US Pat. No. 10,245,210

WHIRLPOOL SPA MOTOR PUMP OF WHIRLPOOL MASSAGE BATHTUB

1. A whirlpool spa motor pump of a whirlpool massage bathtub, comprising:a lower housing having an upper flange and a lower flange;
an impeller for rotating by a motor, which is provided to the lower housing, so as to generate suction force;
an upper housing coupled to an upper portion of the lower housing by a coupling means and having suction holes and discharge holes;
two or more slider rails vertically provided on the outside of the lower housing;
a mounting bolt provided to the upper and lower flanges so as to be positioned at one side of the slider rail;
a slider fitted with the mounting bolt; and
a slider holder inserted into the slider so as to be screw-coupled with the mounting bolt.

US Pat. No. 10,245,209

SYSTEMS AND METHODS FOR GRAVITY-ASSISTED CARDIOPULMONARY RESUSCITATION

1. A method, comprising:performing CPR with at least the head of an individual elevated by bending the individual at the waist to at least 20 degrees relative to horizontal while the individual's legs are generally aligned with a horizontal plane, wherein CPR is performed with an automated device that compresses the chest while the head is elevated; and
interfacing a device for regulating the intrathoracic pressure with the individual:
wherein the automated device includes a band that is positioned around the thorax of the individual;
wherein the band around the thorax tightens with each compression and relaxes with each decompression, and
wherein the band around the thorax tightens when at least the head is elevated.

US Pat. No. 10,245,208

THERAPEUTIC DEVICE

HORSEWARE PRODUCTS LTD., ...

1. A therapeutic device for treating a limb of a human or a non-human animal, the therapeutic device comprising:a wrap having a pocket;
an elongate, flexible panel;
a plurality of recesses formed in the elongate, flexible panel;
a top covering on a top surface of the elongate, flexible panel and a bottom covering on a bottom surface of the elongate, flexible panel;
at least one vibrating source retained in a first recess of the plurality of recesses;
a battery retained in a second recess of the plurality of recesses; and
wires extending between the battery and the at least one vibrating source,
wherein the wrap is configured to be wrapped around a limb, and
wherein the elongate, flexible panel is located within the pocket, the wrap being dimensioned to fit around a part of the limb to be treated.

US Pat. No. 10,245,207

DEVICES FOR FUNCTIONAL REVASCULARIZATION BY ALTERNATING PRESSURE

VASCUACTIVE LTD., Hertzl...

1. A device for administering intermittent pneumatic compression; said device wearable on a patient's body portion to be treated; said device comprising:a) an inner flexible porous spongy layer adapted to be attached to said patient's skin;
b) a middle non-permeable layer adapted to be sealingly attached to said patient's skin;
c) at least one inflatable-deflatable first balloon;
d) at least one vibrating element;
e) an outer enclosure accommodating items from a to d;
f) a controlling unit adapted to operate at least one pressure source, and to operate said at least one vibrating element; and
g) at least one of the following: a pump for producing positive pressure pulses and a vacuum pump for producing negative pressure pulses within said at least one first balloon;
wherein said outer enclosure is provided with a second balloon along a periphery thereof; said second balloon being inflated seals a space between said outer enclosure and the patient's body portion to be treated.

US Pat. No. 10,245,206

PNEUMATIC SOMATOSENSORY STIMULATION DEVICE AND METHOD

1. A device for providing tactile stimulation via a pulse of compressible fluid, said tactile stimulation device comprising:a high pressure fluid source;
a low pressure fluid source;
an outlet conduit being fluidly connectable to the fluid sources and including an applicator configured to direct the pulse against a first area of skin of a subject;
a pressure valve fluidly interposed between the applicator and the fluid sources,
said pressure valve being shiftable between a high pressure position, in which the high pressure fluid source is fluidly connected to the outlet conduit, and a low pressure position, in which the low pressure fluid source is fluidly connected to the outlet conduit, with positioning of the pressure valve in the high pressure position and the low pressure position supplying the pulse of compressible fluid to the applicator;
a vacuum pressure source; and
a vacuum valve shiftable between a vacuum position, in which the vacuum pressure source is fluidly connected to the outlet conduit, and a pulse position, in which the vacuum pressure source is not fluidly connected to the outlet conduit.

US Pat. No. 10,245,205

SCRATCHING IMPLEMENT

1. A scratching implement, comprising:an elongated shaft having a first end and a second end such that the second end is more narrow than the first end;
a handle disposed towards said first end of said elongated shaft, the handle including a cylindrical crossbar transversely affixed across the elongated shaft;
a ring disposed on said first end distal to the handle, such that both the ring and the handle are configured to be cooperatively manipulated when maneuvering the elongated shaft; the ring being further adapted for use in securing said elongated shaft to a support surface or keyring;
said second end adapted for use in scratching a user's scalp;
further comprising a removable cover having an indentation thereon configured to receive and removably secure said elongated shaft and the cylindrical crossbar therein; and wherein said ring extends beyond said removable cover and is not removably secured within said indentation.

US Pat. No. 10,245,204

DEVICES AND METHODS FOR IMPROVING THE UTILITY OF AN EXOSKELETON MOBILITY BASE

Ekso Bionics, Inc., Rich...

1. A mobility system comprising:an energy module;
an exoskeleton including an exoskeleton energy module receptacle configured to receive the energy module; and
a mobile base configured to transport the exoskeleton across a support surface, the mobile base including an exoskeleton support configured to support the exoskeleton on the mobile base and a mobile base energy module receptacle configured to receive the energy module, wherein a range of the exoskeleton is extendable by uncoupling the energy module from the mobile base energy module receptacle and coupling the energy module to the exoskeleton energy module receptacle.

US Pat. No. 10,245,203

HOLDER FOR STORING PET REMAINS

1. A cremated remains container for storing cremated remains of a pet, said cremated remains container comprising:a) a body section,
b) a head section,
c) said body section being adapted to receive at least one head section,
d) an opening in said body section wherein said opening is in communication with a cavity in said body section,
e) said cavity disposed in said body section, and configured for receiving therein said cremated remains of a pet,
f) said cavity in said body being made from a non-porous material,
g) an upper locking ring in communication with said head section,
h) a lower locking ring in communication with said body section,
i) a locking pin operably locking said upper locking ring to said lower locking ring,
j) said locking pin preventing the head section from being removed from said body section,
k) a sealing means in communication with said upper locking ring to said lower locking ring.

US Pat. No. 10,245,202

TEMPORARY MORGUE SYSTEM

1. A mobile storage system comprising:a container, the container comprising:
a first end having an internal supporting rear wall, a second end having an internal supporting rear wall, a first longitudinally extending side extending between the first end and the second end and having an internal supporting side wall, a second longitudinally extending side extending between the first end and the second end and having an internal supporting side wall, a supporting floor extending between the first end and the second end, a ceiling extending between the first end and the second end;
the first end, the second end, the first longitudinally extending side, the second longitudinally extending side, the ceiling and the supporting floor defining a rectangular prismatic cavity;
at least one of the first longitudinally extending side and the second longitudinally extending side having an access door that corresponds with an access opening, the access door and the access opening positioned between the first end and the second end of the container, and
a climate control unit for managing the climate within the container; and
at least one rack unit secured within the rectangular prismatic cavity in at least one of the first end and the second end of the container, the at least one rack unit adapted to receive and securely store at least one tray in a stowed position;
wherein the at least one rack unit further comprises:
a front vertical first side support member having a first end and a second end and an inner surface and a front vertical second side support member having a first end and a second end and an inner surface, each of the front vertical first side support member and the front vertical second side support member having at least one tray support element positioned between the respective first end and the second end on the inner surface of the front vertical first side support member and the front vertical second side support member;
a front upper lateral member having a first end and a second end and levelly extending between the front vertical first side support member and the front vertical second side support member adjacent the respective first end of each of the front vertical first side support member and the front vertical second side support member;
a front lower lateral member having a first end and a second end and levelly extending between the front vertical first side support member and the front vertical second side support member adjacent the respective second end of each of the front vertical first side support member and the front vertical second side support member;
a rear vertical first side support member having a first end and a second end and an inner surface and a rear vertical second side support member having a first end and a second end and an inner surface; each of the rear vertical first side support member and the rear vertical second side support member having at least one tray support element positioned between the respective first end and the second end on the inner surface of the rear vertical first side support member and the rear vertical second side support member;
a rear upper lateral member having a first end and a second end and levelly extending between the rear vertical first side support member and the rear vertical second side support member adjacent the respective first end of each of the rear vertical first side support member and the rear vertical second side support member;
a rear lower lateral member having a first end and a second end and levelly extending between the rear vertical first side support member and the rear vertical second side support member adjacent the respective second end of each of the rear vertical first side support member and the rear vertical second side support member;
the at least one tray having a first end, a second end, a first side and a second side, each of the at least one tray slidably supported by at least one corresponding one of the at least one tray support element in the stowed position, and
at least one vertical tray securing member having a first end and a second end, each at least one vertical tray securing member corresponding to at least one of the at least one tray;
the at least one tray securing member abutting or nearly abutting the first end of the tray in the stowed position, the first end of the at least one vertical tray securing member removably engaging the front upper lateral member and the second end of the at least one vertical tray securing member removably engaging the front lower lateral member.

US Pat. No. 10,245,201

TRENDELENBURG PATIENT RESTRAINT FOR SURGERY TABLES

1. A patient positioning device for restraining movement of a body lying over a top surface of a table with a rigid support frame secured to and extending transversely over said top surface of said table, comprising:a cervical-thoracic notch restraint formed of a resiliently deformable material and comprising:
a base comprising a first side and an opposed second side, the first side defining a substantially flat plane with a repositionable fastener configured to be securely fixed to an upper support surface of said support frame to thereby inhibit movement of the cervical-thoracic notch restraint along a longitudinal axis of said table, and
the second side defining a substantially flat plane with a raised, curved support extending transversely across the base and comprising a mound prominently extending upwards from the substantially flat plane of the second side,
wherein, in an operational state, the curved support is configured to nest into an anatomical cervical-thoracic notch of said body lying over said table to abut a trapezius muscle of said body, and the curved support is load-bearing to thereby apply a resisting force against the trapezius muscle and a spinal column of said body that is sufficient to substantially completely resist movement of said body along the longitudinal axis of said table.

US Pat. No. 10,245,200

TRACTION DEVICE

1. A traction device, comprising:a frame comprising a top support having first and second ends, wherein the first end of the top support is coupled to a first vertical support and the second end of the top support is coupled to a second vertical support;
a balance bar moveably coupled to the top support via a wire such that the balance bar may be raised and lowered relative to the top support, wherein opposing ends of the balance bar are each coupled to an attachment ring or define a receptacle;
at least two attachment rings coupled to the top support or at least two receptacles defined by the top support, wherein the at least two attachment rings or the at least two receptacles are disposed between the first and the second vertical supports on opposite sides of a portion of the wire extending from the top support to the balance bar;
a pair of chains each having a plurality of links extending between a first end and a second end, the pair of chains each removably coupled to one of the at least two attachment rings or the at least two receptacles of the top support via at least one of the plurality of links at the first end, the pair of chains each removably coupled to the balance bar via at least one of the plurality of links that is arranged between the first end and second end of the pair of chains and the pair of chains each configured to be coupled at the second end to one of a first strap and a second strap of a harness; and
a vibration apparatus coupled to the frame.

US Pat. No. 10,245,199

INCUBATOR

ATOM MEDICAL CORPORATION,...

1. An incubator comprising:a mattress tray;
an incubator base on which the mattress tray is disposed;
a plurality of baby guards that stand to surround an outer periphery of the mattress tray, at least one of the plurality of baby guards configured to be removable from the incubator base;
a latch receiving hole formed in one of the incubator base or the at least one removable baby guard;
a latch rod provided in the other of the incubator base or the at least one removable baby guard for slidable movement along an axial direction of the latch rod between a latched position where the latch rod is received in the latch receiving hole to keep the at least one removable baby guard attached to the incubator base and a released position where the latch rod is out of the latch receiving hole to allow the at least one removable baby guard to be removed from the incubator base;
a latch releasing mechanism comprising a stopper connected to the latch rod and a passage formed along the axial direction of the latch rod, wherein the stopper and the passage are configured such that the stopper is prevented from entering the passage when the stopper is placed at a first angular position, whereas the stopper is allowed to enter the passage and travel along inside the passage when the stopper is placed at a second angular position; and
a rotatable lever operably connected to the stopper to rotate the stopper between the first and second angular positions, wherein the lever is operable to rotate the stopper from the first angular position to the second angular position and further operable to move the stopper along inside the passage to thereby move the latch rod in the axial direction from the latched position to the released position.

US Pat. No. 10,245,198

LIFTING AND TRANSPORT ASSEMBLY

James Lucas, Charleroi, ...

1. A lifting and transport apparatus for a person comprising:a frame comprising:
at least two leg members fixedly attached to each other at a first end via a first transverse beam,
a second transverse beam is fixedly attached between the leg members at a predetermined distance from the first end,
a plurality of wheels removably attached to a bottom section of the leg members via a fastening member,
a pair of vertical bars extending from the leg members and separated at a predetermined distance, wherein the vertical bars are fixedly attached to the frame via connector bars and the transverse beams, and
a front vertical central beam and a rear vertical central beam each fixedly attached to the frame at a predetermined position via the connector bars and the transverse beams; and
a vertical carriage assembly comprising:
a seating assembly comprising:
a horizontal seating plate removably attached to a support member via a hinged coupling, and
a vertical resting plate fixedly attached to the support member; and
a movable subassembly mounted on the front vertical central beam is fixedly attached to the seating assembly, wherein the front vertical central beam comprises a plurality of T-slots to allow the elevation of the vertical carriage assembly via an actuator mechanism to lift the person.

US Pat. No. 10,245,197

SYSTEM AND METHOD FOR TREATING AND PREVENTING PRESSURE SORES IN BEDRIDDEN PATIENTS

1. A system for preventing and treating pressure sores of a patient, comprising:an array of expandable and collapsible supports to support and provide pressure relief to a patient in pressure locations where the expandable and collapsible supports support the patient;
pressure sensors associated with the expandable and collapsible supports to monitor pressure locations where the expandable and collapsible supports support the patient;
a patient lift movable between the expandable and collapsible supports to elevate one or more areas of the patient, the patient lift including at least one of one or more oxygen emitters to oxygenate one or more areas of the patient and one or more water emitters to rinse one or more areas of the patient,
wherein the expandable and collapsible supports touch adjacent expandable and collapsible supports on all sides upon expansion so that the array of expandable and collapsible supports make a contiguous mattress except that the expandable and collapsible supports are unstitched.

US Pat. No. 10,245,196

ADJUSTING DEVICE FOR A HEIGHT-ADJUSTABLE PLATFORM AND METHOD FOR ADJUSTING THE HEIGHT OF THE PLATFORM

1. An apparatus for changing a height of a height-adjustable platform relative to a support surface, the apparatus comprising:a rotatable drive shaft configured to actuate a first height-adjusting device and a second height-adjusting device to change a height of an end of the first height-adjusting device relative to the support surface and a height of an end of the second height-adjusting device relative to the support surface;
at least one drive motor operably connected to the rotatable drive shaft for rotating the rotatable drive shaft; and
at least one manual drive for driving the rotatable drive shaft, the at least one manual drive comprising a first gear configured to engage a second gear of the rotatable drive shaft such that torque is transmissible from the manual drive to the rotatable drive shaft,
wherein the at least one manual drive is shiftable between a first configuration and a second configuration, the first configuration comprises when the at least one manual drive operably engages via the first gear to the second gear the rotatable drive shaft, the second configuration comprises when the at least one manual drive is disengaged from the rotatable drive shaft,
wherein the at least one manual drive comprises a retaining means for holding the at least one manual drive in the second configuration,
wherein the second gear of the rotatable drive shaft is fixed to a platform against a force of a preload by a fixing device to separate a friction-fit.

US Pat. No. 10,245,195

RECLINING ARMCHAIR WITH LIFTING SEAT AND EXTENDING FOOTREST

1. An armchair comprising:a seat chassis supported on a support chassis by a pair of support columns;
a chair back structure pivotally attached to a rear end of the seat chassis and to the support chassis;
a leg support structure pivotally attached to a front end of the seat chassis and connected to a beam, wherein the beam is attached to the chair back structure;
a first actuating device mounted to the chair back, a protracting end of the first actuating device is connected to the seat chassis;
a second actuating device mounted to the support chassis;
a footrest connected to a protracting end of the second actuating device;
a third actuating device attached to the seat chassis; and
a seating structure connected to a protracting end of the third actuating device and mounted above the seat chassis, wherein the seating structure includes an operative position projecting upwards and forwards by the third actuating device at a tilting angle from the seat chassis.

US Pat. No. 10,245,194

DRIFTING KART

1. A ridable vehicle comprising:a chassis having a forward portion and a rearward portion;
a steering mount coupled to the forward portion of the chassis,
wherein the steering mount comprises a first portion, a second portion, and an intermediate portion, wherein the first portion is positioned forward of the second portion and the intermediate portion connects the first portion with the second portion, wherein the steering mount is substantially aligned with a longitudinal axis of the vehicle,
wherein the steering mount comprises a steering assembly configured to support a fork, the fork configured to support a motor;
a seat coupled to the chassis, wherein the seat is positioned adjacent the second portion of the steering mount,
at least two caster wheels coupled to the rearward portion of the chassis, wherein the caster wheels are configured to rotate about a rotational axis and swivel about a swivel axis, wherein the swivel axis is substantially stationary relative to chassis;
wherein the motor is configured to drive the front wheel.

US Pat. No. 10,245,193

BRAKE SYSTEM FOR WHEELCHAIR

1. A brake system for a wheelchair comprising:a lever assembly adapted to be movably connected to a wheelchair frame, the lever assembly having a handle portion for hand manipulation;
a brake unit adapted to be pivotally connected to relative to the wheelchair frame, the brake unit having a brake end adapted to contact the wheel;
an actuator portion and a follower portion in the brake system, the actuator portion having a projecting interface, the follower portion having a groove receiving the projecting interface of the actuator portion for the brake unit to be selectively displaceable between at least two configurations, as a response to movements of the lever assembly, each of the at least two configurations caused by a cooperation between the projecting interface and the groove, of the at least two configurations including
a floating configuration in which the brake end contacts the wheel so as to automatically pivot into blocking contact with the wheel when the wheel rotates rearwardly, while allowing a forward rotation of the wheel, and
a locking configuration in which the brake end is manually locked into blocking contact with the wheel.

US Pat. No. 10,245,192

EXTENDABLE AND RETRACTABLE GURNEY

1. An extendable and retractable gurney, mountable to a rescue vehicle and configured to receive and hold a rescue basket thereon, the retractable gurney comprising:a base comprising:
a base frame configured for mounting to a floor area of the rescue vehicle;
a longitudinal slider bracket fixedly mounted to the base frame,
a slider operatively engaged with and sliding relative to the longitudinal slider bracket, from a stowed configuration to an extended configuration; and
a rescue basket support frame mounted to the slider and above the base, the rescue basket support frame including:
a rescue basket cradle configured to support an end and sides of a rescue basket, the rescue basket cradle including a pair of parallel spaced apart longitudinal rescue basket side supports joined at a proximal end by a rescue basket end support;
a first series of rollers to facilitate rolling contact with an underside of a rescue basket placed on the extendable and retractable gurney to move the rescue basket longitudinally;
and a plurality of cross beams extending laterally between the pair of spaced apart longitudinal basket side supports such that, when in use, the rescue basket support frame slides on a second series of rollers.

US Pat. No. 10,245,191

ABSORBENT ARTICLE HAVING A GRAPHIC VISIBLE THROUGH BODY CONTACTING SURFACE

1. An absorbent article, comprising:a. a body contacting layer comprising an apertured formed film having opposing longitudinal side edges;
b. a garment contacting layer;
c. an absorbent core disposed between the body contacting layer and the garment contacting layer;
d. a pair of flaps extending laterally outwardly from the article, the pair of flaps being formed from a portion of the garment contacting layer and a nonwoven material that overlays the longitudinal side edges of the body contacting layer and that extends to an edge of the flaps;
e. a plurality of graphic elements disposed on the garment contacting layer;
f. wherein some of the plurality of graphic elements are truncated at a periphery of the garment contacting layer and wherein some of the plurality of graphic elements are visible through the nonwoven material forming part of the flaps.

US Pat. No. 10,245,190

INCONTINENCE SYSTEM

Zilm-Rhomax Products, LLC...

1. An improved incontinence apparatus comprising:base material forming a base that has an outer surface capable of being established proximate clothing of a user when said incontinence apparatus is worn by said user, with said base having a centerline;
a raised ridge established above at least part of said base on at least a portion of said centerline,
an inner surface capable of being established adjacent tissue of said user when said incontinence apparatus is worn by said user; and
a cord have a manually graspable portion, and a remaining cord portion,wherein said raised ridge comprises base material that is folded around, and adhesively secured around, at least a portion of said remaining cord portion, andwherein said apparatus is configured so that, when said user grasps and upwardly pulls said manually graspable portion of said cord, an upward force on said cord is transferred to said raised ridge to:provide a targeted, localized pressure from a first portion of said raised ridge against a urethra of said user sufficient to substantially block urine flow through said urethra so as to mitigate incontinence, and
secure a different, rearward portion of said raised ridge in an intergluteal cleft of said user to maintain said targeted, localized pressure,wherein said first portion of said raised ridge has a height, shape, and stiffness, and is small enough, in width in a coronal plane cross-section, to provide said targeted, localized pressure against said urethra when said incontinence apparatus is worn by said user upon application of said upward force on said cord by said user.

US Pat. No. 10,245,189

TAMPON HAVING SPIRALLY SHAPED GROOVES

Edgewell Personal Care Br...

1. A tampon comprising:a compressed fiber core having an insertion end, a recovery end, a longitudinal axis, and a substantially cylindrical outer surface, said fiber core having a first density and a first circumference;
wherein at least one longitudinal ribs extend radially outward from said fiber core, said ribs being spaced proximal to the core forming at least one spiral liquid guide duct, and said at least one rib defined by at least one longitudinal groove on at least a portion of said outer-surface; and
wherein said tampon has sufficient column strength to permit insertion thereof into a body cavity.

US Pat. No. 10,245,188

METHOD AND APPARATUS FOR MAKING ABSORBENT STRUCTURES WITH ABSORBENT MATERIAL

1. An apparatus for making an absorbent structure for an absorbent article, the absorbent structure comprising a supporting sheet and an absorbent layer on the supporting sheet, the absorbent layer comprising absorbent material and a channel that is substantially free of absorbent material, the apparatus comprising:a first moving endless surface having an absorbent layer-forming reservoir defining a void volume for receiving absorbent material therein, the reservoir comprising a raised strip;
a feeder for feeding absorbent material to the first moving endless surface;
a second moving endless surface having an outer shell including an air permeable receptacle for receiving a supporting sheet, the receptacle having a mating strip;
a vacuum system connected with the outer shell, the vacuum system adapted to facilitate retention of the supporting sheet and the absorbent material on the outer shell; and
wherein, in a meeting point, the first moving endless surface and the second moving endless surface are adjacent and in close proximity of one another during transfer of absorbent material from the first moving endless surface to the second moving endless surface;
wherein the mating strip is arranged to mate with the raised strip during transfer of the absorbent material; and
a downstream pressure roll with a raised pressure pattern substantially corresponding to the mating strip, for contacting the supporting sheet in an area thereof corresponding to a channel.

US Pat. No. 10,245,187

WAISTBAND FOR AN ABSORBENT ARTICLE

1. A method of making the waistband, comprising:elongating a central portion of an elastic material;
elongating an outboard portion of the elastic material;
affixing the elastic material to another material with the central portion elongated and the outboard portion elongated to form a waistband component;
allowing the central portion of the elastic material to relax, thereby creating a waistband component laminate with a contracted central portion; and
applying the waistband component laminate to an absorbent article comprising:
a rear waist portion comprising a rear waistband comprising a topsheet layer and a backsheet layer;
a front waist portion opposite the rear waist portion; and
a crotch portion longitudinally connecting the rear waist portion and the front waist portion;
wherein the waistband component laminate is applied to the rear waist portion so that gathers are formed in the topsheet layer and/or the backsheet layer within the rear waist portion;
wherein an applied percent elongation of the central portion is greater than that of the outboard portion.

US Pat. No. 10,245,186

MULTI-LAYER DRESSINGS, SYSTEMS, AND METHODS FOR APPLYING REDUCED PRESSURE AT A TISSUE SITE

KCI Licensing, Inc., San...

1. A dressing for treating a tissue site, comprising:a tissue-interface layer adapted to be positioned in contact with the tissue site, the tissue-interface layer being non-adherent on a tissue-facing side;
a manifold adapted to be positioned at the tissue site, the manifold being fluid permeable and substantially hydrophobic, the manifold further adapted to separate liquid from the tissue interface layer and to migrate the liquid radially outward toward edges of the manifold such that the liquid is uniformly distributed across the manifold, the tissue-interface layer adapted to be positioned between the tissue site and the manifold;
a first layer adapted to receive fluid communicated from the tissue site through the manifold, the manifold adapted to be disposed between the tissue site and the first layer;
a second layer positioned proximate the first layer, the first layer disposed between the manifold and the second layer, wherein the second layer is more hydrophilic than the first layer so that the second layer may pull fluid from the first layer; and
a foam distribution manifold layer adjacent the second layer.

US Pat. No. 10,245,185

WOUND CONTACTING MEMBERS AND METHODS

1. A wound contacting member for negative pressure wound therapy (NPWT) selected to reduce pain upon removal from a wound, comprising:a foam, the foam comprising:
a network of foam strut elements separated by pores, at least 95% of the strut elements comprising a thickness of between 0.007 and 0.5 mm;
wherein one or more foam strut elements comprise a thickness of 0.23 mm or more; and
wherein at least 90% of the pores comprise a diameter of between 2.3 and 5.5 mm.

US Pat. No. 10,245,184

REDUCED PRESSURE, COMPRESSION SYSTEMS AND APPARATUSES FOR USE ON JOINTS

KCI Licensing, Inc., San...

1. A closing dressing bolster, the closing dressing bolster comprising:a bolster body having a first side, a second side, and a center wound area, the bolster body formed with a plurality of flexion joints on the first side of the bolster body;
a first closing member extending from the second side of the bolster body on a first longitudinal side of the center wound area;
a second closing member extending from the second side of the bolster body on a second longitudinal side of the center wound area; and
wherein the first closing member and the second closing member are operable to develop an inward closing force when the closing dressing bolster is placed under reduced pressure.

US Pat. No. 10,245,183

STEERABLE LASER PROBE

KATALYST SURGICAL, LLC, ...

1. An ophthalmic laser probe comprising:a handle having a handle distal end and a handle proximal end;
an actuation structure of the handle having an actuation structure distal end and an actuation structure proximal end, wherein the actuation structure has a plurality of actuation arms and wherein each actuation arm of the plurality of actuation arms has an inverted actuation joint;
a housing tube having a housing tube distal end and a housing tube proximal end wherein the housing tube proximal end is disposed in an optic fiber guide of the handle;
a first housing tube portion of the housing tube having a first stiffness;
a plurality of slits of the first housing tube portion;
a second housing tube portion of the housing tube having a second stiffness wherein the second stiffness is greater than the first stiffness; and
an optic fiber having an optic fiber distal end and an optic fiber proximal end wherein the optic fiber is disposed in the handle and the housing tube and wherein a compression of the actuation structure is configured to curve the housing tube.

US Pat. No. 10,245,182

LASER PROBE WITH REPLACEABLE OPTIC FIBERS

KATALYST SURGICAL, LLC, ...

1. An instrument system comprising:a handle assembly having a handle, a hypodermic tube, a wire, a slider, a piston with a slot, and expansion ring disposed in a portion of the piston;
a first transitory connector having a first transitory connector distal end and a first transitory connector proximal end wherein the first transitory connector is manufactured from a material configured to deform if the first transitory connector is sterilized in a medical autoclave;
a proximal base of the first transitory connector having a proximal base distal end and a proximal base proximal end wherein the proximal base proximal end is the first transitory connector proximal end;
a distal base of the first transitory connector wherein the distal base is disposed between the first transitory connector distal end and the proximal base distal end;
a tapered inner lumen of the first transitory connector;
a first superior arm of the first transitory connector having a first superior arm distal end and a first superior arm proximal end wherein the first superior arm is disposed between the first transitory connector distal end and the first transitory connector proximal end;
a first superior arm barb of the first superior arm wherein the first superior arm barb is disposed between the first superior arm distal end and the first superior arm proximal end;
a first inferior arm of the first transitory connector having a first inferior arm distal end and a first inferior arm proximal end;
a first inferior arm barb of the first inferior arm wherein the first inferior arm barb is disposed between the first inferior arm distal end and the first inferior arm proximal end;
a second transitory connector having a second transitory connector distal end and a second transitory connector proximal end;
a tapered inner lumen of the second transitory connector;
a second superior arm of the second transitory connector having a second superior arm distal end and a second superior arm proximal end;
a second superior arm barb of the second superior arm wherein the second superior arm barb is disposed between the second superior arm distal end and the second superior arm proximal end;
a second inferior arm of the second transitory connector having a second inferior arm distal end and a second inferior arm proximal end;
a second inferior arm barb of the second inferior arm wherein the second inferior arm barb is disposed between the second inferior arm distal end and the second inferior arm proximal end; and
an optic fiber having an optic fiber distal end and an optic fiber proximal end, the optic fiber disposed in the tapered inner lumen of the first transitory connector wherein the optic fiber distal end extends a distance from the first transitory connector distal end.

US Pat. No. 10,245,181

GRIN FIBER MULTI-SPOT LASER PROBE

Alcon Research, Ltd., Fo...

1. A surgical probe, comprising:a cannula assembly, having
a graded index (GRIN) fiber that is configured to receive a multi-spot light beam at a proximal end and to emit the multi-spot light beam at a distal end, and a cannula encasing the GRIN fiber;
a handpiece coupled to the cannula assembly with a proximal portion of the GRIN fiber extending into a proximal end of the handpiece, the handpiece configured to be manipulated by a surgeon or a surgical machine to control positioning of the distal end of the GRIN fiber; and
an adapter, having
a distal end configured to receive the proximal portion of the handpiece containing the proximal portion of the GRIN fiber,
a proximal end, configured to couple to a light guide via a connector and to receive a light delivered by the light guide from a laser source to the adapter, and
an interface configured between the distal end of the adapter and the proximal end of the adapter;
wherein the interface is outside a patient's eye when the cannula is inserted into the patient's eye during a photocoagulation procedure;
wherein the proximal end of the GRIN fiber is spaced from a distal end of the light guide by a pre-selected distance inside the adapter thereby coupling the light delivered by the light guide to the proximal end of the GRIN fiber in the adapter;
wherein the cannula is removably docked to the adapter.

US Pat. No. 10,245,180

OPHTHALMOLOGICAL DEVICE FOR TREATING EYE TISSUE

Ziemer Ophthalmic Systems...

1. An ophthalmological device for treating eye tissue with laser pulses, comprising:a scanner system for dynamically deflecting the laser pulses;
a projection optical unit for focused projection of the laser pulses in a projection direction;
a zoom system, which is arranged downstream of the scanner system and upstream of the projection optical unit, between the scanner system and the projection optical unit, and which is configured to adjust the focused projection of the laser pulses in the projection direction in different zoom settings, whereby the zoom system has an optical axis and a virtual entry pupil which moves along the optical axis with the different zoom settings; and
a displacement device, which is configured to displace the scanner system along the optical axis of the zoom system depending on the zoom setting of the zoom system, the displacement device comprising a drive coupled to the scanner system and configured to displace the scanner system along the optical axis of the zoom system, and one or more circuits configured to control the drive to displace the scanner system along the optical axis of the zoom system using a current zoom setting of the zoom system, wherein the displacement device is configured to adapt a position of the scanner system, with respect to a current position of the virtual entry pupil of the zoom system, for continuously maintaining a value of distance of the scanner system from the virtual entry pupil of the zoom system.

US Pat. No. 10,245,179

SYSTEM AND METHOD FOR PULSED ULTRASONIC POWER DELIVERY EMPLOYING CAVITATION EFFECTS

1. An apparatus comprising:a handpiece having a needle, the handpiece configured to ultrasonically vibrate;
a power source configured to provide pulsed electrical power to the handpiece;
a footswitch in communication with the handpiece, wherein the footswitch is configured to enable an operator to select an amplitude of an ultrasonic vibration and select between multiple separate and unrelated pulse timing operation sets when positioned in different footswitch zones while performing an ocular surgical procedure;
a sensor; and
a controller configured to control ultrasonic power supplied from the power source to the handpiece during the ocular surgical procedure according to a pulse timing operation set determined based on pulse timing settings selected by the operator, footswitch position within the different footswitch zones, and occlusion status by applying ultrasonic energy to an ocular region during at least one pulsed energy on period followed by a long off period, wherein the controller is configured to apply ultrasonic energy to the ocular region during the at least one pulsed energy on period in a series of short burst periods, said short burst periods interspersed by short rest periods, and short rest periods having minimal power application;
wherein the controller is further configured to dynamically alter, without operator intervention, at least two selected from the group consisting of pulse amplitude, the long off period, the at least one pulsed energy on period, the short burst periods, and the short rest periods during the ocular surgical procedure in response to a change in flow or vacuum sensed by the sensor.

US Pat. No. 10,245,178

ANTERIOR CHAMBER DRUG-ELUTING OCULAR IMPLANT

Glaukos Corporation, San...

1. A drug delivery ocular implant comprising:an elongate outer shell having a proximal end, and a distal end, and being shaped to define an interior space;
at least one drug positioned within said interior space;
wherein said outer shell has at least a first thickness and an outer diameter;
wherein said outer shell comprises one or more regions of drug release;
wherein said implant is shaped and sized so as to be suitable for implantation within an anterior chamber of an eye;
wherein said implant is shaped and sized to be positioned fully in an irido-corneal angle of the anterior chamber of the eye;
wherein said implant is configured without one or more anchoring protrusions, wherein the outer shell provides sufficient friction against tissue of the irido-corneal angle to hold the implant in position in the irido-corneal angle; and
wherein said implant is configured to be deformed from a straightened to an arcuate shape for retention within the irido-corneal angle.

US Pat. No. 10,245,177

TEMPERATURE CONTROLLED BLANKET

1. A temperature controlled blanket, comprising:a first layer of material and a second layer of material, wherein the first layer of material and the second layer of material are affixed to one another along an outer perimeter of each layer creating an enclosed interior volume;
a seam, wherein the seam is disposed along a longitudinal axis of the first layer of material and the second layer of material, such that the seam defines a first portion and a second portion; wherein the first portion of the first layer of material and the first portion of the second layer of material are made of a first pair of fabrics; wherein the second portion of the first layer of material and second portion of the second layer of material are made of a second pair of fabrics; wherein the first pair of fabrics comprises at least one different fabric other than the second pair of fabrics;
wherein the first portion and the second portion each contain a panel comprising heating and cooling elements disposed within the enclosed interior volume between the first layer of material and the second layer of material;
at least one thermostat operably connected to each panel of the first portion and the second portion, wherein the at least one thermostat is configured to separately control the heating and cooling elements of each panel; and
a power source, wherein the power source is operably connected to the first panel and the second panel.

US Pat. No. 10,245,176

TRIGGERING THE AUTONOMIC NERVOUS SYSTEM

1. A device for inducing the dive reflex in a person comprising:at least one stimulus component operable to stimulate a branch of the trigeminal nerve of the person; and
an apparatus for supporting the at least one stimulus component in contact with the person's face directly adjacent a branch of the trigeminal nerve.

US Pat. No. 10,245,175

SALIVA MANAGEMENT SYSTEM WITH CONTINUOUS FLOW THROUGH ORAL DEVICE

SOMNICS, INC., Zhubei, H...

1. An oral device comprising:a base adapted to be held between a patient's upper teeth and lower teeth, said base having an anterior end, a posterior end, and a cross-member extending across said posterior end; wherein said base includes a first bite structure and a second bite structure and said cross-member is disposed between said first and second bite structures;
wherein a plenum extends within said base from an air inlet on said anterior end to said cross-member and returns to an air outlet on said anterior end; wherein said plenum in one of said first and second bite structures is divided into inlet and outlet lumens connected to said air inlet and air outlet, respectively,
wherein said air inlet and air outlet are fluidly connected by said plenum so that air entering said air inlet flows through said cross-member before exiting said air outlet; and wherein at least one vacuum port is formed in a wall of said cross-member.

US Pat. No. 10,245,174

VACUUM SPLINT APPARATUS AND METHOD FOR USING THE SAME

1. An apparatus for immobilizing the neck of a patient comprising:a splint body, the splint body comprising a front surface and a back surface, a first and second end, and defining a deflatable interior;
a coupling portion coupled to the splint body wherein the first end may be selectively joined to the second end of the splint body when the splint body is applied about the neck of the patient;
a plurality of loosely compressible particles disposed in the deflatable interior of the splint body; and
a vacuum hand pump coupled to the splint body and having an input communicated with the deflatable interior of the splint body, the hand pump comprising bellows, wherein the bellows are configured to be operable with a single hand,
wherein the vacuum hand pump is configured to remove air from the deflatable interior and bring the splint body against the neck of the patient without moving the neck of the patient.

US Pat. No. 10,245,173

METHOD AND SYSTEM FOR RELIEVING AND PREVENTING EXCESSIVE BACK AND JOINT DISCOMFORT, POOR POSTURE, AND LACK OF ENERGY

1. A posture alignment system for improving the posture of a user by posture modification and spinal alignment according to a predetermined posture alignment goal, comprising:a back plate for positioning said posture alignment system along a user's back and in alignment with the spine when the user is standing, said back plate providing a rigid structural foundation configured to extend from approximately the user's head down vertically to at least to the user's hip region;
a separation plate hingedly coupled to said posture alignment system at a position configured to be adjacent the user's hip region when positioning said posture alignment system along the user's back, said separation plate having a length approximately the length of said back plate and positionable in parallel with said back plate and further for forming a first variable wedge space from said back plate upon being pivoted at a hinged coupling;
a spinal mold mechanism having a length approximately equivalent to that of and positioned in parallel with said separation plate, said spinal mold mechanism being hingedly coupled to said posture alignment system adjacent the user's hip region when positioning said posture alignment system along the user's back, said spinal mold mechanism further comprising:
a spinal mold positioned on said spinal mold plate mechanism and having a length equal to at least approximately the length of the user's spine for interfacing and providing posture modifying support and alignment force to the user's spine, said spinal mold comprising a posture alignment guide rails for guiding posture modification and spinal alignment according to a posture alignment goal; and
a spinal mold plate for providing structural support and foundation for said spinal mold and for forming a second variable wedged space from said separation plate upon being pivoted at said hinged coupling; and
a neck aligning mechanism on said posture alignment system and positioned to be above said spinal mold when positioning said posture alignment system along the user's back for aligning the position of the user's neck with the user's spine, as said posture alignment guide rails guide said posture modification and spinal alignment;
a user harnessing mechanism for harnessing said posture alignment system to the user, further comprising
a head harnessing mechanism further comprising at least one head harness for firmly harnessing the user's head and a tether harness for firmly connecting set head harness to said back plate;
a shoulder harness mechanism comprising at least one harness for each shoulder of the user for firmly harnessing the user's shoulders to said spinal mold mechanism; and
a hip harness for harnessing the user's hips to said posture alignment system; and
a pneumatic force generating mechanism for associating said back plate, said separation plate, and said spinal mold mechanism for controllably generating pneumatic force at said spinal mold plate for transmission through said user harnessing mechanism for forcibly and controllably interfacing said spinal mold mechanism and said neck aligning mechanism with the user's spine and neck, and, thereby guide posture modification and spinal alignment of the user according to said posture alignment goal.

US Pat. No. 10,245,172

WEARABLE NOXIPOINTS STIMULATING DEVICES

1. A method of Noxipoint stimulation comprising:a) forming multiple electrodes on a hosting member; and
b) coupling an electrical power source to the multiple electrodes.

US Pat. No. 10,245,171

HAND SUPPORT AND METHOD FOR USING THE SAME

OSSUR ICELAND EHF, Reykj...

1. A hand support, comprising:a base component arranged for securing to at least a portion of a hand, and forming a base opening adapted for insertion of a thumb;
an anchor element adjustably connected to the base component and arranged for grasping the thumb;
a counterforce device defined by a helical spring having a first end connecting to the base component and surrounding the base opening and extending distally therefrom, and a second end holding the anchor element and distally located relative to the base component, the helical spring arranged to generate a counterforce in combination with or against the base component and the anchor element, the helical spring spanning a distance between the base component and the anchor element, and arranged for encircling the thumb, the anchor element being biased by and rotatable relative to the helical spring, the helical spring being compressible in height relative to and from the base component.

US Pat. No. 10,245,170

FASTENER MEMBER FOR AFFIXATION TO A STRUCTURE IN AN ORTHOPEDIC DEVICE AND METHOD FOR SECURING THE SAME

OSSUR HF, Reykjavik (IS)...

1. An orthopedic device comprising a frame element, a brace component, and a fastener member for mechanical affixation of the brace component to the frame element, the fastener member including:a base having first and second sides;
a plurality of hook fastening elements extending from a first side of the base; and
an affixation element extending from the second side of the base and arranged to mechanically affix to an attachment opening of the frame element, and selectively positioned along a plurality of locations of the attachment opening;
wherein the affixation element has a head defining a length dimension extending longer than a width of the attachment opening, and a stem carrying the head which passes through the attachment opening;
wherein the attachment opening is formed as an elongate slot such that the fastener member slides relative to peripheral walls surrounding the elongate slot along a length of the elongate slot;
wherein the fastener member is secured to the frame element in a secured configuration by rotating the fastener member such that the head of the fastener member is pressed against a first surface of the frame element beyond the peripheral walls of the attachment opening, and such that the second side of the fastener member is pressed against a second surface of the frame element;
wherein the fastener member is readjustable relative to the frame element from the secured configuration by rotating the fastener member so a length dimension of the head is parallel to a length of the attachment opening and relocating the fastener member along the plurality of locations of the attachment opening; and
wherein the brace component is arranged to connect to the frame element by the fastener member and includes loop material for interengaging the plurality of hook fastening elements of the fastener member, and is selected form the group consisting of a strap and padding.

US Pat. No. 10,245,169

ASSEMBLY FOR SECURING GASTROINTESTINAL TISSUE FOLDS

ENDO TOOLS THERAPEUTICS S...

1. An assembly for endoscopically securing gastrointestinal tissue folds, comprising:a first tissue anchor;
a second tissue anchor;
a first suture thread part and a second suture thread part, each of the first suture thread part and the second suture thread part having a secured end and a free end opposite the secured end;
wherein the first suture thread part and the second suture thread part are connected to each other via a sliding knot, such that the first suture thread part forms a post of the sliding knot along which the sliding knot is arranged to slide during tightening of the assembly and such that the second suture thread part wraps around the post to create the sliding knot;
wherein the assembly is configured to be tightened by sliding the sliding knot along the post;
wherein the first suture thread part extends from the first tissue anchor past the sliding knot where the free end of the first suture thread part forms a post free end, and the second suture thread part extends from the second tissue anchor past the sliding knot where the free end of the second suture thread part is free, such that the sliding knot is interposed between the first tissue anchor and the second tissue anchor,
the second tissue anchor further comprising a first through hole; and
the post free end being configured to slide through the first through hole, the first through hole having a size preventing the sliding knot from passing through the first through hole, such that the second tissue anchor is configured to act as a knot retainer during tightening.

US Pat. No. 10,245,168

ARRANGEMENT FOR IMPLANTING STENT ELEMENTS IN OR AROUND A HOLLOW ORGAN

MEDIGROUP GMBH, Pforzhei...

1. An arrangement for installing at least one stent element in a hollow organ, comprising:at least one shaft with a proximal end and a distal end having an atraumatic tip, a plurality of independent, single piece stent elements, said stent elements are arranged on an axial wire (L) inside the shaft and the shaft prevents an expanding of the stent elements, wherein the plurality of independent stent elements are not connected to each other and are spaced apart by one or more spacers that are arranged lengthwise of each other along the axial wire wherein the spacers have a shape complementary to adjacent stent elements, wherein the spacers are not detachably connected to said axial wire and do not expand so that they can be pulled back into the shaft through expanded stent elements wherein the stent elements have an anchor at a proximal end and at a distal end of the stent element, wherein the spacers have an opening therein that provide a form-fitting connection with at least one anchor whereby the stent elements are detachably connected to the spacers, wherein the form-fitting connection is detached by relative radial movement of the stent and the spacer as by expanding the stent element, wherein lateral surfaces of said stents enclose said axial wire at a radial spacing therefrom and wherein a height of said lateral surface of at least one stent element varies across a circumference of said lateral surface and the anchors are arranged along a maximum height of said lateral surface.

US Pat. No. 10,245,167

DELIVERY DEVICE AND METHOD OF DELIVERY

Intact Vascular, Inc., W...

1. A delivery device comprising:an inner shaft;
a distal annular band and a proximal annular band fixed to the inner shaft;
a delivery platform between the distal annular band and the proximal annular band, wherein the delivery platform is configured to receive a self-expanding intraluminal device for deployment from the delivery device into a vessel;
an outer sheath slidable over the inner shaft and the delivery platform, the outer sheath having a pre-deployment position covering the delivery platform, and at least one delivery position uncovering the delivery platform and at least one of the distal annular band and the proximal annular band; and
a post deployment dilation device comprising:
a deployment platform fixed with respect to the inner shaft;
a balloon fixed with respect to a longitudinal axis of the deployment platform, the balloon having a pre-actuated position having a pre-deployment diameter and an actuated position having a deployment diameter larger than the pre-deployment diameter;
at least one inflation fluid lumen in fluid communication with the balloon and extending along at least a portion of the inner shaft;
a filament lumen; and
a helical coil extendable from the filament lumen to trap the balloon in the pre-deployment position and retractable from the filament lumen to allow the balloon to be inflated to the actuated position;
wherein the post deployment dilation device is configured to apply a radial force to an inner surface of the self-expanding intraluminal device after deployment of the self-expanding intraluminal device to improve at least one of expansion of the self-expanding intraluminal device and seating of the self-expanding intraluminal device in the vessel.

US Pat. No. 10,245,166

APPARATUS AND METHOD OF PLACEMENT OF A GRAFT OR GRAFT SYSTEM

Endologix, Inc., Irvine,...

1. A method of delivering an endoluminal prosthesis system, the method comprising:deploying a first endoluminal prosthesis in a main vessel, the first endoluminal prosthesis comprising a main body graft, a first end, a second end, a single lumen extending from the first end to the second end, a first lateral opening in a wall portion of the main body graft, and a second lateral opening in the wall portion of the main body graft;
positioning a first hollow tubular member that passes over a first guidewire and supports a balloon on a distal end of the first hollow tubular member through the first lateral opening into a first branch vessel prior to deploying a distal end of the first endoluminal prosthesis;
positioning a second hollow tubular member that passes over a second guidewire and supports a balloon on a distal end of the first hollow tubular member through the second lateral opening into a second branch vessel prior to deploying a distal end of the first endoluminal prosthesis;
inflating the balloon on the distal end of the first hollow tubular member; and inflating the balloon on the distal end of the second hollow tubular member.

US Pat. No. 10,245,165

STENT

Q3 MEDICAL DEVICES LIMITE...

1. A stent comprising:an elongated body composed of a biodegradable material having a proximal end, a distal end, and two open spiral channels formed on the exterior surface of said body to provide fluid communication between said proximal end and said distal end, and
a central lumen open at the proximal and distal ends of the stent for the passage of a guide wire,
wherein the central lumen has a circular, oval or elliptical cross-section and is not in fluid communication with the open spiral channels.

US Pat. No. 10,245,164

GLENOID TRIAL AND IMPLANT ASSEMBLY FOR REVERSE TOTAL SHOULDER ARTHROPLASTY AND METHOD OF USE

Biomet Manufacturing, LLC...

1. A glenoid trial and implant assembly for reverse total shoulder arthroplasty comprising:a glenoid baseplate component including a baseplate bore;
an adapter assembly including an adapter and an adapter plate, the adapter including a body portion, the body portion configured to be received in the baseplate bore of the glenoid baseplate component, the adapter plate including a plate magnet;
a glenoid trial that defines a lateral glenoid trial face, wherein the glenoid trial includes a glenoid trial magnet configured to couple the adapter assembly to the glenoid trial via the plate magnet when the glenoid trial and implant assembly is in a trialing configuration;
a glenoid implant that defines a lateral glenoid implant face, the glenoid implant being configured to be coupled to the adapter assembly when the glenoid trial and implant assembly is in an installed configuration; a positioning guide including a hub and a positioning guide flange that extends outwardly from the hub, the hub defining a hub cavity that receives the adapter plate and the positioning guide flange comprising a plurality of annular rings each representing different glenoid trial sizes; and
a humeral cup including a concave surface, the concave surface of the humeral cup configured to abut the lateral glenoid trial face when the glenoid trial and implant assembly is in the trialing configuration, and the concave surface of the humeral cup configured to abut the lateral glenoid implant face when the glenoid trial and implant assembly is in the installed configuration.

US Pat. No. 10,245,163

TRIAL PROSTHESIS SYSTEM

Biomet Manufacturing, LLC...

1. A system for confirming a selected configuration of a first portion and a second portion of a prosthesis system, comprising:a trial femoral head member having an external surface configured to be at least partially received within an acetabular component;
a patient-specific indicator viewable by a user on an exterior surface of the trial femoral head member; and
a connection region configured to provisionally connect to a portion of a femoral member;
wherein the patient-specific indicator comprises:
a circular line indicating when a preferred single selected configuration of the femoral stem relative to the acetabular system is achieved; and
a mark region disposed on either side of the circular line indicating when configurations of the femoral stem relative to the acetabular system are within a safe zone;
wherein widths of the circular line and the mark region are selected based on pre-procedure planning for a specific patient.

US Pat. No. 10,245,162

PROSTHESIS INSTALLATION SYSTEMS AND METHODS

Kambiz Behzadi, Pleasant...

1. A vibratory device for installation of a prosthesis into a cavity prepared in a portion of a bone, comprising:an engine producing a motion;
a shaft coupled to the prosthesis;
a converter, coupled to said engine and to said shaft, producing a series of longitudinal vibrations in said shaft and the prosthesis responsive to said motion;
wherein said converter includes a cam having a cam surface responsive to said rotary motion and wherein said shaft is coupled to said cam surface; and
wherein said converter includes a rocker arm coupled between said cam surface and said shaft with a first end of said rocker arm coupled to said cam surface and a second end of said rocker arm coupled to said shaft and wherein a biasing structure is coupled to said second end.

US Pat. No. 10,245,161

ASSEMBLY FOR IMPLANTING AN ACETABULAR CUP IN A COTYLOID CAVITY

Dedienne Sante, Maugio (...

1. An assembly for implanting an acetabular cup in a cotyloid cavity, the assembly comprising:the acetabular cup, intended to be implanted in a cotyloid cavity of a patient's pelvis, and
a gripping and impacting instrument for the acetabular cup, the instrument comprising:
a gripper having a surface to come into contact with the acetabular cup, the gripper includes reversible retaining members for reversibly retaining the acetabular cup, and a gripping/impacting handle;
the acetabular cup has at least two snapping rims;
the gripper is separated from the handle and capable to be assembled to said handle, the gripper comprising a connecting device to the handle;
the handle is a separate subassembly from the gripper and capable to be assembled to the gripper, the handle comprising a connecting piece for connecting to the gripper, capable to cooperate with the connecting device of the gripper to connect said handle to said gripper;
the reversible retaining members are in the form of snapping teeth suitable for engaging with the snapping rims comprised by the acetabular cup and releasing the acetabular cup following a thrust exerted on the acetabular cup along an axis of revolution of that acetabular cup;
the gripper comprises a movable pusher, movable from a withdrawn position not hindering the assembly of the acetabular cup to the gripper, toward an extension position, the pusher exerting, during the movement, thrust on the acetabular cup along the axis of revolution of said acetabular cup, so as to disengage the snapping rims comprised by the acetabular cup from the engagement with the snapping teeth comprised by the gripper;
the assembly comprises actuating devices for actuating the movable pusher, making it possible to move that pusher from said withdrawn position to said extension position;wherein:the connecting device for connecting the gripper to the handle comprises:
an assembly cavity arranged in the gripper and an assembly head secured to the handle, the assembly head forming an extension capable to be received in an adjusted manner in the assembly cavity;
first locking recesses arranged in walls defining said assembly cavity and second locking recesses arranged in side walls of said extension, the first and second recesses coming opposite one another in the assembly position of the gripper to the handle;
a movable locking/thrust part, capable to be moved in said extension, that forms third recesses capable to come opposite said second recesses, and that has flats situated near the third recesses, on the proximal side relative thereto;
an elastically deformable shank or other similar expansive element, engaged and retained in said first recesses or in said second recesses, the shank being deformable between a contracted state, in which does not hinder the engagement and sliding of said extension in said assembly cavity, and a not deformed state, in which extends both in said first recesses and in said second recesses, thus performing a reversible retention of said extension in said assembly cavity and therefore a reversible assembly of the gripper to the handle;
wherein said locking/thrust part being movable between a position not locking the assembly of the gripper to the handle, in which said third recesses are opposite the shank and allow the deformation of said shank in said contracted state, therefore allowing said reversible assembly of the gripper to the handle, and a position locking the assembly of the gripper to the handle, in which said flats comprised by a locking/thrust part are opposite the shank and prohibit the deformation of said shank in said contracted state, therefore locking the assembly of the gripper to the handle;
said movable pusher is situated opposite said assembly cavity; and
the actuating device of the pusher include said locking/thrust part, which is movable between said locking position and a bearing position in which bears against the movable pusher so as to move said pusher toward said extension position.

US Pat. No. 10,245,160

PROSTHESIS INSTALLATION SYSTEMS AND METHODS

6. A construction device for a prosthetic assembly to be installed in a live bone, the prosthetic assembly including a first component and a second component to be joined to the first component using a mechanical interface, comprising:a controller including a trigger;
a support having a proximal end and a distal end opposite of said proximal end, said support further having a longitudinal axis extending from said proximal end to said distal end with said proximal end coupled to said controller, said support further having a first adapter coupled to said distal end with said first adapter configured to secure the first component;
a second adaptor coupled to said support with said second adaptor configured to secure the second component; and
a first oscillator coupled to said controller and to said first adaptor, said first oscillator configured to control a first series of vibratory pulses having a first oscillation frequency and a first oscillation magnitude of said first adaptor with said first oscillation frequency and said first oscillation magnitude configured to construct the second component together with the first component responsive to said first series of vibratory pulses.

US Pat. No. 10,245,159

BONE GRAFT DELIVERY SYSTEM AND METHOD FOR USING SAME

1. A bone graft material delivery system, comprising:an elongate hollow tube constructed to receive bone graft material, said elongate hollow tube being generally linear and having an extended axis, a generally rectangular cross-section, a proximal end, a distal end with at least one opening, a hollow interior extending from said proximal end to said distal end, and indicia formed on an exterior surface of said elongate hollow tube, wherein said distal end of said elongate hollow tube is at least partially closed; and
a plunger adapted to extend in said elongate hollow tube, said plunger having a shaft and a distal portion with an exterior surface contoured to form a substantially congruent fit with said hollow interior of said elongate hollow tube such that said plunger is precluded from rotating within said elongate hollow tube, wherein teeth are formed along a longitudinal axis of said plunger shaft, and wherein said plunger is adapted to urge bone graft material through said elongate hollow tube to deliver bone graft material through said at least one opening of said distal end.

US Pat. No. 10,245,158

CAGE FOR SPINAL INTERBODY FUSION

1. A cage for spinal interbody fusion comprising:a cage body; and
a tip part formed by extending from the cage body with a predetermined curvature,
wherein the cage body comprises:
a cavity part formed by penetrating from a top surface to a bottom surface of the cage body;
projection parts having a plurality of projections formed on the top surface and the bottom surface; and
at least one perforation part which is perforated from a side surface adjacent to the top surface or the bottom surface toward the cavity part, and is located in an anterior direction of the cavity part;
wherein the tip part includes a concavely curved groove formed in an upper portion thereof being recessed in a concave curved shape with a predetermined depth, and has a form continued to the cavity part and the perforation part, thus to increase an exposed surface area of a bone chip or bone substitute such as an artificial bone or autogenous bone; and
the perforation part is formed so as to have a larger inclination in an anterior direction continued to the tip part than an inclination in a posterior direction continued to the cage body, and has an inner surface which is formed by sloping so as to be decreased a cross section of the perforation part toward an inside from an outside thereof, thus to satisfy durability and increase an exposed surface area of the bone chip or bone substitute such as an artificial bone or autogenous bone.

US Pat. No. 10,245,157

ANCHORING DEVICE FOR A SPINAL IMPLANT, SPINAL IMPLANT AND IMPLANTATION INSTRUMENTATION

LDR Medical, Rosieres Pr...

1. A surgical instrument for implanting a spinal implant and attaching the implant to a vertebra with an anchoring device, the instrument comprising an implant holder elongated along a longitudinal axis extending between a grasping end and a pushing end and comprising a head having an implant connector, an implant facing surface, and a passage extending through the head and opening on the implant facing surface; an impactor elongated along a longitudinal axis extending between a posterior end and an anterior end of the impactor; the anterior end comprising a branch disposable into the implant holder passage; and an anchor guiding surface configured to guide an anchor through the head and into an implant.

US Pat. No. 10,245,156

ANCHORING DEVICE AND SYSTEM FOR AN INTERVERTEBRAL IMPLANT, INTERVERTEBRAL IMPLANT AND IMPLANTATION INSTRUMENT

LDR Medical, Rosieres Pr...

1. A system for treatment of a spine comprising:an intervertebral implant comprising
a first contact surface adapted and configured to contact a first vertebral endplate,
a second contact surface adapted and configured to contact a second vertebral endplate,
a peripheral surface extending between at least a part of the first contact surface and at least a part of the second contact surface,
a first passage having an opening on the peripheral surface, the first passage extending from the opening toward the first contact surface and being adapted and configured for transit of a front end of an elongated, curved anchor from the peripheral surface to project from the first contact surface,
a first insertion stop surface proximate to the first passage configured to abut a corresponding second insertion stop surface of an anchor, and
a first withdrawal stop surface proximate to the first passage configured to abut a corresponding second withdrawal stop surface of an anchor; and
an anchor having a front end, a rear edge, and a longitudinal axis extending between the front end and the rear edge, the anchor comprising
at least one plate that is elongated and curved along the longitudinal axis of the anchor and that has a width transverse to the longitudinal axis of the anchor,
at least one slot oriented generally along the longitudinal axis of the anchor and separating the rear edge and at least a rearward portion of the plate into a first branch and a second branch, with the first branch being resiliently movable with respect to the second branch,
a second insertion stop surface oriented angularly to the longitudinal axis of the anchor that is adapted and configured to abut the first insertion stop surface and hold the implant against the first vertebral endplate, and
a second withdrawal stop surface disposed on one of the branches and oriented angularly to the longitudinal axis of the anchor, the second withdrawal stop surface being adapted and configured to abut the first withdrawal stop surface and inhibit withdrawal of the anchor from the implant.

US Pat. No. 10,245,155

LOW PROFILE PLATE

GLOBUS MEDICAL, INC., Au...

1. A spinal system comprising:a plate member comprising a body having an anterior face, a posterior face, a first lateral side comprising a first side arm and a second lateral side comprising a second side arm, the first and second side arms each including a window that extends along a length of the first and second side arms, respectively, an upper rim extending from the body and a lower rim extending from the body, wherein the upper rim includes an upper screw hole extending through the upper rim and the lower rim includes a lower screw hole extending through the lower rim, wherein the upper screw hole includes a first central axis that passes therethrough and the lower screw hole includes a second central axis that passes therethrough, wherein the upper screw hole is angled in an upward direction through the upper rim and the lower screw hole is angled in a lower direction through the lower rim, wherein a height of each window is greater than a length of each window;
a first screw insertable through the upper screw hole, wherein the first screw is oriented in an upward direction, wherein the upper screw hole has an opening at the anterior face of the plate member;
a second screw insertable through the lower screw hole, wherein the second screw is oriented in a downward direction, wherein the lower screw hole has an opening at the anterior face of the plate member; and
a spacer attachable to the plate member adjacent the posterior face, wherein the spacer comprises an upper surface, a lower surface, a first lateral surface, and a second lateral surface, wherein each of the upper surface and the lower surface includes one or more surface features thereon for engaging bone, wherein the spacer further comprises a first vertical notch that extends from the upper surface to the lower surface of the spacer and a second vertical notch that extends from the upper surface to the lower surface of the spacer, wherein the first vertical notch receives a portion of the first side arm of the plate member and the second vertical notch receives a portion of the second side arm of the plate member, the first and second lateral surfaces each having a portion extending laterally outward and into the respective windows of the first and second side arms,
wherein the spacer includes a longitudinal axis that extends vertically from the upper surface of the spacer to the lower surface of the spacer, wherein the first central axis of the upper screw hole at the point of the opening at the anterior face of the plate member is positioned above the upper surface of the spacer, and the second central axis of the lower screw hole at the point of the opening at the anterior face of the plate member is positioned below the lower surface of the spacer.

US Pat. No. 10,245,154

INSTRUMENTS AND METHODS FOR INSERTING ARTIFICIAL INTERVERTEBRAL IMPLANTS

SpineCore, Inc., Allenda...

1. An implant dispenser for holding the top and bottom elements of an intervertebral disc implant, the dispenser comprising:a superior arm for contacting the top element of the intervertebral disc implant and having a first notch;
an inferior arm for engaging the bottom element of the intervertebral disc implant and having a second notch;
a central support connecting the superior and inferior arms, the central support allowing for the superior and inferior arms to move relative to one another; and
a clip disposed between the superior and inferior arms to prevent the superior and inferior arms from moving towards one another, wherein the clip includes a main body having an upper end and a lower end, the upper end disposed within the first notch and the lower end disposed within the second notch.

US Pat. No. 10,245,153

ARTIFICIAL DISCS

GLOBUS MEDICAL, INC., Au...

1. An artificial disc comprising:a superior endplate having a superior surface, an inferior surface, a first end, a second end, a first side and a second side, the first side extending from the first end to the second end and the second side extending from the first end to the second end;
an inferior endplate having a superior surface and an inferior surface;
wherein the inferior surface of the superior endplate includes two side regions separated by a center region;
wherein the superior surface of the inferior endplate includes two side regions and a center region;
wherein the center region of the superior endplate includes a socket having a concave spherical shape, wherein the superior surface of the inferior endplate includes a mating sphere that mates with the socket of the superior endplate, wherein the mating sphere has a radius that is smaller than a radius of the socket,
wherein the superior endplate contains a first lip separating one of the two side regions from the center region and extending from the first end to the second end of the superior endplate such that the first lip extends along an entire length of the superior endplate,
wherein the inferior endplate contains a second lip and wherein the first lip and the second lip contact when the superior endplate is rotated relative to the inferior endplate,
wherein the superior endplate comprises a keel extending from the first end to the second end, and
wherein the inferior endplate comprises a keel extending from the first end to the second end, and
wherein the keel of the superior endplate and the keel of the inferior endplate includes a lateral socket for receiving a tool,
wherein the distance between the first end and the second end is greater than the distance between the first side and the second side.

US Pat. No. 10,245,152

SURGICAL IMPLANT

Privelop-Spine AG, Stans...

1. A radiopaque intervertebral metal implant for fusion of two bridged vertebral bodies comprising:an upper plane for contacting an upper vertebral body;
a lower plane for contacting a lower vertebral body;
a tubular structure formed by a plurality of tubes for the fusion of the two bridged vertebral bodies, the plurality of tubes comprises vertical tubes and horizontal tubes, wherein the vertical tubes run from the upper plane to the lower plane and the horizontal tubes run in a substantially horizontal direction throughout one side of the intervertebral implant straight to the opposite side of the intervertebral implant thereby interconnecting the vertical tubes;
the horizontal tubes of the tubular structure are parallel to each other or are grouped into groups of parallel horizontal tubes so that X-ray spectra or radiographs are conductable through the horizontal tubes, and wherein all surfaces of the intervertebral metal implant have a roughness of 6.0 Ra to 8.5 Ra.

US Pat. No. 10,245,151

STEPPED TIBIAL BASEPLATE

Stryker Corporation, Kal...

1. An orthopaedic implant configured to replace an articular surface of a tibia comprising:medial, intermediate and lateral portions each having an articular surface and a bone contacting surface, the intermediate portion joining the medial and lateral portions,
wherein the articular surfaces of the medial and lateral portions are concave and the articular surface of one of the lateral and medial portions is located superiorly to the articular surface of the other of the lateral and medial portions about a longitudinal axis of the orthopaedic implant and about a mechanical axis of the tibia when the orthopaedic implant is operatively engaged to the tibia, and
wherein the articular surface of the intermediate portion is sloped with respect to the respective articular surfaces of the medial and lateral portions and from an inferior surface located adjacent to one of the lateral and medial portions to a superior surface located adjacent the other of the lateral and medical portion such that there is a smooth transition from the articular surface of the medial portion to the articular surface of the lateral portion,
wherein the bone contacting surface of the medial and lateral portions each lie along a respective plane, the respective planes being parallel and offset to one another about the longitudinal axis of the orthopaedic implant.

US Pat. No. 10,245,150

METHOD OF IMPLANTING ASPHERIC HIP BEARING COUPLE

DePuy Synthes Products, I...

1. A method of implanting a prosthetic ball and cup joint system, comprising:implanting a first member including a concave articulation surface portion defined by a first radius of curvature in a first bone in a joint;
implanting in a second bone in the joint a second member including a first convex articulation surface portion defined by a second radius of curvature and a second convex articulation surface defined by a third radius of curvature, wherein the second convex articulation surface is defined by the lemon portion of a spindle torus and each of the second radius of curvature and the third radius of curvature has a length that is different from the length of the first radius of curvature by less than 0.05 millimeters and wherein the origin of the second radius of curvature is not coincident with the origin of the third radius of curvature; and
bringing the first member into slidable contact with the second member.

US Pat. No. 10,245,149

REVERSE TOTAL HIP REPLACEMENT

1. A reverse hip replacement prosthesis device comprising:a femoral component having a femoral stem portion that is configured for fitting into a human femur and supports a femoral cup portion attached to a saucer-shaped spacer; and
an acetabular component having:
(i) an acetabular base formed as a spherical segment having a spherical interface surface that extends between a first flat surface and a second flat surface parallel to the first flat surface, wherein a central barrel having a keyed depression extends from the second flat surface,
and wherein the acetabular base includes one or more tunnels formed through the spherical interface surface that define an anterior-to-posterior orientation for fastening the acetabular base to a patient's acetabulum;
(ii) a hemispheric acetabular ball that is sized for articulating contact with the saucer-shaped spacer and featured for engagement with the central barrel.

US Pat. No. 10,245,148

FLEXIBLE SNAP-FIT PROSTHETIC COMPONENT

Howmedica Osteonics Corp....

1. A flexible prosthetic component comprising:an articular surface; and
a bone contacting surface opposing the articular surface, the bone contacting surface having an anterior surface and an opposing posterior surface each having one or more protrusions extending outwardly therefrom, wherein the anterior and posterior surfaces are parallel to one another prior to implantation,
wherein the anterior and posterior surfaces flex toward and away from one another during implantation, such that the one or more protrusions are configured to snap-fit into corresponding recesses made in resected bone, and
wherein the anterior and posterior surfaces are parallel to one another after implantation.

US Pat. No. 10,245,147

BONE VOID PLUGS AND METHODS OF USE

ARTHREX, INC., Naples, F...

1. A method, comprising:positioning a bone void plug relative to a bone void;
inserting a bone void filler into the bone void,
wherein at least a portion of the bone void filler backfills a recessed opening of the bone void plug during the inserting; and
blocking displacement of the bone void filler out of the bone void with a proximal face of the bone void plug.

US Pat. No. 10,245,146

FENESTRATED BONE GRAFT

Vivex Biomedical, Inc., ...

1. A fenestrated cortical bone graft comprises:a textured and flexible allograft bone structure, the allograft bone structure being made from a single piece of long cortical bone of 8 cm length or greater from a rib or 10 cm length or greater from a tibia, the rib treated in 1N-HCL for 1 to 3 hours whereas the tibia is treated in 1N-HCL for 4 to 6 hours to texture the cortical bone and make pliable or flexible, the cortical bone being cut along a length of the bone and laid flat in a flat sheet, the structure having an outer surface and an inner surface, the structure being fenestrated along a length of the bone structure with a plurality of cut slits sized to uniformly extend through from the outer surface to the inner surface to form a plurality of open passages when the bone structure is stretched, the fenestrated cortical bone graft being freeze-dried and packaged sterilely for clinical use, the freeze-dried fenestrated cortical bone graft being hydrated and reconstituted in saline with or without antibiotics or lactated ringers with or without antibiotics for clinical use to resume the pliable or flexible condition of the freeze-dried fenestrated cortical bone graft, the open passages being bounded by an interconnected network of bone struts defined by pairs of adjacent slits, each bone strut having a width of 0.8 to 1.2 mm that doubles at connective portions, the bone struts in combination with the slits giving the hydrated and reconstituted fenestrated cortical bone graft stretchability and flexibility wherein the allograft bone structure is formed as the flat sheet, the flat sheet of the allograft bone structure is made pliable and conformable by the treatment in 1N-HCL which also demineralizes the bone allowing the flat sheet to be formed into different shapes, wherein the bone allograft structure has a thickness of 0.2 mm to 1 mm as measured from the inner surface to the outer surface and wherein the structure when stretched has the slits opened, the slits being sized in length allows the open passages to be of an oblong shape in the range of 0.2 mm to 5 mm when the sheet is stretched and the plurality of slits are configured by cutting through the flat sheet using a bone cutter with cutting blades, cutting fenestrations in the flat sheet which open when the flat sheet is stretched, wherein each slit is of a length prior to stretching and the openness of each of the slits varies dependent on the amount of stretch on the fenestrated cortical bone graft.

US Pat. No. 10,245,145

METHOD AND APPARATUS FOR COMPRESSING/LOADING STENT-VALVES

SYMETIS SA, Ecublens (CH...

1. An apparatus configured to compress a cardiac stent-valve for loading into a delivery catheter, the apparatus comprising:a first compressor stage for compressing the stent-valve,
wherein the first compressor stage comprises a hollow channel, and the first compressor stage is configured for progressively compressing the stent-valve in response to, or in association with, longitudinal advancement of an advancing member against the stent-valve within the hollow channel; and
a second compressor stage coupled or couplable to the first compressor stage and configured to further compress a portion of the stent-valve after passing through the first compressor stage,
wherein the second compressor stage comprises a crimper having jaws defining a chuck.

US Pat. No. 10,245,144

NATIVE VALVE REPAIR DEVICES AND PROCEDURES

Edwards Lifesciences Corp...

1. A valve repair device for repairing a native valve of a patient, the valve repair device comprising:a base assembly having:
a shaft; and
a cam attached to the shaft and configured to move between a first position and a second position;
a pair of paddles attached to the base assembly, wherein the pair of paddles are configured to move between an open position and a closed position; and
a pair of gripping members attached to the base assembly, wherein the gripping members are configured to attach to the native valve of the patient;
wherein movement of the cam from first position to the second position causes the pair of paddles to move from the closed position to the open position, and wherein movement of the cam from the second position to the first position causes the pair of paddles to move from the open position to the closed position;
wherein the cam is fixed to the shaft, and wherein the cam is moved between the first position and the second position by rotating the shaft.

US Pat. No. 10,245,143

TECHNIQUES FOR PERCUTANEOUS MITRAL VALVE REPLACEMENT AND SEALING

CARDIOVALVE LTD., Or Yeh...

1. Apparatus for use with a native valve of a heart of a subject, the apparatus comprising:an overtube, transluminally advanceable to the heart;
a prosthetic valve support, having a compressed state for delivery through the overtube to the heart, and an expanded state in which the valve support comprises:
a flat annular upstream support portion:
comprising a nitinol frame and a fabric disposed over the nitinol frame,
having an inner perimeter defined by a free inner edge that defines an opening through the upstream support portion, and
having an outer perimeter that is at least 10 percent greater than the inner perimeter; and
a plurality of anchors comprising at least a first anchor and a second anchor, each anchor of the plurality of anchors being configured to anchor to a respective commissure of the native valve; and
a prosthetic valve:
having a compressed state for transluminal delivery, and
being intracorporeally couplable to the valve support by being expanded toward an expanded state of the prosthetic valve while disposed within the opening,wherein:(i) the valve support is configured such that upon deployment of the valve support from a distal end of the overtube, the first anchor and the second anchor anchor the valve support to the commissures by moving away from each other and into the commissures,
(ii) the first anchor and the second anchor are configured to anchor the valve support to the commissures by extending, from the upstream support portion, through the commissures to a ventricular side of the commissures, and
(iii) the valve support is configured such that, when anchored by the anchors to the commissures, and before the prosthetic valve is coupled to the valve support, the valve support allows the native valve to continue to function.

US Pat. No. 10,245,142

MULTIPLE ORIFICE IMPLANTABLE HEART VALVE AND METHODS OF IMPLANTATION

Medtronic, Inc., Minneap...

1. A heart valve assembly for implantation in a body lumen, the heart valve assembly comprising:a percutaneously implantable valve frame comprising an outer periphery having both a first side and an opposite second side, wherein the first side is an upper side of the valve frame and the second side is a lower surface of the valve frame; further wherein the valve frame has an outer shape that is compatible with a shape of a mitral valve;
at least one opening extending through the valve frame from the first side to the second side, the at least one opening including a first opening;
wherein the first opening is defined by an inner frame surrounded by the valve frame, and further wherein a perimeter shape of the first opening differs from a perimeter shape of the valve frame, and further wherein the first opening is offset with respect to a central axis of the valve frame; and
a tissue valve disposed within the first opening, the tissue valve has a curvilinear surface and a generally flat surface collectively forming a substantially D-shape matching at least a portion of the annulus of the mitral valve.

US Pat. No. 10,245,141

IMPLANT DEVICE AND IMPLANTATION KIT

Sorin Group Italia S.r.l....

1. An implant device for implantation in an animal body, the device including an annular structure extending axially between opposed ends and at least one elongated anchoring member deployable to a deployed condition for insertion into an animal body and retractable from said deployed condition to a rolled up condition wherein the anchoring member protrudes radially outwardly of the annular structure of the device to provide anchoring of the implant device to a body structure of an animal, wherein in said rolled up condition the anchoring member at least partly protrudes axially outwardly of the annular structure of the device, and wherein winding of the at least one elongated anchoring member from the deployed condition to the rolled up condition is with a winding trajectory having an angular extent between 180° and 900°.

US Pat. No. 10,245,140

INTRAOCULAR DEVICE WITH ARTICULATED HOUSING STRUCTURES

Verily Life Sciences LLC,...

1. An intraocular device for implantation in an eye, the intraocular device comprising:discrete housing structures including a first housing, a second housing, and a third housing, wherein the discrete housing structures are each rigid encasements physically separated and spaced apart from each other, and wherein the first housing is positioned between the second housing and the third housing;
a first and a second flexible interconnect to respectively couple the second and the third housings to the first housing, wherein the first flexible interconnect is coupled between the first housing and the second housing, wherein the second flexible interconnect is coupled between the first housing and the third housing, wherein the first flexible interconnect provides articulation of the second housing relative to the first housing, and wherein the second flexible interconnect provides articulation of the third housing relative to the first housing;
a first and a second haptic structure extending from the second housing and the third housing respectively, each to resist movement of the intraocular device when implanted in the eye, wherein a first proximal end of the first haptic structure and the first flexible interconnect are positioned on opposite sides of the second housing, and wherein a second proximal end of the second haptic structure and the second flexible interconnect are positioned on opposite sides of the third housing;
a dynamic optic at least partially disposed within the first housing, wherein the dynamic optic provides a level of accommodation for the eye;
a first component disposed within the second housing, wherein the first component is electrically coupled to the first housing via the first flexible interconnect; and
a second component disposed within the third housing, wherein the second component is electrically coupled to the first housing via the second flexible interconnect.

US Pat. No. 10,245,139

APPARATUS AND METHOD FOR CLAMPING AND TRIMMING THE BONE TENDON OF A GRAFT TO A DESIRED SIZE

KOCO CLAMP, LLP, St. Pet...

1. A method for clamping and trimming a bone tendon portion of a graft to a desired size, comprising the steps of:clamping a pair of jaws the jaws defining a generally U-shaped receptacle about the bone tendon portion of the graft to be trimmed, wherein the jaws comprise respective upstanding, inwardly-sloping sidewalls sloping from a narrower width at a top portion to a wider width at a bottom portion of the jaws to define the generally U-shaped trapezoidal receptacle when the jaws are closed; and
trimming an excess portion of the bone tendon portion protruding from an upper guide surface of the jaws by moving a cutting instrument along the upper guide surface to trim the excess portion of the bone tendon portion protruding outside the upper guide surface.

US Pat. No. 10,245,138

METHODS AND APPARATUS FOR DELIVERING AND POSITIONING SHEET-LIKE MATERIALS IN SURGERY

Rotation Medical, Inc., ...

1. A method of attaching a sheet-like implant over a tendon treatment site comprising:attaching a marker proximate the tendon treatment site;
thereafter, advancing an implant delivery system to the tendon treatment site;
deploying a sheet-like implant from the implant delivery system at the tendon treatment site;
aligning a peripheral edge of the sheet-like implant laterally adjacent to the marker, wherein the marker does not penetrate the sheet-like implant; and
attaching the sheet-like implant to a tendon of the tendon treatment site.

US Pat. No. 10,245,137

GRAFT WITH EXPANDABLE REGION AND METHODS OF MAKING AND USING THE SAME

ATRIUM MEDICAL CORPORATIO...

1. A graft, comprising:a conduit having a wall, the conduit comprising:
a body region;
an outflow region located adjacent to the body region;
at least one inflow aperture at an inflow end of the body region; and
an outflow aperture at an outflow end of the outflow region opposite from the at least one inflow aperture;
wherein the wall comprises a support structure and a biocompatible layer; and wherein the support structure along the outflow region configurable from a first shape to a second shape, the second shape being a flared shape having an expanded diameter along at least a portion of its length, and the first shape having a constrained diameter, smaller than the expanded diameter, along the outflow region due to the support structure along the outflow region being under continuous compressive stress resulting from a continuous applied load caused by the biocompatible layer against the support structure, wherein the compressive stress resulting from the continuous applied load in the outflow region is greater than a compressive stress resulting from a continuous applied load in the body region; and
wherein the support structure assumes the flared shape prior to combination with the biocompatible layer to form the wall, and the flared shape has multiple effective outer diameter measurements, and the support structure assumes the first shape after combination with the biocompatible layer to form the wall, and the first shape has a generally uniform effective outer diameter measurement.

US Pat. No. 10,245,136

CONTAINMENT VESSEL WITH IMPLANT SHEATHING GUIDE

BOSTON SCIENTIFIC SCIMED ...

20. An accessory sheathing guide, comprising:a first portion and a second portion configured to matingly engage with the first portion to define a tapered inner surface tapering from a maximum inner diameter adjacent a distal end of the accessory sheathing guide to a minimum inner diameter adjacent a proximal end of the sheathing guide,
wherein
the first portion is reversibly coupled to the second portion;
wherein the first portion is separable from and independent of the second portion.

US Pat. No. 10,245,135

SEGMENTED SKIRTED SURGICAL MESH

1. A segmented skirted surgical mesh for use in reconstructing a soft tissue defect, said segmented skirted surgical mesh comprising:a base layer of surgical mesh, said base layer of surgical mesh terminating in an outer edge; and
a segmented skirt of surgical mesh terminating in an outer edge and comprising an inner edge which defines a central opening, said outer edge of said segmented skirt of surgical mesh being secured to said outer edge of said base layer of surgical mesh, and said segmented skirt of surgical mesh comprising a plurality of slits formed in said segmented skirt of surgical mesh, wherein said plurality of slits extend outwardly from said central opening of said segmented skirt of surgical mesh to said outer edge of said segmented skirt of surgical mesh, whereby to form a plurality of flaps of surgical mesh in said segmented skirt of surgical mesh, such that at least one of said flaps of surgical mesh can be lifted away from said base layer of surgical mesh and secured to soft tissue without causing distortion of said base layer of surgical mesh.

US Pat. No. 10,245,134

APPARATUS AND METHODS FOR THE TREATMENT OF URINARY INCONTINENCE

1. A device for treating urinary incontinence, comprising:a plurality of non-biodegradable sutures configured generally in parallel and forming an implantable sling free from biologic material, the plurality of non-biodegradable sutures integrated with a non-biologic support material, and the non-biodegradable sutures free from intersections with one another, free from barbs and free from tines, and free from junctures with any fiber and free from junctures with any woven material along a length of the implantable sling; and
first and second non-biodegradable anchor portions coupled to opposing ends of the implantable sling.

US Pat. No. 10,245,132

MARKER CAPSULE FOR DRUG DELIVERY DART

Dart Markers, LLC, Alvar...

1. A marker capsule for use in conjunction with a drug delivery dart used to inject a drug into an animal upon impact therewith, the drug delivery dart having a dart body and a cannula extending therefrom with a collar disposed about the cannula that serves to retain the dart in place after it impacts the animal, the marker capsule comprising:a capsule formed of a rupturable and flexible material, and having a central aperture formed therethrough, said aperture sized for disposition about the drug delivery dart cannula, and wherein said flexible material stretches to allow the collar on the cannula to pass therethrough and further relaxes to effectively retain said capsule on the cannula between the dart body and the collar;
a marking substance contained within said capsule, and wherein
said capsule ruptures between the dart body and the animal upon impact to thereby disperse said marking substance upon the animal about the area of the impact.

US Pat. No. 10,245,131

VERTICAL DIMENSION OF OCCLUSION JIGS USED IN ALL-ON-4 DENTAL PROCEDURES

1. A vertical dimension of occlusion jig used in all-on-4 dental procedures comprising:a vertical support column having an upper end, a lower end, and a longitudinal axis that extends between the upper and lower ends;
a lateral arm support base coupled with said vertical support column, said lateral arm support base being configured to slide along and rotate about the longitudinal axis of said vertical support column;
a first lateral support arm having a proximal end pivotally coupled with said lateral arm support base, a distal end spaced from the proximal end, and a longitudinal axis extending between the proximal and distal ends thereof;
a first tooth gantry having a proximal end coupled with said first lateral support arm and a distal end spaced therefrom, wherein the proximal end of said first tooth gantry is adapted to slide along and rotate about the longitudinal axis of said first lateral support arm;
a second lateral support arm having a proximal end pivotally coupled with said lateral arm support base, a distal end spaced from the proximal end, and a longitudinal axis extending between the proximal and distal ends thereof, wherein said first and second lateral support arms are configured to pivot relative to one another at the proximal ends thereof;
a second tooth gantry having a proximal end coupled with said second lateral support arm and a distal end spaced therefrom, wherein the proximal end of said second tooth gantry is adapted to slide along and rotate about the longitudinal axis of said second lateral support arm;
a temporary anchorage device (TAD) gantry coupled with said vertical support column, said vertical support column having an opening, wherein said TAD gantry has a shaft that passes through the opening in said vertical support column and is configured to slide along a longitudinal axis that is perpendicular to the longitudinal axis of said vertical support column.

US Pat. No. 10,245,130

POLYMERIZATION APPARATUS FOR DENTAL TECHNIQUE

GC CORPORATION, Bunkyo-k...

11. A polymerization apparatus for dental technique for curing a photo-curable material used for dental prostheses, comprising:a plurality of light sources being able to light up with a high energy and a low energy;
a cover that covers the light sources, forms a polymerization space inside thereof and switches a formation and closure of an opening that communicates inside and outside the polymerization space;
a sensor that detects the formation and closure of the opening by the cover;
a light transmissive plate that attenuates light with which the polymerization space can be visually observed with the opening formed by the cover; and
a controller that makes a decision to turn on the light sources with the low energy for a preliminary polymerization with the opening formed by the cover, and makes a decision to turn on the light sources with the high energy for a final polymerization with the opening closed by the cover.

US Pat. No. 10,245,129

TOOTH BLEACHING DEVICE

PANASONIC INTELLECTUAL PR...

1. A teeth whitening device comprising:a generator that generates a teeth whitening fluid which is a gas that contains electrically charged microparticle water;
a mouthpiece having a shape configured to be held by one or more of teeth, gums, and lips of a user to keep the mouthpiece in the mouth of the user so that the user can use the teeth whitening device hands free; and
a coupling portion that couples the generator and the mouthpiece to each other,
wherein the mouthpiece includes a supply port that supplies the teeth whitening fluid generated by the generator into an oral cavity, an inlet-side passage, to which the coupling portion is connected, and an outlet-side passage, which does not include the supply port and guides gas flowing through the inlet-side passage to the supply port,
wherein the generator is configured to generate condensed water by cooling and to atomize the condensed water by generating electric discharging so as to generate the electrically charged microparticle water, which includes radical species serving as teeth-whitening active ingredients, and
wherein the teeth whitening device is configured to cause the gas that contains the electrically charged microparticle water flowing from the generator to the mouthpiece through the coupling portion.

US Pat. No. 10,245,128

DAMPING DENTAL ROOT POST KEY

3. A method for implanting a dental root post, the method comprising:matching a post carrier to a shape of the dental root post;
assembling a dental post key using the post carrier; and
rotating a body of the dental post key,
wherein a spring and a second spring are located between the post carrier and the body of the dental post key,
wherein, during the rotating, the post carrier is in direct contact with the dental root post, and the dental root post is in direct contact with a tooth root,
wherein the spring is configured to have a first spring constant, and the second spring is configured to have a second spring constant that is different than the first spring constant, and
wherein, during the rotating, each spring is configured to create a dynamic reaction force between the dental root post and the tooth root.

US Pat. No. 10,245,127

METHOD OF MANUFACTURING MULTILAYER ZIRCONIA BLOCK FOR ARTIFICIAL TEETH

DENTAL MAX CO., LTD., Se...

1. A method of manufacturing a multilayer zirconia block for artificial teeth, comprising:a first material mixing step of mixing a 3 mol % yttrium oxide-tetragonal zirconia polycrystal and an organic binder;
a third material mixing step of mixing a 5 mol % yttrium oxide-tetragonal zirconia polycrystal and the organic binder;
a second material mixing step of mixing the 3 mol % yttrium oxide-tetragonal zirconia polycrystal, the 5 mol % yttrium oxide-tetragonal zirconia polycrystal, and the organic binder, wherein the 3 mol % yttrium oxide-tetragonal zirconia polycrystal and the 5 mol % yttrium oxide-tetragonal zirconia polycrystal are mixed to a predetermined concentration between 3 mol % and 5 mol %;
a compression molding step of sequentially placing mixtures, obtained in the first material mixing step, the second material mixing step, and the third material mixing step, in a mold for compression molding and performing compression molding; and
a calcination step of calcining a compression molded product obtained in the compression molding step.

US Pat. No. 10,245,126

METHOD OF MAKING A DENTAL RESTORATION BY MATCHING TOOTH COLOR STRUCTURE FROM AN IMAGE OF A TOOTH WITH BLOCK COLOR STRUCTURE OF A RESTORATIVE MATERIAL

3M INNOVATIVE PROPERTIES ...

1. A method of making a dental restoration, comprising the steps of:capturing an image of a tooth at a color depth that is based on a multiplicity of color values;
posterizing the image by:
detecting in the tooth image a contiguous first tooth color area having color values within a predetermined first range of different color values and assigning the first tooth color area one common first false color value; and
detecting in the tooth image a contiguous second tooth color area having color values within a predetermined second range of different color values and assigning the second tooth color area one common second false color value;
determining a tooth color structure based on the first and second false color value of the first and second color area, respectively, within the tooth image;
providing information about a multicolored block that has a predetermined color shading formed by at least a first block color zone and a second block color zone, wherein the information comprises data about a block color structure with respect to dimensions and/or positions of the first and second block color zone;
matching the tooth color structure and the block color structure; and based on the matching;
determining a position within the multicolored block in which the tooth color structure and the block color structure match within predetermined limits; and
machining the dental restoration from the multicolored block at the determined position.

US Pat. No. 10,245,125

METHOD FOR DUPLICATING A DENTURE

Imam Abdulrahman Bin Fais...

1. A process for forming a duplicate denture, the process comprising:obtaining an intermediate denture comprising teeth and a gum portion;
removing the teeth of the intermediate denture thereby exposing a part of the gum portion;
applying an adhesive to the exposed part of the gum portion;
filling a first portion of a mold of an original denture with a first resin;
placing the gum portion of the intermediate denture into a second portion of the mold;
placing the first portion and the second portion of the mold in a contiguous matching relationship thereby contacting the exposed part of the gum portion with the first resin; and
polymerizing the first resin thereby forming a duplicate denture.

US Pat. No. 10,245,124

SIMPLIFIED PROTOCOL FOR FIXED IMPLANT RESTORATIONS USING INTRA-ORAL SCANNING AND DENTAL CAD/CAM

James R. Glidewell Dental...

1. A method of making a digital patient model for use in making an implant-supported denture device for a patient comprising dental implants, comprising the steps of:a) scanning an edentulous jaw of a patient having at least one dental implant comprising a dental abutment to acquire a first image of the edentulous jaw and a provisional denture device that is attached the edentulous jaw, wherein the edentulous jaw is a mandibular arch;
b) removing the provisional denture device from the edentulous jaw and attaching a digital impression coping to the dental abutment, and scanning of the patient's edentulous jaw to acquire a second image of the edentulous jaw and the digital impression coping;
c) scanning an opposing jaw that opposes the edentulous jaw, wherein the opposing jaw comprises an edentulous maxillary arch at least one oral landmark selected from a maxillary tuberosity, a hamular notch and an incisive papilla, to acquire a third image;
d) saving the first, second, and third images into an electronic storage medium; and
e) registering the images using at least one oral landmark selected from a retromolar pad and a mandibular torus common to the first and second images, and creating a digital patient model that comprises a digital model of the edentulous jaw.

US Pat. No. 10,245,123

METHOD FOR MANUFACTURING A DENTAL PROSTHESIS

Dental Knowledge S.R.L., ...

1. A method for manufacturing a dental prosthesis or a part thereof, comprising a milling step of a block realized in a material suitable for dental uses, wherein the block is secured to a connection element with a dental implant, comprising the following steps:a) providing a milling machine having a supporting element;
b) supplying the block made of a material suitable for manufacturing the dental prosthesis, the block provided with a hole;
c) providing the connection element for the dental implant, the connection element having a first connection portion operable to connect to the dental implant, and a second connection portion operable to connect to the dental prosthesis;
d) inserting the second connection portion of the connection element into the hole of the block and securing the second connection portion to the block, so as to form an assembly block-connection element;
e) providing a coupling member between the first connection portion and the supporting element of the milling machine;
f) connecting the assembly block-connection element to the coupling member;
g) assembling the coupling member with the assembly block-connection element on the supporting element of the milling machine, wherein the second connection portion of the connection element has a substantially conical shape and comprises a longitudinal relief;
h) milling the block, so as to obtain a stump or the dental prosthesis.

US Pat. No. 10,245,122

METHOD AND DEVICE FOR CAUSING TOOTH MOVEMENT

Advanced Orthodontics and...

1. A method of increasing movement of a tooth in a jaw by provoking an inflammatory response, the method comprising:(a) holding a handle of a device, the device having an elongate member extending from the handle and a screw tip at a distal end of the elongate member;
(b) contacting the screw tip of the device with gingival tissue at a predetermined site on the gingival tissue;
(c) screwing the screw tip of the device by applying a pressure force on the screw tip towards the gingival tissue along a first axis while simultaneously applying a rotational force on the screw tip in a first direction causing the screw tip to enter the gingival tissue at the predetermined site and to enter cortical bone tissue underneath the predetermined site on the gingival tissue;
(d) displacing cortical bone tissue radial to the first axis as a result of said screwing step;
(e) stopping the screwing of the screw tip into the gingival tissue when the screw tip has reached a desired depth in the cortical bone tissue; and
(f) removing the screw tip from the gingival tissue and the cortical bone tissue by applying a rotational force on the screw tip in a second direction opposite the first direction;
wherein said displacing step does not cause removal of cortical bone tissue.

US Pat. No. 10,245,121

TOOTHBRUSH

1. A toothbrush for cleaning gums and teeth in the mouth of a human or animal, comprising:a handle having a proximal end and a distal end;
a first arm disposed on the proximal end of the handle and a second arm disposed on the distal end of the handle, each arm being coplanar with a longitudinal plane of the handle, each arm extending outward from the handle in an initial direction collinear with a longitudinal axis of the handle;
wherein the second arm comprises at least one bent portion, the at least one bent portion of the second arm extending laterally in a first lateral direction from the longitudinal axis of the handle at a second arm first angle;
a first brush head and a second brush head, each brush head being coplanar with the longitudinal plane of the handle, the first brush head extending laterally from the longitudinal axis of the handle at a first arm angle and the second brush head extending laterally from the at least one bent portion of the second arm at a second angle different from the first arm angle, wherein the second brush head extends in a second lateral direction opposite the first lateral direction; and
at least one bristle tuft extending laterally from each of the first brush head and the second brush head, each bristle tuft being oriented perpendicular to a longitudinal axis of the brush head.

US Pat. No. 10,245,120

METHOD OF MANUFACTURE OF A DENTAL PROPHY ANGLE

Young Innovations, Inc., ...

1. A method of manufacturing a dental prophy angle having a wiper assembly, the method comprising the steps of:manufacturing the dental prophy angle, the dental prophy angle comprising a neck section, the neck section having an outer surface;
manufacturing a wiper assembly by:
molding a base, the base having an undersurface, the undersurface configured to match the outer surface of the neck section;
over-molding a shield assembly onto the base, the shield assembly comprising a carriage and a wiper;
attaching the undersurface to the outer surface.

US Pat. No. 10,245,119

SIGNAL TAG DETECTION COMPONENTS, DEVICES, AND SYSTEMS

Elucent Medical, Inc., E...

1. A system comprising:a) a tag, said tag comprising a radio-frequency identification (RFID) chip and an antenna, wherein said tag emits a sideband at a defined frequency, upon activation by a magnetic field;
b) a remote activation device that generates a magnetic field within a region of the tag;
c) a plurality of witness stations, each said witness station comprising an antenna configured to detect said sideband; and
d) a component that is attachable to a medical device, wherein said component comprises:
i) at least two medical device location emitters, and
ii) an indicator comprising a visual display that presents distance to tag information, and spatial orientation, for said medical device.

US Pat. No. 10,245,118

SIGNAL TAG DETECTION COMPONENTS, DEVICES, AND SYSTEMS

Elucent Medical, Inc., E...

1. A method for localizing a tissue region of a patient, comprising:a) placing a remote activating device and a patient in proximity to each other,
wherein said remote activating device generates a magnetic field, and
wherein said patient comprises a tag at a location in, on, or proximal to a tissue of said patient; and
b) localizing said tag in said patient by generating a magnetic field with said remote activating device and detecting a signal from said tag using a detector component,
wherein said detector component comprises an electronics component and at least one sense coil and is attached to, or integrated with, a surgical device, wherein said electronics component comprises a signal processor, and
wherein said detector component and said remote activating device are separate.

US Pat. No. 10,245,117

TISSUE EXPANDERS, IMPLANTS, AND METHODS OF USE

AirXpanders, Inc., San J...

1. A tissue expander comprising:an implantable portion comprising a fluid source in communication with an expandable chamber, wherein the expandable chamber includes an anterior portion, wherein the anterior portion includes a first deformable member and a second deformable member, wherein the first deformable member is disposed within the second deformable member, and the first deformable member has a thickness that is about 1.5 to about 8 times the thickness of the second deformable member.

US Pat. No. 10,245,116

SURGICAL SLEEVES FOR SPECULUMS OR RETRACTORS AND A METHOD OF USING THE SAME

ASPIP Inc., Dix Hills, N...

1. An article for housing a speculum or retractor, wherein the speculum or retractor comprises first means and second means for engaging with and exerting force to hold apart respective opposite edges of an eyelid of a patient when the speculum or retractor is disposed in an operating position with the first and second means at the respective outer edges of the eyelid when the speculum or retractor is released and wherein the speculum or retractor comprises third means for connecting the first and second means and enabling relative movement there between, the article comprising:(a) a first elongate sleeve portion;
(b) a second elongate sleeve portion; and
(c) a connecting portion connecting respective base portions of the first and second sleeve portions;wherein the first sleeve portion, the second sleeve portion and the connecting portion are integrally formed of a flexible, sterile material; wherein the first sleeve portion and the second sleeve portion project from the connecting portion at an angle with respect to one another with the respective base portions of the respective first and second sleeve portions converging at the connecting portion; wherein the first sleeve portion and the second sleeve portion are of tubular or teardrop shape in cross section and are dimensioned such that, with the speculum or retractor housed in the article, the first sleeve portion and the second sleeve portion envelop the first means and the second means of the speculum or retractor respectively and, with the speculum or retractor housed in the article in the operating position, the first sleeve portion and the second sleeve portion are maintained in a disposition between the respective first and second means and the eyelid solely by compressive force, wherein each of the first and second sleeve portions has a surface that is adapted to conform to a U-shape of retaining portions of the speculum or retractor with the speculum or retractor maintaining the respective first and second sleeve portions in the disposition, and wherein the article comprises an opening through which the speculum or retractor is insertable into the article so that the respective first and second means can be enveloped by the first and second sleeve portions respectively.

US Pat. No. 10,245,115

FIBER OPTIC SENSING OF TOOL STRAIN OR TOOL ANGLE

Intuitive Surgical Operat...

1. A method of using a hinged tool, the method comprising:measuring fiber strain in an optical fiber fixed to at least one jaw of opposed jaws of the hinged tool; and
determining at least one of tool strain applied to the hinged tool and a degree of pivoting of the hinged tool using the fiber strain.

US Pat. No. 10,245,114

MEDICAL MANIPULATOR

OLYMPUS CORPORATION, Tok...

1. A medical manipulator comprising:an end effector;
a joint part that is provided at an end of the end effector and configured to be operated through turning of a rotating body;
an elongated part that has a longitudinal axis and is connected to an end of the joint part opposite to a side where the end effector is provided;
actuator that is provided on a proximal side of the elongated part and configured to supply a driving force for operating the rotating body;
a driving wire member that is connected at least to the rotating body of the joint part and is stretched between the rotating body and the elongated part; and
a wire relaxation mechanism that is configured to relax the driving wire member by changing the path length of the driving wire member,
wherein the joint part includes a unit joint that is coupled to one end of the elongated part in a direction along the longitudinal axis,
wherein the unit joint includes:
a proximal-side support having a first turning shaft that is provided on the elongated part side and extends in a direction intersecting the longitudinal axis at the one end, and a first guide part that has the first turning shaft as a turning shaft;
a distal-side turning body having a second turning shaft that is provided on the end effector side to face the proximal-side support and extends parallel to the first turning shaft, and a second guide part that has the second turning shaft as a turning shaft; and
a coupling member that is the rotating body that holds the first turning shaft and the second turning shaft, respectively, and is configured to be turnable around the first turning shaft, and
wherein the joint part further includes a guide wire that is connected to or engaged with the proximal-side support of the joint part and the distal-side turning body that is the rotating body, the guide wire having an end fixed to the elongated part, and guiding the turning of the distal-side turning body when the joint part operates.

US Pat. No. 10,245,113

SYSTEM AND APPARATUS FOR POSITIONING AN INSTRUMENT IN A BODY CAVITY FOR PERFORMING A SURGICAL PROCEDURE

Titan Medical Inc., (CA)...

1. A method for controlling positioning of an instrument in a body cavity of a patient for performing a surgical procedure using a robotic surgery system, the robotic surgery system being controlled by a processor, the method comprising, by the processor:receiving body cavity image data representing an interior view of the body cavity, the body cavity image data being captured by a camera inserted into the body cavity;
determining at least one instrument parameter associated with physical extents of the instrument;
determining an instrument envelope based on the at least one instrument parameter, the instrument envelope identifying a region in which the instrument is capable of being positioned;
generating display signals configured to display a composite view of the interior of the body cavity on a display associated with the robotic surgery system, the composite view being based on the body cavity image data; and
causing display of the composite view.

US Pat. No. 10,245,112

INTERLOCKING SYSTEM AND METHOD FOR JOYSTICKS IN A CATHETER PROCEDURE SYSTEM

CORINDUS, INC., Waltham,...

1. An interlocking system for a joystick in a catheter procedure system, the interlocking system comprising:a joystick configured to generate a first voltage output signal based on a linear activation of the joystick and a second voltage output signal based on a rotational activation of the joystick;
a joystick cover disposed over the joystick and comprising an upper portion having an electrode plating on an inner surface of the upper portion and a lower portion having an inner surface;
a capacitive touch detection circuit coupled to the electrode plating of the upper portion of the joystick cover, the capacitive touch detection circuit mounted on the inner surface of the lower portion of the joystick cover and configured to detect a proximal change in capacitance in the electrode plating of the upper portion of the joystick cover and to generate a touch output signal to indicate whether a change in capacitance has been detected; and
a signal enable circuit coupled to the joystick and the capacitive touch detection circuit, the signal enable circuit configured to generate a linear enable voltage output signal and a rotational enable voltage output signal based on whether a change in capacitance has been detected.

US Pat. No. 10,245,111

OPERATION SUPPORT DEVICE

OLYMPUS CORPORATION, Tok...

1. An operation support device comprising:a surgical instrument comprising:
an insertion section;
a manipulation section provided at a proximal end side of the insertion section; and
a treatment section provided at a distal end side of the insertion section;
a slave arm configured to support at least the distal end side of the surgical instrument and to allow the treatment section to approach a treatment target;
a camera system configured to detect information related with position or orientation of the manipulation section; and
a controller comprising one or more processors, the one or more processors configured to:
calculate a manipulation instruction based on the information from the camera system; and
control a position or an orientation of the surgical instrument by controlling a movement of the slave arm based on the manipulation instruction.

US Pat. No. 10,245,110

DYNAMIC PLANNING METHOD FOR NEEDLE INSERTION

XACT ROBOTICS LTD., Caes...

1. A method of pre-operatively planning an image-guided insertion procedure for inserting a tool into a tissue in a region of interest of a subject, comprising:(a) obtaining a plurality of time-separated images of the region of interest, each image of said plurality of time-separated images derived at a different time during the breathing cycle of said subject;
(b) defining on a first image of said plurality of time-separated images a tissue entry point for entry of said tool into said tissue, a target point and one or more forbidden regions into which entry is forbidden by said insertion procedure;
(c) calculating on said first image a first trajectory for said insertion procedure between said tissue entry point and said target point, which avoids entry into all of said one or more forbidden regions;
(d) determining the positions of said tissue entry point, said target point and said one or more forbidden regions in one or more other images of said plurality of time-separated images;
(e) calculating, for said insertion procedure, on at least one of said one or more other images, at least one new trajectory between said tissue entry point and said target point, which avoids entry into all of said one or more forbidden regions, based on the positions of said tissue entry point, said target point and said one or more forbidden regions in said at least one of said one or more other images, as determined in step (d);
(f) determining if at least one of the entry angle at said tissue entry point and the curvature of any of the calculated first and at least one new trajectories exceeds one or more predetermined levels; and
(g) if said one or more predetermined levels are not exceeded, determining pre-operatively that said calculated first and at least one new trajectories are suitable trajectories for said insertion procedure.

US Pat. No. 10,245,109

STEREOTACTIC SURGICAL INSTRUMENT

ELEKTA AB (PUBL), Stockh...

1. A stereotactic surgical instrument comprising:a semi-circular arc defined by first and second ends configured to be positioned on opposite sides of a patient; and
a head frame configured to encompass a head of the patient,
wherein the head frame is arranged for fixation to the head of the patient by pins or screws,
wherein the first and second ends of the arc comprise coupling members shaped as rings for attaching and locking the arc directly to the head frame,
wherein the head frame comprises support members formed as rings for receiving corresponding coupling members,
wherein each coupling member includes a pivotable clamp element arranged to partly surround a respective support member circumferentially when the arc is coupled to the head frame, and
wherein the coupling members include locking elements arranged to receive a tip portion of the respective clamp element and adjustable locking knobs for tightening and locking a respective coupling member to a respective support member, such that the arc is pivotally fixed to the head frame and can be pivoted in an arc manner to adjust a rotational angle of the arc, where the coupling members enable adjusting and locking of the rotational angle of the arc.

US Pat. No. 10,245,108

APPARATUS AND METHOD FOR PRODUCING VERY SMALL MICROCHANNELS IN TISSUE

LUMENIS LTD., (IL)

1. A method of producing small microchannels on a skin tissue surface while maintaining a 50 mm standoff distance from the skin tissue surface comprising:providing a lens system having:
a plurality of aligned lenses;
one or more scanning mirrors in line with and upstream of the plurality of aligned lenses and a source of laser energy upstream of the one or more scanning mirrors, wherein laser light beam from the laser source is transmitted from the source of laser energy, deflected by the one or more scanning mirrors and then transmitted through the aligned lenses;
a first diverging beam lens of the plurality of aligned lenses downstream of the one or more scanning mirrors having negative refractive power;
a second converging beam lens of the plurality of aligned lenses downstream of the first lens having positive refractive power;
a third converging beam lens of the plurality of aligned lenses downstream of the second lens having positive refractive power; and,
a fourth converging beam lens of the plurality of aligned lenses downstream of the third lens with positive refractive power;
wherein the laser light beam exiting from the laser source is 7 mm in diameter, diverges to 12 mm after being transmitted through the first and the second lenses, enters the third lens with a 12 mm diameter, and converges to 70 microns on the focal plane after being transmitted through the third and fourth lenses;
the method comprising:
transmitting a laser light beam of 7 mm in diameter from the source of laser energy to impinge on the first lens;
transmitting the laser light beam through the first and second lenses, whereby the light beam diverges to 12 mm;
transmitting the diverged light beam to the third lens, the third lens collimating the light beam; and,
transmitting the light beam from the third lens to the fourth lens, the fourth lens converging the light beam to produce 70 micron microchannel spots at a standoff distance of 50 mm from the vertex of the fourth lens at the skin tissue surface.

US Pat. No. 10,245,107

PICOSECOND OPTICAL RADIATION SYSTEMS AND METHODS OF USE

CYNOSURE, INC., Westford...

1. An apparatus for delivery of pulsed treatment radiation comprising:a pump radiation source generating picosecond pulses at a first wavelength, and
a wavelength-shifting resonator having a lasing medium and resonant cavity configured to receive the picosecond pulses from the pump radiation source at the first wavelength and to emit radiation at a second wavelength in response thereto,
wherein the resonant cavity of the wavelength-shifting resonator has a round trip time shorter than duration of the picosecond pulses generated by the pump radiation source, and the wavelength-shifting resonator operates without use of a modelocker or a Q-switch.

US Pat. No. 10,245,106

LAPAROSCOPIC INSTRUMENTS

ASALUS MEDICAL INSTRUMENT...

1. A DC driven ionisation apparatus for ionising a local atmosphere in which a corporeal surgical or cosmetic procedure is to be performed on a patient, comprising:a power supply providing a DC voltage to a converter via an isolation switch, said converter converting the DC voltage to a high voltage DC current;
an output electrode connected to the converter and a return electrode connected to the power supply to provide an ionization path in use;
a high voltage resistor network couples the converter to the output electrode and the return electrode to the power supply, the high voltage resistor network includes a current sense resistor connected between the return electrode and the power supply for sensing a current used in detecting a hazard condition when a potential difference between the output electrode and return electrode is less than 3 kV; and
a comparator to signal a monostable connected to the isolation switch to open the isolation switch for a predefined interruption duration between 2 and 3 seconds when the sensed current indicates the hazard condition;
wherein the monostable cyclically reconnects and disconnects the power supply until the hazard condition has been rectified each reconnect and disconnect cycle taking place over a period of approximately 200 ms.

US Pat. No. 10,245,105

ELECTROPORATION WITH COOLING TO TREAT TISSUE

VIRGINIA TECH INTELLECTUA...

1. A method of treating tissue with electrical energy, the method comprising:performing electroporation of target tissue using one or more electroporation devices comprising one or more electrodes and one or more hollow chambers with a fluid disposed therein; and
flowing the fluid disposed in one or more of the hollow chambers to provide cooling during the electroporation to cause non-thermal cell death of the target tissue.

US Pat. No. 10,245,104

JAW CLOSURE DETECTION SYSTEM

COVIDIEN LP, Mansfield, ...

1. A surgical system, comprising:an end effector including a first jaw member movably coupled to a second jaw member;
an actuator operably coupled to the end effector and configured to move the end effector between an open position and a closed position;
a first sensor disposed on the first jaw member;
a second sensor disposed on the actuator, wherein the first and second sensors move relative to one another upon movement of the end effector between the open and closed positions; and
a controller in communication with at least one of the first or second sensors, the controller configured to determine an angle between the first and second jaw members based on a position of the first sensor relative to the second sensor.

US Pat. No. 10,245,103

END EFFECTOR ASSEMBLIES AND METHODS OF MANUFACTURING END EFFECTOR ASSEMBLIES FOR TREATING AND/OR CUTTING TISSUE

COVIDIEN LP, Mansfield, ...

1. A jaw member, comprising:an insulative member; and
a substrate formed as a single, integral component having first and second portions interconnected by a connector portion, the connector portion including first and second side portions interconnected by an arc-shaped portion, the connector portion configured to be removed before use of the jaw member such that the first and second portions are electrically insulated from one another.

US Pat. No. 10,245,102

ELECTROSURGICAL INSTRUMENT INCLUDING AN ADHESIVE APPLICATOR ASSEMBLY

COVIDIEN LP, Mansfield, ...

1. An electrosurgical instrument for sealing and/or cutting tissue, comprising:an end effector assembly including:
a first jaw member including a first electrically conductive surface having a plurality of bores defined therein;
a second jaw member including a second electrically conductive surface, at least one of the first or second jaw members movable relative to the other to grasp tissue therebetween; and
an adhesive applicator assembly including a plurality of first needles operatively mounted in the first jaw member, a plurality of second needles operatively mounted in the second jaw member, and a platform defining an adhesive reservoir in fluid communication with the plurality of first needles and an adhesive fluid source, at least one of the plurality of first or second needles is movable relative to the first or second electrically conductive surfaces, the plurality of first needles dimensioned to be received in the corresponding plurality of second needles when the first and second jaw members are aligned.

US Pat. No. 10,245,101

APPARATUS FOR PERFORMING AN ELECTROSURGICAL PROCEDURE

COVIDIEN LP, Mansfield, ...

1. A forceps, comprising:a housing;
an elongated shaft extending from the housing and defining a longitudinal axis;
an end effector assembly operatively connected to a distal end of the elongated shaft having first and second jaw members, at least one of the first and second jaw members pivotable relative to the other between an open position in which the first and second jaw members are disposed in spaced relation relative to one another to a clamping position in which the first and second jaw members cooperate to grasp tissue therebetween under a sealing pressure;
a jaw insert operably disposed within at least one of the first and second jaw members, the jaw insert defining an opening;
a pivot pin disposed within the opening and providing an axis of pivot for the at least one pivotable jaw member; and
a resilient member disposed about the pivot pin and configured to bias the first and second jaw members towards the clamping position and provide at least a portion of the sealing pressure between the first and second jaw members in the clamping position.

US Pat. No. 10,245,100

SIMPLIFIED SPRING-LOADED MECHANISM FOR DELIVERING SHAFT FORCE OF A SURGICAL INSTRUMENT

COVIDIEN LP, Mansfield, ...

1. A method of assembling a surgical instrument, comprising:inserting a knife into a knife guide;
positioning a pair of flags extending from a tissue engaging portion of a first jaw member with a pair of flags extending from a tissue engaging portion of a second jaw member in an offset configuration such that one flag of the first jaw member is disposed on a laterally exterior side of a corresponding flag of the second jaw member and the other flag of the first jaw member is disposed on a laterally interior side of the other flag of the second jaw member;
operably coupling the first and second jaw members to the knife guide;
positioning the knife and the knife guide into an inner shaft;
moving a drive collar stop along the inner shaft;
engaging the drive collar stop within at least one aperture defined in the inner shaft to limit movement of the drive collar stop along the inner shaft; and
moving a drive collar having a cylindrical portion extending distally from a proximal rim along the inner shaft to abut a distal end of the cylindrical portion with the drive collar stop and limit distal movement of the drive collar along the inner shaft, the cylindrical portion having a reduced diameter relative to the proximal rim.

US Pat. No. 10,245,099

VESSEL SEALING INSTRUMENT

COVIDIEN LP, Mansfield, ...

1. A method of performing an electrosurgical procedure, comprising:moving a first handle relative to a second handle of a bipolar forceps to move a pair of jaw members between an open position and a closed position;
depressing a button that extends from the first handle toward the second handle to a first threshold upon movement of the jaw members to the closed position, the first threshold corresponding to a grasping of tissue between the jaw members;
depressing the button to a second threshold upon movement of the first handle toward the second handle when the jaw members are in the closed position to actuate a switch coupled to the button to control a supply electrosurgical energy to the jaw members;
rotating a trigger to advance a knife distally through the jaw members when the jaw members are in the closed position;
rotating an anti-deployment link into engagement with the trigger to prevent rotation of the trigger when the jaw members are in the open position; and
rotating a protrusion extending from the second handle into contact with the anti-deployment link to rotate the anti-deployment link out of engagement with the trigger to permit rotation of the trigger when the jaw members are in the closed position.

US Pat. No. 10,245,098

ACUTE BLOOD-BRAIN BARRIER DISRUPTION USING ELECTRICAL ENERGY BASED THERAPY

1. An ablation system comprising:a first and second electrode;
a voltage generator programmed to generate a plurality of electrical pulses between the first and second electrodes placed at a selected separation distance therebetween according to one or more pulse parameters which comprise a voltage-to-distance ratio which is predetermined to:
cause irreversible electroporation (IRE) of tissue of the mammal within a target ablation zone but insufficient to cause irreversible electroporation in a non-target zone adjacent the target ablation zone; and
increase susceptibility of the non-target zone to exogenous agents;
wherein the voltage-to-distance ratio is predetermined to cause temporary disruption of a blood brain barrier (BBB) within the non-target zone;
wherein the system is adapted to provide for a display of an anticipated ablation zone and an anticipated zone of BBB disruption based on an electric field distribution expected by the plurality of electrical pulses.

US Pat. No. 10,245,097

LIVING TISSUE BONDING SYSTEM AND METHOD FOR OPERATING LIVING TISSUE BONDING SYSTEM

OLYMPUS CORPORATION, Tok...

1. A living tissue bonding system comprising:a sandwiching section for sandwiching living tissue;
a power source for supplying treatment energy to the living tissue for bonding the living tissue sandwiched by the sandwiching section;
a temperature measuring section for measuring a temperature of the living tissue sandwiched by the sandwiching section; and
a processor and a memory, the processor being programmed to:
calculate, from the measured temperature of the living tissue and a time period of applying the treatment energy, a time integral value of the temperature of the living tissue;
compare the calculated time integral value of the temperature of the living tissue with a predetermined setting value for obtaining a predetermined joining strength; and
give an instruction based on a result of the comparison.

US Pat. No. 10,245,096

PRESSURE RELIEF SYSTEM FOR USE WITH GAS-ASSISTED MINIMALLY INVASIVE SURGICAL DEVICES

COVIDIEN LP, Mansfield, ...

1. A method of performing a minimally invasive procedure on a human body, comprising:a) inserting an insufflation tube through a first surgical incision through tissue and into a body cavity;
b) insufflating the body cavity with gas under pressure through the insufflation tube;
c) inserting a working end of an electrosurgical instrument through a second surgical incision through the tissue and into the body cavity,
d) delivering gas from a gas supply to a distal tip of the electrosurgical instrument
e) delivering electrosurgical energy from an electrosurgical energy source to the distal tip while delivering the gas to the distal tip to treat tissue in the body cavity;
f) inserting a pressure relief device through a third surgical incision through the tissue and into the body cavity; and
g) automatically releasing gas from within the body cavity via the pressure relief device when gas pressure within the body cavity exceeds a predetermined pressure.

US Pat. No. 10,245,095

ELECTROSURGICAL INSTRUMENT WITH ROTATION AND ARTICULATION MECHANISMS

Ethicon LLC, Guaynabo, P...

1. An electrosurgical instrument, comprising:an end effector comprising a first jaw member and a second jaw member, the first and second jaw members being movable relative to one another from a first, open position to a second, closed position for grasping tissue therebetween, wherein at least one of the first and second jaw members is adapted to connect to an electrosurgical energy source such that electrosurgical energy may be selectively communicated through tissue held between the first and second jaw members to effect a tissue seal;
at least one of the first or second jaw members including a knife channel defined therein configured to reciprocate a knife therealong for severing tissue held between the first and second jaw members; and
a two-stage articulation joint coupled to the end effector, the two-stage articulation joint operatively coupled to first and second articulation bands configured to articulate the end effector, the two-stage articulation joint comprising:
an outer cut metal tube comprising a plurality of articulation sections with hinge and locking features that closes and opens the first and second jaw members; and
a solid but flexible inner core positioned within the outer cut metal tube;
a non-rotatable closure ring coupled to a distal end portion of the outer cut metal tube;
a rotatable closure ring, wherein a proximal end portion of the rotatable closure ring is coupled to the non-rotatable closure ring; and
a closure link having a distal end portion and a proximal end portion,
wherein the proximal end portion of the closure link is coupled to the rotatable closure ring and the distal end portion of the closure link is coupled to one of the first and second jaw members,
wherein the rotatable closure ring and the closure link are configured to close and open the end effector,
wherein the rotatable closure ring is rotatable relative to the non-rotatable closure ring and the outer cut metal tube, which allows the rotatable closure ring to rotate independently of the non-rotatable closure ring and the outer cut metal tube while a longitudinal movement of the rotatable closure ring and the non-rotatable closure ring is synchronized,
wherein the rotation of the rotatable closure ring relative to the non-rotatable closure ring and the outer cut metal tube results in a rotation of the first and second jaw members, which allows the first and second jaw members to rotate independently of the non-rotatable closure ring and the outer cut metal tube.

US Pat. No. 10,245,094

ULTRA HIGH TORQUE DEVICE

ECA Medical Instruments, ...

1. A torque-limiting driver comprising:a body having a handle and a hollow cylindrical portion, the body further comprising a circumferential flange extending radially inward within the hollow cylindrical portion;
an upper cylindrical shank comprising a plastic material or a composite including plastic;
a lower cylindrical shank comprising a plastic material or a composite including plastic and having a socket;
a nut;
a spring between the upper cylindrical shank and the nut, wherein the spring is configured to apply a force across the upper cylindrical shank and the lower cylindrical shank;
a shaft having a workpiece-engaging tip and a square drive connection engaged within the square drive socket of the lower cylindrical shank, the shaft extending axially through the lower cylindrical shank, the upper cylindrical shank, and the spring and connected to the nut, and the square drive connection placed at a medial segment of the shaft; and,
wherein the upper cylindrical shank and the lower cylindrical shank engage for relative rotation, and wherein the upper cylindrical shank and the lower cylindrical shank disengage when a predetermined torque limit is exceeded; and,
wherein the lower cylindrical shank and the upper cylindrical shank each comprise a circumferential rim extending radially outward at the ends where the lower cylindrical shank and the upper cylindrical shank engage with each other, with the circumferential flange of the body disposed between the circumferential rims.

US Pat. No. 10,245,093

ZYGOMATIC ELEVATOR DEVICE AND METHODS

University of Massachuset...

1. A surgical zygomatic elevator device, comprising:an elevator element having a distal end, a proximal end, an upper surface between the distal end and the proximal end having a length between about 40 mm and 60 mm and a first axis extending longitudinally through the elevator element, the elevator element having a size for insertion through a surgical incision;
a handle sized to manually grasp the elevator device, the handle being positioned at the proximal end of the elevator element, the handle having a second axis that extends longitudinally through the handle, the handle being positioned at an oblique angle extending above the first axis of the elevator element;
a groove configured to receive a zygomatic bone structure of a patient, the groove being located on the upper surface of the elevator element and having at least one ridge spaced from the distal end of the elevator element; and
a projection extending between about 8 mm and 15 mm from a bottom surface of the elevator element, the projection being positioned at a proximal portion of the elevator element that is spaced apart from the groove, the projection being configured to contact an anatomical structure to provide a pivot point such that the elevator element can impart a controlled force in a first direction on the zygomatic bone structure that is positionable within the groove and the projection imparts a second force to the anatomical structure.

US Pat. No. 10,245,092

SYSTEM FOR USE IN TREATMENT OF VERTEBRAL FRACTURES

DFine, Inc., South Jorda...

1. A medical device for treating a hard tissue, comprising:a handle comprising an actuating portion mechanically coupled to a working end of a shaft;
the shaft comprising a first sleeve located concentrically within a second sleeve;
the shaft comprising a distal portion comprising the working end capable of moving reversibly between a linear configuration and an articulated configuration in response to movement of the actuating portion;
a spring element extending through the first sleeve, wherein the spring element is affixed to the shaft; and
a sharp tip located at a distal tip of the working end, the sharp tip adapted to penetrate hard tissue.

US Pat. No. 10,245,091

DIP FUSION SPIKE SCREW

ExsoMed Holding Company, ...

1. A bone fusion screw comprising:(a) a first threaded portion having a uniform first diameter, first threads having a first thread pitch and a uniform first thread height, and a driver head; and
(b) a second threaded portion with second threads having a second thread pitch and a second thread height, wherein the second threaded portion tapers from a second diameter to a smaller, third, diameter, wherein the second thread pitch is greater than the first thread pitch and the second thread height is greater than the first thread height; and
(c) a central portion between the first threaded portion and the second threaded portion, wherein the central portion has a uniform diameter.

US Pat. No. 10,245,090

BLADE ANCHOR SYSTEMS FOR BONE FUSION

Engage Medical Holdings, ...

1. A fusion device comprising:a central portion comprising a biconcave leading edge, a blunt trailing end opposite the leading edge, a first lateral end, and a second lateral end opposite the first lateral end;
a first lateral blade transversely mounted to the first lateral end of the central portion, wherein the first lateral blade comprises a tapered first leading point and a first trailing portion opposite the first leading point; and
a second lateral blade transversely mounted to the second lateral end of the central portion, wherein the second lateral blade comprises a tapered second leading point and a second trailing portion opposite the second leading point;
wherein the leading edge and the first and second leading points all face the same way, wherein the trailing end and the first and second trailing portions all face the same way;
wherein the first lateral blade extends outwardly from the leading edge and the trailing end of the central portion so that the leading edge and the trailing end are between the first leading point and the first trailing portion and;
wherein the first lateral blade comprises a first exterior surface and a first interior surface opposite the first exterior surface, wherein the first exterior surface faces away from the central portion, wherein the first interior surface is sloped and intersects the first exterior surface at the first leading point.

US Pat. No. 10,245,089

FIXING TOOL FOR OPEN-WEDGE HIGH TIBIAL OSTEOTOMY

1. A fixing tool for an open-wedge high tibial osteotomy, which is adapted to be installed on a tibia cut open due to an open-wedge tibial osteotomy, the fixing tool comprising:a fixing plate which includes a head portion that has a plurality of nut holes, and an elongated plate portion that has a plurality of nut holes and a long hole and is formed to protrude from one side of the head portion;
screws which are coupled to the nut holes; and
a block which is detachably installed by the long hole by using a fixing screw, the block having two tapered protrusions protruding from a body of the block,
wherein the tapered protrusions are tapered along a distal facing surface of the protrusions so that a first side of the distal facing surface is thicker than a second side of the distal facing surface.

US Pat. No. 10,245,088

BONE PLATING SYSTEM AND METHOD

Treace Medical Concepts, ...

1. A bone plate comprising:a body having a length defining a central longitudinal axis extending from a proximal region of the body to a distal region of the body and a width defining an extent of the bone plate transverse to the central longitudinal axis, wherein the body includes a top surface and a bone facing surface opposite the top surface;
a helical curvature between the proximal and distal regions of the body comprising both a bend of the body along the central longitudinal axis and a twist of the body about the central longitudinal axis, wherein the distal region lies in a first plane corresponding to a plantar region of a first bone to which the bone plate is configured to be attached and the proximal region lies in a second plane offset from the first plane both along and about the longitudinal axis such that the helical curvature provides a transition from the first plane to the second plane, the second plane corresponding to a medial region of a second bone to which the bone plate is configured to be attached; and
a first fixation hole in the proximal region and a second fixation hole in the distal region, wherein the first fixation hole and second fixation hole each extend through the body from the top surface to the bone facing surface.

US Pat. No. 10,245,087

SYSTEMS AND METHODS FOR FUSING A SACROILIAC JOINT AND ANCHORING AN ORTHOPEDIC APPLIANCE

JCBD, LLC, Fort Collins,...

1. An implant assembly for fusing a sacroiliac joint defined between an ilium and a sacrum, the implant assembly comprising:a) an implant body comprising:
i) an insertion element comprising: a length extending along a longitudinal axis between a proximal insertion element end and a distal insertion element end, a first fin extending the length, a second fin spaced apart from the first fin and extending the length, an opening defined between the first and second fins and an insertion plate extending at least a portion of the length and extending between and coupling the first and second fins together at the proximal insertion element end, the first fin, the second fin, and the insertion plate extending distally beyond a distal facing surface of an attachment element, the first and second fins extending generally perpendicularly outward from the insertion plate, the opening extending to the distal insertion element end to define an open distal end, the first and second fins being generally planar and generally parallel to each other, the first and second fins coupled together at the proximal insertion element end, wherein each of the first and second fins comprises a pair of planar surfaces opposite each other, a pair of edges opposite each other and extending between the pair of planar surfaces, a thickness defined between the pair of planar surfaces, and a width defined between the pair of edges, wherein the width is greater than the thickness; and
ii) the attachment element extending from and mechanically attached to the proximal insertion element end, the attachment element comprising an attachment fitting configured to attach to an element of a spinal stabilization system, a first anchor fitting, and a second anchor fitting, each of the first and second anchor fittings is formed within the attachment element or mechanically attached to the attachment element; and
b) first and second anchors, wherein the first and second anchor fittings are configured to receive the first and second anchors, respectively.

US Pat. No. 10,245,086

BONE PLATING KIT FOR FOOT AND ANKLE APPLICATIONS

Treace Medical Concepts, ...

1. A disposable single-use surgical kit for a foot or ankle orthopedic procedure comprising:a sterile container;
a plurality of unicortical bone plate fasteners included in the sterile container; and
at least one bone plate but no more than four bone plates included in the sterile container, each bone plate comprising:
a body having a top surface and a bone facing surface opposite the top surface; and
a first fixation hole extending through the body from the top surface to the bone facing surface and configured for receiving one of the plurality of unicortical bone plate fasteners included in the sterile container,
wherein at least one bone plate of the at least one but no more than four bone plates comprises the body extending from a proximal region to a distal region and having a helical curvature between the proximal region and the distal region.

US Pat. No. 10,245,085

BONE PLATE WITH A TRANSFIXATION SCREW HOLE

OsteoMed LLC, Addison, T...

1. A system for securing a first discrete bone and a second discrete bone together across a joint between the first discrete bone and the second discrete bone, the system comprising:a plate comprising:
an elongate spine having a first end comprising at least one attachment point for attaching the first end to the first discrete bone on a first side of the joint, a second end comprising at least one attachment point for attaching the second end to the second discrete bone on a second side of the joint, and a bridge portion disposed between the first end and the second end, the bridge portion having a portion configured to span across the joint, the bridge portion further comprising a thickened portion having a thickness greater than at least a portion of a thickness of either the first end or the second end; and
an aperture defining a transfixation screw hole disposed along the spine at the thickened portion of the bridge portion, the transfixation screw hole comprising an inner surface configured to direct a transfixation screw through the transfixation screw hole such that the transfixation screw extends at a trajectory configured to pass through a first position on the first discrete bone and a second position on the second discrete bone once the plate is placed across the joint.

US Pat. No. 10,245,084

RESILIANT SPINAL PLATE SYSTEM

Genesys Spine, Austin, T...

1. An orthopedic fusion system comprising:a plate that includes a first aperture;
a single-piece monolithic resilient member; and
a screw including a lip;
wherein:
the plate includes a first cavity, the first cavity directly interfacing the first aperture;
at least a portion of the resilient member is included in the first cavity;
the resilient member includes an arcuate portion, a first resilient member projection, and a second resilient member projection;
the arcuate portion couples the first resilient member projection to the second resilient member projection;
the first resilient member projection projects into the first aperture and towards a center of the first aperture;
the second resilient member projection projects into the first aperture and towards the center of the first aperture;
the screw includes a shoulder, the shoulder being coupled to the lip;
the screw includes a first screw projection and a second screw projection;
the lip is between the first screw projection and the shoulder;
the lip is between the second screw projection and the shoulder;
the system is configured such that in a partially implanted position the screw is included in the first aperture and the shoulder actively deflects the first resilient member projection medially;
the system is configured such that in the partially implanted position the screw is included in the first aperture and the shoulder actively deflects the second resilient member projection laterally;
the system is configured such that in a fully implanted position the screw is included in the first aperture such that the screw is prevented from backing out of the first aperture by the first resilient member projection that has snapped back towards the center of the first aperture to intercept the lip;
the system is configured such that in the fully implanted position the screw is included in the first aperture such that the screw is prevented from backing out of the first aperture by the second resilient member projection that has snapped back towards the center of the first aperture to intercept the lip; and
the system is configured such that in the fully implanted position the screw is allowed to rotate but is prevented from counter-rotating because the first screw projection is lodged against the first resilient member projection.

US Pat. No. 10,245,083

METHOD AND DEVICE FOR MINIMIZING THE RISK OF FUTURE HIP FRACTURES

1. A femoral reinforcement prophylactic device adapted to be placed into a surgically excavated upper portion of a human femur rotatably connected to one side of the human pelvis, an upper portion of the femur including an integrally formed inwardly extending neck terminating in an integrally formed generally ball shaped head constrained within a corresponding outwardly extending socket on the pelvis, the femoral reinforcement device comprising at least two separate and distinctly shaped implant components: a downwardly curved implant component adapted to be inserted downwardly and inwardly into a first correspondingly shaped excavation extending downwardly from the intertrochanteric region and into an intramedullary portion of the femur, said downwardly curved implant component having a first non-circular cross section for restricting rotation relative to the correspondingly shaped excavated portions of the femur into which the downward curved implant component is being inserted; and an upwardly curved implant component adapted to be inserted upwardly and inwardly into a correspondingly shaped excavation extending upwardly from the intertrochanteric region through the neck and into the ball-shaped head of the femur, said upwardly curved implant component having a second non-circular profile for restricting rotation of the second implant component relative to the correspondingly shaped excavated portions of the intertrochanteric, neck and head portions of the femur into which the upwardly curved implant component is being inserted,wherein the upper end of the downwardly curved implant component and the lower end of the upwardly curved implant component comprise respective integrally formed mating portions for securing the two implant components from rotation relative each other once both implant components have been inserted into the intertrochanteric region, and
wherein the downwardly curved implant component further comprises means for coupling the downwardly curved implant component to an upper end of a femoral retrograde intramedullary fixation nail that is subsequently inserted upwardly into the intertrochanteric region from the lower end of the human femur.

US Pat. No. 10,245,082

MINIMALLY INVASIVE SPLITABLE PEDICLE SCREW EXTENDER

Zimmer Biomet Spine, Inc....

1. A tool, comprising:first and second outer blades each having a distal end and a proximal end, wherein the first and second outer blades each comprise an attachment mechanism disposed at the distal end for coupling the first and second outer blades to an implant, wherein the first and second outer blades each comprise an alignment bore in the proximal end;
first and second inner blades each having a distal end and a proximal end, wherein the first and second inner blades each comprise an alignment window in the proximal end, wherein the alignment window of each of the first and second inner blades overlaps with the alignment bore of the corresponding one of the first and second outer blades, and wherein the first inner and outer blades and the second inner and outer blades cooperate to form a channel extending along an entire length of the first and second inner and outer blades; and
first and second turrets, wherein each turret has a lever pivotally coupled thereto, wherein each turret is rotatably positioned in the alignment bore of the corresponding one of the first and second outer blades, wherein each turret comprises a protrusion that is movably positioned in the alignment window of the corresponding one of the first and second inner blades such that rotation of the turret causes movement of the protrusion, and wherein actuation of the lever rotates the turret and causes the first and second inner blades to move relative to the first and second outer blades about and between an unlocked position and a locked position.

US Pat. No. 10,245,081

RATCHETED SPINAL DEVICE

Apifix Ltd., Carmiel (IL...

1. A ratcheted spinal device comprising:a length member disposed in a housing, said length member comprising all portions having a length that protrudes out of said housing a variable amount, said length member and said housing comprising a ratchet mechanism that has an operative configuration that allows a change in the length that said length member protrudes out of said housing in one direction, wherein each of said housing and said length member comprises a polyaxial-joint attachment member for attachment to bone, each of said polyaxial-joint attachment members permitting pivoting movement about more than one pivoting axis, and comprising pedicle screws that pass through said polyaxial-joint attachment members, and wherein for each of said pedicle screws a nut firmly holds said pedicle screw in place while still enabling polyaxial rotation of said pedicle screw even after the nut has been fully tightened, wherein teeth of said ratchet mechanism comprise teeth on said length member which are positioned within said housing such that a change in length of said length member does not necessarily cause the teeth on said length member to protrude out of said housing.

US Pat. No. 10,245,080

SYSTEM FOR MOUNTING OF A CERVICAL PLATE TO A VERTEBRA

1. A system comprising an intervertebral cage and a cervical plate configured to be mounted to said intervertebral cage, said intervertebral cage having a front wall, the cervical plate comprising a body having a top edge, a bottom edge and two side edges, at least one top eyelet located along said top edge, at least one bottom eyelet located along said bottom edge, a mounting section located between said top eyelet and said bottom eyelet, the mounting section being configured to be mounted to a corresponding reference feature at said front wall of said intervertebral cage, said reference feature being located in a position to set a distance between one of said at least top eyelet and said at least bottom eyelet and an edge of said front wall to position at least one of said eyelets over a mounting location on a vertebra when said mounting section is mounted to said reference feature;another mounting section configured to be mounted to said reference feature at said front wall of said intervertebral cage, said reference feature being located in a position to set another distance between one of said at least top eyelet and said at least bottom eyelet and an edge of said front wall to position at least one of said eyelets over a mounting location on a vertebra when said another mounting section is mounted to said reference feature, said another distance being different than said distance;
a fixation component that includes a screw receivable in an opening defined in said mounting section and a hole defined in said front wall to mount said cervical plate to said cage; and
a drill guide having at least one cannula configured to register with at least one of said eyelets, wherein said fixation component is supported by said drill guide at a location spaced from said cannula,
wherein said opening of said mounting section includes a slot and said another mounting section includes a slot.

US Pat. No. 10,245,079

VERTEBRAL OSTEOSYNTHESIS EQUIPMENT

1. A vertebral osteosynthesis equipment, wherein the equipment comprises:at least one connecting bar having a length such that it is capable to span several vertebrae to be treated, having a general longitudinal direction;
at least one flexible ligament adapted to be engaged onto a vertebra to be treated, and
at least one assembly for connecting the ligament to the connecting bar, comprising:
a connecting part having a curved portion defining an engagement conduit for engagement of the connecting bar said curved portion partly surrounds the connecting bar when the latter is placed in the engagement conduit; the connecting part further includes a central conduit and two lateral conduits each located on one side of the central conduit, in locations distant from each other, each said lateral conduit is configured for holding a strand of the ligament and each said lateral conduit is defined between the central conduit and a radially external wall of the connecting part, said external wall having an inner tilted portion which is tilted outwardly with respect to an axis of said central conduit;
a nut having an inner threaded wall;
a tightening part having a threaded pin configured for engaging said threaded wall of said nut through said central conduit, and a base extending in a plane transversely to an axis of the threaded pin, said base being configured for tightening the connecting bar in the engagement conduit; and
a pressing ring mounted on said nut and being configured to engage said tilted portion of each of said lateral conduits;
wherein the central conduit is configured for blocking the tightening part in rotation relatively to the central conduit;
wherein said tightening part and said nut are configured such that when the nut is screwed relative to the threaded pin through the central conduit said base engages the connecting bar when the connecting bar is disposed inside said engagement conduit; and
the pressing ring urges the strand of the ligament towards the tilted wall, securing the strand relatively to the connecting part.

US Pat. No. 10,245,078

BONE ANCHOR RECEIVER WITH SYMMETRICAL HORIZONTALLY EXTENDING UPPER TOOL ENGAGING GROOVES

1. A receiver of a bone anchor, the receiver being configured to accept a rod that is locked in the receiver via a closure top, the receiver comprising:a receiver body having a longitudinal axis, a base, and a pair of upright arms extending upwardly from the base to define an open channel for receiving the rod, the open channel having a transverse axis perpendicular to the longitudinal axis and opening through front and back outer faces of the receiver body, the upright arms having opposed interior surfaces mateable with the closure top to securely lock the rod within the open channel and top surfaces defining a top of the receiver body, the receiver body having side outer faces opposite the interior surfaces of each upright arm and extending downward across the base to a bottom of the receiver body; and
at least one horizontally-elongated upper tool engaging groove formed into the side outer face of each upright arm, each upper tool engaging groove being spaced an equal distance below the top surfaces and having downwardly-facing surfaces extending to at least one of the front outer face and the back outer face of the receiver body, the upper tool engaging grooves being symmetrically configured about the open channel,
wherein the front and back outer faces of the receiver body include first substantially planar outwardly-facing surfaces adjacent and extending below the open channel, the first substantially planar outwardly-facing surfaces being perpendicular to the open channel transverse axis and parallel to the receiver longitudinal axis, and
wherein each of the side outer faces of the receiver body include a second substantially planar outwardly-facing surface below the at least one upper tool engaging groove, the second substantially planar outwardly-facing surfaces being parallel to both the open channel transverse axis and the receiver longitudinal axis.

US Pat. No. 10,245,077

BONE ANCHOR RECEIVER WITH HORIZONTAL RADIUSED TOOL ATTACHMENT GROOVES AND 2-PART CLOSURE

1. A bone anchor assembly configured for attachment to a rod, the bone anchor assembly comprising:a shank having an integral upper end portion with an outer spherical surface on the integral upper end portion;
a receiver having a set of upright arms each having an inner surface, an upper outer surface opposite the inner surface, a front side surface, a back side surface opposite the front side surface, and a top surface, the receiver in pivotal relation with the integral upper end portion of the shank,
at least one horizontally-elongated radiused upper tool engaging groove formed into the upper outer surface of each upright arm, with each upper tool engaging groove being spaced a fixed distance below the top surfaces and extending to at least one of the front side surface and the back side surface;
a channel defined by the set of arms for positioning the rod therebetween;
an outer fastener having a closed body with a top surface, a bottom surface, and an outer surface;
a closure helically wound thread extending continuously along at least a portion of the outer surface and engageable in a splay resisting relationship with a receiver helically wound thread extending discontinuously along the inner surfaces of the set of upright arms;
a central bore extending between the top surface and the bottom surface, the central bore having at least a portion with an internal surface guide and advancement thread form;
an inner set screw having a continuous outer surface thread and a lower portion closed off by a continuously solid bottom surface, the continuous outer surface thread engageable to the internal surface guide and advancement structure when the set screw is threadably inserted into the outer fastener, wherein when the outer fastener and the inner set screw are disposed within the channel defined by the set of arms in a locked position, the top surfaces and the upper outer surfaces of the set of upright arms are completely uncovered by the fastener and the set screw in the locked position; and
an opening having an internal drive structure formed into the inner set screw, the internal drive structure extending within the lower portion and ending at a terminal abutment surface, the opening not intersecting the continuously solid bottom surface.

US Pat. No. 10,245,076

METHOD OF INSTALLING A SPINAL IMPLANT ASSEMBLY

FITZBIONICS LIMITED, (GB...

1. A method of installing a spinal implant assembly in a first disc space in a subject's spine, the method comprising the steps ofproviding a first spinal implant assembly, the first spinal implant assembly comprising an intervertebral device configured to be installed in a spinal disc space, the intervertebral device having a head component and a body component, the first spinal implant assembly further comprising a coupling body for coupling the head component of the intervertebral device with an elongate member, the coupling body and head component each having a longitudinal axis, wherein the head component can be received by the coupling body with the longitudinal axis of the head component at a selected angle within a predetermined range of angles relative to the longitudinal axis of the coupling body, wherein at least part of the body component of the intervertebral device is externally tapered and at least part of the body component is externally threaded;
implanting the body component of the intervertebral device into a first disc space between a pair of adjacent vertebrae or between a vertebra and the sacrum so as to cause distraction of the disc space or at the lumbo-sacral joint;
coupling the intervertebral device with the coupling body, before or after implanting the body component, such that the longitudinal axis of the intervertebral device is at a selected angle within a predetermined range of angles relative to the longitudinal axis of the coupling body;
wherein the head component has a head portion and a shank portion, the shank portion being at least partially externally threaded, the body component having a bore with a first open end, the bore being at least partially internally threaded, the internal threads of the bore corresponding with the external threads of the shank portion of the head component such that the head component is releasably attachable to the body component,
wherein the head portion of the head component is at least partially spherical, the coupling body comprising a hollow tubular body and having a proximal end and a distal end, the head portion of the head component being receivable in the hollow tubular body and wherein the coupling body has a first opening in the distal end of the coupling body and a second opening in the proximal end, the first opening being larger in diameter than that of the head portion and the second opening being smaller in diameter than that of the head portion, the first opening being large enough to receive the head portion of the head component therethrough, and the second opening being sized such that the shank portion of the head component may pass through, a portion of the inner surface of the coupling body having a concavely curved inner surface, the curved inner surface corresponding with the at least partially spherical head portion, such that the head component butts up against the curved inner surface and may be positioned polyaxially relative to the coupling body when assembled.

US Pat. No. 10,245,075

NONDESTRUCTIVE MEANS OF ECTOPIC PREGNANCY MANAGEMENT

1. A nondestructive method of ectopic pregnancy management for a baby who is not yet ready to breathe air, comprising:(a) surgically delivering the baby alive from an ectopic pregnancy site within a maternal body with a gestational sac intact;
(b) transferring the baby to an alluvial incubator with the gestational sac intact;
(c) incubating the baby in the alluvial incubator with the gestational sac intact;
(d) enclosing the baby in an absorbable transfer capsule with the gestational sac intact; and,
(e) implanting the enclosed baby in a uterine cavity.

US Pat. No. 10,245,074

APPARATUS AND METHODS FOR ACCESSING AND SEALING BODILY VESSELS AND CAVITIES

CrossBay Medical, Inc., ...

1. A method for treating a biological lumen comprising:positioning a balloon adjacent to an opening of the biological lumen, wherein the balloon has a closed distal terminal end, and wherein the balloon is attached to a base comprising a leader;
delivering a pressurized media into the balloon with an inflation device, wherein the delivering comprises everting the balloon into the biological lumen, and wherein the everting comprises occluding the biological lumen;
detaching the inflation device from the balloon; and
pulling the balloon from the biological lumen after the detaching of the inflation device, and wherein pulling the balloon comprises pulling the leader.

US Pat. No. 10,245,073

CERVICAL CERCLAGE ASSISTANCE DEVICE

Cook Medical Technologies...

1. A method of performing cervical cerclage, comprising:inserting a catheter with an inflatable balloon and supporting a removable barrier structure at a distal end portion thereof to a position proximate a patient's cervix, wherein the removable barrier structure comprises a first aperture with a flexible band disposed therethrough;
aligning the removable barrier structure such that the flexible band is in registry with the patient's cervix;
inflating the inflatable balloon to compress the cervical tissue;
wrapping the flexible band around the cervical tissue and tying opposite ends of the flexible band to maintain the cervical tissue in a closed configuration;
deflating the inflatable balloon, disconnecting the removable barrier structure from the distal end portion of the catheter, and removing the catheter from the patient;
performing one or more vaginal cerclage stitches upon the cervical tissue;
cutting the flexible band and removing the flexible band and removable barrier structure from the patient.

US Pat. No. 10,245,072

EXTRAVASCULAR MEDICAL ACCESS TOOLS HAVING BORING TIP AND METHODS OF USING SUCH TOOLS

Medtronic, Inc., Minneap...

1. A tool for creating a sub-sternal tunnel in a patient, the tool comprising a handle and a tunneling assembly, the tunneling assembly comprising:a relatively rigid tubular member including a proximal portion and a distal portion, the proximal portion being attached to the handle such that the distal portion extends distally from the handle;
an elongate inner member extending within the tubular member and comprising:
a proximal portion protruding out from the proximal portion of the tubular member and being attached to the handle, the proximal portion of the inner member including an interface for receiving a force that rotates the inner member relative to the tubular member; and
a boring tip without any sharp edge, the tip protruding out from the distal portion of the tubular member and generally conforming to a dome shape but including at least one surface recessed from the dome shape, each of the at least one surface being offset from a summit of the dome shape, the summit of the dome shape coinciding with a distal-most edge of the boring tip.

US Pat. No. 10,245,071

SYSTEM FOR ILLUMINATION DURING A CORRIDOR BASED PROCEDURE

1. An optical port system for a corridor based procedure comprising: one or more light sources; and, an optical probe comprising: a tube having a distal end, a proximal end and one or more sidewalls there between, the optical probe and the one or more light sources arranged so that light from the one or more light sources is received by the one or more sidewalls, the one or more sidewalls configured to convey the light to the distal end, the distal end configured to receive the light and illuminate a sample adjacent thereto, further comprising light collection apparatus configured to collect the light reflected from the sample, and a one or more of optical visualization apparatus and imaging apparatus, configured to communicate with the light collection apparatus to image the sample from the light reflected from the sample, using one or more of visible light, non-visible light, infrared light and ultraviolet light.

US Pat. No. 10,245,070

METHOD AND APPARATUS FOR ACCESSING THE INTERIOR OF A HIP JOINT, INCLUDING THE PROVISION AND USE OF A NOVEL TELESCOPING ACCESS CANNULA AND A NOVEL TELESCOPING OBTURATOR

Pivot Medical, Inc., Sun...

1. Apparatus comprising a telescoping obturator for use with an access cannula having a distal end, a proximal end and a lumen extending therebetween, the telescoping obturator comprising:a handle having a distal end and a proximal end;
a shaft carried by the handle, the shaft being longitudinally movable relative to the handle;
a locking mechanism for selectively locking the shaft to the handle at a plurality of longitudinal positions along the length of the shaft;
wherein the distal end of the handle comprises at least one first feature for engaging at least one second feature on the proximal end of the access cannula, whereby to enable the handle to transmit both axial force and rotational force to the proximal end of the access cannula when the handle is connected to the proximal end of the access cannula.

US Pat. No. 10,245,069

SURGICAL PORT FEATURE

INTUITIVE SURGICAL OPERAT...

1. A surgical port feature for insertion into an incision site, the surgical port feature comprising:a hollow funnel portion at a proximal end portion of the surgical port feature, wherein the hollow funnel portion comprises a wide opening at a first end of the hollow funnel portion and a narrow opening at an end opposite the first end;
a waist portion proximate the narrow opening of the funnel portion, wherein the waist portion has a central longitudinal axis and an outer surface radially spaced from and extending around the central longitudinal axis;
a first tongue member at a distal end portion of the surgical port feature, wherein the first tongue member extends distally from the waist portion in a direction away from the funnel portion, and wherein the first tongue member extends in a radial direction, relative to the central longitudinal axis, beyond the outer surface of the waist portion;
a second tongue member extending distally from the waist portion in a direction away from the funnel portion, wherein the second tongue member extends in a radial direction, relative to the central longitudinal axis, beyond the outer surface of the waist portion;
a rotatable portion positioned within the waist portion, wherein the rotatable portion is coupled to the second tongue member, and wherein the rotatable portion is rotatable about the central longitudinal axis relative to the funnel portion from a first orientation in which the first and second tongue members are positioned diametrically opposite one another across the central longitudinal axis to a second orientation in which the first and second tongue members are aligned at a same angular position about the central longitudinal axis; and
at least two channels extending through the waist portion and opening into the hollow funnel portion, wherein the channels are configured to receive surgical instruments.

US Pat. No. 10,245,068

LUMBAR PUNCTURE ASSIST TOOL

Edward Via College of Ost...

1. A lumbar puncture device comprising:a first arm and a second arm forming a T-shape, said first arm having a surface defined by an upper edge, a lower edge, and opposing side edges;
said first arm longer than said second arm;
a projection having a first face and a second face, said faces separated by an elongated body;
said first face adapted to engage said first arm and said projection extends from said first arm;
a passageway having an entrance and exit, said passageway extends through said projection;
said projection has a downward angle with respect to said first arm, said downward angle formed by locating said exit closer to said upper edge than said entrance; and
said projection is permanently attached to said first arm and extends downwardly from said first arm and said downward angle of said projection is in a vertical plane that is perpendicular to said lower edge.

US Pat. No. 10,245,067

REUSABLE LOCKING SAFETY SCALPEL

Ribbel International Limi...

1. A surgical scalpel comprising:a housing defining a housing axis and having a front, a back and opposite first and second sides enclosing an axial track, the first side defining an axial slot extending from the housing back to a closed front end positioned rear of the housing front;
a reciprocator assembly with a slider connected to an elongate blade carrier, the blade carrier positioned within the housing extending from a front to a rear along the housing axis and the slider positioned outside the housing connected to the blade carrier through the slot, the slider having a front portion and a rear butt portion and the blade carrier including a first lock member proximate the rear of the reciprocator assembly;
a blade secured to the blade carrier and projecting forward of the carrier, the blade having a cutting edge; and
an end cap attachable to the housing proximate the housing back, the end cap defining a second lock member for cooperation with the first lock member, wherein
the housing further defines a third lock member comprising a recess in the first side of the housing positioned forward of the closed front end of the slot and the slider defines a fourth lock member comprising a projection extending from the front portion of the slider toward the first side of the housing for cooperation with the third lock member, whereby the reciprocator assembly is axially reciprocable from an initial position with the blade concealed within the housing to a cutting position with the blade exposed from the front of the housing and the projection of the fourth lock member received by the recess of the third lock member in a releasable engagement to maintain the reciprocator and housing axially relative to one another, applying a force on the rear butt of the slider toward the first side of the housing to cause the slider to pivot and the projection to move away from the first side of the housing and disengage from the recess of the third lock member thereby allows rearward reciprocation of the reciprocator assembly to a locked position with the reciprocator assembly rear of the initial position and the first lock member engaged with the second lock member in a permanent attachment.

US Pat. No. 10,245,066

METHOD AND APPARATUS FOR DISCONTINUOUS DERMABRASION

The General Hospital Corp...

1. An apparatus for cosmetic resurfacing of a skin tissue, comprising:a housing;
a plurality of shafts, each of which has a corresponding longitudinal axis and a skin abrading element at a distal end thereof, wherein the skin abrading element is configured to contact a surface of the skin tissue to generate holes in the skin tissue by removing portions of the skin tissue while leaving surrounding tissue healthy;
a shaft drive arrangement configured to rotate each shaft of the plurality of shafts around the corresponding longitudinal axis of each of the plurality of shafts; and
a low-pressure source configured to pull the tissue up toward the skin abrading elements or to facilitate removal of the abraded tissue.

US Pat. No. 10,245,065

ULTRASONIC SURGICAL BLADES

Ethicon LLC, Guaynabo, P...

1. An apparatus, comprising:an ultrasonic surgical blade for at least one of cutting and coagulating tissue, wherein the ultrasonic surgical blade comprises:
a body having a proximal end, a distal end, and an outer surface comprising a treatment region configured to directly contact the tissue to be treated, wherein the distal end is movable relative to a longitudinal axis in accordance with ultrasonic vibrations applied to the proximal end; and
a lubricious coating for contacting tissue, wherein the lubricious coating comprises a coefficient of friction that is less than the coefficient of friction of the outer surface of the body, wherein the lubricious coating is adhered to at least a portion of the treatment region of the outer surface of the body, wherein the lubricious coating comprises a polymeric material, and wherein the lubricious coating comprises a second layer adhered to at least a portion of a first layer.

US Pat. No. 10,245,064

ULTRASONIC SURGICAL INSTRUMENT WITH PIEZOELECTRIC CENTRAL LUMEN TRANSDUCER

Ethicon LLC, Guaynabo, P...

1. A surgical instrument for coagulating and dissecting tissue, the surgical instrument comprising:a transducer assembly comprising:
a housing;
an ultrasonic transducer comprising a plurality of piezoelectric elements and a plurality of electrodes arranged in a stack configuration, wherein at least one of the plurality of electrodes is located between at least one pair of the plurality of piezoelectric elements;
an end mass positioned adjacent a first end of the ultrasonic transducer, wherein the end mass is configured to engage with the housing; and
wherein the end mass is configured to compress the ultrasonic transducer against an interior surface of the housing when the end mass is engaged with the housing.

US Pat. No. 10,245,063

SURGICAL DRIVE APPARATUS

1. A surgical drive apparatus, comprising:an external rotating shaft coupled to a resectioning device;
a drive unit having a motor disposed in a motor chamber, the motor rotationally coupled to the external rotating shaft, the external rotating shaft extending through a distal end of the motor chamber, and the distal end of the motor chamber defines an exterior surface of the drive unit;
a cap defining an interior volume, the cap telescoping, over the exterior surface of the drive unit;
a suction chamber defined by the interior volume of the cap and the exterior surface of the drive unit;
the resectioning device coupled to the external rotating shaft and extending through the cap;
the resectioning device configured to rotate relative to the cap and be in fluid communication with the suction chamber, the external rotating shaft configured to provide rotational movement to the resectioning device; and
an outflow tube in fluid communication with the suction chamber by way of the cap, the outflow tube defining a fluid path to the resectioning device via the suction chamber.

US Pat. No. 10,245,062

SURGICAL GUIDE

1. A surgical device, comprising:a first member extending from a proximal end to a distal end and having a first surface opposite a second surface;
a first channel defined by a first channel wall descending into said first surface and extending in-between said distal end and proximal end of said first member;
a second channel defined by a second channel wall descending into said first surface running in-between said distal end and said proximal end, said second channel formed adjacent said first channel;
a first side edge at said proximal end communicating between said first surface and said second surface;
a first aperture communicating through said first side edge with said first channel, said aperture sized to accommodate translation of a cabled imaging component therethrough;
at least one viewing aperture communicating through said first channel wall and through said second surface for providing a view of tissue surrounding said surgical device to said cabled imaging component;
said second channel communicating through said side edge;
whereby with said surgical device upon an insertion into the body of a patient through an incision to an as-used positioning, said cabled imaging component is translatable through said first aperture into said first channel for communicating images of areas surrounding said surgical device therefrom, and a blade for cutting chosen said tissue is insertable along said second channel forming a guided translational pathway for said blade;
a second member extending from a proximal end to a distal end and having a first surface opposite a second surface;
a first channel defined by a first channel wall descending into said first surface of said second member, and extending in-between said distal end and proximal end of said second member;
a second channel defined by a second channel wall descending into said first surface of said second member and extending in-between said distal end and said proximal end of said second member, said second channel formed in said second member formed adjacent said first channel thereof;
a second side edge at said proximal end of said second member communication between said first surface and said second surface thereof;
a second aperture communicating through said second side edge to said first channel of said second member, said second aperture sized to accommodate translation of said cabled imaging component therethrough;
said second channel formed in said second member communicating through said second side edge;
a disengageable cooperating connector engaging said first member and second member to form an assembled instrument, with respective first sides of each of said first member and said second member facing each other across a gap therebetween, said gap extending through opposing distal ends of said first and second members;
said first channel of said first member in position directly across said gap from said first channel of said second member defining a first tunnel of said assembled instrument;
said second channel of said second member in position directly across said gap from said second channel of said first member defining a second tunnel of said assembled instrument;
said second tunnel communicating through said second side edge and forming an opening for translation of said blade to said second tunnel;
said second aperture and said first aperture both providing individual separate pathways for said cabled imaging component to said first tunnel; and
said gag positionable around said chosen tissue to be severed by said blade, whereby only said chosen tissue within said gap is severable and tissue surrounding said second tunnel with said surgical device in said as-used positioning is protected from such severing.

US Pat. No. 10,245,061

TREATMENT METHOD INCLUDING TISSUE OCCLUSION DEVICE

COVIDIEN LP, Mansfield, ...

1. A surgical method comprising:providing an instrument assembly including a hollow body member having a sidewall formed with a window and further including a tissue occlusion component, said occlusion component defining a pair of jaws, at least one of said jaws including an arcuate clamping surface;
inserting said hollow body member into a body lumen of a patient;
manipulating said hollow body member so that organic tissues protrude through said window into said hollow body member;
after the protruding of said tissues through said window, manipulating said occlusion component so that said jaws are located on opposite sides of the protruding tissues;
thereafter closing said jaws to clamp the protruding tissues; and
subsequently operating said occlusion component to permanently constrict a portion of said protruding tissues without transecting said protruding tissues to effect ischemic regression of said protruding tissues.

US Pat. No. 10,245,060

EDGED MEDICAL CUTTING TOOL

MANI, INC., Utsunomiya-S...

1. A method of producing a medical cutting tool for incising a biological tissue, the medical cutting tool being made of austenitic stainless steel, the method comprising the steps of:forming a medical cutting tool having a cutting edge and plane portions that form the cutting edge press working;
performing an electrolytic polishing to the medical cutting tool formed by press working;
detecting by quantitative analysis using X-ray analysis, after the electrolytic polishing, a first chromium content per unit mass of an area of the plane portions which is adjacent to the edge and a second chromium content per unit mass of the other area on the plane portions which is not adjacent to the edge; and
determining that the cutting edge has sufficient sharpness when the first chromium content per unit mass is larger than the second chromium content per unit mass.

US Pat. No. 10,245,059

TOOL AND GRIP DEVICE PROVIDED WITH SAID TOOL

Servocad Microtronics S.L...

1. A tool comprising a pair of jaws interacting with one another by means of actuating means, characterized in that said actuating means comprise a central stationary part and two cam plates arranged such that said plates are facing both sides of the central stationary part, the cam plates being slidable on said central stationary part, the two cam plates being associated with a shaft for driving linear movement, and wherein the jaws are coupled to the central stationary part and the two cam plates, such that during a forward movement of the cam plates, said plates cause a linear movement away from one jaw respective to the other, during a backward movement thereof, said cam plates cause a linear movement for moving one of the jaws closer to the other, wherein each of the cam plates has a pair of linear upper slots and a pair of linear lower slots that converge respectively at a point near a central longitudinal axis of the cam plates, and wherein protuberances projecting from each of the jaws are slidable in the upper and lower slots.

US Pat. No. 10,245,058

MANIPULATOR FOR MEDICAL USE

1. A manipulator for medical use, comprising:a hollow shaft;
a power transmitting member having a first wire, the power transmitting member being disposed in said shaft;
a working unit control mechanism disposed at a first end of the shaft; and
a working unit disposed at a second end of said shaft and being driven by said first wire, said working unit having a tip tool including a rolling mechanism rotating about a rolling axis directed to a distal end thereof;
wherein the tip tool includes an end effector configured to grip a needle,
wherein the first wire is fastened to a first tubular member of the rolling mechanism,
wherein the first tubular member is rotated by the first wire to drive the rolling mechanism,
wherein a proximal end member and a distal end member of the tip tool are relatively rotated by said rolling mechanism, and a rotation identifier is provided on at least one member of the proximal end member and the distal end member, said rotation identifier indicating a degree of rotation of the other member of the proximal end member and the distal end member, thereby indicating a degree of rotation of the tip tool with respect to the shaft,
wherein said other member includes a first alignment indicator to indicate an initial position of said one member,
wherein the tip tool is arranged to rotate along with the end effector in a yawing direction about a yawing axis perpendicular to the rolling axis, the tip tool being rotatable about the rolling axis at a position closer to the distal end than the yawing axis,
wherein the first alignment indicator is provided on a side surface of the proximal end member, the side surface continuously connecting walls that oppose each other in a direction along which the yawing axis extends, and
wherein said rotation identifier is provided on the tip tool such that, during an operation on a patient with the manipulator, the rotation identifier is positioned within a field of operation to be displayed on a monitor showing the tip tool within the patient.

US Pat. No. 10,245,057

SURGICAL INSTRUMENTS INCLUDING KNIFE ASSEMBLIES WITH REDUCIBLE CUTTING HEIGHT

COVIDIEN LP, Mansfield, ...

14. A knife assembly of a surgical end effector assembly, the knife assembly comprising:a knife body defining a longitudinal axis and having first and second arms, the first arm having a first head including a cutting edge at a distal end thereof and the second arm having a second head, the second head including a cutting edge, the cutting edges of the first and second heads positioned to create a scissor-cutting action between the cutting edges thereof as at least the first head pivots relative to the second head,
wherein the cutting edge of the first head includes a first longitudinal cutting edge and a first transverse cutting edge, the cutting edge of the second head includes a second longitudinal cutting edge and a second transverse edge, the first and second longitudinal cutting edges configured to cut in a shear direction transverse to the longitudinal axis of the knife body, the first and second transverse cutting edges configured to cut in an axial direction along the longitudinal axis of the knife body, and
wherein at least the first head is pivotable relative to the second head to reduce a cutting height during translation of the knife assembly through a knife channel defined within the end effector assembly.

US Pat. No. 10,245,056

HAND-HELD ELECTROMECHANICAL SURGICAL SYSTEM

Covidien LP, Mansfield, ...

1. A hand-held electromechanical surgical device, comprising:an outer shell housing including:
a distal section having a proximal-facing edge defining a mating feature; and
a proximal section having a distal-facing edge defining a mating feature configured to engage the mating feature of the distal section, the mating feature of the proximal section or the mating feature of the distal section including a groove, the distal and proximal sections together defining a cavity configured to selectively encase a power-pack therein; and
a gasket located between the distal and proximal sections of the outer shell housing and including:
a body configured to compress between the distal-facing edge of the proximal section and the proximal-facing edge of the distal section; and
a reinforcing member disposed within the body and configured for receipt in the groove, wherein the gasket is configured to create a seal between the distal and proximal sections of the outer shell housing and to provide a sterile barrier between the power-pack and an environment outside the outer shell housing.

US Pat. No. 10,245,055

DEVICES THAT ALLOW FOR RAPID CHANGE OUT OF ENDOTRACHEAL (ET) TUBES AND RELATED METHODS

Michael A. Olympio, Wins...

1. A tracheal tube device, comprising:a mouthpiece comprising an external port merging into an open internal channel sized and configured to allow an endotracheal tube to extend therethrough into a trachea of a subject, the external port having a perimeter, wherein the mouthpiece also comprises at least one short tube with a cavity residing above the external port; and
a handle holding a cutting member and comprising at least one interlock member that interlocks to the mouthpiece,
wherein the mouthpiece has a monolithic molded body with a rim that allows the handle interlock member to interlock to the mouthpiece to be able to selectively extend in either a right or left laterally extending direction.

US Pat. No. 10,245,054

DEVICES FOR RETRIEVING AN OBSTRUCTION IN A BODILY DUCT OF A PATIENT

HIGHWAY 1 MEDICAL, INC., ...

1. A device for capturing an obstruction in a bodily duct of a patient, the device comprising:a cylindrical body having a circumference and a longitudinal axis and including a plurality of cell structures formed by struts, the plurality of cell structures being of the same size and shape and arranged in diagonal rows around the longitudinal axis, the plurality of cell structures including first, second, third, fourth and fifth cell structures, the first cell structure being surrounded by the second, third, fourth and fifth cell structures and sharing at least one strut with each of the second, third, fourth and fifth cell structures, the plurality of cell structures each includes first, second, third, fourth, fifth and sixth struts, each of the first, second, third, fourth, fifth and sixth struts having a proximal end and a distal end, when the device is cut longitudinally and laid flat on a surface the entirety of at least one of the fifth and sixth struts is straight, the proximal end of the first strut being coupled to the proximal end of the second strut, the distal end of the third strut being coupled to the distal end of the fourth strut, the distal end of the first strut being coupled to the proximal end of the fifth strut, the proximal end of the third strut being coupled to the distal end of the fifth strut, the distal end of the second strut being coupled to the proximal end of the sixth strut, the proximal end of the fourth strut being coupled to the distal end of the sixth strut, the proximal and distal ends of the fifth strut being longitudinally aligned with one another and residing at a first circumferential location, the proximal and distal ends of the sixth strut being longitudinally aligned with one another and residing at a second circumferential location, the second circumferential location being spaced apart from the first circumferential location, when the device is cut longitudinally and laid flat on a surface at least a first portion of each of the first, second, third and fourth struts is curved and at least a second portion of each of the first, second, third and fourth struts is straight; and
a first antenna having a proximal end and a distal end, the cylindrical body coupled to the distal end of the first antenna, when the device is cut longitudinally and laid flat on a surface at least a portion of the first antenna is straight, the at least a portion being longitudinally aligned with the proximal and distal ends of at least one of the fifth struts and/or with the proximal and distal ends of at least one of the sixth struts.

US Pat. No. 10,245,053

SINGLE INCISION LAPAROSCOPIC TISSUE RETRIEVAL SYSTEM

Applied Medical Resources...

1. A tissue retrieval system comprising:an elongate introducer having a hollow lumen formed therein, the elongate introducer defining a longitudinal axis;
a tissue retrieval bag having a proximal end, a distal end, and a rim defining an opening, wherein the tissue retrieval bag comprises a cuff formed about the opening, and wherein the rim defines a rim axis, the tissue retrieval bag having an elongate profile relative to the rim axis such that the opening is positioned adjacent the proximal end and the tissue retrieval bag comprises a distal portion extending distally from the opening with respect to the rim axis beyond the cuff towards the distal end of the tissue retrieval bag;
an actuator rod extending at least partially into the hollow lumen of the introducer, the actuator rod having a proximal end and a distal end; and
a pair of support arms extending from the distal end of the actuator rod;
wherein the tissue retrieval bag is actuatable by the actuator rod from a stowed position in which the tissue retrieval bag is rolled about the rim axis within the hollow lumen of the introducer with the pair of support arms positioned within the cuff of the tissue retrieval bag to an open position in which the tissue retrieval bag is substantially outside the introducer; and
wherein the support arms are biased in a first direction to position the tissue retrieval bag with the rim axis transverse to the longitudinal axis and biased in a second direction to open the opening when the tissue retrieval bag is actuated to the open position.

US Pat. No. 10,245,052

SYSTEMS, DEVICES, AND METHODS FOR TISSUE EXTRACTION

Boston Scientific Scimed,...

1. A method of removing tissue from a body, the method comprising:introducing an extraction tool into a urethra, the extraction tool extending between a proximal end and a distal end, wherein the distal end includes an expandable end effector that forms an at least partially conical shape with a solid circumferential wall in an expanded state, and wherein the extraction tool includes a central channel with an interior diameter greater than about 20 Fr;
grasping the tissue with the end effector to enclose the tissue within the expandable end effector in the expanded state such that the tissue is surrounded by the solid circumferential wall of the end effector; and
without morcellating the tissue, removing the extraction tool from the body with the tissue enclosed.

US Pat. No. 10,245,051

DRUG DELIVERY VIA MECHANICAL VIBRATION BALLOON

Bard Peripheral Vascular,...

1. A drug delivery balloon catheter comprising:an ultrasound transmission member having a proximal end and a distal end;
a generator configured to provide longitudinal vibrations to the ultrasound transmission member through the proximal end of the ultrasound transmission member coupled to the generator;
a balloon coupled to the distal end of the ultrasound transmission member and being movable between an inflated state and a deflated state; and
at least one wire coupled to the ultrasound transmission member and the balloon so as to transmit the longitudinal vibrations parallel to the balloon catheter from the ultrasound transmission member to the balloon such that the balloon is longitudinally vibrated at least when the balloon is in the inflated state.

US Pat. No. 10,245,050

METHODS FOR FACILITATING REVASCULARIZATION OF OCCLUSION

1. A method, comprising:engaging a first guide within a vessel wall adjacent to a distal cap of an occlusion and advancing the first guide, in a retrograde direction, to a subintimal position near a proximal cap of the occlusion;
engaging a second guide within the proximal cap or the vessel wall adjacent to the proximal cap and advancing the second guide, in an antegrade direction, until its distal end is near or axially overlaps a distal end of the first guide;
connecting a first vessel lumen, formed by advancement of the first guide, and a second vessel lumen, formed by advancement of the second guide, including inflating a balloon positioned at or near the distal end of the second guide; and
receiving the distal end of the first guide within a passage of the inflated balloon.

US Pat. No. 10,245,049

THROMBUS REMOVAL SYSTEMS AND DEVICES AND METHODS OF USING THE SAME

CVDevices, LLC, San Dieg...

1. A thrombus removal system, comprising:a balloon catheter comprising a balloon catheter tube, a first balloon coupled thereto, and defining a first lumen therethrough terminating at a distal tube aperture at a distal end of the balloon catheter and a second lumen therethrough terminating at one or more apertures defined within the balloon catheter tube at a location outside of the first balloon;
the first balloon capable of inflation within a lumen of a mammalian vessel to substantially or completely occlude the lumen of the mammalian vessel proximal to a thrombus positioned within the lumen of the mammalian vessel;
a second occlusion element comprising an umbrella catheter comprising an umbrella coupled to a catheter, the umbrella moveable between a compressed configuration and a first deployed configuration;
wherein the umbrella comprises an inverted second deployed configuration and wherein the umbrella is configured so that proximal movement of the umbrella catheter within the lumen of a mammalian vessel is itself sufficient to invert the umbrella to the second deployed configuration and wherein the umbrella is configured to allow fluid to pass therethrough but prevent at least a portion of the thrombus from passing therethrough when in the first deployed configuration;
wherein the balloon catheter is insertable around at least a portion of the second occlusion element; and
the thrombus removal system is configured to disrupt and/or dissolve at least a portion of the thrombus and remove at least a portion of the thrombus using suction through the distal tube aperture of the balloon catheter in operation when the first balloon is positioned proximal to thrombus and when the second occlusion element is positioned distal to the thrombus.

US Pat. No. 10,245,048

SHAPE-FIT GLENOID REAMING SYSTEMS AND METHODS

Howmedica Osteonics Corp....

1. A shoulder guide for resecting a preoperatively planned depth into bone comprising:a body having a patient specific contact surface that contacts a surface of the bone in a preoperatively planned position, the body having an L-shaped flange portion and a first cannulated portion, the flange portion extending away from the first cannulated portion and being configured to contact a glenoid cavity and around a scapular rim; and
a guide shaft projecting from the body, the guide shaft having a second cannulated portion aligned with the first cannulated portion of the body,
wherein the first and second cannulated portions form a throughbore having a predefined length defined from a distal end surface of the guide shaft to an opening in the patient specific contact surface of the body, and
wherein the preoperatively planned depth is based on the predefined length and a location of at least one reference feature of a marking pin.

US Pat. No. 10,245,047

UNICOMPARTMENTAL CUSTOMIZED ARTHROPLASTY CUTTING JIGS

Howmedica Osteonics Corpo...

1. A femoral arthroplasty jig for assisting in the performance of a femoral arthroplasty procedure on a femoral arthroplasty target region of a femur of a patient, the femur including an intercondylar notch, an articular condyle surface, an articular trochlear groove surface, and an area between an articularis genu and a patellar facet boarder on an anterior side of a femoral shaft, the articular condyle surface including a medial articular condyle surface and a lateral articular condyle surface, the articular trochlear groove surface including an anterior-proximal trochlear groove surface with an anterior-proximal edge, the jig comprising:a mating surface including a customized surface contour that is a negative of certain surfaces of the femoral arthroplasty target region, the mating surface configured to matingly receive and contact the certain surfaces of the femoral arthroplasty target region, the certain surfaces including the articular condyle surface, the articular trochlear groove surface, and at least one contact point on the anterior-proximal edge of the anterior-proximal trochlear groove surface, the certain surfaces not including the intercondylar notch,
wherein a portion of the mating surface configured to matingly receive and contact the at least one contact point comprises at least one hooking point configured to contact a proximal portion of the anterior-proximal edge of the anterior-proximal trochlear groove surface.

US Pat. No. 10,245,046

ASSEMBLY FOR A TIBIAL CUT GUIDE

Zimmer, Inc., Warsaw, IN...

1. A system for a knee replacement surgery comprising:an adjustment member;
a carrier assembly configured to couple with a cut guide and configured to be moveable relative to the adjustment member;
a posterior slope housing assembly configured for pivot connection to the adjustment member, the posterior slope housing assembly configured to pivot the adjustment member relative to at least a portion of the posterior slope housing and a tibia to adjust a posterior slope angle defined by the cut guide, wherein the posterior slope housing assembly is pivotally connected to the adjustment member along a proximal end portion thereof, the proximal end portion configured to mate with a moveable connector of the posterior slope housing assembly, and wherein the posterior slope housing assembly includes a knob configured to rotate a screw, and the connector is configured to translate on the screw to rotate the proximal end portion of the adjustment member and facilitate pivoting of the adjustment member relative to the tibia to adjust the posterior slope angle; and
a boom configured to couple with the posterior slope housing assembly and configured to couple with a tool that is insertable into an intramedullary canal of the tibia.

US Pat. No. 10,245,045

RESECTION INSTRUMENT

1. A surgical instrument, comprising:a shaft having a proximal end, a distal end, and a longitudinal axis extending therebetween;
a handle disposed towards the proximal end of the shaft;
a template pivotally connected towards the distal end of the shaft, the template having:
a proximal end, a distal end, and a heel portion disposed at the proximal end of the template;
first and second opposing surfaces positioned between the proximal and distal ends and dimensioned to fit between first and second bones of a joint; and
a burr for removing tissue, the burr being coupled to the proximal end of the template and positioned to face the second bone of the joint when positioned between the first and second bones of the joint, the burr configured to rotate about an axis of rotation that is parallel to the longitudinal axis of the shaft, wherein the burr has a predetermined orientation relative to the template,
wherein the second surface of the template has a concave shape to complement a curvature of the second bone of the joint, and wherein the second surface of the template is operative to engage with a surface of the second bone whereby the burr is operative to only engage and remove material from portions of the second bone having a surface curvature deviating from a curved path defined by the template while the second surface of the template guides movement in at least a distal to proximal manner over the second bone surface.

US Pat. No. 10,245,044

SURGICAL DEVICES AND METHODS FOR IMMOBILIZING A SACROILIAL JOINT

1. A method for immobilizing a sacroiliac joint of a patient comprising the steps of:creating an incision in a patient's skin proximal and posterior to the patient's sacroiliac joint;
inserting a blunt joint finding instrument having a curved cross-section, a length defined by a tapered proximal end and a distal end, and a central bore extending from the proximal end to the distal end;
moving the blunt joint finding instrument until the proximal end abuts the sacroiliac joint of the patient;
inserting a guide pin into the sacroiliac joint from a posterior direction, wherein a longitudinal axis of the pin lies in a plane defined by the sacroiliac joint;
removing the blunt joint finding instrument;
creating a void in the sacroiliac joint, wherein the step of creating the void comprises:
inserting a graft guide over the guide pin and into the incision;
securing the graft guide in the incision;
removing the guide pin;
inserting a drill guide into the guide;
inserting a drill bit into the drill guide; and
attaching a drilling device to the drill bit and drilling the void in the sacroiliac joint;
removing the drill bit and the drill guide from the guide;
inserting a broach into the graft guide, wherein the broach has a proximal end and a distal end;
enlarging the void;
displacing a portion of the patient's ilium and a portion of the patient's sacrum;
and inserting a graft into the void in the sacroiliac joint, wherein the step of inserting the graft comprises attaching the graft to an inserter, wherein the inserter has a proximal end and a distal end, wherein the proximal end is configured to attach to the graft, and wherein the inserter comprise a channel running from its distal end to its proximal end;
inserting the inserter into the graft guide until a stop on the inserter contacts a distal surface of the graft guide; and
inserting an impactor having a proximal and a distal end into the channel in the inserter until the impactor contacts the graft in the void.

US Pat. No. 10,245,043

SURGICAL DRILL HAVING A BRAKE THAT, UPON THE DRILL BIT PENETRATING THROUGH BONE, PREVENTS FURTHER INSERTION OF THE DRILL

STRYKER CORPORATION, Kal...

1. A surgical drill assembly comprising:a handpiece with a motor, a chuck attached to the motor for releasably holding a drill bit to the motor so the drill bit can be rotated by the motor;
a telescoping member having opposed proximal and distal ends, a proximal section of the telescoping member moveably mounted to the handpiece to allow the telescoping member to move proximally and distally along the handpiece and a stop attached to the distal end of the telescoping member so as to be located at a distal end of the drill assembly;
a brake assembly is attached to said handpiece, said brake assembly including a member having:
a brake that is moveably attached to said handpiece to move between engaged and disengaged positions with the telescoping member, wherein when the brake is in the engaged position with the telescoping member, said brake stops movement of the telescoping member; and
an actuator, that in response to a command signal, selectively moves said brake from the disengaged position to the engaged position;
wherein the telescoping member comprises a plurality of teeth, and the brake comprises a plunger moveable between the engaged and disengaged positions, such that the plunger is configured to engage the teeth of the telescoping member when the plunger is in the engaged position and the plunger is configured to disengage the teeth of the telescoping member when the plunger is in the disengaged position.

US Pat. No. 10,245,042

CHECK VALVE VENTED STERILIZABLE POWERED SURGICAL HANDPIECE

Medtronic Xomed, Inc., J...

1. A surgical handpiece comprising:a housing defining an interior cavity and defining a handle configured to be grasped by a user;
a motor assembly disposed within the handle, the motor assembly including a motor not rated for steam sterilization;
a drive shaft disposed through the housing;
an adapter coupled to the drive shaft and the housing, the adapter configured to couple a surgical tool to the handpiece; and
a check valve assembly including a check valve cartridge and a check valve, the check valve cartridge having walls extending into the interior cavity and defining a valve cavity, the check valve cartridge coupled to the housing and disposed internal to the housing, the check valve cartridge sealed to the housing via a press fit and including a seal disposed circumferentially about the check valve cartridge, the check valve disposed within the check valve cartridge, the check valve having an open state and a closed state, the check valve configured to provide fluid communication between the interior cavity and ambient air outside of the housing in the open state and prevent fluid communication between the interior cavity and ambient air outside of the housing in the closed state,
wherein the housing defines an open channel extending between the valve cavity and an exterior surface of the housing, and
wherein the housing, the motor assembly, the drive shaft adapter, and the sterilization check valve assembly are configured to be sterilizable and withstand steam sterilization in an assembled state of the surgical handpiece, and the sterilization check valve assembly is configured to be in an open state during steam sterilization.

US Pat. No. 10,245,041

METHOD TO STOP BLEEDING, WITH SHORT HEMOSTASIS DURATION USING A LOW DOSE OF ANTICOAGULANT

VASOINNOVATIONS INC., So...

1. A method of attaining hemostasis of a radial artery of a patient when performing a catheterization procedure at an access site of the radial artery, comprising performing the following steps:(a) administering a dose of an anticoagulant to the patient during the catheterization procedure;
(b) applying an ulnar pressure on an ulnar artery at an ulnar pressure site by inflating at least a first bladder to fully compress the ulnar artery;
(c) applying a radial pressure on the radial artery by inflating at least a second bladder at the access site to stop bleeding at the access site;
(d) continuing to apply the radial pressure on the radial artery for a duration of time at least until hemostasis of the radial artery is attained;
(e) continuing to apply the ulnar pressure on the ulnar artery at the ulnar pressure site to compress the ulnar artery fully for a first period of time;
(f) continuing to apply the ulnar pressure on the ulnar artery at the ulnar pressure site to compress the ulnar artery partially for a second period of time;
(g) attaining hemostasis of the radial artery;
wherein step (a) precedes all other steps, step (e) precedes step (f), and a sum of the first and the second periods of time for compressing the ulnar artery is less than the duration of time for hemostasis of the radial artery, whereby the ulnar pressure is not applied on the ulnar artery for a third period of time up until and including the moment in which hemostasis of the radial artery is attained.

US Pat. No. 10,245,040

METHODS AND DEVICES FOR PERFORMING A SURGICAL ANASTOMOSIS

Covidien LP, Mansfield, ...

12. A cartridge assembly for use with a surgical instrument, the cartridge assembly comprising:a pusher assembly including an engagement surface and being movable to cause fasteners to be ejected from the cartridge assembly; and
a knife assembly including a knife carrier and a knife, at least a portion of the knife assembly being movable relative to the pusher assembly, the knife carrier including at least one latch configured to contact the engagement surface of the pusher assembly in response to movement between the at least a portion of the knife assembly and the pusher assembly;
wherein initial contact between the at least one latch and the engagement surface of the pusher assembly prevents the at least one latch from distally translating beyond the engagement surface, and wherein a proximal portion of the at least one latch includes a ramped surface configured to facilitate engagement between the pusher assembly and the knife carrier.

US Pat. No. 10,245,039

METHODS AND APPARATUSES FOR APPLYING TENSILE FORCE TO TISSUE

1. An implantable apparatus for applying force to bodily tissue, comprising:an actuator having a first anchor portion and a second anchor portion, the actuator configured to cause relative movement of the first anchor portion and the second anchor portion toward or away from one another;
a first support member constructed to be attached to a first tissue region and adapted to be coupled to the first anchor portion of the actuator; and
a second support member constructed to be attached to a second tissue region and adapted to be coupled to the second anchor portion of the actuator, wherein relative movement of the first anchor portion and the second anchor portion toward or away from one another results in application of a tensile force to at least one of the first tissue region and the second tissue region, the first and second tissue regions are exterior portions of a tissue conduit, the first and second support members are constructed to be attached around at least a portion of a circumference of the tissue conduit, and the actuator is configured to be positioned outside of the tissue conduit during use.

US Pat. No. 10,245,038

SURGICAL STAPLER WITH CIRCUMFERENTIAL FIRING

Applied Medical Resources...

1. A surgical stapler comprising:a handle assembly connected to a stapler cartridge assembly; the stapler cartridge assembly having an end effector at the distal end; the end effector comprising an upper jaw connected to a lower jaw such that the upper jaw is movable via the handle assembly relative to the lower jaw between an open configuration and a closed configuration; the lower jaw has an upper surface and the upper jaw has an anvil surface; wherein in the closed configuration, a gap is defined between the upper surface and anvil surface for receiving tissue to be stapled; the lower jaw further includes a plurality of staple channels arranged longitudinally along the length of the lower jaw and configured to receive staples; wherein actuation of the stapler at the handle assembly moves staples from an undeformed configuration inside the channel against the anvil surface into a deformed configuration in the gap to staple tissue located in the gap; each staple channel having an opening at the upper surface; wherein a center point and midline are defined in a cross-section taken perpendicular to the longitudinal axis of the end effector with the jaws in a closed configuration; wherein one or more staple line is defined on either side of the midline by a plurality of channel openings aligned along the longitudinal length of the upper surface; wherein one or more staple channels are curved;the surgical stapler of further including a plurality of staples disposed inside the staple channels; each staple having a base with extending legs; each staple having an undeformed configuration in which the staple legs are curved to conform to the curvature of the staple channels in which they reside and a deformed configuration in which the staple legs are closed to capture tissue.

US Pat. No. 10,245,037

SELF-CINCHING SURGICAL CLIPS AND DELIVERY SYSTEM

Edwards Lifesciences Corp...

1. A surgical clip deploying system, comprising:an outer tube with a lumen and an enlarged stop flange on a distal end thereof, the outer tube also having an axial slot on one side that extends through the stop flange;
an inner needle having a sharpened end sized and aligned to pass through the outer tube lumen and extend beyond the outer tube stop flange, the inner needle having a clip channel that extends to the sharpened end and has a slot open on one side thereof, the outer tube being configured to rotate with respect to the inner needle to align or misalign the axial slot in the outer tube with the clip channel slot in the inner needle;
a self-cinching clip made of a super-elastic material held in a substantially straight constrained configuration within a lumen in the inner needle, the clip having a non-linear relaxed configuration when unconstrained; and
a pusher shaft sized to fit through the inner needle clip channel and displace the clip therethrough;
wherein the outer tube may be advanced with the sharpened end of the inner needle extending beyond the outer tube stop flange to puncture through a tissue and/or synthetic material layer until the stop flange contacts a proximal side of the layer, and the clip may be advanced through the inner needle using the pusher shaft until the clip is located adjacent the clip channel slot in the inner needle and the axial slot in the outer tube, and a portion of the clip beyond the layer passes laterally through the clip channel slot and returns to its relaxed configuration and a portion of the clip on the proximal side of the layer passes laterally through the aligned slots and returns to its relaxed configuration.

US Pat. No. 10,245,036

STAPLING DEVICE CLAMP AND DEPLOYMENT LOCKOUT SAFETY APPARATUS AND METHOD

Aesculap AG, Tuttlingen ...

1. A stapling device, comprising:an end-effector with an upper jaw member and a lower jaw member;
a control member to operate at least one of the upper jaw member and the lower jaw member;
a safety lockout member to selectively prevent the control member from operating at least one of the upper jaw member or the lower jaw member; and
a cutting member that is movable along a transection line to divide tissue,
the control member being selectively movable over the safety lockout member to a forward position to place the at least one of the upper jaw member and the lower jaw member in an open position,
the control member also being selectively movable over the safety lockout member to a retracted position to place the at least one of the upper jaw member and the lower jaw member in a fully closed position,
the safety lockout member being movable to a passive mode, in which the safety lockout member permits the control member to ride over the safety lockout member and into the retracted position to place the at least one of the upper jaw member and the lower jaw member in the fully closed position, and
the safety lockout member being movable to an active mode, in which the safety lockout member engages with the control member to prevent the control member from riding over the safety lockout member and into the retracted position, preventing the at least one of the upper jaw member and the lower jaw member from being placed in the fully closed position.

US Pat. No. 10,245,035

STAPLING ASSEMBLY CONFIGURED TO PRODUCE DIFFERENT FORMED STAPLE HEIGHTS

Ethicon LLC, Guaynabo, P...

1. A stapling assembly for use with a surgical stapling instrument for stapling and cutting tissue, said stapling assembly comprising:an anvil jaw;
a firing member, comprising:
a tissue cutting portion;
a first camming member; and
a second camming member; and
a replaceable cartridge jaw, comprising:
a proximal end;
a distal end;
a tissue-supporting deck, including:
a first longitudinal step; and
a second longitudinal step, wherein said first longitudinal step is positioned above said second longitudinal step;
a longitudinal slot extending from said proximal end toward said distal end, wherein said longitudinal slot is configured to receive said firing member;
a first longitudinal row of staple cavities defined in said first longitudinal step;
a second longitudinal row of staple cavities defined in said second longitudinal step;
a plurality of first staples positioned in said first longitudinal row of staple cavities;
a plurality of second staples positioned in said second longitudinal row of staple cavities;
a plurality of drivers configured to drive said first staples and said second staples against said anvil jaw; and
a sled movable from said proximal end toward said distal end, wherein said sled is configured to lift said drivers toward said anvil jaw to deform said first staples to a first formed height and said second staples to a second formed height, wherein said first formed height is different than said second formed height, and wherein said first camming member and said second camming member are configured to control the relative position of said replaceable cartridge jaw and said anvil jaw.