US Pat. No. 10,888,384

SURGICAL ROBOT

Technische Universiteit E...

1. A surgical robot for performing minimally invasive surgery, comprising:(a) a base element;
(b) a surgical arm, wherein said surgical arm has a fixed surgical arm part fixed to said base element and a movable surgical arm part which is movable with respect to said fixed surgical arm part, wherein said fixed surgical arm part has a first engagement point and a second engagement point, wherein the fixed surgical arm part has a guide connected to the fixed surgical arm part wherein the guide defines a longitudinal axis and a path along which the movable surgical arm part engages and travels along the guide;
(c) a surgical instrument mounted at said movable arm part;
(d) a reference arm, wherein one end of said reference arm pivotally connects with said first engagement point of said fixed surgical arm part and wherein another end of said reference arm pivotally connects with said base element;
(e) a manipulation arm, wherein one end of said manipulation arm pivotally connects with said second engagement point of said fixed surgical arm part and wherein another end of said manipulation arm pivotally connects with said base element;
(f) a cannula having a conical shape; and
(g) a cannula connector having a conical shape, wherein the cannula connector is affixed to and near one end of said fixed surgical arm part, wherein said conical shape of said cannula connector is adapted to fit and align inside the conical shape of said cannula, and wherein said cannula connector with fitted cannula are aligned with said movable surgical arm part for allowing said mounted surgical instrument to pass through said cannula connector and said cannula.

US Pat. No. 10,888,383

ROBOTIC SURGICAL PEDAL WITH INTEGRATED FOOT SENSOR

VERB SURGICAL INC., Sant...

1. A foot pedal assembly for controlling a robotic surgical system, the foot pedal assembly comprising:a foot pedal base;
a foot pedal that moves relative to the foot pedal base, the foot pedal having a contact surface extending from a distal end to a proximal end of the foot pedal, the contact surface is to come into contact with a foot of a user during use of the foot pedal assembly for controlling the robotic surgical system and the distal end is farther away from a heel of the foot than the proximal end during use of the assembly for controlling the robotic surgical system, and the foot pedal is operable to pivot around an axle coupled to the foot pedal base and positioned closer to the distal end than the proximal end; and
a sensor coupled to the contact surface of the foot pedal at a position that is closer to the proximal end than the distal end and between the proximal end and the axle, the sensor is operable to sense a target object positioned a distance over the contact surface.

US Pat. No. 10,888,382

MOUNTED PATIENT TRACKING COMPONENT FOR SURGICAL NAVIGATION SYSTEM

Acclarent, Inc., Irvine,...

1. An apparatus comprising:(a) a data processor;
(b) a plurality of energy field generators in communication with the data processor, wherein the plurality of energy field generators are configured to generate an electromagnetic field; and
(c) a patient tracking assembly in communication with the data processor, wherein the patient tracking assembly comprises:
(i) a sensor assembly, wherein the sensor assembly comprises:
(A) a first body configured to selectively attach to a patient,
(B) a first sensor mounted to the first body, wherein the first sensor is configured to generate a signal in response to movement within the electromagnetic field, and
(C) an electrical conduit in electrical communication with the first sensor, and
(ii) a communication assembly, wherein the communication assembly comprises:
(A) a second body coupled with the first body, wherein the second body is configured to rotate relative to the first body and relative to the first sensor from a first rotational position to a second rotational position, and
(B) a cable coupled with a surface of the second body, wherein the cable is configured to communicate with the data processor, wherein the cable is coupled with the electrical conduit, wherein the electrical conduit is configured to couple the first sensor with the cable while the second body is in the first rotational position and the second rotational position.

US Pat. No. 10,888,381

REGISTRATION APPARATUS FOR INTERVENTIONAL PROCEDURE

Koninklijke Philips N.V.,...

14. A registration apparatus for registering an elongated introduction element and a guide plate defining an array of openings configured to receive the elongated introduction element being introduced into a living being through a selected one of openings to perform an interventional procedure within the living being, wherein the registration apparatus comprises:at least one of a heater and a cooler associated with each opening for generating a characteristic temperature profile in a segment of the elongated introduction element being introduced through the selected one of the openings;
a temperature sensor mounted along the elongated introduction element and configured to sense the characteristic temperature profile associated with the selected one of the openings in the segment of the elongated introduction element; and
a computer processor configured to register the elongated introduction element and the guide plate, wherein the registering includes identifying the transferred characteristic temperature profile sensed by the temperature sensor of the elongated introduction element.

US Pat. No. 10,888,380

SYSTEMS AND METHODS FOR INTRAOCULAR LENS SELECTION

Alcon Inc.

1. A method comprising: receiving, by one or more computing devices implementing a prediction engine, one or more pre-operative multi-dimensional images of an eye, wherein the pre-operative multi-dimensional images of the eye include each of: an angle to angle width describing a width of a line joining each of two angular recesses of a cornea of the eye; an angle to angle depth measured as a perpendicular distance between an intersection point on the line joining each of the two angular recesses of the cornea of the eye and a posterior corneal surface of the eye; an angle between a pupillary axis of the pre-operative eye and a line of sight axis of the eye when the eye is fixated on a fixation point; and an estimated position of a lens equator determined as an equator line between each of two intersection points of an anterior lens radius and a posterior lens radius;extracting, by the prediction engine, one or more pre-operative measurements of the eye based on the one or more pre-operative images of the eye; estimating, by the prediction engine using a first prediction model based on a machine learning strategy, a post-operative position of an intraocular lens based on the one or more extracted pre-operative measurements of the eye; selecting a power of the intraocular lens based on at least the estimated post-operative position of the intraocular lens;
selecting the intraocular lens based on at least the selected power; receiving one or more post-operative multi-dimensional images of the eye after implantation of the selected intraocular lens;
extracting one or more post-operative measurements of the eye; and updating the first prediction model based on the one or more pre-operative measurements and the one or more post-operative measurements.

US Pat. No. 10,888,379

ANALYZING AND MAPPING ECG SIGNALS AND DETERMINING ABLATION POINTS TO ELIMINATE BRUGADA SYNDROME

Biosense Webster (Israel)...

1. A computer implemented method for determining target ablation areas of a heart, comprising:acquiring, over time, electrical signals for a plurality of areas of the heart; and
generating an epicardial potential duration map for display by:
calculating, for each electrical signal, a plurality of heart beats based on a heart beat cycle length and a reference point in time of one of the heart beats;
assigning, for each heart beat of an electrical signal, a window of interest (WOI) equal to an amount of time comprising at least the heart beat cycle length;
for each WOI:
determining a start potential duration and an end potential duration;
calculating a potential duration value as the difference between the start potential duration and the end potential duration; and
selecting the potential duration based on the potential duration values,
wherein, when a selected potential duration of an electrical signal is greater than or equal to a potential duration threshold, the area of the heart corresponding to the electrical signal is targeted for ablation.

US Pat. No. 10,888,378

METHODS, SYSTEMS AND DEVICES FOR PRE-OPERATIVELY PLANNED GLENOID PLACEMENT GUIDES AND USES THEREOF

IMASCAP SAS, Plouzane (F...

1. A glenoid placement guide, comprising:a hub;
a plurality of radial arms extending from the hub;
a plurality of peripheral guide structures, each of the peripheral guide structures affixed to a corresponding one of the radial arms, wherein each peripheral guide structure includes a patient-specific surface configured to engage a rim of a patient's glenoid at a predetermined location, and wherein each of the radial arms has a patient-specific length configured to align the corresponding peripheral guide structure with the rim of the patient's glenoid at the corresponding predetermined location;
a depth-control pin, wherein the depth-control pin comprises:
a cylindrical shaft having a first and a second end;
a threaded portion on the first end; a receiving portion on the second end; and
a collar located between the threaded portion and receiving portion;
a central port comprising a cylindrical opening passing through the hub, wherein the central port is partially defined by a cylindrical housing extending beyond an upper surface of the hub, wherein the cylindrical housing is configured to act as a depth guide indicator for a depth of the depth-control pin inserted through the cylindrical opening such that a collar of the depth-control pin is flush with an upper surface of the cylindrical housing; and a plurality of anchoring pin channels, wherein each channel comprises a cylindrical opening passing through the hub from the upper surface of the hub to a lower surface of the hub, the cylindrical opening configured to receive and guide an anchoring pin configured to anchor the glenoid placement guide to a glenoid surface when the peripheral guide structures are engaged with the rim of the patient's glenoid at the predetermined locations.

US Pat. No. 10,888,377

METHODS AND SYSTEMS FOR REDUCING NEURAL ACTIVITY IN AN ORGAN OF A SUBJECT

DIGMA MEDICAL LTD., Peta...

13. A system for reducing neural activity in a submucosal layer of a duodenum of a subject, the system comprising:a catheter comprising:
an elongate catheter body having a proximal end and a distal end;
a laser emitting element coupled with the catheter body at the distal end and configured to emit a laser beam having a beam diameter in a range of 1-20 mm, in a first direction parallel to a longitudinal axis of said catheter body;
a rotatable optical element comprising a focusing lens coupled with the laser emitting element and configured to direct and focus the beam to be essentially perpendicular to the longitudinal axis of the laser emitting device, wherein the focusing lens has a focal length in a range of 2-25 mm and a focal plane in a depth in a range of tens of microns, and wherein the focusing lens is optically arranged so as to focus the laser beam below a mucosal layer of the duodenum so as to ensure that the focused laser beam exceeds an ablation threshold at the focal plane, while being below the ablation threshold in the duodenum's muscularis layer; and
at least one pressure-inducing element coupled with the catheter body and configured to exert pressure on at least part of the duodenum to obtain a fixed diameter thereof and to position the submucosal layer within the focal plane of the focused laser radiation;
wherein the catheter is configured to ablate an area of the submucosal layer including sensory neurons, while maintaining functional activity of the mucosal layer and muscle tissue around the area; and
an imaging device configured to capture structural information related to the duodenum, based on a beam deflected by said optical element and directed to a light detector.

US Pat. No. 10,888,376

SURGICAL LASER SYSTEM

Convergent Laser Technolo...

1. A surgical laser system, comprisinga surgical laser assembly, wherein the surgical laser assembly comprises a first laser;
an optical assembly, wherein the optical assembly is configured to deliver an output of the first laser to a tissue;
an aiming laser assembly, wherein the aiming laser assembly comprises one or more second lasers configured to mark the tissue, wherein the aiming laser assembly is also configured to provide an excitation energy for a fluorescent process from the tissue or from a marker at the tissue location; wherein the aiming laser assembly comprises an aiming laser controller, wherein the aiming laser controller is configured to control the excitation energy provided by at least a laser of the one or more second lasers for the fluorescent process,
a fluorescent sensing assembly, wherein the fluorescent sensing assembly is configured to detect a fluorescent signal emitted from the tissue or from the marker;
a controller, wherein the controller is configured to process the fluorescent signal for assistance in controlling the surgical laser assembly.

US Pat. No. 10,888,375

METHOD AND APPARATUS FOR DERMATOLOGICAL TREATMENT

THE GENERAL HOSPITAL CORP...

13. A system for producing a cosmetic effect in skin tissue, comprising:a handpiece;
an optical arrangement including through an optically transparent plate which is structured or configured to direct at least one beam of ablative energy onto a plurality of locations in a region of the skin tissue to ablate a plurality of holes therein;
a compressing arrangement configured to cause and maintain a compressive stress over at least a portion of the region after the holes are formed, wherein the compression arrangement comprises a pre-stretched film material configured to be provided on the skin tissue which includes the region; and
a rigid non-stretchable material which, in operation, is provided on the pre-stretched film material after the pre-stretched film material reaches a relaxed state so as to maintain the stress in the region of the skin tissue, the rigid non-stretchable material being a non-stretchable film or a non-stretchable plate,
wherein, during the ablation of the holes, the optically transparent plate is positioned to disrupt a formation of a thermal cuff around the holes,
wherein the optical arrangement is configured to generate the at least one beam of ablative energy with a diameter that is less than 1 mm,
wherein the plurality of holes extend over an areal fraction of a surface of the region that is between 5% and 50%,
wherein the optical arrangement comprises at least one of a fiber optic delivery arrangement, a translator, or a reflecting element, and is configured to cause the at least one beam to form the holes that extend from a surface of the skin tissue into a dermal layer of the skin tissue, and
wherein the compressive arrangement is configured to maintain the compressive stress that provides a force in the region along a direction that is parallel to the skin surface until the holes have closed.

US Pat. No. 10,888,374

TISSUE ABLATION AND ASSESSMENT SYSTEM AND METHOD OF USE THEREOF

The Johns Hopkins Univers...

1. A system for assessing the state of a biological tissue comprising:an ablation signal generator configured to generate an ablation signal having a frequency of 1 MHz or less;
at least one antenna configured to:
i) transmit an assessment signal having a frequency of at least 1 MHz to the tissue;
ii) receive the assessment signal having a frequency of at least 1 MHz from the tissue; and
iii) transmit an ablation signal to the tissue produced by the ablation signal generator, the ablation signal having a frequency of 1 MHz or less;
a network analyzer and signal processing device; and
a high frequency output configured to output the received assessment signal to the network analyzer and signal processing device.

US Pat. No. 10,888,373

CONTACT ASSESSMENT BETWEEN AN ABLATION CATHETER AND TISSUE

Epix Therapeutics, Inc., ...

1. A method for facilitating contact assessment between an electrode assembly of an ablation catheter and viable body tissue, the method comprising:obtaining a first detected voltage between a first electrode and a second electrode, wherein the first and second electrodes are positioned along an electrode assembly of the ablation catheter, and wherein the first electrode is distal to the second electrode;
obtaining a second detected voltage between the second electrode and a third electrode, the third electrode positioned proximal to the second electrode;
making a first comparison between the first detected voltage and a first threshold voltage, wherein the first threshold voltage is indicative of a level of contact between viable body tissue and a first portion of the ablation catheter, the first portion of the ablation catheter positioned at a location between the first and second electrodes; and
making a second comparison between the second detected voltage and a second threshold voltage, wherein the second threshold voltage is indicative of a level of contact between viable body tissue and a second portion of the ablation catheter, the second portion of the ablation catheter positioned at a location between the second and third electrodes;
the level of contact between viable body tissue and the first portion of the ablation catheter is determined by comparing the first voltage to the first threshold voltage;
the level of contact between viable body tissue and the second portion of the ablation catheter is determined by comparing the second voltage to the second threshold voltage;
displaying a variably sized halo around a graphical representation of the electrode assembly, a size and shape of the halo indicating the level and location of contact between the first electrode and the second electrode and viable tissue, the halo defining an enclosed boundary about at least a portion of the electrode assembly and being displayed on a plane parallel to longitudinal axis of the electrode assembly.

US Pat. No. 10,888,372

RADIOFREQUENCY ABLATION ELECTRODE NEEDLE

INDUSTRIAL TECHNOLOGY RES...

1. A radiofrequency ablation electrode needle, comprising:a needle body comprising at least one first segment and at least two second segments, wherein the at least one first segment and the at least two second segments are exposed on a surface of the needle body, wherein an impedance of the at least one first segment is smaller than an impedance of the at least two second segments, at least one of the at least one first segment is disposed between two immediately adjacent ones of the at least two second segments, and the radiofrequency ablation electrode needle is a monopolar electrode needle,
wherein the at least one first segment includes a plurality of first segments, and the plurality of first segments are electrically connected,
wherein two immediately adjacent ones of the plurality of first segments have different lengths.

US Pat. No. 10,888,371

ELECTROSURGICAL SYSTEM

Applied Medical Resources...

1. An electrosurgical system comprising:an electrosurgical generator arranged to output electrosurgical energy; and
a bipolar electrosurgical tool removably coupled to the electrosurgical generator, the tool comprising:
a stationary handle;
an actuation handle movably coupled to the stationary handle;
a blade trigger movably coupled to the stationary handle;
a jaw assembly comprising an upper jaw having an inner surface, an outer surface, and an electrode disposed on the inner surface of the upper jaw and a lower jaw having an inner surface, an outer surface, an electrode disposed on the inner surface of the lower jaw, a lower spacer disposed adjacent to the electrode, a blade channel disposed adjacent to the lower spacer, and a cutting blade disposed within the blade channel, the upper and lower jaws actuatable, by movement of the actuation handle, from an open configuration in which the inner surface of the upper jaw is spaced apart from the inner surface of the lower jaw to a closed configuration in which the inner surface of the upper jaw is proximate the inner surface of the lower jaw, arranged to contact tissue and apply the electrosurgical energy to the tissue from the electrosurgical generator; and
a rotatable elongate shaft extending distally from the stationary handle and rotatable relative to the stationary handle, the rotatable elongate shaft having a proximal end and a distal end defining a central longitudinal axis therebetween, the jaw assembly pivotably connected and positioned at the distal end of the rotatable elongate shaft and the rotatable elongate shaft comprises a blade actuation shaft formed of two polymer mating shaft sections including a proximal shaft portion and a distal shaft portion, the proximal shaft portion and the distal shaft portion connected by interlocks including projections on at least one of the proximal shaft portion or the distal shaft portion with corresponding slots on the at least one of the proximal shaft portion or the distal shaft portion, the cutting blade being connected to the distal shaft portion of the blade actuation shaft and the blade trigger being connected to the proximal shaft portion such that movement of the blade trigger moves the cutting blade longitudinally along the blade channel.

US Pat. No. 10,888,370

METHODS, SYSTEMS, AND DEVICES FOR CONTROLLING ELECTROSURGICAL TOOLS

Ethicon LLC, Guaynabo, P...

1. A surgical system, comprising:a surgical tool including an elongate shaft, first and second jaws at a distal end of the elongate shaft, a housing at a proximal end of the elongate shaft, a closure assembly disposed at least partially in the housing and configured to be actuated to move the jaws between an open position and a closed position, and at least two electrodes configured to apply energy to tissue clamped between the jaws;
a control system; and
a tool driver operatively coupled to the control system and configured to be removably and replaceably operatively connected to the housing of the surgical tool;
wherein the control system is configured to:
actuate the closure assembly to move the jaws between the open position and the closed position,
when the jaws are in the closed position, determine whether an electrical parameter associated with the surgical tool is at or below a predetermined threshold value,
in response to the electrical parameter associated with the surgical tool being determined to be at or below the predetermined threshold value, actuate the closure assembly to cause the jaws to move from the closed position toward the open position,
determine if during the movement of the jaws from the closed position toward the open position the electrical parameter changed or remained substantially constant,
receive an instruction to deliver energy to the at least two electrodes, and
in response to the received instruction, allow energy to be delivered to the at least two electrodes if it was determined that the electrical parameter remained substantially constant during the movement of the jaws from the closed position toward the open position, and prevent energy from being delivered to the at least two electrodes if it was determined that the electrical parameter changed during the movement of the jaws from the closed position toward the open position; and
wherein the electrical parameter includes current of a motor of the tool driver, and the motor is configured to drive the closure assembly to move jaws to the closed position.

US Pat. No. 10,888,369

SYSTEMS AND METHODS FOR CONTROLLING CONTROL CIRCUITS FOR INDEPENDENT ENERGY DELIVERY OVER SEGMENTED SECTIONS

Ethicon LLC, Guaynabo, P...

1. A surgical instrument comprising:an end effector comprising:
a first jaw comprising a distal portion and a proximate portion;
a second jaw that is movable relative to the first jaw; and
at least one electrode in the first jaw;
a control circuit configured to provide electrosurgical energy to the at least one electrode, wherein the control circuit comprises a shaft control segment and an electrosurgical energy control segment; and
a first electrical conductor electrically connected between the end effector and the control circuit;
wherein the shaft control segment is configured to provide a control signal for operating the end effector to the end effector through the first electrical conductor;
wherein the electrosurgical energy control segment is configured to provide the electrosurgical energy to the at least one electrode through the first electrical conductor;
wherein the at least one electrode comprises a first set of electrodes located in the proximate portion of the first jaw and a second set of electrodes located in the distal portion of the first jaw, and wherein the electrosurgical energy control segment is configured to repeatedly alternate electrosurgical energy between the first set of electrodes and the second set of electrodes at a predetermined time interval.

US Pat. No. 10,888,368

ELECTROSURGICAL DISSECTOR WITH THERMAL MANAGEMENT

COVIDIEN LP, Mansfield, ...

1. An electrosurgical pencil comprising:a proximal portion formed of a thermal conductor including:
a first active electrode disposed on the thermal conductor, and
a first return electrode disposed on the thermal conductor; and
a distal portion formed of a thermal insulator including:
a second active electrode, different from the first active electrode, disposed on the thermal insulator, and
a second return electrode, different from the first return electrode, disposed on the thermal insulator,
wherein the thermal conductor is configured to store thermal energy when radiofrequency energy is passing from the first active electrode to the first return electrode and cauterize tissue by releasing the stored thermal energy when radiofrequency energy is not passing from the first active electrode to the first return electrode.

US Pat. No. 10,888,367

CRYOABLATION METHOD AND SYSTEM

Medtronic CryoCath LP

1. A system for controllable adjustment of a temperature of a treatment element of a medical device, the system comprising:a fluid delivery conduit including an upstream portion and a downstream portion;
a subcooler located between the upstream portion and the downstream portion;
a bypass fluid flow path having a first end that is in direct communication with the upstream portion and a second end that is in direct communication with the downstream portion;
a first valve located in the upstream portion between the subcooler and the first end of the bypass fluid flow path;
a second valve located in the bypass fluid flow path;
a liquid refrigerant source in fluid communication with the fluid delivery conduit; and
a gaseous refrigerant source in fluid communication with the fluid delivery conduit, the liquid refrigerant source and the gaseous refrigerant source are a common tank, the common tank including a first valve in fluid communication with the liquid refrigerant source and a second valve in fluid communication with the gaseous refrigerant source, manipulation of at least one of the first and second valves is configured to adjust a ratio of gaseous refrigerant to liquid refrigerant.

US Pat. No. 10,888,366

CRYOGENIC BLUNT DISSECTION METHODS AND DEVICES

Pacira CryoTech, Inc., P...

1. A method for cryogenically treating a nerve of a patient, the method comprising:creating an access site within tissue laterally displaced from a nerve, the tissue comprising skin, a layer of soft tissue and a layer of resilient tissue,
inserting a cryogenic probe having a cryogenic treating portion and a blunt distal tip extending from an elongated body into the access site, wherein the cryogenic probe includes a supply tube extending within the elongated body from a proximal end of the elongated body to the cryogenic treating portion;
bluntly dissecting the layer of soft tissue using the cryogenic probe such that the cryogenic treating portion of the cryogenic probe is directly adjacent to the layer of resilient tissue;
advancing the cryogenic probe such that the elongated body of the cryogenic probe laterally traverses along the layer of resilient tissue to position the cryogenic treating portion at a location adjacent to the nerve; and
activating the cryogenic treating portion to generate a treatment zone at the location to cause a therapeutic effect in the nerve.

US Pat. No. 10,888,365

LAPIDUS SCREW GUIDE ASSEMBLY AND METHOD OF INSERTION

Tyber Medical, LLC, Beth...

1. A screw guide assembly comprising:a guide body extending along a central longitudinal axis, the guide body having:
a proximal end portion having an attachment face extending perpendicular to the longitudinal axis; and
a distal end portion having an outrigger, the outrigger having a screw support member extending away from the longitudinal axis, the screw support member having a through opening configured to allow for the insertion of a screw at an angle oblique relative to the longitudinal axis;
the outrigger having a first arm extending from a first end of the outrigger on a first side of the through opening and a second arm extending from a second end of the outrigger on a second side of the through opening, opposite from the first through opening; and
a wire guide removably inserted into the screw support member.

US Pat. No. 10,888,364

SCOOP CANNULA WITH DEFLECTABLE WINGS

MEDTRONIC HOLDING COMPANY...

1. A kyphoplasty cannula comprising:a shaft extending between opposite first and second end surfaces, the shaft comprising an inner surface defining a lumen, the shaft comprising a first opening that extends through the first end surface and a second opening that extends through the second end surface;
a scoop comprising a proximal end surface coupled directly to the second end surface and an opposite distal end surface, the scoop comprising an arcuate surface that is continuous with the inner surface, the scoop further comprising a first wing and a second wing, the arcuate surface being positioned between the wings, the wings each having an undulating configuration from the proximal end surface to the distal end surface; and
a balloon catheter comprising an outer tube having opposite proximal and distal end surfaces, the balloon catheter comprising an inner tube positioned within the outer tube, the balloon catheter comprising a balloon having a first end coupled directly to the distal end surface of the outer tube and an opposite second end coupled directly to the inner tube, the balloon being configured to be positioned within the scoop such that a portion of the balloon is capable of extending distal to the distal end surface of the scoop.

US Pat. No. 10,888,363

ATTACHMENT DEVICE AND METHOD FOR USE

Stout Medical Group, L.P....

1. A method for treating bone comprising:inserting a pressure reduction device at least partially into a bone at a target site, and wherein the pressure reduction device has a pressure reduction device lumen, a pressure reduction first fenestration, and a pressure reduction second fenestration, and wherein the pressure reduction first fenestration is proximal to the pressure reduction second fenestration and wherein the pressure reduction first fenestration is smaller than the pressure reduction second fenestration, wherein the pressure reduction device comprises a mesh, and wherein the pressure reduction first and second fenestrations are in the mesh;
pressurizing a bone cement into an attachment device lumen of an attachment device, wherein the pressurizing comprises flowing bone cement through the pressure reduction device lumen, then flowing the bone cement through the pressure reduction first fenestration then flowing the bone cement into the target site;
wherein the pressure of the bone cement decreases when the bone cement passes through the pressure reduction first fenestration, and wherein the pressure reduction first fenestration is on a lateral side of the pressure reduction device, and wherein the pressure reduction second fenestration is on the lateral side of the pressure reduction device and at least 90° away from the pressure reduction first fenestration with respect to a longitudinal axis of the pressure reduction device;
wherein the lateral pressure reduction first fenestration is at a first longitudinal position along the length of the pressure reduction device and laterally aligned with the lateral pressure reduction second fenestration, and wherein the lateral pressure reduction second fenestration is at a second longitudinal position along the length of the pressure reduction device; and
wherein a number of lateral pressure reduction fenestrations are arranged in first, second, and third longitudinal rows along the wall of the pressure reduction device, and wherein the second longitudinal row is longitudinally offset from the first and third longitudinal row, and wherein first, second and third longitudinal rows have five lateral pressure reduction fenestrations each.

US Pat. No. 10,888,362

FLEXIBLE CONSTRUCT FOR FEMORAL RECONSTRUCTION

Howmedica Osteonics Corp....

1. A bone repair device comprising:a plate including opposing top and bottom surfaces and a first side extending between the top and the bottom surfaces thereof;
a first partial loop attached to the top surface of the plate; and
a first flexible structure directly attached to and extending from the first side of the plate, the first flexible structure being in the form of chain mail.

US Pat. No. 10,888,361

DEVICES, COMPOSITIONS AND METHODS FOR BONE AND TISSUE AUGMENTATION

REVA Medical LLC, San Di...

1. A method of treating a compression fracture, comprising:providing a stable composition comprising:
a polymer, oligomer, and/or monomer that comprises a crystallizable side chain;
a polymer, oligomer, and/or monomer that is inherently radiopaque; and
a polymer, oligomer, and/or monomer that comprises a latent photo-initiated free-radical cross-linking moiety; and
administering the composition to a patient and subsequently initiating the free-radical cross-linking reaction.

US Pat. No. 10,888,360

MINIMALLY INVASIVE INSTRUMENT SET, DEVICES, AND RELATED METHODS

DePuy Synthes Products, I...

1. A system for use in minimally invasive spine surgery, the system comprising:a bone anchor having first and second arms that are spaced from one another along a first direction so as to define a rod-receiving channel between the first and second arms, at least one of the first and second arms defining a recess in an outer surface thereof and including an upper surface; and
a tissue retractor having:
proximal and distal ends that are spaced from one another along a second direction that extends perpendicular to the first direction, the distal end configured to removeably couple to the bone anchor;
an inner surface that defines a partial pathway that extends from the proximal end to the distal end; and
a resiliently movable arm that is movable between an engaged position and a flexed position along the first direction, the resiliently movable arm configured to engage one of the first and second arms of the bone anchor when the tissue retractor is coupled to the bone anchor and the resiliently movable arm is in the engaged position, wherein the tissue retractor is configured such that, when the tissue retractor is coupled to the bone anchor, the tissue retractor engages one of the first and second arms but not the other of the first and second arms, the resiliently movable arm including:
a neck portion that extends from a deflection area that is attached to a body of the tissue retractor, and an enlarged portion disposed at a distal end of the neck portion, wherein an entirety of the enlarged portion has a width along a third direction, perpendicular to the first and second directions, that is greater than the neck portion, and the enlarged portion has first and second linear edges that are offset from one another along the third direction;
an attachment tab that extends from an inner surface of the resiliently movable arm such that the attachment tab is configured to be positioned within the recess when the tissue retractor is coupled to the bone anchor; and
a retaining tab that is offset from the attachment tab along the second direction, the retaining tab configured to abut the upper surface of one of the first and second arms when the tissue retractor is coupled to the bone anchor.

US Pat. No. 10,888,359

METHODS AND DEVICES FOR POLYAXIAL SCREW ALIGNMENT

DePuy Synthes Products, I...

1. A method of aligning polyaxial screws, comprising:coupling an extension tube to a receiving member of a polyaxial screw, the extension tube comprising features recognizable to a surgical image guidance system;
coupling an alignment shaft to the polyaxial screw such that the alignment shaft maintains a longitudinal axis of the receiving member and a longitudinal axis of a threaded shank of the polyaxial screw in a coaxial orientation;
imaging the features of the extension tube using a camera of the surgical guidance system; and
measuring, based on the imaging and a predetermined arrangement of the features, the three-dimensional position and angular orientation of the extension tube using the surgical image guidance system.

US Pat. No. 10,888,358

BONE PLATE SYSTEM

Pioneer Surgical Technolo...

1. A bone plate system comprising:a bone plate, an elongate bone screw having a longitudinal axis, a resilient locking cap, and a locking member that are each distinct from one another;
the bone plate having a throughbore with an annular surface extending about the throughbore;
the bone screw having an upper rigid head portion and a lower shank portion;
the bone plate, bone screw, resilient locking cap, and locking member having a first configuration wherein:
the bone screw, resilient locking cap, and locking member are all outside of the throughbore of the bone plate;
the resilient locking cap is directly connected to the bone screw and extends around the upper rigid head portion of the bone screw;
the locking member is directly connected to the bone screw; and
the bone anchor, resilient locking cap, and locking member are configured to permit the bone anchor, resilient locking cap, and locking member to be advanced together into the throughbore of the bone plate while the resilient locking cap is directly connected to the bone screw and the locking member is directly connected to the bone screw;
the bone plate, bone screw, resilient locking cap, and locking member having a second configuration wherein:
the bone screw upper rigid head portion, the resilient locking cap, and at least a portion of the locking member are received in the throughbore with the resilient locking cap seated against the annular surface of the throughbore;
the resilient locking cap spacing an entirety of the bone screw from the bone plate in the throughbore;
the locking member spaced from the bone plate; and
the locking member is configured to be shifted axially along the bone screw to expand the locking cap into engagement with the annular surface of the throughbore while the locking member remains spaced from the bone plate.

US Pat. No. 10,888,357

SPINAL IMPLANT SYSTEM AND METHOD

Warsaw Orthopedic, Inc., ...

20. A spinal construct comprising:an alar iliac screw comprising a shaft and a head, the head being coupled to the shaft;
a connector including a first portion and a second portion monolithically formed with the first portion, the first portion comprising an engagement surface, the first portion including a first bore, the second portion including a receiver defining a threaded second bore and a transverse cavity in communication with the second bore, the first bore defining a first central axis extending at an acute angle relative to a second central axis defined by the second bore, the bores each having a circular cross-sectional configuration such that the bores each form a complete circle, the head directly engaging the engagement surface to facilitate engagement of the screw with the connector, the second portion comprising first and second arms, the second bore extending through the first arm, inner surfaces of the arms defining the transverse cavity, the first arm comprising an outer surface opposite the inner surface of the first arm, the outer surface of the first arm extending substantially parallel to the inner surface of the first arm, the first arm comprising a side surface extending from the inner surface of the first arm to the outer surface of the first arm, the side surface extending substantially perpendicular to the inner and outer surfaces of the first arm, the inner surface of the first arm having a first end and an opposite second end defined by an interface between the inner surface of the first arm and the side wall, the inner surface of the first arm extending substantially perpendicular to the second central axis from the first end to the interface, the first portion comprising an outer surface directly adjacent to the outer surface of the first arm, the outer surface of the first portion and the outer surface of the first arm forming an obtuse angle;
a spinal rod connected with the receiver between a capture configuration such that the spinal rod is disposable with the transverse cavity and a coupling member is disposed with the bore and engageable with the spinal rod to fix the receiver with the spinal rod and a removable configuration such that the receiver is rotatably removed from the spinal rod; and
a multi-axial fastener connected with the spinal rod.

US Pat. No. 10,888,356

ORTHOPEDIC IMPLANT KIT

Neo Medical S.A., La Vil...

1. An orthopedic screw extender comprising:a hollow longitudinal body including two opposite longitudinal slots, a distal part of the hollow longitudinal body having an engagement mechanism configured to receive a screw head by an upwardly pressure on the screw head in a direction of a main axis of the hollow longitudinal body towards the hollow longitudinal body, and configured to separate from the screw head by a downward pressure on the screw head away from the hollow longitudinal body; and
a screw release instrument having an external thread,
wherein the hollow longitudinal body includes an internal thread, the internal thread configured to threadably engage with the external thread of the screw release instrument to provide the downward pressure to the screw head.

US Pat. No. 10,888,355

PERCUTANEOUS PEDICLE SCREW REVISION SYSTEM

Spinal Elements, Inc., C...

1. A system for percutaneous pedicle screw revision procedures comprises:a first or new spinal rod;
a tulip rod stub-connector having a first member to engage and connect to the first or new spinal rod and a second member to engage and connect to an existing spinal rod, the first member having a tulip having two generally parallel arms extending from a base and sized to receive the first or new spinal rod and the second member having two arms spaced from the base of the first member and separated by a base of the second member, one of said arms of the second member having a hooked end portion spaced from the opposite arm to form an opening to pass onto an existing spinal rod;
a screw inclined in a threaded opening of the opposite arm of the second member to fasten the tulip rod stub-connector to the existing spinal rod by pressing the existing spinal rod into and against the one of said arms of the second member having a hooked end portion; and
wherein the first member and the second member of the tulip rod stub-connector are connected to an intermediate member and the second member is positioned offset relative to the first member.

US Pat. No. 10,888,354

ENDOVASCULAR DEVICES AND METHODS FOR EXPLOITING INTRAMURAL SPACE

BRIDGEPOINT MEDICAL, INC....

1. A device for facilitating treatment via a vascular wall defining a vascular lumen, the device comprising:an intramural orienting device having an elongate shaft having a proximal end, a distal end, and a lumen extending therethrough to a distal opening at the distal end of the elongate shaft, the elongate shaft having an inner shaft, an outer shaft, and a first handle attached to a proximal end of the inner shaft and a second handle attached to a proximal end of the outer shaft, wherein actuation of the first handle relative to the second handle causes longitudinal movement of the inner shaft relative to the outer shaft;
only a first extendable wing and a second extendable wing, wherein proximal ends of each of the first and second extendable wings are attached to the outer shaft and distal ends of each of the first and second extendable wings are attached to the inner shaft, the first and second extendable wings having a first collapsed configuration and a second extended configuration, wherein a portion of the elongate shaft between a proximal end of the first extendable wing and a distal end of the first extendable wing member defines a longitudinal axis;
wherein the first extendable wing extends away from the elongate shaft in a first direction, and the second extendable wing extends away from the elongate shaft in a second direction 180 degrees opposite the first direction;
a lateral opening on the inner shaft proximal of the distal end of the elongate shaft, wherein the lateral opening on the inner shaft comprises an inwardly inclined flap of a wall of the inner shaft which extends proximally into the lumen of the elongate shaft, the lateral opening extending perpendicular to the first and second directions,
wherein the lateral opening directs an intravascular device extending through the lumen laterally in a third direction angled away from the longitudinal axis, the third direction being perpendicular to the first direction and the second direction;
wherein the inner shaft includes a slot formed through the wall of the inner shaft opposite the lateral opening and a proximal end of the inwardly inclined flap extends into the slot;
the first extendable wing and the second extendable wing, when in the second extended configuration, are configured to orient the elongate shaft within the vascular wall such that the third direction is either toward the vascular lumen or 180 degrees away from the vascular lumen.

US Pat. No. 10,888,353

EXPANDABLE ACCESS SHEATH

Boston Scientific Scimed,...

1. A dilator access sheath, comprising:a body extending between a proximal end and a distal end, the body having:
a lumen extending between the proximal end and the distal end;
an expandable element; and
a flexible membrane;
wherein the body is biased, absent the application of any force, towards a non-expanded configuration, and wherein the body is configured to move to an expanded configuration via insertion of a device within the lumen of the body.

US Pat. No. 10,888,352

NEEDLE WITH PIEZOELECTRIC POLYMER SENSORS

KONINKLIJKE PHILIPS N.V.,...

15. A method for fabricating a medical device, comprising act of:conformally forming a sensor on an inner most body of the medical device, the inner most body being conductive and having surface serving as a first electrode by performing acts of:
applying a piezoelectric polymer directly about a portion of the surface that follows a contour of the surface;
forming a first dielectric layer over the inner most body adjacent to the piezoelectric polymer and extending proximally to the piezoelectric polymer;
forming a second electrode over the piezoelectric polymer including a trace connecting to the second electrode and extending along the first dielectric layer proximally to the second electrode;
forming a second dielectric layer adjacent to the second electrode over the trace and extending proximally to the second electrode;
forming a conductive shield formed over the second dielectric layer; and
forming an outer dielectric layer over the conductive shield and the second electrode.

US Pat. No. 10,888,351

ECCENTRIC SYSTEM OF ABRASIVE ELEMENTS WITH EQUAL MASS FOR ROTATIONAL ATHERECTOMY

Cardiovascular Systems, I...

1. A rotational atherectomy device, comprising:a flexible, elongated and rotatable drive shaft, the drive shaft comprising a rotational axis;
a system of abrasive elements comprising:
a first eccentric abrasive element fixedly disposed on the drive shaft and comprising a mass, a resting diameter, and a center of mass having a location that is spaced radially away from the rotational axis of the drive shaft in a direction along a first longitudinal plane located at a first rotational angle position;
a second eccentric abrasive element fixedly disposed on the drive shaft and spaced proximally from the first abrasive element and comprising a mass, a resting diameter, and a center of mass having a location that is spaced radially away from the rotational axis of the drive shaft in a direction along a second longitudinal plane that is spaced rotationally a distance from the first longitudinal plane;
and a third abrasive element fixedly disposed on the drive shaft and spaced distally from the first abrasive element, and comprising a mass and a resting diameter,
wherein the resting diameter of the third abrasive element is smaller than the resting diameters of the first eccentric abrasive element and the second eccentric abrasive element,
wherein each of the first, second and third abrasive elements comprises a working diameter, wherein each of the working diameters are traced out during high-speed rotation of the rotational atherectomy system, and wherein the working diameter for the first abrasive element is greater than its resting diameter, and the working diameter for the second abrasive element is greater than its resting diameter.

US Pat. No. 10,888,350

DEVICE HANDLE FOR A MEDICAL DEVICE

TERUMO KABUSHIKI KAISHA, ...

1. A device handle for grinding substances inside a body lumen, the device handle comprising:a drive shaft;
a revolution shaft;
a high-speed drive source configured to rotate a treatment member connected to a distal end of the drive shaft; and
a low-speed drive source connected to the revolution shaft, and wherein the revolution shaft is configured to cause the treatment member to move about a central axis of the revolution shaft, the drive shaft and the revolution shaft include a section arranged proximally and adjacent to the treatment member, which is bent, and wherein the central axis of a proximal portion of the revolution shaft is different from a central axis of the treatment member as a result of the bent section in the drive shaft and revolution shaft;
a first activation switch for activating the low-speed drive source;
a second activation switch for activating the high-speed drive source;
wherein the first activation switch is only activated while the second activation switch is activated; and
wherein the second activation switch is a button in which the drive shaft rotates once the button is pressed until pressed again.

US Pat. No. 10,888,349

MEDICAL DEVICE HANDLES AND RELATED METHODS

Boston Scientific Scimed,...

1. A medical device, comprising:a handle having a first portion and a second portion angled with respect to the first portion;
a control member having a proximal end located within the handle and a distal end terminating in an end-effector;
a rail extending along the first portion of the handle, the rail including a groove;
a first actuator longitudinally moveable with respect to the handle along the rail;
a second actuator rotatable about a central axis parallel to a central longitudinal axis of the first portion; and
a shaft longitudinally fixed relative to the first actuator and including a plurality of longitudinally extending ribs along an external surface of the shaft, wherein the proximal end of the control member is received within a lumen of the shaft and is fixed relative to the shaft for movement therewith.

US Pat. No. 10,888,348

DEVICE AND METHOD FOR SCAR SUBCISION

Indiana University Resear...

1. A method of subcision comprising:making an access incision in skin;
inserting a subcision device having a rounded blunt leading end into the access incision, the device comprising
a first element comprising a pivotal connection to a cutting element, the first element having a blunt surface, the cutting element having a hook with a rear-facing cutting edge forming an acute angle, the device having a closed state wherein the cutting edge is retracted to a location substantially within an outer perimeter of the device, and a cutting state where the rear-facing cutting edge is exposed outside of the outer perimeter of the device;
pushing the subcision device in the closed state to a position wherein the rear-facing cutting edge is past tissue to be cut;
transitioning the subcision device to the cutting state by the first element and the cutting element rotating relative to each other about the pivotal connection in a scissor-like action;
retracting the subcision device to cause the exposed rear-facing cutting edge to encounter the tissue to be cut; and
further retracting the subcision device to cause the tissue to be cut by the rear-facing cutting edge.

US Pat. No. 10,888,347

ULTRASONIC SURGICAL BLADES

Ethicon LLC, Guaynabo, P...

1. A method of coating an ultrasonic blade, the ultrasonic blade comprising a body having a proximal end, a distal end, and an outer surface, the method comprising:spraying a lubricious coating on at least a portion of the outer surface of the body of the ultrasonic blade, wherein the ultrasonic blade is configured to vibrate in accordance with ultrasonic vibrations applied to the proximal end, wherein the lubricious coating has a coefficient of friction that is less than the coefficient of friction of the outer surface of the body, and wherein the coefficient of friction is determined based on the interface between tissue and either the lubricious coating or the outer surface of the body;
wherein spraying a lubricious coating on at least a portion of the outer surface of the body of the ultrasonic blade comprises applying a polymeric material over at least a portion of the outer surface of the body.

US Pat. No. 10,888,346

CLOT RETRIEVAL SYSTEM

Legacy Ventures LLC, Nas...

1. A system for removing a blood clot from a human blood vessel, the system comprising:a proximal outer tube comprising a proximal outer tube exterior comprising a slot, a proximal outer tube interior, a proximal outer tube proximal end, a proximal outer tube distal end, and a proximal outer tube length extending from the proximal outer tube proximal end to the proximal outer tube distal end, wherein the slot comprises a slot proximal end, a slot distal end, and a slot length extending from the slot proximal end to the slot distal end and parallel to the proximal outer tube length;
a distal outer tube comprising a distal outer tube exterior, a distal outer tube interior, a distal outer tube proximal end located distal to the proximal outer tube distal end, a distal outer tube distal end, a distal outer tube length extending from the distal outer tube proximal end to the distal outer tube distal end, the distal outer tube proximal end not attached to the proximal outer tube distal end;
an inner tube extending from the proximal outer tube interior to the distal outer tube interior, the inner tube comprising an inner tube interior, an inner tube exterior comprising a fin positioned in the proximal outer tube slot, an inner tube proximal end, an inner tube distal end and an inner tube length extending from the inner tube proximal end to the inner tube distal end;
a compressible spring having a spring proximal end, a spring distal end, and a spring length extending from the spring proximal end to the spring distal end;
a pull wire having a pull wire proximal end and a pull wire distal end located distal to the distal outer tube distal end,
a distal body located distal to the distal outer tube and comprising a distal body interior, a distal body perimeter, a distal body proximal end connected to the pull wire, a distal body distal end, a distal body length extending from the distal body proximal end to the distal body distal end, and a distal body height and width perpendicular to the distal body length, the distal body comprising a framework formed by a plurality of memory metal strips, wherein the distal body has a relaxed state wherein the distal body has a first height and a first width, and a collapsed state wherein the distal body has a second height and a second width, the second height of the distal body less than the first height of the distal body, the second width of the distal body less than the first width of the distal body,
wherein at least one of the distal outer tube and the inner tube comprises a clamp having a closed position in which the clamp closes around the pull wire and an open position in which the clamp is open with respect to the pull wire,
wherein, when the clamp is in the open and closed position, the inner tube is attached to the distal outer tube and moves along with the distal outer tube in the lengthwise direction,
wherein, at least when the clamp is in the closed position, the proximal outer tube is configured to move proximally for a pre-determined distance relative to the inner tube, distal outer tube, the pull wire and the distal body in the lengthwise direction,
wherein, at least when the clamp is in the closed position, moving the proximal outer tube proximally relative to the distal outer tube, the inner tube, the pull wire and the distal body causes the proximal outer tube slot to move proximally relative to the fin and causes the spring to move from a relaxed length to a compressed length.

US Pat. No. 10,888,345

CAPTURE DEVICES

Boston Scientific Scimed,...

1. A device comprising:a handle including a wire attachment portion;
an actuator movably mounted to the handle, the actuator including a reaction chamber;
a plunger movably mounted to the actuator, the plunger including a distal stop with a sheath attachment portion, and a proximal stop located in the reaction chamber;
a resilient element located in the reaction chamber, the resilient element including a proximal end movable relative to the plunger; and
a force reduction element located in the reaction chamber between the proximal end of the resilient element and a proximal end of the reaction chamber, wherein the force reduction element includes an annular shape with an opening, and a shaft extending proximally from the proximal stop extends through the opening,
wherein:
the resilient element biases the plunger distally relative to the actuator;
the resilient element is compressible when a proximally-directed force is applied to the plunger; and
the force reduction element dissipates an amount of the proximally-directed force.

US Pat. No. 10,888,344

THROMBECTOMY DEVICE

Interventional Works, LLC...

1. A thrombectomy device comprising a profiled member of at least two members of mesh material extending from a central axis and forming a cross part in axial cross-section, each of the at least two members of mesh material having a respective side parts extending annularly about the central axis from the cross part to a free end substantially adjacent an opposite end of the cross part, wherein the profiled member in cross section has a generally cylindrical outer profile in a relaxed condition that can be moved to a smaller axial cross-section and retained thereat, to permit location at a required position in a thrombotic vessel.

US Pat. No. 10,888,343

ANTI-JAMMING AND MACERATING THROMBECTOMY APPARATUSES AND METHODS

Stryker Corporation, Fre...

1. A method of removing a clot using a mechanical thrombectomy apparatus, the method comprising:positioning a distal end of the mechanical thrombectomy apparatus adjacent to a clot within a vessel, wherein the mechanical thrombectomy apparatus includes a tractor region that extends along a distal region of a catheter and inverts over a distal end of the catheter so that a first end of the tractor extends proximally within the catheter, wherein the tractor comprises a plurality of ribbons having a square or rectangular cross-section;
pulling the first end of the tractor proximally within the catheter to roll the tractor over the distal end of the catheter so that the tractor inverts over the distal end of the catheter and extends a plurality of edges of the ribbons, forming a plurality of projections from an inverting portion of the tractor as the tractor is rolled over the distal end of the catheter;
grabbing the clot with the plurality of projections; and
drawing the clot into the catheter.

US Pat. No. 10,888,342

ANTI-JAMMING AND MACERATING THROMBECTOMY APPARATUSES AND METHODS

Stryker Corporation, Fre...

1. A mechanical thrombectomy apparatus for removing a clot from a vessel, the apparatus comprising:an elongate inversion support comprising a catheter having a distal end and a distal end opening;
a tractor comprising a flexible tube that extends distally in an un-inverted configuration within the catheter, inverts over the distal end opening of the catheter and extends proximally in an inverted configuration along the distal end of the catheter, wherein the tractor comprises a tubular wall, further wherein the tractor is configured to invert by rolling over the distal end opening of the catheter when a first end of the tractor is pulled proximally within the catheter; and
a plurality of projections that extend from a portion of the tractor that is inverted over the distal end opening of the catheter as the tractor rolls over the distal end opening of the catheter, wherein the projections do not extend from the tractor as the tractor extends proximally in the inverted configuration along the distal end of the catheter,.
wherein the tractor is sufficiently soft such that without support from the catheter, it collapses radially under an axial compression of less than 200 g of force when inverting.

US Pat. No. 10,888,341

BALLOON CATHETER

ASAHI INTECC CO., LTD., ...

1. A balloon catheter comprising:a balloon;
an outer shaft;
an inner shaft joined to a distal end of the balloon; and
a tip having:
a step portion provided on an inner surface thereof and configured to come in contact with an entire distal surface of the inner shaft; and
a proximal end portion that covers an outer periphery of the distal end of the balloon,
wherein:
the distal end of the balloon is sandwiched between the inner shaft and the proximal end portion of the tip, and
an outer periphery of the inner shaft has an uneven surface topography at a joining portion in which the distal end of the balloon, the inner shaft, and the tip are joined.

US Pat. No. 10,888,340

METHOD AND CUT GUIDE FOR BIPLANAR WEDGE OSTEOTOMY

WRIGHT MEDICAL TECHNOLOGY...

1. A method for bi-planar wedge osteotomy of a foot, comprising the steps of:(a) inserting a first wire at least into a first bone of the foot, so that the first wire is distal from tissue to be removed;
(b) inserting a second wire into a second bone of the foot, so that the tissue to be removed is distal from the second wire;
(c) pivoting a cut guide about the first wire, until a first axis of the cut guide is parallel with a longitudinal axis of a first metatarsal of the foot, the cut guide having a slot perpendicular to the first axis of the cut guide for guiding a cutter;
(d) cutting bone through the slot while the first axis of the cut guide is aligned with the longitudinal axis of the first metatarsal;
(e) pivoting the cut guide about the second wire, until the first axis of the cut guide is aligned with a longitudinal axis of a talus; and
(f) cutting bone through the slot while the first axis of the cut guide is aligned with the longitudinal axis of the talus, to form a second planar cut into or through bone material.

US Pat. No. 10,888,339

INSTRUMENT FOR ALIGNING FIXING SCREWS TO BE INSERTED IN TRANSVERSE HOLES OF NAILS FOR LONG BONES, IN PARTICULAR MEDULLARY NAILS

ORTHOFIX S.R.L., Bussole...

1. An improved-structure instrument for allowing the alignment of fixing screws to be inserted in transverse holes of nails for long bones, in particular medullary nails, of the type comprising:an arched arm having a free distal end connectable to a proximal end of a head of the nail in which said transverse holes are formed, and
a proximal handle portion as well as a connection portion between the free distal end and the proximal handle portion,
at least one through-hole in said connection portion for receiving a guide tube for a drilling bit, said at least one through-hole having an axis coinciding with the axis of one of said transverse holes;
locking means associated with said at least one through-hole so as to lock in a stable position the corresponding tube inserted in the instrument; wherein
at least a chamber is formed inside a body of said connection portion around said through-hole for housing said locking means;
at least a lateral opening in communication with said chamber;
a quick-locking cam assembly, including a first component and another component, forming said locking means: the first component of the quick-locking cam assembly being integral with the body of the connection portion and placed around said guide tube, and the other component of the quick-locking cam assembly including a cam and being angularly movable with respect to the first component; said other component being provided with a first hole through which the tube passes; said first component being provided with a second hole through which the tube passes; the first and second holes are slightly axially offset; said first hole having a flat portion protruding essentially along a chord of the circular shape of the first hole so as to form the cam of the other component of the quick-locking cam assembly;
a trigger element of said other component projecting from said lateral opening to be manually operated thus moving the other component with said cam interfering with said guide tube, a relative rotation of the components causes a constriction of the guide tube inserted into the holes by means of the flat portion and stable locking in position of the said guide tube,
wherein the at least one chamber has opposite openings that make it laterally accessible for said body of the connection portion; said locking means being housed in the chamber and comprising the quick-locking cam assembly including the first component and the other component, each component being provided with a corresponding through-hole for said tube; one component being integral with the body of the connection portion and the other component being angularly movable with respect to the first component so as to lock in position the tube by means of interference between the corresponding holes,
wherein the other component of the quick-locking cam assembly is a butterfly member with a cylindrical body and a pair of opposite operating lugs integrally formed and laterally projecting from the body of the connection portion through said lateral openings, and
wherein at least one of the lugs is shaped with at least one concave surface which can be engaged by a finger of a hand of the orthopaedic surgeon so as to angularly rotate said butterfly member of the quick-locking assembly inside the respective housing chamber.

US Pat. No. 10,888,338

INTRAMEDULLARY NAIL ALIGNMENT GUIDES, FIXATION GUIDES, DEVICES, SYSTEMS, AND METHODS OF USE

Paragon 28, inc., Englew...

1. A fixation system, comprising:an alignment guide system for forming an opening across a joint, wherein the alignment guide system comprises:
a targeting guide with a first end and a second end, wherein the targeting guide comprises:
a body with a first end and a second end;
a first opening positioned at the first end of the body;
a coupling region positioned at the second end of the body;
a pivot assembly with a first end and a second end, wherein the first end of the pivot assembly is coupled to the coupling region of the body, the pivot assembly comprising:
a pivoting end positioned at the second end and configured to receive an alignment wire;
a slot inset into the first end of the pivot assembly to receive the coupling region of the body; and
a pivot slot positioned at the second end of the pivot assembly the alignment wire rotatably engaging the second end of the targeting guide; and
a guide sleeve insert engaging an opening in the first end of the targeting guide;
an intramedullary nail; and
a fixation guide device for inserting the intramedullary nail into the opening.

US Pat. No. 10,888,337

SYSTEMS AND METHODS FOR MONITORING A SURGICAL PROCEDURE WITH CRITICAL REGIONS

THINK SURGICAL, INC., Fr...

1. A user controller device for a semi-computer controlled surgical procedure comprising:a body configured as a pendant adapted to be hand held in one hand;
one or more use inputs configured to generate a user command, the one or more use inputs including at least a vigilance control button, requiring activation to acknowledge an alert sent to said pendant for active cutting to continue by a computer controlled surgical robot performing the semi-computer controlled surgical procedure; and
a cable configured to be electrically communicating the user command to said computer controlled surgical robot.

US Pat. No. 10,888,336

ANKLE REPLACEMENT SYSTEM AND METHOD

WRIGHT MEDICAL TECHNOLOGY...

1. A surgical guide, comprising:a body configured to be inserted into a block that is configured to be coupled to a bone, the body defining at least a first guide hole and a second guide hole, wherein the first and second guide holes are sized and configured to receive a first surgical tool for forming pilot holes in the bone and wherein the body comprises radiopaque surfaces defining the first and second guide holes; and
a sizing pattern coupled to the body, the sizing pattern having a size and being coupled to the body at a location for estimating resectioning cuts to be made to the bone, wherein the sizing pattern comprises at least two radiopaque lines each comprising a length dimension configured to provide a fluoroscopic cue for positioning the body.

US Pat. No. 10,888,335

BONE CUTTING GUIDE SYSTEMS AND METHODS

Treace Medical Concepts, ...

1. A method of correcting an alignment between bones of a foot, the method comprising:positioning a first cutting slot of a bone cutting guide over a first metatarsal;
inserting a first fixation pin through a first fixation aperture of the bone cutting guide and into the first metatarsal, the first fixation aperture being positioned distally of the first cutting slot;
inserting a cutting member through the first cutting slot to remove a portion of the first metatarsal;
adjusting an alignment of the first metatarsal relative to a first cuneiform separated from the first metatarsal by a joint to establish a moved position of the first metatarsal;
positioning a second cutting slot of the bone cutting guide over the first cuneiform;
inserting a second fixation pin through a second fixation aperture of bone cutting guide into the first cuneiform, the second fixation aperture being positioned proximally of the second cutting slot;
inserting the cutting member through the second cutting slot to remove a portion of the first cuneiform; and
causing the first metatarsal to fuse to the first cuneiform in the moved position.

US Pat. No. 10,888,334

APPARATUS AND METHOD TO STOP BLEEDING

Vasoinnovations Inc., So...

1. A hemostatic device comprising: a flexible band configured to be wrapped around an individual's arm in which a radial artery and an ulnar artery are located, the flexible band possessing a longitudinal extent that extends in a longitudinal direction;the flexible band including two parts that engage one another when the flexible band is wrapped around the individual's arm in a wrapped state to secure the flexible band to the individual's arm;
a compression member connected to the flexible band, the compression member being more rigid than the flexible band, the compression member including a first portion and a second portion that are spaced apart from one another in the longitudinal direction;
a first inflatable member connected to the flexible band and possessing an interior, the first portion of the compression member overlying the first inflatable member so that the first inflatable member is positioned between the first portion of the compression member and the individual's arm when the flexible band is wrapped around the individual's arm in the wrapped state;
a first lumen in communication with the interior of the first inflatable member to introduce fluid into the interior of the first inflatable member when the flexible band is wrapped around the individual's arm in the wrapped state to expand the first inflatable member and press a part of the radial artery to be subjected to hemostasis, the first inflatable member possessing an exterior surface;
a second inflatable member connected to the flexible band and possessing an interior, the second portion of the compression member overlying the second inflatable member so that the second inflatable member is positioned between the second portion of the compression member and the individual's arm when the flexible band is wrapped around the individual's arm in the wrapped state;
a second lumen in communication with the interior of the second inflatable member to introduce fluid into the interior of the second inflatable member when the flexible band is wrapped around the individual's arm in the wrapped state to expand the second inflatable member and press a part of the ulnar artery; and
an auxiliary balloon possessing an interior and expandable upon being inflated in response to introducing fluid into the interior of the auxiliary balloon, the auxiliary balloon being disposed between the second portion of the compression member and the second inflatable member so that the auxiliary balloon presses the second inflatable member on the ulnar artery when the auxiliary balloon is inflated.

US Pat. No. 10,888,333

INTRASACCULAR THIN-FILM FLOW DIVERTERS AND RELATED METHODS

Monarch Biosciences, Inc....

1. An apparatus, comprising:a wire structure comprising a plurality of wires;
a thin-film mesh placed over a length of the wire structure;
a plurality of crimps configured to secure the thin-film mesh to the wire structure at corresponding crimp locations,
wherein a respective part of the wire structure and a respective part of the thin-film mesh between two adjacent crimps are configured to expand radially to form a thin film covered sphereoid structure, and wherein expanded parts of the thin-film mesh comprises pores; and
a first umbrella structure at one end of the wire structure.

US Pat. No. 10,888,332

INTRANASAL OCCLUSION DEVICE AND METHODS OF USING THE SAME

NORTHWESTERN UNIVERSITY, ...

1. An intranasal expandable occlusion device, comprising:an expandable body having a first end and an opposite, second end, and comprising:
at least one flexible expandable sponge having an anterior end, an opposite, posterior end and an exterior surface defined therebetween;
a flexible inflatable balloon that is completely surrounded by and is completely in contact with the at least one flexible expandable sponge so that no portion of the flexible inflatable balloon is uncovered by the at least one flexible expandable sponge; and
a flexible expandable cover that is impermeable to liquids and overlies a portion of the exterior surface of the at least one expandable sponge and extends over the posterior end and along sides of the at least one expandable sponge so as to define an uncovered portion including the anterior end and a portion proximate the anterior end of the at least one expandable sponge uncovered by the flexible expandable cover that provides an access to the at least one expandable sponge, wherein the access is an opening that allows fluid to reach and be collected by the at least one expandable sponge;
wherein the first end and the second end of the expandable body are respectively coincident with the anterior end and the posterior end of the at least one flexible expandable sponge, and the expandable body has no through passageway extending from the posterior end to the anterior end of the at least one flexible expandable sponge such that when the expandable body rests in an airway of a structure in use, the expandable body operably occludes the airway bilaterally for preventing drainage from passing through the expandable body;
an inflation catheter connected to the flexible inflatable balloon through the uncovered portion of the at least one expandable sponge; and
a suction catheter connected to the at least one expandable sponge through the uncovered portion of the at least one expandable sponge, for suctioning the fluid collected by the at least one expandable sponge.

US Pat. No. 10,888,331

ACTIVE RELEASE OF EMBOLIC COILS

Boston Scientific Scimed,...

1. A system for delivering a vaso-occlusive coil, comprising:an elongate pusher member having a proximal end, a distal end and a lumen extending between the proximal and distal ends;
a gripping element disposed at the distal end of the elongate pusher member, wherein the gripping element is configured to move between an expanded configuration and a contracted configuration, and wherein the gripping element includes a first plurality of projections extending outwardly in substantially the same radial direction;
a pushrod having a proximal end and a distal end, the pushrod slidably disposed within the lumen of the elongate pusher member, wherein the distal end of the pushrod is configured to slidably engage the gripping element; and
a vaso-occlusive coil having a proximal end and a distal end, wherein the first plurality of projections each engage a winding of the vaso-occlusive coil when the gripping element is in the expanded configuration to reversibly couple the vaso-occlusive coil to the gripping element.

US Pat. No. 10,888,330

SURGICAL SYSTEM

Ethicon LLC, Guaynabo, P...

1. A surgical instrument configured to be coupled to a robotic surgical system, said surgical instrument comprising:an end effector, comprising:
a first jaw; and
a second jaw movable relative to said first jaw between an open position and a closed position;
a threaded drive shaft;
a firing member drivable by said threaded drive shaft, where said firing member is movable within said end effector between an unfired position and a fired position;
a closure system configured to move said first jaw toward said closed position;
a housing assembly comprising a connector portion coupleable with the robotic surgical system, wherein said housing assembly further comprises an array of electrical contacts configured to place said housing assembly in communication with the robotic surgical system;
a first motor coupled to said housing assembly, wherein said first motor is configured to drive said closure system;
a second motor coupled to said housing assembly, wherein said second motor is configured to drive said threaded drive shaft;
a first decoupleable electrical contact configured to supply power to said first motor from a power system; and
a second decoupleable electrical contact configured to supply power to said second motor from the power system, wherein the power system is selectively interrupted within said housing assembly unless a signal is provided to the power system from the robotic surgical system.

US Pat. No. 10,888,329

DETACHABLE MOTOR POWERED SURGICAL INSTRUMENT

Ethicon LLC, Guaynabo, P...

3. A stapling attachment configured for operable attachment to a surgical system, said stapling attachment comprising:a channel jaw;
a staple cartridge positioned in said channel jaw;
an anvil;
a housing, wherein said housing includes means for removably attaching said housing to the surgical system; and
a drive system, comprising:
a drive cable;
a drive member supported for axial travel through said staple cartridge from a start position toward an end position in response to a drive motion from said drive cable; and
a motor operably interfacing with said drive cable to apply said drive motion thereto, wherein said motor is configured to receive power from a power source such that said motor can only receive power from said power source when said means for removably attaching said housing to the surgical system is operably coupled to the surgical system.

US Pat. No. 10,888,328

SURGICAL END EFFECTOR

Ethicon LLC, Guaynabo, P...

1. A surgical end effector, comprising:a first jaw comprising a staple cartridge, wherein said staple cartridge comprises a plurality of staples; and
a second jaw comprising an anvil, wherein said anvil comprises:
an anvil surface; and
a plurality of staple-forming pockets defined in said anvil surface, wherein said second jaw is movable relative to said first jaw, and wherein said second jaw comprises:
an unclamped position;
a first clamped position, wherein said anvil surface is in contact with said staple cartridge when said second jaw is in said first clamped position; and
a second clamped position, wherein said first clamped position is different than said second clamped position, wherein said staples are configured to be formed against said staple-forming pockets when said second jaw is in said second clamped position, and wherein said anvil surface and said staple cartridge are not in contact with each other when said second jaw is in said second clamped position.

US Pat. No. 10,888,327

SURGICAL FASTENER APPLYING APPARATUS

Covidien LP, Mansfield, ...

1. A surgical fastener applying apparatus comprising:an anvil half-section including a distal anvil portion and a proximal handle portion;
a cartridge receiving half-section including a channel member having side walls and a bottom wall, the channel member defining a channel and having a distal portion dimensioned to releasably receive a cartridge and a proximal portion configured to support a firing assembly, the proximal portion of the channel member having an inner wall defining the channel including an inwardly extending protrusion extending from the inner wall into the channel; and
a firing assembly including a firing lever, a cam bar fixedly secured to the firing lever, and a stationary housing supporting the firing lever and the cam bar, the stationary housing being configured to be releasably supported in the proximal portion of the cartridge receiving portion, wherein the stationary housing includes a distal end having an angled extension, the angled extension being received between the bottom wall of the channel member and the inwardly extending protrusion and positioned to engage the inwardly extending protrusion on the inner wall of the channel member to releasably secure the distal end of the firing assembly within the elongated channel member.

US Pat. No. 10,888,326

SURGICAL STAPLER WITH EXPANDABLE JAW

Applied Medical Resources...

1. A surgical stapler comprising:an elongate shaft having a proximal end and a distal end and defining a longitudinal axis between the proximal end and the distal end;
a handle assembly disposed at the proximal end of the elongate shaft;
an actuation mechanism actuatable by the handle assembly, the actuation mechanism comprising an actuation beam longitudinally slidable in the elongate shaft, the actuation beam comprising a first guide and a second guide formed thereon; and
a jaw assembly disposed at the distal end of the elongate shaft, the jaw assembly comprising:
a first jaw defining a first clamping surface, the first jaw comprising a first guide slot extending longitudinally therein, the first guide of the actuation beam slidably positioned in the first guide slot;
a second guide slot comprising an opening segment and a firing transition segment, the second guide of the actuation beam slidably positionable in the second guide slot;
a second jaw defining a second clamping surface, the second jaw comprising a third guide slot extending longitudinally therein, the second guide of the actuation beam slidably positionable in the third guide slot; and
a plurality of staples positioned in the first jaw,
wherein the jaw assembly is actuatable by longitudinal movement of the actuation beam between a closed position in which the first clamping surface contacts the second clamping surface, an open position in which the second clamping surface extends at an angle transverse to the first clamping surface, and a stapling position in which the first clamping surface extends parallel to the second clamping surface and is spaced apart from the second clamping surface.

US Pat. No. 10,888,325

CARTRIDGE ARRANGEMENTS FOR SURGICAL CUTTING AND FASTENING INSTRUMENTS WITH LOCKOUT DISABLEMENT FEATURES

Ethicon LLC, Guaynabo, P...

1. A surgical cartridge assembly, comprising:a proximal end;
a distal end;
an elongate channel, comprising:
a base;
at least one opening defined within the base; and
a channel slot defined in the base and configured to receive a cutting member;
a cartridge body configured to be removably received within the elongate channel, wherein the cartridge body comprises a cartridge slot, and wherein the cartridge slot is aligned with the channel slot when the cartridge body is received within the elongate channel; and
at least one lockout tab extending from the proximal end of the cartridge body, wherein the at least one lockout tab is configured to cover the at least one opening of the elongate channel when the cartridge body is received within the elongate channel, wherein the at least one lockout tab disables a lockout mechanism to allow the cutting member to advance distally through the channel slot and the cartridge slot, and wherein the cutting member is configured to move toward the base of the elongate channel such that a portion of the cutting member is received within the at least one opening of the elongate channel when the at least one lockout tab is not present.

US Pat. No. 10,888,324

POWERED SURGICAL INSTRUMENT WITH INDEPENDENT SELECTIVELY APPLIED ROTARY AND LINEAR DRIVETRAINS

Ethicon LLC, Guaynabo, P...

1. An apparatus, comprising:(a) a handle assembly, wherein the handle assembly comprises:
(i) a rotary drive output operable to output rotary motion at a distal end of the handle assembly,
(ii) a linear drive output operable to output linear motion at the distal end of the handle assembly, and
(iii) a control module; and
(b) a shaft assembly, wherein the shaft assembly comprises:
(i) a distal end, wherein the distal end includes a type of end effector configured to operate on tissue, and
(ii) a proximal end, wherein the proximal end is configured to removably and selectively releasably couple with the distal end of the handle assembly, wherein the proximal end comprises one or both of:
(A) a rotary drive input configured to releasably couple with the rotary drive output, or
(B) a linear drive input configured to releasably couple with the linear drive output, wherein the linear drive input is configured to be driven by the linear drive output independently from the rotary drive output,
wherein the shaft assembly is configured to actuate the end effector in response to movement of one or both of the rotary drive input or the linear drive input;
wherein the control module is configured to selectively actuate at least one of the rotary drive output or the linear drive output based on the type of end effector of the shaft assembly.

US Pat. No. 10,888,323

STAPLE CARTRIDGE ASSEMBLY AND MEDICAL STAPLER USING THE STAPLE CARTRIDGE ASSEMBLY

TOUCHSTONE INTERNATIONAL ...

1. A staple cartridge assembly comprising a staple cartridge, an anvil and a cutter, wherein the cutter comprises a first end and a second end; the staple cartridge assembly also comprises a rotation shaft and an auxiliary closing member which is connected with the rotation shaft;the staple cartridge assembly is also provided with a driving component capable of driving the rotation shaft to rotate; the driving component and the cutter being integral; the cutter moves toward a distal end of the staple cartridge assembly and the driving component drives the rotation shaft to drive the auxiliary closing member to move in a process in which the staple cartridge assembly is converted from an original status to a closed status; when at least the staple cartridge assembly is in the closed status, one end surface of the auxiliary closing member abuts against the anvil to apply a force to the anvil for driving the anvil to be closed towards the staple cartridge, wherein
the auxiliary closing member includes a cam rotatable around an axis of the rotation shaft;
the driving component drives the rotation shaft to drive the cam to rotate in the process in which the staple cartridge assembly is converted from the original status to the closed status; when at least the staple cartridge assembly is in the closed status, a cam surface of the cam abuts against the anvil to apply a force to the anvil for driving the anvil to be closed towards the staple cartridge; and
during a process of firing the staple cartridge assembly, the cutter moves towards the distal end of the staple cartridge assembly, and the driving component is detached from the rotation shaft and the rotation shaft becomes stationary after the driving component is detached from the rotation shaft.

US Pat. No. 10,888,322

SURGICAL INSTRUMENT COMPRISING A CUTTING MEMBER

Ethicon LLC, Guaynabo, P...

1. A surgical instrument, comprising:a first jaw comprising a distal jaw end;
a second jaw movable relative to said first jaw to capture tissue of a patient between said first jaw and said second jaw; and
a cutting member movable toward said distal jaw end during a cutting stroke, wherein said cutting member comprises:
a coupling portion, comprising:
a first cam configured to engage said first jaw;
a second cam configured to engage said second jaw during said cutting stroke; and
a body connecting said first cam and said second cam; and
a bar comprising a plurality of layers attached to said coupling portion, wherein said bar comprises a cutting edge configured to cut the tissue during said cutting stroke, and wherein at least a portion of said bar extends proximally beyond said coupling portion.

US Pat. No. 10,888,321

SYSTEMS AND METHODS FOR CONTROLLING VELOCITY OF A DISPLACEMENT MEMBER OF A SURGICAL STAPLING AND CUTTING INSTRUMENT

Ethicon LLC, Guaynabo, P...

1. A surgical instrument, comprising:a displacement member;
a motor coupled to the displacement member, the motor operable to translate the displacement member through a plurality of zones, wherein each one of the plurality of zones is defined by a range of displacement of the displacement member;
a control circuit coupled to the motor;
a position sensor coupled to the control circuit; and
a timer circuit coupled to the control circuit, wherein the timer circuit is configured to measure time elapsed during translation of the displacement member to a predetermined initial position;
wherein the control circuit is configured to:
receive a position output of the position sensor indicative of at least one position of the displacement member;
determine a zone within the plurality of zones in which the displacement member is located based on the position output of the position sensor;
set velocity of the motor based on the zone in which the displacement member is located, wherein a different velocity of the motor is set in each one of the plurality of zones; and
maintain the set velocity of the motor in the zone until the displacement member enters a new zone.

US Pat. No. 10,888,320

HYPOTHERMIC CIRCULAR SURGICAL STAPLERS AND METHODS OF USE

Ethicon, Inc., Somervill...

1. A hypothermic circular stapling instrument comprising:a circular anvil having an anvil tissue facing surface and an opposite distal end; the circular anvil having a peripheral staple bending zone on said anvil tissue facing surface; a cylindrical stapling head mounted on a support shaft, said stapling head containing a concentric knife and a plurality of deployable staples in concentric arrays within a stapling head tissue facing surface of said stapling head; a moveable shaft connecting the circular anvil and stapling head; and at least one cooled zone,
wherein the cooled zone is located inside the circular anvil in proximity to the anvil tissue facing surface,
wherein the cooled zone comprises a reservoir filled with a coolant.

US Pat. No. 10,888,319

BONE STAPLE INSERTION TOOL AND RELATED METHOD

GRAMERCY EXTREMITY ORTHOP...

1. A bone staple insertion tool for inserting a bone staple having an inter-axis and first and second legs into a patient, the insertion tool comprising:a body having a proximal portion, a distal surface and a fulcrum, the body defining a longitudinal axis and the fulcrum positioned on the distal surface proximate the longitudinal axis, the distal surface having a first end and a second end;
a bone staple mount fixed to the body and extending from the body proximate the first end; and
a force applicator movably attached to the body, the force applicator having a gripping portion and a staple pin portion, the staple pin portion positioned proximate the second end, the force applicator configured to receive the bone staple between the staple pin portion and the distal surface and, upon actuation of the gripping portion, bend the inter-axis of the bone staple across the fulcrum located between the bone staple mount and the staple pin portion to move the bone staple to an expanded state, wherein the first and second legs are positioned substantially parallel to the longitudinal axis.

US Pat. No. 10,888,318

POWERED SURGICAL STAPLER

Ethicon LLC, Guaynabo, P...

10. A powered surgical instrument, comprising:an end effector, comprising:
a first jaw;
a second jaw movable relative to said first jaw between an open position and a closed position;
a staple cartridge comprising a plurality of staples removably stored therein; and
an anvil;
a closure driver configured to translate in a distal direction in response to a closure motion, wherein said closure drive is further configured to translate in a proximal direction in response to an opening motion;
a firing member configured to move relative to said end effector;
a firing driver configured to transmit a firing motion to said firing member to eject said staples from said staple cartridge during a firing stroke;
a first motor operably engaged with said firing driver, wherein said first motor is configured to actuate said firing driver to perform said firing stroke;
a second motor operably engaged with said closure driver; and
a control system in signal communication with said first motor and said second motor, wherein said control system is configured to actuate said second motor to prevent said closure driver from translating proximally when said first motor is actuated to perform said firing stroke.

US Pat. No. 10,888,317

CONTROL FEATURES FOR MOTORIZED SURGICAL STAPLING INSTRUMENT

Ethicon LLC, Guaynabo, P...

1. An apparatus, comprising:(a) a body;
(b) an end effector extending distally from the body, wherein the end effector comprises a stapling assembly operable to drive staples into tissue; and
(c) a control system in communication with the end effector, wherein the control system comprises:
(i) a motor,
(ii) a rotary drive member coupled with the motor and having a cam feature, wherein the rotary drive member is rotatable by the motor through a range of motion to actuate the stapling assembly to perform a firing stroke,
(iii) a movable member, and
(iv) a stop switch in communication with the motor, wherein the stop switch is configured to transition between:
(A) a first state in which the stop switch permits activation of the motor and initiation of the firing stroke in response to a user input, and
(B) a second state in which the stop switch deactivates the motor to cease actuation of the stapling assembly,
wherein the cam feature is configured to drive the movable member into engagement with the stop switch and thereby transition the stop switch from the first state to the second state when the rotary drive member completes the range of motion,
wherein the movable member is configured to remain stationary while the rotary drive member rotates through a portion of the range of motion.

US Pat. No. 10,888,316

WORK HARDENING OF STAPLES WITHIN SURGICAL STAPLER

AESCULAP AG, Tuttlingen ...

1. A method of forming a break away section on a first surgical staple that is attached to a row of surgical staples at a first junction, the method comprising the steps of:loading the row of surgical staples into a surgical stapler;
moving the row of surgical staples in a longitudinal direction relative to the surgical stapler;
contacting the first surgical staple with a first interior part of the surgical stapler as the row moves relative to the surgical stapler;
bending the first surgical staple at the first junction in response to contact with the first interior part of the surgical stapler; and
continuing said bending of the first surgical staple in at the first junction until the first junction is work hardened to form said break away section at the first junction; and
stapling tissue with the surgical stapler.

US Pat. No. 10,888,315

METHOD AND APPARATUS FOR LOADING AND IMPLANTING A SHAPE MEMORY IMPLANT

BioMedical Enterprises, I...

1. An implant insertion system, comprising:a shape memory implant, comprising a bridge interconnecting first and second legs, whereby the shape memory implant is movable between a first shape in which the first and second legs are non-parallel and a second shape in which the first and second legs are substantially parallel; and
an implant insertion device, comprising a first jaw adapted to engage the shape memory implant, a second jaw adapted to engage the shape memory implant, and a third jaw adapted to engage the shape memory implant, wherein the first, second, and third jaws are movable from a disengaged position to an engaged position, further wherein:
the first jaw in its engaged position engages the first leg of the shape memory in its substantially parallel position,
the second jaw in its engaged position engages the second leg of the shape memory in its substantially parallel position, and
the third jaw in its engaged position engages in abutting relationship with the first and second jaws such that the first, second, and third jaws engage and maintain the shape memory implant in its second shape until the delivery of the shape memory implant into tissue or bone.

US Pat. No. 10,888,314

DEVICES AND METHODS FOR SUTURE PLACEMENT

Durastat LLC, Wayne, PA ...

1. A suturing device comprising:a curved needle having first end, which is pointed, and a second end;
a suture connected with the curved needle;
an elongate body including a proximal end portion and a distal end portion;
an actuator interacting with the elongate body and operable between a first operating position and a second operating position; and
a curved needle holder extending away from the distal end portion or provided as part of the distal end portion of the elongate body, the curved needle holder including a distal end section having a distal-most tip, the curved needle holder defining a curved needle passage, which receives at least a portion of the curved needle when the actuator is in the first operating position, and a distal opening,
wherein movement of the actuator from the first operating position toward the second operating position moves the curved needle in an advance direction with respect to the curved needle holder toward a released condition in which the curved needle is released from the needle holder,
wherein the distal end section is configured to allow the second end of the curved needle to release from the curved needle holder at a location offset from the distal-most tip, and
wherein at least a portion of the suture extends through the distal opening when the curved needle is received in the curved needle passage and the actuator is in the first operating position.

US Pat. No. 10,888,313

REUSABLE IMPLANT DELIVERY DEVICES

Boston Scientific Scimed,...

1. A medical device comprising:a needle member including a ridge disposed between a first portion having a first diameter and a second portion having a second diameter, the second diameter being smaller than the first diameter, the ridge being configured to engage an implant having a tubular member and a mesh, the needle member including a first end and a second end portion opposite the first end, the first end having a tip configured to pierce bodily tissue, the second end having a circular cross-section;
a handle member including an extension portion extending from the handle member, the extension portion includes a flat portion being disposed on a first side of the handle member and a curved portion being disposed on a second side, opposite the first side, of the handle member, the flat portion defines a groove that extends in a direction substantially perpendicular to a longitudinal axis of the handle member, the first portion of the needle member being configured to be removably coupled to the handle member; and
a pin configured to be inserted in an opening in the handle member and an opening in the needle member, such that the pin extends through at least a portion of the needle member and at least a portion of the handle member, the pin being configured to prevent rotation of the needle member with respect to the handle member.

US Pat. No. 10,888,312

SUTURE SECURING ASSEMBLIES

1. A suture securing assembly, comprising:an inserter comprising:
a handle;
an outer shaft fixedly coupled to the handle, the outer shaft having a proximal end, a distal end, and a longitudinal axis extending therebetween, the outer shaft defining an internal cannulation extending between the proximal and distal ends; and
an inner shaft disposed within the cannulation such that a portion of the inner shaft extends from the distal end of the outer shaft, the inner shaft axially moveable relative to the outer shaft; and
an anchor comprising:
a cannulated proximal body disposed on the inner shaft of the inserter; and
a distal body disposed on a distal end of the inner shaft, the distal body having a through hole defined through the distal body transverse to the longitudinal axis for passage of a suture;
wherein the distal body is moveable by the inner shaft in a proximal but not a distal direction relative to the proximal body.

US Pat. No. 10,888,311

SUTURE ANCHOR WITH BIOLOGIC PROXIMAL END

Arthrex, Inc., Naples, F...

1. A suture anchor for tissue repair, comprising:a cannulated anchor body having proximal and distal ends, and an insertion length defined therebetween, the cannulated anchor body comprising a proximal section and a main section, the proximal section being remote from the distal end and ending at the proximal end of the cannulated anchor body and the main section ending at the distal end of the cannulated anchor body, and the proximal section being no more than about one-third of the insertion length of the cannulated anchor body,
wherein the proximal and main sections are formed of different materials, and only the proximal section is formed of a biologic material.

US Pat. No. 10,888,310

METHOD AND APPARATUS FOR SECURING AN OBJECT TO BONE, INCLUDING THE PROVISION AND USE OF A NOVEL SUTURE ASSEMBLY FOR SECURING AN OBJECT TO BONE

Linvatec Corporation, La...

1. A suture assembly comprising:a first suture having a generally U-shaped configuration comprising a first arm, a second arm and a bridge connecting the first arm to the second arm;
a second suture comprising a first arm, a second arm and a bridge connecting the first arm to the second arm;
the first arm of the second suture being wrapped around the first arm of the first suture in a first direction, and the second arm of the second suture being wrapped around the second arm of the first suture in a second, opposite direction;
wherein the first arm of the second suture is wrapped three times around the first arm of the first suture and the second arm of the second suture is wrapped three times around the second arm of the first suture; and
the suture assembly being capable of assuming (i) a longitudinally-extended, radially-contracted first configuration, and (ii) a longitudinally-contracted, radially-expanded second configuration.

US Pat. No. 10,888,309

SURGICAL FASTENER DEVICES WITH GEOMETRIC TUBES

COVIDIEN LP, Mansfield, ...

1. A surgical fastening device, comprising:a handle;
a shaft extending from the handle; and
an end effector supported on the shaft and configured to support at least one fastener, the end effector including:
a tube defining a longitudinal axis and including an outer surface and an inner surface, the inner surface defining a lumen that extends along the longitudinal axis, the tube defining a proximal depression and a plurality of distal depressions, the proximal depression defined by segments having the same longitudinal alignment, the plurality of distal depressions arranged helically about the inner surface of the tube along the longitudinal axis to guide the at least one fastener through the lumen, the tube defining a tube length; and
at least one rib continually extending in a plane substantially parallel to the longitudinal axis of the tube, the at least one rib extending continually along a length of the tube length, the length of the tube length defined by at least three of the depressions.

US Pat. No. 10,888,308

TISSUE COLLECTOR

OLYMPUS CORPORATION, Tok...

1. A tissue collector for use with an endoscope having an observation surface that observes a target, the tissue collector comprising:an elongated sheath having a proximal end portion and a distal end portion, the sheath extending in a direction of a longitudinal axis;
a bag having an opening defining an opening surface and a bottom, the bag being arranged at the distal end portion, and the bag being configured to expand and contract;
a wire protruding from the distal end portion, the wire being configured to expand the opening by moving forward from the distal end portion; and
an extending portion arranged at the distal end portion of the sheath so as to protrude forward from the distal end portion along the longitudinal axis and enter an inside of the bag, the extending portion being configured to extend inside the bag along the bottom of the bag;
a slider provided at a proximal end portion of the sheath; and
a member interlocked with an operation of the slider and which varies a direction of the opening;
wherein the member varies the direction of the opening such that the observation surface of the endoscope and the opening surface of the opening face each other.

US Pat. No. 10,888,307

SYSTEM FOR PERFORMING INTRALUMINAL CORONARY AND METHOD OF OPERATION THEREOF

KONINKLIJKE PHILIPS N.V.,...

1. A method of performing a bypass procedure, the method performed by a flexible apparatus controlled by at least one controller, the method comprising acts of:percutaneously situating the flexible apparatus through a first artery which is coupled to connective tissue of a chest wall;
transluminally detaching at least a portion of the first artery surrounding the flexible apparatus to thereby detach the first artery from the connective tissue of the chest wall by applying ultrasound signals of a first type emitted by a plurality of elongated spherical transducers arranged longitudinally in a row rotationally coupled to a distal end of the flexible apparatus while rotating the plurality of elongated spherical transducers about a longitudinal axis of the flexible apparatus;
driving at least one of the plurality of elongated spherical transducers to emit ultrasound signals of the first type to transluminally fractionate the portion of the first artery surrounding the flexible apparatus to thereby detach the portion of the first artery surrounding the flexible apparatus from a distal portion of the first artery;
steering at least the detached portion of the first artery surrounding the flexible apparatus from a current location to a bypass location at a target artery by applying a force transmitted through the flexible apparatus situated within the first artery;
establishing a port in the target artery at the bypass location with an arteriectomy device attached around a distal tip of the flexible apparatus; and
coupling, by the flexible apparatus situated within the first artery, the first artery to the target artery at the bypass location to establish flow communication between the first artery and the target artery.

US Pat. No. 10,888,306

OPERATING SELF-ANTAGONISTIC DRIVES OF MEDICAL INSTRUMENTS

Intuitive Surgical Operat...

1. A medical instrument comprising:a shaft;
an actuated structure mounted at a distal end of the shaft in a manner that permits movement of the actuated structure relative to the shaft;
a first tendon connected to the actuated structure and extending down the shaft;
a second tendon connected to the actuated structure and extending down the shaft;
a capstan at a proximal end of the shaft, wherein a portion of the first tendon is wound around the capstan in a first direction, and a portion of the second tendon is wound around the capstan in a second direction that is opposite of the first direction; and
a preload system coupled to permit linear movement of the capstan in a direction perpendicular to a rotational axis of the capstan.

US Pat. No. 10,888,305

RECEIVING DEVICE AND METHOD FOR OBTAINING A SALIVA SAMPLE

BOEHRINGER INGELHEIM VETM...

1. A receiving device for receiving saliva from an animal, comprising:(1) a rope having, (a) a core and (b) a casing, the casing surrounding the core, and
(2) a closure element covering a grippable end of the core that is exposed relative to the casing,
wherein the casing is constructed to enable the core to be at least partially nondestructive pulled from the casing upon removal of the closure element for examination of saliva obtained from the mouth of an animal.

US Pat. No. 10,888,304

REAL-TIME PHOTOACOUSTIC AND ULTRASOUND IMAGING SYSTEM AND METHOD

University of Washington,...

1. A method for generating a combined photoacoustic and ultrasound image frame of an internal region of a body having an external surface, the method comprising:performing in sequence, to generate an image frame of the internal region of the body:
irradiating a first location on the external surface with a first laser pulse such that the first laser pulse irradiates a first section of the internal region of the body;
receiving a first photoacoustic response to the first laser pulse, and using the received first photoacoustic response to generate a first photoacoustic sub-frame of the internal region of the body;
sequentially transmitting a first plurality of ultrasound pulse-echo beams to scan the first section of the internal region of the body;
receiving a first set of ultrasound reflections of the first plurality of ultrasound pulse-echo beams and using the received first set of ultrasound reflections to generate a first set of ultrasound sub-frames of the internal region of the body;
irradiating a second location on the external surface with a second laser pulse such that the second laser pulse irradiates a second section of the internal region of the body, wherein the second location on the external surface is different from the first location on the external surface;
receiving a second photoacoustic response to the second laser pulse, and using the received second photoacoustic response to generate a second photoacoustic sub-frame of the internal region of the body;
sequentially transmitting a second plurality of ultrasound pulse-echo beams to scan the second section of the internal region of the body, wherein the second section of the internal region of the body is different from the first section of the internal region of the body;
receiving a second set of ultrasound reflections of the second plurality of ultrasound pulse-echo beams, and using the received second set of ultrasound reflections to generate a second set of ultrasound sub-frames of the internal region of the body;
combining the first and second photoacoustic sub-frames to generate a photoacoustic frame of the internal region of the body, and combining the first and second sets of ultrasound sub-frames to generate an ultrasound frame of the internal region of the body; and
combining the photoacoustic frame and the ultrasound frame to generate the image frame of the internal region of the body.

US Pat. No. 10,888,303

METHOD AND ULTRASOUND SYSTEM FOR FORMING CONTRAST PULSE SEQUENCE ULTRASOUND IMAGE

Siemens Medical Solutions...

1. A method for forming a contrast pulse sequence ultrasound image, comprising:generating at least three mutually different pulses having a same amplitude and a same frequency with differences in both pulse width and phasing, wherein generating the at least three mutually different pulses comprises: generating a first pulse having a pulse width corresponding to one half of a predetermined pulse width, generating a second pulse having the predetermined pulse width and having a delayed phase difference of 180 degrees with respect to the first pulse, and generating a third pulse having a same pulse width as the first pulse and having a delayed phase difference of 90 degrees with respect to the first pulse;
sequentially transmitting at least three transmission signals corresponding to the at least three mutually different pulses to an ultrasound transducer;
transmitting, by the ultrasound transducer, at least three ultrasound signals to a target object by sequentially generating the at least three ultrasound signals based on the at least three transmission signals;
generating, by the ultrasound transducer, at least three reception signals by sequentially receiving at least three echo signals reflected from the target object; and
forming the contrast pulse sequence ultrasound image by eliminating a linear component from the at least three reception signals.

US Pat. No. 10,888,302

IMAGE PROCESSING DEVICE, METHOD, AND PROGRAM

TERUMO KABUSHIKI KAISHA, ...

1. An image processing device comprising:an information input unit comprising a communications interface that receives as an input three-dimensional structure information indicating a three-dimensional structure of a heart; and
an image generation unit comprising a processor that develops an inner wall of atria and ventricles of the heart indicated by the three-dimensional structure information into a two-dimensional image based on an equal-area projection and generates a developed image interrupted by dividing the two-dimensional image into a front wall, a rear wall, a left wall, and a right wall of the inner wall.

US Pat. No. 10,888,301

ULTRASONIC SCANNING APPARATUS

10. A method for non-invasively imaging a body part of a patient, comprising:providing an enclosure on a support surface, the enclosure having a window portion on a top surface of the enclosure, the window portion is acoustically transparent, and the enclosure is filled with a fluid;
providing an ultrasound transducer imaging system in the fluid in the enclosure, the ultrasound transducer imaging system having an ultrasound transducer operably interconnected to an arcuate track, wherein the arcuate track is operably interconnected to a linear track;
providing a positioning mechanism of the ultrasound transducer imaging system, wherein the linear track is operably interconnected to the positioning mechanism, and wherein the positioning mechanism is configured to move the ultrasound transducer in a first horizontal direction, a second horizontal direction, a vertical direction, a rotational direction around the vertical direction and an angular direction with respect to the vertical direction;
positioning a patient on the enclosure with a body part positioned over the window portion;
scanning the body part using the ultrasound transducer imaging system, wherein the ultrasound transducer records a plurality of A-scan images of the body part along the arcuate track; and
combining, by a computer, the plurality of A-scan images to form a B-scan image.

US Pat. No. 10,888,300

STETHOSCOPE WITH EXTENDED DETECTION RANGE

University of South Carol...

1. A method for monitoring and analyzing body sounds, the method comprising:placing at least one first detection device in contact with a body to be monitored;
simultaneously detecting body sounds within, above and below a frequency range of human hearing;
assessing spatial distribution of sounds using an array of sensors in the at least one first detection device;
amplifying a volume of body sounds within, above and below a frequency range of human hearing and transmitting all of these simultaneously detected frequency ranges via the at least one first detection device;
receiving and processing the body sounds by a hardware processor; and
analyzing nonlinearity of the body sounds to determine a state of health of the body by the hardware processor.

US Pat. No. 10,888,299

METHOD AND APPARATUS FOR X-RAY IMAGING AND GAIN CALIBRATION OF DETECTOR AND DETECTOR BRACKET

GENERAL ELECTRIC COMPANY,...

1. A method for calibrating an X-ray detector, said method for calibrating an X-ray detector comprising:retrieving a calibration parameter stored in the X-ray detector relative to said X-ray detector, wherein the retrieving of the calibration parameter stored in the X-ray detector relative to said X-ray detector comprises retrieving a first gain calibration parameter stored in said X-ray detector relative to said X-ray detector;
prior to calibrating said X-ray detector, retrieving a pre-stored second gain calibration parameter relative to a detection device bracket that holds said X-ray detector and performing data fusion on said second gain calibration parameter and said first gain calibration parameter to obtain a first total gain calibration parameter; and
calibrating said X-ray detector according to said first total gain calibration parameter.

US Pat. No. 10,888,298

RADIOGRAPHIC IMAGING SYSTEM, MEDICAL IMAGE CAPTURING SYSTEM, MEDICAL IMAGE CAPTURING METHOD, AND STORAGE MEDIUM

Canon Kabushiki Kaisha, ...

1. A radiographic imaging system comprising:a radiographic imaging apparatus configured to generate a radiographic image based on radiation emitted from a radiation generating apparatus;
a control unit configured to control the radiographic imaging apparatus based on processing requests from a first terminal apparatus and a second terminal apparatus, wherein the second terminal apparatus is configured to acquire a right to control the control unit from the first terminal apparatus; and
a processing request management unit configured to manage a plurality of processing requests output from the second terminal apparatus,
wherein the control unit controls the radiographic imaging apparatus based on a processing request output from the second terminal apparatus,
wherein, in a case where the control unit has controlled the radiographic imaging apparatus based on the processing request output from the second terminal apparatus, the first terminal apparatus acquires the right to control the control unit from the second terminal apparatus, and
wherein, in a case where the plurality of processing requests is output from the second terminal apparatus, the processing request management unit manages the plurality of processing requests using a first-in-first-out structure.

US Pat. No. 10,888,297

ABOVE-THE-VALVE TAVR VENTRICULAR CATHETER

1. A method of positioning an x-ray C-arm in coplanar alignment with an aortic valve, the method comprising:advancing a guide wire into a patient's aorta;
advancing an undeployed catheter along the guide wire into the patient's aorta above the patient's aortic valve annulus;
retracting the guide wire until the undeployed catheter deploys to form a deployed catheter, the deployed catheter comprising
a distal ring configured to fit within the patient's aortic valve annulus, and co planar to the aortic valve annulus, the distal ring comprising a radiopaque outer surface and a plurality of openings for dispersing contrast medium; and
an upper shaft connecting to the distal ring via a plurality of curves, the upper shaft disposed substantially perpendicularly to the distal ring, the distal ring, the upper shaft and the plurality of curves all formed unitarily from a resilient hollow tube, the plurality of curves comprising an outward curve at which the hollow tube curves outwardly from the upper shaft portion and a lower loop formed by the outward curve and an upward curve of the hollow tube adjacent to the outward curve, the lower loop extending below a plane coexistent with a lower surface of the distal ring;
advancing the deployed catheter until the deployed catheter contacts the patient's aortic valve above the aortic valve;
injecting contrast medium into the deployed catheter to confirm catheter position;
positioning the C-arm using images of the distal ring.

US Pat. No. 10,888,296

METHODS AND SYSTEMS FOR MODULATING RADIATION DOSE

SHANGHAI UNITED IMAGING H...

1. A method implemented on a computing device including a processor and a storage medium for determining a dose of modulation (DOM) profile, the method comprising:obtaining a 3D image of an object;
determining a 3D contour of the object based on the 3D image;
dividing the object into a plurality of slices;
for each slice of the plurality of slices of the object,
determining a size of the each slice of the object based on the 3D contour of the object,
obtaining a relationship between X-ray doses and sizes of slices, and
determining an X-ray dose corresponding to the each slice of the object by searching the relationship based solely on the size of the each slice; and
generating a dose of modulation (DOM) profile based on a plurality of X-ray doses corresponding to the plurality of slices of the object.

US Pat. No. 10,888,295

IMAGE PROCESSING APPARATUS, CONTROL DEVICE, IMAGE PROCESSING METHOD, AND IMAGE PROCESSING PROGRAM

FUJIFILM CORPORATION, To...

1. An image processing apparatus comprising at least one processor, the processor configured to:acquire a radiographic image and imaging conditions in which the radiographic image has been captured; and
derive an amount of signal included in the radiographic image on the basis of the imaging conditions and a body thickness distribution of an object in the radiographic image and outputs a ratio of the derived amount of signal to an amount of noise included in the radiographic image as an index value of an amount of radiation emitted in the capture of the radiographic image; wherein
the imaging conditions include the amount of radiation emitted in the capture of the radiographic image, and the processor further configured to derive the amount of radiation to be emitted, on the basis of the amount of radiation included in the imaging conditions, the index value, and a predetermined target value;
the processor acquires a radiographic image captured by a pre-imaging operation which is performed before a main imaging operation and emits a smaller amount of radiation than the main imaging operation, and
the processor derives the amount of radiation to be emitted in the main imaging operation.

US Pat. No. 10,888,294

SYSTEM AND METHOD FOR IMAGING A SUBJECT

Medtronic Navigation, Inc...

1. A method of creating a long view image of a subject comprising:simultaneously forming at least a first fan of x-rays, a second fan of x-rays, and a third fan of x-rays by passing emitted x-rays from a single source through a filter having at least a first slot, a second slot, and a third slot;
moving an image detector along a linear path relative to the subject from the first position to a second position;
simultaneously detecting each of the first fan of x-rays, the second fan of x-rays, and the third fan of x-rays with the image detector;
collecting a first plurality of image data portions based on the first fan of x-rays as the image detector is linearly moved to a plurality of intermediate positions between the first position and the second position;
collecting a second plurality of image data portions based on the second fan of x-rays as the image detector is linearly moved to the plurality of intermediate positions between the first position and the second position;
collecting a third plurality of image data portions based on the third fan of x-rays as the image detector is linearly moved to the plurality of intermediate positions between the first position and the second position;
generating a first intermediate image based on the collected first plurality of image data portions;
generating a second intermediate image based on the collected second plurality of image data portions; and
generating a third intermediate image based on the collected third plurality of image data portions.

US Pat. No. 10,888,293

RADIOGRAPHIC IMAGE CAPTURING SYSTEM AND METHOD FOR GENERATING AND DISPLAYING COMBINED IMAGE FOR CHECK

KONICA MINOLTA, INC., To...

1. A radiographic image capturing system comprising:a plurality of radiographic image capturing devices which read signal values corresponding to doses of emitted radiation from a plurality of respective radiation detectors; and
a console which includes a display and a hardware processor that generates a plurality of radiographic images based on the signal values respectively read by the plurality of radiographic image capturing devices, and generates a combined image by combining the generated plurality of radiographic images, wherein
the plurality of radiographic image capturing devices simultaneously receive emission of radiation,
before the combined image for output is generated, the hardware processor generates a combined image for check by replacing processing among generation of the radiographic images, image processing to the radiographic images and generation of the combined image for output with simplified processing and performing the simplified processing, and
after all signal values that are bases for generating the combined image for check among the signal values are received from the plurality of radiographic image capturing devices and the combined image for check is generated, the hardware processor causes the generated combined image for check to be displayed on the display.

US Pat. No. 10,888,292

IMAGING WITH CURVED COMPRESSION ELEMENTS

HOLOGIC, INC., Marlborou...

1. A system for imaging a breast, the system comprising:a radiation source;
at least one compression paddle having a non-planar compression surface, wherein the at least one compression paddle is configured to compress the breast during imaging of the breast;
a detector configured to detect radiation emitted from the radiation source after passing through the at least one compression paddle and the breast, wherein the detector includes a plurality of pixels; and
a memory and a processor operatively connected to the detector, wherein the memory stores instructions that, when executed by the processor, perform a set of operations, the operations comprising:
receiving image data from the detector;
accessing a correction map for the at least one compression paddle;
correcting the image data based on the correction map to generate a corrected image data; and
generating an image of the breast based on the corrected image data.

US Pat. No. 10,888,291

BREAST IMAGING DEVICE, IMAGE PROCESSING DEVICE, AND IMAGE PROCESSING METHOD

CANON KABUSHIKI KAISHA, ...

1. A breast imaging device for rotating a radiation detection unit configured to detect radiation irradiated from a radiation generation unit configured to generate the radiation with the radiation detection unit and the radiation generation unit facing each other, comprising:a ray sum image generation unit configured to generate a ray sum image based on an addition value of at least one pixel value in a visual line direction from volume data reconstructed from a projection image output from the radiation detection unit;
a maximum intensity projection image generation unit configured to generate a maximum intensity projection image based on a maximum pixel value in the visual line direction from the volume data;
a synthesizing unit configured to synthesize the ray sum image and the maximum intensity projection image;
a first parameter setting unit configured to set a parameter regarding the ray sum image for the ray sum image generation unit; and
a second parameter setting unit configured to set a parameter regarding the maximum intensity projection image for the maximum intensity projection image generation unit, wherein
the first parameter setting unit sets the parameter regarding the ray sum image such that a tumor tissue is visualized in the ray sum image, and
the second parameter setting unit sets the parameter regarding the maximum intensity projection image such that a calcified tissue is visualized in the maximum intensity projection image.

US Pat. No. 10,888,290

MEDICAL-IMAGE PROCESSING APPARATUS AND MEDICAL-IMAGE DIAGNOSTIC APPARATUS

CANON MEDICAL SYSTEMS COR...

1. A medical-image processing apparatus, comprising:processing circuitry configured to
acquire a first medical image containing a coronary artery and a second medical image containing a myocardial tissue,
extract the coronary artery in the first medical image and the myocardial tissue in the second medical image;
identify a positional relationship between the first medical image and the second medical image based on the extraction results of the coronary artery and the myocardial tissue,
generate a blood flow image representing an index relating to blood flow that is analyzed through the coronary artery by fluid analysis on the first medical image, wherein the blood flow image represents the index relating to blood flow on the extracted coronary artery,
generate a perfusion image showing a perfusion index representing a dynamic behavior of blood flow passing through the myocardial tissue, the perfusion index being obtained by perfusion analysis on the second medical image, wherein the perfusion image represents the perfusion index on the extracted myocardial tissue,
generate a combined image by combining the blood flow image and the perfusion image based on the positional relationship,
identify a dominant region on the myocardial tissue where a target branch of the coronary artery feeds blood,
determine whether a myocardial abnormality is included in the dominant region based on the perfusion index,
obtain the index relating to blood flow at the target branch of the coronary artery,
calculate a treatment index indicating necessity of treatment for the target branch of the coronary artery using a determination result of the myocardial abnormality and the index relating to blood flow at the target branch of the coronary artery, and
cause a display to display the treatment index in association with the target branch of the coronary artery on the combined image.

US Pat. No. 10,888,289

MAMMOGRAPHY APPARATUS

VIEWORKS CO., LTD., Anya...

1. A mammography apparatus comprising:a loader configured to be driven by receiving power from a driving unit;
a power transmission unit configured to selectively come in contact with the loader due to an external force;
a driving shaft coupled to the power transmission unit and configured to transmit power to a transfer unit;
an emergency braking unit coupled to the driving shaft to be driven together with the driving shaft, and configured to stop being driven when power supply is cut off; and
a driving controller provided between the driving shaft and the emergency braking unit so that a direction in which the driving shaft is driven is restricted to one direction,
wherein the power transmission is coupled to one side of the driving shaft and the emergency braking unit is coupled to the other side of the driving shaft.

US Pat. No. 10,888,288

TRANSFORMABLE IMAGING SYSTEM

Medtronic Navigation, Inc...

1. An imaging system configured to acquire images of a subject, comprising:a base;
a gantry fixed relative to the base;
a rotor movable relative to the gantry;
a source configured to emit an energy, the source positioned on the rotor; and
a detector configured to detect the emitted energy and generate image data based on the detected emitted energy, the detector positioned on the rotor;
wherein a length of the rotor is greater than a length of the gantry;
wherein the rotor includes a track that extends along an arc and about a center from a first end to a second end and both the source and detector are independently movable on the track along the arc and about the center.

US Pat. No. 10,888,287

IMAGING DEVICE

OMEGA MEDICAL IMAGING, LL...

1. An imaging device comprising:a body;
an x-ray source assembly attached to the body; and
an x-ray detector assembly attached to the body, the x-ray detector assembly including:
a telescopic actuator attached to and movable relative to the body, the telescopic actuator including a base section fixed relative to the body and a plurality of movable telescopic sections that are disposed within the base section in a retracted position and movable relative to the base section to an extended position and a plurality of intermediate positions therebetween, and
an x-ray detector attached to and movable with the movable telescopic sections,
wherein a movement axis extends through the x-ray source assembly and the x-ray detector assembly such that the plurality of movable telescopic sections, in the retracted position, the extended position, and the plurality of intermediate positions therebetween, are along the movement axis,
wherein the plurality of movable telescopic sections each have a width, andwherein the width of movable telescopic section adjacent the base section is greater than the width of the movable telescopic section adjacent the x-ray imaging device, andwherein the body is a C-arm having a central portion configured to be attached to a pivot assembly for rotation of the C-arm, an upper portion extending from the central portion to which the telescopic actuator is attached, and a lower portion extending from the central portion to which the x-ray source is attached.

US Pat. No. 10,888,286

CBCT IMAGING SYSTEM WITH CURVED DETECTOR AND CURVED GRID

Carestream Health, Inc., ...

1. A mobile CBCT imaging system comprising:a wheeled mobile base having an input device on one side thereof to receive operator instructions to operate the mobile CBCT imaging system, the input device facing in a first direction;
a movable column connected to the mobile base, the column being movable relative to the mobile base;
a movable imaging ring connected to the movable column, the imaging ring being movable relative to the movable column, the imaging ring surrounding an imaging bore configured to receive an object to be radiographically imaged, the imaging ring comprising:
a closed end on one side of the imaging bore;
an open end on another side of the imaging bore opposite the closed end, the open end configured to receive the object into the imaging bore to be radiographically imaged;
a source to emit radiographic energy;
a curved detector to capture a radiographic image of the object; and
a curved grid adjacent the curved detector and positioned between the detector and the source; and
a head support configured to lie on a surface of a bed and to elevate and support a head of a patient lying on the surface of the bed, the head of the patient being supported above the surface of the bed such that a portion of the imaging ring is permitted to travel between the patient's head and the surface of the bed, thereby allowing the imaging ring to surround the head of the patient,
wherein the source and the detector are fixed in diametrically opposed positions in relation to an imaging axis defined by the imaging ring, the source and the detector are configured to simultaneously revolve about the imaging axis while generating radiographic images of the object at a plurality of different imaging angles, the detector comprises an array of photosensors facing the imaging axis, the imaging axis is perpendicular to the closed end of the imaging bore, and wherein the array of photosensors are disposed along a curved surface of the detector.

US Pat. No. 10,888,285

IMAGING SYSTEM MAGNIFICATION STAND

Hologic, Inc., Marlborou...

1. An imaging system, comprising:an imaging system body;
an imaging detector disposed within the imaging system body to capture an image of human tissue;
a paddle movable relative to the imaging system body and situated apart from the imaging detector;
a magnification stand configured to rotate between a first position and a second position, wherein the magnification stand is situated between the compression paddle and the imaging detector in the first position such that the human tissue is compressed between the magnification stand and the compression paddle, and wherein the magnification stand is rotated to the second position in which the second position is generally perpendicular to the first position; and
an attachment mechanism for securing detachably securing the compression paddle to the imaging system body, wherein the attachment mechanism is positioned above the magnification stand when in the first position, and wherein the magnification stand defines an opening between two opposite arms that allows the magnification stand to rotate around the attachment mechanism, from the first position to the second position.

US Pat. No. 10,888,284

ANGLED SLIT DESIGN FOR COMPUTED TOMOGRAPHIC IMAGING OF ELECTRON BEAMS

Lawrence Livermore Nation...

1. A computed tomographic apparatus, comprising:an electron or ion beam, wherein said beam has a beam axis;
a refractory metal disk;
a multiplicity of slits in said refractory metal disk that receive said beam, wherein said slits are at an angle to said beam axis;
beam entrance openings in said slits that allow said beam to enter;
effective beam exit openings in said slits that allow said beam to exit, wherein said beam effective exit openings are smaller than said beam entrance openings;
a system for moving said beam across said refractory metal disk, wherein said beam enters said slits through said beam entrance openings and exits said slits through said effective beam exit openings; and
a computed tomographic device for measuring said beam that enters and exits said slits for analyzing said beam.

US Pat. No. 10,888,283

COVID-19 SYMPTOMS ALERT MACHINE (CSAM) SCANNERS

1. A COVID-10 Symptoms Alert Machine (CSAM) scanner comprising:a main CSAM scanner, including:
a human body temperature scanner for scanning a body temperature of a participant;
a current health vital information (CHVI) card, provided by the participant, containing information of the participant and COVID-19, and configured for being read by the CSAM scanner; and
a Central Processing Unit (CPU) and a memory having computer readable instructions stored thereon, that when executed by the CPU, cause the CPU to controlling the operation of the CSAM scanner.

US Pat. No. 10,888,282

SYSTEM AND METHOD FOR PREDICTING ACUTE CARDIOPULMONARY EVENTS AND SURVIVABILITY OF A PATIENT

SINGAPORE HEALTH SERVICES...

1. A patient survivability prediction and therapy system, comprising:a plurality of electrodes configured to receive ECG data of a patient and to deliver an electrical shock to the patient's heart;
a pulse generator coupled to at least two of the plurality of electrodes and configured to generate the electrical shock for the patient's heart;
a first input configured to receive vital sign data of the patient;
a memory module coupled to the plurality of electrodes and the first input and configured to store the ECG data and the vital sign data;
at least one processor coupled to the memory module and configured to:
analyze the ECG data and the vital sign data,
output a prediction on the survivability of the patient over the next 72 hours based on the ECG data and the vital sign data,
analyze the ECG data to detect a shockable rhythm in the patient, and
control the pulse generator and the at least two of the plurality of electrodes to deliver the electrical shock to the patient's heart; and
a display coupled to the at least one processor configured to display the prediction on the survivability of the patient over the next 72 hours.

US Pat. No. 10,888,281

SYSTEM AND METHOD FOR DISEASE RISK ASSESSMENT AND TREATMENT

PercuSense, Inc., Valenc...

1. A system to enable risk assessment of the onset of sepsis, comprising:a sensor array for insertion within subcutaneous tissue for continuous monitoring of three analytes that are indicators of the onset of sepsis, the sensor array having an implantable portion that includes a plurality of electrodes;
an electronics module having a power supply, a processor, a memory, and a bi-directional communications module, the electronics module configured to couple with the sensor array such that the power supply powers the sensor array and a processor is in communication with the sensor array, the processor calculating a risk score for the onset of sepsis based on characteristics of the three analytes being continuously monitored, the risk score being transmitted to and stored on a computer readable electronic health record, and
a display,
wherein the implantable portion is exposed to subcutaneous fluid when inserted within subcutaneous tissue,
wherein the three analytes being continuously monitored are glucose, lactate and tissue oxygen,
wherein the risk score is based upon real-time measurements of the three analytes,
wherein calculating the risk score includes calculating a ratio of the concentrations of at least two of the three analytes, and
wherein the risk score is displayed on the display.

US Pat. No. 10,888,280

SYSTEM AND METHOD FOR OBTAINING HEALTH DATA USING A NEURAL NETWORK

Sanmina Corporation, San...

10. A device, comprising:a signal processing circuit configured to:
receive photoplethysmography (PPG) signals, wherein the PPG signals include a first spectral response obtained from light at a first wavelength reflected from skin tissue of a patient and a second spectral response obtained from light reflected at a second wavelength reflected from skin tissue of the patient, wherein the first wavelength is between 370 nm and 410 nm and wherein the second wavelength is equal to or greater than 660 nm;
generate PPG input data using the first spectral response obtained from light reflected at the first wavelength and the second spectral response obtained from light reflected at the second wavelength; and
a neural network processing device configured to:
pre-configure one or more parameters using a learning vector generated from a training set, wherein the training set includes additional PPG input data obtained from a healthy population and corresponding known nitric oxide (NO) levels, wherein the additional PPG input data includes additional spectral responses at the first wavelength and at the second wavelength; and
determine an NO level in blood flow from the first spectral response obtained from light reflected at the first wavelength and the second spectral response obtained from light reflected at the second wavelength.

US Pat. No. 10,888,279

BIOMETRIC INFORMATION MONITORING SYSTEM

MINEBEA MITSUMI INC., Na...

1. A biological information monitoring system for monitoring biological information of a subject on a bed, the system comprising:a plurality of load detectors which are configured to be placed in the bed or under feet of the bed and which detect a load of the subject; and
a controller configured to control the biological information monitoring system,
wherein the controller is configured to control the biological information monitoring system to:
acquire a temporal variation of a center of gravity position of the subject based on the detected load of the subject;
acquire information on a body motion of the subject based on the acquired temporal variation of the center of gravity position of the subject; and
calculate a respiratory rate of the subject based on the acquired temporal variation of the center of gravity position of the subject and the information on the body motion of the subject,
wherein the body motion information is an information on a movement of a whole body or a part of the whole body of the subject, the movement being different from a movement caused by a respiration of the subject;
the body motion information includes an information on a large body motion of the subject and an information on a small body motion of the subject, an amount of movement of the center of gravity position of the subject within a predetermined time period caused by the small body motion being smaller than an amount of movement of the center of gravity position of the subject within the predetermined time period caused by the large body motion;
the acquiring of the information on the body motion of the subject includes determining a variation caused by the large body motion of the subject included in the temporal variation of the center of gravity position of the subject, based on a movement distance of the center of gravity position within a predetermined time period; and
determining a variation, caused by the small body motion of the subject, included in the temporal variation of the center of gravity position of the subject, based on a movement direction of the center of gravity position by first identifying a movement direction of the center of gravity position caused by the respiration of the subject and then comparing the movement direction of the center of gravity position with the movement direction of the center of gravity position caused by the respiration of the subject,
wherein the calculating of the respiratory rate of the subject includes removing the determined variation caused by the large body motion and the determined variation caused by the small body motion from the temporal variation of the center of gravity position; and
calculating the respiratory rate of the subject based on an oscillation of the center of gravity position of the subject caused by the respiration of the subject.

US Pat. No. 10,888,278

METHOD OF MONITORING HEALTH WHILE USING A TOILET

Hall Labs, LLC, Provo, U...

1. A method of monitoring health of a user comprising:providing a toilet with one or more sensors;
during each use of the toilet by the user, generating data based on signals from the one or more sensors, the data being indicative of at least one health factor of the user;
collecting the generated data from each use in a use data set;
calculating rolling averages from the data sets; and
mapping the rolling averages, identifying any significant changes, and flagging the significant changes for review.

US Pat. No. 10,888,277

METHOD FOR TREATING DIARRHEA AND REDUCING BRISTOL STOOL SCORES USING A VIBRATING INGESTIBLE CAPSULE

VIBRANT LTD, Yokneam (IL...

1. A method of treating diarrhea in a human subject suffering from diarrhea,the method comprising:
(a) providing, to the human subject suffering from diarrhea, a vibrating gastrointestinal capsule adapted to transit an alimentary canal of a human, said vibrating gastrointestinal capsule having:
a housing;
a battery, disposed within said housing; and
a vibrating agitation mechanism, powered by said battery, said vibrating agitation mechanism adapted such that, in a first vibrating mode of operation, said housing exerts vibrations on an environment surrounding said capsule;
(b) ingesting, by the human subject suffering from diarrhea, said vibrating gastrointestinal capsule, to treat said diarrhea; and
(c) controlling said vibrating agitation mechanism such that said first vibrating mode of operation occurs while said capsule is traversing a portion of a gastrointestinal tract of the human subject and such that in said first vibrating mode of operation said vibrating agitation mechanism is configured to exert the vibrations within a range of 150 Hz to 500 Hz, so as to treat, reduce, or alleviate diarrhea in said human subject.

US Pat. No. 10,888,276

LIVING BODY-ATTACHABLE ELECTRODE

MURATA MANUFACTURING CO.,...

1. A living body-attachable electrode comprising:a substrate comprising a first main surface and a second main surface, the substrate being of a stretchable material;
a first electrode pair that is on the first main surface or in the substrate, and that comprises two opposing electrodes;
a second electrode pair that is on the first main surface or in the substrate, and that comprises two opposing electrodes that sandwich the first electrode pair; and
a plurality of gel electrodes on the second main surface mirroring the electrodes of the first and second electrode pairs,
wherein each electrode of the first and second electrode pairs is electrically connected to a corresponding one of the plurality of gel electrodes by a via conductor through the substrate.

US Pat. No. 10,888,275

ATHLETIC-WEAR HAVING INTEGRAL MEASURING SENSORS

Mayfonk Athletic, LLC, P...

1. A system for tracking athletic movements comprising:one or more sensors configured to generate electrical signals descriptive of detected physical movement of an athlete during a sporting event;
a computing unit configured to:
obtain, during the sporting event, the electrical signals generated by the one or more sensors in real time,
determine, during the sporting event, one or more athletic performance parameters in real time based on the obtained electrical signals, and
compute, during the sporting event, one or more performance assessments for the athlete based on the one or more determined athletic performance parameters, wherein the one or more performance assessments:
(i) correspond specifically to a sport of the sporting event, and
(ii) indicate at least a peak athletic performance metric for the athlete; and
one or more external computing devices configured to:
communicate, during the sporting event, data indicating content associated with the sporting event over a network to multiple subscriber devices that are connected to a gambling network, wherein the content enables an interactive display of the one or more performance assessments on the multiple subscriber devices.

US Pat. No. 10,888,274

METHOD FOR DIAGNOSIS OF AND THERAPY FOR A SUBJECT HAVING A CENTRAL NERVOUS SYSTEM DISORDER

1. A method of treating a subject with traumatic brain injury by stimulation of afferent fibers so as indirectly to cause improvement in the area of the brain affected by the injury, and in overall brain function, the method providing a protocol comprising:selecting a plurality of distinct postures, to be sequentially assumed by the subject, from a posture set of walking, standing, sitting, and supine;
selecting a plurality of distinct stimuli, to which the subject will be sequentially subjected, from a stimulus set of TENS, non-painful heat, non-painful cold, visual, occulomotor stimulation, crude touch, olfactory stimulation, vestibular stimulation, and auditory stimulation;
having the subject sequentially assume each selected posture;
in each of the selected postures,
subjecting the subject to each of the selected stimuli sequentially, while measuring a set of autonomic physiological responses of the subject, to such stimulation, the set having at least one member and selected from the group consisting of oxygen saturation, heart rate, pupillary response, blood pressure, sweat production, pseudomotor activity, and respiration;
evaluating the autonomic physiological responses in each of the selected postures to identify the posture wherein the autonomic physiological responses of the subject exhibit a least amount of dysfunction relative to corresponding statistical norms for such responses;
identifying the stimulus with respect to which the autonomic physiological responses of the subject exhibit a change in the amount of dysfunction towards corresponding statistical norms for such responses when in the identified posture;
repeatedly subjecting the subject to the identified stimulus while the subject is in the identified posture until a desired endpoint physiological condition is achieved in which the autonomic physiological responses to the identified stimulus approach a state of normalcy relative to corresponding statistical norms for such responses;
upon achieving the desired endpoint physiological condition, for at least one posture different from the identified posture, subjecting the subject to a stimulus selected from the stimulus set and determining whether the autonomic physiological responses of the subject to the stimulus selected at the different posture exhibit dysfunction relative to corresponding statistical norms for such responses; and
upon existence of such a dysfunction, repeatedly subjecting the subject to the stimulus selected at the different posture until a further desired endpoint physiological condition is achieved in which the autonomic physiological responses to the stimulus selected at the different posture approach a state of normalcy relative to corresponding statistical norms for such responses,
wherein the foregoing protocol promotes thalamocortical pathways within the brain.

US Pat. No. 10,888,273

PERSONAL HYDRATION MONITOR

North Carolina State Univ...

1. A monitoring device, comprising:a flexible electrode configured to conform with a surface of skin, the flexible electrode comprising nanowires or nanoparticles embedded within a polydimethylsiloxane (PDMS) substrate and presenting a complex impedance when positioned in contact with skin;
a housing configured to be positioned against the surface of skin with a band that secures the flexible electrode in position on the surface of skin, wherein the band comprises a wristband, an armband, a chest strap, or a headband; and
processing circuitry positioned within the housing, the processing circuitry being communicatively coupled to the flexible electrode and configured to:
present an excitation frequency to the complex impedance of the flexible electrode;
sample a response of the complex impedance to the excitation frequency; and
measure a level of hydration using the flexible electrode based on the response.

US Pat. No. 10,888,272

SYSTEMS, DEVICES, AND METHODS FOR MEAL INFORMATION COLLECTION, MEAL ASSESSMENT, AND ANALYTE DATA CORRELATION

ABBOTT DIABETES CARE INC....

1. A method of processing analyte data using an in vivo analyte monitoring system comprising a sensor control device and a reader device, the method comprising:detecting a meal event with the reader device by processing the analyte data received from the sensor control device having an in vivo analyte sensor, wherein the reader device has an adjustable sensitivity for detecting the meal event;
associating, by the reader device, meal information with a range of analyte data received from the sensor control device, the range of analyte data reflecting an analyte response of the individual to the meal;
displaying, by the reader device, information about the analyte response;
automatically determining, by the reader device, whether a sensitivity setting for detecting the meal event is either too sensitive or not sensitive enough for detecting the meal event; and
if it is determined by the reader device that the sensitivity setting is either too sensitive or not sensitive enough for detecting the meal event, then automatically adjusting, by the reader device, the sensitivity setting.

US Pat. No. 10,888,271

SYSTEMS, APPARATUS AND METHODS FOR USING BIOFEEDBACK TO FACILITATE A DISCUSSION

Louise M. Falevsky, Roll...

1. A method of using biofeedback to facilitate a discussion between at least a first participant and a second participant, comprising:using an electronic processing system during the discussion to execute the following steps, in sequence:
(a) inferring a first concept from words expressed by at least the first participant;
(b) sourcing, from an electronic data repository external to the discussion, a first content related to the first inferred concept, by expanding terms used by any of the participants in expressing the first inferred concept;
(c) detecting use by at least one of the participants, of a first trigger expression; and
(d) using detection of the first trigger expression to render at least some of the first content to at least the first participant as a first electronic biofeedback signal; and
the electronic processing system further inferring a different second concept from the words expressed by at least the first participant, and weighting the first and second inferred concepts according to relative times that the first and second inferred concepts have been discussed in the discussion.

US Pat. No. 10,888,270

COGNITIVE STATE ALTERATION SYSTEM INTEGRATING MULTIPLE FEEDBACK TECHNOLOGIES

1. A cognitive state alteration system, the system comprising:at least one of: a wearable element and a non-wearable element to measure state or activity of a subject and to provide at least one stimulus to said subject;
a storage unit to store in session scripts and associated out of session scripts, for cognitive state alteration processes,
wherein each cognitive state alteration process comprises first and second in session media-based treatment processes and an out of session reinforcement stimulus process between said first and second in session media-based treatment processes, to track said state or said activity and to trigger at least one reinforcement stimulus to reinforce a goal at least for said first in session media-based treatment process, each said in session script and each said out of session script to manage said at least one of: said wearable element and said non-wearable element and wherein a first said in session script manages said first in session media-based treatment process and each said out of session script manages an associated said out of session reinforcement stimulus process for said first in session media-based treatment process; and
at least one processor implementing a cognitive state alteration unit, said cognitive state alteration unit comprising:
a script handler at least to run said first in session script and said out of session script associated with a cognitive state alteration process selected by said subject from said storage unit;
an information analyzer at least to perform analysis of readings of at least one of: said wearable element and said non-wearable element during said selected cognitive state alteration process; said information analyzer comprising:
a behavior handler to administer said at least one reinforcement stimulus in response to an analysis at least of physical behavior of said subject during said out of session reinforcement stimulus process; and
an environment calculator to determine state of surrounding environment of said subject during said out of session reinforcement stimulus process and at least to remove any effect on said readings utilized by said information analyzer;
an integrator to integrate said analysis at least from said selected cognitive state alteration process in said first in session media-based treatment process and said associated out of session reinforcement stimulus process; and
a script updater to update at least one of said first in session script and said out of session script for said selected cognitive state alteration process in response to said analysis and to said integrated analysis.

US Pat. No. 10,888,269

INSTRUMENTED WOUND CLOSURE DEVICE

ZIPLINE MEDICAL, INC., C...

1. A wound or incision treatment apparatus for a placement near a joint, the apparatus comprising:a first panel for placement laterally adjacent a first lateral side of a wound or incision near a patient's joint, the first panel comprising a first bottom adhesive layer, a first medial substrate layer, and a first upper load distribution layer comprising a plurality of load distribution elements;
a second panel for placement laterally adjacent a second lateral side of the wound or incision near the patient's joint, the second panel comprising a second bottom adhesive layer, a second medial substrate layer, and a second upper load distribution layer comprising a plurality of load distribution elements, the plurality of load distribution elements of the second panel being connectable to the plurality of load distribution elements of the first panel;
a plurality of lateral ties configured to draw the first panel and the second panel together to close the wound or incision, wherein the plurality of lateral ties each have a first end permanently fixed relative to a load distribution element of the first panel and a second end adjustably attached to a laterally opposed load distribution element of the second panel; and
at least one therapeutic element in a pocket in one or more of the first or second panels,
wherein the at least one therapeutic element comprises a motion sensor configured to detect a range of motion of the patient's joint to monitor the patient's joint after surgery; and
wherein the apparatus is configured to transmit data from the therapeutic element to an external device.

US Pat. No. 10,888,268

METHOD OF MEASURING SEDATION USING OCULAR MICROTREMOR (OMT) AND MICROSACCADES (MS)

1. A method of measuring sedation level, the method comprising:providing a sensor having first and second opposing sides, wherein the sensor is configured to conform to a shape of an eye;
applying the sensor to an eyelid wherein, when the eye is open, the sensor is placed inside a fold of the eyelid, with the first side of the sensor attached to an eyelid portion covering a portion of the eye, and the second side of the sensor attached in an eyelid portion spaced from the eye;
creating output signals, wherein the creating the output signals comprises the sensor producing a voltage in response to eye movement, at least one of the output signals represents the eye movement obtained while the eye is open;
isolating a frequency component and an amplitude component; wherein the frequency component comprises an ocular microtremor (OMT) frequency, the amplitude component comprises a microsaccades (MS) amplitude, and the OMT frequency and the MS amplitude are obtained from said output signals;
producing a combined data set from the frequency component and the amplitude component, wherein the combined data set comprises the frequency component, the amplitude component, and a time relationship between the frequency component and the amplitude component; and
wherein the measuring the sedation level comprises using the combined data set to measure the sedation level.

US Pat. No. 10,888,267

METHOD OF TREATING SLEEP DISORDERED BREATHING

Inspire Medical Systems, ...

16. A method comprising:applying, during a sleep period, an electrical stimulation signal from an implantable non-cardiac pulse generator through at least one electrode to a hypoglossal nerve to stimulate at least one upper-airway patency-related muscle to increase upper airway patency at least until a number of obstructive sleep apnea events changes from a first level to a second level as assessed via the implantable non-cardiac pulse generator; and
continually assessing an effectiveness of the electrical stimulation signal as the number of obstructive sleep apnea events during the sleep period while applying the electrical stimulation signal.

US Pat. No. 10,888,266

SLEEP QUALITY AND APNEA HYPOPNEA INDEX MONITORING SYTEM

Koninklijke Philips N.V.,...

1. A system configured for monitoring and/or diagnosing sleep related conditions of a subject based on both a sleep quality and an apnea hypopnea index, the system comprising:(a) one or more sleep quality sensors configured to provide sleep quality signals conveying information related to a sleep quality measurement of the subject;
(b) one or more respiratory sensors configured to provide respiratory signals conveying information related to a breathing measurement of the subject; and
(c) one or more hardware processors configured by machine-readable instructions to:
(1) receive, in connection with a first sleep test, the sleep quality signals from the one or more sleep quality sensors and the respiratory signals from the one or more respiratory sensors,
(2) determine the sleep quality of the subject, in connection with the first sleep test, based on the sleep quality signals,
(3) determine the apnea-hypopnea index of the subject, in connection with the first sleep test, based on the respiratory signals,
(4) determine whether results of the first sleep test meet a first condition based on both the sleep quality and the apnea-hypopnea index of the subject associated with the first sleep test,
(5) responsive to the results of the first sleep test failing to meet the first condition, provide a recommendation for the subject, wherein providing the recommendation for the subject comprises:
responsive to the apnea-hypopnea index of the subject not meeting a first threshold and the sleep quality of the subject not meeting a second threshold, providing an airway therapy treatment, and
responsive to the apnea-hypopnea index of the subject meeting the first threshold and the sleep quality of the subject not meeting the second threshold, providing a referral to a sleep specialist, and
(6) confirm an efficacy of the treatment in a second sleep test involving the treatment by:
(i) receiving, in connection with the second sleep test, the sleep quality signals from the one or more sleep quality sensors and the respiratory signals from the one or more respiratory sensors,
(ii) determining a second sleep quality of the subject, in connection with the second sleep test, based on the sleep quality signals,
(iii) determining a second apnea-hypopnea index of the subject, in connection with the second sleep test, based on the respiratory signals, and
(iv) determining whether results of the second sleep test meet the first condition based on both the second sleep quality and the second apnea-hypopnea index of the subject associated with the second sleep test.

US Pat. No. 10,888,265

JAW FUNCTION MEASUREMENT APPARATUS

1. A jaw function measurement apparatus comprising:a mastication measurement device comprising:
a pliable body defining a first region having at least one force sensor, and a second region having at least one force sensor, wherein the first region and the second region differ in thickness so as to require a jaw of an individual being evaluated by a given test to initiate an onset of a bite/chew function with the jaw in different angular positions, thus providing measurement data defining a gradation of jaw function measurements; and
a position for an evaluator to hold and to maintain control of the mastication measurement device while the individual is performing the bite/chew function required by the given test so as to measure force by incisors, and at least one of canines, bicuspids, and molars; and
a data collection device having circuitry in data communication with the mastication measurement device that collects and records the measurement data from the mastication measurement device;
wherein:
a processor in data communication with the data collection device assesses chewing function of the individual by evaluating the measurement data across the gradation of jaw function measurements; and
an output device outputs the chewing function assessed by the processor.

US Pat. No. 10,888,264

METHODS OF USING BRAIN TEMPORAL DYNAMICS

Faranak Farzan, Port Moo...

1. A method for treating depression in a subject in need thereof, said method comprising:treating the subject by seizure therapy administered through electroconvulsive therapy (ECT) or magnetic seizure therapy (MST); and
evaluating change in complexity of temporal dynamics in a brain of the subject following treatment to identify whether complexity of fine time scale temporal dynamics in a fronto-central and/or in a parieto-occipital region is reduced following treatment;
wherein reduced complexity of fine time scale temporal dynamics in the fronto-central and/or parieto-occipital region following treatment identifies the subject as a responder to the seizure therapy for treating depression;
wherein the step of evaluating further comprises identifying change in complexity of coarse scale temporal dynamics in a parieto-central region following treatment, wherein reduced or maintained complexity of coarse scale temporal dynamics in the parieto-central region following treatment identifies that deleterious cognitive side-effects of the seizure therapy in the subject are limited.

US Pat. No. 10,888,263

PROCEDURE OF NON-INVASIVE VIDEO-OCULOGRAPHIC MEASUREMENT OF EYE MOVEMENTS AS A DIAGNOSTIC TOOL FOR (EARLY) DETECTION OF NEUROPSYCHIATRIC DISEASES

THOMAS RECORDING GMBH, G...

1. A method for non-invasive video oculographic measurement of eye movements as diagnostic support for enhanced detection of neuropsychiatric diseases, wherein a display for a visual stimulus and a camera for video recording are used, wherein a position of the camera is kept constant with respect to the display and a face of a subject is continuously recorded by the camera at least in parts, wherein an object recognition algorithm is started which creates an eye template in which an absolute position of an eye of the subject and a pupil of the eye in an image are continuously recorded by the camera, wherein a reference area, in particular around the eye, is defined and, after selection of a predefined measurement paradigm as visual stimulus, a position of the pupil and parameters of the pupil are continuously recorded by the camera and analyzed upon expiry of the visual stimulus.

US Pat. No. 10,888,262

VACUUM PRESSURE REGULATORS FOR USE DURING BLOOD COLLECTION

Becton, Dickinson and Com...

1. A regulator for flow modulation during fluid collection, comprising:a fluid transfer device comprising a tubular sidewall and a flexible member, wherein the flexible member is integrally formed within or secured to the tubular sidewall, wherein the tubular sidewall and the flexible member define a fluid passageway, wherein the flexible member comprises a first face that faces an inner surface of the fluid passageway, wherein the tubular sidewall defines the inner surface of the fluid passageway directly opposite the first face of the flexible member, wherein the flexible member comprises a second face opposite the first face, wherein the second face is located outside the fluid passageway, and wherein the first face and the second face are configured for movement with respect to the fluid passageway upon exposure of the fluid transfer device to a differential pressure resulting in the fluid passageway having a linear flow through architecture, wherein the flexible member is configured to at least partially collapse toward the inner surface of the fluid passageway to restrict a flow area of the fluid passageway upon exposure of the fluid transfer device to the differential pressure, wherein a contact member is provided on the first face of the flexible member, wherein the contact member extends from the first face of the flexible member toward the inner surface of the fluid passageway directly opposite the first face of the flexible member, and wherein, during an initial spike of vacuum pressure when the fluid transfer device is exposed to the differential pressure, the contact member abuts the inner surface of the fluid passageway to form a sealing point therewith to stop fluid flow through the fluid passageway.

US Pat. No. 10,888,261

BLOOD SAMPLE MANAGEMENT USING OPEN CELL FOAM

Becton, Dickinson and Com...

1. A specimen transfer device adapted to receive a sample, comprising:a first end;
a second end;
a sidewall extending between the first end and the second end;
an actuation member movable between a first position and a second position;
a finger flange;
a deformable material disposed within a portion of the specimen transfer device, the deformable material transitionable from an initial position in which the deformable material contains the sample to a deformed position in which at least a portion of the sample is released from the deformable material; and
a viscoelastic member in communication with a portion of the deformable material,
wherein deformation of the viscoelastic member deforms the deformable material from the initial position to the deformed position.

US Pat. No. 10,888,260

BIOLOGICAL FLUID COLLECTION DEVICE

Becton, Dickinson and Com...

1. A biological fluid collection device, comprising:a housing having a superior surface, an inferior surface, a proximal end, a distal end, an inlet channel, and an outlet channel, wherein a portion of the superior surface of the housing defines a cavity having a cavity superior surface, and wherein a portion of the inferior surface of the housing defines a sacrificial flow channel, the sacrificial flow channel comprising:
a middle channel having a first middle channel end, a second middle channel end, and defining a slot, the first middle channel end in fluid communication with the inlet channel, the middle channel extending from the inlet channel in a first direction;
a first arcuate channel having a first arcuate channel distal end and a first arcuate channel proximal end, the first arcuate channel distal end in communication with the second middle channel end, the first arcuate channel extending from the second middle channel end in a second direction; and
a second arcuate channel having a second arcuate channel distal end and a second arcuate channel proximal end, the second arcuate channel distal end in communication with the second middle channel end, the second arcuate channel extending from the second middle channel end in the second direction;
a first venting plug disposed in the first arcuate channel proximal end;
a second venting plug disposed in the second arcuate channel proximal end; and
an actuator for creating a vacuum for drawing a blood sample into the housing,
wherein each of the first arcuate channel and the second arcuate channel are in communication with the inlet channel but are spaced apart from the inlet channel by the middle channel.

US Pat. No. 10,888,259

CARTRIDGE ASSEMBLIES FOR STORING BIOLOGICAL SAMPLES

Drawbridge Health, Inc., ...

1. A cartridge assembly comprising:a cartridge comprising a port that is configured to receive a blood sample of a subject from a blood collection device, the cartridge supporting one or more porous matrices for storing and stabilizing the blood sample; and
a cartridge holder configured to releasably couple to and support the cartridge,
wherein the cartridge assembly is configured to releasably couple to a deposition chamber of the blood collection device.

US Pat. No. 10,888,258

VIBRATING TOURNIQUET AND METHODS OF COLLECTING BLOOD USING SAME

Paulus Holdings Limited, ...

1. A device for collecting blood from an anatomical feature of a mammalian subject, the device comprising:a rigid vibrating plate assembly structured and arranged to push against the anatomical feature from which blood is collected;
a housing portion releasably connectable to the rigid vibrating plate assembly;
a first biasing device attached to the housing portion and releasably attachable to the rigid vibrating plate assembly, wherein the first biasing device is structured and arranged to constrict blood flow in the anatomical feature;
a second biasing device disposed between the housing portion and the rigid vibrating plate assembly, such that the second biasing device is structured and arranged to bias the rigid vibrating plate assembly against the anatomical feature; and
a plurality of vibrating motors located beneath the rigid vibrating plate assembly, wherein vibrations generated by the vibrating motors are configured to enhance blood flow in and to the anatomical feature.

US Pat. No. 10,888,257

CONNECTORS FOR MAKING CONNECTIONS BETWEEN ANALYTE SENSORS AND OTHER DEVICES

Abbott Diabetes Care Inc....

1. An electrode arrangement for an analyte sensor comprising:a base substrate;
a first conductive layer having a first width, wherein the first conductive layer is positioned on the base substrate;
a first insulative layer positioned over at least a portion of the first conductive layer;
a second conductive layer having a second width, wherein the second conductive layer is positioned on the first insulative layer; and
a fiducial mark positioned on the base substrate, wherein the fiducial mark is indicative of a location of at least the first conductive layer on the base substrate.

US Pat. No. 10,888,256

SYSTEM AND METHOD FOR CONTACTLESS BLOOD PRESSURE DETERMINATION

NURALOGIX CORPORATION, T...

1. A method for contactless blood pressure determination of a human subject, the method executed on one or more processors, the method comprising:receiving a captured image sequence of light re-emitted from the skin of one or more humans;
determining, using a trained hemoglobin concentration (HC) changes machine learning model trained with a HC changes training set, bit values from a set of bitplanes in the captured image sequence that represent the HC changes of the subject, the HC changes training set comprising the captured image sequence;
determining a blood flow data signal of one or more predetermined regions of interest (ROIs) of the subject captured on the images based on the bit values from the set of bitplanes that represent the HC changes;
extracting one or more domain knowledge signals associated with the determination of blood pressure from the blood flow data signal of each of the ROIs, wherein extracting the one or more domain knowledge signals comprises determining a phase profile of the blood flow data signal of each of the ROIs, determining the phase profile comprises applying a multiplier junction to the phase profile to generate a multiplied phase profile and applying a low pass filter to the multiplied phase profile to generate a filtered phase profile;
building a trained blood pressure machine learning model with a blood pressure training set, the blood pressure training set comprising the blood flow data signal of the one or more predetermined ROIs and the one or more domain knowledge signals;
determining, using the blood pressure machine learning model trained with the blood pressure training set, an estimation of blood pressure for the human subject; and
outputting the determination of blood pressure.

US Pat. No. 10,888,255

BIOLOGICAL COMPONENT ESTIMATION APPARATUS AND OPERATION METHOD THEREOF

SAMSUNG ELECTRONICS CO., ...

1. A biological component estimation apparatus, comprising:a light detector array including a plurality of light detectors;
a plurality of light sources comprising a first light source disposed at a first end of the light detector array and a second light source disposed at a second end of the light detector array; and
a processor configured to calculate a blood vessel alignment index, which indicates a degree of alignment of the biological component estimation apparatus with respect to blood vessels of a user, based on an intensity of a first light that is emitted from the first light source and measured by the light detector array when the first light is returned from the user, and an intensity of a second light that is emitted from the second light source to the user and measured by the light detector array when the second light is returned from the user,
wherein the processor calculates:
based on the measured intensity of the first light, an intensity slope of the first light which indicates a change in the measured intensity of the first light according to a distance between the first light source and each of the plurality of light detectors;
based on the measured intensity of the second light, an intensity slope of the second light which indicates a change in the measured intensity of the second light according to a distance between the second light source and each of the plurality of light detectors; and
the blood vessel alignment index by comparing the intensity slope of the first light with the intensity slope of the second light.

US Pat. No. 10,888,254

APPARATUS, SYSTEMS, AND METHODS FOR DETERMINING AND DISPLAYING PRE-EVENT AND POST-EVENT ANALYTE CONCENTRATION LEVELS

Ascensia Diabetes Care Ho...

1. A continuous glucose meter (CGM) for identifying and displaying event readings, the CGM comprising:a processor;
a memory coupled to the processor;
software stored in the memory and executable by the processor; and
a display coupled to the processor and operable to present a graphical user interface (GUI), wherein:
the processor executing the software is operable to:
automatically perform a plurality of analyte concentration readings before and after a first event;
automatically select a first analyte concentration reading and a second analyte concentration reading from the plurality of analyte concentration readings, the first analyte concentration reading occurring at a first predetermined time before the first event and the second analyte concentration reading occurring at a second predetermined time after the first event;
automatically calculate a numerical delta between the first analyte concentration reading and the second analyte concentration reading for the first event; and
display on the display via the GUI a time graph including a representation of the first event occurring and the numerical delta associated with the first event, wherein the numerical delta is displayed proximate to the representation of the occurrence of the first event to facilitate immediate visual evaluation of a relative magnitude of the numerical delta.

US Pat. No. 10,888,253

AUDIOMETER

RION Co., Ltd., Tokyo (J...

1. An audiometer comprising:a first measurement device assigned to a first subject and a second measurement device assigned to a second subject, the first measurement device comprising a first headphone means for outputting a test sound to the first subject and a first response operation means for transmitting operation information indicating a presence or absence of a response operation of the first response operation means by the first subject, the second measurement device comprising a second headphone means for outputting the test sound to the second subject and a second response operation means for transmitting operation information indicating a presence or absence of a response operation of the second response operation means by the second subject; and
a main body means for performing wireless communication with the first and second headphone means, performing wireless communication with the first and second response operation means independently of the wireless communication with the first and second headphone means, supplying a test sound output command to the first and second headphone means to cause the first and second headphone means to output the test sound, and receiving the operation information from the first and second response operation means, wherein
the main body means performs the wireless communication with the first and second headphone means and the first and second response operation means by a time-division multiplexing system,
the first response operation means is assigned with a first time slot in a frame for transmitting the operation information indicating the presence or absence of the response operation of the first response operation means,
the second response operation means is assigned with a second time slot in the frame for transmitting the operation information indicating the presence or absence of the response operation of the second response operation means, the second time slot being different from the first time slot,
the main body means receives the operation information from the first response operation means at the first time slot,
the main body means receives the operation information from the second response operation means at the second time slot,
each of the first and second response operation means is operated with power of a battery as a power source,
the first response operation means measures a power-source voltage of the power source for the first response operation means, and transmits, together with the operation information indicating the presence or absence of the response operation of the first response operation means, first voltage information indicating the measured power-source voltage of the first response operation means to the main body means at the first time slot,
the second response operation means measures a power-source voltage of the power source for the second response operation means, and transmits, together with the operation information indicating the presence or absence of the response operation of the second response operation means, second voltage information indicating the measured power-source voltage of the second response operation means to the main body means at the second time slot, and
the main body means receives the first voltage information together with the operation information from the first response operation means at the first time slot and receives the second voltage information together with the operation information from the second response operation means at the second time slot to monitor the power-source voltage of the each of the first and second response operation means.

US Pat. No. 10,888,252

SCAPULAE POSITION MEASURING DEVICE AND METHOD

Maido Co. Ltd., Amagasak...

1. A scapula position measurement method for use with a person having right and left scapulae, comprising:positioning a main body of a scapula position measurement device vertically in a predetermined location along a spine of the person;
moving a right horizontal arm, extending from a side of the main body, to align with an upper corner of the right scapula of the person;
determining an upper horizontal position of the upper corner of the right scapula by measuring a position of the upper corner of the right scapula relative to the right horizontal arm;
determining an upper vertical position of the upper corner of the right scapula by measuring a position of the right horizontal arm relative to the main body;
moving the right horizontal arm to align with a lower corner of the right scapula;
determining a lower horizontal position of the lower corner of the right scapula by measuring a position of the lower corner of the right scapula relative to the right horizontal arm;
determining a lower vertical position of the lower corner of the right scapula by measuring a position of the right horizontal arm relative to the main body;
moving a left horizontal arm, extending from a side of the main body, to align with an upper corner of the left scapula of the person;
determining an upper horizontal position of the upper corner of the left scapula by measuring a position of the upper corner of the left scapula relative to the left horizontal arm;
determining an upper vertical position of the upper corner of the left scapula by measuring a position of the left horizontal arm relative to the main body;
moving the left horizontal arm to align with a lower corner of the left scapula;
determining a lower horizontal position of the lower corner of the left scapula by measuring a position of the lower corner of the left scapula relative to the left horizontal arm; and
determining a lower vertical position of the lower corner of the left scapula by measuring a position of the left horizontal arm relative to the main body.

US Pat. No. 10,888,251

SYSTEMS, DEVICES AND METHODS FOR ANALYZING THE ATTACHMENT OF A WEARABLE SENSOR DEVICE ON A USER

LEAF HEALTHCARE, INC., P...

1. A method for automatically determining the status of a wearable sensor device including at least one accelerometer, the method comprising:affixing the sensor device to a user,
generating, by the at least one accelerometer of the sensor device, sensor device acceleration data indicating an acceleration of the sensor device in at least one axis,
using, by a processor, sensor device acceleration data generated by the at least one accelerometer to both (a) perform a sensor device attachment analysis and (b) perform a turn protocol compliance analysis to determine compliance with a turn protocol associated with the user,
wherein performing the sensor device attachment analysis comprises:
comparing, by the processor, (a) the sensor device acceleration data generated by the at least one accelerometer or data generated based on the sensor device acceleration data to (b) reference data stored in a data storage device associated with the processor,
determining, by the processor in response to the comparison, a status of the attachment or position of the sensor with respect to the user, and automatically generating and communicating a human-perceptible alert notification regarding the attachment or position of the sensor with respect to the user; and
wherein performing the turn protocol compliance analysis comprises:
monitoring, by the processor, based on the sensor device acceleration data generated by the at least one accelerometer, an orientation of the user over time;
comparing the monitored orientation of the user to at least one turn parameter defined by the turn protocol associated with the user; and
based on the comparison of the monitored orientation of the user to the at least one turn parameter defined by the turn protocol, automatically generating and communicating a human-perceptible turn protocol alert notification.

US Pat. No. 10,888,250

SYSTEM AND DEVICE FOR MEASURING THE RATE OF FLOW OF AN EXHALED OR INHALED AIRFLOW

FIM MEDICAL, Villeurbann...

1. A system comprising:a device for measuring a flow rate of an air flow exhaled or inhaled by a person, comprising:
a tubular conduit provided for conducting said air flow, the tubular conduit comprising a wall presenting an inner face and an outer face, a revolving conduit, an axis of revolution of the revolving conduit being coincident with the direction of extension of the tubular conduit, and
a structure disposed in the tubular conduit and having a plurality of channels configured for dividing the air flow;
wherein the device further includes:
a first groove made within the outer face and opening onto the outer face of the wall of the tubular conduit and being in fluid communication with at least one peripheral channel of the structure, and
a second groove made within the outer face and opening onto the outer face of the wall of the tubular conduit and being in fluid communication with said at least one peripheral channel,
the second groove being arranged at a distance from the first groove wherein the tubular conduit and the structure are made in one piece,
a pressure measuring apparatus simultaneously measuring at least two pressures at two locations, the device for measuring a flow rate being snap-fitted in the pressure measuring apparatus according to an axis of insertion corresponding to the axis of the device for measuring a flow rate, the pressure measuring apparatus being provided with connecting plugs, and
at least one sealed connector including three lip seals provided between the apparatus and the device,
the sealed connector being fixed on the measuring apparatus and bringing each groove into fluid communication with a defined connecting plug of the apparatus,
wherein the outer face of the tubular conduit comprises a first surface, a second surface, and a third surface, each of the surfaces being a bearing surface cooperating with a corresponding lip seal, the first surface and the second surface being arranged on either side of the second groove; the second surface and the third surface being arranged on either side of the first groove, the lip seals disposed on the second and third surfaces ensuring a sealed fluid communication between the first groove and a corresponding connecting plug, and, the lip seals disposed on the first and second surfaces ensuring a sealed fluid communication between the second groove and another corresponding connecting plug, and
wherein the first surface is disposed at a first distance from the axis of revolution, the second surface is disposed at a second distance from the axis of revolution and the third surface is disposed at a third distance from the axis of revolution wherein the first distance is smaller than the second distance, and the second distance is smaller than the third distance, the three lip seals of the pressure measuring apparatus being disposed in a coaxial and shifted manner along the axis of insertion, the three lip seals presenting inner dimensions which decrease along the direction of insertion.

US Pat. No. 10,888,249

CANNABIS DRUG DETECTION DEVICE

Cannabix Technologies Inc...

1. A single-device cannabis detection system for detecting THC in a breath of a subject, comprising:a housing defining the single-device cannabis detection system;
a mouthpiece in fluid communication with the housing for facilitating introduction of the breath into the system by the subject;
a containment trap associated with the housing for removing interfering materials including oral fluids from the breath of the subject;
a non-rebreather valve positioned downstream of the mouthpiece and upstream of the containment trap, the non-rebreather valve in fluid communication with the mouthpiece, the containment trap and ambient air, the non-rebreather valve operative to direct ambient air entering the non-rebreather valve upstream through the mouthpiece without flowing through the containment trap when the subject inhales through the mouthpiece and to direct the breath of the subject downstream to the containment trap when the subject exhales through the mouthpiece; and
a collection component within the housing positioned downstream of the containment trap for sampling components of breath introduced into the system through the containment trap for analysis to determine a presence of THC in the breath.

US Pat. No. 10,888,248

DETERMINING POSITION OF MEDICAL DEVICE IN BRANCHED ANATOMICAL STRUCTURE

Intuitive Surgical Operat...

1. A system comprising:memory that stores information representing a model of an anatomical structure of a human;
a medical device including a distal end that is configured to be inserted into the anatomical structure, the distal end supporting an image capturing device configured to capture sequential images as the medical device is moved through branches of the anatomical structure; and
one or more processing devices configured to access the information representing the model of the anatomical structure, the one or more processing devices further configured to:
process the captured sequential images to detect one or more blobs in individual images, the one or more blobs representing lumens within the anatomical structure;
identify, from at least one image of the captured sequential images, a first captured sequence that represents information on a first set of one or more lumens within the anatomical structure;
identify, from at least one image of the captured sequential images, a second captured sequence that represents information on a second set of one or more lumens within the anatomical structure, wherein the second captured sequence follows the first captured sequence in the captured sequential images and the second set of lumens is different from the first set of lumens;
generate a sequence of synthetic images from the information representing the model of the anatomical structure;
determine that the generated sequence of synthetic images substantially matches a current captured sequence comprising the first captured sequence and the second captured sequence, and
responsive to the determination that the generated sequence of synthetic images substantially matches the current captured sequence:
identify, from the sequence of synthetic images, a portion of the model representing a navigational path within the anatomical structure from the first set of one or more lumens to the second set of one or more lumens; and
determine a location of the distal end of the medical device within the anatomical structure based on a location represented by the navigational path within the model of the anatomical structure.

US Pat. No. 10,888,247

LINEAR PHASE-CORRECTED LOCAL AVERAGING OF MR IMAGE DATA

Siemens Healthcare GmbH, ...

1. A method for filtering magnetic resonance (MR) image data, comprising:receiving complex MR image data from a region to be imaged; and
applying a sliding window averaging to the complex MR image data to generate filtered MR image data, wherein, for each window position of the sliding window averaging:
estimating, with a model using a linear phase progression, a phase variation of the complex MR image data of individual image points of a sliding window; and
generating, based on the estimated phase variation of the complex MR image data, filtered complex MR image data using an average formation of the complex MR image data of the individual image points of the sliding window.

US Pat. No. 10,888,246

METHOD AND SYSTEM FOR GENERATING A CONTRAST ENHANCEMENT MAP

Synthetic MR AB, Linkoep...

1. A method for generating a contrast enhancement map of a portion of a patient, comprising:acquiring, by an MR scanner, a magnetic resonance (MR) quantification sequence of the portion, wherein the MR quantification sequence comprises quantification information of a longitudinal relaxation rate R1 and proton density (PD) of the portion,
generating, by a processing circuit, an R1 map of the portion based on the MR quantification sequence, wherein a value of R1 for each voxel of the R1 map is determined,
generating, by the processing circuit, a PD map of the portion based on the same MR quantification sequence used to generate the R1 map, wherein a value of PD for each voxel of the PD map is determined,
estimating, by the processing circuit, a R1? map of the portion, based on the PD map and a predetermined relationship of R1 and PD of the portion, wherein an estimated value of R1? for each voxel of the R1? map is calculated,
generating, by the processing circuit, a delta R1 map based on the R1 map and the R1? map,
wherein the voxels of the R1 map, of the PD map, of the R1? map, and of the delta R1 map, have a one to one correspondence,
wherein a value of each voxel of the delta R1 map represents a difference of R1 values of the corresponding voxel of the R1 map and of the corresponding voxel of the R1? map, and
the method further comprises:
generating a synthetic MR image based on the R1 map and the PD map,
displaying the synthetic MR image in the user interface,
wherein generating a synthetic MR image further comprises:
generating a synthetic T1 weighted (T1W) image of the portion, based on the R1 map and the PD map, comprising:
for each voxel of the synthetic T1W image,
estimating a signal strength S with the following formula
S=PD·(1?exp(?R1·TR)),
wherein S is a value of signal strength S of the voxel of the synthetic T1W image,
PD is a value of PD of the corresponding voxel of the PD map,
R1 is a value of R1 of the corresponding voxel of the R1? map, and
TR is a repetition time.

US Pat. No. 10,888,245

FAT BURNING MONITORING

Ontario Limited, Ontario...

12. A device for non-invasively detecting if a subject is in ketosis and burning fat comprising:an interdigitated portion configured for measuring impedance of skin surface of the subject, said interdigitated portion having at least two separate electrical contacts;
said at least two electrical contacts of said interdigitated portion configured for contacting the skin surface of the subject and detecting movement of acetone to the skin surface, said movement of acetone being indicative of the subject being in ketosis and burning fat;
a power source; and
a ketosis signal connected to one end of the interdigitated portion, said ketosis signal configured for activation when the impedance of the skin surface of the subject decreases by approximately an order of magnitude compared to impedance of the skin surface of the subject when not in ketosis.

US Pat. No. 10,888,244

SWEAT SENSING WITH CHRONOLOGICAL ASSURANCE

University of Cincinnati,...

1. A device, comprising:one or more sensors, wherein each sensor of the one or more sensors is configured to obtain a measurement of a characteristic of an analyte in sweat at a plurality of time periods;
a sampling volume positioned between a sampling site and the one or more sensors, wherein the device is configured to route sweat samples from the sampling site, through the sampling volume to the sensors
a controller configured to:
define a sweat generation rate, wherein the sweat generation rate is an estimate of a volume of sweat per unit of time;
define a sampling rate in which each sensor of the one or more sensors is configured to obtain a measurement of the characteristic of the analyte in a sweat sample of a plurality of sweat samples, the sampling rate being determined based on the sampling volume, the sweat generation rate, and a chronological assurance; and
control each sensor of the one or more sensors such that measurements are obtained by the one or more sensors in accordance with the sampling rate.

US Pat. No. 10,888,243

NON-INVASIVE METHOD FOR FOCAL DEEP-BRAIN STIMULATION EQUIPMENT AND METHODOLOGIES

WEINBERG MEDICAL PHYSICS ...

1. An apparatus comprising:at least one emitting device positioned near a human subject and generating electromagnetic radiation; and
at least one functional particle whose action is sensitive to the frequency of the electromagnetic radiation emitted by the at least one emitting device,
wherein the at least one functional particle converts incident electromagnetic radiation into electrical current or voltage with an efficiency that depends on a surrounding magnetic field strength,
wherein said magnetic field is Earth's magnetic field,
wherein the at least one emitting device is configured to be located within 1 meter of tissue in a body of the subject and outside the subject's body,
wherein the at least one functional particle is configured to be located inside the subject's body, and
wherein the electrical current or voltage has an effect upon tissue within the subject's body.

US Pat. No. 10,888,242

METHODS FOR RADIO WAVE BASED HEALTH MONITORING THAT UTILIZE A REMOVABLE SMARTPHONE CASE

Movano Inc., San Ramon, ...

1. A method for operating a removable smartphone case, the method comprising:transmitting radio waves below the skin surface of a person;
receiving radio waves on a two-dimensional array of receive antennas, the received radio waves including a reflected portion of the transmitted radio waves;
generating digital data in response to the received radio waves, wherein the digital data is indicative of a health parameter of the person; and
communicating the digital data generated in response to the received radio waves from the removable smartphone case to a smartphone that is connected to the removable smartphone case.

US Pat. No. 10,888,241

DEVICE AND METHOD TO DETERMINE OBJECTIVELY VISUAL MEMORY OF IMAGES

1. An apparatus useful for determining visual recognition by a subject of two or more images comprising one or more of faces, people, places, animals and objects using electroencephalography (EEG), comprising:a. means for presenting to said subject to be tested a series of visual stimuli corresponding to said two or more images to evoke EEG signals, said visual stimuli being presented in an orientation sequence based on a timing cycle, said timing cycle having ON and ALTERED phases that are substantially equi-luminant;
b. at least one prism having a prism direction and a diopter value of two or more adapted to be placed in front of the series of visual stimuli presented to the subject corresponding to said two or more images for directing said images corresponding to said visual stimuli to a position relative to a retina of said subject, wherein EEG signals are evoked in response to said visual stimuli with said prism placed in front of said visual stimuli; and
c. a processor for: (i) converting the EEG signals evoked in response to said visual stimuli for each of said two or more images to Visual Evoked Potentials (VEPs); (ii) identifying a P-100 latency time from said VEPs of each of said two or more images; and (iii) recording or displaying said P-100 latency time for each of said two or more images, wherein said processor determines whether there is a P-100 latency shift between two or more different images at the same prism direction relative to said retina and at the same diopter value.

US Pat. No. 10,888,240

METHODS AND APPARATUS FOR ELECTRODE PLACEMENT AND TRACKING

CeriBell, Inc., Mountain...

1. An electrode assembly comprising:an electrode body;
one or more tubular members extending from the electrode body, each tubular member having a distal tip and a lumen with a distal opening in the distal tip, wherein the distal opening is in a lower surface of the tubular member, and wherein the lower surface has a crescent shape and the distal opening comprises an arcuate gel-delivery channel; and
a reservoir on the electrode body for dispensing a conductive fluid or gel from said reservoir through the one or more lumens and out of the one or more distal openings of the tubular members;
wherein the distal tip of at least some of the tubular members define a skin preparation surface,
wherein the skin preparation surface is on the lower surface of the tubular member adjacent to the distal opening, and
wherein the skin preparation surface comprises at least one of (a) an abrasive and (b) surface features on the distal tip.

US Pat. No. 10,888,239

REMOTE INTERFACING ELECTROCARDIOGRAPHY PATCH

Bardy Diagnostics, Inc., ...

1. A remotely-interfaceable electrocardiography patch, comprising:a backing formed of a strip of material;
an electrocardiographic electrode on each end of the backing to capture electrocardiographic signals;
a flexible circuit comprising a pair of circuit traces electrically coupled to the electrocardiographic electrodes; and
a wireless transceiver on the strip of material of the backing to wirelessly interface with a physiology and activity sensor and to transmit at least one of the electrocardiographic signals and other physiological measures to the physiology and activity sensor.

US Pat. No. 10,888,238

AUTOMATIC DETERMINATION AND SELECTION OF FILTERING IN A CARDIAC RHYTHM MANAGEMENT DEVICE

CARDIAC PACEMAKERS, INC.,...

1. A cardiac rhythm management device comprising plural sensing electrodes for capturing a cardiac signal and operational circuitry coupled to the plural sensing electrodes for analyzing the cardiac signal, the operational circuitry configured with a selectable filtering mode allowing filtering of the captured cardiac signal according to a first approach and a second approach, the second approach applying an additional high pass filter relative to the first approach, wherein the operational circuitry is configured to operate using the selectable filtering mode as follows:determining whether to select the first approach or the second approach by measuring a first amplitude of the captured cardiac signal, post filtering via the first approach, and comparing the first amplitude to a first threshold and:
if the first amplitude exceeds the first threshold, enabling the second approach for use in cardiac signal analysis; or
if the first amplitude does not exceed the first threshold, disabling the second approach for use in cardiac signal analysis; and
detecting cardiac cycles by comparing a received cardiac signal, as filtered by one of the first or second approaches, to a detection threshold and declaring a new cardiac cycle when the received cardiac signal exceeds the detection threshold;
wherein the first amplitude is an average signal strength of the captured signal.

US Pat. No. 10,888,237

METHOD AND SYSTEM FOR DETERMINING VENTRICULAR FAR FIELD CONTRIBUTION IN ATRIAL ELECTROGRAMS

Karlsruhe Institute of Te...

15. A computer system for determining Ventricular Far Field contribution in atrial electrograms of a patient, the computer system comprising:an interface module configured to receive a plurality of electrical signals generated by a plurality of sensors wherein the plurality of electrical signals relate to a plurality of locations in an atrium of the patient;
a reference module configured to determine a reference signal reflecting electrical excitation of the patient's ventricles;
a data processing module configured to select from the plurality of the received electrical signals such electrical signals which are recorded under one or more of the following conditions:
the respective signals are recorded at locations inside the atrium where the respective sensor has no contact to the atrial tissue,
the respective signals are recorded, irrespective of the sensor location, during time intervals where the respective part of the atrium shows no electrical activity,
the respective signals are recorded, irrespective of the sensor location, during time intervals which comprise a plurality of heart beat intervals and are subject to subsequent spatial smoothing; and
further configured to determine a spatio-temporal distribution of the Ventricular Far Field inside the atrium by approximating the spatio-temporal distribution based on signal data of the selected signals by using an approximation model.

US Pat. No. 10,888,236

SYSTEM FOR ANALYZING ELECTROPHYSIOLOGICAL DATA AND METHOD FOR ANALYZING ELECTROPHYSIOLOGICAL DATA

Ablacon Inc., Wheat Ridg...

1. A system for analyzing electrophysiological data including intracardial electrogram data, the system comprising:at least one computing device comprising at least one computer readable medium, the computing device being configured to store instructions executable by at least one processor to determine the source and location of at least one cardiac rhythm disorder;
a data output unit comprising a data output screen for displaying results of electrophysiological data analysis,
wherein the computing device is configured to receive electrophysiological data obtained from a mapping catheter assembly comprising an electrode assembly having a plurality of n electrodes, each electrode being configured for measuring electrophysiological data in the form of electrogram signals;
and the computing device is configured to:
(a) assign predetermined positions of electrodes 82 on the electrode assembly to their respective corresponding electrogram signals;
(b) provide or generate a two-dimensional (2D) spatial map of the electrode positions;
(c) for each or selected discrete times over which the electrogram signals are being processed, process the electrogram signals to generate a plurality of three-dimensional electrogram surfaces corresponding at least partially to the 2D map, and
(d) process the plurality of three-dimensional electrogram surfaces through time to generate a velocity vector map, the velocity vector map being configured to reveal the location of the source of the at least one cardiac rhythm disorder;
and further wherein the data output unit is configured to display the velocity vector map on a data output screen of the data output unit.

US Pat. No. 10,888,235

SYSTEM, METHOD, AND APPARATUS FOR VISUALIZING CARDIAC TIMING INFORMATION USING ANIMATIONS

St. Jude Medical, Cardiol...

1. A method of generating an animated electrophysiology map, the method comprising:receiving a plurality of data points, each data point comprising measured electrophysiology information, location information, and timing information;
generating an electrophysiology map using the electrophysiology information and location information of the plurality of data points; and
superimposing an animation of a plurality of timing markers upon the electrophysiology map using the electrophysiology information, the location information, and the timing information for the plurality of data points,
wherein superimposing an animation of a plurality of timing markers upon the electrophysiology map comprises:
generating a series of frames, each frame of the series of frames comprising:
a static image of the electrophysiology map at a point in time; and
one or more timing markers superimposed upon the static image of the electrophysiology map, wherein positions of the one or more timing markers upon the static image of the electrophysiology map correspond to a position of an activation wavefront on the electrophysiology map at the point in time, wherein the one or more timing markers are visible upon the static image of the electrophysiology map at the point in time only within a preset distance of the position of the activation wavefront on the electrophysiology map at the point in time, and wherein a visibility of a timing marker of the one or more timing markers is related to a distance between the position of the activation wavefront on the electrophysiology map at the point in time and a position of the timing marker on the electrophysiology map; and
displaying the series of frames in chronological sequence.

US Pat. No. 10,888,234

METHOD AND SYSTEM FOR MACHINE LEARNING BASED ASSESSMENT OF FRACTIONAL FLOW RESERVE

Siemens Healthcare GmbH, ...

1. A method for analyzing an effect of a treatment scenario, comprising:extracting features for a stenosis of interest from medical image data of a patient;
determining a first fractional flow reserve (FFR) value for the stenosis of interest based on the extracted features using a trained machine-learning based mapping, wherein the trained machine-learning based mapping is trained based on geometric features extracted from synthetically generated stenosis geometries that are not based on patient-specific data;
determining a second FFR value for the stenosis of interest based on one or more modified values of the extracted features using the trained machine-learning based mapping, the one or more modified values of the extracted features reflecting the treatment scenario; and
analyzing the effect of the treatment scenario based on the first FFR and the second FFR.

US Pat. No. 10,888,233

MONOPOLAR PHYSIOLOGICAL SIGNAL DETECTION DEVICE AND ITS OPERATING METHOD

FENG CHIA UNIVERSITY, Ta...

1. A monopolar physiological signal detection device, comprising:a detection area, configured to be in contact with a detectable site;
a differential amplifier, connected with the detection area through a first wire and a second wire separately;
a delay circuit, connected with the first wire;
a driven-body circuit, connected with the detection area, wherein the driven-body circuit is connected with the differential amplifier through a plurality of resistors;
a band-pass filter, connected with the differential amplifier;
an output, connected with the band-pass filter;
a signal integration module, connected with the output; and
wherein the signal integration module is connected with an optical pulse sensor module.

US Pat. No. 10,888,232

DEVICES, SYSTEMS, AND METHODS FOR ASSESSING A VESSEL

PHILIPS IMAGE GUIDED THER...

1. A system comprising:a pressure-sensing guide wire sized and shaped for introduction into a vessel of a patient, wherein the pressure-sensing guide wire comprises a proximal portion, a distal portion, and a pressure monitoring element coupled to the distal portion; and
a processing unit in communication with the pressure-sensing guide wire and a pressure sensing instrument, the processing unit configured to:
obtain intravascular pressure measurements from the pressure-sensing guide wire and the pressure sensing instrument while the pressure-sensing guide wire is moved within the vessel of the patient and while the pressure-sensing guide wire and the pressure sensing instrument are stationary and positioned adjacent to one another;
temporally align the intravascular pressure measurements of the pressure-sensing guide wire and the pressure sensing instrument by calculating a time shift between the intravascular pressure measurements of the pressure-sensing guide wire and the intravascular pressure measurements of the pressure sensing instrument; and
normalize, while the pressure-sensing guide wire and the pressure sensing instrument are stationary and positioned adjacent to one another, the pressure-sensing guide wire with the pressure sensing instrument such that an amplitude of the intravascular pressure measurements obtained from the pressure-sensing guide wire matches an amplitude of the intravascular pressure measurements obtained from the pressure sensing instrument, wherein the pressure-sensing guide wire is normalized with the pressure sensing instrument utilizing samples of the obtained intravascular pressure measurements for an initial number of cardiac cycles occurring after activation of a normalization button by a user such that normalization of the amplitude of the intravascular pressure measurements obtained from the pressure-sensing guide wire with the amplitude of the intravascular pressure measurements obtained from the pressure sensing instrument is delayed by the initial number of cardiac cycles.

US Pat. No. 10,888,231

AUTOMATIC INTRAORAL 3D SCANNER WITH LOW COHERENCE RANGING

1. An intraoral scanning apparatus comprising:a) a source of low coherence light;
b) an interferometer that directs the low coherence light to a reference path and a sample path and that generates image data according to interference from combined light returned along the reference and sample paths;
c) a fixture that is optically coupled to the sample path, where the fixture comprises:
(i) a positioning portion configured to extend between the jaws of a patient;
(ii) a track that defines a curved scan path for scanning;
(iii) one or more scanners configured to direct the sample path light to and from teeth of the patient, wherein each scanner is operable to scan multiple surfaces of teeth at locations along the curved scan path absent lateral movement of the scanner relative to the track;
(iv) an actuator and translation apparatus that urge the one or more scanners along the curved scan path;
d) a control logic processor that synchronizes light scanning and acquisition from the fixture; and
e) a display in signal communication with the control logic processor to display of acquired scan data.

US Pat. No. 10,888,230

DENTAL DEMINERALIZATION DETECTION, METHODS AND SYSTEMS

University of Washington ...

1. A method for detecting dental demineralization, comprising:applying a dye solution to surfaces of oral biofilm and a dental surface;
scanning the dental surface comprising directing excitation light at two or more excitation wavelengths to the dental surface, wherein the two or more excitation wavelengths include first light and second light from at least one light source, and wherein the second light has a longer wavelength than the first light;
detecting light from the dental surface to obtain fluorescence emission spectral information, wherein the light from the dental surface includes a first emission spectrum corresponding to the first light and a second emission spectrum corresponding to the second light, and wherein at least part of the light from the dental surface is output from the dye solution;
processing the fluorescence emission spectral information including calculating a ratio of the first emission spectrum and the second emission spectrum; and
detecting an area of demineralization proximate to the dental surface.

US Pat. No. 10,888,229

ESTABLISHING SECURE COMMUNICATION AT AN EMERGENCY CARE SCENE

ZOLL Medical Corporation,...

1. A system for establishing secure dynamically reconfigurable wireless communications between a patient monitor and a computing device, the system comprising:the patient monitor comprising one or more physiological sensors configured to measure physiological data from a patient and the patient monitor being configured to perform a close proximity wireless communication protocol;
the computing device comprising a receiver and a transmitter configured to establish a secure communication channel with the patient monitor according to the close proximity wireless communication protocol, the secure communication channel having an effective range of less than 100 cm to the patient monitor;
a sensor configured to detect at least one feature from an immediate environment of the patient monitor; and
a processor and a non-transitory computer readable storage medium encoded with a computer program comprising instructions that, when executed, cause the processor to perform operations comprising:
detecting a request for connection between the patient monitor and the computing device based at least in part on the at least one feature of the immediate environment,
determining whether spatial localization is achieved between the patient monitor and the computing device based at least in part on the at least one feature of the immediate environment,
initiating a mutual authentication between the computing device and the patient monitor based at least in part on the spatial localization, and
establishing the secure communication channel between the patient monitor and the computing device for exchanging patient data.

US Pat. No. 10,888,228

METHOD AND SYSTEM FOR CORRELATING ANATOMY USING AN ELECTRONIC MOBILE DEVICE TRANSPARENT DISPLAY SCREEN

1. A method for forming a correlated view of human or other animal anatomy using at least one transparent display screen associated with an electronic mobile device, said view relating an optical view with other electromagnetic spectrum images with at least one non-optical electromagnetic image of selected portions of human or other animal anatomy, the method comprising the steps of: associating at least three visible position markers with selected positions of a predetermined portion of human or other animal anatomy, said at least three visible position markers comprising a predetermined measure of opacity for selected non-optical electromagnetic frequencies;imaging said predetermined portion of human or other animal anatomy using at least a subset of said selected non-optical electromagnetic frequencies using an electromagnetic imaging device for forming the at least one non-optical electromagnetic image of said predetermined portion of human or other animal anatomy, including said at least three visible position markers and further wherein said at least three visible position markers exhibit at least partial opacity for at least one of said subset of selected non-optical electromagnetic frequencies;
forming the optical view of said predetermined portion of human or other animal anatomy through at least a portion of the transparent display screen associated with said electronic mobile device;
forming the correlated view of said predetermined portion of human or other animal anatomy by relating said at least one non-optical electromagnetic image of said at least three visible position markers with a visual image of said at least three visible position markers, said correlated view correlating the size and dimensions of said optical view and said at least one non-optical electromagnetic image of said predetermined portion of human or other animal anatomy; and
further correlating said optical view formed of said predetermined portion of human or other animal anatomy with at least a set of image information from the group consisting of a CT scanner, an MRI device, an X-ray device, and a cardiovascular imaging device using doppler radar sensing technique for displaying on said transparent display screen associated with said electronic mobile device.

US Pat. No. 10,888,227

RAMAN-TRIGGERED ABLATION/RESECTION SYSTEMS AND METHODS

Memorial Sloan Kettering ...

1. A system comprising:a Raman particle to be administered to a subject, wherein the Raman particle is a Surface Enhanced Resonance Raman Scattering (SERRS) nanoparticle comprising a nanoscale substrate, a capping agent associated with the substrate, and a Raman active agent, wherein the capping agent is a member selected from the group consisting of a citrate, a citric acid, an ascorbic acid, an ascorbate, a palmitoylascorbate, a tetrakis(hydroxymethyl)phosphonium chloride, and an amino acid, and the Raman active agent is characterized by sufficient affinity for the nanoscale substrate to permit displacement of the capping agent, thereby providing a high density and localized loading of the Raman active agent onto the Raman particle, such that the Raman active agent is in direct contact with the nanoscale substrate and positioned a distance between 1 nm and 10 nm from the nanoscale substrate;
an ablation laser for directing electromagnetic radiation onto or into a scanning point of a target tissue of the subject containing the administered Raman particle;
an instrument operably linked to the ablation laser, the instrument comprising optics for directing the electromagnetic radiation onto or into the scanning point of the target tissue of the subject containing the administered Raman particle;
a detector for detecting scattered photons emanating from the scanning point of the target tissue of the subject containing the administered Raman particle, said scattered photons resulting from illumination with the electromagnetic radiation; and
a processor configured to regulate output power levels of the ablation laser and to process data corresponding to the scattered photons detected from the scanning point of the target tissue of the subject containing the administered Raman particle,
the processor being configured to trigger a switch from an interrogation power level of the ablation laser to an ablation power level of the ablation laser upon a determination of a presence of the administered Raman particle in the target tissue of the subject in and/or upon the scanning point, the ablation power level being sufficient to ablate tissue at the scanning point.

US Pat. No. 10,888,226

MAGNETIC RESONANCE IMAGING APPARATUS AND IMAGE PROCESSING APPARATUS

CANON MEDICAL SYSTEMS COR...

1. A medical image processing apparatus, comprising processing circuitry configured to:acquire an image of a subject;
divide a brain region included in the image into a plurality of brain functional localized regions;
search a brain functional localized region having a connectivity with a first gyrus specified from the plurality of brain functional localized regions; and
control a display to display a first cell, a second cell, and a third cell, the first cell representing the first gyrus and being arranged along a first axis, the second cell representing a second gyrus having the connectivity with the first gyrus and being arranged along a second axis, the third cell representing a white matter region and being arranged two-dimensionally along the first axis and the second axis.

US Pat. No. 10,888,224

ESTIMATION MODEL FOR MOTION INTENSITY

International Business Ma...

1. A computer-implemented method for learning a model to predict movements of a person in a bed, the method comprising:receiving first data from a plurality of first sensors installed on the bed;
receiving second data from a plurality of second sensors installed on the person; and
learning, via a machine learning procedure in a central computer database implemented by deep neural networks employing a feature extraction module and motion intensity training data, an estimation function by employing an objective function, modified by the motion intensity training data, to output an adjusted motion intensity data of the person to predict the second data based on the first data by assuming a first sensing range of a first motion intensity by the plurality of first sensors is greater than a second sensing range of a second motion intensity of the person by the plurality of second sensors; and
assuming a frequency of motion is relatively rare while the person is sleeping to improve the objective function and to minimize an error function,
wherein the error function is given as:
min.sub.w[.SIGMA..sub.[trainig data]max(0, y-w.phi.(x).sup.T)]
where y is an output of a second sensor of the plurality of second sensors, x is a feature vector computed from output of a first sensor of the plurality of first sensors,
.phi.( )is a basis function, and w is weights for the feature vector; andwherein the error function is penalized when a second motion intensity output value of the second motion intensity of the plurality of second sensors is higher than a result of a first motion intensity output value of the first motion intensity of the plurality of first sensors.

US Pat. No. 10,888,223

VITAL SIGNS SENSOR, SIGNAL PROCESSING DEVICE, AND IDENTIFIER STORAGE DEVICE

NIHON KOHDEN CORPORATION,...

1. A vital signs sensor comprising:an identifier storage device comprising internal memory that stores an identifier of a subject; and
a signal processing device configured to acquire a vital sign from the subject, to correlate the vital sign with the identifier, and to wirelessly transmit the correlated vital sign and the identifier that is stored in the identifier storage device, wherein:
the identifier storage device has a structure that is attachable to and detachable from the signal processing device,
when the identifier storage device is attached to the signal processing device, the identifier storage device is configured to allow an external device to write the identifier in the internal memory, and
when the identifier storage device is not attached to the signal processing device, the identifier storage device is configured to inhibit the external device from writing the identifier in the internal memory.

US Pat. No. 10,888,222

SYSTEM AND METHOD FOR VISUAL FIELD TESTING

CARL ZEISS MEDITEC, INC.,...

1. A method for testing a visual field condition of a subject, said method comprising:determining inter-eye distance of the subject, wherein the inter-eye distance includes horizontal and vertical eye distance;
displaying visual stimuli on a left display region and a right display region of a two-dimensional display based on the determined inter-eye distance, said left display region configured to display content specific to the left eye and said right display region configured to display content specific to the right eye of the subject;
tracking subject responses to the visual stimuli;
evaluating the visual field of each eye of the subject based on the subject responses; and
reporting or storing results of the evaluation describing the subject's visual field condition or a further analysis thereof.

US Pat. No. 10,888,221

PATTERN STIMULUS FOR VISUAL FUNCTION TESTING

THE BOARD OF TRUSTEES OF ...

1. A pattern stimulus system comprising:a hemispherical concave surface;
a plurality of illumination sources arranged on the hemispherical concave surface, wherein each illumination source of the plurality of illumination sources includes at least one light, wherein the at least one light of each illumination source of the plurality of illumination sources includes at least one LED configured to illuminate a different defined surface section of the hemispherical concave surface, and wherein the hemispherical concave surface is optically diffused causing each defined surface section of the hemispherical concave surface to exhibit uniform luminance when illuminated; and
a controller configured to operate the illumination sources to adjust a pattern displayed on the hemispherical concave surface, the displayed pattern extending at least to a far peripheral visual field of a testing subject and wherein the controller is configured to operate the illumination sources to adjust the pattern displayed on the hemispherical concave surface by
illuminating a first subset of illumination sources and dimming a second subset of illumination sources to display the pattern on the hemispherical concave surface, and
synchronously updating the pattern displayed on the hemispherical concave surface at a defined frequency by dimming the first subset of illumination sources and illuminating the second subset of illumination sources.

US Pat. No. 10,888,220

INFORMATION PROCESSING APPARATUS, IMAGE GENERATION METHOD, AND COMPUTER-READABLE MEDIUM, WITH ACQUISITION OF CORRECTION COEFFICIENT BY PERFORMING ARITHMETIC OPERATION ON FIRST AND SECOND PARAMETERS

Canon Kabushiki Kaisha, ...

1. An information processing apparatus comprising:at least one of (a) one or more processors and (b) circuitry, configured to function as a plurality of units comprising:
(1) a first acquisition unit configured to acquire a plurality of pieces of tomographic data each representing information on a cross section of a fundus, which is acquired based on measurement light controlled to scan the same position of the fundus;
(2) a second acquisition unit configured to acquire a correction coefficient by performing an arithmetic operation on (a) a first approximate parameter, which is obtained by transforming, in a first dimension, a parameter of a piece of tomographic data to be used for calculating a motion contrast, and (b) a second approximate parameter, which is obtained by transforming the parameter of the piece of tomographic data in a second dimension smaller than the first dimension;
(3) a correction unit configured to correct at least one piece of tomographic data among the plurality of pieces of tomographic data using the correction coefficient; and
(4) a generation unit configured to generate a motion contrast image based on a motion contrast calculated using the plurality of pieces of tomographic data including the corrected at least one piece of tomographic data.

US Pat. No. 10,888,219

OPTICAL FIBER HAVING PROXIMAL TAPER FOR OPHTHALMIC SURGICAL ILLUMINATION

Alcon Inc., Fribourg (CH...

1. An apparatus, comprising:an optical fiber having a core diameter and configured to transmit a light beam output by a light source and focused by a condenser, the optical fiber including:
a proximal portion configured to receive the light beam focused by the condenser onto a focal point at the proximal portion, the proximal portion comprising a first tapered portion comprising a proximal end having a core diameter D1 and a terminal end having a core diameter D2, wherein D1 is greater than D2,
a distal portion configured to emit the light beam to illuminate a surgical field, and
a central portion extending between the proximal portion and the distal portion, wherein the core diameter is constant over the central portion;
wherein at the focal point on the proximal portion of the optical fiber, a numerical aperture of the light beam (NAbeam) equals (a numerical aperture of the optical fiber (NAfiber)) divided by N, wherein N equals the core diameter D1 divided by a core diameter of the central portion;
wherein the central portion is configured such that the numerical aperture of the light beam NAbeam is equal to a numerical aperture of the central portion NAfiber.

US Pat. No. 10,888,218

VIDEO LARYNGEAL ENDOSCOPE SYSTEM INCLUDING 2D SCAN VIDEO KYMOGRAPHY AND LARYNGEAL STROBOSCOPY

UMEDICAL CO., LTD., Busa...

1. A video laryngeal endoscope system having two-dimensional scanning video kymography (2D VKG) and laryngeal stroboscopy functions; the system comprising:a laryngoscope configured to observe vocal folds;
a light source configured to illuminate the vocal folds;
a video camera configured to have a beam splitter for separating an image observed through the laryngoscope and the light source to acquire a 2D VKG image and a stroboscopic image;
a computer configured to convert signals including 20 VKG images and stroboscopic images transmitted from the video camera into digital image signals, store the digital image signals, analyze the stored digital image signals and simultaneously display analysis results of the 2D VKG image and the stroboscopic image on a monitor; and
the monitor configured to simultaneously display the 2D VKG image and the stroboscopic image and display the analysis results comprising normalized indices of the observed vocal folds and glottis,
wherein the normalized indices comprise a glottis opening ratio.

US Pat. No. 10,888,217

IMAGING MODULE APPLICABLE TO HEAD-SWING ENDOSCOPE

Fujikura Ltd., Tokyo (JP...

1. An imaging module comprising:an image-sensing device comprising:
a light-receiving face;
a terminal surface located on the opposite side of the light receiving face; and
a terminal group having a first image-sensing terminal disposed on the terminal surface and a second image-sensing terminal also disposed on the terminal surface;
a flexible substrate that is separated from the image-sensing device and comprises:
a first surface;
a second surface on an opposite side of the first surface;
a first conductor disposed on the first surface; and
a second conductor disposed on the second surface;
a single-core wire unit that:
is disposed between the image-sensing device and the flexible substrate,
and
comprises:
a first flexible single-core wire that electrically connects the first image-sensing terminal to the first conductor; and
a second flexible single-core wire that electrically connects the second image-sensing terminal to the second conductor;
a through conductor; and
two coaxial cables disposed on the first surface and each comprising an internal conductor and an external conductor, wherein
the first and the second flexible single-core wires are connected to the first and the second image-sensing terminals, respectively,
the first conductor comprises:
an external conductor terminal to which the external conductor is connected, and
the through conductor penetrates the flexible substrate and electrically connects the external conductor terminal to the second conductor.

US Pat. No. 10,888,216

ENDOSCOPE DEVICE, ENDOSCOPE SYSTEM AND INSPECTION METHOD

OLYMPUS CORPORATION, Tok...

1. An endoscope device comprising:a processor configured to:
receive, through an input device, an assessment on an endoscopic image of an object as captured by an image sensor;
retrieve, based on the assessment, one assessment assist image of a plurality of assessment assist images stored in a data storage,
wherein the one assessment assist image retrieved is a past endoscopic image of the object captured by the image sensor, a past endoscopic image of an object of a same type of the object as captured by the image sensor, or a reference image; and
control a display to display the one assessment assist image retrieved along with the endoscopic image,
wherein the processor is configured to preferentially retrieve, based on the assessment, the one assessment assist image of the plurality of assessment assist images in an order of:
the past endoscopic image of the object captured by the image sensor;
the past endoscopic image of the object of the same type of the object as captured by the image sensor; and
the reference image, and
wherein the processor is configured to control the display to indicate the one assessment assist image under display is one of:
the past endoscopic image of the object captured by the image sensor;
the past endoscopic image of the object of the same type of the object as captured by the image sensor; and
the reference image.

US Pat. No. 10,888,215

FLUID COLLECTION VESSEL FOR USE WITH AN ENDOSCOPE

7. A collection vessel for use with an endoscope, the endoscope having a main body portion, the main body portion of the endoscope having a neck extending from the main body portion, and a port at a top of the neck, the collection vessel comprising:a catch portion having an inverted conic shape that is open at a top of the catch portion and that defines a rim that is substantially circular, the catch portion further including a wall extending downward and inward from the rim to a bottom of the catch portion which includes a bottom opening, and an indented portion formed in the wall from the rim that is shaped to correspond to the neck of the endoscope and wherein the indented portion is shaped such that when the indented portion is positioned over the neck of the endoscope, the port on the neck of the endoscope is substantially centered over the top of the catch portion;
a neck portion joined at a top of the neck portion to the bottom of the catch portion at the bottom opening of the catch portion, the neck extending downward from the bottom of the catch portion and having a bore through the neck portion to a bottom of the neck portion;
a collection chamber joined to the bottom of the neck portion defining a collection volume within a wall of the collection chamber, wherein the wall of the collection chamber extends outward from the bottom of the neck portion; and
the neck portion further including at least one backflow prevention feature disposed in the bore of the neck portion that is configured to inhibit a flow of fluid toward the catch portion and to facilitate flow of fluid in a direction toward the collection chamber.

US Pat. No. 10,888,214

ENDOSCOPE SYSTEM INCLUDING OVERTUBE AND ENDOSCOPE HAVING RIGIDITY CHANGING MECHANISM

OLYMPUS CORPORATION, Tok...

1. An endoscope system comprising:an endoscope including
an insertion section formed in an elongated shape,
a flexible tube portion provided at a proximal end side of the insertion section, and
a rigidity changing mechanism portion provided inside the flexible tube portion, and configured to change rigidity of the flexible tube portion, where a rigidity change region of the flexible tube portion by the rigidity changing mechanism portion is set to be from an intermediate portion to a proximal end portion of the flexible tube portion; and
a flexible overtube formed in a cylindrical shape extending in an axial direction, into which the insertion section is slidably inserted, where the overtube is formed to have a total length in the axial direction that is shorter than a total length of the rigidity change region, and a degree of increase in rigidity in a state of covering the insertion section is set to be substantially equal to a degree of increase in the rigidity of the flexible tube portion caused by operation of the rigidity changing mechanism portion, wherein
by allowing, by changing relative positions of the overtube and the insertion section in a longitudinal direction in a state where the insertion section is covered by the overtube, selection between a state where a proximal end portion of the overtube in the axial direction is positioned on a most proximal end side of the insertion section and a distal end portion of the rigidity change region is exposed and a state where the overtube is displaced to a distal end side and the distal end portion of the rigidity change region is covered by the overtube, and by setting a degree of increase in rigidity, at a part of the insertion section where the overtube is covered, caused by the overtube covering the insertion section, to be substantially equal, in a state where the insertion section is covered by overtube, to the degree of increase in the rigidity of the flexible tube portion caused by operation of the rigidity changing mechanism portion, rigidity of a part of the insertion section which is on a distal end side with respect to the rigidity change region, a part of the rigidity change region exposed from the overtube, and a part covered by the overtube is gradually increased stepwise from a distal end of the insertion section in a proximal end direction, when an increase operation of rigidity of the rigidity change region is performed by the rigidity changing mechanism portion while the state where the proximal end portion of the overtube in the axial direction is positioned on the most proximal end side of the insertion section and the distal end portion of the rigidity change region is exposed is selected.

US Pat. No. 10,888,213

INTUBATION SYSTEM

1. An intubation system, comprising:an intubation instrument for capturing an image, wherein the intubation instrument has a first interface for providing an image signal representing the captured image;
a display device with a second interface for receiving the image signal, wherein the display device is provided and designed to display the image captured by the intubation instrument; and
a cable with a third interface at a first end of the cable and with a fourth interface at a second end of the cable;
wherein the first interface of the intubation instrument and the second interface of the display device are designed such that, in a first state of the intubation system, the second interface of the display device is connectable directly to the first interface of the intubation instrument; and
wherein the third interface and the fourth interface of the cable are designed such that, in a second state of the intubation system, the first interface of the intubation instrument is connectable directly to the third interface of the cable and the second interface of the display device is connectable directly to the fourth interface of the cable.

US Pat. No. 10,888,212

DISHWASHER WITH A LOW-PROFILE RACK

Whirlpool Corporation, B...

1. A dishwasher comprising:a tub at least partially defining a treating chamber with an access opening;
a closure relatively moveable with the tub to selectively open/close the access opening;
a lower dish holder located within the treating chamber;
a middle dish holder located within the treating chamber above the lower dish holder;
an upper dish holder located within the treating chamber above the middle dish holder and having container supports defining a support surface defining a slope of less than 30 degrees relative to a horizontal reference, with a lower end and an upper end; and
a wicking element located at the lower end and comprising a longitudinal body overlying a portion of the lower end and first and second wicks extending from and fixedly mounted to opposite side of the longitudinal body, wherein the first wick overlays a portion of the support surface to define a seat for engaging a lip edge of glassware such that a first stop of the first wick abuts the lip edge to break a surface tension of a liquid in the glassware and wherein a top of the first stop extends into the glassware when the first wick abuts the lip edge of the glassware.

US Pat. No. 10,888,211

DISHWASHING METHOD AND DISHWASHER

BWT Aktiengesellschaft, ...

1. A dishwasher comprising a device that provides water having an oxidizing and disinfecting action, comprising:a) a reverse osmosis device in which a stream of untreated water is separated into a concentrate stream and a permeate stream,
b) a line for the permeate stream, and
c) an ozone generator for production of ozone,
wherein the ozone generator is arranged within the line or coupled to the line such that, when the ozone generator is in operation, the ozone can be introduced into the permeate stream, and the ozone from the ozone generator is introduced into the permeate stream, either by an injector driven by the flow of the permeate stream or by a pumping device.

US Pat. No. 10,888,210

CLEANING MITT

ZENITH INNOVATION, LLC, ...

1. A cleaning mitt comprising:an upper material cleaning layer comprising a single, indivisible sheet of material attached to a lower material cleaning layer comprising a single, indivisible sheet of material, the upper material cleaning material sheet and the lower material cleaning layer sheet forming an interior pocket between the upper and lower material cleaning layers;
the lower material cleaning layer sheet of material comprising a bottom exterior side having a moderately abrasive first cleaning surface for light duty scrubbing and cleaning, and a top interior side having a second cleaning surface which is less abrasive than the first cleaning surface for streak-free polishing;
the upper material cleaning layer sheet of material comprising a bottom interior side having a third cleaning surface which has the identical abrasiveness as the second cleaning surface of the lower material cleaning layer, said upper material layer sheet having a top exterior surface which constitutes a fourth cleaning surface, the top surface itself being more abrasive than the second and third cleaning surfaces for medium duty scrubbing and cleaning.

US Pat. No. 10,888,209

VACUUM PATHWAY IN A CLEANING DEVICE

Harris Research, Inc., N...

1. A vacuum cleaner comprising:a plurality of extraction heads, each extraction head having a plurality of apertures in a floor facing surface;
a rotary head comprising a plurality of vacuum chambers positioned radially around a center channel having a top outlet, wherein the plurality of extraction heads is mounted to the rotary head, wherein each of the plurality of vacuum chambers comprises an inlet coupled in fluid receiving communication with a respective one of the extraction heads, wherein each of the plurality of vacuum chambers operably rotates around the center channel;
an evacuation tank;
a non-rotating riser having a bottom inlet disposed along a horizontal plane from and non-concentric with the top outlet of the center channel, and a top inlet connecting to the evacuation tank;
a plenum laterally disposed to the floor when cleaning the floor and connecting the center channel top outlet and the non-rotating riser bottom inlet, such that the plurality of vacuum chambers, central channel, plenum, and non-rotating riser form a vacuum pathway; and
a vacuum motor coupled to the non-rotating riser,
wherein a vacuum created by the vacuum motor draws fluid from the apertures of the extraction heads through the vacuum pathway.