US Pat. No. 11,109,914

OUTCOME-BASED SPLINTING

DEPUY SYNTHES PRODUCTS, I...


1. A digitally-guided reduction and external fixation system for reducing and fixing a bone fracture comprising:one or more reference pins configured to be inserted into one or more bone fragments of a patient in a first configuration;
an image capture device configured to capture an image of the one or more reference pins in the first configuration, and the one or more bone fragments,
a virtual reduction and fixation device comprising a processor configured to execute instructions to:receive the captured image data of the one or more reference pins in the first configuration, and the one or more bone fragments;
pre-process the image data by virtually re-positioning the one or more reference pins in the first configuration into a second configuration, wherein the re-positioning of the one or more reference pins into the second configuration virtually re-positions the one or more bone fragments into normal alignment;
virtually generate a support device, wherein the support device comprises one or more apertures configured to receive the one or more reference pins in the second configuration and the support device is configured to simultaneously achieve reduction and long-term fixation by repositioning and fixing the one or more bone fragments into normal alignment; and
send a description of the virtually generated support device to a point-of-care production apparatus.


US Pat. No. 11,109,913

APPARATUS AND METHOD FOR NERVE ABLATION IN THE WALL OF THE GASTOINTESTINAL TRACT

DIGMA MEDICAL LTD., Peta...


1. A device for real-time evaluation of duodenal ablation, the device comprising: a catheter comprising an expandable member configured to stretch a duodenal wall and to generate a fixed distance between a center of the catheter and the duodenal wall; a laser transmitting element configured to couple to the catheter and to transmit a first laser beam and a second laser beam; wherein the first laser beam has a first wavelength and a first spot diameter and is configured to cause ablative damage in a region of the duodenal wall as a result of its impingement thereon, and wherein the second laser beam has a second wavelength and a second spot diameter and is configured to detect modifications in the region of the duodenal wall resulting from the impingement of the first laser beam thereon; and a rotatable deflective optical element functionally coupled with a laser emitting element and configured to direct the first and/or second laser beam to a region on and/or beneath the duodenal wall; wherein the first and second laser beams are transmitted towards different target areas of the duodenal wall such that during rotation of the deflective optical element, the second laser beam impinges on a given target area at a delay relative to the impingement of the first laser beam at a same given area; wherein the second spot diameter is larger than the first spot diameter, thereby enabling evaluation of ablative damage caused to tissue directly and indirectly affected by the first laser beam.

US Pat. No. 11,109,912

SIDE-FIRE LASER SYSTEM WITH STAND-OFF CATHETER, STANDOFF CATHETER, AND METHOD OF USING SURGICAL LASER TO ACHIEVE BOTH TISSUE VAPORIZATION AND RAPID COAGULATION TO PREVENT OR HALT BLEEDING


1. A side-firing laser system including a standoff catheter, comprising:an optical fiber configured to emit therapeutic laser radiation in a direction generally transverse to an axis of the fiber; and
a catheter through which the optical fiber is inserted during a surgical procedure,
wherein the catheter includes a transparent catheter tip through which the therapeutic laser radiation passes in said direction generally transverse to an axis of the fiber to vaporize tissue outside the catheter tip,
wherein the catheter tip has an irrigation fluid exit opening to permit exit of irrigation fluid from the catheter tip,
wherein the catheter has an opening in a side of the catheter tip, the opening having dimensions that are approximately equal to or less than cross-sectional dimensions of the therapeutic laser radiation, and
wherein when the fiber is moved to a position at which the therapeutic laser radiation passes through the opening, said catheter being configured in a way such that when heavy water or a heavy water solution or mixture is used as the irrigation fluid, the laser radiation causes tissue coagulation rather than vaporization, and when water or saline solution or mixture is used as the irrigation fluid, the laser radiation causes tissue vaporization.

US Pat. No. 11,109,911

STONE SENSE WITH FIBER EROSION PROTECTION AND CAMERA SATURATION PREVENTION, AND/OR ABSENCE-DETECTION SAFETY INTERLOCK

OPTICAL INTEGRITY, INC., ...


1. A system for detecting the absence of a stone during a laser lithotripsy procedure, comprising:a main laser for delivering laser energy having a first wavelength ?1 through an optical fiber;
a ferrule or sleeve fitted to an end of the fiber to serve as a standoff that physically prevents contact between an end face of the fiber and the stone;
a spectrophotometer for detecting the energy reflected or emitted by the stone when the laser energy having a first wavelength ?1 is being delivered to the stone, wherein the energy reflected or emitted by the stone has at least one additional wavelength ?3; and
an alarm or safety interlock for (a) generating an alarm, or (b) cutting-off or modulating the main laser, in response to detection of an absence of said additional wavelength ?3.

US Pat. No. 11,109,909

IMAGE GUIDED INTRAVASCULAR THERAPY CATHETER UTILIZING A THIN ABLATION ELECTRODE


1. An endoluminal catheter for providing image-guided therapy in a patient's vasculature comprising:(a) an elongated catheter body adapted to be inserted into a patient's vasculature, the catheter body defining a distal portion operable to be inside the patient's vasculature while a proximal portion is outside the patient;
(b) a distal element including a sound lens having a distal surface and a set of electrodes adhered to said sound lens distal surface and forming a convex, generally round distal facing catheter face, defining a radial center, and bearing separately-controllable electrodes for performing controlled ablation of plaque in said patient's vasculature, each electrode extending away from said radial center in a direction different from the other electrodes;
(c) a distal facing array of ultrasound imaging transducers positioned in the catheter body proximal to the electrodes and configured to transmit and receive ultrasound pulses through said electrodes to provide real time imaging information of plaque to be ablated by the electrodes;
(d) whereby a catheter operator can form an image of plaque on an artery interior and in response selectively activate one or more electrodes to remove plaque along a first circumferential portion of an arterial wall, while avoiding activating an electrode along a circumferential portion of an arterial wall that does not bear plaque; and(i) wherein said electrodes are less than 10 microns thick.


US Pat. No. 11,109,908

RF SURGICAL RESECTION SNARE FOR FLEXIBLE ENDOSCOPY


1. A resection snare comprising:a first snare portion having a first electrical conductor, a first length, a first proximal end, and a first distal end, the first electrical conductor having a first insulation element electrically insulating said first electrical conductor at the first proximal end;
a second snare portion having a second electrical conductor, a second length, a second proximal end, and a second distal end, the second electrical conductor having a second insulation element electrically insulating said second electrical conductor at the second proximal end;wherein at least one of the first and second electrical conductors includes a non-electrically insulated region at the corresponding first and second distal ends;

a catheter containing and configured to guide a manipulation wire therein,
wherein
a) the first and second proximal ends are electrically connected with or merging at a location of said manipulation wire and
b) the first and second snare portions are electrically connected to one another at a point of electrical connection opposite to said location
to close the first and second electrical conductors into an electrically-conducting snare loop;

andwherein the resection snare includes at least one electrically-insulated HF-surgically inactive skid formed by at least one of the first and second distal ends extending outside said snare loop, said electrically-insulated HF-surgically inactive skid configured to be brought in contact with an organ wall during operation of the resection snare to support the snare loop against the organ wall while preventing the snare loop from penetrating into the organ wall.

US Pat. No. 11,109,907

ULTRAPOLAR ELECTROSURGERY BLADE AND ULTRAPOLAR ELECTROSURGERY BLADE ASSEMBLY WITH CONDUCTIVE CUTTING EDGES AND TOP AND BOTTOM CONDUCTIVE SURFACES

I.C. Medical, Inc., Phoe...


1. An ultrapolar electrosurgery blade comprising:a top thin elongated conductive member and a bottom thin elongated conductive member each having opposing planar sides with each opposing planar side having a length and a width, a sharp cutting end, and an opposite non-cutting end wherein the top and bottom thin elongated conductive members are in vertical alignment with one another and spaced apart from one another along more than half of their lengths by a same width that is smaller than the width of each of the opposing planar sides of the top and bottom thin elongated conductive members located adjacent to the sharp cutting ends; and
a nonconductive coating that covers both opposing planar sides of the top and bottom thin elongated conductive members and that fills the space located between the top and bottom thin elongated conductive members wherein at least a portion of the sharp cutting ends of the top and bottom thin elongated conductive members and their opposite non-cutting ends remain exposed.

US Pat. No. 11,109,906

BONE CEMENT APPLICATOR WITH RETRACTABLE MIXING ROD AND METHOD FOR PRODUCTION OF A BONE CEMENT

HERAEUS MEDICAL GMBH, We...


1. A bone cement applicator for storage and mixing of a bone cement powder and a monomer liquid as well as for applying a pasty bone cement mixed together from the bone cement powder and the monomer liquid, the bone cement applicator comprising:a cartridge defining a cylindrical internal space with a cylinder axis in which the bone cement is mixed, the cartridge having a front side, a cartridge head located on the front side with a dispensing opening for expulsion of the bone cement from the internal space, and a rear side situated opposite from the front side;
a dispensing plunger for expelling the mixed bone cement from the internal space through the dispensing opening, the dispensing plunger arranged in the internal space of the cartridge so as to be mobile along the cylinder axis of the internal space in the direction of the cartridge head, whereby the bone cement powder is contained between the dispensing plunger and the cartridge head in the internal space of the cartridge;
a receptacle defining an inside, having a front side that faces the cartridge head, and being both plugged into the cartridge on the rear side of the cartridge and mobile in the cartridge;
a monomer liquid container arranged on the inside of the receptacle and configured to be opened on the inside of the receptacle, the monomer liquid container containing the monomer liquid; and
a mixing rod detachably connected to the receptacle, having a first side that faces the cartridge head and to which a mixer is fastened and a second side opposite from the first side and to which the front side of the receptacle is connected, and being arranged in the internal space of the cartridge, such that the mixing rod and the mixer can be moved in the internal space of the cartridge for mixing the bone cement powder with the monomer liquid through a motion of the receptacle against the cartridge, wherein, when the mixing rod is detached from the receptacle and the receptacle is propelled in the direction of the cartridge head the mixing rod can be pushed into the receptacle,

wherein the front side of the receptacle forms the dispensing plunger and the dispensing plunger is cylindrical.

US Pat. No. 11,109,905

BONE CEMENT APPLICATOR WITH RETRACTABLE MIXING ROD AND METHOD FOR PRODUCTION OF A BONE CEMENT

HERAEUS MEDICAL GMBH, We...


1. A bone cement applicator for storage and mixing of a bone cement powder and a monomer liquid as well as for applying a pasty bone cement mixed together from the bone cement powder and the monomer liquid, the bone cement applicator comprising:a cartridge defining a cylindrical internal space with a cylinder axis in which the bone cement is mixed, the cartridge having a front side, a cartridge head located on the front side with a dispensing opening for expulsion of the bone cement from the internal space, a rear side situated opposite from the front side, and a thread on the rear side;
a dispensing plunger for expelling the mixed bone cement from the internal space through the dispensing opening, the dispensing plunger having a feedthrough and a rear side that faces away from the cartridge head, whereby the bone cement powder is contained between the dispensing plunger and the cartridge head in the internal space of the cartridge;
a threaded tube having a rear side that is opposite from the dispensing plunger and being arranged at the rear side of the dispensing plunger, the threaded tube having a counter thread that matches and engages the thread on the rear side of the cartridge and projecting out of the cartridge on the rear side of the cartridge, whereby the dispensing plunger is mobile in the internal space of the cartridge along the cylinder axis of the internal space in the direction of the cartridge head by screwing the threaded tube into or onto the cartridge;
a receptacle defining an inside, having a front side that faces the dispensing plunger, and being both plugged into the threaded tube on the rear side of the threaded tube and mobile in the threaded tube;
a monomer liquid container arranged on the inside of the receptacle and configured to be opened on the inside of the receptacle, the monomer liquid container containing the monomer liquid; and
a mixing rod detachably connected to the receptacle, having a first side that faces the cartridge head and to which a mixer is fastened and a second side opposite from the first side and to which the front side of the receptacle is connected, and being arranged in the internal space of the cartridge, the mixing rod configured to be guided through the feedthrough in the dispensing plunger and to be axially mobile in the feedthrough, such that the mixing rod and the mixer can be moved in the internal space of the cartridge for mixing the bone cement powder with the monomer liquid by a motion of the receptacle against the cartridge, wherein, when the mixing rod is detached from the receptacle and the receptacle is propelled in the direction of the cartridge head the mixing rod can be pushed into the receptacle.

US Pat. No. 11,109,904

DEVICES FOR PERFORMING A MEDICAL PROCEDURE WITHIN AN APPROPRIATE INTERVAL AND RELATED SYSTEMS AND METHODS

DFine, Inc., South Jorda...


1. A system for delivering a mixture to a patient, the system comprising:a delivery device configured to deliver a variable-viscosity mixture to a patient;
one or more indicia that are configured to automatically transition from a first state to a second state, and then to a third state,
a timing mechanism;
a temperature sensor configured to sense an ambient temperature,
wherein the transition to the second state occurs at a first time point and the transition to the third state occurs at a second time point,
wherein the transition from the first state to the second state at the first time point indicates a boundary between a first non-delivery period and a delivery period and indicates a start of the delivery period,
wherein the transition from the second state to the third state at the second time point indicates a boundary between the delivery period and a second non-delivery period and indicates a start of the second non-delivery period,
wherein the first non-delivery period is a set time interval, and
wherein the timing mechanism comprises:a first timer configured to time the first non-delivery period, and
a second timer configured to time the delivery period,

wherein the timing mechanism automatically activates the second timer at the end of the first non-delivery period; and
a volume sensor configured to detect a delivered volume of the variable-viscosity mixture,
wherein a duration of the delivery period is determined by detecting the delivered volume of the variable-viscosity mixture.

US Pat. No. 11,109,903

CANNULATED NAIL EXTRACTOR

Shukla Medical, St. Pete...


1. A cannulated nail extractor comprising:an extractor that includes:a proximal end for connecting to a device, and
a distal end opposite the proximal end;

a connector extending from the distal end of the extractor, wherein the connector includes a transverse slot through a lateral wall of the connector configured to receive a spring clamp for releasably securing the connector to extractor;
an engagement wire having an enlarged proximal end configured to engage the extractor and an enlarged distal end; and
a positioning wire for insertion into a cannulated nail.

US Pat. No. 11,109,902

BONE PLATES WITH DYNAMIC ELEMENTS

Crossroads Extremity Syst...


1. A bone fixation system, comprising:a bone fixation device comprising:a stabilizing body comprising:an obverse side;
a reverse side opposite the obverse side; and
a plurality of fastener openings extending through the obverse side and the reverse side; and

a first leg integrally formed with the stabilizing body and extending from the reverse side of the stabilizing body to a first free end; and
a second leg integrally formed with the stabilizing body and extending from the reverse side of the stabilizing body to a second free end;
wherein the first free end is separated from the second free end by a first distance when bone fixation device is in an elastically deformed state;
wherein the first free end is separated from the second free end by a second distance when the bone fixation device is in a relaxed state, the first distance being different than the second distance such that the bone fixation device provides a force at the first and second free ends when the bone fixation devices is in the elastically deformed state;
wherein a longitudinal axis of the first leg and a longitudinal axis of the second leg are configured to converge when the bone fixation device is in the relaxed state; and
wherein at least a portion of the stabilizing body between the first leg and the second leg is configured to deform when the bone fixation device transitions from the elastically deformed state to the relaxed state; and

a plurality of fasteners configured to be positioned within the one or more fasteners openings of the stabilizing body and to extend through the stabilizing body.

US Pat. No. 11,109,901

QUICK RELEASE STERNUM CLOSING FIXATOR

CHANGZHOU WASTON MEDICAL ...


1. A quick release sternum closing fixator, comprising:a locking roller, and a male fixing piece and a female fixing piece configured to engage each other,wherein a cross section of the locking roller is olive-shaped or oval in shape,
wherein the male fixing piece has an elastic plug and a first claw hook plate, the elastic plug has a first serration on each of two side surfaces and a tightening groove disposed in the middle, thus forming two elastic claws, the tightening groove is provided with a locking hole for a transition fit with an outer wall surface of the locking roller, and the direction of a long axis of the locking hole is the aligned with the direction in which the male fixing piece engages the female fixing piece,
wherein the female fixing piece has a second claw hook plate and a socket, the socket has a slot matching the elastic plug, and the slot has a second serration matching the first serration on both sides each of the two side surfaces,
wherein the locking hole is installed with the locking roller inside so that, by rotating the locking roller, the two elastic claws are distracted and the first serration engages the second serration when the direction of a short axis of the locking roller aligned with the direction in which the male fixing piece engages the female fixing piece, and the first serration is separable from the second serration when the direction of long axis of the locking roller is aligned with the direction in which the male fixing piece and engages the female fixing piece,
wherein a tensioning device forcing the two elastic claws to move against each other is provided between the locking roller and the two elastic claws,
wherein the tensioning device comprises:
an upper flange formed on an upper surface of the locking roller, wherein the two strain pins are symmetrically arranged on the upper flange,
a tensioning groove is formed on the upper surface of each of the two elastic claws of the elastic plug, wherein the tensioning groove is in an arc shape on the side away from the locking hole and in a cut-off state on the side near the locking hole, and the tensioning groove has a locking bulge on the side near the locking hole, and

wherein each of the two strain pins is set in the respective tensioning groove, and when the direction of the long axis of the locking roller is aligned with the direction in which the male fixing piece engages the female fixing piece, the strain pin fits with the locking bulge and tensions the two elastic claws against each other.

US Pat. No. 11,109,900

EXTRAMEDULLARY COMPRESSION AND FIXATION DEVICE, SYSTEM AND METHOD

GBR99 IP, LLC, Belleair,...


1. An extramedullary compression and fixation apparatus consisting of:a pre-curved, malleable band having a first free end and a second free end, the pre-curved, malleable band extending along a portion of a helix such that the first and second free ends are circumferentially spaced by at least 180 degrees about a central longitudinal axis of the helix and the first and second free ends are longitudinally offset about the central longitudinal axis; and
at least one bone engaging structure protruding from the pre-curved, malleable band toward an interior space defined by the pre-curved, malleable band,
the pre-curved, malleable band configured to be compressed over a bone fracture site of a bone into permanent deformation of the pre-curved, malleable band to conform the curvature of the pre-curved, malleable band to a curvature of a surface of the bone around the bone fracture site, the at least one bone engaging structure configured to dig into an outer cortex of the bone when the pre-curved, malleable band is compressed over the bone fracture site, and wherein the pre-curved, malleable band is configured to maintain compression of the bone across the bone fracture site upon being compressed without external fixation devices,
the pre-curved, malleable band including no holes specifically adapted for receiving screws.

US Pat. No. 11,109,899

MEDICAL INSERTING APPARATUS

KYUNGPOOK NATIONAL UNIVER...


1. A medical inserting apparatus comprising:a screw nail which is configured to be inserted into a human body;
a driver which is configured to insert the screw nail into the human body, the driver having:
a current generator generating a predetermined current, and
a current meter measuring the current; and
a conductor located within the screw nail and the driver, elongated along a lengthwise direction, and including an exposed portion which is exposed to outside,
wherein the conductor includes a forward conductor and a reverse conductor, wherein the forward conductor is coupled to the current generator to allow the current generated by the current generator to flow,
wherein the reverse conductor has one end electrically coupled to the forward conductor and the other end coupled to the current generator, and includes a variable resistor and the current meter installed to allow the current generated by the current generator to flow to the current meter,
wherein a resistance value of the human body into which the current flowed is calculated through an amount of current measured by the current meter and a resistance value of the variable resistor, and a type of a tissue of the human body is identified by comparing the calculated resistance value and an inherent resistance value of the tissue of the human body, and
wherein the resistance value of the human body into through the current flowed is calculated by controlling the variable resistor, a ratio of an amount of current returning to the current meter to an amount of current generated from the current generator is managed to be uniform, and the type of the tissue is identified by comparing the calculated resistance value and the inherent resistance value of the tissue.

US Pat. No. 11,109,898

FIXATION SYSTEMS AND METHODS OF REPAIRING A PARS FRACTURE

K2M, Inc., Leesburg, VA ...


1. A method of repairing a pars fracture, comprising:docking a needle guide on a lamina of the pars;
inserting a needle at least partially through the needle guide such that a distal end of the needle contacts the lamina;
inserting a stylet at least partially through the needle such that a distal end of the stylet contacts the lamina;
inserting a guidewire at least partially through the needle such that a distal end of the guidewire contacts the lamina;
removing the needle from the needle guide;
removing the needle guide;
positioning a screw assembly in contact with the lamina and co-axially with the guidewire;
rotating an elongated portion of the screw assembly with respect to the lamina to move the screw assembly distally with respect to the lamina such that a distal end of the elongated portion of the screw assembly travels through an interior portion of the pars and into a superior portion of the pars;
approximating the distal end of the elongated portion of the screw assembly and a collar assembly of the screw assembly to approximate the interior portion of the pars and the superior portion of the pars;
engaging a surgical instrument with the screw assembly prior to approximating the distal end of the elongated portion of the screw assembly and the collar assembly of the screw assembly;
actuating a first movable handle of the surgical instrument to approximate the distal end of the elongated portion of the screw assembly and the collar assembly of the screw assembly; and
actuating a second movable handle of the surgical instrument to fix a longitudinal position of the collar assembly of the screw assembly with respect to the elongated portion of the screw assembly.

US Pat. No. 11,109,897

EXPANDABLE FACET JOINT FIXATION DEVICE


1. An expandable facet joint fixation device, comprising:a first collar;
a central shaft including a first end and a second end, the first end rotatably connected to the first collar;
a second collar including a radially inward facing surface, the second collar concentrically arranged around the central shaft; and,
one or more expandable members, each of the one or more expandable members including:a first arm hingedly connected to the first collar; and,
a second arm hingedly connected to the second collar, the second arm hingedly connected to the first arm,
wherein at least one of the one or more expandable members comprises at least one cutting surface wherein the at least one cutting surface is arranged to be rotated to cut through cortical bone;

wherein when the second collar is displaced in a first axial direction relative to the first collar, the one or more expandable members displace radially outward in a first radial direction.

US Pat. No. 11,109,896

UNIPLANAR BONE ANCHOR ASSEMBLY

Roger P. Jackson, Prairi...


1. A uniplanar bone anchor assembly for securing an elongate rod to a bone of a patient with a closure top, the uniplanar bone anchor assembly comprising:a shank having a shank head at a proximal end and a unitary anchor portion opposite the shank head configured for fixation to the bone, the shank head having a partial spherical shape with a flat planar outer surface portion on at least one side;
a receiver having a longitudinal axis, a top portion with upwardly extending arms defining an open channel configured for receiving the elongate rod, and a base defining a cavity in communication with the open channel and having a distal opening in communication with a bottom surface of the base, the upwardly extending arms having opposed internal surfaces extending between a front side surface and a back side surface and including a mating structure formed therein and configured for mating with the closure top, the cavity including an inner groove extending at least partially circumferentially around the cavity; and
a retainer having a central opening configured to receive the shank head, an outer surface sized and shaped for insertion into and non-pivotal engagement with the inner groove of the cavity of the receiver, a thickness between the outer surface and an inner surface, a vertical slot or gap extending through the thickness thereof configured to allow for compression of the retainer during installation of the retainer into the cavity, the vertical slot or gap separating two ends of the retainer adjacent the slot or gap into a non-overlapping arrangement, and at least one flat planar inner surface portion configured to contact the flat planar outer surface portion of the shank head so as to restrict a pivotal motion of the shank relative to the receiver to only one plane,
wherein the inner groove and the retainer are configured together such that the retainer is positioned in the inner groove in a fixed predetermined rotational alignment orientation with respect to the longitudinal axis of the receiver.

US Pat. No. 11,109,895

SPINAL CONSTRUCT

Warsaw Orthopedic, Inc., ...


1. A spinal construct comprising:a fastener comprising a head and a shaft connected to the head, the fastener including a monolithic base, the head being disposed in the base such that the base extends 360 degrees about the head, the base including a groove;
a member including a body having opposite top and bottom walls and a side wall extending from the top wall to the bottom wall, the member defining a circular bore extending through the top wall, an opening extending through the bottom wall, a cavity configured for disposal of the head, and a groove configured for disposal of a band, the member further including a transverse rod extending outwardly from the side wall;
a crown disposed in the cavity; and
a part disposable with the cavity and comprising a groove,
wherein the base is configured to move relative to the member to move the spinal construct from a first orientation in which the band is disposed in the groove of the part and the groove of the member to a second orientation in which the band is disposed in the groove of the base and the groove of the member to connect the member and the fastener, the crown being stationary relative to the member as the spinal construct moves from the first orientation to the second orientation; wherein the part directly engages the crown when the spinal construct is in the first orientation and the second orientation.

US Pat. No. 11,109,894

APPARATUS, SYSTEM, AND METHOD FOR SPINAL VERTEBRAE STABILIZATION

DR. BRYAN BARNES PC, Ath...


1. A method comprising:providing a pedicle screw or lateral mass screw comprising:a screw shaft comprising an elongated threaded body having a vertical axis;
a polyaxial screw head comprising two opposite walls that define a concave channel, wherein each of the two opposite sidewalls include a respective top surface that defines a horizontal plane, wherein the horizontal plane is perpendicular to the vertical axis; and
two semi-rigid elongated projections extending from the two opposite walls at a positive angle in relation to the horizontal plane, wherein at least a portion of each of the two semi-rigid elongated projections is above the horizontal plane, and wherein the two semi-rigid elongated projections are configured to have a height that is at or above a level of a skin incision after implantation of the pedicle screw or lateral mass screw in a pedicle or lateral mass;

providing a hand-held fixation tool comprising:a first scissor arm having a first manual gripping end and a first distal receiving shaft comprising a first bore, wherein a first of the two semi-rigid elongated projections of the polyaxial screw is sized to fit within the first distal receiving shaft; and
a second scissor arm having a second manual gripping end and a second distal receiving shaft comprising a second bore, wherein a second of the two semi-rigid elongated projections of the polyaxial screw is sized to fit within the second distal receiving shaft, wherein the first and second scissor arms are pivotably coupled about a pivot axis;

implanting the pedicle screw or lateral mass screw in a spine by screwing the pedicle screw or lateral mass screw into a pedicle or lateral vertebral mass; and
securing a spinal fixation element to the polyaxial screw head by at least:inserting the first semi-rigid elongated projection into the first bore of first distal receiving shaft of the first scissor arm;
inserting the second semi-rigid elongated projection into the second bore of the second distal receiving shaft of the second scissor arm; and
pushing the spinal fixation element into the polyaxial screw head using the hand-held fixation tool.


US Pat. No. 11,109,893

BONE ANCHOR


1. A bone anchor comprising:a shank for anchoring to a bone or a vertebra; and
a receiving part for receiving a rod for coupling the rod to the shank, the receiving part having a central axis and comprising a base and two free legs extending upwardly from the base to define a recess for inserting the rod;
wherein each of the legs comprises a first portion extending away from the base, and a second portion connected to an end of the first portion opposite the base and extending from the first portion farther away from the base, wherein a first downwardly facing engagement surface is provided on at least part of the first portion and a second downwardly facing engagement surface is provided on at least part of the second portion, wherein the first and second downwardly facing engagement surfaces are positioned at a same radial distance away from the central axis such that both are configured to engage and restrict movement of a fixation device away from the base of the receiving part to secure the rod in the recess, wherein a breakaway portion having a reduced wall thickness or width is provided between the first portion and the second portion to facilitate breaking away of the second portion from the first portion; and
wherein each of the legs further comprises an elongate extension member connected to an end of the second portion opposite the first portion and extending from the second portion farther away from the base, wherein the extension members are at least as long axially as the second portions, and wherein when the extension members are unflexed, a greatest width between outer surfaces of the extension members is smaller than a greatest width between outer surfaces of the second portions of the legs while a distance from the central axis to an inner surface of the extension members is greater than a distance from the central axis to an inner surface of the second portions of the legs excluding the second downwardly facing engagement surface, such that a wall thickness of each of the second portions of the legs is greater than a wall thickness of each of the extension members to make the second portions of the legs stiffer than the extension members.

US Pat. No. 11,109,891

APPARATUS FOR PROVIDING ACCESS TO A BODY CAVITY OF A PATIENT FOR A MEDICAL PROCEDURE

Titan Medical Inc., Toro...


1. An apparatus for providing access to a body cavity of a patient through an access device at least partially inserted in an incision made in a wall of the body cavity, the apparatus comprising:a cap being configured to attach to at least a portion of the access device, the cap comprising an opening being configured to receive and to permit insertion of a medical instrument through the cap and the access device and into the body cavity;
a sleeve comprising a distal end being configured to sealingly connect to the opening of the cap and to extend outwardly therefrom, the sleeve further comprising a proximal end being configured to receive and provide a seal with the medical instrument when the medical instrument is received; and
a releasable closure being configured to temporarily seal at least a portion of the sleeve prior to insertion of the medical instrument through the opening of the cap.

US Pat. No. 11,109,889

DOUBLE-SIDED NEEDLE GROOVE, FRAME BODY AND PUNCTURE FRAME


1. A frame body for installing a double-sided needle groove comprising a needle insertion plate (5) in cooperation with the double-sided needle groove having an axisymmetric outer contour, and provided at one side with at least one needle slot a (1) and at the other side with at least one needle slot b (2), wherein the double-sided needle groove is respectively provided, at two sides thereof, a rotating convex half shaft a (3) and a rotating convex half shaft b (4), which are symmetric about a centerline of the outer contour of the double-sided needle groove, and the needle insertion plate (5) is provided at one side with a rotating concave half shaft (51) in cooperatiOn with the rotating convex half shaft a (3) or rotating convex half shaft b (4), and at the other side with a hook (52) in cooperation with the rotating convex half shaft a (3) or rotating convex half shaft b (4), the rotating convex half shaft a (3) and the rotating convex half shaft b (4) are provided with a notch a (31) and a notice h (41) respectively, which are symmetric about the centerline of the outer contour of the double-sided needle groove, and the hook (52) is provided with a boss (521) in cooperation with the notch a (31) or notch b (41).

US Pat. No. 11,109,888

TISSUE GRAFT SPLITTER

King Abdulaziz University...


1. A tissue splitting device comprising:a clamp comprising an upper plate and lower mounting plate, wherein the upper plate and lower mounting plate are parallel with one another and define a horizontal space between and parallel to the upper plate and lower mounting plate that can accommodate a harvested tissue,
wherein the clamp comprises an adjustable arm attached to a support base and to the upper plate which is configured to adjust the vertical position of the upper plate thereby adjusting the height of the horizontal space between the upper plate and lower mounting plate,
wherein the top surface of the upper plate comprises a display operatively connected to one or more pressure sensors on a bottom surface of the upper plate,
wherein a top surface of the lower mounting plate is a rough, frictioned surface having a surface roughness Ra of at least 1 ?m that prevents tissue placed in the clamp from sliding;
a blade positioned within the space between and parallel the upper plate and lower mounting plate,
a cutting blade motor operably connected to the blade, and
a blade movement channel to which one end of the blade is operatively attached, wherein the blade movement channel is longitudinally aligned with the horizontal space between the upper plate and the lower mounting plate and which, during operation of the device, permits forward movement of the blade from one end of the horizontal space to the other end of the horizontal space.

US Pat. No. 11,109,887

PIXEL ARRAY MEDICAL SYSTEMS, DEVICES AND METHODS

SRGI HOLDINGS, LLC, Hend...


1. A device comprising:a carrier;
a chuck coupled to a distal region of the carrier;
a scalpet assembly comprising at least one scalpet and a depth control device configured to removably couple to an outer distal region of the carrier, wherein the at least one scalpet includes a shank configured for retention in the chuck, wherein the at least one scalpet includes a scalpet shaft comprising a hollow region and a sharpened distal end configured to penetrate tissue at a target site, wherein the depth control device is configured to control a depth of the penetration of the at least one scalpet into the tissue, wherein the depth control device includes an internal region configured to retain resected tissue received from the target site via the at least one scalpet;
wherein the at least one scalpet includes at least one of a radial orifice and a radial slot positioned axially in the scalpet adjacent the hollow region; and
wherein the at least one of the radial orifice and the radial slot are configured to divert the received tissue radially outward from an interior region of the at least one scalpet.

US Pat. No. 11,109,885

BUTTONHOLE TOOL


1. A tool comprising:a gripping portion comprising a first substantially flat base surface having a shape entirely bounded by at least three line segments and a second substantially flat base surface having the same shape and entirely bounded by at least three corresponding line segments, wherein:the second substantially flat base surface is arranged substantially parallel to the first substantially flat base surface and coupled to the first substantially flat base surface by multiple non-base substantially flat side surfaces, each of the multiple non-base substantially flat side surfaces directly connecting one of the three line segments of the first substantially flat base surface to the corresponding one of the three line segments of the second substantially flat base surface, and
the gripping portion is shaped and sized such that a user can hold the gripping portion by pinching the first substantially flat base surface and the second substantially flat base surface between a thumb and a forefinger of the user; and

a prying portion comprising a first end portion and a second portion comprising a shaft portion, the prying portion configured to have a longitudinal axis through the first end portion and the second end portion, the prying portion and the gripping portion formed from an identical material, wherein:the first end portion includes a tip with a pointed edge and has a concave profile from the tip to a proximal point of the first end portion,
the first end portion is sized such that the user can hold the gripping portion to pry scab tissue away from a patient's skin,
the shaft portion is directly connected to the gripping portion at one of the multiple non-base substantially flat side surfaces, and
a diameter of the shaft portion is less than one third of a width of the shape of the first and second substantially flat base surfaces such that the longitudinal axis extends to split the first and second substantially flat base surfaces into substantially equal halves laterally on both sides of the longitudinal axis.


US Pat. No. 11,109,884

STEERABLE ULTRASOUND CATHETER

Flowcardia, Inc., Frankl...


14. A catheter, comprising: a proximal end connector;a catheter body (CB) having at least one CB lumen, a a CB proximal-portion extending from the proximal end connector, a CB distal-portion, and a CB distal end, the CB proximal-portion comprising a distally narrowing taper, the CB distal portion extending from the distally narrow taper of the CB proximal-portion; and
an ultrasound transmission member (UTM) extending longitudinally through the at least one CB lumen,
wherein a CB proximal-portion diameter is from about 0.102 cm to about 0.178 cm and a CB distal-portion diameter is from about 0.076 cm to about 0.127 cm, and a UTM proximal-portion diameter is from about 0.051 cm to about 0.102 cm and a UTM distal-portion diameter is from about 0.013 cm to about 0.038 cm.

US Pat. No. 11,109,883

ENDOVASCULAR DEVICES AND METHODS FOR EXPLOITING INTRAMURAL SPACE

BridgePoint Medical, Inc....


1. A device comprising:a monolithic tube having a cylindrical outer surface having a circular cross-sectional shape, the monolithic tube including:an elongate shaft defining a central guidewire lumen extending from a proximal end of the elongate shaft to a distal end of the elongate shaft coaxially with a central longitudinal axis of the elongate shaft such that the central guidewire lumen is centered on the central longitudinal axis of the elongate shaft;
a first planetary linen; and
a second planetary lumen opposite the first planetary lumen and spaced apart from the central guidewire lumen, the first and second planetary lumens positioned directly opposite each other relative to the central longitudinal axis and spaced equidistant from the central longitudinal axis, wherein the first planetary lumen and the second planetary lumen are elongated in cross-sectional shape;

a first balloon having a proximal end and a distal end defining a length, the first balloon defining an inflatable portion having an interior in fluid communication with the first planetary lumen; and
a second balloon having a proximal end and a distal end defining a length, the second balloon defining an inflatable portion having an interior in fluid communication with the second planetary lumen, the first and second balloons positioned on opposing sides of the elongate shaft;
wherein the distal end of the first balloon and the distal end of the second balloon both terminate at a common axial location along the elongate shaft;
wherein a wall of the elongate shaft extending circumferentially between the inflatable portion of the first balloon and the inflatable portion of the second balloon along the lengths of the first and second balloons has an outer surface visible to an exterior of the device when the inflatable portions of the first and second balloons are in an inflated state and an inner surface partially defining the guidewire lumen;
wherein the outer surface of the wall of the elongate shaft has a circular cross-sectional shape and completely surrounds the central guidewire lumen, the first planetary lumen, and the second planetary lumen.

US Pat. No. 11,109,881

ULTRASOUND DEVICE AND ULTRASOUND DEVICE SYSTEM USED FOR ANCHOR FIXATION AND ANCHOR FIXATION METHOD USING ULTRASOUND DEVICE

OLYMPUS CORPORATION, Tok...


1. A medical ultrasound device used for fixation using an anchor, the medical ultrasound device comprising:an ultrasound generator configured to generate ultrasound oscillation; and
an elongated probe including a proximal end and a distal end, the ultrasound oscillation being propagated from the ultrasound generator to the proximal end, the ultrasound oscillation being propagated through oscillation toward the distal end in a longitudinal direction of the probe, wherein:
a cross-sectional surface of the probe at the distal end is perpendicular to the longitudinal direction, and the cross-sectional surface of the probe has a shape identical to a shape of a cross-sectional surface of the anchor;
the probe is configured to form a bottomed hole in a bone for placing the anchor and the probe has a shape that is configured to prevent rotation of the anchor in the bottomed hole;
an area of the cross-sectional surface of the probe at the distal end is larger than an area of a cross-sectional surface of the probe at the proximal end;
the distal end includes a treatment portion that is configured to cut the bone into a predetermined depth to form a first recessed part having a shape identical to a shape of the treatment portion; and
the treatment portion is configured to be rotated about an axis along a depth direction in the first recessed part to form a second recessed part larger than the first recessed part.

US Pat. No. 11,109,880

SURGICAL INSTRUMENT WITH ULTRASONIC TIP FOR FIBROUS TISSUE REMOVAL

STRYKER EUROPEAN OPERATIO...


1. An ultrasonic device comprising:a shaft extending axially between a proximal end and a distal end with said shaft defining a central lumen configured to apply suction to tissue and including a vibration conversion mechanism configured to produce combined torsional and longitudinal vibration; and
a head portion extending from said shaft axially along an axial axis to a distal end with said head portion comprising an inner circumferential surface, an outer circumferential surface, and a plurality of slots extending from said distal end and between said inner and outer circumferential surfaces to form a plurality of teeth,
wherein a depth of one of said plurality of slots at said outer circumferential surface is greater than a depth of said one of said plurality of slots at said inner circumferential surface to define an inner cutting edge having an inner positive rake angle configured to slice tissue so as to be suctioned into said central lumen,
wherein one of said plurality of teeth comprises a side cutting edge having a side positive rake angle with said side cutting edge defined between said outer circumferential surface and a side surface defining said one of said plurality of slots, said side surface of said one of said plurality of slots extending between said inner and outer circumferential surfaces of said head portion, and
wherein each of said plurality of teeth comprises a distal end, and a distal cutting edge defined between said distal end and said one of said plurality of slots, wherein said distal cutting edge comprises a distal positive rake angle such that said distal cutting edge is configured to meet the tissue at an obtuse angle during the torsional vibration.

US Pat. No. 11,109,879

ENDOLUMINAL TREATMENT METHOD AND ASSOCIATED SURGICAL ASSEMBLY INCLUDING TISSUE OCCLUSION DEVICE

BOSTON SCIENTIFIC SCIMED,...


1. A system, comprising:a sheath, comprising:
a channel configured to receive an endoscope, and
a first tissue engaging surface, and a second tissue engaging surface, the first and second tissue engaging surfaces being adjustable to form a chamber;
wherein the chamber is movable from a coilapsed insertion configuration to an expanded use configuration to form a laterally expanded chamber in use in a body lumen, and wherein the chamber, in the expanded use configuration, provides working space within the body lumen; and
a working instrument having a distal portion positionable within the chamber;
wherein the endoscope is extendable distal of the second tissue engaging surface to visualize at least a portion of the chamber.

US Pat. No. 11,109,878

SURGICAL CLIP APPLIER COMPRISING AN AUTOMATIC CLIP FEEDING SYSTEM

Cilag GmbH International,...


1. A surgical device for clipping tissue, comprising:a housing comprising a motor configured to output rotary motions;
a shaft extending from said housing;
an end effector extending from said shaft, comprising:a first jaw rotatably coupled to said shaft;
a second jaw rotatably coupled to said shaft; and
a receiving chamber;

a crimping drive configured to move said first jaw and said second jaw toward each other during a crimping stroke, and wherein said crimping drive is operably responsive to said rotary motions;
a clip magazine comprising a plurality of clips, wherein said plurality of clips are in a storage configuration when in said clip magazine;
a reciprocating firing drive configured to move a clip from said plurality of clips from said clip magazine to a forming position in said end effector during a clip feed stroke in response to said rotary motions, wherein said clip in said forming position is in a forming configuration, and wherein said forming configuration is the same as said storage configuration; and
a motor controller configured to control said reciprocating firing drive independent of said crimping drive, wherein said motor controller is configured to actuate said motor to perform said clip feed stroke after said surgical device has been inserted into a treatment area.

US Pat. No. 11,109,877

TREATMENT INSTRUMENT THAT INCLUDES AN OPERATION DIAL

OLYMPUS CORPORATION, Tok...


1. A treatment instrument comprising:a sheath having a longitudinal axis;
an end effector provided on one end of the sheath;
a housing to which another end of the sheath is connected;
an operation dial configured to rotate relative to the housing around a first rotational axis, the operation dial including a first outer peripheral surface and a second outer peripheral surface spaced apart from the first outer peripheral surface in a direction along the first rotational axis such that a gap is provided between the first outer peripheral surface and the second outer peripheral surface and both the first outer peripheral surface and the second outer peripheral surface are provided around the first rotational axis; and
a rod configured to transmit driving force that moves the end effector,
wherein:the operation dial includes a first engagement which is provided around the first rotational axis in an inside of the operation dial and which is engaged with the rod;
the rod includes a second engagement extending through the gap between the first outer peripheral surface and the second outer peripheral surface, the second engagement being engaged with the first engagement inside the operation dial; and
the rod is configured to move the end effector by rotating around a second rotational axis that intersects with the first rotational axis in accordance with a rotation of the operation dial around the first rotational axis.


US Pat. No. 11,109,876

SURGICAL TREATMENT INSTRUMENT

OLYMPUS CORPORATION, Tok...


1. A surgical treatment instrument comprising:an elongated member having a longitudinal axis, the elongated member extending along the longitudinal axis from a proximal side to a distal side of the elongated member;
a housing connected to the elongated member at a distal side of the housing;
an end effector attached to the distal side of the elongated member, the end effector being configured to bend relative to the elongated member;
a first operator configured to rotate the elongated member and the end effector about the longitudinal axis with respect to the housing;
a second operator attached to the housing, the second operator being configured to bend the end effector relative to the elongated member;
a rotor having a rotation axis parallel to the longitudinal axis of the elongated member, the rotor being provided inside the housing and configured to rotate about the rotation axis of the rotor in response to an operation performed by the second operator to bend the end effector; and
a transmitter connected to the rotor and the end effector, the transmitter being configured to transmit a driving force to the end effector causing the end effector to bend, in response to the rotor rotating about the rotation axis of the rotor based on the operation performed by the second operator to bend the end effector,wherein in response to performing the operation by the first operator to rotate the elongated member and the end effector:
the second operator and the transmitter are configured to rotate about the longitudinal axis with respect to the housing together with the elongated member and the end effector, and
the rotor is configured to not rotate, together with the elongated member and the end effector, with respect to the housing about the longitudinal axis.


US Pat. No. 11,109,875

MINIMALLY INVASIVE SURGICAL ASSEMBLY AND METHODS

TELEFLEX MEDICAL INCORPOR...


1. A surgical method comprising:obtaining a surgical assembly having a hollow needle with an outer diameter of 3 mm or smaller and a sharp distal end including a tip that is beveled relative to a longitudinal axis of the hollow needle, and a surgical instrument having a shaft which extends through said hollow needle, said surgical instrument being movable relative to said hollow needle and including end effectors at an end of said shaft which are biased to an open position;
using said sharp distal end of said hollow needle, while said end effectors are in a closed position, to insert a distal portion of said surgical assembly into a cavity of a patient;
moving said surgical instrument forward relative to said hollow needle to cause said end effectors to extend out of said hollow needle and to automatically open relative to each other;
engaging a safety mechanism to establish a working range for said surgical instrument relative to said hollow needle, wherein when said surgical instrument is within said working range, said end effectors always extend past the tip of said sharp distal end of said hollow needle and one of the end effectors longitudinally aligns with the tip of said sharp distal end of said hollow needle to guard the tip of said sharp distal end of the hollow needle, and said safety mechanism includes a lever on a handle of the hollow needle and a stop on the surgical instrument which prevents said end effectors from being withdrawn completely into said hollow needle;
moving said end effectors over an object in the cavity; and
moving said hollow needle forward relative to said surgical instrument to cause said end effectors to close over said object.

US Pat. No. 11,109,874

OSCILLATING LITHOTRIPTER

Gyrus Acmi, Inc., Westbo...


1. A lithotripter for fragmenting urinary tract stones, the lithotripter comprising:an ultrasonic driver configured to produce an ultrasonic waveform having an ultrasonic frequency;
a sonic driver configured to produce a sonic waveform having a sonic frequency, the sonic driver being mechanically coupled to the ultrasonic driver wherein the sonic driver is an electromagnetic linear driver;
a driver housing, the ultrasonic driver and the sonic driver being disposed within the driver housing; and
a wave guide shaft for transmitting the ultrasonic and sonic waveforms to at least one urinary tract stone, the wave guide shaft including a lumen extending longitudinally along at least a distal portion of the wave guide shaft, and the wave guide shaft being driven by at least one of the ultrasonic driver and the sonic driver.

US Pat. No. 11,109,873

PATELLA DRILL GUIDE AND TRIAL SURGICAL INSTRUMENT SYSTEM AND METHOD OF USING THE SAME

DEPUY IRELAND UNLIMITED C...


1. A method of performing an orthopaedic surgical procedure on a patella of a patient, comprising:forming a hole in the apex of the patella of the patient without the use of a cutting guide,
resecting the patella of the patient to produce a generally planar resected patellar surface after the hole is formed in the apex of the patella of the patient, and
positioning a drill guide, having an alignment bore formed therein, on the resected patellar surface such that the alignment bore of the drill guide is aligned with a portion of the hole formed in the patella of the patient.

US Pat. No. 11,109,872

ANKLE REPLACEMENT SYSTEM AND METHOD

WRIGHT MEDICAL TECHNOLOGY...


1. A surgical positioning system, comprising:a rotation guide slide having a first side and a second side, the second side opposite the first side, the rotation guide slide defining a channel extending into the rotation guide slide from the first side; and
a rotation guide pointer configured to be coupled to the rotation guide slide, the rotation guide pointer including a base and a pointer extension, the base including a protrusion and defining a hole extending through the base and the protrusion;
wherein the protrusion is sized and configured to be received slidably within the channel such that the rotation guide pointer can translate parallel to a plane defined by the first side of the rotation guide slide, and wherein the hole is sized and configured to receive a screw to fix the position of the rotation guide pointer relative to the rotation guide slide and further wherein the protrusion is configured to expand when the screw is advanced in the hole.

US Pat. No. 11,109,871

SAW, A SAW BLADE, A CONNECTION MECHANISM AND ASSOCIATED METHODS

DePuy Synthes Products, I...


1. A method of removing at least one saw blade from a saw, the method comprising, for each saw blade of the at least one saw blade, steps of:moving a resiliently biased latch of the saw blade from a first position to a second position, wherein in the first position the resiliently biased latch engages a latching surface of a mounting member of the saw in a longitudinal direction that extends from a proximal end of the saw blade to a distal end of the saw blade so as to create an interference in the longitudinal direction that interferes with removal of the saw blade along the longitudinal direction, and in the second position the resiliently biased latch no longer engages the mounting member; and
removing the saw blade and the mounting member from one another along the longitudinal direction,
wherein the saw blade has a width along a lateral direction, perpendicular to the longitudinal direction, and a thickness along a transverse direction, perpendicular to the longitudinal direction and lateral direction, the thickness being less than the width, and the moving step comprises moving the resiliently biased latch along the transverse direction from the first position to the second position.

US Pat. No. 11,109,870

CONTROLLING THE DELIVERY OF EMBOLIC BEADS INTO AN ARTERY

Endobar Solutions LLC, O...


1. An apparatus for controlling delivery of embolic beads into a subject's artery via a lumen of a catheter, the apparatus comprising:a pump configured to draw fluid into a chamber in response to a draw control signal and eject the fluid from the chamber in response to an eject control signal;
at least one valve having a common port arranged in fluid communication with the pump, a first port, a second port, and a third port, wherein the at least one valve has a first operating state in which a fluid-flow path is provided between the first port and the common port, a second operating state in which a fluid-flow path is provided between the second port and the common port, and a third operating state in which a fluid-flow path is provided between the third port and the common port;
a valve actuator operatively connected to the at least one valve such that the valve actuator (i) places the at least one valve in the first operating state in response to a first valve control signal, (ii) places the at least one valve in the second operating state in response to a second valve control signal, and (iii) places the at least one valve in the third operating state in response to a third valve control signal;
a first inlet port arranged in fluid communication with the first port of the at least one valve, wherein the first inlet port is configured to provide a fluid-tight coupling with an orifice of an external syringe when the external syringe is connected to the first inlet port;
a first outlet port arranged in fluid communication with the second port of the at least one valve, wherein the first outlet port is configured to provide a fluid-tight connection with the lumen of the catheter when the catheter is connected to the first outlet port;
a second inlet port arranged to provide a fluid-tight coupling with a source of saline solution;
a first fluid flow path arranged to route the saline solution arriving via the second inlet port into the third port of the at least one valve; and
a controller configured to generate the draw control signal, the eject control signal, the first valve control signal, the second valve control signal, and the third valve control signal in a controlled sequence to control the pump and the at least one valve to implement the steps of (f) subsequent to a connection of an external syringe filled with a fluid containing embolic beads to the first inlet port, drawing the fluid containing embolic beads into the chamber via the first inlet port and the first port of the at least one valve, and (g) ejecting the fluid containing the embolic beads out of the chamber and out of the first outlet port via the second port of the at least one valve.

US Pat. No. 11,109,869

SOLVENT DEPRESSION OF TRANSITION TEMPERATURE TO SELECTIVELY STIMULATE ACTUATION OF SHAPE MEMORY POLYMER FOAMS

Lawrence Livermore Nation...


1. A system comprising:a polyurethane shape memory polymer (SMP) foam that transitions from a secondary shape to a primary shape when the foam is heated above its glass transition temperature (Tg);
a solvent including dimethyl sulfoxide (DMSO); and
a catheter releasably coupled to the foam, the foam being compressed into its secondary shape;
wherein the Tg is above 38 degrees C. when the foam is dry;
wherein the solvent is configured to plasticize the foam so the Tg itself drops below 38 degrees C. when the solvent is applied to the foam;
wherein the foam: (a) is a thermoset polymer; (b) includes a reaction product of at least one diisocyanate; (c) is open cell, (d) is aliphatic, and (e) is an embolic foam configured for implantation within a patient's vasculature.

US Pat. No. 11,109,868

LEFT ATRIAL APPENDAGE OCCLUDER DEVICE ANCHORING SYSTEM, ANCHOR, AND METHOD OF ATTACHMENT


1. An anchoring system for implanting a left atrial appendage (LAA) occluder device within the LAA of a heart, comprising:the LAA occluder device;
an anchor comprising a first half, an opposite second half and a shaft connecting the first half to the second half;
a contracted first position of the anchor;
a deployed second position of the anchor;
the LAA occluder device in a retracted condition and the anchor in the contracted first position configured to be advanced into the LAA;
the second half and the shaft of the anchor in the contracted first position configured to be advanced through a hole through an inner endocardium layer, a middle myocardium layer, and an outer epicardium layer of a LAA wall;
the second half of the anchor in the contracted first position configured to be advanced into a pericardial space;
the second half of the anchor configured to expand from the contracted first position to the deployed second position in the pericardial space;
the shaft of the anchor configured to reside inside the hole through the inner endocardium layer, the middle myocardium layer, and the outer epicardium layer of the LAA wall;
the first half of the anchor configured to expand from the contracted first position to a partially deployed second position within the LAA occluder device;
the LAA occluder device configured to expand and occlude the LAA;
the first half of the anchor configured to expand from the partially deployed second position to the deployed second position within the LAA occluder device; and
the anchor configured to pin the LAA occluder device between the first half of the anchor in the deployed second position and against the LAA wall inside the LAA;
wherein the LAA occluder device is configured to be moored to the LAA wall via the anchor implanted through the inner endocardium layer, the middle myocardium layer, and the outer epicardium layer of the LAA wall.

US Pat. No. 11,109,867

DEVICES AND METHODS FOR VEIN CLOSURE

BOSTON SCIENTIFIC SCIMED,...


1. An implant for occluding a flow through a vessel, the implant comprising:a body member having a first end portion, a second end portion, and an intermediate rod portion extending between the first end portion and the second end portion, the intermediate rod portion having an outer diameter less than an outer diameter of the first end portion and an outer diameter of the second end portion; and
a mesh having a base layer and a plurality of micro-pillars extending from a first surface of the base layer, the mesh disposed about the intermediate rod portion such that an inner diameter of the mesh is less than the outer diameter of the first end portion and the outer diameter of the second end portion and such that the micro-pillars extend generally radially outward from the body member;
wherein the plurality of micro-pillars are configured to extend into an adjacent tissue; and
wherein the body member has a generally solid structure.

US Pat. No. 11,109,866

METHOD FOR CIRCULAR STAPLER CONTROL ALGORITHM ADJUSTMENT BASED ON SITUATIONAL AWARENESS

Cilag GmbH International,...


1. A method of adjusting a staple parameter of a surgical stapling instrument, the method comprising:determining, by a control circuit of the surgical stapling instrument, a first stroke length for a first staple driver of the surgical stapling instrument to drive a first row of staples of a circular stapling head assembly of the surgical stapling instrument;
detecting, by the control circuit, a malformed staple in the first row of staples;
adjusting, by the control circuit, the staple parameter, based on the detection of the malformed staple; and
determining, by the control circuit, a second stroke length for a second staple driver of the surgical stapling instrument to drive a second row of staples of the circular stapling head assembly.

US Pat. No. 11,109,864

SURGICAL STAPLER WITH PLURALITY OF CUTTING ELEMENTS

Cilag GmbH International,...


19. A surgical stapling instrument comprising:(a) an end effector comprising a cutting member operable to cut clamped tissue; and
(b) a cartridge comprising:(i) a cartridge body extending along a longitudinal axis, wherein the cartridge body has a deck surface;
(ii) a plurality of staples housed within the cartridge body below the deck surface;
(iii) a staple actuator slidably coupled with the cartridge body, wherein the staple actuator is translatable distally through the cartridge body along the longitudinal axis to drive the staples into tissue captured by the surgical stapling instrument; and
(iv) a cutting element coupled to the staple actuator and configured to translate distally with the staple actuator along a translation path parallel to the longitudinal axis, wherein the cutting element extends above the deck surface while translating distally along the translation path, and wherein the cutting element is translatable relative to the staple actuator between a retracted position and an extended position.


US Pat. No. 11,109,863

GRASPING FOR TISSUE REPAIR

ABBOTT CARDIOVASCULAR SYS...


1. A device for fixation of leaflets of a heart valve comprising:a delivery catheter having a distal end; and
a fixation implant releasably attached to the distal end, the fixation implant comprising:first and second distal elements moveable between an open position and a closed position, each distal element extending outwardly from a center of the fixation implant in the open position;
a first retaining element coupled to the first distal element and extending inwardly from the first distal element toward the center of the fixation implant in the open position, wherein the first retaining element is configured to pivot up to 180 degrees relative to the first distal element;
a second retaining element coupled to the second distal element and extending inwardly from the second distal element toward the center of the fixation implant in the open position, wherein the second retaining element is configured to pivot up to 180 degrees relative to the second distal element;
a first proximal element movable to capture a first leaflet of a heart valve between the first proximal element and the first retaining element; and
a second proximal element moveable to capture a second leaflet of a heart valve between the second proximal element and the second retaining element,
wherein the first and second distal elements are configured to cover the first and second retaining elements, respectively, in the closed position.


US Pat. No. 11,109,862

SURGICAL STAPLING DEVICE WITH FLEXIBLE SHAFT

Covidien LP, Mansfield, ...


1. A surgical stapling device comprising:a housing assembly including a body defining a cavity, and a drive mechanism positioned within the cavity;
an elongate body including an outer tube, a middle tube extending through the outer tube, and an inner cable extending through the middle tube, the outer tube, middle tube, and inner cable being formed of flexible materials; and
a tool assembly including an anvil assembly, a cartridge assembly, and a clamp member, the cartridge assembly movable in relation to the anvil assembly between open and clamped positions and including a cartridge body and a plurality of staples, the cartridge body defining a plurality of staple receiving slots, each of the staple receiving slots receiving one of the plurality of staples, the clamp member movable within the tool assembly from a retracted position to an advanced position to eject the plurality of staples from the cartridge body;
the inner cable including a proximal end portion fixedly coupled to the body of the housing assembly and a distal end portion fixedly coupled to the tool assembly, the middle tube including a proximal end portion coupled to the drive mechanism and a distal end portion coupled to the clamp member, and the outer tube having a proximal end portion coupled to the body of the housing assembly and a distal end portion coupled to the tool assembly;
wherein the drive mechanism is actuable to advance the middle tube within the outer tube along the inner cable to advance the clamp member between its retracted and advanced positions.

US Pat. No. 11,109,861

SURGICAL STAPLER CARTRIDGE LOADING AND UNLOADING

AESCULAP AG, Tuttlingen ...


18. An unloader engageable with a stapler channel and a curved-tip cartridge held by the stapler channel, the unloader comprising:a proximal body;
an aperture defined through said proximal body, said aperture including a perimeter having at least two side walls facing each other, the aperture shaped and sized to correspond to an outer surface of the stapler channel and the cartridge held by the stapler channel;
a cavity distal to said aperture, said cavity including a lower surface; and
a ramp that is distal to a portion of said lower surface, said ramp extending upward in a distal direction from said lower surface, and said ramp being spaced apart from said aperture.

US Pat. No. 11,109,859

SURGICAL INSTRUMENT COMPRISING A LOCKABLE BATTERY HOUSING

Cilag GmbH International,...


1. A surgical instrument assembly, comprising:a handle, comprising:a battery cavity; and
electrical contacts;

a staple firing drive comprising an electric motor operable to perform a staple firing stroke;
a battery removably positionable in said battery cavity, wherein said battery is configured to engage said electrical contacts when said battery is in an operably seated position in said battery cavity;
diagnostic means for assessing whether said handle is suitable for operation; and
a battery lockout configured to:prevent said battery from being operably seated in said battery cavity if said diagnostic means determines that said handle is not suitable for operation; and
inhibit said battery from being removed from said battery cavity during said staple firing stroke.


US Pat. No. 11,109,858

SURGICAL INSTRUMENT INCLUDING A DISPLAY WHICH DISPLAYS THE POSITION OF A FIRING ELEMENT

Cilag GmbH International,...


1. A surgical instrument for stapling patient tissue, wherein said surgical instrument comprises:an end effector, comprising:a first jaw;
a second jaw movable relative to said first jaw between an open position and a closed position during a closure stroke;
a staple cartridge; and
a plurality of staples;

a closure system configured to move said second jaw between said open position and said closed position;
a firing element configured to move through said end effector between a proximal position and a distal position during a staple firing stroke, wherein said firing element is further configured to eject said plurality of staples from said staple cartridge during said staple firing stroke, and wherein said firing element and said closure system are operable independently of one another;
an elongate shaft, wherein said end effector extends from said elongate shaft;
a handle, wherein said elongate shaft extends from said handle;
an electric motor configured to output a rotary motion, wherein said firing element is operably responsive to said rotary motion to perform said staple firing stroke when said second jaw is in said closed position, and wherein said firing element cannot be advanced through said staple firing stroke when said second jaw is in said open position; and
an electronic display positioned on said handle, wherein the electronic display is configured to display:a current position of said firing element during said staple firing stroke; and
a current position of said second jaw during said closure stroke.


US Pat. No. 11,109,857

SOFT TISSUE REPAIR DEVICE AND METHOD

Biomet Sports Medicine, L...


1. A meniscal tissue repair device, comprising:a housing;
an inserter extending from the housing, the inserter including an open distal end and a longitudinal bore that extends through the inserter to the open distal end;
a first flexible tubular anchor deployable from the inserter at a first location along an outer surface of a meniscus;
a second flexible tubular anchor deployable from the inserter at a second location along the outer surface of the meniscus, wherein, in a pre-deployment condition of the meniscal tissue repair device, the second flexible tubular anchor is located proximal of the first flexible tubular anchor along the inserter;
a suture coupling the first flexible tubular anchor to the second flexible tubular anchor;
a cam pivotable about a pivot point that is located within the housing, the cam including a first plurality of teeth that extend in an arcuate manner along the cam;
a cam follower including a second plurality of teeth that extend in a linear manner along the cam follower, the second plurality of teeth meshing with the first plurality of teeth such that pivoting the cam about the pivot point causes the cam follower to move linearly within the housing; and
a slider slidably received in the longitudinal bore of the inserter and including a proximal portion coupled to the cam follower such that linear movement of the cam follower within the housing causes the slider to move linearly within the longitudinal bore of the inserter, wherein, in the pre-deployment condition of the meniscal tissue repair device, the slider extends distally past the second flexible tubular anchor toward the first flexible tubular anchor in the longitudinal bore of the inserter,
wherein the cam is pivotable about the pivot point: (i) a first time and in a first rotational direction to advance the slider within the longitudinal bore of the inserter for deploying the first flexible tubular anchor from the inserter at the first location along the outer surface of the meniscus; (ii) a second time and in a second rotational direction opposite the first rotational direction to retract the slider relative to the second flexible tubular anchor within the longitudinal bore of the inserter; and (iii) a third time and back in the first rotational direction to advance the slider within the longitudinal bore of the inserter for deploying the second flexible tubular anchor from the inserter at the second location along the outer surface of the meniscus.

US Pat. No. 11,109,856

SUTURES AND RELATED MEDICAL DEVICES


1. A suture device comprising:a cord that is flexible and elongated defining a length, a first end and a second end opposite the first end, the cord including a core extending from the first end to the second end and having a porous surface, the cord further including a porosity-reducing element on at least a portion of the core configured to eliminate a porosity or cover the pores of the surface of the portion of the core and the porosity-reducing element is a non-permeable film that is wrapped around and coupled to the portion of the core and the non-permeable film includes an ePTFE film having a micro-structure that has smaller pores than a microstructure of the surface of the core.

US Pat. No. 11,109,855

KNOTLESS ORTHOPEDIC STABILIZATION SYSTEM

Dunamis Medical Technolog...


1. A button-suture assembly to fix tissue to tissue, bone, or other member, comprising:a. a suspension device defining a first end and comprising a button and a locking pin, the button having a proximal facing surface, a distal facing surface configured to mate or fix to tissue, bone, or other member, and a receiving surface configured to mate with the locking pin, the locking pin having a mating surface configured to mate with the receiving surface of the button, and at least one concave indentation formed in the mating surface and configured to receive at least a portion of a suture therein for passage or capture;
b. at least one suture interacting with the suspension device, the at least one suture having a proximal end portion extending proximally from the suspension device, the at least one suture passing through the suspension device and forming a first loop portion extending distally from the suspension device, the first loop portion defining a second end configured to mate with tissue, bone, or other member, the at least one suture passing through the suspension device between the receiving surface of the button and the mating surface of the locking pin within the at least one concave indentation;
wherein the button-suture assembly comprises a first state defining a first distance between the first and second ends and a second state defining a second distance between the first and second ends, the second distance being less than the first distance; and
wherein the proximal end portion of the suture is configured to be pulled taut in the proximal direction when the first end of the button-suture assembly is mated with a first tissue and the second end of the button-suture assembly is mated with a second tissue, bone, or other member, thereby creating tension in the suture which causes the button-suture assembly to transition from the first state to the second state, where the second state is maintained via compression and friction applied to the suture between the receiving surface of the button and the mating surface of the locking pin within the at least one concave indentation.

US Pat. No. 11,109,854

METHODS OF MAKING REINFORCED SOFT TISSUE GRAFTS WITH SUTURE LOOP/NEEDLE CONSTRUCTS

ARTHREX, INC., Naples, F...


1. A method of reinforcing a biological construct, comprising:attaching a suture/needle construct to a reinforcement material; and
whipstitching the reinforcement material to a biological construct to form a reinforced biological construct,
wherein the whipstitching includes:
passing the suture/needle construct through the reinforcement material and the biological construct multiple times to create multiple stitches in the reinforcement material and the biological construct,
wherein the biological construct is a graft,
wherein the suture/needle construct includes a continuous suture loop,
wherein the continuous suture loop is fixedly attached to the reinforcement material,
wherein the continuous suture loop of the suture/needle construct is swedged to the reinforcement material.

US Pat. No. 11,109,853

ADJUSTABLE SELF-LOCKING LOOP CONSTRUCTS FOR TISSUE REPAIRS AND RECONSTRUCTIONS

ARTHREX, INC., Naples, F...


1. A method of tissue repair/reconstruction, comprising:attaching a tensionable construct to a bone-tendon-bone (BTB) graft to establish an integrated construct, wherein the tensionable construct includes a fixation device and an adjustable, self-locking, knotless, flexible loop connected to the fixation device,
wherein a region where two flexible loop portions of the adjustable, self-locking, knotless, flexible loop interlink is located within a hole of a bone block of the BTB graft;
passing the fixation device through a bone tunnel to position the adjustable, self-locking, knotless, flexible loop within the bone tunnel; and
adjusting a length of the adjustable, self-locking, knotless, flexible loop to secure the BTB graft at least partially within the bone tunnel.

US Pat. No. 11,109,852

SUTURE ANCHOR APPARATUS

CIRTEC MEDICAL CORPORATIO...


1. An apparatus, comprising:a sheath that defines a lumen therein, wherein the lumen is configured to receive a therapy delivery element, and wherein the sheath includes a planar section; and
a plurality of suture loops disposed around the planar section, wherein the planar section provides a clearance between the suture loops and the sheath such that the suture loops are configured to receive a suture without the suture coming into direct contact with the sheath, and wherein the suture loops are formed from a frame member that has a tubular shape and that is substantially coaxial with the lumen.

US Pat. No. 11,109,851

SURGICAL RETRACTOR

NuVasive, Inc., San Dieg...


1. A system comprising:a retractor assembly comprising:a rigid frame having an arcuate track;
a first carriage and second carriage, each carriage being coupled to the rigid frame and movable along the arcuate track;
a first blade post secured to the first carriage;
a second blade post secured to the second carriage;
a first retractor blade coupled to a distal end of the first blade post, thereby being adjustably coupled to the rigid frame;
a second retractor blade coupled to a distal end of the second blade post, thereby being adjustably coupled to the rigid frame;
a first handle coupled to a proximal end of the first blade post and being configured to be grasped to rotate or translate the first retractor blade relative to the rigid frame; and
a second handle coupled to a proximal end of the second blade post and being configured to be grasped to rotate or translate the second retractor blade relative to the rigid frame,

wherein the first carriage includes:a blade holder configured to hold the first blade post;
a compression cap having a lower surface configured to interface with an upper portion of the blade holder;
a tensioner configured to tension the compression cap against the blade holder;
a column extending through the blade holder, the compression cap, and the tensioner; and
a locking cap configured to be advanced along the column toward the compression cap to lock the first carriage and configured to be advanced along the column away from the compression cap to unlock the first carriage.


US Pat. No. 11,109,850

TISSUE RETRACTION DEVICE AND DELIVERY SYSTEM

BOSTON SCIENTIFIC SCIMED,...


1. A tissue retraction device, comprising:a first engagement member having a first end and a second end;
a second engagement member having a first end and a second end;
a first tether disposed between the first and second engagement members; and
a first alignment member having a first end, a second end, and a lumen extending therethrough;
wherein:
the first tether extends within the lumen of the first alignment member; and
the first alignment member is designed to keep the first tether from bending or folding upon itself during longitudinal advancement.

US Pat. No. 11,109,849

PRESSURIZED CONTAINER CONTAINING HAEMOSTATIC PASTE


1. A sterile device for storing and dispensing a sterilized and ready-to-use haemostatic paste under pressure, comprising:a) a sterilized container having an interior including a product compartment and a propellant compartment separated from one another, said container having a first end with a haemostatic paste outlet extending from the product compartment, said outlet being openable and closable;
b) a valve in communication with the first end of the product compartment;
c) a sterilized and ready-to-use haemostatic paste comprising 10-25% v/v of gelatin or collagen, a suitable liquid and optionally one or more preservatives contained in the product compartment, wherein the haemostatic paste has a minimum shelf-life of two years at room temperature;
d) a propellant provided in the propellant compartment; and
e) a slidable piston separating the product compartment from the propellant compartment.

US Pat. No. 11,109,848

BIOPSY DEVICES AND RELATED METHODS OF USE

BOSTON SCIENTIFIC SCIMED,...


1. A biopsy device, comprising:a first jaw having a first distal tip and a pair of radially-outward facing surfaces forming a radially-outward facing sharp edge in between the pair of radially-outward facing surfaces, wherein the first distal tip is configured to pierce tissue, and the radially-outward facing sharp edge is configured to sever the pierced tissue; and
a second jaw movable relative to the first jaw between a closed configuration where the first jaw and the second jaw are axially aligned, and an open configuration where the first jaw and the second jaw are offset from one another, the second jaw having a second distal tip proximal to the first distal tip in the closed configuration, the second distal tip is configured to sever the pierced tissue when the second jaw moves relative to the first jaw;
wherein a collective width of the first jaw and the second jaw when in the closed configuration is equal to a width of the first jaw when in the open configuration.

US Pat. No. 11,109,847

METHODS AND APPARATUS FOR CONCURRENTLY DETECTING AND TREATING MEDICAL CONDITIONS OF A BODY


1. A method of evaluating and treating actual or potential gynecological conditions in real-time, comprising;providing a spiral cervical retractor device;
positioning the spiral cervical retractor device in place in proximity to a site for evaluation of actual or potential gynecological conditions;
positioning a detection device in proximity to the site for evaluation of the presence of actual or potential gynecological conditions;
determining the presence of an actual or potential gynecological condition;
positioning a treatment device in proximity to the site to treat detected gynecological conditions that are concurrently treatable;
treating detected gynecological conditions sequentially following detection of such conditions;
removing the treating device from the site; and
removing the spiral cervical retractor device; wherein the detection device comprises a tubular member having a swab attached at one end thereof; wherein the tubular member has a lumen for delivering one or more substances through the lumen to the swab.

US Pat. No. 11,109,846

SYSTEM AND METHOD FOR PROVIDING ASSESSMENT OF TUMOR AND OTHER BIOLOGICAL COMPONENTS CONTAINED IN TISSUE BIOPSY SAMPLES

MEMORIAL SLOAN-KETTERING ...


1. A non-transitory computer-accessible medium having stored thereon computer-executable instructions, wherein, when a computer arrangement executes the instructions, the computer arrangement is configured to perform procedures comprising:generating information related to at least one tissue fixation block having both a diseased tissue and a normal tissue embedded in the at least one tissue fixation block;
identifying, based on the generated information, both the diseased tissue and the normal tissue which are different from one another and both provided in the at least one tissue fixation block; and
excising, based on the identification, at least one of the identified diseased tissue or the identified normal tissue from the at least one tissue fixation block.

US Pat. No. 11,109,845

URINE TEST CONTAINER FOR URINE SEPARATION AND INFECTION CONTROL

The Catholic University o...


1. A urine container for collecting urine from a subject, which comprises:a urine container for collecting urine; and
a partition positioned inside the urine container, wherein the partition is operative to separate an initial amount of the urine from a subsequent amount of the urine; and
a pocket to form a separated space inside the container that is folded to a side of the container;
wherein:only the subsequent amount is used in a urine test for the subject;
when the force and/or weight of the urine exceeds a limit, the partition is caused to move; and
the pocket to form the separated space that is linked to the partition, so that the movement of the partition is operative to spread the pocket out, forming the separated space separating the subsequent amount from the initial amount.


US Pat. No. 11,109,844

ULTRASOUND DIAGNOSIS APPARATUS AND ULTRASOUND PROBE

CANON MEDICAL SYSTEMS COR...


1. An ultrasound diagnosis apparatus comprising:an ultrasound probe that is connected to an apparatus body through a cable and includes an ultrasound transducer element to transmit and receive an ultrasound wave; and
first circuitry configured to:generate transmission waveform data,
generate, from the transmission waveform data, transmission signals to be transmitted by the ultrasound probe, and
output the transmission signals to the ultrasound probe through the cable, and

second circuitry configured to obtain a plurality of uncorrected transmission signals between the cable and the ultrasound transducer element and to calculate a correction value based on a sum component of the obtained plurality of uncorrected transmission signals, the plurality of uncorrected transmission signals being transmitted from the first circuitry through the cable and being obtained before transmitted by the ultrasound probe, wherein
the ultrasound probe transmits ultrasound waves based upon the transmission signals,
the first circuitry, when causing the ultrasound probe to transmit a plurality of ultrasound waves with different phases successively depending on a transmission condition after the second circuitry calculates the correction value, generates corrected transmission waveform data based on the calculated correction value, the corrected transmission waveform data causing a value of a sum component of the plurality of ultrasound waves with different phases transmitted successively to be zero, and
the second circuitry calculates the correction value to correct at least one of noise introduced into the transmission signals by at least one of the first circuitry and the cable and factors introduced into the transmission signals by at least one of the first circuitry and the cable.

US Pat. No. 11,109,843

ULTRASONIC IMAGE PICKUP DEVICE AND IMAGE PROCESSING DEVICE

HITACHI, LTD., Tokyo (JP...


8. An image processing device to process first volume data of a subject from ultrasonic imaging and second volume data of the subject from imaging different from the ultrasonic imaging, the image processing device comprising:a memory configured to store a relation of a plurality of predetermined imaging parts of a liver of the subject and a plurality of predetermined rotation angles; and
an image processor programmed to:
receive a selection of a predetermined imaging part from among the plurality of predetermined imaging parts of the liver,
extract first and second characteristic part data, representing a predetermined portal vein of the subject, included in each of the first volume data and the second volume data, respectively,
refer to the relation of the plurality of predetermined imaging parts and the plurality of predetermined rotation angles, determine an amount to initially rotate the second characteristic part data in the second volume data and initially rotate the second characteristic part data in the second volume data based on the selected predetermined imaging part,
align the initially rotated second characteristic part data in the second volume data and the first characteristic part data in the first volume data, and
generate an image in which the first characteristic data in the first volume data and the initially rotated second characteristic data in the second volume data are superimposed in alignment.

US Pat. No. 11,109,842

METHOD AND SYSTEM FOR ENHANCED VISUALIZATION OF INDIVIDUAL IMAGES IN A REAL-TIME SCAN

GENERAL ELECTRIC COMPANY,...


1. A method, comprising:acquiring ultrasound image data at an ultrasound system;
storing the acquired ultrasound image data in memory;
processing the acquired ultrasound image data, by a processor, according to cine sequence processing parameters to generate a cine sequence comprising a plurality of frames, wherein each of the frames has a first spatial resolution;
navigating, in response to instructions received at a user input module, the cine sequence to one of the plurality of frames;
receiving a trigger at the processor, wherein the received trigger selects the one of the plurality of frames;
retrieving, by the processor, a portion of the acquired ultrasound image data from the memory that corresponds with the one of the plurality of frames selected by the trigger; and
processing the portion of the acquired ultrasound image data, by the processor, according to still image processing parameters in response to the trigger to generate a still image having a second spatial resolution that is higher than the first spatial resolution.

US Pat. No. 11,109,841

METHOD AND SYSTEM FOR SIMULTANEOUSLY PRESENTING DOPPLER SIGNALS OF A MULTI-GATED DOPPLER SIGNAL CORRESPONDING WITH DIFFERENT ANATOMICAL STRUCTURES

GENERAL ELECTRIC COMPANY,...


1. A method comprising:analyzing, by at least one processor, a Multi-Gated Doppler (MGD) signal of a region of interest to select multiple gates from a plurality of gates, the MGD signal comprising a plurality of Doppler signals, each of the plurality of gates corresponding with one of the plurality of Doppler signals, and each of the selected multiple gates associated with one of a plurality of different anatomical structures in the region of interest;
selecting, by the at least one processor, one of a plurality of sets of parameters for each of the selected multiple gates;
applying, by the at least one processor, each of the selected one of the plurality of sets of parameters for each of the selected multiple gates; and
simultaneously presenting, at a display system, the one of the plurality of Doppler signals for each of the selected multiple gates after the each of the selected one of the plurality of sets of parameters is applied.

US Pat. No. 11,109,840

CALIBRATION OF ULTRASONIC ELASTICITY-BASED LESION-BORDER MAPPING

KONINKLIJKE PHILIPS N.V.,...


1. A tissue ablation imaging apparatus coupled to an ultrasound elastography imaging device, the coupled apparatus and device comprising:an ultrasound scanner;
a shear wave elastography processor configured to operate said ultrasound scanner to interrogate a medium of interest and form a preliminary elasticity-spatial-map based, at least in part, on a result of the interrogating, wherein the shear wave elastography processor is further configured to determine a calibrated elasticity-spatial-map by subtracting the preliminary elasticity-spatial-map from a reference elasticity-spatial-map comprising an array of different elasticity values corresponding to a reference medium that is not, nor is located at, said medium of interest, the preliminary elasticity-spatial-map and the reference elasticity-spatial-map being formed in a temporal sequence;
an ablation imaging device configured for tracking shear waves that are propagating in the medium of interest; and
an ablation imaging processor configured to, in response to instructions on said imaging apparatus, perform the following steps ofoperating said ablation imaging device to interrogate the medium of interest,
measuring, from tracking locations on opposite sides of an ablated-tissue border, a propagation delay of a first shear wave in the medium of interest and of a second shear wave, the first and second shear waves resulting from respectively different pushes that are separately issued, and,
based on a function of the propagation delay of the first shear wave and the propagation delay of the second shear wave, deciding whether said border crosses between the two tracking locations.


US Pat. No. 11,109,839

IMAGING SYSTEMS AND METHODS FOR POSITIONING A 3D ULTRASOUND VOLUME IN A DESIRED ORIENTATION

KONINKLIJKE PHILIPS N.V.,...


1. A method for displaying a 3D ultrasound image in a desired view orientation, the method comprising:acquiring 3D ultrasound image data comprising a view of an anatomical feature in a patient, wherein the anatomical feature comprises at least a portion of a heart;
determining an actual orientation of the anatomical feature in relation to a transducer probe, wherein determining the actual orientation comprises applying a heart model to define a surface orientation of the anatomical feature, identifying anatomical landmarks in the anatomical feature, or a combination thereof; and
displaying, at the same time and based on the acquired image data comprising the view of the anatomical feature, a plurality of real-time volume renderings of the 3D ultrasound image data, each real-time volume rendering being selectable by a user for displaying an enhanced view, wherein each of the plurality of real-time volume renderings comprises the anatomical feature as perceived from a different orientation than the acquired image data comprising the view of the anatomical feature and wherein each of the plurality of volume renderings is in spatial relation to a different lighting model such that lighting and shadowing regions on the anatomical feature are displayed.

US Pat. No. 11,109,838

SYSTEM AND CATHETER FOR IMAGE GUIDANCE AND METHODS THEREOF

ACIST Medical Systems, In...


1. An apparatus for ablation lesion monitoring and assessment at an ablation site in a tissue of a patient, the apparatus comprising:a catheter having an imaging core that is configured to acquire baseline image data at the ablation site prior to ablating and post-ablation image data at the ablation site after ablating, wherein the imaging core is adapted to image a left atrial wall and pulmonary veins of the patient from an esophagus of the patient during a procedure;
an imaging engine having a display and a processing unit, the imaging engine configured to:compensate the baseline image data and post-ablation image data for motion of the patient relative to the imaging core,
co-register the compensated baseline image data and the compensated post-ablation image data to produce co-registered baseline and post-ablation image data,
segment the co-registered baseline and post-ablation image data of the left atrial wall of the patient from surrounding tissue to produce segmented baseline and post-ablation image data corresponding to the left atrial wall,
calculate one or more ultrasound tissue classifiers of the segmented baseline and post-ablation image data, wherein the one or more calculated ultrasound tissue classifiers correlate to collagen content at the left atrial wall,
identify a susceptible substrate based on the collagen content at the left atrial wall being greater than normal left atrial wall tissue,
provide an indication on the display based on the identified susceptible substrate, and
map one or more ablative lesions responsive to the one or more calculated ultrasound tissue classifiers.


US Pat. No. 11,109,837

PORTABLE ULTRASOUND IMAGE DIAGNOSTIC APPARATUS

KONICA MINOLTA, INC., To...


1. A portable ultrasound image diagnostic apparatus comprising:a first housing including an upper face, a lower face opposite the upper face along a first direction, and plural side faces, the upper, lower, and side faces of the first housing having a fixed positional relationship with respect to each other, and the lower face of the first housing opposing a surface on which the portable ultrasound apparatus is placed during use;
a second housing including a display panel, the display panel including a touch panel;
a single sliding groove along which the second housing is slidable with respect to the first housing across the upper face of the first housing;
an ultrasound probe which comprises a cable and which transmits and receives ultrasound;
a connector comprising a hinge mechanism having a horizontal axis, the connector connecting the first housing and a lower portion of the second housing, and the connector being provided on the upper face of the first housing at a position such that the horizontal axis of the hinge mechanism is forward of a center of the upper face of the first housing in a direction toward a front side of the first housing, the upper face of the first housing including a first portion provided between the connector and a rear side of the first housing; and
a terminal to which the ultrasound probe is connectable via the cable, the terminal being provided on the first housing,
wherein:
the hinge mechanism is attached to a sliding base of the single sliding groove;
the connector connects the first housing and the lower portion of the second housing such that the second housing is rotatable about the horizontal axis of the hinge mechanism within an entirety of a range from (i) a first position at which an angle between the first portion of the upper face of the first housing and the second housing is substantially 0 degrees, to (ii) a second position at which the angle between the first portion of the upper face of the first housing and the second housing is substantially 90 degrees, the second housing being put in a closed state from an opened state by rotating the second housing towards the rear side of the first housing until the second housing is in the first position,
an operating region provided with at least one operating member which is operable by a user is provided in the first housing, the operating region being provided between the connector and the front side of the first housing,
when the second housing is in the closed state, an entirety of an area of the second housing that opposes the display panel (i) also opposes the first portion of the upper face of the first housing along the first direction, and (ii) does not oppose the operating region along the first direction,
the display panel is capable of being exposed when the second housing is in the closed state,
a gripping portion is provided in the operating region, the gripping portion comprising a gripping hole into which a hand of the user is insertable to allow the user to grip a front edge portion of the first housing, and
the terminal is provided on one face from among the plural side faces of the first housing at a position that is closer to the rear side of the first housing than to the front side of the first housing.

US Pat. No. 11,109,836

MULTIPLE TRANSDUCER DELIVERY DEVICE AND METHOD

ACIST Medical Systems, In...


1. A method of gathering information about a region of interest within a vessel lumen, the method comprising the steps of:sliding an intravascular transducer delivery device having a pressure transducer and an ultrasound transducer over a guidewire to position the pressure transducer and the ultrasound transducer at the region of interest;
taking a fluid pressure at the region of interest using the pressure transducer, wherein the pressure transducer comprises a fiber optic pressure transducer that is adapted to generate an intravascular fluid pressure signal representative of the fluid pressure at the region of interest, and wherein a pressure transducer conductor is in communication with the pressure transducer to communicate the intravascular fluid pressure signal from the pressure transducer; and
taking a vessel lumen physical dimension measurement at a first axial location at the region of interest using the ultrasound transducer,
wherein the ultrasound transducer comprises a first transducer element configured to emit and receive a first frequency and a second transducer element configured to emit and receive a second frequency, the first frequency of the first emission of ultrasound energy being at a first nominal center frequency between 20 MHz and 60 MHz and the second frequency of the second emission of ultrasound energy being at a second different nominal center frequency between 20 MHZ and 60 MHz, and wherein taking the vessel lumen physical dimension measurement at the first axial location includes triggering a first emission of ultrasound energy at the first axial location at the first frequency and ascertaining a first vessel lumen physical dimension measurement at the first axial location using an elapsed time between the first emission and a time at which a peak is present in a first response signal received at the first frequency at the first transducer element at the first axial location and triggering a second emission of ultrasound energy at the first axial location at the second frequency and ascertaining a second vessel lumen physical dimension measurement at the first axial location using an elapsed time between the second emission and a time at which a peak is present in a second response signal received at the second frequency at the second transducer element at the first axial location, and wherein the first frequency of the first response signal is used to facilitate the first vessel lumen physical dimension measurement associated with the first emission of ultrasound energy at the first frequency and the second frequency of the second response signal is used to facilitate the second vessel lumen physical dimension measurement associated with the second emission of ultrasound energy at the second frequency.

US Pat. No. 11,109,835

THREE DIMENSIONAL MAPPING DISPLAY SYSTEM FOR DIAGNOSTIC ULTRASOUND MACHINES

METRITRACK LLC, Glen Ell...


1. A medical ultrasound system for producing a location of an ultrasound probe and ultrasound frame image in relation to at least one pre-selected anatomical reference, the medical ultrasound system comprising:a first sensor fixed to a probe head of the ultrasound probe for generating data identifying probe head position;
an anatomical reference sensor for tracking position of at least one pre-selected anatomical reference on a deformable structure of a patient;
a body sensor for dynamically tracking a body orientation of the patient in reference to a known object during an imaging session and independent from the tracked position of the at least one pre-selected anatomical reference, the body sensor registerable with at least one of body axes and planes of the patient; and
a processor configured to:process data received from the first sensor, the anatomical reference sensor, the body sensor, and ultrasound frame image data during the imaging session;
register a position of the known object with a spatial reference frame of the ultrasound frame image data;
dynamically reference the probe head position and the ultrasound frame image data to the position of the at least one pre-selected anatomical reference and the body orientation of the patient based on the received data;
load a previous image from a previous examination of the patient, the previous image comprising a marked target associated with a target of the patient; and
simultaneously display real time probe frame position and orientation and a second probe frame position and orientation from the previous examination over a same body part diagram.


US Pat. No. 11,109,834

ULTRASONIC IMAGE PICKUP APPARATUS

Hitachi, Ltd., Tokyo (JP...


1. An ultrasonic image pickup apparatus using an electrostatic capacity type micro-machined ultrasonic transducer as an ultrasonic probe, the ultrasonic image pickup apparatus comprising a transmission/reception control unit that:transmits an ultrasonic wave by applying a DC bias voltage and an AC driving voltage between electrodes of the electrostatic capacity type micro-machined ultrasonic transducer; and
picks up an image by transmitting and receiving a first transmission ultrasonic waveform and a second transmission ultrasonic waveform for one scanning line,
wherein the first transmission ultrasonic waveform is a high frequency waveform, and
wherein the second transmission ultrasonic waveform is formed by:
a high frequency waveform that has different sign, amplitude or phase from the high frequency waveform of the first transmission ultrasonic waveform; and
a low frequency waveform that has a longer time duration than that of the high frequency waveforms of the first transmission ultrasonic waveform and the second transmission ultrasonic waveform and is generated by the ultrasonic probe when a low frequency voltage waveform is applied to the ultrasonic probe, the low frequency voltage waveform has a voltage amplitude that makes the total voltage of the low frequency voltage waveform and the DC bias voltage equal to or smaller than a pull-in voltage of the probe, the low frequency waveform smoothly changing in accordance with an arbitrary function.

US Pat. No. 11,109,833

POSITION SENSING IN INTRAVASCULAR PROCESSES

ACIST Medical Systems, In...


1. An intravascular system comprising:a catheter including a proximal end, a distal end, a plurality of magnetic domains, a sensor located at the distal end, and a cable extending from the proximal end of the catheter to the distal end of the catheter and operatively connected to the sensor at the distal end, the sensor configured to provide sensor information representative of one or more intravascular properties of a patient, wherein the plurality of magnetic domains are consecutively arranged in a plurality of groups of magnetic domains, each group of magnetic domains having, consecutively arranged, one magnetic domain with a first magnetization magnitude, one magnetic domain with a second magnetization magnitude greater than the first magnetization magnitude, and one magnetic domain with a third magnetization magnitude greater than each of the first magnetization magnitude and the second magnetization magnitude, wherein the first magnetization magnitude in each group of magnetic domains is a same first magnetization magnitude, wherein the second magnetization magnitude in each group of magnetic domains is a same second magnetization magnitude, and wherein the third magnetization magnitude in each group of magnetic domains is a same third magnetization magnitude;
a magnetic pickup configured to output a pickup signal based on the magnetic field at the magnetic pickup produced by the plurality of magnetic domains; and
an intravascular processing engine in communication with the sensor of the catheter and the magnetic pickup and configured to:(i) receive the sensor information from the sensor of the catheter;
(ii) receive a position signal representative of the pickup signal;
(iii) determine position information related to a position of the sensor located at the distal end based on the received position signal; and

(iv) combine the received sensor information and corresponding determined position information.

US Pat. No. 11,109,832

EVALUATION OF CARDIAC INFARCTION BY REAL TIME ULTRASONIC STRAIN IMAGING

KONINKLIJKE PHILIPS N.V.,...


1. An ultrasonic diagnostic imaging system for real time strain imaging comprising:an ultrasound imaging probe having an array transducer and being configured to acquire ultrasound echo signals;
an image processor, coupled to the ultrasound imaging probe, which is configured to produce a first sequence of image frames over a first heart cycle;
a processor configured to execute computer program instructions adapted to produce actions of:
a strain calculator coupled to the image processor and configured to process the image frames to estimate strain values during the first image frame sequence;
a color mapper configured to produce a color map based at least in-part on the strain values generated by the strain calculator; and
a color map warper that is responsive to the color map and a new sequence of image frames generated by the image processor during a subsequent heart cycle, wherein the color map warper is configured to warp the color map to fit each of the image frames of the new sequence to generate a plurality of warped color maps; and
a display configured to display the image frames of the new sequence in real time, each in combination with one of the plurality of warped color maps.

US Pat. No. 11,109,831

ULTRASOUND PATCH FOR DETECTING FLUID FLOW


1. An ultrasound patch configured for use on the skin of a patient to detect fluid flow in a vessel in the patient, comprising:one or more piezoelectric transmit elements;
one or more piezoelectric receive elements adjacent the one or more piezoelectric transmit elements;
a housing that encloses electronics, the electronics in communication with the one or more piezoelectric transmit and receive elements, the housing including a top surface and bottom surface opposite the top surface, the top surface configured to face away from the skin of the patient and the bottom surface configured to face toward the skin of the patient during use with the patient;
a flexible engagement layer having a first side opposite a second side, the first side of the flexible engagement layer coupled to the housing and positioned to hold the bottom surface of the housing facing toward the skin of the patient, and the second side configured to engage the skin of the patient; and
a ramp coupled to the flexible engagement layer on the second side,
wherein the ramp extends away from the top surface, the bottom surface and the flexible engagement layer toward the patient, the ramp having at least one wall sloped at an angle relative to the bottom surface, the ramp supporting the one or more piezoelectric transmit and receive elements adjacent to the at least one wall, and the one or more piezoelectric transmit elements positioned to transmit in a direction away from the top surface and the bottom surface and toward the vessel in the patient.

US Pat. No. 11,109,830

METHOD FOR DETERMINING A RESPIRATORY CONDITION BASED ON FUNCTIONAL RESPIRATORY IMAGING

FLUIDDA RESPI


1. A method for determining lung function in a subject suffering from a respiratory condition, the method comprising the steps of:a) obtaining image data concerning two or more three-dimensional computed tomography (CT) images of the subject's respiratory system, wherein the images are acquired during an assessment period comprising a breathing cycle, and wherein the breathing cycle comprises at least functional residual capacity (FRC) and total lung capacity (TLC);
b) calculating a specific three-dimensional structural model of the subject's respiratory system for each of the two or more three-dimensional images of step a), the specific three-dimensional structural model of the subject's respiratory system comprising a three-dimensional structural model of the subject's lobar structure at each of TLC and FRC, and a three-dimensional structural model of the subject's airway structure at each of TLC and FRC, wherein step b) further comprises the steps of:
b?) modeling, by a computer, an air flow through the subject's airway structure by determining a mass flow rate towards each lobe of the subject's lobar structure, using the three-dimensional structural models of the subject's lobar structure, and, using the determined mass flow rates as boundary conditions, performing computational fluid dynamic (CFD) numerical analysis using Navier-Stokes equations to model the air flow;
b?) modeling, by the computer, a structural behavior of the subject's airway structure and an interaction of the airway structure with the air flow, using the three-dimensional structural models of the subject's lobar structure and the three-dimensional structural models of the subject's airway structure; and
b??) calculating one or more outcome parameters from b?) and b?) for each of the specific three-dimensional structural models of the subject's respiratory system, wherein the one or more outcome parameters comprises lobar blood vessel volume, and optionally one or more of lobar volume, airway volume, airway wall thickness, and airway wall resistance; and
c) determining a respiratory condition by comparing the outcome parameters at step b??) at TLC and at FRC.

US Pat. No. 11,109,829

MEDICAL IMAGE DIAGNOSTIC APPARATUS

Canon Medical Systems Cor...


1. A medical image diagnostic apparatus comprising:processing circuitry thatestimates a position of a plaque in a blood vessel based on data of a plurality of CT images constituting a time series, with the blood vessel being enhanced by a contrast medium,
estimates hardness of the plaque based on a CT value at the position, extracts a plurality of regions constituting the blood vessel from the plurality of CT images,
specifies a plurality of stress values respectively corresponding to the plurality of regions constituting the blood vessel based on a moving displacement due to cardiac pulsation in each of the regions constituting the blood vessel,
specifies an exfoliation risk of the plaque based on the estimated hardness and a stress value, of the plurality of stress values, in a region corresponding to the position, and
generates a color map of the stress values along a blood vessel contour of the blood vessel included in a CT image of the plurality of CT images by generating a stress value distribution chart and converting the stress value distribution chart into the color map; and

a display thatdisplays the CT image of the plurality of CT images,
displays a mark indicating (i) a position of a first plaque such that the mark is superimposed on the CT image and (ii) a priority order of a medical treatment of the first plaque or whether the medical treatment is necessary based on the specified exfoliation risk of the first plaque,
displays display information indicating a degree of the estimated hardness of the first plaque for the mark, and
displays the generated color map of the stress values along the blood vessel contour included in the CT image superimposed on the mark indicating the first plaque, wherein

the displayed CT image is a two-dimensional long-axis sectional image of the blood vessel, and
the display superimposes the mark and the generated color map on the two-dimensional long-axis sectional image.

US Pat. No. 11,109,828

METAL X-RAY GRID, X-RAY IMAGING DEVICE, AND PRODUCTION METHOD FOR METAL X-RAY GRID

HAMAMATSU PHOTONICS K.K.,...


1. A metal X-ray grid comprising:a valve metal plate which includes a curved principal surface;
an anodic oxide film which is formed on the principal surface of the valve metal plate; and
a lattice structure which has an uneven shape periodically formed on the anodic oxide film,
wherein one or more concave portions constituting the uneven shape extend in a direction perpendicular to the principle surface, and
wherein a side surface of the one or more concave portions is perpendicular to the principal surface.

US Pat. No. 11,109,827

X-RAY IMAGING APPARATUS

Shimadzu Corporation, Ky...


1. An X-ray imaging apparatus comprising:a table on which a subject is placed;
an imager including an X-ray irradiator configured to irradiate the subject with X-rays and an X-ray detector configured to detect the X-rays radiated from the X-ray irradiator and transmitted through the subject, the imager being configured to capture a plurality of X-ray images;
a rotating mechanism configured to rotate the imager;
a moving mechanism configured to move so as to change a relative position of the table to the imager; and
an image processor configured to generate a long image, which is longer than each of the plurality of X-ray images, by performing processing of varying magnifications of the plurality of X-ray images based on both of an amount of relative movement of the table and the imager and an inclined angle between the table and the imager, and splicing the plurality of X-ray images when imaging is performed at a plurality of imaging positions while the table and the imager are moved relative to each other in at least one of a short-side direction or a longitudinal direction of the table in a state in which the imager is rotated such that an optical axis of the X-rays radiated from the X-ray irradiator is inclined with respect to the table.

US Pat. No. 11,109,826

FLUOROSCOPY SYSTEM WITH MOVABLE IMAGING HEAD/X-RAY DETECTOR

Onyx Technical Consulting...


1. A fluoroscope assembly, comprising:a contoured support arm having opposing first and second end portions;
an adjustment element coupled to the first end portion;
an imaging head coupled to the adjustment element, wherein the adjustment element is movable to adjust a position of the imaging head relative to the first and second end portions; and
an X-ray detector coupled to the second end portion;
wherein the adjustment element comprises a track coupled to the imaging head and a mounting element adjoining the track to the support arm, and wherein the track and mounting element are configured to allow the imaging head to rotate about a center axis of the imaging head; and
wherein the adjustment element is configured to allow the imaging head to be moved between an aligned position with the imaging head aligned with the X-ray detector for generating an X-ray image, and a misaligned position wherein the imaging head is not substantially aligned with the X-ray detector.

US Pat. No. 11,109,825

C-ARM IMAGING SYSTEM WITH MULTIPLE AUTOMATED INDEPENDENT ROTATIONAL AXES

GENERAL ELECTRIC COMPANY,...


5. An X-ray imaging system, comprising:an X-ray radiation source;
an X-ray detector;
a C-arm having the X-ray radiation source disposed on a first end and the X-ray detector disposed on a second end opposite the first end;
a base;
a horizontal arm coupled to the base;
an L-arm having a first end and a second end, wherein the first end is coupled to the horizontal arm;
a C-arm rotation device configured to enable the C-arm to rotate in an orbital direction relative to the C-arm rotation device, wherein the C-arm rotation device is coupled to the second end of the L-arm; and
a motorized system configured to rotate the C-arm at least 180 degrees in the orbital direction relative to a location, where the C-arm is coupled to the C-arm rotation device by both rotating the C-arm 180 degrees in a lateral direction relative to the base and rotating the C-arm 180 degrees about the location, where the C-arm rotation device is coupled to the C-arm.

US Pat. No. 11,109,824

MULTIMODAL SYSTEM FOR OBTAINING SENOLOGICAL IMAGES BY MEANS OF X-RAY AND MBI TECHNIQUES

METALTRONICA S.P.A., Pom...


1. A multimodal system for obtaining senological images by means of X-ray and MBI techniques, comprising:a supporting plane (1) for the breast,
a gamma ray detector (2A) for obtaining at least a molecular image,
a detection module (10) comprising inside said gamma ray detector (2A), wherein said gamma ray detector (2A) is arranged on a first plane, parallel to said supporting plane, and further comprising:one of a X-ray detector (4) for obtaining at least an X-ray image and a scintigraphic collimator (2B); said scintigraphic collimator (2B), when in use, being coupled with said gamma ray detector (2A) and forming with said gamma ray detector (2A) a first gamma camera (2); and
a compartment (3) configured for receiving one at time said X-ray detector (4) or said scintigraphic collimator (2B), wherein said compartment (3) is arranged between said supporting plane (1) and said gamma ray detector (2A) on a second plane, parallel to said supporting plane (1), different from said first plane, and wherein said compartment (3) comprises first guiding means (3A, 3B) for inserting said X-ray detector (4) or said scintigraphic collimator (2B),

wherein said detection module (10) being configured to allow the extraction of said X-ray detector (4) from the detection module (10) to insert said scintigraphic collimator (2B) or the extraction of said scintigraphic collimator (2B) to insert said X-ray detector (10).

US Pat. No. 11,109,823

METHOD FOR CONTROLLING A X-RAY IMAGING DEVICE, X-RAY IMAGING DEVICE, COMPUTER PROGRAM AND ELECTRONICALLY READABLE STORAGE MEDIUM

SIEMENS HEALTHCARE GMBH, ...


1. A method for performing image acquisition of a patient using an x-ray imaging device including an x-ray source and an x-ray detector, the method comprising:determining at least one input parameter relating to at least one of an attenuation property of the patient or a purpose of the image acquisition;
determining at least one operation parameter of the x-ray detector using an algorithm for increased image quality, the algorithm based on the at least one input parameter;
calculating a contrast to noise ratio from the at least one input parameter and at least one candidate parameter for the operation parameter using a model trained by machine learning; and
performing the image acquisition using the at least one operation parameter.

US Pat. No. 11,109,822

METHOD OF NEEDLE LOCALIZATION VIA PARTIAL COMPUTERIZED TOMOGRAPHIC SCANNING AND SYSTEM THEREOF

YISSUM RESEARCH DEVELOPME...


1. A computer-implemented method of locating a tip of a metallic instrument inserted in a body, wherein the method utilizes a baseline sinogram derived from a prior computerized tomography (CT) scanning of the body, and wherein the baseline sinogram comprises projections in N exposure directions, the method comprising:a) performing, by a computer, three-dimensional Radon space registration of a sparse repeat sinogram to the baseline sinogram, thereby giving rise to registration parameters,wherein the sparse repeat sinogram is derived from a repeat CT scanning of the body and comprises projections in n exposure directions, n being substantially less than N, and wherein the repeat CT scanning is provided with the metallic instrument inserted into the body, the metallic instrument having an attached marker located at a known distance from the instrument tip;

b) subtracting, by the computer, the baseline sinogram from the repeat sinogram in accordance with the registration parameters to obtain projection difference images, wherein each of the projection difference images is associated with an exposure direction of a respective projection in the repeat sinogram; and
c) using, by the computer, the projection difference images and the known distance of the attached marker from the metallic instrument tip to determine a three-dimensional location of the metallic instrument tip.

US Pat. No. 11,109,821

METHOD FOR NEEDLE POSITIONING AND LEAD IMPLANTATION FOR SACRAL NEUROMODULATION


1. A method for positioning a foramen needle to implant a lead of an electrical stimulator for sacral neuromodulation of a patient, the method comprising:visualizing with fluoroscopy an anterior/posterior view of the sacrum and sacroiliac joints of the patient;
marking on the skin of the patient a midline of the sacrum vertically and a horizontal line from one sacroiliac joint to the other sacroiliac joint;
marking a first point on the horizontal line located a first distance in a first lateral direction from the sacral midline, wherein the first distance approximates a first midline of a desired sacral foramen;
locating the first midline of the desired sacral foramen using the fluoroscopic anterior/posterior view and the first point and marking the skin of the patient with a first midline vertical line;
marking the skin of the patient at a second distance and a third distance from the horizontal line superiorly on the first midline vertical line, thereby approximating where the desired foramen should be located to place the needle;
marking the skin of the patient with a first medial vertical line representing the medial portion of the first sacral edge using the fluoroscopic anterior/posterior view;
locating the desired sacral foramen with fluoroscopy in a lateral view;
placing the needle through the skin at an angle using the skin markings at one of the second and third markings, beginning medially at the first midline vertical line and progressing laterally to the first medial vertical line until a distal end of the needle drops into the desired sacral foramen.

US Pat. No. 11,109,820

MAMMOGRAPHY APPARATUS

VIEWORKS CO., LTD., Anya...


1. A mammography apparatus comprising:a mounting part coupled to an elevating part so as to be moved upward or downward and having rail parts;
a fastening part inserted into the rail parts and slidably coupled to the mounting part; and
a sensing part installed on the mounting part and configured to generate an electrical signal by being brought into contact with the fastening part so as to detect information about the fastening part,
wherein the sensing part comprises:
a contact part installed at an end at an entry side of the fastening part slidably coupled to the mounting part; and
a recognizing part installed on an inner surface of the mounting part which faces the contact part.

US Pat. No. 11,109,819

SYSTEM AND METHOD FOR QUANTITATIVELY MAPPING MITOCHONDRIAL MEMBRANE POTENTIAL

THE GENERAL HOSPITAL CORP...


1. A method for quantitatively mapping mitochondrial membrane potential of an in vivo tissue in a subject, the method comprising:a) administering to the subject a detectably effective amount of 18F-tetraphenylphosphonium (18F-TPP+) as an emission tomography imaging agent;
b) acquiring, using an emission tomography system, emission tomography data associated with the tissue;
c) analyzing the emission tomography data to determine a concentration distribution of 18F-TPP+ within the tissue;
d) correlating the concentration distribution of 18F-TPP+ with the mitochondrial membrane potential of the tissue, comprising the steps of:i) modeling a total volume of distribution of a plurality of spaces across the mitochondrial membrane and a cell membrane in an image voxel in relation with volume fractions of the plurality of spaces, and electrical potentials across the mitochondrial membrane and the cell membrane; and
ii) acquiring, using a medical imaging system, anatomical imaging data and using the anatomical imaging data to determine volume fractions of the plurality of spaces associated with the tissue;

e) determining, based on the correlation at step d), a membrane potential distribution of the tissue; and
f) generating a report indicating the membrane potential distribution of the tissue.

US Pat. No. 11,109,818

MOBILE PATIENT ALARM DISPLAY

Masimo Corporation, Irvi...


1. A method for managing alarms between a patient monitor and a mobile computing device operated by a clinician, the method comprising:under control of a hardware processor,
receiving an alarm notification from a remote server over a network, the alarm notification comprising a measured physiological parameter value for a first patient;
outputting a notifications user interface to present the alarm notification on a touchscreen display, the notifications user interface comprising:an alarm notification tile that presents information about an alarm for the first patient, the alarm notification tile user-selectable by swiping a portion of the touchscreen display corresponding to the alarm notification tile;

receiving a first user selection of the alarm notification tile, the first user selection comprising a first swipe in a first direction;
in response to receiving the first user selection, causing the alarm notification tile to move so as to reveal a first option for viewing data associated with the alarm;
receiving a second user selection of the alarm notification tile, the second user selection comprising a second swipe in a second direction; and
in response to receiving the second user selection, causing the alarm notification tile to move so as to reveal a second option for accepting the alarm and a third option for forwarding the alarm.

US Pat. No. 11,109,817

SYSTEMS AND METHODS FOR MEASURING PHYSIOLOGICAL PARAMETERS

GMECI, LLC, Beavercreek,...


1. A device for training pilots using physiological sensor feedback for flight circumstances that cause hypoxemia, the device comprising:a housing configured to be mounted to an exterior body surface of a user;
at least a physiological sensor attached to the housing and configured to detect at least a physiological parameter associated with hypoxemia; and
a training and feedback processor in communication with the at least a physiological sensor, the training and feedback processor designed and configured to:detect at least a flight condition having a causative association with hypoxemia;
measure, using the at least a physiological sensor, at least a physiological parameter associated with hypoxemia;
determine, by the training and feedback processor, and based on the at least a physiological parameter, a degree of pilot hypoxemia;
determine a training goal associated with hypoxemia; and
generate a pilot-specific flight guideline based upon the degree of pilot hypoxemia and the training goal associated with hypoxemia; and

a user signaling device in communication with the training and feedback processor, the user signaling device configured to indicate the degree of pilot hypoxemia to at least a user.

US Pat. No. 11,109,816

SYSTEMS AND METHODS FOR EMS DEVICE COMMUNICATIONS INTERFACE

ZOLL Medical Corporation,...


1. A patient monitoring device comprising:one or more sensors configured to attach to a patient;
a communications interface;
a memory device comprising an asset management database; and
a processor communicably coupled to the memory device and the communications interface and configured to:receive patient monitoring information for a patient treatment incident gathered by the patient monitoring device at least in part via the one or more sensors, the patient monitoring information for the patient treatment incident comprising a first type of treatment incident data and at least a second type of treatment incident data,
format the patient monitoring information into a plurality of frames, each frame of the plurality of frames associated with an incident identifier that identifies the patient treatment incident,
store the plurality of frames to the asset management database,
receive, via the communications interface, a request for the first type of treatment incident data for the patient treatment incident,
query the asset management database for one or more frames of the first type of treatment incident data associated with the incident identifier,
retrieve from the asset management database a subset of the stored plurality of frames associated with the incident identifier, the subset comprising the first type of treatment incident data without the at least the second type of treatment incident data, and
send a frame event stream comprising the subset of the stored plurality of frames from the patient monitoring device to at least one computing device in a remote environment via the communications interface.


US Pat. No. 11,109,815

SYSTEM AND METHOD FOR PERFORMING A DIAGNOSTIC ANALYSIS OF PHYSIOLOGICAL INFORMATION


1. An avatar engine, comprising:a processing system including a processor; and
a memory that stores executable instructions that, when executed by the processing system, facilitate performance of operations, comprising:
requesting a physiological test through equipment of a user via an avatar associated with the avatar engine, wherein the physiological test is determined according to a need for a user medical status identified according to interaction with the avatar;
receiving current physiological information associated with the user according to a result generated by the physiological test that is requested;
comparing the current physiological information associated with the user with prior physiological information associated with the user to generate a diagnostic result;
determining whether the diagnostic result requires a prescription-based treatment, a non-prescription-based treatment, or no treatment;
responsive to the determining the diagnostic result requires the prescription-based treatment:presenting the diagnostic result at equipment of a medical agent of the user via the avatar;
receiving a prognosis and a prescription from the equipment of the medical agent of the user; and
presenting the diagnostic result, the prognosis, and the prescription at the equipment of the user via the avatar;

responsive to the determining the diagnostic result requires the non-prescription-based treatment, presenting a recommendation for the non-prescription-based treatment at the equipment of the user via the avatar; and
responsive to the determining the diagnostic result requires no treatment, presenting a no recommendation at the equipment of the user via the avatar.

US Pat. No. 11,109,814

PHYSIOLOGICAL PARAMETER SYSTEM

Masimo Corporation, Irvi...


1. A patient monitor comprising one or more hardware processors configured to:receive at least one pulse oximetry parameter responsive to irradiation of a tissue site with an optical sensor;
receive a secondary parameter responsive to measurement from a second sensor, wherein the secondary parameter is different from the pulse oximetry parameter received by the optical sensor;
generate a variable threshold for the pulse oximetry parameter based on the trend property of the secondary parameter;
compare the pulse oximetry parameter with the variable threshold corresponding to physiological condition of a patient; and
generate a diagnosis decision based on the comparison of the pulse oximetry parameter with the variable threshold.

US Pat. No. 11,109,813

MEAN ARTERIAL PRESSURE (MAP) DERIVED PREDICTION OF FUTURE HYPOTENSION

Edwards Lifesciences Corp...


1. A system for monitoring and evaluation of a living subject, the system comprising:hemodynamic sensor configured to be attached to the living subject, sense an arterial pressure of the living subject, and generate a hemodynamic signal based on the arterial pressure of the living subject;
an analog-to-digital converter configured to receive the hemodynamic signal and convert the hemodynamic signal to hemodynamic data in digital form;
a display;
a system memory storing a hypotension prediction software code; and
a hardware processor configured to execute the hypotension prediction software code to:determine mean arterial pressure (MAP) of the living subject based on the hemodynamic data;
determine a risk score of the living subject corresponding to a probability of the future hypotension event, wherein the risk score is determined by the hardware processor based upon MAP, and wherein the risk score is determined by a formula: risk score=1/(1+e?((a*MAP)+b)), where a and b are numbers; and
display the risk score of the living subject on the display.


US Pat. No. 11,109,812

ELECTROCARDIOGRAM (ECG) SIGNAL BASED AUTHENTICATION APPARATUS AND METHOD

Samsung Electronics Co., ...


1. An authentication apparatus comprising:a calculator configured to calculate a first output value corresponding to an input electrocardiogram (ECG) signal by applying the input ECG signal to a first neural network, and calculate second output values corresponding to reference ECG signals by applying the reference ECG signals to a second neural network,
wherein the first and second neural networks are at least temporally implemented by one or more processors, the first output value is provided as output from the first neural network, and the second output values are provided as outputs from the second neural network;
an extractor configured to extract a number of second output values from the second output values based on the first output value; and
a determiner configured to determine whether to authenticate a user associated with the input ECG signal based on a ratio of a number of the extracted second output values that are associated with a registered user to a total number of the extracted second output values.

US Pat. No. 11,109,811

WAVEFORM ESTIMATION APPARATUS, WAVEFORM ESTIMATION METHOD, AND NON-TRANSITORY COMPUTER-READABLE STORAGE MEDIUM

FUJITSU LIMITED, Kawasak...


1. A waveform estimation apparatus comprising:a memory; and
a processor coupled to the memory and configured to:execute a first estimation process that includes estimating a first vibration component corresponding to a first time period by using an input waveform corresponding to the first time period and the first vibration component corresponding to a second time period, the first time period being a time period from a first time point and having a given time length, the second time period being a time period before the first time period and from a second time point through the first time point and having a time length same as the first time period, the first vibration component being a component less than a first frequency, the input waveform being a waveform based on a running trace of a vehicle which runs along a roadway;
execute a second estimation process that includes estimating the first vibration component corresponding to the first time period by using the input waveform corresponding to the first time period and the first vibration component corresponding to the second time period and further a second vibration component corresponding to the first time period, wherein the second vibration component is a component equal to or greater than the first frequency and being predicted from the second vibration component corresponding to the second time period;
execute a calculation process that includes calculating the second vibration component corresponding to the first time period from the input waveform corresponding to the first time period by using the first vibration component estimated by the first estimation process and the first vibration component estimated by the second estimation process;
execute a determination process that includes determining, by using a characteristic amount of the second vibration component calculated by the calculation process, a danger level indicating how dangerously the vehicle is driven; and
in response to the danger level being higher than a threshold, change a vehicle drive mode of the vehicle.


US Pat. No. 11,109,809

METHODS AND SYSTEMS FOR ADAPTABLE PRESENTATION OF SENSOR DATA

Valencell, Inc., Raleigh...


1. A method of producing subject-specific metric statistics, the method comprising:collecting physiological data and meta data from a subject via a sensor system, wherein the sensor system comprises at least one sensor element, at least one signal processor, and memory in communication with the at least one signal processor;
processing the collected physiological data and/or the collected meta data via the at least one signal processor to determine a plurality of metric features from the collected physiological data and/or the collected meta data, wherein each of the plurality of metric features is a feature of one or more of the collected physiological data and/or the collected meta data that is functionally related to generation of at least one sensor metric from the collected physiological data;
processing the plurality of metric features from the collected physiological data and/or the collected meta data via the at least one signal processor to generate at least one subject-specific metric statistic and the at least one sensor metric, wherein the subject-specific metric statistic comprises information related to a performance, accuracy, sensitivity, and/or selectivity of the at least one sensor metric; and
communicating the at least one subject-specific metric statistic and the at least one sensor metric to a client device for display via a display associated with the client device.

US Pat. No. 11,109,808

INTELLIGENT FITNESS AND SPORTS MOUTHGUARD

University of Florida Res...


1. An intelligent mouthguard system, comprising:a mouthguard and an external processing unit;
the mouthguard including:a nine-axis inertial sensor comprising a three-axis magnetometer, a three-axis accelerometer and a three-axis gyroscope, the three-axis magnetometer configured to provide a reference plane in relation to earth's magnetic field for the three-axis accelerometer and the three-axis gyroscope; and
an internal module in communication with the nine-axis inertial sensor, the internal module comprising a microprocessor configured to store sensor data corresponding to the three-axis magnetometer, the three-axis accelerometer and the three-axis gyroscope in a memory of the mouthguard and a transceiver configured to transmit the stored sensor data to the external processing unit when the mouthguard is located in an oral cavity, the stored sensor data transmitted in response to a transmission request received from the external processing unit communicatively coupled to the mouthguard,
wherein the external processing unit is a master device communicatively coupled to the mouthguard via a low-energy wireless communications link, the master device configured to provide an indication of acceleration experienced by a wearer of the mouthguard through a user interface rendered on the master device and adjust the acceleration based upon the reference plane provided by the three-axis magnetometer.


US Pat. No. 11,109,807

SENSING GARMENT AND METHOD FOR MAKING SAME

Siren Care, Inc., San Fr...


1. A system for monitoring a user, the system comprising:a garment configured to be placed on a foot of the user;
a cover coupled to the garment;
a sensor arrangement between the garment and the cover, wherein the sensor arrangement comprises at least one temperature sensor configured to measure at least one temperature on the foot of the user; and
a housing between the garment and the cover, wherein the housing encloses at least one electrical component,
wherein the cover is sealed to the garment around a perimeter of the sensor arrangement and the housing.

US Pat. No. 11,109,806

THREE DIMENSIONAL IMAGING OF VEINS

AccuVein, Inc., Medford,...


1. A three-dimensional vein imaging system comprising:means for emitting a beam of light comprising a first wavelength of light and a second wavelength of light;
a scanner configured to scan said beam of light onto a surface;
means for increasing an intensity of said emitted first wavelength of light in a plurality (n) of stepped intensity increases;
a photodetector responsive to said first wavelength of light, and configured to receive a respective plurality (n) of contrasted vein images formed by differential absorption and reflection of said first wavelength of light from a plurality of increased depths respectively corresponding to said stepped intensity increases, and further configured to convert each of said plurality (n) of contrasted vein images into a respective signal;
an image processor configured to receive said plurality of respective signals of said converted plurality of vein images, and to layer veins within each of said plurality (n) of vein images in a processed vein image, with veins being at a greater depth being processed to visually appear beneath veins at a shallower depth, said image processor configured to transmit said processed vein image to said means for emitting a beam of light; and
wherein said means for emitting a beam of light and said means for scanning are configured for projecting said processed vein image onto the surface.

US Pat. No. 11,109,805

POWER MANAGEMENT FOR WEARABLE DEVICES

Tula Health, Inc., Kaysv...


1. A method, comprising:taking, by a physiological sensor of a wearable device, a first measurement of a physiological parameter of a subject according to a first sensor configuration;
measuring, by an activity sensor of the wearable device, a current activity level of the subject;
comparing, by a processing device of the wearable device communicatively coupled to the activity sensor, the current activity level of the subject to a previous activity level of the subject;
in response to the current activity level of the subject being in a first range that ranges from the previous activity level to a first threshold activity level, taking, by the wearable device, a second measurement of the physiological parameter according to the first sensor configuration, the wearable device having a first power consumption level for the first sensor configuration, wherein the first sensor configuration comprises:the physiological sensor comprising a first type of sensor;
the physiological sensor comprising a first combination of two or more types of sensors;
the physiological sensor comprising a first quantity of sensors taking the first measurement or the second measurement;
a first frequency of taking the first measurement;
a first pattern of taking the first measurement
a first quantity of electronic components associated with the processing device receiving power as the first measurement is taken; or
a first communication configuration of the wearable device; and

in response to the current activity level of the subject being outside the first range, taking, by the wearable device, the second measurement of the physiological parameter according to a second sensor configuration, the wearable device having a second power consumption level for the second sensor configuration that is different than the first power consumption, wherein the second sensor configuration comprises:the physiological sensor comprising a second type of sensor that is different than the first type of sensor;
the physiological sensor comprising a second combination of two or more types of sensors, wherein the second combination is different than the first combination;
the physiological sensor comprising a second quantity of sensors taking the second measurement, wherein the second quantity if different from the first quantity;
a second physiological sensor of the wearable device taking the second measurement;
a second quantity of sensors of the wearable device taking the second measurement, wherein the second quantity is different from the first quantity of sensors;
a second frequency of taking the second measurement that is different from the first frequency;
a second pattern of taking the second measurement that is different from the first pattern;
a second quantity of electronic components associated with the processing device receiving power as the second measurement is taken, wherein the second quantity of electronic components is different from the first quantity of electronic components; or
a second communication configuration of the wearable device that is different from the first communication configuration.


US Pat. No. 11,109,804

WEARABLE SPORTS MONITORING EQUIPMENT AND METHOD FOR CHARACTERIZING SPORTS PERFORMANCES OR SPORTSPERSONS

Amer Sports Digital Servi...


1. Wearable electronic equipment for monitoring a sports performance of a person, comprising:a heartbeat sensor for providing a heartbeat signal in response to heartbeat of the person,
a motion sensor for providing a motion signal in response to movement of the person, and
a processing means adapted to calculate at least one performance parameter depicting said spoils performance of the person based on temporal characteristics of periodic features of said heartbeat signal compared with temporal characteristics of periodic features of said motion signal, wherein said processing means is adapted to:compute, using said heartbeat signal and said motion signal, a time delay parameter depicting a delay between a response in said heartbeat signal to intensity changes in said sports performance, and a response in said motion signal to intensity changes in said sports performance, and
compute said at least one performance parameter as a fatigue index, Excess Post-exercise Oxygen Consumption (EPOC), or a fitness index, using said time delay parameter; and
provide an indication of a performance intensity level of the person based at least partially on said fatigue index, said EPOC or said fitness index in order to optimize the person's training, sports performance or complete a planned performance with maximum pace.


US Pat. No. 11,109,803

BREATHALYZER COACHING AND SETUP METHODOLOGY

NOW GROUP UK LTD, Maiden...


1. A breathalyzer coaching methodology for coaching a user of a breathalyzer to make use of correct blowing technique, the method comprising:gathering a sample breath provided by a user;
determining the instantaneous volume V, flowrate F and pressure P of the sample breath as it is being provided by the user;
determining whether the determined sample breath instantaneous volume V is less than a minimum threshold breath sample volume V1;
determining whether the determined sample breath instantaneous flowrate F is greater than a maximum threshold breath sample flowrate FMAX, between a maximum threshold breath sample flowrate and a minimum threshold breath sample flowrate FMIN, or less than the minimum sample breath flowrate FMIN;
determining whether the determined sample breath instantaneous pressure P is greater than a maximum threshold breath sample pressure PMAX, between a maximum threshold breath sample pressure and a minimum threshold breath sample pressure PMIN, or less than the minimum sample breath pressure PMIN; and
forming a diagnosis of any problems with the user's blowing technique based on said detected instantaneous volume V, flowrate F or pressure P values and providing at least a corrective coaching message to the user depending upon said diagnosis, wherein if the instantaneous flowrate F status is greater than FMAX, then the method is stopped and a correcting coaching message communicating that the instantaneous flowrate F status is greater than FMAX is displayed to the user.

US Pat. No. 11,109,802

INVASIVE SENSE MEASUREMENT IN PROSTHESIS INSTALLATION AND BONE PREPARATION


1. An apparatus for preparation of a cavity in a portion of bone, the cavity for insertion of a prosthesis, the prosthesis having a prosthesis profile, the cavity having a cavity profile with the cavity profile configured, responsive to the prosthesis profile, to retain the prosthesis within the cavity using a press fit fixation, comprising:a bone preparation device configured to provide a bone preparation force to the portion of bone; and
a sensing system physically coupled to said bone preparation device, said sensing system configured to provide a parametric evaluation of an estimated extractive force of an interface between the prosthesis, after an installation into the cavity, and the cavity.

US Pat. No. 11,109,801

METHOD OF MEASURING EFFICACY OF TREATMENT FOR AN AUTOIMMUNE DISEASE IN VIVARIUM ANIMALS

Recursion Pharmaceuticals...


1. A method of measuring efficacy of a first treatment of an autoimmune disease in a study animal in a vivarium comprising the steps of:(a) placing the study animal in a cage free of electronic penetrations in the vivarium and enrolling the study animal in a study;
(b) electronically observing one or more animal activities in real-time of the study animal using a combination of electronic cameras, infrared (IR) lighting of the study animals, and electronic hardware including computation and communication hardware;
(c) selecting a single “activity-drop metric” from the set: {regression analysis, LASSO, RANSAC, Monte Carlo} with an associated scalar “activity-drop value”;
(d) collecting a set of “nightly activity data” comprising values of the associated scalar activity drop value from electronically observing the study animal repeatedly and continually for a night;
(e) identifying automatically three consecutive time regions in the nightly activity data: a “high-activity region,” an “activity-drop region,” and a “low-activity region;”
(f) applying the activity-drop metric to the three consecutive regions, generating a nightly activity-drop value;
(g) adding the nightly activity-drop value into an “animal health dataset,” wherein the animal health dataset comprises the resulting nightly activity-drop values;
(h) iterating steps (b) through (g) for sequential nights until a terminating condition is reached;
wherein the study animal is housed in a home cage in the vivarium; and
wherein the collected data comprises the animal health dataset.
wherein the efficacy of the first treatment is a comparison of the animal health dataset to a reference treatment for the autoimmune disease;(i) removing the study animal from the study when the terminating condition is reached.


US Pat. No. 11,109,800

MEDICAL FLUID INJECTION APPARATUS AND METHOD WITH DETACHABLE PATCH AND MONITORING

ENABLE INJECTIONS, INC., ...


1. A method for measuring a health or physiological parameter from a subject, comprising:(a) providing (i) a patch comprising a first housing comprising a sensor, and (ii) an injector comprising a second housing, wherein said second housing encases a cannula, a fluid flow path, and a reservoir comprising a substance, wherein said cannula is in fluid communication with said fluid flow path, and wherein said fluid flow path is in fluid communication with said reservoir, wherein said first housing and said second housing are in a locked configuration such that said patch remains attached to said injector;
(b) securing said patch to a body of said subject;
(c) with said patch secured to said body of said subject, directing said cannula through an opening and into said body of said subject;
(d) subsequent to (c), (i) directing said substance from said reservoir to said fluid flow path, and (ii) directing said substance from said fluid flow path into said subject through said cannula, wherein subsequent to directing said substance into said subject, said first housing and said second housing are in an unlocked configuration such that said injector is removable from said patch;
(e) removing said injector from said patch to leave said patch secured to said body of said subject; and
(f) subsequent to (e), using said sensor to (i) measure said health or physiological parameter from said subject, and (ii) provide one or more outputs corresponding to said health or physiological parameter from said subject.

US Pat. No. 11,109,799

MODULAR TURN ASSIST APPARATUS AND METHOD THEREFOR

Hill-Rom Services, Inc., ...


1. A therapeutic support apparatus comprising:a user support surface extending along a longitudinal axis, the user support surface having a head section and a torso section, each of the head section and the torso section being operable to angle relative to the longitudinal axis,
an elevation unit operable to position at least one of the head section and torso section at angles relative to the longitudinal axis,
a monitor to acquire data related to a user while sleeping on the user support surface, and
an alarm operable to activate based on the data acquired by the monitor,
wherein at least one of the elevation unit and the alarm is activated in response to the data acquired by the monitor to control oxygen desaturation of the user,
wherein the elevation unit includes:a first plate coupled to a second plate at a hinge, and
at least one inflatable bladder positioned between the first plate and the second plate,

wherein the at least one inflatable bladder is operable to inflate and deflate to move the second plate to an angle relative to the first plate,
wherein the at least one inflatable bladder includes a head bladder and a torso bladder,
wherein the head bladder is operable to inflate and deflate to move a head section of the second plate to a head angle relative to the first plate, and
wherein the torso bladder is operable to inflate and deflate to move a torso section of the second plate to a torso angle relative to the first plate.

US Pat. No. 11,109,798

ADJUSTING ALARMS BASED ON SLEEP ONSET LATENCY

Apple Inc., Cupertino, C...


1. A method, comprising:receiving, by a computing device, indication of a desired sleep duration;
calculating, by the computing device, a suggested time for a user to go to sleep based on a scheduled alarm time, an average intended sleep time, the desired sleep duration, and an average sleep onset latency; and
presenting, by the computing device, a message including the suggested sleep time on a display of the computing device prior to the suggested sleep time.

US Pat. No. 11,109,796

ELECTRONIC DEVICE WHICH CAN BE ADHERED TO SKIN AND METHOD FOR MANUFACTURING THE SAME

AMOREPACIFIC CORPORATION,...


1. A skin-adherable electronic device, comprising:a semiconductor circuit unit—the semiconductor circuit unit including a circuit element including at least one of an electrode and an interconnect; and a semiconductor device including an insulating layer and an active layer; and
a flexible patch including a plurality of through-holes, wherein the flexible patch can adhere to skin,
wherein the insulating layer includes a plurality of through-holes corresponding to at least some of the plurality of through-holes of the flexible patch and the interconnect includes a plurality of through-holes corresponding to the plurality of through-holes of the insulating layer,
wherein the at least some of the plurality of through-holes of the flexible patch, the plurality of through-holes of the insulating layer and the plurality of through-holes of the interconnect include circular through-holes and dumbbell through-holes,
wherein the through-holes of the flexible patch, the through-holes of the insulating layer and the through-holes of the interconnect are aligned to form apertures, and
wherein skin surfaces are exposed to an air at the apertures when the said device adheres to a skin.

US Pat. No. 11,109,795

DEVICE AND METHOD FOR MEASURING AND DISPLAYING BIOELECTRICAL FUNCTION OF THE EYES AND BRAIN


1. A system for measuring electrical activity of a nervous system evoked from visual stimuli presented to an eye of a subject comprising:a. an electronic visual display device, for displaying visual stimuli to the subject;
b. a photosensor for sensing display of the visual stimuli to the subject by the electronic visual display device;
c. at least one electrode for receiving electrical signals resulting from the subject in response to the visual stimuli;
d. an analogue to digital converter that converts the electrical signals received from the subject to digital data;
e. a digital data storage medium for recording the digital data;
f. a central processing of a computer unit (CPU) with programming to cause the electronic visual display device to display the visual stimuli as a series of at least two images on a timing sequence; and
g. a synchronizer, which synchronizes each of at least two consecutive images of the visual stimuli from the electronic visual display device with the electrical signal received by the at least one electrode, said synchronizer synchronizing the electrical signals resulting from the subject in response to the visual stimuli with data from the photosensor corresponding to a beginning of a timing cycle for display of said at least two consecutive images;
wherein the system further comprises programming to cause the CPU to calculate signal averaged digital waveforms based on an average of the electrical signals received from the at least two consecutive images of the visual stimuli.

US Pat. No. 11,109,793

MEDICAL DEVICE FOR SENSING CARDIAC FUNCTION

ZOLL Medical Corporation,...


1. A medical device comprising:at least one electrode to sense an electrocardiogram (ECG) signal of a patient; and
a controller coupled to the at least one electrode, the controller being configured to:generate a first ECG template based on a first ECG signal of the patient received during a first baselining operation, wherein generating the first ECG template comprises storing the first ECG signal and determining a plurality of first filter parameters using the first ECG signal,
determine that the patient has been administered a therapeutic shock,
responsive to the determination that the patient has been administered the therapeutic shock, initiate a second baselining operation,
generate a second ECG template based on a second ECG signal of the patient recorded after the administration of the therapeutic shock and received during the second baselining operation, wherein generating the second ECG template comprises storing the second ECG signal and determining a plurality of second filter parameters using the second ECG signal, and
determine whether the patient is experiencing a cardiac event based on a comparison of the second ECG template to a real time ECG signal received during real time monitoring of the patient.


US Pat. No. 11,109,792

SIGNAL COLOR MORPHOLOGY

BIOSENSE WEBSTER (ISRAEL)...


1. A method of display of a plurality of measured signals in an electro cardiograph (ECG) device, the method comprising:monitoring the plurality of signals;
displaying signals on a first display, the signals being at least a subset of the monitored signals;
controlling a first voltage display level of the first display to provide display of at least one displayed measured signal with a height designed to examine details of the at least one displayed measured signal, the controlled first voltage display level of the at least one displayed measured signal being different from a voltage display of others of the at least one displayed measured signal; and
providing a second scale to the entirety of the plurality of signals displayed on the first display, the second scale being independent of the first voltage display level.

US Pat. No. 11,109,791

DIAGNOSIS AND MONITORING OF CARDIO-RESPIRATORY DISORDERS

ResMed Pty Ltd


1. A method of estimating a heart rate of a patient from an in-phase channel and a quadrature channel, each channel representing chest movement of the patient, the method comprising:in one or more processors,
processing the in-phase channel and the quadrature channel by relative demodulation to generate a jerk signal, wherein the relative demodulation comprises numerically differentiating the in-phase channel and the quadrature channel to produce a numeric derivative of the in-phase channel and a numeric derivative of the quadrature channel, and generating a chest velocity signal from the numeric derivative of the in-phase channel and the numeric derivative of the quadrature channel;
filtering the jerk signal with a cardiac band-pass filter to produce a cardiac jerk signal; and
generating a heart rate estimate from zero-crossings of the cardiac jerk signal.

US Pat. No. 11,109,790

PATCH INCLUDING AN EXTERNAL FLOATING HIGH-PASS FILTER AND AN ELECTROCARDIOGRAPH (ECG) PATCH INCLUDING THE SAME

SAMSUNG ELECTRONICS CO., ...


14. An electrocardiograph (ECG) patch, comprising:a first electrode configured to detect a first ECG signal;
a second electrode configured to detect a second ECG signal;
a high-pass filter configured to perform high-pass filtering on the first ECG signal to generate a first high-pass filtered signal, and to perform high-pass filtering on the second ECG signal to generate a second high-pass filtered signal; and
a signal processing unit configured to generate an ECG output signal based on a difference between the first ECG signal and the second ECG signal,
wherein the high-pass filter is further configured to generate a first bias voltage based on a driving voltage received from the signal processing unit and provide the first bias voltage to the first electrode, and to generate a second bias voltage based on the driving voltage and provide the second bias voltage to the second electrode,
wherein the signal processing unit is connected to a first node of the high-pass filter, the first node electrically connected to a first transmission line for providing the first bias voltage to the first electrode and a first wire for providing the second bias voltage to the second electrode,
wherein the high-pass filter comprises: a first resistor connected between a third transmission line and the first node connected to a fifth pad of the signal processing unit; and a second resistor connected between the first transmission line and the first node.

US Pat. No. 11,109,789

FIELD DEPLOYABLE BRAIN MONITOR AND METHOD

NeuroWave Systems Inc., ...


1. A portable brain monitoring system for determining a level of traumatic brain injury comprising:a disposable sensing system comprising an electrode array comprising a flexible substrate and at least two electroencephalogram (EEG) electrodes affixed to or embedded in the flexible adhesive substrate adapted to be applied to a subject's forehead, the at least two electrodes each having a signal, and sensing system electronics comprising at least one sensing system electronic component attached to the flexible substrate or integrated within the electrode array, the at least one sensing system electronic component comprising an input channel for receiving the signals from the at least two electrodes, at least one filter for removing noise or artifacts from the signals, and an output channel for transmitting the filtered signal or data based on the filtered signal;
a monitoring system comprising monitoring system electronics further comprising at least one monitoring system electronic component, in wired or wireless communication with the sensing system electronics for receiving the transmitted filtered signal, or data based on the filtered signal, and an algorithm for determining a numerical index of the level of traumatic brain injury of the subject based on EEG suppression of the transmitted signal or data, the monitoring system further comprising a display adapted for outputting the index of the level of traumatic brain injury; and
a therapy system for providing treatment to the subject based on the level of traumatic brain injury of the subject,
wherein the at least one sensing system electronic component further includes an analog to digital converter adapted for digitizing the filtered signal prior to transmission to the monitoring system.

US Pat. No. 11,109,788

CATHETER WITH FIBONACCI DISTRIBUTED ELECTRODES

Biosense Webster (Israel)...


1. A catheter comprising:an elongated catheter body having a distal portion and at least one lumen extending longitudinally therethrough; and
a mapping assembly mounted at the distal portion of the catheter body and comprising a plurality of splines, each of the splines having a proximal end disposed at the distal portion of the catheter body and a distal end and configured as a Fibonacci spiral arm that follows a portion of a Fibonacci sequence so as to diverge outwardly from the proximal end, wherein each of the splines comprises:
a support arm having shape memory;
a non-conductive covering in surrounding relation to the support arm; at least one location sensor mounted at or near the distal end;
a plurality of electrodes mounted in surrounding relation to the non-conductive covering; and
a plurality of electrode lead wires extending within the non-conductive covering, each electrode lead wire being attached to a corresponding one of the electrodes.

US Pat. No. 11,109,787

MULTI-TIP PROBE FOR OBTAINING BIOELECTRICAL MEASUREMENTS

Vine Medical LLC, Saint ...


1. A device for obtaining an electrical conductance reading from a bioelectric meridian point of a patient, the device comprising:a sensor head configured to contact a patient's skin at a first location;
a primary conductive tip positioned on the sensor head; and
an ancillary conductive tip positioned on the sensor head configured to contact a different portion of the patient's skin than the primary conductive tip;
wherein the primary conductive tip and the ancillary conductive tip are configured to contact the patient's skin when the sensor head is placed against the patient's skin;
wherein the primary conductive tip and the ancillary conductive tip are electrically isolated from each other to obtain independent measurements of electrical conductance when the sensor head is placed against the patient's skin;
wherein the device obtains a primary electrical conductance reading between the primary conductive tip and a grounding contact configured to contact the patient's skin at a second location; and
wherein the device obtains at least one ancillary electrical conductance reading between the ancillary conductive tip and the grounding contact.

US Pat. No. 11,109,786

INFORMATION PROVISION METHOD, INFORMATION PROCESSING SYSTEM, INFORMATION TERMINAL, AND INFORMATION PROCESSING METHOD

PANASONIC INTELLECTUAL PR...


1. A method for providing information in an information processing system, the method comprising:acquiring, via a network, biological gas information representing a concentration of 2-phenoxyethanol of a user detected with a sensor for detecting 2-phenoxyethanol released from a skin surface of the user;
obtaining reference information representing an upper limit of a normal range of the concentration of 2-phenoxyethanol per unit period of time, using a memory storing the reference information representing the upper limit of the normal range; and
outputting information related to stress of the user to an information terminal after it is determined that a frequency with which the concentration of the 2-phenoxyethanol of the user per unit period of time is more than the upper limit of the normal range tends to increase, based on the biological gas information acquired in a pregnancy period of the user.

US Pat. No. 11,109,785

FIVE-BEVEL CANNULA FOR BLOOD ACQUISITION DEVICES

Becton, Dickinson and Com...


1. A needle having a multi-beveled point comprising:a cannula having a lumen and defining a central axis therethrough and further defining a reference plane passing through the central axis and bisecting the cannula, the multi-beveled point provided at one end of the cannula,
wherein the multi-beveled point comprises:a primary bevel;
two middle bevels; and
two tip bevels,
wherein each of the middle bevels extends between the primary bevel and one of the tip bevels,
wherein the primary bevel is provided on the cannula at a first angle of inclination and a first angle of rotation, the two middle bevels are provided on the cannula at a second angle of inclination and a second angle of rotation, and the two tip bevels are provided on the cannula at a third angle of inclination and a third angle of rotation,
wherein the first angle of inclination, the second angle of inclination, and the third angle of inclination are inclined relative to the central axis,
wherein the first angle of rotation, the second angle of rotation, and the third angle of rotation are each defined relative to the reference plane perpendicular to the central axis,
wherein the first angle of inclination is between 8° and 12°,
wherein the second angle of inclination is between 15° and 20°,
wherein the third angle of inclination is greater than the second angle of inclination,
wherein the second angle of rotation is equal to the third angle of rotation such that the two middle bevels and the two tip bevels comprise outwardly directed surfaces having the same angle of rotation, wherein the second angle of rotation and the third angle of rotation are each between 30° and 50°, and
wherein intersects of the primary bevel and each of the middle bevels are located on one side of the reference plane, and the tip bevels are located on an opposite side of the reference plane.


US Pat. No. 11,109,784

METAL-ENZYME SANDWICH LAYERS

CALIFORNIA INSTITUTE OF T...


1. A sensing device comprising:a working electrode on a substrate;
wherein:
the working electrode comprises:a metallic layer contacting the substrate;
an enzyme layer on the metallic layer; and
a metallic porous layer on the enzyme layer,

the metallic layer, the enzyme layer, and the metallic porous layer are configured to detect a target analyte through an electrochemical reaction, and
the metallic porous layer is electrically connected to the metallic layer.

US Pat. No. 11,109,783

WIRELESS, DISPOSABLE, EXTENDED USE PULSE OXIMETER APPARATUS AND METHODS

True Wearables, Inc., Ra...


1. A pulse oximeter apparatus, comprising:an optical sensor, the optical sensor comprising a light emitter to emit light towards a measurement site and a light detector to detect light acquired from the measurement site;
a low energy wireless radio;
a processor operably connected to the optical sensor and the low energy wireless radio;
a battery operably connected to the optical sensor, the low energy wireless radio, and the processor; and
a memory for storing instructions, that when executed by the processor, cause operations of:modulating light emitted by the light emitter to cause the light detector to produce modulated analog waveform signals associated with photoplethysmographs;
demodulating and decimating the modulated analog waveform signals to produce demodulated and decimated waveform signals that are associated with photoplethysmographs; and
transmitting in substantially real-time, using the low energy wireless radio, the demodulated and decimated waveform signals associated with photoplethysmographs to a computing device to enable presentation of photoplethysmographs,

wherein the battery is within a housing and the optical sensor, the low energy wireless radio, the processor, and the memory are disposed on one or more printed circuit boards within the housing.

US Pat. No. 11,109,780

ECG-BASED GLUCOSE MONITORING SYSTEM

Anexa Labs LLC, Mountain...


1. A system for monitoring glucose values of a patient, the system comprising:at least two electrodes configured to output electrical data;
a display;
a memory;
a control system coupled to the memory comprising one or more processors, the control system configured to execute a machine executable code to cause the control system to:
receive a set of electrical data output from the at least two electrodes;
process the set of electrical data to output a set of electrocardiogram (ECG) features;
process the set of ECG features to output an ECG-based blood glucose level; and
store the ECG-based blood glucose level in the memory;
wherein process the set of ECG features to output the ECG-based blood glucose level comprises determining the ECG-based blood glucose level based on amplitude difference ratios of the set of ECG features and time difference ratios of the set of ECG features.

US Pat. No. 11,109,779

CHEMICAL MODIFICATION OF ANALYTE PERMEABLE MEMBRANE FOR ENHANCED OXIDATIVE STABILITY

Senseonics, Incorporated,...


1. A sensor comprising:a sensor housing;
an indicator element embedded within and/or covering at least a portion of the sensor housing;
a membrane over at least a portion of the indicator element, wherein the membrane comprises an inner surface and an outer surface;
a coating on one of the inner and outer surfaces of the membrane, wherein the coating reduces deterioration of the indicator element by catalyzing degradation of reactive oxygen species (ROS); and
a layer on the outside of the indicator element, wherein the layer is between the indicator element and the membrane and reduces deterioration of the indicator element by catalyzing degradation of ROS.

US Pat. No. 11,109,778

WALKING ASSISTANCE METHOD AND APPARATUSES

Samsung Electronics Co., ...


1. A walking assistance method comprising:measuring a left joint angle and a right joint angle of a user;
determining a state variable of a joint motion, based on an angle difference between the left joint angle and the right joint angle;
setting a delay time associated with an output timing of torque;
generating a torque profile based on the state variable and the delay time; and
outputting torque by controlling motors based on the torque profile such that the output timing of the torque is delayed until after expiration of the delay time.

US Pat. No. 11,109,777

KINETIC ASSESSMENT AND ALIGNMENT OF THE MUSCULAR-SKELETAL SYSTEM AND METHOD THEREFOR

Orthosensor, Inc., Dania...


1. An orthopedic measurement system for kinetic assessment comprising:a device having a surface configured to couple to a joint of a musculoskeletal system comprising one or more sensors configured to measure one or more parameters;
a computer configured to receive measurement data from one or more sensors;
a display coupled to the computer wherein the display includes a graphical user interface, wherein a memory and one or more processors of the computer are configured to execute one or more programs stored in the memory, wherein the graphical user interface includes a graphical depiction of a portion of a surface of the device that is configured to couple to the joint, wherein a contact point is displayed on the graphical depiction of the portion of the surface of the device, wherein the computer is configured to use the measurement data to calculate a contact point location on the graphical depiction of the portion of the surface of the device, and wherein the contact point is configured to move in real-time corresponding to a change in the measurement data.

US Pat. No. 11,109,776

QUANTIFYING PROBE DEFLECTION FOR IMPROVED CATHETER IDENTIFICATION

KONINKLIJKE PHILIPS N.V.,...


1. A system, comprising:a shape sensing enabled device having a body which includes one or more imaging devices and a plurality of optical fibers that are distributed through a length of the shape sensing enabled device, wherein there is a greater concentration of the optical fibers in portions of the shape sensing enabled device which are closer to the one or more imaging devices than in portions which are farther away from the one or more imaging devices;
a shape sensing module configured to receive optical signals from the plurality of optical fibers and to interpret the optical signals to determine a shape of the shape sensing enabled device;
a device positioning module configured to determine position information of the one or more imaging devices based upon: (1) spatial relationships between the plurality of optical fibers and the one or more imaging devices, and (2) the determined shape of the shape sensing enabled device; and
a mapping module configured to register frames of reference of the plurality of optical fibers, the one or more imaging devices, and a mapping system of a target device, wherein the mapping system of the target device determines a mapped position of the target device,
wherein the mapping module is configured to provide an adjustment of the mapped position of the target device to determine a true position of the target device, wherein the adjustment is based on the position information of the one or more imaging devices, and wherein the true position takes into account deflection and/or bending of the shape sensing enabled device.

US Pat. No. 11,109,775

SHAPE SENSING ASSISTED MEDICAL PROCEDURE

KONINKLIJKE PHILIPS N.V.,...


1. A method, comprising:determining a planned pathway in a biological body to a target through a three-dimensional image of a distributed pathway system in the biological body;
introducing a shape sensing enabled elongated device into the distributed pathway system;
measuring a shape of the elongated device in the distributed pathway system;
comparing the shape of the elongated device with a shape of the planned pathway in the three-dimensional image to determine a location of the elongated device on the planned pathway;
determining movements of the elongated device at branching pathways within the distributed pathway system to maintain the elongated device on the planned pathway, wherein the determining movements comprises computing constraints on the movements which result in a deviation from the planned pathway; and
restraining the elongated device when the movements cause the elongated device to enter constrained areas automatically orienting a distal tip of the elongated device at at least one position in a branching of the distributed pathway system so that the distal tip points in a direction along the planned pathway.

US Pat. No. 11,109,774

FLAT LOCATION PAD USING NONCONCENTRIC COILS

BIOSENSE WEBSTER (ISRAEL)...


1. A field generator, comprising:three non-concentric orthogonal coils
wherein the three non-concentric orthogonal coils comprise a first coil, a second coil, and a third coil, wherein in the field generator the first coil and the second coil are located side-by-side and the third coil is located around the first coil and the second coil,
the first coil comprising first wires wrapped around a first core,
the second coil comprising second wires wrapped around a second core,
the third coil comprising third wires wrapped around the first coil, the second coil, and a third core,
wherein the first coil and the second coil are disposed on the third core.

US Pat. No. 11,109,773

TREATING PATIENTS WITH TTFIELDS WITH THE ELECTRODE POSITIONS OPTIMIZED USING DEFORMABLE TEMPLATES

Novocure GmbH, Root (CH)...


1. A method for improving treatment of a tumor using Tumor Treating Fields (TTFields), the method comprising:receiving, by a processor of a computer system, a three-dimensional image of a body area of a patient;
identifying portions of the image that correspond to abnormal tissue;
generating a data set corresponding to the image with the abnormal tissue masked out;
retrieving a model template from a memory device of the computer system, the model template comprising tissue probability maps that specify positions of a plurality of tissue types in a corresponding body area of a healthy individual that is distinct from the patient;
deforming the model template in space so that features in the deformed model template line up with corresponding features in the data set;
modifying portions of the deformed model template that correspond to the masked-out portion of the data set so that the modified portions represent the abnormal tissue;
generating a model of electrical properties of tissues in the body area based on (a) the positions of the plurality of tissue types in the deformed and modified model template and (b) a position of the abnormal tissue in the deformed and modified model template;
determining an electrode placement layout that maximizes field strength in at least a portion of the abnormal tissue by using the model of electrical properties to simulate electromagnetic field distributions in the body area caused by simulated electrodes placed at a plurality of different sets of candidate positions respective to the body area, and selecting one of the sets;
placing the electrodes respective to the body area of the patient based on the determined electrode placement layout; and
using the placed electrodes to apply TTFields to the body area.

US Pat. No. 11,109,772

DEVICES, SYSTEMS, AND METHODS TO EVALUATE CARDIOVASCULAR FUNCTION

CVDevices, LLC, San Dieg...


1. A method of determining an index of heart function, the method comprising the steps of:introducing an impedance device into a pericardial space on the surface of a heart, the impedance device comprising a first excitation electrode, a second excitation electrode, a first detection electrode, and a second detection electrode;
measuring a total conductance during a cardiac cycle using the first detection electrode and the second detection electrode, the total conductance including a parallel conductance and indicative of conductance of a heart wall, conductance of a ventricle adjacent to the heart wall, and conductance within the pericardial space; and
generating an efficiency model of the heart from the total conductance, the total conductance including the parallel conductance.

US Pat. No. 11,109,771

SYSTEM AND METHOD FOR NON-INVASIVELY DETERMINING AN INDICATION AND/OR AN ASSESSMENT OF INTRACRANIAL PRESSURE

Vivonics, Inc., Bedford,...


1. A system for non-Invasively determining an indication or an assessment of Intracranial pressure (ICP), the system comprising:at least one intracranial light source adapted to be placed on skin above a cranium of a living subject configured to emit light which penetrates the cranium and targets intracranial space of the living subject;
at least one extracranial light source adapted to be placed on skin above a predetermined area of the living subject configured to emit light which penetrates and targets extracranial space of the living subject;
a detector subsystem including at least a first detector configured to detect reflected light from the intracranial space and light refected from the extracranial space and configured to output intracranial output signals associated with light detected from the intracranial space and output extracranial output signals associated with the light detected from the extracranial space; and
a processing subsystem coupled to the at least one intracranial light source, the at least one extracranial light source, and the detector subsystem, the processing subsystem configured to determine intracranial oxygen saturation and extracranial oxygen saturation and non-invasively determine the indication or the assessment of ICP using a ratio of the intracranial oxygen saturation to the extracranial oxygen saturation.

US Pat. No. 11,109,770

PATIENT MONITORING SYSTEM

Masimo Corporation, Irvi...


1. A method of determining one or more blood pressure measurements, the method comprising:inflating an inflatable cuff configured to encompass a limb of a monitored patient using a gas reservoir storing compressed gas;
receiving a plurality of data signals from one or more sensors configured to measure pressure inside the inflatable cuff during the inflating of the inflatable cuff;
determining blood pressure data of the monitored patient based at least in part on the plurality of data signals;
receiving one or more configuration parameters from a user interface;
removing a first plurality of noise produced during the inflating of the inflatable cuff from the blood pressure data using a first filter to obtain first filtered blood pressure data, wherein the first filter is based at least in part on the one or more configuration parameters, wherein the first filtered blood pressure data is a first measure of pressure;
transforming the first filtered blood pressure data to determine a pulse based at least in part on one or more transforms, wherein the pulse is a measure of frequency;
determining a second filter based at least in part on the determined pulse;
removing a second plurality of noise produced during the inflating of the inflatable cuff from the first filtered blood pressure data using the second filter to obtain second filtered blood pressure data, wherein the second filtered blood pressure data is a second measure of pressure;
determining a systolic pressure and a diastolic pressure of the monitored patient based at least on the second filtered blood pressure data;
determining one or more of the systolic pressure or the diastolic pressure satisfy the one or more configuration parameters;
based at least in part on determining one or more of the systolic pressure or the diastolic pressure satisfy the one or more configuration parameters, deflating the inflatable cuff by releasing the compressed gas from the inflatable cuff; and
causing display, via the user interface, of physiological parameter information based on at least one of the systolic pressure or the diastolic pressure.

US Pat. No. 11,109,769

BLOOD PRESSURE MEASURING APPARATUS AND PHYSICAL FEATURE INFORMATION CALCULATING METHOD

OMRON HEALTHCARE Co., Ltd...


1. A blood pressure measuring apparatus which is adapted to be worn on a wrist of a person to be measured to measure a blood pressure value of the person to be measured, the blood pressure measuring apparatus comprising:a triaxial acceleration sensor; and
a controller, wherein the controller is configured:
to output information for guiding an arm of the person to be measured on which the blood pressure measuring apparatus is worn, to a first posture and a second posture where a position of the wrist differs in the first posture and the second posture;
to determine that the arm has been in both the first posture and the second posture, based on an output signal of the triaxial acceleration sensor after the output of the information; and
to calculate physical feature information associated with an upper limb of the person to be measured based on moving acceleration information detected by the triaxial acceleration sensor in a period between when the arm is in a one posture of the first posture and the second posture and when the arm is in an other posture of the first posture and the second posture,
wherein, in the first posture and the second posture, a position of a shoulder and a position of an elbow of the person to be measured are unchanged but a direction connecting the elbow and the wrist to each other is different, and
wherein the controller is further configured to calculate a distance between the elbow and the wrist of the person to be measured based on the moving acceleration information,
wherein, in the first posture, the shoulder, the elbow, and the wrist of the person to be measured are linearly arranged parallel to a gravity direction,
wherein, in the second posture, the shoulder and the elbow of the person to be measured are linearly arranged parallel to the gravity direction, and an angle between the direction connecting the elbow and the wrist of the person to be measured to each other and the gravity direction is larger than 90°, and
wherein calculating the distance between the elbow and the wrist also uses first acceleration information detected by the triaxial acceleration sensor when the arm is in the first posture and second acceleration information detected by the triaxial acceleration sensor when the arm is in the second posture.

US Pat. No. 11,109,768

TONOMETRY BASED BLOOD PRESSURE MEASUREMENTS USING A TWO-DIMENSIONAL FORCE SENSOR ARRAY

Northwestern University, ...


1. An apparatus for determining a blood pressure of a subject human being for ambulatory monitoring, the apparatus comprising:a pressure sensor array having a plurality of pressure sensors spaced-apart in at least two dimensions; and
a processor coupled to the pressure sensor array, the processor adapted to:receive a plurality of pressure sensor signals, one or more of the pressure sensor signals having data representing amplitudes of one or more arterial pressure waves;
determine a frequency content of each of the one or more of the pressure sensor signals having data;
select one or more pressure sensor signals to form a first plurality of selected pressure sensor signals;
select one or more pressure sensor signals within a predetermined deviation of a mean of the first plurality of selected pressure sensor signals to form a second plurality of selected pressure sensor signals;
determine, for each pressure sensor signal in the second plurality of selected pressure sensor signals, a cross-coherence with each nearest neighbor pressure sensor signal;
identify a pressure sensor signal having a highest mean cross-coherence; and
determine, based on the pressure sensor signal having the highest mean cross-coherence, a systolic blood pressure value and a diastolic blood pressure value.


US Pat. No. 11,109,767

APPARATUS, SYSTEMS AND METHODS FOR OBTAINING CLEANER PHYSIOLOGICAL INFORMATION SIGNALS

Valencell, Inc., Raleigh...


1. An earpiece module, comprising:a housing configured to be attached to an ear of a person;
a first audio sensor within the housing configured to detect auscultatory sounds from an ear canal of the ear that are modulated by a tympanic membrane of the ear, and to generate a physiological information signal from the auscultatory sounds;
a second audio sensor within the housing and oriented in a direction towards an outside environment of the person, wherein the second audio sensor is configured to detect sounds external to the person including voice sounds and footstep sounds, and to generate an environmental information signal from the external sounds;
an acoustical buffer located between the first and second audio sensors; and
at least one processor configured to receive the physiological information signal and the environmental information signal, wherein the at least one processor is configured to process the external sounds in the physiological information signal and the environmental information signal based on a vibrational response of the tympanic membrane to reduce the voice sounds and the footstep sounds from the physiological information signal and generate a processed physiological information signal containing cleaner physiological information than is contained within the physiological information signal.

US Pat. No. 11,109,766

FLUID FLOW MEASUREMENT SYSTEMS AND METHODS

ACIST Medical Systems, In...


1. A system comprising:a catheter assembly including an intravascular measuring device comprising an intravascular ultrasound imaging probe having a measurement module configured to emit and receive energy and generate ultrasound measurement data, the catheter assembly configured to introduce a quantity of fluid into a vessel of a patient; and
a measurement engine in communication with the intravascular measuring device comprising at least one processor, the measurement engine configured to:receive the ultrasound measurement data from the intravascular measuring device;
generate, using the at least one processor, a speckle density value based on the ultrasound measurement data, the speckle density value corresponding to a concentration of structure in the vessel that is too small to be resolved by the intravascular ultrasound imaging probe, wherein when the quantity of fluid is introduced into the vessel the speckle density value is relatively high compared to the speckle density value when the intravascular ultrasound imaging probe is surrounded by the quantity of fluid;
determine a fluid flow travel start time associated with an introduction of the quantity of fluid into a predetermined portion of the vessel;
determine a fluid flow travel end time as being when the speckle density crosses a first predetermined speckle density threshold using the at least one processor;
calculate, using the at least one processor, an elapsed fluid flow travel time based on the fluid flow travel start time and the fluid flow travel end time; and
calculate, using the at least one processor, a flow rate of the quantity of fluid through the vessel based on the elapsed fluid flow travel time and a travel distance of the quantity of fluid during the elapsed fluid flow travel time.


US Pat. No. 11,109,765

WEARABLE THERMOMETER PATCH COMPRISING A TEMPERATURE SENSOR ARRAY

VivaLnk, Inc., Campbell,...


1. A wearable thermometer patch for monitoring temperature on a user's skin, comprising:a circuit substrate comprising an electric circuit and a plurality of through holes; and
a two-dimensional array of temperature probe units each mounted in one of the plurality of through holes in the circuit substrate, wherein the temperature probe units are protruded below a lower surface of the circuit substrate, wherein the two-dimensional array is distributed in a plane parallel to the circuit substrate,
wherein each of the temperature probe units comprises a temperature sensor in electric connection with the electric circuit in the circuit substrate,
wherein the temperature probe units are configured to measure temperature values on a user's skin at different positions defined by the two-dimensional array.

US Pat. No. 11,109,764

SINGLE HEAT FLUX SENSOR ARRANGEMENT

KONINKLIJKE PHILIPS N.V.,...


1. A heat flux sensor arrangement for measuring a core body temperature of a subject, comprising:a sensor comprising a thermally insulating layer of thermally insulating material, an inner temperature sensor arranged at an inner region of the thermally insulating layer, and an outer temperature sensor arranged at an outer region of the thermally insulating layer;
a heater configured to raise a temperature in the thermally insulating layer; and
a processing unit configured to receive a temperature input from the inner temperature sensor, to receive a temperature input from the outer temperature sensor, to calculate a value of thermal resistivity R0 of the subject according to





wherein T11 is a first inner temperature sensor temperature value, T12 is a second inner temperature sensor temperature value, T21 is a first outer temperature sensor temperature value, T22 is a second outer temperature sensor temperature value, and R1 is thermal resistivity of the thermally insulating layer, andto calculate the core body temperature of the subject based on the calculated thermal resistivity R0 of the subject.

US Pat. No. 11,109,763

PHOTOACOUSTIC CATHETER AND IMAGING SYSTEM USING SAME


1. A photoacoustic catheter, including: an elongated catheter body having a lumen defined therethrough and a housing positioned at or near a distal end of the elongated catheter body, the housing defining an aperture therethrough;a length of multimode fiber extending through at least part of the lumen of the elongated catheter body, the multimode fiber having an axis along its length, whereby a distal end of the multimode fiber is beveled at or about 45° to the axis and is located within the housing;
an electrical wire extending along the elongated catheter body;
an ultrasonic transducer electrically connected to the electrical wire, whereby at least a portion of the ultrasonic transducer is positioned within the housing;
and a mirror element positioned within the housing and including a mirror surface beveled at or about 45° to the axis of the multimode fiber;
whereby the ultrasonic transducer transmits an ultrasonic wave toward the distal end of the multimode fiber and the distal end of the multimode fiber redirects the ultrasonic wave toward the mirror surface of the mirror element,
wherein the multimode fiber transmits an optical wave toward the mirror surface of the mirror element, and both the optical wave and the ultrasonic wave each reflect collinearly from the mirror surface of the mirror element and out of the aperture to obtain optical data and ultrasonic data within a mammalian luminal organ.

US Pat. No. 11,109,762

USER WEARABLE FLUORESCENCE ENABLED VISUALIZATION SYSTEM

Designs for Vision, Inc.,...


1. A vision enhancement system comprising:a light assembly comprising:a plurality of lighting elements, said plurality of lighting elements being arranged concentrically about a central axis extending from said light assembly, wherein each of said plurality of lighting elements is oriented to project a light generated by a corresponding one of said plurality of lighting elements to a common point along said central axis, each of said lighting elements comprises;at least one lighting source, said at least one lighting source configured to:emit a light, wherein said emitted light is at least one of: a white light and at least one colored light;


an electronic circuit comprising:a switch; and
a switch control, said switch control configured to:control said switch to apply a voltage to at least one of said plurality of lighting elements;


a viewing device configured to:view a second light, said second light comprising:at least one of: said emitted light and a light generated by an interaction of said emitted light with an object, said viewing device comprising:
?a filtering system, said filtering system configured to:
attenuate a light within a wavelength band of said second light below a known wavelength value, wherein said known wavelength value is within a wavelength band associated with said emitted at least one colored light, and
?allow passage of a light within said wavelength band of said second light above said known value, wherein a wavelength of said light generated by said interaction of said emitted light with said object is greater than said known value.




US Pat. No. 11,109,761

HIGH SIGNAL-TO-NOISE RATIO LIGHT SPECTROSCOPY OF TISSUE

OMNI MEDSCI, INC., Ann A...


1. A diagnostic system comprising:a light source configured to generate an output optical beam, comprising:
one or more semiconductor sources configured to generate an input beam;
one or more optical amplifiers configured to receive at least a portion of the input beam and to deliver an intermediate beam to an output end of the one or more optical amplifiers;
one or more optical fibers configured to receive at least a portion of the intermediate beam and to deliver at least the portion of the intermediate beam to a distal end of the one or more optical fibers to form a first optical beam;
a nonlinear element configured to receive at least a portion of the first optical beam and to broaden a spectrum associated with the at least a portion of the first optical beam to at least 10 nanometers through a nonlinear effect in the nonlinear element to form the output optical beam with an output beam broadened spectrum; and
wherein at least a portion of the output beam broadened spectrum comprises a near-infrared wavelength between 600 nanometers and 1000 nanometers;
and
an interface device configured to receive a received portion of the output optical beam and configured to deliver a delivered portion of the output optical beam to a tissue sample, wherein the interface device comprises a cap with one or more fiber leads configured to couple to at least one of the light source and a receiver, the receiver comprising one or more detectors;
wherein the receiver is configured to receive at least a portion of a diffuse spectroscopy output beam that results from light diffusion of the delivered portion of the output optical beam into a top two (2) millimeters or more of the tissue sample and configured to process the portion of the spectroscopy output beam to generate an output signal that monitors absorption or scattering features of the tissue sample;
wherein the tissue sample comprises at least in part brain tissue, and the output signal provides information related to oxy- and deoxy-hemoglobin, or related to metabolism.

US Pat. No. 11,109,760

IMAGING CATHETER SYSTEM

INDUSTRY-UNIVERSITY COOPE...


1. An imaging catheter system comprising:a pulsed autofluorescence light source;
an OCT device;
a catheter device configured to receive rays from the pulsed autofluorescence light source and an OCT light source of the OCT device and configured to scan a specimen;
an optical detector unit configured to detect autofluorescence generated from the specimen; and
a first optics system configured to transfer the autofluorescence generated from the specimen to the optical detector unit and configured to transfer a ray of the OCT light source reflected from the specimen to the OCT device,
wherein the first optics system comprises:
a first collimator configured to receive the rays from the pulsed autofluorescence light source and the OCT light source and configured to transfer the rays to the catheter device via a double-clad fiber,
wherein the autofluorescence generated from the specimen is transferred to the optical detector unit via the double-clad fiber,
wherein a first time at which the autofluorescence generated from the specimen is detected at the optical detector unit is later by a threshold time or more than a second time at which autofluorescence generated by a core of the double-clad fiber of the first collimator is detected at the optical detector unit,
wherein a length from one end of the double-clad fiber joined to the first collimator up to a lens of a catheter where the rays of the light sources are outputted is determined according to the threshold time,
wherein the threshold time is determined by a fluorescence lifetime of the autofluorescence generated by the core of the double-clad fiber of the first collimator, and
wherein the autofluorescence generated by the core of the double-clad fiber is generated before the autofluorescence generated from the specimen.

US Pat. No. 11,109,759

APPARATUS AND METHOD FOR ASSESSMENT OF INTERSTITIAL TISSUE

Physical Sciences, Inc., ...


1. A hand-held optical coherence tomography (OCT) system for sample imaging comprising:an optical probe positioned and movable within a guidance needle configured to be inserted into the sample;
an optical scale on the optical probe;
a position sensor spatially positioned relative to the optical scale, the position sensor and the optical scale configured to detect linear movement of the optical probe relative to the guidance needle by more than a predetermined amount and in response generating a trigger signal to record an OCT A-line of the sample at every incremental movement of the optical probe more than said predetermined amount;
a processor unit responsive to the trigger signal and configured to store the OCT A-line each time the optical probe moves relative to the guidance needle tip by more than said predetermined amount and to append said OCT A-lines recorded at different positions into a data array used to form a cross-sectional OCT image of the sample.

US Pat. No. 11,109,758

OPTICAL IMAGING OR SPECTROSCOPY SYSTEMS AND METHODS

The Trustees of Columbia ...


1. An imaging device, comprising:an objective;
a light source;
a scanning/de-scanning optical assembly having a first moving light-redirecting element that routes illumination light from the light source, through the objective in a proximal-to-distal direction, and scans a resulting beam across a target region;
a light detector with a one or two dimensional array of detector elements, each providing a respective luminance signal;
the scanning/de-scanning optical assembly being arranged with respect to the objective, the light source, and the light detector such that after light received from the target region passes through the objective in a distal-to-proximal direction, the first moving light-redirecting element routes the received light to the light detector such that optical responses arising at multiple depths in the target region are concurrently imaged onto respective different detector elements within the light detector, such that a resulting image resolves depth information about the optical responses at the multiple depths, with optical responses obtained at distances that are farther from the incident light beam location corresponding to light that has penetrated more deeply into the target region.

US Pat. No. 11,109,757

REMOTE MONITORING OF ANALYTE MEASUREMENTS

DexCom, Inc., San Diego,...


1. A method for enabling remote monitoring of an analyte concentration state of a host, the method comprising:receiving, at a mobile host monitoring apparatus operably coupled to a transcutaneous analyte sensor, analyte sensor data associated with a host derived from the transcutaneous analyte sensor;
designating, at the mobile host monitoring apparatus, a mobile remote monitoring apparatus for receiving an invitation for remotely monitoring an analyte concentration state of the host, wherein the invitation enables the mobile remote monitoring apparatus to receive one or more notification messages containing information indicative of the analyte concentration state of the host generated based on the analyte sensor data;
establishing, at the mobile host monitoring apparatus, one or more rule settings associated with the analyte concentration state of the host, wherein in response to receiving an indication of an acceptance of the invitation the remote monitoring apparatus is configured to receive the one or more notification messages based on a set of rule settings initially established based on the one or more rule settings and wherein at least one rule of the set of rule settings is later modifiable by the mobile remote monitoring apparatus; and
triggering a notification message containing analyte information indicative of analyte concentration of the host to be sent to the mobile remote monitoring apparatus, wherein the notification message is provided for display at the mobile remote monitoring apparatus based on the set of rule settings including any modifications to the at least one rule of the set of rule settings by the mobile remote monitoring apparatus.

US Pat. No. 11,109,756

INTELLIGENT WIRELESS COMMUNICATIONS FOR CONTINUOUS ANALYTE MONITORING

DexCom, Inc., San Diego,...


1. A computer-implemented method, comprising:receiving sensor information;
calculating and storing estimated analyte measurement values based upon the received sensor information;
determining one or more communication conditions including an existence of an alarm condition;
instructing a transceiver to advertise to at least a first display device according to a type of communication, the transceiver switching between one-way communication and two-way communication according to the existence of the alarm condition; and
transmitting the estimated analyte measurement values to the at least first display device.

US Pat. No. 11,109,755

ANALYTE SENSOR TRANSCEIVER CONFIGURED TO PROVIDE TACTILE, VISUAL, AND/OR AURAL FEEDBACK

Senseonics, Incorporated,...


1. A system for detecting an amount or concentration of an analyte in vivo within a living organism, said system comprising:an analyte sensor configured to detect the analyte within the living organism;
an external device;
an accelerometer configured to generate motion information; and
an on-body, wearable transceiver including:an interface device configured to receive data signals from the analyte sensor;
a communication circuit; and
a processor configured to (i) calculate an analyte concentration value based on one or more of the received data signals from the analyte sensor, (ii) use the motion information to determine a state of the living organism, (iii) use the determined state of the living organism to select among different analyte pattern recognition parameters for different states, (iv) use the calculated analyte concentration value to determine whether the selected analyte pattern recognition parameters are met, (v) generate a signal to initiate a vibratory alert if the selected analyte pattern recognition parameters are met, and (vi) control the communication circuit to transmit data to the external device.


US Pat. No. 11,109,754

OPHTHALMIC MEASUREMENT DEVICE

TOPCON CORPORATION, Toky...


1. An ophthalmic measurement device, comprising:an illuminating optical system having an illumination light source that illuminates an eyeground of a subject's eye;
a light receiving optical system having a Hartman plate and a light receiving unit, the Hartman plate configured to split the flux of reflected light that is reflected back from the eyeground of the subject's eye into multiple light fluxes, and the light receiving unit configured to receive light fluxes that are obtained as a result of splitting by the Hartman plate; and
a computing unit that calculates optical characteristics of the subject's eye from data of a tilt angle of the light flux obtained by the light receiving optical system;
wherein the illumination light source is disposed at a predetermined position;
a structure for moving light focusing positions of the illuminating optical system and the light receiving optical system is not provided;
wherein an optical path length of the illuminating optical system is fixed, and the predetermined position of the illumination light source is set so that the optical path length is shorter than the optical path length in a case of focusing light on the eyeground in measuring the subject's eye with 0 D; and
wherein the optical path length is set in a range that is approximately 2.5 to 3 mm shorter than the optical path length in measuring the subject's eye with 0 D.

US Pat. No. 11,109,753

TISSUE RETRACTOR AND METHOD OF USE

Globus Medical, Inc., Au...


1. A retractor system comprising:a retractor frame comprising first, second, and third arms;
a first blade coupled to a distal end of the first arm, a second blade coupled to a distal end of the second arm, and a third blade coupled to a distal end of the third arm, wherein when in a closed position, the first, second, and third blades are radially disposed around a central bore having a diameter, and when in an open position, the first and second blades are configured to be angulated and the third blade is configured to be linearly translated and angulated to enlarge the diameter of the central bore; and
a first actuator coupled to one of the first, second, or third arm, wherein the first actuator is movable with respect to the one of the first, second, or third arm while remaining engaged with the one of the first, second, or third arm to angulate the one of the first, second, or third arm and angulate the first, second, or third blade, corresponding to the arm to which the first actuator is coupled
wherein the angulation of the first, second, or third blade is an infinite angle adjustment.

US Pat. No. 11,109,752

DENTAL CARIES DIAGNOSIS DEVICE

NIHON UNIVERSITY, Tokyo ...


1. A dental caries diagnosis device, comprising:a light source configured to emit examination light;
a head portion which is inserted into a mouth without coming in contact with a tooth or a gum, projects the examination light toward a tooth, and is attachable and detachable;
a light receiving unit configured to receive the examination light with which the tooth has been irradiated; and
a filter which is disposed in front of the light receiving unit and which is configured to remove a noise component from a received light,
wherein the light receiving unit is connected to a cable which is exposed from the head portion and through which light passes,
the light source is connected to the head portion by an optical fiber light guide,
the head portion includesa pair of side wall portions having a tooth accommodation space and disposed to face each other such that the side wall portions surround the accommodation space, and
a pair of termination points for the optical fiber light guide connected to the light source provided in the pair of side wall portions and configured to irradiate the examination light toward each other and to the tooth, and

the light receiving unit receives the examination light that has been transmitted through the tooth in a direction different from a facing direction of the pair of termination points for the optical fiber light guide and has gone out thereof.

US Pat. No. 11,109,751

ILLUMINATION SYSTEM FOR AN ENDOSCOPE


1. An endoscope comprising:a handle comprising a hollow handle housing; and
an insertion tube extending from the handle towards a distal end of the endoscope, the insertion tube having a tip part at the distal end of the endoscope, said tip part comprising an illumination arrangement adapted for emitting light emanating from a light source,
wherein said illumination arrangement comprises an elongated single-piece light guide including a proximal light guide end having a central axial bore and a cross-section, the elongated single-piece light guide also including at least one distal light guide end having a cross-section, wherein the central axial bore of the proximal light guide end is adapted for receiving at least one light fiber and the at least one distal light guide end has an end surface adapted for emitting the light received through the central axial bore from the light source, and
wherein the cross-section of the proximal light guide end differs from a cross-section of at least one other part of the light guide.

US Pat. No. 11,109,750

PIXEL ARRAY AREA OPTIMIZATION USING STACKING SCHEME FOR HYBRID IMAGE SENSOR WITH MINIMAL VERTICAL INTERCONNECTS

DePuy Synthes Products, I...


1. An imaging sensor comprising:a plurality of substrates including at least a first substrate and a second substrate;
wherein the first substrate comprises a pixel array comprising a plurality of pixel columns;
wherein the second substrate comprises a plurality of supporting circuits arranged in a plurality of circuit columns, wherein the plurality of supporting circuits comprise signal processing circuits that receive data from pixels of the pixel array, wherein at least one circuit column at least partially overlaps at least two pixel columns;
a plurality of pixel column buses and a plurality of circuit column buses;
a plurality of interconnects, wherein at least one interconnect provides for electrical communication between one circuit column bus and at least one pixel column bus;
wherein at least a portion of each of the plurality of pixel column buses is superimposed with at least a portion of each of the corresponding plurality of circuit column buses;
wherein said at least one interconnect is located anywhere along the superimposition of one pixel column bus and one corresponding circuit column bus;
wherein the second substrate is disposed remotely relative to said first substrate.

US Pat. No. 11,109,749

ENDOSCOPE

OLYMPUS CORPORATION, Tok...


1. An endoscope comprising an insertion portion that includes a distal end portion, and a bending portion configured to change a direction of the distal end portion, the bending portion being provided so as to extend from the distal end portion, wherein:the distal end portion includes a casing having a round shape in a cross-section, and an image pickup module that includes an optical module section including a plurality of optical members and an image pickup sensor, the image pickup module having a rectangular shape in a cross-section;
the image pickup module includes a semiconductor stack in which a plurality of semiconductor devices is stacked;
an entirety of the image pickup module is completely housed inside the casing;
an end of an operation wire configured to bend the bending portion is fixed in a space over a side face of the image pickup module; and
a maximum length of a cross-section of the space is no less than 100% and no more than 112.5% of an outer dimension of the fixed end;
the operation wire having a round shape in a cross-section; and
a diameter R50 of the operation wire, a length D30 of the image pickup module and a diameter R40 of the casing meet the following expression:(R50+D30+R50)?R40?1.25×(R50+D30+R50).


US Pat. No. 11,109,746

INSTRUMENT INSERTION SYSTEM, METHOD, AND APPARATUS FOR PERFORMING MEDICAL PROCEDURES

TITAN MEDICAL INC., Toro...


1. An insertion device for a single port robotic surgery apparatus, the insertion device comprising:a housing including a plurality of instrument channels and a plurality of openings:the plurality of instrument channels being positioned in an interior of the housing and extending along substantially an entire length of the housing, the plurality of instrument channels configured to removably house a plurality of surgical instruments; and
the housing including a rear exterior surface having the plurality of openings, the plurality of openings providing access to the plurality of instrument channels and configured to facilitate insertion of the plurality of surgical instruments into the plurality of instrument channels; and

an illumination device supported at least partially at the rear exterior surface of the housing and positioned proximal to the plurality of openings, the illumination device configured to illuminate the openings to facilitate insertion of the plurality of instruments through the plurality of openings.

US Pat. No. 11,109,745

ENDOSCOPE


1. An endoscope having a proximal end and a distal end, said endoscope comprising:a handle at the proximal end;
an operating member arranged at the handle;
an insertion tube extending from the handle towards the distal end of the endoscope, said insertion tube terminating in a tip section at the distal end of the endoscope, the tip section comprising a bending section and an articulated tip part, the bending section comprising articulated segments and a most distal articulated segment extending distally from the articulated segments, each of said articulated segments comprising a guide passage; and
an elongated control member having a proximal end, a distal end, and an intermediate section between the proximal end and the distal end, the proximal end of the elongated control member being attached to the operating member arranged at the handle,
wherein the distal end of the elongated control member is attached to the most distal articulated segment of the bending section,
wherein the intermediate section of the elongated control member passes through said guide passages and has a reduced cross-sectional area which is smaller than a cross-sectional area of a section of the elongated control member proximal of the intermediate section, and
wherein the elongated control member comprises a tube with a collapsed part, wherein the collapsed part comprises the reduced cross-sectional area.

US Pat. No. 11,109,744

THREE-DIMENSIONAL ENDOSCOPE SYSTEM INCLUDING A TWO-DIMENSIONAL DISPLAY IMAGE PORTION IN A THREE-DIMENSIONAL DISPLAY IMAGE

SONY OLYMPUS MEDICAL SOLU...


1. A three-dimensional endoscope system comprising:circuitry configured to
capture a first image and a second image having parallax with respect to each other;
perform image processing on the first image and the second image; and
generate a display image for stereoscopic viewing based on the first image and a third image obtained by replacing a first part of the second image with a first part of the first image at a first corresponding position and a second part of the second image with a second part of the first image at a second corresponding position, the second part being spaced from the first part such that the display image includes a three-dimensional display image between two separate two-dimensional display images.

US Pat. No. 11,109,742

MAGNETIC COUPLING


1. A magnetic coupling (1), comprising:two rings (2, 3) that are arranged concentrically in relation to one another, and mounted to be rotatable in relation to one another;
a separating wall (4) arranged between the rings (2, 3);
an arrangement (5) of magnetic dipoles (6) on each of the two rings (2, 3);
wherein a transmission of a torque between the rings (2, 3) is carried out through the separating wall (4) by a magnetic coupling of the magnetic dipoles (6);
at least one rest position (7) and at least two repulsion positions (8) of the rings (2, 3) are defined by a sequence of the magnetic dipoles (6) of the arrangement (5);
the at least two repulsion positions (8) are arranged next to one another in a rotational direction (9) and follow the at least one rest position (7) such that two directly adjacent ones of the repulsion positions are defined; and
the at least two repulsion positions (8) are configured with more of the magnetic dipoles (6) of the rings (2, 3) repelling one another than attracting one another in each of said repulsion positions.

US Pat. No. 11,109,741

VIDEO PROCESSING APPARATUS


1. A support bracket for a portable monitor, the support bracket comprising:a longitudinal frame having a first end opposite a second end, a first opening in the first end and a second opening in the second end, the longitudinal frame also including a monitor facing wall having at least one opening between the first end and the second end;
a first actuator accessible through the first opening and sized and shaped to translate in the first end;
a second actuator accessible through the second opening and sized and shaped to translate in the second end;
a first latch extending through the at least one opening and including a slanted surface, the first latch biased to a first position in which the first latch is nearer the first end than in a second position, wherein force applied to the first actuator causes the first actuator to translate the first latch to the second position, and wherein force applied to the slanted surface perpendicularly to the monitor facing wall translates the first latch to the second position;
a second latch extending through the at least one opening and including a slanted surface, the second latch biased to a first position in which the second latch is nearer the second end than in a second position, wherein force applied to the second actuator causes the second actuator to translate the second latch to the second position, and wherein force applied to the slanted surface perpendicularly to the monitor facing wall translates the second latch to the second position; and
a hanger connected to the longitudinal frame and extending downwardly therefrom, a bottom wall connected to the hanger, and a front wall extending upwardly from the bottom wall, wherein the hanger, the bottom wall, and the front wall define a cradle sized and shaped to receive the portable monitor.

US Pat. No. 11,109,740

APPARATUS AND METHOD FOR FOUR DIMENSIONAL SOFT TISSUE NAVIGATION IN ENDOSCOPIC APPLICATIONS

Veran Medical Technologie...


1. An image-guided method comprising:directing an endoscope having a tip that is equipped with a five degree of freedom electromagnetic sensor to an anatomical position in a patient, the tip configured to facilitate generation of real-time video image data having a direction of view along a path;
forming a 3D navigation model representative of the patient's lung anatomy from CT data;
capturing video of the patient's anatomy with the endoscope;
presenting an image of the anatomical position within the 3D navigation model of the patient's lung anatomy;
activating a steering mechanism of the endoscope to repeatedly move the tip in an arc constrained to a plane to acquire a sixth degree of freedom representing orientation of said direction of view and defining a view along the path.

US Pat. No. 11,109,739

MULTI-DIRECTIONAL AIR DISTRIBUTION ASSEMBLY FOR A DISHWASHING APPLIANCE

Haier US Appliance Soluti...


1. A dishwashing appliance, comprising:a tub defining a wash chamber;
a first inlet defined in the tub and providing air flow into the wash chamber;
a second inlet defined in the tub and spaced apart from the first inlet along a vertical direction;
a duct comprising an inlet, a first outlet in fluid communication with the first inlet defined in the tub, and a second outlet in fluid communication with the second inlet defined in the tub;
a fan configured to urge air through the duct; and
a diverter disk proximate the first inlet downstream of the fan and upstream of the wash chamber, the diverter disk rotatable between a first position and a second position, wherein the diverter disk permits air flow into the wash chamber in a first air flow direction through the duct to the first inlet when the diverter disk is in the first position and in a second air flow direction through the duct to the second inlet when the diverter disk is in the second position, and wherein the diverter disk is configured to rotate between the first position and the second position in response to a flow of air from the fan.

US Pat. No. 11,109,738

DISHWASHER HAVING A TERMINAL BOX

Whirlpool Corporation, B...


1. A dishwasher for treating dishes according to at least one automatic cycle of operation, the dishwasher comprising:a tub at least partially defining a treating chamber;
a chassis supporting the tub and including two spaced footings with a first rail suspended between a first end of the two spaced footings and a second rail suspended between a second end of the two spaced footings and wherein the two spaced footings and the first rail and the second rail collectively define a space below the tub;
a terminal box located within the space and defining an interior, a first hook extends from an upper section of the terminal box and is configured to retain one of the first rail or the second rail;
a wire connection box located within the interior wherein the wire connection box includes a non-conductive housing and multiple conductive terminals and wherein the wire connection box is configured to receive an electrical connection for the dishwasher coupled to an electrical mains power line; and
a fastener operably coupling the terminal box to one of the two spaced footings.

US Pat. No. 11,109,737

DISHWASHER

SAMSUNG ELECTRONICS CO., ...


1. A dishwasher comprising:a main body in which a washing tub is formed;
a sump provided in the main body and storing washing water;
a plurality of injection nozzles to inject the washing water into the washing tub;
a plurality of flow passages respectively connected to the plurality of injection nozzles; and
a distribution apparatus configured to selectively open and close the plurality of flow passages, and including a rotary member having a plurality of independent connection passages communicating with the plurality of flow passages, respectively, and a case in which the rotary member is accommodated,
wherein each of the plurality of independent connection passages extends in different directions.

US Pat. No. 11,109,736

METHOD AND CLEANING DEVICE FOR CLEANING ITEMS TO BE CLEANED


1. A method for controlling a process for cleaning items to be cleaned, comprising:(a) using a cleaning device having at least one cleaning chamber and at least one applicator for applying at least one cleaning fluid to the items to be cleaned in the cleaning chamber;
(b) specifying a desired overall hygiene value for the items to be cleaned;
(c) time-resolved recording of first and second influencing variables which influence hygienization of the items to be cleaned;
(d) using a first calibration to derive a first hygiene value share from the first influencing variable and using a second calibration to derive a second hygiene value share from the second influencing variable;
(e) combining the first and second hygiene value shares to determine an expected overall hygiene value at the end of the cleaning;
(f) comparing the expected overall hygiene value with the desired overall hygiene value; and
(g) changing at least one of the first and second influencing variables based on the comparison.

US Pat. No. 11,109,735

WET-CLEANING APPLIANCE HAVING A CLEANING ROLLER


1. A wet cleaning appliance (1), with a cleaning roller (3) mounted so that it can rotate around a roller axis (2) and a roller cover (4) that completely encloses the cleaning roller (3) in a circumferential direction during a regeneration operation of the wet cleaning appliance (1), which has at least one displaceable covering element (5) for selectively closing and opening an opening region (6) of the roller cover (4) during a wiping operation of the wet cleaning appliance (1), wherein the displaceable covering element (5) has a storage volume-providing collecting unit (8) in the form of a collecting vessel, for collecting liquid remaining behind inside of the roller cover (4), and being arranged on the displaceable covering element (5),wherein with regard to a closed position of the covering element (5), the collecting unit (8) is located completely above a deepest point of the closed covering element (5), and wherein the collecting unit (8) has an opening (9) that faces in a direction of the deepest point of the closed covering element (5) and precedes the storage volume in an opening direction (r) of the roller cover (4).

US Pat. No. 11,109,734

COMBINED ROBOT

ECOVACS ROBOTICS CO., LTD...


1. A combined robot, comprising:a self-moving robot and a functional unit detachably combined into the self-moving robot through a connecting piece;
driving wheels and a driven wheel disposed at a bottom of a mainbody of the self-moving robot such that:
the driving wheels are located on a left side and a right side of the bottom of the mainbody by taking an advancing direction when the self-moving robot operates as a forward direction; and
the driven wheel is located at a front end or a rear end of the bottom of the mainbody;
a control center is disposed in the combined robot and controls the combined robot to operate, wherein one end away from the driven wheel of the bottom of the mainbody of the self-moving robot is a supporting end; and
elastic members disposed at the supporting end supporting the supporting end on a walking plane when the self-moving robot walks.

US Pat. No. 11,109,733

CLEANING ROBOT

GuangDong BONA Robot Co.,...


1. A cleaning robot, comprising:a fastening device;
a water tank;
a dust box, the water tank and the dust box are adapted to be assembled together by the fastening device to form a water tank dusk box assembly; and
a main body comprising an accommodating space adapted to accommodate the water tank dust box assembly, wherein
the water tank dust box assembly includes a mistake-proofing device adapted to, when the water tank and the dust box are not assembled together, be in an ejected state so that the water tank or the dust box cannot be installed into the accommodating space;
the mistake-proofing device comprises an ejecting rod having a limiting block, a spring abutting one end of the ejecting rod, and a receiving cavity having a first limiting surface adapted to mount the ejecting rod when the limiting block abuts the first limiting surface; and
the fastening device includes (i) a spring, (ii) a moving body having a first end abutting the spring and a second end forming a second limiting surface, and (iii) a mounting part having a limiting part in contact with the second limiting surface and adapted to fix the moving body to the water tank or the dust box.

US Pat. No. 11,109,732

ROBOT CLEANER

LG ELECTRONICS INC., Seo...


1. A cleaner comprising:a cleaner body;
a front wheel rotatably provided in a front portion of the cleaner body;
a rear wheel rotatably provided in a rear portion of the cleaner body;
a first member attached to an outer circumferential surface of the front wheel and configured to contact a cleaning object surface;
a second member attached to an outer circumferential surface of the rear wheel and configured to contact the cleaning object surface;
a front motor rotating the front wheel;
a rear motor rotating the rear wheel;
a fluid tank that is configured to be positioned to vertically overlap the front wheel and not the rear wheel to concentrate a load of the fluid tank on the front wheel and to increase a friction force of the front wheel; and
a controller driving the front motor and the rear motor,
wherein the controller controls the front motor and the rear motor to rotate in opposite directions while cleaning is performed,
wherein the cleaner body moves according to rotation of the front wheel and rotation of the rear wheel,
wherein the front wheel includes a first front wheel and a second front wheel provided at respective sides of the cleaner body,
wherein the front motor includes a first front motor to drive the first front wheel and a second front motor to drive the second front wheel,
wherein at least one of a rotational axis of the first front wheel or a rotational axis of the second front wheel is not parallel with a rotational axis of the rear wheel,
wherein the fluid tank includes:a front portion that vertically overlaps the front wheel, and
a rear portion that is positioned between the front wheel and the rear wheel,

wherein the front portion of the fluid tank includes a front surface having a convex shape when viewed in plan to overlap the first front wheel and the second front wheel and to be positioned behind the rotational axis of the first front wheel and the rotational axis of the second front wheel, a portion of the front surface of the fluid tank being inclined downward in front-to-rear direction to correspond to a shape of the outer circumferential surface of the front wheel, and
wherein the cleaner body includes:first and second front cylinder regions provided at respective sides of the cleaner body and angled to correspond to the rotational axes of the first and second front wheels to cover the first and second front wheels,
a rear cylinder region configured to cover the rear wheel, and
a middle region that is narrower than the first and second front cylinder regions and the rear cylinder region in a left-to-right direction and configured to cover at least a portion of the fluid tank.


US Pat. No. 11,109,731

MOVING ROBOT

LG Electronics Inc., Seo...


1. A moving robot comprising:a main body forming the exterior appearance;
a moving means for moving the main body;
a bumper configured to protrude on the outer perimeter of the main body;
impact sensors placed at an angle on the main body to sense the movement of the bumper;
pressure parts formed in a bent shape at the end of the impact sensors to apply pressure on the impact sensors when the bumper moves; and
a movement guide part for restraining the movement of the bumper, wherein the movement guide part comprises:protruding guides that protrude from the main body and restrain the movement of the bumper; and
bumper guides that each have a guide hole around the protruding guide and guide the movement of the bumper, wherein the bumper guides comprise:a rear bumper guide placed at the rear of the bumper on a virtual centerline that divides the bumper into left and right halves; and
a pair of front bumper guides placed in front of the rear bumper guide, symmetrically to the left and right of the centerline,
wherein the bumper guides each have a kite-shaped guide hole, and the angle formed by the rear corner of the rear bumper guide is smaller than the angle formed by the rear corners of the front bumper guides.



US Pat. No. 11,109,730

AUTONOMOUS CLEANING ROBOT

SHENZHEN ROCK TIMES TECHN...


1. An autonomous cleaning robot comprising:a main body;
a cleaning assembly mounted on the main body;
wherein the cleaning assembly comprises a first cleaning subassembly detachably mounted on the main body, when the first cleaning subassembly is loaded or removed from the main body, the first cleaning subassembly moves in the forward direction or the backward direction of the main body;
wherein the first cleaning subassembly is mounted on the main body via a support member, and the support member is rotatably mounted on the main body.

US Pat. No. 11,109,729

FLOOR TREATMENT SYSTEM


1. A floor treatment system, comprising a mobile floor treatment apparatus and a docking station therefor, wherein the floor treatment apparatus has at least one liquid container with a container wall and a container interior, as well as at least one liquid conduit for providing a liquid for the container interior, wherein the docking station comprises a supply conduit which, in a docked position of the floor treatment apparatus on the docking station, is in fluidic connection with the at least one liquid conduit, wherein the floor treatment system comprises an opening device by way of which a wall portion of the container wall is movable, for clearing at least one container opening of the at least one liquid container, into an open position, so as to allow the liquid to exit from the container interior through the container opening in the docked position of the floor treatment apparatus.

US Pat. No. 11,109,728

APPARATUS FOR GENERATING A VORTEX FOR A VACUUM CLEANER

SAMSUNG ELECTRONICS CO., ...


13. A vacuum cleaner comprising:a collection vessel having therein a motor having a driving gear,
a support member, and
a blade assembly rotatably mounted in the collection vessel and includinga driven gear, and
a plurality of blades mounted to the support member, wherein
the plurality of blades extend downwards from the support member to be spaced apart from one another in a circumferential direction of the blade assembly,
the plurality of blades are rotated the driven gear of the blade assembly engaged with the driving gear of the motor, to thereby generate a suction force and a vortex within the collection vessel,
the collection vessel has an air inlet and an air outlet,
the air inlet is configured to direct suctioned air and particles from a surface external to the vacuum cleaner into the collection vessel through the suction force generated by the blade assembly, and

the air outlet is configured to direct the suctioned air out of the collection vessel through the blade assembly using the vortex generated by the blade assembly, and
wherein the support member has a central aperture, and the vacuum cleaner further comprises a filter above the central aperture arranged to remove fine particles from air exiting the collection vessel.

US Pat. No. 11,109,727

CLEANING ROLLERS FOR CLEANING ROBOTS

iRobot Corporation, Bedf...


1. A cleaning roller mountable to a cleaning robot, the cleaning roller comprising:an elongate member extending along a longitudinal axis of the cleaning roller; and
a vane extending outward from the elongate member and extending longitudinally along an outer surface of the elongate member, the vane comprisinga first vane portion attached to the elongate member, wherein the first vane portion extends from the elongate member at a location intersecting a radial axis of the cleaning roller, the first vane portion extending along a first axis angled relative to the radial axis and away from the radial axis in a tangential direction, and
a second vane portion attached to the first vane portion, wherein the second vane portion extends along a second axis angled relative to the first axis, a first angle between the first axis and the radial axis being greater than a second angle between the second axis and the radial axis.


US Pat. No. 11,109,726

MODULAR VACUUM CLEANER

SHOP VAC CORPORATION, Wi...


1. A modular vacuum cleaner, comprising:a vacuum module configured to draw a vacuum and having a longitudinal axis;
a collector module configured to collect debris and having a longitudinal axis; and
an interconnecting duct that operatively couples the vacuum module to the collector module such that the vacuum module pulls air into, through, and out of the collector module when drawing a vacuum;
wherein the interconnecting duct is configured to operatively couple the collector module to the vacuum module in each one of a plurality of arrangements, and the plurality of arrangements includes a perpendicular configuration, an in-line configuration, and a side-by-side configuration, and
wherein the perpendicular configuration is a configuration in which the longitudinal axis of the vacuum module is substantially perpendicular to the longitudinal axis of the collector module,
wherein the in-line configuration is a configuration in which the longitudinal axis of the vacuum module is substantially coaxial to the longitudinal axis of the collector module,
wherein the side-by-side configuration is a configuration in which the longitudinal axis of the vacuum module is substantially parallel to but offset from the longitudinal axis of the collector module.

US Pat. No. 11,109,725

DUST COLLECTOR

MAKITA CORPORATION, Anjo...


1. A dust collector, comprising:a housing containing a motor and a dust-collection chamber configured to hold dust collected when the motor is driven, the housing further including a rear-surface side configured to face a back side of a user when the housing is being carried on the user's back, a front-surface side opposite the rear-surface side, a top end and a bottom end located below the top end when the housing is being carried on the user's back,
a first battery-holding part at the bottom end of the housing,
shoulder belts directly or indirectly attached to the housing and configured to be slung over both shoulders of a user in order to carry the housing on the user's back,
an external cord extending downwardly from the bottom end of the housing, and
an operation unit mounted at a distal end of the external cord.