US Pat. No. 10,709,595

FINGER SUPPORT ASSEMBLY

1. A finger support assembly being configured to restrain a finger for treating an injury, said assembly comprising:a tube being configured to have a finger extended therethrough, said tube having a length of at least 2.0 inches wherein said tube is configured to extend over a knuckle on the finger thereby inhibiting the knuckle from bending, said tube being comprised of a rigid material wherein said tube is configured to restrain the finger thereby treating symptoms of a finger injury, said tube having a first end, a second end and an outer wall extending therebetween, said outer wall having an inside surface, said outer wall being continuous between said first end and said second end; and
a pad being coupled to said tube wherein said pad is configured to enhance comfort of the finger in said tube, said pad being coupled to said inside surface of said tube such that said pad completely covers said inside surface, said pad being comprised of a resiliently compressible material.

US Pat. No. 10,709,594

UNDERGARMENT FOR USE WITH HIP SPICA CAST

BSN medical, Inc., Charl...

1. A water and air permeable undergarment for a hip spica cast, comprising:(a) at least one layer of a 3D spacer synthetic padding material formed into a fabric of monofilament yarns and fabricated into an anatomically correct undergarment structure for being positioned around a torso of a patient and adapted to reside directly against skin of the patient;
(b) the undergarment including a torso portion having a top opening for being positioned on the torso of the patient and having first and second leg portions terminating in respective leg openings adapted to reside between hips and knees of the patient; and
(c) first and second overlaid padding layers defining an anterior side of the undergarment and third and fourth overlaid padding layers defining a posterior side of the undergarment.

US Pat. No. 10,709,593

KNEE PAIN TREATMENT APPARATUS AND METHOD OF USE

1. A method for treating knee pain comprising the steps of:providing a flexible upper member arranged and constructed to encircle a leg above a knee, the upper member having an outer surface, an inner surface and an opening having a curved top; the opening arranged to expose a front of the knee, at least one tensioning member integrally formed with the flexible upper member and depending downwardly therefrom, the at least one tensioning member and flexible upper member integrally formed as a unitary structure; a patella biasing device secured on the inner surface and bordering the curved top of the opening;
providing a flexible lower member arranged and constructed to encircle the leg below the knee, the lower member separate from the upper member when not connected to the upper member;
providing a tensioning member fastening system arranged and constructed for connecting the upper member and the lower member via the at least one tensioning member;
attaching the flexible upper member around the leg such that the opening is positioned to expose the front of the knee and to position the patella biasing device in close proximity to a top of a front of a patella;
attaching the flexible lower member around the leg below the knee; and
connecting the flexible upper member with the flexible lower member by stretching the at least one tensioning member in a downward direction and attaching it to the flexible lower member via the tensioning member fastening system so that when the upper member and lower member are connected the patella biasing device biases the patella in the downward direction resulting in stretching of a quadriceps muscle.

US Pat. No. 10,709,592

ULTRASONIC SYSTEMS AND METHODS FOR LOCATING AND/OR CHARACTERIZING INTRAGASTRIC DEVICES

Obalon Therapeutics, Inc....

12. A method for positioning an intragastric balloon, comprising:introducing into a patient, via swallowing, a swallowable intragastric balloon comprising a component configured for detection by an ultrasonic detector, a polymeric wall configured to have, under conditions of an in vivo gastric environment, a permeability to CO2 of more than 10 cc/m2/day, a lumen, and a self-sealing valve attached to an inner surface of the polymeric wall and configured for introducing the initial fill fluid into the lumen in the in vivo gastric environment;
confirming, by sensing resonant frequencies associated with the intragastric balloon in a compacted, solid form, a location of the intragastric balloon, wherein the location is the patient's stomach; thereafter
introducing an inflation fluid into a lumen of the intragastric balloon;
after introducing the inflation fluid, confirming, by sensing resonant frequencies associated with the intragastric balloon in inflated form, complete inflation of the intragastric balloon;
exposing the intragastric balloon in inflated form to the in vivo intragastric environment for a useful life of at least 30 days, wherein the intragastric balloon maintains a volume of 75% to 125% of its original nominal volume over the useful life; and
after the exposing the intragastric balloon in inflated form to the in vivo intragastric environment, deflating the intragastric balloon, wherein the deflating comprises bursting the intragastric balloon by administration of an ultrasonic or acoustic pulse.

US Pat. No. 10,709,591

CRIMPING DEVICE AND METHOD FOR LOADING STENTS AND PROSTHETIC HEART VALVES

Twelve, Inc., Redwood Ci...

1. A crimping device comprising:a stationary plate having a plurality of individual first slots;
a movable member having a plurality of individual second slots, wherein the individual second slots are aligned with a portion of the corresponding individual first slots;
a plurality of movable blades arranged circumferentially to form a channel having a central axis extending therethrough, wherein—
each blade has a first end portion and a second end portion, and wherein the second end portion is radially farther from the central axis than the first end portion,
each blade includes a pin projecting from the second end portion of the blade, and
each pin extends through one of the first slots and a corresponding one of the second slots; and
an actuator device operably coupled to the movable member and configured to move the movable member relative to the stationary plate, wherein movement of the movable member drives the plurality of pins along a path defined by the first and second slots such that the plurality of blades move radially inward to decrease a diameter of the channel, and wherein the radial inward movement of the blades is configured to reduce a diameter of a medical device positioned within the channel to accommodate sizing of a delivery capsule for implanting the medical device using a minimally invasive procedure.

US Pat. No. 10,709,590

MANUFACTURING METHOD OF STENT AND COATING DEVICE

TERUMO KABUSHIKI KAISHA, ...

1. A manufacturing method of a stent that has an annular body configured to include a waved strut which at least has first and second main strut portions to be coated with a drug and a bending portion formed between the first and second main strut portions, the method comprising:a drug coating process of coating the stent with the drug, wherein the drug coating process comprises a non-coating portion forming process including coating an outer surface of the first main strut portion with the drug by causing a nozzle for discharging a coating solution prepared by dissolving the drug and a polymer in a solvent to move along the first main strut portion, and when the nozzle reaches the bending portion, moving the nozzle in a separating movement in a Z-axis direction away from the stent and towards the second main strut portion, and thereby keeping the bending portion non-coated with the drug while the nozzle goes past the bending portion and moves to the second main strut portion; and
wherein in the non-coating portion forming process, an adhesion amount of the coating solution adhering to the nozzle is reduced while the nozzle is going past the bending portion.

US Pat. No. 10,709,589

ACCELERATED AGING FOR POLYMERIC SCAFFOLDS

ABBOTT CARDIOVASCULAR SYS...

1. A method of accelerated aging of a bioresorbable polymeric scaffold comprising:providing a bioresorbable polymeric scaffold having a structure composed of a network of interconnecting struts, wherein scaffold is in a crimped configuration;
exposing the scaffold to water at a controlled temperature for a selected aging time less than a desired shelf life of the scaffold, wherein a functional output of the scaffold changes during the exposing; and
measuring the functional output of the scaffold;
wherein the selected aging time and the controlled temperature are such that the functional output measured is within 10% of a measured functional output of the scaffold from real time aging 100 to 1000 times longer than the selected aging time.

US Pat. No. 10,709,588

MEDICAL DEVICE AND SYSTEM HAVING SUCH A DEVICE

1. A stent for treating an aneurysm, the stent comprising:a first lattice structure having a first end and a second end, and a second lattice structure having a third end and a fourth end, the first lattice structure and the second lattice structure defining in combination with each other a single device body having a compressed state and an expanded state, the first lattice structure forming an inner layer of the device body, and the second lattice structure forming an outer layer of the device body overlapping the inner layer,
the device body comprising a first wall section being substantially tubular in the expanded state,
the first lattice structure being disposed substantially coaxially with the second lattice structure,
the first lattice structure comprising a first plurality of wires, the first plurality of wires comprising nitinol and being interwoven to form a first closed mesh of the first lattice structure, each of the first plurality of wires having a first diameter, and
the second lattice structure comprising a second plurality of wires, the second plurality of wires comprising nitinol and being interwoven to form a second closed mesh of the second lattice structure, a size of each cell of the second closed mesh being different from a size of each cell of the first closed mesh, each of the second plurality of wires having a second diameter different than the first diameter,
the first lattice structure and the second lattice structure being configured to be positioned within an arterial blood vessel having a cross-sectional diameter in a range between 2 mm and 6 mm; and
a plurality of punctiform connections connecting the first lattice structure and the second lattice structure, the plurality of punctiform connections being distributed axially along the device body and obliquely with respect to a longitudinal axis of the device body, each of the plurality of punctiform connections being axially offset from the first and second ends of the first lattice structure and from the third and fourth ends of the second lattice structure, the plurality of punctiform connections permitting movement of the lattice structures relative to each other in areas of the device body between adjacent punctiform connections, permitting radial movement of a portion of the first end and an overlapping portion of the third end relative to each other, and permitting radial movement of a portion of the second end and an overlapping portion of the fourth end relative to each other, the plurality of punctiform connections preventing complete displacement of the first and second lattice structures relative to each other, wherein the plurality of punctiform connections are formed by a wire wrapping around the outside of the second lattice structure and the first lattice structure,
wherein the plurality of punctiform connections permit movement, at each of the plurality of punctiform connections, of at least one wire of the first plurality of wires of the first lattice structure relative to at least one wire of the second plurality of wires of the second lattice structure such that the at least one wire of the first plurality of wires of the first lattice structure slides on the at least one wire of the second plurality of wires of the second lattice structure at each of the plurality of punctiform connections,
wherein a quantity of the second plurality of wires comprises no more than 32 wires and is different than a quantity of the first plurality of wires, and
wherein each of the second plurality of wires has a cross-sectional diameter of at least 40 ?m.

US Pat. No. 10,709,587

BIFURCATED STENT AND DELIVERY SYSTEM

Hameem Unnabi Changezi, ...

1. A stent system for stenting a bifurcated vessel structure having a parent vessel and a daughter vessel, the daughter vessel branching from the parent vessel at an angle, the daughter vessel having an ostium where it joins the parent vessel, the ostium having a proximal edge and a distal edge, the stent system comprising:a parent vessel guide wire and a daughter vessel guide wire;
a parent vessel stent having a substantially tubular body that is configured to be deployed into the parent vessel by loading the parent vessel stent on both wires, such that the parent vessel guide wire is substantially coaxial with the parent vessel stent, and such that the daughter vessel guide wire runs generally inside the parent vessel stent along its daughter vessel luminal side, the body having an integrally formed angular flap that can only be opened to extend into the daughter vessel in a configuration that does not form a collar around an ostium of the daughter vessel, the angular flap having an introduction site through which the daughter vessel guide wire extends; and
a daughter vessel stent having a substantially tubular body that is configured to be into the daughter vessel by loading the daughter vessel stent on the daughter vessel guide wire after the parent vessel stent has been deployed and its side flap has been opened, such that the daughter vessel guide wire is generally coaxial with the daughter vessel stent and passes through the length of the daughter vessel stent, the daughter vessel stent having a side hole through which the parent vessel guide wire extends, the daughter vessel guide wire and the parent vessel guide wire cooperating to allow the daughter vessel stent to be advanced into a position where the daughter vessel stent is at the distal edge of the ostium of the daughter vessel, the daughter vessel stent having an angled tail portion configured to overlap with the flap of the parent vessel stent without extending into the parent vessel when both stents are deployed in the vessel structure.

US Pat. No. 10,709,586

METHOD AND APPARATUS FOR ALLOWING INFLATION OF INFLATABLE ELEMENTS WITHIN MEDICAL DEVICES

Endovention, Inc., San F...

1. A method of deploying a medical device in a subject's tubular structure comprising:a. advancing a catheter through a subject's tubular structure to a target location, the catheter having a tip coupled to a shaft of a hollow T-shaped junction of a rigid polymeric material and the T-shaped junction having a crossbar coupled to an inflatable member where a first end of the inflatable member is coupled to a first end of the crossbar and where a second end of the inflatable member is coupled to a second end of the crossbar; and
b. inflating the inflatable member from an uninflated first state to an inflated second state with an inflation medium, and where the inflatable member and the T-shaped junction together form a toroid when the inflatable member is in the inflated second state.

US Pat. No. 10,709,584

ADAPTIVE ROBOTIC FINGER PROSTHESIS FOR GRASPING ARBITRARY OBJECT SHAPE

INDUSTRY-UNIVERSITY COOPE...

1. An adaptive robotic finger prosthesis for grasping an arbitrary object shape, comprising:a proximal phalanx body configured to be worn on a proximal phalanx portion of a cut finger;
a middle phalanx body connected, to the proximal phalanx body and configured to function as a middle phalanx portion of the cut finger;
a distal phalanx body connected to the middle phalanx body and configured to function as a distal phalanx portion of the cut finger;
a first proximal phalanx link disposed under the proximal phalanx body;
a second proximal phalanx link disposed on the proximal phalanx body and connected to the first proximal phalanx link; and
a proximal phalanx elastic member provided at a joint between the first proximal phalanx link and the second proximal phalanx link to provide elastic force.

US Pat. No. 10,709,581

THERMALLY SECURING MORSE TAPER

Joint Innovation Technolo...

1. An orthopedic device assembly including a part configured to removably hold a heated articular ball of an orthopedic prosthesis, the ball having a tapered cavity extending into the interior thereof configured for the receipt of a correspondingly configured male part of a further part of the orthopedic device, the part comprising:an upper metallic handle shaft,
a lower cylindrical impactor body having a round bottom and which includes a spring loaded retaining lever having a claw adapted to hold the heated articular ball within the cylinder and which retains the ball within the said body until the spring is compressed and the claw disengages the said ball, the said body screwed to said handle shaft configured to removably hold the heated articular ball having a temperature of at least 280° C., the heated articular ball having a female component, and wherein the impactor body comprises a rigid, thermally insulating material or a deformable thermally insulating material which contacts the heated articular ball, and
a protective circular thermal skirt adapted to keep surrounding tissues away from the heated articular ball when held within the circular thermal skirt.

US Pat. No. 10,709,580

BALL AND CUP IMPACTORS FOR IMPLANTING A HIP PROSTHESIS

HIP Innovation Technology...

1. A surgical instrument configured to impact an acetabular cup into an acetabulum of a patient wherein the acetabular cup has a central stem having a Morse taper extending from a bottom of a concave inner surface thereof, the surgical instrument comprising:a handle having a proximal end and distal end and a central axis, a sleeve disposed on the distal end concentric with the handle and an annular channel extending therethrough, the annular channel being open at the proximal and distal ends of the handle,
a shaft having a proximal end and a distal end and a knob affixed to the proximal end, the shaft being slidably disposed within the annular channel,
a collet removably affixed to the distal end of the shaft and proximate the sleeve, wherein the sleeve has a tapered annular inner portion, the tapered annular inner portion narrowing in a proximal direction, the tapered annular inner portion of the sleeve being sized to cause a distal end of the collet to contract and grip the central stem of the acetabular cup and thereby gripping the acetabular cup only by the central stem when the collet moves into the sleeve in the proximal direction,
a rotatable guide collar mounted externally on the handle and rotatable about the central axis of the handle configured to have affixed to the rotatable guide collar a plurality of guide rods wherein each of the guide rods has a proximal end removably affixable to the rotatable guide collar and extending outwardly therefrom at an angle relative to the central axis, wherein at least two of the guide rods, when affixed to the rotatable guide collar are each positioned at a 45 degree angle relative to the shaft, and are positioned at a 20 degree angle relative to each other, and the direction of the at least two affixed guide rods are oriented to extend in a distal direction from the rotatable guide collar and
a thumb screw having a part extending into the rotatable guide collar wherein rotation of the thumb screw prevents movement of the rotatable guide collar and of any of the guide rods affixed to the rotatable guide collar relative to the handle.

US Pat. No. 10,709,579

BONE GRAFT DISPENSING DEVICE

1. A bone graft dispensing device comprising:a cylinder including a funnel at a proximal end and a dispensing tip at a distal end, wherein the cylinder has a central axis of the bone graft dispensing device;
a cap positioned within the funnel of the cylinder;
a removable sleeve positioned within the cylinder, wherein the removable sleeve includes a hollow interior for receiving liquids, wherein the removable sleeve includes a sleeve handle, wherein when the removable sleeve is positioned within the cylinder, the sleeve handle extends out of the funnel; and
a plunger positioned within an interior of the cylinder, wherein the plunger is positioned within an opening in the cap, wherein the plunger is movable along a central axis within the interior of the cylinder along the central axis.

US Pat. No. 10,709,578

SURGICAL BIOLOGICS DELIVERY SYSTEM AND RELATED METHODS

INTEGRITY IMPLANTS INC., ...

1. A biologics delivery system, comprising:a cannula having a proximal portion, a proximal end, a distal portion, a distal end, and an engagement feature to engage a spinal implant; the proximal portion having a proximal lumen with a first inner diameter, and the distal portion having a distal lumen with a second inner diameter; wherein, the cannula is adapted for receiving a load cartridge in the proximal lumen of the cannula, the load cartridge having a proximal portion, a first removal component, an elongated shaft, and a lumen; and,
a cartridge tamp having an elongated shaft and a second removal component;
wherein,
the proximal lumen of the cannula opens into the distal lumen of the cannula, and the lumen of the load cartridge opens into the distal lumen of the cannula;
the proximal lumen of the cannula is adapted to receive the elongated shaft of the load cartridge, and the distal lumen of the cannula is adapted to receive the elongated shaft of the load cartridge;
the proximal portion of the load cartridge is adapted to receive the elongated shaft of the cartridge tamp; and,
the second removal component of the cartridge tamp is adapted to (i) releasably connect with the first removal component and (ii) capture the load cartridge from the cannula when removing the cartridge tamp from the system.

US Pat. No. 10,709,577

GRAFT MATERIAL INJECTOR SYSTEM AND METHOD

Benvenue Medical, Inc., ...

1. A graft material injector comprising:an injector device including an elongated injector tube, an internal injector tube lumen extending through the injector tube and having a longitudinal axis, a distal injection aperture communicating with the lumen and a side loading aperture for receiving a quantity of graft material into axial alignment with the lumen axis; and
a graft material loader cooperatively engageable with the side loading aperture and adapted to load a selected quantity of graft material into axial alignment with the axis of the injector tube lumen;
wherein the side loading aperture comprises an elongated slot in the injector tube proximal to the injection aperture.

US Pat. No. 10,709,576

BONE MATERIAL DISPENSING APPARATUS AND METHODS

Warsaw Orthopedic, Inc., ...

1. A bone material dispensing apparatus, comprising:a tray having a proximal end, a distal end, a bone material dispensing surface disposed between the proximal end and the distal end of the tray and a container holding surface disposed at the proximal end of the tray adjacent to the bone material dispensing surface;
a foldable container configured to removably engage the proximal end of the tray, the foldable container being movable in a folded configuration and an unfolded configuration about a fold line in the foldable container, the foldable container having an upper compartment and a lower compartment, the lower compartment of the foldable container configured to receive a bone material from the dispensing surface of the tray when the foldable container removably engages the proximal end of the tray in the unfolded configuration and when the foldable container is in the folded configuration, the upper compartment is configured to enclose the bone material in the lower compartment, wherein the proximal end and the distal end of the tray define a longitudinal axis, and the longitudinal axis of the tray is perpendicular to a longitudinal axis of the foldable container formed by a proximal end and a distal end of the foldable container when the foldable container engages the proximal end of the tray; and wherein the container holding surface comprises a first channel and a second channel configured to hold the upper compartment and the lower compartment of the foldable container.

US Pat. No. 10,709,575

EXPANDABLE INTERVERTEBRAL CAGE ASSEMBLIES

Spectrum Spine IP Holding...

1. An expandable cage for insertion into an intervertebral space, the expandable cage comprising:a cage having an upper portion and a lower portion, the upper portion having an upper bone contact surface and an upper portion lower surface, the lower portion having a lower bone contact surface and a lower portion upper surface, wherein the upper portion and the lower portion each define a window configured to permit bone growth therethrough;
an elongate expander positioned in a cavity or an internal space therebetween the upper portion lower surface and the lower portion upper surface, the elongate expander having a distal or leading end, a proximal or trailing end and a pair of side surfaces connecting the distal end and the proximal end having an unobstructed internal space or opening therebetween defining a window therethrough, wherein longitudinal translation of the elongate expander causes the expander to act upon portions of the upper portion and the lower portion to expand the cage body by separating at least a portion of the upper portion from at least a portion of the lower portion, wherein, in an expanded position, the windows in each of the upper portion, lower portion, and elongate expander are open and unobstructed with respect to one another when viewed from a top view.

US Pat. No. 10,709,574

BONE FUSION DEVICE

Neuropro Technologies, In...

1. A bone fusion device for insertion into a desired location comprising:a body having an interior cavity;
a tab configured to selectively move from a retracted position within the interior cavity of the body to an extended position at least partially extending out of the body;
a first extension assembly comprising a first threaded drive mechanism and a first drive screw including a first cutout and configured to selectively move the tab between the retracted position and the extended position; and
a second extension assembly comprising a second threaded drive mechanism and a second drive screw, non-coaxial to the first drive screw, and configured to selectively move the tab between the retracted position and the extended position, wherein a portion of the second threaded drive mechanism is positioned within the first cutout of the first drive screw.

US Pat. No. 10,709,572

INTERVERTEBRAL IMPLANT DEVICE WITH INDEPENDENT DISTAL-PROXIMAL EXPANSION

1. An expandable interbody fusion implant device comprises:a frame having a distal end and a proximal end;
a distal ramp assembly and a proximal ramp assembly, each ramp assembly having a translating ramp and at least one pivoting hinged ramp;
at least one base plate disposed above the frame between the distal end and the proximal end of the frame, the at least one base plate overlying the frame, the at least one base plate hinged to the distal ramp assembly and the proximal ramp assembly at an end of one of said at least one pivoting hinged ramp of each ramp assembly;
two independently driven drive shafts, the two independently driven drive shafts comprise a first drive shaft for translating the distal ramp assembly and a second drive shaft for translating the proximal ramp assembly, each drive shaft having a distal end and a proximal end rotationally affixed to the frame at the distal and proximal ends of the frame; and
wherein rotation of the first drive shaft can independently drive the distal ramp assembly to selectively expand or contract a distance between the at least one base plate distally and the frame distally, rotation of the second drive shaft can independently drive the proximal ramp assembly to selectively expand or contract a distance between the at least one base plate and the frame proximally, and sequential or simultaneous rotation of both first and second drive shafts independently drives the distal and proximal ramps to selectively expand or contract a distance between the at least one base plate and the frame to a selected inclination of the at least one base plate relative to the frame over a range of angles; and
wherein each translating ramp has an exterior lift surface contoured to guide and support the corresponding pivoting hinged ramps during expansion or contraction of the at least one base plate, wherein each pivoting hinged ramp has a contoured support surface configured to slide on the exterior lift surface of the corresponding translating ramp, wherein each pivoting hinged ramp contoured support surface is complimentary to the exterior lift surface, and wherein the exterior lift surface has a convex curvature; and the contoured support surface has a concave curvature of similar profile to fit onto a portion of the exterior lift surface.

US Pat. No. 10,709,571

EXPANDABLE VERTEBRAL IMPLANT

Globus Medical, Inc., Au...

1. A spacer for maintaining a separation of bones of a joint, comprising:a frame having distal and proximal ends defining a longitudinal axis extending therebetween;
a carriage slideably coupled to the frame and having at least one ramped surface, wherein the carriage is at least partially supported laterally by the frame via two support screws that extend through respective channels in the frame to engage with the carriage;
an actuator screw threadably engaged with said frame, said actuator screw configured to bear against said carriage to cause said carriage to slideably move within said frame when said actuator screw is rotated;
a first endplate configured to engage a first bone of a joint, and having at least one surface mateable with said at least one carriage ramped surface, whereby when said carriage is slideably moveable by rotation of said actuator screw, said at least one endplate ramped surface slides against said at least one carriage ramped surface to cause said first endplate to move along an axis transverse to said longitudinal axis to increase a height of the spacer; and
a second endplate configured to engage a second bone of the joint,
wherein said first endplate includes at least one aperture through which a fastener may pass to secure said first endplate to the first bone of the joint
wherein as the actuator screw is turned, a distal end of the actuator screw contacts a thrust washer and an end portion of the frame causing the first and second endplate to separate from one another.

US Pat. No. 10,709,570

IMPLANT WITH A DIAGONAL INSERTION AXIS

Institute for Musculoskel...

1. An implant, comprising:a body comprised of a peripheral structure, a first support beam, a second support beam, and a third support beam;
a plurality of bone contacting elements attached to the body;
wherein the peripheral structure is further comprised of a first lateral portion, a second lateral portion, an anterior portion and a posterior portion;
wherein the first lateral portion and the anterior portion are joined at a first corner portion of the peripheral structure and wherein the second lateral portion and the posterior portion are joined at a second corner portion of the peripheral structure; and
wherein the first support beam has a first end attached to the first corner portion of the peripheral structure and wherein the first support beam has a second end attached to the second corner portion of the peripheral structure;
wherein at least one of the bone contacting elements bridges across a gap between the second support beam and the peripheral structure; and
wherein each support beam is in contact with an end of at least one of the plurality of bone contacting elements.

US Pat. No. 10,709,569

EXPANDABLE INTERVERTEBRAL IMPLANT

Globus Medical, Inc., Au...

1. An implant for therapeutically separating bones of a joint, the implant comprising:a first end plate extending between an anterior end and a posterior end, the first end plate having a bone engaging surface, and having at least one anterior ramped surface and at least one posterior ramped surface on a side opposite the bone engaging surface;
a second end plate extending between an anterior end and a posterior end, the second end plate having a bone engaging surface, and having at least one anterior ramped surface and at least one posterior ramped surface on a side opposite the bone engaging surface;
a posterior actuator positioned between the first and second end plates, the posterior actuator having a corresponding number of first guiding ramp surfaces configured to be positioned opposite the at least one first end plate posterior ramped surface and a corresponding number of second guiding ramp surfaces configured to be positioned opposite the at least one second end plate posterior ramped surface;
a first pivot member pivotally connected to each first guiding ramp surface and in sliding engagement with the respective at least one first plate posterior ramped surface and a second pivot member pivotally connected to each second guiding ramped surface and in sliding engagement with the respective at least one first plate posterior ramped surface;
an anterior actuator positioned between the first and second end plates, the anterior actuator having a corresponding number of third guiding ramp surfaces configured to be positioned opposite the at least one first end plate anterior ramped surface and a corresponding number of fourth guiding ramp surfaces configured to be positioned opposite the at least one second end plate anterior ramped surface;
a third pivot member pivotally connected to each third guiding ramp surface and in sliding engagement with the respective at least one first plate anterior ramped surface and a fourth pivot member pivotally connected to each fourth guiding ramped surface and in sliding engagement with the respective at least one first plate anterior ramped surface; and
an actuator assembly extending between the posterior actuator and the anterior actuator, the actuator assembly configured to selectively move the posterior actuator and the anterior actuator simultaneously, move posterior actuator independently of the anterior actuator, or move the anterior actuator independently of the posterior actuator.

US Pat. No. 10,709,568

INTERVERTEBRAL BODY SPACER ASSEMBLY AND KIT

1. An intervertebral spacer kit, comprising:a plurality of candidate intervertebral spacers, each of the plurality of candidate intervertebral spacers releasably connectable to at least one other of the plurality of candidate intervertebral spacers, and wherein at least one of the plurality of candidate intervertebral spacers has different dimensions than others of the plurality of candidate intervertebral spacers; wherein each intervertebral spacer comprises a first end having a nose portion and an opposing second end having a tail portion, the nose portion sized and shaped to complementarily fit into the tail portion of an adjacent intervertebral spacer; and wherein each intervertebral spacer of the plurality of intervertebral spacers comprises a respective cannula extending through the intervertebral spacer, the cannula of each intervertebral spacer sized and shaped to receive a wire that extends through the cannula of each of the plurality of intervertebral spacers.

US Pat. No. 10,709,567

POLY-FACED BONE FUSION IMPLANT

In2Bones USA, LLC, Memph...

1. A bone fusion implant for treating conditions of Proximal Interphalangeal (PIP), Distal interphalangeal (DIP), and metatarsophalangeal (MTP) foot joints, comprising:an elongate member comprising a proximal portion and a distal portion that share a line of fixation;
proximal ramps disposed on opposite sides of the proximal portion and extending to the line of fixation;
distal ramps disposed on opposite sides of the distal portion and extending toward the line of fixation; and
side ramps disposed between the distal ramps and extending to the line of fixation.

US Pat. No. 10,709,565

DIRECTIONAL LOCKING REVERSE SHOULDER PROSTHESES AND SYSTEMS

Zimmer, Inc., Warsaw, IN...

1. A prosthesis system for a joint, comprising:a tray having a circumferential lip forming a recess, the circumferential lip including a lateral groove disposed in an inner surface of a lateral circumferential portion of the circumferential lip and a medial groove disposed in an inner surface of a medial circumferential portion of the circumferential lip, the medial circumferential portion further including a medial tab extending from an upper surface thereof and defining a first shape, and the lateral circumferential portion further including a lateral tab extending from an upper surface thereof and defining a second shape different than the first shape; and
a liner coupleable with the tray with an asymmetrical locking portion, the asymmetrical locking portion comprising a lateral toe configured to engage the lateral groove in the tray and a plurality of medial fingers that are resiliently deformable to engage the medial groove of the tray to lock the liner onto the tray, the lateral toe positioned generally diametrically opposite the plurality of medial fingers, the liner defining at least three medial female receptacles, each of the medial female receptacles formed as a recess in an outer edge of the liner having the first shape such that each of the medial female receptacles is mateable with the medial tab of the tray, and the liner proximate the lateral toe defining at least three lateral female receptacles, each of the lateral female receptacles formed as a recess in an opposing outer edge of the liner having the second shape such that each of the lateral female receptacles is mateable with the lateral tab of the tray;
wherein each of the medial female receptacles corresponds to a unique angular rotational position between the liner and the tray;
wherein the liner and the tray are engageable in a lateral-to-medial direction so that the plurality of medial fingers resiliently deform to engage the medial groove subsequent to engagement of the lateral toe within the lateral groove; and
wherein the lateral toe remains substantially undeformed during and subsequent to engagement within the lateral groove.

US Pat. No. 10,709,563

FEMORAL NECK SUPPORT STRUCTURE, SYSTEM, AND METHOD OF USE

MJP Innovations, Inc., E...

1. A device for reinforcing a femoral neck bone, the femoral neck bone including a cortical bone region and a cancellous bone region, the device comprising a support structure having an outer surface, and including a portion comprising one or more bores through which an expandable portion of the support structure is capable of being released into the cancellous bone region, the one or more bores further adapted to allow filler material to be released therefrom to enter directly into the cancellous bone or into the cancellous bone along with the expandable portion of the support structure, wherein further the expandable portion of the support structure is formed at least partially from a material that increases its rigidity after a period of time after being released.

US Pat. No. 10,709,562

DEVICES, APPARATUSES, KITS, AND METHODS FOR ANCHORING A SUTURE TO A BONE

ARTHROSURFACE, INC., Fra...

1. A device comprising:a cylindrical body comprising a coupling end that is substantially planar, a surface end having a convex shape, and a peripheral surface extending at least partially between the coupling end and the surface end, the body defining a plurality of axial holes that extend through an entirety of the body from the surface end toward the coupling end, the body having a dimension in a transverse direction that is 100% to 200% of a length of the body, the body defining one or more suture holes extending inward from the peripheral surface, the body defining one or more grooves disposed on the peripheral surface, the one or more grooves configured to receive one or more sutures from the one or more suture holes such that the one or more sutures wrap around at least a portion of the one or more grooves to resist axial movement out of a mating cavity of a bone, the body configured to be coupled into the mating cavity of the bone adjacent to a selected type of human joint socket such that:
the coupling end faces a bottom surface defining the mating cavity, the surface end augments an articular surface of the bone, and the peripheral surface faces a sidewall defining the mating cavity.

US Pat. No. 10,709,561

EXTERNALLY FED GRAFT CONTAINMENT CAGE/SCAFFOLD

DePuy Synthes Products, I...

1. A bone graft containment device, comprising:a body extending longitudinally from a first end to a second end and including a channel extending longitudinally therethrough; and
a fluid delivery structure received within the channel, the fluid delivery structure including a central tubular member extending along a length of the channel and a laterally extending tubular member extending laterally from the central tubular member to a fluid receiving opening, the central tubular member including a plurality of openings extending laterally through a wall thereof, so that, when the fluid receiving opening is connected to an external fluid source, fluid is passed through the laterally extending tubular member and the central tubular member to be dispersed via the plurality of openings to graft material packed within the channel, a first one of the openings being connected to a first strut extending radially away from the central tubular member, the first strut including a first lumen extending therethrough in communication with the first opening.

US Pat. No. 10,709,560

NATURALLY DESIGNED MITRAL PROSTHESIS

NATIONAL UNIVERSITY OF SI...

1. A mitral valve prosthesis, comprising:an asymmetrical, flexible ring, the ring dimensioned to mimic a native mitral annulus of a patient;
two leaflets suspended from the flexible ring and configured to coapt with each other;
at least two sets of cords, each set of cords attached to a leaflet on a first end and merging into a bundle on a second end; and
two caps configured to attach to papillary muscles of the patient, each bundle of cords merging into one of the two caps, such that each bundle of cords is connected to the papillary muscles of the patient via one of the two caps,
the flexible ring, leaflets, cords and caps creating an orifice through which blood flows in one direction
wherein dimensions of the flexible ring, leaflets, cords and caps match imaged dimensions of 3D imaging of a native mitral valve of a heart of the patient;
and further wherein at least one of said flexible ring, leaflets, cords and caps are fabricated from autologous pericardium of the patient.

US Pat. No. 10,709,559

CATHETER DELIVERY SYSTEM FOR STENT VALVE

BOSTON SCIENTIFIC LIMITED...

1. A system comprising: a delivery catheter for a cardiac stent-valve, the delivery catheter comprising:a stent holder;
tubing carrying the stent holder, the stent holder having a crimp connection to the tubing,
wherein the crimp connection of the stent holder comprises one or more regions having a non-smooth surface and/or non-smooth profile that grips the tubing; and
a stent-valve.

US Pat. No. 10,709,558

DEVICE AND METHODS FOR SELF-CENTERING A GUIDE CATHETER

Mayo Foundation for Medic...

1. A device for centering a medical instrument in a conduit within a patient, the device comprising:a flared body comprised of two or more polymeric portions, wherein the two or more polymeric portions are moveable with respect to each other such that the flared body is diametrically expandable and collapsible, wherein the two or more polymeric portions define a central lumen having an open proximal end and an open distal end, wherein the distal end has a diameter that is larger than a diameter of the proximal end, and wherein the two or more polymeric portions are attached to each other to further define two or more side apertures that are nearer to the proximal end than to the distal end, and wherein the side apertures define open fluid flow paths that are not occluded by the polymeric portions.

US Pat. No. 10,709,557

STENTS, VALVED-STENTS AND METHODS AND SYSTEMS FOR DELIVERY THEREOF

Symetis SA, Ecublens (CH...

1. A replacement cardiac valve for use in a human body, comprising:a valve component formed from bovine tissue; and
a stent component configured and adapted to house the valve component,
wherein the valve component and the stent component have a collapsed configuration during a delivery phase and the valve component and the stent component have an expanded configuration after implantation,
the stent component being adapted and configured to be expanded by a balloon from the collapsed configuration to the expanded configuration,
the valve component further comprising at least two skirts, the at least two skirts comprising:
a polyester fabric inner skirt covering at least a portion of an outer surface of the valve component, the polyester fabric inner skirt being sutured to at least an inflow tract of the valve component,
wherein the polyester fabric inner skirt forms a sealing member between the stent component and the valve component; and
a polyester fabric outer skirt sutured onto an outer surface of the stent component,
wherein the polyester fabric outer skirt forms a sealing member between the stent component and any member of a group consisting of native valve leaflets, a cardiac valve annulus, a cardiac valve inflow tract, and a cardiac valve outflow tract.

US Pat. No. 10,709,556

TRANSCATHETER PROSTHESIS WITH SEALING COMPONENT, AND SYSTEMS AND METHODS FOR DELIVERING AND DEPLOYMENT THEREOF

Medtronic Vascular, Inc.,...

8. A transcatheter prosthesis having a radially compressed configuration for delivery within a vasculature and a radially expanded configuration for deployment within a native anatomy, the prosthesis comprising:a frame having a radially compressed configuration for delivery within a vasculature and a radially expanded configuration for deployment within a native anatomy;
a fixation member extending outwardly from an outer surface of the frame; and
an elongate member encircling at least a portion of the frame,
wherein a cross-section of the elongate member has an expanded outer diameter in a radially expanded state and a contracted outer diameter in a radially contracted state, the contracted outer diameter of the cross-section of the elongate member being less than the expanded outer diameter of the cross-section of the elongate member,
wherein the elongate member is slidably disposed within the fixation member, and
wherein the elongate member in the radially expanded state provides a seal between the prosthesis and the native anatomy when the prosthesis is in the radially expanded configuration.

US Pat. No. 10,709,555

DEVICE AND METHOD WITH REDUCED PACEMAKER RATE IN HEART VALVE REPLACEMENT

JenaValve Technology, Inc...

1. A heart valve prosthesis, comprising:a stent component comprising a scaffold including cells proximate a proximal end of the stent component,
a valve component coupled to an inner surface of the stent component,
a seal coupled to an outer surface of the stent component,
at least one locator pointing in a proximal direction for positioning the prosthesis at a target site of an endogenous heart valve, and
an indicator extending in the proximal direction and configured to move relative to the locator upon contact with the target site,
wherein the prosthesis is expandable from a non-expanded state to an expanded state, a shortest distance from a proximal end of the locator to a proximal end of the prosthesis being less in the expanded state than a shortest distance from the proximal end of the locator to the proximal end of the prosthesis in the non-expanded state,
wherein, in the non-expanded state, the proximal end of the locator radially overlaps at least a portion of the cells, and
wherein, in the expanded state, the shortest distance between the proximal end of the locator and the proximal end of the prosthesis is greater than zero and less than 10 mm.

US Pat. No. 10,709,554

HEART VALVE PROSTHESIS FOR CONTROLLED THROMBUS DEVELOPMENT

BIOTRONIK AG, Buelach (C...

1. A heart valve prosthesis, comprising: a main body in the form of an expandable or self-expanding stent; an artificial heart valve secured in the interior of the main body and surrounded by the main body; and a thrombus production and thrombus immobilising terminating material in the form of textile-immobilised fibers within a blood-permeable bag on the outer side of the main body, or a thrombus production and thrombus immobilising terminating material in the form of interconnected multi-filament fibres on the outer side of the main body that mechanically separate from each other in response to blood flow, or a thrombus production and thrombus immobilising terminating material in the form of a permeable sponge-like structure.

US Pat. No. 10,709,553

V-CLIP POST WITH PIVOTING

Boston Scientific Scimed,...

1. A replacement heart valve locking mechanism, comprising:a buckle member fixedly attached to a tubular anchor member;
a post member axially translatable relative to the buckle member;
a valve leaflet attached to the post member; and
an actuator member including a pivot pin proximate a distal end of the actuator member, the actuator member being releasably connected to a proximal end of the post member at the pivot pin;
wherein the post member includes a latch portion configured to engage the buckle member such that movement of the post member distally relative to the buckle member is prevented,
wherein the post member is reversibly actuatable between a first orientation, wherein the latch portion extends distally from a body portion of the post member in an everted delivery configuration and a second orientation wherein the latch portion extends proximally from the body portion of the post member.

US Pat. No. 10,709,552

REPLACEMENT HEART VALVE IMPLANT WITH INVERTIBLE LEAFLETS

Boston Scientific Scimed,...

1. A locking mechanism for a medical implant, comprising: a buckle member including a proximal end and a distal end; and a post member axially translatable with respect to the buckle member, the post member including a receiving portion proximate a proximal end of the post member, a distal end, and a cantilevered leg extending proximally from the distal end of the post member; wherein the post member is movable from a first orientation to a second orientation, wherein when the post member is in the first orientation, the proximal end extends distally from a central body portion of the post member and when the post member is in the second orientation, the proximal end extends proximally from the central body portion.

US Pat. No. 10,709,551

ACCOMMODATING INTRAOCULAR LENS ASSEMBLY

1. A method of modifying a capsular bag of an eye comprising:initiating a continuous meandering incision in the capsular bag at a starting point; and
completing the continuous meandering incision, after said initiating, from the starting point and over a tortuous path to an end point; and
retaining, after said completing, at least one flap in the capsular bag, an edge of the at least one flap defined by the continuous meandering incision.

US Pat. No. 10,709,550

PROGRESSIVE POWER INTRAOCULAR LENS, AND METHODS OF USE AND MANUFACTURE

AMO Groningen B.V., Gron...

1. A radial power-progressive lens, comprising:a lens surface defined by a continuous aspheric function;
a first region of the lens approximating a first optical regime; and
a second region of the lens approximating a second optical regime; wherein
the first region comprises a first range of optical power values and the second optical regime comprises a second range of optical power values different from the first range,
the first and second regions are radially symmetric and concentric about an optical axis of the lens, the second region being disposed around the first region,
the first and second regions are merged by the continuous aspheric lens function such that a power profile of the lens from a center of the lens to a periphery of the lens is continuous,
the second region comprises a peripheral zone extending from an inner diameter of the second region to an outer periphery of the lens,
the lens surface can be described according to the following equation:
andat least the r, k, a4, a6, and a8 terms are nonzero.

US Pat. No. 10,709,549

HYDROPHILIC AIOL WITH BONDING

Shifamed Holdings, LLC, ...

1. An accommodating intraocular lens, comprising:an annular lens support having an outer edge defining an outer periphery of the accommodating intraocular lens and surrounding an optical axis of the accommodating intraocular lens;
a non-deflectable lens coupled to the annular lens support;
a deflectable lens coupled to the annular lens support and spaced apart from the non-deflectable lens; and
a fluid filled chamber between the non-deflectable lens and the deflectable lens, wherein the chamber is an enclosed volume within the accommodating intraocular lens;
wherein the annular lens support has an anterior-most portion and a posterior-most portion;
wherein the entire non-deflectable lens is positioned between the anterior-most portion and the posterior-most portion of the annular lens support when the annular lens support is in an uncompressed configuration; and
wherein the non-deflectable lens is configured to displace along the optical axis and the deflectable lens is configured to change in curvature about the optical axis when compressive force is applied to the annular lens support.

US Pat. No. 10,709,548

METHOD AND APPARATUS FOR CREATING OCULAR SURGICAL AND RELAXING INCISIONS

AMO Development, LLC, Sa...

1. A scanning system for treating target tissue in a patient's eye, comprising:a) an ultrafast laser source configured to deliver a laser beam comprising a plurality of laser pulses;
b) an Optical Coherence Tomography (OCT) device configured to generate signals which may be used to create an image of the cornea and limbus of the eye of the patient;
c) a scanner configured to focus and direct the laser beam in a pattern within the cornea or limbus to create incisions therein; and
d) a controller operatively coupled to the laser source and scanner programmed to determine a treatment pattern based upon the signals from the OCT device, the treatment pattern forming a cataract incision in the cornea that provides access for lens removal instrumentation to a crystalline lens of the patient's eye and one or more relaxation incisions in the cornea or limbus, wherein the cataract incision has an arcuate extent of less than 360 degrees in a top view, wherein the cataract incision includes a bevel shape in a cross-sectional view, the bevel shape including a first segment and a second segment which intersect each other at an angle, the cataract incision being entirely located in the cornea and intersecting both an anterior surface and a posterior surface of the cornea, and to control the scanner to scan the position of the laser beam in the treatment pattern.

US Pat. No. 10,709,547

OCULAR IMPLANT DELIVERY SYSTEM AND METHOD

IVANTIS, INC., Irvine, C...

1. A system for delivering an ocular implant into Schlemm's canal through an incision associated with cataract surgery, the system comprising:a cannula defining a central axis and a passageway extending from a proximal end to a distal end along the central axis, the cannula having a distal opening extending through a side wall and the distal end of the cannula to form a trough, a curved distal portion, a curved intermediate portion, and a proximal portion;
an ocular implant disposed within the passageway of the cannula; and
a delivery tool having a distal interlocking portion engaging a complementary interlocking portion of the ocular implant; and
wherein the intermediate portion of the cannula has a first radius of curvature along the central axis and the distal portion has a second radius of curvature along the central axis, the first radius of curvature being greater than the second radius of curvature to allow for substantially tangential entry of the cannula into Schlemm's canal through the incision.

US Pat. No. 10,709,546

INTRACORNEAL LENS IMPLANTATION WITH A CROSS-LINKED CORNEA

1. A method of intracorneal lens implantation with a cross-linked cornea, said method comprising:soaking a lens implant in a cross-linking solution that includes a photosensitizer, the lens implant having a predetermined shape for changing the refractive properties of an eye;
forming a pocket in a cornea of the eye;
after the pocket in the cornea has been formed, inserting the lens implant with the photosensitizer thereon inside the pocket so that the photosensitizer permeates at least a portion of the tissue bounding the pocket, the photosensitizer facilitating cross-linking of the portion of the tissue bounding the pocket;
irradiating the cornea so as to activate cross-linkers in the portion of the tissue bounding the pocket, and thereby stiffen the cornea, prevent corneal ectasia of the cornea, and kill cells in the portion of the tissue bounding the pocket; and
applying laser energy to the lens implant in the pocket using a two-photon or multi-photon laser so as to modify the index of refraction of a discrete internal part of the lens implant to correct the remaining refractive errors of the eye in a non-invasive manner, while preventing post-operative dry eye formation;
wherein the step of irradiating the cornea so as to activate cross-linkers in the portion of the tissue bounding the pocket only kills the cells in the portion of the tissue bounding the pocket so as to leave only a thin layer of cross-linked collagen to prevent rejection of the lens implant and/or encapsulation by fibrocytes, while preventing post-operative dry eye formation.

US Pat. No. 10,709,545

IMPLANTABLE PROSTHESES FOR TISSUE EXPANSION

Allergan, Inc., Irvine, ...

1. A tissue expander device for implanting into a body of a living subject, the device comprising:an expandable elastomeric matrix and granules of a solute embedded within the matrix, wherein the matrix defines boundaries of a plurality of chambers within the matrix, wherein the boundaries are permeable to water at a temperature of between 35° C. and 41° C.; and
a shell extending about a periphery of the matrix to enclose the matrix therewithin.

US Pat. No. 10,709,544

NON-CYLINDRICAL VARIABLE PITCH MESH TOP STENT

Cook Medical Technologies...

1. A stent, comprising:a plurality of intersecting elongated members arranged to form a plurality of cells, at least some of the plurality of cells forming a tube with a lumen running therethrough, wherein the tube comprises first and second sections, the first section having a substantially constant first diameter, the second section having a second diameter that is larger than the first diameter, the tube comprising a transition section between the first and second sections, the transition section having a concave curvature extending proximally from the first section toward the second section and a convex curvature extending proximally from the concave curvature to the second section, wherein the second section has a first tier of elongate cells of the plurality of elongate cells having a first shape and rounded proximal apices and a second tier of elongate cells of the plurality of cells having a second shape different from the first shape,
wherein the first section has multiple tiers of diamond shaped cells of the plurality of cells, the multiple tiers each having a length less than each of the first and second tiers of elongate cells,
wherein the first section exhibits a greater force of radial expansion than the second section, and
wherein the rounded proximal apices of the first tier extend inwardly toward a center of the stent.

US Pat. No. 10,709,543

NON-CYLINDRICAL MESH TOP STENT WITH TWISTED SECTIONS

Cook Medical Technologies...

1. A stent, comprising:a plurality of intersecting elongated members arranged to form a plurality of cells, the plurality of cells defining an elongated tube with a lumen running therethrough, wherein the elongated tube comprises first, second, and third sections, the first section having a substantially constant first diameter and the third section having a substantially constant second diameter that is larger than the substantially constant first diameter of the first section, wherein the diameter of the second section transitions from the first diameter to the second diameter, wherein the diameter of the second section transitions from the first diameter to the second diameter via a concave curvature extending proximally from the first section and a convex curvature extending proximally from the concave curvature to the third section,
wherein a proximal end of the third section of the stent comprises a plurality of rounded ends formed by the plurality of intersecting elongated members,
wherein each of the plurality of cells within the first section have a pitch that is tighter than each of the plurality of cells within the second and third sections, and
wherein in the second section, the plurality of intersecting elongated members comprises a plurality of pairs of elongated members, wherein each pair of elongated members comprises two adjacent elongated members that define a side of two adjacent cells and are twisted axially around each other to form a twist between each of two adjacent elongated members.

US Pat. No. 10,709,542

STENT WITH IMPROVED ANTI-SLIP FUNCTION

TAEWOONG MEDICAL CO., LTD...

1. A stent with an improved anti-slip function, the stent being configured to widen a lesion such as stenosis or occlusion in a lumen of a body, and comprising:a cylindrical stent including a plurality of rhombic openings formed by weaving wires made of a super-elastic shape memory alloy in a hollow cylindrical mesh shape in an interlocking or intersecting manner, and a plurality of peaks circumferentially provided at opposite corrugated ends of the cylindrical stent, the cylindrical stent being subjected to heat treatment,
wherein the cylindrical stent has a first artificial blood vessel layer made of a polytetrafluoroethylene (PTFE) material and being in entire contact with an inner surface of the cylindrical stent, and a plurality of second artificial blood vessel layers made of the PTFE material and being in contact with an outer surface of the cylindrical stent at predetermined intervals, and
the first artificial blood vessel layer and the plurality of second artificial blood vessel layers are fused together by heat fusion to encompass the cylindrical stent, thereby forming a plurality of first sections having a plurality of obstructed openings and a plurality of second sections having a plurality of unobstructed openings.

US Pat. No. 10,709,541

SYSTEMS AND METHODS FOR ADJUSTING THE DIAMETER OF AN ENDOLUMINAL PROSTHESIS AND AN ENDOLUMINAL PROSTHESIS CONFIGURED FOR THE SAME

Cook Medical Technologies...

1. An endoluminal prosthesis comprising:a stent graft comprising a tubular graft wall, a stent, a main strand, a proximal strand perpendicular to the main strand and having first and second ends, and a distal strand perpendicular to the main strand and having first and second ends;
wherein the tubular graft wall defines an internal lumen of the stent graft and comprises a first surface and a second surface;
wherein the stent is positioned on the first surface of the tubular graft wall and comprises at least two proximal apices and at least three distal apices;
wherein the proximal strand is positioned on at least the first surface of the tubular graft wall with the first end connected to one of the at least two proximal apices of the stent and the second end connected to another of the at least two proximal apices of the stent;
wherein the distal strand is positioned on at least the first surface of the tubular graft wall with the first end connected to one of the least three distal apices of the stent and the second end connected to an another of the least three distal apices of the stent;
wherein the main strand is positioned longitudinally along one of the first and second surfaces of the tubular graft wall and connected to the proximal strand and the distal strand on one of the first and second surfaces of the tubular graft wall and moveable in at least a distal direction;
wherein movement of the main strand in the distal direction pulls the proximal strand distally to cause the at least two proximal apices of the stent to move inwardly toward each other and reduce a diameter of the tubular graft at the at least two proximal apices of the stent.

US Pat. No. 10,709,540

VESSEL OCCLUSION DEVICES, KITS AND METHODS

V.V.T. Med Ltd., Kfar-Sa...

1. A blood vessel occlusion device comprising:a plurality of legs having a deployed state wherein each of said plurality of legs is angled outwardly toward an interior vessel wall of a blood vessel, away from a common longitudinal axis and a delivery state wherein said plurality of legs are sized and shaped to curve along the interior of said blood vessel and substantially in parallel to the common longitudinal axis, each said leg having an anchoring tooth at a distal end thereof, wherein each anchoring tooth is angularly connected to its respective leg, and wherein, in the deployed state, the plurality of legs are arranged in a substantially conical orientation, and the plurality of anchoring teeth are arranged in a substantially conical orientation that radially overlaps the plurality of legs;
and an annular retention element that is movable over the plurality of legs to pull them toward each other and toward the common longitudinal axis;
wherein, when each anchoring tooth is anchored to a blood vessel wall, movement of the annular retention element over the legs pulls the legs toward the common longitudinal axis, thereby completely occluding the blood vessel.

US Pat. No. 10,709,539

THREE-DIMENSIONAL POLYMERIC MEDICAL IMPLANTS

NOVUS SCIENTIFIC AB, Upp...

1. A three-dimensional resorbable medical implant, comprising:a first thin knitted porous component, and
a first resorbable load-bearing and volume-creating component, which is connected to the first thin knitted porous component; wherein the resorbable load-bearing and volume-creating component comprises an organized structure,
wherein a height of the resorbable load-bearing and volume-creating component is more than three times larger than a thickness of the thin knitted porous component,
wherein the organized structure comprises at least one of
(1) a corrugated structure having corrugations, the corrugations having a height more than three times larger than the thickness of the thin knitted porous component, or
(2) a waffled structure, the waffled structure having a height more than three times larger than the thickness of the thin knitted porous component,
wherein the resorbable load-bearing and volume-creating component is a resorbable two-dimensional structure folded or shaped into a three-dimensional structure such that the height of the resorbable load-bearing and volume-creating component is at least four times larger than a maximum thickness of the resorbable two-dimensional structure to create at least one of the corrugated or waffled structure.

US Pat. No. 10,709,538

UMBILICAL HERNIA PROSTHESIS

SOFRADIM PRODUCTION, Tre...

1. A process for making a prosthesis comprising:forming a cut on a textile to produce a cut textile, the cut in a shape of a cross including first and second branches,
placing the cut textile on a mesh, and
welding a frame to the cut textile and the mesh, the frame including two hinge points forming a folding line therebetween, wherein one of the first and second branches is positioned on the folding line and extends beyond the two hinge points of the frame.

US Pat. No. 10,709,537

SURGICAL PATCH COVER AND METHOD OF USE

Covidien LP, Mansfield, ...

1. A device for performing surgery on a patient, the device comprising:a mesh patch comprising a top surface and a bottom surface, the bottom surface having a plurality of hooks positioned thereon; and
a removable cover comprising a top side and a bottom side, the top side configured to be positioned adjacent to and in facing engagement with the bottom surface of the mesh patch and the bottom side configured to be positioned adjacent to a surgical site, the removable cover further comprising a non-porous polymeric material,
wherein the top surface of the mesh patch is uncovered and the removable cover is configured to be removed from the bottom surface of the mesh patch as the mesh patch is positioned at a surgical site such that the hooks on the bottom surface of the mesh patch grip surrounding tissue of a patient and secure the mesh patch to surrounding tissue of the surgical site.

US Pat. No. 10,709,536

MEDICAL DEVICE FOR TREATMENT OF URINARY INCONTINENCE IN FEMALES

1. A method for rehabilitation of a female subject suffering from urinary incontinence, the method comprising:(a) providing a device that comprises:
an inflatable distal portion,
an inflatable proximal portion, and
at least one deformation controlling mechanism disposed between said distal portion and said proximal portion, said at least one deformation controlling mechanism configured, in response to deflation of said distal portion, to inflate said proximal portion;
(b) positioning said device inside the vagina of the female subject, such that said distal portion is located in a subvesical region of the vagina, and said proximal portion is located in a suburethral portion of the vagina;
(c) deflating said distal portion, responsive to the female subject contracting her pelvic muscles and applying pressure on said distal portion;
(d) inflating said proximal portion responsive to the deflation of said distal portion, such that said proximal portion applies pressure on the vaginal wall of the female subject, and the vaginal wall applies pressure to the urethra of the female subject;
(e) inflating said distal portion, responsive to the female subject relaxing said pelvic muscles and ceasing to apply pressure on said distal portion;
(f) deflating said proximal portion responsive to the inflation of said distal portion, such that said proximal portion ceases to apply pressure on the vaginal wall of the female subject, and the vaginal wall ceases to apply pressure to the urethra of the female subject; and
(f) repeating steps (c)-(f) multiple times, to strengthen said pelvic muscles and lessen or eliminate the urinary incontinence of the female subject.

US Pat. No. 10,709,535

TREATMENT INSTALLATION FOR STRAWS FOR PACKAGING ANIMAL SEMEN, COMPRISING A SUPPLY AND POSITIONING DEVICE FOR SAID STRAWS

IMV TECHNOLOGIES, Saint ...

1. A treatment installation for straws for packaging a predetermined dose of liquid-based animal semen substance, comprising: at least one treatment machine for said straws and a supply and positioning device configured to receive said straws and dispose them one by one in a predetermined orientation for treatment of said straws by said machine; wherein said supply and positioning device comprises at least one curved ramp having a reception portion for receiving said straws and an ejection portion for ejecting said straws, which is away from said reception portion and wherein said ejection portion is situated lower than said reception portion, said curved ramp being configured to convey, to said ejection portion, a straw received on said reception portion and freely sliding on said ramp, said curved ramp having a concave profile turned upwardly such that said profile has an orientation closer to the vertical in said reception portion for receiving said straws than in said ejection portion for ejecting said straws, such that said straw received on said reception portion is accelerated to said ejection portion where said straw received on said reception portion is guided and ejected in said predetermined orientation for treatment of said straw received on said reception portion by said treatment machine.

US Pat. No. 10,709,534

SYSTEM OF A DENTAL BLANK AND AN ASSOCIATED SHADE GUIDE

3M INNOVATIVE PROPERTIES ...

1. A method of making a dental restoration, the method comprising:providing a dental blank exhibiting a non-uniform color shading in at least one dimension;
providing a physical shade guide that is associated to the dental blank, the physical shade guide comprising a plurality of physical shade specimens each exhibiting a specimen surface, wherein each specimen surface has a three-dimensional shape and a particular non-uniform color shading defined by a respective virtual three-dimensional target surface of a correlating shape and non-uniform color shading within the dental blank, and wherein each of the respective virtual three-dimensional target surfaces has a shape corresponding to the corresponding specimen surface;
storing, by a computing device, information associating each of the plurality of physical shade specimens with respective positions and orientations of virtual three-dimensional target surfaces;
matching one physical shade specimen of the physical shade guide with a tooth of a patient and thereby determine a selected physical shade specimen;
determining, by a computing device and based on the selected physical shade specimen and the stored information, a correlating position and orientation within the dental blank of the respective virtual three-dimensional target surface associated with the selected physical shade specimen, wherein determining the correlating position and orientation within the dental blank comprises automatically combining the target surface and a surface of a virtual dental restoration so that the target surface and the surface of the virtual dental restoration intersect at an intersection; and
machining the dental restoration, or a precursor thereof, at the correlating position and orientation from the dental blank based on the intersection of the target surface and the surface of the virtual dental restoration.

US Pat. No. 10,709,533

ORAL CARE IMPLEMENT AND HANDLE AND REFILL HEAD THEREOF

Colgate-Palmolive Company...

1. An oral care refill head comprising:a sleeve portion extending from a proximal end to a distal end, the sleeve portion comprising:
a body portion having an outer surface and an inner surface that defines an internal cavity, the inner surface opposite the outer surface;
the internal cavity extending along a sleeve axis from an open bottom end at the proximal end of the sleeve portion to a closed top end, the internal cavity configured to receive an attachment portion of a stem of an oral care implement handle;
the internal cavity comprising a proximal section adjacent the open bottom end and a distal section adjacent the closed top end; and
the distal section of the internal cavity comprising a central portion located on the sleeve axis and a plurality of slot portions radially extending from the central portion, the plurality of slot portions comprising a first slot portion, a second slot portion, and a third slot portion;
a plurality of arcuate sidewalls extending between the plurality of slot portions and defining the central portion of the distal section of the internal cavity, a first arcuate sidewall between the first and second slot portions, a second arcuate sidewall between the second and third slot portions, and a third arcuate sidewall between the third and first slot portions;
wherein the first and third arcuate sidewalls have a first thickness measured from the inner surface to the outer surface and the second arcuate sidewall has a second thickness measured from the inner surface to the outer surface, the first thickness being greater than the second thickness.

US Pat. No. 10,709,532

ATRAUMATIC HIGH-VOLUME DENTAL EVACUATION TIP

1. A high volume dental evacuation tip comprising:a proximal end and a distal end wherein an elongated body extends between said proximal end and said distal end along a longitudinal axis;
said elongated body comprising an outer surface and a hollow interior;
said proximal end is configured for connection to a suction device;
said elongated body member including a plurality of functional apertures located along an entire length of said elongated body member, said apertures covered by vent shells; and
a forward facing end of said distal end of the elongated body member further comprising a silicone wedges nozzle.

US Pat. No. 10,709,531

AUTOMATIC DENTAL FLOSSER

9. A dental flosser comprising:a housing;
a bifurcated member forming a pair of flossing tines for supporting a dental floss span to floss teeth, said bifurcated member forming a distal portion of said housing;
a rotatably supported floss supply spool connected to a proximal portion of said housing for replacing used floss with clean floss;
an elongate floss guide extending between said floss supply spool and said bifurcated member and along said housing for guiding floss on route from said spool to said tines;
a hole formed in said housing, said hole extending transversely with respect to said floss guide;
a slidably supported cutting blade positioned in said hole and extending transversely of said floss guide;
a finger rest attached to said cutting blade; and
a spring positioned within said hole and operatively coupled to said cutting blade to urge said cutting blade toward a first position wherein pressing said finger rest causes said cutting blade to slide within said hole toward a second position thereby cutting floss in said floss guide.

US Pat. No. 10,709,527

METHOD FOR MANIPULATING A DENTAL VIRTUAL MODEL, METHOD FOR CREATING PHYSICAL ENTITIES BASED ON A DENTAL VIRTUAL MODEL THUS MANIPULATED, AND DENTAL MODELS THUS CREATED

Align Technology, Inc., ...

1. A method for scanning obstructed intraoral structures of a patient, the method comprising:providing a hand-held intraoral scanner, wherein the hand-held intraoral scanner is configured to focus light onto an intraoral structure;
scanning, using the hand-held intraoral scanner, the intraoral structure of the patient to generate first 3D data of a surface of the intraoral structure of the patient;
generating a 3D virtual model of the intraoral structure of the patient based on the first 3D data;
determining a missing portion of the 3D virtual model that are missing a portion of the intraoral structure of the patient;
generating second 3D data representing the intraoral structure of the missing portion of the 3D virtual model;
combining the second 3D data with the 3D virtual model such that the 3D virtual model includes a representation of the intraoral structure in place of the missing portion.

US Pat. No. 10,709,525

METHODS FOR TAKING AN ORAL SCAN WITHOUT REQUIRING REMOVAL OF A TEMPORARY HEALING ABUTMENT

ESTHETIC IMPLANT SOLUTION...

1. A method of taking a scan of a patient's oral cavity, the method comprising:providing an anatomical healing cap configured to be received within a subgingival void of a given tooth position;
taking a first scan of the anatomical healing cap;
seating the anatomical healing cap into the subgingival void of the given tooth position, the seating including coupling the anatomical healing cap into an implant disposed adjacent the anatomical healing cap, in the subgingival void;
taking a second scan, which is an intraoral scan of the anatomical healing cap and surrounding surfaces once the anatomical healing cap is seated;
integrating the first scan of the anatomical healing cap with the intraoral second scan of the anatomical healing cap and the surrounding surfaces into an overall oral cavity scan, wherein taking the first scan of the anatomical healing cap comprises inserting a locking member of the anatomical healing cap into an open end of a second scanning body.

US Pat. No. 10,709,524

DENTAL IMPLANT FOR BONE COLLECTION AND DISTRIBUTION

STRAUMANN HOLDING AG, Ba...

1. A bone implant comprising:a coronal portion and a body portion that are continuous with one another, the coronal portion defining a proximal end of the implant and the body portion defining a distal end of the implant, the coronal portion being configured to have a smaller overall diameter than an overall diameter of the body portion, wherein:
the body portion has an inner core, the inner core including at least one external thread extending from the inner core and along a length of the inner core;
the inner core defines an internal diameter of the body portion and the threading defines an external diameter of the body portion;
the inner core is continuous along the length of the body portion having a sequentially decreasing diameter such that a proximal diameter of the inner core is larger than a distal diameter of the inner core;
the at least one thread extending from the inner core and along the length of the inner core, each thread including:
an apical side, a coronal side, and a lateral edge connecting the apical side and the coronal side;
a base connecting the thread to the core; and
a thread depth defined between a lateral edge of the thread and the base;
the inner core is configured from at least two sub-segments, a proximal sub-segment and a distal sub-segment,
the at least one thread has a variable depth that is increasing along a length of the proximal sub-segment in an apical direction, and the variable depth of the at least one thread is decreasing along a length of the distal sub-segment in the apical direction, so that a smallest depth of the at least one thread is adjacent to the coronal portion of the inner core and a largest depth of the at least one thread is located between the distal sub-segment and proximal sub-segment;
the at least one thread includes at least two starts, and at least two longitudinal recesses extending along the length of the body portion therein defining at least two flutes defined along an entire length of the body portion;
the at least two flutes are configured to mill, collect, condense or disperse bone when the bone implant is rotated, the at least two flutes each have a proximal opening that opens into the coronal portion at a location where the diameter of the coronal portion is smaller than the diameter of the body portion, the proximal opening of each of the at least two flutes is configured to render each of the at least two longitudinal recesses of the at least two flutes accessible from the coronal portion of the bone implant, the proximal opening of each of the at least two flutes is provided for removing or introducing bone therethrough; and
the at least two flutes are formed across a depth of the at least one thread between the base of the at least one thread and the lateral edge of the at least one thread, the at least two flutes having an ovoid shape when viewed in an axial direction of the bone implant, such that a profile of the at least two flutes forms an ovoid recess along the base of the at least one thread and a neck formed along the lateral edge of the at least one thread.

US Pat. No. 10,709,523

THIN FILM TANTALUM COATING FOR MEDICAL IMPLANTS

Zimmer, Inc., Warsaw, IN...

1. A method for depositing a biocompatible material onto an implantable metallic substrate, the method comprising the steps of:providing the implantable metallic substrate within a reaction chamber; and
chemical vapor depositing the biocompatible material onto the implantable metallic substrate at a temperature of between 800° C. and 900° C. so as to form an angulated textured biocompatible coating on the implantable metallic substrate;
wherein the metallic substrate is a titanium alloy and the titanium alloy retains an alpha-beta microstructure that existed in the titanium alloy before the angulated textured biocompatible coating was formed on the implantable metallic substrate.

US Pat. No. 10,709,521

METHOD AND APPARATUS TO ACCOUNT FOR TRANSPONDER TAGGED OBJECTS USED DURING CLINICAL PROCEDURES, EMPLOYING A SHIELDED RECEPTACLE

Covidien LP, Mansfield, ...

1. A system to track items in a clinical environment, the system comprising:a number of antennas, the antennas positioned and oriented in the clinical environment to provide coverage of at least a portion of the clinical environment;
at least one interrogator, the at least one interrogator communicatively coupled to the antennas and operable to cause the at least one antenna to emit at least one of radio or microwave frequency energy interrogation signals and to detect response signals from any exposed wireless communications transponders in the clinical environment;
at least one shielded receptacle in the clinical environment, the at least one shielded receptacle having an interior and at least one shield that shields the interior of the shielded receptacle and any wireless communications transponders in the interior from at least one of radio or microwave frequency energy emitted by the antennas, at least one the at least one shielded receptacle is in a closed configuration;
a plurality of tagged clinical procedure items, each of the tagged items clinical procedure items having a respective wireless communications transponder physically coupled thereto; and
at least one piece of packaging, the at least one piece of packaging having an interior and at least one shield that shields the interior of the packaging and any wireless communications transponders in the interior of the packaging from at least one of radio or microwave frequency energy emitted by the antennas while the at least one piece of packaging is sealed, wherein the at least one piece of packaging releasably retains a number of the tagged clinical procedure items prior to use of the tagged clinical procedure items,
wherein the tagged clinical procedure items are disposable pieces of gauze and at least one of the at least one piece of packaging contains at least two sterile tagged disposable pieces of gauze prior to opening of the respective piece of packaging and the at least one of the at least one piece of packaging is hermetically sealed prior to opening of the respective piece of packaging.

US Pat. No. 10,709,520

END EFFECTOR FOR A POSITIONING DEVICE

Synaptive Medical (Barbad...

1. An end effector for connecting to a multi-jointed robotic arm of a positioning device of a medical navigation system, the end effector comprising:a mating component for connecting to an output flange at a distal end of the multi-jointed robotic arm;
a handle portion having a first end and a second end, the first end extending from the mating component, the handle portion including a cable cut-out at the first end;
a camera mount connected to the second end of the handle portion;
a trigger mechanism located adjacent the mating component for communicating with the multi-jointed robotic arm; and
a trigger emanating from the trigger mechanism, at least one of the trigger or trigger mechanism being configured to be manually held, the trigger being configured to be manually actuated; and
a scope clamp arm connected to the mechanical interface for clamping a scope, the scope clamp arm having a tracking marker frame attached thereto, the tracking marker frame having at least three couplings on the frame connected to at least three respective tracking markers, the tracking markers being passive reflective tracking spheres;
wherein manual actuation of the trigger places the multi-jointed robotic arm into compliant mode in which manual positioning of the joints of the multi-jointed robotic arm is enabled, wherein manual positioning of the joints is facilitated using the handle portion to directly and physically manually manipulate the end effector and the multi-jointed robotic arm to which the end effector is connected.

US Pat. No. 10,709,519

SURGICAL LAMP HAVING CONTROL

1. A surgical lamp that is controllable without contact, comprising:a control unit and a sensor unit,
wherein the control unit is configured to control the surgical lamp,
wherein the sensor unit is configured to detect motion of an action element and to convert the motion of the action element into motion data which reflect a translation of the action element during the motion,
wherein the control unit is configured to read out the motion data generated by the sensor unit and to control the surgical lamp in dependence on the motion data,
wherein the sensor unit is configured to ensure a detection of the motion of the action element in three dimensions in a measurement space which is arranged below the surgical lamp in an emission direction,
wherein the surgical lamp has a sleep mode in which the control unit ensures that there is no control of the surgical lamp via the read-out motion data, as well as an activated mode in which the control unit ensures the control of the surgical lamp via the read-out motion data,
wherein the control unit is configured to switch from the sleep mode to the activated mode in response to an initialization action and to switch from the activated mode to the sleep mode in response to a deactivation action,
wherein a defined initialization motion of the action element in the measurement space is specified as the initialization action, and
wherein a non-detection of any movement of the action element during a predeterminable dead-time is specified as the deactivation action, and
wherein the surgical lamp is configured such that a first predetermined motion of the action element provides the initialization motion, and, while in the activated mode and emitting light, another subsequent predetermined motion of the action element changes at least one of area, color and intensity of the light from the surgical lamp.

US Pat. No. 10,709,518

ROBOTIC SURGICAL ASSEMBLIES AND ADAPTER ASSEMBLIES THEREOF

COVIDIEN LP, Mansfield, ...

1. A torque transducer for mounting a motor, comprising:a first portion fixed relative to the motor;
a second portion fixed to a fixed structure;
a body interconnecting the first and second portions; and
a strain gauge positioned on the body and configured to measure flexation of the body in response to the first portion moving relative to the second portion.

US Pat. No. 10,709,517

END EFFECTOR

Multi Scopic Instruments,...

1. An end effector comprising:an outer sleeve defining a central longitudinal axis;
first and second jaws;
a jaw pivot, mounted in each of the jaws, rotatably coupling the jaws and defining a jaw axis about which rotation of the jaws achieves opening and closing of the jaws, wherein (i) the jaw axis defines a jaw plane perpendicular thereto in which the jaws move relative to one another and (ii) the coupled jaws form a jaw assembly;
a split yoke assembly, generally aligned with the longitudinal axis, having first and second yoke segments, each yoke segment having a distal end and a proximal end, the yoke segments being mounted, about a scissors pivot, for scissors-movement with respect to one another;
a set of first and second rotatable jaw mounts, each jaw mount having proximal and distal ends, the distal end of each rotatable jaw mount being pivotally mounted, via a corresponding jaw mount pivot, to a corresponding one of the first and second jaws, and, the proximal ends of the first and second rotatable jaw mounts being pivotally mounted, via first and second yoke pivots, respectively, to the distal ends of the corresponding first and second yoke segments, wherein the jaw mount pivots define axes of rotation that are parallel to the jaw axis, to support opening and closing of the jaws in the jaw plane, and the first and second yoke pivots define first and second yoke pivot axes respectively and collectively configure rotation of the jaw assembly relative to the longitudinal axis so that, in a straight-ahead position of the jaw assembly about the jaw mount pivots, the jaw plane is aligned with the longitudinal axis, and in an angled position of the jaw assembly about the jaw mount pivots, the jaw plane is at an angle to the longitudinal axis;
first and second cables coupled at a distal end thereof to the set of rotatable jaw mounts and at a proximal end thereof to a jaw-positioning assembly configured to move the position of the jaw assembly between the straight-ahead position and the angled position;
a pushrod having proximal and distal ends, the pushrod being mounted in the outer sleeve for axial motion along the longitudinal axis between a forward position in a direction toward the jaw assembly and a rearward position in a direction away from the jaw assembly;
a linkage system, coupled (a) to the first and second yoke segments near the proximal ends thereof and (b) to the distal end of the pushrod, the linkage system configured to move the proximal ends of the yoke segments towards each other, and therefore the distal ends of the yoke segments away from each other, so as to cause the jaws to move into an open position, when the pushrod is in a first one of the forward and rearward positions, and to move the proximal ends of the yoke segments away from each other, and therefore the distal ends of the yoke segments toward each other, so as to cause the jaws to move into a closed position, when the pushrod is in a second one of the forward and rearward positions.

US Pat. No. 10,709,516

CURVED CANNULA SURGICAL SYSTEM CONTROL

INTUITIVE SURGICAL OPERAT...

1. A robotic system comprising:a master device;
a slave manipulator configured to support an instrument, the instrument comprising:
an instrument shaft having a proximal end and a distal end, and
an end effector coupled to the distal end,
wherein the instrument shaft is configured to be inserted into an inserted position through a port so as to provide the end effector with access to a site; and
a control system operably coupled to the master device and to the slave manipulator, wherein:
in response to input at the master device, the control system controls the slave manipulator to move the instrument based on modeling the end effector as being positioned along a line coincident with a longitudinal axis of the distal end of the instrument shaft, wherein the line does not intersect the port when the instrument shaft is in the inserted position through the port.

US Pat. No. 10,709,515

METHODS OF CONTROLLING MOTION OF UNDER-ACTUATED JOINTS IN A SURGICAL SET-UP STRUCTURE

Intuitive Surgical Operat...

1. A robotic system comprising:a first robotic arm comprising a first joint;
a link supporting the first robotic arm;
one or more driven joints supporting the link; and
a processor operatively coupled to the one or more driven joints, wherein the processor is configured to:
accelerate the link by driving the one or more driven joints and imparting a force or moment to the first robotic arm,
inhibit a passive movement of the first joint when the passive movement of the first joint operates to cause the first joint to move away from a reference state of the first joint, wherein the passive movement of the first joint is responsive to the force or moment imparted to the first robotic arm, and
facilitate the passive movement of the first joint when the passive movement of the first joint operates to cause the first joint to move towards the reference state.

US Pat. No. 10,709,514

FLEXIBLE MEDICAL INSTRUMENT

INTUITIVE SURGICAL OPERAT...

1. A system comprising:a flexible instrument;
control logic;
a first mechanism configured to control an orientation of a distal tip of the flexible instrument in response to a first signal from the control logic;
a second mechanism configured to move the flexible instrument along an insertion direction, wherein the control logic provides:
a first mode in which the second mechanism moves the flexible instrument along the insertion direction in response to a second signal from the control logic; and
a second mode in which the control logic allows manual control of movement of the flexible instrument along the insertion direction; and
a first input device operable by a user to generate the first signal, wherein the first input device has a neutral position, and wherein the control logic commands the flexible instrument to be in a low-stiffness state in response to the first input device being in the neutral position.

US Pat. No. 10,709,513

CONTROL OF THE RATE OF ACTUATION OF TOOL MECHANISM BASED ON INHERENT PARAMETERS

Ethicon LLC, Guaynabo, P...

1. A robotic surgical system, comprising:a robotic arm having a proximal end configured to be coupled to a support and having a driver at a distal end thereof, the driver including one or more motors;
a tool assembly operatively coupled to the robotic arm, the tool assembly comprising a shaft having a longitudinal axis that is operatively coupled to the driver to enable selective rotation of the shaft;
an end effector pivotally coupled to a distal end of the shaft, the end effector being operatively coupled to the driver and being configured to selectively pivot relative to the shaft, the end effector having an operational window area within a region circumscribed by a portion of the end effector as the shaft rotates about the longitudinal axis; and
a control system configured to monitor the operational window area to control a velocity of movement of the robotic arm such that the velocity of movement of the robotic arm is controlled as a function of at least one of a rotational speed of the shaft and the operational window area.

US Pat. No. 10,709,512

TOOL DRIVER WITH LINEAR DRIVES FOR USE IN ROBOTIC SURGERY

VERB SURGICAL INC., Sant...

1. A tool driver for use in robotic surgery, comprising:a base configured to couple to a distal end of a robotic arm, wherein the base comprises a longitudinal track;
a tool carriage slidingly engaged with the longitudinal track and configured to receive a surgical tool, wherein the tool carriage comprises at least one linear axis drive assembly comprising:
a motor comprising a motor shaft;
a gear transmission coupled to the motor shaft and comprising a first gear having a first number of teeth and a second gear having a second number of teeth different from the first number of teeth;
a threaded shaft having a proximal shaft end coupled to the gear transmission and a distal shaft end providing a linear axis drive output;
an axially-movable guide mounted on the threaded shaft; and
a capacitive load cell disposed on the threaded shaft between the axially-movable guide and the distal shaft end and configured to measure axial load on the threaded shaft, wherein the capacitive load cell comprises a first conductive plate fixed relative to the axially-movable guide and a second conductive plate fixed relative to the threaded shaft; and
a position sensor for measuring axial position of the axially-movable guide based on relative rotational positions of the first and second gears,
wherein the linear axis drive output is configured to actuate one or more articulated movements of the surgical tool.

US Pat. No. 10,709,511

CONTROL OF JAW OR CLAMP ARM CLOSURE IN CONCERT WITH ADVANCEMENT OF DEVICE

Ethicon LLC, Guaynabo, P...

1. A robotic surgical system comprising:a robotic arm;
a tool assembly coupled to the robotic arm, the tool assembly comprising
a shaft extending distally from a housing,
an end effector coupled to a distal end of the shaft, the end effector comprising a blade and a clamp, and
a sensor that is configured to sense a force applied to the blade and a deflection of the blade in response to the applied force, and
a control system configured to control, based on the sensed force applied to the blade, an angle of orientation of the blade relative to a tissue of a patient.

US Pat. No. 10,709,510

SYSTEM AND METHOD FOR CONTROLLING A MOTOR IN A CATHETER PROCEDURE SYSTEM

CORINDUS, INC., Waltham,...

1. A catheter procedure system comprising:a bedside system comprising a percutaneous device, at least one drive mechanism coupled to the percutaneous device and at least one motor coupled to the at least one drive mechanism, the at least one motor including at least one of a brushless DC motor or a stepper motor; and
a workstation coupled to the bedside system, the workstation comprising:
a user interface; and
a controller coupled to the bedside system and the user interface, the controller programmed to:
receive at least one parameter of the motor;
determine a quadrature current of the motor based on the at least one parameter;
determine a load torque on the motor based on at least the quadrature current, an angular velocity and an angular acceleration; and
control the operation of the motor based on the load torque, wherein the operation of the motor causes the drive mechanism to move the percutaneous device,
wherein the load torque for the brushless DC motor is determined in accordance with:
?l[k]=Kiq-set[k]?B?[k]?J?[k]where ?l[k] is the load torque, ?[k] is the angular velocity, ?[k] is the angular acceleration, K is a torque constant, B is damping coefficient of the rotor, J is moment of inertia of the rotor and iq-set is a desired setpoint of the quadrature current, andwherein the load torque for the stepper motor is determined in accordance with:
iq[k]=(?sin(np?[k])i?[k]+cos(np?[k])i?[k])
?l[k]=Kiq[k]?B?[k]?J?[k]?Kd4 sin(4np?[k])where iq is the quadrature current, i? is a measured phase current, i? is a measured phase current, np is a number of magnetic pole pairs of the rotor, ? is the angular position of the rotor, and Kd4 is a detent torque amplitude.

US Pat. No. 10,709,509

SYSTEMS AND METHODS FOR PLANNING, PERFORMING, AND ASSESSING SPINAL CORRECTION DURING SURGERY

NuVasive, Inc., San Dieg...

1. A system for intraoperative planning and assessment of spinal deformity correction during a surgical spinal procedure, the system comprising:a spatial tracking system comprising an IR sensor and an IR tracking array, said IR tracking array being arranged along a proximal end of a surgical pointer tool capable of digitizing the location of an implanted surgical device and relaying to the spatial tracking system via the IR sensor;
a control unit comprising a touch screen display and a processing unit, wherein the processing unit comprises a machine readable storage medium that includes one or more instructions configured to receive one or more digital signals from the spatial tracking system, wherein the one or more instructions are configured to:
(a) receive, via a port of the processing unit, digitized location data of a plurality of implanted surgical devices;
(b) accept, via the touch screen display, one or more spine correction inputs, wherein at least one of the spine correction input is at least one desired angle corresponding to a rotational deformity of the spine in the axial plane; and
(c) generating at least one rod solution output shaped to engage the surgical devices at locations distinct from the digitized location data.

US Pat. No. 10,709,508

TRACKED POWERED DRILL ASSEMBLY

Medtronics PS Medical, In...

1. A trackable powered drill assembly, comprising:a powered drill motor housing having an exterior surface extending from a first end to a second end;
a collet assembly having a powered drill motor housing connection configured to fixedly engage the second end of the powered drill motor housing, wherein the powered drill motor housing connection allows a connection between the powered drill motor housing and the collet assembly;
an attachment member extending from a first attachment end to a second attachment end and having an internal surface forming a bore within the attachment member, wherein the collet assembly is configured to be at least partially received within the bore to at least in part form a first locking assembly;
a second locking assembly configured to limit rotational movement of the attachment member relative to the collet assembly;
a tracking device fixed to the exterior surface of the powered drill motor housing and configured to allow navigation of the trackable powered drill assembly; and
wherein the second locking assembly includes a locking seat configured to axially receive an axially extending locking member;
wherein upon engagement of the axially extending locking member into the locking seat, movement of the attachment member relative to the collet assembly is substantially limited.

US Pat. No. 10,709,507

REAL-TIME DISPLAY OF TREATMENT-RELATED TISSUE CHANGES USING VIRTUAL MATERIAL

Navix International Limit...

1. A method of visually displaying tissue-probe interactions in a medical procedure, comprising:receiving interaction data indicating interactions between an intrabody probe and a body tissue region, wherein the interaction data are associated to positions within the tissue region;
associating, based on the interaction data, material appearance properties to an extent of geometrical rendering data, wherein the geometrical rendering data indicate geometry of the tissue region;
rendering the geometrical rendering data to a rendered image using the associated material appearance properties; and
presenting the rendered image on a display.

US Pat. No. 10,709,506

METHODS AND APPARATUS FOR SURGICAL PLANNING

Intuitive Surgical Operat...

1. A surgical planning method for identifying advantageous locations for two or more entry ports for performing a robotic surgical procedure on a body of a patient, the method comprising:preparing a digital representation of at least a portion of the body from a set of acquired data;
receiving specification of at least one target area in the prepared representation;
enumerating possible locations for each of two or more entry ports disposed on a surface of the body;
from the digital representation, digitally computing a cost function based on the at least one target area and each of the enumerated possible locations for the two or more entry ports, the cost function at least partially defined by minimization of tool entry angle with respect to surface normal; and
selecting preferred locations for each of two or more entry ports based on values of the digitally computed cost function.

US Pat. No. 10,709,505

BODILY SUBSTANCE DETECTION BY EVALUATING PHOTOLUMINESCENT RESPONSE TO EXCITATION RADIATION

Boston Scientific Corpora...

1. A method, comprising:delivering excitation radiation in a pulsed manner having a wavelength in the visible spectrum of light to a treatment site, wherein a duration of each pulse of the excitation radiation is between 100 picoseconds and 100 milliseconds;
receiving radiation from the treatment site in response to the excitation radiation;
discriminating a target from a remainder of the treatment site based on the received radiation;
damaging the target via an ablation energy having a wavelength of about 1600 nm to 2500 nm; and
continuing delivery of the excitation radiation during the damaging step.

US Pat. No. 10,709,503

PROTECTIVE SLEEVE FOR A DERMATOLOGICAL TREATMENT DEVICE

1. A protective sleeve able to protect a dermatological treatment device comprising a laser head able to fire a laser beam during its use against any soiling, the sleeve comprising:a) a rigid shell configured so as to be able to be placed on the laser head and comprising:
a window able to be arranged across from the laser beam,
a contact wall, arranged around the window, able to come into contact around a target zone,
means for attachment to the device positioned less than 10 mm, preferably less than 5 mm, from the contact wall, in the form of at least one protuberance, able to be housed in a complementary cavity of the device, said protuberance making it possible to perform reversible clipping on the device by cooperating with its cavity ensuring fastening of the rigid shell on the device and the removal of the sleeve after its use; and
b) a flexible skirt secured to the rigid shell and configured so as to form, with the rigid shell, an enclosure surrounding the device.

US Pat. No. 10,709,502

SYSTEMS, APPARATUSES AND METHODS FOR DELIVERY OF ABLATIVE ENERGY TO TISSUE

Farapulse, Inc., Menlo P...

1. A system, comprising:a pulse waveform generator operatively coupled to an ablation device, the pulse waveform generator configured to:
generate voltage pulses in the form of a pulsed waveform, the pulsed waveform including:
a first level of a hierarchy of the pulsed waveform that includes a first set of pulses and first time delays separating successive pulses of the first set of pulses;
a second level of the hierarchy of the pulsed waveform that includes a plurality of first sets of pulses as a second set of pulses and second time delays separating successive first sets of pulses of the plurality of first sets of pulses, the second time delays each being greater than the first time delays;
a third level of the hierarchy of the pulsed waveform that includes a plurality of second sets of pulses as a third set of pulses and third time delays separating successive second sets of pulses of the plurality of second sets of pulses, the third time delays each being greater than the second time delays; and
a fourth level of the hierarchy of the pulsed waveform that includes a plurality of third sets of pulses as a fourth set of pulses and fourth time delays separating successive third sets of pulses of the plurality of third sets of pulses, the fourth time delays each being greater than the third time delays; and
deliver the voltage pulses to the ablation device by interleaving the voltage pulses being delivered across a plurality of electrode sets of the ablation device.

US Pat. No. 10,709,501

CATHETER AND METHOD FOR IMPROVED ABLATION

Sirona Medical Technologi...

1. A method of ablating cardiovascular tissue, comprising:positioning an electrode mounted on a distal end of a catheter in contact with cardiovascular tissue to be ablated, the distal end of the catheter terminating directly adjacent to and being immovable relative to a widest width of the electrode such that at least 65 percent of an exposed distal surface area of the electrode is in contact with the cardiovascular tissue to be ablated, a proximal surface area of the electrode within the catheter being larger than the exposed distal surface area;
irrigating the electrode with an irrigation fluid delivered through the catheter; and
applying radiofrequency (RF) energy to the electrode in order to ablate the cardiovascular tissue.

US Pat. No. 10,709,500

IRRIGATED ABLATION CATHETER HAVING A FLEXIBLE MANIFOLD

St. Jude Medical, Atrial ...

1. A catheter comprising:a shaft with a proximal end and a distal end;
an electrode assembly connected to the distal end of the shaft, the electrode assembly having a first side and a second side; and
an irrigation lumen passing through the shaft and in fluid communication with the electrode assembly, wherein upon application of a first deflection force to the electrode assembly from a first direction, the electrode assembly is configured to distribute irrigation fluid in at least the first direction, from the first side, through expansion of an opening in the first side, and reduce a distribution of irrigation fluid in at least a second direction, from the second side, wherein the second side is disposed radially opposite of the first side.

US Pat. No. 10,709,499

CATHETER AND METHOD FOR IMPROVED ABLATION

Sirona Medical Technologi...

1. A method of ablating biological tissue, comprising:positioning a first portion of an electrode body extending distally from a distal end of a housing such that the first portion is substantially covered by the biological tissue, a second portion of the electrode body remaining inside the housing, and at least part of the distal end of the housing being in permanent fluid-sealed relation with an outer surface of the electrode body upon longitudinal movement of the electrode body relative to the distal end of the housing; and
actuating the electrode body to ablate the biological tissue adjacent to the first portion of the electrode body while a coolant flows through the housing and contacts the first and second portions of the electrode body to cool the electrode body, the coolant flushing the surface of the first portion of the electrode body.

US Pat. No. 10,709,498

CATHETER WITH COOLING ON NONABLATING ELEMENT

Biosense Webster (Israel)...

1. A catheter, comprising:an elongated catheter body;
a tip electrode distal to the catheter body, the tip electrode comprising:
a shell having a non-ablating proximal neck portion and an electrically conductive distal shell wall;
an electrically conductive support member having a proximal portion and a distal portion, the proximal portion of the support member being inserted in the neck portion of the shell and the distal portion of the support member extending into a distal chamber defined by the shell and the support member, the proximal portion of the support member having a fluid through-hole extending through an interior of the proximal portion of the support member; and
a fluid channel provided between the neck portion of the shell and the support member, the fluid channel being on an outer surface of the distal portion of the support member and in fluid communication with the through-hole in the interior of the proximal portion of the support member, the fluid channel and through-hole defining a fluid flow path from the interior of the proximal portion of the support member to the fluid channel on the outer surface of the distal portion of the support member and to the distal chamber, and the fluid channel comprising either:
a helical channel on the outer surface of the distal portion of the support member, or
at least one axial branch and at least one radial branch on the outer surface of the distal portion of the support member, the at least one axial branch having proximal and distal ends, and at least one of the at least one radial branch being distal of the proximal end of the at least one axial branch.

US Pat. No. 10,709,497

ELECTROSURGICAL TISSUE SEALING DEVICE WITH NON-STICK COATING

Covidien LP, Mansfield, ...

21. An electrosurgical instrument, comprising:a pair of jaw members each having an electrically conductive tissue sealing plate configured to operably couple to a source of electrosurgical energy, the tissue sealing plates configured to deliver electrosurgical energy to tissue based on at least one sensed tissue parameter; and
a non-stick polydimethylsiloxane coating disposed on at least a portion of each of the tissue sealing plates and having a thickness of from about 35 nm to about 85 nm to:
reduce sticking of the tissue to the electrically conductive sealing plates during delivery of electrosurgical energy to the tissue; and
permit a sensing of the at least one tissue parameter.

US Pat. No. 10,709,496

SURGICAL FORCEPS

Covidien LP, Mansfield, ...

1. A monopolar electrode assembly, comprising:an electrically-insulative outer tube defining a distal end;
an electrically-conductive inner body fixed relative to and disposed within the electrically-insulative outer tube, the electrically-conductive inner body defining a distal end that is proximally spaced-apart from the distal end of the electrically-insulative outer tube;
a first electrically-conductive distal tip configured to releasably engage the electrically-conductive inner body within the electrically-insulative outer tube such that a distal treating portion of the first electrically-conductive distal tip extends distally from the distal end of the electrically-insulative outer tube, wherein the electrically-conductive inner body is configured as a tube; and
an electrically-insulative inner tube disposed within the electrically-conductive inner body.

US Pat. No. 10,709,495

DUAL STEP BAILOUT FOR MOTORIZED RF DEVICE

Ethicon LLC, Guaynabo, P...

1. A surgical device, comprising:a handle portion having an elongate shaft extending distally therefrom, the elongate shaft having first and second jaws at a distal end thereof, the jaws being configured to engage tissue therebetween;
a cutting assembly configured to move relative to the first and second jaws so as to cut tissue engaged between the first and second jaws;
a drive shaft extending from the handle portion through the elongate shaft and being coupled to the cutting assembly for moving the cutting assembly relative to the first and second jaws;
a motor driven bevel gear configured to move the drive shaft; and
a bailout bevel gear configured to manually move the drive shaft;
a motor assembly;
wherein the motor assembly and the motor driven bevel gear are movable between a first position, in which the motor assembly and the motor driven bevel gear are coupled to the bailout bevel gear for driving the bailout bevel gear, and a second position, in which the motor assembly and the motor driven bevel gear are disengaged from the bailout bevel gear; and
wherein the bailout bevel gear is configured to assist the motor driven bevel gear to move the drive shaft when the motor driven bevel gear is driven by the motor assembly, and the bailout bevel gear is configured to disengage from the motor driven bevel gear when the bailout bevel gear manually moves the drive shaft.

US Pat. No. 10,709,494

COMPACT JAW INCLUDING SPLIT PIVOT PIN

Covidien LP, Mansfield, ...

1. An end effector assembly, comprising:a support clevis supporting a split pivot pin and defining first and second circumferentially enclosed cable lumens extending therethrough and a circumferentially enclosed tube lumen extending therethrough;
first and second jaw members moveable about the split pivot pin between an open position and a closed position relative to one another for grasping tissue;
a cam slidably disposed within the support clevis distally of the circumferentially enclosed tube lumen, the cam defining an outer dimension larger than an inner dimension of the circumferentially enclosed tube lumen to inhibit proximal passage of the cam therethrough;
first and second cam pins extending from the cam, the first and second cam pins coupled to the first and second jaw members, respectively, within the support clevis, the cam slidable within and relative to the support clevis to move the first and second cam pins within and relative to the support clevis and the first and second jaw members to thereby move the first and second jaw members between the open and closed positions, the first cam pin directly operably engaged with a first cam slot defined within the first jaw member, the second cam pin directly operably engaged with a second cam slot defined within the second jaw member, wherein the first and second cam pins are fixed relative to the cam and one another and define a passage therebetween;
an actuator tube extending distally through the circumferentially enclosed tube lumen of the support clevis and operably coupled to the cam within the support clevis distally of the circumferentially enclosed tube lumen, wherein actuation of the actuator tube slides the cam within and relative to the support clevis; and
first and second electrical cables extending through the first and second circumferentially enclosed cable lumens, respectively, to electrically connect to the first and second jaw members, respectively.

US Pat. No. 10,709,493

DISMANTLABLE MEDICAL INSTRUMENT

1. A dismantlable medical instrument comprising:a first component, a second component, a third component, a first bayonet connection mechanism for releasable mechanical connection of the third component to the second component by a first bayonet connection,
the first component having a protrusion, the protrusion being disposed within an opening in the second component and within an opening in the third component when the first, second and third components are connected,
a second bayonet connection mechanism for releasable mechanical connection of the third component to the first component by a second bayonet connection, wherein a portion of the second bayonet connection is comprised of a portion of the protrusion,
a rotational axis about which the first and second bayonet connections rotate to engage the third component to the second component and the third component to the first component,
wherein, in a first predetermined position of the third component relative to the second component, the third component is not connected to the second component,
wherein, in a second predetermined position of the third component relative to the second component, the third component is in a first rotational position about the rotational axis, in relation to the second component, the third component is mechanically connected to the second component by the first bayonet connection, and the second component and the third component are not connected to the first component,
wherein, in a third predetermined position of the third component relative to the second component and to the first component, the third component is in a second rotational position about the rotational axis, in relation to the second component, the third component is mechanically rigidly connected to the second component by the first bayonet connection and to the first component by the second bayonet connection,
wherein the second rotational position is different from the first rotational position.

US Pat. No. 10,709,492

EFFECTIVE PARASITIC CAPACITANCE MINIMIZATION FOR MICRO ABLATION ELECTRODE

Biosense Webster (Israel)...

1. An apparatus, comprising:a flexible catheter adapted for insertion into a heart of a living subject and having a distal segment;
an ablation electrode disposed at the distal segment to be brought into contact with a target tissue in the heart; the ablation electrode having an external surface, and a cavity formed in the external surface;
a microelectrode configured to fit into the cavity;
a conductive wire lead connecting the microelectrode to receiving circuitry; and
an electrical shield surrounding the conductive wire lead, the electric shield being electrically connected directly to an ablation electrode lead wire via a wire and configured to equalize potentials between the ablation electrode and the microelectrode to minimize capacitance leakage current flow.

US Pat. No. 10,709,491

SYSTEM, METHOD AND COMPUTER-ACCESSIBLE MEDIUM FOR IN-VIVO TISSUE ABLATION AND/OR DAMAGE

MEMORIAL SLOAN-KETTERING ...

1. A non-transitory computer-accessible medium having stored thereon computer-executable instructions for ablating at least one tissue, wherein, when a computer hardware arrangement executes the computer-executable instructions, the computer hardware arrangement is configured to perform procedures comprising:establishing particular parameters for electric pulses based on at least one characteristic of the at least one tissue;
controlling an application of the electric pulses to all of the at least one tissue for a plurality of automatically controlled and separated time periods to ablate less than all of the at least one tissue such that a substantial electroporation of a majority of the at least one tissue is at least one of prevented or reduced; and
substantially maintaining an approximately stable impedance level of the at least one tissue while the electric pulses are applied.

US Pat. No. 10,709,490

CATHETER ASSEMBLIES COMPRISING A DIRECT HEATING ELEMENT FOR RENAL NEUROMODULATION AND ASSOCIATED SYSTEMS AND METHODS

MEDTRONIC ARDIAN LUXEMBOU...

1. A catheter apparatus, comprising:an elongated tubular shaft having a proximal portion and a distal portion;
a therapeutic assembly at the distal portion of the elongated tubular shaft and configured to be located at a target location within a renal artery of a patient, the therapeutic assembly comprising:
a control member having a tubular structure and a lumen therethrough and having a pre-formed helical shape;
a direct heating element having one or more heating wires carried by and wrapped around the control member;
a flexible tube having a lumen disposed between the control member and the direct heating element; and
an occlusion element at the distal portion of the elongated tubular shaft in which the control member and the direct heating element are positioned.

US Pat. No. 10,709,489

EXTENSION DEVICE FOR A BONE SCREW AND SCREWDRIVER INSTRUMENT

Silony Medical Internatio...

1. An extension device (1) for a bone screw (4) and with a screwdriver instrument (2) connectable to the extension device (1), having an axial longitudinal direction (16), a circumferential direction (18), which is concentric thereto, and a radial direction (20), wherein the extension device (1) extends in the axial longitudinal direction (16) and forms an access channel (24) to the bone screw (4) and which is capable of being removably fixed to the bone screw (4), and wherein the screwdriver instrument (2) has a shank (60), which is capable of being positioned in the axial longitudinal direction (16) within the access channel (24) and which is capable of being non-rotatably coupled to a tool application point of the bone screw (4), and wherein the screwdriver instrument (2) comprises a toggle lever mechanism (62) having a first and a second lever arm (64, 66), which are pivotally connected to each other through a common articulation point (68), that the first lever arm (64) is capable of being removably applied, in the region of its free end (70), at a first pivot bearing point (72) on the extension device (1), and is pivotally mounted and axially supported in an applied state, and that the second lever arm (66) is pivotally mounted and axially supported at a second pivot bearing point (74) on the shank (60) such that the first lever arm (64) has an elastic longitudinal extensibility, and that this longitudinal extensibility and a distance between the second pivot bearing point (74) and the common articulation point (68) of the lever arms (64, 66) are adapted to each other such that when manually pivoting the second lever arm (66) in a direction of a parallel alignment with the axial longitudinal direction (16), a dead center is overcome, and the toggle lever mechanism (62) reaches a tilt-stable position, in which the shank (60) of the screwdriver instrument (2) is forced in the axial direction (16) against the tool application point of the bone screw (4), and wherein the second lever arm (66) has a bearing plate (100), in which the common articulation point (68) is formed with the first lever arm (64) and the second pivot bearing point (74) is formed with the shank (60), wherein the common articulation point (68) and the second pivot bearing point (74) are positioned on a line in the axial longitudinal direction (16), in a closed state of the toggle lever mechanism (62).

US Pat. No. 10,709,487

METHOD OF FASTENING A TISSUE OR A CORRESPONDING PROSTHETIC ELEMENT IN AN OPENING PROVIDED IN A HUMAN OR ANIMAL BONE AND FASTENER SUITABLE FOR THE METHOD

SPORTWELDING GMBH, Schli...

1. A set for fastening tissue or a prosthetic element inside an opening provided in a human or animal bone, the set comprising a fastener, the fastener comprising:a proximal face,
a distal end,
a fastener axis extending between the proximal face and the distal end and a circumferential surface extending around the fastener axis, and
the fastener defining a guiding portion and further comprising at least one first portion of the circumferential surface and at least one second portion different from the first portion of the circumferential surface,the set further comprising at least one anchoring element and an anchoring tool,wherein the anchoring element comprises a material having thermoplastic properties, and
the anchoring tool comprises a distal end adapted to the anchoring element and is capable of transmitting energy to the anchoring element and advancing the anchoring element relative to the fastener,the set further comprising a guide tool,the guide tool comprising a distal end adapted in cross section to a proximal cross section of the fastener and further comprising a through channel adapted in cross section to a distal portion of the anchoring tool,wherein the distal end of the guide tool is adapted to hold the fastener,wherein the first portion comprises at least one first sector and is equipped for anchoring the fastener inside an opening,
wherein said guiding portion comprises a material having thermoplastic properties or is equipped to guide a material having thermoplastic properties to the at least one first portion,
wherein the second portion comprises at least one second sector designed as a pressing sector, said pressing sector being capable of clamping a tissue or prosthetic element against an inside wall of the opening, whereby the fastener is equipped for fastening the tissue or prosthetic element to the inside wall of the opening,
wherein the at least one second sector is at least one of:
flat, or substantially smooth, or comprises one of: a retainer or an axial shallow groove for accommodating the tissue or prosthetic element or a strand thereof,
wherein the proximal face of the fastener comprises a stepped profile, and
wherein the distal end of the guide tool comprises a stepped profile, the guide tool stepped profile meshing with the fastener stepped profile in such a manner as to prevent the fastener from rotating, and
wherein said fastener stepped profile defines a unique radial orientation position of the fastener.

US Pat. No. 10,709,486

BONE SCREW

1. A bolt with an external thread and a cylindrical bolt shank of allogeneic, cortical bone material for surgically operative osteosynthesis, wherein the external thread is a symmetrical angular or symmetrical trapezoidal thread with the flank of a thread turn facing the screw-in direction having the same angle as its remote flank, which has at least one thread turn per millimeter, and the bone material is formed by osteons (5) and is permeated by Haversian canals (6), characterized in that thread flanks (9a, 9b), which delimit a thread groove, of the symmetrical angular or trapezoidal thread converge into each other via a thread root portion (8), whose length, in an axial section of the bolt, lies in the range of 0.02 mm to 0.6 mm, and wherein the thread root portion (8) is formed by a circular arc with a thread root radius of 0.01 mm to 0.20 mm.

US Pat. No. 10,709,485

NEUTRALIZATION PLATE AND RELATED METHODS

1. A neutralization plate comprising:a main body;
a pair of upper arms extending upwards from the main body;
a pair of lower arms extending downward from the main body to form a generally X-shape with the pair of upper arms;
a horizontal channel formed across a rear side of a midsection of the main body;
an aperture formed in the main body between the pair of lower arms and contiguous to a bottom edge of the horizontal channel; and
a lower chute formed between the aperture and a lower edge of the horizontal channel;
wherein the lower chute is configured for ends of a suture looped through a fractured bone to be passed through the aperture and down the lower chute to a front side of the main body to be anchored separately from the fractured bone.

US Pat. No. 10,709,484

CONTROL INSTRUMENT

DePuy Synthes Products, I...

1. A control instrument for a guidewire comprising:a first component moveable from a first position, in which the guidewire can move axially relative to the first component, to a second position in which the guidewire is fixed relative to the first component;
a second, rotatable, component, wherein rotation of the second component causes the first component to move axially, only when the first component is in its second position, thereby moving the guidewire axially;
a handle which rotates the second component; and
a releasable locking mechanism between the second component and the handle such that the second component can only rotate when the first component is in the second position.

US Pat. No. 10,709,483

LAMINOPLASTY PLATES AND METHODS OF EXPANDING THE SPINAL CANAL

DePuy Synthes Products, I...

1. A laminoplasty system comprising:a plate including:
a first plate segment including
a pair of spaced apart arms defining a slot that opens at a first end of the plate, the pair of spaced apart arms being sized and configured to permit the first plate segment to slidably engage a bone anchor;
a second plate segment defining
a first hole being sized and configured to receive a bone anchor and a second hole being sized and configured to receive a bone anchor;
a third plate segment interposed between the first plate segment and the second plate segment, the third plate segment defining an opening;
wherein the first plate segment and the second plate segment are disposed in separate approximately parallel planes and the third plate segment connects the first plate segment and the second plate segment and is disposed in a plane that intersects the approximately parallel planes;
wherein the plate includes a central longitudinal axis extending along the first plate segment, second plate segment, and third plate segment; and wherein the slot, the first hole, and the second hole are disposed on the central longitudinal axis; and
wherein the first plate segment defines a third hole being sized and configured to receive a bone anchor.

US Pat. No. 10,709,481

SYSTEMS AND METHODS FOR POSTERIOR DYNAMIC STABILIZATION OF THE SPINE

THE BOARD OF TRUSTEES OF ...

1. An interspinous spacer device, comprising:a port;
an expandable body comprising
a pair of superior apexes configured to be driven from a first delivery configuration toward a first deployed configuration by an instrument that is detachably coupled to the port spaced apart from the superior apexes, wherein the superior apexes in the first delivery configuration are substantially parallel to a longitudinal axis of the interspinous spacer device;
a recessed superior central section extending between the superior apexes and configured to gradually move toward a subject's superior spinous process based on operation of the instrument coupled to the port of the interspinous spacer device while the superior spinous process is located between the superior apexes;
a pair of inferior apexes movable from a second delivery configuration toward a second deployed configuration by the instrument detachably coupled to the port, wherein the inferior apexes in the second delivery configuration are substantially parallel to the longitudinal axis of the interspinous spacer device; and
a recessed inferior central section extending between the inferior apexes and configured to gradually move toward a subject's inferior spinous process based on operation of the instrument coupled to the port of the interspinous spacer device while the inferior spinous process is located between the inferior apexes.

US Pat. No. 10,709,480

ADJUSTABLE SCREW-CLAMP ORTHOPEDIC APPARATUS

DYNAMIC SPINE, LLC, Maht...

1. A screw-clamp apparatus comprising:a first clamp component comprising a first attachment end and at least one hook on a first hook end;
a second clamp component comprising a second attachment end and at least one hook on a second hook end,
wherein the first attachment end and the second attachment end are configured to attach the first clamp component and the second clamp component together, wherein the first clamp component and the second clamp component are pivotable relative to each other when the first clamp component and the second clamp component are attached together;
a screw hole located in one of the first clamp component and the second clamp component;
a screw configured to be inserted through the screw hole and to be inserted into bone;
a first spacer-receiver located on one of the first clamp component and the second clamp component, wherein the first spacer-receiver is configured to secure a spacer; and
wherein a longitudinal length of the screw-clamp apparatus is adjustable such that a distance between the first clamp component and the second clamp component is adjustable,
wherein the second attachment end includes two clamp arms that are configured to receive at least a portion of the first attachment end therebetween,
wherein the screw hole is located in the first attachment end of the first clamp component such that at least a portion of the screw is positioned between the two clamp arms when the first clamp component and the second clamp component are attached together.

US Pat. No. 10,709,479

POLYAXIAL BOTTOM-LOADING SCREW AND ROD ASSEMBLY

DePuy Synthes Products, I...

1. A method of assembling a bone anchor assembly, the method comprising steps of:aligning a head of a bone anchor with a bore that extends through a body portion of the bone anchor assembly from an upper end of the body portion to a lower end of the body portion in a distal direction, the bone anchor assembly having an elongate rod that is monolithic with the body portion and extends from the body portion;
receiving the head of the bone anchor in a collet of the bone anchor assembly such that a plurality of flexible arms of the collet radially expand so as to receive the head of the bone anchor, the collet being disposed in the bore in a loading position such that the plurality of arms are in vertical alignment with an enlarged portion of the bore that has a radius of curvature; and
moving the collet within the bore to a locked position such that at least a portion of the flexible arms contact a lower spherical surface of the bore that is offset from the enlarged portion in a distal direction, the lower spherical surface having a radius of curvature that is less than the radius of curvature of the enlarged portion.

US Pat. No. 10,709,478

ORTHOPEDIC FIXATION DEVICES AND METHODS OF INSTALLATION THEREOF

Globus Medical, Inc., Au...

1. An orthopedic fixation device comprising:a coupling element comprising a body having arms extending upward from the body, the arms defining a U-shaped channel configured to receive a rod, the body having a bore extending therethrough and an indentation within the body;
a bone fastener having a head and an extension extending from the head, wherein the head is configured for loading into the coupling element through the bore;
a clamp configured to receive the head of the bone fastener;
a saddle configured to engage the clamp; and
a retention member configured to engage the clamp, the retention member having a top surface and a bottom surface, wherein the retention member is disposed in the indentation within the coupling element, and the top surface or the bottom surface of the retention is non-planar.

US Pat. No. 10,709,477

DEROTATION APPARATUS FOR TREATING SPINAL IRREGULARITIES

Globus Medical, Inc., Au...

1. A method for treating a spinal irregularity:providing a first derotation apparatus comprising a first coupling rod engagement assembly;
providing a second derotation apparatus comprising a second coupling rod engagement assembly;
coupling the first derotation apparatus to a first screw, the first screw is coupled to a vertebral body;
coupling the second derotation apparatus to a second screw, the second screw is coupled to a vertebral body;
aligning the first coupling rod engagement assembly of the first derotation apparatus and the second coupling rod engagement assembly of the second derotation apparatus; and
coupling a coupling rod between the first coupling rod engagement assembly of the first derotation apparatus and the second coupling rod engagement assembly of the second derotation apparatus to interconnect the first derotation apparatus and the second derotation apparatus such that the coupling rod does not intersect a longitudinal axis of first derotation apparatus or a longitudinal axis of the second derotation apparatus,
wherein the first coupling rod engagement assembly and the second coupling rod engagement assembly surround at least a portion of the coupling rod to engage the coupling rod, and
wherein the first coupling rod engagement assembly and the second coupling rod engagement assembly are each configured to rotate about at least two axes.

US Pat. No. 10,709,476

INTRODUCER SHEATH HAVING A MULTI-LAYER HUB

Abiomed, Inc., Danvers, ...

1. An introducer assembly comprising:an elongate sheath sized for insertion into a blood vessel of a patient, the sheath having a longitudinal axis, wherein the elongate sheath consists of a first material;
a hub coupled to a proximal portion of the sheath, the hub comprising:
a first hub portion having a first notch, the first hub portion partially encompassing the proximal portion of the elongate sheath;
a second hub portion partially encompassing the first hub portion, the second hub portion comprising:
two wings; and
an opening disposed above the first notch; and
wherein the first hub portion consists of the first material and the second hub portion comprises a second material, the first material differing from the second material.

US Pat. No. 10,709,475

PUMPING SURGICAL CANNULA

Edward J. Mikol, Myrtle ...

1. A cannula adapted to be inserted into a body cavity comprisinga lumen wall and an outer casing positioned spaced apart from each other defining a fluid chamber therebetween;
a flow piston connected to a sealing member which is positioned inside the fluid chamber, and
an outer membrane connected to the outer casing,
wherein the fluid chamber is fluidly connected to the outer membrane through an outer casing one-way valve,
wherein in a priming configuration the fluid chamber is filled with a fluid, and
wherein in a pressurizing configuration the flow piston is moved in a second direction to push the fluid from the fluid chamber into the outer membrane through the casing one-way valve.

US Pat. No. 10,709,474

EXPANDABLE ACCESS SYSTEMS AND METHODS

P Tech, LLC, Effingham, ...

1. An expandable access system comprising:an expandable access device defining an access passage, the expandable access device configured to have a contracted configuration and an expanded configuration, and the expandable access device configured to be passed through at least one of an existing orifice and an incision; and
one of a sleeve and a retaining band, at least a portion of the one of a sleeve and a retaining band bonded to at least a portion of the expandable access device and configured to resist radial expansion of the expandable access device, wherein the one of a sleeve and a retaining band is at least one of deformable, flexible, bendable, and expandable,
wherein the expandable access device is configured to radially expand from the contracted configuration toward the expanded configuration in at least one of the existing orifice and incision when the at least a portion of the one of the sleeve and the retaining band is released.

US Pat. No. 10,709,473

TROCAR OBTURATOR WITH DETACHABLE ROTARY TISSUE FASTENER

Ethicon LLC, Guaynabo, P...

1. A surgical instrument, comprising:(a) a shaft extending longitudinally and having a distal end portion; and
(b) a tissue fastener releasably attached to the distal end portion of the shaft, wherein the shaft is operable to rotatably drive the tissue fastener about a longitudinal axis of the shaft, wherein the tissue fastener includes:
(i) a base releasably attached to the distal end portion of the shaft,
(ii) a first arm extending laterally and longitudinally from the base, wherein the first arm extends longitudinally from the base in a first direction, wherein the first arm is configured to be received within a first tissue portion,
(iii) a second arm extending laterally and longitudinally from the base, wherein the second arm extends longitudinally from the base in the first direction, wherein the second arm is configured to be received within a second tissue portion, wherein the first and second arms are configured to respectively draw the first tissue portion against the second tissue portion in response to rotation of the shaft about the longitudinal axis, and
(iv) a plurality of barbs extending from the first and second arms, wherein the barbs are configured to anchor the first and second arms respectively within the first and second tissue portions,
wherein the first direction along the longitudinal axis is a proximal direction; wherein the distal end portion of the shaft is configured to release the tissue fastener thereby securing the first tissue portion against the second tissue portion with the tissue fastener anchored therein.

US Pat. No. 10,709,472

DEBRIDER WITH MULTIPLE FLUSHING ORIFICES

Biosense Webster (Israel)...

1. A surgical apparatus, comprising:(a) a debriding device, which is fitted at a distal end of the surgical apparatus and is configured to debride tissue from a debriding site in a patient body;
(b) a hollow tube, configured to evacuate the debrided tissue away from the debriding site, wherein the hollow tube includes an inner surface; and
(c) an irrigation assembly, configured to apply irrigation fluid, via one or more orifices, to the debrided tissue being evacuated, the irrigation assembly comprising an elongate member, wherein an outer surface of the elongate member is fixably coupled to the inner surface of the hollow tube to prevent relative movement between the elongate member and the hollow tube, wherein the one or more orifices are formed in the elongate member,
wherein the one or more orifices comprise multiple orifices that are distributed along the elongate member, wherein the multiple orifices comprise at least first and second orifices, wherein the first orifice is configured to apply the irrigation fluid at a first irrigation angle, wherein the second orifice is configured to apply the irrigation fluid at a second irrigation angle that is different from the first irrigation angle, wherein the second irrigation angle is orthogonal to a longitudinal axis of the hollow tube.

US Pat. No. 10,709,471

METHODS AND APPARATUS FOR TREATING EMBOLISM

Inari Medical, Inc., Irv...

1. A system for treating a pulmonary embolism, comprising:a clot treatment device including—
an expandable flow restoration portion; and
a plurality of capture elements including at least a first capture element and a second capture element, wherein the flow restoration portion is positioned between the first and second capture elements, and wherein the flow restoration portion and the capture elements are configured to move from a low-profile undeployed state sized to fit within a delivery catheter to a deployed state in which the flow restoration portion has a cross-sectional dimension greater than that of the undeployed state and the capture elements project outwardly from the flow restoration portion;
a guide catheter having a shaft with a distal end portion, wherein the shaft includes a lumen configured to receive the clot treatment device in the undeployed state; and
an expandable guide member at the distal end portion of the shaft, wherein the expandable guide member includes a mesh having a permeable portion and a substantially non-permeable portion, wherein the non-permeable portion includes a non-permeable coating formed on a proximal portion of the mesh, and wherein the expandable guide member is configured to guide clot material into the guide catheter as the clot treatment device is withdrawn into the guide catheter.

US Pat. No. 10,709,470

FEATURES TO COUPLE ACOUSTIC DRIVETRAIN COMPONENTS IN ULTRASONIC SURGICAL INSTRUMENT

Ethicon LLC, Guaynabo, P...

1. An ultrasonic surgical instrument comprising:(a) a body;
(b) an ultrasonic transducer rotatably supported within the body and having a threaded distal end;
(c) a shaft extending distally from the body;
(d) a waveguide extending distally through the shaft and having a threaded proximal end configured to threadedly engage the threaded distal end of the ultrasonic transducer to define a threaded coupling therebetween;
(e) an end effector arranged at a distal end of the shaft and including an ultrasonic blade coupled to the waveguide, wherein the ultrasonic transducer is configured to drive the waveguide and the ultrasonic blade with ultrasonic energy; and
(f) an integrated torque wrench mechanism arranged within the body, wherein the integrated torque wrench mechanism comprises:
(i) a first torque wrench member rotationally coupled with a proximal end of the ultrasonic transducer, and
(ii) a second torque wrench member arranged proximally of the first torque wrench member, wherein the second torque wrench member is translatable proximally and distally relative to the body,
wherein the second torque wrench member is configured to selectively couple with the first torque wrench member such that the first and second torque wrench members frictionally engage one another to facilitate application of a predetermined maximum torque to the threaded coupling between the waveguide and the ultrasonic transducer,
wherein the first and second torque wrench members are configured to automatically decouple from one another upon application of the predetermined maximum torque to the threaded coupling.

US Pat. No. 10,709,469

MODULAR BATTERY POWERED HANDHELD SURGICAL INSTRUMENT WITH ENERGY CONSERVATION TECHNIQUES

Ethicon LLC, Guaynabo, P...

1. A method of conserving energy in a surgical instrument, the surgical instrument comprising a segmented circuit comprising a plurality of independently operated circuit segments, a voltage control circuit, an energy source, a memory device, and a processor coupled to the memory device, wherein the processor is configured to control a state of a circuit segment of the plurality of circuit segments, wherein the state can be an energized state or a deenergized state, the method comprising:transmitting an energizing signal from the processor to the voltage control circuit;
receiving the energizing signal by the voltage control circuit to cause the voltage control circuit to apply a voltage to a circuit segment of the plurality of circuit segments;
applying the voltage to the circuit segment by the voltage control circuit to cause the circuit segment to transition from the deenergized state to the energized state in accordance with an energization sequence that is different from a deenergization sequence; and
deenergizing, by the voltage control circuit, the circuit segment from the energized state to the deenergized state in accordance with the deenergization sequence;
wherein the deenergization sequence comprises:
transmitting a deenergizing signal from the processor to the voltage control circuit;
receiving the deenergizing signal by the voltage control circuit to cause the voltage control circuit to remove the voltage from the circuit segment; and
removing the voltage applied to the circuit segment, by the voltage control circuit, to cause the circuit segment to transition from the energized state to the deenergized state in accordance with the deenergization sequence that is different from the energization sequence.

US Pat. No. 10,709,468

MOTOR-DRIVEN SURGICAL CUTTING AND FASTENING INSTRUMENT

Ethicon LLC, Guaynabo, P...

1. A powered surgical cutting and fastening instrument, comprising:an end effector, comprising:
an elongate channel;
an anvil;
a cartridge comprising a longitudinal slot;
fasteners removably stored in said cartridge;
a sled; and
a cutting member configured to be received in said longitudinal slot, wherein said cutting member is configured to move through said cartridge during a fastener firing stroke, and wherein said cutting member comprises a laterally extending member configured to couple said anvil and said elongate channel during said fastener firing stroke;
an elongate shaft, wherein said end effector extends from said elongate shaft; and
a handle, wherein said elongate shaft extends from said handle, and wherein said handle comprises:
a motor configured to output a rotary motion;
an adaptive control system configured to control the rate of said rotary motion;
a switch for energizing said motor; and
a power source configured to supply a first power to said motor and a second power to said motor, wherein said first power and said second power are different, wherein said first power is proportionate to a first force experienced by said end effector, wherein said second power is proportionate to a second force experienced by said end effector, and wherein said first force is different than said second force.

US Pat. No. 10,709,467

SURGICAL INSTRUMENT

LIVSMED INC., Seongnam-s...

1. A surgical instrument comprising:an end tool configured to be rotatable in at least two directions;
a manipulator comprising a pitch operator configured to control a pitch movement of the end tool, a yaw operator configured to control a yaw movement of the end tool, and an actuation operator configured to control an actuation movement of the end tool, wherein at least one of the pitch operator and the yaw operator comprises a joint member that is capable of being bent in one or more directions;
a power transfer assembly configured to transfer an operation of the manipulator to the end tool; and
a connection assembly configured to extend in a first direction (X-axis), and to connect the manipulator to the end tool when the end tool is coupled to an end portion of the connection assembly and the manipulator is coupled to the other end portion of the connection assembly,
wherein at least a part of the manipulator extends towards the end tool,
wherein the pitch operator comprises:
a pitch operating joint that is the joint member configured to be rotatable about a second direction (Y-axis) that is perpendicular to the first direction; and
a pitch operating grip configured to be rotatable with the pitch operating joint by being connected to the pitch operating joint,
wherein, in a third direction (Z-axis) that is respectively perpendicular to the first direction and the second direction,
at least a part of the pitch operating grip is formed to be closer to the end tool than a virtual center axis of the pitch operating joint in the third direction, in at least one operating stage of the pitch operator,
wherein the end tool comprises a first jaw and a second jaw, each formed to be rotatable, and an end tool joint member capable of being bent in one or more directions to perform a pitch operation and/or a yaw operation of the first jaw and the second jaw, and
the manipulator is configured to control operations of the first and second jaws of the end tool,
wherein the pitch operating joint comprises a bendable type joint member configured to be rotatable about the second direction (Y-axis) and comprising a plurality of recesses formed in an outer circumferential surface thereof along the first direction, wherein one or more ribs for guiding a bending direction of the pitch operating joint are formed in each of the plurality of recesses.

US Pat. No. 10,709,466

OBSTRUCTION REMOVAL SYSTEM

MicroVention, Inc., Alis...

1. An obstruction removal device comprising:a plurality of engaging members;
a plurality of linkages;
each engaging member connected to an adjacent engaging member by a linkage, each of the plurality of engaging members having a radially expanded configuration and a radially compressed configuration;
at least one proximal structure connected to one of the plurality of engaging members;
each engaging member composed of struts, where some struts span only part of a length of the engaging member;
wherein the struts that span only part of the length of the engaging member terminate in a projection which is thicker than the struts;
wherein the projection is a radiopaque marker, further includes adhesive to bind the struts to the radiopaque marker; and wherein the adhesive forms rounded shapes at both ends of said radiopaque marker.

US Pat. No. 10,709,462

LOW PROFILE ELECTRODES FOR A SHOCK WAVE CATHETER

SHOCKWAVE MEDICAL, INC., ...

1. A device for generating shock waves, the device comprising:an elongated tube;
a conductive sheath circumferentially mounted around the elongated tube;
a flexible member surrounding the sheath, the flexible member being fillable with a conductive fluid;
a first insulated wire extending along the outer surface of the elongated tube, wherein a portion of the first insulated wire is removed to form a first inner electrode and wherein the first inner electrode is adjacent to a first end of the conductive sheath;
a second insulated wire extending along the outer surface of the elongated tube, wherein a portion of the second insulated wire is removed to form a second inner electrode and wherein the second inner electrode is adjacent to a second end of the conductive sheath;
wherein, when a high voltage is applied across the first inner electrode and the second inner electrode, a current is configured to flow from the first wire to the first end of the conductive sheath and from the second end of the conductive sheath to the second wire,
wherein a first shock wave is created across the first end of the conductive sheath and the first inner electrode, and
wherein a second shock wave is created across the second end of the conductive sheath and the second inner electrode.

US Pat. No. 10,709,461

SUBCUTANEOUS WOUND DEBRIDEMENT

Tenex Health, Inc., Lake...

1. A system for percutaneously treating an ulcerated wound by delivering ultrasonic energy to a target tissue located at a position subcutaneous to the ulcerated wound, wherein the ultrasonic energy is delivered using an ultrasonic energy delivery device, the device comprising: a transducer; an aspiration conduit; an irrigation conduit; and a needle; wherein, delivering ultrasonic energy to the target issue includes:creating a plurality of percutaneous access portals surrounding the ulcerated wound in a cardinal orientation;
percutaneously inserting a distal portion of the needle to the position subcutaneous to the ulcerated wound using a first access portal of the plurality of access portals, generating ultrasonic energy at the subcutaneous position, and removing the distal portion of the needle from the first access portal; and
percutaneously inserting the distal portion of the needle to a second position subcutaneous to the ulcerated wound through a second access portal of the plurality of access portals, generating ultrasonic energy at the second subcutaneous position, and removing the distal portion of the needle from the second access portal.

US Pat. No. 10,709,460

CENTERING GUIDE SYSTEM FOR ARTHROPLASTY

Howmedica Osteonics Corp....

1. A guide system for resecting a bone surface in a desired location comprising:a surface trial having at least one hole, the surface trial positionable on the bone surface;
a centering guide post having a first location on its length with an outer cross sectional dimension that varies between a maximum and a minimum as a function of a force applied to an outer surface of the centering guide post from outside of the centering guide post, the centering guide post including a slit that separates the centering guide post into first and second segments that are insertable into the at least one hole of the surface trial so that the centering guide post is releasably engageable to the surface trial,
wherein the outer cross sectional dimension at the first location varies according to a position of the centering guide post within the at least one hole of the surface trial,
wherein the outer cross sectional dimension at the first location decreases with an increase in the force applied to the outer surface of the centering guide post,
wherein the slit has a width dimension extending between the first segment and the second segment measured absent the force applied to the outer surface, the width dimension varying between a first end of the slit remote from free ends of the first and second segments and a second end of the slit at the free end of at least one of the first and second segments, the width dimension being a first width at a second location between the first end of the slit and the second end of the slit and a second width at the second end of the slit, the first width being less than the second width,
wherein the slit has a first lateral dimension from the second end of the slit to a third location between the second end of the slit and the second location and a second lateral dimension at a fourth location between the third location and the first end of the slit, the second lateral dimension being greater than the first lateral dimension, the first and second lateral dimensions being measured in a direction orthogonal to both the width dimension and the length of the centering guide post; and
a centering guide handle attachable to the centering guide post,
wherein when the centering guide post is releasably engaged to the surface trial, the centering guide handle is adapted to position the surface trial on the bone surface and the centering guide post is adapted to allow visualization of a position of the surface trial on the bone surface.

US Pat. No. 10,709,459

ANTI-DUROTOMY KERRISON RONGEUR

1. A rongeur for cutting bone or other tissue comprising:a body comprising a first shaft terminating in a footplate and a second shaft comprising a cutting edge, wherein the first shaft and the second shaft are capable of reciprocating motion relative to one another such that the cutting edge and the footplate are moveable from a maximally-separated open position to a closed position; and
a flange extending outwardly from one of said footplate and said second shaft, wherein the flange comprises a curved outer profile such as to define a hood.

US Pat. No. 10,709,458

SURGICAL TOOLS AND METHOD FOR KINEMATIC ALIGNMENT

Stefano Bini, Piedmont, ...

1. A method for cutting a tibia comprising:providing a femur block positioner coupled to an alignment arm and a shim coupled to the alignment arm, wherein the shim has a concave surface;
placing the concave surface of the shim on a distal end of a femur;
securely attaching the femur block positioner to the femur while the concave surface of the shim is on the distal end of the femur;
attaching a cutting block to the femur block positioner, the cutting block having a femur blade slot that is aligned with a cutting plane of the femur;
cutting the femur using the femur blade slot to align a cutting tool;
applying a tension force between the femur and a tibia;
attaching to the femur block positioner a tibia cutting guide tool having a tibia blade slot; and
cutting the tibia while the femur and the tibia are in tension.

US Pat. No. 10,709,457

HIGH TIBIAL OSTEOTOMY GUIDE

Howmedica Osteonics Corp....

1. A method of performing a bone osteotomy procedure, the method comprising:affixing a cutting block to a bone portion, the cutting block comprising:
a first segment adapted to be affixed to a bone portion; and
a second segment adapted to be affixed to the bone portion;
wherein the first and second segments are pivotably connectable together by a pivot portion such that the first and second segments are rotatable with respect to one another about a pivot axis extending transverse to a longitudinal axis of the bone portion;
wherein the first and second segments are adapted to be spaced apart from one another along the longitudinal axis of the bone portion when the first and second segments are pivotably connected together and affixed to the bone portion;
wherein the second segment includes a first cutting guide and a second cutting guide unitarily formed therein such that the first and second cutting guides have a fixed angular orientation with respect to one another; and
wherein at least one of the first and second cutting guides is defined by a slot extending lengthwise in a longest direction of the slot, the longest direction of the slot being substantially orthogonal to the pivot axis; and
forming at least two cuts in the bone portion using the first and second cutting guides to guide a bone cutting apparatus, wherein at least one of the at least two cuts is made by passing the bone cutting apparatus along the first cutting guide and another of the at least two cuts is made by passing the bone cutting apparatus along the second cutting guide.

US Pat. No. 10,709,456

COMPRESSION DEVICE AND PRESSURE SENSOR FOR TREATMENT OF ABNORMAL UPPER ESOPHAGEAL SPHINCTER FUNCTIONALITY

The Medical College of Wi...

1. A method for strengthening an esophageal sphincter of a subject, the method comprising:(a) providing a compression device including (i) a frame, (ii) a strap having a first end section attached to the frame and an opposite second end section attached to the frame, and (iii) a cushion disposed on the frame;
(b) positioning the compression device around a neck of the subject such that the cushion applies pressure on the neck that is transmitted to the esophageal sphincter of the subject; and
(c) repeating step (b) a plurality of times whereby the esophageal sphincter of the subject is strengthened.

US Pat. No. 10,709,455

ENDOSCOPIC SURGICAL CLIP APPLIER

COVIDIEN LP, Mansfield, ...

1. An endoscopic surgical clip applier, comprising:a handle assembly including:
a housing;
a fixed handle extending from the housing; and
a trigger pivotally connected to the fixed handle;
an endoscopic assembly selectively connectable to the housing of the handle assembly, the endoscopic assembly including:
a shaft assembly; and
a pair of jaw members operatively coupled to, and extending from the shaft assembly;
a drive bar disposed within the housing of the handle assembly and operatively coupled to the trigger and the pair of jaw members to move the pair of jaw members between a spaced apart configuration and an approximated configuration upon actuation of the trigger;
a ratchet assembly disposed within the housing of the handle assembly, the ratchet assembly including:
a rack disposed on the drive bar, the rack defining a plurality of rack teeth and having a proximal end and a distal end; and
a pawl housing slidably mounted within the housing of the handle assembly, the pawl housing having a pawl being selectively engageable with the plurality of rack teeth of the rack, wherein in a first position of the pawl housing, the pawl is in registration with the plurality of rack teeth of the rack to prohibit reversal of a direction of movement of the trigger until the pawl is disposed beyond the proximal end or the distal end of the rack and wherein in a second position of the pawl housing, the pawl is out of registration with the plurality of rack teeth of the rack to permit reversal of the direction of movement of the trigger after an initial engagement of the pawl with the rack;
a release switch at least partially supported within the housing of the handle assembly and operatively associated with the pawl housing, the release switch selectively actuatable to move the pawl housing from the first position thereof to the second portion thereof, wherein in the second position of the pawl housing, the pawl housing is moved laterally relative to the rack to disengage the pawl from the plurality of rack teeth of the rack, wherein the release switch includes a first end cap and a second end cap, wherein a first side of the housing includes a first switch slot configured to slidably receive the first end cap of the release switch and a second side of the housing includes a second switch slot configured to slidably receive the second end cap of the release switch;
a switch pin, wherein the pawl housing defines a central slot therein configured to locate the switch pin, the switch pin slidably extending through the channel of the pawl housing and the pawl to support the pawl within the channel of the pawl housing.

US Pat. No. 10,709,454

LEFT ATRIAL APPENDAGE OCCLUDER

LIFETECH SCIENTIFIC (SHEN...

1. A left atrial appendage occluder having a distal end and a proximal end, comprising:a sealing disc provided at the proximal end of the occluder;
a fixing bracket having a connecting portion at a first end and a plurality of supports at a second end, the plurality of supports extending out from the connecting portion in a distal direction towards the distal end of the occluder and being bent in a proximal direction towards the proximal end of the occluder, each support comprising a proximate end that extends out from the connecting portion, a free end, and a fixing hole with a corresponding anchoring barb, the anchoring barb extending from each support at a location between the fixing hole and the free end of each support; and
a thin film arranged on the fixing bracket and secured in positions around a perimeter of at least a proximal end of the thin film via the fixing holes of each support, and
wherein the fixing bracket is coupled to the sealing disc by the connecting portion and the fixing bracket is coupled to the thin film by the fixing holes of the plurality of supports and by the anchoring barbs of the plurality of supports penetrating through the thin film.

US Pat. No. 10,709,453

IN VIVO INDWELLING MEMBER AND METHOD FOR PRODUCING SAME

KANEKA CORPORATION, Osak...

1. A method for producing an in vivo indwelling member having a secondary coil in which a secondary shape is given to a linear primary coil with a primary shape given to a linear material, the method comprising:a first three-dimensional spatial body formation step of forming a first three-dimensional spatial body, which defines a first polygonal cylindrical shape, by aligning in a loop a plurality of segments, each of the segments being formed by winding the primary coil at least once, so that said plurality of segments of the first three-dimensional spatial body are arranged to define the first polygonal cylindrical shape, wherein
the plurality of segments of said first polygonal cylindrical shape consist of four circular loops surrounding a central axis of said first polygonal cylindrical shape and each of said four circular loops comprising a loop opening, wherein the circular loops and the loop openings define sides of the first polygonal cylindrical shape, and the four circular loops are aligned to form said first polygonal cylindrical shape defining openings at a distal end and a proximal end on the central axis;
a second three-dimensional spatial body formation step of forming a second three-dimensional spatial body, which defines a second polygonal cylindrical shape, by aligning in a loop a plurality of segments, each of the segments being formed by winding the primary coil at least once, so that said plurality of segments of the second three-dimensional spatial body are arranged to define the second polygonal cylindrical shape, after the formation of the first three-dimensional spatial body, wherein
the plurality of segments of said second polygonal cylindrical shape consist of four circular loops surrounding a central axis of said second polygonal cylindrical shape and each of said four circular loops comprising a loop opening, wherein the circular loops and the loop openings define sides of the second polygonal cylindrical shape, and the four circular loops are aligned to form said second polygonal cylindrical shape defining openings at a distal end and a proximal end on the central axis; and
an inside arrangement step of placing one of the first and second three-dimensional spatial bodies inside the other of the first and second three-dimensional spatial bodies through said opening at the distal end or the proximal end, after the first and second three-dimensional spatial body formation steps, such that i) the central axes of the adjacent three-dimensional spatial bodies are in a positional relationship of crossing or of a skew position, or ii) the central axes are concentric or parallel to each other.

US Pat. No. 10,709,452

METHODS AND SYSTEMS FOR PERFORMING CIRCULAR STAPLING

Ethicon LLC, Guaynabo, P...

19. An apparatus, comprising:(a) a body, wherein the body includes:
(i) a motor,
(ii) a user input feature, wherein the user input feature is operable to activate the motor, and
(iii) a rotary cam wherein the motor is operable to drive the rotary cam through a first range of motion in an angular direction, wherein the motor is further operable to drive the rotary cam through a second range of motion in the angular direction;
(b) a shaft extending distally from the body, wherein the shaft includes a first driver coupled with the rotary cam, wherein the rotary cam is configured to drive the first driver in a first direction as the rotary cam travels through the first range of motion, wherein the rotary cam is configured to drive the first driver in a second direction opposite the first direction as the rotary cam travels through the second range of motion;
(c) a stapling head assembly positioned at a distal end of the shaft, wherein the stapling head assembly includes:
(i) an annular array of staples, and
(ii) a second driver coupled with the first driver, wherein the second driver is operable to drive the annular array of staples in response to movement of the first driver in the first direction; and
(d) an anvil, wherein the anvil is further configured to deform the staples driven by the second driver.

US Pat. No. 10,709,451

DEVICE AND METHOD FOR ANASTOMOSIS

CARPONOVUM AB, Lund (SE)...

1. A device for anastomosis of a tubular structure, said device comprising:members of a generally hollow open configuration that include a first member and a second member, wherein the first and second member each comprises a rigid part and an elastic part wherein the first member is operable to retain a first severed end of a tubular between the rigid and elastic part, and the second member is operable to retain a second severed end of the tubular between the rigid and elastic part; and
a connection member structured and operable to connect the first member to the second member such that anastomosis will occur between the first and second severed ends of the tubular structure, wherein the rigid part of the first member comprises at least two holes arranged around a periphery of the rigid part of the first member, each hole engageable with a first end of a catheter such that the first end of the catheter is opening into a cavity formed between the rigid parts when the first member is connected to the second member and a second end of the catheter passes through a tubular structure and exits through a rectum of a patient when the tubular structure is connected to the first member.

US Pat. No. 10,709,450

BLOOD VESSEL CONNECTING APPARATUS

1. An artificial blood vessel connecting apparatus configured to connect a first artificial blood vessel to a second artificial blood vessel, the artificial blood vessel connecting apparatus comprising:an elastic connection part having an elastic restoring force, and comprising a first support unit and a second support unit,
the first support unit configured to be inserted inside the second artificial blood vessel,
the second support unit extending from the first support unit to an end of the second artificial blood vessel, wherein an end of the second support unit is sharply formed; and
a fixing part comprising:
a temporary fixing unit temporarily fixing the first support unit, and
a guide unit configured to be fixed inside the second artificial blood vessel, and configured to be formed between the second artificial blood vessel and the second support unit,
wherein the guide unit is disposed closer to the first artificial blood vessel than the temporary fixing unit,
wherein the temporary fixing unit is separated from and spaced apart from the guide unit by a predetermined distance, and the temporary fixing unit is disposed between the first support unit and the second artificial blood vessel,
wherein, in response to the temporary fixing unit being detached and removed away from the first artificial blood vessel, the first and second support units simultaneously move forward towards the end of the second artificial blood vessel and bend, so that the first and second support units connect the first artificial blood vessel to the second artificial blood vessel,
wherein the guide unit is fixed to an inside wall of the end of the second artificial blood vessel, and does not protrude into the first artificial blood vessel while the first and second support units simultaneously move and bend, and
wherein the elastic connection part is initially disposed inside of the second artificial blood vessel, so that the second support unit moves from an inside of the first artificial blood vessel toward an outside of the first artificial blood vessel, then through the second artificial blood vessel, and back towards the inside of the first artificial blood vessel when the first and second units start to connect the first artificial blood vessel to the second artificial blood vessel.

US Pat. No. 10,709,449

SYSTEMS AND METHODS FOR VARIABLE STIFFNESS TETHERS

Ancora Heart, Inc., Sant...

1. A guidewire element comprising:a rigid proximal portion;
a flexible distal tether portion that is less rigid than the proximal portion;
an attachment portion located between the flexible distal tether portion and the rigid proximal portion that releasably attaches the flexible distal tether portion to the rigid proximal portion; and
wherein the flexible distal tether portion is configured to be used as a tensioning element and to be detached after tensioning.

US Pat. No. 10,709,448

LINEAR CUTTER STAPLER

GRENA USA LLC, Wilmingto...

1. In a linear cutter stapler for surgical procedures, the linear cutter stapler comprising a pair of pivotally joined jaws, one jaw carrying a cartridge loaded with two parallel rows of surgical staples separated by a cartridge channel and the other jaw comprising an anvil having two parallel rows of staple clenching depressions separated by an anvil channel and a post projecting from the anvil toward the cartridge, the improvement comprising a smooth rounded crown formed at the end of the post, the post having a longitudinal axis and the smooth rounded crown comprising a cylindrical section having an longitudinal axis transverse to the longitudinal axis of the post, whereby tissue adjacent an operative site will not be cut, abraded, injured or subject to trauma otherwise caused by contact with the end of the post while the jaws are being closed.

US Pat. No. 10,709,447

JAW MEMBERS AND METHODS OF MANUFACTURE

COVIDIEN LP, Mansfield, ...

1. A jaw member for use on a surgical stapling instrument, the jaw member comprising:a cartridge assembly having an arcuate configuration, the cartridge assembly including:
a surface configured to engage tissue;
a plurality of rows of fastener retaining slots extending along a length of the cartridge assembly; and
a knife channel disposed between adjacent rows of the plurality of rows of fastener retaining slots; and
a cartridge housing having an arcuate configuration and defining a channel therein configured for receipt of the cartridge assembly, the cartridge housing including:
a base portion having a concave inner edge and a convex outer edge; and
a plurality of tabs extending from the concave inner edge and the convex outer edge, wherein each tab of the plurality of tabs is spaced from one another along a length of the cartridge housing.

US Pat. No. 10,709,446

STAPLE CARTRIDGES WITH ATRAUMATIC FEATURES

Ethicon LLC, Guaynabo, P...

1. A circular staple cartridge for use with a circular surgical stapling instrument, wherein the circular staple cartridge comprises:an outer tissue-contacting surface comprising at least one first staple cavity, wherein the at least one first staple cavity comprises a longitudinal axis bisecting the at least one first staple cavity, and wherein the longitudinal axis is oriented along the length of the at least one first staple cavity;
a staple driver movable between a starting position and a fired position, wherein the at least one first staple cavity is configured to receive at least one first staple, wherein the at least one first staple is supported by the staple driver, and wherein the at least one first staple includes a first staple leg with a first tip protruding above the outer tissue-contacting surface when the staple driver is in the starting position;
an inner tissue-contacting surface comprising at least one second staple cavity; and
at least one pocket extender protruding from the outer tissue-contacting surface, wherein the at least one pocket extender is defined about a perimeter of the at least one first staple cavity, and wherein the pocket extender comprises a jacket configured to conceal the first tip when the staple driver is in the starting position, and wherein the jacket comprises:
an end portion positioned about a first end of the at least one first staple cavity, wherein the first end is positioned on the longitudinal axis of the at least one first staple cavity;
an inner side wall extending from the end portion on a first side of the longitudinal axis, wherein the inner side wall extends from the outer tissue-contacting surface and comprises a first top most surface; and
an outer side wall extending from the end portion on a second side of the longitudinal axis opposite said first side, wherein the outer side wall extends from the outer tissue-contacting surface and comprises a second top most surface, and wherein the first top most surface is higher than the second top most surface.

US Pat. No. 10,709,445

LOADING UNIT INCLUDING SHIPPING ASSEMBLY

Covidien LP, Mansfield, ...

1. A shipping assembly for a surgical loading unit of a surgical stapler, the shipping assembly comprising:a shipping member including a base portion, an inner annular extension extending from the base portion, and an outer annular extension extending from the base portion;
an introducer member selectively secured to the base portion of the shipping member, the introducer member defining a throughbore configured to receive a retrieval member; and
a locking member slidably disposed within the inner annular extension and being movable between a proximal position wherein the shipping member is secured to a surgical loading unit and a distal position wherein the shipping member is separable from the surgical loading unit.

US Pat. No. 10,709,444

THREAD INSERTION DEVICES

Allergan Industrie SAS, ...

10. A thread insertion assembly comprising:a cover member comprising a proximal portion, a closed distal portion, and an inner cavity extending from the proximal portion toward the closed distal portion, the distal portion having a tapered outer surface configured to pierce a patient's skin;
a base comprising a cavity and a moveable release member, wherein a portion of the cover member extends into the cavity of the base; and
a thread comprising proximal and distal portions, the thread extending from the base toward the closed distal portion of the cover member, wherein the distal portion of the thread is positioned within the inner cavity of the cover member;
wherein the moveable release member is moveable to permit separation of the cover member from the base and the thread to expose the distal portion of the thread in situ.

US Pat. No. 10,709,443

DEVICES AND METHODS FOR SUTURE PLACEMENT

Durastat LLC, Wayne, PA ...

1. A suturing device comprising:a needle having first end, which is pointed, and a second end, the needle having a curved distal section and a straighter proximal section, which is straight or has a radius of curvature greater than the curved distal section;
a suture connected with the needle;
an elongate body including a proximal end portion and a distal end portion;
an actuator including a mechanism operable to move the needle with respect to the elongate body;
a curved needle holder extending away from the distal end portion or provided as part of the distal end portion of the elongate body, the curved needle holder including an inner surface defining a curved needle passage for holding the needle and a distal opening through which the needle exits the curved needle holder when moving from a retracted position toward a released condition; and
wherein the needle frictionally engages the inner surface in a least three different locations along the needle when the needle is in the retracted position.

US Pat. No. 10,709,442

STITCHING DEVICE WITH LONG NEEDLE

COVIDIEN LP, Mansfield, ...

1. An endoscopic stitching device, comprising:an end effector including a first jaw member and a second jaw member, the first jaw member movable relative to the second jaw member between an open state and a closed state; and
a needle removably coupled to the end effector and configured to alternate between the first jaw member and the second jaw member of the end effector, the needle including:
a first end portion and a second end portion, each of the first and second end portions of the needle releasably engageable with a respective one of the first and second jaw members of the end effector; and
a connecting portion disposed between the first and second end portions, the connecting portion configured to enable the first end portion to move relative to the second end portion between approximated and unapproximated positions as the first and second jaw members move between the open and closed states, wherein the connecting portion of the needle includes a first arm member that extends from the first end portion of the needle and a second arm member that extends from the second end portion of the needle, the first arm member secured to the second arm member by a pivot pin, the first end portion configured to pivot about the pivot pin relative to the second end portion.

US Pat. No. 10,709,441

SUTURE BODY AND SUTURE SYSTEM

OLYMPUS CORPORATION, Tok...

1. A suture body comprising:a suture thread that has a first end and a second end, and is configured to be fixed to a living tissue;
a suture needle that is connected to the first end; and
a thread fixing member that is connected to the second end, wherein the thread fixing member includes:
a rod-shaped protruding portion; and
a cylindrical-shaped elastic member that has an outer circumferential surface and is arranged so that the rod-shaped protruding portion is in direct contact with the outer circumferential surface of the elastic member at a predetermined contact pressure,
the suture body is configured to receive the suture thread between the protruding portion and the elastic member by elastically deforming the elastic member, and hold the suture thread in place between the protruding portion and the elastic member,
the suture body further includes a base body to which the protruding portion and the elastic member are fixed, and
a part of the protruding portion is disposed within the base body.

US Pat. No. 10,709,440

SUTURE PASSING INSTRUMENT WITH PUNCTURE SITE IDENTIFICATION FEATURE

Ethicon LLC, Guaynabo, P...

1. A surgical instrument comprising:(a) an outer sheath defining a lumen; and
(b) an inner needle slidably disposed in the outer sheath, wherein the inner needle comprises:
(i) a shaft that includes a distal end,
(ii) a driver configured to drive the shaft relative to the outer sheath from a first position to a second position,
(iii) at least one suture capturing feature, wherein the at least one suture capturing feature is configured to cooperate with the outer sheath to thereby selectively capture and release a suture based on positioning of the shaft relative to the outer sheath, and
(iv) a head secured to the shaft at an end opposite the driver, wherein the head includes an atraumatic distal end, wherein the head is deformable and configured to transition between a contracted state and an expanded state, wherein proximal actuation of the driver is configured to pull the atraumatic distal end of the head proximally toward the distal end of the shaft to transition the head to the expanded state.

US Pat. No. 10,709,439

ENDOSCOPIC STITCHING DEVICE

Covidien LP, Mansfield, ...

1. An endoscopic stitching device, comprising:a handle assembly including:
a main rod configured for axial displacement; and
first and second blade control members movable relative to each other, the first and second blade control members defining first and second longitudinal grooves and a circumferential groove; and
an elongate shaft assembly detachably coupled with the handle assembly, the elongate shaft assembly including:
first and second blade drive members received in the respective first and second longitudinal grooves of the first and second blade control members and rotated about the first and second blade control members to be secured with the circumferential groove of the first and second blade control members, such that the first and second blade control members are movable with the respective first and second blade drive members;
an axial rod detachably coupled with the main rod for concomitant movement therewith; and
an end effector including:
first and second jaws operatively coupled with the axial rod, whereby axial displacement of the main rod pivots the first and second jaws between open and closed positions; and
first and second needle receiving blades slidably disposed in the respective first and second jaws, the first and second needle receiving blades operatively coupled with the respective first and second blade drive members, whereby reciprocating axial displacement of the first and second blade control members causes reciprocating axial displacement of the first and second needle receiving blades.

US Pat. No. 10,709,438

SUTURING INSTRUMENT WITH ROBOTIC DRIVE INTERFACE

Ethicon LLC, Guaynabo, P...

1. A surgical instrument comprising:(a) a needle driving cartridge;
(b) a cartridge receiving assembly, wherein the cartridge receiving assembly is operable to receive the needle driving cartridge;
(c) a shaft assembly, wherein the shaft assembly comprises:
(i) an outer sheath defining a longitudinal axis,
(ii) an articulation joint configured to deflect the cartridge receiving assembly toward and away from the longitudinal axis, and
(iii) an actuation member configured to actuate the cartridge receiving assembly to thereby drive a needle from the needle driving cartridge received in the cartridge receiving assembly; and
(d) an interface assembly comprising:
(i) a base,
(ii) a first drive shaft, wherein the first drive shaft is configured to drive the articulation joint to deflect the cartridge receiving assembly toward and away from the longitudinal axis,
(iii) a second drive shaft, wherein the second drive shaft is configured to rotate the articulation joint about the longitudinal axis relative to the cartridge receiving assembly, and
(iv) a third drive shaft.

US Pat. No. 10,709,437

SUTURING INSTRUMENT WITH MOTORIZED NEEDLE DRIVE

Ethicon LLC, Guaynabo, P...

1. A surgical instrument comprising:(a) a body;
(b) an elongate shaft comprising a distal end and a proximal end, wherein the elongate shaft defines a longitudinal axis, wherein the elongate shaft is removably securable to the body at the proximal end such that the elongate shaft is configured to be selectively attached to and detached from the body;
(c) a needle applier removably securable to the distal end of the elongate shaft such that the needle applier is configured to be selectively attached to and removed from the elongate shaft, wherein the needle applier further comprises:
(i) a needle, and
(ii) a (hive assembly configured to drive the needle; and
(d) a motor configured provide motion to the needle applier to thereby actuate the drive assembly.

US Pat. No. 10,709,436

GRAFT FIXATION USING A PLUG AGAINST SUTURE

Arthrex, Inc., Naples, F...

1. A method of soft tissue repair, comprising the steps of:attaching at least one suture to a soft tissue to be affixed at a bone location, the bone location having a hole;
feeding the suture through an aperture of an implant, the implant being releasably attached to a driver at a distal end of the driver, while an interference device that is cannulated is preloaded on a shaft of the driver in a configuration where the entire interference device and the entire implant are completely spaced apart from one another by the driver;
inserting the suture and the implant into the hole by inserting the distal end of the driver into the hole;
pulling on one end of the suture to draw the suture through the aperture of the implant such that the soft tissue is drawn toward the hole;
inserting the interference device into the hole so that the interference device is advanced distally toward the implant to secure the suture in the hole between the interference device and the bone such that a proximal end of the interference device is within the hole; and
releasing the attachment between the implant and the driver and removing the driver from the hole while the implant and the interference device remain implanted in the hole.

US Pat. No. 10,709,435

MENISCAL REPAIR DEVICES, SYSTEMS, AND METHODS

MEDOS INTERNATIONAL SARL,...

1. A surgical system, comprising:a first implant configured to be implanted in a body of a patient;
a second implant configured to be implanted in the body of the patient;
a suture attached to each of the first and second implants;
a needle having the first implant releasably mated thereto and having the second implant releasably mated thereto at a location that is proximal to the first implant;
a cannula configured to guide the needle having the first and second implants releasably mated thereto with the suture attached to each of the first and second implants therethrough to a surgical site; and
a first actuator configured to be actuated in a first actuation to advance the first implant and a distal portion of the needle out of the cannula and configured to be actuated in a second actuation after the first actuation to advance the second implant and the distal portion of the needle out of the cannula, wherein the first actuator is configured to be actuated in a third actuation between the first and second actuations to release the first implant from the needle.

US Pat. No. 10,709,434

SURGICAL ACCESS SYSTEMS AND METHODS

Globus Medical, Inc., Au...

1. A method for retracting tissue in a surgical procedure comprising:inserting a first blade of a retractor system into an incision in a body of a patient, wherein the retractor system includes a first articulating arm and a second articulating arm, the first articulating arm coupled to a retractor assembly, the retractor assembly having a handle portion extending from a distal end to a proximal end and directly coupled to the first blade, the first blade being connected to the proximal end of the handle portion, wherein the first articulating arm connects to the handle portion near the proximal end of the handle portion of the retractor assembly and the second articulating arm directly coupled to a bracket securing a second blade;
retracting tissue using the first blade;
inserting the second blade into the incision in the body of the patient; and
retracting tissue using the second blade;
wherein the handle portion of the retractor assembly blade is pivotable with respect to the first blade,
wherein the handle portion and the first blade are coupled through a hinge mechanism,
wherein the handle portion and the first blade can be rotated and locked in multiple positions,
wherein the hinge mechanism allows the first blade to be moveable relative to the handle portion only about a single axis,
wherein the handle portion is elongated from the distal end to the proximal end, and
the distal end includes a curved portion configured to allow pulling of the retractor assembly blade,
wherein the first articulating arm is directly coupled to the retractor assembly and the second articulating arm is directly coupled to the bracket and the bracket is directly coupled to the second blade,
wherein each of the first and second articulating arms includes one or more component arms, and
wherein each of the one or more component arms includes a corresponding knob portion configured to lock its corresponding component arm in a desired position
wherein the bracket includes a first hook and second hook creating a first slot and a second slot for receiving the second blade,
wherein the second blade is moveable within the first and second slot of the bracket.

US Pat. No. 10,709,433

LARGE BORE VASCULAR CLOSURE SYSTEM

Boston Scientific Scimed,...

1. A vascular closure system for sealing an opening in a blood vessel, comprising:an introducer sheath configured to extend through the opening in the blood vessel the introducer sheath having a lumen extending through the introducer sheath;
wherein partial withdrawal of the introducer sheath from the opening is configured to evert tissue of the blood vessel at the opening in the blood vessel;
a shaping sheath slidably disposed over the introducer sheath, the shaping sheath having a split distal portion configured to engage the everted tissue; and
a dilator configured to be slidably received within the lumen of the introducer sheath,
wherein the dilator includes an enlargeable portion proximate a tapered distal end of the dilator, and
wherein the introducer sheath includes an enlargeable portion proximate a distal end of the introducer sheath.

US Pat. No. 10,709,432

METHOD AND DEVICE FOR LEFT ATRIAL APPENDAGE CLOSURE

1. A method for deploying a left atrial appendage (LAA) closure device in an LAA, comprising the steps of:introducing a guidewire through a femoral or jugular venous puncture and advancing the guidewire through the inferior or superior vena cava into the right atrium of a human heart;
introducing a dilator over the guidewire, and then advancing a delivery catheter over the dilator to adjacent a distal end of the guidewire;
navigating the distal end of the guidewire and the distal end of the delivery catheter to the fossa ovalis or atrial septum;
puncturing the fossa ovalis or atrial septum by using a needle or the guidewire;
advancing the dilator and the delivery catheter through the puncture into the left atrium;
advancing the guidewire through the delivery catheter until a distal end of the guidewire enters the LAA and punctures a wall of the LAA;
advancing the guidewire until the distal end of the guidewire is located outside the LAA in the pericardial space;
providing a closure device having:
an anchor portion that has a first segment and a second segment that are connected in spaced-apart manner by a first connector, the first segment and the second segment each having a diameter, and wherein the first connector is sized to have a smaller diameter so than the first segment and the second segment so that an annular space is defined between the first segment and the second segment;
a sealing portion; and
a second connector that connects the second segment and the sealing portion;
advancing a delivery sheath that contains the closure device along the guidewire until a distal end of the delivery sheath is positioned at the puncture location of the LAA, with a portion of the distal end of the delivery sheath positioned outside the LAA; and
withdrawing the delivery sheath to deploy the closure device in the LAA, wherein the first segment is positioned outside the LAA and in the pericardial sac after deployment of the closure device, and the second segment and the sealing portion are positioned inside the LAA, with the second segment positioned between the first segment and the sealing portion and with the wall of the LAA positioned in the annular space between the first segment and the second segment.

US Pat. No. 10,709,431

LAPAROSCOPIC DEVICES AND RELATED METHODS

1. A laparoscopic device, comprising:an elongate shaft defining a central axis;
an end effector coupled to a distal end of the elongate shaft;
a rounded housing coupled to a proximal end of the elongate shaft, having a center point positioned along the central axis of the elongate shaft, and being pivotable to bend the end effector with respect to the central axis of the elongate shaft;
first and second cables extending from the end effector to the rounded housing respectively along a first side of the laparoscopic device and along a second side of the laparoscopic device disposed opposite the first side,
wherein the elongate shaft, the end effector, the rounded housing, and the first and second cables together form a shaft assembly for which the rounded housing is rotatable in fixed relation to the elongate shaft, the first and second cables, and the end effector; and
a handle comprising a trigger assembly and a grip body configured to support a hand for grasping the laparoscopic device, the grip body comprising first and second gripping members respectively positioned along the first and second sides of the laparoscopic device, and the grip body being adjustable between:
an expanded configuration in which the first and second gripping members are coupled to each other and spaced apart from the rounded housing to permit rotation of the rounded housing for rotating the shaft assembly with respect to the central axis of the elongate shaft and to permit pivoting of the rounded housing for bending the end effector with respect to the central axis of the elongate shaft, and
a compressed configuration in which the first and second gripping members compress the rounded housing to lock the rounded housing in a fixed position with respect to the grip body.

US Pat. No. 10,709,430

VEIN DISSECTING DEVICE AND METHOD

TERUMO KABUSHIKI KAISHA, ...

1. A vein harvesting device for harvesting a vein in a body, the vein harvesting device comprising:an elongated hollow member possessing a distal end portion and a proximal end portion;
a dissecting member that includes a mount connected to the distal end portion of the elongated hollow member and that is configured to dissect a tissue in the body surrounding the vein during harvesting of the vein, the mount of the dissecting member possessing a proximal end portion communicating with the elongated hollow member;
the dissecting member including two spaced apart side portions connected to and projecting away from the mount so that the mount spans between the two side portions and the side portions project downwardly as viewed from a distal end of the dissecting member, each side portion possessing a first end at an end of the side portion farther from the mount and a second end at an end of the side portion closer to the mount;
the dissecting member including two spaced apart holding portions each connected to the first end of a respective one of the side portions and projecting away from the respective side portion, the two holding portions projecting towards one another as viewed from the distal end of the dissecting member,
the mount, the two side portions and the two holding portions together surrounding a space that receives a vein being harvested during use of the vein harvesting device, the mount bounding a top of the space as viewed from the distal end of the dissecting member, the side portions bounding sides of the space as viewed from the distal end of the dissecting member, and the holding portions bounding a bottom of the space as viewed from the distal end of the dissecting member; and
a pair of spherically-shaped or cone-shaped projections that contact the tissue in the body surrounding the vein during the harvesting of the vein, each spherically-shaped or cone-shaped projecting in a distal direction either from a distal surface of one of the holding portions or from an intersection of one of the holding portions and the respective side portion.

US Pat. No. 10,709,429

BIOPSY DEVICE HANDLE

Argon Medical Devices Inc...

1. A biopsy device handle comprising:an elongated housing, the length of the housing defining a longitudinal axis;
a carriage disposed within the housing and having a flexible abutment;
a catch overlapping at least a portion of the abutment in a longitudinal direction;
a first trigger disposed in the housing and movable longitudinally within the housing and contacting a portion of the flexible abutment wherein longitudinal movement of the first trigger causes a first contact force to be applied to the abutment;
a second trigger disposed in the housing and movable transversely within the housing and contacting a portion of the flexible abutment wherein transverse movement of the second trigger causes a second contact force to be applied to the abutment;
wherein the abutment is configured to flex away from the catch when forced by either the first or second contact force, such that the catch does not overlap a portion of the abutment.

US Pat. No. 10,709,428

NON-INVASIVE SKIN COLLECTION SYSTEM

DERMTECH, INC., La Jolla...

1. A tri-fold skin sample collector, comprising:a peelable release panel comprising 2 to 12 adhesive tapes, wherein each of the adhesive tapes are configured for application to a skin surface; and
a placement area panel comprising a removable liner and 2 to 12 regions, wherein each of the 2 to 12 regions is designated for the placement of a used adhesive tape,
wherein each of the adhesive tapes comprises an adhesive matrix,
wherein the adhesive matrix is configured to adhere to an effective amount of a skin sample,
wherein the effective amount of the skin sample comprises from about 50 microgram to about 1 gram of cellular material.

US Pat. No. 10,709,427

SYSTEMS AND METHODS FOR RECONFIGURING AN ULTRASOUND DEVICE

General Electric Company,...

1. An acousto-electrical probe testing apparatus comprising:a connection interface to connect to a plurality of acousto-electrical probes of different probe types having different numbers of transducer leads, the connection interface to be configured to accommodate a selected acousto-electrical probe based on connection type information identified for a probe type associated with the selected acousto-electrical probe; and
a processor to identify the probe type of a first acousto-electrical probe when the first acousto-electrical probe is coupled to the connection interface based on a selected operational mode and an interrogation of connectors in the connection interface to determine a number of leads coupled to the connection interface, the selected operational mode including at least one of a ground scan mode, a probe scan mode, or a capacitance scan mode, the processor to:
trigger a test of the first acousto-electrical probe based on the probe type and the selected operational mode, the test including generation of a control signal to be applied to the leads of the first acousto-electrical probe coupled to the connection interface; and
process a plurality of responses to the control signal from the leads of the first acousto-electrical probe to determine when a lead is at least one of broken or detached from the first acousto-electrical probe.

US Pat. No. 10,709,426

ULTRASONIC DIAGNOSTIC SYSTEM

Hitachi, Ltd., Tokyo (JP...

1. An ultrasonic diagnostic system, comprising:a first device configured to perform ultrasonic diagnosis;
a second device configured to perform, with the first device, the ultrasonic diagnosis; and
in a separated state in which the first device and the second device are separated from each other, the first device and the second device communicating with each other according to a wireless communication mode, in a docking state in which the first device and the second device are coupled to each other, the first device and the second device communicating with each other according to a wire communication mode,
an immediately-before-docking state determining unit configured to determine an immediately-before state of docking during a course of a change of state from the separated state to the docking state,
the first device comprising a first controller configured to cause an operation state of the first device to transition from a normal operation state to an operation limited state when the immediately-before state of docking is determined,
the second device comprising a second controller configured to cause an operation state of the second device to transition from a normal operation state to an operation limited state when the immediately-before state of docking is determined.

US Pat. No. 10,709,425

3D ULTRASOUND IMAGING SYSTEM

Koninklijke Philips N.V.,...

1. An ultrasound imaging system comprising:one or more processors and a memory in communication with the one or more processors, the one or more processors operable to:
receive a plurality of sets of volume data resulting from a plurality of different trans-esophageal ultrasound scans of a body taken at different positions or orientations by a trans-esophageal echocardiography (TEE) probe positioned within an esophagus of a body;
provide display data corresponding to the plurality of sets of volume data;
detect a position and orientation of an anatomical object of interest within the plurality of sets of volume data, wherein the detection of the position and orientation of the anatomical object of interest includes conducting a model-based segmentation of the plurality of sets of volume data to find a best match between the plurality of sets of volume data and a geometrical model of the anatomical object of interest;
generate a plurality of two-dimensional slices from the plurality of sets of volume data;
define respective slice locations based on the geometrical model of the anatomical object of interest so as to obtain a set of two-dimensional standard views of the anatomical object of interest, each two-dimensional standard view comprising expected anatomical features of the anatomical object of interest based on the geometrical model;
evaluate a quality factor for each of the generated plurality of two-dimensional slices, wherein the quality factor comprises a ratio representative of an extent to which a two-dimensional slice comprises the expected anatomical features of the anatomical object of interest based on the geometrical model for a two-dimensional standard view; and
select, for each of the set of two-dimensional standard views, the two-dimensional slice having the highest quality factor by comparing the evaluated quality factors of corresponding two-dimensional slices generated from each of the plurality of sets of volume data.

US Pat. No. 10,709,424

METHOD AND SYSTEM FOR CUFF-LESS BLOOD PRESSURE (BP) MEASUREMENT OF A SUBJECT

HEALTHCARE TECHNOLOGY INN...

1. A system for cuff-less calibration free measurement of blood pressure (BP) of a subject, the system comprising:a probe comprising:
a first sensor;
a second sensor spaced at a distance from said first sensor; and
a third sensor;
an ultrasound transducer connected with said first sensor and said second sensor, wherein the ultrasound transducer is placed at a center of the third sensor in said probe and in between said first sensor and said second sensor; and
a controller unit connected to said probe;
wherein said first sensor and second sensor are configured to measure a local pulse wave velocity (PWV) of an arterial wall of said subject;
wherein said ultrasound transducer configured to measure a change in a change in an arterial dimensions over a cardiac cycle of said arterial wall of said subject, wherein said arterial dimensions include an arterial distension and an end-diastolic diameter; and
wherein said third sensor is configured to provide a feedback to said controller unit to measure BP of said subject and wherein said controller unit is configured to measure the blood pressure (BP) waveform at the artery measurement site of said subject based on said local PWV and said change in arterial dimensions in each heart beat.

US Pat. No. 10,709,423

ULTRASOUND PROCESSING APPARATUS AND METHOD

SONY CORPORATION, Tokyo ...

1. An ultrasound processing apparatus, comprising:a probe that includes a vibration generator, wherein the vibration generator is configured to vibrate the probe based on a vibration parameter;
a vibration controller configured to:
set the vibration parameter of the vibration generator;
receive a reflected signal from an object corresponding to an ultrasound signal, wherein the reflected signal is acquired by the probe;
estimate a strain of the object based on the reflected signal;
change, based on the strain, the vibration parameter to synchronize a timing of the vibration generated by the vibration generator and a timing of detection of the strain; and
a vibration driver configured to drive the vibration generator based on the vibration parameter.

US Pat. No. 10,709,422

SYSTEMS AND METHODS FOR CONTROLLING VISUALIZATION OF ULTRASOUND IMAGE DATA

Clarius Mobile Health Cor...

1. A method of controlling visualization of ultrasound image data, comprising:displaying a live ultrasound image feed on a touchscreen, wherein the live ultrasound image feed is generated by transmitting and receiving ultrasound signals according to an ultrasound sequence;
receiving input via the touchscreen to adjust an imaging parameter of the live ultrasound image feed, wherein the input comprises continuous contact with the touchscreen, and wherein the imaging parameter to be adjusted requires the ultrasound sequence to be altered;
during the continuous contact with the touchscreen and prior to altering the ultrasound sequence, continuously displaying previews of the live ultrasound image feed with the imaging parameter adjusted, the previews showing selectable settings for the imaging parameter to be adjusted, with the selectable settings being continuously updated in accordance with characteristics of the contact with the touchscreen, wherein the previews are displayed while the live ultrasound image feed generated according to the unaltered ultrasound sequence continues to be displayed;
upon termination of the continuous contact with the touchscreen, identifying a selected setting of the selectable settings for the imaging parameter to be adjusted, the selected setting being identified based on one of the selectable settings that is displayed in the preview when the continuous contact with the touchscreen is terminated; and
adjusting the imaging parameter of the live ultrasound image feed by altering the ultrasound sequence to reflect the selected setting that is identified upon termination of the continuous contact with the touchscreen.

US Pat. No. 10,709,421

ULTRASOUND DIAGNOSTIC APPARATUS

Canon Medical Systems Cor...

1. An ultrasound diagnostic apparatus comprising:processing circuitry configured to:
control an ultrasound probe to execute first ultrasound scanning to acquire blood flow information within a first scanning area and to scan in a first transmitting and receiving time per scanning line of the first ultrasound scanning;
control the ultrasound probe to execute second ultrasound scanning to acquire tissue shape information within a second scanning area;
control a display to display the blood flow information based on a pre-set range of a flow-velocity value;
receive an instruction for changing the range of the flow-velocity value;
calculate a second transmitting and receiving time per scanning line corresponding to the range of the flow-velocity value changed in accordance with the instruction;
determine whether the second transmitting and receiving time is larger than the first transmitting and receiving time;
when the second transmitting and receiving time exceeds the first transmitting and receiving time, assign a time of an excess of the second transmitting and receiving time relative to the first transmitting and receiving time to at least one of the first ultrasound scanning and the second ultrasound scanning as part of time-sharing between the first and second ultrasound scanning; and
display changes in the range of the flow-velocity value and an indication of the assignment of the time of the excess.

US Pat. No. 10,709,420

ULTRASONIC IMAGING DEVICE AND MOVING UNIT APPLIED TO THE SAME

SAMSUNG MEDISON CO., LTD....

1. An ultrasonic imaging apparatus comprising:a main body;
a probe configured to irradiate ultrasonic waves and to receive ultrasonic waves, and connected to the main body to transmit an ultrasonic signal corresponding to the received ultrasonic waves to the main body;
a display unit connected to the main body in such a manner to be movable with respect to the main body; and
a moving unit configured to connect the display unit to the main body, and to enable the display unit to move with respect to the main body,
wherein the moving unit comprises:
a first coupling member rotatably attached on a part of the main body;
a second coupling member to which the display unit is rotatably coupled;
a rotating arm coupled with the first coupling member and configured to rotate with respect to the first coupling member; and
a moving member having the second coupling member disposed at one end of the moving member, and installed in the rotating arm to enable the display unit to move in a longitudinal direction of the rotating arm,
wherein the second coupling member is configured to move within the rotating arm,
wherein the first coupling member is configured to be rotatable on a first plane,
wherein the rotating arm is configured to rotate together with the first coupling member, and
wherein the rotating arm is configured to be rotatable on a second plane that is vertical to the first plane.

US Pat. No. 10,709,419

DUAL MODALITY IMAGING SYSTEM FOR COREGISTERED FUNCTIONAL AND ANATOMICAL MAPPING

SENO MEDICAL INSTRUMENTS,...

1. An imaging system for visualization of slices into a depth of tissue of at least a portion of a body, comprising:a hand-held imaging probe comprising an array of ultrasonic transducers and a light emitting portion, wherein the light emitting portion comprises:
a first fiber-optic bundle and a first light diffuser configured to form a first light beam and a second fiber-optic bundle and a second light diffuser configured to form a second light beam, wherein the first and second fiber-optic bundles are disposed on opposite sides of the array of ultrasonic transducers; and
a processing system configured to receive data originating from the hand-held imaging probe and to process at least three independent images based at least in part upon said data, wherein the processing comprises deconvolution of an impulse response associated with the array of ultrasonic transducers, the impulse response based on a delta-function ultrasonic signal generated by laser pulses in an absorbing optical medium the three independent images together comprising:
a first functional image reflecting distribution of total hemoglobin concentration;
a second functional image reflecting distribution of blood oxygen saturation; and
a morphological image of tissue structures.

US Pat. No. 10,709,418

ULTRASOUND DIAGNOSTIC APPARATUS WITH EASY ASSEMBLY AND DISASSEMBLY

CHISON MEDICAL TECHNOLOGI...

1. An ultrasound diagnostic apparatus having a plurality of components, comprising:an outer casing including:
a motherboard module having one or more motherboard guiding plugs and one or more motherboard ports installed thereon to facilitate the assembly, and
a first outer-casing sliding device; and
a main case structure being housed by the outer casing, wherein the main case structure comprises a main casing to form an internal space for hosting:
an I/O module attached to a first side of the main casing,
a power-supply module to receive a power supply and provide the power supply to at least one of the plurality of components,
a transducer panel module coupled to the I/O module and having a transceiver and a transducer information-processing module installed thereon, the transceiver being coupled to a transducer to emit and receive ultrasound electrical signals and the transducer information-processing module converting the received ultrasound electrical signals into digital information,
a carrier board module coupled to the I/O module and to the transducer information-processing module via the I/O module and having a PC module installed thereon to process the converted digital information and transmit the processed digital information to an output device coupled to the one or more motherboard ports, the PC module being coupled to the motherboard module,
one or more carrier-board guiding holes to receive the one or more motherboard guiding plugs and guide the assembly,
one or more carrier-board ports to inter-plug in the one or more motherboard ports and facilitate data communications between the motherboard module and the carrier board module, and
a first main-case sliding device located on a second side of the main casing and coupled with the first outer-casing sliding device of the outer casing to slide in the first outer-casing sliding device, causing the main case structure to move relative to the outer casing along the first outer-casing sliding device during the assembly and disassembly;
wherein the motherboard module and the I/O module are installed on the main case structure's two opposite sides perpendicular to the transducer panel module and the carrier board module to allow the easy assembly and disassembly.

US Pat. No. 10,709,417

SYSTEMS AND METHODS FOR DETECTING NEUROLOGICAL CONDITIONS

Neural Analytics, Inc., ...

1. A tool for acquiring and optimizing a signal from a subject by a robotic device, comprising:a transducer controlled by the robotic device and configured to transmit acoustic energy and receive the acoustic energy as the signal;
a database including one or more seed points, each of the seed points corresponding to a different coordinate location on a surface of a body of the subject and previously identified as having a relatively high probability of detection of a relatively high energy level of the signal based on one or more prior scanned subjects; and
a processing circuit configured to cause:
the robotic device to register the transducer with respect to the subject;
the robotic device to move the transducer to a coordinate location of a first seed point of the seed points at the surface of the body of the subject; and
the transducer to transmit the acoustic energy at or around the coordinate location of the first seed point by following a first predefined search path along the surface of the body of the subject to search for an energy level of the signal above a first threshold.

US Pat. No. 10,709,416

OBSTETRICAL IMAGING AT THE POINT OF CARE FOR UNTRAINED OR MINIMALLY TRAINED OPERATORS

Wisconsin Alumni Research...

1. A medical ultrasound machine comprising:an ultrasound transducer assembly including:
a transducer bar adapted to be supported by a hand of a human, wherein the transducer bar includes a set of independently excitable transducer elements extending along a lateral axis of the transducer bar and the set of independently excitable transducer elements are exposed for ultrasonic transmission and reception; and
an ultrasound processor assembly including:
(1) transducer interface circuitry communicating with the set of independently excitable transducer elements for acquisition of slices of ultrasound echo data to complete a volume set of ultrasound echo signals;
(2) a display; and
(3) an electronic processor receiving the slices of ultrasound echo data to complete the volume set of ultrasound echo signals and executing a stored program to identify within the completed volume set of ultrasound echo signals indications of conditions selected from the group of:
(i) placenta over cervix;
(ii) fetus in non-head down presentation;
(iii) multiple gestation;
(iv) gestational age; and
(v) fetal size;
and to output at least one of the conditions on the display;
wherein the electronic processor further outputs on the display at least one of a shading and/or a trajectory guiding movement of the ultrasound transducer assembly to obtain the volume set of ultrasound echo signals; and
wherein the shading and/or trajectory guiding movement of the ultrasound transducer assembly is based on concurrent analysis of previously received slices of ultrasound data from preceding ultrasound transducer assembly positions by the electronic processor to assemble a partial volume of ultrasound data from the previously received slices and analyze the partial volume to determine slices of ultrasound data still needed to complete the volume set of ultrasound echo signals.

US Pat. No. 10,709,415

METHODS AND APPARATUSES FOR ULTRASOUND IMAGING OF LUNGS

Butterfly Network, Inc., ...

1. An apparatus, comprising:a processing device in operative communication with an ultrasound device, the processing device configured to:
configure the ultrasound device with a set of parameter values associated with a first imaging mode;
receive a selection of an imaging depth;
determine that the selected imaging depth is greater than a threshold imaging depth or determine that the selected imaging depth is greater than or equal to the threshold imaging depth; and
configure the ultrasound device with a set of parameter values associated with a second imaging mode.

US Pat. No. 10,709,414

PREDICTING A RESPIRATORY EVENT BASED ON TREND INFORMATION, AND APPLICATIONS THEREOF

Sonavi Labs, Inc., Balti...

1. A computer-implemented method for predicting a respiratory event comprising:receiving, from a microphone of a digital stethoscope, a first noise signal at a first time;
analyzing, by one or more computing devices, the first noise signal to determine a first severity score indicating how severe a first respiratory event of a patient captured in the first noise signal is;
receiving, from the microphone of the digital stethoscope, a second noise signal captured at a second time after the first time;
analyzing, by the one or more computing devices, the second noise signal to determine a second severity score indicating how severe a second respiratory event of the patient captured in the second noise signal is;
generating, by the one or more computing devices, a prediction indicating a likelihood of a third respiratory event occurring for the patient at a future time based on applying a first weight to the first severity score and a second weight to the second severity score, wherein the first and second weights are trained based on a history of respiratory events for the patient, wherein the first and second weights are set such that the second severity score impacts the generation of the prediction more heavily than the first severity score; and
transmitting, by the one or more computing devices, the prediction to a display device for outputting the prediction.

US Pat. No. 10,709,413

SYSTEM AND METHOD FOR ANALYSIS OF THE UPPER AIRWAY AND A RESPIRATORY PRESSURE SUPPORT SYSTEM

KONINKLIJKE PHILIPS N.V.,...

1. A system for analysis of an upper airway of a user, comprising:a passageway for communicating a flow of gas to and from the upper airway;
an acoustic sensor arrangement positioned at first and second locations within the passageway, wherein the second location is located along a length of the passageway different from the first location, wherein the acoustic sensor arrangement is configured to detect acoustic signals at the first and second locations, and further for use in distinguishing between signal components with different relative time shift between the first and second locations;
a processor adapted to derive a parameter from a relation between the acoustic signals detected at the first and second locations, wherein the parameter varies in dependence on a presence of an upper airway obstruction and enables a detection of (i) the presence and (ii) a location of the upper airway obstruction within the upper airway,
wherein the processor is adapted to process sound signals which comprise only ambient noise received from noise sources external to the analysis system, and noise generated by the user and is adapted to distinguish between inhalation and exhalation in response to a quantified change in the parameter during inhalation and exhalation based on the acoustic signals detected at the first and second locations.

US Pat. No. 10,709,412

SYSTEM AND METHOD FOR REPLACING A ROTATIONAL AXIS DECODER IN A SCANNING SYSTEM

1. A method for determining the position or orientation of at least one sensor system relative to the base structure of a cone beam computed tomography scanning system during scanning of an object, the method comprising:obtaining one or more tracking images using one or more cameras, where the cameras are in a fixed position with respect to the sensor system; and
determining from the one or more tracking images the position or orientation of the sensor system relative to the base structure at a given time;
wherein:
a tracking element is attached in a fixed position with respect to the base structure of the scanning system, the tracking element comprising one or more fiducial markers in a known configuration;
the tracking images are images taken of the tracking element;
the tracking images are processed to identify the position of the one or more fiducial markers in a plurality of the tracking images;
the identified position of the fiducial markers is used to determine the position of the tracking element at a given time.

US Pat. No. 10,709,411

CALIBRATION DEVICE AND METHOD FOR CALIBRATING THREE-DIMENSIONAL IMAGING EQUIPMENT

ELECTRONICS AND TELECOMMU...

1. A calibration device for three-dimensional imaging equipment comprising:a first bead group comprising first beads arranged in a first pattern; and
a second bead group comprising second beads arranged in a second pattern different from the first pattern,
wherein the first and second bead groups have different cross ratios or different segment ratios from each other, the first beads are arranged in a line, and the second beads are arranged in a line.

US Pat. No. 10,709,410

X-RAY IMAGING COMPONENT COMMUNICATION SYSTEM AND PROTOCOL

VAREX IMAGING CORPORATION...

1. A method of communicating between imaging components of an X-ray imaging system; the method comprising:determining, by an initiator imaging component, whether a target imaging component is a primary manufacturer imaging component;
responsive to the target imaging component not being a manufacturer imaging component:
generating a communication message including a communication packet according to a packet protocol; and
sending the communication message to the target imaging component as a secondary manufacturer imaging component; and
responsive to the target imaging component being the primary manufacturer imaging component:
generating a message including a header packet and one or more data packets according to a message protocol; and
sending the message to the target imaging component as the primary manufacturer imaging component.

US Pat. No. 10,709,409

SYSTEM AND METHOD FOR CONVEYING ONE OR MORE PREDICTIVE INDICATORS OF AN IMAGING CONTROL PARAMETER

GENERAL ELECTRIC COMPANY,...

1. A method for conveying one or more predictive indicators of an imaging control parameter comprising:obtaining an initial image acquisition via an imaging system based at least in part on an initial configuration of the imaging system, the initial image acquisition including one or more projective images;
collecting data regarding the imaging control parameter during the initial image acquisition;
generating the one or more predictive indicators based at least in part on the collected data;
displaying a limit indicator of the imaging control parameter, the limit indicator based at least in part on the one or more predictive indicators;
adjusting the configuration of the imaging system; and
updating the one or more predictive indicators based at least in part on additional data collected during a subsequent image acquisition via the imaging system in the adjusted configuration, wherein when the imaging system is in the initial configuration, each of the one or more predictive indicators corresponds to a calculated value of the imaging control parameter associated with a potential configuration of the imaging system different from the initial configuration.

US Pat. No. 10,709,408

MEDICAL IMAGE DIAGNOSIS APPARATUS AND CONTROL METHOD

CANON MEDICAL SYSTEMS COR...

1. A medical image diagnosis apparatus, comprising:processing circuitry configured to:
perform a first scan to acquire first projection data by a helical scan;
receive a specifying operation for specifying, on a first medical image based on the first projection data, a region for which a second medical image that is a higher-resolution image than the first medical image is acquired;
adjust an irradiation region of X-rays in a slice direction and in a channel direction so that a part corresponding to the region on which the specifying operation is received is irradiated with the X-rays;
perform a second scan to acquire second projection data for the irradiation region by a conventional scan, or a helical scan with narrower pitch than the helical scan that acquired the first projection data; and
generate the second medical image by performing a successive approximation reconstruction of the second projection data using the first medical image including a region corresponding to a region of the second scan as an initial image for the successive approximation reconstruction.

US Pat. No. 10,709,407

IMAGING PROTOCOL TRANSLATION

GENERAL ELECTRIC COMPANY,...

1. A method for imaging protocol translation, comprising:receiving, at a processor, data indicating a protocol for image capture of a first imaging device, wherein the protocol comprises parameters;
translating, via the processor, the protocol of the first imaging device into a plurality of translated protocols for use at a second imaging device by automatically determining adjustments to be made to one or more of the parameters to achieve a specific image quality during capture of an image with the second imaging device utilizing a translated protocol from the plurality of translated protocols, wherein determining the adjustments comprises receiving data indicating a desired metric for an image capture at the second imaging device and determining one or more parameters of the protocol to adjust based on the desired metric, the desired metric comprising at least one of an image quality metric or a radiation dose metric, and wherein the first imaging device is different from and physically separate from the second imaging device, and the first and second imaging devices are of the same imaging modality;
rendering, at a graphical user interface, the protocol and its one or more parameters and the plurality of translated protocols and their one or more parameters including the adjusted one or more parameters; and
rendering, at the graphical user interface, the plurality of translated protocols based on a desired ranking of metrics for the image capture at the second imaging device, wherein the metrics comprise the desired metric, and wherein the plurality of translated protocols are rendered on the graphical user interface in ranked order.

US Pat. No. 10,709,406

RADIOGRAPHY APPARATUS, METHOD FOR CONTROLLING RADIOGRAPHY APPARATUS, AND PROGRAM

FUJIFILM Corporation, Mi...

1. A radiography apparatus comprising:a radiation emitting device that irradiates a subject with radiation;
a camera for capturing an image of the subject to acquire a captured image of the subject;
a radiation detector that detects the radiation transmitted through the subject and generates a radiographic image of the subject; and
at least one processor configured to operate as:
a driving state control unit for controlling a driving state of at least one of the radiation emitting device or the radiation detector on a basis of whether the radiation detector is included in the captured image.

US Pat. No. 10,709,404

RADIOGRAPHY SUPPORT DEVICE, RADIATION DETECTION DEVICE, RADIOGRAPHY APPARATUS, RADIOGRAPHY SUPPORT METHOD, AND RADIOGRAPHY SUPPORT PROGRAM

FUJIFILM Corporation, To...

1. A radiography support device that supports imaging of an object with a radiation detection panel in which a plurality of pixels are two-dimensionally arranged and which detects radiation emitted from a radiation source, the device comprising:a first reading control unit that reads first pixel signals from at least some of the plurality of pixels in a state in which the radiation is not emitted from the radiation source and a state in which the object is placed on the radiation detection panel;
a first arithmetic unit that calculates a position of the object with respect to the radiation detection panel based on the first pixel signals; and
a notification processing unit that performs a notification process in a case in which the position of the object is out of a predetermined range.

US Pat. No. 10,709,403

PROCESSING OF INTERVENTIONAL RADIOLOGY IMAGES BY ECG ANALYSIS

GENERAL ELECTRIC COMPANY,...

1. A method of processing images for interventional imaging, wherein a region of interest is visualized, the method comprising:acquiring a series of 2D X-ray images of the region of interest in a patient during at least one respiratory phase;
acquiring a first electrocardiographic signal in synchronization with the acquisition of the series of 2D X-ray images so that the series of 2D X-ray images are acquired at the rate of patient's cardiac cycle;
estimating, via a processor, from the electrocardiographic signal a period of deformation of the region of interest caused by respiratory motion of the patient; and
registering, via the processor, different successive 2D X-ray images in relation to the estimated deformation period,
wherein estimating the period of deformation from the electrocardiographic signal comprises detecting, via the processor, an envelope of the electrocardiographic signal to infer the respiratory motion of the patient therefrom.