US Pat. No. 10,166,211

NITRIC OXIDE RELEASING COMPOUND, PHARMACEUTICAL COMPOSITION, USE AND SYNTHESIS METHOD THEREOF

NATIONAL CHIAO TUNG UNIVE...

1. A pharmaceutical composition comprising:a nitric oxide releasing compound of formula (I),
anda carrying agent being water or an aqueous solution;
wherein the pharmaceutical composition is an injection formulation for a human or an animal.

US Pat. No. 10,166,207

ACAMPROSATE FORMULATIONS, METHODS OF USING THE SAME, AND COMBINATIONS COMPRISING THE SAME

Synchroneuron, Inc., Wal...

1. A method comprising steps of:orally administering to a human subject in a fasted state a pill comprising about 20-95% by weight acamprosate, or a pharmaceutically acceptable salt thereof and about 1-30% by weight of a carbomer homopolymer type B.

US Pat. No. 10,166,204

SPHINGOSINE KINASE TYPE 1 INHIBITORS AND USES THEREOF

Enzo Therapeutics, Inc., ...

1. A method for treating ulcerative colitis in a patient, comprising:administering to a patient in need of treatment for ulcerative colitis a compound having the formula

US Pat. No. 10,166,203

PHARMACEUTICAL COMPOSITION FOR TREATING CANCER INCLUDING 2-METHOXY-4-(3-(4-METHOXYPHENYL)PROP-1-EN-1-YL)PHENOL AS ACTIVE INGREDIENT

1. A method for treating cancer, comprising administering to a subject in need thereof pharmaceutical composition comprising a pharmaceutically effective amount of a compound represented by the following formula 1; and a pharmaceutically acceptable carrier

US Pat. No. 10,166,201

SUBSTITUTED HYDROXYSTILBENES AND THEIR THERAPEUTIC APPLICATIONS

RESOLVEX PHARMACEUTICALS ...

1. A method of treating an immune deficient disease with a compound having a general formula I, comprising administering to a subject in need thereof a therapeutically effective amount of the compound, the general formula I is shown as following
wherein R1 is selected from H, halogen and CN; R2 is selected from H, halogen and CN; R3 is selected from H, halogen, OCH3 and CN; R4 is H; R5 is selected from H, halogen and CN; and R6 is alkyl or cycloalkyl;
wherein the immune deficient disease is selected from a group consisting of an inflammatory bowel disease, psoriasis, eczema.

US Pat. No. 10,166,199

TRANSDERMAL PATCH COMPRISING A ROPIVACAINE FORMULATION

Buzzz Pharmaceuticals Lim...

1. A transdermal patch comprising a pharmaceutical formulation, said formulation comprising:(i) ropivacaine,
(ii) a pharmaceutically-acceptable adhesive, and
(iii) two or three excipients selected from a penetration enhancer, a hydrophilic material, and a carrier oil having a ropivacaine solubility of greater than or equal to 1.5% (w/w);wherein said ropivacaine is present in its free base form and wherein said patch further comprises a backing membrane.

US Pat. No. 10,166,188

METHOD FOR VACUUM-ASSISTED PRESERVATION OF BIOLOGICS INCLUDING VACCINES

MERIAL, INC., Duluth, GA...

1. A process for vitrifying biological material comprising the steps of:(a) formulating a liquid biological preparation, wherein the liquid biological preparation comprises at least one active biologic ingredient selected from RNA and DNA viruses; and at least one stabilizer, wherein the at least one stabilizer comprises: 1) a bulking agent consisting of dextran, present in an amount of about 6% to about 10% w/v of the stabilizer: 2) one of the following combinations of sugars: glucose+raffinose; glucose+fructose; glucose+galactose; or glucose+sucrose, wherein the glucose is present in an amount of about 1% to about 5% w/v of the stabilizer and 3) optionally aspartic acid: wherein the stabilizer is capable of reducing or eliminating cryogenic damage to the biologic ingredient;
(b) adding a portion of the liquid biological preparation of step (a) to at least one vial;
(c) loading the at least one vial into a temperature-controlled container, wherein the temperature of the temperature-controlled container is between ?15° C. and 10° C.; and
(d) reducing the moisture content of the biological preparation to less than about 5% by weight by controlled changes in pressure and temperature, comprising the following steps in the following order:
1) reducing pressure from about 10-30 mbar to about 5 mbar, over about 5-15 minutes, then holding the pressure at about 5 mbar for about 40-50 minutes;
2) reducing pressure from about 5 mbar to about 3 mbar, over about 5-10 minutes, then holding the pressure at about 3 mbar for about 10-40 minutes; and
3) reducing pressure from about 3 mbar to about 1.5-2 mbar, over about 5-10 minutes, then holding the pressure at about 1.5-2 mbar for about 5-160 minutes;thereby reducing the moisture content of the biological preparation to less than about 5% by weight, and thereby vitrifying the biological material, and wherein the one or more biologic ingredients remains at least 85% viable for at least a year after vitrification, thereby the one or more biologic ingredients is stabilized.

US Pat. No. 10,166,185

EXCIPIENT AND ORAL SOLID DOSAGE FORMS FOR OILY DRUGS

1. An excipient composition, consisting of microcrystalline cellulose and silicate-based adsorbent carrier selected from the group consisting of a magnesium aluminometasilicate, a granular hydrophilic fumed silica, and a mixture thereof, and optionally a colloidal silicon dioxide, wherein the amount of silicate-based adsorbant carrier is from about 10% to about 35% by weight of the excipient composition.

US Pat. No. 10,166,184

METHOD OF LYOPHILIZING LIPOSOMES

CELATOR PHARMACEUTICALS I...

1. A lyophilized gel-phase liposomal composition, which composition comprises:(a) gel-phase liposomes that exhibit a melting phase temperature (Tc) of at least 37° C. and wherein the liposome membrane of said liposomes comprises no more than 20 mol % cholesterol and at least 1 mol % of a phosphatidylglycerol (PG) or a phosphatidylinositol (PI) or both; and wherein at least two therapeutic and/or diagnostic agents are stably associated with said liposomes wherein at least one of said agents is amphipathic or hydrophilic; and;
(b) a cryoprotectant external to said liposomes; andwherein said liposomes contain less than 50 mM internal cryoprotectant, andwherein when said lyophilized gel-phase liposomal composition is reconstituted in a pharmaceutical carrier, the mean diameter of the liposomes is maintained as compared to said composition prior to lyophilization and said agents are substantially retained in the liposomes.

US Pat. No. 10,166,179

FIXATIVE POLYMERS AND HAIR STYLING COMPOSITIONS THEREOF

ISP INVESTMENTS LLC, Wil...

1. A personal care composition comprising:a) a fixative polymer consisting of:
55-60% by weight of ethyl acrylate;
30-50% by weight of (meth) acrylic acid;
1-5% by weight of an associative monomer comprising a methacrylic ester with an oxyalkylated ethylenic unsaturation terminated by a hydrophobic, non-aromatic branched chain with 12to 22 carbon atoms;
0. 1-4% by weight of a cross-linking agent;
b) one or more of personal care additives; and
c) an aqueous carrier;
Wherein the personal care composition is a clear gel having clarity of at least 90% as measured by T (transmittance).

US Pat. No. 10,166,176

PLASMONIC ENHANCEMENT OF ABSORPTION IN SUNSCREEN APPLICATIONS

International Business Ma...

1. A method, comprising:providing multiple zinc oxide particles;
completely enclosing nine or more metal particles within each of the multiple zinc oxide particles, wherein each of the multiple zinc oxide particles has a size of less than 400 nanometers in diameter, and wherein the nine or more metal particles are each physically separated within each of the multiple zinc oxide particles by a distance of approximately 100 nanometers and 200 nanometers; and
embedding the multiple zinc oxide particles, each with nine or more completely enclosed metal particles therein, into one or more silicon dioxide particles, wherein each of the one or more silicon dioxide particles has a size of between 0.8 and 2 micrometers in diameter.

US Pat. No. 10,166,175

COATING OF CLAY MICRO-TUBES ON SURFACES OF HAIR AND NATURAL FIBERS

Louisiana Tech Research C...

1. A method of coloring hair comprising the step of applying to the hair a coloring mixture for at least one minute, wherein the coloring mixture comprises:(a) an aqueous based carrier liquid which is at least 75% by weight water;
(b) alumino-silicate micro-tubes having an insoluable hair dye agent loaded into a lumen of the micro-tubes to at least a 4 weight percent dye loading efficiency;
(c) wherein the micro-tubes are present in the carrier liquid in a concentration of between about 5 mg/ml and about 50 mg/ml; and
(d) wherein the mixture has a pH of between about 4.0 and about 6.0.

US Pat. No. 10,166,172

DUAL CONFIGURATION BOTTLE ASSEMBLY

HANDI-CRAFT COMPANY, St....

1. A bottle assembly comprising:a container comprising an open end, a closed end, a base portion, a neck, and a rim on the neck of the container and defining the open end of the container, the container having a central axis;
a vent assembly positionable at least in part on the rim of the container to permit venting of the container during use and comprising at least one lateral vent extending other than parallel to the central axis of the container when the vent assembly is positioned on the rim of the container, the vent assembly further comprising an inner portion including a vent tube and a top wall oriented normal to the vent tube, the lateral vent extending upward from the top wall; and
a collar assembly generally defining a closure for the container and being releasably engageable with the neck of the container over the open end thereof, the collar assembly and vent assembly being configured relative to each other to permit selective configuration of the bottle assembly between:
a first configuration in which upon releasable engagement of the collar assembly with the neck of the container when the vent assembly is on the rim of the container, the collar assembly urges the vent assembly into substantially sealing engagement with the rim of the container such that at least a majority of a cross-section of the lateral vent is disposed below the rim; and
a second configuration in which upon releasable engagement of the collar assembly with the neck of the container when the vent assembly is omitted from the bottle assembly, the collar assembly substantially sealingly engages the rim of the container.

US Pat. No. 10,166,171

ACUPUNCTURE DEVICE AND NEEDLE WAKENING METHOD

BOE Technology Group Co.,...

1. An acupuncture device, comprising a plurality of acupuncture needles, each acupuncture needle comprising a needle body and a needle handle, an end of the needle body being a needle tip, and the other end of the needle body being fixedly connected with the needle handle; whereinthe acupuncture device further comprises a driving device, and the driving device comprises a driving component and a first timing component;
the first timing component is configured for setting an interval of time to start the driving component;
the driving component is configured for driving an acupuncture needle to rotate alternately in forward and reverse directions when the interval of time is arrived;
the driving component comprises a connecting plate, a lifting rod and a swing motor, and the lifting rod and the swing motor are connected with the connecting plate;the connecting plate is provided with a first connecting part, and the needle handle of each acupuncture needle is provided with a second connecting part;the first connecting part is capable of being detachably connected with the second connecting part;
the first connecting part comprises a plurality of hooks arranged on a surface of the connecting plate connected to the plurality of acupuncture needles;
the second connecting part comprises a through hole arranged on the needle handle; or, the second connecting part comprises a groove arranged on a side edge of the needle handle; and
a number of the hooks is greater than a number of the acupuncture needles applied to human acupoints.

US Pat. No. 10,166,170

ROUND STEAMHEAD FOR A STEAM GENERATOR

Sussman Automatic Corpora...

1. A steamhead for a steam bath enclosure including a wall with an opening, the steamhead designed for use with a steam generator having a steam supply pipe, the steamhead comprising a dispensing chamber with an inlet connected to the steam supply pipe and a steam outlet, a hollow cylindrical member extending from said chamber in alignment with said steam outlet and forming a steam passageway, a first part mounted within said hollow cylindrical member for movement between a position proximate said chamber and a position remote from said chamber, and a second part rotatably mounted within said first part for controlling the flow of steam through said steam passageway.

US Pat. No. 10,166,169

CHEST COMPRESSION DEVICE

ZOLL Circulation, Inc., ...

1. A device for performing cardiopulmonary resuscitation on a patient comprising:a backboard;
a support frame having two legs secured to the backboard, the two legs supporting a compression unit apposing the backboard;
a motor enclosed within the compression unit;
a piston having a distal end and a proximal end, the proximal end of the piston operably coupled to the motor and the motor configured to extend the piston distally and withdraw the piston proximally relative to the compression unit, the compression unit secured to the support frame with the piston apposing the backboard;
two resilient members, each resilient member having a first end and a second end, the first end of each resilient member operably secured to the piston, the second end of each resilient member operably secured to one of the two legs, such that extension of the piston causes each resilient member to form an arch suitable to apply lateral force to the patient's chest.

US Pat. No. 10,166,168

AT-HOME LIGHT-EMITTING DIODE AND MASSAGE DEVICE FOR VAGINAL REJUVENATION

Joylux, Inc., Seattle, W...

24. A method for strengthening vaginal tissue of a vagina comprising:contacting at least one contact surface of a rejuvenation and massage device with the vaginal tissue, the rejuvenation and massage device comprising:
a shell;
an insertable section of the device for which the shell forms an external surface, the insertable section comprising:
a transparent band of the shell that is formed around a circumference of the shell,
a first opaque portion of the shell that is distal to the transparent band,
a second opaque portion of the shell located proximal to the transparent band,
a component enclosed within the transparent band, the component extending along a length of the transparent band, the component having a smaller diameter than the transparent band, and
one or more light emitters arranged around the component;
selecting a vibration setting on a user interface of the rejuvenation and massage device, the selection providing a speed of vibration; and
using the rejuvenation and massage device within the vagina, the device vibrating according to the vibration setting selected, delivering light through the transparent band via the one or more light emitters, and providing warmth, to induce neocollagenesis, neofibrogenesis, or neoelastogenesis in the vaginal tissue.

US Pat. No. 10,166,167

FINGER VIBRATOR

Mating Components, LLC, ...

1. A device for stimulation of a body part of a user, the device comprising:a vibrator mechanism;
a body enclosing the vibrator mechanism, wherein the body includes a neck; and,
a tether, wherein the tether includes a band, wherein the tether is attached to the body;
wherein the body and the tether are configured to allow fingers of the user to engage the neck while the fingers are inserted through the band for stability and control of the device when the body is applied to the body part of the user;
wherein the body further comprises a fastening mechanism;
wherein the tether further comprises an attachment mechanism; and,
wherein the attachment mechanism and the fastening mechanism are configured to allow the body to rotate relative to the tether without detaching the body from the tether.

US Pat. No. 10,166,166

APPARATUS FOR APPLYING PERIODIC PRESSURE TO THE LIMB OF A PATIENT AND METHOD OF USE

1. An apparatus for applying periodic pressure to the limb of a patient, comprising:a cuff having a bladder, said cuff shaped and dimensioned to wrap around the limb of the patient;
a pump for inflating said bladder to a maximum cuff pressure, said maximum cuff pressure being 55 mmHg;
a plurality of pressure application modes each of which control operation of said pump;
a pressure application mode selector disposed at said cuff; and,
at least one of said plurality of pressure application modes being a step pressure application mode which includes a plurality of increasing pressure steps, followed by a dwell period at said maximum cuff pressure, followed by a plurality of decreasing pressure steps.

US Pat. No. 10,166,165

SLIP RESISTANT WALKING SURFACE FOR USE WITH A MOBILITY AID

1. An attachment to a mobility aid for improving stability of a user on a slippery surface comprising:a pair of attachment brackets, each one of said pair of attachment brackets adapted to attach to an opposing side of the mobility aid; and
a retracting slip resistant surface and cleat assembly having a pair of pads, said retracting slip resistant surface and cleat assembly removably attached to each one of said pair of attachment brackets, the pair of pads positioned to contact the slippery surface;
retraction means, attaching each of the pair of pads to said retracting slip resistant surface and cleat assembly, for alternately retracting each of the pair of pads as the mobility aid is moved forward;
cleat means, coupled to each of the pair of pads, for positioning cleats into engagement with the slippery surface when the user steps on each of the pair of pads and disengagement with the slippery surface when the user steps off of each of the pair of pads,
whereby each of the pair of pads provide a slip resistant surface being positioned for a user to step on providing secure footing.

US Pat. No. 10,166,164

ADAPTIVE COMPRESSION THERAPY SYSTEMS AND METHODS

Radial Medical, Inc., Wo...

1. A device for providing compression therapy to a body part of a patient, the device comprising:a base plate;
a drive unit configured to be placed over or against the body part, the drive unit comprising;
one or more motors disposed on the base plate;
a controller configured to control operation of the one or more motors;
a power source in electrical communication with the one or more motors and the controller; and
a plurality of movable pulleys and a plurality of fixed pulleys, wherein the plurality of fixed pulleys are disposed on the base plate such that the fixed pulleys do not move relative to each other, and wherein the movable pulleys are configured to move relative to the fixed pulleys and the base plate;
one or more physical stops that limit the movement of the movable pulleys to an area over the base plate and are configured to align the movable pulleys;
one or more drive elements configured to be tensioned by the one or more motors, wherein the one or more drive elements are threaded around the plurality of movable pulleys and the plurality of fixed pulleys; and
one or more compression mechanisms configured to be wrapped at least partially around a portion of the body part, wherein the one or more compression mechanisms are attached to the movable pulleys and are configured to be tensioned by the fixed pulleys and the movable pulleys.

US Pat. No. 10,166,163

GLASS OBJECTS INCLUDING FLOATING CREMAINS IN THE FORM OF AN IMAGE AND METHOD OF MAKING THE SAME

1. A method of making a glass object, the method comprising:contacting a colored glass article with a first gob of molten glass;
contacting a pattern of cremated remains with the first gob of molten glass to transfer the pattern of cremated remains to a surface of the first gob;
contacting the transferred cremated remains and the first gob with a second gob of molten glass; and
annealing the glass to form the glass object having an exterior surface,
the pattern of cremated remains being disposed between the colored glass article and the exterior surface of the glass object and forming an image that appears to float above the colored glass article.

US Pat. No. 10,166,162

INCUBATOR

ATOM MEDICAL CORPORATION,...

1. An incubator comprising:an incubator base configured to support a bed base;
a peripheral frame configured to form a side closure of an infant accommodation space, the peripheral frame comprising a first wall portion, a second wall portion, a third wall portion, and a fourth wall portion all attached to the incubator base so as to surround the infant accommodation space;
a top hood configured to define an upper closure of the infant accommodation space, the top hood being detachably attached to at least one of the first, second, third and fourth wall portions;
a first latch mechanism operable to attach and detach the top hood to and from the at least one of the first, second, third and fourth wall portions, wherein the top hood is detachable from the peripheral frame by unlatching the first latch mechanism and releasing the top hood from the first latch mechanism;
second, third, fourth and fifth latch mechanisms provided, respectively, to the first wall portion, the second wall portion, the third wall portion, and the fourth wall portion to attach and detach the first, second, third and fourth wall portions to and from the incubator base, wherein each of the first, second, third and fourth wall portions is detachable from the incubator base by unlatching a corresponding latch mechanism of the second latch mechanism, the third latch mechanism, the fourth latch mechanism, and the fifth latch mechanism, and releasing the respective wall portions from the incubator base; and
a movable joint provided, respectively, to at least two of the first, second, third and fourth wall portions to render the at least two of the first, second, third and fourth wall portions to be movable wall portions, which are movable with respect to the incubator base, while the movable wall portions are attached to the incubator base, whereas a rest of the at least two of the first, second, third and fourth wall portions is devoid of the movable joint to render the rest of the at least two of the first, second, third and fourth wall portions to be an immovable wall portion, which is kept from moving with respect to the incubator base while the immovable wall portion is attached to the incubator base.

US Pat. No. 10,166,161

PREMATURE INFANT AMNIOTIC BATH INCUBATOR

Amnion Life, LLC, Newpor...

1. A neonatal incubator for an infant, the neonatal incubator comprising:an amniotic bath basin configured to hold synthetic amniotic fluid, wherein the synthetic amniotic fluid comprises a controlled concentration of one or more electrolytes and one or more minerals, wherein the synthetic amniotic fluid is produced by:
installing a cartridge in the neonatal incubator, wherein the cartridge comprises concentrated synthetic amniotic fluid having the one or more electrolytes and the one or more minerals in a higher concentration than the controlled concentration; and
mixing a controlled amount of the concentrated synthetic amniotic fluid with purified water to obtain the synthetic amniotic fluid having the controlled concentration of the one or more electrolytes and the one or more minerals;
a purified water supply tank configured to provide the purified water for dissolving the one or more electrolytes and the one or more minerals of the cartridge;
a fluid injection pump configured to control the mixing of the concentrated synthetic amniotic fluid with the purified water such that the controlled concentration of the one or more electrolytes and the one or more minerals can be adjusted based at least in part on one or more characteristics of an infant in the amniotic bath basin;
a waste water removal tank configured to remove waste water from the amniotic bath basin;
a seat configured to hold the infant in the amniotic bath basin; and
a safety harness configured to maintain a position of the infant in the seat such that a head of the infant is maintained above a fluid level of the synthetic amniotic fluid.

US Pat. No. 10,166,160

AIR BEARING DEVICE AND METHOD FOR TRANSFERRING PATIENTS

QFIX SYSTEMS, LLC, Avond...

1. A patient transfer device, comprising:a gas bearing bladder, the gas bearing bladder including:
a top sheet and a bottom sheet sealed to one another along their outer perimeter relative to each other to form the gas bearing bladder, at least one of the top sheet and the bottom sheet being formed from a flexible material,
at least one of spot connections or line connections connecting the top sheet and the bottom sheet, the spot connections or line connections being located inside the outer perimeter, and
at least one gas inlet,
wherein at least one section of the bottom sheet is gas permeable; and
a patient surface coupled to the gas bearing bladder such that a perimeter of the gas bearing bladder does not extend beyond a perimeter of the patient surface, the patient surface being configured and dimensioned to support a patient thereon, wherein the patient surface is rigid.

US Pat. No. 10,166,157

WHEELCHAIR FRAME STRUCTURE AND METHOD FOR ADJUSTING WHEELCHAIR

MIKI HOLDINGS CO., LTD., ...

1. A wheelchair frame structure comprising:a grounding frame to which a front wheel and a rear wheel are to be provided;
a body frame mounted on the grounding frame and including a mount at which a seat is to be provided;
a height adjustment mechanism via which a relative position between the grounding frame and the body frame in a height direction of a wheelchair is changed, the height adjustment mechanism comprising:
an adjustment pole extending along the height direction and mounted on one of the body frame and the grounding frame;
a pole reception mounted on another of the body frame and the grounding frame and engaged with the adjustment pole slidably in the height direction; and
a holding portion to hold not to relatively move the adjustment pole with respect to the pole reception;
a right body frame and a left body frame each comprising the adjustment pole;
an X frame coupled to the right body frame and the left body frame, the X frame comprising rotational rods connected for mutual rotation about midpoints thereof, a right seat frame and a left seat frame for the seat being mounted on upper ends of the rotational rods;
a slider which is slidably engaged with the adjustment pole in the height direction and on which lower ends of the rotational rods are rotatably mounted; and
a slider holding portion to hold not to relatively move the adjustment pole with respect to the slider,
wherein the slider is held at a predetermined position of the adjustment pole in accordance with a desired width of the wheelchair, and the right seat frame and the left seat frame are connected to the right body frame and the left body frame, respectively.

US Pat. No. 10,166,156

DIAPER CORE WITH TRIPLE LEAK GUARD

SJ CIRCLE SDN BHD, Kulim...

1. A triple leak guard diaper core for infant and adult, comprising:a center core comprising liquid absorbing material and a plurality of hollow sections disposed on the core longitudinally, allowing the core to bend upward or forming a U-channel, and a center core top surface is provided facing a liquid discharge source;
at least one layer of bottom core wrap encapsulates the center core with a bottom core gap disposed on the center core top surface; and
at least one layer of acquisition distribution layer is disposed on the top core wrap;
wherein
the bottom core wrap is provided a bottom core bottom surface disposed opposite of the bottom core gap;
a third leak guard comprising at least one layer of non-woven top sheet encapsulating the bottom core wrap, top core wrap, and acquisition distribution layer;
at least one second leak guard comprising at least one layer of non-woven with at least one elastic band embedded therein; and
at least one first leak guard comprising at least one layer of non-woven with at least one elastic band embedded therein, is disposed over a top sheet bottom surface;
wherein
the non-woven top sheet comprising at least one elastic band disposed outside of a bottom core wrap longitudinal edge and a top sheet bottom surface, the top sheet bottom surface comprising a top sheet gap disposed over the bottom core bottom surface; and
at least one PE film is disposed on the top sheet gap and top sheet bottom surface.

US Pat. No. 10,166,155

ABSORBENT ARTICLE HAVING MULTIPLE GRAPHIC ZONES

1. An absorbent article comprising:a first elastomeric belt, a second elastomeric belt, and a chassis;
a first waist region, a second waist region, and a crotch region;
wherein the first and second belts are joined with each other such that a pair of side seams are formed such that the absorbent article comprises two leg openings and a waist opening;
wherein at least one of the first waist region and the second waist region comprises at least a portion of a main body graphic zone, a first graphic zone, a second graphic zone, and a third graphic zone, wherein the first graphic zone, the second graphic zone, and the third graphic zone are disposed at a side seam of the absorbent article;
wherein the main body graphic zone, the first graphic zone, the second graphic zone, and the third graphic zone are all disposed on at least one of the first and second elastomeric belts, wherein the main body graphic zone is disposed in an overlapping configuration with a chassis of the absorbent article, and wherein the crotch region comprises a crotch region graphic zone such that the second graphic zone and the crotch region graphic zone are aligned to create a uniform graphical element, and the crotch region graphic zone is not substantially underlying at least one of the first and second elastomeric belts;
wherein the first elastomeric belt is separate and distinct from the second elastomeric belt, such that the first elastomeric belt longitudinally spaced from the second elastomeric belt;
wherein a first end of the chassis overlaps a portion of the first elastomeric belt, and wherein a second end of the chassis overlaps a portion of the second elastomeric belt;
wherein a first nonwoven layer of the first elastomeric belt is folded to form a first waist edge and wherein the first nonwoven layer overlaps, and thus sandwiches, a portion of the chassis between the first nonwoven layer; and wherein a second nonwoven layer of the second elastomeric belt is folded to form a second waist edge and wherein the second nonwoven layer overlaps, and thus sandwiches, a portion of the chassis between the second nonwoven layer; and
wherein the first elastomeric belt comprises a first plurality of elastic strands running parallel with a transverse axis of the absorbent article; and wherein the second elastomeric belt comprises a second plurality of elastic strands running parallel with the transverse axis of the absorbent article.

US Pat. No. 10,166,154

SHAPED NON-WOVEN FABRIC FOR ABSORBENT ARTICLE, ABSORBENT ARTICLE INCLUDING SAID SHAPED NON-WOVEN FABRIC, AND METHOD FOR MANUFACTURING SAID SHAPED NON-WOVEN FABRIC

UNICHARM CORPORATION, Eh...

1. A nonwoven fabric which is shaped to be used for an absorbent article, including a first surface, a second surface which is positioned on an opposite side of the first surface, and a thickness direction, and being used in a state in which the second surface faces a configuration member of the absorbent article, whereinthe nonwoven fabric includes a thermoplastic resin fiber,
the nonwoven fabric includes a plurality of recessed portions each having an aperture portion on the first surface and each being dented toward a second surface side, and a plurality of penetration holes each being provided in a region other than the recessed portions and each penetrating through from the first surface to the second surface,
each of the plurality of recessed portions includes a circumferential wall portion which extends in the thickness direction from an edge of the aperture portion toward the second surface side, and a bottom portion which is connected to an edge of the circumferential wall portion, the edge of the circumferential wall portion being positioned on an opposite side of the aperture portion,
at least a part of the plurality of recessed portions includes a hole portion which penetrates through the circumferential wall portion from the first surface to the second surface, in the circumferential wall portion
a partially ruptured portion which is formed by a part of the nonwoven fabric and a part of which being connected to the nonwoven fabric, is dented toward the second surface side, in each of the plurality of penetration holes,
the nonwoven fabric includes a plurality of fusion portions in which the thermoplastic resin fiber is fused, in the region other than the plurality of recessed portions, and
an end portion of the partially ruptured portion includes a part of the plurality of fusion portions, at least in a part of the plurality of penetration holes.

US Pat. No. 10,166,153

PANT-TYPE ABSORBENT ARTICLE

ESSITY HYGIENE AND HEALTH...

1. A pant-type absorbent article comprising a front portion, a back portion and a crotch portion, wherein lateral side portions of the front portion and back portion are superposed so that their inner surfaces face each other and are joined to each other along side seams to define a waist opening and a pair of leg openings of said pant-type article, and wherein at least part of, including said lateral side portions, of said front portion and said back portion comprises an elastic laminate, said elastic laminate comprising first and second fibrous layers and an elastic film layer located there between, wherein said first fibrous layer of said elastic laminate forming the inner wearer-facing side of the elastic laminate has a basis weight of between 13 and 30 g/m2 and wherein the basis weight of the first fibrous layer is between 10 and 300% higher than the basis weight of the second fibrous layer of the elastic laminate, wherein the first fibrous layers face each other along said side seams.

US Pat. No. 10,166,151

DISPOSABLE ABSORBENT PANTS WITH ADVANTAGEOUS STRETCH AND MANUFACTURABILITY FEATURES, AND METHODS FOR MANUFACTURING THE SAME

1. A method for manufacturing a disposable absorbent pant, comprising the steps of:conveying a first nonwoven web along a machine direction;as the first nonwoven web is conveyed along the machine direction, laminating a second nonwoven web to the first nonwoven web and thereby sandwiching an elastomeric web therebetween the first and second nonwoven webs to form a first elasticized multilayer web;severing the first elasticized multilayer web to form front and rear sections of the first elasticized multilayer web;
applying a plurality of pre-strained leg elastic members along a leg elastic path generally extending along the machine direction but comprising curvilinear portions, onto a surface of the first elasticized multilayer web;
conveying and laminating a third nonwoven web to the first elasticized multilayer web such that the pre-strained leg elastic members are sandwiched between the first elasticized multilayer web and the third nonwoven web;
as the first elasticized multilayer web is conveyed along the machine direction, cutting the first elasticized multilayer web along a first cutting path and along a second cutting path, and removing at least a portion of a middle section of the first elasticized multilayer web between the cutting paths;
severing at least one leg elastic member at repeated intervals;
affixing central chassis structures to overlap the first elasticized multilayer web; and
cutting the first elasticized multilayer web along separation lines disposed between the affixed central chassis structures, and thereby severing away separate pant structures; wherein the first cutting path is different from the second cutting path.

US Pat. No. 10,166,150

THERAPEUTIC COMPRESSION DEVICE AND METHOD

Norton Salas Group, Inc.,...

1. A compression device for treating edema along a predetermined length and girth of a body part having a given contour, comprising:a mutually separated plurality of curved shells for encompassing the body part, each of said plurality of shells having an internal pad and a panel that is external to and stiffer than said internal pad, the stiffer panels of the mutually separated plurality of curved shells being arranged to encompass and confine the body part, each of said plurality of shells being adjacent to at least another one of said plurality of shells, each of said plurality of shells having a plurality of distinct edges, each adjacent pair of said plurality of shells being separated by a non-overlapping gap that is adapted to leave a portion of said body part uncovered by said plurality of shells and their internal pads; and
a ligature network routed across said plurality of shells, and atop said plurality of shells, said ligature network being divided into a plurality of independently adjustable circuits, said network including:
a plurality of tensioners directly attached to the panel of at least some of said plurality of shells, said plurality of tensioners being operable to separately adjust tension in different ones of said plurality of independently adjustable circuits to produce between said plurality of shells a pressure having a gradient for driving fluid in the body part in a desired direction, each of the independently adjustable circuits having separate portions that depart from an associated one of the plurality of tensionsers on an associated one of the plurality of shells to reach a separated pair of the plurality of distinct edges on the associated one of the plurality of shells, the separate portions adapted to be routed on the associated one of the plurality of shells in different directions relative to the girth of the body part, the separated pair of the plurality of distinct edges of the associated one of the plurality of shells facing away from each other, said plurality of tensioners contributing, compression forces perpendicular to the panels of the plurality of shells in order to apply compression forces between the panels along the length and girth of said body part, said panel having a stiffness that restricts flexing that is predominantly controlled by the contour of the body part, in order to avoid disparately redistributing compression force around the girth of said body part as tension changes in said plurality of circuits, the associated one of said plurality of tensioners being operable by increasing tension in one of said plurality of independently adjustable circuits to decrease the gap between the associated one of said plurality of shells and each of the plurality of shells adjacent to the separated pair of the plurality of distinct edges.

US Pat. No. 10,166,149

HARDENING INITIATION LAMP AND USE THEREOF

STRAXFIX.TECHNOLOGY IVS, ...

1. A hardening initiation lamp for illumination of a light-hardenable bandage, where said lamp is shaped so that it can at least partially enclose said bandage, where said lamp comprises:an inner side, which is substantially arranged to face inwards towards said bandage when the latter is illuminated;
an outer side, which is substantially arranged to face away from said bandages when the latter is illuminated, and where said lamp furthermore comprises:at least one hardening light source comprising means to initiate a hardening process in said bandage; andat least one illumination light source, which emits light in the visible spectrum, arranged to illuminate said bandage at least while said hardening process is initiated in said bandage, where both said hardening light source and said illumination light source are arranged to emit light from said inner side substantially in the direction of said bandage, and where said lamp furthermore comprises one or more transparent observation areas, where a light filter is arranged, which allows light from said illumination light source to pass through said lamp from said inner side and out through said outer side;
wherein the at least one hardening light source and the at least one illumination light source are arranged in a longitudinal direction along the hardening initiation lamp; and
wherein the one or more observation areas are interspersed between the at least one hardening light source and the at least one illumination light source.

US Pat. No. 10,166,148

SURGICAL CAVITY DRAINAGE AND CLOSURE SYSTEM

University of Massachuset...

1. A negative pressure surgical drain device comprising a plurality of drain tubes positioned in contact with a surface of an adhesion matrix, the adhesion matrix comprising a layer of porous biodegradable material having a wound conforming shape and comprising a plurality of spaced apertures formed through the layer of the adhesion matrix, the apertures being configured to allow tissue contact through the layer of the adhesion matrix upon implantation into an open wound such that a first tissue surface on a first side of the layer of the adhesion matrix can contact a second tissue surface on a second side of the layer of the adhesion matrix through the plurality of apertures during application of negative pressure to the wound, the drain tubes being positionable at tube receiving regions of the layer of the adhesion matrix between the spaced apertures and wherein the drain tubes are configured to be removed from contact with the surface of the layer of the adhesion matrix after application of negative pressure to the adhesion matrix, the adhesion matrix being configured to remain in the wound upon removal of the drain tubes from the wound.

US Pat. No. 10,166,147

ABSORBENT ARTICLE FOR APPLICATION TO HUMAN OR ANIMAL SKIN SURFACES

BSN medical GmbH, Hambur...

1. A method for in depth-cleansing of a wound, the method comprising:providing an absorbent article that comprises
an inner layer in the form of a mat, which consists essentially of a mixture of strongly osmotically active substances, namely superabsorbent polymers in the form of superabsorbent particles, and substances that are osmotically comparatively weaker than the strongly osmotically active substances or are osmotically inactive, wherein more than 40% by weight of the inner layer consists of said superabsorbent polymers, and
an outer covering comprising two cover layers which are liquid-permeable and which are joined together to form a pocket within which the inner layer is located, said inner layer being freely movable within the pocket; and
placing the absorbent article on the wound such that the inner layer is in sufficient proximity to the wound to establish an osmotic pressure via which wound fluids, namely endogenous wound exudate, are removed from the wound in a direction of flow to a skin surface and absorbed into the absorbent article such that hyperhydration is reduced both in a surface region and in a tissue depth of the wound.

US Pat. No. 10,166,146

EAR MEDICATION DISPENSER WITH SENSOR

1. A device for dispensing medication to the tympanic membrane of the ear, said device comprising a tympanic membrane sensor which identifies the tympanic membrane by infrared detection, a means to notify a user when the sensor identifies the tympanic membrane, and a medication dispenser adapted to be inserted into the ear canal to a distance at which the tympanic membrane is identified by the tympanic membrane sensor, wherein medication is automatically dispensed from the medication dispenser at said distance.

US Pat. No. 10,166,145

INTRAOCULAR DRAINAGE DEVICE

New World Medical, Inc., ...

1. An intraocular drainage device, comprising:a main body;
a flow control device within the main body operable to allow fluid flow through the main body in a fluid flow direction;
a plurality of microgrooves formed on an outer surface of the main body, the plurality of microgrooves being arranged in parallel rows and extending substantially parallel to the fluid flow direction from a front end to a back end of the main body; and
a rigid top plate disposed within an opening in the main body, wherein the rigid top plate comprises a central portion and a pair of shelf members disposed on opposing sides of the central portion, and wherein the rigid top plate includes a top surface having an additional plurality of microgrooves that are parallel to the plurality of microgrooves on the outer surface of the main body,
wherein the rigid top plate comprises a step disposed between the pair of shelf members and the top surface, and wherein the main body is a flexible main body that includes a step that conforms to the step on the rigid top plate.

US Pat. No. 10,166,144

CATARACT POSTERIOR/WEDGE CHOPPER

Michael Jerome Designs, L...

1. A chopper apparatus for performing a cataract surgery, the apparatus comprising:a chopping member that is elongated and bent near a distal end of the chopping member, the chopping member comprising:
a wedge portion comprising a bend in the chopping member,
an arm portion extending proximally from a first side of the wedge portion of the chopping member, the arm portion terminating in a handle portion configured to be held by a user when performing the cataract surgery on a patient,
a forearm portion extending proximally from a second side of the wedge portion of the chopping member, the forearm terminating at the distal end of the chopping member, the distal end being configured to be placed into an eye of the patient by the user when performing the cataract surgery,
a wedge paddle formed at the wedge portion of the chopping member, the wedge paddle extending laterally on either side of the chopping member to form a scoop design for scooping a cataract in the eye of the patient,
wherein the wedge paddle extends along the forearm portion of the chopping member to the distal end of the chopping member, the wedge paddle increasing a surface area of the forearm portion, and
wherein the bend of the wedge portion comprises an angle of 110 degrees or less between the arm portion and the forearm portion of the chopping member.

US Pat. No. 10,166,143

VERSATILE LIGHT-GUIDED OPHTHALMIC TREATMENT SYSTEM

IP LIBERTY VISION CORPORA...

1. A light-guided, ophthalmic-treatment device comprising:an ophthalmic treatment wand having a body made of light transmissive material, said ophthalmic treatment wand having a distal end;
a therapeutic applicator held at the distal end of the ophthalmic treatment wand; and
a plurality of emission ports at least partially circumscribing the therapeutic applicator;
wherein said ophthalmic treatment wand is configured to propagate light through the body to the plurality of emission ports.

US Pat. No. 10,166,142

SMALL MOLECULE DELIVERY WITH IMPLANTABLE THERAPEUTIC DEVICE

ForSight Vision4, Inc., ...

1. An implantable therapeutic device to treat an eye, the implantable therapeutic device comprising:a refillable, reservoir chamber;
a retention structure comprising:
a narrow portion arranged to fit within an incision through the sclera of the eye, wherein the narrow portion has a cross-section taken perpendicular to a longitudinal axis of the device, the cross-section having a first distance across that is greater than a second distance across such that the cross-section of the narrow portion has an elongate shape compared to a shape of a cross-section of the reservoir chamber taken perpendicular to the longitudinal axis of the device; and
an extension between the narrow portion and a proximal end of the reservoir chamber;
a septum extending through the retention structure and at least a portion of the extension, the septum configured to be penetrated for filling the reservoir chamber from outside the eye; and
a rigid, porous structure formed of sintered particles and coupled to a distal end region of the reservoir chamber away from the retention structure,
wherein the porous structure and the reservoir chamber are tuned to release therapeutic amounts of a commercial formulation of a drug for an extended time compared to when the commercial formulation of the drug is applied directly to the eye, wherein the extended time is at least about one month,
wherein the reservoir chamber has a volume sized to contain the commercial formulation of the drug to provide the therapeutic amounts each day of the at least about one month,
wherein the drug is dorzolamide and the therapeutic amounts released each day of the at least about one month are within a range from about 1 ug/day to about 100 ug/day.

US Pat. No. 10,166,141

INTRAUTERINE CONTRACEPTIVE DEVICE

SEBELA VLC LIMITED, Hami...

1. A contraceptive device for focally delivering a substance in a uterus, the contraceptive device comprising:only one elongate shape memory member, comprising:
two loops forming two tissue contact surfaces at opposing ends of the shape memory member, without any attached tissue contact members, wherein the two loops overlap when the contraceptive device is placed in a collapsed configuration inside a delivery device;
two arms extending toward one another from the two tissue contact surfaces;
two bends in the shape memory member, wherein the shape memory member crosses over itself at the two bends;
a middle portion extending down from the two bends; and
a spring portion at the bottom of the contraceptive device, formed as a loop at a midpoint between the two tissue contact surfaces; and
multiple copper sleeves disposed along a minority of a length of the shape memory member at locations to locally deliver copper, when the contraceptive device is placed in the uterus, to areas near the fallopian tubes and the cervical os, the multiple copper sleeves comprising:
at least one copper sleeve on a first arm of the two arms, near a first tissue contact surface of the two tissue contact surfaces;
at least one copper sleeve on a second arm of the two arms, near a second tissue contact surface of the two tissue contact surfaces; and
at least one copper sleeve on the middle portion, immediately above the spring portion.

US Pat. No. 10,166,140

LIQUID CONTAINER AND ABSORBENT INSERT FOR ORAL NEGATIVE-PRESSURE THERAPY SYSTEM

SOMNICS, INC., Zhubei (T...

1. A container for collecting liquid drawn through a vacuum conduit from an oral cavity of a user by a vacuum pump of an oral negative-pressure therapy system, the container comprising:a container body having an interior surface defining an interior space;
a fluid inlet for fluidly connecting the vacuum conduit to the interior space;
a fluid outlet for fluidly connecting the vacuum pump to the interior space;
an interior baffle connected to the container body and disposed in the interior space, the interior baffle configured to support an absorbent insert received thereon; and
a fluid passageway extending from the fluid inlet along the interior baffle, wherein the fluid passageway fluidly connects the fluid inlet to the interior space when the absorbent insert is received on the interior baffle;
wherein the interior baffle includes a baffle body and a plurality of baffle standoffs extending outward from the baffle body, wherein the baffle standoffs are configured to space the absorbent insert apart from the baffle body to define fluid flow paths between baffle body and the absorbent insert that are in fluid communication with the fluid passageway and the outlet.

US Pat. No. 10,166,139

DEVICE ENABLING FLOW OF FOOD BOLUS BETWEEN TWO STOMAS

CENTRE HOSPITALIER REGION...

1. A device enabling food bolus flow between an upstream stoma and a downstream stoma, said device comprising a pump having an entry opening and an exit opening, said pump configured for sucking a food bolus through said entry opening and releasing it through said exit opening, wherein said device further comprises:a first base onto which a food bolus collector is mounted, said first base having a first surface adapted for being fixed in a watertight manner to skin of a patient's abdomen, said base further having a second surface comprising said food bolus collector and at least one passage provided within said first base and opening into said food bolus collector;
a second base onto which the food bolus collector is mounted, said second base having a first surface adapted for being fixed in a watertight manner to the patient's skin, said second base further having a second surface comprising said food bolus collector and at least one passage provided within said second base and opening into said food bolus collector;
said pump being able to be activated by a user from the outside of said patient's body and suitable for being mounted on the patient's abdomen, in such a manner that once said device is mounted onto said patient's abdomen, food bolus flow can circulate from said upstream stoma to said downstream stoma outside of said patient's body.

US Pat. No. 10,166,138

OSTOMY APPLIANCE

Convatec Technologies, In...

1. A stoma adapter comprising:a substantially unobstructed tubular passageway for expulsion of effluent with a proximal end for attachment in or around a stoma and a distal end for discharge of waste, the distal end comprising a flange,
a flexible tubular wall surrounding said entire tubular passageway, said flexible tubular wall having at least one axial reinforcement element for reinforcing said flexible tubular wall in an axial direction to provide axial stiffness along the entire tubular passageway and permit flexing of the flexible tubular wall in a radial direction, and
a one-way valve, wherein the one-way valve prevents re-entry of discharged waste into the distal end of the tubular passageway, wherein the one-way valve is openable from a closed position by pressure of the effluent when a bowel forces the expulsion of the effluent, wherein the one-way valve is disposed at the distal end.

US Pat. No. 10,166,136

METHOD OF IMPLANTING A PENILE PROSTHETIC

1. A method of implanting a penile prosthetic, the method comprising:providing a tool having a barrel extending from a proximal end to a distal end, with the barrel having a first groove formed in an exterior surface of the barrel and a second groove formed in the exterior surface of the barrel and located apart from the first groove, with the first groove and the second groove extending to and forming an opening at the distal end of the barrel;
deflating an inflatable penile implant to provide a deflated penile implant;
inserting a first lateral edge of the deflated penile implant into the first groove and inserting a second lateral edge of the deflated penile implant into the second groove;
placing the barrel of the tool and the deflated penile implant into a corpora cavernosum of a penis;
sliding the barrel of the tool relative to the deflated penile implant, removing the barrel from the corpora cavernosum of the penis, and leaving the deflated penile implant in the corpora cavernosum of the penis.

US Pat. No. 10,166,135

POSTURE CORRECTIVE BRACE

GIKEN INC., Hatsukaichi ...

1. A posture corrective brace including a device for correcting asymmetry of the pelvis configured to be attached to a body such that the device surrounds the circumference of the pelvis of the body, the posture corrective brace comprising:an innominate front compression part capable of abutting an abdominal part near the front side of the right or left innominate, and an innominate rear compression part capable of abutting the pelvis near the rear side of the right or left innominate; and
at least one body brace configured to be attached to the body such that the at least one body brace surrounds the circumference of the pelvis of the body, the at least one body brace including a front frame in a substantially belt-like shape configured to be laterally extended on the abdominal part of the front side of the body, two first belt winding mechanisms vertically disposed on the left end of the front frame on the external side thereof, two second belt winding mechanisms vertically disposed on the right end of the front frame on the external side thereof, and two unstretchable fastening belts each having one end fastened to each of the two first belt winding mechanisms and the other end fastened to each of the two second belt winding mechanisms, wherein
the innominate front compression part includes a first front pad disposed on the left end of the front frame on the internal side thereof and a second front pad disposed on the right end of the front frame on the internal side thereof, the first front pad and the second front pad having body contact surfaces each shaped as an inclined surface formed so as to press the front side of the right or left innominate such that the innominate can be guided from a forward external side to a backward central side, wherein
the innominate rear compression part includes a back frame laterally extended so as to compress the rear of the right and left innominates, a first back pad disposed on the left end of the back frame on the internal side thereof, a second back pad disposed on the right end of the back frame on the internal side thereof, and belt insertion portions configured to allow the two fastening belts to be inserted thereinto vertically and separately, the belt insertion portions disposed at positions on the back frame on the external side thereof interposed between the first back pad and the second back pad, the two fastening belts being inserted into the belt insertion portions, the first back pad and the second back pad having body contact surfaces each shaped as an inclined surface formed so as to press the rear side of the right or left innominate such that the innominate can be guided from a backward external side to a central side, and wherein
when in use,
the body is fastened by the upper side of the first front pad and the upper side of the first back pad on the left side of the body, on a priority basis, when the upper fastening belt of the first belt winding mechanism out of the two fastening belts is operated in a winding direction;
the body is fastened by the lower side of the first front pad and the lower side of the first back pad on the left side of the body, on a priority basis, when the lower fastening belt of the first belt winding mechanism out of the two fastening belts is operated in a winding direction;
the body is fastened by the upper side of the second front pad and the upper side of the second back pad on the right side of the body, on a priority basis, when the upper fastening belt of the second belt winding mechanism out of the two fastening belts is operated in a winding direction; and
the body is fastened by the lower side of the second front pad and the lower side of the second back pad on the right side of the body, on a priority basis, when the lower fastening belt of the second belt winding mechanism out of the two fastening belts is operated in a winding direction.

US Pat. No. 10,166,134

ADJUSTABLE, MULTI-AXIS STABILIZER APPARATUS AND METHOD

1. An improved adjustable, multi-axis, motion stabilizer apparatus comprising:a. a first curved cup with a curved radius, the first curved cup with an inside surface and an outside surface;
b. a cup hole through said first curved cup;
c. a second curved cup with a curved radius wherein said curved radius of said second curved cup is approximately equal to the curved radius of said first curved cup, the second cup with an inside surface and an outside surface wherein said outside surface of said second curved cup fits with the inside surface of said first curved cup;
d. a cup hole in said second curved cup;
e. a cup pin conformed to fit with said cup holes and connect said first curved cup with said second curved cup wherein said cup pin includes a cap and a shaft;
f. a rotation slot in said first curved cup; wherein said rotation slot includes an outer edge and an inner edge with the rotation slot formed thereby in between and further wherein said rotation slot includes at least one pin hole in said outer edge and at least one pin hole in said inner edge;
g. a limit boss in said second curved cup wherein said limit boss is configured to fit within said rotation slot; and
h. a rotation slot pin wherein said rotation slot pin is configured to fit within said at least one outer edge pin hole and connect said at least one outer edge pin hole with said at least one inner edge pin hole across said rotation slot and restrict movement of said limit boss within said rotation slot.

US Pat. No. 10,166,133

DEVICE FOR INTERMITTENTLY OBSTRUCTING A GASTRIC OPENING

BAROnova, Inc., San Carl...

1. An obstructing member for intermittently obstructing a pyloric valve, comprising:a coiling occluding member having a low-profile configuration wherein the coiling occluding member forms a helical structure extending longitudinally and wherein the coiling occluding member is configurable into a deployment configuration having a plurality of turns which nest one adjacent to the other forming a wound structure in the deployment configuration;
a locking mechanism in communication with the coiling occluding member when the coiling occluding member is in the deployment configuration, wherein the locking mechanism is configured to secure the coiling occluding member in the deployment configuration; and
a covering member which at least partially surrounds the coiling occluding member in its deployment configuration.

US Pat. No. 10,166,132

SYSTEMS AND METHODS FOR MAGNETICALLY POSITIONING A GASTRIC DEVICE

Appetec, Inc., Macon, GA...

1. A method of inducing a feeling of satiety comprising the steps of: transesophageally inserting a deployable intragastric device containing magnetic material into a stomach of a patient, wherein the intragastric device is not attached to a body part of the patient; andpositioning an external magnet in close enough proximity to the intragastric device to create a sufficient magnetic pulling force between the external magnet and the intragastric device to move the intragastric device towards, and impart stimulating force upon, a stomach wall of the patient, wherein the patient positions the external magnet and the stimulating force is applied for a therapeutically sufficient period of time to induce satiety.

US Pat. No. 10,166,131

PROCESS FOR LOADING A STENT ONTO A STENT DELIVERY SYSTEM

ABBOTT LABORATORIES VASCU...

1. A stent delivery system having a contracted delivery configuration and an expanded deployed configuration, the stent delivery system comprising:a stent having a plurality of expandable elements and a plurality of interstices disposed between adjacent expandable elements; and
a delivery catheter having an inflatable balloon comprising creases extending non-uniformly within the interstices of the stent in the contracted delivery configuration, each crease defining a maximum radial height within a corresponding interstice, wherein the maximum radial heights of the creases vary.

US Pat. No. 10,166,130

METHODS FOR PLACING A STENT IN A BRANCHED VESSEL

Taheri LaDuca LLC, Santa...

1. A method of placing a stent at a target site within vasculature comprising a main vessel and at least one side branch vessel in fluid communication with the main vessel, the stent comprising a main lumen and a at least one side branch lumen, the method comprising:creating an incision within the vasculature;
advancing a catheter through the vasculature from the incision to the target site;
deploying the stent from the catheter at the target site wherein the stent is in a reduced dimension inside the catheter and expands to an expanded dimension in the vasculature, where deploying the stent comprises selectively tensioning the main lumen and the side branch lumen independently from one another such that the main lumen and the side branch lumen are independently repositionable in the main vessel and the side branch vessel, respectively,
Where the main lumen and side branch lumen are independently repositionable in the main vessel and side branch vessel, respectively, by expanding and reducing a diameter of the main lumen and side branch lumen.

US Pat. No. 10,166,129

BIOABSORBABLE STENT AND TREATMENT THAT ELICITS TIME-VARYING HOST-MATERIAL RESPONSE

ABBOTT CARDIOVASCULAR SYS...

1. A method of treating coronary artery disease, comprising:identifying a segment of a blood vessel that is stenotic in a patient in need of treatment of coronary artery disease (CAD);
positioning a bioabsorbable scaffold at the segment, wherein the scaffold is composed of a pattern of struts made of poly(L-lactide) (PLLA) having a weight average molecular weight of 150 to 200 kg/mol;
increasing a diameter of the segment to a reference vessel diameter by expanding the segment with the bioabsorbable scaffold, wherein the reference vessel diameter of the segment is 3 mm and a % diameter stenosis of the segment prior to positioning the bioabsorbable scaffold at the segment and expanding the segment is greater than 50%;
supporting the segment with the bioabsorbable scaffold for less than 6 months after the increasing, wherein a compliance of the segment during the supporting is less than a natural compliance of a healthy blood vessel, wherein radial strength of the scaffold sufficient for the supporting is provided by a strut thickness of 100 to 200 microns, and a degree of crystallinity of the scaffold of 25 to 50%;
wherein a vessel wall of the segment undergoes remodeling during the supporting, the remodeling comprising reinforcement of the vessel wall due to matrix deposition in a neointima layer of the vessel wall so that the segment is maintained at an increased diameter after the supporting;
restoring the compliance of the segment after the remodeling to the natural compliance of the healthy blood vessel; and
restoring vasomotion to the segment after the remodeling as the compliance of the segment after the remodeling is restored to the natural compliance of the healthy blood vessel.

US Pat. No. 10,166,128

LATTICE

1. A lattice comprising:a generally tubular member having a plurality of segments arranged to define a plurality of openings therein, the tubular member having a luminal surface and an opposite exterior surface,
wherein at least said plurality of segments of said tubular member comprises a composite material including at least one fluoropolymer membrane and an elastomer, wherein said at least one fluoropolymer membrane is configured in a retracted state such that the fluoropolymer membrane includes a microstructure comprising serpentine fibrils and is characterized by an absence of visible pleating, folding, or wrinkling of the fluoropolymer membrane, and wherein each of said serpentine fibrils has a width of 1.0 micron or less, the tubular member being transitionable from a reduced diameter in which the serpentine fibrils define a plurality of curved sections and an expanded diameter in which the serpentine fibrils define a substantially straight orientation, the tubular member being more resistant to further expansion once the expanded diameter is achieved.

US Pat. No. 10,166,127

ENDOLUMINAL DEVICE AND METHOD

Intact Vascular, Inc., W...

1. A system for delivering a vascular prosthesis, the system comprising:an elongate body comprising a proximal end, a distal end, and a plurality of longitudinally fixed delivery platforms disposed adjacent the distal end, each delivery platform of the plurality of delivery platforms comprising a platform length and being separated from each adjacent delivery platform of the plurality of delivery platforms by a platform separation distance;
a marker portion at the proximal end of the elongate body, the marker portion comprising a plurality of markings comprising a number of markings equal to the number of delivery platforms in the plurality of delivery platforms;
a sheath comprising a proximal end, a distal end, and a sheath elongate body extending between the proximal end of the sheath and the distal end of the sheath,
wherein the sheath surrounds at least a portion of the elongate body and is moveable with respect to the elongate body, the sheath having a first position and a second position,
wherein when in the first position the distal end of the sheath is disposed distal to a distal end of a distalmost delivery platform of the plurality of delivery platforms such that all delivery platforms of the plurality of delivery platforms are covered by the sheath, and
wherein when in the second position the distal end of the sheath is disposed proximal to at least the proximal end of the distalmost delivery platform of the plurality of delivery platforms such that at least the distalmost delivery platform of the plurality of delivery platforms is not covered by the sheath, and
a plurality of vascular prostheses, each vascular prosthesis of the plurality of vascular prostheses being disposed at a corresponding delivery platform of the plurality of delivery platforms;
a selector coupled to the proximal end of the sheath, wherein the selector is configured to move with respect to the elongate body and the marker portion when the sheath moves with respect to the elongate body, wherein longitudinal alignment of a portion of the selector and a marking of the plurality of markings indicates at least one of a number of vascular prostheses left to be deployed and the number of vascular prostheses already deployed.

US Pat. No. 10,166,126

INFLATABLE BALLOON STENT

BOSTON SCIENTIFIC SCIMED,...

1. A stent, the stent comprising:an elongated tubular balloon having a first end and a second end and an intermediate region disposed therebetween, the elongated tubular balloon having a lumen extending from the first end to the second end;
an inflation chamber extending continuously from the first end to the second end of the elongated tubular balloon, the inflation chamber including a first flared portion at the first end, a second flared portion at the second end, and a body portion therebetween, wherein the body portion of the inflation chamber is defined between a radially outward wall and a radially inward wall of the inflation chamber, the radially inward wall defining the lumen of the elongated tubular balloon through a length of the elongated tubular balloon;
an outer layer disposed over at least a portion of an outer surface of the outer wall;
a plurality of holes positioned adjacent to the first and/or second ends of the elongated tubular balloon and extending from an outer surface of the outer layer to the outer surface of the outer wall, the plurality of holes configured to contact a body lumen when the elongated tubular balloon is in an expanded configuration; and
an inflation valve.

US Pat. No. 10,166,125

TRANSDERMAL INTRAOSSEOUS DEVICE

Biomet Manufacturing, LLC...

1. A transdermal intraosseous device comprising:a transdermal adapter having a longitudinal axis and configured for connection to an external prosthetic device for use with a bone of a patient, the transdermal adapter including:
a dome-shaped portion for transcutaneous implantation,
a porous metal dome-shaped structure at least partially overlaying the dome-shaped portion,
an external shaft extending from the dome-shaped portion, the external shaft including a polished external shaft portion, and
a dermal transition structure extending axially from the porous metal dome-shaped structure to the polished external shaft portion, the dermal transition structure including a first transitional surface treatment layer contiguous to a second transitional surface treatment layer such that a common border of the first and second transitional surface treatment layers is located along the longitudinal axis and each of the first and second transitional surface treatment layers extends along the external shaft distal of the dome-shaped portion, each of the first and second transitional surface treatment layers configured to directly contact a dermis layer of the patient for infection control upon implantation thereof, the first transitional surface treatment layer having a greater roughness than the second transitional surface treatment layer to provide a controlled roughness gradient from the external shaft to the dome-shaped portion for controlling infection at the dermis layer of the patient, wherein a first surface treatment of the first transitional surface treatment layer is different than a second surface treatment of the second transitional surface treatment layer; and
a bone fixator including a distal portion coupled to the transdermal adapter and a proximal portion configured for anchoring into the bone.

US Pat. No. 10,166,123

CONTROLLING PROSTHETIC DEVICES WITH SMART WEARABLE TECHNOLOGY

International Business Ma...

1. A computer program product for mode selection of a prosthesis, the computer program product comprising:one or more computer-readable storage media and program instructions stored on the one or more computer-readable storage media, the program instructions comprising:
program instructions to receive, by a wearable device, a first input from a user, wherein (i) the wearable device is a ring that comprises a rotatable housing with a touch surface sensitive surface, and (ii) the first user input comprises the user touching the touch surface;
program instructions to determine the first input indicates a change to a user-activated mode of operation of the prosthesis;
program instructions to send, by the wearable device, a first command to the prosthesis to change the user-activated mode of operation of the prosthesis;
in response to receiving the first command by the prosthesis, program instructions to operate one or more control devices of the prosthesis to change a user-activated current mode of operation of the prosthesis based, at least in part, on the determined user-activated mode of operation associated with the received first input;
program instructions to receive, by the wearable device, a second input from a user;
program instructions to determine, by the wearable device, the second input indicates an activation operation of the prosthesis;
program instructions to send, by the wearable device, a second command to the prosthesis to activate the prosthesis; and
in response to receiving the second command by the prosthesis, program instructions to operate the one or more control devices of the prosthesis to perform an action associated with the current user-activated mode of operation of the prosthesis.

US Pat. No. 10,166,121

BONE PRESERVING INTRAOPERATIVE DOWNSIZING SYSTEM FOR ORTHOPAEDIC IMPLANTS

Zimmer, Inc., Warsaw, IN...

1. A knee prosthesis system comprising:a first provisional component having a first articular surface and a first bone contacting surface disposed opposite the first articular surface, the first bone contacting surface comprising:
a first anterior surface defining a first, generally coronal anterior plane;
a first distal surface defining a first, generally transverse plane; and
a first posterior surface defining a first, generally coronal posterior plane, a first distance extending anteroposteriorly from said first posterior plane to said first anterior plane,
said first provisional component further comprising a posterior cut slot defining a posterior cut width and adapted to receive a cutting instrument;
a second component having a second articular surface defining a second articular surface geometry and a second bone contacting surface disposed opposite the second articular surface, the second bone contacting surface comprising:
a second anterior surface defining a second, generally coronal anterior plane;
a second distal surface defining a second, generally transverse plane; and
a second posterior surface in a second, generally coronal posterior plane, a second distance extending anteroposteriorly from said second posterior plane to said second anterior plane; and
said second distance less than said first distance by an amount equal to said posterior cut width.

US Pat. No. 10,166,119

DEVICE FOR FACILITATING ARTIFICIAL PROSTHESIS INSTALLATION WITH MEASURED APPLIED PRESSURE AND METHOD THEREFOR

Boyer Anderson, LLC, Hen...

1. A patella clamp, comprising:an upper frame arm;
a lower frame arm having a rear portion and a front portion, wherein the rear portion is movably connected to the upper frame arm; and
a patella clamp pressure measurement arrangement secured to at least one of the upper frame arm or the lower frame arm, wherein the clamp pressure measurement arrangement measures the pressure applied between the upper and lower frame arms to a patella construct, wherein the clamp pressure measurement arrangement comprises a turnable knob secured to the upper frame arm and a pivot nut threadedly engaged with the turnable knob.

US Pat. No. 10,166,118

SPIRAL ASSEMBLY TOOL

DEPUY SYNTHES PRODUCTS, I...

1. An assembly tool for assembly of a first component of a prosthesis to a second component of the prosthesis for use in joint arthroplasty, the tool comprising: a first member operably associated with the first component; and a second member operably associated with the second component; wherein the second member includes a cap having a threaded recess and further includes a threaded rod configured to engage the threaded recess so as to move the second member relative to the first member and the threaded rod is made of a harder metal than the threaded recess, wherein the second member includes a tensile bar that is sized and shaped to break at a predetermined force and the second member includes a housing configured to house the tensile bar, the housing including an upper restraint, a lower restraint, and a pivot pin coupling the upper restraint to the lower restraint, and the lower restraint including a slot, such that when the upper restraint is pivoted via the pivot pin, the tensile bar swings out of the slot in the lower restraint.

US Pat. No. 10,166,117

INTERVERTEBRAL IMPLANT DEVICE WITH LORDOTIC EXPANSION

Amendia, Inc., Marietta,...

1. An expandable interbody fusion implant device comprises:a frame having a first lateral side and a second lateral side and a distal end and a proximal end;
two ramp assemblies, one being a distal ramp assembly and the other a proximal ramp assembly, each ramp assembly has a translating ramp with a threaded opening, a first pivoting hinged ramp and a second pivoting hinged ramp, each pivoting hinged ramp being pivotably movable about a pinned end by a pivot pin oriented parallel to the second lateral side;
a first and a second base plate disposed between the distal end and the proximal end of the frame, each base plate being hinged to a first lateral side of the frame, the first base plate overlying the second base plate, each base plate being hinged to the distal ramp assembly and the proximal ramp assembly at the pivoting end of one of said pivoting hinged ramps of each ramp assembly, each base plate being pivotably affixed to and movable relative to the pivoting hinged ramps, each base plate having pockets for holding each pivoting hinged ramp at the pinned end transverse to the second lateral side;
a threaded drive shaft pinned to the proximal end of the frame, the drive shaft having a distal drive shaft component having threads for translating the distal ramp assembly and a proximal drive shaft component having threads for translating the proximal ramp assembly, each drive shaft component being coupled to the other, the proximal drive shaft component being affixed to the frame at the proximal end of the frame; and
wherein rotation of the drive shaft drives the translating ramp of the distal ramp assembly and the translating ramp of the proximal ramp assembly simultaneously in opposite directions as each of the first pivoting hinged ramp and the second pivoting hinged ramp pivots being moved by the translating ramps wherein each translating ramp has an exterior lift surface to guide and support the pivoting hinged ramps during expansion or contraction of the base plates, and wherein each pivoting hinged ramp has a bearing support surface configured to slide on the exterior lift surface of the translating ramp as the pivoting hinged ramp is moved by the translating ramp to selectively expand or contract a distance between the two base plates laterally relative the second lateral side of the frame, simultaneous rotation of both distal and proximal drive shaft components drives the distal and proximal ramps to selectively expand or contract a distance between both first and second base plates to a selected inclination of the first and second base plates relative to the frame over a range of lordotic angles.

US Pat. No. 10,166,116

HELICAL LOCK SPACER, INSTRUMENTS AND METHODS

1. A method of implanting a bone spacer having a helical lock in an intervertebral space comprising the steps of:obtaining a bone spacer inserter instrument comprising an elongate shaft portion and a central locking rod portion;
positioning a coil driver over said elongate shaft portion of said bone spacer inserter;
loading a helical lock implant on a distal end of said elongate shaft portion wherein said elongate shaft portion occupies a central core space of said helical lock and wherein a cutting tip of said helical lock is orientated distally on said bone spacer inserter;
positioning a bone spacer implant against an engagement face disposed on a distal end of said elongate shaft portion;
advancing said locking rod portion into a spacer lock of said bone spacer thereby fixing said bone spacer implant to said bone spacer inserter instrument;
advancing the bone spacer and helical lock instrumentation assembly through an incision and into a predetermined position in an intervertebral space;
advancing through rotation said coil driver about its central axis thereby driving a tooth face on said coil driver to transmit torsional forces against a butt surface of a helix lock;
and continuing torsional forces on said coil driver until said helix lock is fully threaded into adjacent vertebral bone and said bone spacer.

US Pat. No. 10,166,115

INTERBODY FUSION DEVICE

SpineSmith Partners, L.P....

1. A spinal fusion device comprising:a fusion bearing device configured to fit between two adjacent vertebrae, the fusion bearing device having a top face and a bottom face through which an opening is formed that allows access to an interior space of the fusion bearing device to insert a fusion material;
a cantilevered shelf extending from an interior wall of the fusion bearing device into the interior space and past an inner edge of the top face, wherein the cantilevered shelf is disposed on a plane located between the top face and the bottom face;
a retention device configured to couple to the fusion bearing device; and
one or more bone screws coupled to the retention device to compress the two adjacent vertebrae to the fusion bearing the device.

US Pat. No. 10,166,114

INTERVERTEBRAL IMPLANT WITH IMPROVED SHAPE OF THE FIXING PLATE

MEDACTA INTERNATIONAL SA,...

1. An intervertebral implant for the fusion between two vertebral bodies of a vertebral column comprising:a fusion cage having a posterior side extending along an arcuate path, an anterior side extending along a straight path, and first and second lateral sides each extending between the posterior and anterior sides to define a central hole, the fusion cage adapted to be interposed between two adjacent vertebral bodies of a patient;
a fixing plate, attached to the fusion cage and having a plurality of upper passageways and lower passageways for the insertion of bone screws; and
a vertical median plane of the intervertebral implant dividing the fusion cage in two substantially symmetrical halves and also dividing the fixing plate in first and second generally asymmetrical halves, the first asymmetrical half secured directly to the anterior side of the fusion cage and having a height and width matching the anterior side of the fusion cage, and the second asymmetrical half extending outwardly and angularly offset from the anterior side of the fusion cage;
said plurality of upper passageways and lower passageways being provided only on said second asymmetrical half and being inclined towards the vertical median plane in the postero-anterior direction, the plurality of upper passageways being positioned above a top surface of the fusion cage, and the plurality of lower passageways being positioned below a bottom surface of the fusion cage.

US Pat. No. 10,166,113

INTERVERTEBRAL PROSTHESIS

Simplify Medical Pty Ltd,...

1. An intervertebral prosthesis for insertion between adjacent vertebrae, the prosthesis comprising:first and second prosthesis plates locatable against respective vertebrae, each of the first and second prosthesis plates having a coarse outer surface locatable against a vertebra and an oppositely facing inner bearing surface;
at least one upstanding elongated protrusion on the outer surface of each of the first and second prosthesis plates;
a core located between the plates, the core having a height extending between the plates which is smaller than a width of the core in a direction perpendicular to the height, the core having opposed, top and bottom bearing surfaces configured to cooperate with the inner bearing surfaces of the first and second plates to allow the plates to slide in an articulated manner over the core;
a peg projecting centrally from the inner bearing surface of the second plate;
wherein the peg locates loosely in an opening located centrally in a bearing surface of the core, whereby the plates can slide over the core while the peg holds the core captive;
wherein the inner bearing surface of the first prosthesis plate is continuously spherically curved with no central peg; and
wherein each of the first and second plates are bounded by an annular rim, and wherein each plate includes an empty groove adjacent to the rim, each groove configured and arranged to facilitate handling of the plate by instruments used to place the prosthesis in use.

US Pat. No. 10,166,111

SPINAL IMPLANTS AND RELATED APPARATUS AND METHODS

1. A spinal implant comprising:an outer corpus including a top-most surface, a bottom surface opposite the top surface, and a sidewall extending between the top surface and the bottom surface;
an inner corpus axially displaceably coupled to the outer corpus along a central axis extending through the inner corpus and the outer corpus, each of the inner corpus and the outer corpus having a cylindrical shape;
a transport admission provided on the sidewall of the outer corpus, the transport admission including an engagement structure, the transport admission having a first lateral length along an axis perpendicular to the central axis extending through the inner corpus and the outer corpus;
a lever admission provided on the inner corpus, the lever admission having a second lateral length along the axis perpendicular to the central axis, the second lateral length smaller than the first lateral length, the lever admission and the transport admission aligned about the central axis extending through the inner corpus and the outer corpus and arranged to receive a tool, the tool to distract the spinal implant, the lever admission including a set of teeth, the outer corpus including a flange, the flange including a portion of the engagement structure, a remainder of the engagement structure disposed between the inner corpus and the flange, the flange extending along the sidewall from the top surface to the transport admission; and
an alignment guide provided on the inner corpus and the outer corpus, the alignment guide including a tongue provided on the outer corpus and a groove provided on the inner corpus, the tongue and groove to allow an axial displacement of the inner corpus relative to the outer corpus and to prevent a rotation of the inner corpus relative to the outer corpus.

US Pat. No. 10,166,110

TOTAL ANKLE REPLACEMENT PROSTHESIS

Integra LifeSciences Corp...

1. An ankle replacement prosthesis, comprising:a tibial implant for implanting onto a tibia having a tibial-facing surface and a tibial implant lower surface opposite said tibial-facing surface and having an anterior end and a posterior end;
a talar implant for implanting onto a talus having a talar-facing surface and a talar implant upper surface opposite said talar-facing surface and having an anterior end and a posterior end;
an intermediate implant having an anterior end and a posterior end and a tibial-facing surface and a talar-facing surface, said intermediate implant fitting between said tibial implant and said talar implant;
wherein said tibial-facing surface of said intermediate implant fixedly attaches to said tibial implant and said talar-facing surface of said intermediate implant has an articulating surface that articulatingly engages said talar implant;
wherein said articulating surface of said intermediate implant has an anterior edge between an anterior planar surface and a bi-condylar surface at said anterior end thereof and a posterior edge between a posterior planar surface and said bi-condylar surface at said posterior end thereof;
wherein said anterior edge and said anterior planar surface are at a different elevation than said posterior edge and said posterior planar surface, with elevation being defined with respect to a top surface of said intermediate implant; and
wherein at least one of said anterior planar surface or said posterior planar surface is substantially parallel to said top surface.

US Pat. No. 10,166,109

PATIENT SPECIFIC BONE PREPARATION FOR CONSISTENT EFFECTIVE FIXATION FEATURE ENGAGEMENT

Stryker Corporation, Kal...

1. A method of performing surgery comprising:providing a prosthesis for implanting onto a bone of a joint of a patient, the prosthesis including a fixation peg having a peg radius and a peg length;
providing a mass of bone designed to be displaced by the fixation peg upon implantation of the prosthesis;
obtaining bone density data of a fixation area of the bone of the joint adapted to receive the fixation peg;
resecting a bore hole in the fixation area of the bone to receive the fixation peg, the bore hole having bore radius and a bore length, wherein the bore length is equal to the peg length and bore radius is based upon the obtained bone density data of the fixation area and the mass of bone designed to be displaced; and
implanting the prosthesis on the bone by inserting the fixation peg into the resected bore hole.

US Pat. No. 10,166,108

BUFFERABLE FEMORAL IMPLANT

Paonan Biotech Co., Ltd.,...

1. A bufferable femoral implant comprising:a femoral stem adapted to be implanted into a medullary cavity of a patient's femur;
said femoral stem including:
a metal main body adapted to be inserted into said medullary cavity of said femur, said metal main body including a plug member; a coupling rod connected with said plug member and longitudinally protruded downwardly from said plug member; said main body formed with a filling port, a plurality of distributing channels formed in said main body and fluidically communicated with said filling port, and a plurality of drain holes formed in a circumference of said main body and fluidically communicated with said distributing channels so as to lead a fixation agent filled into said filling port through said distributing channels to be released into the medullary cavity through said drain holes in said main body; and
an elastomer member integrally formed or connected with said coupling rod of said main body, and adapted to be inserted into said medullary cavity below said plug member;
said elastomer member including a plurality of grooves circumferentially recessed in said elastomer member to form a plurality of fins as interspersed with said plurality of grooves so as to make the elastomer member deformable or flexible in order to be well inserted into the medullary cavity of the femur to be squeezably compressibly or deformably embedded in the cavity for a firm or stable assembly of the elastomer member and the femoral implant with the femur;
whereby upon impacting by an external force on said femoral stem, said elastomer member will dampen or buffer a stress caused by the external force for protecting said femoral implant and the patient's femur.

US Pat. No. 10,166,107

FEMORAL STEM AND POST SYSTEM FOR HIP PROSTHESIS

1. A process for implanting a femoral stem for a hip joint prosthesis, comprising a femoral base having a generally elongated shape with a proximal end and a distal end, a femoral neck having a generally tubular shape extending from the proximal end of the femoral base and having a concentric axis, a lateral port on a side of the femoral base generally opposite the femoral neck and in line with the concentric axis, and a lateral post having a first end removably secured within the lateral port and a second end extending a predetermined distance from the side of the femoral base, comprising the steps of:preparing an end of a femur bone for implantation of the femoral stem;
implanting the femoral base in the femur bone;
drilling a lateral hole through a lateral cortex of the femur bone adjacent to the lateral port on the femoral stem;
measuring a depth of the lateral hole;
selecting the lateral post based upon the measured depth of the lateral hole such that the lateral post protrudes from the lateral cortex by at least 2 mm; and
installing the lateral post through the lateral hole and into the lateral port such that a portion of the lateral post protrudes from the lateral cortex of the femur bone.

US Pat. No. 10,166,106

METHODS AND DEVICES FOR A SURGICAL HIP REPLACEMENT PROCEDURE

1. A method of positioning a dummy implant relative to a greater trochanter of a femur to size the femur to receive a femoral component implant during a hip replacement surgical procedure, the method comprising:providing a dummy implant comprising a footplate at a proximal end with a cross-sectional size that replicates a proximal portion of the femoral component implant, a distal section with a cross-sectional size that replicates a distal portion of the femoral component implant, and an intermediate shaft that extends between the footplate and the distal section with a smaller cross-sectional size than an intermediate portion of the femoral component implant, the footplate extending radially outwardly beyond the shaft and the distal section having a distal end;
inserting the dummy implant into a femoral canal of the femur and contacting the distal section of the dummy implant against a wall of the femoral canal with the shaft extending along the femoral canal and being spaced away from the wall of the femoral canal and with the footplate of the dummy implant below a superior end of the greater trochanter and contacting against a proximal end of the femur;
determining an expected position of the femoral component implant relative to the femur based on visually observing a position of the footplate relative to the proximal end of the femur;
using the footplate as a cutting guide and moving a blade along a top edge of the footplate and cutting a portion of the femur that extends beyond the top edge of the footplate;
removing the dummy implant from the femoral canal; and
inserting the femoral component implant into the femoral canal.

US Pat. No. 10,166,105

SELF-DETACHING LAYER FOR EASY IMPLANT REMOVAL

DePuy Synthes Products, I...

1. A bone implant, comprising:a first layer provided over a first outer surface of the bone implant and including a first material which is one of water-soluble and degradable in body fluids, the first layer having a first thickness;
a second layer provided over an outer surface of the first layer and formed of a second, biocompatible material, the second layer having a second thickness smaller than the first thickness;
a third layer provided over an outer surface of the second layer, the third layer being formed of a material which is one of water-soluble and degradable in body fluids; and
a fourth layer provided over an outer surface of the third layer, the fourth layer being formed of a biocompatible material.

US Pat. No. 10,166,103

VALVE CUSP SIZER

Japanese Organization For...

1. A valve cusp sizer for determining a size of a valve cusp conforming to a size of a cardiac valve, comprising:a front surface (10) formed in an arcuate surface form to be abutted against an organism;
a back surface (20) positioned on an opposite surface side of the front surface (10); and
a pinching portion (30) protruding from the back surface (20) to be pinched by a surgical instrument,
wherein the front surface (10) is formed in the arcuate surface form in which a central part between left and right ends thereof projects toward a side of the organism.

US Pat. No. 10,166,102

MITRAL VALVE ANNULOPLASTY DEVICE WITH TWISTED ANCHOR

Cardiac Dimensions Pty. L...

1. A mitral valve therapy device, the therapy device comprising:an expandable first anchor, an expandable second anchor, and a connecting member extending therebetween, a distal end, a proximal end, and an axis that extends between the distal and proximal ends and along the connecting member,
the expandable first anchor having an anchored configuration in which a first anchor apex is in an anchor portion that is spaced radially furthest away from the axis,
the expandable first anchor comprising a first segment and a second segment, and in the anchored configuration the first segment engages the second segment to form at least one full twist around the second segment in the apex of the expandable first anchor in which the first segment passes over the second segment and then under the second segment and then over the second segment, and in which the second segment passes under the first segment and then over the first segment and then under the first segment,
the expandable first anchor further comprising a securing member for securing an end of the first segment and an end of the second segment therein at a distal end of the securing member, the securing member generally aligned with the connecting member, and wherein the expandable first anchor, when expanded extracorporeally in the anchored configuration, has a width measured between the first segment and the second segment that is greater than a height measured from the securing member to the apex of the expandable first anchor, whereby the width is measured orthogonally to the height.

US Pat. No. 10,166,101

METHODS FOR REPAIRING MITRAL VALVES

Edwards Lifesciences Corp...

1. A method of performing annuloplasty of a native mitral valve having valve leaflets and a condition resulting in diminished valve leaflet coaptation, comprising:determining that a posterior aspect of a native annulus of the native mitral valve includes an abnormality comprising a depression below a datum plane;
determining a transverse dimension and an anterior-posterior dimension of the native annulus;
selecting for implantation to the native annulus a mitral valve annuloplasty ring having a ring body covered by a suture-permeable sewing cuff, the ring body defining an orifice having a major axis perpendicular to a minor axis, the major and minor axes being generally perpendicular to a flow axis, wherein the ring body is continuous, closed around the orifice and generally rigid so that it retains its shape after implantation in opposition to the stresses that will be imparted by muscles of the heart throughout each beating cycle, and wherein
a) a major axis dimension of the ring body is less than the annulus transverse dimension, and
b) the ring body is configured to compensate for the depression of the posterior aspect of the native annulus and have a ratio of a minor axis dimension of the ring body to the major axis dimension less than the ratio of the anterior-posterior dimension to the transverse dimension of the mitral valve annulus; and
implanting the ring so as to constrict the native annulus and compensate for the depression, thereby restoring healthy coaptation between the leaflets.

US Pat. No. 10,166,100

SYSTEMS AND METHODS FOR DELIVERY OF ANNULOPLASTY RINGS

VALCARE, INC., Newport B...

1. A system for percutaneous, transcatheter heart valve repair, the system comprising:a catheter configured to provide percutaneous access into a heart of a patient;
an adjustable annuloplasty ring comprising:
a body member that is transitionable from an elongate insertion geometry to an annular operable geometry, the elongate insertion geometry configured to allow percutaneous passage of the annuloplasty ring, via the catheter, into the heart of a patient, and the annular operable geometry having an expanded state to conform to an annulus of a target valve of the heart and a contracted state to reduce a diameter of the annulus of the target valve,
a plurality of anchors deployable in the annular operable geometry to engage the annulus of the target valve; and
a stabilizer comprising a plurality of prongs configured to engage the annuloplasty ring after the body member has transitioned into the annular operable geometry within the heart to enable percutaneous manipulation of the ring to orient and position the ring in intimate contact with the annulus of the target valve.

US Pat. No. 10,166,099

ARTIFICIAL HEART VALVE ANNULOPLASTY RING

KINGSTRONBIO (CHANGSHU) C...

1. An artificial heart valve annuloplasty ring, comprising an outer layer and an annular main body integrally formed from multiple ring sections, the outer layer being a fiber fabric layer covering the outside of the annular main body, wherein the annular main body comprises a tube with a solid tube wall that is provided with a slotted structure capable of adjusting rigidity of the annuloplasty ring, the slotted structure comprises helical slots formed along the circumference of the tube, and the helical slots have a double-helical or a multi-helical structure.

US Pat. No. 10,166,098

SYSTEMS AND METHODS FOR TRANSCATHETER TREATMENT OF VALVE REGURGITATION

Middle Peak Medical, Inc....

1. A coaptation assist device for treating mal-coaptation of a heart valve, the heart valve having an annulus and posterior and anterior leaflets with an open configuration and a closed configuration, the coaptation assist device comprising:a frame;
a body coupled to the frame, the body having a first coaptation surface configured to be disposed toward the posterior leaflet, and an opposed second surface configured to be disposed toward the anterior leaflet;
two or more ribbons configured to extend from the frame, each ribbon comprising a single longitudinal strip having a first end and a second end, wherein each ribbon has only one end coupled to the frame and the other end spaced from the frame and a fixed length therebetween, each ribbon forming a generally U-shaped configuration comprising a first portion extending from the first end, a curve, and a second portion extending from the curve to the second end, the two or more ribbons comprising a shape memory material having a preformed shape, each ribbon movable from a first compressed configuration to a second expanded configuration, wherein the second expanded configuration is a deployed configuration of the coaptation assist device, wherein the second portion extends radially outward from the first portion in the second expanded configuration, wherein the two or more ribbons are configured to provide a compressive force, the compressive force sufficient to secure the coaptation assist device,
wherein the coaptation assist device defines a height extending from an outflow end of the heart valve to an inflow end of the heart valve, wherein at least one ribbon of the two or more ribbons is a ventricular ribbon and substantially extends along the height of the coaptation assist device, the ventricular ribbon configured to extend along the posterior leaflet, wherein the body is coupled to the ventricular ribbon and substantially extends along the height of the coaptation assist device, wherein the height is the entire longitudinal length of the device,
wherein the body of the coaptation assist device is configured to be positioned to allow the anterior leaflet to coapt against the body of the coaptation assist device when the coaptation assist device is in the second expanded configuration and positioned over the posterior leaflet.

US Pat. No. 10,166,097

REPLACEMENT HEART VALVE AND METHOD

Edwards Lifesciences Card...

1. A replacement heart valve for deployment at a diseased native valve, the replacement heart valve comprising:an expandable frame configured to collapse radially to a first size for delivery and to expand radially to a second size upon deployment, the frame having an upstream end and a downstream end;
a valve body positioned within the expandable frame, the valve body comprising a plurality of valve leaflets configured to permit blood flow in a downstream direction and to prevent blood flow in an upstream direction; and
a material layer comprising one or more flaps positioned between the upstream and downstream ends of the frame along an exterior surface of the frame, each flap covering a corresponding opening in the replacement heart valve, wherein each flap is configured to allow blood to flow through the corresponding opening in a downstream direction when the frame is being expanded at the diseased native valve;
wherein each flap is attached at an upstream end of the corresponding opening.

US Pat. No. 10,166,096

FOLDABLE ACCOMMODATING INTRAOCULAR LENS

ForSight Vision6, Inc., ...

1. An accommodating intraocular lens (AIOL) system for implantation in a human eye, comprising:an accommodating intraocular lens comprising:
a housing defining, at least in part, a cavity, the housing formed of a first material;
an optical element contained within the cavity of the housing, the optical element capable of being deformed from a non-bulging state to a bulging state suitable for near vision, wherein the optical element is formed of a second material that is different from the first material, is flowable, and has a refractive index greater than a refractive index of aqueous humor; and
a piston reciprocally movable relative to the housing between an extended position and a compressed position, wherein the piston is adapted to be responsive to ciliary muscle contraction,
wherein application of a compression force on the optical element by the piston at a first location causes the optical element to bulge at a second location away from the first location to create the bulging state of the optical element; and
a self-anchoring haptics system extending in a plane perpendicular to a visual axis of the accommodating intraocular lens, the self-anchoring haptics system adapted to engage with ocular tissue to form at least two spaced-apart, stationary anchor points for retaining the accommodating intraocular lens in the eye.

US Pat. No. 10,166,095

INTRODUCER FOR A SIDE BRANCH DEVICE

Cook Medical Technologies...

1. A stent graft introduction arrangement in combination with a fenestrated stent graft,the fenestrated stent graft comprising a main tubular body, a distal end, a proximal end, a main lumen therethrough, at least one fenestration in the main body between the distal and the proximal end of the main body, and an internal side arm extending from the at least one fenestration and into the main lumen;
the introduction arrangement including an introducer, the introducer comprising a distal end intended to remain outside a patient in use and a proximal end, the proximal end of the introducer comprising a nose cone dilator and retention arrangement to retain the fenestrated stent graft thereon distally of the nose cone dilator, the fenestrated stent graft being retained on the introducer and a sheath on the introducer extending over the fenestrated stent graft to the nose cone dilator,
an indwelling catheter for each of said at least one fenestration, each indwelling catheter extending from the distal end of the introducer through an introducer lumen in the introducer to the fenestrated stent graft, the each indwelling catheter then exiting from the introducer lumen at a distal end of the fenestrated stent graft, the each indwelling catheter then extending outside and along the main tubular body, then entering the at least one the respective fenestration, extending through the internal side arm, and extending into the main lumen and toward the proximal end of the fenestrated stent graft, each the indwelling catheter configured to receive a guide wire extending therethrough,
whereby the indwelling catheter and the guide wire can be extended beyond the proximal end of the fenestrated stent graft in use after the sheath has been at least partially withdrawn from the fenestrated stent graft.

US Pat. No. 10,166,094

INTEGRATED EMBOLIC PROTECTION DEVICES

Emboline, Inc., Santa Cr...

1. An introducer sheath having integrated embolic protection, said introducer sheath comprising:an access sheath having a lumen with an open distal end; and
an embolic filter comprising a porous mesh material having a cylindrical outer portion and a inner portion defining a collection chamber for captured emboli, the filter having a collapsed configuration and a deployed configuration wherein the collection chamber is defined between an inner surface of the cylindrical outer portion and an outer surface of the inner portion and an outer periphery of the cylindrical outer portion of the filter is configured to contact a blood vessel wall to direct blood flow and potential emboli into the collection chamber; wherein a distal end of the inner portion of the mesh is attached to the open distal end of the access sheath and a distal end of the cylindrical outer portion of the mesh is open and free of attachment to the access sheath, wherein the lumen of the access sheath is available to introduce different devices.

US Pat. No. 10,166,093

SOFT TISSUE REPAIR PROSTHESIS AND EXPANDABLE DEVICE

C.R. Bard, Inc., Murray ...

1. A hernia repair device, comprising: an inflatable device configured to be removably connected with a soft tissue repair prosthesis, the inflatable device having a first inflatable segment and a second inflatable segment, the first inflatable segment having a first closed end such that there is no fluid communication through the first closed end, and the second inflatable segment extending past the first closed end and overlapping with a portion of the first inflatable segment over a region of overlap;wherein fluid communication between the first and second inflatable segments is closed along the entire region of overlap.

US Pat. No. 10,166,092

TOOTHBRUSH WITH A CONTROLLED TRANSMISSION DIRECTION OF VIBRATION

1. An electronic device comprising:a toothbrush head comprising a plurality of bristle touch-points arranged along rows, each of the plurality of the bristle touch-points being a single solid elongate structure extending from the toothbrush head and comprising a polymer material;
a carrying case comprising a body and a shaft, a first portion of the shaft being positioned within the toothbrush head;
electronic circuitry;
a handle comprising a handle shell surrounding the electronic circuitry, the body, and a second portion of the shaft of the carrying case, the body of the carrying case suspended within and not contacting the handle and only physically coupled at a first region to a dampener positioned between the second portion of the shaft and the handle shell, the shaft of the carrying case extending from the handle and into the toothbrush head; and
an electric motor connected to and positioned within the body of the carrying case such that the electric motor within the carrying case is suspended within the handle, the electric motor electrically coupled to the electronic circuitry and configured to generate vibration energy that is transmitted to the toothbrush head through the shaft of the carrying case to vibrate the toothbrush head.

US Pat. No. 10,166,091

AUGMENTED REALITY DENTAL DESIGN METHOD AND SYSTEM

Trispera Dental Inc., Ca...

1. A method of designing a dental appliance for a subject individual comprising:displaying a 3D model of the subject individual on a 3D display, the 3D model comprising:
a scanned feature comprising a dental arch of the subject individual, and a portion of a face of the subject individual and an arch for relating the arch to the face; and
an augmented reality feature comprising a dental appliance for the subject individual;
detecting an involuntary input with a sensor, wherein either (i) the involuntary input comprises a neural activity input and the sensor comprises a brain-computer interface, or (ii) the involuntary input comprises a change in a facial expression and the sensor comprises an optical sensor;
modifying the dental appliance in response to the involuntary input to provide a modified dental appliance;
repositioning the scanned feature in response to the modified dental appliance to provide a repositioned scanned feature;
updating the 3D model in response to the modified dental appliance and the repositioned scanned feature to provide an updated 3D model; and
displaying the updated 3D model on the 3D display.

US Pat. No. 10,166,090

DEVICE FOR DETECTING THE THREE-DIMENSIONAL GEOMETRY OF OBJECTS AND METHOD FOR THE OPERATION THEREOF

A.TRON3D GMBH, Klagenfur...

1. Method for operating a device for detecting the three-dimensional geometry of objects, especially teeth, the device comprising a handpiece that has at least one position sensor for detecting the change in the spatial position of the handpiece and an optical apparatus comprising at least one camera for taking images and at least one light source for at least one projector, comprising determining by the position sensor in the handpiece how large a change in the spatial position of the device is, and then determining how many images are taken by the camera within a defined period of time.

US Pat. No. 10,166,089

MAXILLARY PROTRACTION DEVICE

Sandra Vivian Kahn, La p...

1. A maxillary protraction device, comprising:a cranial support configured to be attached over the frontal bone of the cranium of a user;
a guide attached on a central position of the cranial support;
a vertical rod attached to said guide, wherein said vertical rod comprises an upper end configured to be attached to the guide, a central part and a lower end, wherein the central part of the vertical rod is connected to the upper end by a ratchet mechanism configured to adjust the distance of the vertical rod regarding to the user; and,
a horizontal rod attached to the lower end of the vertical rod, wherein the horizontal rod comprises gripping points configured to fix rubber bands between said horizontal rod and an orthodontic appliance of the user, being said rubber bands configured to provide a tractive force on the jaw of the user.

US Pat. No. 10,166,087

DRILL LIMIT SYSTEM AND METHOD OF USING SAME

Implant Direct Sybron Int...

1. A drill stop for indicating a position of a drill bit, the drill stop comprising:a nut portion; and
a grip portion coupled to the nut portion, wherein rotation of the nut portion relative to the grip portion transitions the drill stop between a first state in which the drill bit is configured to be movable relative to the drill stop and a second state in which the drill stop is configured to be secured to the drill bit,
wherein the grip portion includes a clip feature configured to cooperate with at least one spring clip on a holder for selectively engaging to and releasing from the holder.

US Pat. No. 10,166,086

DENTAL THERAPY APPARATUS

OSAKA UNIVERSITY, Suita-...

1. A dental therapy apparatus comprising:a laser light source emitting laser light having a wavelength within a wavelength region of 5.7 to 6.6 ?m, the laser light source being a quantum cascade laser;
a controller pulse-driving the laser light source and controlling at least one of pulse width and repetition frequency of pulsed laser light emitted from the laser light source, wherein the controller switches the control of the laser light source between a first mode of driving the laser light source at a pulse width shorter than a thermal relaxation time of an area irradiated with the pulsed laser light and a repetition frequency lower than that corresponding to the thermal relaxation time and a second mode of driving the laser light source at a pulse width longer than the thermal relaxation time and a repetition frequency higher than that corresponding to the thermal relaxation time, wherein the repetition frequency for the first mode is 1 Hz to 1 kHz and the repetition frequency for the second mode is at least 1 kHz, and wherein the pulse width for cutting in the first mode is 5 ns to 1 ?s and the pulse width for the second mode is at least 1 ?s; and
an irradiation optical system for irradiating a tooth including a carious part with the light emitted from the laser light source;
wherein the controller controls at least one of the pulse width and repetition frequency of the pulsed laser light, so as to selectively cut the carious part included in the tooth.

US Pat. No. 10,166,085

METHOD OF DISINFECTING PORTS IN CENTRAL VENOUS CATHETER SYSTEMS

Hub Hygiene, Atlanta, GA...

1. A method for disinfecting a Central Venous Catheter (CVC) system port, the method comprising:scrubbing the CVC system port in a twisting motion with a formaldehyde-melamine-sodium-bisulfite foam material, wherein the foam material contains a disinfecting solution;
listening for an audible feedback resulting from a friction force between the foam material and the CVC system port; and
adjusting the friction force between the foam material and the CVC system port to produce the audible feedback.

US Pat. No. 10,166,084

SPRING-EJECTED BIOPSY MARKER

Devicor Medical Products,...

1. A tool for inserting a marker into tissue at a biopsy site, comprising:an elongate plunger having a blind bore formed therein;
a plunger rod having a proximal end received within and secured to said blind bore so that said plunger rod moves conjointly with said plunger;
an elongate cannula having a lumen that receives a distal end of said plunger rod;
a stop formed on an inner surface of said cannula near a distal end of said cannula;
said cannula having a side exit port where said marker is ejected from said lumen of said cannula;
said side exit port being positioned distal of said stop;
a ramp formed in communication with said side exit port, said ramp having a preselected slope that controls the angle at which said marker is ejected from said lumen;
a spring secured to said distal end of said plunger rod and extending axially relative to said plunger rod along a longitudinal axis defined by the plunger rod; and
said plunger rod attached to the proximal end of said spring so thatproximal-to-distal displacement of said plunger rod causes compression of said spring between said plunger rod and said marker to thereby force the marker past the stop via the spring.

US Pat. No. 10,166,083

METHOD AND SYSTEM FOR TRACKING OBJECTS IN COMPUTER-ASSISTED SURGERY

ORTHOSOFT INC., Montreal...

1. A method for tracking at least one instrument relative to a bone in computer-assisted surgery comprising:tracking, using one or more processors of a computer-assisted surgery system, a reference orientation of the bone in three axes with a reference device connected to the bone;
creating a magnetic field plane by rotating a magnet connected to one of the instrument and the bone;
using a magnetometer being mounted to the other of the instrument and the bone, producing signals as a function of at least an orientation of the magnetometer relative to the magnetic field plane; and
tracking and outputting, using one or more processors of a computer-assisted surgery system, an orientation of the instrument relative to the three axes of the reference orientation of the bone using said signals from the magnetometer subjected to the magnetic field plane, as the instrument is moved relative to the bone.

US Pat. No. 10,166,082

SYSTEM AND METHOD FOR CONTROLLING A ROBOTIC WRIST

VERB SURGICAL INC., Moun...

1. A method for controlling a robotic surgical tool during robotic surgery, comprising:receiving an input for a desired state for a distal end effector of a robotic surgical tool, the distal end effector having a robotic wrist and two distal end effector members coupled to the robotic wrist pivoting relative to each other, each distal end effector member being robotically manipulated via a pair of antagonistic cables imparting forces when tensioned;
calculating, by one or more processors, displacements of each pair of antagonistic cables based on the desired state;
generating a first command for position control to drive the robotic wrist and the distal end effector members based on the calculated displacements;
determining whether the desired state includes a desired grip force between the two distal end effector members;
responsive to a determination of the desired grip force, generating a second command for grip force control to tension at least one of the pair of antagonistic cables based on the desired grip force and a current grip force between the two distal end effector members, wherein the current grip force between the two distal end effector members is estimated based on measurements of current tensioning forces on the pairs of antagonistic cables using load cells or torque sensors;
generating a composite command by adding the second command for grip force control to the first command for position control; and
driving the distal end effector to effect the desired state based on the composite command, wherein the composite command provides simultaneous grip force control and position control for various degrees of freedom of the distal end effector.

US Pat. No. 10,166,081

SURGICAL ROBOTIC DEVICES AND SYSTEMS FOR USE IN PERFORMING MINIMALLY INVASIVE AND NATURAL ORIFICE TRANSLUMINAL ENDOSCOPIC SURGICAL ACTIONS

BIO-MEDICAL ENGINEERING (...

1. A surgical arm assembly insertable into a cavity of a patient, the surgical arm assembly for use in performing an in vivo surgical action and comprising:an end-effector assembly, the end-effector assembly having:
a first instrument assembly having:
a first instrument, the first instrument having a first elongated distal end for performing a surgical action, a second proximal end, and a disconnectable electric cable connected to the first instrument, the second proximal end of the first instrument having a first instrument contact portion, the first elongated distal end of the first instrument configurable to receive an electric current from an energy source via the disconnectable electric cable to perform an electrosurgical action when the disconnectable electric cable is configured to be connected to the energy source, the first elongated distal end of the first instrument configurable to not receive an electric current from the energy source via the disconnectable electric cable when the disconnectable electric cable is configured to be disconnected from the energy source;
a first instrument driven portion configurable to be driven in such a way as to move the first instrument relative to a first axis; and
a first instrument insulative portion providable between the first instrument and the first instrument driven portion, the first instrument insulative portion configurable to prevent at least the first instrument driven portion from receiving an electric current applied to the first instrument when the first instrument insulative portion is provided between the first instrument and the first instrument driven portion, the first instrument insulative portion including:
a first contact portion, the first contact portion of the first instrument insulative portion configured to contact with the first instrument contact portion; and
a second contact portion, the second contact portion of the first instrument insulative portion configured to contact with the first instrument driven portion, the first instrument driven portion configured to move, via the first and second contact portions, the first elongated distal end of the first instrument relative to the first axis, wherein the first instrument insulative portion is provided between the first instrument and the first instrument driven portion in such a way that the first axis corresponds to a center axis of the first instrument insulative portion; and
an arm assembly securable to and unsecurable from the end-effector assembly, wherein the unsecuring of the end-effector assembly from the arm assembly includes configuring the disconnectable electric cable to be disconnected from the energy source.

US Pat. No. 10,166,080

COOPERATIVELY-CONTROLLED SURGICAL ROBOTIC SYSTEM WITH REDUNDANT FORCE SENSING

The Johns Hopkins Univers...

1. A cooperatively controlled robotic system, comprising:a main robot assembly comprising mechanical links connected by actuated joints;
an arm assembly comprising a proximal end and a distal end, wherein said arm assembly is connected to said main robot assembly at said proximal end;
a tool assembly connected to said arm assembly at said distal end;
a first force sensor between said distal end of said arm assembly and said tool assembly,
a second force sensor between said proximal end of said arm assembly and said main robot assembly; and
a control system in communication with said main robot assembly, said arm assembly, said tool assembly, said first force sensor, and said second force sensor,
wherein said control system is configured to determine a force applied at said first force sensor based on a force detected by said second force sensor,
wherein said control system is further configured to compare said determined force to a force detected by said first force sensor, and
wherein said control system is further configured to detect a failure of at least one of said first and second force sensors based on said comparison.

US Pat. No. 10,166,079

DEPTH-ENCODED FIDUCIAL MARKER FOR INTRAOPERATIVE SURGICAL REGISTRATION

SYNAPTIVE MEDICAL (BARBAD...

1. A method of performing intraoperative image registration during a medical procedure, the method comprising:providing a depth-encoded marker to an object of interest, the marker being imageable by at least two imaging systems, the marker having asymmetry in at least a depth dimension that is detectable by the at least two imaging systems;
obtaining a first set of image data of the object of interest using a first imaging system, the first set of image data encompassing the marker, the first set of image data being in a first image coordinate space;
obtaining a second set of image data of the object of interest using a second imaging system, the second set of image data encompassing the marker, the second set of image data being in a second image coordinate space;
obtaining tracking data tracking the same or different marker, using a tracking system, the tracking data being in a tracking coordinate space;
the first image coordinate space, the second image coordinate space and the tracking coordinate space being independent from each other;
performing a transformation mapping to register the first set of image data, the second set of image data and the tracking data to each other by:
mapping the first and second sets of image data to each other based on determination of three-dimensional (3D) position and orientation of the marker in each of the first and second sets of image data; and
mapping the first or second set of image data and the tracking data to each other based on a determination of 3D position and orientation of the same or different marker in each of the tracking data and the first or second set of image data.

US Pat. No. 10,166,078

SYSTEM AND METHOD FOR MAPPING NAVIGATION SPACE TO PATIENT SPACE IN A MEDICAL PROCEDURE

SYNAPTIVE MEDICAL (BARBAD...

1. A method of registering a patient for a medical procedure with a medical navigation system using fiducial markers visible by a three dimensional (3D) scanner of the medical navigation system, the fiducial markers placed on the patient prior to a 3D scan and the fiducial markers each having a target for use with a tracking system of the medical navigation system, the 3D scanner operating in a different coordinate space relative to the tracking system, the method comprising:obtaining 3D scan data from the 3D scanner representative of a 3D scan of at least a portion of the patient, the 3D scan including the fiducial markers visible by the 3D scanner, the 3D scan data being in a 3D scanner coordinate space;
obtaining saved medical image data, the saved medical image data including preoperative image data saved during a previous scan of at least a portion of the patient;
obtaining position data from the tracking system based on the target for each of the fiducial markers, the position data being in a tracking coordinate space independent from the 3D scanner coordinate space;
performing a transformation mapping to create a single unified virtual coordinate space based on the 3D scan data, the position data, and the medical image data, the transformation mapping including: performing a first mapping to map one of the 3D scan data, the position data, and the medical image data to a second of the 3D scan data, the position data, and the medical image data; and
performing a second mapping to map a third of the 3D scan data, the position data, and the medical image data to the first mapping; and
updating registration data of the medical navigation system based on the transformation mapping.

US Pat. No. 10,166,077

METHOD AND SYSTEM FOR IMAGE PROCESSING TO DETERMINE PATIENT-SPECIFIC BLOOD FLOW CHARACTERISTICS

HeartFlow, Inc., Redwood...

1. A method of image processing for non-invasive hemodynamic assessment and electronically displaying treatment planning of a stenosis in an aorta and/or a plurality of adjacent vessels, the method comprising:receiving non-invasively generated estimates of (1) patient-specific lumen anatomy of a patient's aorta and a plurality of adjacent vessels, and (2) patient-specific blood flow rates through the patient's aorta and the plurality of adjacent vessels, from non-invasively produced medical image data of the patient, wherein the aorta and/or the plurality of adjacent vessels exhibit one or more stenoses;
calculating patient-specific inlet and outlet boundary conditions for a computational model of blood flow based on the non-invasively generated estimates;
computing blood flow and pressure over the patient-specific lumen anatomy of the aorta and/or the plurality of adjacent vessels, using the computational model of blood flow and the patient-specific inlet and outlet boundary conditions, wherein computing blood flow and pressure over the patient-specific lumen anatomy of the aorta and/or the plurality of adjacent vessels includes simulating blood flow using a 3D computational fluid dynamics (CFD) simulation;
generating a reduced order patient-specific model of the computed blood flow and pressure over the patient-specific lumen anatomy of the aorta and/or the plurality of adjacent vessels;
enabling a modification of the reduced order patient-specific model to simulate treatment of the stenosis, based on the computed blood flow and pressure over the patient-specific lumen anatomy of the patient's aorta and/or the plurality of adjacent vessels; and
outputting, to an electronic storage medium or display, one or more of the reduced order patient-specific model of the computed blood flow and pressure and the modified reduced order patient-specific model simulating the treatment.

US Pat. No. 10,166,076

REGISTRATION OBJECT, CORRECTION METHOD AND APPARATUS FOR COMPUTED RADIOGRAPHIC TOMOGRAPHY

NIKON METROLOGY NV, Leuv...

1. A method of correcting computed radiographic tomography data, comprising the process of:acquiring data representing a set of radiographic projections of a target object and a registration object including at least part of the target object within the void of the registration object at a series of angles about the predetermined axis;
determining in each projection the positions of registration points defined by the registration object;
comparing stored information about the registration object with the determined positions of the registration points to obtain projection correction information for each projection;
applying the projection correction information to each projection to provide a set of corrected radiographic projections.

US Pat. No. 10,166,075

MINIMALLY INVASIVE SURGICAL INSTRUMENT IMPLEMENTING A MOTOR

MOVASU, INC., Seoul (KR)...

1. A minimally invasive surgical instrument comprising:a shaft;
an end effector being connected to one end of the shaft; and
a handling unit being connected to the other end of the shaft,
wherein the handling unit comprises:
a pair of linear motion members to operate the end effector in one of a pitch direction and a yaw direction;
another pair of linear motion members to operate the end effector in the other of the pitch direction and the yaw direction;
a pair of rotating members to allow the pair of linear motion members to move in opposite directions;
a first spiral part being coupled to one of the pair of rotating members and configured to move one of the pair of linear motion members;
a second spiral part being coupled to the other of the pair of rotating members, configured to move the other of the pair of linear motion members, and having a spiral orientation opposite to that of the first spiral part;
another pair of rotating members to allow the another pair of linear motion members to move in opposite directions;
a driving element to drive the pair of rotating members; and
another driving element to drive the another pair of rotating members,
wherein one of the pair of rotating members and the corresponding one of the pair of linear motion members are connected to each other via the first spiral part, and the other of the pair of rotating members and the other corresponding one of the pair of linear motion members are connected to each other via the second spiral part,
wherein each of the pair of rotating members is connected with a common outer circumference rotating member disposed along an outer circumference of the handling unit,
wherein each of the another pair of rotating members is connected with another common outer circumference rotating member disposed along the outer circumference of the handling unit, and
wherein the common outer circumference rotating member and the another common outer circumference rotating member are capable of rotating independently of each other.

US Pat. No. 10,166,074

PATTY MANAGER AND METHOD

Clear Solutions LLC, Cas...

1. A surgical patty manager for retaining a plurality of surgical patties, comprising:a first tray defining a plurality of dispensing regions, wherein each dispensing region includes a mechanical patty retention element, and wherein each dispensing region includes a dispensing indicia located therein; and
a second tray movably coupled to the first tray, wherein the second tray defines a plurality of recovery regions, wherein each recovery region includes a mechanical patty retention element, and wherein each recovery region includes a recovery indicia located therein, and wherein each recovery region further includes two or more elongated protrusions positioned along intersecting axes around a periphery of each recovery region and extending along a substantial portion of a length of the recovery region and a substantial portion of a width of the recovery region, such that the two or more elongated protrusions define each recovery region;
a string guide disposed about at least a portion of the first tray; and
a protrusion extending partially over a portion of the string guide.

US Pat. No. 10,166,073

CONTROL DATA GENERATION FOR THE EYE-SURGICAL TREATMENT OF DEFECTIVE VISION

Carl Zeiss Meditec AG, J...

1. A method for generating control data, which are adapted to control a laser device emitting laser radiation for surgically correcting defective vision of an eye by surgically altering a shape of an optical component of the eye, the method comprising:specifying a cutting surface, which is curved, has a vertex and a border and which is to be produced in the eye by application of the laser radiation from the laser device to the optical component of the eye for correcting a defective vision;
defining at least one path curve for the control data, along which a focus of the laser radiation is to be shifted by controlling the laser device according to the control data;
selecting the at least one path curve such that at least one path curve lies in the cutting surface or within a tolerance zone around the cutting surface;
further comprising, for the selection of the at least one path curve:
defining a reference plane which is at a predetermined angle to a direction of incidence of the laser radiation and defining various shifting positions between the vertex and the border of the cutting surface for the reference plane;
defining, for each shifting position several axes or semi-axes, which lie in the reference plane, are not parallel to each other and which, when viewed in a projection along a direction of incidence, in the case of axes, intersect and in the case of semi-axes, have at least one common point;
determining, for each shifting position of the reference plane, intersection points of the axes or semi-axes with the cutting surface; and
wherein the at least one path curve is fixed in that the intersection points are connected.

US Pat. No. 10,166,072

SYSTEMS AND METHODS FOR CREATING AN EFFECT USING MICROWAVE ENERGY TO SPECIFIED TISSUE

MIRADRY, INC., Santa Cla...

2. A method of creating a tissue effect in a target tissue layer, comprising the steps of:irradiating the target tissue layer and a first tissue layer through a skin surface with electromagnetic energy having predetermined frequency and electric field characteristics, wherein the first tissue layer is above the target tissue layer, the first tissue layer being adjacent to a surface of the skin; and
generating a power loss density profile, wherein the power loss density profile has a peak power loss density in a region of the target tissue layer.

US Pat. No. 10,166,071

MULTI FREQUENCY AND MULTI POLARITY COMPLEX IMPEDANCE MEASUREMENTS TO ASSESS ABLATION LESIONS

Medtronic Ablation Fronti...

1. A medical system, comprising:a medical device positionable proximate a tissue site, the medical device comprising a plurality of electrodes and a patient return electrode operable to treat the tissue site; and
a control unit in communication with the medical device, the control unit programmed to:
deliver non-ablative radiofrequency energy at a first plurality of frequencies to the target tissue in a unipolar mode and a bipolar mode, wherein in the unipolar mode, the non-ablative radiofrequency energy is delivered between one electrode from the plurality of electrodes and the patient return electrode and in the bipolar mode, the non-ablative radiofrequency energy is delivered between two electrodes of the plurality of electrodes;
receive baseline impedance characteristics at a first plurality of frequencies in both the unipolar and bipolar modes;
deliver radiofrequency energy to the plurality of electrodes to ablate the target tissue;
deliver non-ablative radiofrequency energy at a second plurality of frequencies to the target tissue in both the unipolar and bipolar modes;
receive post-treatment impedance characteristics at the second plurality of frequencies in both the unipolar and bipolar modes;
perform a comparison between the post-treatment impedance characteristics and the baseline impedance characteristics; and
generate an indication of the efficacy of the ablation of the target tissue based at least in part on the comparison between the post-treatment and the baseline impedance characteristics.

US Pat. No. 10,166,070

ELECTROSURGICAL PERICARDIAL PUNCTURE

Baylis Medical Company In...

1. A method of accessing a pericardial cavity of a heart, comprising:(a) advancing a distal end of a puncture device towards the heart from a subxiphoid region of a patient wherein the distal end of the puncture device is atraumatic and comprises an energy delivery device;
(b) positioning the energy delivery device at a target site on a pericardium of the heart using ultrasound for imaging; and
(c) delivering energy from the energy delivery device to a tissue of the target site to create a channel to the pericardial cavity.

US Pat. No. 10,166,069

NEUROMODULATION CATHETERS HAVING JACKETED NEUROMODULATION ELEMENTS AND RELATED DEVICES, SYSTEMS, AND METHODS

Medtronic Ardian Luxembou...

1. A neuromodulation catheter, comprising:an elongate shaft; and
a neuromodulation element operably connected to the shaft via a distal end portion of the shaft, the neuromodulation element being movable from a low-profile delivery state to a radially expanded deployed state, the neuromodulation element including:
a hypotube segment configured to have a first shape when the neuromodulation element is in the delivery state and a second shape when the neuromodulation element is in the deployed state, the second shape being more helical than the first;
a tubular jacket disposed around at least a portion of an outer surface of the hypotube segment, an outer surface of the jacket defining reduced-diameter segments spaced apart along its longitudinal; and
band electrodes respectively seated in the reduced-diameter segments and respectively forming closed loops extending circumferentially around the jacket,
wherein a minimum inner diameter of the band electrodes is smaller than a maximum outer diameter of jacket between the reduced-diameter segments.

US Pat. No. 10,166,068

APPARATUS AND METHODS TO MODULATE BLADDER FUNCTION

Amphora Medical, Inc., M...

1. A method of treating a bladder condition, the method comprising:a) inserting into a bladder a distal portion of an elongate ablation body defining a suction lumen and a pair of needle electrode ports;
b) drawing suction through the suction lumen and a plurality of suction ports defined in a face of the distal portion that is offset from and parallel to a central longitudinal axis at a center of the elongate ablation body, wherein the plurality of suction ports are positioned along a first side of the central longitudinal axis and face toward the central longitudinal axis, and said drawing suction causes the face of the distal portion to engage a mucosa surface of targeted bladder wall tissue within a trigone of the bladder;
c) extending a pair of electrode needles in a distal direction through the pair of needle electrode ports positioned along a second side of the central longitudinal axis that is opposite from the first side of the central longitudinal axis such that the plurality of suction ports face toward the central longitudinal axis and the pair of needle electrodes while the pair of needle electrodes penetrate into the targeted bladder wall tissue and extend generally parallel to the face of the distal portion engaging the mucosa surface of the targeted bladder wall tissue;
d) denervating said targeted bladder wall tissue within the trigone of the bladder using said pair of electrode needles;
e) relocating said pair of electrode needles to a next targeted location within the trigone of the bladder;
f) denervating said next targeted location with said pair of electrode needles; and
g) repeating steps b) through f) until regions of denervated tissue and untreated tissue are created in the bladder.

US Pat. No. 10,166,067

ABLATION CATHETER AND METHOD FOR ELECTICALLY ISOLATING CARDIAC TISSUE

St. Jude Medical, Atrial ...

1. A method for electrically isolating cardiac tissue, comprising the steps of:providing an ablation catheter comprising an elongate member with proximal and distal ends, wherein the distal end comprises a plurality of electrodes and is configured to apply a high energy electrical shock of between 200 and 500 Joule across a plurality of locations along the length of said distal end, the high energy electrical shock distributed across the plurality of locations along the length, and wherein said distal end is curved and each of the plurality of electrodes delivers a shock sufficient for ablation of cardiac tissue;
advancing the ablation catheter to the cardiac tissue;
contacting the distal end with the cardiac tissue;
monitoring a heart rhythm and applying the high energy electrical shock in dependence of said heart rhythm, wherein the high energy electrical shock is applied at a predetermined time in the heart rhythm on or before the QRS-complex of the heart rhythm and outside of vulnerable phases of both atria and ventricles of the cardiac tissue, and;
applying the high energy electrical shock during a predetermined period of time less than 10 ms from each of the plurality of locations along said length of the distal end to the cardiac tissue.

US Pat. No. 10,166,066

EPICARDIAL ABLATION CATHETER AND METHOD OF USE

University of Virginia Pa...

1. An ablation catheter system for ablation of epicardial tissue of a heart of a subject, said ablation catheter system comprising:an ablation catheter, said ablation catheter comprising a distal end, a proximal end, and a longitudinal wall there between;
a plurality of electrodes in communication with said ablation catheter;
a catheter steering mechanism configured to orient said ablation catheter about the heart;
a catheter control device, wherein said catheter control device is configured to manipulate said catheter steering mechanism;
one or more distal irrigation apertures at said distal end of said ablation catheter, said one or more distal irrigation apertures are in communication with one or more irrigation lumens extending longitudinally toward said proximal end of said ablation catheter;
one or more distal suction apertures at said distal end of the ablation catheter, said one or more distal suction apertures are in communication with one or more suction lumens extending longitudinally toward said proximal end of said ablation catheter;
a sheath, said sheath comprising a distal end, a proximal end, and a longitudinal wall there between, and wherein said sheath is adapted for receiving said ablation catheter therein;
a sheath steering mechanism configured to orient said sheath about the heart; and
a sheath control device, wherein said sheath control device is configured to manipulate said sheath steering mechanism;
wherein, said plurality of electrodes comprise at least one of:
an anode and a cathode,
a plurality of electrodes arranged in a circumferential array around said distal end of said ablation catheter, and
a plurality of electrodes longitudinally separated on said distal end of said ablation catheter, and
wherein, at least one of said one or more distal irrigation apertures or said one or more distal suction apertures comprises a plurality of apertures arranged in a circumferential array around the distal end of the ablation catheter.

US Pat. No. 10,166,065

DEVICES AND METHODS FOR CLAMPING AND CUTTING TISSUE

Ethicon LLC, Guaynabo, P...

1. A surgical device, comprising:a proximal handle portion including a stationary handle, a first movable handle, and a second movable handle, the second movable handle being locked to the first movable handle during a first phase of travel from a first initial position to a second, intermediate position such that the first and second movable handles move together as a unit toward the stationary handle during the first phase of travel, the second movable handle being unlocked from the first movable handle during a second phase of travel from the second position to a third, final position;
an elongate shaft extending distally from the handle portion;
first and second jaws at a distal end of the elongate shaft, the first and second jaws being configured for relative movement between an open position and a closed position, the first and second jaws being configured to move from the open position to the closed position during the first phase of travel; and
a cutting element configured to move through the first and second jaws so as to cut tissue engaged by the first and second jaws in response to the second movable handle moving toward the stationary handle during the second phase of travel.

US Pat. No. 10,166,064

LOW-POWER TISSUE SEALING DEVICE AND METHOD

Just Right Surgical, LLC,...

1. A surgical system for fusing tissue, the surgical system comprising:an electrosurgical generator capable of delivering electrosurgical power;
a surgical instrument electrically connected to the electrosurgical generator and adapted to transfer the electrosurgical power from the electrosurgical generator to a distal end of the surgical instrument, wherein the distal end of the surgical instrument has a pair of end effectors; and
a power control circuit configured to control the delivery of radio frequency energy to the tissue disposed between the pair of end effectors;
wherein the power control circuit is further configured to: deliver the radio frequency energy at a non-pulsing power to the tissue for a period of time of 3 seconds or less, wherein the period of time is measured from the beginning of the application of the non-pulsing power and continues through fusing of the tissue, wherein the output current is held under 2 Amperes RMS, and the output voltage is held under 100 Volts RMS, the non-pulsing power further applying a current density of 0.1 Amperes per square millimeter or less to the tissue, the non-pulsing power further causing the tissue to begin to desiccate and to fuse within the period of time.

US Pat. No. 10,166,063

DEVICE FOR DETECTING METAL WHEN BIOLOGICAL TISSUE IS ACTED ON BY MEANS OF A SPARKING ELECTROSURGICAL INSTRUMENT

ERBE ELEKTROMEDIZIN GMBH,...

1. A device for detecting metal when biological tissue is acted on by means of a sparking electrosurgical instrument, the device comprising:a measuring device for measuring a voltage provided by a generator for operation of the instrument and measuring a current delivered from the generator to the instrument; and
a metal detector configured to decide, on the basis of the current and the voltage, whether a spark originating from the instrument contacts biological tissue or a metal part, the metal detector comprising:
an analysis device for determining a resistance characteristic variable dependent on a tissue resistance and a spark characteristic variable dependent on a spark size; and
a comparator for comparing the resistance characteristic variable with a resistance threshold value and the spark characteristic variable with a spark size threshold value, wherein the comparator is configured to indicate contact of metal by the spark originating from the instrument when the resistance characteristic variable falls below the resistance threshold value and the spark characteristic variable exceeds the spark size threshold value.

US Pat. No. 10,166,062

HIGH-RESOLUTION MAPPING OF TISSUE WITH PACING

EPiX Therapeutics, Inc., ...

1. A system for delivering ablative energy to targeted cardiac tissue of a subject and for confirming successful ablation of said targeted cardiac tissue, comprising:a catheter comprising a high-resolution electrode along a distal end of the catheter;
an energy delivery module comprising a processor, the energy delivery module being configured to operatively couple to the catheter, wherein the energy delivery module is configured to energize the high-resolution electrode to deliver the ablative energy to the targeted cardiac tissue adjacent the high-resolution electrode; and
a pacemaker, wherein the pacemaker is integral to the energy delivery module;
wherein the system is configured to detect a signal relating to a localized heart rate at the high-resolution electrode via the high-resolution electrode;
wherein the energy delivery module is configured to selectively pace cardiac the targeted tissue in order to attain capture of the heart of the subject;
wherein the system is configured, via a predetermined pacing signal provided to the catheter by the pacemaker, to increase the heart rate of the subject from a baseline level to an elevated level, the predetermined pacing signal comprising a pacing level greater than a pre-ablation pacing threshold level;
wherein the processor is configured to terminate the energization of the high-resolution electrode after loss of capture of the heart of the subject; and
wherein the high-resolution electrode comprises a distal portion and a proximal portion, the distal and proximal portions of the high-resolution electrode being operatively coupled to each other using at least one filtering element and wherein the distal and proximal portions function as a single electrode when the ablative energy is delivered by the high-resolution electrode to the targeted cardiac tissue, wherein the filtering element comprises a capacitor configured to energize both the proximal and distal portions when the ablative energy is delivered by the high-resolution electrode to the targeted cardiac tissue, wherein the predetermined pacing signal is configured to be delivered via the distal and proximal portions of the high-resolution electrode.

US Pat. No. 10,166,061

TELEOPERATED SURGICAL SYSTEM EQUIPMENT WITH USER INTERFACE

INTUITIVE SURGICAL OPERAT...

1. A flux supply unit for supplying a flux to a plurality of surgical instruments, the flux supply unit comprising:a user control interface comprising:
a plurality of connectors to supply flux to the surgical instruments when the surgical instruments are operationally coupled to respective connectors; and
a display screen comprising a plurality of graphical display screen sections and controls for surgical instruments operationally coupled to the plurality of connectors, wherein:
the plurality of graphical display screen sections and the controls are visible together on the display screen;
the plurality of graphical display screen sections comprise controls for different types of surgical instruments;
the plurality of graphical display screen sections are visually coupled to the plurality of connectors by an arrangement of the plurality of connectors relative to respective graphical display screen sections to indicate respective associations of the graphical display screen sections with the connectors; and
at least one graphical display screen section includes a system installation indicator comprising a first indicator to indicate that an electrosurgical instrument operationally coupled to one connector that is visually coupled to the at least one graphical display screen section is mounted to a teleoperated surgical system, and a second indicator to indicate to which arm of a plurality of arms of the teleoperated surgical system the electrosurgical instrument is mounted.

US Pat. No. 10,166,060

SURGICAL INSTRUMENTS COMPRISING A TRIGGER ASSEMBLY

Ethicon LLC, Guaynabo, P...

1. A surgical instrument, comprising:an end effector, comprising:
a jaw movable between an open position and a closed position; and
a cutting element movable relative to the jaw;
a shaft; and
a handle, wherein the shaft is positioned intermediate the handle and the end effector, and wherein the handle comprises a trigger assembly, comprising:
a first trigger comprising a first pivot portion and a first arm extending from the first pivot portion, wherein the first trigger is movable from an initial position to a final position; and
a second trigger comprising a second pivot portion and a second arm extending from the second pivot portion, wherein the first trigger and the second trigger form a nested unit when the first trigger is in the initial position and are movable as the nested unit during a first actuation of the trigger assembly in which the first trigger moves from the initial position to the final position to affect a first surgical function, wherein a nestable portion of the first arm is nested within the second arm when the first trigger and the second trigger form the nested unit, wherein the second trigger is movable away from the first trigger to unnest the nestable portion of the first arm from the second arm after the first actuation of the trigger assembly and before a second actuation of the trigger assembly, wherein the second trigger is movable toward the first trigger during the second actuation of the trigger assembly to affect a second surgical function, and wherein the second surgical function is different than the first surgical function.

US Pat. No. 10,166,059

TREATMENT INSTRUMENT

OLYMPUS CORPORATION, Tok...

1. A treatment instrument comprising:a sheath that defines a longitudinal axis by a distal end and a proximal end;
a first treatment section that includes:
a first body including a first contact surface having conductivity, the first body crossing the longitudinal axis and being configured to contact a living tissue, and the first body having a first electrical insulation section having electrical insulation properties, and
a second body including a second contact surface opposed to the first contact surface on a proximal side with respect to the first contact surface and configured to contact the living tissue,
the first treatment section being configured to apply energy to the living tissue held between the first contact surface and the second contact surface to coagulate the living tissue;
a movement mechanism that is configured to move at least one of the first body and the second body along the longitudinal axis, to switch between:
a closed position in which the first contact surface and the second contact surface are close to each other, and
an opened position in which the first contact surface and the second contact surface are distant from each other; and
a second treatment section that has conductivity, the second treatment section projecting from a back surface of the first contact surface of the first body and extending along the longitudinal axis, and the second treatment section being configured to apply energy to the living tissue to incise or separate the living tissue,
wherein the first electrical insulation section is provided between the first contact surface and the second treatment section.

US Pat. No. 10,166,058

ACTION/COUNTERACTION SUPERIMPOSED DOUBLE CHAMBER BROAD AREA TISSUE ABLATION DEVICE

Corfigo, Inc., Montclair...

1. A cryoablation device for ablating an exterior surface of an internal organ, the device comprising an ablation body comprising:(a) a cryoablation surface defining a portion of a cryoablation compartment;
(b) an insulation surface defining a portion of an insulation compartment disposed adjacent to the cryoablation compartment;
(c) a collapsed configuration wherein the ablation body comprises a collapsed size and shape such that the ablation body can be deployed via a minimally invasive procedure;
(d) an expanded deployment configuration wherein
(i) the cryoablation surface is a substantially flat and quadrilateral shape and is sized and shaped in the expanded deployment configuration to contact a large planar area of the exterior surface of the internal organ of a patient; and
(ii) the insulation compartment comprises an inflated configuration wherein the insulation compartment contains an increased amount of an insulation fluid,
wherein each of the cryoablation surface and the insulation surface has a surface area of at least six cm2 in the expanded deployment configuration;
(e) an ablation fluid delivery line in fluidic communication with the cryoablation compartment and coupled to a first side of the ablation body; and
(f) an ablation fluid removal line in fluidic communication with the cryoablation compartment and coupled to the first side of the ablation body,
wherein the ablation fluid delivery line is constructed and arranged to deliver an ablation fluid and the ablation fluid removal line is constructed and arranged to remove the ablation fluid such that the ablation fluid is continuously shuttled through the cryoablation compartment,
wherein the insulation surface is disposed on an opposite side of the ablation body in relation to the cryoablation surface, and
wherein the insulation compartment is configured to insulate surrounding tissues from the cryoablation compartment.

US Pat. No. 10,166,057

STORAGE AND MIXING SYSTEM WITH COMPRESSIBLE INTERNAL CARTRIDGE FOR PASTY STARTING COMPONENTS

HERAEUS MEDICAL GMBH, We...

1. A storage and mixing system for pasty multicomponent polymethylmethacrylate bone cements, the storage and mixing system comprisinga first tubular cartridge with a first internal space, whereby a first starting component of a multicomponent bone cement is contained in the first internal space;
a first dispensing plunger that is arranged in the first internal space of the first cartridge such as to be axially mobile and that is provided for expelling the first starting component from the first cartridge through an opening in a cartridge head of the first cartridge that is opposite from the first dispensing plunger;
a second tubular cartridge that is arranged within the first tubular cartridge, whereby an external wall of the second cartridge touches against an internal wall of the first cartridge and is attached to the internal wall of the first cartridge, whereby the second cartridge contains a second starting component of the multicomponent bone cement and has a second dispensing plunger arranged therein, whereby the second dispensing plunger is movable to expel the second starting component from the second cartridge through an opposite opening in the second cartridge in a region of the cartridge head of the first cartridge; and
a pressing device arranged with a clamping edge for compressing the second cartridge that can be propelled axially in the first internal space of the first cartridge, as seen from the cartridge head, behind the first dispensing plunger and the second dispensing plunger,
wherein the pressing device is propellable appropriately in a direction of the cartridge head such that the second cartridge is being progressively compressed axially during the motion of the pressing device such that, in the process, the first dispensing plunger and the second dispensing plunger are propelled in the direction of the cartridge head,
wherein the camping edge, by squeezing the second cartridge, presses a deformed wall of the second cartridge against an underside of the second dispensing plunger and thus pushes the second dispensing plunger in the direction of the cartridge head while the pressing device is being propelled in the direction of the cartridge head.

US Pat. No. 10,166,056

METHOD AND APPARATUS FOR SACROILIAC JOINT FIXATION

DePuy Synthes Products, I...

1. A bone fixation device, comprising:an elongate body, having a proximal end and a distal end;
a distal anchor on the distal end, the distal anchor defining a plurality of slits and configured to purchase with bone;
a retention structure on the elongate body, proximal to the distal anchor;
a proximal anchor, moveably carried by the elongate body;
at least one complementary retention structure on the proximal anchor configured to permit proximal movement of the elongate body with respect to the proximal anchor but to resist distal movement of the elongate body with respect the proximal anchor; and
an inner member disposed within the elongate body, the inner member comprising a distal end configured to abut the distal anchor when proximally retracted,
wherein the distal anchor is configured to flare outwardly upon proximal movement of the inner member so as to further purchase with the bone, and the outwardly flared portion of the distal anchor defines an internal space, and
wherein the inner member defines a lumen extending from a proximal end of the inner member to the distal end of the inner member, the lumen being open to the internal space when the inner member is proximally retracted.

US Pat. No. 10,166,055

METHOD AND APPARATUS FOR BONE FIXATION

Biomet C.V., Warsaw, IN ...

1. A fastener assembly for use with fracture fixation, comprising:a cannulated proximal fastener member having a proximal fastener head configured to be seated on an exterior side of a bone, an opposed distal end and an internal wall defining an internal keyed anti-rotation feature and having an exterior wall defining a diameter, wherein a diameter of the head is larger than the diameter of the exterior wall such that the head has a lower surface configured to be seated against an exterior bone surface or a bone plate;
a distinct distal fastener member having a proximal end defining an internal bore and an external keyed anti-rotation feature, and a distal end defining a bone anchor; and
a distinct internal fastener member configured to be positioned in the proximal fastener member and threadably coupled to the distal fastener member such that the proximal end of the distal fastener member is telescopically received in the distal end of the proximal fastener member;
wherein rotation of the internal fastener member in a first rotational direction telescopically retracts the distal fastener member into the proximal fastener member so as to be adapted to compress a bone fracture, and rotation of the internal fastener member in a second opposite rotational direction extends the distal fastener member relative to the proximal fastener member,
and further comprising a retention arrangement including one or more pins mounted to the proximal fastener member that engage a groove around a head of the internal fastener member and are configured to prevent axial movement of the internal fastener member relative to the proximal fastener member while allowing relative rotational movement of the internal fastener member.

US Pat. No. 10,166,054

BONE FIXATION SYSTEM

DePuy Synthes Products, I...

1. A bone fixation linkage, comprising:a plurality of interconnected links each defining a first end configured to face a bone to which the bone fixation linkage is configured to be attached, and a second end opposite the first end,
at least a first link of the plurality of interconnected links including a first insertion member, a first receptacle member, and a first neck that extends from the first insertion member to the first receptacle member; and
at least a second link of the plurality of interconnected links including a second insertion member, and a second receptacle member, the second receptacle member defining first and second arms and a channel that separates the first and second arms,
wherein 1) each of the first and second insertion members includes a first interior surface that defines a fixation hole and a first outer surface that is opposite the first interior surface, and each of the first and second receptacle members includes a second interior surface that defines a receptacle, 2) the first insertion member of the first link is configured to be captured by the second interior surface of the second link such that the neck of the first link extends through the channel of the second link and the first and second links are configured to angulate polyaxially with respect to each other about at least two different axes, and 3) the first outer surface of the first link is configured to move with respect to the second interior surface of the second link as the first and second links angulate with respect to each other about the at least two different axes.

US Pat. No. 10,166,053

DISTRACTOR WITH BIDIRECTIONAL ROTATION CONTROL

Stryker European Holdings...

1. An internal mandibular distractor comprising:a housing elongated in a longitudinal direction;
at least one distal attachment plate attached to the housing, wherein the distal attachment plate is configured to be attached to a first bone surface;
a drive rod arranged inside the housing and elongated in the longitudinal direction, the drive rod having a proximal end portion having a receptacle provided therein;
at least one proximal attachment plate that is configured to be driven by the drive rod to move in the longitudinal direction, the at least one proximal attachment plate configured to be attached to a second bone surface, wherein the drive rod comprises a proximal end portion that is configured to be rotated to drive the at least one proximal attachment plate in the longitudinal direction;
at least one housing engaging portion provided to the housing; and
at least one drive rod engaging portion provided to the drive rod;
wherein the at least one housing engaging portion and the at least one drive rod engaging portion are configured to:
be engaged in a first relative position of the housing and the drive rod so as to prevent relative rotation in both a first and a second direction of rotation between the drive rod and the housing caused by a force acting on the drive rod or the housing that is less than a predetermined force, and
be moved out of engagement by driving the drive rod in either a first or a second direction of rotation of the drive rod with a force equal to or greater than the predetermined force to a second relative position;
wherein the housing engaging portion comprises at least one of at least one recess and at least one hole configured to engage the drive rod engaging portion; and
wherein the drive rod engaging portion comprises a protruding member configured to protrude in a direction to engage the at least one of the at least one recess and at least one hole and to be moved out of engagement with the at least one of the at least one recess and the at least one hole when the predetermined force is applied to rotate the drive rod with respect to the housing, the protruding member being provided in the receptacle of the drive rod proximal end portion and extends outwardly from the receptacle into the at least one of the at least one recess and the at least one hole of the housing engaging portion in the engaged position.

US Pat. No. 10,166,052

BONE PLATE WITH POLYAXIAL LOCKING MECHANISM

Stryker European Holdings...

1. A bone plate comprising:a first surface and a second surface opposite to the first surface;
a deformable contact region comprising a contact surface; and
a through hole defining a through hole axis and an inner surface of the bone plate and extending from the first surface through the bone plate to the second surface,
wherein the contact surface is formed by at least part of the inner surface,
wherein the deformable contact region comprises a plurality of cavities at least partially surrounding the through hole and each substantially extending in a height direction of the bone plate, and
wherein at least one cavity of the plurality of the cavities is spaced radially from another cavity of the plurality of cavities in a direction away from the through hole axis of the bone plate.

US Pat. No. 10,166,051

BONE PLATE SYSTEM

Pioneer Surgical Technolo...

1. A bone plate system comprising:a bone plate;
a throughbore of the bone plate;
a bone anchor having an enlarged head and a shank depending therefrom, the bone anchor having a longitudinal axis extending between the head and the shank, the head including a rotary drive structure and an upwardly facing surface extending around the rotary drive structure;
a wall of the bone plate extending about the throughbore for supporting the bone anchor head in the throughbore, the bone plate wall and the bone anchor head configured to permit the bone anchor to be inserted into and extend obliquely in the throughbore with a raised portion of the upwardly facing surface of the bone anchor head at one side of the throughbore and a lowered portion of the upwardly facing surface of the bone anchor head at or adjacent an opposite side of the throughbore;
a resilient retainer disposed in the throughbore;
bone plate engaging portions of the resilient retainer secured to the bone plate at the opposite sides of the throughbore;
a pair of elongate arm portions of the resilient retainer connecting the bone plate engaging portions and extending in the throughbore spaced apart from each other, the elongate arm portions being configured to allow the raised portion of the upwardly facing surface of the bone anchor head at the one side of the throughbore to be above the bone plate engaging portion at the one side of the throughbore with the bone anchor head seated in the throughbore;
interference portions of the elongate arm portions extending in the throughbore intermediate the bone plate engaging portions and being configured to allow the interference portions to be above the lowered portion of the upwardly facing surface of the bone anchor head so that the interference portions are in interference with the lowered portion of the upwardly facing surface of the bone anchor head to resist back-out of the bone anchor from the throughbore; and
the bone anchor head and the retainer interference portions are configured so that no portion of the bone anchor head extends laterally over the retainer interference portions with the bone anchor inserted into and extending obliquely in the throughbore and the interference portions extending above the lowered portion of the upwardly facing surface of the bone anchor head.

US Pat. No. 10,166,050

INSTRUMENT FOR CONNECTING A CORRECTION ROD TO A BONE SCREW

SILONY MEDICAL INTERNATIO...

1. Instrument for connecting a correction rod to a bone screw, said instrument having an axial longitudinal direction and comprising an external first housing part, which comprises a cylindrical hollow portion having an internal thread and a portion that is approximately the shape of a half-shell and that forms a first clamp leg, said instrument comprising an external second housing part, which is approximately the shape of a half-shell and forms a second clamp leg that is hinged on the first clamp leg so as to be pivotable in a limited manner about a pivot axis that extends orthogonally to the axial longitudinal direction, and said instrument comprising an adjustment part, which axially penetrates the external housing parts and is thus internal, and which comprises an external thread on one portion and can thus be screwed into the internal thread of the external first housing part, a proximal end of the adjustment part being manually graspable from outside the housing parts for this purpose, and said instrument comprising a rod pressure part, which can be axially placed against the correction rod and which is axially coupled to the adjustment part but can rotate about the axial longitudinal direction relative to the adjustment part, such that rotational movements of the adjustment part are not transmitted to the rod pressure part, and the clamp legs surrounding the rod pressure part in a shell-like manner and guiding same in a longitudinally slidable manner, said clamp legs each comprising a distal end and a proximal end, the relevant distal end engaging on the bone screw and the proximal end being actuatable by finger pressure of the operating surgeon, characterized in that the distal ends of the two clamp legs are designed such that they comprise an accommodation opening having a radial transverse direction for accommodating the correction rod in said radial transverse direction, and in that said radial transverse direction extends orthogonally to the pivot axis of the clamp legs, further characterized in that, in a pivot joint for the two clamp legs, at least one joint pin projects radially inwards and the inner end thereof engages in a guide groove that extends in the axial longitudinal direction on a radial outer face of the rod pressure part and thus secures same against rotation but guides same in a longitudinally slidable manner in the longitudinal direction.

US Pat. No. 10,166,049

TOOL SYSTEM FOR DYNAMIC SPINAL IMPLANTS

1. An implant assembly comprising:a receiver for a bone anchor comprising:
a pair of upstanding arms forming a rod-receiving channel therebetween, each arm having an outwardly facing tool attachment structure including a horizontally extending groove forming a downwardly facing surface; and
a tool coupleable to the receiver, the tool comprising:
a pair of discrete elongated members spaced apart from each other and independently manipulatable with respect to one another, and a stabilizer attachable to each of the elongate members at a location spaced from the receiver,
wherein each elongate member comprises a plurality of lock pins extending from its respective top, the stabilizer defining apertures for receiving the lock pins, and wherein each elongated member includes an inwardly facing receiver attachment structure positioned near a lower portion thereof and is independently vertically slidable with respect to the other elongated member to matingly engage the inward facing receiver attachment structure with a respective horizontally extending groove of the receiver.

US Pat. No. 10,166,048

TRANSLATIONAL INSTRUMENTATION FOR SPONDYLOLISTHESIS AND SCOLIOSIS REDUCTION

Tenzin LLC, Chestnut Hil...

1. A vertebral endplate spreader device comprising:a vertebral endplate spreader including:
a linkage with a drive sprocket operatively connected for rotation relative thereto, and with a secondary sprocket operatively connected for rotation relative to the linkage;
a belt operatively connected to the drive sprocket and the secondary sprocket to be driven about a belt axis, wherein the secondary sprocket includes a constant diameter and is in direct abutment with the belt; and
a driver handle having a distal end and a proximal end, wherein the distal end is operatively connected to the drive sprocket to actuate rotation of the belt.

US Pat. No. 10,166,047

INTERSPINOUS SPACER

VertiFlex, Inc., Carlsba...

1. An insertion instrument configured for delivering a spacer to an interspinous process space of a patient and deploying the spacer from an undeployed configuration to at least one deployed configuration to relieve pain; the spacer including a body, at least one arm connected to and movable with respect to the body and a spacer actuator having a proximal end and a distal end disposed at least partially inside the body that is configured to move the at least one arm from an undeployed configuration to at least one deployed configuration; the insertion instrument comprising:a handle assembly;
a first assembly connected to the handle assembly, the first assembly being configured to connect to the body of the spacer at the distal end of the insertion instrument, the first assembly having a first control at the handle assembly configured to connect and release the body of the spacer and the first assembly;
a second assembly connected to the handle assembly, the second assembly being configured to connect to the proximal end of the actuator of the spacer at the distal end of the insertion instrument, the second assembly having a second control at the handle assembly configured to connect and release the actuator and the second assembly; and
a third assembly connected to the handle assembly; the third assembly being configured to move the second assembly relative to the body of the spacer for arranging the spacer from an undeployed configuration to at least one deployed configuration.

US Pat. No. 10,166,046

IMPLANT FOR IMMOBILIZING CERVICAL VERTEBRAE

Life Spine, Inc., Huntle...

1. An implant for immobilizing a first vertebra relative to a second vertebra, the implant comprising:a first component having a hook for attachment to a posterior arch of the first vertebra, a right wing, a left wing, a right element holder situated on the right wing, and a left element holder situated on the left wing, the right element holder free to translate laterally along the right wing and translate rotationally with respect to the right wing, the left element holder free to translate laterally along the left wing and translate rotationally with respect to the left wing;
a second component having a body configured to abut the second vertebra, a first rod holder extending from the body, and a first post extending from the body and configured to be received in the right element holder of the first component;
a third component having a body configured to abut the second vertebra of the spine, a second rod holder extending from the body, and a second post extending from the body and configured to be received in the left element holder of the first component; and
a rod configured to be received in and extend between the first rod holder of the second component and the second rod holder of the third component.

US Pat. No. 10,166,045

ORTHOPEDIC EXTERNAL FIXATION DEVICE

Fixx Orthopedics, LLC, M...

1. A pin assembly for an orthopedic external fixation device, wherein the pin assembly is configured to engage a bone fragment, the pin assembly comprising:(i) a screw portion having a distal end configured to engage the bone fragment and a proximal end, wherein the screw portion includes an unthreaded portion between the distal end and the proximal end, and wherein the unthreaded portion includes a cutting section with one or more cutting edges; and
(ii) a support sheath portion having an elongated channel with a proximal end and a distal end, wherein the distal end of the elongated channel is configured to engage the bone fragment, wherein the proximal end of the screw portion is disposed in the elongated channel, and wherein the distal end of the elongated channel has a tapered leading edge; and
(iii) multiple elongated blades mounted to the distal end of the elongated channel such that the multiple elongated blades run lengthwise along an outer surface of the elongated channel, wherein the multiple elongated blades are configured to engage the bone fragment.

US Pat. No. 10,166,044

APPARATUS FOR REPOSITIONING THE VAGINA, CERVIX, UTERUS AND PELVIC FLOOR AND METHOD TO SECURE SAME

FRESHWATER BAY INDUSTRIES...

1. An apparatus comprising:a vaginal manipulator probe that includes a substantially rigid arcuate body portion including a substantially cylindrical or oval proximal portion and a blade-like distal portion that includes a recess configured to receive at least a portion of a cervix and that is curved along its long axis, the substantially rigid body portion being at least partially insertable into a vagina of a patient;
a disk rotatably coupled with the substantially rigid arcuate body portion of the vaginal manipulator probe and adjustable to one or more positions along a length of the substantially rigid arcuate body portion, the disk configured to rest against a perineal body of the patient when the substantially rigid arcuate body portion of the vaginal manipulator probe is inserted into the vagina of the patient to form a substantially fluid-tight seal against the patient, the disk also configured to set vaginal insertion depth of the substantially rigid arcuate body portion of the vaginal manipulator probe and allow rotation of the vaginal manipulator probe while maintaining the vaginal insertion depth; and
a handle portion operably coupled to the substantially rigid arcuate body portion of the vaginal manipulator probe that is configured to be external to the patient when the substantially rigid arcuate body portion of the vaginal manipulator probe is at least partially inserted into the vagina of the patient.

US Pat. No. 10,166,043

SUPPORT APPARATUS FOR SURGICAL TUBE

Surgical Stabilization Te...

1. A support apparatus for use with a tubular device which extends through a body wall of a patient for supporting the tubular device in fixed position, the support apparatus comprising:an annular expandable member for extending around the tubular device, said annular expandable member being movable in an expansion movement from a collapsed condition radially outwardly of the tubular device to an expanded condition;
an annular abutment collar arranged to be mounted on the tubular device;
the annular abutment collar being arranged for adjustable movement longitudinally of the tubular device and relative to the annular expandable member so as to be located at a selected position to hold the body wall between the annular abutment collar and the said annular expandable member;
a clamp for locating the annular abutment collar on the tubular device at the selected position;
said annular expandable member being arranged while in said collapsed condition to be inserted through an incision in the body wall and expanded when inserted to engage an inside surface of the body wall;
and a manually operable device for causing said movement of the annular expandable member between the collapsed condition and the expanded condition;
a connector member extending from the manually operable device to the expandable member for causing the movement;
said manually operable device being permanently mounted on the annular abutment collar as a component thereof for said adjustable movement therewith.

US Pat. No. 10,166,042

SURGICAL SYSTEM

OLYMPUS CORPORATION, Tok...

1. A surgical system for treating cartilage by melting by friction heat, the system comprising:an output unit configured to generate a driving power;
a transducer connected to the output unit, and configured to convert the driving power into ultrasonic vibration;
a probe connected to the transducer, and configured to transmit the ultrasonic vibration;
an excision unit provided in the probe, the excision unit configured to be in contact with a predetermined portion of the cartilage, to heat the predetermined portion of the cartilage by ultrasonic vibration converted based on the driving power, and to melt and excise the cartilage by receiving pressure by an operator while being in contact with the cartilage; and
a controller configured to control the driving power output from the output unit so that the predetermined portion of the cartilage is heating to a temperature of 120° C. or higher within 2.2 seconds, and a temperature of the predetermined portion of the cartilage is maintained to be at 120° C. or higher.

US Pat. No. 10,166,041

DEVICES, SYSTEMS, METHODS AND KITS FOR PERFORMING SELECTIVE DISSECTION OF LUNG TISSUE

PneumRx, Inc., Santa Cla...

1. A surgical instrument for separating lung tissue away from structures in a lung comprising:an elongated housing having a longitudinal axis, a forward portion and a rearward portion;
a source of work energy in the rearward portion connected to a drive mechanism in the elongated housing;
a dissecting member operatively connected to the drive mechanism;
a pivot pin;
a coupler pin;
a pull rod; and
a dissector housing operatively coupled with the pull rod via the coupler pin, wherein the dissector housing pivots about the pivot pin;
wherein the drive mechanism moves the dissecting member side to side while the dissector housing is configured to hold the lung tissue from moving so as to maximize relative motion between the dissecting member and the lung tissue,
wherein relative motion between the dissecting member and the dissector housing operates to pull apart the lung tissue without cutting into the structures in the lung,
wherein the dissector housing and the dissecting member are coupled such that a pivoting movement in the dissector housing relative to the elongated housing causes a corresponding pivoting movement in the dissecting member relative to the elongated housing, and
wherein a pivot angle between the elongated housing and the dissector housing can be adjustably controlled, thereby projecting the dissecting member in different trajectories relative to the elongated housing.

US Pat. No. 10,166,040

ORGAN RESECTION TOOL

National University Corpo...

1. An organ resection tool, comprising:a first brush-like structure connected to a central conductor;
a second brush-like structure directly physically connected to an external conductor and not connected to the central conductor;
wherein the first brush-like structure is capable of radiating microwaves generated by a microwave oscillator and the second brush-like structure is capable of receiving the microwaves simultaneously, wherein the microwaves radiate within a microwave irradiation range;
wherein the microwaves generated by the microwave oscillator are transmittable to the first brush-like structure via the central conductor, the first brush-like structure is capable of radiating the microwaves within the microwave irradiation range, the second brush-like structure is capable of receiving the microwaves if the microwaves are within the microwave irradiation range and transferring the microwaves to the external conductor;
wherein the second brush-like structure comprises a plurality of brush units which each radiate outward to a tip portion of the organ resection tool;
wherein at least one from the group consisting of the first brush-like structure and the second brush-like structure has a stiffness and elasticity capable of scraping an organ and applying a pressure to living tissue when brought into contact with the living tissue.

US Pat. No. 10,166,039

VIEWING TROCAR

Sanovas Intellectual Prop...

1. A viewing trocar assembly, comprising:a tubular body having a proximal end and a distal end, and an opening provided at the distal end;
at least one imaging device positioned on an outer circumferential surface of said tubular body adjacent the distal end; and
an outer housing positioned over said tubular body and axially moveable relative thereto, said outer housing moveable between an inactivated position, in which said housing covers said at least one imaging device and biases said at least one imaging device toward said tubular body, and an activated position, in which said outer housing does not cover said at least one imaging device;
wherein said at least one imaging device is positioned outside of said tubular body adjacent to the outer circumferential surface of said tubular body when said housing is in the inactivated position, and wherein said at least one imaging device is extended further away from the outer circumferential surface of said tubular body when said outer housing is in the activated position than when in the inactivated position.

US Pat. No. 10,166,037

SURGICAL TOOL, MICRO-SURGICAL INSTRUMENT AND ACTUATION METHOD FOR BOTH

1. A surgical tool, comprising:a proximal coupling portion from which two hydraulically actuatable, pivotally connected members extend, each pivotally connected member having an active portion and a guide portion;
wherein the pivotally connected members form a boundary for at least a part of a fluid-tight, fluid-fillable cavity, such that a pivot position of the pivotally connected members is adjustable via a change in a volume of a fluid in the fluid-fillable cavity;
wherein the coupling portion comprises a tool housing which houses the guide portions of the pivotally connected members in a recess of the tool housing; and
wherein a hydraulic connection is disposed in the tool housing such that the tool housing and the pivotally connected members form the fluid-fillable cavity said fluid-fillable cavity is fluidically connected with the hydraulic connection.

US Pat. No. 10,166,036

VARIABLE SUCTION CONTROL

Gyrus ACMI, Inc., Southb...

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

US Pat. No. 10,166,035

ENDOVASCULAR DEVICES AND METHODS FOR EXPLOITING INTRAMURAL SPACE

BRIDGEPOINT MEDICAL, INC....

1. A method of bypassing an occlusion disposed in a lumen of a vessel having a vascular wall, the method comprising:inserting a distal end of an elongate shaft of an intravascular device into the lumen proximal of the occlusion;
entering the vascular wall of the vessel with the distal end of the elongate shaft of the intravascular device at a location proximal of the occlusion;
advancing the distal end of the elongate shaft between first and second tissue layers of the vascular wall to a location distal of the occlusion;
advancing a re-entry device through the elongate shaft of the intravascular device, the re-entry device having a tissue penetrating distal tip;
penetrating the first tissue layer of the vascular wall with the tissue penetrating distal tip of the re-entry device such that the tissue-penetrating distal tip enters the lumen of the vessel distal of the occlusion; and
thereafter, advancing the distal end of the elongate shaft of the intravascular device from the vascular wall into the lumen of the vessel distal of the occlusion such that the elongate shaft of the intravascular device extends from the lumen of the vessel proximal of the occlusion, through a subintimal space between the first and second tissue layers along the occlusion, to the lumen of the vessel distal of the occlusion.

US Pat. No. 10,166,034

KNEE ARTHROPLASTY INSTRUMENT

Zimmer, Inc., Warsaw, IN...

1. A knee arthroplasty instrument for use in a knee joint, the knee joint including a tibia and a femur, the instrument comprising:a tensioning tool including a tibial component configured for placement against the tibia and a femoral component configured for placement against the femur, the femoral component being movably coupled to the tibial component to place the knee joint in tension by separating the tibia and the femur;
a first sizer removably coupleable to the tensioning tool, the first sizer including at least one first reference indicator that references the femur to locate a cut guide relative to the femur;
a second sizer different from the first sizer, used in alternative to the first sizer and removably coupleable to the tensioning tool, the second sizer including at least one second reference indicator that references the femur to locate the cut guide relative to the femur; and
a cut guide removably coupleable to the tensioning tool, wherein the femoral component of the tensioning tool and the cut guide are interchangeably coupleable to the instrument, the femoral component of the tensioning tool being separable from the instrument to accommodate the cut guide on the instrument.

US Pat. No. 10,166,033

IMPLANTS FOR BONE FIXATION OR FUSION

SI-Bone Inc., Santa Clar...

1. A method of implanting a curved implant across a joint or fracture between a first bone segment and a second bone segment, the method comprising:forming a curved insertion path from the first bone segment, across the joint or fracture between the first bone segment and the second bone segment, and to the second bone segment, wherein the curved insertion path has a predetermined radius of curvature along its length;
inserting a curved guidewire along the curved insertion path;
disposing a drill bit over the curved guidewire;
drilling a curved bore along the curved guidewire;
disposing a broach over the curved guidewire;
shaping the curved bore with the broach to form the insertion path; and
inserting a curved implant having a matching radius of curvature into the curved insertion path and into the first bone segment, across the joint or fracture, and into the second bone segment.

US Pat. No. 10,166,032

MODULAR HUMERAL HEAD RESURFACING SYSTEM

Biomet Manufacturing, LLC...

1. An implant for use in shoulder arthroplasty comprising:a separate head member having an articulating surface, a lower surface opposite the articulating surface, and a post extending in a first direction from the lower surface; and
a separate base member having a fixation peg extending along a longitudinal axis of the separate base member, the separate base member including three fins substantially evenly spaced about the longitudinal axis of the separate base member, and a recess configured to receive the post of the separate head member to couple the separate head member to the separate base member,
wherein each of the three fins taper from a top portion of the fixation peg towards a point and forms a portion of a top surface of the separate base member,
wherein, when implanted, the separate head member and the separate base member are configured to define a narrow gap formed by a portion of the lower surface of the separate head and a portion of resected bone and the top surface of the separate base member.

US Pat. No. 10,166,031

METHOD AND APPARATUS FOR PREPARING AN IMPLANTATION SITE

Biomet Manufacturing, LLC...

1. A system to broach an anatomy, the system comprising:a first member including a first length extending between a first end and a second end;
a cutting portion formed along at least a portion of the first length of the first member;
a first connection portion including a second length extending from the second end of the first member to a terminal end, the first connection portion further including a first attachment portion and a second attachment portion, wherein the first attachment portion includes a first threaded portion; and
an extension member that includes a third length extending between a third end of the extension member and a fourth end of the extension member, wherein the extension member includes a third attachment portion and a second threaded portion;
wherein the first threaded portion is configured to engage the second threaded portion in a mating direction;
wherein the first threaded portion is configured to disengage the second threaded portion in the mating direction, such that the first threaded portion is positioned within the extension member beyond the second threaded portion;
wherein the second attachment portion is configured to engage the third attachment portion of the extension member to drive the extension member directly into a bone of the anatomy.

US Pat. No. 10,166,030

SURGICAL TOOL SYSTEM HAVING MULTIPLE TOOL TIP INTERFACES

Modular Surgical, Inc., ...

1. A tool tip carrier system comprising:a tool carrier including a plurality of tool carrier segments at least some of which are connected with articulating joints, wherein each tool carrier segment is configured to cradle a removable surgical tool tip; and
a tool carrier manipulator including (i) a handle and (ii) an attachment shaft, wherein the handle is adjustably connected to be selectively positioned along a length of the attachment shaft;
wherein the attachment shaft has a tissue-penetration tip which is configured to pass through tissue from an external location to a location in a body cavity and wherein a distal end of the attachment shaft is configured to be detachably secured to the tool carrier within the body cavity while the handle is attached to the shaft at the external location.

US Pat. No. 10,166,029

JIG FOR DETERMINING A PATIENT-ADAPTED IMPLANT SIZE OF THE FEMORAL IMPLANT OF A KNEE ENDOPROSTHESIS

1. A jig for determining a patient-adapted implant size of a femoral implant of a knee endoprosthesis, wherein the jig comprises:a main body;
a probe part displaceable relative to the main body along a measuring direction, wherein the probe part includes:
a probe arm with a probe tip adapted to contact on an anterior reference point (RP) of a distal end of a patient's femur;
two contact pieces adapted to contact on and reference on respectively a medial posterior and a lateral posterior condyle of the distal end of the patient's femur; and
at least one scale and an associated indicator adapted to indicate a location of the probe part in the measuring direction relative to at least one of the contact pieces for a specification of a suitable implant size; wherein the contact pieces are movable relative to the main body in such a way that a distance of the probe tip to the contact pieces which is projected on the measuring direction is settable for the contact pieces in such a way that the distance is different with respect to the two contact pieces, and in that each contact piece is provided with its own scale and an associated indicator for indicating the location of the probe part in the measuring direction relative to the respective contact piece and for the resulting specification of the suitable implant size.

US Pat. No. 10,166,028

HEMOSTATIC CLIPPING DEVICES AND METHODS

Boston Scientfic Scimed, ...

11. A method for treating tissue, comprising:inserting a clip to a target area within a living body adjacent a target tissue, the clip including a capsule extending from a proximal end to a distal end and having an opening formed in the proximal end and first and second arms movably received in the capsule for movement between a closed configuration in which the first and second arms are drawn toward one another and an expanded configuration in which the first and second arms extend distally from the capsule and are separated from one another to receive target tissue therebetween;
inserting the clip to a target site within a living body;
moving a control member coupled to the clip distally to move the clip from the closed configuration to the expanded configuration, wherein the control member is coupled to the clip via a separable clevis including two members that engage a cross pin of the clip;
positioning the clip so that target tissue to be clipped is positioned between distal ends of the first and second legs; and
moving the control member proximally to draw the first and second arms to the closed configuration to grip the target tissue;
exerting additional proximally directed force on the control member to separate the members of the clevis from the cross-pin separating the clip from the control member.

US Pat. No. 10,166,027

APPARATUS FOR APPLYING SURGICAL CLIPS

Covidien LP, Mansfield, ...

1. An apparatus for applying surgical clips comprising:a clip stack; and
a body portion housing the clip stack, the body portion including:
a clip follower slidably supported therein, wherein the clip follower is positioned proximally of the clip stack and biased to engage the clip stack, the clip follower defining a tab extending from a lateral side of the clip follower;
a separator plate fixedly supported therein, wherein the separator plate defines a first projection; and
a lockout having a lockout engagement member, the lockout being selectively movable:
from a first position, wherein the lockout engagement member contacts the first projection of the separator plate to limit distal movement of the lockout;
to a second position, wherein the tab of the clip follower selectively engages the lockout engagement member of the lockout such that the lockout engagement member clears the first projection of the separator plate to enable distal movement of the lockout.

US Pat. No. 10,166,026

STAPLE CARTRIDGE ASSEMBLY INCLUDING FEATURES FOR CONTROLLING THE ROTATION OF STAPLES WHEN BEING EJECTED THEREFROM

Ethicon LLC, Guaynabo, P...

1. A staple cartridge assembly for stapling tissue, comprising:a cartridge body comprising a proximal end and a distal end;
a plurality of staple cavities, wherein each said staple cavity comprises:
a top opening;
a proximal wall; and
a distal wall;
a firing member; and
a plurality of staples positioned in said staple cavities, wherein each said staple comprises:
a base;
a proximal leg extending from said base;
a distal leg extending from said base; and
a center of mass defined in said base, wherein said distal wall provides a distal reaction force to said staple above said center of mass and said proximal wall provides a proximal reaction force to said staple below said center of mass wherein said staple is lifted toward said top opening by said firing member,
wherein said firing member is configured to eject said staples from said staple cavities, and wherein said firing member is configured to contact a foot of any staple that is misoriented within its staple cavity prior to ejecting the misoriented staple from its staple cavity.

US Pat. No. 10,166,025

SURGICAL STAPLING DEVICE WITH LOCKOUT SYSTEM FOR PREVENTING ACTUATION IN THE ABSENCE OF AN INSTALLED STAPLE CARTRIDGE

Ethicon LLC, Guaynabo, P...

1. A surgical stapling instrument, comprising:a staple cartridge assembly configured to be attached to said surgical stapling instrument;
staples removably stored within said staple cartridge assembly;
a first jaw;
a second jaw moveable relative to said first jaw, wherein said second jaw is moveable between a locked position and an unlocked position; and
a lock system configured to permit said second jaw to move to said unlocked position when said staple cartridge assembly is attached to said surgical stapling instrument, and wherein said lock system is further configured to lock said second jaw in said locked position when said staple cartridge assembly is not attached to said surgical stapling instrument.

US Pat. No. 10,166,024

APPARATUS AND METHODS FOR OCCLUDING A HOLLOW ANATOMICAL STRUCTURE

IDx Medical, Ltd., Lovel...

1. A device for occluding a left atrial appendage of the heart, the device comprising:a clamp having at least first and second elongate clamping portions configured to be placed on opposite, outside surfaces of the left atrial appendage, said first and second elongate clamping portions being coupled together proximate respective ends with resilient urging members configured to urge at least one of said first and second elongate clamping portions toward the other of said first and second elongate clamping portions from an open position into a clamping position to occlude the appendage,
said clamp configured to receive the appendage in the open position and occlude the hollow interior of the appendage in the clamping position,
wherein said first and second elongate clamping portions have tissue engaging surfaces for engaging the appendage in the clamping position, and wherein said first and second elongate clamping portions and said resilient urging members are surrounded along an entire length thereof by a fabric structure that promotes tissue ingrowth in the clamping position, said fabric structure forming a closed continuous configuration lengthwise around said clamp,
wherein said first and second elongate clamping portions and said resilient urging members are formed from at least one wire member and said wire member is formed from a material having superelastic properties, and
further comprising first and second rigid titanium tubes surrounding said wire member respectively on said first and second elongate clamping portions, said first and second rigid titanium tubes positioned between said at least one wire member and said fabric structure.

US Pat. No. 10,166,023

METHOD OF APPLYING A BUTTRESS TO A SURGICAL STAPLER END EFFECTOR

Ethicon LLC, Guaynabo, P...

1. A method of securing a buttress to an end effector, wherein the end effector comprises an upper jaw member and a lower jaw member, the method comprising:(a) positioning a platform of a buttress applier cartridge between the upper and lower jaw members while the upper and lower jaw members are in an open configuration such that the buttress applier cartridge is removably positioned between the jaw members, wherein the platform has a buttress disposed thereon during the act of positioning the platform between the upper and lower jaw members, wherein the buttress applier cartridge has at least one retainer member retaining the buttress on the platform during the act of positioning the platform between the upper and lower jaw members;
(b) driving one or both of the upper or lower jaw members toward the platform to thereby engage the buttress with the end effector, wherein the buttress applier cartridge further comprises a resilient member that drives the at least one retainer away from the buttress to thereby release the buttress in response to the act of driving one or both of the upper or lower jaw members toward the platform;
(c) driving one or both of the upper or lower jaw members away from the platform to thereby pull the buttress off of the platform; and
(d) removing the platform from between the upper and lower jaw members, wherein the buttress remains secured to the end effector after removing the platform from between the upper and lower jaw members.

US Pat. No. 10,166,022

METHOD AND APPARATUS FOR BONE FIXATION

Biomet C.V., Warsaw, IN ...

1. An orthopedic implant for use in fixation or fusion of bone segments, the implant comprising:a longitudinally extending bridge member having an upper surface portion, an opposed lower surface portion and opposed sides extending between the upper and lower surface portions, at least the opposed sides being formed of a porous metal construct having a porous metal outer surface, wherein the opposed sides of the bridge member taper outwardly all the way from the lower surface portion up to the upper surface portion such that the bridge member includes a wedge shaped structure with the lower surface portion having a smaller width than a corresponding width of the upper surface portion; and
first and second cylindrical fixation members integrally connected with the bridge member at opposed longitudinal ends of the bridge member, the first and second fixation members including a cylindrical body having a body width in a direction perpendicular to a longitudinal axis of the bridge member greater than a corresponding bridge width of the bridge member and a member length between a top surface portion and an opposed bottom surface portion greater than a corresponding bridge length of the bridge member from the upper surface portion to the lower surface portion, at least the body being formed of the porous metal construct and having the porous metal outer surface;
wherein the bridge member and the first and second cylindrical fixation members include a solid core structure including a bridge core and integrally connected first and second cylindrical fixation member cores and the solid core structure is at least partially covered by the porous metal outer surface and wherein the lower surface portion of the bridge member is an exposed surface of the bridge core and is not covered by the porous metal;
wherein the implant is adapted to be positioned into the bone segments such that the bridge member is adapted to fix the bone segments in a first direction perpendicular to the longitudinal axis and the fixation members are adapted to fix the bone segments in a second direction parallel to the longitudinal axis.

US Pat. No. 10,166,021

WOUND CLOSURE SYSTEM

Wound Care Technologies, ...

1. A wound closure system comprising:a suture line adapted to be sutured through body tissue adjacent an open wound, the suture line adapted to be sutured so as to pass into the body tissue at an entry point and exit at an exit point, the suture line including a plurality of barbs extending outwardly at an acute angle with respect to a surface of the suture line; and
a housing that houses a spring that is adapted to apply a continuous pulling force on the suture line for stretching the body tissue toward the open wound, wherein the spring is configured to take up any slack of the suture line during stretching of the body tissue and keep the suture line taut, the housing including a spool rotatably coupled to the housing, the spool coupled to the spring and adapted for winding the spring for the application of the continuous pulling force on the suture line, wherein the suture line is adapted to directly pass into and out of the body tissue at the entry and exit points so that the continuous pulling force on the suture line for stretching the body tissue is taken by the immediate body tissue surrounding the entry and exit points, wherein the suture line with the plurality of barbs is the only structure passed into and out of the body tissue at the entry and exit points.

US Pat. No. 10,166,020

METHODS AND DEVICES FOR ACCESSING AND RETRACTING A CAPSULE OF A JOINT

Pivot Medical, Inc., Sun...

1. A method of retracting a capsule of a joint, the method comprising:forming a cut in the capsule of the joint so as to create a first flap of the capsule and a second flap of the capsule;
providing a first length of suture having a first end and a second end;
providing a second length of suture having a first end and a second end;
passing the first end of the first length of suture from the outside of the joint, through the first flap of the capsule of the joint and into the inside of the joint, and moving the first end of the first length of suture out of the joint alongside the cut in the capsule;
passing the first end of the second length of suture from the outside of the joint, through the second flap of the capsule of the joint and into the inside of the joint, and moving the first end of the second length of suture out of the joint alongside the cut in the capsule;
pulling the first and second ends of the first and second lengths of suture so as to retract the first and second flaps of the capsule of the joint;
performing an arthroscopic procedure in the joint while the capsule is retracted; and
using at least one of the first length of suture and the second length of suture to close the capsule of the joint.

US Pat. No. 10,166,019

SYSTEMS AND METHODS FOR SURGICAL AND INTERVENTIONAL PLANNING, SUPPORT, POST-OPERATIVE FOLLOW-UP, AND, FUNCTIONAL RECOVERY TRACKING

DePuy Synthes Products, I...

1. A medical method, comprising:receiving data regarding tissue retraction in a performance of a virtual surgical procedure on a model of a patient;
gathering tissue retraction data during performance of a surgical procedure on the patient indicative of an amount of pressure being placed on at least one of tissue and nerves as a result of retraction of a tissue using a retractor, the gathering including gathering data from at least one sensor coupled to the retractor;
in real time with the performance of the surgical procedure, comparing the data received regarding tissue retraction in the performance of the virtual surgical procedure and the tissue retraction data gathered during the performance of the surgical procedure to determine if the tissue retraction data gathered during the performance of the surgical procedure has an intolerable variance from the data received regarding tissue retraction in the performance of the virtual surgical procedure;
in response to determining that the tissue retraction data gathered during the performance of the surgical procedure has an intolerable variance from the data received regarding tissue retraction in the performance of the virtual surgical procedure, generating, using a processor of a computer system, an alert during the performance of the surgical procedure;
using the processor of the computer system, determining during the performance of the surgical procedure whether the amount of pressure reaches a predetermined amount of pressure, the processor being operatively coupled to the at least one sensor; and
in response to determining that the amount of pressure reaches the predetermined amount of pressure, the processor causing automatic engagement of a mechanical mechanism operatively coupled to the retractor and thereby preventing the amount of pressure from exceeding the predetermined amount of pressure;
wherein the predetermined amount of pressure is based on data gathered regarding a plurality of surgical procedures previously performed on other patients.

US Pat. No. 10,166,018

SURGICAL RETRACTOR SYSTEM AND METHODS OF USE

NuVasive, Inc., San Dieg...

1. A surgical retractor comprising:an elongate element comprising an elongate element distal end and an elongate element proximal end with a length therebetween, the elongate element defining an operational axis along the length thereof;
a retractor handle secured to the elongate element proximal end;
a first blade having a first upper portion secured to a first arm extending from the elongate element distal end and a first blade portion comprising a first blade face;
a second blade having a second upper portion secured to a second arm extending from the elongate element and a second blade portion having a second blade face that faces the first blade face and an exterior surface opposite the second blade face, wherein the second arm is positioned along the length of the elongate element at a position between the retractor handle and the first arm, the second arm configured to move along the length of the elongate element, wherein the second blade defines a reference point located thereon, and wherein a movement of the second arm along the length of the elongate element moves the reference point in a linear direction parallel to the operational axis and orthogonal to the second blade face, wherein movement of the second arm along the length of the elongate element moves the second arm relative to the retractor handle and relative to the first arm; and
a guide element having blunt tip for insertion through muscle tissue;
wherein the second blade further comprises an opening through the second upper portion to the second exterior surface, the opening dimensioned to receive the guide element therethrough such that surgical retractor is advanceable to a surgical target site with the first blade portion and second blade portion located on the same side of the guide element.

US Pat. No. 10,166,017

MEDICAL DEVICES HAVING A RELEASABLE TUBULAR MEMBER AND METHODS OF USING THE SAME

COOK MEDICAL TECHNOLOGIES...

3. A medical device for the treatment of a bodily passage, said medical device comprising:an elongate member having a proximal portion and a shaft extending distally from the proximal portion, the proximal portion having a first outside diameter, the shaft having a first proximal end attached to the proximal portion, a tapered first distal end, and a length extending from the first proximal end to the first distal end, the shaft having a second outside diameter that is less than the first outside diameter;
an intermediate member releasably disposed on the shaft and having a second proximal end, a second distal end, an intermediate member body, and a third outside diameter that is greater than the first outside diameter of the proximal portion, the intermediate member body defining a first intermediate member opening, a second intermediate member opening, an intermediate member lumen, a first surface, a second surface, a frustoconical protuberance, and a support post, the first intermediate member opening defined on the second proximal end, the second intermediate member opening defined on the second distal end, the intermediate member lumen extending from the first intermediate member opening to the second intermediate member opening, the intermediate member lumen having an inside diameter that is less than the first outside diameter of the proximal portion, the first surface disposed on the second proximal end and opposably facing the second surface, the frustoconical protuberance extending distally from the second surface and tapering from the second surface toward the second distal end, the support post extending distally from the frustoconical protuberance to a support post end; and
a tubular member releasably disposed on the shaft distal to the intermediate member, the tubular member separable from the intermediate member and having a third proximal end, a tapered third distal end, a length extending from the third proximal end to the third distal end, a frustoconical proximal portion that tapers from the third proximal end toward the third distal end, and a tubular member body defining a first tubular member opening on the third proximal end, a second tubular member opening on the third distal end, a tubular member lumen extending from the first tubular member opening to the second tubular member opening, and a passageway extending through the frustoconical proximal portion and providing access to the tubular member lumen, the tubular member lumen having a frustoconical proximal portion that tapers from the third proximal end toward the third distal end, the length of the tubular member being less than the length of the shaft;
wherein the third distal end of the tubular member is disposed proximal to the first distal end of the elongate member;
wherein the frustoconical protuberance is disposed within the frustoconical proximal portion of the tubular member lumen; and
wherein the support post is disposed within the passageway defined by the tubular member body.

US Pat. No. 10,166,016

MEDICAL RETRACTOR

Yusuke Shimizu, Okinawa ...

1. A medical retractor comprising:a grip portion; and
a resin functional portion made of a transparent resin and extending from the grip portion, wherein
the resin functional portion has: a trunk portion which has a proximal end thereof connected to the grip portion; and a hook-shaped portion extending in a hook shape from a distal end of the trunk portion,
the resin functional portion is configured to allow the viewing of an affected part which opposedly faces a back surface of the resin functional portion from a front surface side in a see-through manner,
the resin functional portion is configured such that at least one of the back surface and the front surface has a convex lens shape, and
the resin functional portion has a projection extending to the hook-shaped portion along the front surface of the resin functional portion, and the projection formed on the hook-shaped portion is formed with a larger width and a smaller projecting height compared to the projection formed in the trunk portion.

US Pat. No. 10,166,015

IMPLANTABLE SCAFFOLD AND METHOD

LAPIQ, INC, Los Altos, C...

1. A biodegradable implantable device for maintaining the alignment of the edges of a trocar defect, the device constructed to allow completion of insertion after the trocar has been removed, the trocar defect having a defect diameter, the tissue and associated layers around the trocar defect having a thickness, a posterior wall, and an interior wall, the device comprising:a first biodegradable base having a first base diameter substantially equal to the defect diameter, the first biodegradable base having:
a first surface, the first surface capable of substantially contacting the posterior wall of the trocar defect,
a first threaded hole substantially through the center extending inward from the first surface but not all the way through the first biodegradable base, and
a second threaded hole extending inward from the first threaded hole but not all the way through the first biodegradable base;
a second biodegradable base having a second base diameter, the second biodegradable base further comprising:
a first surface with a protruding ring along its outer edge, where the inner diameter of the protruding ring is greater than the first base diameter, such that the first surface of the first biodegradable base fits inside the inner walls of the protruding ring of the second biodegradable base with sufficient gap to allow reliable engagement of the interior wall of the tissue and associated layers with the device;
a second surface with a plurality of radial strips, which create a set of radial slots of such depth and width to enable an external tool to allow engagement with a configuration of mating protrusions, the radial strips in the second biodegradable base are connected to an inner ring with a diameter of the second threaded hole of the first biodegradable base, and
an unthreaded hole substantially through the center of the first surface and the second surface, the diameter of the hole substantially equal to the diameter of the second threaded hole in the first biodegradable base, configured to allow a device with the diameter and threading to mate with the second threaded hole in the first biodegradable base to pass through unobstructed; and
a biodegradable connector for connecting the first surface of the first biodegradable base with the first surface of the second biodegradable base, the biodegradable connector defined to compress the first biodegradable base against the second biodegradable base using an external force,
wherein the length of the connector is sufficient to connect to the first biodegradable base and second biodegradable base while allowing enough space to maintain a predefined gap substantially equal to the thickness between the first surface of the biodegradable base and the first surface of the second biodegradable base, and
the biodegradable connector having an unthreaded hole substantially through the middle of the same size and alignment as the unthreaded hole in the second biodegradable base, allowing a device with the diameter and threading to mate with the second threaded hole in the first biodegradable base to pass through unobstructed,
wherein the biodegradable connector threads into the first threaded hole of the first biodegradable base, and
the diameter of the first threaded hole of the first biodegradable base is greater than the diameter of the second threaded hole of the first biodegradable base.

US Pat. No. 10,166,014

HEART VALVE PROSTHESIS AND METHOD

Percutaneous Cardiovascul...

1. An atrioventricular heart valve prosthesis for replacing an atrioventricular valve of a heart, said prosthesis comprising a housing component and a valve component;wherein said housing component comprises:
a housing body having an atrial end having a diameter, a ventricular end having a diameter, and a housing passage extending from the atrial end to the ventricular end;
said housing body being configured to be located in, or adjacent to and communicating with, a native atrioventricular valve orifice of the heart;
a ventricular anchoring mechanism secured to said housing body and configured to engage chordae tendineae of the heart downstream of the native atrioventricular valve orifice and within the ventricle of the heart communicating with the native atrioventricular valve orifice, said ventricular anchoring mechanism comprising a super elastic, shape memory, nickel-titanium alloy;
said housing component being configurable between a housing collapsed state for delivery to the native atrioventricular valve orifice via catheterization and a housing expanded state to engage said ventricular anchoring mechanism with the chordae tendineae of the heart to fix said housing body in relation to the native atrioventricular valve orifice;
an atrial anchoring mechanism secured to said housing body and configured to extend over tissue surrounding the native atrioventricular valve orifice within the atrium of the heart communicating with the native atrioventricular valve orifice and to prevent said housing component from migrating into the ventricle when said housing component is in the housing expanded state, said atrial anchoring mechanism comprising a shape memory, nickel-titanium alloy; and
an annular sealing member extending radially outwardly from said housing body at a location between the atrial end and the ventricular end of said housing body and configured to inhibit blood flow from the ventricle to the atrium when said housing component is in the housing expanded state with said housing body disposed within the native atrioventricular valve orifice, the sealing member having an outer diameter greater than the diameters of the atrial end and the ventricular end of said housing body;
further wherein said valve component comprises:
a valve body having a valve passage extending therethrough;
said valve body being separate from said housing component and being configured to be located at least partially within said housing passage with said valve passage extending along said housing passage; and
one or more flexible valve elements secured to said valve body and extending across said valve passage for blocking blood flow in a first direction through said valve passage whilst allowing blood flow in an opposing second direction through said valve passage;
said valve component being configurable between a valve collapsed state for delivery to said housing passage via catheterization following delivery of said housing component to the native atrioventricular valve orifice and with said housing body in said housing expanded state, and a valve expanded state to engage said housing component and/or structure of the heart to fix said valve body at least partially within said housing passage.

US Pat. No. 10,166,013

FLEXIBLE MEMBER FOR ANGLED SYSTEM

Medtronic Xomed, Inc., J...

4. An instrument assembly, comprising:a flexible tube, including,
a first rigid member having a first lumen and a first end;
a second rigid member having a second lumen and a second end; and
a flexible portion having a third end coupled to the first end of the first rigid member and a fourth end coupled to the second end of the second rigid member;
wherein the flexible portion has a third lumen;
wherein the first lumen, the second lumen, and the third lumen are configured to be coupled to form a first liquid flow path;
wherein the flexible portion is configured to transfer a working torque from the first rigid member to the second rigid member;
wherein the flexible portion includes:
an inner polymer tube extending a first distance from the third end coupled to the first end of the first rigid member to the fourth end coupled to the second end of the second rigid member; and
an external coat formed of a plurality of wires twisted around the inner polymer tube extending a second distance from a fourth end to a fifth end;
wherein the second distance is greater than the first distance;
wherein the fourth end is coupled to the first rigid member beyond the inner polymer tube and the fifth end is coupled to the second rigid member beyond the inner polymer tube.

US Pat. No. 10,166,012

HOLDING DEVICE FOR A SURGICAL INSTRUMENT

DEUTSCHES ZENTRUM FUER LU...

1. A holding device for a surgical instrument, comprising:a holding arm,
an instrument support carried by the holding arm, a distal end of the instrument support being mounted with the surgical instrument, and
a drive unit for operating the surgical instrument, the drive unit being connected with the instrument support, wherein the drive unit is connected with the holding arm via a holding element such that the drive unit is movable from a driving position to an exchanging position, wherein the drive unit, in the driving position, is capable of operating the surgical instrument and, in the exchanging position, is incapable of operating the surgical instrument.

US Pat. No. 10,166,011

TRANSPORT SYSTEM FOR BIOPSY DEVICE

Bard Peripheral Vascular,...

1. A method of operating a biopsy device for removing at least one tissue sample from a body of a living being, the biopsy device comprising: providing a hollow needle having a longitudinal axis, a proximal end and a distal end; moving a sample-receiving device received in the hollow needle from a retracted position to an extended position to expose a cavity in the sample-receiving device, the cavity configured to receive a tissue sample; operating a drive mechanism to displace the hollow needle in a distal direction relative to the sample-receiving device to sever tissue received by the cavity of the sample-receiving device; rotating a gear to move a toothed flexible member along the longitudinal axis to move the sample-receiving device in the hollow needle from the extended position to the retracted position, the toothed flexible member having a proximal portion that extends proximal to the proximal end of the hollow needle; and receiving the proximal portion of the toothed flexible member in a helical coiling-up groove of a housing element when the sample-receiving device is moved to the retracted position.

US Pat. No. 10,166,010

SURGICAL DEVICE FOR THE COLLECTION OF SOFT TISSUE

Devicor Medical Products,...

1. A biopsy device, comprising:(a) a body;
(b) a needle extending distally from the body;
(c) a cutter movable relative to the needle configured to sever tissue;
(d) a control unit connected to the body;
(e) a display connected to the control unit, wherein the display includes one or more icons, wherein each icon is representative of at least one operational mode of a plurality of operational modes of the biopsy device, wherein each operational mode of the plurality of operational modes includes a predetermined sequence that is performed by the control unit: and
(f) at least one user input operable to control at least one operational mode of the biopsy device, wherein the at least one user input is operable to perform a secondary function of setting the control unit for particular steps during the operation of the biopsy device.

US Pat. No. 10,166,009

MEDICAL APPARATUS AND METHOD FOR COLLECTING BIOLOGICAL SAMPLES

THE TRUSTEES OF COLUMBIA ...

1. A biological filter system, comprising:a filter membrane, the filter membrane having a top surface and a bottom surface; and
a border, the border having:
an upwardly extending sidewall circumscribing the filter membrane, the sidewall including a groove formed in the sidewall; wherein the border is composed of wax or machinable wax; and
a cover having a central portion and a flange circumscribing the central portion, the flange including a downwardly extending sidewall and a lip portion configured to matingly engage the groove;
wherein the filter membrane and border are each formed from material that is sliceable into sections suitable for mounting on a slide for microscopic analysis.

US Pat. No. 10,166,008

RECTAL CLEANING DEVICE

1. A cleaning glove device comprising:an outer glove comprising a glove component and a wipe component,
wherein said glove component of said outer glove has a plurality of finger compartments for separately receiving each finger and a thumb of a user,
wherein at least one of said plurality of finger compartments has a corresponding portion of said wipe component of said outer glove secured or attached to at least a palmar finger surface of said finger compartment, and
wherein said wipe component of said outer glove may be of a wet variety or dry variety; and
at least one inner glove,
wherein each of said at least one inner glove is positioned inside said outer glove,
wherein each of said at least one inner glove comprises a glove component and a wipe component,
wherein said glove component of each of said at least one inner glove has a plurality of finger compartments for separately receiving each finger and a thumb of the user,
wherein at least one of said plurality of finger compartments has a corresponding portion of said wipe component of each of said at least one inner glove secured or attached to at least a palmar finger surface of said finger compartment, and
wherein said wipe component of each of said at least one inner glove is a dry variety.

US Pat. No. 10,166,007

PASSIVE DATA TRANSMISSION

1. A sensing apparatus comprising:a sensor that generates an output signal that depends on a sensed parameter,
a control circuit that generates a driving signal based on the output signal generated by the sensor, such that variations in the value of the output signal generated by the sensor result in corresponding variations in the driving signal, and
a transducer having an ultrasound reflecting surface that moves in response to the driving signal applied by the control circuit, wherein variations in the applied driving signal cause corresponding variations in the velocity of the surface of the transducer,
wherein the transducer's response to the applied driving signal and the control circuit's response to the output signal generated by the sensor are repeatable such that the value of the output signal venerated by the sensor can be determined by measuring the variations in the velocity of the surface of the transducer using externally applied Doppler ultrasound to detect a frequency shift.

US Pat. No. 10,166,006

ULTRASOUND SYSTEM WITH DYNAMICALLY AUTOMATED DOPPLER FLOW SETTINGS AS A SAMPLE VOLUME IS MOVED

KONINKLIJKE PHILIPS N.V.,...

1. An ultrasonic diagnostic imaging system for producing a spectral Doppler image of flow for an anatomical location selected from a colorflow Doppler image, the system comprising:an ultrasonic transducer array probe operable to transmit beams and receives echo signals from a region of a subject where flow is present;
a beamformer operable to control directions in which beams are transmitted by the probe;
a Doppler processor responsive to the echo signals and configured to determine Doppler signals to produce the colorflow Doppler image and the spectral Doppler image;
a display operable to concurrently display the colorflow Doppler image and spectral Doppler image;
a user control which is adapted to be manipulated by a user to indicate the anatomical location where spectral Doppler measurements are taken in a blood vessel shown in a color box that represents a boundary of the colorflow Doppler image; and
a color box position and steering angle processor configured to use Doppler signals from the indicated anatomical location to automatically position the color box based on a flow-weighted center of mass for the blood vessel shown in the color box and automatically change a color box steering angle based on a flow vector at the indicated anatomical location,
wherein the color box steering angle is represented by a shape of the color box and an angle of the beams transmitted by the probe with respect to the flow vector at the indicated anatomical location;
wherein the color box position and steering angle processor is configured to automatically:
calculate the flow-weighted center of mass for the blood vessel shown in the color box by analyzing spatial dimensions of the flow in the blood vessel and finding a center of the flow; and
calculate the flow vector at the indicated anatomical location.

US Pat. No. 10,166,004

ULTRASOUND CONTRAST IMAGING METHOD AND APPARATUS

SHENZHEN MINDRAY BIO-MEDI...

1. An ultrasonic contrast imaging method comprising:an initial step for acquiring N frames of contrast image, wherein N is the total number of frames gathered within an imaging period;
projection imaging step for projecting the N frames of contrast image to obtain projection result image of the N frames of contrast image, wherein an nth group of original contrast image less than the N frames of contrast image is projected in a projection template to obtain a projection result image of an nth frame of original contrast image, wherein the projection template is one frame of the nth group of original contrast image, and n is a positive integer greater than or equal to 1 and less than N, wherein the nth group of original contrast images is projected within a projection period of an adjustable projection period for projecting the N frames of contrast image and comprises a plurality of frames of original contrast images including the nth original contrast image, and wherein the projection period is a value less than the imaging period of gathering the N total number of frames that is set from the adjustable projection period for projecting the N frames of contrast image once the value is designated from the adjustable projection period; and
a display and/or storage step for displaying or storing the projection result image of the N frames of original contrast image.

US Pat. No. 10,166,003

ULTRASOUND IMAGING WITH VARIABLE LINE DENSITY

VOLCANO CORPORATION, San...

1. A method for intravascular imaging, the method comprising:introducing an ultrasonic transducer into a vessel, the transducer being disposed at a distal portion of a catheter;
using a module operably coupled to a proximal portion of the catheter to provide a number of trigger signals per rotation of the ultrasonic transducer, the module comprising a rotary encoder comprising hardware steps configured to define the number of trigger signals;
rotating the ultrasonic transducer at least one rotation; and
triggering a first sequencer operation and a second sequencer operation with each trigger signal,
wherein the first sequencer operation and the second sequencer operation each comprise stimulating the ultrasonic transducer to transmit an ultrasonic signal into the vessel;
wherein at least the second sequencer operation comprises receiving a backscattered ultrasound signal from the vessel with the ultrasonic transducer.

US Pat. No. 10,166,001

TRENDING S1 HEART SOUNDS AMPLITUDES IN AMBULATORY PATIENTS FOR WORSENING HF DETECTION

Cardiac Pacemakers, Inc.,...

1. An apparatus comprising:a cardiac signal sensing circuit configured to sense a plurality of cardiac signals representative of electrical cardiac activity of a subject;
a heart sound sensing circuit configured to sense a plurality of heart sound signals representative of intrinsic mechanical cardiac activity of the subject; and
a signal processing circuit configured to:
detect a signal fiducial in a sensed cardiac signal and initiate a measurement window in a time relationship to the detected fiducial;
determine amplitudes of S1 heart sounds during the measurement window using the plurality of sensed heart sound signals;
calculate a short-term central tendency of the S1 heart sound amplitudes over a time duration of N days, where N is a positive integer less than or equal to five:
calculate a long-term central tendency of the S1 heart sound amplitudes for a time duration longer than N days, during different days than the short-term central tendency, and at least partially prior to the short-term central tendency;
trend a long-term to short-term difference between the calculated long-term central tendency of the S1 heart sound amplitudes and the calculated short-term central tendency of the S1 heart sound amplitudes; and
generate an alert using the calculated short-term central tendency and the calculated long-term central tendency.

US Pat. No. 10,166,000

RADIOGRAPHIC APPARATUS

Samsung Electronics Co., ...

1. A ceiling mounted X-ray device that generates radiographic images, the device comprising:a capturing device to generate X-rays and to radiate the X-rays toward a subject to capture an image of the subject, the capturing device including an X-ray irradiator to generate and radiate the X-rays towards the subject;
a pair of guide rails arranged at a predetermined angle in which a first guide rail is slidable and a second guide rail is configured to be mounted to a ceiling;
a carriage having the capturing device disposed thereon and being moveable along the second guide rail;
a first drive device arranged to move the first slidable guide rail of the pair of guide rails;
a second drive device arranged to rotate the X-ray irradiator about an axis orthogonal to the ceiling and proceeding through the carriage;
a controller communicatively coupled to the ceiling x-ray device to control an X-ray position and an X-ray irradiation direction of the capturing device;
a manipulation device detachably mounted to the capturing device to allow an input of commands to control the capturing device; and
a wireless interface to control the capturing device when the manipulation device is detached from the capturing device,
wherein the manipulation device includes a first wired connection unit, a first wireless connection unit and a battery unit.

US Pat. No. 10,165,999

RADIOLOGICAL-IMAGE ACQUISITION DEVICE

SHARP KABUSHIKI KAISHA, ...

1. A radiological-image acquisition device that acquires a two-dimensional image according to a dose of radiation that has been radiated to a subject, the radiological-image acquisition device comprising:a plurality of pixels disposed two-dimensionally;
a capacitive element in each of the plurality of pixels, the capacitive element, when the radiation is incident on each of the plurality of pixels, accumulating electric charge corresponding to the dose for each of the pixels in at least two sequential frames; and
a read control unit that, with respect to at least one of the plurality of pixels, does not perform initialization of the at least one pixel but reads, from the pixel, a first output and a second output which correspond to the accumulated electric charge in each of a first frame and a second frame that constitute the at least two sequential frames, wherein
an initialization cycle in which each of the plurality of pixels is subjected to the initialization is defined as a time length of a plurality of frames, and
the read control unit performs the initialization of each of the plurality of pixels within the initialization cycle so that all the plurality of pixels are subjected to the initialization before the initialization cycle ends, the initialization of the each of the plurality of pixels being performed such that a pixel(s) of the plurality of pixels, which is/are subjected to the initialization, is/are different from frame to frame in the plurality of frames.

US Pat. No. 10,165,998

METHOD AND SYSTEM FOR DETERMINING AN ANGLE BETWEEN TWO PARTS OF A BONE

Siemens Aktiengesellschaf...

1. A method of determining an angle between two parts of a bone of a patient that are twisted relative to one another about an axis of a bone shaft of the bone, the method comprising:establishing a position of a first orientation feature assigned to a first part of the bone using an x-ray imaging method;
establishing a position of a second orientation feature assigned to a second part of the bone using the x-ray imaging method;
providing an indication element being an elongate construction element having a defined longitudinal axis;
for establishing the position of at least one of the first and second orientation features, positioning the indication element outside of the patient's body relative to the at least one of the first and second orientation features, wherein the indication element is visible in an x-ray image to be taken, and moving the indication element relative to the bone for positioning the indication element based on a plurality of recordings obtained by the x-ray imaging method; and
determining the angle between the first and second parts of the bone from the positions of the first and second orientation features.

US Pat. No. 10,165,997

SYSTEM FOR ACQUIRING A THREE-DIMENSIONAL IMAGE OF ARTERIES AND VEINS

Siemens Healthcare GmbH, ...

1. A system comprising:an interface coupled to a processor configured to:
receive a plurality of first two-dimensional projection images of a patient volume, each of the first two-dimensional projection images having been acquired at one of a plurality of first respective projection angles during presence of, and following an injection of, at least a portion of a first contrast medium in arteries within the patient volume; and
receive a plurality of respective second two-dimensional projection images of the patient volume, each of the second two-dimensional projection images having been acquired at one of a plurality of second respective projection angles during presence of, and with no additional injection of, at least a portion of the first contrast medium in veins within the patient volume, each of the plurality of second respective projection angles within system tolerances of being identical to a respective one of the plurality of first projection angles;
the processor configured to:
for each of the plurality of first respective projection angles, generate a composite two-dimensional image based on one of the first two-dimensional projection images acquired at one of the plurality of first respective projection angles and one of the second two-dimensional projection images acquired at one of the plurality of second respective projection angles that is within system tolerances of being identical to the one of the plurality of first respective projection angles;
the processor configured to generate the composite two-dimensional image by generating a weighted sum value for each pixel of the composite two-dimensional image based on corresponding values of the pixel in the identified respective one of the first two-dimensional projection images and the identified respective one of the second two-dimensional projection images;
generate a three-dimensional image based on the generated composite two-dimensional images; and
a display configured to display at least one of the three-dimensional image and a two-dimensional slice of the three-dimensional image.