide an extended stable surface structure away from the outer perimeters of the stented graft portion and the unstented crimped portion for the passage of sutures without the passage of sutures into the lumens of either the stented graft portion or the unstented crimped portion.

US Pat. No. 10,188,501

FORK-TYPE COVERED STENT

Lifetech Scientific (Shen...

1. A bifurcated stent graft, comprising:a body;
a side branch that forms an acute angle with the body, the side branch comprising a covering film and a first bare stent disposed only on the covering film, with a part of the first bare stent positioned adjacent a boundary line of the body and the covering film, and is located in a vertex angle area of the acute angle; and
wherein the first bare stent comprises at least one metal ring that defines different waveforms that include struts and a plurality of proximal vertices and a plurality of distal vertices, each strut having a proximal vertex and a distal vertex at opposite ends thereof, with an axial distance defined for the strut between each connecting proximal vertex and distal vertex, and wherein the axial distances are different along the at least one metal ring, with the strut closest to the acute angle having the shortest axial distance, and the strut furthest from the acute angle having the longest axial distance.

US Pat. No. 10,188,500

STENT GRAFT WITH EXTERNAL SCAFFOLDING AND METHOD

Medtronic Vascular, Inc.,...

1. A scaffolded stent-graft comprising:a hydrophobic graft material comprising an inner surface and an outer surface, the inner surface defining a lumen within the graft material, the graft material being hostile to tissue ingrowth therein; and
a scaffold comprising a metallic material mesh comprising openings therein coupled to the graft material at the outer surface, the scaffold configured to promote tissue ingrowth therein, the scaffold comprising a metal to artery ratio optimized to create stasis of blood within the scaffold resulting in thrombus formation, wherein the mesh is in the shape of a torus.

US Pat. No. 10,188,498

EMBOLUS BLOOD CLOT FILTER DELIVERY SYSTEM

C. R. BARD, INC., Murray...

1. A blood filter delivery apparatus for delivery to a blood vessel having a vessel wall comprising:a) a catheter having a free end portion with a catheter opening and a catheter lumen that communicates with said catheter opening;
b) a filter and positioning assembly positioned within the catheter in a storage position wherein said assembly comprises an assembly member and a filter having a head and multiple filter leg members connected to the head;
c) a pusher that engages the assembly inside the catheter lumen, wherein the assembly member has an assembly member distal end adapted to engage one or more said filter leg members and a proximal end disposed within the catheter to define a stored position;
d) wherein the filter is positioned in between the catheter opening and the positioning assembly in said storage position; and
e) wherein the positioning assembly and filter are movable between said storage position within the catheter lumen and a preliminary dispensed position wherein said head is positioned distally of the filter legs and the catheter and at least some of the filter leg members are configured to engage the vessel wall while at least a portion of some of the filter leg members remain inside the catheter lumen.

US Pat. No. 10,188,497

IMPLANT CONVEYING DEVICE AND IMPLANTED MEDICAL INSTRUMENT

Lifetech Scientific (Shen...

1. An assembly, comprising:an implant for occluding a defect, the implant having a meshed body defining a through hole; and
an implant conveying device for delivering the implant to a treatment location, wherein the conveying device comprises a pusher, a control component, a connecting wire and a control wire;
the pusher, of which one end is connected to the control component, comprising a tube cavity and a lock hole communicated with the tube cavity;
one end of the control wire is connected to the control component, and the other end thereof is capable of being driven by the control component to be movably accommodated in the tube cavity of the pusher;
one end of the connecting wire is connected to the pusher or to the control component, and the other end thereof has a ring that extends through the through hole of the meshed body of the implant and then entering the lock hole; and
the control wire is capable of being driven by the control component to pass through the ring of the connecting wire to connect the implant with the conveying device, and the control wire is also capable of being driven by the control component to be disengaged from the ring of the connecting wire to release the implant so as to deliver the implant to the treatment location, wherein the conveying device is separated from the implant after the control wire is disengaged from the ring and the connecting wire is removed from the treatment location.

US Pat. No. 10,188,495

POSITIONING AGENT AND METHOD OF USING THE SAME

ATRIUM MEDICAL CORPORATIO...

1. A method of implanting a surgical mesh prosthesis, comprising the steps of:positioning a surgical mesh prosthesis against a surface of a target tissue with a positioning agent disposed between the surgical mesh prosthesis and the surface of the target tissue, wherein the positioning agent has an adhesion strength adequate to maintain the surgical mesh prosthesis temporarily in place, otherwise unsupported, against the target tissue in the absence of setting or curing of the positioning agent; and
adhering the surgical mesh prosthesis against the surface of the target tissue by the adhesion strength of the positioning agent;
wherein the positioning agent has a dynamic viscosity that comprises a first viscosity, when tested at 0.1 S?1 and 23° C., between about 150 Cps and 26,000,000 Cps, and a second viscosity, when tested at 9.77 S?1 and 23° C., that is between about 50 Cps and 2,530,000 Cps; and
wherein the positioning agent is a solution, gel or paste that includes water and one or more components selected from the group consisting of glycerin, sodium carboxymethylcellulose, maltrodextrin, hypromellose, carbopol resin, aloe vera, collagen and xantham gum.

US Pat. No. 10,188,493

SURGICAL MESH WITH DIMENSIONALLY STABILIZED PORE

Atex Technologies, Inc., ...

1. A method of stabilizing a pore within a mesh fabric comprising the steps of:providing a mesh knit fabric made of a plurality of thermoplastic polymer yarns, the fabric having a first pore, the first pore having a first perimeter;
providing a frame comprising pins;
placing at least a portion of the fabric surrounding the first pore over the pins of the frame, whereby the portion of the fabric is temporarily held taut to define a taut fabric portion;
providing a support having an outer perimeter comprising a shape and having a tapered section;
inserting the support into the first pore so that the first pore perimeter is in contact with the outer perimeter of the support; and
placing the taut fabric portion and the support in an oven for a predetermined time at a predetermined temperature, whereby the first pore perimeter assumes the shape of the outer perimeter of the support.

US Pat. No. 10,188,491

DENTAL RESTORATION PRODUCING SYSTEM FOR PRODUCING DENTAL RESTORATION FROM DENTAL MILL BLANK WITH THROUGH-HOLE, OPERATION SYSTEM OF THE SYSTEM, PROGRAM FOR THE SYSTEM, AND DENTAL MILL BLANK FOR USE IN THE SYSTEM

SHOFU INC., Kyoto (JP)

1. A dental restoration producing system of producing a dental restoration from a dental mill blank with one or more through-holes, comprising;a data taking-in section taking in a dental mill blank shape data which indicates a shape of a dental mill blank and includes a position data of one or more through-holes, and a dental restoration shape data which indicates a shape of a dental restoration to be produced,
a superposed data generating section generating a superposed data in which the dental restoration is superposed in the dental mill blank based on the dental mill blank shape data and the dental restoration shape data, and
a control section controlling cutting of the dental mill blank based on the superposed data, wherein,
when the dental restoration includes no through-hole of the dental restoration, the superposed data generating section generates a superposed data in which at least one through-hole among the one or more through-holes of the dental mill blank is not superposed with the dental restoration,
when the dental restoration includes a through-hole of the dental restoration, the superposed data generating section generates a superposed data in which at least one through-hole among the one or more through-holes of the dental mill blank is not superposed with the dental restoration and the through-hole of the dental restoration, or a superposed data in which at least one through-hole among the one or more through-holes of the dental mill blank is included in the through-hole of the dental restoration which is larger than the at least one through-hole among the one or more through-holes of the dental mill blank, and
the control section controls cutting so that cutting is started from the at least one through-hole among the one or more through-holes of the dental mill blank.

US Pat. No. 10,188,490

METHODS AND SYSTEMS FOR DENTAL PROCEDURES

Align Technology, Inc., ...

1. A method for digitally aligning a patient's teeth with a reference portion of the patient, the method comprising:acquiring, using a scanner, a first image of at least a portion of the patient's teeth;
positioning a device in a patient's mouth to align the device with a reference portion of the patient, the device comprising an occlusal portion and a non-occlusal portion, the occlusal portion comprising a bite plate held between the patient's teeth so as to secure the device in a position during a scanning procedure and the non-occlusal portion comprising a coded pattern for aligning scanned images of the patient, the occlusal portion and the non-occlusal portion being coupled together at an angle such that the coded pattern is outwardly oriented from the patient's mouth when the bite plate is positioned between the patient's teeth, so that the coded pattern is presented to permit scanning of the coded pattern simultaneously when scanning at least the portion of the patient's teeth;
acquiring, using the scanner, a second image of at least a portion of the coded pattern and at least the portion of the patient's teeth: and
processing the first image and the second image to determine a spatial relationship between at least the portion of the patient's teeth and the reference portion by calculating a first spatial relationship between at least the portion of the coded pattern and at least the portion of the patient's teeth and the alignment between the device and the reference portion.

US Pat. No. 10,188,489

SINUS IMPLANT

Star Generation Limited T...

1. A sinus implant, comprising:an implant body having a mounting hole axially defined there through;
a plurality of positioning threads that are provided in a periphery of the implant body, that extend spirally upwardly around the periphery of the implant body, and that have a width that gradually decreases in a direction from a bottom end of the implant body toward an opposing top end of the implant body;
a pushing portion that protrudes from a top end of the sinus implant, that has a diameter that is reduced compared to that of the implant body, and that comprises a flat end face having defined therein a recess space and that includes an outer guide edge that is a smoothly arched and extends around a border of the flat end face, and an inner guide edge that is a smoothly arched and extends around the recess space within the flat end face, wherein, the pushing portion has a periphery that is without the plurality of positioning threads; and
at least one spiral groove that extends around the periphery of the implant body across the plurality of positioning threads, that reaches the periphery of the pushing portion, and that intersects with and communicates with the recess space.

US Pat. No. 10,188,485

DENTAL APPLIANCE DETACHABLY ATTACHED TO THE TEETH, AND FABRICATING METHOD THEREFOR

UNIVERSITY-INDUSTRY COOPE...

1. A dental appliance with an arch shape detachably attached to upper teeth or lower teeth forming a dental arch, comprising:a cover frame formed with a teeth recess extending in a longitudinal direction of the cover frame, the cover frame being a laminar structure including a first cover layer of a hard material and a second cover layer of a soft material provided at an inside relative to the first cover layer; and
a core frame of a hard material provided in the teeth recess of the cover frame and having a teeth-contacting surface shaped with impressions of end portions of teeth to which the dental appliance is attached,
wherein the cover frame includes a cover inner wall forming a wall on one side of the teeth recess so as to be provided on a lingual side of the teeth, a cover outer wall forming a wall on other side of the teeth recess so as to be provided on a front side of the teeth, and a cover base connecting the cover inner wall and the cover outer wall so as to cover the end portions of the teeth,
wherein the cover inner wall directly contacts lingual surfaces of the teeth, and the cover outer wall directly contacts front surfaces of the teeth,
wherein a left posterior teeth-contacting surface is shaped with impressions of end portions of at least one of posterior teeth at a left side of the dental arch and is formed on an inner surface of the cover base of the cover frame so as to directly contact the at least one of the posterior teeth at the left side to be occluded, and
a right posterior teeth-contacting surface is shaped with impressions of end portions of at least one of posterior teeth at a right side of the dental arch and is formed on the inner surface of the cover base of the cover frame so as to directly contact the at least one of the posterior teeth at the right side to be occluded, and
wherein the left posterior teeth-contacting surface is disposed between a left side end of the cover frame and a left side end of the core frame, and the right posterior teeth-contacting surface is disposed between a right side end of the cover frame and a right side end of the core frame.

US Pat. No. 10,188,484

SYSTEM OF COMPONENTS OR IMPLEMENTS FOR EASILY AND PRECISELY INSTALLING A DENTAL IMPLANT, AND A METHOD OF INSTALLING THE DENTAL IMPLANT

1. A system for implementing the installation of a winged dental implant within a blind bore implantation site defined within a patient's jaw, comprising:a rotary cutter assembly comprising a rotary cutting disk mounted upon a support post; and
a rotary cutter guide to be disposed within the blind bore implantation site defined within the patient's jaw, wherein said rotary cutter guide comprises a base portion and an upstanding body portion, a first vertically extending through-slot defined within said upstanding body portion of said rotary cutter guide such that said first vertically extending through-slot extends through said rotary cutter guide along a first plane from a first wall portion of said upstanding body portion to a second oppositely disposed wall portion of said upstanding body portion, and a second vertically extending through-slot defined within said rotary cutter guide such that said second vertically extending through-slot extends through said rotary cutter guide along a second plane which is disposed orthogonally with respect to said first plane such that said second slot extends from a third wall portion of said upstanding body portion to a fourth oppositely disposed wall portion of said upstanding body portion,
wherein said support post of said rotary cutter assembly extends through said first vertically extending through-slot defined within said upstanding body portion of said rotary cutter guider while oppositely disposed stub portions of said support post extend outwardly from said oppositely disposed first and second wall portions of said first vertically extending through-slot defined within said upstanding body portion of said rotary cutter guide so as to stably support said rotary cutter assembly within said rotary cutter guide, and opposite sides of said rotary cutting disk project outwardly from said oppositely disposed third and fourth wall portions of said second vertically extending through-slot defined within said upstanding body portion of said rotary cutter guide so as to be capable of cutting oppositely disposed slots within the patient's jaw for accommodating oppositely disposed wing members of the winged dental implant.

US Pat. No. 10,188,483

GASTRO-INTESTINAL SCOPE STERILIZATION, DISINFECTION AND STORAGE DEVICE AND METHODS OF MAKING AND USING SAME

16. A method of constructing gastro-intestinal (GI) scope disinfection and sterilization device, comprising the steps of:providing a gastro-intestinal (GI) scope with an insertion tube having a first end and a second end, a control section such that the second end of the insertion tube is operatively connected to the control section, a universal cord having a first end and a second end such that the first end of the universal cord is operatively connected to the control section and the second end of the insertion tube is operatively connected to a suction connector, and
providing an ultraviolet (UV) light assembly, wherein the UV light assembly is further comprised of;
a power source,
a first electrical extension operatively connected to the power source,
a UV light box operatively connected to the first electrical extension, and
first and second UV light sources operatively connected to the UV light box, wherein each of the first and second UV light sources includes a first end and a second end, wherein the first UV light source is located within an interior of the insertion tube and the second UV light source is located within an interior of the universal cord in order to disinfect and sterilize an interior of the gastro-intestinal (GI) scope and wherein each of the first and second UV light sources is further comprised of a UV light having a tube and a plurality of UV lights located on the tube.

US Pat. No. 10,188,481

BEAM GUIDE FOR OPHTHALMIC SURGICAL ILLUMINATION

Novartis AG, Basel (CH)

1. An ophthalmic illumination apparatus, comprising:a movable support;
an optical array coupled to the movable support and positioned to interact with a light beam from a light source, the optical array including first and second optical elements, wherein the first optical element is configured to reflect and transmit first associated amounts of the light beam, and wherein the second optical element is configured to reflect and transmit second associated amounts of the light beam different than the first optical element; and
a drive mechanism coupled to the movable support, wherein the drive mechanism is configured to cause the movable support to selectively move the optical array such that the light beam is selectively incident upon one of the first optical element or the second optical element.

US Pat. No. 10,188,480

SYSTEMS AND METHODS FOR PERFORMING SPINE SURGERY

NuVasive, Inc., San Dieg...

1. A system for global alignment of a spine during spinal surgery, the system comprising an imaging device, a spatial tracking system, a bending device, and, a control unit configured to:receive a planned target value of one or more spinal parameters;
based on the planned target value of the one or more spinal parameters, determine one or more ranges corresponding to a desired correction in at least one of (i) a sagittal alignment and (ii) a coronal alignment of the spine;
capture, via the imaging device and the spatial tracking system, one or more intraoperative fluoroscopy images;
measure an intraoperative value of the one or more spinal parameters according to the one or more captured intraoperative fluoroscopy images;
compare the intraoperative value of the one or more spinal parameters with the planned target value of the spinal parameters;
based on the comparison, determine that the intraoperative value of the one or more spinal parameters is within the one or more ranges and measure a location of one or more screws; and
calculate an instruction to bend a rod, via the bending device, to the location of the one or more screws.

US Pat. No. 10,188,479

CARRYING BAG

1. A negative pressure wound therapy kit comprising:a negative pressure wound therapy system comprising:
a housing enclosing a source of negative pressure configured to provide negative pressure wound therapy to a wound, the housing comprising a user interface positioned on an exterior of the housing; and
a canister configured to be attached to the housing and to be in fluidic communication with the source of negative pressure configured to provide negative pressure wound therapy to a wound negative pressure, the canister including a tubing configured to be fluidically connected to the wound; and
a carrying case comprising:
a pouch sized to enclose the housing and the canister of the negative pressure wound therapy system, the pouch having a window configured to permit viewing of the user interface, the pouch further comprising an opening sized to allow the housing and the canister to be placed into the pouch by being passed through the opening;
a fastener adapted to close at least a first portion of the opening while leaving a second portion of the opening open, the second portion of the opening being sized so that the tubing can pass through the second portion of the opening while the housing and the canister cannot pass through the second portion of the opening;
a pocket disposed on the carrying case and outside of the pouch, the pocket sized to enclose at least a portion of the tubing passed through the second portion of the opening, wherein the at least the portion of tubing comprises excess tubing in use; and
first and second flaps configured to conceal the housing and the canister of the negative pressure wound therapy system, the first flap configured to cover at least the window in a first position and to permit viewing of the window in a second position.

US Pat. No. 10,188,477

MOBILE MEDICAL CART

Neonatal Product Group, I...

1. A medical cart for transporting medical supplies, the cart comprising:a chassis having a plurality of wheels attached thereto;
a plurality of drawers supported on the chassis, wherein
at least one of the drawers is slidable along a first axis toward the chassis to a closed orientation and slidable away from the chassis along the first axis to an open configuration, and
at least one of the drawers has a drawer lock shiftable between a locked position in which it secures the drawer in the closed orientation and an unlocked position in which it allows the drawer to be in the open configuration;
a temperature-regulated compartment having
a storage space with a door,
a lock shiftable between a locked position in which it prevents the door from opening and an unlocked position in which it allows the door to open, and
a temperature-regulating unit that regulates a temperature of the storage space at a predetermined temperature;
a locking bar pivotally attached to the chassis and shiftable between a locked position in which it prevents opening of the drawers and the door of the temperature-regulated compartment and an unlocked position in which it allows the drawers to open when the drawer locks are in their unlocked positions and allows the door to open when the door lock is in its unlocked position so that the locking bar serves as a secondary safety lock for all the drawers and the door of the temperature-regulated compartment;
a headwall mount attached to the chassis having a vertically-adjustable bar and a horizontal cross bar;
a display attached to the chassis; and
a positionable task light attached to the chassis having a deformable body portion, and a light source.

US Pat. No. 10,188,476

MEDICAL GOWN HAVING AN INTEGRAL PROTECTIVE SLEEVE FOR MEDICAL EQUIPMENT

1. A protective medical gown comprising:a gown body adapted to be worn by a medical professional, the gown body having a front panel section, the gown body oriented by an exterior surface and an interior surface when worn;
an orifice centrally located in a central region of a front portion of the gown body; and
a tubular protective sleeve joined to the gown body at an attachment end circumscribing the centrally located orifice, the tubular protective sleeve extending freely and outward from the gown body, the tubular protective sleeve having a shape and size to receive a distal portion of a medical device;
an interior pocket separate segment from the tubular protective sleeve assembled to the interior surface of the gown body, the interior pocket comprising a sheet of material joined to the interior surface of the gown body along each of a first edge of the interior pocket and a second edge of the interior pocket, the interior pocket located to support a proximal portion of the medical device, having a first end proximate the centrally located orifice and a second end proximate a neckline of the gown body,
wherein the gown body and tubular protective sleeve are fabricated of a material and assembled to one another creating an impervious barrier to biomedical hazardous materials.

US Pat. No. 10,188,475

DRAPE FOR EQUIPMENT HAVING CYLINDRICAL OR OTHER NON-PLANAR CONTOURS

Medline Industries, Inc.,...

1. A method of manufacturing a drape, comprising:configuring a sterile drape with accordion folds to form two abutting elongated accordion fold stacks linked by a bottom section;
wrapping the sterile drape with a drape wrapping layer to form a wrapped drape; and
folding the wrapped drape with one or more book folds to form a folded drape.

US Pat. No. 10,188,474

SKIN-TO-SKIN CONTACT OBSTETRICAL SURGICAL DRAPE

CLEVER MEDICAL, Sanford,...

1. A surgical fenestration drape for the Cesarean delivery of a newborn, the drape comprising:a drape sheet having a surgical opening and a portal, said sheet having a sterile field side and an opposite non-sterile-field side;
a first means secured to a portion of the non-sterile field side of the drape, the first means being configured for closing the portal, said first means configured to be selectively manipulated from the non-sterile field side; and
a second means secured to a portion of the sterile field side of the drape, the second means being configured for closing the portal, said second means configured to be selectively manipulated from the sterile-field side;
whereby, the portal is configured for closing by the first means until birth, when said first means is configured to be withdrawn from the portal while a portion of the first means remains attached to the non-sterile field side of the drape sheet to provide a window for the newborn to be placed into skin-to-skin contact with the mother's chest, and thereafter the second means is configured to close the portal, the sterile field side and a portion of the first means configured to maintain the integrity of the sterile-field throughout ensuing procedure.

US Pat. No. 10,188,473

WIRE DRIVING DEVICE AND MANIPULATOR

OLYMPUS CORPORATION, Tok...

1. A wire driving device comprising:a pair of wires, one end of each individual wire in the pair of wires being attached to a movable member for antagonistically driving the movable member;
a pair of pulleys, an other end of each individual wire in the pair of wires being secured to an individual pulley in the pair of pulleys, each individual wire being wound around a respective one of each individual pulley;
a pair of driven gears, each driven gear in the pair of driven gears being coaxially secured to a respective one of each individual pulley;
a drive gear that is connected to a driving source that generates motive power; and
a pair of movable gears, each individual movable gear of the pair of movable gears being disposed between the drive gear and a respective one of each individual driven gear, each individual movable gear transmitting the motive power of the driving source to the respective driven gear from the drive gear,
wherein each individual movable gear is provided in a movable manner so that the pair of movable gears engage with the drive gear and with each respective individual driven gear when the drive gear is rotated in a manner in which the pair of pulleys wind a respective wire, and so that engagement of one individual movable gear with at least one of the drive gear and a respective individual driven gear is released when the drive gear is rotated in a manner in which a respective pulley unwinds a respective wire.

US Pat. No. 10,188,472

MEDICAL ROBOTIC SYSTEM WITH COUPLED CONTROL MODES

Intuitive Surgical Operat...

1. A system comprising:an imaging system having a field of view;
a slave manipulator adapted to manipulate a device when the device is coupled to the slave manipulator; and
a device controller automatically commanding the slave manipulator to move a working end of the device until the working end is within the field of view of the imaging system, after receiving an indication to do so.

US Pat. No. 10,188,471

TELE-OPERATIVE SURGICAL SYSTEMS AND METHODS OF CONTROL AT JOINT LIMITS USING INVERSE KINEMATICS

INTUITIVE SURGICAL OPERAT...

1. A tele-operation control method comprising:receiving a first manipulation command to move a distal end effector of a manipulator arm to a desired first position within a workspace, the manipulator arm extending between a proximal base and the distal end effector;
calculating a joint movement of one or more joints of a master control corresponding to calculated movement of a plurality of joints of the manipulator arm using inverse kinematics of the manipulator arm; and
when a first joint of the plurality of joints is at a joint range-of-motion (ROM) limit of the first joint, modifying an input variable within the inverse kinematics of the manipulator arm to lock the first joint, wherein the input variable corresponds to movement of the first joint within the workspace so that the calculated joint movement of the one or more joints of the master control provides improved force feedback.

US Pat. No. 10,188,469

INSTRUMENT, MANIPULATOR SYSTEM, AND CONTROL METHOD OF INSTRUMENT

OLYMPUS CORPORATION, Tok...

1. A manipulator system comprising:a medical instrument configured to be inserted into a body;
a manipulator configured to hold a portion of the instrument positioned in the body;
a switch configured to detect whether or not the manipulator holds the portion of the instrument positioned in the body;
an instruction-receiving part configured to detect an instruction for operating the instrument; and
a controller comprising hardware, the controller being configured to operate the instrument based on the instruction from the instruction-receiving part only when the switch detects that the manipulator holds the portion of the instrument positioned in the body,
wherein the switch detects whether or not the manipulator holds the portion of the instrument positioned in the body according to a conduction state and a cutoff state between a pair of contacts,
the switch switches the conduction state and the cutoff state between the pair of contacts by being pressed in a reference direction,
the manipulator has a gripper that grips the switch in the reference direction,
the instrument comprises a first instrument and a second instrument, and the controller is configured to:
operate only the first instrument where the instruction-receiving part detects the instruction when the switch detects whether or not the manipulator holds a portion of the first instrument positioned in the body, and
operate only the second instrument where the instruction-receiving part detects the instruction when the switch detects whether or not the manipulator holds a portion of the second instrument positioned in the body.

US Pat. No. 10,188,466

METHODS AND SYSTEMS FOR DIRECTING MOVEMENT OF A TOOL IN HAIR TRANSPLANTATION PROCEDURES

RESTORATION ROBOTICS, INC...

1. A method of selecting a follicular unit harvesting or implanting site, the method comprising:processing at least one image of a body surface containing follicular units, using at least one processing unit, to identify multiple rows;
determining, using the at least one processing unit or at least one different processing unit, whether a number of harvested or implanted follicular units in a first row is within a range of a desired number of harvested or implanted follicular units for the first row;
automatically suggesting a direction of movement of a tool for harvesting or implantation follicular units based on the results of the determining step as follows:
a) if the number of harvested or implanted follicular units in the first row is within the range of the desired number of harvested or implanted follicular units for the first row, indicating movement of the tool to a subsequent row; and
b) if the number of harvested or implanted follicular units in the first row is less than a lower threshold value of the range of the desired number of harvested or implanted follicular units for the first row, indicating continuance of harvesting or implanting the at least one additional follicular unit in the first row.

US Pat. No. 10,188,465

AUTOMATIC ENT SURGERY PREPLANNING USING A BACKTRACKING MAZE PROBLEM SOLUTION

Biosense Webster (Israel)...

1. A method, comprising:(a) receiving a computerized tomography (CT) scan of at least a part of a body of a patient;
(b) identifying voxels of the scan that correspond to regions in the body;
(c) displaying the scan on a screen and marking thereon selected start and termination points for a probe inserted in the body;
(d) finding a path from the start point to the termination point comprising a connected set of the identified voxels that are traversable by the probe, wherein finding the path comprises determining a set of density data associated with each of the identified voxels, determining a traversable density range, and determining the connected set of the identified voxels based at least upon the set of density data associated with those voxels being within the traversable density range;
(e) using the scan to generate a representation of an external surface of the body and displaying the representation on the screen;
(f) selecting a first region of the representation of the external surface to be transparent, wherein the first region is associated with the path such that the path is viewable through the first region;
(g) selecting a second region of the representation of the external surface to be non-transparent;
(h) rendering the first region transparent in the displayed representation, so as to make visible on the screen an internal structure of the body in a vicinity of the path; and
(i) rendering the second region non-transparent while rendering the first region transparent;
wherein the traversable density range comprises at least one density other than the density of air.

US Pat. No. 10,188,464

SENSOR-BASED SHOULDER SYSTEM AND METHOD

Zimmer, Inc., Warsaw, IN...

1. Method for providing graphical feedback visualizing forces within a joint through a range of motion of the joint, the method comprising:receiving, using one or more processors, position data for at least one bone of the joint while the at least one bone is moved through a range of motion (ROM);
concurrently to receiving the position data, receiving, using one or more processors, force data from at least one force sensor embedded within a trial prosthesis in the joint;
generating, for display on a display device, a graphical representation based on the position data and the force data, the graphical representation illustrating changes in the force data versus locations of the bone as it moved through the ROM; and
comparing the graphical representation with pre-generated target graphical presentation to determine whether the trial prosthesis provides target joint tension throughout the range of motion.

US Pat. No. 10,188,463

BONE LENGTH DETERMINATION

Stryker European Holdings...

1. A method for measuring an actual length of a fractured bone, wherein an implant is already introduced into the fractured bone, wherein a first reference body and a second reference body are already arranged in a predetermined relation to the implant, the method comprising the steps of:receiving a first 2D fluoroscopic image including the first reference body and a first bone feature;
determining a first spatial relation between the first reference body and a first end point at the first bone feature;
receiving a second 2D fluoroscopic image including the second reference body and a second bone feature;
determining a second spatial relation between the second reference body and a second point (P) at the second bone feature;
receiving data of a bone model having corresponding first and second bone features, determining a third spatial relation between the second point (P) of the second bone feature and a second end point (EP1) at the bone model; and
determining the actual length of the fractured bone based on the first, second, and third spatial relation, and on the predetermined relation of the reference bodies to each other.

US Pat. No. 10,188,461

SELECTIVE FAT REMOVAL USING PHOTOTHERMAL HEATING

THE REGENTS OF THE UNIVER...

1. A method for selective removal of fat in a subject in need thereof, comprising:distributing photo-absorbing nanoparticles uniformly within a target area comprising adipose tissue located beneath a skin surface of the subject by injecting a solution comprising gold nanorods suspended in a biocompatible liquid at a concentration range of 1011 to 1013 GNR/mL; and
delivering a series of pulses of near infrared light across the skin surface and into the target area for an exposure duration to induce surface plasmon resonance in the nanoparticles, wherein the near infrared light has a combination of optical parameters selected from the group consisting of beam energy, pulse duration, emission wavelength within a range of 700 to 900 nm, emission intensity, beam focus and beam area, the optical parameters and the exposure duration selected to excite the nanoparticles to liquefy fat within the target area.

US Pat. No. 10,188,459

ABLATION CATHETER WITH FLEXIBLE ELECTRODE

ST. JUDE MEDICAL, ATRIAL ...

1. An ablation catheter comprising a catheter body and a hollow elongate electrode disposed at a distal end of the catheter body, the electrode comprising an axial length and a sidewall provided with one or more elongate gaps extending therethrough, the one or more elongate gaps configured to provide flexibility in the sidewall and to allow shortening of the electrode axial length when a force is applied to the electrode in an axial direction.

US Pat. No. 10,188,458

INDUCTIVE DISTURBANCE REDUCTION DEVICE

Koninklijke Philips N.V.,...

1. An inductive disturbance reduction device for reducing an inductive disturbance of signals transmitted via first connection conductors of an electrical connector, the inductive disturbance being caused when radio frequency ablation current usable for ablating tissue flows through a second connection conductor of the electrical connector, wherein the electrical connector is adapted to electrically connect an ablation catheter with a radio frequency ablation current source, the inductive disturbance reduction device comprising:first compensation conductors adapted to be electrically connected to the first connection conductors of the electrical connector, the first compensation conductors of the inductive disturbance reduction device being adapted to transmit the signals, and
a second compensation conductor adapted to be electrically connected to the second connection conductor of the electrical connector, the second compensation conductor of the inductive disturbance reduction device being adapted to transmit the radio frequency ablation current, wherein:
the first compensation conductors and the second compensation conductor of the inductive disturbance reduction device are arranged such that a compensation voltage is induced in the first compensation conductors of the inductive disturbance reduction device when the radio frequency ablation current flows through the second compensation conductor of the inductive disturbance reduction device; and
the compensation voltage induced in the first compensation conductors of the inductive disturbance reduction device at least partly compensates a connection voltage, having a polarity opposite a polarity of the compensation voltage, induced in the first connection conductors of the electrical connector when the radio frequency ablation current flows through the second connection conductor of the electrical connector.

US Pat. No. 10,188,457

SELECTABLE ECCENTRIC REMODELING AND/OR ABLATION

Vessix Vascular, Inc., L...

1. An apparatus comprising:a catheter configured for intravascular placement within a blood vessel of a human patient;
an expandable balloon at a distal portion of the catheter, wherein the expandable balloon is configured to vary between a delivery configuration and a deployed configuration sized to fit within the blood vessel;
a first pair of bipolar contacts attached to the expandable balloon; and
a second pair of bipolar contacts attached to the expandable balloon,
wherein the first pair of bipolar contacts and the second pair of bipolar contacts are spaced apart lengthwise and angularly offset from one another when the expandable balloon is in the deployed configuration,
wherein each of the first pair of bipolar contacts and the second pair of bipolar contacts is configured to deliver thermal energy to less than a full circumference of the blood vessel of the patient.

US Pat. No. 10,188,455

ELECTROSURGICAL APPARATUS FOR GENERATING RADIOFREQUENCY ENERGY AND MICROWAVE ENERGY FOR DELIVERY INTO BIOLOGICAL TISSUE

CREO MEDICAL LIMITED, Ch...

1. An electrosurgical apparatus for resection of a biological tissue, the apparatus comprising:a radiofrequency (RF) signal generator for generating RF electromagnet (EM) radiation having a first frequency;
a microwave signal generator for generating microwave EM radiation having a second frequency that is higher than the first frequency;
a probe arranged to deliver the RF EM radiation and the microwave EM radiation separately or simultaneously from a distal end thereof; and
a feed structure for conveying the RF EM radiation and the microwave EM radiation to the probe, the feed structure comprising an RF channel for connecting the probe to the RF signal generator, and a microwave channel for connecting the probe to the microwave signal generator,
wherein the RF channel and microwave channel comprise physically separate signal pathways from the RF signal generator and microwave signal generator respectively,
wherein the feed structure includes a combining circuit having a first input connected to the separate signal pathway on the RF channel, a second input connected to the separate signal pathway on the microwave channel, and an output connected to a common signal pathway for conveying the RF EM radiation and the microwave EM radiation separately or simultaneously along a single channel to the probe,
wherein the microwave channel includes a waveguide isolator connected to isolate the separate signal pathway on the microwave channel from the RF EM radiation,
wherein the waveguide isolator has an adjustable impedance,
wherein the combining circuit is integrated with the waveguide isolator,
wherein the output connected to the common signal pathway includes an output probe mounted on the output section of the waveguide isolator, the output probe having a coupling conductor extending into the waveguide isolator to couple the microwave EM energy therefrom, and
wherein the first input includes an RF connector mounted on the waveguide isolator, the RF connector having a signal conductor that extends into a waveguide cavity of the waveguide isolator to electrically contact the coupling conductor of the output probe.

US Pat. No. 10,188,454

SYSTEM FOR MANUFACTURING ELECTROSURGICAL SEAL PLATES

COVIDIEN LP, Mansfield, ...

1. An end effector configured for use with an electrosurgical forceps device, the end effector comprising:a first jaw member comprising a first sealing surface including a plurality of flanges configured to secure the sealing surface to an overmolding material; and
a second jaw member operably coupled to the first jaw member such that at least one of the first jaw member or the second jaw member is movable relative to the other between an open condition and a closed condition, the second jaw member including:
a second sealing surface having a recess defined therein; and
a spacer extending from the recess and configured to maintain a gap distance between the first and second sealing surfaces when the first and second jaw members are in the closed condition.

US Pat. No. 10,188,453

SURGICAL INSTRUMENT WITH CONTAINED DUAL HELIX ACTUATOR ASSEMBLY

Ethicon LLC, Guaynabo, P...

1. A surgical instrument, comprising:(a) a handle assembly including a rotary member rotatably extending along an axis of rotation;
(b) an end effector;
(c) a shaft assembly defining a longitudinal axis, wherein the longitudinal axis is parallel to the axis of rotation of the rotary member, wherein the shaft assembly includes:
(i) a distal end portion, wherein the end effector is positioned at the distal end portion of the shaft assembly,
(ii) a proximal end portion associated with the handle assembly,
(iii) an articulation section positioned between the distal and proximal end portions and configured to articulate the distal end portion relative to the proximal end portion to deflect at least part of the end effector positioned at the distal end portion away from the longitudinal axis,
(iv) a first lead member operatively connected between the rotary member and the articulation section and configured to translate longitudinally a first longitudinal direction, and
(v) a second lead member operatively connected between the rotary member and the articulation section and configured to translate longitudinally a second longitudinal direction, wherein the second longitudinal direction is simultaneous and opposite the first longitudinal direction,
wherein the rotary member is configured to be selectively rotated about the axis of rotation to direct the first and second lead members in the first and second longitudinal direction and thereby articulate the articulation section for deflecting the end effector.

US Pat. No. 10,188,452

SINGLE ACTION TISSUE SEALER

COVIDIEN AG, (CH)

1. A bipolar forceps, comprising:a housing;
an elongated shaft extending from the housing;
an end effector coupled to a distal end of the elongated shaft, the end effector including a first jaw member and a second jaw member, at least one of the first and second jaw members movable relative to the other jaw member between an open position and a closed position;
a drive assembly disposed within the housing and selectively movable to actuate at least one of the first or second jaw members;
a cutting assembly disposed within the housing and selectively actuatable to advance a knife blade through at least one of the first or second jaw members; and
a handle assembly including:
a fixed handle extending from the housing and having a flexible latch detent and a detent rib each disposed within the fixed handle;
a movable handle pivotable relative to the fixed handle; and
a flange having a first end connected to the movable handle and a second end disposed within the fixed handle and adjacent the flexible latch detent, wherein a first movement of the movable handle causes the second end of the flange to engage the flexible latch detent indicating an end of a tissue sealing stage, and wherein continued movement of the movable handle causes the second end of the flange to engage the detent rib indicating an actuation of the cutting assembly.

US Pat. No. 10,188,451

VESSEL SEALER AND DIVIDER FOR USE WITH SMALL TROCARS AND CANNULAS

COVIDIEN AG, (CH)

1. An endoscopic bipolar forceps, comprising:an end effector assembly including a movable jaw member and a fixed jaw member , the movable jaw member movable relative to the fixed jaw member, the movable jaw member including a flange; and
a tubular reciprocating sleeve having a distal end defining a scoop-like support member, the scoop-like support member having an inner surface defining a channel that slidably receives a proximal end of the fixed jaw member, the inner surface of the scoop-like support member extending from a first lateral side of the fixed jaw member to a second lateral side of the fixed jaw member, the scoop-like support member defining an aperture therein at a distal end thereof configured to receive a portion of the flange of the movable jaw member, the scoop-like support member slidable in a proximal direction relative to the proximal end of the fixed jaw member to move the movable jaw member relative to the fixed jaw member from a first position, wherein the movable jaw member is disposed in spaced relation relative to the fixed jaw member, to a second position, wherein the movable jaw member is closer to the fixed jaw member,
wherein each of the movable and fixed jaw members is adapted to connect to a source of electrosurgical energy such that the movable and fixed jaw members are capable of conducting energy through tissue grasped therebetween.

US Pat. No. 10,188,450

BLADE DEPLOYMENT MECHANISMS FOR SURGICAL FORCEPS

COVIDIEN LP, Mansfield, ...

1. A forceps, comprising:a first shaft member having a jaw member at a distal end thereof;
a second shaft member having a jaw member at a distal end thereof,
the first and second shaft members pivotally coupled to each other about a pivot to move the jaw members between an open position and a closed position;
a trigger disposed on one of the first or second shaft members;
a blade operatively coupled to the trigger such that actuation of the trigger translates the blade;
an interference member engaged with the trigger when the jaw members are in the open position to prevent actuation of the trigger, one of the first or second shaft members configured to contact the interference member to move the interference member out of engagement with the trigger when the jaw members are moved to the closed position to permit actuation of the trigger;
an actuator disposed within a recess formed in the first shaft member such that the actuator is recessed from an outer surface of the first shaft member, the actuator configured to supply electrosurgical energy to at least one of the jaw members; and
a tab extending from the second shaft member and configured to be received within the recess upon approximation of the first and second shaft members to depress the actuator.

US Pat. No. 10,188,449

SYSTEM AND METHOD FOR TEMPERATURE ENHANCED IRREVERSIBLE ELECTROPORATION

COVIDIEN LP, Mansfield, ...

6. An electrosurgical system, comprising:an electrosurgical generator including:
a power supply configured to output DC power;
an inverter coupled to the power supply, the inverter including a plurality of switching elements; and
a controller coupled to the inverter and configured to signal the inverter to simultaneously generate based on the DC power a radio frequency heating waveform and an electroporation waveform, which is a pulsatile DC waveform configured to generate an electric field and includes a plurality of pulses having an initial pulse with a higher peak voltage and a higher rate of increase of voltage than any subsequent pulse; and
an electrosurgical instrument configured to couple to the inverter and to transmit simultaneously the radio frequency waveform and the electroporation waveform.

US Pat. No. 10,188,448

ELECTROSURGICAL SYSTEM FOR MULTI-FREQUENCY INTERROGATION OF PARASITIC PARAMETERS OF AN ELECTROSURGICAL INSTRUMENT

COVIDIEN LP, Mansfield, ...

1. An electrosurgical system comprising:an electrosurgical generator including:
an output stage, having a non-resonant inverter, configured to generate electrosurgical energy at a plurality of radio frequencies;
a plurality of sensors configured to sense a voltage waveform and a current waveform of the electrosurgical energy; and
a controller coupled to the output stage and the plurality of sensors; and
an instrument coupled to the electrosurgical generator and configured to supply the electrosurgical energy to tissue,
wherein the controller is further configured to calculate at least one parasitic parameter based on the electrosurgical energy at the plurality of radio frequencies and control the output stage to adjust an amplitude of the electrosurgical energy based on the at least one parasitic parameter.

US Pat. No. 10,188,446

RESONANT INVERTER

COVIDIEN LP, Mansfield, ...

1. An electrosurgical generator comprising:a tank configured to output energy, wherein the tank functions as an LCLC tank;
an H-bridge configured to drive the tank;
a transformer including:
a first core half;
a second core half;
a primary winding; and
a secondary winding having a number of turns, wherein each turn is separated by a constant gap; and
a bobbin coupled to the first core half and the second core half,
wherein the secondary winding is disposed on the bobbin,
wherein the constant gap provides a parallel capacitance of the LCLC tank, the parallel capacitance being in parallel with a secondary side of the transformer, and
wherein the secondary winding is the only component of the tank that provides the parallel capacitance such that the parallel capacitance is not provided by any discrete component.

US Pat. No. 10,188,445

NEUROMODULATION CRYOTHERAPEUTIC DEVICES AND ASSOCIATED SYSTEMS AND METHODS

Medtronic Ardian Luxembou...

1. A cryotherapeutic device, comprising:an elongate shaft having a distal end portion, wherein the shaft is configured to locate the distal end portion intravascularly at a treatment site within a renal artery of a human patient; and
a cooling assembly at the distal end portion of the shaft, wherein the cooling assembly is transformable between a low-profile delivery state and an expanded deployed state, and wherein the cooling assembly includes
a cooling balloon having a helical shape when the cooling assembly is in the deployed state, and
an insulating balloon having a helical shape when the cooling assembly is in the deployed state,
wherein the cooling balloon and the insulating balloon are intertwined when the cooling assembly is in the deployed state.

US Pat. No. 10,188,443

BONE CEMENT MIXING AND DELIVERY DEVICE

1. A bone cement mixing and delivery device, comprising:a shaft defining a passageway;
a connector comprising a central portion that is coupled to the shaft, the central portion defining a channel that is in communication with the passageway, the connector comprising first and second ports that extend from the central portion, the ports each defining a lumen that is in communication with the channel;
a first cartridge coupled to the first port and a second cartridge coupled to the second port, the first cartridge comprising a first component of a bone cement and the second cartridge comprising a second component of the bone cement;
a first syringe coupled to the first cartridge;
a second syringe coupled to the second cartridge; and
a plunger that extends into the channel to move the first and second components from the channel and into the passageway.

US Pat. No. 10,188,442

CANNULATED BONE SCREW AND METHODS OF USE THEREFOF

CM DEVELOPPEMENT, Le Ple...

1. A bone screw comprising:a screw body comprising a proximal end, a distal end, a longitudinal axis and a thread along an exterior of all or a portion of said screw body;
a screw head attached to the proximal end of the screw body;
a through bore extending coaxially through said screw head and through said screw body through the proximal end and through the distal end;
at least three blind channels angularly-disposed around the through bore; said channels extending longitudinally through said screw head and through a portion of said screw body; and each of said blind channels being configured to receive a catheter or a needle;
a plurality of radially-disposed fenestrations; wherein a distal portion of each of said blind channels is connected to the exterior of said screw body through at least one of the fenestrations; and
flexible directing means secured to the screw head such that an extracting tool may be guided to the screw head along said means.

US Pat. No. 10,188,441

DRUG DELIVERY IMPLANT IMPLANTED INTO BONE

UNIVERSITY-INDUSTRY COOPE...

1. A drug delivery implant configured to be implanted into a bone, comprising:a hollow implant fixture provided with an inlet formed at an upper end thereof; and
a drug supply cartridge coupled to the hollow implant fixture,
wherein the drug supply cartridge includes:
a cap for closing the inlet of the hollow implant fixture; and
a cartridge main body provided under the cap, coupled with the cap so as to be mounted in the hollow implant fixture integrally with the cap, and accommodated in the hollow implant fixture to release a drug,
wherein a cartridge hole to accommodate the cartridge main body and drug channels to guide a drug released from the inside of the cartridge main body to the outside of the hollow implant fixture are formed in the hollow implant fixture,
wherein the cartridge main body includes:
an outer membrane including first release holes to release the drug to the outside of the cartridge main body and forming an outer cover of the cartridge main body; and
an inner membrane including second release holes closed by the outer membrane, stacked in the outer membrane and closing the first release holes, the first release holes and the second release holes being selectively communicable with each other by an external force applied to the cartridge main body.

US Pat. No. 10,188,440

METHOD AND DEVICE FOR DELIVERING MEDICINE TO BONE

Spinal Generations, LLC, ...

1. A method for delivering multiple substances in a delayed fashion to a bone of a patient, comprising:providing a cannulated bone screw, wherein the bone screw comprises first and second fenestrations disposed along a shaft of the bone screw and connecting to a cannulation of the bone screw;
inserting an insert into the bone screw;
creating an aperture in skin of a patient;
inserting the bone screw into the bone of the patient through the aperture;
delivering a first substance into the bone through the bone screw, wherein the first substance changes over time into an at least partially solid hardened material; and
delivering a second substance into the bone through the bone screw and through the first substance after the first substance has changed into the at least partially solid hardened material;
wherein the first and second substances are delivered into the bone through the insert; and
wherein the insert is moveable within the cannulation of the bone screw to deliver the first substance through at least one of the first and second fenestrations and to deliver the second substance through at least one of the first and second fenestrations.

US Pat. No. 10,188,439

BONE FIXATION SYSTEM

DePuy Synthes Products, I...

1. A bone fixation linkage comprising:first and second links configured to interconnect with one another in an unlocked position such that the first and second links angulate with respect to one another, each link defining a first surface configured to face a bone to which the bone fixation linkage is configured to be attached, a second surface opposite the first surface along a first direction, a first attachment member, a second attachment member spaced from the first attachment member along a second direction, perpendicular to the first direction, a first fixation hole that extends through the first attachment member, and a second fixation hole that extends through the second attachment member, the second fixation hole having a diameter greater than that of the first fixation hole,
wherein the first attachment member of each respective link defines a first geometry at the first surface of the respective link, the second attachment member of each respective link defines a second geometry at the second surface of the respective link, and the first geometry of the first link is configured to interlock with the second geometry of the second link when the first and second links are in a locked position so as to prevent relative angulation between the first and second links, and
wherein the first link has a first interior surface that defines the first fixation hole of the first link, and the first attachment member of the first link has a tapered surface that extends from the first interior surface to the second surface of the first link and surrounds the first fixation hole of the first link.

US Pat. No. 10,188,437

SPINE STABILIZATION

Globus Medical, Inc., Au...

1. A surgical system comprising:an intervertebral device; and
a compression device, wherein the compression device comprises:
a receiver member, the receiver member including a limiter; and
an insert member configured to be received in the receiver member, the insert member including a catch configured to engage the limiter,
wherein the insert member comprises an opening configured to receive a pin,
wherein the receiver comprises a channel configured to engage the pin, and
wherein the pin is configured to travel within the channel to constrain movement of the receiver member relative to the insert member prior to the catch engaging the limiter so that receiver and insert remain in an interconnected state, and
wherein the compression member is configured to allow a dynamic range of compression such that the length of the compression member can increase or decrease following an initial amount of static compression.

US Pat. No. 10,188,436

INFLATABLE MEDICAL DEVICES

LOMA VISTA MEDICAL, INC....

1. A device for delivering a material to an orthopedic target site comprising:a flexible tube having a first lumen having a first end and a second end;
a pusher having a pusher total length between a pusher first end and a pusher second end, wherein the pusher comprises a pusher first length and a pusher second length, wherein the pusher first length has a first rigidity and the pusher second length has a second rigidity, said pusher comprising a first member spanning the first length and the second length, and a stiffening sheath spanning an entirety of only the first length; and
wherein the first rigidity is greater than the second rigidity; and
wherein the pusher and tube are configured for the pusher to be slidably received by the first end of the first lumen; and
wherein the material is located in the first lumen between the pusher and the second end.

US Pat. No. 10,188,433

ANTERIOR CERVICAL PLATES FOR SPINAL SURGERY EMPLOYING ANCHOR BACKOUT PREVENTION DEVICES, AND RELATED SYSTEMS AND METHODS

1. An anterior cervical plate, comprising:a main body including
a front surface,
a rear surface opposite the front surface, wherein the rear surface is configured to face first and second vertebrae, and
inner surfaces connected to the front and the rear surfaces, wherein the inner surfaces form a first anchor passageway and a second anchor passageway through the main body, wherein the first and the second anchor passageways are configured to respectively receive first and second anchors; and
a positioning guide projecting from the rear surface and configured such that, when the rear surface abuts against an anterior surface of the first vertebra and the positioning guide abuts against an endplate of the first vertebra, the positioning guide positively aligns the first anchor passageway relative to a corner edge of the first vertebra and the positioning guide is configured to be free from abutment against the second vertebra,
wherein the positioning guide includes a magnet configured to create a magnetic field.

US Pat. No. 10,188,431

DOUBLE-HEADED PEDICLE SCREW

1. A double-headed pedicle screw comprising:a threaded shaft portion having an upper end, the upper end having a first side and an opposing second side, the first side having a first side protrusion and the opposing second side having a second side protrusion; and
a first yoke assembly extending from the first side of the upper end of the threaded shaft portion;
a second yoke assembly extending from the opposing second side of the upper end of the threaded shaft portion, each of the first and second yoke assemblies including a recess configured to receive a portion of a rod therein, the recess of the first yoke assembly and the recess of the second yoke assembly each having an opening facing in a direction away from the other yoke assembly;
wherein the first side protrusion is configured to receive the first yoke assembly and the second side protrusion is configured to receive the second yoke assembly, the first side protrusion and the second side protrusion aligned along a common axis, each of the first and second yoke assemblies configured for pivoting movement relative to the threaded shaft portion independent of the pivoting movement of the other yoke assembly and wherein the first and second yoke assemblies are configured for pivoting movement in a direction perpendicular to the common axis of the first and second side protrusions.

US Pat. No. 10,188,429

VERTEBRAL FIXATION SYSTEM

Zimmer Spine, Inc., Edin...

1. A system for post-operative adjustment of a spinal stabilization system, comprising:a flexible and pliable elongate ligature member having a first portion and a second portion that form a loop;
a housing comprising:
an opening configured to receive the first and second portions of the flexible and pliable elongate ligature member; and
a rod receiving member;
a rod locking mechanism configured to engage and fix a rod within the rod receiving member; and
a post-operative tension adjustment mechanism for adjusting the tension of the first and second portions of the flexible and pliable elongate ligature member in situ via winding the first and second portions.

US Pat. No. 10,188,428

SUBCUTANEOUS IMPLANTABLE DEVICE FOR GRADUALLY ALIGNING A SPINE

1. A subcutaneous implantable device for aligning a spine having a plurality of vertebrae, comprising:a stabilizing plate assembly;
a first rod, including:
a first end; and,
a second end pivotably connected to the stabilizing plate assembly;
a second rod, including:
a third end; and,
a fourth end pivotably connected to the stabilizing plate assembly;
a winding assembly; and,
a tensioning member including a line, the line having:
a first end; and,
a second end secured to the winding assembly;
wherein the line is connected to the stabilizing plate assembly.

US Pat. No. 10,188,427

SPINAL CONSTRUCT AND METHOD

Warsaw Orthopeic, Inc., ...

1. A spinal construct comprising:a connector extending along a longitudinal axis between a first end and a second end, the first end comprising a passageway, a shaft of the second end being positioned within the passageway such that the second end can translate relative to the first end along the longitudinal axis, the ends each comprising a threaded hole extending through a top surface of the connector,
wherein the first end comprises a first expandable member including an inner surface defining a cavity configured to receive a head of a first bone fastener and the second end comprises a second expandable member including an inner surface defining a cavity configured to receive a head of a second bone fastener, the cavities each including an opening extending through a bottom surface of the connector, the expandable members each comprising a retaining member positioned in a respective one of the cavities, an inner locking ring positioned in a respective one of the cavities and a notch that extends into a respective one of the inner surfaces, the openings each having a maximum diameter greater than a maximum diameter of each of the retaining members, the retaining members being configured to expand radially and then collapse back to their original form when one of the heads contacts one of the retaining members, the inner locking rings being configured to be pushed into one of the notches when one of the heads is received by one of the retaining members.

US Pat. No. 10,188,426

EMBRYO TRANSFER CATHETER AND METHOD

1. An improved method of transferring an embryo into a uterus via a cervix of a recipient, the method comprising:providing an outer catheter body having first and second lumens, the first lumen having an inflatable balloon provided at a distal end of the first lumen;
up to several minutes, hours, days or weeks or longer before an embryo transfer:
inserting the outer catheter body into the uterus through the cervix;
inflating the balloon with fluid so that the outer catheter body is retained in the uterus;
closing off the second lumen by inserting a removable flexible plastic stent that is closed and lockable in position by a locking mechanism;
at the embryo transfer:
opening the second lumen in the outer catheter body;
inserting a matching internal catheter into the second lumen;
passing an embryo or embryo-containing cannula through the internal catheter to transfer an embryo into the uterus;
following embryo transfer:
reclosing the second lumen; and,
retaining the outer catheter body in the uterus for up to several hours or days or longer after the embryo transfer wherein, in use, the transferred embryo is prevented from expulsion by obstruction of the cervix and physical disturbance of an endometrium can be minimised.

US Pat. No. 10,188,425

PACEMAKER RETRIEVAL SYSTEMS AND METHODS

Pacesetter, Inc., Santa ...

1. A catheter for retrieving a medical device from a patient, comprising:a catheter shaft;
a snare disposed within the catheter shaft and extendable distally beyond the catheter shaft;
a docking cap disposed on a distal portion of the catheter shaft, the docking cap being rotatable independent of the catheter shaft, wherein the docking cap includes an interior configured to receive the medical device;
a torque shaft disposed within the catheter shaft and extending through the docking cap into the interiors; and
a handle coupled to the catheter shaft and the torque shaft, wherein the handle is operably configured to move the torque shaft proximally relative to the catheter shaft to connect the torque shaft to the docking cap, and wherein the handle is operably configured to rotate the torque shaft relative to the catheter shaft to apply rotational torque to the docking cap when the torque shaft is connected to the docking cap.

US Pat. No. 10,188,424

TROCAR SET

MEGAFORCE COMPANY LIMITED...

1. A trocar set, comprising:a handle portion comprising a grip, a connection part, and a first gas valve, wherein the connection part extends from the grip and comprises an assembling channel, and the first gas valve is connected to the connection part and communicates with the assembling channel;
a first sleeve comprising an assembling end, a sleeving end, a first gas flow channel, a first inner sleeve wall and a first outer sleeve wall, wherein the assembling end is assembled to the assembling channel and is disposed corresponding to the first gas valve, a sleeve wall of the sleeving end is provided with at least one first opening, the first sleeve defines a first sleeve wall region and a second sleeve wall region, the first outer sleeve wall surrounds an exterior of the first inner sleeve wall in the first sleeve wall region, the first outer sleeve wall does not surround the exterior of the first inner sleeve wall in the second sleeve wall region, and the first opening is disposed on the first outer sleeve wall;
a second sleeve comprising a second gas flow channel, wherein the second sleeve is retractably connected to the sleeving end of the first sleeve, and a sleeve wall of the second sleeve is provided with at least one second opening; and
a gasbag connected to an end of the second sleeve away from the first sleeve and corresponding to the second opening;
wherein the gasbag is capable of being inflated through the first gas flow channel, the first opening, the second gas flow channel, and the second opening.

US Pat. No. 10,188,423

MULTI-PIECE GIMBAL RING

HeartWare, Inc., Miami L...

16. A mounting structure for connecting a device to the heart, the mounting structure comprising:a mounting ring defining a bore, the mounting ring being adapted for mounting to an exterior surface of the heart of a living subject, the mounting ring including a collar having a deformable wall defining a main bore;
a clamp engaged with the collar, the clamp being arranged to deform the collar so as to constrict the main bore;
a gimbal ring disposed within the main bore, the gimbal ring defining a gimbal bore co-axial with the main bore and including a plurality of separate arcuate elements cooperatively disposed in a circumferential direction around the gimbal bore, the plurality of separate arcuate elements being rigid and movable toward one another to constrict the gimbal bore;
a deformable tube, the deformable tube defining a one-way valve and being more readily deformable than the plurality separate of arcuate elements, the deformable tube being configured to connect the plurality of separate arcuate elements with one another;
each of the plurality of separate arcuate elements includes a slot at a first end and a projection at the opposite second end, and at least one of the plurality of arcuate elements is slideably engaged with at least one other of the plurality of arcuate elements to provide movement relative to one another in the circumferential direction; and
the plurality of separate arcuate elements being movable from an unconstricted condition in which a gap is defined between adjacent arcuate element and a constricted condition in which the gaps are closed.

US Pat. No. 10,188,422

BIOPSY NEEDLE DESIGN

3DBiopsy, Inc., Aurora, ...

1. An apparatus, comprising:a cannula, comprising:
a tubular body extending between a first end and a second end, the tubular body having a first side and an opposite second side; and
a leading edge formed at the first end, the leading edge extending along a first plane, the first plane extending between the first side and second side, the first plane forming a leading edge angle between the intersection of the first side and the first plane, wherein the leading edge angle is between 12 degrees and 20 degrees;
a mandrel, comprising:
a body extending between a first end and a second end;
a trocar point formed by the first end;
a notch formed by the body, the notch forming a bed extending between the first end and the second end;
a first sample region formed by the bed, the first sample region, comprising:
a first plurality of ridges, wherein each of the first plurality of ridges comprises:
a flank extending from the bed toward the second end, the flank terminating at a crest;
a second sample region formed by the bed, the second sample region comprising:
a second plurality of ridges, wherein each of the second plurality of ridges comprises:
a flank extending from the bed toward the second end, the flank terminating in a crest; and
a concave slope descending from the crest; and
a deck disposed between the first plurality of ridges and the second plurality of ridges;
a cannula force source imparting movement to the cannula, wherein the cannula force source imparts a loaded force between 7 lbs. and 11 lbs.

US Pat. No. 10,188,421

METHODS FOR PLACING A SYMPATHETIC BLOCK, CATHETERS, CATHETER ASSEMBLIES AND RELATED METHODS

Custom Medical Applicatio...

1. A catheter assembly for use in administering medication to at least one of a peripheral nervous system of a subject or a spinal cord of a subject, the catheter assembly comprising:a catheter comprising:
a flexible catheter tube having a proximal end and a distal end, the catheter tube for administering medication to the at least one of the peripheral nervous system of the subject the spinal cord of the subject;
at least two tine elements coupled to an outer surface of the flexible catheter tube and positioned proximate the distal end of the flexible catheter tube, the at least two tine elements configured to enable insertion of the catheter through an introducer needle into a subject and to engage with at least a portion of the subject when the catheter is inserted within the subject;
a helical coil spring for radially stiffening the flexible catheter tube, the helical coil spring extending a length of the catheter and having at least two closed portions and at least one open portion, the at least one open portion having an open pitch extending axially along multiple loops of the helical coil spring that is greater than a closed pitch of the at least two closed portions, each closed portion extending axially along multiple loops of the helical coil spring, the at least one open portion positioned directly between a first closed portion having the closed pitch positioned at the distal end of the catheter tube and a second closed portion having the closed pitch of the at least two closed portions, the at least one open portion enabling a fluid to pass through the helical coil spring to an opening formed in a sidewall of the flexible catheter tube, wherein the at least two tine elements are positioned at the at least one open portion of the helical coil spring at a distal portion of the helical coil spring and the flexible catheter tube and spaced from the first closed portion and the second closed portion;
a metallic ball at the distal end of the catheter; and
a wire positioned within the flexible catheter tube for axially stiffening the flexible catheter tube and the helical coil spring, a distal end of the wire coupled to a distal end of the helical coil spring at the first closed portion via the metallic ball, a proximal end of the wire coupled to the helical coil spring at the second closed portion, a middle portion of the wire extending along an entirety of the at least one open portion.

US Pat. No. 10,188,420

AORTIC PUNCH

Medline Industries, Inc.,...

1. An aortic punch comprising:a first body member having a proximal end and a distal end;
a second body member disposed at least partially within said first body member;
a manual actuator;
a piston having an anvil disposed at a distal end thereof; and
a shear, said shear being integral with said second body member;
wherein the first body member and second body member are axially movable relative to one another between a fully extended position and a fully retracted position and within a range of intermediate positions while maintaining the piston and shear in position relative to each other in the axial direction,
wherein separately the shear is axially movable via manual actuation relative to said anvil between an insertion position and a shearing position and a range of intermediate positions, andwherein said piston includes external threads and wherein said first body member includes an internal surface with internal threads, the external threads of the piston engaging the internal threads of the internal surface of the first body member.

US Pat. No. 10,188,418

TREATMENT METHOD

OLYMPUS CORPORATION, Tok...

1. A treatment method for treating a living tissue by using an ultrasonic device, comprising:making the ultrasonic device come in contact with the living tissue in a state where a product of a pressing force of the ultrasonic device to the living tissue, an amplitude of an ultrasonic vibration caused by the ultrasonic device, and a resonance frequency of the ultrasonic device becomes a predetermined value;
notifying a user when a product of the pressing force, the amplitude, and the resonance frequency is equal to or more than 4700 (N ?m kHz); and
excising the living tissue in a state where the ultrasonic device is in contact with the living tissue.

US Pat. No. 10,188,417

PERCUSSIVE SURGICAL DEVICES, SYSTEMS, AND METHODS OF USE THEREOF

Tenjin, LLC, Brazoria, T...

1. A percussive surgical assembly for the placement of a cannulated surgical anchor, wherein said assembly comprises:a. an outer assembly characterized by (i) a proximal outer hub having proximal and distal ends, wherein the proximal end of said outer hub includes a first cooperating element, (ii) a distal tubular portion having proximal and distal ends and an elongate lumen extending therebetween, wherein the proximal end of said distal tubular portion is configured to engage the distal end of said outer hub and the distal end of said distal tubular portion includes a distally projecting element positioned and axially movable within said elongate lumen; and (iii) the cannulated surgical anchor mounted about a distal end of said distally projecting element; and
b. an inner assembly characterized by (i) a proximal inner hub having proximal and distal ends, wherein the proximal end of said inner hub includes a drive portion for transmitting rotational motion from an external shaver handpiece to said inner assembly, and the distal end of said inner hub includes a second cooperating element that engages said first cooperating element, and (ii) a distal portion comprising an elongate driving rod slidably positioned and rotationally and axially movable within said elongate lumen of said distal tubular portion of said outer assembly;wherein:the proximal end of the outer hub is connected to the distal end of the inner hub; and
the drive portion of the inner hub further comprises an elastic member that transmits an axial force distally on the inner hub to maintain the engagement of said first and second cooperating elements when said inner hub and said outer hub are connected;whereby:rotation of the inner assembly relative to the outer assembly drives an interaction between said first and second cooperating elements which causes the inner assembly to move axially from a first extended position to a second retracted position while simultaneously compressing said elastic member; and
rotation of the respective inner and outer assemblies past a pre-determined stop limit results in a release of the compressed elastic member, which, in turn, propels the inner assembly in a distal direction such that a distal end of the driving rod strikes a proximal end of the distally projecting element with a percussive force sufficient to move the distally projecting element axially in the distal direction which, in turn, drives said cannulated surgical anchor into a prepared bone socket.

US Pat. No. 10,188,416

BIFURCATED FORCEPS

1. A bifurcated forceps, comprising a first pair of forceps arms and a second pair of forceps arms, each of the forceps arms having a pivot end and a gripping end, the pivot ends of the first and second pairs of forceps arms being resiliently coupled to each other at the pivot ends, the first and second pairs of forceps arms being biased to an open position in which the gripping ends are separated from each other and resiliently pivotal towards each other in a gripping plane in order to grip an object between the gripping ends, the pivot ends of the two arms in each of the pairs being pivotal around a common pivot axis in a rotational plane orthogonal to the gripping plane, whereby the first pair of forceps arms and the second pair of forceps arms may be rotated to spaced radial positions in order to grip the same object at spaced apart positions, wherein the second pair of forceps arms comprises an inner pair of forceps, the pivot ends of the second pair of forceps arms being physically joined directly to each other, further wherein the first pair of forceps arms comprises first and second arms having their pivot ends on opposite sides of the pivot ends of the inner pair of forceps, the first pair of forceps arms defining an outer pair of forceps, whereby the forceps arms of the inner pair of forceps are constrained to rotate together around the common pivot axis, additionally wherein each of the forceps arms of the outer pair of forceps defines a receptacle, and each of the forceps arms of the inner pair of forceps defines a blade edge, the blade edges of the inner pair of forceps being disposed in the receptacles of the outer pair of forceps to lock the inner and outer pairs together so that the bifurcated forceps may be used as a single pair of forceps to grip an object at a single point.

US Pat. No. 10,188,415

FORCEPS AND FORCEPS UNIT

MASANORI ISHII, Kofu-Shi...

1. A forceps for gripping tissue, the forceps comprising:a rod-like tubular shaft having a penetrating hole formed in an axial direction;
a rod-like inserted member inserted inside the tubular shaft and being movable in the axial direction inside the tubular shaft;
a gripping portion provided at a distal end of the inserted member and coupled to a distal end of the tubular shaft, the gripping portion including a pair of gripping members capable of opening and closing, each of the gripping members having a distal end portion that applies a force for gripping on the tissue and a pulling portion to which the force for gripping is applied via movement of the inserted member;
a handle coupled to a terminal end of the inserted member; and
a fixing portion detachably fixing the handle to the tubular shaft in a state where the handle is coupled to the inserted member; and
wherein a main body of the tubular shaft includes a mid-section of the tubular shaft between a terminal end of the tubular shaft and the distal end of the tubular shaft,
wherein the distal end of the tubular shaft has a larger diameter than a diameter of the terminal end of the tubular shaft and a diameter of an entirety of the main body of the tubular shaft,
wherein the distal end of the tubular shaft is coupled to a connecting portion at a terminal end of the gripping portion,
wherein a joint portion, having a smaller diameter than the diameter of the entirety of the main body of the tubular shaft, is formed at the terminal end of the inserted member, and the handle is provided with a joint receptacle that houses the joint portion and is advanced and retracted by manipulation of the handle,
wherein the fixing portion includes:
a chuck member having an insertion hole formed therein and configured for locking the terminal end of the tubular shaft in the axial direction, and
a fixing ring having an insertion hole formed therein and coupled to a coupling portion provided on the handle, and
wherein the chuck member is fixed by the fixing ring to the handle in a state in which the terminal end of the tubular shaft, with the inserted member inserted therein, is inserted in the chuck member and the fixing ring, the joint receptacle of the handle and the joint portion of the inserted member are coupled, and the chuck member is sandwiched between the fixing ring and the handle,
wherein the chuck member and the fixing ring are separable from the handle, and the distal end of the tubular shaft into which the inserted member is inserted is inserted into the chuck member and the fixing ring separated from the handle, and
wherein the fixing ring is not fixed to the tubular shaft when the fixing ring is separated from the handle.

US Pat. No. 10,188,414

TONGUE CLEANING DEVICE

1. A tongue cleaning device that is used for removing debris from a tongue; the device comprising:a handle and a head that includes a scraping wall that has a handle-facing inner surface, an outer surface disposed substantially opposite the handle-facing inner surface, and a bottom surface extending between the handle-facing inner surface and the outer surface;
at least a portion of the head defining a debris-removal vacuum passage adapted to direct debris away from the head;
the scraping wall having a working edge that is usable to engage the tongue and remove debris from the tongue; the working edge being defined at the junction of the handle-facing inner surface and the bottom surface;
the head defining a curved trough above the handle-facing inner surface;
the head including a trough rear wall that defines the rear surface of the trough and a trough top wall;
the head defining a debris-removal vacuum inlet positioned to remove debris from the trough; the debris-removal vacuum inlet being at least partially defined by the trough rear wall such that debris can pass from the trough through the trough rear wall into the debris-removal vacuum passage; and
the trough having a pair of rear ends; each of the rear ends is disposed rearward of the debris-removal vacuum inlet.

US Pat. No. 10,188,413

DEFLECTABLE GUIDE CATHETERS AND RELATED METHODS

Acclarent, Inc., Irvine,...

1. A method comprising:(a) advancing a guide catheter into a head of a patient along a first path through a nostril of the patient in a first direction, wherein the guide catheter comprises a longitudinally extending distal deflection portion, wherein the distal deflection portion of the guide catheter comprises a lumen extending therethrough to a distal opening and a resilient member, wherein the resilient member biases the lumen of the distal deflection portion to a first configuration;
(b) providing a proximal assembly coupled with the guide catheter and a pull member connected to a distal end of the resilient member, wherein the proximal assembly is located outside the patient's body when the distal deflection portion of the guide catheter is in the head of the patient, wherein the proximal assembly comprises a control member operatively connected to the pull member, wherein the control member is configured to proximally pull the pull member and the resilient member connected thereto in order to deflect the lumen of the distal deflection portion from the first configuration to a second configuration;
(c) positioning the distal deflection portion of the guide catheter at or near a desired location of a first anatomical structure within the head of the patient, wherein the head of the patient has an anatomy with the first anatomical structure defining a passageway, wherein the first anatomical structure prevents access to a second anatomical structure within the head via the first path;
(d) retracting the control member proximally to proximally pull the pull member in conjunction with the resilient member to thereby deflect the lumen of the distal deflection portion from the first configuration to the second configuration;
(e) moving the distal opening of the guide catheter along a second path in a second direction transverse to the first direction such that the distal deflection portion advances around the first anatomical structure of the anatomy such that the distal deflection portion is in contact with the first anatomical structure of the anatomy about the passageway and the distal opening aligns with the passageway of the anatomy; and
(f) advancing a guidewire through the deflected lumen of the guide catheter to contact or pass through the desired location and the second anatomical structure.

US Pat. No. 10,188,412

SNARE AUTO MICRO-LOCK

Cook Medical Technologies...

1. A surgical snare, comprising:an operating wire;
an outer sheath comprising a lumen extending therethrough, the operating wire disposed within the lumen; and
a frictional locking member operably coupled to the outer sheath;
wherein the frictional locking member is configured to prevent longitudinal movement of the operating wire with respect to the outer sheath when no inwardly directed radial force is applied to an external surface of the frictional locking member;
wherein the operating wire is configured to be longitudinally movable within the outer sheath when the inwardly directed radial force is applied to the external surface of the frictional locking member, wherein the frictional locking member is actuated by the inwardly directed radial force applied to the external surface of the frictional locking member.

US Pat. No. 10,188,411

EVERTING BALLOON FOR MEDICAL DEVICES

CALCULA TECHNOLOGIES, INC...

1. A device for removing a kidney stone from a urinary tract in a human or animal subject, the device comprising:a handle;
a retention member slider coupled with the handle;
an elongate, flexible, outer shaft having a distal end and a proximal end, wherein the outer shaft defines a longitudinal axis extending between the distal and proximal ends;
a lumen wall protection member shaft coaxially disposed within the outer shaft;
an inflatable balloon, comprising:
a proximal attachment portion coupled with the distal end of the outer shaft;
a proximal tapered portion immediately adjacent the proximal attachment portion, having a first longitudinal length, measured along the longitudinal axis;
a central cylindrical portion immediately adjacent the proximal tapered portion, having a second longitudinal length, measured along the longitudinal axis;
a distal tapered portion immediately adjacent the central cylindrical portion, having a third longitudinal length, measured along the longitudinal axis; and
a distal attachment portion immediately adjacent the distal tapered portion, coupled with a distal end of the lumen wall protection member shaft,
wherein the second longitudinal length is longer than the first longitudinal length, and the first longitudinal length is longer than the third longitudinal length;
at least one eversion feature configured to facilitate preferential eversion of the distal tapered portion of the inflatable balloon into an inside of the balloon, rather than the proximal tapered portion, wherein the at least one eversion feature comprises a greater thickness of material on the proximal tapered portion as compared to the distal tapered portion; and
an expandable obstruction retention member extending coaxially within the lumen wall protection member shaft and attached proximally to the retention member slider.

US Pat. No. 10,188,410

POWER PARAMETERS FOR ULTRASONIC CATHETER

EKOS CORPORATION, Bothel...

1. A method of operating an ultrasonic catheter comprising:advancing a catheter with at least one ultrasonic element to a treatment site in a patient's vascular system;
driving the at least one ultrasonic element to generate ultrasonic energy;
delivering a therapeutic compound to the treatment site through the catheter; and
non-linearly varying a power parameter of the at least one ultrasonic element, wherein the power parameter is selected from the group consisting of peak power, pulse repetition frequency, pulse width, and pulse repetition interval,
wherein the peak power is randomly or pseudo randomly distributed between a bounded maximum peak power Pmax and a bounded minimum peak power Pmin,
wherein the pulse repetition frequency is varied randomly between a bounded maximum pulse repetition frequency and a bounded minimum pulse repetition frequency,
wherein the pulse width is varied randomly within a bounded range, and
wherein the pulse repetition interval is varied randomly within a bounded range.

US Pat. No. 10,188,409

ASPIRATION THROMBECTOMY CATHETER SYSTEM, AND ASSOCIATED METHODS

Smalling Medical Ventures...

1. A method for aspirating a thrombus from a vessel, the thrombus having at least a first portion and a second portion, wherein the first portion is within an innermost layer of the thrombus and the second portion is within a medial or an intimal layer of the thrombus, the method comprising the steps of:inserting an aspiration catheter into the vessel, the aspiration catheter having a first lumen and a second lumen disposed therein, a tapering distal end and a plurality of aspiration port sets arranged along the tapering distal end, each of the plurality of aspiration port sets having a plurality of ports for aspirating thrombus from the vessel, and wherein at least one of the plurality of aspiration port sets is in fluidic communication with the first lumen and at least another one of the plurality of aspiration port sets are in fluidic communication with the second lumen;
advancing the aspiration catheter within the vessel until an aspiration port set closest to a tip of the tapering distal end of the aspiration catheter is proximate the first portion of the thrombus;
applying aspiration forces through at least the aspiration port set closest to the tip of the tapering distal end of the aspiration catheter to suction at least the first portion of the thrombus into the first lumen;
advancing the aspiration catheter through the thrombus until the aspiration port set closest to the tip of the tapering distal end of the aspiration catheter is proximate to the second portion of the thrombus; and
applying aspiration forces through an aspiration port set disposed closest to a proximal end of the tapering distal end of the aspiration catheter to suction at least the second portion of the thrombus into at least one of the first and second lumens;
wherein each of the plurality of ports comprising the aspiration port set closest to the tip of the tapering distal end of the aspiration catheter is smaller in size than each of the plurality of ports comprising the aspiration port set disposed closest to the proximal end of the tapering distal end of the aspiration catheter.

US Pat. No. 10,188,408

GLENOID CAVITY BONE PREPARATION SET FOR SETTING A SHOULDER PROSTHESIS, AND METHOD FOR IMPLANTING A SHOULDER PROSTHESIS

FOURNITURES HOSPITALIERES...

1. A glenoid cavity bone preparation set for setting a shoulder prosthesis, comprising:a drill guide comprising:
a bearing surface intended to bear against a glenoid cavity of a scapula which has been prepared beforehand,
a passage orifice opening into the bearing surface of the drill guide and intended for the passage of a guide pin implanted in the glenoid cavity, and
a first guide orifice and a second guide orifice each opening into the bearing surface of the drill guide and each intended to guide a drill bit capable of realizing a bone bore in the glenoid cavity, the first and second guide orifices being inclined with respect to an extension axis of the passage orifice of the drill guide and converging in the direction of the bearing surface of the drill guide,
a compactor comprising a compaction portion having a generally trapezoidal shape and intended to be impacted against the glenoid cavity so as to form a bone housing in the glenoid cavity, the compactor further including a passage hole extending at least partially in the compaction portion and intended for the passage of the guide pin implanted in the glenoid cavity.

US Pat. No. 10,188,407

DRILL GUIDE FOR ACETABULAR CUP FASTENERS

HIP INNOVATION TECHNOLOGY...

1. A surgical tool system adapted for drilling holes in an acetabulum to accommodate screws used to fasten an acetabular cup to the acetabulum, the acetabular cup comprising a concave portion having a stem extending from the bottom thereof, cup slots disposed in the concave portion in close proximity to a circumferential edge of the acetabular cup and one or more through holes to accommodate screws for fastening the acetabular cup to the acetabulum, the surgical tool system comprising:a drill guide sized to fit within the concave portion and having spring-loaded pins arranged to engage the cup slots when the drill guide is optimally positioned within the acetabular cup, the drill guide further comprising one or more through holes sized and spaced to line up approximately concentrically with the through holes of the acetabular cup and a guide indent for each hole, each guide indent being positioned on a beam member which traverses the drill guide at a circumferential edge thereof;
a handle comprising a shaft with a drill bit guide disposed at the distal end thereof, the drill bit guide having a drill bit guide distal end and a side portion, the drill bit guide being sized to engage a hole and the side portion being positioned to engage the guide indent for its respective hole; and
a drill bit having a cutting portion and a shaft sized to pass through the drill bit guide.

US Pat. No. 10,188,404

ORTHOPEDIC INSTRUMENTATION

8. An apparatus, comprising:a reamer sleeve having a reamer wall and a wedge body, the reamer wall oriented about a central longitudinal axis, the reamer wall having an inner passage sized to receive insertion of a reference instrument structured for placement in a canal of a bone, the wedge body extending from a first end wall of the reamer wall, the wedge body having a wedge surface that extends axially in a direction arranged non-parallel and non-perpendicular to the central longitudinal axis; and
a cap having an inner wall, at least a portion of the inner wall defines an opening of the cap sized to receive insertion of the wedge body, the inner wall having a tapered wall section that extends axially in a direction arranged generally parallel to the wedge surface;
wherein an outer side of the reamer wall is sized to be received within a portion of a forming tool adapted to remove bone material, and wherein the cap and the reamer sleeve are adapted to be introduced in the canal of the bone;
wherein during an initial stage of installation, the cap has a first position relative to the reamer sleeve and the wedge body;
wherein the reamer sleeve is adapted to be axially displaced relative to the cap with the wedge body having a second position relative to the tapered wall section of the cap, and wherein the reamer sleeve is adapted to be securely coupled to the cap in the second position; and
wherein the inner passage is centrally positioned about a longitudinal axis offset from the central longitudinal axis of the reamer wall.

US Pat. No. 10,188,403

BONE MATERIAL REMOVAL DEVICES

1. A method for forming a bore in a bone, and/or widening at least a portion of the bore, comprising:inserting a bone material removal device into a bore formed in a bone, said device comprising;
an elongated shaft having a recess and a longitudinal axis;
at least one bone material removal element having a proximal side and a distal side, said bone material removal element coupled to said shaft, wherein a length of said at least one bone material removal element perpendicular to the axis of said elongated shaft is longer than a diameter of said elongated shaft;
said bone material removal element movable from a closed position, in which said bone material removal element is at least partially received within the recess of said shaft, to an open position in which said bone material removal element extends radially away from said shaft; wherein an adjoining portion of said shaft adjoining both proximal and distal sides of the bone material removal element defines a generally cylindrical volume of rotation, and at least a portion of said bone removal element extends radially beyond said volume of rotation when said bone material removal element is in said closed position;
rotating said shaft to rotate said bone material removal element with respect to said shaft around an axis substantially parallel a longitudinal axis of said cylindrical volume of rotation such that said bone material removal element moves along a trajectory within a plane substantially perpendicular to the longitudinal axis of the cylindrical volume of rotation from said closed position to said open position as a result of resistance of the walls of said bore acting on said element; and
pulling said device through said bore in a direction opposite to the insertion direction to widen at least a portion of said bore using the opened bone material removal element.

US Pat. No. 10,188,402

INTRAOPERATIVELY ADJUSTING GUIDE ALIGNMENT

4. An alignment guide, comprising:a main body, the main body having a guide mount, a lower portion, and an upper portion, the guide mount having a hole; and
a retaining guide, the retaining guide includes at least one horizontal rod, the at least one horizontal rod connected to a crossbar, a bone mount connected to the cross bar by at least one vertical bar, a shaft extends between the cross bar and the bone mount, each end of the shaft terminates in a sliding block, and the sliding blocks received in slots of the crossbar and the bone mount, wherein the hole of the main body is configured to receive the shaft of the retaining guide.

US Pat. No. 10,188,401

SURGICAL DEVICES FOR INTERVENTIONAL ORTHOPEDIC SURGICAL APPLICATIONS AND PROSTHETIC TRIAL DEVICES AND METHODS OF MAKING THE SAME

ZJ, LLC, Whitmore Lake, ...

1. A surgical cut guide comprising:a first end including a first bone tissue engaging surface and at least one bone tissue fastener hole extending through the first bone tissue engaging surface, the first bone tissue engaging surface being configured to engage bone tissue;
a second end including second bone tissue engaging surface and at least one bone tissue fastener hole extending through the second bone tissue engaging surface, the second bone tissue engaging surface being angled relative to the first bone tissue engaging surface and configured to engage an anterior portion of the bone tissue;
a body extending between and connecting the first end and the second end, the body including a third bone tissue engaging surface angled relative to the first bone tissue engaging surface and the second bone tissue engaging surface;
a first projection defined by an interior portion of the body that bends away from the third bone tissue engaging surface, the first projection including a first guide surface angled relative to the third bone tissue engaging surface and defining a first guide path for guiding a cutting instrument;
a second projection and a third projection defined by respective interior portions of the second end of the surgical cut guide that each bend away from the first bone tissue engaging surface, the second projection including a second guide surface angled relative to the first bone tissue engaging surface and defining a second guide path for guiding the cutting instrument, the third projection including a third guide surface angled relative to the first bone tissue engaging surface and defining a third guide path for guiding the cutting instrument, the second projection and the third projection being arranged such that the second guide surface faces the third guide surface and the second guide surface is parallel to the third guide surface.

US Pat. No. 10,188,400

INTRALUMINAL OCCLUDING CATHETER

University of South Flori...

1. An intraluminal occluding catheter for prevention of loss of insufflation comprising:a catheter shaft comprising
an exterior surface;
an interior surface defining a single, undivided inner lumen;
a distal section terminating at an intraluminal end;
a plurality of orifices disposed in the distal section of the catheter shaft; and
a proximal section terminating at an external end;
a flexible balloon affixed to the intraluminal end wherein the intraluminal end of the catheter extends through an inner lumen of the flexible balloon whereby the flexible balloon is capable of conforming to a size and shape of a physiological lumen when filled with gas or fluid;
a plurality of independent channels each having a proximal end, a distal end, and a wall extending between the proximal and distal ends wherein the plurality of independent channels extend through the single, undivided inner lumen of the catheter shaft and positioned adjacent to each other within the single, inner lumen of the catheter shaft;
a sleeve attached to the external end of the catheter shaft wherein the plurality of independent channels extend through a proximal end of the sleeve and into the single, undivided inner lumen of the catheter shaft wherein the sleeve is tapered from the proximal end to a distal end of the sleeve;
a flow control device positioned at the proximal end of each of the plurality of independent channels wherein the flow control device is a valve or a stopcock; and
an insufflator attached to the flow control device of one independent channel of the plurality of independent channels;
wherein the distal end of each channel has at least one aperture disposed along a circumference of the wall of the corresponding channel therein;
wherein each aperture is substantially aligned with a corresponding orifice in a circumference of the catheter shaft;
wherein the at least one aperture of a first independent channel of the plurality of independent channels and the corresponding orifice in the circumference of the catheter shaft is disposed within the flexible balloon;
wherein the at least one aperture of a second independent channel of the plurality of independent channels and the corresponding orifice in the circumference of the catheter shaft is disposed immediately proximal to, but outside of, the flexible balloon; and
wherein the at least one aperture of a third independent channel of the plurality of independent channels and the corresponding orifice in the circumference of the catheter shaft is disposed proximal to the at least one aperture of the second channel and thus farther from the flexible balloon.

US Pat. No. 10,188,399

METHOD AND APPARATUS FOR TREATING A CAROTID ARTERY

Silk Road Medical, Inc., ...

1. A method of treating a lesion in a carotid artery of a patient, comprising:inserting an arterial access device into an artery through an arterial access location;
positioning at least a portion of the arterial access device into a common carotid artery;
occluding blood flow in at least a portion of the common carotid artery to form a pressure gradient that establishes retrograde blood flow through the common carotid artery such that blood flows into a lumen of the arterial access device;
in addition to establishing retrograde blood flow, actively pumping blood from the common carotid artery to a return location via the arterial access device and a shunt connected to the arterial access device, wherein the arterial access device comprises an elongate member defining an internal lumen that extends from a distal opening at a distal region of the arterial access device to a proximal opening at a proximal region of the arterial access device, wherein the internal lumen receives blood flow through the distal opening from the common carotid artery, and wherein the shunt comprises a sidearm connected to the arterial access device at a location between the distal and proximal openings of the arterial access device, and wherein the shunt provides a pathway for blood to flow out of the internal lumen of the arterial access device at a location between the distal and proximal openings of the arterial access device; and
treating the lesion by deploying a stent on the lesion.

US Pat. No. 10,188,398

CROSS-SECTIONAL MODIFICATION DURING DEPLOYMENT OF AN ELONGATE LUNG VOLUME REDUCTION DEVICE

PneumRx, Inc., Santa Cla...

1. A lung implant comprising:an elongate body having a proximal end, a distal end, and a length therebetween;
the elongate body further including:
a first self-expandable member at a first location on a proximal portion of the elongate body, the first self-expandable member having a collapsed configuration and an expanded configuration, wherein the first self-expandable member is configured to be constrained in the collapsed configuration by a lumen of a delivery catheter during delivery of the lung implant to a target area of the lung, wherein the first self-expandable member is configured to self-expand laterally toward the expanded configuration upon release from the delivery catheter in the airway, and wherein the first self-expandable member is configured to laterally engage the airway in the expanded configuration; and
a second self-expandable member at a second location on a distal portion of the elongate body, the second self-expandable member having a collapsed configuration and an expanded configuration, wherein the second self-expandable member is configured to be constrained in the collapsed configuration by the lumen of the delivery catheter during delivery of the lung implant to the target area of the lung, wherein the second self-expandable member is configured to self-expand laterally toward the expanded configuration upon release from the delivery catheter in the airway, and wherein the second self-expandable member is configured to laterally engage the airway in the expanded configuration;
wherein the lung implant comprises a deliverable configuration and a deployed configuration, the deliverable configuration comprising the first self-expandable member at the first location on the proximal portion of the elongate body in the collapsed configuration and the second self-expandable member at the second location on the distal portion of the elongate body in the collapsed configuration and the deployed configuration comprising the first self-expandable member at the first location on the proximal portion of the elongate body in the expanded configuration and the second self-expandable member at the second location on the distal portion of the elongate body in the expanded configuration.

US Pat. No. 10,188,396

APPARATUS AND METHOD FOR DELIVERING AN EMBOLIC COMPOSITION

Covidien LP, Mansfield, ...

1. A microcatheter for delivery of embolic fluids, which comprises:an outer member dimensioned for insertion within a blood vessel adjacent an embolization site, the outer member defining a first longitudinal lumen;
an inner member selectively positionable within the first longitudinal lumen of the outer member, the inner member defining a second longitudinal lumen and having a delivery port in fluid communication with the second longitudinal lumen for passage and delivery of embolic fluids toward the embolization site; and
a valve disposed within the outer member, the valve dimensioned to establish a substantial seal about the inner member, to minimize entry of the embolic fluids within the first longitudinal lumen of the outer member subsequent to delivery thereof toward the embolization site,
wherein the outer member includes an expandable member disposed on an exterior wall surface thereof adjacent the delivery port, the expandable member dimensioned to expand and engage an interior wall portion of the blood vessel to at least partially isolate the embolization site.

US Pat. No. 10,188,395

NON-PLANAR HEATING CHAMBER DETACHMENT MECHANISM OF AN IMPLANTABLE VASO-OCCLUDING DEVICE DELIVERY SYSTEM

DEPUY SYNTHES PRODUCTS, I...

1. A delivery system for an implantable vaso-occluding device, comprising:an advancing member having a distal end and an opposite proximal end;
a non-planar heating chamber disposed proximate to the distal end of the advancing member; the non-planar heating chamber having an interior surface facing away from the distal end of the advancing member and an opposite exterior surface facing the distal end of the advancing member;
a detachment fiber made from a polymeric material and having a closed distal end protruding from the interior surface of the non-planar heating chamber; and
at least one heating element disposed on the interior surface of the non-planar heating chamber; the at least one heating element producing heat sufficient to sever the detachment fiber.

US Pat. No. 10,188,394

STAPLES CONFIGURED TO SUPPORT AN IMPLANTABLE ADJUNCT

Ethicon LLC, Guaynabo, P...

1. A staple cartridge assembly, comprising:a staple cartridge body, comprising:
a deck; and
staple cavities defined in said deck;
staples removably stored in said staple cavities, wherein each said staple is stamped from a sheet of material and comprises:
a base defining a base plane;
a leg extending from said base; and
a platform folded out of said base plane to extend laterally from said base; and
an implantable layer positioned over said deck, wherein said platforms of said staples are configured to abut said implantable layer when said staples are implanted into the tissue of a patient.

US Pat. No. 10,188,392

GRASPING FOR TISSUE REPAIR

Abbott Cardiovascular Sys...

1. A fixation device for engaging tissue comprising:a pair of distal elements each having a first end, a free end opposite the first end, and an engagement surface therebetween, the pair of distal elements having an open position and a closed position;
a pair of proximal elements each having a first end, a free end opposite the first end, and an engagement surface therebetween, the pair of proximal elements configured to be raised from and lowered toward the distal elements; and
a shaft to which the first ends of the proximal elements and distal elements are operably coupled;
wherein each of the distal elements comprises a retaining element joined to and extending from a location proximate the free end of the distal element, the retaining element being configured to permit tissue to move toward the first end of the distal element and to resist movement of the tissue away from the first end of the distal element, the retaining element extending along substantially an entire length of the distal element from proximate the free end towards the first end of the distal element when in the closed position,
wherein the retaining elements comprise at least one leaf spring configured to direct or urge the tissue toward engagement with one or more barbs located on one of the proximal elements.

US Pat. No. 10,188,391

BATTERY POWERED SURGICAL INSTRUMENT

Covidien LP, Mansfield, ...

1. A powered endoscopic surgical stapling apparatus, comprising:a handle assembly including:
a handle; and
a trigger movable in relation to the handle;
an endoscopic portion extending distally from the handle of the handle assembly;
an end effector assembly coupled to a distal end portion of the endoscopic portion, the end effector assembly configured to perform a first surgical function in response to an actuation of the trigger;
a motor for driving the surgical function;
a battery operably coupled to the motor;
a protecting housing configured to be releasably coupled to the handle of the handle assembly, wherein both the motor and the battery are disposed within the protective housing; and
a hand actuated control member supported on the handle and mechanically connected to the end effector assembly, wherein the end effector assembly is configured to perform a second surgical function upon actuation of the hand actuated control member.

US Pat. No. 10,188,390

ADJUNCT MATERIAL TO PROVIDE HETEROGENEOUS DRUG ELUTION

Ethicon LLC, Guaynabo, P...

1. A staple cartridge assembly for use with a surgical stapler, comprising:a cartridge body having a plurality of staple cavities, each staple cavity having a surgical staple disposed therein;
a biocompatible adjunct material releasably retained on the cartridge body and configured to be delivered to tissue by deployment of the staples in the cartridge body, the adjunct material having a top side, a bottom side disposed opposite of the top side, and a plurality of distinct regions, wherein each region is at a different location on the adjunct material and each region has a different adjunct construction, the plurality of distinct regions comprising
a first region located on the top side of the adjunct material,
second and third regions each located on the bottom side of the adjunct material,
a fourth region disposed between the second and third regions on the bottom side of the adjunct material, and
a fifth region located in an interior area of the adjunct material and configured to space apart the top and bottom sides of the adjunct material; and
a first medicant disposed within and releasable from the first region to discourage tissue growth, a second medicant disposed within and releasable from the second and third regions to encourage tissue growth, and a third medicant disposed within and releasable from the fourth region to facilitate hemostasis, each of the first, second, and third medicants being releasable from their respective regions in a non-homogeneous manner with respect to at least one of time of release and location of release.

US Pat. No. 10,188,389

ADJUNCT MATERIAL FOR DELIVERY TO COLON TISSUE

Ethicon LLC, Guaynabo, P...

1. A surgical device, comprising:a staple cartridge assembly for use with a surgical stapler, comprising:
a cartridge body having a plurality of staple cavities, each staple cavity having a surgical staple disposed therein;
a biocompatible adjunct material formed of a fiber matrix and releasably retained on the cartridge body and configured to be delivered to colon tissue by deployment of the staples in the cartridge body to form at least one line of deployed staples, the fiber matrix including a first plurality of longitudinal fibers and a second plurality of longitudinal fibers, the second plurality of longitudinal fibers extending transversely to the first plurality of longitudinal fibers and configured to detach from the first plurality of longitudinal fibers following the deployment of the staples; and
at least one medicant, the at least one medicant being releasable from the adjunct material, and the at least one medicant being effective to encourage a healing of blood vessels along the at least one line of deployed staples.

US Pat. No. 10,188,388

SURGICAL STAPLE INSERTION DEVICE

1. A staple inserter, comprising:an inserter body having a staple engagement structure at a first end portion thereof, wherein the staple engagement structure is configured for having at least one of staple legs and a staple bridge engaged therewith and wherein the staple engagement structure is selectively moveable for enabling a contact surface of an impingement structure of the inserter body at least partially covered by the staple engagement structure to become fully exposed; and
a staple bridge deflecting structure moveably attached to the inserter body, wherein the staple bridge deflecting structure includes a control portion and a staple bridge engaging portion, wherein movement of the control portion from a first position to a second position causes the staple bridge engaging portion to correspondingly move from a retracted position and a staple bridge deflecting position with respect to the staple engagement structure.

US Pat. No. 10,188,386

SURGICAL STAPLER WITH ANVIL STATE INDICATOR

Ethicon LLC, Guaynabo, P...

1. A surgical instrument comprising:(a) a body;
(b) a shaft assembly extending distally from the body;
(c) a stapling head assembly located at the distal end of the shaft assembly, wherein the stapling head assembly comprises a distal surface, wherein the stapling head assembly is operable to drive an annular array of staples through openings formed in the distal surface;
(d) an anvil, wherein the anvil is configured to couple with the stapling head assembly;
(e) an anvil adjustment assembly, wherein the anvil adjustment assembly comprises a translating member, wherein the translating member is operable to translate relative to the body along a longitudinal axis to thereby adjust a gap distance between the anvil and the distal surface of the stapling head assembly;
(f) a first indicator assembly, wherein the first indicator assembly comprises:
(i) a first member comprising an array of markers, wherein the first member is configured to translate in response to translation of the translating member relative to the body, and
(ii) a second member, wherein the second member is configured to remain stationary relative to the body as the first member translates relative to the body,
wherein the first indicator assembly is configured to provide feedback indicating whether the gap distance is sized to release tissue from between the anvil and the distal surface based on positioning of the first member in relation to the second member; and
(g) a second indicator assembly comprising an arm pivotably coupled with the body, wherein the first member is configured pivot the arm relative to the body to indicate whether the gap distance is sized to staple tissue between the anvil and the distal surface based on position of the first member in relation to the arm.

US Pat. No. 10,188,385

SURGICAL INSTRUMENT SYSTEM COMPRISING LOCKABLE SYSTEMS

ETHICON LLC, Guaynabo, P...

1. A surgical instrument system, comprising:a handle; and
a shaft assembly removably attached to said handle, said shaft assembly comprising:
an end effector;
a release actuator comprising a lock, wherein said release actuator is movable between a proximal position and a distal position, wherein said lock is engaged with said handle when said release actuator is in said proximal position, and wherein said lock is disengaged from said handle when said release actuator is in said distal position; and
a latch operably engaged with said release actuator, wherein said latch is movable between a first position and a second position, wherein said release actuator is configured to rotate said latch from said first position to said second position when said release actuator is moved toward said distal position, wherein said latch comprises a catch configured to engage said handle when said latch is moved toward said second position, wherein said catch is disengaged from said handle upon an additional manipulation of said release actuator, and wherein said additional manipulation is in a proximal direction.

US Pat. No. 10,188,383

SUTURE CLIP DEPLOYMENT DEVICES

Edwards Lifesciences Corp...

1. A device for successively deploying a plurality of preloaded suture clips onto sutures, comprising:a proximal handle portion comprising an actuation mechanism;
a mandrel having an inner lumen for receiving sutures, a proximal end portion coupled to the actuation mechanism, and a distal end portion having a distal opening in communication with the inner lumen, wherein the mandrel defines an axial dimension extending between the distal end portion and the proximal end portion, and a radial dimension perpendicular to the axial dimension, and wherein the mandrel is configured to receive at least one suture extending through the distal opening and into the inner lumen; and
a plurality of annular suture clips mounted around the distal end portion of the mandrel, the annular suture clips being generally disk shaped and having a diameter oriented in the radial dimension and a thickness oriented in the axial dimension, wherein the thickness is smaller than the diameter;
wherein the actuation mechanism causes the mandrel to move proximally relative to the suture clips, such that a distal-most one of the suture clips slides off of a distal end of the mandrel and onto one or more sutures extending into the distal opening of the mandrel; and
wherein, after the distal-most one of the suture clips is deployed onto one or more sutures, the actuation mechanism causes the mandrel and a remaining portion of the suture clips to move distally relative to the handle portion such that a distal-most one of the remaining portion of the suture clips is ready to be successively deployed;
the device further comprising a retainer positioned at least partially around the mandrel and coupled to the actuation mechanism independently of the mandrel, the retainer configured to restrict the suture clips from moving proximally relative to the handle portion when the mandrel moves proximally relative to the handle portion;
wherein the retainer comprises at least one axially extending slot that includes a plurality of circumferentially extending notches.

US Pat. No. 10,188,382

SUTURE PASSER DEVICES AND METHODS

Ceterix Orthopaedics, Inc...

1. A method of suturing tissue, the method comprising:placing a first jaw member of a suture passer on a first side of a target tissue and a second jaw member of the suture passer on a second side of the target tissue, wherein the first jaw member extends in a first axis and the second jaw member extends in a second axis to form a V-shaped, distal-facing mouth;
extending a tissue penetrator from the second jaw member so that a distal end of the tissue penetrator is deflected against a second deflection surface of the second jaw member as the tissue penetrator is extended from the second jaw member and across the V-shaped, distal-facing mouth; and
deflecting the tissue penetrator against a first defection surface of the first jaw member so that the distal end of the tissue penetrator is directed distally along the first axis of the first jaw member while the proximal end of the tissue penetrator remains in the second jaw member, forming a sigmoidal pathway.

US Pat. No. 10,188,381

SUTURE REPAIR DEVICE

Dura Tap LLC, Wayne, PA ...

1. An apparatus, comprising:a handle having a proximal end portion and a distal end portion;
a cartridge having a proximal end portion and a distal end portion, the proximal end portion configured to be removably coupled to the distal end portion of the handle, the distal end portion of the cartridge having a first needle assembly and a second needle assembly each configured to be transitioned between a first configuration and a second configuration, the first needle assembly including a first needle and a first capture member, the second needle assembly including a second needle and a second capture member;
an actuator movably coupled to the handle, the actuator having a first coupling portion operably coupled to the first needle assembly when the cartridge is coupled to the handle and a second coupling portion operably coupled to the second needle assembly when the cartridge is coupled to the handle, the first coupling portion configured to move relative to the handle in response to a first force to transition the first needle assembly from the first configuration in which the first capture member is spaced apart from the first needle to the second configuration in which the first capture member engages the first needle, the second coupling portion configured to move relative to the handle in response to a second force to transition the second needle assembly from the first configuration in which the second capture member is spaced apart from the second needle to the second configuration in which the second capture member engages the second needle; and
a lock operably coupled to the actuator, the lock configured to selectively limit movement of the first coupling portion and the second coupling portion,
wherein the actuator includes a selector coupled to the lock, the selector configured to transition between a first configuration in which the lock limits movement of the second coupling portion and a second configuration in which the lock limits movement of the first coupling portion.

US Pat. No. 10,188,380

SUTURE ANCHOR SYSTEM WITH COMPRESSIBLE DISTAL TIP

DePuy Mitek, LLC, Raynha...

1. A method for anchoring tissue to bone, comprising:advancing a bone anchor partially into a bone hole such that the anchor engages the bone and is secured within the bone hole, the bone anchor having a suture extending through an inner lumen of the bone anchor and coupled to a distal portion of the bone anchor;
tensioning the suture, with the bone anchor partially advanced into the bone hole, to tension tissue coupled to the suture; and
after tensioning, further advancing the bone anchor into the bone hole to cause the distal portion of the bone anchor to compress radially inward and lock the suture therein.

US Pat. No. 10,188,379

END EFFECTOR FOR WOUND CLOSURE DEVICE

Ethicon LLC, Guaynabo, P...

1. A suture device comprising:a. an elongated suture body having a proximal end and a distal end; and
b. a composite end effector at said distal end, said composite end effector comprising:
i. a fixation tab having a length, width and thickness, and
ii. an overlying attachment piece, comprising a tab opening with a length, width and thickness,
wherein the overlying attachment piece further comprising a distal end and a pair of longitudinal slits terminating at the distal end of the overlying attachment piece,
wherein at least a proximal end of the fixation tab is inserted into said opening of said overlying attachment piece such that the proximal end of the fixation tab abuts a proximal wall of said overlying attachment piece while at least a distal end of the fixation tab extends axially outwardly from the overlying attachment piece and the fixation tab extends laterally outwardly from the overlying attachment piece through the pair of longitudinal slits.

US Pat. No. 10,188,378

MICROANCHOR

1. A suture anchor for soft tissue repair, the suture anchor comprising:a body having a proximal end engageable with a suture anchor insertion instrument, a distal end, a longitudinal axis extending between the proximal end and the distal end, and an outer surface extending between the proximal and distal ends;
a plurality of projections extending from the surface;
a first bore extending completely across the body transverse to the longitudinal axis;
a soft suture bridge threaded through the first bore and having first and second free ends extending proximally from the first bore; and
a repair suture threaded through apertures at each of the first and second free ends so as to engage with the first and second free ends of the soft suture bridge, wherein each of the first and second free ends structurally defines all boundaries of an eyelet which defines a discretely bounded aperture at that end, the repair suture being threaded through the eyelets;
wherein an initial size of each aperture is smaller than a cross-section of the repair suture and wherein each aperture is resiliently elastic such that a size thereof (i) increases when tension is applied to the repair suture thereby enabling the repair suture to slide relative to the aperture and (ii) decreases when tension is released thereby inhibiting the repair suture from sliding relative to the aperture.

US Pat. No. 10,188,377

SEMI-AUTOMATIC SUTURING MACHINE

Ruchi Patel, Princeton J...

1. A suturing device comprising:a. a driver arm and receiver arm, each comprising a distal end and a proximal end, said driver and receiver arms connected by a hinge at their proximal ends, said hinge being configured to allow said distal ends of said driver arm and said receiver arm to converge and separate through rotation about said hinge while keeping said proximal ends of both arms affixed to each other;
b. one or more suture units capable of securing wound tissue housed in a crimped anchor loading system, said suture units comprising a length of suture material having a proximal end and a distal end, a fixed anchor attached to said proximal end of the suture, and a needle attached to the distal end of the suture;
c. a center assembly attached to the distal end of the receiver arm and in communication with the driver arm, said center assembly comprising, a suture unit loading system, the crimped anchor loading system, a crimped anchor fastening system, and needle disposing system;
d. wherein the driver arm and receiver are configured to be actuated to engage a gear system within the center assembly, thereby driving a suture unit through two edges of tissue until the fixed anchor abuts against the tissue, securing said edges of tissue by fastening a crimped anchor onto the distal end of the suture, disjoining the distal end of the suture from the needle; disposing of the needle.

US Pat. No. 10,188,376

TISSUE RETRACTOR

Edwards Lifesciences Corp...

1. A device for surgical retraction to create an opening in a patient, comprising:a main frame comprising a main frame proximal side and a main frame distal side, the main frame further comprising a central opening passing from the main frame proximal side to the main frame distal side, the main frame comprising an outer structure surrounding the central opening;
a plurality of movable arms extending from the outer structure and into the central opening, each movable arm comprising an arm proximal end connected to the outer structure and an arm distal end positioned in the central opening;
a plurality of legs, wherein one of said plurality of legs extends from each of the plurality of movable arms, wherein each of said plurality of legs comprises a leg proximal end secured to one of the plurality of movable arms, and each of said plurality of legs comprises a leg distal end, wherein each of said plurality of legs extends distally from the main frame distal side;
wherein the device comprises a closed configuration wherein the plurality of movable arms extends into the central opening and the plurality of legs are positioned toward a center portion of the central opening with the plurality of legs adjacent each other with the leg distal ends forming a substantially straight line therebetween when viewed from the main frame distal side, the device further comprising an open configuration wherein the plurality of movable arms are moved so that the arm distal ends are positioned at or adjacent an outer perimeter of the central opening with each of the plurality of legs spaced apart from the other legs so that the plurality of legs define a periphery having a polygonal shape, wherein each of the plurality of legs defines a corner of the polygonal shape.

US Pat. No. 10,188,372

SURGICAL INSTRUMENT GUIDE DEVICE

Cambridge Endoscopic Devi...

1. A surgical instrument assembly comprising:a manually operated instrument that includes;
an elongated instrument shaft having proximal and distal ends,
a control handle,
a proximal motion member that connects the control handle to the proximal end of the elongated instrument shaft,
an end effector,
a distal motion member that connects the distal end of the elongated instrument shaft to the end effector,
a guide member for receiving the instrument shaft, having proximal and distal ends and including;
a guide shaft,
a distal motion means at the distal end of said guide shaft,
a proximal motion means at the proximal end of said guide shaft; and
actuation means extending between said distal and proximal motion means so that any deflection of said proximal motion means causes a corresponding deflection of said distal motion means for control of said end effector, said end effector extending beyond the distal motion means at an operative site.

US Pat. No. 10,188,370

ULTRASOUND IMAGING SYSTEM AND METHOD

Koninklijke Philips N.V.,...

1. An ultrasound imaging system, comprising:an ultrasound probe configured to acquire a sequence of ultrasound data of an imaging region of a subject when a contrast agent is perfused in the imaging region;
a time-intensity curve calculator configured to calculate a time-intensity curve of the contrast agent for each region unit of a plurality of region units of the imaging region, based on the acquired sequence of ultrasound data, each region unit comprising one or more points of the imaging region;
a reference selector configured to select, among the plurality of region units, a first, second and third set of region units respectively corresponding to normal tissue, vessel and background noise, based on the time-intensity curves, and wherein the reference selector is further configured to divide the imaging region into a plurality of segments, each segment being located at a different depth level and to select the one or more region units from the first set of region units, the one or more region units being located in the segment where the region of interest is located;
a perfusion parameter calculator configured to calculate a perfusion parameter for each of one or more region units of the first set of region units and a perfusion parameter for a region of interest in the imaging region, based on the calculated time-intensity curves;
a reference perfusion parameter calculator configured to calculate a reference perfusion parameter, based on the perfusion parameters of the one or more region units located in the segment where the region of interest is located; and
a ratio calculator configured to calculate a ratio value for the region of interest as a ratio of the perfusion parameter of the region of interest and the reference perfusion parameter.

US Pat. No. 10,188,369

METHODS AND APPARATUS FOR PERFORMING MULTIPLE MODES OF ULTRASOUND IMAGING USING A SINGLE ULTRASOUND TRANSDUCER

Clarius Mobile Health Cor...

1. An ultrasound imaging method comprising, by an ultrasound imaging machine:imaging in a first mode using a sequential transducer comprising a plurality of transducer elements, wherein when imaging in the first mode, groups of adjacent transducer elements of the plurality of transducer elements are sequentially pulsed for beamforming, and the groups of adjacent transducer elements correspond to respective different apertures along a head of the sequential transducer; and
imaging in a second mode different from the first mode, wherein when imaging in the second mode, a subset of at least two of the plurality of transducer elements form a single aperture on the head of the sequential transducer, and the subset of transducer elements are repeatedly pulsed with different phase shifts for beamforming through the single aperture so that a plurality of ultrasound signals are steered from the subset of the plurality of transducer elements, and wherein any remaining transducer elements of the plurality of transducer elements not part of the subset are inactive when imaging in the second mode.

US Pat. No. 10,188,362

X-RAY FLUOROSCOPY AND IMAGING APPARATUS

SHIMADZU CORPORATION, Ky...

1. An X-ray fluoroscopic imaging apparatus, comprising:an image generation element that generates a fluoroscopic image based on a detection signal of a radiation that transmits through a subject;
a display element that enables a display of said fluoroscopic image and displays said fluoroscopic image;
an image processing element that executes an image processing to superimpose a plurality of said fluoroscopic images that said image generation element continuously generates and generates an image denoting a movement locus of a benchmark denoting a location of a device introduced inside a body of said subject; and displays said image on said display element;
a region-of-interest setting element that defines and displays a region-of-interest that includes said movement locus relative to a superimposed image of said fluoroscopic images;
the region-of-interest being initially based on four user-specified location points that surround the movement locus; and
said benchmark is detected in the region-of-interest after the region-of-interest is defined by the region-of-interest setting element.

US Pat. No. 10,188,360

VIDEO AND ACCESSORY APPARATUS FOR A VIDEOFLUOROSCOPY UNIT

1. A videofluoroscopy accessory for use with a videofluoroscopy device or system, the videofluoroscopy accessory comprising:a clamp adapted to receive an X-ray head of a videofluoroscopy device,
at least one accessory mount disposed on the clamp adapted to removably receive at least one predetermined accessory,
at least one predetermined accessory,
wherein the at least one predetermined accessory is a video camera, and
wherein the at least one accessory mount is configured to enable selectively positioning of the accessory in any direction during operation of the X-ray head.

US Pat. No. 10,188,359

INTRA-ORAL SENSOR, CRADLE, AND INTRA-ORAL SENSING SYSTEM

Rayence Co., Ltd., Gyeon...

1. An intra-oral sensing system, comprising:an intra-oral sensor including a data connector transmitting projection data and a charging connector receiving electric power for charging; and
a cradle providing a mounting space to mount the intra-oral sensor therein, the cradle including: a data receiving terminal configured to transmit the projection data, a charging terminal configured to supply the electric power, and a sterilizer sterilizing the intra-oral sensor wherein the data receiving terminal is connected to the data connector and the charging terminal is connected to the charging connector while the intra-oral sensor is in the mounting space.

US Pat. No. 10,188,357

SUPPORT UNIT, SUPPORT DEVICE, AND EMISSION TOMOGRAPHY DEVICE USING SUPPORT DEVICE

1. A support unit for an emission tomography device, characterized in that it comprises:a support body, provided with an accommodation space running through the support body therein, wherein the support body comprises a plurality of support positions that are distributed along a circumferential direction of the accommodation space;
a plurality of fastening means, connected to at least a portion of the plurality of support positions, for fixing detectors of the emission tomography device, wherein at least a portion of the plurality of fastening means are movable between contraction positions and extension positions along radial directions of the accommodation space,
wherein the fastening means are used for forming a first detector fastening ring with a first diameter when at the contraction positions and forming a second detector fastening ring with a second diameter which is smaller than the first diameter when at the extension positions,
wherein the plurality of support positions are configured that when a predetermined number of the support units are arranged side by side along the axial direction of the accommodation space, support positions on different support units are staggered and arranged alternately along the circumferential direction, in order for the fastening means on the predetermined number of the support units to form the first detector fastening ring alternately.

US Pat. No. 10,188,354

PATIENT STATUS NOTIFICATION DEVICE, NOTIFICATION METHOD IN PATIENT STATUS NOTIFICATION DEVICE AND PROGRAM

PARAMOUNT BED CO., LTD., ...

1. A system for monitoring patient status, comprising:at least one sensor that automatically and continuously acquires biological data from a patient;
a plurality of destination terminal devices; and
a controller configured to:
continuously receive biological data from the at least one sensor;
compare currently received biological data with one or more threshold values;
trigger a first alarm message at a first destination terminal device if the currently received biological data is determined to be outside of a first range based on the comparison with the one or more threshold values;
trigger a second alarm message at a second destination terminal device if the currently received biological data is determined to be outside of a second range based on the comparison with the one or more threshold values;
wherein the second range includes the first range, and the first destination terminal device is different from the second destination terminal device,
wherein the one or more threshold values compared with the received biological data are selected based on an associated patient identifier, a type of the currently received biological data and a notice setting in an alarm notice level table.

US Pat. No. 10,188,347

ENERGY EXPENDITURE DEVICE

NIKE, Inc., Beaverton, O...

1. A computer-implemented method comprising:obtaining, by a computing device and from one or more sensors, movement data of a first user along a plurality of axes for a first time period and a second time period;
for each time period, classifying, based at least on a type of the one or more sensors, the movement data of the first user into one of a plurality of predefined activity categories;
calculating, based upon the movement data and the activity category the movement data was classified into, a first energy expenditure value for the first time period and a second energy expenditure value for the second time period;
receiving movement data of a second user along a plurality of axes for a third time period and a fourth time period;
for each time period, classifying the movement data of the second user into one of the plurality of predefined activity categories;
calculating an energy expenditure value for the third time period and the fourth time period based upon the movement data and the activity category the movement data was classified into:
determining one or more derivatives of the energy expenditure values obtained during a unitary time frame that includes the first time period and the second time period to determine a first energy expenditure intensity value;
determining the energy expenditure values obtained during the time frame that includes the third time period and the fourth time period to obtain a second energy expenditure intensity value; and
displaying, using the computing device, a representation of the determined energy expenditure values and representations of the first energy expenditure intensity value and the second energy expenditure intensity value.

US Pat. No. 10,188,339

URINE MEASUREMENT DEVICE AND METHOD

OBSERVE MEDICAL APS, Kon...

1. A method for treating a luminal surface of a urine handling system, comprisingproviding a capsule in a luminal space of the urine handling system, the capsule comprising a capsule wall defining a space filled with an oil mixture having a viscosity of at most 600 cSt and comprising 90-100° of an oil selected from a group consisting of silicone fluids, mineral oils, and a mixture thereof,
wherein the capsule wall is made of a water-soluble material that disintegrates when exposed to a urine flow such that the oil mixture contacts the luminal surface,
wherein the capsule is arranged upstream of a measurement chamber of the urine handling system, or in an upstream portion of the chamber.

US Pat. No. 10,188,336

PUNCTURE NEEDLE SENSOR MANUFACTURING METHOD

TERUMO KABUSHIKI KAISHA, ...

1. A puncture needle manufacturing method comprising:forming an insulation layer and a plurality of spaced apart elongated electrodes on a metal sheet so that the electrodes overlie the insulation layer;
cutting the metal sheet, the insulation layer, and a portion of the electrodes on the metal sheet to form a plate-shaped body, the plate-shaped body possessing a proximal end, a distal end, and a middle portion, the plate-shaped body having a width at the proximal end greater than a width at the distal end, and the middle portion of the plate-shaped body tapering in width towards the distal end;
press-working the plate-shaped body to form the plate-shaped body into a tubular body, the tubular body possessing an outer diameter at a distal end greater than an outer diameter at a proximal end; and
forming a pointed, beveled end portion at the distal end of the tubular body, wherein the press-worked tubular body possesses a distal portion and a proximal portion, the tubular body comprising:
a distal plurality of separate and circumferentially spaced apart electrodes fixed on the insulation layer in the distal portion of the tubular body;
a proximal plurality of separate and circumferentially spaced apart electrodes fixed on the insulation layer in the proximal portion of the tubular body; and
the distal plurality of electrodes being a different number of electrodes than the proximal plurality of electrodes.