US Pat. No. 10,555,806

METHOD AND DEVICE FOR OPTIMIZING VISION VIA CUSTOMIZATION OF SPHERICAL ABERRATION OF EYE

Medicem Institute s.r.o, ...

1. A method of optimizing vision in an eye of a patient comprising the steps of:determining a target optical configuration for the patient's eye;
determining the refractive change of the patient's eye required to achieve the target optical configuration; and
implementing the determined refractive change to achieve the target optical configuration,
wherein the target optical configuration is determined by performing a thorough eye examination of the patient's eye, and extrapolating relevant optical parameters back to the time when the eyesight of that patient was satisfactory, and calculating or estimating the values of relevant optical parameters at that earlier age, the relevant optical parameters including one or more of aberrations, refractive indices, and geometry of ocular structures,
wherein the implementing step comprises selecting an intraocular lens (IOL) implantable into the patient's eye,
wherein the intraocular lens comprises a hydrogel, and comprises:
a body defining a central optical part and an integral peripheral supporting part, both of which extend about a main optical axis, wherein the central optical part has a refractive power;
the central optical part having a central anterior optical surface within a first boundary and defining an anterior apex, and a central posterior optical surface within a second boundary and defining a posterior apex, wherein the central anterior optical surface has a refractive power, and wherein the central posterior optical surface has a refractive power;
the peripheral supporting part having an anterior peripheral supporting surface extending from the first boundary such that the central anterior optical surface and the anterior peripheral supporting surface define an anterior surface with a first upper boundary, and a posterior peripheral supporting surface extending from the secondary boundary such that the central posterior optical surface and the posterior peripheral supporting surface define a posterior surface with a second upper boundary, and wherein the first upper boundary is anterior to the anterior apex of the central anterior optical surface;
a transition surface extending between the first upper boundary and the second upper boundary;
wherein the central anterior optical surface and the central posterior optical surface are defined by rotation of one or more conic sections along the main optical axis; and;
wherein at least the central posterior optical surface is a hyperboloid surface,
wherein the intraocular lens is adjustable postoperatively, and the implementing step further comprises a postoperative adjustment of the intraocular lens, wherein the postoperative adjustment is achieved by a controlled absorption of electromagnetic radiation, and
wherein the electromagnetic radiation adjustably changes the refractive index of selected volume elements of the intraocular lens, or adjustably changes the geometry of selected shape memory elements embedded in the intraocular lens due to heating of said selected shape memory elements above their transition temperatures.

US Pat. No. 10,555,805

ANTERIOR CORNEAL SHAPES AND METHODS OF PROVIDING THE SHAPES

RVO 2.0, Inc., Aliso Vie...

1. A method of treatment for presbyopia of an eye, comprising:positioning a corneal inlay within the cornea, the corneal inlay having a diameter of about 1 mm to about 3 mm and smaller than a diameter of a pupil of the eye, the corneal inlay having an anterior surface comprising a corrective portion with a single radius of curvature, the corrective portion including an apex of the anterior surface; and
altering a shape of an anterior surface of a cornea with the corneal inlay, the altered shape including a central near region for near vision and an intermediate region for intermediate vision that is peripheral to the central near region; and
maintaining distance vision in a peripheral region that is peripheral to the intermediate region,
wherein altering the shape of the anterior surface of a cornea with the corneal inlay comprises creating a central elevation change, and wherein the corneal inlay has a central thickness that is 3-7 times the central elevation change.

US Pat. No. 10,555,804

THERAPEUTIC DEVICE FOR PAIN MANAGEMENT AND VISION

JOURNEY1, INC., Brisbane...

1. A covering to treat a cornea of an eye of a patient, said cornea comprising an epithelium, and said covering comprising:an inner portion comprising an inner rigidity, an inner thickness, and an inner durometer; and
an outer portion comprising an outer rigidity,
wherein said inner rigidity is greater than said outer rigidity,
wherein said inner durometer is within a range of Shore 20A to Shore 70A, and
wherein said covering, when applied to said cornea, is configured to adhere to said cornea to reduce swelling of said cornea.

US Pat. No. 10,555,803

TISSUE FIXATION DEVICE

Medos International Sarl,...

1. A method for fixating a graft ligament into a bone tunnel, the method comprising:forming a graft construct by coupling the graft ligament to a tissue fixation device via a graft retention loop of the tissue fixation device, the tissue fixation device comprising first and at least one second elongate, substantially rigid support members that are discrete elements separated from each other and at least one flexible member connecting the rigid support members;
passing the graft construct through the bone tunnel with the tissue fixation device in a delivery configuration such that the rigid support members are in a non-intersecting orientation relative to one another and are disposed a first distance away from one another; and
after the graft construct is passed up through the bone tunnel and is disposed over an opening in the bone tunnel, positioning the tissue fixation device over the opening in a deployed configuration such that the rigid support members are disposed a second distance away from one another that is greater than the first distance, and the graft retention loop and the graft ligament extend into the bone tunnel.

US Pat. No. 10,555,802

UROLOGIC STENTS AND METHODS OF USE

1. A stent for treating a urologic disorder, comprising:a stent body having a deployed configuration with an outer surface portion having a plurality of projecting elements directed outward from the outer surface portion such that the plurality of projecting elements are configured to engage tissue in a wall of a lumen in a patient's urinary tract, wherein the stent body has a central passageway extending therethrough;
a tether coupled to the stent body; and
wherein the stent body is transformable to an inverted configuration in which the outer surface portion is configured to invert within an end of the stent causing movement of the projecting elements within the central passageway of the stent body which disengages the projecting elements from the tissue for withdrawal of the stent body from the lumen where application of a force on the tether causes transformation of the stent body from the deployed configuration to the inverted configuration.

US Pat. No. 10,555,801

GASTROINTESTINAL-TRACT CONSTRICTING METHOD

OLYMPUS CORPORATION, Tok...

1. A gastrointestinal-tract constricting method comprising:while observing the gastrointestinal tract by inserting an endoscope into the gastrointestinal tract, forming a spreading block that blocks infiltration of a substance, which damages a mucosa basal layer of the gastrointestinal tract, into the muscular layer underlying the mucosa basal layer, the spreading block being formed along a circumferential direction of the gastrointestinal tract and between the mucosa basal layer and the muscular layer; and
supplying the substance along the circumferential direction of the gastrointestinal tract and to a surface of the mucosa that lies within a region that overlaps an inner side of the gastrointestinal tract with respect to the spreading block out of the entire circumference of the gastrointestinal tract in a transverse section of the gastrointestinal tract.

US Pat. No. 10,555,800

RECEIVER

Wittenstein SE, Igershei...

1. An implantable receiver for transmitting energy to an implant, witha multi-layer circuit board comprising a plurality of electrically conductive layers,
wherein the circuit board comprises an outer coil area and a multi-layer inner area enclosed by the coil area, wherein the plurality of electrically conductive layers in the multi-layer inner area define the multi-layer circuit board in the inner area,
a coil which is integrally incorporated at least partially in the layers of the circuit board in the coil area,
wherein the number of the layers of the circuit board is smaller within this inner area than in the coil area, wherein the coil area, on an upper side of the circuit board, forms an upper rim around the inner area, and wherein electronic components are arranged on the upper side of the circuit board in the inner area, and wherein the coil area forms a lower rim on an underside of the circuit board, which lower rim on the underside encircles a lower cavity in the inner area.

US Pat. No. 10,555,799

DISTAL PROTECTION DEVICES HAVING CONTROLLABLE WIRE MOTION

Covidien LP, Mansfield, ...

1. A distal protection device for use in a body lumen, the distal protection device comprising:a first elongate member having distal and proximal ends;
a second elongate member having distal and proximal ends, the second elongate member being carried by and connected to the first elongate member;
wherein a distal portion of the first elongate member defines a hollow core, and wherein the proximal end of the shock absorber is attached to the first elongate member within the hollow core;
a functional element carried by the second elongate member, the functional element being expandable from a delivery configuration to an expanded deployed configuration; and
a shock absorber connected to the first elongate member and one or both of the second elongate member and the functional element, wherein the shock absorber is configured to change an axial distance from a proximal end to a distal end of the shock absorber in response to relative movement between the first and second elongate members such that the first elongate member may be moved relative to the second elongate member without resulting in corresponding movement of the functional element.

US Pat. No. 10,555,798

SURGICAL ARTICLES AND METHODS

David Staskin, Boston, M...

1. An implant system for treating a pelvic condition in a patient, comprising:an implant including a support portion and one or more extension portions, with the one or more extension portions including an end portion;
a needle device including a needle having an interior lumen and a movable member, wherein the movable member includes a snap engagement feature to selectively engage the end portion; and
a handle having an actuator, with the actuator in operable communication with the movable member, wherein the movable member is biased in an extended position and the actuator is adapted to retract the movable member within the needle.

US Pat. No. 10,555,797

ELECTRIC TOOTHBRUSH HANDLE AND ELECTRIC TOOTHBRUSH

1. An electric toothbrush handle, comprising:a shell, wherein at least one light emitting element is arranged in an inner cavity of the shell; and
a display interface, which is arranged on an outer side of the shell and covers the light emitting element;
wherein the display interface is provided with a mark in a set shape at a position corresponding to each light emitting element;
the light of the light emitting element is capable of penetrating through the display interface so that the mark is visible;
an installation groove is machined on an outer surface of the shell, the installation groove is recessed from the outer surface of the shell which is away from an interior of the handle towards an inner surface of the shell which is close to the interior of the handle, and the display interface is installed on the outer surface of the shell via the installation groove in a matching manner,
the shell is provided with a blind hole on the installation groove of the shell corresponding to each light emitting element, wherein the blind hole is formed in a body of the shell from an surface of the installation groove which houses the display interface towards the interior of the handle, the blind hole is recessed from the outer surface of the shell towards the inner surface of the shell, and the blind hole has a bottom thickness in the body of the shell on a side of the inner surface of the shell; and
the light of the light emitting element penetrates through the bottom thickness of the blind hole and impinges on the corresponding mark of the display interface.

US Pat. No. 10,555,796

FLOSSER DISPENSER

Sacks Holdings, Inc., Sa...

1. A dental tool storage system comprising:a plurality of flossers comprising:
a flossing head comprising:
a first arm;
a second arm;
a connecting member; and
a filament extending from the first arm to the second arm; and
a handle portion extending from the flossing head; and
a dental tool storage container comprising:
an internal volume defined by:
a top;
a bottom; and
a plurality of sides, wherein the internal volume is sized and shaped to receive the plurality of flossers in a stack extending at least partially between the top and the bottom of the internal volume;
one or more dispensing features located in one of: the top; the bottom; or one or more of the plurality of sides, wherein the dispensing features are sized and shaped to simultaneously dispense a desired number of flossers; and
a plurality of fixation features extending at least partially from one of: the top; or the bottom, towards the other of the top or the bottom, wherein the fixation features are sized and shaped to engage with at least some of the plurality of flossers to fix a position of the at least some of the plurality of flossers with respect to the plurality of sides,
wherein the fixation features comprise a plurality of fixation posts, wherein the plurality of fixation posts are positioned to engage an exterior of a handle of the flossers and the fixation features are configured to hold a first flosser in a first orientation and a second flosser in a second orientation, wherein the flossing head of the first flosser is adjacent to and proximate to the handle of the second flosser when the first flosser is in the first orientation and when the second flosser is in the second orientation such that the plurality of flossers can be alternatingly stacked in two adjacent stacks in the dental tool storage container.

US Pat. No. 10,555,794

DEVICES FOR CONDUCTING SUBPERIOSTEAL MINIMALLY INVASIVE AESTHETIC JAW BONE GRAFTING AUGMENTATION AND THEIR USE

1. A surgical instrument for subperiosteal tunneling and bone grafting procedures, comprising:a) a handle;
b) a shank extending from the handle;
c) a tip provided on the shank;
d) wherein, upon moving said handle, said shank is configured to manipulate the tip in one or more directions; and
e) wherein said tip has a distal portion and a proximal portion, wherein said distal portion comprises a convex curved portion having a leading edge thereon, said curved portion leading edge terminating on each side at a respective terminal edge that is located at each side of the widest width of the tip, and wherein said proximal portion comprises a tapering portion, said tapering portion tapering from each respective terminal edge of said tip to said shank.

US Pat. No. 10,555,793

SELF-LIGATING ORTHODONTIC BRACKETS

DENTSPLY SIRONA Inc., Yo...

1. An orthodontic bracket according to comprisinga base adapted to engage the tooth surface;
a bracket body extending in a substantially perpendicular direction from said base, said bracket body having an arch wire slot which extends in a mesiodistal direction;
a locking clip for opening or closing said arch wire slot; and
a locking mechanism form in a cavity of the body, the cavity being configured to receive a deformable member through an opening in the cavity, the deformable member having a biased state to allow the deformable member to extend through the opening cavity;
wherein the cavity includes a notched portion for engagement with the deformable member to secure the locking clip in a closed position;
wherein either the deformable member or the cavity is provided in the locking clip while the other is provided in the bracket body.

US Pat. No. 10,555,792

DIRECT FABRICATION OF ORTHODONTIC APPLIANCES WITH ELASTICS

ALIGN TECHNOLOGY, INC., ...

1. A method comprising:generating a digital model related to a treatment plan to treat a patient's teeth, wherein the digital model comprises:
a digital representation of the patient's teeth at one or more treatment stages of the treatment plan,
a digital representation of a discontinuity to be formed in a shell including a plurality of cavities configured to receive and resiliently reposition the patient's teeth, and
a digital representation of an elastic member configured to interact with the discontinuity; and
generating, based on the digital model, instructions to fabricate, using an additive manufacturing technique, the elastic member and the shell, including to fabricate at least a part of the shell and the elastic member joined together.

US Pat. No. 10,555,791

DEVICES FOR GUIDING TISSUE TREATMENT AND/OR TISSUE REMOVAL PROCEDURES

CairnSurgical, Inc., Leb...

1. A guidance template device for providing guidance for a targeted tissue treatment or tissue removal procedure, the guidance template device comprising:a cover portion shaped and sized to fit over a surface of a patient near a target tissue to undergo a treatment or removal procedure, the cover portion including at least one form including a patient-specific interior surface customized based on images obtained during pre-procedure imaging to match the surface of the patient such that the cover portion correspondingly fits over the surface of the patient and maintains the surface of the patient in a desired position;
at least one access site integrally formed with the cover portion, the at least one access site positioned so as to direct a working end of a first medical device to a location associated with the target tissue when the cover portion is placed on the surface of the patient, the position of the at least one access site with respect to the target tissue having been determined based on the pre-procedure images; and
at least one imaging jig integrally formed with the cover portion and configured to retain an in-procedure imaging device therein and further configured to control positioning and/or movement of the in-procedure imaging device relative to the location associated with the target tissue when the cover portion is placed on the surface of the patient.

US Pat. No. 10,555,790

FLEXIBLE SENSORS AND RELATED SYSTEMS FOR DETERMINING FORCES APPLIED TO AN OBJECT, SUCH AS A SURGICAL INSTRUMENT, AND METHODS FOR MANUFACTURING SAME

St. Jude Medical, Cardiol...

1. A force sensing medical catheter, comprising:an elongated tubular body comprising a central lumen and a distal end; and
a sensor comprising a first sensor part, a second sensor part, and a housing;
wherein the first sensor part comprises a common electrode and wherein the second sensor part comprises at least three capacitive sensing components,
wherein the first sensor part and the second sensor part are configured to be assembled such that the common electrode and each of the at least three capacitive sensing components establish a variable gap therebetween, wherein the housing surrounds the variable gap, and
wherein the variable gap is configured to vary in response to a force acting upon the distal end.

US Pat. No. 10,555,789

PADDED MEDICAL PROCEDURE GLOVE

1. A glove consisting of:a palm side and a back side, the palm side and the back side together providing a continuous outer covering made of a polymer selected from the list consisting of: latex, nitrile rubber; polyvinyl chloride; neoprene; isoprene; and polyisoprene, the glove configured to extend over a palm and back of a human hand and to extend to a wrist;
a thumb sleeve, an index finger sleeve, a middle finger sleeve, a ring finger sleeve, and a pinkie finger sleeve;
a first pad and a second pad, made of the polymer with a thickness of 20 mils or greater, the first pad integrated with the middle finger sleeve on the back side,
the first pad located at a distal portion of the middle finger sleeve, the first pad configured to extend over a fingernail and a second joint of a middle finger of the human hand when worn;
the second pad integrated with the ring finger sleeve on the back side;
the second pad located at a distal portion of the ring finger sleeve, the second pad configured to extend over a fingernail and a second joint of a ring finger of the human hand when worn,
a thickness of the continuous outer covering being in a range of 1 to 15 mils.

US Pat. No. 10,555,788

SURGICAL SYSTEM WITH HAPTIC FEEDBACK BASED UPON QUANTITATIVE THREE-DIMENSIONAL IMAGING

Intuitive Surgical Operat...

1. A system to provide haptic feedback during a medical procedure comprising:a surgical instrument;
a quantitative three-dimensional (Q3D) endoscope having an imaging sensor array comprising at least three coplanar imaging sensors having coplanar overlapping fields of view, wherein each imagining sensor includes a pixel array that is separate from the pixel arrays of other imaging sensors, wherein the Q3D endoscope is operable to capture Q3D information indicative of deformation distance of different locations of a tissue structure placed in contact with the surgical instrument within the fields of view;
wherein the surgical instrument is operable to move across a tissue surface structure to contact and impart a force to deform different tissue surface locations of the tissue structure placed within the overlapping fields of view;
at least one processor configured to produce a Q31) model that provides a map of measures of tissue structure deformation for the contact between the instrument and the tissue surface at the different locations of the tissue structure surface, based upon the captured Q3D information; and
a haptic user interface device configured to produce haptic feedback indicative of the map of the measures of tissue structure deformation at the contact locations of the tissue structure surface.

US Pat. No. 10,555,787

INTERNAL MAGNETIC TRACTION DEVICE FOR THE CERVICAL SEINE

Gomboc, LLC, Metairie, L...

1. A disc-shaped housing comprising:(a) a lower section comprising:
(i) a base;
(ii) an outer wall surface; and
(iii) a bore defining an inner wall surface;
(b) an upper section comprising a cap; and
(c) a magnet configured to fit within the bore, wherein the magnet is adhered to at least a portion of the inner wall surface.

US Pat. No. 10,555,786

OPERATION INPUT DEVICE AND MEDICAL MANIPULATOR SYSTEM

OLYMPUS CORPORATION, Tok...

11. An operation input device for inputting an operating command to a manipulator for observing or treating an affected area, the operation input device comprising:a grip configured to be gripped by a hand of an operator; and
an arm comprising at least two link members and at least one joint for linking adjacent link members of the at least two link members so that the adjacent link members can tilt about a joint axis intersecting longitudinal axes of the adjacent link members, the arm movably supporting the grip, wherein the at least one joint comprises:
a shaft fixed to one of the adjacent link members, the shaft extending along the joint axis;
a spring fixed to an other of the adjacent link members, the spring being wound around an outer circumferential surface of the shaft to tighten the shaft radially inward; and
the shaft and the spring being configured to generate a frictional torque in an opposite direction to a direction in which a torque is applied; and
an adjustment section for adjusting the tightening force generated by the spring.

US Pat. No. 10,555,785

SURGICAL ARM SYSTEM WITH INTERNALLY DRIVEN GEAR ASSEMBLIES

Bio-Medical Engineering (...

1. A robotic arm assembly, the robotic arm assembly comprising:a forearm segment, the forearm segment formed as an elongated structure with a proximal end and a distal end;
an upper arm segment, the upper arm segment formed as an elongated structure with a proximal end and a distal end, the upper arm segment having:
a first proximal motor, the first proximal motor having a first proximal motor drive portion at the proximal end of the upper arm segment, the first proximal motor drive portion configured to rotate relative to a first axis, the first axis being parallel to a central axis of the upper arm segment; and
a shoulder segment, the shoulder segment having a proximal end and a distal end;
an elbow coupling joint assembly, the elbow coupling joint assembly connecting the proximal end of the forearm segment to the distal end of the upper arm segment; and
a shoulder coupling joint assembly, the shoulder coupling joint assembly connecting the proximal end of the upper arm segment to the distal end of the shoulder segment, the shoulder coupling joint assembly having:
a distal shoulder joint subassembly connected at a distal end to the proximal end of the upper arm segment, the distal shoulder joint subassembly including a gear train system having a plurality of gear stages including:
a first distal shoulder gear stage, the first distal shoulder gear stage having:
a first distal shoulder bevel gear configured to be driven by the first proximal motor drive portion of the first proximal motor to rotate relative to the first axis; and
a second distal shoulder bevel gear drivable by the first distal shoulder bevel gear, the second distal shoulder bevel gear configured to rotate relative to a first main shoulder axis when driven by the first distal shoulder bevel gear, the first main shoulder axis being orthogonal to the first axis; and
a second distal shoulder gear stage, the second distal shoulder gear stage having a distal shoulder planetary gear assembly, the distal shoulder planetary gear assembly having:
a distal shoulder sun gear connected to the second distal shoulder bevel gear, the distal shoulder sun gear configured to be driven by the second distal shoulder bevel gear to rotate relative to the first main shoulder axis;
a distal shoulder ring gear configured to not rotate relative to the first main shoulder axis;
a plurality of distal shoulder planetary gears drivable by the distal shoulder sun gear; and
a distal shoulder planetary gear carrier connected at one end to the plurality of distal shoulder planetary gears in such a way that when the distal shoulder sun gear rotates relative to the first main shoulder axis, the distal shoulder planetary gear carrier rotates relative to the first main shoulder axis; and
a proximal shoulder joint subassembly connecting the distal end of the shoulder segment to the distal shoulder joint subassembly, the proximal shoulder joint subassembly configurable to be driven in such a way as to pivotally rotate the upper arm segment relative to a second main shoulder axis, the second main shoulder axis being orthogonal to the first main shoulder axis;
wherein the distal shoulder planetary gear carrier is connected at another end to the proximal end of the upper arm segment, and wherein when the distal shoulder sun gear is driven to rotate relative to the first main shoulder axis, the distal shoulder planetary gear carrier drives the upper arm segment to pivotally rotate relative to the first main shoulder axis.

US Pat. No. 10,555,784

ROBOTIC GUIDE FOR BRAIN BIOPSY

1. A robotic guide for a biopsy surgical tool, the robotic guide comprising:a main shaft, supported and rotatable about a main shaft axis;
an end-effector, connected movably to a distal end of the main shaft in a configuration rotatable about a pitch axis;
a roll/yaw actuating mechanism, comprising:
a first actuating mechanism, including:
a pinion mounted on a bottom of the main shaft,
a bottom gear meshedly engaged with a bottom portion of the pinion, and rotatable about a yaw axis,
a first motor, coupled though a first coupling to the bottom gear, the first coupling configured to convert rotation of the first motor to a rotation of the bottom gear,
a second actuating mechanism, including:
a top gear meshedly engaged with a top portion of the pinion,
a second motor, coupled though a second coupling to the bottom gear, the second coupling configured to convert rotation of the second motor to a rotation of the top gear, wherein
rotational movements of the first motor and the second motor convert to rotation of the top gear and the bottom gear in a similar direction to lock the pinion from rotating, and urge movement of the distal end of main shaft and the end effector in a yaw direction around the yaw axis, and wherein
rotational movements of the first motor and the second motor that convert to rotation of the top gear and the bottom gear in mutually opposite directions rotate the main shaft about a roll axis, via the pinion;
a translational actuating mechanism, including:
a third motor;
a middle hollow rod, coupled to the third motor in a configuration wherein a rotation by the third motor urges a rotation of the middle hollow rod, the middle hollow rod including a first externally threaded section provided on an exterior surface thereof,
a first internally threaded section provided on an interior surface of the main shaft, the first internally threaded section being meshed with the first externally threaded section of the middle hollow rod such that a rotational movement of the middle hollow rod urges a linear movement of the main shaft; and
a pitch actuating mechanism, including:
a slider-crank mechanism, provided with a crank end and movably supported by the main shaft for movement of crank end in a direction of the roll axis, the crank end being coupled to the end-effector in a configuration wherein movement of the crank end in the direction of the roll axis urges a pitch rotation of the end-effector.

US Pat. No. 10,555,783

INSTRUMENT CARRIAGE ASSEMBLY FOR SURGICAL SYSTEM

Intuitive Surgical Operat...

1. A robotic assembly configured to support, insert, retract, and actuate a surgical instrument mounted to the robotic assembly, the robotic assembly comprising:an instrument holder base member;
a motor housing moveably mounted to the instrument holder base member;
a carriage drive mechanism operable to selectively translate the motor housing relative to the instrument holder base member along an insertion axis of the surgical instrument;
a plurality of drive motors, each of the drive motors being mounted to the motor housing;
a plurality of gear boxes, each of the gear boxes being drivingly coupled with one of the drive motors;
a plurality of output drive couplings, each of the output drive couplings being drivingly coupled with a corresponding one of the gear boxes, each of the output drive couplings being configured to drivingly couple with a corresponding input drive coupling of the surgical instrument; and
a sensor assembly that includes an orientation sensor, a sensor target, and a sensor shaft drivingly coupling the sensor target to a corresponding one of the output drive couplings through an aperture in an outer housing of the corresponding gear box, the sensor shaft being driven by an output link of the corresponding gear box that rotates in unison with the corresponding output drive coupling.

US Pat. No. 10,555,782

SYSTEMS AND METHODS FOR PERFORMING MINIMALLY INVASIVE SPINAL SURGERY WITH A ROBOTIC SURGICAL SYSTEM USING A PERCUTANEOUS TECHNIQUE

Globus Medical, Inc., Au...

1. A method of operating a robotic surgical system, the method comprising:detecting, by a force sensor, movement of a surgical instrument guide attached to a robotic arm of the robotic surgical system, wherein the surgical instrument guide defines a trajectory comprising a location and an orientation for insertion of a medical implant in a vertebra of a patient, wherein the surgical instrument guide includes a dilator and the dilator defines a working channel for accessing the vertebra;
storing, by a processor of a computer device, a planned trajectory based on the trajectory of the surgical instrument guide at a defined time;
after the planned trajectory is defined, detecting, by the force sensor, movement of the surgical instrument guide towards the vertebra;
increasing a size of the working channel of the dilator;
inserting a dilator adapter into the dilator to adjust a diameter of a portion of the dilator to allow for different sized tools to be guided by the dilator,
wherein the processor is configured to execute instructions within the computing device based upon the planned trajectory stored by the processor to prevent the surgical instrument guide from moving away from the planned trajectory.

US Pat. No. 10,555,781

HIGH BANDWIDTH AND LOW LATENCY HYBRID COMMUNICATION TECHNIQUES FOR A NAVIGATION SYSTEM

Stryker Corporation, Kal...

1. A navigation system comprising:a tracker including a radio frequency (RF) transmitter, an infrared (IR) receiver, one or more tracking markers, and one or more inertial sensors configured to generate inertial data; and
a localization device including an RF receiver, an IR transmitter, and one or more tracking sensors, the localization device being configured to:
detect a position of the one or more tracking markers of the tracker, with the one or more tracking sensors, using IR communication;
communicate with the IR receiver of the tracker, using the IR transmitter, to manage an operating parameter of the tracker with respect to RF communication; and
wirelessly receive, with the RF receiver, the inertial data generated by the tracker and transmitted by the RF transmitter of the tracker using RF communication in accordance with the operating parameter of the tracker managed using IR communication.

US Pat. No. 10,555,779

SYSTEM AND METHOD FOR A TRACKED PROCEDURE

Medtronic Navigation, Inc...

1. A surgical navigation system configured for operation in a procedure, comprising:a memory system having stored thereon:
(i) a convolutional neural network (CNN) configured for analyzing an image data,
(ii) a trained model for use with the CNN that is trained to segment at least one spinal vertebrae in the image data,
(iii) wherein the image data includes an acquired image of a subject;
a processor system configured to:
access the memory system to execute the CNN and the trained model to segment the image data;
output a three-dimensional (3D) image data of the segmentation;
based on the output 3D image data automatically output a workflow procedure portion for a surgical procedure;
wherein the CNN includes at least one of a limited number of parameters or selected weights on parameters to increase a probability of correct segmentation;
wherein the processor system is configured to further automatically determine a tool extension and a displayed tool icon relating to the automatically determined tool extension;
wherein the tool icon displayed on a screen includes a projection from a tracked distal tip of the tool to a portion of the image;
wherein the projection is automatically determined and displayed based on the output 3D image data segmentation from the tracked distal tip of the tool.

US Pat. No. 10,555,777

SYSTEM AND METHOD FOR REGISTERING TO A SURGICAL TABLE

INTUITIVE SURGICAL OPERAT...

1. A computer-assisted medical system comprising:a computer-assisted medical device comprising an articulated arm, the articulated arm configured to have a distally mounted instrument, wherein the distally mounted instrument is configured to be inserted into a patient at a body opening; and
a control unit coupled to the articulated arm;
wherein the control unit is configured to:
detect a first motion of a surgical table coupled to the control unit via a communications connection, the first motion of the surgical table causing a corresponding second motion of a point associated with the articulated arm;
determine a first angular direction of the first motion in a surgical table coordinate frame;
determine a second angular direction of the second motion in a computer-assisted medical device coordinate frame; and
determine a first angular relationship between the surgical table and the computer-assisted medical device based on the first and second angular directions.

US Pat. No. 10,555,776

MAGNETIC RESONANCE THERMOMETRY DURING ABLATION

BIOSENSE WEBSTER (ISRAEL)...

1. A method, comprising the steps of:inserting a probe into a heart of a living subject, the probe having a distal portion, a position sensor and an ablation electrode being disposed on the distal portion;
navigating the probe into a contacting relationship with a target tissue of the heart and activating the ablation electrode;
obtaining a first reading of the position sensor to obtain a first position of the probe in the heart;
acquiring a first magnetic resonance thermometry image of the target tissue at the first position; and
thereafter during ablation iteratively performing the steps of:
taking new readings of the position sensor to obtain second positions of the probe in the heart;
acquiring a new magnetic resonance thermometry image of the target tissue only when a distance between the first position and one of the second positions is less than a predetermined distance; and
analyzing the first magnetic resonance thermometry image and the new magnetic resonance thermometry image to determine a temperature of the target tissue.

US Pat. No. 10,555,775

METHODS AND SYSTEM FOR PERFORMING 3-D TOOL TRACKING BY FUSION OF SENSOR AND/OR CAMERA DERIVED DATA DURING MINIMALLY INVASIVE ROBOTIC SURGERY

Intuitive Surgical Operat...

1. A tool tracking and control method for minimally invasive robotic surgery, the method comprising:a processor determining non-endoscopically derived estimated positions of a tool by using information received from a non-endoscope device while the tool is being robotically manipulated;
the processor determining endoscopically derived estimated positions of the tool by using information received from an endoscope while the tool is being robotically manipulated;
the processor implementing a Bayesian filter which generates optimal estimates of the positions of the tool by processing together the non-endoscopically and endoscopically derived estimated positions of the tool; and
the processor controlling use of one of the tool and the endoscope by using the optimal estimates of the positions of the tool.

US Pat. No. 10,555,774

INTERACTIVE ANTERIOR-POSTERIOR AXIS DETERMINATION

1. A computer-implemented method, comprising:a) performing a modeling procedure with a computing device, wherein the modeling procedure comprises:
i) the computing device receiving information relating to a distal femur of a particular patient, wherein the distal femur includes an intercondylar surface;
ii) the computing device generating a distal femur model based upon the received information, wherein the distal femur model is representative of at least a portion of the distal femur, and wherein the distal femur model includes an intercondylar surface model representative of the intercondylar surface; and
iii) the computing device outputting to a user interface information relating to the distal femur model;
b) performing a parameters procedure with the computing device, the parameters procedure comprising:
i) the computing device receiving, from the user interface, point selection information including information relating to a user-selected first point on the intercondylar surface model and information relating to a user-selected second point on the intercondylar surface model; and
ii) the computing device generating a datum line based upon the point selection information, wherein the datum line extends between the first point and the second point;
c) performing an iteration of an axis line procedure with the computing device, wherein each iteration of the axis line procedure comprises:
i) the computing device generating a plurality of planes, wherein each of the planes intersects the datum line and the intercondylar surface model;
ii) the computing device generating a plurality of contours, wherein each of the contours corresponds to one of the planes and is defined by an intersection of the corresponding plane with the intercondylar surface model;
iii) the computing device generating a saddle point set, wherein generating the saddle point set includes determining a saddle point for each of the contours; and
iv) the computing device generating an axis line based upon the saddle point set, wherein generating the axis line includes fitting the axis line to the saddle point set;
d) performing an anterior-posterior (AP) axis procedure with the computing device, wherein the AP axis procedure comprises:
i) the computing device determining an AP axis of the distal femur based upon the axis line; and
ii) the computing device outputting to the user interface information relating to the determined AP axis; and
e) performing at least one iterative procedure subsequent to performing the axis line procedure and prior to performing the AP axis procedure, wherein each iterative procedure comprises:
i) the computing device generating an updated datum line based upon the axis line of a previously performed iteration of the axis line procedure; and
ii) the computing device performing an additional iteration of the axis line procedure using the updated datum line;
wherein determining the AP axis of the distal femur based upon the axis line includes determining the AP axis of the distal femur based upon the axis line generated in a most recent of the additional iterations of the axis line procedure.

US Pat. No. 10,555,773

SIMULATOR, INJECTION DEVICE OR IMAGING SYSTEM PROVIDED WITH SIMULATOR, AND SIMULATION PROGRAM

HIROSHIMA UNIVERSITY, Hi...

1. A simulator, which is configured to predict a change with time of a pixel value in a tissue of an object, comprising:an object information acquisition unit configured to acquire information on the object;
a protocol acquisition unit configured to acquire an injection protocol for a contrast medium;
a tissue information acquisition unit configured to acquire information on the tissue; and
a prediction unit configured to predict, based on the information on the object, the injection protocol, and the information on the tissue, a change with time of a pixel value of each of a plurality of compartments obtained by dividing the tissue along a blood flow direction, the prediction unit predicting the pixel value of a time point when a predetermined time elapses from a time point of a start of injection.

US Pat. No. 10,555,772

LASER ABLATION CATHETERS HAVING EXPANDED DISTAL TIP WINDOWS FOR EFFICIENT TISSUE ABLATION

Ra Medical Systems, Inc.,...

1. A laser ablation catheter to ablate blockages in body lumens using high energy and high power laser pulses, comprising:a liquid filled waveguide including an elongate catheter body tube having an inner layer with a first index of refraction and a biocompatible ultraviolet transparent optical fluid disposed within and completely filling an inner lumen of the elongate catheter body tube, with the optical fluid having a second index of refraction which is greater than the first index of refraction; and
an ultraviolet grade elongated distal optical window disposed in liquid sealed relation to a surface of the elongate catheter body tube at a distal end of the elongate catheter body tube, the distal optical window including:
a feed fiber optic made of ultraviolet grade silica including a core and a cladding and configured to act as a waveguide,
an insert segment which is disposed within a distal section of the elongate catheter body tube and which includes the core and the cladding configured to act as the waveguide, and
an expanded segment which is expanded from a nominal outer diameter of the feed fiber optic with the cladding melted and mixed with the core resulting in no cladding or dead space, which is larger in transverse dimension than the feed fiber optic so as to cover an outer diameter of the elongate catheter body tube, which is disposed distally of the insert segment, which is not configured to act as a waveguide, which has an outer diameter which is greater than an outer diameter of the insert segment, which has an output surface that has an area which is equal to or greater than an area of a transverse section of the elongate catheter body tube proximally adjacent the distal optical window and which has an axial length sufficient to allow optical energy expansion within the expanded segment such that optical energy emitted from the output surface ablates a hole in target tissue having a diameter equal to or greater than an outer diameter of the elongate catheter body tube proximally adjacent the distal optical window.

US Pat. No. 10,555,771

LASER BEAM CONTROL AND DELIVERY SYSTEM

Xintec Corporation aba Co...

1. A laser system comprising:a first laser module emitting a first laser beam at a first wavelength;
a partially reflective first mirror positioned in a path of the laser beam, the partially reflective first mirror being transmissive for the first wavelength and coated on a distal surface with a first reflective coating for infrared wavelengths of light, said partially reflective first mirror further having more than a single non-reflective coating;
an optical fiber positioned in the path of the laser beam distal to the partially reflective first mirror;
the partially reflective first mirror being positioned such that the first reflective coating reflects a beam of infrared light returning from the optical fiber onto a partially reflective second mirror, the partially reflective second mirror being transmissive for infrared light with a wavelength in the range of 1400 to 2100 nm and coated on a first surface with a second reflective coating for wavelengths of light below 1000 nm;
a first light detector sensitive to light with a wavelength below 1000 nm positioned to intercept light reflected from the partially reflective second mirror;
and a second light detector sensitive to infrared light with a wavelength in the range of 1400 to 2100 nm positioned to intercept light passing through the partially reflective second mirror.

US Pat. No. 10,555,770

ELECTROSURGICAL TUBULAR SHAFT, SURGICAL INSTRUMENT GRIP AND ELECTROSURGICAL TUBULAR SHAFT INSTRUMENT

Aesculap AG, Tuttlingen ...

11. An electrosurgical tubular shaft instrument, comprising:a surgical instrument grip and an electrosurgical tubular shaft,
the surgical instrument grip comprising:
at least one coupling element for interacting with at least one corresponding coupling element of the electrosurgical tubular shaft for releasably coupling the electrosurgical tubular shaft to the instrument grip, and
at least one connecting element for releasably fixing at least one electric connection line of the electrosurgical tubular shaft to the instrument grip, wherein the instrument grip is void of any internal electrical contact members, and
the electrosurgical tubular shaft comprising:
a tube,
an electrosurgical tool arranged at a distal end of the tube,
the at least one electric connection line, which is electrically connected to the tool and extending in the tube,
the at least one corresponding coupling element, which is arranged at a proximal end of the tube for interacting with the at least one coupling element of the instrument grip for releasably coupling the instrument grip to the tubular shaft,
the tube comprising an outlet opening which is arranged distally of the at least one coupling element and through which the at least one connection line issues from the tube,
an electric connection element for an electric energy supply, which is arranged at the proximal end on the at least one connection line, and
at least one connecting element for interacting with the at least one connecting element of the instrument grip,
at least one contact member which extends from the connection element and is electrically connected to the at least one connection line,
the connection element of the electrosurgical tubular shaft comprises or forms the at least one connecting element of the electrosurgical tubular shaft, and
the at least one contact member of the electrosurgical tubular shaft extends from a portion of the at least one connecting element of the electrosurgical tubular shaft that is remote from the instrument grip.

US Pat. No. 10,555,769

FLEXIBLE CIRCUITS FOR ELECTROSURGICAL INSTRUMENT

Ethicon LLC, Guaynabo, P...

1. A flexible circuit electrode formed by a process, comprising:laminating a flexible electrically conductive sheet to a flexible electrically insulative sheet with adhesive therebetween to produce a flexible laminate;
forming at least one electrode on the flexible electrically conductive sheet, wherein the at least one electrode comprises at least two electrode segments connected by a flexure bearing, and wherein each of the two electrode segments has a tissue contacting surface;
forming at least one electrically insulative layer on the tissue contacting surface of at least one of the two electrode segments, wherein the at least one electrically insulative layer comprises a dielectric, nonstick element; and
separating the at least one electrode from the flexible laminate.

US Pat. No. 10,555,768

METHOD OF CONFIRMING SAFE DELIVERY PATHWAY TO PATIENT PRIOR TO ENERGY DELIVERY

Medtronic, Inc., Minneap...

1. A system for assessing integrity of an energy delivery pathway, the system comprising:an energy generator including a processing unit;
an electrode distribution system in communication with the energy generator;
an impedance measuring device in communication with the electrode distribution system;
a medical device in communication with the electrode distribution system including an elongate body having a proximal portion, a distal portion, and a lumen extending between the proximal portion and the distal portion, a treatment element at the distal portion having at least one electrode, and at least two electrode wires in electrical communication with the at least one electrode, the energy delivery pathway including at least a part of each of the at least two electrode wires,
the energy generator being configured to deliver a first current at a first frequency and a second current at a second frequency to the at least one electrode, the impedance measuring device being configured to:
before a delivery of treatment energy from the energy generator, identify a first wire impedance within the device elongate body, a second wire impedance within the device elongate body, and a first shunt admittance within the device elongate body;
during the delivery of the first current at the first frequency and the second current at the second frequency, calculate a first blood impedance external to the device elongate body, a second blood impedance external to the device elongate body, and a blood admittance external to the device elongate body based on the determined first wire impedance within the elongate body, the determined second wire impedance within the device elongate body, and the first shunt admittance within the elongate body;
during the delivery of the first current at the first frequency and the second current at the second frequency, calculate a third wire impedance within the device elongate body, a fourth wire impedance within the device elongate body, and a second shunt admittance within the device elongate body based on the first blood impedance external to the device elongate body, the second blood impedance external to the device elongate body, and the blood admittance external to the device elongate body; and
at least one of:
compare the calculated third wire impedance within the device elongate body and the calculated fourth wire impedance within the device elongate body to determine if a fault in the energy delivery pathway exists; and
compare the second shunt admittance within the device elongate body to a threshold blood admittance value to determine if a fault in the energy delivery pathway exists.

US Pat. No. 10,555,767

DEVICES, SYSTEMS, AND METHODS FOR VALVE REMOVAL

CVDevices, LLC, San Dieg...

1. A device for removing a valve, the device comprising:an elongated shaft having a distal end; and
a first umbrella, a second umbrella, a mechanical drill, and an electrical coil located along the shaft at or near the distal end of the shaft;
wherein the electrical coil is operable to collapse and/or expand the first umbrella and/or the second umbrella.

US Pat. No. 10,555,766

ACTIVE TENSION BONE AND JOINT STABILIZATION DEVICES

PANTHER ORTHOPEDICS, INC....

1. An orthopedic surgery system comprising:a spring member comprising a NiTi alloy and having an elongate stretchable structure with two lateral outer extents, the spring member comprising a plurality of beams arranged in pairs, wherein a first beam and a second beam of each pair are connected to each other only at the two lateral outer extents such that the first beam opposes the second beam, and wherein each pair of beams is connected to an adjacent pair of beams by only a medial connector such that gaps are present at the two lateral outer extents between each pair of beams and the adjacent pair of beams; and
an anchoring foot rotatable around a pivot located at a distal end of the spring member from a position at least partially aligned with the spring member to a position transverse to the spring member.

US Pat. No. 10,555,765

SMALL JOINT FUSION PLATE AND CUTTING BLOCK

1. A fixation plate kit for bone fusions comprising:a cutting block having a capitate bone mating surface, a cutting side, and at least one hole, and a plurality of slits, wherein the capitate bone mating surface having a concave portion configured to mate with a capitate bone, the cutting side having an opening configured to provide access for cutting, and the at least one hole is configured to secure the cutting block to the capitate bone and the plurality of slits are configured to provide access to the capitate bone and at least one additional wrist bone for cutting into the capitate bone or at least one additional wrist bone,
wherein the cutting block has a first planar portion and a second planar portion;
wherein a first slit in the first planar portion is configured to provide access to create a first plane on the capitate bone;
wherein a second slit in the second planar portion is configured to provide access to create a second plane on at least one additional bone; and
a fixation plate comprising an elongated plate having a first end and a second end;
the first end having a first surface with at least one hole through the first end configured to provide access to secure the fixation plate to the capitate bone; and
the second end having a second surface extending from the first surface and forming an angle with the first surface; wherein the second surface has at least one hole through the second end configured for securing the second end of the fixation plate to at least one additional bone.

US Pat. No. 10,555,764

INTERBODY SPINAL FUSION IMPLANT HAVING LOCKING ELEMENTS THAT OUTWARDLY DISPLACE FOR LOCKING

Innovasis, Inc., Salt La...

1. An interbody spinal fusion implant comprising:a fusion spacer having a top surface and an opposing bottom surface that extend between a front face and an opposing back face, a recess being formed on the front face and being at least partially bounded by an interior surface, a first screw hole passing through the interior surface of the recess;
a first bone screw being received within the first screw hole; and
a first locking screw at least partially disposed within the recess of the fusion spacer, the first locking screw comprising a threaded shaft and being threadedly engaged with the fusion spacer, the first locking screw being movable between an advanced position wherein the first locking screw is advanced into fusion spacer and a retracted position wherein the first locking screw is partially retracted out of the fusion spacer relative to the advanced position, wherein when the first locking screw is in the advanced position the first bone screw can be freely removed from the first screw hole and when the first locking screw is in the retracted position the threaded shaft of the first locking screw blocks removal of the first bone screw from the first screw hole,
wherein the first locking screw comprises:
the threaded shaft extending between a first end and an opposing second end, the first end terminating at a terminal end face, the threaded shaft being threaded into a first locking hole formed on the fusion spacer;
a driver recess formed on the terminal end face at the first end of the threaded shaft; and
an enlarged stop formed on the second end of the threaded shaft.

US Pat. No. 10,555,763

DYNAMIC CERVICAL PLATE

Stryker European Holdings...

1. A spinal implant comprising:a first member having a ramp portion defining a first surface and a sidewall defining a second surface adjacent the first surface, the first member being configured to be mounted to a first vertebra;
a second member configured to be mounting to a second vertebra, the second member having an interference portion defining a third surface and being slidably coupled to the first member such that the first and third surfaces of the respective ramp and interference portions are disposed opposite each other and form a space therebetween, and wherein the second surface of the sidewall extends between the first and third surfaces and at least partially defines the space;
a bearing member disposed in the space situated between the first and third surfaces, the bearing member having a first position such that the bearing member is rotatable within the space and the first and second members are translatable with respect to one another and a second position in which the bearing member directly contacts both the first and third surfaces and prevents rotation of the bearing member and movement of the first and second members with respect to one another; and
an access hole extending through the sidewall and the second surface thereof such that the access hole is in communication with the space so as to permit access of an instrument therethrough such that when the bearing member is locked between the first and third surfaces, the instrument may extend through the second surface into the space between the first and third surfaces to dislodge the bearing member from being locked between the first and third surfaces.

US Pat. No. 10,555,762

DEVICES AND METHODS FOR INSERTING A VERTEBRAL FIXATION MEMBER

GLOBUS MEDICAL, INC., Au...

1. A method of minimally invasively installing a system for stabilizing a spine, comprising:creating a first minimally invasive opening in a body of a patient;
positioning a first anchor to a vertebral body within the patient through the first opening with a first access sleeve connected thereto, the first access sleeve including a central channel extending therethrough and defining a first longitudinal axis;
releasably clamping a rod to an insertion device between first and second clamping members at a clamping location spaced from a midline of the rod and wherein no portion of the first and second clamping members extend beyond a perimeter of the rod in a direction transverse to a longitudinal axis of the rod, wherein the first clamping member includes a first generally cylindrical protrusion insertable into a distal portion of the insertion device and the second clamping member includes a second generally cylindrical protrusion insertable into the distal portion of the insertion device, and wherein the first and second clamping members are coupled by a pin extending through a first and second opening in the first and second clamping members, respectively;
positioning the rod through the first opening to engage the first anchor, wherein the rod is rotatably linked to the insertion device, the insertion device and the rod are configured and dimensioned to be received within the central channel such that the insertion device and rod are moveable along the first longitudinal axis to position the rod adjacent the first anchor;
positioning the rod along the first longitudinal axis through the central channel in the first access sleeve in a first orientation substantially parallel to the first longitudinal axis of the first access sleeve; and
rotating the rod with respect to the insertion device independent of movement along the first longitudinal axis such that the rod extends in a second orientation angled with respect to the first orientation to position the rod in relation to the first anchor,
wherein a pin assembly extends through the insertion device, wherein in a first position, a distal end of the pin assembly is spaced away from the first and second protrusions to allow the first and second clamping members to pivot apart, and in a second position, the distal end of the pin assembly is positioned between the first and second protrusions to hold the rod therebetween.

US Pat. No. 10,555,761

FACET JOINT REPLACEMENT DEVICE AND METHODS OF USE

Facet Dynamics, Inc., Mi...

1. A facet joint replacement system, comprising:a facet joint replacement device configured to be secured relative to a superior vertebral body and relative to an inferior vertebral body, the facet joint replacement device comprising:
an enclosing body;
a first articulating surface enclosed within the enclosing body; and
an articulating body comprising a second articulating surface enclosed within the enclosing body configured to articulate relative to the first articulating surface;
wherein the enclosing body circumferentially encloses the first articulating surface and the second articulating surface during relative movement between the first articulating surface and the second articulating surface; and
wherein the enclosing body narrows along and around the articulating body between a section of the enclosing body inferior to a superior end of the enclosing body and the superior end of the enclosing body.

US Pat. No. 10,555,760

BONE ATTACHMENT ASSEMBLY

Globus Medical, Inc., Au...

1. A bone attachment assemblycomprising: an attachment head;
a set screw configured to attach to the attachment head; and
a rod carrier pivotably coupled to the attachment head and having a rod surface with a first raised portion and a second raised portion that define a lowered portion positioned between the first raised portion and the second raised portion, wherein the rod carrier is pivotable about a lateral axis perpendicular to an axis of the attachment head,
wherein the first raised portion, the second raised portion, and the set screw are configured to directly contact a rod in order to retain the rod within the attachment head,
wherein a threaded screw shaft is attached to a base region of the attachment head, wherein, when the rod is positioned on a portion of the rod surface and the longitudinal axis of the rod is substantially perpendicular to the longitudinal axis of the threaded screw shaft, the first raised portion, the second raised portion, and a pointed tip of the set screw define three points of contact of the rod within the attachment head, wherein the rod is held within the attachment head by only the three points of contact.

US Pat. No. 10,555,759

POLYAXIAL PEDICLE SCREW HAVING PROVISIONAL FASTENING MEANS

Aesculap AG, (DE)

1. A polyaxial pedicle screw having a screwed shaft section for anchoring the pedicle screw in a vertebra,wherein a shaft head is configured at an axial end of the screwed shaft section, said shaft head being pivotably and/or rotatingly coupled to a receiving sleeve for a longitudinal support,
wherein the receiving sleeve comprises a fastening means for selective positional fastening of the receiving sleeve with respect to the screwed shaft section, said fastening means at least comprising an inlay mounted in the receiving sleeve and acting on the shaft head, and a locking element acting via the longitudinal support on the inlay and screwed directly into the receiving sleeve,
wherein the inlay is configured with inlay engagement elements, which are not covered or overlapped by the locking element nor by the longitudinal support, for the introduction of a provisional compressive force parallel to the locking element on the inlay,
wherein the inlay engagement elements extend radially outwardly from an outermost circumference of the locking element in a direction perpendicular to the longitudinal axis of the locking element.

US Pat. No. 10,555,758

TAPPING DEVICES, SYSTEMS AND METHODS FOR USE IN BONE TISSUE

Woven Orthopedic Technolo...

1. A soft tapping device, comprising:a substantially cylindrical insert comprising a shaft having a proximal portion and a distal portion and sized to enter into a compressed woven retention device, the substantially cylindrical insert having protrusions that are adaptable to expand portions of the compressed woven retention device inside a pilot hole, the substantially cylindrical insert being configured to exit from the compressed woven retention device without changing the expanded portions of the compressed woven retention device, wherein the protrusions comprise a non-cutting thread and wherein the distal portion is configured with the non-cutting thread and a rounded end.

US Pat. No. 10,555,757

BONE POSITIONING AND CUTTING SYSTEM AND METHOD

Treace Medical Concepts, ...

1. A method comprising:attaching a bone positioning device to a metatarsal and a cuneiform by at least:
attaching a first fixation pin to a metatarsal;
attaching a second fixation pin to a cuneiform;
positioning a first block along and about the first fixation pin;
actuating a first set screw to fix a position of the first block along and about the first fixation pin;
positioning a second block along and about the second fixation pin;
actuating a second set screw to fix a position of the second block along and about the second fixation pin;
adjusting the position of the first block with respect to the second block about at least a first axis and a second axis; and
actuating a third set screw and a fourth set screw to fix a position about the first axis and the second axis;
cutting a portion of the metatarsal facing a metatarsal-cuneiform joint;
cutting a portion of the cuneiform facing the metatarsal-cuneiform joint;
after cutting the portion of the metatarsal and cutting the portion of the cuneiform, actuating a compression screw of the bone positioning device to apply a compression force between the metatarsal and the cuneiform; and
attaching a bone connector to fix the position of the metatarsal and the cuneiform.

US Pat. No. 10,555,756

MEDICAL DEVICES HAVING COAXIAL CANNULAE

Cook Medical Technologies...

1. A medical device, comprising:an outer cannula having an outer cannula lengthwise axis and an outer cannula circumferential wall extending between an outer cannula proximal end and an outer cannula distal end, the outer cannula circumferential wall defining an outer cannula interior lumen and a first side port opening extending through the outer cannula circumferential wall;
an inner cannula disposed within the outer cannula interior lumen and secured to the outer cannula, the inner cannula having an inner cannula lengthwise axis, an inner cannula circumferential wall extending between an inner cannula proximal end and an inner cannula distal end, the inner cannula circumferential wall defining an inner cannula interior lumen, a pattern of openings extending along a spiral path about the inner cannula lengthwise axis, and a second side port opening extending through the inner cannula circumferential wall and aligned with the first side port opening with respect to the inner cannula lengthwise axis;
a side port joint disposed between the outer cannula and the inner cannula and adjacent the second side port opening, the side port joint forming an attachment between the outer cannula and the inner cannula; and
a ramp member disposed within the inner cannula interior lumen and defining a ramp surface aligned with the second side port opening.

US Pat. No. 10,555,755

RETRACTABLE DEVICE

1. A self-locking retractable surgical knife, comprising:a sheath member having front and rear ends;
a retractable member including a support member and a blade supported by the support member, wherein the support member has a front end, a rear end and an elongated interior space;
the retractable member being partially disposed in the sheath member and telescopically received in the sheath member for movement between a guarded position wherein the blade is guarded in the sheath member, and an exposed position wherein the blade extends out of the sheath member;
top and bottom elongated and longitudinally extended slots formed on the support member, wherein the top slot is defined in a top wall of the support member and the bottom slot is defined in a bottom wall of the support member,
a biasing member disposed in the interior space of the support member;
a latch member disposed in the interior space of the support member, the latch member having a release button projecting through the top slot of the support member and an opening defined in a top wall of the sheath member in this order, the latch member having a bottom section projecting through the bottom slot of the support member and abut an inner surface of a bottom wall of the sheath member;
a compression member attached to the rear end of the sheath member at an attachment portion of the compression member, the compression member being tapered rearward from the rear end of the sheath member, the compression member being configured to bias the biasing member toward the rear end of the support member, wherein the rear end of the support member has a slot that allows the compression member to pass by; and
a self-locking mechanism configured to translate an axial movement of the retractable member when the retractable member is moving from the exposed position to the guarded position to rotation, thereby preventing the retractable member from moving forward relative to the sheath member and self-locking the retractable member in the guarded position.

US Pat. No. 10,555,754

METHODS AND APPARATUSES FOR SKIN TREATMENT USING NON-THERMAL TISSUE ABLATION

Cytrellis Biosystems, Inc...

1. A device comprising an ablative apparatus for non-thermal tissue ablation, said apparatus comprising:a skin-penetrating component configured to provide an ablated tissue portion having a volume of less than 6 mm3 and a change in width as a function of depth, wherein said change in width is of between about 100 ?m to about 500 ?m as a function of depth,
wherein said skin-penetrating component is configured to provide the ablated tissue portion without transfer of thermal energy to tissue surrounding the ablated tissue portion; and
wherein said skin-penetrating component comprises a drill configured to rotate at a speed of between 50 rpm and 2500 rpm; and
a positioning apparatus for positioning skin, the positioning apparatus comprising a substrate and a cryosource, wherein the substrate is configurably attached to the cryosource and provides a cryotemperature to the skin of about 0 degrees C. or lower.

US Pat. No. 10,555,753

METHODS AND DEVICES FOR CUTTING AND ABRADING TISSUE

1. An atherectomy catheter, comprising:a rotatable shaft having proximal and distal ends and a longitudinal axis extending between the proximal and distal ends, wherein the rotatable shaft is selectively rotatable about its longitudinal axis; and
a tissue-removing element adjacent the distal end of the rotatable shaft, the tissue-removing element having a length and an outer diameter, the tissue-removing element being coupled to the rotatable shaft for rotating the tissue-removing element about a longitudinal axis of the tissue-removing element, the tissue-removing element having
a first abrasive surface on a first longitudinal portion of the outer diameter surface of the tissue-removing element configured for abrading tissue as the tissue-removing element rotates,
a second abrasive surface on a second longitudinal portion of the outer diameter surface of the tissue-removing element configured for abrading tissue as the tissue-removing element rotates, and
a non-abrasive surface on a third longitudinal portion of the outer surface of the tissue-removing element disposed longitudinally between the first and second abrasive surfaces;
wherein each of the first abrasive surface, the second abrasive surface, and the non-abrasive surface is annular and extends about the longitudinal axis.

US Pat. No. 10,555,752

ROTATIONAL MECHANICAL THROMBECTOMY DEVICE

TELEFLEX MEDICAL INCORPOR...

1. A mechanical thrombectomy device, the device comprising:a catheter assembly comprising:
a rotatable shaft having a proximal end and a distal end; and
a basket assembly attached to the distal end of the rotatable shaft, the basket assembly comprising:
a proximal hub and a distal hub disposed on a longitudinal axis of the basket assembly;
a flexible inner tube having a first end attached to the proximal hub and a second end attached to the distal hub; and
a plurality of basket wires, each of the plurality of basket wires having a first end attached to the proximal hub and a second end attached to the distal hub, the plurality of basket wires disposed around the flexible inner tube, the plurality of basket wires configured to expand to a preset shape; and
a drive assembly configured to rotate the rotatable shaft,
wherein the basket assembly is configured to rotate with the rotatable shaft to macerate a material proximate to the basket assembly, and
wherein the flexible inner tube comprises a plurality of independent pieces separated by perforations such that the flexible inner tube can bend relative to the longitudinal axis of the basket assembly in the absence of a guidewire when the proximal hub and the distal hub are aligned along the longitudinal axis.

US Pat. No. 10,555,751

SOFT TISSUE CORING BIOPSY DEVICES AND METHODS

Transmed7, LLC, Portola ...

1. An excisional device, comprising:a handle portion comprising a distal end and a proximal end;
a work element coupled to the distal end of the handle portion and comprising a cutting assembly that comprises only two articulable beaks including a first articulable beak and a second articulable beak that are configured to assume an open configuration, a closed configuration and to rotate, core and part-off pieces of tissue, the work element being formed of a single tube of material that defines a radius of curvature and a longitudinal axis and that comprises cuts and areas where the material is removed near a distal end of the work element to form at least the first and second articulable beaks such that a radius of curvature shared by the first articulable beak and the second articulable beak, when both are in the open configuration, is the same as the radius of curvature of the single tube from which the work element is formed, the work element being further configured to enable an axial movement, parallel to the longitudinal axis, of a first portion of the work element relative to a second portion thereof to cause the first and second articulable beaks to selectively open and close,
wherein the cutting assembly is configured, during a single insertion thereof into a mass of tissue, to rotate, core and part-off the pieces of tissue from the mass of tissue.

US Pat. No. 10,555,750

ULTRASONIC SURGICAL INSTRUMENT WITH REPLACEABLE BLADE HAVING IDENTIFICATION FEATURE

Ethicon LLC, Guaynabo, P...

1. An apparatus comprising:(a) a body;
(b) a shaft assembly extending distally from the body, wherein the shaft assembly includes a support portion;
(c) an end effector portion, wherein the end effector portion is configured to selectively couple with the support portion of the shaft assembly;
(d) a data storage component associated with the end effector portion, the data storage component comprising a set of use data associated with the end effector portion, wherein the data storage component comprises a non-volatile electronic memory;
(e) a non-volatile electronic memory reader operable to receive the set of use data from the data storage component when positioned to allow a proximity connection to the non-volatile electronic memory; and
(f) a use control module comprising a processor and positioned within the body, wherein the processor is configured to:
(i) receive the set of use data from the non-volatile electronic memory reader,
(ii) determine that the end effector portion is usable based upon the set of use data and a set of usage parameters, and
(iii) where the end effector portion is usable, enable the end effector portion,
wherein the support portion is adapted to render the data stored on the data storage component unreadable as a result of the end effector portion being coupled to the support portion.

US Pat. No. 10,555,749

PROBE UNIT, TREATMENT INSTRUMENT, AND TREATMENT SYSTEM

OLYMPUS CORPORATION, Tok...

1. A probe unit for treating a bone surrounded by living tissue, the probe unit comprising:a probe configured to treat the bone by ultrasonic vibration;
a hollow sheath surrounding the probe, the hollow sheath including:
a first portion disposed at a first distance from a central axis of the hollow sheath and having a first diameter, and
a second portion disposed at a second distance from the central axis that is greater than the first distance of the first portion, the second portion having a second diameter that is longer than the first diameter of the first portion and intersects the first diameter of the first portion at right angles; and
a knob configured to rotate the hollow sheath relative to the probe; and
a circular-ring-shaped balloon attached to an outer circumferential surface of the hollow sheath in vicinity of a distal end of the hollow sheath, the circular-ring-shaped balloon being configured to be inflated and deflated.

US Pat. No. 10,555,748

FEATURES AND METHODS TO CONTROL DELIVERY OF COOLING FLUID TO END EFFECTOR OF ULTRASONIC SURGICAL INSTRUMENT

Ethicon LLC, Guaynabo, P...

1. An apparatus, comprising:(a) an acoustic waveguide;
(b) an ultrasonic blade in acoustic communication with the acoustic waveguide;
(c) a liquid dispensing feature positioned adjacent to the ultrasonic blade, wherein the liquid dispensing feature is configured to deliver a flow of cooling liquid to the ultrasonic blade; and
(d) a control module, wherein the control module is operable to regulate fluid flow through the liquid dispensing feature,
wherein the control module is configured to direct activation of the ultrasonic blade according to a first pulsed drive signal and further direct activation of the liquid dispensing feature according to a second pulsed drive signal, wherein the first pulsed drive signal includes a plurality of first predetermined timed pulses each configured to activate the ultrasonic blade a first predetermined pulse time, wherein the second pulsed drive signal includes a plurality of second predetermined timed pulses configured to activate the liquid dispensing feature a second predetermined pulse time, and
wherein the control module is further configured to provide the plurality of second predetermined timed pulses respectively between the plurality of first predetermined timed pulses such that the plurality of second predetermined timed pulses do not overlap with the plurality of first predetermined timed pulses during at least a portion of the first pulsed drive signal to thereby inhibit converting the cooling liquid into a mist upon contact with the ultrasonic blade for delivering the cooling liquid to a patient.

US Pat. No. 10,555,747

POWER MORCELLATION IN A PROTECTED ENVIRONMENT

University of South Flori...

1. A morcellation system, comprising:a pliable retaining carrier or pouch with a specimen-receiving opening that leads from an exterior of said retaining carrier to a substantially hollow interior of said retaining carrier,
said retaining carrier insertable into an operative internal cavity of a subject or patient,
said retaining carrier structured to receive a targeted, excised specimen within said substantially hollow interior; and
a plurality of elongate, flexible laparoscopic tool- or trocar-receiving channels extending externally from a lining of said retaining carrier at a spaced distance away from said specimen-receiving opening and at a spaced distance away from each other,
said plurality of channels each having a proximal end and a distal end, said proximal end configured to be withdrawn external to said body of said subject when said morcellation system has been inserted into said patient or subject,
said retaining carrier having a first position and a second position, said first position being a desufflated position within said operative internal cavity of said subject with said specimen-receiving opening being open, said second position being an insufflated position within said operative internal cavity of said subject with said specimen-receiving opening being closed or cinched, wherein said each channel is extended through a respective laparoscopic port on said body.

US Pat. No. 10,555,746

DEVICES AND METHODS FOR TREATING CONDITIONS CAUSED BY AFFARENT NERVE SIGNALS

HOLOGIC, INC., Marlborou...

1. A method of creating at least one dissection plane within a wall of a bladder trigone of a patient, the method comprising:advancing a visualization scope through a urethra of the patient until a distal end portion of the scope is positioned in the patient's bladder, the scope including a working channel therethrough;
advancing a guide wire through the working channel, until a tissue penetrating distal tip of the guide wire is advanced out an open distal end of the working channel and penetrates a wall of the bladder;
advancing the distal tip of the guidewire submucosally through the bladder wall until the distal tip of the guidewire is positioned within tissue of the bladder trigone;
advancing a balloon dilation catheter over the guidewire until a balloon carried on a distal end portion of the balloon dilation catheter is positioned proximate the distal tip of the guidewire within the bladder trigone tissue;
and
while the balloon is within the wall of the bladder trigone, inflating said balloon to form a first dissection plane between separated layers of tissue within the bladder trigone.

US Pat. No. 10,555,745

OBSTRUCTION RETRIEVAL DEVICES

1. A clot retrieval assembly comprising:an elongate wire having a length and a longitudinal axis;
a first retrieval device comprising:
a distal collar fixed stationary on the elongate wire;
a proximal collar being slideable along a portion of the length of the elongate wire; and
a plurality of shape memory elongate clot capturing elements that each has a proximal end coupled to the proximal collar and a distal end coupled to the distal collar, each of the plurality of shape memory elongate clot capturing elements having a proximal end portion and a distal end portion;
the first retrieval device being configured to automatically transition from a radially constrained state to a radially unconstrained expanded rest state, in the radially constrained state no portion of the plurality of shape memory elongate clot capturing elements is located proximal to the proximal collar and the proximal collar is located at a first axial position on the elongate wire proximal to the distal collar and is spaced apart from the distal collar by a first distance, in the radially unconstrained expanded rest state the proximal collar is located at a second axial position on the elongate wire proximal to the distal collar and is spaced apart from the distal collar by a second distance that is less than the first distance and at least some of the proximal portions of the plurality of shape memory elongate clot capturing elements are inverted around the proximal collar with at least some of the proximal portions of the plurality of shape memory elongate clot capturing elements being disposed proximal to the proximal collar, when the proximal collar is in the second axial position no portion of the proximal collar touches the distal end portions of the plurality of shape memory elongate clot capturing elements, when the first retrieval device is in the radially unconstrained expanded rest state the proximal collar is movable distally to a third axial position on the elongate wire proximal to the distal collar and is spaced apart from the distal collar by a third distance that is less than the second distance.

US Pat. No. 10,555,744

SHOCK WAVE ELECTRODES

Shockware Medical, Inc., ...

1. A shock wave catheter comprising:an axially extending elongate member;
a first ring electrode circumferentially disposed over an outer surface of the elongate member, the first ring electrode including one of a first recess or a first projection located along a first edge of the first ring electrode;
a second ring electrode circumferentially disposed over the outer surface of the elongate member and longitudinally adjacent to the first ring electrode, the second ring electrode including the other of said first recess or the first projection along a first edge of the second ring electrode that is adjacent the first edge of the first ring electrode, with the first projection being received by the first recess, wherein a first spark gap is formed by a separation between the first projection and the first recess, and wherein the opposing edge of the second ring electrode includes one of a second recess or a second projection;
a third ring electrode circumferentially disposed over the outer surface of the elongate member and longitudinally adjacent the second ring electrode, the third ring electrode including the other of said second recess or second projection along an edge thereof, with the second projection being received in the second recess wherein a second spark gap is formed by a separation between the second projection and the second recess, and wherein each recess and the projection associated therewith are coplanar; and
a first wire electrically coupled to the first ring electrode and a second wire electrically coupled to the third ring electrode and with the ring electrodes being configured such that when a voltage pulse is applied across the first and second wires, a current flows across the first and second spark gaps creating a series connection between the first, second and third ring electrodes and initiating shock waves at the spark gaps.

US Pat. No. 10,555,743

METHOD AND DEVICE FOR JOINT REPLACEMENT

Zimmer, Inc., Warsaw, IN...

1. A method of joint replacement of a patient, the method comprising:forming one or more portals adjacent a hip joint that includes, a femur with a femoral head and a pelvis with an acetabulum socket;
distracting the femoral head from the pelvis; and
inserting a hemiarthroplasty cup through one of the one or more portals, between a femoral head outer surface of the femoral head and an acetabulum outer surface of the acetabulum socket, wherein both of the femoral head outer surface and the acetabulum outer surface are unaltered;
wherein after inserting the hemiarthroplasty cup, the hemiarthroplasty cup can freely articulate against both the femoral head outer surface and the acetabulum outer surface; and
leaving the hemiarthroplasty cup freely articulable within the patient between the femoral head outer surface and the acetabulum outer surface to restore the hip joint.

US Pat. No. 10,555,742

ROBOT-ASSISTED ULTRASONIC OSTEOTOME POWERED SYSTEM

Beijing SMTP Technology C...

1. A robot-assisted ultrasonic osteotome powered system, comprising:an ultrasonic osteotome powered system, comprising:
an ultrasonic transducer for converting electrical energy into mechanical energy; and
an ultrasonic osteotome for delivering the mechanical energy to a bone;
a robot-assisted surgical system, comprising:
a base; and
a robot arm having a fixed end mounted to the base, the ultrasonic osteotome powered system being detachably connected to a movable end of the robot arm, and the robot arm being used for controlling a position of, a spatial angle of, and a force applied by a cutting end of the ultrasonic osteotome powered system to the bone; and
a controller communicatively connected to the ultrasonic osteotome powered system, for controlling an output power of the ultrasonic osteotome powered system;
wherein the controller controls the output power P of the ultrasonic osteotome powered system according to an equation comprising:
P=P0×?
wherein P0 is a reference output power of the ultrasonic osteotome powered system, and ? is a power correction coefficient and ? is less than or equal to 1, wherein ? is determined, at least in part, from one or more of parameters comprising:
1) a remaining cutting thickness of the bone, with ? decreasing as the remaining cutting thickness decreases;
2) a density of the bone, with ? decreasing as the density of the bone decreases;
3) a type of a tissue below the bone in a cutting direction, the type of the tissue including at least a blood vessel tissue, a spinal cord tissue, and a nerve tissue, wherein ? for the blood vessel tissue is greater than or equal to ? for the spinal cord tissue, and ? for the spinal cord tissue is greater than or equal to ? for the nerve tissue;
4) a temperature of the cutting end of the ultrasonic osteotome, with ? decreasing as the temperature increases;
5) a type of the structure of the bone being cut, the type of the structure including at least a cortical bone and a cancellous bone, wherein ? for the cortical bone is greater than or equal to ? for the cancellous bone; and
6) a depth by which the ultrasonic osteotome has cut into the bone, with ? decreasing as the depth increases.

US Pat. No. 10,555,741

DEVICE TO INCREASE INTRA-PELVIC COMPARTMENT PRESSURE FOR THE CONTROLING OF INTERNAL HEMORRHAGE

Compression Works, LLC, ...

1. In combination with a pneumatic tourniquet having an inflatable bladder with a lower end, an air source for inflating said inflatable bladder, means for securing said pneumatic tourniquet over a pubic rami area of a pelvis of a patient, said pubic rami and said pelvis forming in theft anatomical structure an inferior angle at their intersection thereof, and a pressure control device for controlling pressure in said inflatable bladder, a compression device for arresting hemorrhage in an inguinal area of the patient, comprising:a. a base portion in contact with the inguinal area of said patient, said base portion including a substantially flat underside;
b. a corrugated upper portion supported by said base portion;
c. wherein said corrugated upper portion includes a centrally positioned recess adapted to receive said lower end of said inflatable bladder, and wherein pressure exerted by said lower end on said compression device is transferred to said patient;
d. wherein said base portion and said corrugated upper portion are affixed to one another to form a unified whole; and,
e. wherein said compression device includes a tapered end shaped to match the inferior angle formed by the anatomical structure of the pubic rami and the pelvis.

US Pat. No. 10,555,740

DEVICE TO INCREASE INTRA-ABDOMINAL COMPARTMENT PRESSURE FOR THE CONTROLLING OF INTERNAL HEMORRHAGE

Compression Works, LLC, ...

1. In combination with a pneumatic tourniquet having an inflatable bladder with a lower end, an air source for inflating said inflatable bladder, means for securing said pneumatic tourniquet over an abdomen of a human patient, said abdomen including an inferior angle formed by lower ribs in a central part of an upper portion of said abdomen, and a pressure control device for controlling pressure in said inflatable bladder, a compression device for arresting hemorrhage in an abdominal area of a patient, comprising:a. a base portion in contact with the abdomen of said patient, said base portion including a substantially flat underside;
b. a corrugated upper portion supported by said base portion;
c. wherein said corrugated upper portion includes a centrally positioned recess adapted to receive said lower end of said inflatable bladder, and wherein pressure exerted by said lower end on said compression device is transferred to said patient;
d. wherein said base portion and said corrugated upper portion are affixed to one another to form a unified whole; and,
e. wherein said compression device includes a tapered end shaped to match the inferior angle of the lower ribs in said human patient in the central part of the upper portion of said abdomen.

US Pat. No. 10,555,739

SNAP LINK-TYPE SURGICAL CLIP

Aesculap AG, (DE)

1. A surgical clip comprising: two clamping legs which are pretensioned to each other in a clip-closing-direction via a closing force of a pretensioning spring or of an elastic connecting portion such that distal free ends of the two clamping legs contact one another in a resting position of the surgical clip; two additional springs amplifying the closing force of the pretensioning spring or of the elastic connecting portion and being arranged in parallel thereto and connected to the surgical clip, the two additional springs being formed as independent and separate parts from the pretensioning spring or the elastic connecting portion and acting on the two clamping legs from opposite directions such that a first additional spring of the two additional springs exerts a force in only a first direction and a second additional spring of the two additional springs exerts a force in only a second direction, wherein the first direction is opposite the second direction, wherein the first additional spring is formed as a first U-shaped yoke spring and the second additional spring is formed as a second U-shaped yoke spring, each of the first and second U-shaped yoke springs comprising two longitudinal legs and a cross leg interconnecting the two longitudinal legs, free ends of the two longitudinal legs being mounted either on the two clamping legs or on a connecting piece coupling the two clamping legs.

US Pat. No. 10,555,738

EMBOLIC CONTAINMENT

MicroVention, Inc., Alis...

1. A method of treating a neurovascular arteriovenous malformation comprising:providing a catheter with a mesh catch structure on the distal portion of the catheter, where the catheter is configured to deliver liquid embolic and dimethyl sulfoxide;
configuring said catheter with said mesh catch structure to be tracked through the venous system and placed on the venous side of the arteriovenous malformation;
delivering the liquid embolic and the dimethyl sulfoxide through the microcatheter and into the arteriovenous malformation;
wherein said mesh catch structure has pores sized to allow the passage of the dimethyl sulfoxide but not allow the passage of the liquid embolic.

US Pat. No. 10,555,737

BIOCOMPATIBLE BIOMEDICAL OCCLUSION DEVICE

1. A system comprising:a conduit comprising: (a)(i) a proximal portion including proximal struts, (a)(ii) a distal portion including distal struts, and (a)(iii) a middle portion coupling the proximal struts to the distal struts; and
a shape memory polymer (SMP) foam that expands from an unactuated configuration to an actuated configuration;
wherein (b)(i) the proximal and distal struts include a shape memory (SM) material, (b)(ii) the proximal struts expand from a first proximal configuration to a second proximal configuration and the distal struts expand from a first distal configuration to a second distal configuration, (b)(iii) the second proximal configuration has a larger maximum outer diameter than the first proximal configuration and the second distal configuration has a larger maximum outer diameter than the first distal configuration, and (b)(iv) the SMP foam is, in the unactuated configuration, included within a proximal opening defined by the proximal struts when the proximal struts are in the second proximal configuration;
wherein (c)(i) the SMP foam has a length that extends from a proximal end of the SMP foam to a distal end of the SMP foam; and (c)(ii) the SMP foam is fixedly attached to the system along only a portion of the length and is not fixedly attached to the system along another portion of the length.

US Pat. No. 10,555,736

GUIDEWIRE

PneumRx, Inc., Santa Cla...

1. A guidewire, comprising:an outer sheath having a proximal end and a distal end, and comprising a proximal section, a transition section, and a distal section, wherein the transition section is a body having a distal pin extension and a proximal pin extension, wherein:
the proximal pin extension has a first outer diameter,
the distal pin extension has a second outer diameter, and
the transition section comprises a main body having a third outer diameter, the third outer diameter being greater than the first and second outer diameters;
wherein an end of the proximal section is fixed to the proximal pin extension, and an end of the distal section is fixed to the distal pin extension of the transition section, and
wherein the distal pin extension of the transition section comprises a first bore for receiving a proximal end of an inner core; and
wherein the proximal end of the inner core is fixed within the first bore of the transition section, and
wherein a distal end of the inner core is fixed to the distal end of the outer sheath.

US Pat. No. 10,555,735

TISSUE COMPRESSION ASSEMBLIES WITH BIODEGRADABLE INTERLINKS

Ethicon LLC, Guaynabo, P...

1. A magnetic anastomosis compression assembly, comprising:(a) a first compression device, comprising:
(i) a first arm,
(ii) a second arm, wherein the first arm and the second arm of the first compression device are pivotably attached to each other at a pair of joints along a single pivot axis at each joint of the pair of joints, wherein each joint of the pair of joints of the first compression device includes a magnet, and
(iii) a resilient member, wherein the resilient member of the first compression device is attached to the first arm and the second arm of the first compression device, wherein the resilient member of the first compression device is configured to bias the first arm and the second arm of the first compression device toward a collapsed configuration; and
(b) a second compression device, comprising:
(i) a first arm,
(ii) a second arm, wherein the first arm and the second arm of the second compression device are pivotably attached to each other at a pair of joints along a single pivot axis at each joint of the pair of joints, wherein each joint of the pair of joints of the second compression device includes a magnet, and
(iii) a resilient member, wherein the resilient member of the second compression device is attached to the first arm and the second arm of the second compression device, wherein the resilient member of the second compression device is configured to bias the first arm and the second arm toward a collapsed configuration;
wherein the first compression device and the second compression device are configured to be magnetically coupled together via the magnets.

US Pat. No. 10,555,734

METHODS AND SYSTEMS FOR MATING CONSTRICTABLE ADJUNCT MATERIALS WITH END EFFECTORS

Ethicon LLC, Guaynabo, P...

1. An end effector for a surgical instrument, comprising:a first jaw having a cartridge with a plurality of staple cavities configured to seat staples therein, the staple cavities opening on a tissue-facing surface of the cartridge;
a second jaw opposing the first jaw and having an anvil with a plurality of staple forming cavities formed on a tissue-facing surface thereof, wherein the first and second jaws are configured to clamp tissue therebetween;
first and second retaining members disposed on a tissue-facing surface of at least one jaw of the first and second jaws;
an adjunct material configured to be releasably retained on the at least one jaw; and
a contractible attachment feature configured to transition from an original, non-contracted configuration to a contracted configuration under application of heat, wherein in the non-contracted configuration, the contractible attachment feature engages with the first and second retaining members under a first tension, and wherein in the contacted configuration, the contractible attachment feature engages with the first and second retaining members under a second tension that is greater than the first tension to thereby couple the adjunct material with the first and second retaining members.

US Pat. No. 10,555,733

COLORED SUTURE CONSTRUCTION

TELEFLEX MEDICAL INCORPOR...

1. A suture comprising:a woven braid of fibers including:
a first fiber comprising a colorable material, wherein an entire length of the first fiber is colored a first color; and
a second fiber comprising a colorable material, wherein only a portion of the second fiber is colored a second color; and
a third fiber.

US Pat. No. 10,555,732

DEVICES AND METHODS FOR SUTURING A CARDIAC IMPLANT

Edwards Lifesciences Corp...

1. A method of securing a cardiac implant, comprising:dispensing a first suture from a suture spool assembly;
inserting the first suture through a resiliently collapsible and expandable looped portion of a surgical needle;
passing the surgical needle and first suture through a first native tissue implant location;
passing the surgical needle and first suture through an annular pledget;
passing the surgical needle and first suture through an outer portion of a cardiac implant;
securing the cardiac implant to the first native tissue implant location using the first suture, with the annular pledget positioned between the first native tissue implant location and the outer portion of a cardiac implant;
dispensing a second suture from the suture spool assembly;
inserting the second suture through the looped portion of the surgical needle;
passing the surgical needle and second suture through a second native tissue implant location;
passing the surgical needle and second suture through the annular pledget;
passing the surgical needle and second suture through the outer portion of the cardiac implant; and
securing the cardiac implant to the second native tissue implant location using the second suture, with the annular pledget positioned between the second native tissue implant location and the outer portion of a cardiac implant.

US Pat. No. 10,555,731

EXPANDABLE NEEDLE SUTURE APPARATUS AND ASSOCIATED HANDLE ASSEMBLY

DEPUY MITEK, LLC, New Br...

1. A method for placing suture across a body wall of a patient, comprising the steps of:providing a suture device including a hollow shaft with a proximal end and a blunt distal end and an elongated axis, an actuating rod disposed in the hollow shaft and slidably movable along the elongated axis of the hollow shaft between a proximal position and a distal position, and a slidable needle assembly carried by the actuating rod and slidably movable between a deployed position and a retracted position relative to the blunt distal end of the hollow shaft;
providing the slidable needle assembly with a needle having a sharp distal tip;
bifurcating the slidable needle to form a pair of arms including a first arm that includes the sharp distal tip and a small portion that extends proximally away from the sharp distal tip to form a hook and a second arm that has a bias that tends to make it bend outward relative to the elongated axis and moves at a proximal end thereof relative to the first arm and defines a suture slot between the first arm and the second arm, the second arm being movable between (1) a fully proximate position associated with a first slot size where the actuating rod is in the proximal position and the second arm is at least partially contained within the hollow shaft which holds the second arm, against the bias, so the second arm is spaced from and not against the first arm and so that the arms have a proximate but spaced relationship to maintain a passage for and without clamping the suture and where a distal end of the second arm is substantially aligned with the small portion of the first arm to close the suture slot and prevent the suture from escaping, and with the small portion received in the hollow shaft leaving a small opening beyond the blunt distal end of the hollow shaft to retain the suture and (2) a spaced position associated with a second slot size greater than the first slot size where the actuating rod is in the distal position and the second arm is not contained within the hollow shaft so that the bias moves it outward relative to the elongated axis and where the distal end of the second arm is spaced from the small portion of the first arm for loading the suture into or releasing the suture from the suture slot;
penetrating the body wall with the slidable needle assembly in the retracted position and the arms in the proximate position; and
advancing the slidable needle assembly to the deployed position to move the arms to the spaced position associated with the second slot size.

US Pat. No. 10,555,730

DEFORMABLE SUTURE BRIDGE HAVING AN INSERT AND METHODS OF MANUFACTURING AND USING SAME

SUTUREGARD Medical, Inc.,...

1. A suture bridge, comprising:an elongated rigid insert having varying thicknesses and including a first material; and
a deformable shell including a second material, the second material being different than the first material, the shell at least partially surrounding the rigid insert,
wherein the insert and the shell collectively form a bridge body, the bridge body consisting of the insert and the shell and having a first leg including a first patient contacting surface configured to contact a patient's skin, a second leg spaced from the first leg and including a second patient contacting surface configured to contact the patient's skin, a first support connected to the first leg, a second support connected to the second leg, a first slot at least partially formed through a portion of the first leg, and a portion of the first support, a second slot at least partially formed through a portion of the second leg, and a portion of the second support, and a traversing member extending between the first support and the second support and configured and arranged to be spaced away from the patient's skin, wherein the bridge body includes a plurality of thicknesses from the first leg to the second leg, and the insert makes up a first percentage of a first thickness of the bridge body at the traversing member and a second percentage at a second thickness of the body at the first leg, the first percentage being greater than the second percentage.

US Pat. No. 10,555,729

FLUSH ANCHOR SNAP-OFF METHOD

Little Engine, LLC, Belm...

1. A method for anchoring one or more tensile members to bone, comprising:providing an anchor, including:
a housing extending along a central axis between open first and second ends, and having a hollow interior, the housing including a body portion and an extension portion interconnected by a breakaway structure which is configured to retain structural integrity under a first predetermined tensile load and to separate under a second predetermined tensile load which is greater than the first predetermined tensile load;
a collet disposed in the hollow interior of the body portion, the collet having a peripheral wall defining a central bore for accepting a tensile member therethrough and an exterior surface, wherein the collet is configured to be swaged around and against the tensile member;
a sleeve having a peripheral wall defining opposed interior and exterior surfaces, the sleeve disposed in the hollow interior of the housing and positioned generally axially adjacent to the collet, so as to be movable parallel to the central axis between first and second positions; and
wherein at least one of the exterior surface of the collet and the interior surface of the sleeve is tapered and the sleeve and the collet are arranged such that movement of the sleeve from the first position to the second position will cause the interior surface of the sleeve to bear against the exterior surface of the collet, causing the collet to swage radially inwards around and against the tensile member;
passing one or more tensile members through the central bore of the collet;
seating the housing into a bore formed in the bone; and
driving the sleeve from the first position towards the second position under the first predetermined tensile load, so as to swage the collet around the one or more tensile members.

US Pat. No. 10,555,728

SURGICAL VISUALIZATION SYSTEM

CAMPLEX, INC., Germantow...

1. A method comprising:illuminating a surgical site via one or more light emitters;
receiving from at least one camera disposed on a retractor a first plurality of image data, said retractor configured to hold open an incision formed in a body thereby providing access to the surgical site;
receiving from at least one camera associated with a surgical tool a second plurality of image data;
processing the first plurality of image data to produce a first image;
processing the second plurality of image data to produce a second image, wherein the at least one camera disposed on the retractor or the at least one camera associated with the surgical tool or both the at least one camera disposed on the retractor and the at least one camera associated with the surgical tool comprises at least one stereo camera configured to provide stereo imagery; and
directing fluid to the one or more light emitters via a hydraulic system.

US Pat. No. 10,555,727

VASCULAR CLOSURE DEVICE WITH REMOVABLE GUIDE MEMBER

Essential Medical, Inc., ...

1. A vascular closure device configured to be disposed along a guide wire toward a puncture of a vessel, the vascular closure device comprising:a sealing device configured to seal the puncture of the vessel, the sealing device including a suture, a plug coupled to the suture, and a toggle coupled to the suture, and the plug having a plug aperture, and the toggle having a toggle aperture;
a delivery assembly that releasably holds the sealing device; and
a moveable guide member that is supported by the delivery assembly, the moveable guide member being elongate along a longitudinal axis and having a proximal end, a distal end that is opposite the proximal end along the longitudinal axis, and a lumen that extends along the longitudinal axis and that is sized and configured to receive the guide wire as the vascular closure device is positioned along the guide wire, the proximal end having a proximal wall that extends at least partially along a transverse direction that is perpendicular to the longitudinal axis so as to define a closed proximal end of the moveable guide member, wherein the moveable guide member is moveable relative to the delivery assembly such that the distal end is removable from the toggle aperture and the plug aperture wherein the moveable guide member is removed from the plug aperture and the guide aperture when 1) the lumen receives the guide wire, and 2) a proximal-most end of the guide wire abuts the closed proximal end.

US Pat. No. 10,555,726

PERCUTANEOUS TOOLS FOR MINIMALLY INVASIVE ACCESS TO THE CAROTID SHEATH FOR VAGUS NERVE STIMULATION

Cardiac Pacemakers, Inc, ...

1. A method of introducing a stimulation lead into a body with a lead delivery system, the body having tissue and a sheath, the sheath having an interior and a stimulation site within the interior, comprising:advancing a first needle through a distal end of a second needle such that the first needle is protruding from the distal end of the second needle;
cutting at least one of the tissue and the sheath with the first needle protruding from the second needle, such that the first needle advances subcutaneously through the tissue toward and into the sheath in the body;
retracting the first needle into the second needle, after advancing the first needle subcutaneously through the tissue and into the sheath, to prevent the first needle from cutting structures in the interior of the sheath;
advancing the second needle along the interior of the sheath to the stimulation site;
removing the first needle from the second needle;
advancing a guidewire through the second needle and along the interior of the sheath to the stimulation site after removing the first needle from the second needle;
testing the stimulation site, after advancing the guidewire through the second needle, using an electrode on at least one of the second needle and the guidewire, to verify that the stimulation site is adjacent a targeted nerve;
removing the second needle from the guide wire;
advancing a first dilator on the guidewire along the interior of the sheath toward the stimulation site to dilate a path in the interior of the sheath after removing the second needle from the guide wire; and
observing the first dilator in the body using at least one of a locating element and an imaging element on the first dilator to facilitate at least one of locating and navigating the first dilator in the interior of the sheath.

US Pat. No. 10,555,725

THERMAL MECHANISM TO PREVENT REPROCESSING OR REUSE OF MECHANICAL SURGICAL DEVICES

Gyrus Acmi, Inc., Southb...

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

US Pat. No. 10,555,724

ULTRASOUND PROBE CALIBRATION PHANTOM, ULTRASOUND PROBE CALIBRATION SYSTEM AND CALIBRATION METHOD THEREOF

SHENZHEN INSTITUTES OF AD...

1. A method of calibration of an ultrasonic probe, comprising following steps:fixing a calibration phantom of the ultrasonic probe in a ultrasonic water tank, and enabling purified water in the ultrasonic water tank to exactly submerge the calibration phantom of the ultrasonic probe, wherein a concave groove is formed in the middle of the upper surface of the calibration phantom of the ultrasonic probe; and a plurality of conical holes are formed on the side surface of the calibration phantom of the ultrasonic probe;
fixing a two-dimensional ultrasonic probe in the concave groove, and further fixing a locating and tracking device in the two-dimensional ultrasonic probe;
inserting puncture probes in the conical holes, and acquiring tips of the puncture probes through ultrasonic images;
simultaneously acquiring position information of the tips and position information of the locating and tracking device in a world coordinate system through the puncture probes, and respectively marking the position information of the tips and the position information of the locating and tracking device as yi and TS?W;
recording the pixel position information of the tips on the ultrasonic image plane, and marking the pixel position information as xi, wherein yi=TS?W·TP?S·xi, and TP?S is a transformation matrix from an unknown ultrasonic imaging plane coordinate system P to an ultrasonic probe locating device coordinate system S; and
solving the transformation matrix TP?S by an image registration algorithm based on an iterative closest point to synchronously acquire space calibration and time calibration;
wherein, the method further comprises following steps:
changing the positions of the puncture probes in the calibration phantom of the ultrasonic probe, acquiring a point set pair of positions of at least six tips, and marking the point set pair as Y={yi, i?m} and X={xi, i?n}, where m is not equal to n, and m and n are natural numbers; and
solving an optimal transformation matrix T to enable the point set pair Y={yi, i?m} and X={xi, i?n} to be aligned with each other;
wherein, solving the optimal transformation matrix T to enable the point set pair Y={yi, i?m} and X={xi, i?n} to be aligned with each other comprises:
step 1: transforming every point xi ?X of a set X by using a formula (1) through a transformation matrix Tk, finding a point which is the closest to Tk (xi) in a set Y, and marking the point as a corresponding point cik of kth iteration to obtain a set (xi, cik) of a corresponding point pair, wherein the formula (1) is as follows:
andstep 2: solving a transformation matrix T according to a set (xi, cik) by using a formula (2) to obtain a direct transformation relation of a description point set pair Y={yi, i?m} and X={xi, i?n} wherein the formula (2) is as follows:
anditeratively carrying out step 1 and step 2, and solving to obtain an optimal transformation matrix T to enable the point set pair Y={yi, i?m} and X={xi, i?n} to be aligned with each other.

US Pat. No. 10,555,723

IMAGING APPARATUS FOR DIAGNOSIS, CONTROL METHOD THEREFOR, PROGRAM, AND COMPUTER READABLE STORAGE MEDIUM

TERUMO KABUSHIKI KAISHA, ...

1. A control method of an imaging apparatus for diagnosis, the imaging apparatus for diagnosis being configured to create an ultrasound tomographic image and an optical tomographic image inside an examination target object to which an imaging core moves using a probe that houses the imaging core provided with an ultrasound transceiver and an optical transceiver by performing scanning moves the imaging core along an axial direction of the probe while rotating the imaging core, the control method comprising:obtaining ultrasound line data oriented in a radial direction from a rotation center on a basis of a signal obtained by executing the scanning;
obtaining optical interference line data oriented in a radial direction from the rotation center on a basis of a signal obtained by executing the scanning;
identifying a line or a group of lines having a same feature out of each line data of the ultrasound tomographic image and the optical tomographic image;
determining segmentation positions for a bundle of lines corresponding to at least a single frame included in each tomographic image from each line data of the ultrasound tomographic image and the optical tomographic image with respect to the identified line or group of lines; and
creating a tomographic image from the determined bundle of lines.

US Pat. No. 10,555,722

CATHETER TRANSDUCER WITH STAGGERED COLUMNS OF MICROMACHINED ULTRASONIC TRANSDUCERS

Koninklijke Philips N.V.,...

1. A CMUT transducer array comprising:a first column of spaced CMUT cells on at least one silicon island;
a second column of spaced CMUT cells on at least one further silicon island, the second column being staggered in alignment with the first column such that cells of the second column are partially located in spaces between successive cells of the first column, the first column and the second column being spaced apart by a gap; and
a flexible foil retaining the respective silicon islands, the flexible foil comprising conductive interconnects.

US Pat. No. 10,555,721

ULTRASOUND IMAGING BY NONLINEAR LOCALIZATION

The Board of Trustees of ...

15. An ultrasound imaging system comprising:a first transducer configured to transmit a first ultrasound beam comprising a first pulse centered at a first frequency along a scan line;
a second transducer configured to:
transmit a second ultrasound beam comprising a plurality of second pulses, each of the plurality of second pulses centered at a respective second frequency; and
sweep the second ultrasound beam along a direction such that the plurality of second pulses are respectively focused to intersect and interact with the first pulse at a plurality of different respective voxels along the scan line as the first pulse propagates along the scan line, wherein the first frequency and the respective second frequency are different;
a third transducer configured to receive a plurality of ultrasonic echoes associated with the interactions of the first pulse and the plurality of second pulses in the plurality of different respective voxels along the scan line, wherein each of the plurality of ultrasonic echoes is centered at a respective third frequency based on the first frequency of the first pulse and the respective second frequency of a respective one of the plurality of second pulses; and
a processing circuit configured to generate an ultrasound image based on the received plurality of ultrasonic echoes.

US Pat. No. 10,555,720

INTRAVASCULAR ULTRASOUND IMAGING APPARATUS, INTERFACE, ARCHITECTURE, AND METHOD OF MANUFACTURING

VOLCANO CORPORATION, San...

1. An intravascular ultrasound (IVUS) device, comprising:a flexible elongate member configured to be positioned within a vessel of a patient;
an ultrasound scanner assembly disposed at a distal portion of the flexible elongate member, the ultrasound scanner assembly comprising an ultrasound transducer array and at least one logic device in communication with the ultrasound transducer array, wherein the ultrasound transducer array is configured to be powered by a high voltage signal, and wherein the at least one logic device is configured to be powered by a first differential voltage;
an interface coupler disposed at a proximal portion of the flexible elongate member; and
a cable disposed within and extending along a length of the flexible elongate member between the ultrasound scanner assembly and the interface coupler, the cable including four conductors electrically coupling the ultrasound scanner assembly and the interface coupler such that transmit and receive functions of the ultrasound transducer array are controlled via only the four conductors, the four conductors including:
a first pair of conductors carrying a first signal pair to supply a first encoded three-state signal to the ultrasound scanner assembly during operation of the ultrasound scanner assembly, wherein the first encoded three-state signal comprises the first differential voltage to power the at least one logic device; and
a high voltage conductor configured to transmit the high-voltage signal to power the ultrasound transducer array,
wherein the ultrasound scanner assembly further comprises an interface decoder configured to decode the first encoded three-state signal from the first signal pair and to provide control signals to the at least one logic device based on the decoded signal.

US Pat. No. 10,555,719

ULTRASOUND ASSISTED NEEDLE PUNCTURE MECHANISM

ST. JUDE MEDICAL PUERTO R...

1. A tissue puncture assembly, comprising:an ultrasound probe having a probe end arranged to contact a tissue surface, the ultrasound probe being operable to determine a depth of a body cavity positioned below the tissue surface;
a tissue puncture device configured to penetrate the tissue surface to gain access to the body cavity, the tissue puncture device comprising a needle carrier, the needle carrier having a bore including a first side and a second side opposite each other, the needle carrier having a plurality of position members positioned in the bore and formed along the length of an interior of the bore, wherein a needle is retainable along the bore at a plurality of axial positions by the plurality of position members, the plurality of position members being positioned on the first side of the bore, the second side of the bore being smooth;
an adjustment device having a longitudinal axis, a length adjustment member, a first end comprising an attachment arm mounted to the ultrasound probe, and a second end comprising an adjustment member mounted to the tissue puncture device, the attachment arm being positioned within the adjustment member, the adjustment device being operable to adjust an orientation of the tissue puncture device relative to the ultrasound probe, and having a variable length along the longitudinal axis between the first end and the second end by adjustable axial movement of the attachment arm relative to the adjustment member, the length adjustment member contacting the attachment arm and the adjustment member, the length adjustment member extending through a side wall of the adjustment member.

US Pat. No. 10,555,718

APPARATUS AND METHODS FOR ALIGNMENT AND DEPLOYMENT OF INTRACARDIAC DEVICES

Tendyne Holdings, Inc., ...

1. An apparatus, comprising:a handle assembly;
a tube assembly including an outer tube member defining a lumen and a coupling member coupled to a distal end portion of the outer tube member;
a needle assembly configured to be received through the lumen of the outer tube member, the needle assembly including an elongate needle having a distal tip configured to be inserted through the epicardial surface of a heart and extend within the left ventricle of the heart; and
an imaging probe coupled to the coupling member, the imaging probe including a cable and an imaging element disposed at, and directly coupled to, a distal end portion of the cable, the imaging probe configured to provide image data associated with a location of a commissural-commissural (C-C) plane and a location of the anterior-posterior (A-P) plane of the mitral valve and the annular region of the heart such that a prosthetic mitral valve can be deployed and positioned within the heart based at least in part on the C-C plane and the A-P plane,
wherein the cable includes a proximal end portion coupled to the handle assembly and an intermediate portion extending between the proximal end portion and the distal end portion, the intermediate portion of the cable being positioned within the outer tube member, the distal end portion of the cable exiting a distal end of the outer tube member so that the distal end portion of the cable of the imaging probe forms a targeting loop configured to contact a portion of the epicardial surface to help stabilize the needle assembly when inserted into the heart, the targeting loop configured to define an aperture through which the elongate needle is configured to travel.

US Pat. No. 10,555,717

NETWORK-CONNECTED ELECTRONIC STETHOSCOPE SYSTEMS

Heroic Faith Medical Scie...

1. An input unit for an electronic stethoscope system, the input unit comprising:a structural body that includes a conical resonator designed to collect acoustic waves corresponding to sounds internal to a body;
an auscultation microphone configured to produce first audio data indicative of the sounds internal to the body;
an ambient microphone configured to produce second audio data indicative of sounds external to the body;
an attachment sensor configured to generate attachment data indicative of an adhesion status of the input unit,
wherein the attachment sensor is an optical proximity sensor designed to emit light through the conical resonator and then determine a distance between the input unit and the body based on a characteristic of the light reflected back through the conical resonator; and
a processor configured to forward the first and second audio data to a hub unit responsible for examining the first and second audio data.

US Pat. No. 10,555,716

METHODS AND APPARATUS FOR EXTENDED LOW CONTRAST DETECTABILITY FOR RADIOGRAPHIC IMAGING SYSTEMS

1. A device comprising:at least one radiographic imaging system;
a computer associated with the at least one radiographic imaging system;
the computer storing base relationship data representative of a mathematical relationship derived from a plurality of flux levels of a plurality of radiographic phantom images;
the computer operable to associate image quality metrics correspondingly with flux levels in accordance with the base relationship data;
the computer operable to store the base relationship data;
the computer operable to store image quality selection data corresponding to at least one selected image quality metric;
the computer further operable to calculate a unique dose control signal for at least one radiographic imaging operation in accordance with application of the image quality selection data to corresponding, pre-associated relationship data; and
the computer operable to relay each dose control signal to the at least one radiographic imaging system.

US Pat. No. 10,555,715

APPARATUS AND METHOD FOR LARGE FIELD-OF-VIEW MEASUREMENTS OF GEOMETRIC DISTORTION AND SPATIAL UNIFORMITY OF SIGNALS ACQUIRED IN IMAGING SYSTEMS

THE PHANTOM LABORATORY, I...

1. Apparatus for image quality assessment of an imaging system, comprising:an aggregate phantom having a plurality of self-contained sections configured to be moved independently and re-assembled in the imaging system, each section including fiducial features of known relative location, and
a processor for image analysis configured for:
quantitatively determining location of the fiducial features within an image, produced by the imaging system, of the aggregate phantom,
comparing the determined location within the image to the known relative location of the fiducial features to produce a distortion field, and
distinguishing between actual geometric distortion of the imaging system and rigid-body transformations of sections of the aggregate phantom, in the distortion field.

US Pat. No. 10,555,714

X-RAY IMAGING DEVICE

Shimadzu Corporation, Ni...

1. An X-ray imaging apparatus for performing X-ray imaging, comprising:X-ray irradiation means configured to irradiate an X-ray toward a subject;
photo pickup field setting means configured to select a photo pickup field among a plurality of photo pickup fields for an automatic exposure and set the selected photo pickup field for use;
lighting field detection means configured to detect whether at least a partial area of a sensitive area of a sensitive area of the selected photo pickup field is not included in an X-ray irradiation area based on positional information of the X-ray irradiation area irradiated by the X-ray irradiation means and the sensitive area of the photo pickup field; and
unused setting means configured to set the selected photo pickup field to be unused in response to the lighting field detection means detecting that at least a partial area of the sensitive area of the selected photo pickup field is not included in the X-ray irradiation area.

US Pat. No. 10,555,712

SEGMENTING AN ANGIOGRAPHY USING AN EXISTING THREE-DIMENSIONAL RECONSTRUCTION

SIEMENS HEALTHCARE GMBH, ...

1. A method for segmenting a two-dimensional angiographic recording of a vessel of a body by a computing apparatus, the method comprising:providing a three-dimensional reconstruction of the vessel of the body on the computing apparatus;
providing the two-dimensional angiographic recording of the vessel of the body on the computing apparatus;
registering the three-dimensional reconstruction of the vessel of the body with the two-dimensional angiographic recording of the vessel of the body;
projecting spatial information of the three-dimensional reconstruction onto the two-dimensional angiographic recording, the projecting comprising detecting a variation between the spatial information of the three-dimensional reconstruction and corresponding spatial information of the two-dimensional angiographic recording and adjusting the two-dimensional angiographic recording based on the variation; and
segmenting the two-dimensional angiographic recording using the spatial information projected onto the two-dimensional angiographic recording,
wherein the adjusting comprises displacing, rotating, or displacing and rotating the two-dimensional angiographic recording, deforming the two-dimensional angiographic recording, or a combination thereof.

US Pat. No. 10,555,711

APPARATUS AND METHOD FOR LOW DOSE MAMMOGRAPHY USING AUGER IMAGER

NANOX-MEDICAL CORP, Long...

1. An apparatus for examining tissue of a patient for abnormalities, the apparatus comprising:(1) a monochromatic X-ray beam generator that emits at least a first beam of monochromatic line emission X-ray photons having an energy at or nearly above an absorption edge of a first element to induce emission of Auger electrons when the first element is irradiated with the X-ray photons; and
(2) an X-ray detector comprising
(a) a pixel or plurality of pixels comprising (i) an array of pixel sensors each of which comprises the first element such that the line emission X-ray photons, when received by the pixel sensors in the array, cause a cascade of Auger electrons that form a transient electric charge, and (ii) a semiconductor collection layer configured for receiving the Auger electrons of said transient electric charge; and
(b) processing electronics for converting the Auger electrons received in the collection layer into a direct radiographic signal;wherein X-ray photons in the first beam of monochromatic line emission X-ray photons undergo a spatial and temporal dispersion when passing through soft tissues with density variation so as to cause a density-based phase shift in the X-ray photons, wherein the pixel sensors in the array are of a size and number that enable the pixel sensors to register a phase shift contrast (PSC) image from the radiographic signal from which abnormalities in the tissues are identifiable, wherein the respective pixel sensors in the array are unconnected to each other electrically, and wherein the first element comprises cesium iodide (CsI).

US Pat. No. 10,555,710

SIMULTANEOUS MULTI-AXES IMAGING APPARATUS AND METHOD OF USE THEREOF

1. A method for imaging a tumor of a patient using positively charged particles and X-rays, comprising the steps of:rotating elements of an X-ray imaging system, configured to deliver the X-rays, around both a first rotation axis and the patient;
imaging the patient using the X-rays from said X-ray imaging system;
passing the positively charged particles through an exit port of a nozzle system, said nozzle system connected to a synchrotron via a first beam transport line, the positively charged particles passing into the patient from the exit port along a z-axis and at least one of: (1) treating the tumor with the positively charged particles and (2) imaging the patient with residual charged particles comprising the positively charged particles after transmitting through the patient;
providing both: (1) a first cone beam X-ray source and (2) a second cone beam X-ray source, of said X-ray imaging system, on a first side of the patient, said first cone beam X-ray source and said second cone-beam X-ray source separated by at least twenty centimeters; and
detecting X-rays from both said first cone beam X-ray source and said second cone beam X-ray source using at least one two-dimensional X-ray detector, of said X-ray imaging system, on an opposite side of the patient from said first cone beam X-ray source;
moving said exit port along an arc along an x-axis perpendicular to the z-axis, the z-axis maintaining a path from the exit port to the patient during said step of moving; and
rotating said source end of said X-ray imaging system and said detector end of said X-ray imaging system about the x-axis to maintain the z-axis as the first rotation axis of said X-ray imaging system; and
while repeating said steps of: (1) moving said exit port along said arc and (2) said step of rotating,
collecting a first set of images of the patient using the positively charged particles; and
collecting a second set of images of the patient using the X-rays, the first rotation axis comprising the z-axis.

US Pat. No. 10,555,709

CHARGED PARTICLE TOMOGRAPHY SCANNER FOR REAL-TIME VOLUMETRIC RADIATION DOSE MONITORING AND CONTROL

Decision Sciences Interna...

1. A method for monitoring volumetric radiation dose in a medical application, comprising:delivering, from a charged particle delivery system, a charged particle beam of charged particles toward a region of interest of a subject, the region of interest including a tissue or organ of a human subject, the charged particle delivery system configured to direct at least a portion of the charged particle beam to the region of interest, wherein the charged particle beam is delivered after a pre-determined energy level of the charged particles is reached;
detecting, by an incoming charged particle detector, at least some of the charged particles passing through the incoming charged particle detector and entering the region of interest of the subject;
generating, by the incoming charged particle detector, a signal associated with the detected charged particles passing through the incoming charged particle detector and entering the region of interest of the subject;
detecting, by an outgoing charged particle detector, at least some of the charged particles passing through and exiting the region of interest of the subject;
controlling at least one characteristic of the charged particle beam delivered by the charged particle delivery system based on the signals associated with the detected charged particles entering and exiting the region of interest of the subject;
generating, by the outgoing charged particle detector, a signal associated with the detected exiting charged particles;
monitoring, in real time, a radiation dose of the region of interest of the subject based on the signals associated with the detected charged particles entering and exiting the region of interest of the subject; and
generating an image of the region of interest based on the signals associated with the detected charged particles entering and exiting the region of interest of the subject in real time, wherein the image is generated by combining any two or more types of:
measured data of trajectory changes of the at least some of the charged particles passing through and exiting the region of interest of the subject,
information on stopped charged particles trapped inside the region of interest of the subject, and
information on energy loss of the at least some of the charged particles passing through and exiting the region of interest of the subject.

US Pat. No. 10,555,708

HEAD AND NECK RADIATION SHIELD STRUCTURE

NORAD DESIGNS LLC, Ovied...

1. A shield structure configured to protect a head and/or neck of a patient during a radiologic procedure, comprising:a bottom wall that includes radiation attenuating material and that is configured to be positioned between the head and/or neck of the patient and a radiation source so as to shield the patient from radiation directed toward the bottom of the patient, wherein the bottom wall is of a general size to shield the head and/or neck of the patient;
a side wall that includes radiation attenuating material and that is configured to extend upward from the bottom wall so as to shield the patient from radiation directed toward a side of the patient; and
an opening configured to receive the head and/or neck of the patient.

US Pat. No. 10,555,707

PATIENT SUPPORT SYSTEM AND METHOD FOR MEDICAL IMAGING

GENERAL ELECTRIC COMPAMNY...

1. A patient support system comprising:a support beam configured to translocate along an axial axis of a medical imaging system, wherein at least a portion of the support beam is configured to be disposed within a central bore of the medical imaging system;
a patient support removably coupled to the support beam and comprising:
a backing disposed below the support beam and configured to support a patient during an imaging procedure, and
a restraint extending a longitudinal length of the backing, wherein the restraint comprises a first end coupled to the backing and a second end configured to be removably coupled to the support beam, and wherein the restraint is configured to secure the patient support to the support beam and to restrain the patient within the patient support; and
a translocation system comprising a track extending along the axial axis of the medical imaging system and positioned parallel to the support beam, wherein the translocation system is configured to linearly move the support beam in a first direction to position the patient support and the patient within the central bore of the medical imaging system and to move the support beam in a second direction substantially opposite the first direction to move the patient support and the patient out of the central bore of the medical imaging system.

US Pat. No. 10,555,706

METHOD FOR GENERATING IMAGES BY MEANS OF A COMPUTED TOMOGRAPHY DEVICE, AND COMPUTED TOMOGRAPHY DEVICE

SIEMENS HEALTHCARE GMBH, ...

1. A method for generating images via a computed tomography device, in which a first row area of a multiple-row detector is illuminated with a first X-ray spectrum and a second row area of the multiple-row detector, trailing in a direction of travel, is illuminated with a second X-ray spectrum, the method comprising:recording image data at a pitch chosen such that one slice image is reconstructable for a sectional position for each of the first row area and the second row area;
reconstructing, for the sectional position for each of the first row area and the second row area, a respective slice image for the first row area and a respective slice image for the second row area;
reconstructing a reference sectional image for a third row area, illuminated with the first X-ray spectrum and the second X-ray spectrum, as a slice image; and
registering to the reference sectional image, to generate motion-reduced respective first spectral images and second spectral images, respectively assigned to the first row area and the second row area, the respective slice images of the first row area and second row area.

US Pat. No. 10,555,705

SYSTEMS AND METHODS FOR DYNAMICALLY AND INTELLIGENTLY MONITORING A HOST'S GLYCEMIC CONDITION AFTER AN ALERT IS TRIGGERED

DexCom, Inc., San Diego,...

1. A method for improving an interface with a continuous analyte sensor by avoiding unnecessary hyperglycemic alerts, the method comprising:determining, by a processor module, that sensor data from the continuous analyte sensor meet one of one or more first criteria associated with a hyperglycemic condition of a host or one or more first criteria associated with a hypoglycemic condition of a host;
modifying a user interface associated with the continuous analyte sensor to indicate a first hyperglycemic alert when the data meets the one or more first criteria associated with the hyperglycemic condition or a first hypoglycemic alert when the data meets the one or more first criteria associated with the hypoglycemic condition;
actively monitoring, by the processor module, data associated with the hypoglycemic or hyperglycemic condition during a waiting time period; and
modifying, by the processor module, the user interface during the waiting time period to indicate a second hyperglycemic alert based on the data associated with the hyperglycemic condition meeting one or more second criteria during the waiting time period or a second hypoglycemic alert based on the data associated with the hypoglycemic condition meeting one or more second criteria during the waiting time period; and
transitioning to an inactive alert state based on the data associated with the hyperglycemic condition or hypoglycemia condition not meeting one or more third criteria after the waiting time period.

US Pat. No. 10,555,704

SYSTEMS AND METHODS FOR MEDICAL ALERT MANAGEMENT

Cardiac Pacemakers, Inc.,...

1. A system, comprising:a medical event detector configured to detect a medical event from a target patient;
a memory circuit configured to store a patient database including, for each of a plurality of patients, a correspondence between a plurality of alert thresholds (ATHs) and corresponding clinical outcome indicators (COIs); and
a control circuit configured to establish or modify the patient database including, for one or more of the plurality of patients, adjust an ATH and evaluate a corresponding COI; and
wherein the control circuit is configured to query the patient database for a matching patient that meets a query criteria for the target patient, and to retrieve from the patient database an ATH-COI correspondence associated with the matching patient; and
wherein the medical event detector circuit is configured to detect the medical event from the target patient using (1) one or more physiological signals sensed from the target patient and (2) the retrieved ATH-COI correspondence associated with the matching patient, and to generate an alert of the detected medical event.

US Pat. No. 10,555,703

MONITORING OXYGEN UPTAKE OF A PATIENT UNDER ANESTHESIA

Wolf H. Stapelfeldt, Bal...

1. A method for assessing a patient's risk for postoperative complications and for assigning a patient to post-surgical care, comprising:monitoring an arterial blood pressure for the patient at a blood pressure monitor to produce a time series of arterial blood pressure values;
determining a representative arterial blood pressure value from the time series of arterial blood pressure values;
monitoring a respiratory rate and a tidal volume at a respiratory monitor;
monitoring a fraction of inspired oxygen, and a fraction of expired oxygen for a patient under anesthesia at an oxygen concentration sensor;
estimating, via stored instructions executable by a processor, a pulmonary oxygen uptake rate (ViO2) for the patient from the monitored respiratory rate, tidal volume, fraction of inspired oxygen, and fraction of expired oxygen, at periodic intervals to produce a time series of ViO2 values;
determining, via stored instructions executable by the processor, a representative ViO2 value from the time series of ViO2 values;
determining, via stored instructions executable by the processor, a risk score for the patient as a function of the representative ViO2 value; and
assigning the patient to a first post-surgical care option if the risk score meets a threshold value and to a second post-surgical care option if the risk score fails to meet the threshold value, via stored instructions executable by the processor;
wherein determining the risk score for the patient as the function of the representative ViO2 value comprises determining the risk score for the patient as a ratio of the representative ViO2 value to the representative arterial blood pressure value.

US Pat. No. 10,555,702

METHODS AND SYSTEMS FOR CHARACTERIZING THE QUALITY OF AN ELECTROCARDIOGRAM SIGNAL

eResearchTechnology, Inc....

1. A method comprising:receiving an ECG signal generated by an ECG device coupled to a subject, the ECG signal comprising a plurality of consecutive cardiac beats;
determining ECG signal quality of the plurality of consecutive cardiac beats based on a dispersion coefficient and a deviation from an average of each of a plurality of ECG parameters; and
generating indexing information for a set of sequences from the plurality of consecutive cardiac beats, wherein each sequence of the set of sequences comprises a first predetermined number of consecutive cardiac beats, wherein the set of sequences are ordered based upon the ECG signal quality; and
determining subject participation in a study using the indexing information, wherein the subject participation comprises exclusion from the study when a QT evaluation comprises a QTc in excess of 450 milliseconds.

US Pat. No. 10,555,701

PROBE FOR MEASURING LIP CLOSING FORCE

HIROSHIMA UNIVERSITY, Hi...

1. A probe for measuring a lip closing force, the probe comprising:a hollow balloon configured to be disposed between upper and lower lips of a subject, and crushed and deformed by the lip closing force; and
a base which communicates with the inside of the balloon, and is connected to a pressure measurement device for measuring an internal pressure of the balloon, wherein
the balloon is provided with a fixable portion that has the shape of a plate and that is configured to be sandwiched between teeth or gums of the subject, wherein the fixable portion is disposed at a medial portion of the balloon with respect to a vertical direction that is normal to a direction of insertion of the balloon when inserted between the lips.

US Pat. No. 10,555,700

COMBINED OPTICAL SENSOR FOR AUDIO AND PULSE OXIMETRY SYSTEM AND METHOD

1. A system comprising:at least one earpiece, wherein each earpiece comprises an earpiece housing;
an optical source operatively connected to the earpiece housing, wherein the optical source is configured to emit light toward an ear surface;
an optical sensor operatively connected to the earpiece housing, wherein the optical sensor is configured to receive reflected light from the ear surface; and
at least one processor disposed within at least one earpiece and operatively connected to the optical source and the optical sensor, wherein the at least one processor is configured to separate the pulse oximetry signals from the audio signals in the reflected light detected by the optical sensor and use the audio signals to receive voice input from a user wearing the at least one earpiece.

US Pat. No. 10,555,699

METHOD AND DEVICE FOR THE NON-INVASIVE MONTIORING AND IDENTIFICATION OF DRUG EFFECTS AND INTERACTIONS

KONINKLIJKE PHILIPS N.V.,...

1. A method for use in detecting and monitoring effects experienced by a subject taking a first drug, drug A, and at least one other substance, substance B, the method comprising:(a) obtaining a plurality of measured values of a physiological characteristic of the subject over a time period after the subject has taken the drug A and the substance B;
(b) comparing the plurality of measured values to a first predefined signature, a drug A signature, associated with the first drug, that represents an effect that the drug A is expected to have on the physiological characteristic of the subject, and thereby calculating a first measure, Adiff, of a difference between the plurality of measured values and the drug A signature, wherein Adiff represents how the effect of the drug A is altered by a presence of the substance B;
(c) comparing the plurality of measured values to a second predefined signature, a substance B signature, associated with the at least one other substance, that represents an effect that the substance B is expected to have on the physiological characteristic of the subject and thereby calculating a second measure, Bdiff, of a difference between the plurality of measured values and the substance B signature wherein Bdiff represents how the effect of the substance B is altered by the presence of the drug A;
(d) comparing the plurality of measured values to a third predefined signature, a desired outcome (DO) signature, associated with a time variant set of expected values for a desired physiological state of the subject, and thereby calculating a third measure, DOdiff, of a difference between the plurality of measured values and the DO signature; and
(e) combining Adiff and Bdiff and DOdiff to produce an output, wherein a message to the subject and/or a medical professional is generated in dependence of the output comprising information indicating that an adverse reaction is being experienced by the subject.

US Pat. No. 10,555,698

SLEEP SCORING BASED ON PHYSIOLOGICAL INFORMATION

Fitbit, Inc., San Franci...

1. A wearable device, comprising:a housing;
one or more physiological sensors disposed in the housing, the one or more sensors operable to capture one or more signals, the one or more signals including signals representative of movement;
one or more processors disposed in the housing;
a display; and
control circuitry configured to:
detect a lack of movement for a threshold period of time;
collect physiological data, including at least one sleeping heart rate;
determine respective values for one or more sleep quality metrics, based at least in part on the collected physiological data and at least one wakeful resting heart rate; and
present, on the display, a representation of a score for sleep quality, the score for sleep quality based at least in part on the respective values of the one or more sleep quality metrics.

US Pat. No. 10,555,697

DIGITAL IMAGE CORRELATION FOR MEASURING SKIN STRAIN AND DEFORMATION

MASSACHUSETTS INSTITUTE O...

1. A method for use in a system for measuring surface deformation and strain of a surface of a test object, the method comprising:acquiring, by an imaging device, images of the surface, the surface having a surface pattern;
grouping the images into one or more image sets;
performing three dimensional image correlation on each of the image sets to determine deformation and strain data;
stitching the deformation and strain data from the image sets into one dataset;
determining, by at least one processor, principal strains and lines of non-extension (LoNEs) directions;
determining, by the at least one processor, one or more LoNEs streamlines;
determining, by the at least one processor, lines of maximum and minimum extensions;
based on one or more of the determined principal strains, the LoNEs directions, the one or more LoNEs streamlines and the lines of maximum and minimum extensions, generating a pattern for one or more customized coverings for the test object; and
based on the generated pattern, generating the one or more customized coverings.

US Pat. No. 10,555,696

DEVICE FOR MAINTAINING A USER'S VEIN IN POSITION AND DEVICE FOR PUNCTURING OR INJECTING INTO A USER'S VEIN

BEE HEALTHCARE, Nantes (...

1. A device for puncturing or injection into a user's vein, comprising:a device to maintain a user's vein in position, comprising at least two branches separated by a gap of width greater than a size of the user's vein, means for rotating the branches and an arm configured to move in translation along three axes, the means for rotating the branches and to position the branches around the user's vein;
a sensor to capture an infrared image of the user's arm;
a detector to detect a vein in the captured infrared image;
a transmitter to transmit a location of the detected vein;
the arm configured to position automatically the branches around the user's vein being controlled according to the location of the detected vein;
a needle; and
a motor to position an extremity of the needle in the detected vein between the branches.

US Pat. No. 10,555,695

ADVANCED ANALYTE SENSOR CALIBRATION AND ERROR DETECTION

DexCom, Inc., San Diego,...

1. A method of making an on-body glucose concentration measuring system for use by a host during a sensor session with a transcutaneously implanted glucose sensor, the method comprising:coating a portion of at least one conductor with a membrane system, wherein the membrane system is sensitive to glucose concentration so as to form at least one transcutaneous glucose sensor having a measurement output parameter sensitive to glucose concentration;
experimentally measuring a first sensor characteristic of the at least one transcutaneous glucose sensor prior to a sensor session in a host, wherein experimentally measuring the first sensor characteristic comprises measuring in vitro glucose sensitivity characteristics of the at least one glucose sensor in one or more solutions having controlled glucose concentration;
defining an in vitro glucose concentration sensitivity for the at least one glucose sensor based at least in part on the experimental measurements in the one or more solutions having controlled glucose concentration;
defining an in vivo glucose concentration sensitivity based at least in part on the defined in vitro sensitivity;
experimentally measuring a second sensor characteristic of the at least one transcutaneous glucose sensor prior to a sensor session in a host, wherein experimentally measuring the second sensor characteristic comprises measuring a thickness of the membrane system coated onto the at least one transcutaneous glucose sensor; and
assigning one or more calibration codes to the at least one transcutaneous glucose sensor, wherein the one or more calibration codes are based at least in part on both the defined in vivo sensitivity the at least one transcutaneous glucose sensor and the measured thickness of the membrane system coated onto the at least one transcutaneous glucose sensor.

US Pat. No. 10,555,694

ENCLOSED DESORPTION ELECTROSPRAY IONIZATION PROBES AND METHOD OF USE THEREOF

Purdue Research Foundatio...

1. A method for analyzing a sample, the method comprising:directing a discharge from a source at a first velocity to sample on a substrate, wherein the discharge interacts with the sample to desorb an analyte from the sample and the discharge with the desorbed analyte is directed at a second velocity to a mass spectrometer, the second velocity being higher than the first velocity; and
analyzing the desorbed analyte in the mass spectrometer.

US Pat. No. 10,555,693

PORTABLE APPARATUS FOR NONINVASIVELY MEASURING BLOOD GLUCOSE LEVEL AND OPERATING METHOD THEREOF

Hoon Kim, (KR)

1. An operating method of a portable apparatus for noninvasively measuring blood glucose levels, comprising:(a) measuring a first signal value according to ambient environmental light and temperature by using a photodiode detector when an LED for measuring signals which emits light with a wavelength range to be absorbed into or scattered by glucose is switched off;
(b) measuring a second signal value according to light which is scattered by or transmitted through a subject tissue and enters the photodiode detector when the LED for measuring signals with the wavelength range is switched on;
(c) calculating a glucose concentration measurement of a subject by using the first signal value and the second signal value; and
(d) adjusting an intensity of the light radiated from the LED for measuring signals by feeding a difference between the glucose concentration measurement and a pre-established first reference value back to a driving current for the LED for measuring signals.

US Pat. No. 10,555,692

METHOD FOR SENSITIVELY AND SELECTIVELY SENSING SUGARS USING TERAHERTZ ELECTROMAGNETIC WAVES AND DEVICE USED THEREFOR

KOREA INSTITUTE OF SCIENC...

1. A method for sensitively and selectively sensing sugars, using a sensing chip, comprising:applying a sample to be analyzed on the sensing chip having a meta device,
wherein the meta device includes a pattern in a form of slits that serves to amplify a frequency corresponding to an absorption frequency of a sugar of interest;
irradiating the sensor chip with terahertz electromagnetic waves;
amplifying waves reflected from the sample;
measuring the terahertz electromagnetic waves reflected from the sugar in the sample by frequency change of the terahertz electromagnetic waves;
determining a type of the sugar of interest using the measurement of terahertz electromagnetic waves; and
determining the type and concentration of the sample of the specified sugars, based on the fact that the frequency change is elevated when the absorption frequency of the target sugar of interest corresponds to a resonant transmission frequency of the meta device; and
analyzing the sugar of interest for type and concentration based on the determination of the type and concentration of the sample of the specified sugars.

US Pat. No. 10,555,691

VITAL SIGNS DETECTING DEVICE AND A METHOD FOR DETECTING VITAL SIGNS

Agency for Science Techno...

7. A method for detecting vital signs, the method comprising,inputting light into a first end of a multimode optical fiber;
providing a mechanical structure for disposition between a person's body and a support surface so as to receive a pressure exerted by the person's body as a result of one or more of a group consisting of a movement of the person's body, a respiratory action of the person's body and a heart beat action of the person's body and for causing microbending of the multimode optical fiber and associated bending losses under the exerted pressure, wherein the mechanical structure comprises a first layer and a second layer, and wherein the multimode optical fiber is disposed between the first and second layers and, more particularly, between a first set of microbending elements comprised in the first layer of the mechanical structure and a second set of microbending elements comprised in the second layer of the mechanical structure, substantially in a direction of the exerted pressure; and
detecting light modulation in the multimode optical fiber by a detector coupled to the multimode optical fiber and receiving the light therefrom to determine the one or more of the movement of the person's body, the respiratory action of the person's body and the heart beat action of the person's body based on light intensity variations caused by bending losses induced by the microbending.

US Pat. No. 10,555,690

STANDING POSTURE MEASURING DEVICE

1. A standing posture measuring device, consisting of:a base including a base platform and a base frame;
a right instrument support frame mounted on the base frame;
a left instrument support frame mounted on the base frame;
a shoulder inclination instrument including an upper rear bar supported on the right and left instrument support frames, the upper rear bar having a top surface, the shoulder inclination instrument comprising:
a right acromion pointer mounted on the upper rear bar at a first location that corresponds to a patient's right acromion process;
a left acromion pointer mounted on the upper rear bar at a second location that corresponds to a patient's left acromion process; and
an upper electronic spirit level mounted on the top surface of the upper rear bar and having an upper digital display for indicating shoulder inclination;
a pelvic inclination instrument comprising:
a lower rear bar supported on the right and left instrument support frames;
a first right movable arm;
a first left movable arm; and
a lower electronic spirit level mounted on the top surface of the lower rear bar and having a lower digital display for indicating pelvic inclination;
a leg measuring instrument, wherein the leg measuring instrument comprises:
a right laser ruler having a right laser housing, a right laser support band supported on the right instrument support frame and a right laser display; and
a left laser ruler having a left laser housing, a left laser support band supported on the left instrument support frame and a left laser display.

US Pat. No. 10,555,689

CPS PRESSURE BASED SENSING SYSTEM FOR SYMMETRY MEASUREMENTS

The Florida International...

1. A cyber-physical system (CPS) pressure based sensing system for assessing stance or movements of an object standing or moving, the system comprising:a sensing and data acquisition device comprising at least one piezoresistive transducer; and
a data analyzer in operable communication with the sensing and data acquisition device,
the data analyzer further comprising a data analysis module configured to determine patterns of the stance or movement based on the plurality of measurements, and
the determining of the patterns of the stance or movement comprising:
performing an automatic segmentation on the plurality of measurements;
performing a metrics extraction on results of the automatic segmentation;
performing a dimension reduction on the plurality of metrics extracted; and
performing a machine learning classification on the metrics being dimensionally reduced.

US Pat. No. 10,555,688

MEASUREMENT SYSTEM THAT INCLUDES AT LEAST ONE MEASUREMENT ASSEMBLY, A HEAD-MOUNTED VISUAL DISPLAY DEVICE, AND A DATA PROCESSING DEVICE

Bertec Corporation, Colu...

1. A measurement system, comprising:at least one measurement assembly, the at least one measurement assembly comprising a force measurement assembly configured to receive a first system user, the force measurement assembly including:
a top surface for receiving the body of the first system user; and
at least one force transducer, the at least one force transducer configured to sense one or more measured quantities and output one or more signals that are representative of forces and/or moments being applied to the top surface of the force measurement assembly by the first system user;
a head-mounted visual display device having an output screen, the head-mounted visual display device configured to display one or more images on the output screen so that the one or more images are viewable by a second system user; and
a data processing device operatively coupled to the force measurement assembly and the head-mounted visual display device, the data processing device configured to receive the one or more signals that are representative of the one or more measured quantities and to convert the one or more signals into force and/or moment output data, the data processing device further configured to generate a visual element for superimposition onto the first system user, and display the superimposed visual element on the head-mounted visual display device so that the second system user is able to visualize a particular parameter or characteristic associated with the first system user when wearing the head-mounted visual display device, wherein the data processing device is configured to generate the visual element using the force and/or moment output data from the force measurement assembly.

US Pat. No. 10,555,687

APPARATUS AND METHOD FOR PHYSIOLOGIC AND PHARMACODYNAMIC ASSESSMENT AND MONITORING

1. A method for generating a pain score for a patient, the method comprising:initiating a neuro-stimulus to the patient, the neuro-stimulus being initiated over a set of frequencies, each frequency being associated with a unique intensity, and stimulating a unique nerve fiber type of the patient;
measuring a pupillary reflex dilation (PRD) response of the patient for the initiated neuro-stimulus;
determining, for each nerve fiber type, a threshold response based on the measured PRD;
determining the pain score for the patient based on each threshold response; and
determining an appropriateness of a pharmacological intervention based on computing an area under a curve corresponding to the measured PRD response of the patient.

US Pat. No. 10,555,686

REMOVING PARASITIC EFFECTS FROM BODY IMPEDANCE MEASUREMENTS WITH WRIST-WORN AND/OR OTHER DEVICES

1. A wrist-worn device for measuring a body impedance of a user, the wrist-worn device comprising:a housing configured to be worn on a user's wrist;
electrodes comprising:
a first electrode coupled with the housing and oriented to engage the user's wrist when the wrist-worn device is worn on the user's wrist;
a second electrode coupled with the housing and oriented to engage the user's wrist when the wrist-worn device is worn on the user's wrist;
a third electrode coupled with the housing and oriented for engagement by a first finger on an arm of the user opposite to an arm of the user having the wrist on which the wrist-worn device is worn; and
a fourth electrode coupled with the housing and oriented for engagement by a second finger on the arm of the user opposite to the arm of the user having the wrist on which the wrist-worn device is worn; and
a control unit operatively coupled with the first, second, third, and fourth electrodes, the control unit being configured to:
propagate an alternating drive current through the user between first and second drive current electrodes of the electrodes so as to maintain a voltage level of a first sense electrode of the electrodes relative to a reference ground voltage level via a feedback loop that is operatively connected between one of the drive current electrodes and the first sense electrode;
sense one or more voltage levels of the user resulting from the alternating drive current via the first sense electrode and a second sense electrode of the electrodes; and
calculate a body impedance of the user based on the alternating drive current and the one or more sensed voltage levels.

US Pat. No. 10,555,685

METHOD AND APPARATUS FOR DETERMINING TISSUE MORPHOLOGY BASED ON PHASE ANGLE

St. Jude Medical, Atrial ...

1. A method of determining tissue type and ablating comprising the steps of:defining a plurality of tissue types to include regular myocardium, scar and fat;
correlating each one of the tissue types with both a respective phase angle value and magnitude value associated with a complex impedance of each of said tissue types to thereby define a first relationship between said regular myocardium tissue type and a high phase angle value and a medium magnitude, a second relationship between said scar tissue type and a low phase angle value and a low magnitude value, and a third relationship between said fat tissue type and a low phase angle value and a high magnitude value, and wherein said high phase angle value is higher than said low phase angle value, and wherein said medium magnitude value is between said high and low magnitude values;
providing a first electrode in contact with tissue where the tissue may be one of said plurality of tissue types including regular myocardium, scar and fat;
providing a second electrode,
measuring a complex impedance at a preselected excitation frequency between the first electrode and the second electrode where the measured complex impedance comprises a magnitude and a phase angle;
selecting one of the first, second, and third relationships based directly on both the measured phase angle value from the measured complex impedance and the measured magnitude value from the measured complex impedance;
identifying, using a tissue type identification logic block implemented on a computer-based controller, one of regular myocardium, scar and fat tissue types based on the selected one of said first, second, and third relationships wherein the tissue type identification logic block produces an output indicative of the identified tissue type; and
applying, using an ablation generator responsive to the output indicative of the identified tissue type, ablation energy to the tissue when the identified tissue type is regular myocardium.

US Pat. No. 10,555,684

SUPRAVENTRICULAR TACHYARRHYTHMIA DISCRIMINATION

Medtronic, Inc., Minneap...

1. An implantable cardioverter defibrillator (ICD) comprising:a therapy delivery circuit configured to generate an electrical stimulation therapy for delivery to a patient's heart;
a sensing circuit configured to receive at least a first cardiac electrical signal via a sensing electrode vector; anda control circuit coupled to the sensing circuit and the therapy delivery circuit and configured to:determine whether first criteria for detecting a ventricular tachyarrhythmia are met by the first cardiac electrical signal;
determine a plurality of features from each one of a plurality of cardiac signal segments of the first cardiac electrical signal;
in response to the first criteria being met, determine whether a first portion of the plurality of features determined from each one of the plurality of cardiac signal segments satisfy monomorphic waveform criteria;
determine whether a second portion of the plurality of features determined from each one of the plurality of cardiac signal segments satisfy supraventricular beat criteria by comparing each feature of the second portion of the features determined from each of the plurality of cardiac signal segments to an analogous feature of a supraventricular R-wave template and determining that the supraventricular beat criteria are satisfied in response to a threshold number of the cardiac signal segments having the second portion of the features matching the analogous features of the supraventricular R-wave template;
determine whether second criteria for detecting the ventricular tachyarrhythmia are met;
withhold detecting of the ventricular tachyarrhythmia in response to both the monomorphic waveform criteria and the supraventricular beat criteria being satisfied; and
detect the ventricular tachyarrhythmia and controlling the therapy delivery circuit to deliver the electrical stimulation therapy in response to the first criteria and the second criteria being met and at least one of the monomorphic waveform criteria not being satisfied or the supraventricular beat criteria not being satisfied.

US Pat. No. 10,555,683

PHYSIOLOGICAL MONITORING DEVICE

iRhythm Technologies, Inc...

1. An electronic device for monitoring physiological signals in a mammal, the device comprising:a plurality of wings extending laterally from a housing, each flexible wing configured to conform to a surface of the mammal and comprising a lower substrate layer, an upper substrate layer, and a bottom surface comprising a long-term adhesive, the long-term adhesive configured to adhere to the skin of the mammal;
a hardware processor housed within the housing;
a flexible electrode positioned on each flexible wing, each flexible electrode configured to provide conformal contact with a non-planar surface of the skin of the mammal during movement of the mammal;
an electrode trace positioned between each upper substrate layer and each lower substrate layer, each upper substrate layer comprising a rim extending horizontally outward beyond the corresponding lower substrate layer, the rim being thinner in a vertical plane than an adjacent portion of the flexible wing and configured to reduce edge-lift of the flexible wing from the skin of the mammal; and
wherein each electrode trace extends outward from the housing, each flexible electrode and at least a portion of each electrode trace configured to remain conformal with the skin of the mammal during bending of the skin.

US Pat. No. 10,555,682

SIGNAL PROCESSING METHODS

CAMBRIDGE ENTERPRISE LIMI...

1. A method of processing an EEG and/or MEG signal to generate image data representing a 3D current distribution, J, within the brain, the method comprising:capturing a plurality of electric and/or magnetic measurements from the exterior of the head;
solving an integral equation for a part of said current distribution to generate said image data representing said 3D current distribution, wherein said integral equation comprises an integral of a first function representing said part of said current distribution and of a second function (??vs(r,?)) representing the geometry and conductivity of the head independent of said current distribution;
wherein said solving comprises:
modelling the head as at least two regions separated by at least one internal boundary, and
solving a set of partial differential equations, one for each said internal region, each partial differential equation comprising a geometry-conductivity function (w(r,?)) representing the geometry and conductivity of the respective region, wherein said solving is subject to a boundary condition that either i) the gradients of the functions across the or each said internal boundary are smooth when conductivity is taken into account, or ii) a normal component of the electric field of said part of said current distribution is continuous across the or each said internal boundary, and wherein said geometry-conductivity function for an outermost said region of said head defines said second function (??vs (r,?)).

US Pat. No. 10,555,681

MUSCLE MASSAGING DEVICE AND OPERATING METHOD THEREOF

BOE TECHNOLOGY GROUP CO.,...

1. A muscle massaging device, comprising:a detector, configured to detect a real-time myoelectric value and a real-time muscle tension value of a target muscle;
a comparator, configured to compare the real-time myoelectric value and a prestored myoelectric value, and compare the real-time muscle tension value and a prestored muscle tension value;
a massager, configured to massage a first region corresponding to the target muscle,
wherein the muscle massaging device further comprises:
a sleeving piece corresponding to a limb where the target muscle is located, which is used for sleeving the limb,
the detector is arranged on the sleeving piece,
wherein the detector comprises: a first electrode, second electrode, a third electrode, a tension sensor and a computer,
wherein, the first electrode and the second electrode are arranged on opposite sides of a preset point on an inner wall of the sleeving piece, the preset point corresponding to a central point of the target muscle, and the first electrode and the second electrode are used for detecting a first muscle electric signal and a second muscle electric signal, respectively;
the third electrode is arranged on a side of the inner wall of the sleeving piece away from the preset point, and is used for detecting a third muscle electric signal;
the computer is used for calculating the real-time myoelectric value according to the first muscle electric signal, the second muscle electric signal and the third muscle electric signal;
the tension sensor is used for detecting the real-time muscle tension value of the target muscle, wherein the muscle massaging device further comprising: a first switch and a storage unit, wherein, when the first switch is closed, the storage unit is controlled to acquire a plurality of myoelectric values calculated by the computer when a user is in different postures and acquire a plurality of muscle tension values detected by the tension sensor when the user is in different postures, and the computer is configured to select a maximum value in the plurality of myoelectric values to use as the prestored myoelectric value, and select a maximum value in the plurality of muscle tension values to use as the prestored muscle tension value, and wherein the massager is configured to massage the first region based on the real-time myoelectric value and the real-time muscle tension value.

US Pat. No. 10,555,680

REPRESENTATION AND IDENTIFICATION OF ACTIVITY PATTERNS DURING ELECTRO-PHYSIOLOGY MAPPING USING VECTOR FIELDS

Boston Scientific Scimed ...

1. A catheter system comprising:a plurality of mapping electrodes configured to detect activation signals of intrinsic cardiac activity, each of the plurality of mapping electrodes having an electrode location;
a mapping processor associated with the plurality of mapping electrodes, the mapping processor configured to record the detected activation signals and associate one of the plurality of mapping electrodes with each recorded activation signal, the mapping processor further configured to generate a vector field map which represents a direction of propagation of the activation signals at each electrode location, and identify a signature pattern and a location in the vector field map according to at least one vector field template, wherein to generate the vector field map the mapping processor is further configured to determine a reliability index for each detected activation signal at an electrode location according to at least one of a contact between the corresponding electrode and an anatomical structure and a level of noise in the detected activation signal, and scale each vector of the vector field map according to the corresponding reliability index, wherein to identify the signature pattern the processing system is further configured to access a template bank which includes a plurality of vector field templates, each vector field template having a unique signature pattern, compare the vector field map with each vector field template of the template bank by projecting the vectors of the vector field map onto each vector field template of the template bank, and identify the signature pattern most closely matching the generated vector field map according to a similarity index.

US Pat. No. 10,555,679

NON-CONTACT HEART RATE MONITORING

GENERAL ELECTRIC COMPANY,...

1. An apparatus comprising:a non-contacting array of sensors adapted for positioning at a position spaced from and proximate a position of a patient; and
a signal processing circuit in communication with the array of sensors, the signal processing circuit including computer readable instructions stored in a computer readable storage medium for implementation of a plurality of candidate neonatal resuscitation protocol guidance processes, wherein the signal processing circuit is configured for:
generating a plurality of time varying signals using the array of sensors;
scoring at least one of the plurality of time varying signals;
selecting, based on the scoring, one or more signal of the plurality of time varying signals for use in determining a heart rate of the patient;
determining the heart rate based on the selected one or more signal;
running a selected guidance process of the plurality of candidate neonatal resuscitation protocol guidance processes to guide a caregiver user in performance of the selected guidance process; and
outputting one or more indicator based on the determined heart rate and the selected guidance process.

US Pat. No. 10,555,678

BLOOD PRESSURE MONITOR WITH VALVE-CHAMBER ASSEMBLY

Masimo Corporation, Irvi...

1. A blood pressure measurement system, comprising:an inflatable cuff configured to encompass a limb of a patient;
a chamber assembly configured to house a gas canister having gas for inflating the inflatable cuff;
a valve assembly coupled to the chamber assembly; and
a gas pathway between the valve assembly and the inflatable cuff, wherein the valve assembly includes:
a valve comprising a high pressure cavity, a low pressure cavity, a first channel providing a gas pathway between the high pressure cavity and the low pressure cavity, and a second channel providing a gas pathway between the low pressure cavity and a valve output,
a bar lever,
a piston located within the low pressure cavity and configured to move away from the first channel to exert an upward force on the bar lever, wherein movement of the piston away from the first channel permits a flow of gas through the gas pathway between the low pressure cavity and the valve output,
a motor including an engagement portion that rotates about an axis in a first direction or a second direction, and
an actuator comprising:
a first portion engaged with the engagement portion of the motor, and
a second portion engaged with the bar lever, wherein rotation of the engagement portion of the motor in the first direction causes at least a portion of the actuator to extend towards the bar lever to exert an upward force against the bar lever allowing the bar lever and the piston to move away from the first channel to allow gas to flow through the gas pathway between the low pressure cavity and the valve output.

US Pat. No. 10,555,677

METHOD AND DEVICE FOR IMPROVING PREDICTION AND DETECTION OF CHANGE IN A PHYSIOLOGICAL CONDITION

MEDICUS ENGINEERING APS, ...

1. A device comprising one or more processors configured to:obtain continuously over time, via one or more sensors, both a heart rhythm signal related to a heart rhythm of a subject and an interstitial fluid glucose level signal related to a glucose level of an interstitial fluid of the subject;
analyze continuously over time changes in a pattern of a heart rate variability of the subject based on the heart rhythm signal;
analyze continuously over time changes in the glucose level of the interstitial fluid based on the interstitial fluid glucose level signal;
extract features from the pattern of the heart rate variability and the glucose level of the interstitial fluid;
reduce the features extracted based on a ranking algorithm to eliminate certain features that do not signify a physiological event;
combine the pattern of the heart rate variability and the interstitial fluid glucose level signal; and
predict, for a physiological condition during a future time period of the subject for which the glucose level of the interstitial fluid is surrogate measurement, whether there would be a change in the physiological condition of the subject during the future time period, a prediction being based on the correlated changes in the pattern of the heart rate variability and the changes in the glucose level of the interstitial fluid, wherein a continuous glucose monitor is a surrogate measure for blood glucose measurement.

US Pat. No. 10,555,676

METHOD FOR GENERATING ALARMS/ALERTS BASED ON A PATIENT'S POSTURE AND VITAL SIGNS

SOTERA WIRELESS, INC., S...

1. A method for generating an alarm while monitoring vital signs and posture of a patient, the method comprising the following steps:(a) detecting a first time-dependent physiological waveform indicative of one or more contractile properties of the patient's heart with a first sensor comprising a first detector configured to be worn on the patient's body;
(b) detecting a second time-dependent physiological waveform indicative of one or more contractile properties of the patient's heart with a second sensor comprising a second detector configured to be worn on the patient's body;
(c) detecting a set of time-dependent motion waveforms with at least one motion-detecting sensor positioned on the patient's torso, wherein the set of time-dependent motion waveforms are indicative of motion of the patient's torso;
(d) receiving and processing the first and second time-dependent physiological waveforms and the set of time-dependent motion waveforms, and generating an alarm therefrom indicative of a need for medical attention, using one or more processing components comprising a microprocessor, the one or more processing components configured to
(i) process the first and second time-dependent physiological waveforms to determine at least one vital sign from the patient;
(ii) analyze at least a portion of the set of time-dependent motion waveforms, or a mathematical derivative thereof, to determine a vector corresponding to motion of the patient's torso;
(iii) compare the vector to a coordinate space representative of how the motion-detecting sensor is oriented on the patient to determine a posture parameter;
(iv) compare the posture parameter to a threshold value to estimate the patient's posture;
(v) compare the at least one vital sign from the patient to a predetermined alarm criteria, wherein an alarm is indicated by a variance of the vital sign relative to the predetermined alarm criteria to determine an alarm parameter; and
(vi) generate the alarm by collectively processing the patient's posture and the alarm parameter, wherein the alarm indicated by a variance of the vital sign relative to the predetermined alarm criteria is regulated according to the patient's posture.

US Pat. No. 10,555,675

METHOD FOR PROJECTING BLOOD LOSS OF A PATIENT DURING A SURGERY

Gauss Surgical, Inc., Me...

1. A method of monitoring a patient in a medical procedure, comprising:at one or more processors:
estimating real-time blood loss of the patient;
selecting at least one reference blood loss data set corresponding to a reference medical procedure;
estimating future blood loss of the patient based at least partially on the estimated real-time blood loss and the at least one reference blood loss data set; and
providing an indication of the estimated future blood loss of the patient on a display associated with the one or more processors.

US Pat. No. 10,555,674

CONFOCAL SCANNING MICROSCOPE HAVING OPTICAL AND SCANNING SYSTEMS WHICH PROVIDE A HANDHELD IMAGING HEAD

1. An optical assembly for imaging a section of a specimen by illuminating said section with a scanning beam and receiving returned light from said section, said assembly comprising:an objective via which said scanning beam is incident on said specimen and on which said return beam is incident;
oscillating mirrors which translate an illumination beam into said scanning beam and receives said return beam for descanning said return beam which is then focused via a pinhole onto a detector to provide signals representative of one or more images of a section within said specimen, in which said oscillating mirrors repeatedly scan a field of view, and said illuminating and return beams transiting along a path between said oscillating mirrors, said path extending to an entrance aperture of said objective which defines an entrance pupil thereof; and
optics that images the entrance pupil of said objective between said oscillating mirrors, said optics having magnification being sufficient to overfill said entrance pupil with said illumination beam such that said entrance pupil is filled with said illumination beam over a full deflection of said scanning beam over said entrance pupil.

US Pat. No. 10,555,673

PROBE, OPTICAL COHERENCE TOMOGRAPHY DEVICE, AND ZERO POINT CORRECTION METHOD

THE YOSHIDA DENTAL MFG. C...

1. A probe used in an optical coherence tomography device which irradiates measurement light to a subject and collects scattered light that is reflected by the subject and returns into the probe, comprising:a scanning means composed of galvanometer mirrors for changing an irradiation direction of the measurement light, the galvanometer mirrors comprising reflecting mirrors which reflect the measurement light to hit the subject and actuators configured to rotate the reflecting mirrors,
wherein the actuators are rotating the reflecting mirrors within scanning angle ranges so that the scattered light returns into the probe with the measurement light irradiated on the subject when the probe is in a first state and one of the actuators rotates the reflecting mirror to a predetermined angle out of the scanning angle range at which the measurement light is diffusely reflected within the probe when the probe is in a second state.

US Pat. No. 10,555,672

USING LOCATION AND FORCE MEASUREMENTS TO ESTIMATE TISSUE THICKNESS

Biosense Webster (Israel)...

1. A method for estimating a thickness of a body cavity wall of a patient, the method comprising:initializing a plurality of calibration matrices in a processor, each of the calibration matrices associated with a type of tissue;
inserting a medical probe having a distal end which includes a position sensor through the vascular of a patient into a body cavity, the body cavity having a wall with a wall thickness;
locating the distal end of the medical probe against a wall of the body cavity;
generating magnetic fields, using filed generators, in a predefined working volume that is inclusive of a body cavity of the patient;
generating, via the position sensor, first electrical signals in response to the magnetic fields, the first electrical signals indicative of first location coordinates of the distal end relative to the working volume that is inclusive of the the body cavity of the patient and transmitting these electrical signals to the processor;
identifying the type of tissue of the wall of the body cavity based on the first location coordinates of the distal tip of the probe relative to the body cavity;
pressing the distal end of the medical probe against the wall of the body cavity so as to displace the distal end;
receiving in the processor, from the probe, a first measurement of a force exerted by the distal end on the wall when the distal end of the medical probe is pressing against the wall;
generating, via the position sensor, second electrical signals in response to the magnetic fields, the second electrical signals indicative of second location coordinates of the distal end relative to the working volume that contains the body cavity and transmitting these second electrical signals to the processor; and
estimating the wall thickness of the wall based on the first location coordinates and the second location coordinates, the type of tissue, and the plurality of calibration matrices.

US Pat. No. 10,555,671

MOBILE PATIENT CARE SYSTEM

WELCH ALLYN, INC., Skane...

1. A patient examination system, comprising:a transportable carrier configured to fit through a door opening of a patient examination room and to be transported among locations in a patient care facility; and
a patient support connected to the transportable carrier,
wherein the patient support includes an upper surface having a first portion and a second portion, the second portion capable of being positioned angled relative to the first portion;
wherein the patient support is adjustable in at least one of: height and angle of incline; and
wherein the patient support includes:
a physiological sensor including at least one of: a blood pressure module, a temperature sensor, an otoscope, and an ophthalmoscope;
at least one sensor mount integrated within the patient support and configured to support the physiological sensor; and
a display in communication with the physiological sensor and movably secured to the patient support, the display hosting a system manager configured to:
provide a check-in sequence to a patient;
receive interactions from the patient;
display physiological measurements to a health professional;
receive voice commands from the health professional;
record dictation of notes from the health professional; and
transcribe the notes.

US Pat. No. 10,555,670

ADAPTIVE FILTRATION OF SWEAT ARTIFACTS DURING ELECTRONIC BRAIN MONITORING

INTERNATIONAL BUSINESS MA...

1. A computing device comprising:a processor;
a network interface coupled to the processor to enable communication over a network;
a storage device coupled to the processor;
a software stored in the storage device, wherein an execution of the software by the processor configures the computing device to perform acts comprising:
receiving digital EEG data based on a digitizing of analog electroencephalogram (EEG) signals of a patient from a first electrode;
receiving digital sweat sensor data based on a digitizing of analog sweat sensor signals of the patient that are contemporaneous with the analog EEG signals;
applying a transform to the digital sweat sensor data based on a predetermined sweat stress profile of the patient; and
adaptively adjusting the digital EEG data by subtracting the transformed sweat sensor data from the digital EEG data.

US Pat. No. 10,555,669

OPTICAL COHERENCE TOMOGRAPHY SYSTEMS AND METHODS WITH DISPERSION COMPENSATION

AMO Wavefront Sciences, L...

1. A system, comprising:a swept laser light source configured to generate laser light having a frequency swept across a frequency bandwidth as a function of time;
a sample path configured to direct a first portion of the laser light to an eye as a probe beam and to receive a returned portion of the probe beam from the eye, returned by at least one of reflection and scattering;
a reference path for passing therethrough a second portion of the laser light, the reference path having a defined optical path length;
a wavefront aberrometer;
a corneal topographer;
an iris imaging system;
a structure having an aperture therethrough; and
a detector configured to receive the returned portion of the probe beam from the eye and the second portion of the laser light from the swept laser light source which passed through the reference path, and in response thereto to output an optical coherence tomography (OCT) signal having peaks whose relative timing represents the depths of various reflection and scattered surfaces within the eye,
wherein the reference path includes a first optical fiber of a first type having a first length, in series with a second optical fiber of a second type which is different than the first type and having a second length, wherein dispersion characteristics of the first optical fiber and the second optical fiber are significantly different than each other,
wherein the sample path directs the probe beam to the eye through the aperture, and
wherein all of the wavefront aberrometer, the corneal topographer, and the iris imaging system direct light to the eye through the aperture.

US Pat. No. 10,555,668

INFORMATION PROCESSING APPARATUS, CONTROL METHOD FOR AN INFORMATION PROCESSING APPARATUS, AND STORAGE MEDIUM HAVING STORED THEREON AN EXECUTION PROGRAM FOR THE CONTROL METHOD

Canon Kabushiki Kaisha, ...

1. An information processing apparatus comprising:a data extracting unit configured to partially extract, from an output from a sampling unit which samples interference light between (a) return light from an object to be inspected which is irradiated with measuring light and (b) reference light corresponding to the measuring light, A-scan data corresponding to a longer sampling interval than an interval for sampling the interference light by the sampling unit so as to generate A-scan data sets each of which is different from others of the A-scan data sets;
a generating unit configured to generate (a) first tomographic images regarding first B-scan data sets obtained at a first time and (b) second tomographic images regarding second B-scan data sets obtained at a second time different from the first time, the first B-scan data sets and the second B-scan data sets being B-scan data sets corresponding to the generated A-scan data sets, wherein B-scan data of the first B-scan data sets and of the second B-scan data sets are obtained by using A-scan data sets obtained by scanning the object with the measuring light;
a position alignment unit configured to perform a position alignment between at least one of the first tomographic images and at least one of the second tomographic images; and
a forming unit configured to form tomographic information of the object to be inspected by using tomographic images obtained by performing the position alignment.

US Pat. No. 10,555,667

SYSTEM AND METHOD FOR DETERMINING INTRAOCULAR LENS POWER

1. A method for determining preoperative estimation of postoperative intraocular lens position of an intraocular lens, comprising:an optical biometric machine that determines:
an axial length (AL) of an eye which is a distance from an anterior surface of a cornea of the eye along an optical axis of the eye to an anterior surface of a retina of the eye within a fovea region of the eye, with the optical axis being a reference line along which light propagates through the eye;
an Ante-Nucleus Distance (AND) of the eye, which is a distance from the anterior surface of cornea of the eye along the optical axis of the eye to an anterior surface of a natural lens nucleus of the eye; and
a Retro-Nucleus Distance (RND), which is a distance from the anterior surface of the natural lens nucleus of the eye to a posterior surface of a natural lens capsule of the eye;
with an Estimated Anterior Pseudophakic Distance (EAPD) for position of the intraocular lens is calculated in accordance with:
EAPD=W1+(W2×AND)+(W3×RND)+(W4×AL),
Where W1, W2, W3, and W4 are constant coefficients;
wherein:
an intraocular estimated power IOLEP based on a location of the intraocular lens determined by the Estimated Anterior Pseudophakic Distance (EAPD) is derived by:

where:
nAH is a index of refraction for the aqueous humor;
K is corneal power; and
RC is refractive error at a corneal plane.

US Pat. No. 10,555,666

CANNULA WITH PROXIMALLY MOUNTED CAMERA AND TRANSPARENT OBTURATOR

Rebound Therapeutics Corp...

3. A cannula system for accessing a blood mass in the brain of a patient, said cannula system comprising:a cannula comprising a cannula tube with a proximal end and a distal end and a lumen extending from the proximal end to the distal end; and
an obturator comprising an obturator shaft having a proximal end and a distal end, and an obturator tip disposed on the distal end of said obturator shaft, said obturator tip being optically transmissive, and having a proximal surface and a tapered distal surface, said obturator tip having a transverse diameter closely matching the lumen of the cannula tube, said obturator being slidable within the cannula tube, and positionable within the cannula tube such that the proximal end of the obturator shaft extends proximally out of the cannula tube proximal end while the tapered distal surface extends out of the cannula tube distal end, wherein the obturator shaft has a transverse cross section smaller than a transverse diameter of the obturator tip, whereby the proximal surface of the obturator tip is visible from the proximal end of the cannula tube when the obturator tip is disposed within the cannula tube such that the tapered distal surface extends out of the cannula tube distal end;
a camera assembly secured to the proximal end of the cannula, with a portion of the camera assembly overhanging and partially obstructing the lumen;
the camera assembly has a distal-most optical surface, and said distal-most optical surface is disposed proximate the proximal end of the cannula tube.

US Pat. No. 10,555,665

ENDOSCOPE REPROCESSOR AND ENDOSCOPE DEWATERING METHOD

OLYMPUS CORPORATION, Tok...

6. An endoscope dewatering method comprising bringing a connector for air/water cylinder inserted into an air/water cylinder in an endoscope into an unsealed state where gas leaks out of the endoscope from the air/water cylinder to introduce gas from an air supply connector and a water supply connector in the endoscope, and then bringing the connector for air/water cylinder into a sealed state where gas does not leak out of the endoscope from the air/water cylinder to introduce gas from the air supply connector and the water supply connector in the endoscope.

US Pat. No. 10,555,664

ENDOSCOPE

PANASONIC I-PRO SENSING S...

1. An endoscope comprising:an insert section including a distal end portion;
an imaging unit provided at the distal end portion;
an imaging signal converter provided inside the insert section, the imaging signal converter, which in operation, converts an imaging signal output from the imaging unit;
wherein a transmission speed of a first imaging signal transmitted from the imaging unit to the imaging signal converter is lower than or equal to a transmission speed of a second imaging signal transmitted from the imaging signal converter,
wherein a threshold level of a digital output signal at the time of imaging in the imaging unit is equal to or less than 0.2 V, and
wherein a threshold level of a digital output signal at the time of imaging in the imaging signal converter is equal to or less than 0.4 V.

US Pat. No. 10,555,663

SURGICAL ENDOSCOPE AND PROCESS FOR EXCHANGING SURGICAL TOOLS IN A SURGICAL ENDOSCOPE

SOCIEDADE BENEFICENTE DE ...

1. An endoscope to perform surgeries through translumenal orifices in internal organs, said endoscope comprising:an insertion tube comprising:
a distal end having an outer periphery defined by an outer surface that is oriented parallel to a longitudinal axis of the insertion tube;
at least one distal end surface oriented perpendicular to the outer surface; and
at least one single axis and open-ended cavity having a base surface and two opposing and spaced apart side surfaces each oriented perpendicular to the base surface, such that the base surface and each of the two opposing side surfaces collectively define a substantially U-shape of the cavity,
wherein:
the base surface extends continuously along a single axis, is oriented perpendicular to the longitudinal axis of the insertion tube, and is parallel to and inset relative to the at least one distal end surface; and
a first edge of each of the two opposing side surfaces intersects the distal end surface;
at least one basis guide positioned substantially within the cavity of the distal end, the at least one basis guide having at least one surface flush relative to a portion of the distal end surface; and
at least one working channel enabling operation of at least one surgical tool.

US Pat. No. 10,555,662

IMAGE RECORDING APPARATUS, METHOD FOR CONFIGURING A CAMERA HEAD OF AN IMAGE RECORDING APPARATUS AND IMAGE RECORDING APPARATUS SET

1. An image recording apparatus comprising:a camera control unit and a camera head,
the camera head including an image signal pre-processing unit for generating an image signal stream, and
the camera control unit has an image signal processing unit,
wherein the camera head is releasably connectable to the image signal processing unit via an interface for transmitting the image signal stream,
a storage device of the camera head that contains camera-head-specific information is connectable via the interface to a configuration unit in the camera control unit, and
the configuration unit is set up
for receiving the camera-head-specific information from the connected storage device and
for reading configuration data for configuring the image signal pre-processing unit, corresponding to the camera-head-specific information, from a configuration data storage device of the camera control unit,
wherein the configuration data is updated and modified independently of the camera head, and for writing the configuration data to the image signal pre-processing unit,
the camera control unit is set up for configuring the image signal pre-processing unit with the configuration data, and
the image signal pre-processing unit is or comprises an FPGA unit or a combination of an FPGA unit and a microcontroller.

US Pat. No. 10,555,661

ENDOSCOPE SYSTEM

OLYMPUS CORPORATION, Tok...

1. An endoscope system comprising:a first processor comprising hardware, the first processor being configured to process a first imaging signal acquired by a first endoscope;
a second processor comprising hardware, the second processor being communicably connected to the first processor and configured to process a second imaging signal acquired by a second endoscope;
a first connector provided in the first processor, the first endoscope being connected to the first processor by the first connector;
a second connector provided in the second processor, the second endoscope being connected to the second processor by the second connector;
wherein the first processor is configured to:
switch a processing mode of image processing to one of a first processing mode and a second processing mode in accordance with a connection state of the first processor to the first endoscope and a connection state of the second processor to the second endoscope;
execute first image processing on the first imaging signal when the processing mode is switched to the first processing mode and to execute second image processing on an signal input from the second processor when the mode switch switches the processing mode is switched to the second processing mode; and
generate a video signal for display based on an output signal from the first processor and output the video signal to an external device.

US Pat. No. 10,555,660

IMAGE PROCESSING APPARATUS, IMAGE PROCESSING METHOD, AND IMAGE PROCESSING PROGRAM

OLYMPUS CORPORATION, Tok...

1. An image processing apparatus comprising:one or more processors comprising hardware, wherein the one or more processors are configured to:
acquire a narrowband image showing inside of a lumen, wherein the narrowband image is captured based on light of a predetermined wavelength band;
acquire a white light image showing the inside of the lumen; and
combine information of the narrowband image to the white light image to generate a composite image for display,
wherein in combining the information of the narrowband image to the white light image:
for the narrowband image captured based on light of the predetermined wavelength band corresponding to a blue component of visible light, the information of the narrowband image is weighted by a weight that becomes larger as a depth of a submucosal object in the lumen to be observed becomes shallower; and
for the narrowband image captured based on light of the predetermined wavelength band corresponding to a red component of visible light, the information of the narrowband image is weighted by a weight that becomes larger as the depth of the submucosal object in the lumen to be observed becomes deeper.

US Pat. No. 10,555,659

CONVEYOR DISHWASHER HAVING A SENSOR DEVICE FOR DETECTING THE CONCENTRATION OF DISINFECTANT

ILLINOIS TOOL WORKS INC.,...

1. A conveyor dishwasher for washing washware, wherein the conveyor dishwasher has at least one wash zone with at least one wash nozzle for spraying wash liquid onto the washware, and has at least one final rinse zone with at least one final rinse nozzle for spraying final rinse liquid onto the washware, and wherein a metering device is connected for adding a disinfectant to a final rinse line that feeds the at least one final rinse nozzle so that the disinfectant is added to the final rinse liquid in a metered manner prior to spraying of the final rinse liquid from the at least one final rinse nozzle,characterized in that a sensor device is provided, the sensor device being configured to detect a concentration of disinfectant in the final rinse liquid in the final rinse line prior to spraying of the final rinse liquid from the at least one final rinse nozzle in the final rinse zone, and in that a control device is provided, the control device being configured to compare the value of the concentration of disinfectant which is detected by the sensor device with a predefined concentration value and, in the event the concentration of disinfectant deviates by at least a defined deviation value from the predefined concentration value, to interrupt the dishwashing process or to output a warning signal to an operator.

US Pat. No. 10,555,658

TWIST MOP WITH INTEGRAL PAWL

Freudenberg Household Pro...

1. A mop comprising:a mop handle with a grip end and a mopping end;
a spline sleeve disposed along the mop handle, the spline sleeve including a plurality of spline ribs disposed on the mop handle between the grip end and the mopping end, the spline ribs substantially surrounding a surface of the mop handle, and extending parallel to one another in an aligned relation substantially with a longitudinal centerline of the mop handle;
a ratchet sleeve concentrically surrounding the spline sleeve along the mop handle so as to be rotatable in first and second rotational directions with respect to the mop handle, the ratchet sleeve including a flexible collar with a single, inward-facing integral pawl disposed on an interior portion of the flexible collar facing the mop handle, the flexible collar being formed integrally with the ratchet sleeve and connected to a remaining portion of the ratchet sleeve via a bridge extending peripherally along the ratchet sleeve such that a slit extending perpendicularly relative to the longitudinal centerline at least partially through the ratchet sleeve and through the centerline is formed, the slit extending peripherally at least 180 degrees with respect to the centerline, wherein the inward-facing integral pawl is disposed diametrically opposite the bridge at a radial location disposed at a mid-point of the slit and between two tabs formed externally on the flexible collar; and
a mop head disposed at the mopping end of the mop handle, the mop head having a first end connected to the mopping end of the mop handle and a second end connected to the ratchet sleeve;
wherein the flexible collar of the ratchet sleeve is flexible between a locked position, in which the pawl engages with the spline ribs so as to substantially prevent rotation of the ratchet sleeve with respect to the mop handle in the first rotational direction, and an unlocked position, in which the pawl is configured to flex from the locked position to the unlocked position when a squeezing force is applied to the two tabs such that the pawl disengages the spline ribs so as to allow rotation of the ratchet sleeve with respect to the mop handle in both the first and second rotational directions.

US Pat. No. 10,555,657

FLOOR TREATMENT APPARATUS

1. A floor treatment apparatus that is operable to receive inputs from direct contact with an operator and without direct contact with an operator to perform tasks, the floor treatment apparatus comprising:a chassis comprising a front, a back, a lower surface, a front surface adjacent the front, an upper surface, a rear surface located behind a center point of the chassis, a left surface, and a right surface;
a platform located partially between a portion of the right surface and the left surface and at least partially behind the rear surface, wherein the platform includes a top surface adapted to receive the feet of an operator and a throttle;
wherein the throttle comprises a pedal that protrudes above the top surface of the platform;
a steering mechanism associated with the chassis and having a portion accessible to an operator;
a floor treating device connected adjacent to the lower surface of the chassis, the floor treating device configured to at least one of scrub floors, clean carpets, vacuum floors, wax floors, burnish floors, remove wax from a floor, and remove varnish from a floor;
a squeegee that is operable to follow a path of travel of the floor treatment apparatus; and
a sensor having a defined relationship with respect to the chassis capable of generating information or receiving information from a remote location; and
the sensor in electrical communication with at least one of the steering mechanism and the throttle for at least one of controlling cleaning operations, redirecting the floor treatment apparatus, and varying a speed of the apparatus based on input from the sensor.

US Pat. No. 10,555,656

AUTOMATED FLOOR CLEANER

1. An automated floor cleaner, comprising:a cleaner body;
an endless belt, connected to and extending from the cleaner body so that in use a section of a surface area of the belt is in contact with a floor;
a motor, connected to the belt to drive the belt independently of movement of the cleaner body across the floor;
at least one drive wheel and at least one drive motor connected to the cleaner body and configured to move the cleaner body across the floor;
a memory module configured to map and record the position of the cleaner body during use;
at least one short range sensor configured to sense the proximity of a front of the cleaner body relative to an obstacle and to transmit data relating to the proximity to the memory module.

US Pat. No. 10,555,655

ROBOT CLEANER AND METHOD FOR CONTROLLING THE SAME

EVERYBOT INC., Seongnam-...

1. A method for controlling a robot cleaner including a first rotation member and a second rotation member respectively rotating around a first shaft and a second shaft and having cleaners fixed thereto, comprising:controlling at least one of the first rotation member and the second rotation member to rotate depending on a traveling mode to drive the robot cleaner in a proceeding direction;
identifying whether or not an obstacle is detected by a sensor while the robot cleaner travels; and
setting a first reference surface based on a position of the obstacle and performing a wall movement pattern along the first reference surface while the robot cleaner travels performing one-way rotation and performing mopping with the cleaners, when the obstacle is continuously detected,
wherein the step of performing the wall movement pattern comprises:
a first step of controlling the first rotation member and the second rotation member to rotate in the same direction to allow one surface of the robot cleaner to be directed toward the first reference surface;
a second step of controlling the first rotation member and the second rotation member to rotate in the same direction equal to that of the first step to allow another surface of the robot cleaner opposite to the one surface of the robot cleaner to be directed toward the first reference surface; and
sequentially and repeatedly performing the first step and the second step.

US Pat. No. 10,555,654

SUCTION NOZZLE FOR A VACUUM CLEANER

1. A suction nozzle for a vacuum cleaner for vacuuming up material from a surface to be cleaned by a vacuum air flow, comprising:a suction mouth configured to be arranged adjacent to the surface to be cleaned and having a suction edge that defines a partial surface exposed to the vacuum air flow and a vacuum air flow extraction opening;
a delimiting means that is assigned to the suction edge;
an obstacle sensor configured for detecting an essentially stationary obstacle within a detection zone of the obstacle sensor, the obstacle being located in front of the suction nozzle and arranged outside a part of the surface covered by the suction nozzle and protruding beyond a suction edge plane containing the suction edge of the suction nozzle during a normal cleaning process,
wherein the delimiting means is controlled by detection results of the obstacle sensor such that the delimiting means cannot be displaced into an open state until a detected distance between the suction nozzle and the obstacle is less than a defined threshold distance that is less than a possible maximum distance that is predetermined by the boundary of the detection zone, and wherein, in this way, material to be vacuumed up is pushed in front of the delimiting means until the suction nozzle reaches the threshold distance from the obstacle.

US Pat. No. 10,555,653

DOMESTIC CYCLONIC VACUUM CLEANER

Dyson Technology Limited,...

1. A domestic cyclonic vacuum cleaner comprising a suction inlet fluidly connected in series to a vac-motor for drawing a dirty airflow in through the suction inlet, the suction inlet being fluidly connected downstream to both a first cyclonic separator and to a flow device, said fluid connection to the first cyclonic separator and to the flow device being via a flow junction for dividing the dirty airflow into two separate airflows: a first airflow passing through the first cyclonic separator and a second airflow passing through the flow device; the flow device being either a second cyclonic separator or an air turbine, and wherein a screening member is provided upstream of the flow device and comprises a plurality of apertures that are configured for screening out dirt particles based on size from the second airflow so that the screened-out dirt particles are retained instead in the first airflow.

US Pat. No. 10,555,652

CYCLONE DUST COLLECTOR AND VACUUM CLEANER HAVING THE SAME

SAMSUNG ELECTRONICS CO., ...

1. A vacuum cleaner to collect dust, the vacuum cleaner comprising:a cyclone dust collector including:
a case including a bottom and an upper part;
a first cover couplable to the bottom of the case to selectively open and close the bottom of the case and includes a locking part,
a second cover configured to cover the upper part of the case, and
a grill assembly configured to be detachable from the cyclone dust collector as the first cover coupled to the bottom of the case is being opened to remove dust from the grill assembly while the grill assembly detaches from the cyclone dust collector, wherein the grill assembly is selectively couplable to and detachable from the second cover and includes a locking hole into which the locking part is inserted,
wherein the first cover further includes a sliding hole through which the locking part passes to be inserted into the locking hole to lock the first cover to the grill assembly.

US Pat. No. 10,555,651

APPARATUS FOR SEPARATING PARTICLES FROM AN AIRFLOW

Dyson Technology Limited,...

1. An apparatus for separating particles from an airflow, the apparatus comprising:a housing comprising an inner wall; and
a body positioned within the housing and separated therefrom so as to define an annular flow path between the body and the inner wall;
the housing being rotationally stationary, and the body being rotatable relative to the housing about a rotational axis, the body comprising:
an impeller section having a first set of blades extending from the body into the annular flow path towards the inner wall of the housing, the impeller section being rotatable for generating airflow through the apparatus and for generating swirl within the airflow, and
a turbine section located downstream of the impeller section and spaced along the rotational axis from the impeller section, the turbine section having a second set of blades for recapturing rotational energy from the airflow.

US Pat. No. 10,555,650

CLEANER APPLIANCE

Dyson Technology Limited,...

1. A cleaning appliance comprising a cleaner head rotatably attached to a duct, the cleaner head comprising:a main body having an agitator chamber and an opening;
an end cap attachable to the main body to close the opening, the end cap forming an outer surface of the cleaner head when the end cap is attached to the main body;
an axle that extends into the agitator chamber;
a drive assembly comprising a motor, the drive assembly being mounted on the axle; and
an agitator mounted within the agitator chamber so as to surround the drive assembly, wherein the agitator is mounted at a first end on a bearing or bushing seated within the end cap, and the agitator is removable from the main body and the drive assembly through the opening,
wherein the motor of the drive assembly comprises a shaft that is coupled to the agitator such that torque generated by the motor is transmitted to the agitator via the shaft, the cleaner head rotates relative to the duct about a rotational axis, and the drive assembly is mounted along the axle such that the centre of gravity of the cleaner head is located on a vertical plane containing the rotational axis.

US Pat. No. 10,555,649

VACUUM CLEANER SUCTION NOZZLE WITH HEIGHT ADJUSTMENT AND BLEED VALVE

Aktiebolaget Electrolux, ...

1. A vacuum cleaner nozzle assembly comprising:a housing configured to move on a surface to be cleaned, the housing having an inlet opening facing the surface to be cleaned, an outlet, a suction passage extending from the inlet opening to the outlet, a bypass opening, and a bypass passage fluidly connecting the bypass opening to the outlet;
a bleed valve assembly comprising a valve member movably mounted to the housing and movable between a closed position in which the valve member blocks the bypass passage, and an open position in which the valve member does not block the bypass passage to allow a flow of air through the bypass opening and to the outlet;
a support assembly movably mounted to the housing and comprising a movable support and a lever arm, the support assembly being movable between:
a first position in which the lever arm is positioned to allow the bleed valve assembly to remain in the closed position, and the movable support holds the inlet opening at a first distance from the surface to be cleaned,
a second position in which the lever arm contacts the bleed valve assembly and holds the valve member in the open position, and the movable support holds the inlet opening at a second distance from the surface to be cleaned, the second distance being greater than the first distance, and
a third position in which the lever arm is positioned to allow the bleed valve assembly to remain in the closed position, and the movable support holds the inlet opening at a third distance from the surface to be cleaned, the third distance being greater than the first distance and less than the second distance; and
a pedal mounted to the housing and configured to move the support assembly from the first position to the second position and the third position.

US Pat. No. 10,555,648

CLEANER

LG Electronics Inc., Seo...

1. A cleaner comprising:a suction unit;
a suction motor that is configured to drive an impeller and is configured to generate suction force to thereby suction air through the suction unit;
a dust separation unit that is configured to separate dust from air suctioned through the suction unit, the dust separation unit including a first cyclone unit configured to separate dust from air that is suctioned into the cleaner through the suction unit, and a second cyclone unit configured to separate dust from air that is discharged from the first cyclone unit;
a dust container that is disposed vertically under the suction motor and configured to receive the dust separated by the dust separation unit;
a battery disposed at a side of the cleaner and configured to supply power to the suction motor; and
a handle disposed at a portion of the battery,
wherein a rotational axis of the impeller extends in a vertical direction and passes through the dust separation unit, and
wherein the suction motor is positioned between the impeller and the second cyclone unit.

US Pat. No. 10,555,647

CLEANING DEVICE

SharkNinja Operating LLC,...

1. An apparatus having a cleaning head arranged to be removably attachable to a cleaning device, the apparatus comprising:the cleaning head having an upper side and a lower side, and a suction inlet, the lower side of the cleaning head arranged to contact a surface to be cleaned; and
a dirt collection chamber permanently attached to the cleaning head and arranged to receive dirt from the suction inlet;
wherein the dirt collection chamber is not openable by a user to dispose of dirt in the dirt collection chamber without damaging the dirt collection chamber;
wherein the cleaning head is arranged to hold a cleaning sheet on the lower side of the cleaning head.

US Pat. No. 10,555,646

VENTED BACKPACK BLOWER

1. A backpack blower, comprising:a motorized blower unit having an engine and a curved air discharge pipe;
a backpack frame configured to support blower on the back of a user wherein said curved air discharge pipe is secured in a fixed position to a top portion of said backpack frame;
a blower nozzle assembly affixed to said air discharge pipe to direct air flow generated by said blower unit;
at least one opening on said air discharge pipe which directs a portion of said air flow out of said discharge pipe toward a user wearing said backpack blower; and
an adjustable deflector affixed to a curved upper portion of said air discharge pipe in operable connection with said at least one opening on said air discharge pipe which directs air passing through said at least one opening through an outlet of said deflector toward a rear portion of said user's neck while said user is wearing said backpack blower, wherein said adjustable deflector may be adjusted by said user to direct said air flow to a desired location on said user's back or neck.

US Pat. No. 10,555,645

APPARATUS AND METHOD FOR A PORTABLE URINAL KIT

1. A portable urinal kit, the portable urinal kit comprising:a receiving vessel;
a support member, the support member being coupled to the receiving vessel;
the receiving vessel having an open top and a bottom portion, the open top being for receiving liquid and the bottom portion being for draining the receiving vessel;
a drain hose, the drain hose coupled to the bottom portion of the receiving vessel;
a dry well, the dry well being coupled to the opposite end of the drain hose from the bottom portion of the receiving vessel, wherein the dry well having seepage holes to aid in drainage; and
at least one strap, the at least one strap being coupled to the drain hose for securing the drain hose.

US Pat. No. 10,555,644

PRODUCT, SYSTEM, METHOD, APPARATUS, AND ARTICLE OF MANUFACTURE FOR SHOWER LINER STAY

1. A shower liner stay installed adjacent a conventional flexible shower liner hanging from a shower curtain rod, comprising:at least one substantially and intentionally straight pensile wand hanging vertically by gravity with a pendent terminator from a subjective curtain rod hanger on the shower curtain rod, the subjective curtain rod hanger selected by a user of the conventional flexible shower liner from any curtain rod hangers installed on the shower curtain rod, the pensile wand unenclosed by the conventional flexible shower liner beside a dry side surface of the conventional flexible shower liner and sandwiching the conventional flexible shower liner between the pensile wand and a grasper portion object at a wet side surface of the conventional flexible shower liner, the pendent terminator adjustably located by the user to any curtain rod location and including an end cap with an eyelet installed at a top end of the pensile wand, the eyelet having a loop for engaging the subjective curtain rod hanger, the conventional flexible shower liner having:
the wet side surface which faces a showering area,
the dry side surface which is opposite the wet side surface, and
no additional design feature for physically engaging the shower liner stay; and
at least one of the grasper portion object installed by the user at the wet side surface adjacent a location of the pensile wand, the grasper portion object:
enabling the sandwiching the conventional flexible shower liner between the pensile wand and the grasper portion object at the wet side surface of the conventional flexible shower liner to hold in place the conventional flexible shower liner against the pensile wand at the grasper portion object without direct contact of the grasper portion object to the pensile wand,
adjustably located by the user at the wet side surface adjacent the location of the pensile wand unenclosed by the conventional flexible shower liner beside the dry side surface of the conventional flexible shower liner, and
providing the only intended engagement of the conventional flexible shower liner to the pensile wand.

US Pat. No. 10,555,643

HUMANIZED CONTROL DEVICE APPLIED TO HEALTH SHOWER DEVICE

XIAMEN EASO CO., LTD., X...

1. A humanized control device applied to a health shower device, comprising a shower rod, a water diverter, and an operating mechanism;the water diverter including a three-way body and a valve core, the three-way body having a lateral inlet, an upper outlet and a lower outlet, the valve core being movably fitted in the three-way body to block the upper outlet and the lower outlet;
the shower rod being a hollow structure, an upper end of the shower rod being connected to the lower outlet of the three-way body;
the operating mechanism including a three-way member and an operating lever, the three-way member having an inlet end opening, an outlet end opening and a mounting end opening, the operating lever being movably disposed in the mounting end opening, the inlet end opening being connected to a lower end of the shower rod; two ends of the operating lever being a linking end and an operating end respectively, the linking end of the operating lever being linked with the valve core through a linking member located in the shower rod.

US Pat. No. 10,555,642

COFFEE GRINDING AND PROPORTIONING DEVICE, ESPECIALLY FOR ESPRESSO MACHINES

CGTECNICA S.R.L., Floren...

1. A device for grinding coffee or another grainy material, comprising at least one motor-driven grinding assembly, fed by a hopper and an output mouth, and from the output mouth of which a powder comprising the ground grainy material enters a distributor compartment, wherein said distributor compartment is functionally associated with means that measures the weight of the powder inside the distributor compartment, wherein further said distributor compartment internally accommodates an Archimedean screw, wherein the Archimedean screw is driven by a motor that rotates according to a pushing direction to obtain a precision evacuation of the powder contained inside said distributor compartment, said powder being so delivered to inside a filter of a filter-holder cup, wherein further a plurality of brushes are integrally associated with the lower part of said Archimedean screw, wherein said Archimedean screw rotates in the direction opposite to the pushing direction of the motor to homogenize and mix the powder that had been delivered to inside said distributor compartment by said at least one motor-driven grinding assembly.

US Pat. No. 10,555,641

COOKING GRILL WITH MULTIPLE GAS HEATING ZONES FRONT TO BACK FOR IMPROVED GRILL PLATE TEMPERATURE MANAGEMENT

GARLAND COMMERCIAL INDUST...

1. A grill for cooking food products, comprising:a substantially flat platen comprising a top surface and a bottom surface, said top surface for receiving the food products, wherein said platen has a front end and a back end so that a user operates the grill from said front end of the platen, and the platen is divided into a plurality of independently controlled heating zones adjacent to one another along a length of said platen from said front end to said back end;
a plurality of heating elements below said bottom surface, wherein each of said heating zones has heating element associated therewith, and wherein each of said heating elements is a forced draft gas burner having a burner fan associated therewith;
a pressurized burner box, wherein each of said plurality of heating elements are within said burner box;
a chassis connected to said platen and enclosing each of said plurality of heating elements and said burner box, so that said platen and said plurality of heating elements are within a single lane of the grill;
a controller in communication with each of said plurality of heating elements wherein said controller controls an operating temperature of each of said plurality of heating elements independently of other heating elements, and
wherein said controller controls each burner fan to operate at a first speed or a second speed, wherein said first speed is higher than the second speed, wherein said first speed is sufficient to provide air for combustion at said gas burner, and said second speed is sufficient to block air from said pressurized burner box from travelling back through said gas burner.

US Pat. No. 10,555,640

DETACHABLE ELEMENT GRILL SUPPORT

1. An appliance to support food items comprising:a base, the base including an upper slot vertically spaced from a lower slot; and
a wire form structure, the wire form detachably supported on the base in an assembled condition including portions of the wire form extending into the upper and the lower slots respectively to hold the wire form in first and second lateral and rotational positions on the base; and
a bent segment of the wire form contacting an edge of either said upper or lower slot, the wire form being resilient including an installed shape and a deflected shape, the installed shape including the wire form being confined in the slot, the deflected shape including the wire form being free of confinement in the slot to enable the wire form to be extracted from the slot and detached from the base; and
the base is a sheet metal form including a side face and a top face, the lower slot being in the side face, the upper slot being in the top face, the wire form engaged to the respective upper and lower slot locations, the wire form being stabilized on the base by the vertically spaced engagement locations.

US Pat. No. 10,555,639

CHAFING DISH AND FRAME ASSEMBLY

1. A chafing dish and frame assembly comprising:(a) a lower frame section for supporting a disposable food tray;
(b) said disposable food tray for holding food supported by said lower frame section;
(c) an upper frame section for supporting said lower frame section;
(d) a disposable food cover supported by said upper frame section;
(e) wherein said upper frame section further includes a middle attachment frame that removably and nestably attaches the upper frame section to the lower frame section; and
(f) a pivot hinge for pivotally connecting said upper frame section to said middle frame section, wherein said pivot hinge allows said disposable food cover to be pivoted up to ninety degrees relative to said disposable food tray from
(i) a closed position, wherein said disposable food cover rests on top of said lower tray section,
(ii) to an open position, wherein said disposable food cover is pivoted upwardly so that the food in said disposable food tray may be accessed.

US Pat. No. 10,555,638

ADJUSTABLE OUTDOOR COOKING ASSEMBLY

1. An outdoor cooking assembly comprising:a cooking grate;
a plurality of vertically extending poles configured to support the grate above an open fire;
a plurality of cylindrical sleeves configured to attach the grate and the poles at right angles to one another, each sleeve configured to be slidably received on one of the poles;
a releasable locking mechanism carried by each sleeve, each releasable locking mechanism being movable between a locked configuration wherein the locking mechanism engages a pole, preventing the sleeve from sliding vertically along the pole, and an unlocked configuration wherein the locking mechanism is disengaged from the pole, allowing the sleeve to slide vertically along the pole;
a locking tool having an elongated distal end configured to cooperate with the locking mechanism and a thermally insulating proximal end configured to be grasped by a user, allowing the user to move the locking mechanism between the locked and unlocked configurations.

US Pat. No. 10,555,637

BREWER WITH TEMPERATURE RESPONSIVE CONTROL VALVE

Bunn-O-Matic Corporation,...

1. A beverage maker comprising:a reservoir;
at least one passage in the reservoir permitting moving water from the reservoir;
a valve assembly positioned in the reservoir proximate to and cooperative with the at least one passage for controllably retaining water in the reservoir when the water is below a predetermined temperature range and allowing water to drain from the reservoir when the temperature of the water is above a predetermined temperature range;
a heating element spaced from the valve assembly to provide heat energy to water retained in the reservoir for use in a brewing process but being sufficiently spaced away to have generally no direct effect on the valve assembly;
an intermediate chamber positioned below and in communication with the reservoir for receiving water flowing from the reservoir;
a drain positioned in the lower portion of the intermediate chamber for allowing passage of water therethrough; and
a beverage substance retaining container positioned below the intermediate chamber for receipt of water from the intermediate chamber through the drain for mixing with a beverage substance retained within the container, the container including a drain opening through which beverage can drain; and
wherein the reservoir is positioned above the intermediate chamber which is positioned above the beverage substance retaining container to facilitate the gravity flow of water from the reservoir to the intermediate chamber when the temperature of the water is above a predetermined temperature range and to continue to flow from the intermediate chamber to the beverage substance retaining container.

US Pat. No. 10,555,636

BEVERAGE PREPARATION SYSTEM, A CODED INSERT AND METHODS OF USE THEREOF

Koninklijke Douwe Egberts...

1. A coded insert for use with a beverage preparation machine of the type comprising a brew head and with a cartridge of the type containing one or more beverage ingredients and having a primary code configured to provide operating instructions to the beverage preparation machine for delivering a beverage from the cartridge;the coded insert being shaped and sized to be locatable within the brew head along with the cartridge and comprising a secondary code configured to provide alternative operating instructions to the beverage preparation machine for delivering a modified beverage from the cartridge;
wherein the coded insert comprises a first member and a second member which is rotatably mounted to the first member, the first member having a rectangular window and the second member having a plurality of secondary codes which can be interchangeably viewed through the window by rotating the second member relative to the first member.

US Pat. No. 10,555,635

CONNECTOR FOR REFILLING CONTAINER AND BEVERAGE DISPENSER

Societe des Produits Nest...

1. A connector for connecting a powder refilling container comprising at least one flexible wall with a storing powder tank of a beverage preparation machine wherein the connector is a tube, the tube presenting two ends,a first end is configured for piercing the at least one flexible wall of the powder refilling container and is further configured to attach to the at least one flexible wall,
a second end is configured for introduction in a receiving area of a powder inlet of the storing powder tank, and
wherein an external wall of the tube comprises at least one guiding groove and/or pin designed for guiding the tube in the receiving area of the powder inlet of the storing powder tank and for moving the tube in the receiving area.

US Pat. No. 10,555,634

COOKING MACHINE FOR WEIGHING FOOD

T.F. ELECTRICAL TECHNOLOG...

1. A cooking machine for weighing food, which comprises a housing, a heating tray assembly configured to support and heat a cooking cup, a transmission wheel configured to drive a blender structure of the cooking cup to rotate, a motor configured to drive the transmission wheel to rotate and a transmission mechanism configured to connect the transmission wheel with the motor; wherein the cooking machine for weighing food further comprises a holder configured to support the transmission mechanism and a weighing mechanism configured to weigh food inside the cooking cup; the holder has a first end and a second end; the first end protrudes into and is underneath the heating tray assembly; the transmission wheel is mounted on the first end of the holder; the second end is fixed to the housing; the motor is fixed to the second end; the weighing mechanism is arranged below the first end of the holder; the heating tray assembly is supported on the weighing mechanism;wherein the weighing mechanism includes a sensor configured to weigh, an upper holder configured to abut against and press one end of the sensor, and a lower holder configured to support the other end of the sensor;
wherein the lower holder has a U shape; two ends of the lower holder are fixedly connected to the holder; the sensor is fixed to the bottom of the lower holder, and
wherein the bottom of the lower holder extends in the directions of two sides of the lower holder to form a supporting plate.

US Pat. No. 10,555,633

AUTONOMOUS COOKING DEVICE TO PREPARE FOOD FROM A RECIPE FILE AND METHOD FOR CREATING RECIPE FILES

1. An autonomous cooking device to automatically prepare food according to recipe files, the cooking device comprising:an outer shell to house a cooking unit;
an input/output device accessible from the outer shell, the input/output device to receive a selection of a specific recipe file from a plurality of recipe files, the specific recipe file comprising at least image sensor data corresponding to different phases of food preparation;
a cooking unit comprising a container and a heating element, the cooking unit initiating a cooking portion of food preparation;
an image sensor to capture images of food while cooking for comparison against reference images;
a control unit electrically coupled to the input/output device and comprising a processor and a memory device, the control unit comprising an image analyses module to compare one or more of the captured images against one or more reference images from the specific recipe file and the control unit comprises an optimal cooking time module to estimate a remaining cooking time based on the image comparison,
wherein the optimal cooking time module performs the image comparison by comparing power spectral densities of a captured image versus a reference image, in order to compare a real-time texture of food against a reference texture,
wherein the image analyses module generates a one-dimensional power spectral density by integrating the square of Discrete Fourier Transform of a two-dimensional image over annular rings of equal area starting from the center of the two-dimensional image, and
wherein the cooking unit ends the cooking portion of food preparation, responsive to the remaining cooking time.

US Pat. No. 10,555,632

HOUSE NUMBER ILLUMINATION DEVICE

1. A house number illumination device comprising:a housing defining an interior space, the housing being substantially rectangularly box shaped;
a coupler coupled to a back of the housing wherein the coupler is configured for coupling the housing to a mailbox such that the housing is positioned within the mailbox, the coupler comprising a magnet wherein the magnet is configured for coupling to a mailbox comprising a paramagnetic material for coupling the housing to the mailbox;
a power module coupled to the housing and positioned in the interior space, the power module comprising a battery;
an opening positioned in a front of the housing proximate to the power module wherein the opening is configured for accessing the interior space for servicing the power module;
a hole positioned through the back of the housing wherein the opening is configured for inserting an article of mounting hardware through the hole and a corresponding hole in the mailbox for coupling the housing to the mailbox such that the housing is positioned in the mailbox;
a panel selectively couplable to the housing for closing the opening;
a plurality of fixtures, each fixture being operationally coupled to the power module by a respective wire extending from the housing, each fixture being configured for coupling to a surface proximate to a respective digit of a house number, each fixture comprising a bulb wherein the plurality of fixtures is configured for illuminating the house number, the plurality of fixtures comprising five fixtures, each wire extending from the power module wherein each wire is configured to extend through a drain hole positioned in a bottom of the mailbox, each fixture comprising:
a plate, the plate being rectangularly shaped, and
the bulb being coupled to the plate, the bulb comprising a set of light emitting diodes, the set of light emitting diodes being arrayed on the plate such that the set of light emitting diodes forms the respective digit of the house number; and
a switch coupled to the housing, the switch being operationally coupled to the power module and the plurality of fixtures wherein the switch is positioned for selectively operationally coupling the power module to the plurality of fixtures for illuminating the house number.

US Pat. No. 10,555,631

CHIP AND DIP TRAY

1. A chip and dip container, comprising:a dip bowl coupled to a dip bowl lid, the dip bowl having a first, circular, vertically-extending protrusion that extends vertically straight down from a bottom surface of the dip bowl;
a chip bowl coupled to a chip bowl lid, the chip bowl comprising a second, vertically-extending, circular wall that extends vertically straight up from a floor of the chip bowl, the second, vertically-extending, circular wall centrally located on the floor of the chip bowl and forming a first circular opening, the first circular opening secures the first vertically-extending protrusion thereby limiting movement of the dip bowl when in the chip and dip container is in transport or when the chip and dip container is being stored,
wherein the chip bowl lid comprises a channel on an upper surface of the chip bowl lid, the channel created by second vertically-extending walls that extend from a bottom surface of the chip bowl lid, the second vertically-extending wall defining a second opening on an inner surface of the chip bowl lid, the second opening retains the dip bowl lid when the chip and dip container is in transport or when the chip and dip container is being stored,
and wherein the second, vertically extending walls comprise a circular inner wall and a circular outer wall, wherein the channel is disposed on a top surface of the chip bowl lid.

US Pat. No. 10,555,630

CUTLERY LIFTING AND SEPARATING DEVICE WITH CONTAMINATION PREVENTION

1. A cutlery holding system, comprising:first, second and third pieces of cutlery each having an operative end that includes a food eating portion at a first end, and a handle portion culminating at a second end; a cutlery holder, having a bottom surface and a top surface, the bottom surface facing in an opposite direction from the top surface, and the top surface adapted for holding a bottom surface of the cutlery, and the cutlery holder having a length extending between a first side and a second side effective to enable all of the first, second, and third pieces of cutlery to be held on the top surface, with spaces between the first, second, and third, pieces of cutlery when held on the top surface,
the cutlery holder having a first edge stilt on the first side of the cutlery holder, extending at a right angle from the top surface to a supporting surface and the first edge stilt operative to hold the first side of the cutlery holder above the supporting surface by a distance based on a length of the first edge stilt,
the cutlery holder having a second edge stilt on the second side of the cutlery holder, extending at a right angle from the top surface to the supporting surface, and the second edge stilt operative to hold the second side of the cutlery holder above the supporting surface by a distance based on a length of the second edge stilt,
the first edge stilt and the second edge stilt each being longer than a thickness between the bottom surface and the top surface,
the bottom surface of the cutlery holder held above and spaced from the supporting surface when the the first edge stilt and the second edge stilt are each pressed against the supporting surface, leaving an open area between the bottom surface and the supporting surface at areas other than the first edge stilt and the second edge stilt, and where that open area is at least along the length where the cutlery is held,
and a distance between the top surface and the bottom surface of the first edge stilt and the second edge stilt of the cutlery holder being an amount effective to maintain an angle between the handle portion of each of said first, second and third pieces of cutlery, and the top surface of the cutlery holder to maintain a single tangent point between the bottom surface of the cutlery of each of said first, second and third pieces of cutlery and the top surface of the cutlery holder and no points of contact between the bottom surface of the cutlery of each of said first, second and third pieces of cutlery and the top surface of the cutlery holder other than said single tangent point.

US Pat. No. 10,555,629

EATING UTENSIL SYSTEM

humangear, Inc., San Fra...

1. An eating utensil comprising:a fork head having a fork front surface and a fork back surface both partially defining a plurality of tines and
a concave fork bowl portion, an outer one of the tines and the concave fork bowl portion being further defined by
a chamfer and a curved side surface coupled to the chamfer, the chamfer coupling the fork front surface with the curved side surface, the curved side surface coupling the chamfer with the fork back surface, the chamfer is oblique in relation to the curved side surface and the coupling between the chamfer and the curved side surface defines of a curved splitting feature;
a spoon head having a spoon front surface, a spoon back surface, and a spoon side surface coupling the spoon front surface with the spoon back surface, the spoon front surface, the spoon back surface, and the spoon side surface partially defining a concave spoon bowl portion, the spoon bowl portion facing a same way as the concave fork bowl portion;
a handle that couples the spoon head to the fork head, the handle having a handle front surface, a handle back surface, and a handle side surface coupling the handle front surface to the handle back surface;
the fork front surface, the spoon front surface, and the handle front surface collectively defining a single front surface of the utensil;
the fork back surface, the spoon surface, and the handle back surface collectively defining a single back surface of the utensil; and
the fork side surface, the spoon side surface, and the handle side surface collectively defining a single side surface of the utensil.

US Pat. No. 10,555,628

MULTI-CLIMATE SLEEPING BAG

The North Face Apparel Co...

1. A multi-climate sleeping bag comprising:a bottom panel comprising a head end and a foot end disposed opposite the head end, the bottom panel further comprising a hood disposed adjacent the head end, wherein the bottom panel is formed from an inner shell, an outer shell, and an insulating material disposed between the inner shell and the outer shell;
a first top panel comprising an inner shell, an outer shell, and an insulating material disposed between the inner shell and the outer shell;
a first zipper fastening mechanism configured to detachably couple an edge of the first top panel to an edge of the bottom panel, wherein the first zipper fastening mechanism comprises a first pull configured to engage and couple a first slider path disposed along the edge of the bottom panel and a second slider path disposed along the edge of the first top panel; and
a second top panel comprising an inner shell, an outer shell, and an insulating material disposed between the inner shell and the outer shell; and
a second zipper fastening mechanism configured to detachably couple an edge of the second top panel to the edge of the bottom panel, wherein the second zipper fastening mechanism comprises a second pull configured to engage and couple a third slider path disposed along the edge of the bottom panel and a fourth slider path disposed along the edge of the second top panel,
wherein,
the first top panel is configured to be coupled to the bottom panel without the second top panel to define a sleeping compartment having a first climate zone comprising a limit rating of 35° F. and above, as measured using EN standard testing, wherein the second top panel is decoupled from the bottom panel to define the sleeping compartment having the first climate zone,
the second top panel is configured to be coupled to the bottom panel without the first top panel to define a sleeping compartment having a second climate zone comprising a limit rating of 20° F. and above, as measured using EN standard testing, wherein the first top panel is decoupled from the bottom panel to define the sleeping compartment having the second climate zone, and
both the first top panel and the second top panel are configured to be contemporaneously coupled to the bottom panel to define a sleeping compartment having a third climate zone comprising a limit rating of 5° F. and above, as measured using EN standard testing.