US Pat. No. 10,456,248

TRUNCATED CONE HEART VALVE STENT

1. A method comprising:delivering to a native annulus of an atrioventricular valve of a heart a prosthetic valve via an opening in a wall of the ventricle of the heart, the prosthetic heart valve having a self-expanding body having a proximal end and a distal end, a valve disposed in the body, and
a plurality of self-expanding atrial anchoring elements distributed circumferentially about, and extending radially outwardly from, the proximal end of the body, and
a plurality of anchoring sutures, each anchoring suture having a first end and a second end, the first end being attached to the distal end of the body, the delivering including disposing the atrial anchoring elements on an atrium side of the native annulus and the anchoring sutures through the opening;
allowing the body to self-expand into engagement with the native annulus; and
fixing the plurality of anchoring sutures to the wall of the heart.

US Pat. No. 10,456,247

TRANSCATHETER VALVE PROSTHESIS

HIGHLIFE SAS, Paris (FR)...

1. A heart valve system, the system comprising:a radially self-expandable tubular body having a proximal-most end at an inflow end and a distal-most end at an outflow end; the tubular body including a plurality of arched beams at the outflow end of the tubular body,
a valve coupled to the tubular body, the valve including a plurality of valve leaflets; and
a fabric that is disposed over an outer surface of the tubular body and does not wrap around the outflow end of the tubular body, the fabric being directly connected to both the arched beams and an outer circumferential edge of the valve,
wherein:
connection points link the inflow end of the tubular body and the arched beams, a number of connection points being equivalent to a number of the valve leaflets,
each arched beam is directly attached to an adjacent arched beam such that the arched beams are continuous along the entire circumference of the tubular body at the outflow end, and
the arched beams and the connection points form the distal-most end of the tubular body.

US Pat. No. 10,456,246

INTEGRATED HYBRID HEART VALVES

Edwards Lifesciences Corp...

1. A hybrid prosthetic heart valve having an inflow end and an outflow end, comprising:a valve member including an undulating wireform with alternating cusps and commissures supporting a plurality of flexible leaflets configured to regulate one-way blood flow therethrough; and
an expandable inflow stent frame having a radially-expandable inflow end and an outflow end that undulates with peaks and valleys corresponding to an inflow end of the wireform, wherein the stent frame outflow end defines an implant circumference having a first diameter that enables physiological functioning of the valve member when implanted, and the stent frame outflow end includes integrated commissure posts located adjacent to and radially outward from the wireform commissures, the integrated commissure posts being separate elements from each other and from the stent frame and secured with sutures directly on top of and in alignment with the stent frame outflow end, each commissure post having a contoured lower ledge that matches a contour of one of the peaks in the undulating outflow end of the stent frame, the stent frame projecting in an inflow direction from an inflow end of the wireform, and further wherein the leaflets pass through the wireform commissures and attach to the commissure posts of the stent frame, wherein the stent frame outflow end permits post-implant expansion from the first diameter to an expanded diameter larger than the first diameter that disables physiological functioning of the valve member upon application of an outward dilatory force from within the outflow end substantially larger than forces associated with normal physiological use, and an identifier on the stent frame visible from outside the body after implant that identifies the stent frame as having an expandable outflow end.

US Pat. No. 10,456,245

SYSTEM AND METHOD FOR APPLYING MATERIAL TO A STENT

Edwards Lifesciences Corp...

1. A method of applying an electrospun material to an inner surface of a stent, the method comprising:coupling a mandrel to a stent body;
wherein the stent body comprises an inner surface defining a cavity and an outer surface opposing the inner surface, and
wherein the stent body has a length along an axis defined by the mandrel between a first end of the stent body and a second end of the stent body;
applying an electrospun material to at least a portion of the stent outer surface and to at least a portion of the mandrel to form a coating sheet;
wherein a portion of the coating sheet extends from at least one of the first end or second end of the stent to the mandrel; and
moving one or both of the stent and the mandrel to apply at least some of the portion of the coating sheet onto the inner surface of the stent body.

US Pat. No. 10,456,244

DEVICE AND METHOD FOR TEMPORARY OR PERMANENT SUSPENSION OF AN IMPLANTABLE SCAFFOLDING CONTAINING AN ORIFICE FOR PLACEMENT OF A PROSTHETIC OR BIO-PROSTHETIC VALVE

1. A surgical method for use in heart repair in a subject, comprising:providing an implantable scaffold including:
an inner margin element defining an orifice for receiving or seating a prosthetic or bio-prosthetic valve, and
a flexible outer margin element surrounding said inner margin element, said outer margin element and said inner margin element being different from one another and spaced in their entireties from one another, said outer margin element and said inner margin element being coplanar with one another in an expanded non-deformed pre-attachment configuration of said scaffold;
disposing said scaffold in said expanded non-deformed pre-attachment configuration inside a vascular system of a patient;
maneuvering said scaffold into position near a natural or native valve of the vascular system of the patient, the maneuvering of said expanded scaffold including manipulating a plurality of tethers or wires extending to said outer margin element, said manipulator tethers or wires being detachably connected at their distal ends directly to said outer margin element;
individually or independently manipulating said manipulator tethers or wires to deform said outer margin element so as to conform said outer margin element to an irregular internal wall surface of said vascular system;
attaching said outer margin element to said internal wall surface, the attaching of said outer margin element including applying at least one fastener or fixation mechanism to said outer margin element and said internal wall surface so that said outer margin element conforms to said internal wall surface; and
upon the attaching of said outer margin element, detaching said manipulator tethers or wires from said outer margin element and concomitantly from said scaffold.

US Pat. No. 10,456,243

HEART VALVES PROSTHESES AND METHODS FOR PERCUTANEOUS HEART VALVE REPLACEMENT

MEDTRONIC VASCULAR, INC.,...

1. A heart valve prosthesis having a compressed configuration for delivery within a vasculature and an expanded configuration for deployment within a native heart valve in a patient, comprising:a frame including
a valve support having a first end and a second end, the valve support being configured to hold a prosthetic valve component therein, and
a plurality of support arms extending from the second end of the valve support, wherein when the heart valve prosthesis is in the expanded configuration,
the plurality of support arms are configured to extend toward the first end of the valve support for engaging a subannular surface of the native heart valve and
one or more of the plurality of support arms comprises a curvilinear-shaped support arm, the curvilinear-shaped support arm having
a first arcuate region being formed to curve toward the valve support proximate the second end,
a second arcuate region being formed to curve away from the valve support proximate the first end, and
a straight region being formed to slant toward the valve support in an upward and inward direction relative to a longitudinal axis of the valve support as the straight region extends from a first transitional point with the first arcuate region to a second transitional point with the second arcuate region,
wherein the second arcuate region defines a first curved segment that generally curves in an outward and upstream direction from the second transitional point to reach an apex of the curvilinear-shaped support arm and defines a second curved segment that extends in an outward direction from the apex of the curvilinear-shaped support arm and curves slightly downward toward a free-end of the curvilinear-shaped support arm,
wherein a landing zone configured to atraumatically engage tissue at the native heart valve is defined at the apex of the curvilinear-shaped support arm, the landing zone having a width that is greater than a width of the remainder of the curvilinear-shaped support arm.

US Pat. No. 10,456,242

INTRAOCULAR LENS THAT IMPROVES OVERALL VISION WHERE THERE IS A LOCAL LOSS OF RETINAL FUNCTION

AMO Groningen B.V., Gron...

1. An intraocular lens configured to improve vision for a patient's eye, the intraocular lens comprising:an optic comprising a first surface and a second surface opposite the first surface, the first surface and the second surface intersected by an optical axis, the optic being symmetric about the optical axis, wherein the first and the second surface of the optic are aspheric, the first surface having a first radius of curvature and a first conic constant and the second surface having a second radius of curvature and a second conic constant,
wherein the first surface of the optic is configured to face the cornea and the second surface of the optic is configured to face the retina when the optic is implanted in the patient's eye,
wherein the first radius of curvature is less than the second radius of curvature,
wherein the first conic constant is greater than the second conic constant, and
wherein the optic is configured to improve image quality of an image produced by light incident on the patient's eye at an oblique angle with respect to the optical axis and focused at a peripheral location disposed at a distance from the fovea and at an eccentricity between about 1 degree and about 25 degrees with respect to the optical axis at the fovea.

US Pat. No. 10,456,241

SWITCHABLE LENS DEVICES, SYSTEMS, AND RELATED METHODS

ELWHA LLC, Bellevue, WA ...

1. A lens system, comprising:at least one switchable lens device sized and configured to be placed in association with at least one of a first eye of a subject or a second eye of the subject, the at least one switchable lens device including at least one switchable lens having a plurality of optical settings and being configured to selectively switch at least between a first optical setting of the plurality of optical settings and a second optical setting of the plurality of optical settings;
wherein the first optical setting includes at least one of a first focal spot or a first visible-light-transmittance setting of the at least one switchable lens;
wherein the second optical setting includes at least one of a second focal spot or a second visible-light-transmittance setting of the at least one switchable lens; and
a controller operably coupled to the at least one switchable lens device, the controller including control electrical circuitry configured to:
receive one or more audible inputs from the subject;
correlate the one or more received audible inputs with the first optical setting of the plurality of optical settings; and
direct switching of the at least one switchable lens from the first optical setting of the plurality of optical settings to the second optical setting of the plurality of optical settings,
wherein at least one of:
the controller is configured to filter out at least one of voice commands from persons other than the subject or non-command signals from the subject;
the one or more audible inputs include at least one of clapping, clicking, clacking of teeth, one or more words, one or more phrases, one or more numbers, or one or more parameters; or
the one or more audible inputs include one or more of a series, sequence, or pattern of non-verbal commands or sounds.

US Pat. No. 10,456,238

ARTIFICIAL STOMACH

1. A method for surgically placing an artificial stomach in a patient, the method comprising the steps of:cutting an opening in the abdominal wall of the patient,
dissecting an abdominal area,
placing the artificial stomach in the dissected abdominal area, comprising:
a food reservoir adapted to collect food,
an inlet connected to a first opening of the food reservoir and further being adapted to directly or indirectly upstream connect to the patient's gastrointestinal tract, and
an outlet connected to a second opening of the food reservoir and further being adapted to downstream connect to the patient's gastrointestinal tract,
an inlet valve placed between the patient's gastrointestinal tract and the first opening of the food reservoir,
connecting the inlet comprising the inlet valve of the food reservoir upstream to the patient's gastrointestinal tract,
connecting the outlet of the food reservoir downstream to the patient's gastrointestinal tract, and
implanting a source of energy in the patient, adapted to be charged non-invasively with wireless energy, and adapted to be controlled to release energy for use in connection with the operation of the artificial stomach.

US Pat. No. 10,456,237

ESOPHAGEAL STENT INCLUDING A VALVE MEMBER

BOSTON SCIENTIFIC SCIMED,...

1. An expandable medical device, comprising:a tubular scaffold, the scaffold including a first end, a second end opposite the first end, an inner surface defining a lumen extending from the first end to the second end, an outer surface opposite the inner surface, and a central longitudinal axis extending from the first end to the second end, the scaffold formed of a plurality of struts defining openings therebetween, the openings extending from the inner surface to the outer surface through a wall of the scaffold;
a flexible valve extending radially inward from the inner surface of the scaffold into the lumen of the scaffold between a first circumferential location and a second circumferential location;
an inner layer of polymer material disposed on the scaffold and extending across the openings from the first circumferential location to the first end of the scaffold and from the second circumferential location to the second end of the scaffold, the flexible valve being formed from a portion of the inner layer extending between the first circumferential location and the second circumferential location which is spaced away from the scaffold between the first circumferential location and the second circumferential location; and
an outer layer of polymer material disposed on the scaffold and extending across the openings between the first circumferential location and the second circumferential location;
wherein the inner layer is circumferentially attached to the outer layer at the first circumferential location and the inner layer is circumferentially attached to the outer layer at the second circumferential location to form an annular chamber extending circumferentially around the central longitudinal axis of the scaffold between the first circumferential location and the second circumferential location, the annular chamber bounded by an inner surface of the inner layer extending from the first circumferential location to the second circumferential location and a surface of the outer layer extending from the first circumferential location to the second circumferential location;
wherein the valve narrows from the first circumferential location to a closure point of the valve, the valve being configured to shift from a closed configuration to an open configuration;
wherein the valve is configured to permit material to pass through the closure point of the valve from the first end to the second end, wherein the valve includes a surface texture configured to prohibit material from moving through the closure point of the valve from the second end to the first end, wherein the surface texture is only on a downward facing surface of the valve located between the closure point and the second circumferential location, wherein the surface texture is on an outer surface of the inner layer opposite the inner surface of the inner layer, the inner surface of the inner layer being devoid of the surface texture.

US Pat. No. 10,456,236

AXIAL LENGTHENING THROMBUS CAPTURE SYSTEM

KP Medcure, Inc., Anahei...

10. A method of using a clot capture system to redistribute a thrombus, comprising:providing a tubular body comprising a first end and a second end, the first end having an opening, wherein the tubular body comprises a first configuration in which the first end is expanded and the tubular body has a first expanded axial length, wherein the second end is compressed in the first configuration, wherein the tubular body has a folded portion between the first end and the second end such that a compressed portion of the tubular body is within an expanded portion of the tubular body, wherein the tubular body surrounds a thrombus in the first configuration,
redistributing a thrombus by transforming the tubular body to a second configuration in which the tubular body has a second expanded axial length greater than the first expanded axial length, wherein the folded portion is moved away from the thrombus to create additional space within the expanded portion of the tubular body, and
transforming the tubular body to a third configuration in which the tubular body has a third expanded axial length less than the second expanded axial length.

US Pat. No. 10,456,234

CONICAL VENA CAVA FILTER WITH JUGULAR OR FEMORAL RETRIEVAL

COOK MEDICAL TECHNOLOGIES...

1. A method for retrieving an intravascular filter from a patient's vena cava through the patient's femoral vein, the method comprising:percutaneously inserting a retrieval assembly into the patient's vasculature through the patient's femoral vein, the retrieval assembly comprising a retrieval sheath and a control member;
advancing the retrieval assembly through the patient's vasculature to a retrieval position proximal to the intravascular filter in the patient's vena cava, the intravascular filter being in a filtering configuration and comprising:
a plurality of struts having first and second ends, the first ends of the struts being attached together along a longitudinal axis, the second ends of the struts being attached together along the longitudinal axis, each strut having a first portion, a second portion, and a third portion, the third portion of each strut being substantially linear and having a bending region substantially straight in the filtering configuration, the first portion extending laterally away from the longitudinal axis and generally upstream from the first end, the second portion extending generally upstream from the first portion, the third portion extending inwardly toward the longitudinal axis and generally downstream from the second portion to the second end, the first portion and the third portion being substantially parallel in the filtering configuration;
a first coupling element disposed with the first ends of the struts for jugular vein retrieval; and
a second coupling element disposed with the second ends of the struts for femoral vein retrieval;
attaching the control member to the second coupling element of the intravascular filter;
retracting the control member proximally through the retrieval sheath to apply tension to the second coupling element, the tension moving the intravascular filter from the filtering configuration to a retrieval configuration, each strut extending generally upstream from the first end to the second end when the filter is in the retrieval configuration;
advancing the retrieval sheath distally over the intravascular filter; and
removing the retrieval assembly and the intravascular filter from the patient's vasculature.

US Pat. No. 10,456,232

TILTABLE IMPLANTABLE MEDICAL DEVICE

Cook Medical Technologies...

1. An implantable medical device for deployment in a vessel of a patient, the implantable medical device including a first capture element formed of a first frame of curved leg elements with a first end opening, the first frame providing a material capture chamber therein accessible through the first end opening; a coupling member attached to the frame; and a stabilization member attached to the coupling member for stabilizing the capture element, wherein the stabilization member is a second capture element formed of a second frame of curved leg elements with a second end opening, each of the first frame and the second frame providing a material capture chamber therein accessible through each of the end openings, and wherein the first and second capture elements have their end openings facing a common direction, wherein at least one of the first capture element and the second capture element is configured to tilt at a tilt angle to extend non-parallel to a longitudinal axis of the vessel while maintaining proper contact to a wall of the vessel.

US Pat. No. 10,456,231

REINFORCEMENT DEVICE WITH DISSOLVABLE LAYER AND ITS USE

Covidien LP, Mansfield, ...

1. A reinforcement device for reinforcing tissues having one or more structural deficiencies, comprising:a longitudinally extending reinforcing layer for treating the structural deficiency, the layer having a first face and a second face;
a plurality of naps distributed across at least the first face and projecting therefrom for adhering to tissue, the plurality of naps having one of an arcuate shape with a flattened ball at the distal end of the plurality of naps, a tapered point, or J-hook shape; and
a dissolvable layer.

US Pat. No. 10,456,230

METHOD OF FIXING SURGICAL SUTURE TO TISSUE

1. A method of fixing surgical suture to tissue, the method comprising:providing a suture fixation system including: a delivery guide; an anchor deployment component having a cannula movable within the delivery guide; and a spring positioned around a portion of the cannula and retained between a first spring seat of the anchor deployment component and a second spring seat formed inside of the delivery guide;
loading an anchor into the cannula by loading the anchor into a conduit of the deliver guide, with the conduit having an opening in a distal end and a channel formed in a sidewall of the conduit, with a portion of the anchor extending out of the conduit and through the channel;
locating a fixation device outside of the delivery guide, with the anchor and the fixation device attached by a suture; and
moving the anchor deployment component in a distal direction and moving the cannula through an opening in a distal end of the delivery guide and into the tissue, pushing the anchor out of the delivery guide and into the tissue, and delivering the anchor into the tissue.

US Pat. No. 10,456,229

SCANNING OF EDENTULOUS PATIENTS

1. A method for determining the relative arrangement of patient's jaws in a bite position when the patient's occlusion is not defined by natural teeth alone, the method comprising:obtaining, from an intra-oral scanner, a first digital 3D representation comprising surface data relating to dental tissue in a first one of the patient's jaws;
obtaining, from an intra-oral scanner, a second digital 3D representation comprising surface data relating to dental tissue in a second one of the patient's jaws;
obtaining, from an intra-oral scanner, a third digital 3D representation comprising both surface data relating to the dental tissue in the first one of the patient's jaws and surface data relating to a first part of a scan appliance arranged in relation to the first one of the patient's jaws, where the first part of the scan appliance is configured for at least partly defining the patient's occlusion in collaboration with an opposing structure at the second one of the patient's jaws, and where the first part of the scan appliance comprises one or more openings such that the dental tissue otherwise hidden by the scan appliance can be acquired by the intra-oral scanner while the first part of the scan appliance is placed at the first one of the patient's jaws;
obtaining a fourth digital 3D representation comprising surface data of the first part of the scan appliance and surface data relating to the opposing structure; and
deriving one or more transformations for mapping the first digital 3D representation and second digital 3D representation into the same coordinate system with a relative arrangement according to the relative arrangement of the patient's jaws in the bite position.

US Pat. No. 10,456,227

METHODS OF SURFACE TREATING TUBULAR MEDICAL PRODUCTS

ENSION INC., Pittsburgh,...

1. A method of treating a tubular medical device with a biomolecule comprising the steps of:a) providing a polyolefin tubular substrate forming a tubular medical device;
b) cleaning the tubular polyolefin substrate;
c) exposing the tubular polyolefin substrate to a reactive gas containing at least one of acrylic acid and siloxane and to plasma energy to yield a plasma-deposited coating on at least one surface of the tubular polyolefin substrate, wherein step c) includes the steps of the exposing the polyolefin substrate to a reactive gas containing siloxane functional groups and plasma energy to yield a plasma-deposited polysiloxane surface on the surface of the polyolefin substrate prior to exposing the polyolefin substrate to a reactive gas containing acrylic acid and to plasma energy, and rendering the plasma deposited polysiloxane surface amino functional; and
d) attaching a biomolecule to the polyolefin substrate following formation of the plasma-deposited coating on at least one surface of the tubular polyolefin substrate, and wherein the biomolecule is heparin at least one of an antibacterial agent, antimicrobial agent, anticoagulant, heparin, antithrombotic agent, platelet agent, anti-inflammatory, enzyme, catalyst, hormone, growth factor, drug, vitamin, antibody, antigen, protein, nucleic acid, dye, a DNA segment, an RNA segment, protein, and peptide.

US Pat. No. 10,456,226

TOOTH REPLACEMENT

KUZLER GMBH, Hanau (DE)

1. A tooth replacement comprising at least two adjacent posterior teeth comprising a first tooth and a second tooth adjacent to the first tooth, wherein each of the first and second teeth include a mesial contact surface, a distal contact surface, and an occlusal surface, wherein the occlusal surface comprises a least one buccal cusp having a buccal cusp tip, a lingual cusp having a lingual cusp tip, a central fissure which has at least one tooth pit and passes through the occlusal surface in a mesiodistal direction between the two cusps, a first gradient which slopes downward from the buccal cusp tip in a direction of the central fissure, and a second gradient which slopes downward from the lingual cusp tip in the direction of the central fissure, wherein the occlusal contact surface comprise expansion spaces to obtain a dynamic occlusal guidance, wherein the tooth pits of the occlusal surfaces of the first and second posterior teeth engage in an occlusion position with respective antagonists of the posterior teeth, wherein the respective antagonist teeth include a further occlusal surface having at least one further cusp, to engage in the occlusion position with the tooth pit of the occlusal surface of the posterior teeth, wherein a length of a retrusion path starting from the occlusion position is at least 0.6 mm, wherein the mesial contact surface of the first tooth is curved in a calotte-like or spherical manner, having a convex edge both in a sagittal plane and in a transverse plane, and wherein the second tooth has a distal contact surface abutting the mesial contact surface of the first tooth, wherein the distal contact surface of the second tooth is curved concavely spherically for producing a form-fit contact with a convexly curved mesial contact surface of the first tooth, thus having a concave edge both in a sagittal plane and in a transverse plane, wherein a radius of a curvature of the mesial contact surface of the first tooth is approximately equal to a radius of a curvature of the distal contact surface of the second tooth, wherein a radius of curvature of the occlusal surface of at least one of the posterior teeth as a base of the tooth pit is sectional planes running parallel to a tooth axis through the base of the tooth pit is greater than 1.2 mm and less than 5 mm.

US Pat. No. 10,456,225

METHOD FOR CLEARING OF VIRTUAL REPRESENTATIONS OF OBJECTS

A. TRON3D GMBH, Klagenfu...

1. Method for clearing, in particular for removing, unwanted data from optically detected virtual representations of objects, in particular teeth and intraoral structures, the method comprising:a. Defining an extension line of the representation,
b. Generating a projection plane at one point of the extension line, the extension line at this point being perpendicular to the generated projection plane,
c. Projecting all known points in space of the representation from one region corresponding to the projection plane onto the projection plane, the corresponding point in space being stored for each projected point,
d. Generating a two-dimensional curve on the projection plane from the projected points,
e. Determining maxima, minima and a center of the curve,
f. Identifying projected points of the curve that—viewed from the center of the curve—lie outside of the minima or maxima,
g. Removing the points in space that correspond to the projected points that were identified in f.,
h. Optionally, repeating starting from b. for one further point of the extension line.

US Pat. No. 10,456,224

METHOD FOR GUIDING DENTAL IMPLANT PLAN, APPARATUS FOR SAME, AND RECORDING MEDIUM THEREFOR

OSSTEMIMPLANT CO., LTD., ...

1. A method of implant planning guide, comprising:detecting a region where a tooth has been lost based on a tooth image;
calculating an implant area where an implant is to be placed in the region; and
displaying the implant area on the teeth image by using a pre-determined mark indicating boundaries of the implant area,
wherein the implant area is displayed separately for each of the implant objects which are parts of the implant, or the implant area is displayed integrally for all the implant objects,
wherein in case that the implant area is displayed integrally for all the implant objects, the implant area of the implant object selected by a user is separately displayed from that of the others.

US Pat. No. 10,456,223

METHOD AND APPARATUS FOR PREPARING A CERAMIC DENTAL RESTORATION IN ONE APPOINTMENT

James R. Glidewell Dental...

1. A method for fabricating a dental restoration for a patient from a machinable block comprising the steps of:a. obtaining a machinable block comprising a machinable, fully sintered zirconia ceramic material solid body comprising
an external surface defining an occlusal surface, a margin area that optionally, comprises a flat surface opposite the occlusal surface, and side surfaces between the occlusal surface and the margin area;
wherein the side surfaces consist essentially of non-planar surfaces; and
wherein the fully sintered zirconia ceramic material solid body comprises a cubic volume fraction between about 0.35 and about 0.95;
b. obtaining a milling strategy to control the conversion of the fully sintered zirconia ceramic material solid body into a dental restoration by a chair-side milling machine; and
c. milling the fully sintered zirconia ceramic material solid body into the dental restoration with the chair-side milling machine.

US Pat. No. 10,456,222

METHOD OF DAMPING LATERAL, AXIAL AND LONGITUDINAL FORCES ON DENTAL PROSTHESES USING SYNTHETIC PERIODONTAL LIGAMENT FIBERS

1. A method of damping forces on dental prostheses, the steps of the method comprising:aligning an arcuate full bar with two or more implants recessed into bone in a patient's mouth, the full bar defining a plurality of axial bores, the full bar comprising a plurality of downwardly-protruding transmucosal shanks for inserting in corresponding cavities defined by two or more implants sunk into a patient's mandible;
overlaying a generally convex, arcuate damping compression membrane of flexible material on a top surface of the full bar, the arcuate damping membrane having an upper convex membrane surface, a lower concave membrane surface, the damping membrane positioning above the full bar and below a half-bar and detachably affixed thereto; and
affixing to one of the implants and the full bar an arcuate half-bar having a convex upper half-bar surface and a concave lower half-bar surface defining a plurality of protuberances, the half-bar positioning on the upper membrane surface of the damping membrane, wherein the arcuate half-bar is detachably affixed to the full bar;
wherein the damping membrane is adapted to damp lateral, longitudinal, and axial compressive and tensile forces applied to prostheses and the half-bar by enabling rotation of the prostheses around the convex upper surface of the full bar.

US Pat. No. 10,456,221

FORCE DAMPING DENTAL BRIDGE ASSEMBLY WITH SYNTHETIC PERIODONTAL LIGAMENT FIBERS

1. A force-damping dental bridge assembly, the assembly comprising:an arcuate full bar adapted to precisely align with two or more implants recessed into bone in a patient's mouth, the full bar defining a plurality of apertures, the full bar comprising:
a plurality of downwardly-protruding transmucosal shanks for inserting in corresponding cavities defined by two or more implants sunk into a patient's mandible;
a generally convex, arcuate damping compression membrane of flexible material, the arcuate damping membrane having an upper convex membrane surface, a lower concave membrane surface, the damping membrane positioning above the full bar and below a half-bar and detachably affixed thereto; and
an arcuate half-bar having a convex upper half-bar surface and a concave lower half-bar surface, the half-bar positioning on the upper membrane surface of the damping membrane, wherein the arcuate half-bar is detachably affixed to the full bar;
whereby the damping membrane dampens compressive and tensile forces applied to prostheses and the half-bar.

US Pat. No. 10,456,220

BENDABLE PROSTHESIS POST AND ANGULAR ADJUSTMENT METHOD

DENTSCARE LTDA, Joinvill...

1. An angular adjustment method for a definitive bendable prosthetic abutment provided with a single body, the method comprising:providing a definitive bendable prosthetic abutment with a single body, the prosthetic abutment formed to have a guiding and anchoring segment (1) of the single body to guide and anchor the prosthetic abutment, a connection zone (2) of the single body connected to an end portion of the guiding and anchoring segment and extending upwardly therefrom to connect to an implant when arranged on the gingival tissue, a sacrificial and anchoring zone (3) connected to an end portion of the connection zone and having a diameter greater than a diameter of the connection zone so as to define a protuberant ring-shaped shoulder, the guiding and anchoring segment, the connection zone, and the sacrificial and anchoring zone collectively defining a lower portion of the single body, the diameter of the sacrificial and anchoring zone (3) being greater than the diameter of the largest portion of the connection zone, a bendable intermediate restriction (4) connected to the sacrificial and anchoring zone and extending upwardly therefrom and positioned to define an intermediate portion of the single body, and a mounting and fastening portion (5) having a greater cross-sectional diameter than the intermediate restriction, connected to an end portion of the intermediate restriction, and extending upwardly therefrom to receive a prosthesis to be mounted and fastened when positioned thereon, the mounting and fastening portion defining the upper portion of the single body of the definitive bendable prosthetic abutment;
positioning the guiding and anchoring segment (1) of the prosthetic abutment into a cavity (29) of a base (28) of a separate bendable device (D) so that peripheral portions of the shoulder of the sacrificial and anchoring zone (3) of the prosthetic abutment contact peripheral portions of the cavity (29) of the separate bendable device (D); and
bending an upper portion of the single body about the intermediate portion for angular orientation with respect to the lower portion when positioned in the cavity (29) of the bending device (D).

US Pat. No. 10,456,219

ORTHODONIC POST AND PIN ASSEMBLY

ORTHO SOLUTIONS, LC, St....

1. An orthodontic post and pin assembly, said orthodontic post having a rear segment, an integral sleeve at its intermediate location, and a cylindrical portion extending integrally forwardly from said sleeve, said cylindrical portion having an aperture provided centrally therethrough, for accommodation of a hybrid screw during installation of the assembly onto the wire portion of an orthodontic appliance, said cylindrical portion and sleeve of the post provided for accommodating a bearing surface of a Herbst orthodontic mechanism or a spring biasing orthodontic member, the rear segment of the post having a lateral slot therethrough, and into which an orthodontic wire may be located during installation of the assembly, said rear segment of the post also having a vertical slot provided therethrough, and for accommodating the insertion and retention of said pin therethrough, when the assembly is installed onto the wire of an orthodontic appliance during installation and treatment of a patient, said pin includes a head portion, a downwardly extending portion that extends through the vertical slot of said post, and said pin having a pair of lateral braces, that embrace the sides of the post when the pin is installed for application for retaining an orthodontic wire therein.

US Pat. No. 10,456,218

CONTOURED-BODY ORTHODONTIC EXPANSION SCREW

1. An orthodontic expansion apparatus for widening the maxilla of a patient, the apparatus comprising:a spindle comprising a central actuating portion, a left threaded portion and a right threaded portion on opposite sides of the central actuating portion;
a left body threadably coupled to the left threaded portion; and
a right body threadably coupled to the right threaded portion;
wherein rotating the central actuating portion causes the left body and the right body to translate in opposite directions along a longitudinal axis of the spindle between an unspread configuration with the left body and the right body proximate to the central actuating portion and a spread configuration with the left body and the right body distal to the central actuating portion, and
wherein each of the left body and right body comprise a convex curved profile in a frontal plane view configured to face a palate of the patient and to contour to a shape of a superior side of the palate,
wherein each of the left body and the right body comprise a convex curved profile in a transverse plane view configured to contour to a shape of an anterior end portion of the palate,
wherein each of the left body and the right body comprise a palatal surface configured to face the palate of the patient,
wherein the palatal surface is a substantially spherical convex surface defined by the curved profile in the transverse plane view and the curved profile in the frontal plane view, and
wherein the spherical convex surface is configured to face the palate of the patient and to contour to a shape of the anterior end portion of the palate.

US Pat. No. 10,456,217

AUTOMATED TREATMENT STAGING FOR TEETH

Align Technology, Inc., ...

1. A method comprising:selecting a movement pattern from a plurality of movement patterns for moving dental objects from an initial arrangement toward a final arrangement, the dental objects being based on output of a scanning device, the movement pattern defining a schedule of movement of the dental objects during treatment stages as each of the dental objects moves from a respective initial position toward a respective final position;
calculating, by a computer processor, a respective treatment path for each of the dental objects between its respective initial and final positions;
identifying, by a computer processor, a collision between a first of the dental objects and a second of the dental objects based at least on one of the respective treatment paths; and
performing, by a computer processor, a first modification of the schedule of movement in response to the identifying, the first modification comprising:
round-tripping the first dental object.

US Pat. No. 10,456,216

DENTAL HAND INSTRUMENT AND HEAD HOUSING THEREFOR

1. A dental hand instrument, comprising:a grip sleeve having a front end;
a head housing arranged at the front end of the grip sleeve, the head housing including a substantially cylindrical hollow space and an inner wall region enclosing the substantially hollow space, the head housing configured to receive or hold a treatment instrument;
a spray insert arranged in the substantially cylindrical hollow space having two circumferential annular incisions;
a connecting bore located in the head housing having a first end facing the grip sleeve,
wherein the substantially cylindrical hollow space is connected by way of the connecting bore to a connection region pointing to the grip sleeve, and
wherein the first end of the connecting bore is coupled to a media line extending through the grip sleeve; and
a sickle-shaped recess located within the inner wall region of the head housing and into which the connecting bore opens.

US Pat. No. 10,456,215

SYSTEM AND METHOD FOR PLANNING A FIRST AND SECOND DENTAL RESTORATION

NOBEL BIOCARE SERVICES AG...

1. A method of planning a dental restoration for a patient, said method comprising:virtually planning a first model, via a computer, of a first dental restoration for said patient, the first dental restoration being a temporary or try-in soft tissue supported dental restoration that does not extend into bone in a virtual model of the patient, wherein the virtual planning of said first model of said first dental restoration comprises planning of a position of an implant, wherein said try-in soft tissue supported dental restoration comprises a recess, which is planned to receive the coronal portion of said implant and an impression coping or a healing cap if attached to the coronal portion of said implant when positioning said try-in dental restoration in the oral cavity of said patient when said implant is implanted therein and wherein said recess is configured to accommodate impression material for registering a position and orientation of said implant as well as of said impression coping or healing cap;
providing first production data based on said virtually planned first model of said first dental restoration useful for production of said first dental restoration for installing said first dental restoration in an oral cavity of said patient, wherein said first dental restoration includes at least a tooth;
requesting production of said first dental restoration based on said first production data to manufacture a produced first dental restoration;
obtaining said produced first dental restoration;
installing said obtained and produced first dental restoration in said patient;
providing scan data comprising factual position data and/or factual shape data, including a factual position of said implant based on at least a portion of the installed first dental restoration resulting from installing said first dental restoration in the oral cavity of the patient after modification thereof, wherein said installed first dental restoration was produced by using said first production data and wherein said scan data on said factual position of said implant is obtained from the position and orientation of said implant as registered in said impression material in said recess of said try-in dental restoration;
virtually planning a second model, via a computer, of a second dental restoration for said patient, comprising virtually adjusting said virtually planned first dental restoration in dependence on said scan data, the second dental restoration being an implant supported dental restoration, wherein the virtually adjusting is based on an actual implant position in the patient; and
providing second production data based on said virtually planned second model of said second dental restoration useful for production of said second dental restoration, wherein the first dental restoration in its entirety is discarded or not used upon installation of the second dental restoration in the oral cavity of said patient.

US Pat. No. 10,456,214

LIGHT POINT IDENTIFICATION METHOD

Brainlab AG, Munich (DE)...

1. A method, comprising:acquiring, from a camera system, a series of camera images of a camera viewing field;
detecting whether the series of camera images include a light mark within the camera viewing field, wherein the light mark detected represents a possible light pulse reflection;
comparing a time pattern of the light mark detected in the series of camera images to a pre-define emission pattern of light pulses; and
determining that the light mark detected is a reflected light pulse when the time pattern of the light mark detected in the series of camera images matches the pre-defined emission pattern.

US Pat. No. 10,456,213

TOMOSYNTHESIS-GUIDED BIOPSY APPARATUS AND METHOD

HOLOGIC, INC., Marlborou...

1. An apparatus comprising:a base;
a table connected to the base, wherein the table is configured to support a patient in a prone position;
an equipment support platform linearly positionable relative to the base and the table;
a tomosynthesis imaging system rotatably secured to the equipment support platform and disposed below the table for imaging a breast of the patient, wherein the tomosynthesis imaging system is rotatable about an axis substantially orthogonal to the table;
a stage arm assembly rotatably secured to the equipment support platform independent of the tomosynthesis imaging system, wherein the stage arm assembly comprises a biopsy needle configured to obtain a tissue sample from the breast of the patient imaged by the tomosynthesis imaging system; and
a breast support assembly linearly positionable along the equipment support platform, wherein the breast support assembly is configured to compress the breast of the patient.

US Pat. No. 10,456,212

SYSTEMS AND METHODS FOR SAFE, PRECISE STEREOTACTIC IMPLANTATION

THE CLEVELAND CLINIC FOUN...

1. A method comprising:fixing a stereotactic device to a frame attached to a patient's head, wherein the stereotactic device comprises:
a body having a U-shape and comprising two sides separated by a distance; and
a guide extending from one of the two sides of the body to another of the two sides of the body, wherein the guide is lockable at a position between the two sides and a portion of the guide is rotatable;
performing a coarse movement of the guide to a position along the two sides,wherein the position is above a target area within the patient's head;locking the guide at the position;
performing a fine adjustment of an instrument holder attached to the guide by linear and/or rotational movement;
locking the instrument holder in place after the fine adjustment;
implanting a medical instrument to the target area within the patient's head through the instrument holder attached to the guide;
unlocking the guide;
performing another coarse movement of the guide to a second position along the two sides, wherein the second position is above a second target area within the patient's head;
locking the guide at the second position;
performing another fine adjustment of the instrument holder attached to the guide by linear and/or rotational movement;
locking the instrument holder in place after the other fine adjustment; and
implanting a second medical instrument to the second target area within the patient's head through the instrument holder attached to the guide.

US Pat. No. 10,456,211

METHODS AND APPARATUS FOR SPINAL RECONSTRUCTIVE SURGERY AND MEASURING SPINAL LENGTH AND INTERVERTEBRAL SPACING, TENSION AND ROTATION

Medicrea International, ...

1. A method of measuring intervertebral spacing length at a middle column of a spine comprising:positioning a first middle column marker in a first vertebra, wherein the first middle column marker is located at a depth of the middle column of the first vertebra;
positioning a second middle column marker in a second vertebra, wherein the second middle column marker is located at a depth of the middle column of the second vertebra; and
measuring, at the middle column, a distance between the first and second middle column markers to thereby determine the intervertebral spacing length at the middle column,
wherein the measuring comprises:
determining a first line, within a medical image of the spine, along the middle column of the first vertebra at a point at which the first middle column marker passes through the middle column of the first vertebra;
identifying a first point on an edge of the first vertebra where the first line intersects with the edge of the first vertebra;
determining a second line, within a medical image of the spine, along the middle column of the second vertebra at a point at which the second middle column marker passes through the middle column of the second vertebra;
identifying a second point on an edge of the second vertebra where the second line intersects with the edge of the second vertebra; and
measuring a distance between the first point and the second point
wherein the distance between the first point and the second point represents the distance between the first and second middle column markers; and
wherein the middle column comprises a region on the spine, wherein the region is bounded on a first side by a posterior surface of a vertebral body of a vertebra, and wherein the region is bounded on a second side located at a distance between substantially one-third and substantially one-half through the vertebral body from the posterior surface to an anterior surface of the vertebral body.

US Pat. No. 10,456,210

SURGICAL INSTRUMENT ORGANIZING PAD

1. A surgical instrument organizing pad comprising:a soft pad configured such that it is fabricated in a size which enables the pad to be held on a body of a patient and a seating area on which surgical instruments are seated is formed on a top surface of a center portion thereof; and
partitions erected along a circumference of the seating area;
wherein the soft pad and the partitions are made of soft resin, and
wherein each of the partitions includes a plurality of unit plates, each pair of two neighboring ones of the unit plates are spaced apart from each other by a predetermined distance, and each of the unit plates is formed in an upward convex shape along the circumference of the seating area such that a space between the two neighboring unit plates is increased along an upward vertical direction so as to fasten the surgical instruments of various sizes.

US Pat. No. 10,456,209

REMOTE LASER TREATMENT SYSTEM WITH DYNAMIC IMAGING

1. A remote laser treatment system with dynamic imaging, comprising:a local control system disposed at a first location and a central control system disposed at a remote site at a second location, said local control system being operatively coupled to said central control system by means of a computer network;
said local control system including a laser generation device, a first computing device with a first processor, a local control module, and a dynamic imaging system;
said laser generation device including a treatment laser configured to generate and transmit a treatment laser beam to a treatment location on or in said patient;
said central control system including a second computing device with a second processor and a remote control module;
said remote control module being configured to perform a laser treatment procedure on said treatment location in an actual control mode in which said treatment laser is configured to transmit said treatment laser beam to said treatment location to surgically alter the body of said patient at said treatment location; and
said dynamic imaging system including an imaging device operatively coupled to said first computing device, said imaging device configured to capture images of a body portion of said patient over a predetermined duration of time, said imaging device comprising an image recognition sensor configured to capture both visible light and infrared light, said captured images including an initial captured image containing first image data that is produced without requesting said patient to perform any task, and said captured images further including a subsequent captured image containing second image data that is produced as a result of said patient being instructed to perform a task that induces one or more detectable physical and physiological changes in said body portion of said patient as compared to the initial captured image, said one or more detectable physical and physiological changes includes capillaries in said body portion folding and/or collapsing, said first computing device programmed to determine said displacement of said body portion of said patient over said predetermined duration of time using said captured images, and further programmed to compare said displacement of said body portion of said patient over said predetermined duration of time to a reference displacement of said body portion of said patient acquired at a first time prior to said displacement so that a plurality of induced physical and physiological dynamic changes in said body portion of said patient are assessed for the purpose of identifying said patient or evaluating physiological changes in said body portion, and said first computing device further programmed to compare a plurality of reference induced physical and physiological dynamic changes to said body portion of said patient captured by said imaging device at said first time to said plurality of induced physical and physiological dynamic changes to said body portion of said patient captured by said imaging device over said predetermined duration of time, and further programmed to determine if said plurality of reference induced physical and physiological dynamic changes captured by said imaging device at said first time substantially matches said plurality of induced physical and physiological dynamic changes to said body portion of said patient captured by said imaging device over said predetermined duration of time to verify an identity of said patient, said plurality of induced physical and physiological dynamic changes to said body portion of said patient including the following: (i) a change in a blood flow pattern in said body portion of said patient resulting from said folding and/or collapsing of capillaries in said body portion, and (ii) a change in a surface structure of said body portion of said patient resulting from said patient performing said task that induces one or more detectable physical changes.

US Pat. No. 10,456,208

SURGICAL CANNULA MOUNTS AND RELATED SYSTEMS AND METHODS

Intuitive Surgical Operat...

1. A cannula mount for a surgical system, the cannula mount comprising:a body including an aperture sized to receive a portion of a cannula;
a pivotable clamping arm located within the aperture of the body, the clamping arm being configured to engage the portion of the cannula received in the aperture, the clamping arm comprising a cam follower surface; and
a cam member moveable between a first position and a second position, the cam member comprising a cam surface;
wherein on the condition that the cam member is in the first position, the cam surface engages the cam follower surface of the clamping arm to actuate the clamping arm to a closed position in which the clamping arm engages the portion of the cannula received in the aperture; and
wherein on the condition that the cam member is in the second position, the clamping arm is free to move to an open position in which the clamping arm does not engage the cannula.

US Pat. No. 10,456,207

SYSTEMS AND TOOLS FOR USE WITH SURGICAL ROBOTIC MANIPULATORS

MAKO Surgical Corp., Ft....

1. A tool comprising:an energy applicator including a shaft extending along an axis between a proximal end and a distal end, said shaft having an axial-force receiving surface; and
a tool assembly comprising:
a support structure to support said energy applicator;
an axial connector assembly arranged to engage and releasably lock said energy applicator to said support structure in a locked state;
a drive system coupled to said support structure to rotatably drive said shaft of said energy applicator about said axis;
a collet assembly cooperating with said axial connector assembly to apply a force to said axial-force receiving surface of said energy applicator in said locked state; and
a reference surface, wherein said force includes an axial component directing said energy applicator proximally into continuous contact with said reference surface in said locked state.

US Pat. No. 10,456,206

INSTRUMENT ARTICULATION

CMR SURGICAL LIMITED, Ca...

1. A robotic instrument comprising an arm extending between a robot arm connection and an attachment for an end effector, the arm comprising:a first arm part;
a second arm part distal of the first arm part; and
an articulation whereby the first and second arm parts are coupled together, the articulation comprising:
an intermediate coupling having a housing and an articulation mechanism borne by the housing, the housing being attached to the first arm part by a joint permitting the housing and the first arm part to rotate relative to each other about at least two mutually offset axes, and the articulation mechanism comprising:
a first coupler having rotational freedom relative to the housing, a second coupler having rotational freedom relative to the housing and a connector extending between the first and second couplers so that rotation of the first coupler relative to the housing can cause rotation of the second coupler relative to the housing; and
a control rod connected to the first coupler and extending proximally of the first coupler along the first arm part;the second arm part being connected to the second coupler.

US Pat. No. 10,456,205

PATIENT-SPECIFIC FEMOROACETABULAR IMPINGEMENT INSTRUMENTS AND METHODS

Biomet Manufacturing, LLC...

1. A method of resecting a selected portion of an anatomy to improve range of motion of a femur relative to a pelvis in a specific patient, comprising:accessing from a first non-transitory storage medium image data of the patient including at least a portion of the pelvis and a portion of the femur at least including a femoral head of the femur and an acetabulum of the pelvis;
generating and displaying on a computer display a three dimensional (3D) model of at least a portion of the femur and the acetabulum based on the accessed image data;
determining using an interactive surgical planning software program in communication with the first non-transitory storage medium and computer display an appropriate resection of a defect portion of a femoral neck positioned to impinge on the acetabulum to obtain a selected range of motion of the femur relative to the pelvis after a resection;
designing a patient specific guide instrument configured to guide the resection relative to the femoral neck, the patient specific guide instrument including a portion having an inner surface configured to specifically engage the femur of the patient based on the generated 3D model of at least the femur;
transferring to a second non-transitory storage medium a surgical plan including the appropriate resection and the patient specific guide instrument;
manufacturing the designed patient specific guide instrument based on the surgical plan; and
sending the manufactured patient specific guide instrument to a user to perform the resection.

US Pat. No. 10,456,204

PREOPERATIVELY PLANNING AN ARTHROPLASTY PROCEDURE AND GENERATING A CORRESPONDING PATIENT SPECIFIC ARTHROPLASTY RESECTION GUIDE

Howmedica Osteonics Corpo...

1. A method of preoperatively planning an arthroplasty on a joint, the method comprising:receiving medical images of a first patient joint and a second patient joint spaced apart from the first patient joint, the medical images of the first patient joint being of a different resolution than a resolution of the medical images of the second patient joint;
generating a computer model of the first patient joint from the medical images of the first patient joint;
locating a joint center of the second patient joint from the medical images of the second patient joint, the joint center being located relative to the computer model in a computerized coordinate system; and
superimposing a computerized representation of an implant with the computer model to determine coordinate locations in the computerized coordinate system for an arthroplasty resection relative to the computer model of the first patient joint and the joint center of the second patient joint.

US Pat. No. 10,456,203

PREOPERATIVELY PLANNING AN ARTHROPLASTY PROCEDURE AND GENERATING A CORRESPONDING PATIENT SPECIFIC ARTHROPLASTY RESECTION GUIDE

Howmedica Osteonics Corpo...

1. A method of preoperatively planning an arthroplasty on a knee, the method comprising:a) identify in a computerized coordinate system anatomical landmarks in first medical images of a first resolution, the first medical images being of a knee region including the knee, the anatomical landmarks being in the knee region;
b) identify in the computerized coordinate system the anatomical landmarks in second medical images of a second resolution that is different than the first resolution, the second medical images including at least one of the knee region, an ankle or a hip;
c) merge the first and second medical images by positionally matching in the computerized coordinate system the anatomical landmarks in the first medical images and the anatomical landmarks in the second medical images; and
d) determining in the computerized coordinate system an arthroplasty resection relative to anatomical information resulting from the merged first and second medical images, wherein step d) comprises applying a computerized representation of an implant to the anatomical information resulting from the first medical images of the merged first and second medical images.

US Pat. No. 10,456,202

DEVICE AND METHODS OF IMPROVING LAPAROSCOPIC SURGERY

TransEnterix Europe S.a.r...

1. A device useful for a surgeon and an automated assistant interface, and/or said surgeon and an operating medical assistant interface, during laparoscopic surgery; wherein said device comprises:a. an endoscope, mechanically interconnectable to an automated assistant;
b. at least one instrument;
c. at least one wireless transmitter with at least one operating key; said wireless transmitter and said at least one operating key are in communication with at least one of said at least one instrument; said wireless transmitter is configured to transmit a signal once said at least one operating key is pressed;
d. at least one wireless receiver; configured to receive said signal sent by said transmitter; and
e. at least one conventional laparoscopy computerized system in communication with said wireless receiver and said automated assistant;
wherein said signal sent is associated with said at least one instrument such that once said at least one operating key is pressed said at least one instrument is selected;
wherein said device is configured to control and to direct said endoscope via said conventional laparoscopy computerized system and said automated assistant on said at least one selected instrument;
wherein said at least one selected instrument is selectable following a pressure on said at least one operating key;
further wherein, upon said selection, electronic on-screen identification of a selected at least one laparoscopic instrument is providable, said electronic on-screen identification being real-time overlaid of a real-time image of said selected at least one laparoscopic instrument.

US Pat. No. 10,456,201

SKULL-MOUNTED INSTRUMENT TRAJECTORY GUIDE

C2C Development, LLC, Me...

1. A medical instrument trajectory guide comprising:a base, including a socket;
a ball, sized and shaped to be located in the socket, the ball including a lumen therethrough;
a guide stem, sized and shaped to be attached to the ball, the guide stem including a lumen aligning with the lumen of the ball when the guide stem is attached to the ball; and
a plurality of contrast-enhanced imageable fiducial marker rings arranged concentrically about the guide stem, wherein the rings are progressively smaller in diameter in a longitudinal direction of the guide stem.

US Pat. No. 10,456,200

CATHETER, EXAMINATION SYSTEM AND THROMBUS REMOVING DEVICE

Teiji Nakayama, Hamamats...

3. A thrombus removing device comprising:a catheter including:
a resinous capillary tube, comprising:
a trunk capillary tube comprised of resin, and having front-portion that is surrounded by a marker made of platinum, and a branch portion that forms a first branched capillary tube comprised of resin and a second branched capillary tube comprised of resin, wherein the trunk capillary tube comprises a first through hole for at least one of a wire and a contrast agent, and a second through hole for an optical fiber, the wire passing through the first through hole, and the optical fiber passing through the second through hole;
a branching adapter fixed to the first branched capillary tube, and comprising resin and having a third branched capillary tube and a fourth branched capillary tube, wherein a through hole of the third branched capillary tube is continuous with the first through hole and comprises the wire, the fourth branched capillary tube comprising the contrast agent;
the optical fiber being fixed to the trunk capillary tube and in the second branched capillary tube, and having a position relative to the marker that is fixed in an optical fiber longitudinal direction; wherein
a laser light source which emits light to be inputted to the optical fiber of the catheter, the light being emitted from a front-end face of the optical fiber comprising a pulsed laser beam,
a position of the optical fiber is shifted from the central axis of the second branched capillary tube to an off-center position at the branch portion of the trunk capillary tube; and
a position of the first through hole is shifted from the central axis of the first branched capillary tube to an off-enter position at the branch portion of the trunk capillary tube.

US Pat. No. 10,456,199

DEVICE FOR FRACTIONAL LASER-BASED-TREATMENT

KONINKLIJKE PHILIPS N.V.,...

1. A treatment device for fractional laser-based skin treatment, the treatment device comprising:an emission window comprising an elongated area;
a treatment generator comprising a treatment laser, the treatment generator being configured to emit laser light towards skin tissue from a plurality of predefined locations in the emission window for generating, in use, laser-based lesions inside the skin tissue, wherein said plurality of predefined locations are disposed on a treatment axis of the emission window in said elongated area of the emission window;
a motion sensor configured to sense motion of the treatment device relative to the skin surface and to generate a motion signal representative of the sensed motion; and
a controller configured to receive the motion signal for determining a non-zero sequence of at least one of the plurality of predefined locations in the emission window from which the laser light is consecutively emitted in dependence on the motion signal, and for activating the treatment generator to generate said non-zero sequence based on a control signal representative of said non-zero sequence,
wherein the controller is configured to activate the treatment generator to generate said non-zero sequence when the sensed motion of the treatment device relative to the skin surface only has a component in a direction parallel to the treatment axis.

US Pat. No. 10,456,198

GUIDED WAVE ABLATION AND SENSING

The Curators of the Unive...

1. A system for controlled delivery of an electromagnetic wave to a target comprising:a housing;
a rectangular waveguide for receiving the electromagnetic wave from an electromagnetic source, the rectangular waveguide configured for sliding engagement in the housing, the rectangular waveguide comprising:
a propagation medium coupled to the source for receiving the electromagnetic wave therefrom and configured to transmit the received electromagnetic wave therethrough; and
a cladding surrounding the propagation medium;
wherein the cladding has a lower refractive index relative to a refractive index of the propagation medium to cause the electromagnetic wave to be internally reflected within the propagating medium and to inhibit energy loss as the electromagnetic wave propagates within the propagation medium;
wherein the cladding comprises an interface at a front surface of the rectangular waveguide, the cladding configured for direct physical contact with the target; and
wherein the cladding is configured to permit a first portion of the electromagnetic wave to penetrate through the cladding at the interface and propagate into the target and to cause a second portion of the electromagnetic wave to be internally reflected such that the second portion of the electromagnetic wave continues to propagate within the propagating medium when the cladding is in direct physical contact with the target at the interface and the refractive index of the target at the interface is approximately the same as or greater than the refractive index of the propagating medium;
a first coupling lens through which the electromagnetic source is coupled to the rectangular waveguide;
an ultrasonic sensor positioned at a back surface of the rectangular waveguide and configured to receive photoacoustic signals incited in the target by the first potion of the electromagnetic wave, the ultrasonic sensor receiving the photoacoustic signals along the same axis as the first portion of the electromagnetic wave propagated into the target;
a beam dump for absorbing energy of the second portion of the electromagnetic wave after the electromagnetic wave propagates through the propagation medium; and
a second coupling lens through which the propagation medium is coupled to the beam dump.

US Pat. No. 10,456,197

LASER-ASSISTED TRANSDERMAL DELIVERY OF NANOPARTICULATES AND HYDROGELS

International Business Ma...

1. A laser system, comprising:a laser device configured to produce an ultraviolet laser beam within a laser channel at a wavelength in an ultraviolet spectrum to provide tissue ablation;
a plurality of reservoirs including:
a first reservoir configured to hold a plurality of agents; and
a second reservoir configured to hold a cleaning solution to remove debris;
a lens configured to focus and direct the laser beam to a site to create an opening in a surface of the site, wherein the lens is positioned within a portion of the laser channel to prevent the plurality of agents from entering the laser channel;
a valve shared between the plurality of reservoirs, the valve being configured to release the plurality of agents or the cleaning solution for application to the site through a first channel connected to the valve;
a nozzle having a shared aperture to emit the laser beam, apply the plurality of agents and the cleaning solution, and administer at least one other substance different than the plurality of agents and the cleaning solution to the site, the at least one other substance including a substance to evaporate the cleaning solution, the nozzle having a portion of the first channel disposed within a first sidewall of the nozzle to apply the plurality of agents and the cleaning solution, and a second channel unconnected with the valve disposed within a second sidewall of the nozzle to administer the at least one other substance different than the plurality of agents, wherein the shared aperture is shared between at least the laser beam, the plurality of agents and the at least one other substance; and
an imaging device configured to monitor a depth of penetration of one of the plurality of agents into the site.

US Pat. No. 10,456,196

MONITORING AND TRACKING BIPOLAR ABLATION

Biosense Webster (Israel)...

1. A medical apparatus, comprising:a probe defining a longitudinal axis and having a bipolar ablation element disposed on a distal portion of the probe, the bipolar ablation element consisting of first and second ablation electrodes concentrically disposed on the distal portion of the probe relative to the longitudinal axis and a dedicated sensing electrode concentrically disposed on the distal portion of the probe relative to the longitudinal axis and between the first and second ablation electrodes, the first and second ablation electrodes being configured to operate as a bipolar pair in a bipolar mode to deliver RF energy to ablate tissue and form a lesion that extends between the first and second ablation electrodes, the dedicated sensing electrode being separate and distinct from the first and second ablation electrode and configured to sense local electrical activity in the heart when the ablation electrodes are delivering RF energy;
an ablation energy generator connected to the first and second ablation electrodes; and
a monitor connected to the sensing electrode and operative to detect cardiac electrical activity via the sensing electrode when the probe is brought into contact with a target tissue in a heart of a subject, the monitor comprising monitoring circuitry configured to track the progress of lesion formation by detecting a drop in the electrical amplitude of the electrical activity and a graphical display operative for displaying a map of a portion of the heart that includes the target tissue and a progression of energy application along an ablation path.

US Pat. No. 10,456,195

ABLATION OVERTUBE

Cook Medical Technologies...

1. An energy delivery system comprising:an overtube comprising:
a body having a proximal portion and a distal portion, the proximal portion is adapted to be positioned over a distal portion of an endoscope, the body further comprising a lumen extending at least partially therethrough;
a first plurality of openings formed in the body, extending from an outer surface of the body and connected to the lumen, the lumen being operably connectable to a vacuum source; and
an electrode operably connected to the body and disposed over at least a portion of the outer surface of the body; wherein the electrode is mounted on a movable member, the movable member extending entirely around a circumference of the outer surface of the body and free from contact with the lumen of the body, the electrode extending circumferentially around the moveable member, the movable member is longitudinally movable along the outer surface and selectively positionable at a first position on the outer surface of the body and at a second position on the outer surface of the body, the second position being proximal to the first position on the outer surface of the body; and the electrode being operably connectable to a power source and being energizable at the first position and the second position.

US Pat. No. 10,456,194

SYSTEM AND METHOD FOR ENDOMETRIAL ABLATION

Minerva Surgical, Inc., ...

1. An electrosurgical ablation probe comprising:a shaft having a proximal end, a distal end, and a gas flow passage with an opening near a distal end of the shaft;
a dielectric wall having an interior surface, an exterior surface, and an interior volume surrounding the distal end of the shaft;
a barrier element in the flow passage, said barrier configured to open when a gas pressure in the interior volume falls below a predetermined pressure and close when said gas pressure in the interior volume rises above the predetermined pressure;
a first electrode structure disposed within the gas flow passage; and
a second electrode structure disposed on an exterior surface of the shaft;
said first and second electrodes configured to be connected to a source of a radiofrequency voltage to initiate a plasma in an electrically non-conductive gas flowing through the flow passage into the interior volume of the dielectric wall when tissue establishes a current path between the first and second electrodes.

US Pat. No. 10,456,193

MEDICAL DEVICE WITH A BILATERAL JAW CONFIGURATION FOR NERVE STIMULATION

Ethicon LLC, Guaynabo, P...

1. A surgical instrument, comprising:a first jaw handle and a second jaw handle pivotally coupled about a joint;
the first jaw handle comprising a first jaw at a distal end of the first jaw handle;
the second jaw handle comprising a second jaw at a distal end of the second jaw handle;
the first and second jaws configured to grasp tissue therebetween when the first and second jaw handles are pivotally rotated about the joint into a closed position;
an electrical stimulation probe physically coupled to a proximal portion of either the first jaw handle or the second jaw handle and positioned physically separate from the first and second jaws such that a distal end of the electrical stimulation probe does not touch the first and the second jaws;
at least one of the first and second jaws configured to deliver therapeutic energy at a higher energy level for sealing or cutting tissue at a surgical site; and
at least one of the first and second jaws configured to deliver nontherapeutic energy at a lower energy level for providing electrical stimulation to nerve tissue at the surgical site.

US Pat. No. 10,456,192

BIPOLAR ELECTROSURGERY ACTUATOR

BIPAD, LLC, Point Lookou...

1. An actuator assembly adapted for use with a bipolar electrosurgical tool comprising a forceps having a tool plug at a proximal region and two blades mounted to the tool plug with facing interior surfaces, each blade extending from the tool plug to an electrode at a distal region of the blade and having an exterior surface with a handle portion at an intermediate region of the blade for articulation of the forceps by a hand of a user, wherein the tool plug is electrically connected to the electrodes for applying to tissue electrical current introduced to the tool plug as the user articulates the forceps with the handle portions, the actuator assembly comprising:a connector for mounting the actuator assembly on the tool plug and a switch on the connector movable between an open position and a closed position, wherein the connector is configured for connection to an electrical generating apparatus to introduce the electrical current to the tool plug in response to movement of the switch from the open position to the closed position; and
an actuator arm having a proximal region configured for mounting to the connector for movement of the actuator arm by the hand of the user toward the switch to place the switch in the closed position by contacting the switch with the actuator arm, wherein the actuator arm and the connector are configured so that the actuator arm extends from the proximal region thereof in the direction of the distal region of one of the two blades and is spaced from the exterior surface of said blade to permit movement of the actuator arm toward said exterior surface and into contact with the switch when the actuator assembly is mounted on the tool plug.

US Pat. No. 10,456,191

SURGICAL FORCEPS AND LATCHING SYSTEM

GYRUS ACMI, INC., Southb...

1. A surgical forceps comprising:a first working arm and a second working arm configured to move in a direction that is towards each other and a direction away from each other, and the first working arm and the second working arm are movable in the direction towards each other or the direction away from each other, in a manner that creates a resilient moving force;
an electromagnetic latching system including two or more electromagnetic latches;
wherein the electromagnetic latching system is configured to create a force that is superimposed upon the resilient moving force, wherein the force comprises one or more of the following:
(i) the force biases the first working arm, the second working arm, or both in a direction of the resilient moving force; or
(ii) the force biases the first working arm, the second working arm, or both in an opposite direction as the resilient moving force; and
wherein a bipolar current extends between the first working arm and the second working arm and the force is created when a first activation button is energized; and
wherein the electromagnetic latching system has fine adjustment by a first of the two or more electromagnetic latches creating the force and a second of the two or more electromagnetic latches creating one or more adjustable forces that are applied in a same direction, an opposite direction, or both as the force forming an adjusted force so that the adjusted force assists a user in moving the first working arm and the second working arm together or apart.

US Pat. No. 10,456,190

METHODS AND APPARATUS FOR ELECTROSURGICAL ILLUMINATION AND SENSING

Invuity, Inc., San Franc...

1. An illuminated electrosurgical instrument, said instrument comprising:a handle having a proximal end and a distal end;
a non-fiber optic optical waveguide having a proximal end and a distal end, wherein the optical waveguide is adjustably coupled to the handle such that a distance between the distal end of the optical waveguide and the proximal end of the handle is adjustable without decoupling the optical waveguide from the handle;
a locking mechanism selected from the group consisting of a collet, a twist-lock, a quarter-turn lock, and a protrusion-recess locking pair, wherein the locking mechanism is coupled to the optical waveguide for selectively locking the optical waveguide in a given position relative to the proximal end of the handle;
an illumination element configured to generate light and coupled to the proximal end of the optical waveguide; and
an electrosurgical tip coupled to the optical waveguide,
wherein the illumination element and the electrosurgical tip are configured to move with the optical waveguide as the optical waveguide is adjusted relative to the handle.

US Pat. No. 10,456,189

RF GENERATOR FOR AN ELECTROSURGICAL INSTRUMENT

1. A device for generating RF power for an electrosurgical instrument, said device comprising:a controller including firmware programmed to instruct a microprocessor to generate an electrical signal having an oscillating waveform of between 200 kHz and 4 MHz and to modulate said oscillating waveform between a plurality of ON and OFF states at a frequency of between 37 Hz and 75 Hz and a duty cycle of between 90% and 98% to create discrete packets of the oscillating waveform in the plurality of the ON states;
an amplifier in communication with said oscillating waveform that amplifies said waveform to create an output electrical signal; and
an electrosurgical connector configured to receive an electrosurgical instrument and to pass said output electrical signal to said electrosurgical instrument;
wherein the oscillating waveform has a frequency in the RF spectrum and wherein the plurality of ON and OFF states creating the discrete packets has a frequency of which is less than the frequency of the oscillating waveform;
wherein the controller is configured to modulate each of the discrete packets between SUB ON and SUB OFF states to form a plurality of sub-discrete packets of the oscillating waveform; and
wherein a frequency of the SUB ON and SUB OFF states is between 3 kHz and 19 kHz with a duty cycle of between 1% and 90%.

US Pat. No. 10,456,188

HEATING TREATMENT APPARATUS AND CONTROLLER OF THE SAME

OLYMPUS CORPORATION, Tok...

1. A heating treatment apparatus to treat a living tissue by heating the living tissue, comprising:a first holding plate;
a second holding plate configured to hold the living tissue together with the first holding plate, and provided to be opposed to the first holding plate;
a first heat generating element provided on the first holding plate and configured to heat the first holding plate to heat the living tissue;
a second heat generating element provided on the second holding plate and configured to heat the second holding plate to heat the living tissue;
a power supply unit configured to supply electric power to cause the first heat generating element and the second heat generating element to generate heat;
a memory configured to store a condition for mode switching based on a threshold value of the electric power; and
a control unit configured to:
control the power supply unit to operate in a first mode such that a temperature of the first heat generating element is the same as a temperature of the second heat generating element,
detect if the electric power reaches the threshold value by reading the condition for mode switching from the memory, and
when the electric power reaches the threshold value, control the power supply unit to operate in a second mode such that the temperature of the first heat generating element is different from the temperature of the second heat generating element, the temperature of the first heat generating element and the temperature of the second heat generating element both being nonzero in the second mode.

US Pat. No. 10,456,187

MODULATING NERVES WITHIN BONE USING BONE FASTENERS

Relievant Medsystems, Inc...

1. A method of treating back pain of a subject, the method comprising:performing a spinal fusion procedure between two adjacent vertebral bodies;
inserting a distal end of a first pedicle screw within a cancellous bone region of a first vertebral body of the two adjacent vertebral bodies, wherein the first pedicle screw comprises a channel extending along a length of the first pedicle screw;
inserting a first radiofrequency energy delivery device through the channel of the first pedicle screw;
inserting a distal end of a second pedicle screw within the cancellous bone region of the first vertebral body, wherein the second pedicle screw comprises a channel extending along a length of the second pedicle screw;
inserting a second radiofrequency energy delivery device through the channel of the second pedicle screw;
applying radiofrequency energy using the first and second radiofrequency energy delivery devices to conduct heat to the cancellous bone region of the first vertebral body sufficient to ablate a nerve within the cancellous bone region of the first vertebral body.

US Pat. No. 10,456,186

METHODS AND DEVICES TO TREAT NASAL AIRWAYS

AERIN MEDICAL, INC., Sun...

1. A method for deactivating tissue in a nasal airway in a patient without forming a surgical incision or using an implant, the method comprising:inserting a cryotherapy balloon of a nasal airway treatment device through a nostril of the patient in an uninflated configuration;
inflating the cryotherapy balloon to contact the cryotherapy balloon with nasal mucosa lining the nasal airway;
removing energy from submucosal tissue underlying the nasal mucosa by maintaining the cryotherapy balloon in an inflated configuration to cool and thus deactivate the submucosal tissue underlying the nasal mucosa;
deflating the cryotherapy balloon; and
removing the cryotherapy balloon from the nasal airway.

US Pat. No. 10,456,184

APPARATUS FOR DELIVERY OF REINFORCING MATERIALS TO BONE

IlluminOss Medical, Inc.,...

1. An apparatus for delivering a reinforcing mixture to a fractured bone, the apparatus comprising:a tube having a proximal end, a distal end, and a longitudinal axis therebetween, wherein the tube has one or more inner lumens extending therethrough;
a balloon engaging the distal end of the tube, wherein the balloon expands from a substantially deflated state to a substantially inflated state upon a bone reinforcing mixture entering the balloon through a first lumen extending through the tube such that the substantially inflated state of the balloon can be adjusted to place the fractured bone in a correct orientation by inflating or deflating the balloon by altering an amount of the bone reinforcing mixture in the balloon due to the viscosity of the bone reinforcing mixture, the viscosity of the bone reinforcing mixture being 1000 cP or less; and
at least one fiber extending through a second lumen extending through the tube and into the balloon to guide a light into the balloon to cure the bone reinforcing mixture when the fractured bone has been placed in the correct orientation,
wherein the balloon, when in the inflated state by the bone reinforcing mixture in a cavity of the fractured bone, aligns bone fragments of the fractured bone.

US Pat. No. 10,456,183

DEVICE IN THE FORM OF A KIT FOR MIXING AND INJECTING A BONE CEMENT

TEKNIMED, Vic en Bigorre...

1. A kit-type device for mixing and injecting a bone cement, comprising a main module, on the one hand, and accessories comprising a removable closing cap and a plurality of functional modules, on the other hand, said accessories being adapted to be each connected or not to the main module of respective phases of use of the device, wherein:the main module is a hollow cylindrical body having an internal wall, an open proximal end and an open distal end, adapted to be each connected to one or a plurality of the accessories of the device, of the phases of use, the distal end (1b) comprising an opening with a diameter equal to the diameter of the cylinder formed by the internal wall of the hollow cylindrical body;
one of the functional modules is a mixer, adapted to be connected, in a mixing phase, to the proximal end of the main module while the distal end of said main module is closed by the closing cap, and to enable a user to mix at least two compounds of the bone cement in the body of the main module;
a further functional module is an injector, adapted to be connected, in a transfer phase following the mixing phase as well as in an injection phase following said transfer phase, to the distal end of the main module instead of the closing cap, and to enable the user to inject the bone cement;
a further still functional module, distinct from the mixer and with no common element with the mixer, is a transferor, adapted to be connected, in the transfer phase, to the proximal end of the main module instead of the mixer and to enable the user to transfer bone cement from the body of the main module to the injector.

US Pat. No. 10,456,182

FORCE DISTRIBUTION IMPLANT, ASSEMBLY AND KIT

PARAGON 28, INC., Englew...

1. An implant for use with a bone fastener with a head portion and a shaft portion extending from the head portion along an axis of the bone fastener, comprising:an annular body portion extending from a top end to a bottom end, comprising:
an exterior surface; and
an annular interior surface extending from the top end to the bottom end defining a central bore extending from the top end to the bottom end along a central axis;
a rim portion extending radially outwardly from the body portion at the top end; and
a slot extending entirely through a section of the rim portion and the body portion such that the slot is in communication with the central bore,
wherein the exterior surface extends from the bottom end to the rim portion, the exterior surface being convex in a direction extending along the central axis between the bottom end and the rim portion,
wherein the interior surface of the body portion comprises a first interior surface portion extending from the top end toward the bottom end that is planar in a direction transverse to the central axis, and a second interior surface portion extending from the bottom end to the first interior surface portion that is concave in a direction extending along the central axis,
wherein the slot extends along a slot axis that is angled with respect to the central axis, and
wherein a width of the slot extending perpendicular to the slot axis is equal to or greater than a width of the shaft portion of the bone fastener extending perpendicular to the axis of the bone fastener.

US Pat. No. 10,456,181

SPINAL PLATE ASSEMBLY HAVING LOCKING MECHANISM

Globus Medical, Inc., Au...

1. A spinal plate assembly comprising:a base plate defining at least one aperture for receiving a screw, the at least one aperture including a seat and an annular groove terminating at an end wall;
a flexible element having a distal end and a proximal end, the flexible element partially retained within the annular groove and moveable between a locked condition partially blocking the at least one aperture for retaining the screw in the seat and an unlocked condition radially deformable in the annular groove for permitting the screw to be removed from the at least one aperture;
a moveable member for biasing the flexible element toward the unlocked condition, wherein the proximal end of the flexible element is configured to contact the moveable member and the distal end of the flexible element is configured to contact the end wall, and
wherein in the locked condition the flexible element rests adjacent a top of the screw and substantially surrounds a head of the screw.

US Pat. No. 10,456,180

ADJUSTABLE BONE PLATES

Acumed LLC, Hillsboro, O...

1. A device for bone fixation, comprising:a bone plate having a low profile and including a first plate member and a second plate member, each plate member having an inner surface configured to be placed onto an exterior surface of a bone, the plate member defining a plurality of openings each extending from an outer surface to the inner surface and configured to receive fasteners that secure the plate member onto the exterior surface of the bone, each plate member also defining a circular aperture;
wherein the first plate member and the second plate member are connected to one another at a joint having (a) an adjustable configuration in which an orientation of the first plate member and the second plate member relative to one another is adjustable about a pivot axis, and (b) a fixed configuration in which the orientation is fixed,
wherein, in the adjustable configuration of the joint, a fastener is coaxial with the pivot axis and extends from the circular aperture of the first plate member to the circular aperture of the second plate member and is arranged in threaded engagement with the circular aperture of only one of the first and second plate members, and
wherein the fastener is configured to be rotated, while remaining coaxial with the pivot axis, to change the joint from the adjustable configuration to the fixed configuration.

US Pat. No. 10,456,179

INTRAMEDULLARY ANKLE TECHNIQUE AND SYSTEM

WRIGHT MEDICAL TECHNOLOGY...

1. A system for providing intramedullary guidance to implant an ankle prosthesis, comprising:a first tool sized and configured to form a passage between a tibia and a talus,
a second tool sized and configured to create an intramedullary canal in a distal end of said tibia,
a plurality of modular tibial rod components sized and configured to be disposed in said intramedullary canal and connected to each other in situ to form a single tibial rod component,
a base modular component on a distal end of said single tibial rod component,
an alignment guide configured to attach to said base modular component, and
a cutting guide including at least one aperture configured to guide an instrument in making a tibial cut;
wherein said alignment guide is configured to translate coronal, transverse, and sagittal adjustments from the alignment guide to the cutting guide; and
further comprising at least one broach comprising a circumferential groove configured to engage a holding tool, the circumferential groove extending into an exterior surface of the at least one broach, wherein the at least one broach comprises a first broach component configured to be hingedly coupled to a second broach component to allow alignment of the first broach component and the second broach component such that the first broach component and the second broach component can be inserted into the intramedullary canal to enlarge the diameter of the intramedullary canal.

US Pat. No. 10,456,178

OSSEOINTEGRABLE DEVICE

OSSEOINTEGRATION HOLDINGS...

1. An osseointegration implant arranged, in use, for integration into a skeletal bone of a patient where part of the skeletal bone is missing, comprising:a body and at least one end, the body being arranged, in use to sit within a passageway formed within the bone and substantially mimic a portion of a skeletal bone;
wherein the at least one end includes an enlarged portion arranged to, in use, prevent migration of the implant into the skeletal bone of a patient; and
wherein the enlarged portion is arranged, in use, to sit within a recess formed in an end of the skeletal bone;
wherein the recess is connected to the passageway and is of a larger diameter of the passageway;
wherein the at least one end including the enlarged portion is arranged so that, in use, the end is flush with the end of the skeletal bone; and
wherein the at least one end is configured as an attachment point for a prosthetic limb.

US Pat. No. 10,456,177

INTRAMEDULLARY DEVICE WITH COMPOUND FASTENER TRAJECTORIES

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

1. A method, comprising:providing an intramedullary device including a first longitudinal axis extending between a proximal end and a distal end thereof, the intramedullary device comprising:
a proximal region, a distal region, and a mid region positioned between the proximal region and the distal region;
a first bore extending through the intramedullary device between a first opening and a second opening;
a second bore extending through the intramedullary device between the first opening and a third opening; and
a third bore defined by the mid region of the intramedullary device;
inserting the intramedullary device into a femur in a proximal direction from a knee joint; and
inserting a first fastener through the third bore, wherein the first bore is configured to receive a second fastener and the third bore is configured to receive a third fastener, such that the second and third fasteners can extend through the intramedullary device concurrently.

US Pat. No. 10,456,176

APPARATUS AND DEVICES FOR PERCUTANEOUSLY EXTENDING AN EXISTING SPINAL CONSTRUCT

SPINE WAVE, INC., Shelto...

1. A rod connector for attachment to a spinal rod in an existing spinal construct implanted in a patient, comprising:a first portion having an opening therethrough defining an axis, said first portion having a rod receiving opening to receive said existing spinal rod, said existing spinal rod having a longitudinal axis, said rod receiving opening having a first configuration capable of receiving said existing spinal rod in a direction transverse to said longitudinal axis and a second different configuration capable of locking the existing spinal rod to said first portion, said first portion including a rotatable rod engagement member configured to be spaced from said existing spinal rod in a first orientation and in engagement with an undersurface of said existing spinal rod upon rotation to a second orientation;
a second portion having an opening, said axis of the opening of the first portion extending through said opening of said second portion, said rod engagement member being rotatable relative to said second portion; and
a locking element supported by said second portion, said locking element having a first end accessible through said opening of said second portion and an opposite engagement end that upon movement of said locking element along said axis of the opening of the first portion extends into said rod receiving opening to thereby change said rod receiving opening from said first unlocked configuration to said second locked configuration, wherein said existing spinal rod is engaged between said engagement end of said locking element and said rod engagement member to thereby fixedly secure said first portion to said spinal existing rod.

US Pat. No. 10,456,175

VERTEBRAL JOINT IMPLANTS AND DELIVERY TOOLS

Providence Medical Techno...

1. A spinal facet implant system, comprising:an implant configured for placement in a spinal facet joint space, the implant comprising a leading distal portion and a trailing proximal portion;
a delivery device comprising a tubular body defining a lumen, the delivery device further including a proximal end and a distal end, and an anchoring fork at the distal end; and
a driver assembly comprising:
a hollow implant shaft defining a second lumen, the implant shaft having a proximal end and a distal end, the implant shaft configured to extend through the lumen of the delivery device; and
a handle coupled with the proximal end of the hollow implant shaft; and
wherein the delivery device and the driver assembly are configured such that, when the anchoring fork is positioned in the spinal facet joint space, the implant is advanced into position in the spinal facet joint space.

US Pat. No. 10,456,174

CONNECTORS FOR USE IN SYSTEMS AND METHODS FOR REDUCING THE RISK OF PROXIMAL JUNCTIONAL KYPHOSIS

Medos International Sarl,...

1. A surgical method comprising:attaching a primary construct to a spine of a patient, the primary construct extending between an uppermost instrumented vertebra (UIV) and a lowermost instrumented vertebra (LIV);
attaching a connector to a first attachment point, the first attachment point comprising a spinous process disposed superior to the UIV of the primary construct;
positioning the connector relative to the patient's spine; and
attaching the connector to a second attachment point, the second attachment point being disposed at or inferior to the UIV of the primary construct,
wherein the primary construct is implanted through a primary incision and wherein the connector is positioned relative to the patient's spine and attached to the first and second attachment points through the primary incision, and
wherein positioning the connector relative to the patient's spine comprises tunneling first and second arms of the connector in a superior direction from the primary incision to the first attachment point.

US Pat. No. 10,456,173

SYSTEMS AND METHODS FOR CORRECTING SPINAL DEFORMITIES

NuVasive, Inc., San Dieg...

1. A spinal anchor assembly comprising:a bone screw;
a receiver assembly moveably coupled to the bone screw, the receiver assembly comprising a receiver; and
a collar positioned within the receiver assembly, said collar having a first side and a second side opposing the first side, wherein the first side and the second side are straight and parallel to each other, said collar having a third side and a fourth side opposing said third side, wherein the third side and the fourth side are rounded, and wherein the four sides define an inner cavity; wherein said opposing first and second sides each include a D-shaped facet feature on an interior surface thereof facing said inner cavity; wherein said D-shaped facet feature includes a straight edge portion and a curved portion, wherein the bone screw sits in said collar with a head of the bone screw pivotably coupled to said curved portion of the D-shaped facet feature, wherein the collar is positioned between the head of the bone screw and the receiver such that the head of the bone screw does not directly engage the receiver.

US Pat. No. 10,456,172

MAGNETICALLY ACTUATEABLE ROD INSERTION FOR MINIMALLY INVASIVE SURGERY

NuVasive, Inc., San Dieg...

1. A system for spinal fixation, the system comprising:a first bone anchor including
a distal bone fastener member, and
a proximal rod housing comprising a first rod channel;
a first telescoping spinal rod dimensioned to fit within the first rod channel, the first telescoping spinal rod having an extended configuration and a collapsed configuration, wherein the first telescoping spinal rod has a first longitudinal length in the collapsed configuration and a second longitudinal length in the extended configuration, and wherein the first longitudinal length is less than the distance between a vertebral pedicle in a subject and an adjacent vertebral pedicle in the subject; and
a guide tower assembly for guiding a spinal rod into position from the first bone anchor to a second bone anchor, wherein the guide tower assembly comprises:
an elongate tower member having a proximal end, a distal end, and a longitudinal axis;
a lumen running from the proximal end to the distal end of the elongate tower member;
a longitudinal slot in the elongate tower member that connects to the lumen;
a bone anchor engagement member at the distal end of the tower member configured to reversibly fasten the elongate tower member to the proximal rod housing of the first bone anchor;
a first rod holder having a first rod engagement feature at a distal end of the first rod holder and a first translating shaft connected to the first rod engagement feature, wherein the first translating shaft is capable of translating relative to the elongate tower member parallel to the longitudinal axis of the elongate tower member, and wherein the first rod engagement feature translates with the first translating shaft; and
a second rod holder having a second rod engagement feature at a distal end of the second rod holder and a second translating shaft connected to the second rod engagement feature, wherein the second translating shaft is capable of translating relative to the elongate tower member parallel to the longitudinal axis of the elongate tower member, wherein the second rod engagement feature translates with the second translating shaft and wherein the second translating shaft is capable of translating at a different velocity than a velocity of translation of the first translating shaft.

US Pat. No. 10,456,171

SPINAL CORRECTION SYSTEM AND METHOD

WARSAW ORTHOPEDIC, INC., ...

1. A spinal correction apparatus comprising:a body extending between opposite first and second ends, the body defining a cavity;
a ratchet disposed within the cavity, the ratchet comprising a rack and a carriage that are each disposed within the cavity, the ratchet comprising a pawl that is pivotable about a pin that extends through the carriage;
a first longitudinal element disposed within the cavity and connected to the carriage such that the first longitudinal element extends through an opening in the first end;
a second longitudinal element disposed within the cavity such that the second longitudinal element extends through an opening in the second end and is coaxial with the first longitudinal element, the second longitudinal element being spaced apart from the first longitudinal element, and
an actuator disposed within a housing of the rack and configured to facilitate incremental movement of the first longitudinal element relative to the body in at least one axial direction,
wherein an expansion force applied to the first longitudinal element causes dynamic incremental movement of the first longitudinal element relative to the body in a first axial direction, independent of the actuator.

US Pat. No. 10,456,169

ARTICULATION CONTROL MECHANISMS

Covidien LP, Mansfield, ...

1. A surgical access port comprising:an access member having proximal and distal ends; and
an articulation mechanism at least partially received in the access member, the articulation mechanism including:
a first tubular member;
a second tubular member distal of the first tubular member, the second tubular member rotatably coupled with the first tubular member; and
a flexible pusher disposed on an outer surface of the first and second tubular members and operatively coupled with the second tubular member, wherein relative movement between the flexible pusher and at least one of the first or second tubular members transitions the articulation mechanism between a first position, in which, the first and second tubular members are axially aligned and a second position, in which, the first and second tubular members are axially offset from one another.

US Pat. No. 10,456,168

TRANSMYOCARDIAL INSERTION UNIT AND ITS USE

Peter Osypka Stiftung, G...

1. Device for stimulation and/or defibrillation, comprising:an insertion unit including a tubular shaft with a lumen extending there through, said shaft having distal, proximal and central sections, whereby the distal and proximal sections of the shaft are disc-shaped when extended, thus forming each a double disc, whereby the central section of the shaft links the distally placed double disc with the proximally placed double disc, and whereby a pressure valve is fixed inside the shaft on both the distal and proximal end sections thereof respectively; and
at least one stimulation electrode connected to a pacemaker, each electrode including a lead provided with a pole at a distal end thereof, whereby the insertion unit is conductive and is connected to an implantable cardiac defibrillator to form one of a defibrillation electrodes or to form an indifferent pole and whereby the lead of the stimulation electrode runs inside the shaft of the insertion unit.

US Pat. No. 10,456,167

CORING DILATOR FOR DEFINING AN APERTURE IN A TISSUE WALL

VADOVATIONS, INC., Oklah...

1. An apparatus for defining an aperture in a tissue wall, comprising:a dilator having a tapered distal tip end for piercing tissue in said tissue wall;
a cuff having a central aperture for receiving the cuff over the dilator; and
a coring handle releasably coupled proximal to the cuff to form a coring assembly;
wherein the coring assembly is configured to engage the dilator such that the dilator and coring assembly rotate as a single unit upon manual rotation of the dilator;
wherein in an assembled configuration, the coring assembly is configured to seat on the dilator at a location proximal to the distal end;
wherein the cuff and dilator in the assembled configuration are configured to be inserted into the tissue by introducing the distal end of the dilator into the tissue and advancing the distal end of the dilator to dilate the tissue until the cuff is seated within the tissue wall;
wherein the dilator is configured to be retracted from the coring assembly such that the cuff remains in the tissue wall to form a port via the central aperture of the cuff; and
wherein the coring handle is configured to be detached from the cuff upon removal of the dilator.

US Pat. No. 10,456,166

SURGICAL SYSTEM ENTRY GUIDE

Intuitive Surgical Operat...

1. An entry guide and cannula assembly, comprising:a cannula including:
a proximal portion operably couplable to a manipulator arm of a surgical system, and
a distal tubular member coupled to the proximal portion, the tubular member having an opening for passage of at least a first instrument shaft; and
an entry guide rotatably coupled to the proximal portion of the cannula, the entry guide including a plurality of channels for passage of a plurality of instrument shafts, the plurality of instrument shafts including the first instrument shaft, wherein the entry guide is rotatably driven relative to the proximal portion of the cannula by rotation of at least the first instrument shaft of the plurality of instrument shafts around a longitudinal axis of the entry guide;
wherein the entry guide further includes a lip portion that movably couples to the proximal portion of the cannula.

US Pat. No. 10,456,165

ENDOSCOPIC SURGICAL DEVICE AND OVERTUBE

FUJIFILM Corporation, To...

1. An endoscopic surgical device comprising:a first medical instrument having a first insertion part to be inserted into a body cavity;
a second medical instrument having a second insertion part to be inserted into the body cavity; and
an overtube that guides the first insertion part and the second insertion part into the body cavity in a distal direction,
wherein the overtube includes
an overtube body that passes through a body wall and is inserted into the body cavity,
a first insertion passage that is provided inside the overtube body and allows the first insertion part to be inserted therethrough so as to be movable forward and backward,
a second insertion passage that is provided inside the overtube body and allows the second insertion part to be inserted therethrough so as to be movable forward and backward,
a sleeve coupled to the second insertion part inserted through the second insertion passage; and
a slider coupled to the first insertion part inserted through the first insertion passage, the slider being arranged inside the overtube body so as to be movable forward and backward,
wherein the slider includes a first stopper and a second stopper along a forward and backward moving direction of the slider, wherein the sleeve is configured to move between the first and second stoppers, wherein a forward and backward movement of either the first insertion part or the second insertion part does not interlock with the movement of the other when the sleeve moves between the first and second stoppers, and the forward and backward movement of either the first insertion part or the second insertion part interlocks with the movement of the other when the sleeve abuts against the first stopper or the second stopper of the slider, and
wherein the first insertion passage is provided with a through-hole located on a distal end cap of the overtube, and the through-hole causes a distal end of the first insertion part to move in a direction away from a distal end of the second insertion part when the distal end of the first insertion part moves toward the distal direction.

US Pat. No. 10,456,164

ANTI-MICROBIAL MEDICAL INJECTION ASSEMBLIES FOR ONABOTULINUMTOXINA DELIVERY AND METHODS OF USE THEREOF

URO-1, INC., Winston-Sal...

1. A medical injection assemblycomprising:
an introducer comprising:
a handle;
a sheath extending distally from said handle along a longitudinal axis;
a scope lumen in said sheath, extending along said longitudinal axis and configured to receive an endoscope at a first proximal portion of the handle and hold the endoscope in a desired position;
an optically-clear, fluid-tight cap attached to a distal end of the scope lumen and configured to isolate the scope lumen from the external environment;
said cap having a distal end that conforms to a plane angled at about 60 degrees to said longitudinal axis;
a cannula lumen in said sheath, extending along said longitudinal axis and configured to receive a cannula at a second proximal portion of the handle and hold the cannula in a desired position;
at least one fluid lumen in said sheath, extending along said axis and configured to channel fluid to and from a distal end of the sheath;
a cannula slidingly received in said cannula lumen and configured such that the distance, in a direction transverse to said longitudinal axis, between a distal tip of the cannula and said longitudinal axis increases as the cannula is moved in a distal direction out of the cannula lumen, wherein said distance increases over at least a part of the motion of the cannula tip after emerging from the cannula lumen;
an injection needle affixed to the distal tip of the cannula;
a first fluid connector attached to a proximal end of the cannula;
wherein the cannula is comprised of a biocompatible thermoplastic polymer; and
wherein a distal portion of the cannula, after said distal portion of the cannula has been pushed distally out of the cannula lumen, reverts to and maintains a predefined curvature shaped as an inverse tangent function in the absence of a deforming force; and
a syringe connected to the proximal end of the cannula.

US Pat. No. 10,456,163

RETRACTION MECHANISM FOR MEDICAL DEVICE

Gyrus ACMI, Inc., Southb...

1. A device, comprising:a retractable shaft;
a shaft biasing spring; and
an actuator button;
wherein the retractable shaft is biased away from the actuator button by the shaft biasing spring;
wherein a magnetic attracting force is created between the retractable shaft and the actuator button upon actuation of the actuator button;
wherein before actuation, a distance between the actuator button and the retractable shaft is great enough that the magnetic attracting force is less than a biasing force of the shaft biasing spring such that the retractable shaft is biased away from the actuator button;
wherein upon actuation, the actuator button is depressed to make the distance between the actuator button and the retractable shaft sufficiently small such that the magnetic attracting force is greater than the biasing force of the shaft biasing spring to allow the retractable shaft to be biased towards the actuator button; and
wherein the actuator button comprises a button return spring that biases the actuator button away from the retractable shaft.

US Pat. No. 10,456,162

DISPOSABLE APPARATUS FOR FITLY CIRCUMCISING A PENIS

1. A disposable circumcision apparatus, comprising:a fixture device including at least two sections and a surrounding wall of the at least two sections, wherein the at least two sections are rotatably connected to each other at a first end by a hinged connection, and the surrounding wall forms an opening between the at least two sections:
a blade projecting from an interior surface of the surrounding wall, the blade including a first blade mating portion and a second blade mating portion separated from each other when the fixture device is in an open position and mated with each other when the fixture device is in a closed position, the blade further including a blade interior circumferential edge;
a groove formed on an interior circumference of the blade and a cushion ring disposed within the groove;
means for maintaining the fixture device in a closed position; and
a balanus ferrule for placement within the cushion ring and the fixture device.

US Pat. No. 10,456,161

TISSUE-REMOVING CATHETER WITH ADJUSTMENT MECHANISM

Covidien LP, Mansfield, ...

1. A tissue-removing catheter comprising:an elongate catheter body configured for insertion into a body lumen of a subject, the catheter body having a proximal end portion, an opposite distal end portion, and a longitudinal axis extending between the distal and proximal end portions;
a tissue-removing element located adjacent the distal end portion of the catheter body configured to remove tissue from the body lumen;
first and second adjustment lines extending along the catheter body at circumferentially spaced apart locations about the longitudinal axis, the first and second adjustment lines having distal end portions attached to the catheter body at respective first and second connection points adjacent the distal end portion of the catheter body, and the first and second adjustment lines having opposite proximal end portions; and
an adjustment mechanism operatively connected to the proximal end portions of the first and second adjustment lines, wherein the adjustment mechanism is selectively operable to decrease an effective length of the first adjustment line extending between the first connection point and the adjustment mechanism to bend the distal end portion of the catheter body in a first direction and urge the tissue-removing element in the first direction, wherein the adjustment mechanism is selectively operable to decrease an effective length of the second adjustment line extending between the second connection point and the adjustment mechanism to bend the distal end portion of the catheter body in a second direction different than the first direction and urge the tissue-removing element in the second direction;
wherein the distal end portion includes a bending longitudinal portion and a proximally-adjacent longitudinal portion that is immediately proximal to the bending longitudinal portion;
wherein the catheter body includes a drive shaft extending along the longitudinal axis and a jacket extending circumferentially around the drive shaft;
wherein the catheter body further includes a support coil received in the jacket and extending circumferentially around the drive shaft; and
wherein the support coil is stiffer along the proximally-adjacent longitudinal portion than along the bending longitudinal portion such that the bending longitudinal portion of the catheter body has a bending stiffness that is less than a bending stiffness of the proximally-adjacent longitudinal portion of the catheter body.

US Pat. No. 10,456,160

STENOTIC REGION SCORING ASSEMBLY AND METHOD

1. An assembly for scoring a stenotic region within a vessel, comprising:a scoring member including an elongate push structure and a tubular, self-expanding scaffold, the elongate push structure positioned proximal of the self-expanding scaffold and, at its distal end portion, eccentrically coupled with a proximal end portion of the self-expanding scaffold; and
a deployment member positionable within a central lumen of the self-expanding scaffold, a distal portion of the deployment member insertable into and removable from the central lumen and detachably engageable within the central lumen with a portion of the self-expanding scaffold to apply an axial tension to the self-expanding scaffold when received within the central lumen to move the self-expanding scaffold to a downsized configuration,
the self-expanding scaffold movable between the downsized configuration, facilitating insertion of the scoring member into the vessel when receiving the axial tension from the deployment member, and an expanded configuration, facilitating contact with the stenotic region in the absence of the axial tension, wherein the deployment member selectively moves the self-expanding scaffold to the downsized configuration.

US Pat. No. 10,456,159

THROMBO-EMBOLIC PROTECTION AND EMBOLECTOMY/THROMBECTOMY DEVICES AND METHODS

TransMed7, LLC, Portola ...

1. A device, comprising:a handle;
a first tube coupled to the handle, a distal portion of the first tube defining a work element comprising:
a proximal end;
a distal end; and
a plurality of slats formed by cutting the first tube between the proximal end and the distal end of the work element such that each of the plurality of slats spans a non-zero radial angle from the proximal end of the work element to the distal end of the work element;
a second tube, the second tube being coupled to proximal ends of the plurality of slats and being configured to move distally within the first tube;
wherein distally-directed movement of the second tube causes the plurality of slats to selectively expand away from the second tube, and wherein further distally-directed movement of the second tube causes the plurality of slats to expand further away from the second tube until a proximal portion of each the plurality of slats buckles and inverts back toward the second tube.

US Pat. No. 10,456,158

CORDLESS HAND-HELD ULTRASONIC SURGICAL DEVICE

COVIDIEN AG, (CH)

1. An ultrasonic surgical device, comprising:a handle body;
an ultrasonic waveguide engaged with the handle body and extending distally therefrom, the ultrasonic waveguide including a proximal end portion disposed at the handle body;
an ultrasonic generator releasably engagable with the handle body, the ultrasonic generator including a first set of contacts; and
an ultrasonic transducer releasably engagable with the handle body independently of the ultrasonic generator, the ultrasonic transducer including a distal end portion configured to engage the proximal end portion of the ultrasonic waveguide and a second set of contacts configured to electrically couple to the first set of contacts.

US Pat. No. 10,456,157

ULTRASONIC SURGICAL INSTRUMENT CLAMP ARM WITH SNAP-ON CLAMP PAD

Ethicon LLC, Guaynabo, P...

1. An apparatus for operating on tissue, the apparatus comprising:(a) a shaft assembly, wherein the shaft assembly comprises an acoustic waveguide, wherein the waveguide is configured to acoustically couple with an ultrasonic transducer; and
(b) an end effector, wherein the end effector comprises:
(i) an ultrasonic blade in acoustic communication with the waveguide,
(ii) a clamp arm, wherein the clamp arm is configured to pivot about a first pivot point toward and away from the ultrasonic blade, wherein the clamp arm comprises a proximal coupling member, a clamp portion, a resilient fastening member selectively detachable from both the proximal coupling member and the clamp portion, and a coupling feature, wherein the resilient fastening member comprises a first resiliently biased leaf and a second resiliently biased leaf of unitary construction, wherein the first resiliently biased leaf and the second resiliently biased leaf are configured to actuate relative to each other, wherein the proximal coupling member and the clamp portion are configured to selectively engage each other, wherein the resilient fastening member is configured to interpose between the proximal coupling member and the clamp portion to fix the proximal coupling member and the clamp portion together, and
(iii) a clamp pad, wherein the clamp pad is selectively attachable to the clamp arm to acoustically isolate the clamp arm from the ultrasonic blade, wherein the coupling feature of the clamp arm is configured to provide a snap fit between the clamp pad and the clamp arm and thereby permit manipulation of the clamp pad for removal of the clamp pad from the clamp arm.

US Pat. No. 10,456,156

DEVICES, SYSTEMS, AND METHODS FOR COOLING A SURGICAL INSTRUMENT

COVIDIEN LP, Mansfield, ...

1. A surgical system, comprising:an ultrasonic surgical instrument, including:
a waveguide defining a blade at a distal end thereof and a lumen extending through a portion of the blade,
an inflow conduit disposed in communication with the lumen, the inflow conduit configured to supply fluid to the lumen, and
a return conduit disposed in communication with the lumen, the return conduit configured to receive fluid from the lumen;
wherein the inflow conduit and the return conduit each define a proximal end and a distal end, the return conduit coaxially disposed about the inflow conduit, the distal ends of the inflow and return conduits extending into the lumen such that the distal end of the inflow conduit extends further distally into the lumen than the distal end of the return conduit; and
a cooling module, including:
a pump assembly operably coupled to the inflow and return conduits, the pump assembly configured to pump fluid through the inflow conduit, into the lumen, and back through the return conduit for cooling the blade,
at least one sensor configured to sense at least one of a property of the fluid pumped into the inflow conduit or a property of the fluid returned from the return conduit, and
a controller configured to control the pump assembly according to the at least one sensed property.

US Pat. No. 10,456,155

TISSUE SHAVER AND METHODS OF USE

NeuroEnterprises, LLC, C...

1. A tissue shaver comprising:an outer housing including a proximal end and a distal end and a longitudinal axis disposed therebetween;
a cutting burr including a longitudinal shaft with a proximal end and a distal end, and the cutting burr on the distal end of the longitudinal shaft, the longitudinal shaft operably coupled with a plunger including a distal end and a proximal end, and the longitudinal shaft and plunger coaxially disposed within the outer housing, and the cutting burr rotates relative to the outer housing to provide a cutting action;
a first geared wheel operably coupled with the proximal end of the longitudinal shaft;
a second geared wheel rotatably coupled with the distal end of the plunger; and the second geared wheel rotatably coupled with the first geared wheel;
a spring fixedly coupled with the distal end of the plunger as to proximally bias the plunger when the plunger is translated distally; and
a handle operably coupled with the proximal end of the plunger, wherein the plunger is translated distally to along the longitudinal axis of the outer housing as to rotate the second geared wheel and rotate the cutting burr about the longitudinal axis.

US Pat. No. 10,456,154

ELECTROSURGICAL FORCEPS WITH RESILIENT JAWS

GYRUS ACMI, INC., Southb...

1. An instrument comprising:a forceps comprising:
i. a hand piece;
ii. a tubular member connected to the hand piece; and
iii. a jaw assembly connected to the hand piece, the jaw assembly comprising:
a. a first jaw element comprising a gripping section and a flexing section, the flexing section includes an arcuate section;
b. a second jaw element opposing the first jaw element, the second jaw element comprises a gripping section;
wherein the tubular member is moveable onto the arcuate section of the first jaw element so that the flexing section of the first jaw element is flexed and the jaw assembly is moved into a closed position,
wherein the first jaw element, the second jaw element, or both includes a stiffening spine so that the jaw assembly is substantially rigid in the closed position,
wherein the first jaw element is electrically conductive, and the second jaw element is electrically conductive, and the first jaw element, the second jaw element, or both includes an electrically insulating jaw shroud, and
wherein the stiffening spine secures the jaw shroud to the first jaw element, the second jaw element, or both.

US Pat. No. 10,456,153

MEDICAL CLAMPING INSTRUMENT

Hiwin Technologies Corp.,...

1. A medical clamping instrument, comprising:a first tubular member;
a second tubular member pivotally connected to said first tubular member;
a first rod member pivotally connected to said second tubular member;
a second rod member inserted into said first tubular member and pivotally connected to said first rod member;
a first claw arm comprising a first clamping portion and a first connecting portion connected together, and a part defined between said first clamping portion and said first connecting portion and pivotally connected to said second tubular member;
a second claw arm comprising a second clamping portion and a second connecting portion connected together, and a part defined between said second clamping portion and said second connecting portion and pivotally connected to one of said first claw arm and said second tubular member;
a third rod member pivotally connected to said first connecting portion;
a fourth rod member pivotally connected to said second connecting portion;
a screw nut pivotally connected to said third rod member and said fourth rod member;
a screw rod threaded into said screw nut;
a first universal joint affixed to said screw rod;
a fifth rod member affixed to said first universal joint;
a second universal joint affixed to said fifth rod member; and
a driving rod inserted into said first tubular member and affixed to said second universal joint,
wherein said driving rod comprises an outer rod member and an inner rod member, said outer rod member is inserted into said first tubular member, said outer rod member comprises an insertion slot and a sliding groove, said inner rod member is inserted into said insertion slot and comprises a protruding portion, said protruding portion is inserted into said sliding groove and movable with said inner rod member along said sliding groove; said second universal joint is affixed to one of said outer rod member and said inner rod member.

US Pat. No. 10,456,152

CATHETER WITH A COLLECTION CHAMBER

Cook Medical Technologies...

1. A catheter for removing a non-liquid mass from a body, comprising:a shaft comprising a lumen extending therethrough in communication with a distal opening defined by the shaft, the shaft being adapted to extend through an access site into a patient's body;
a first seal in communication with said lumen of said shaft, said first seal being actuable between a closed state and an open state, said closed state preventing fluid flow therethrough and said open state allowing said non-liquid mass to pass therethrough;
a collection chamber disposed proximally from said first seal and being in communication with said first seal, said collection chamber being adapted to receive said non-liquid mass;
an openable cap disposed proximally from said collection chamber and being in communication with the collection chamber, said cap preventing fluid flow therethrough in a closed state and allowing said non-liquid mass to pass therethrough in an open state;
a suction port in communication with said collection chamber, said suction port being adapted to draw said non-liquid mass through said lumen and said first seal into said collection chamber; and
a second seal in said cap, said second seal being a non-actuable seal that is biased towards a closed state, wherein the second seal passively seals and does not need to be separately controlled between an opened and closed state;
wherein said first seal is actuable to said closed state while said cap is in said open state, said non-liquid mass thereby being removable from said collection chamber while fluid is prevented from escaping said lumen by said first seal.

US Pat. No. 10,456,151

METHODS AND APPARATUS FOR FLOW RESTORATION

Covidien LP, Mansfield, ...

1. A removable, integrated apparatus-thrombus mass, comprising a thrombus at least partially engaged with an apparatus, wherein the apparatus comprises:a self-expandable structure comprising a first plurality of cells, the structure having a proximal end and a distal end, the proximal end and the distal end being open, and the first plurality of cells being expanded into at least a portion of the thrombus;
a tapering portion comprising a second plurality of cells, the tapering portion disposed toward the proximal end of the structure;
a connection portion, at which the tapering portion converges, located at a proximal end of the tapering portion; and
a push or guide wire, wherein a distal end of the push or guide wire is non-releasably attached at or adjacent to the connection portion,
wherein the apparatus is self-expandable and pre-formed to assume a volume-enlarged form and, in the volume-enlarged form, takes the form of a longitudinally open tube tapering toward the connection portion.

US Pat. No. 10,456,150

DISCHARGE DEVICE

TERUMO KABUSHIKI KAISHA, ...

1. A discharge device comprising:an elongated flexible main body having a lumen which extends in an axial direction and configured to receive a fluid discharge substance to be discharged inside a biological organ, and a communication hole which communicates with the lumen;
a storage unit that includes a storage space which communicates with the lumen through the communication hole and configured to store the discharge substance, and a discharge section on a proximal surface of the storage unit, the discharge section configured to discharge the discharge substance stored in the storage space toward a proximal side of the main body in the axial direction, and wherein the storage unit is configured to expand and contract in response to introduction and discharge of the discharge substance, the storage unit having a substantially cylindrical shape having a predetermined length in an axial direction when being expanded; and
a hub that is provided in a proximal portion of the main body, and wherein the hub is configured to be connected to and separated from a supply device for supplying the discharge substance.

US Pat. No. 10,456,149

APPARATUS AND METHOD TO ACCESS BONE MARROW

1. An apparatus comprising:a penetrator assembly including an outer penetrator and an inner trocar, the outer penetrator having a flange configured to stabilize the penetrator assembly against an insertion site on skin of a patient and a cannula fixedly extending from the flange, the cannula operable to be inserted into bone marrow, and the inner trocar operable to penetrate bone marrow; and
a right angle connector removably couplable to the outer penetrator and operable to couple the outer penetrator to a source of intravenous fluid;
wherein the cannula of the outer penetrator is configured to removably receive a portion of the inner trocar, and
wherein the inner trocar includes a receptacle configured to receive a penetrator assembly connector to connect the penetrator assembly to a powered drill, the receptacle including a release mechanism configured to releasably attach the penetrator assembly to the penetrator assembly connector.

US Pat. No. 10,456,148

BONE BROACH AND METHOD OF MANUFACTURING A BONE BROACH

DEPUY INTERNATIONAL LIMIT...

1. A method of manufacturing a bone broach, the method comprising:(a) preparing a plurality of substantially planar members of which at least some define at least one cutting profile at their perimeters,
(b) arranging the plurality of substantially planar members into:
a first group of substantially planar members defining planes which are substantially parallel to each other, and
at least one additional substantially planar member, which is a separate component from the first group of substantially planar members, and
(c) joining the plurality of substantially planar members together, that the at least one additional substantially planar member defines a plane which, when the at least one substantially planar member is assembled with the first group of substantially planar members, is angled relative to the planes defined by the first group of substantially planar members;
wherein, when the first group of substantially planar members is assembled with the additional substantially planar member, the assembled bone broach defines a three-dimensional structure with an external profile corresponding to the shape to be created in a bone by the broach.

US Pat. No. 10,456,147

DEVICE FOR MINIMALLY INVASIVE BONE HARVESTING SURGERY

Zhejiang Furun Medical Te...

1. A device for minimally invasive bone harvesting surgery, comprising a cutter, a sleeve, and a drive control system, wherein the cutter comprises a head and a spiral conveying portion, an external screw thread is disposed on a surface of the spiral conveying portion, the sleeve is sleeved on the cutter, the head and at least a part of the external screw thread of the surface of the spiral conveying portion are exposed from the sleeve, and the drive control system drives and controls the cutter to work.

US Pat. No. 10,456,146

DEPTH CONTROLLABLE AND MEASURABLE MEDICAL DRIVER DEVICES AND METHODS OF USE

Smart Medical Devices, In...

1. A method for drilling into a bone using a medical drilling device, the method comprising:contacting an exposed surface of a bone with a distal end of a drill guide assembly of the medical drilling device, wherein the distal end of the drill guide assembly is configured to at least partially surround a working tool and at least a proximal end of the drill guide assembly is coupled to the medical drilling device;
applying a force with the distal end of the drill guide assembly, wherein the force is applied coaxial with a longitudinal axis of the working tool;
actuating a first drive motor of the medical drilling device;
revealing a portion of the working tool extending beyond the distal end of the drill guide assembly while the coaxial force is applied and while an axial position of the working tool remains fixed along the longitudinal axis, wherein revealing a portion of the working tool comprises withdrawing the drill guide assembly by actuating a second drive motor engaged with at least one axial drive shaft moveable along the longitudinal axis of the housing causing the drill guide assembly to travel a distance in an axial direction towards a proximal end of the medical drilling device;
penetrating the exposed surface of the bone to a depth with the revealed portion of the working tool extending beyond the distal end of the drill guide assembly;
sensing, change in strength of the bone penetrated using one or more sensors in electrical communication with electronic circuitry comprising at least one processor; and
displaying information regarding the depth and/or the change in strength.

US Pat. No. 10,456,145

EXPANDABLE REAMERS

ARTHREX, INC., Naples, F...

1. An expandable reamer, comprising:an outer tube;
an inner shaft within the outer tube;
a blade connected to the inner shaft and movable between a first position in which the blade is inside the outer tube and a second position in which the blade is exposed outside of the outer tube;
a cam cap configured to guide movement of the blade outwardly of the outer tube; and
an actuator assembly configured to move the blade between the first position and the second position, the actuator assembly including:
a selector sleeve;
an actuator;
a first pin connected to the selector sleeve and movable within a helical groove of the actuator to linearly translate either the inner shaft or the outer tube as the selector sleeve is rotated; and
a ratcheting assembly that includes an engaged position in which the selector sleeve is prevented from rotating and a disengaged position in which the selector sleeve is free to rotate;
wherein a pawl of the ratcheting assembly engages a gear in the engaged position and is released from the gear in the disengaged position.

US Pat. No. 10,456,144

BUR FOR DENTAL IMPLANTOLOGY

STRAUMANN HOLDING AG, Ba...

1. A bur for dental implantology, comprising:a dental coupling,
a bur shank,
a bur neck comprising at least two helical grooves and at least two bevels extending the length of the bur neck, and
a bur tip comprising at least two tip cutting edges, wherein each tip cutting edge comprises a straight edge and a rounding,
wherein the straight edges of the at least two tip cutting edges are a part of an imaginary cone with an obtuse angle, the straight edges converging at a point that is the apex of the imaginary cone, the axis of the imaginary cone running through the axis of the bur, and the straight edges extending from the apex of the imaginary cone to the rounding, and
wherein the rounding consists of a convex transition which directly connects a respective straight edge to a respective bevel of the bur neck, the bur neck having a diameter greater than the bur shank.

US Pat. No. 10,456,143

COMPOSITE JOINT ARTHROPLASTY SYSTEMS AND METHODS

Titanium Fusion Technolog...

1. A method for manufacturing a prosthesis for replacing an articular surface on a bone, the method comprising:casting an articulating component comprising:
an articulating component joint-facing side comprising an articular surface; and
an articulating component bone-facing side comprising a bone-facing shape; and
fabricating a bone anchoring component with a porous structure, comprising:
a bone anchoring component joint-facing side comprising a joint-facing shape that is complementary to the bone-facing shape; and
a bone anchoring component bone-facing side comprising a bone engagement surface having a porous structure with pores selected to facilitate in-growth of the bone into the pores; and
securing the bone anchoring component joint-facing side to the articulating component bone-facing side by:
applying Titanium-based nanoparticles between the articulating component bone-facing side and the bone anchoring component joint-facing side; and
heating the Titanium-based nanoparticles to a temperature sufficient to melt the Titanium-based nanoparticles, but insufficient to melt the articulating component or bone anchoring component.

US Pat. No. 10,456,142

SURGICAL SAW AND SAW BLADE FOR USE THEREWITH

MAKO Surgical Corp., Ft....

1. A surgical saw blade for being coupled to a drive hub of a surgical saw comprising:an attachment portion configured to be removably coupled to the drive hub and having a cutting portion opposite said attachment portion including a plurality of teeth;
said attachment portion having a first indent and a second indent forming a first space and a second space, wherein said first indent and said second indent have at least one curved portion and said curved portion is convex such that said curved portion impinges said space,
wherein said first indent is defined by a first side, a second side, and a third side and at least one of said first side, said second side, or said third side form said curved portion.

US Pat. No. 10,456,141

POLYMER OVERMOLDED BARIATRIC CLAMP AND METHOD OF INSTALLING

ADVANCED BARIATRIC TECHNO...

1. A bariatric clamp comprising:a first elongated portion having a distal end, a proximal end, a first substrate member, and a first polymer portion,
wherein the first elongated portion is rigid,
wherein the first elongated portion extends along a first longitudinal axis from the distal end to the proximal end when viewed from a first direction,
wherein the first elongated portion lies in a first x-y plane of an x-y-z coordinate system, the proximal end being an outermost first end in a positive-x direction and the distal end being an outermost first end in a negative-x direction;
wherein the first elongated portion has a first thickness measured perpendicularly to the first longitudinal axis along a first lateral direction in a y-z plane, the first lateral direction being normal to the first elongated portion and orthogonal to the first longitudinal axis;
a second elongated portion having a distal end, a proximal end, a second substrate member, and a second polymer portion,
wherein the second elongated portion is rigid,
wherein the second elongated portion extends along a second longitudinal axis from the distal end to the proximal end when viewed from the first direction,
wherein the second elongated portion lies in a second x-y plane of the x-y-z coordinate system, the proximal end being an outermost second end in the positive-x direction and the distal end being an outermost second end in the negative-x direction, the second x-y plane being parallel to the first x-y plane but spaced apart in a positive-z direction;
wherein the second elongated portion has a second thickness measured perpendicularly to the second longitudinal axis along a second lateral direction in the y-z plane, the second lateral direction being normal to the second elongated portion and orthogonal to the second longitudinal axis and parallel to the first lateral direction;
a bight portion comprising:
a first bend section at the distal end of the first elongated portion and comprising a first rigid member bent outwardly away from the first elongated portion at least partially in a direction composed of negative-z and negative-x vector components;
a second bend section at the distal end of the second elongated portion and comprising a second rigid member bent outwardly away from the second elongated portion at least partially in a direction made composed of positive-z and negative-x vector components
a third linear rigid portion extending from the first bend section in a negative-x direction and lying in a third x-y plane spaced outwardly from the first x-y plane in a negative-z direction;
a fourth linear rigid portion extending from the second bend section in a negative-x direction and lying in a fourth x-y plane spaced outwardly from the second x-y plane in a positive-z direction;
a flexible hinge formed at least partially from a third polymer portion and comprising a stretchable material joining the third and fourth linear rigid portions;
wherein the first and second elongated portions of the bariatric clamp form a partition-forming section located toward a proximal end of the bariatric clamp when the bariatric clamp is in a closed position,
wherein the partition-forming section is configured to apply pressure to a stomach,
wherein the first bend section, the second bend section, the third linear rigid portion, and the fourth linear rigid portion of the bariatric clamp form at least a portion of a passage-forming section located towards a distal end of the bariatric clamp when the bariatric clamp is in the closed position,
wherein the passage-forming section is configured to permit gastric juices to flow from an excluded section of the stomach into a pouch of the stomach,
wherein the passage-forming section comprises an aperture at least partially defined by the bight portion,
wherein the aperture is larger in the x-axis direction than in the z-axis direction;
a fastener portion disposed towards the proximal end of the second elongated portion; and
an engagement portion disposed adjacent the first elongated portion, the engagement portion operable to engage the fastener portion to retain the bariatric clamp in a closed position.

US Pat. No. 10,456,140

SURGICAL STAPLING SYSTEM COMPRISING AN UNCLAMPING LOCKOUT

Ethicon LLC, Guaynabo, P...

1. A stapling assembly for stapling tissue, comprising:a staple cartridge, comprising:
an annular cartridge body;
staple cavities arranged in annular rows in said cartridge body; and
staples removably stored in said staple cavities;
an anvil configured to deform said staples;
a closure drive configured to move said anvil from an open position to a closed position during a closure stroke to compress the tissue against said cartridge body, wherein said closure drive is configured to move said anvil from said closed position to said open position during an opening stroke;
a firing member configured to eject said staples from said staple cavities during a firing stroke, wherein said firing stroke is performed after said closure stroke of said closure drive, wherein said firing member is retracted during a retraction stroke, and wherein said retraction stroke is performed after said firing stroke of said firing member; and
a lockout configured to lock said closure drive and prevent said closure drive from performing said opening stroke before said retraction stroke of said firing member is completed.

US Pat. No. 10,456,139

SEAL ELEMENT FOR ANASTOMOSIS

Covidien LP, Mansfield, ...

1. A seal element for positioning adjacent tubular sections of tissue to be joined in an anastomosis, the seal element comprising:a first material that promotes tissue ingrowth, the first material being selected from the group consisting of a foam, a mesh, a non-woven structure, a perforated sheet and combinations thereof; and
a second material comprising a sealant at least partially surrounding the first material, the second material being compressible, the seal element being circular and having a centrally located aperture, the first material being disposed inwardly of the second material and the second material configured to engage the tissue to provide a seal, at least one of the first or second materials further comprising at least one medically useful substance, the at least one medically useful substance comprising a chemotherapeutic.

US Pat. No. 10,456,138

METHOD OF PROVIDING TEMPORARY PROTECTION OF ANASTOMOSIS

1. A method of providing temporary protection of an anastomosis in a large intestine or colon, rectum, or anal passage, the method comprising:introducing a surgical device per anum, the surgical device comprising:
a semi- rigid hollow longitudinal temporary anchor element, a first wall of which defines a surface of revolution about a longitudinal axis, including a substantially cylindrical main portion with a substantially circular section, and said first wall having an outside diameter that may be varied in a controlled manner between:
a reduced outside diameter in a radially retracted configuration of said first wall; and
an outside diameter in a radial expanded configuration of the cylindrical main portion of said first wall;
said outside diameter of the anchor element being greater than, or equal to, a resting diameter of a wall of said large intestine or colon in the absence of intestinal transit, and lower than a dilated diameter of the wall of said large intestine or colon upon resumption of the intestinal transit so that said anchor element is capable of remaining temporarily fixed to the wall of said large intestine or colon in the absence of intestinal transit by radial expansion force of the anchor element against the wall of said large intestine or colon; and
a sheath having a flexible tubular wall permanently fixed against said first wall of said anchor element;
routing said device as far as an anchor site upstream of the anastomosis, the anchor element being retained in said radially retracted configuration during such routing; and
enabling said anchor element to adopt an anchor position against the wall of said large intestine or colon in said radially expanded configuration, said anchor position being such that said sheath covers said anastomosis downstream of said anchor element once said anchor element adopts such anchor position,
wherein said surgical device is capable of releasing from said wall of said large intestine or colon and migrating along said wall of said large intestine or colon by sliding in contact with the wall of said large intestine or colon after resumption of the intestinal transit, and
wherein said anchor element comprises said cylindrical main portion of said first wall extending from an upstream longitudinal end of said first wall as far as an appropriately shaped downstream end portion having a smaller diameter than the cylindrical main portion, an outside diameter of a downstream end of said first wall in the radial expanded configuration being in the range 20 mm to 35 mm, and a length of said appropriately shaped downstream end portion of the first wall being in the range 10 mm to 30 mm, a diameter of said downstream end portion decreasing progressively between said main portion and said downstream end of said first wall, said decreasing being adapted to facilitate migration of the anchor element through a reduced diameter stenosis of the anastomosis area.

US Pat. No. 10,456,137

STAPLE FORMATION DETECTION MECHANISMS

Ethicon LLC, Guaynabo, P...

1. A medical instrument, comprising:an elongated channel configured to support a staple cartridge, the staple cartridge comprising a plurality of staples;
an anvil mechanically coupled to the elongated channel, wherein the anvil defines first and second staple-forming pockets;
a first electrically conductive circuit element positioned within the first staple-forming pocket, wherein the first electrically conductive circuit element comprises:
a first electrically insulative material positioned on a surface of the first staple-forming pocket;
an electrically conductive material positioned on the first electrically insulative material; and
a second electrically insulative material positioned on the electrically conductive material;
a second electrically conductive circuit element positioned within the second staple-forming pocket; and
a control circuit electrically coupled to the first and second electrically conductive circuit elements, wherein the control circuit is configured to:
determine a state of the first electrically conductive element, wherein the state of the first electrically conductive element corresponds to severance of the first electrically conductive element;
determine a state of the second electrically conductive element, wherein the state of the second electrically conductive element corresponds to severance of the second electrically conductive element; and
determine a formation characteristic of one of the plurality of staples based on the state of the first electrically conductive element and the state of the second electrically conductive elements.

US Pat. No. 10,456,135

SURGICAL INSTRUMENT

Covidien LP, Mansfield, ...

1. A method of operating a surgical instrument, comprising:providing a surgical instrument including a tool assembly and an articulation mechanism,
the articulation mechanism including:
a lower clutch having a plurality of recesses; and
an upper clutch having a plurality of protrusions for engaging at least one of the recesses of the plurality of recesses of the lower clutch; andengaging a first protrusion of the plurality of protrusions of the upper clutch with a first recess of the plurality of recesses of the lower clutch, wherein engagement between the first protrusion of the plurality of protrusions and the first recess of the plurality of recesses retains the tool assembly in a first position, the first recess of the plurality of recesses being larger than other recesses of the plurality of recesses.

US Pat. No. 10,456,134

SURGICAL STAPLER WITH REVERSIBLE MOTOR

Ethicon LLC, Guaynabo, P...

1. A method for resetting an apparatus configured for stapling tissue, the apparatus comprising:(a) a stapling head assembly, wherein the stapling head assembly comprises:
(i) an annularly arranged array of staples, and
(ii) a knife with an annular cutting edge that is configured to cut tissue;
(b) a shaft assembly coupled to the stapling head assembly; and
(c) a body coupled to the shaft assembly, wherein the body comprises:
(i) a motor, and
(ii) a locking mechanism configured to prevent activation of the motor, and
(iii) a cam member configured to rotate in response to activation of the motor, wherein the cam member is rotatable in a first direction from a home position to a fired position to actuate the stapling head assembly to thereby drive the staples and the knife through tissue;
wherein the method comprises:
(a) providing the apparatus, with the cam member in the fired position, and with the locking mechanism in a locked state;
(b) changing the polarity of the motor;
(c) unlocking the locked locking mechanism after the cam member is in the fired position to thereby allow for activation of the motor; and
(d) actuating a user input feature to thereby activate the motor after unlocking the locking mechanism, to thereby cause the cam member to rotate in a second direction from the fired position to the home position, wherein the act of actuating the user input feature is initiated after completion of the act of changing the polarity of the motor.

US Pat. No. 10,456,133

MOTORIZED SURGICAL INSTRUMENT

Ethicon LLC, Guaynabo, P...

1. A surgical instrument, comprising:an end effector comprising a firing element;
a motor mechanically coupled to the firing element;
a power source; and
a control system electrically coupled to the motor and the power source, wherein the control system comprises:
a sensing device configured to sense a position of the firing element;
a control circuit electrically coupled to the sensing device;
a switching device controlled by the control circuit; and
a resistive element electrically connected in parallel with the switching device,
and wherein the control system is configured to modulate power applied to the motor based on the following:
the sensed position of the firing element; and
a direction of travel of the firing element.

US Pat. No. 10,456,132

JAW OPENING FEATURE FOR SURGICAL STAPLER

Ethicon LLC, Guaynabo, P...

1. A surgical stapler comprising:(a) an end effector, wherein the end effector comprises:
(i) a lower jaw comprising:
(A) a cartridge body housing a plurality of staples, and
(B) a cartridge tray comprising a bottom surface, a first side wall, a second side wall, and a resilient member comprising a base portion and an arm portion connected at a junction, wherein the junction is located at a proximal end on the first side wall, wherein the arm portion extends upwardly from the junction, wherein the cartridge tray is configured to house a portion of the cartridge body, and
(ii) an anvil pivotable relative to the lower jaw between an opened position and a closed position, wherein the arm portion of the resilient member is positioned and configured to contact the anvil in both the opened position and the closed position,
wherein the resilient member is configured to bias the anvil to remain in the opened position when the anvil is in the opened position; and
(b) a body assembly, wherein the end effector is positioned distally relative to the body assembly.

US Pat. No. 10,456,131

METHOD AND APPARATUS FOR LOADING AND IMPLANTING A SHAPE MEMORY IMPLANT

BioMedical Enterprises, I...

1. An implant insertion device adapted for use with a shape memory implant movable between a first shape and a second shape, whereby the implant insertion device maintains the shape memory implant in the second shape until the delivery of the shape memory implant into tissue or bone, the implant insertion device, comprising:(i) a body, comprising:
a first jaw adapted to engage the shape memory implant,
a second jaw adapted to engage the shape memory implant, and
a third jaw adapted to engage the shape memory implant, wherein the first, second, and third jaws are movable from a disengaged position to an engaged position; and
(ii) a slider coupled with the body, wherein the slider is movable between an unlocked position and a locked position, further wherein the slider in its locked position maintains the first, second, and third jaws in their engaged positions, whereby the slider inserts between the first jaw and the second jaw to maintain the first and second jaws in their engaged positions, further whereby the slider engages the third jaw to maintain the third jaw in its engaged position with the first and second jaws such that the first, second, and third jaws engage and maintain the shape memory implant in its second shape.

US Pat. No. 10,456,130

METHOD AND APPARATUS FOR LOADING AND IMPLANTING A SHAPE MEMORY IMPLANT

BioMedical Enterprises, I...

1. An implant insertion device adapted for use with a shape memory implant comprising a bridge interconnecting first, second, and third legs, whereby the shape memory implant is movable between a first shape and a second shape, further whereby the implant insertion device is adapted to maintain the shape memory implant in the second shape until delivery of the shape memory implant into tissue or bone, the implant insertion device, comprising:a first insertion tool piece terminating in a first jaw adapted to receive therein a portion of the bridge of the shape memory implant;
a second insertion tool piece terminating in a second jaw adapted to receive therein a portion of the bridge of the shape memory implant, wherein the second insertion tool piece hingedly connects with the first insertion tool piece such that the first and second insertion tool pieces reside in an opposed relationship with the first jaw aligned with the second jaw; and
a slider engageable with the first and second insertion tool pieces, the slider including a separator disposed between the first and second insertion tool pieces, wherein the slider is movable whereby the separator separates the first and second insertion tool pieces to release the shape memory implant from the first and second insertion tool pieces, further wherein the slider is movable whereby the separator permits closure of the first and second insertion tool pieces such that:
the first and second jaws each are adapted to receive therein a portion of the bridge of the shape memory implant to maintain the shape memory implant in its second shape,
the first jaw is adapted to engage the first and second legs to maintain the shape memory implant in its second shape, and
the second jaw is adapted to engage at least the third leg to maintain the shape memory implant in its second shape.

US Pat. No. 10,456,129

POSITIVELY CHARGED IMPLANTABLE MATERIALS AND METHOD OF FORMING THE SAME

Ethicon LLC, Guaynabo, P...

1. A staple cartridge assembly for use with a surgical stapler, comprising:a cartridge body having a plurality of staples disposed therein; and
an adjunct material configured to be securely coupled to the cartridge body and configured to be securely attached to tissue by the staples in the cartridge, the adjunct material consisting essentially of a positively-charged synthetic polymer treated such that polymers forming the adjunct material are substantially permanently positively charged, wherein the positive charge is dispersed throughout the adjunct material, and wherein the synthetic polymer is configured for sells to grow onto the adjunct material and enhance healing in the tissue.

US Pat. No. 10,456,128

METHOD FOR SUTURE LACING

ETHICON LLC, Guaynabo, P...

1. A method for suture lacing, comprising:a. providing a suture with a needle attached thereto;
b. inserting the needle and suture into an organ through a passageway;
c. throwing a single stitch through a first tissue member, throwing a single stitch through an opposed and spaced apart second tissue member;
d. repeating step (c) at least once;
e. bringing the first and second tissue members in contact by tensioning the suture, whereby suture drag is minimized during the tensioning and even tissue compression is substantially achieved; and
f. throwing a final suture throw including a step of reversing the direction of the final suture throw, wherein the step of reversing includes positioning a reversing pin between the suture and either the first tissue member or the second tissue member; and
g. securing the suture.

US Pat. No. 10,456,127

RETRACTABLE SUTURE NEEDLE ASSEMBLY

1. A retractable suture needle assembly, comprising:a casing including a plurality of outer casings and an inner casing hingedly coupled together, the plurality of outer casings configured to selectively surround a portion of the inner casing;
a needle located within the inner casing;
a compressible member within the inner casing and coupled to a base of the needle, the compressible member also coupled to the inner casing at an end opposite the base of the needle, the compressible member configured to position the needle in at least one of an extended position and a retracted position; and
a needle driver pivotally coupled to the inner casing and surrounded by the outer casings, the needle driver configured to selectively flex and apply a pressure to the compressible member so as to adjust the location of the needle relative to the casing.

US Pat. No. 10,456,126

FORCEPS WITH INTEGRATED BLADE

1. An apparatus comprising:two arms, each of the two arms including a first end and a second end, wherein the two arms are joined at the first ends so as to form a handle, wherein the second ends are configured to be positioned in an open position where the two second ends are not in contact and in a closed position where the two second ends are in contact, wherein when in the open position, the two second ends define two points on a line, wherein the line defines a gripping direction between the open position and the closed position, wherein at least one of the two arms defines a main portion and a tip portion, wherein the second end of the at least one of the two arms is disposed at a distal end of the tip portion, wherein the main portion extends along a main axis and the tip portion extends along a tip axis, and wherein the tip axis is disposed at a first angle to the main axis; and
a blade disposed on at least one of the two arms, wherein the blade comprises a body that defines a plane and a cutting edge disposed at a second angle to the plane, wherein the plane is disposed at a third angle that is non-parallel to the line, and wherein the blade spans the first angle between the main portion and the tip portion.

US Pat. No. 10,456,125

SURGICAL ACCESS DEVICE COMPRISING INTERNAL RETRACTOR

Applied Medical Resources...

1. A surgical access device comprising:a proximal end, a distal end, a longitudinal axis extending from the proximal end to the distal end, and an access channel extending therethrough;
a wound retractor comprising an outer ring, an inner ring, and a tubular sheath extending between the outer ring and the inner ring; and
an internal retractor coupled to the wound retractor in an operative state of the surgical access device, wherein in the operative state, at least a portion of the internal retractor extends distally of the inner ring and wherein the internal retractor comprises an inflatable torus.

US Pat. No. 10,456,123

APPARATUS AND METHOD FOR SEALING A VASCULAR PUNCTURE

ACCESS CLOSURE, INC., Sa...

1. A method for sealing an arteriotomy comprising:advancing a closure system through a procedural sheath extending through the arteriotomy, the closure system comprising:
a handle portion;
a sheath adapter extending from the handle portion, the sheath adapter comprising an attachment structure defining a passageway;
an outer catheter extending from the handle portion;
an inner catheter extending through the outer catheter, the outer catheter removably secured to the inner catheter;
a support tube radially between the outer catheter and the inner catheter; and
a sealant positioned in a distal section of the outer catheter;
releasably securing the sheath adapter of the closure system to the procedural sheath by positioning a side port or an irrigation line of the procedural sheath into the passageway of the attachment structure; and
retracting the outer catheter relative to the inner catheter to expose the sealant.

US Pat. No. 10,456,122

SURGICAL SYSTEM INCLUDING POWERED ROTARY-TYPE HANDPIECE

Medtronic Xomed, Inc., J...

1. A surgical handpiece comprising:a housing forming a grip;
a drive shaft rotatably maintained by the housing;
a trigger assembly adapted to generate a signal indicative of a speed desired by user, the trigger assembly including a trigger maintained by the grip; and
a mode selection assembly adapted to generate a signal indicative of a direction of rotation desired by a user from a plurality of directions of rotation, the mode selection assembly including a collar-rotatably coupled to the housing adjacent the grip, a ring carrying a magnet mounted to the collar, and one or more Hall sensors, wherein the signal indicative of the direction of rotation is selectable by a rotational position of the collar from a first location indicative of a first direction of rotation to a second location indicative of a second direction of rotation opposite the first direction of rotation and wherein the one or more Hall sensors are configured to detect a change in location of the magnet with rotation of the collar;
wherein the handpiece is configured such that when the grip is grasped in a palm of a user's hand, an index finger of the user's palm can selectively interact with the trigger and the collar.

US Pat. No. 10,456,121

TISSUE REMOVAL SYSTEM

Hologic, Inc., Marlborou...

1. A method for resecting tissue from a uterus using a surgical device, the surgical device comprising a housing, a vacuum chamber located in the housing, a manually-operated actuator mechanically coupled to a piston disposed in the vacuum chamber, an outer tube having a sidewall opening near a distal end of the outer tube, and an inner tube, the inner tube being positioned within a lumen of the outer tube, the inner tube having a lumen in selective fluid communication with the sidewall opening in the outer tube via a distal opening in the inner tube, the method comprising:transcervically introducing a distal portion of the surgical device into the uterus so that the sidewall opening in the outer tube is positioned adjacent to uterine wall tissue targeted for removal;
applying a force to the manually-operated actuator to move the piston and thereby generate vacuum in the vacuum chamber and cause the targeted uterine wall tissue to prolapse into the sidewall opening; and
after generating vacuum in the vacuum chamber and causing the targeted uterine wall tissue to prolapse into the sidewall opening, initiating translation of the inner tube relative to the outer tube to thereby cut the targeted uterine wall tissue.

US Pat. No. 10,456,120

BIOPSY DEVICE HAVING INTEGRATED VACUUM

C. R. Bard, Inc., Frankl...

1. A biopsy device, comprising:a housing body defining a longitudinal axis;
a cannula assembly having an actuator body and an elongate cannula affixed to the actuator body,
the elongate cannula having a side wall defining a lumen, and having a vacuum side port that extends through the side wall and in fluid communication with the lumen;
the actuator body having a drive tab and a proximal latch mechanism, the proximal latch mechanism configured to selectively engage the housing body to releasably latch the cannula assembly in a retracted position;
a cannula drive spring coupled between the housing body and the actuator body, the cannula drive spring configured to be compressed when the proximal latch mechanism is moved to the retracted position and configured to decompress to propel the elongate cannula in a distal direction when the proximal latch mechanism is released from the retracted position;
a vacuum source coupled to the housing body and configured to store a vacuum, the vacuum source including a vacuum chamber housing having a chamber open end, a chamber end wall, a chamber side wall extending between the chamber open end and the chamber end wall, and a chamber vacuum port, the chamber side wall having a perimeter defining a U-shaped area in cross-section that extends longitudinally between the chamber open end and the chamber end wall to define a U-shaped volume; and
a trigger slide assembly having a slider body operatively coupled to the drive tab of the cannula assembly and to the vacuum source,
wherein a portion of the chamber side wall defines an elongate recessed trough having a longitudinal extent, wherein the elongate cannula is positioned within the elongate recessed trough without contacting the chamber side wall.

US Pat. No. 10,456,119

BIOPSY ACTUATOR ASSEMBLY

3DBiopsy, Inc., Aurora, ...

1. A biopsy device, comprising:a biopsy needle actuator within a housing, the biopsy needle actuator, comprising:
a cannula carrier guide shaft adjacent a needle carrier guide shaft;
a cannula carrier with a front surface, the cannula carrier forming a tubular passage, wherein the cannula carrier guide shaft is slideably received within the cannula carrier tubular passage;
a needle carrier with a front surface, the needle carrier forming a tubular passage, wherein the needle carrier guide shaft is slideably received within the needle carrier tubular passage;
a stop plate, comprising:
a rear surface, wherein the stop plate rear surface faces the carrier front surfaces;
a tab extending from the stop plate toward the housing forming an indicator visible within a distance window framed by the housing;
a lead screw threadably received by the stop plate; and
wherein rotation of the lead screw moves the stop plate on the cannula carrier guide shaft and needle carrier guide shaft;
a lifecycle indicator, comprising:
an indicator wheel presenting a first field and a second field;
wherein the housing forms a lifecycle indicator window framing the indicator wheel; and
wherein the movement of the cannula carrier toward the cannula carrier guide shaft second end selectively rotates the indicator wheel.

US Pat. No. 10,456,118

BIOLOGICAL SAMPLE COLLECTION, STORAGE, AND TRANSPORT SYSTEM AND METHOD

IN HINDSIGHT LLC, San Di...

1. A system for biological sample collection comprising:a collection assembly and a sheath;
wherein the collection assembly comprises a support shaft, a swab head, and a handle;
the swab head couples to a distal support shaft end;
the handle comprises a top surface and a bottom surface and couples to a proximal support shaft end;
a base coupled to a sheath proximal end, the base comprising a stop channel;
the collection assembly slideably couples to the sheath and is configurable in a retracted position with the swab head entirely disposed within the sheath and the handle extends proximally from the base or an extended position with the swab head extending outside of the sheath, and the handle is disposed within the stop channel such that a radially outward facing handle surface contacts and frictionally couples to a radially inward facing stop channel surface with sufficient force to prevent the handle from rotating when the collection assembly is in the extended position and the swab head is rotated while contacting a collection site;
a distal sheath end comprises an aperture, the aperture having a circumference large enough to allow the swab head to pass through said aperture when the collection assembly is configured in the extended position; and
a seal configured to be applied to the distal sheath end after the swab head has collected a biological sample and the collection assembly has been reconfigured into the retracted position.

US Pat. No. 10,456,117

METHOD AND DEVICE FOR ADJUSTING ULTRASONIC CAVITATION INTENSITY

VINNO TECHNOLOGY (SUZHOU)...

1. A method for adjusting ultrasonic cavitation intensity, the method being performed by ultrasonic equipment, the ultrasonic equipment comprising at least one processor and a computer-readable storage medium storing instructions executable by the at least one processor, the instructions when executed by the at least one processor causes the ultrasonic equipment to perform the method which comprises:collecting an initial cavitation intensity value and a target cavitation intensity value;
performing an iterative process of adjusting a jth combination of at least one selected from a group consisting of n cavitation coefficients according to an ith cavitation intensity value and a target cavitation intensity value, and calculating to obtain an (i+1)th cavitation intensity value, wherein i=0, 1, 2 . . . , j=1, 2, . . . , n, and 7?n?2, wherein when i=0, the ith cavitation intensity value is the initial cavitation intensity value; and
determining whether an absolute value of a difference between the (i+1)th cavitation intensity value and the target cavitation intensity value is greater than a set threshold value, and ending the iterative process in response to determining that the absolute value of the difference between the (i+1)th cavitation intensity value and the target cavitation intensity value is less than or equal to the set threshold value.

US Pat. No. 10,456,116

SHADOW SUPPRESSION IN ULTRASOUND IMAGING

Siemens Medical Solutions...

1. A method for shadow suppression in ultrasound imaging, the method comprising:acquiring, with a transducer, steered component frames of data, the steered component frames of data representing an overlap region of a patient and being responsive to different imaging angles;
for each of the steered component frames of data, projecting, by a processor, the data along the respective imaging angle into a projection, the projecting collapsing the data along each scan line of the imaging angle into a value for each of the scan lines, the combined values across the scan lines showing a variation in intensity of the shadow by lateral position of the steered component frame of data;
spatially weighting the steered component frames of data by kernels that are a function of the values of the respective projections of the scan lines, the function weighting the steered component frames of data per scan line, the spatially weighting by the kernels suppressing the shadows in the steered component frames of data;
compounding, by the processor, the weighted component frames of data together; and
generating an image of the overlap region of the patient from a result of the compounding.

US Pat. No. 10,456,115

ULTRASOUND SYSTEM AND CLUTTER FILTERING METHOD THEREOF

SAMSUNG ELECTRONICS CO., ...

1. A clutter filtering method of an ultrasound system, comprising:transmitting an ultrasound signal to an object;
receiving a reflection signal reflected from the object;
performing a singular value decomposition (SVD) on a plurality of Doppler signals comprising the reflection signal;
identifying a tissue region and a flow region of the object according to a result of performing the SVD;
determining a cutoff frequency of the tissue region by estimating a frequency of the Doppler signal corresponding to the tissue region using an autocorrelation method, multiplying the estimated frequency by a preset coefficient, and adding a result of the multiplying to the estimated frequency and determining a cutoff frequency of the flow region by applying the result of performing the SVD to the flow region; and
performing clutter filtering on the tissue region and the flow region by using the determined cutoff frequency of the tissue region and the flow region.

US Pat. No. 10,456,114

METHOD AND ULTRASOUND APPARATUS FOR DISPLAYING DIFFUSION BOUNDARY OF MEDICINE

Samsung Medison Co., Ltd....

1. A method of marking a diffusion boundary of medicine, the method performed by an ultrasound apparatus and comprising:obtaining first B mode image data and first Doppler data about a target object to which the medicine is injected;
obtaining second Doppler data about the target object, after the first B mode image data and the first Doppler data are obtained and then a preset time elapses;
detecting a first area of the target object from which the first Doppler data is obtained and a second area from which the second Doppler data is obtained;
determining a first diffusion boundary of the medicine, based on the first area, and determining a second diffusion boundary of the medicine, based on the second area;
marking the first diffusion boundary of the medicine and the second diffusion boundary of the medicine on a B mode image that is generated by using the first B mode image data; and
displaying, on the B mode image, comparison data obtained by comparing an estimated diffusion range of the medicine with an actual diffusion range of the medicine,
wherein the comparison data comprises:
estimating the diffusion range of the medicine, based on at least one of information about a position to which the medicine is injected and an injection amount of the medicine,
obtaining the actual diffusion range of the medicine, based on the first area and the second area, and
comparing the estimated diffusion range of the medicine with the actual diffusion range of the medicine, and
the method further comprises displaying the comparison data including an error rate of the estimated diffusion range of the medicine for the actual diffusion range of the medicine.

US Pat. No. 10,456,113

WALL-TO-WALL VESSEL SEGMENTATION IN US IMAGING USING A COMBINATION OF VFI DATA AND US IMAGING DATA

B-K Medical Aps, Herlev ...

1. An ultrasound system, comprising:an image processor configured to process beamformed ultrasound data representing structure flowing through a tubular object and generate an image indicative of the tubular object based thereon;
a velocity processor configured to process the beamformed ultrasound data and generate vector flow imaging data indicative of the structure flowing through the tubular object based thereon, wherein the vector flow imaging data includes at least an axial velocity component signal and one or more transverse velocity components indicating a direction and a speed of the structure flowing through the tubular object;
a segmentation processor configured to segment the tubular object from the image based on a combination of both the vector flow imaging data and the image, wherein a resulting segmentation extends from wall-to-wall of the tubular object, wherein the segmentation processor segments the tubular object by:
generating a single marker image from the vector flow imaging data and the image by:
detecting inner markers through a gray scale skeletonization of only the vector flow imaging data to extract a center line of the vector flow imaging data by generating a distance map of an inverse of a velocity flow imaging binary mask and extracting ridge lines on the distance map as the center line, which indicates locations inside a boundary of the tubular object;
detecting outer markers by extracting strong specular regions, which are outside of the tubular structure, from the image to generate a binary mask containing the strong specular regions and multiplying the binary mask by a dilated version of a velocity flow information mask to generate an outer marker mask that highlights the strong specular regions and does not cover an area with flow; and
combining the inner and outer markers into the single marker image; and
a display configured to display the image with the segmentation and the vector flow imaging data superimposed thereover, with the vector flow imaging data extending from wall-to-wall within the tubular object.

US Pat. No. 10,456,112

ULTRASOUND DIAGNOSIS APPARATUS, ULTRASOUND DIAGNOSIS METHOD AND COMPUTER-READABLE STORAGE MEDIUM

SAMSUNG MEDISON CO., LTD....

1. An ultrasound diagnosis apparatus comprising:at least one processor configured to implement:
an image generation unit configured to generate a first ultrasound image based on ultrasound data obtained by scanning a target object including a tubular object; and
a control unit configured to obtain first information of a plurality of nodes indicating nodal points included in the at least one of plurality of lines through the tubular object, based on the first ultrasound image, determine a node among the plurality of nodes as a viewpoint, and to control the image generator to generate a second ultrasound image based on the ultrasound data and the determined viewpoint,
wherein the control unit is further configured to:
automatically obtain a sequence of nodes regarding at least two of the nodes,
determine the viewpoint according to the obtained sequence of nodes, and
control a display to display the first ultrasound image including the plurality of nodes and the second ultrasound image,
wherein one or more nodes from among the plurality of nodes, at which the second ultrasound image is obtained, is displayed differently from one or more nodes from among the plurality of nodes, at which the second ultrasound image is not obtained, in the first ultrasound image.

US Pat. No. 10,456,111

ULTRASOUND SYSTEM AND SIGNAL PROCESSING UNIT CONFIGURED FOR TIME GAIN AND LATERAL GAIN COMPENSATION

Samsung Medison Co., Ltd....

1. An ultrasound diagnosis system, comprising:a probe configured to transmit an ultrasound signal to an object and to receive an echo signal reflected from the object; and
a portable computer configured to generate an ultrasound image of the object, wherein the portable computer includes:
a touch panel; and
a processor configured to:
display, via the touch panel, multiple parallel lines each of which corresponds to two or more positions of the ultrasound image, wherein the multiple parallel lines are visually present on the touch panel;
generate a curve generated based on a single touch input received via the touch panel in a region of the touch panel in which the multiple parallel lines are displayed, the curve generated based on the single touch input intersecting successively with the displayed multiple parallel lines; and
adjust compensation setting values of the two or more positions of the ultrasound image, based on the successive intersection of the curve with the displayed multiple parallel lines corresponding to the two or more positions of the ultrasound image,
wherein the single touch input successively intersects with a plurality of the displayed multiple parallel lines corresponding to the two or more positions, and
wherein the compensation setting values comprises at least one of a time gain compensation (TGC) value or a lateral gain compensation (LGC) value.

US Pat. No. 10,456,110

ULTRASOUND IMAGING APPARATUS

HITACHI, LTD., Tokyo (JP...

1. An ultrasound imaging apparatus comprising:an ultrasonic element array having a plurality of ultrasonic elements arrayed along a predetermined direction, the plurality of ultrasonic elements transmitting ultrasonic waves to an imaging area of a test object and receiving ultrasonic waves reflected off the test object;
a transmission beam former, comprising a transmission scanning line control unit, that sequentially transmits signals causing transmission beams to be transmitted from the ultrasonic element array along a plurality of transmission scanning lines set in the imaging area of the test object;
a reception beam former, comprising a delay addition calculating unit, that sets a plurality of reception scanning lines for each of the transmission beams and generates signals, the signals being generated by phasing and adding received outputs of the ultrasonic elements via the delay addition calculating unit, at a plurality of received focal points on the respective reception scanning lines;
a beam memory, which stores a plurality of phase outputs corresponding to each of the plurality of reception scanning lines generated by the reception beam former;
an aperture synthesizing unit that adds a plurality of phase outputs obtained from reflected ultrasonic waves of the transmission beams, including the stored plurality of phase outputs from the beam memory, which are different, at the received focal points, which are the same;
a frame memory which stores a phase output generated by the aperture synthesizing unit;
an image processing unit which reads the phase output stored on the frame memory and generates an image of the imaging area;
an image display unit which displays the generated image;
a receiving unit that receives an instruction to perform a high speed imaging mode from an operator;
a transmission/reception switching unit which transmits the signals from the transmission beam former to the ultrasonic element array and receives signals from the ultrasonic element array; and
a control unit,
wherein when the receiving unit receives an instruction to perform a high speed imaging mode, the transmission scanning line control unit determines intervals, corresponding to speed in the high speed imaging mode, between the plurality of transmission scanning lines, and the transmission beam former sequentially transmits the signals causing the transmission beams to be transmitted along the plurality of transmission scanning lines at the determined intervals corresponding to imaging speed in the high speed imaging mode;
the aperture synthesizing unit sets a number of the phase outputs to be added at each of the received focal points to a predetermined addition number (N) reducing occurrence of stripes on the image; and
in order to generate the addition number (N) of the phase outputs at each of the received focal points, the control unit finds a number (M) of the reception scanning lines, the number (M) set by the reception beam former, and the control unit notifies the reception beam former of the found number (M) of the reception scanning lines.

US Pat. No. 10,456,109

ULTRASONIC ENDOSCOPE

FUJIFILM Corporation, To...

1. An ultrasonic endoscope comprising:an insertion part that includes a tip, a base end, and a longitudinal axis;
an ultrasonic transducer that is provided at the tip of the insertion part;
a balloon mounting portion which is disposed closer to the base end of the insertion part than the ultrasonic transducer is and on which a balloon wrapping the ultrasonic transducer is detachably mounted;
a supply/discharge pipe line for a balloon that extends in the insertion part;
a groove portion which is formed along the longitudinal axis and includes a base end surface that is provided closer to the tip than the balloon mounting portion in a direction of the longitudinal axis, the base end surface being provided on a surface intersecting the longitudinal axis, and a side surface that is extended from the base end surface toward a distal direction along the longitudinal axis, wherein at least a part of a range in the direction of the longitudinal axis overlaps a range of the ultrasonic transducer in the direction of the longitudinal axis; and
a tip-side opening surface of the supply/discharge pipe line for a balloon, the tip-side opening surface being provided on the base end surface of the groove portion and having components normal to a direction of the longitudinal axis.

US Pat. No. 10,456,108

SYSTEMS AND METHODS FOR AUTOMATIC TIME GAIN COMPENSATION IN A HANDHELD ULTRASOUND IMAGING SYSTEM

Clarius Mobile Health Cor...

1. An ultrasound imaging method comprising:acquiring ultrasound data by transmitting ultrasound signals and receiving ultrasound echo signals using a probe, and amplifying the ultrasound echo signals according to gains that vary with echo delay times according to a current time-gain curve;
processing the ultrasound data to yield an ultrasound image;
determining a time-gain compensation curve by:
determining a representative pixel value for each of a plurality of regions of the ultrasound image, wherein each region comprises a plurality of pixels values, and wherein the regions are arranged in a plurality of rows with each row comprising a plurality of the regions, and wherein each row corresponds to an echo delay time on the current time-gain curve;
for each row of regions, combining those of the representative pixel values which satisfy an inclusion condition into a combined representative pixel value associated with the row;
for the combined representative pixel values of each row, determining a gain offset amount by which to correct the gain of the current time-gain curve at that row, the gain offset amount being the difference between the combined representative pixel value for the row and a target gain;
based on the gain offset amounts, adjusting the time-gain curve to generate a corrected time-gain curve;
repeating the acquiring ultrasound data, the processing the ultrasound data to yield an ultrasound image, and the determining a time-gain compensation curve for a plurality of temporally spaced-apart frames, wherein the determining the time-gain compensation curve further comprises:
processing the corrected time-gain curve through a temporal filter; and
monitoring motions of the probe, and controlling the temporal filter to have a higher time constant when the probe is moving less and controlling the temporal filter to have a lower time constant when the probe is moving more.

US Pat. No. 10,456,107

ULTRASOUND IMAGING DEVICE AND METHOD FOR TRANSMITTING AUDIBLE SOUNDS

GENERAL ELECTRIC COMPANY,...

1. An ultrasound imaging system comprising:a probe comprising a plurality of elements; and
an ultrasound imaging device comprising:
an exterior housing comprising a panel;
a processor positioned within the exterior housing; and
an acoustic emitter attached to the panel and electrically connected to the processor;
wherein the processor is configured to control the acoustic emitter to vibrate the panel and transmit audible sounds, using the panel as a sound-excited assembly; and
wherein the processor is configured to control the plurality of elements in the probe to emit ultrasonic signals.

US Pat. No. 10,456,106

ULTRASONIC DIAGNOSTIC APPARATUS, MEDICAL IMAGE PROCESSING APPARATUS, AND MEDICAL IMAGE PROCESSING METHOD

TOSHIBA MEDICAL SYSTEMS C...

1. An ultrasonic diagnostic apparatus for generating perspective projection images corresponding to viewpoints which are set in a lumen of an object accompanying a movement of an ultrasonic probe, and for displaying the perspective projection images corresponding to the viewpoints, comprising:the ultrasonic probe including a plurality of ultrasonic transducers and configured to be in contact with a body surface of the object;
a position detection sensor configured to detect first and second positions and a moving direction of the ultrasonic probe with reference to a predetermined common reference position, the second position representing a position of the ultrasonic probe with reference to the predetermined common reference position after movement of the ultrasonic probe;
a transducer configured to supply a driving signal to each of the ultrasonic transducers and generate a reception signal based on each received echo signal; and
a computer
configured to generate first three-dimensional data based on the received echo signal at the first position of the ultrasonic probe and second three-dimensional data based on the received echo signal at the second position of the ultrasonic probe;
configured to specify, with reference to the predetermined common reference position, a first luminal region in an inside of the lumen to be viewed from a first view point in the first three-dimensional data, and a first line of sight;
configured to generate a first perspective projection image of the first luminal region by perspective projection using at least a set of the first view point, the first line of sight and the first three-dimensional data;
configured to specify, with reference to the predetermined common reference position, a second luminal region in the inside of the lumen to be viewed from a second view point in the second three-dimensional data, and a second line of sight, the second view point being determined based on the moving direction of the ultrasonic probe, wherein
the first line of sight determined based on a direction along a first central line at the first view point of branches of the lumen, the second line of sight determined based on a direction along a second central line at the second view point of branches of the lumen, all of which are presented with reference to the predetermined common reference position, where the lumen branches at a branching portion in the lumen and has at least two branches represented by the first central line and the second central line; and
configured to generate a second perspective projection image of the second luminal region by perspective projection using at least a set of the second view point, the second line of sight and the second three-dimensional data.

US Pat. No. 10,456,105

SYSTEMS AND METHODS WITH A SWELLABLE MATERIAL DISPOSED OVER A TRANSDUCER OF AN ULTRASOUND IMAGING SYSTEM

BOSTON SCIENTIFIC SCIMED,...

1. A method of using a catheter assembly, the method comprising:providing a catheter assembly comprising
an elongated catheter configured and arranged for insertion into a cardiovascular system of a patient, the catheter having a distal end, a proximal end, and a longitudinal length, the catheter comprising a sheath with a proximal portion and a distal portion, the sheath defining a lumen extending along the sheath from the proximal portion to the distal portion, and
an imaging core configured and arranged for inserting into the lumen of the catheter, the imaging core comprising
an elongated, rotatable driveshaft having a proximal end and a distal end,
an imaging device coupled to the distal end of the driveshaft with rotation of the driveshaft causing a corresponding rotation of the imaging device, the imaging device comprising at least one transducer configured and arranged for transforming applied electrical signals to acoustic signals and also for transforming received echo signals to electrical signals, and
a swellable material disposed on at least the at least one transducer and configured and arranged to rotate with rotation of the driveshaft and to swell upon exposure to a fluid;
inserting the imaging core into the sheath of the catheter;
exposing the swellable material to the fluid causing the swellable material to swell within the sheath; and
rotating the driveshaft with the swellable material swollen within the sheath.

US Pat. No. 10,456,104

UNIVERSAL C-ARM CALIBRATION SEAT

1. A universal C-ARM calibration seat comprising:a base, wherein the base is annular and has a central axis, and wherein the base includes a correction plate mounting area;
at least three action units mounted on a side of the base opposite to the correction plate mounting area, wherein each of the at least three action units includes a sliding member; and
a driving and positioning device coaxially mounted to and rotatable relative to the base about the central axis, wherein the driving and positioning device includes a rotating unit configured to actuate each sliding member, wherein when the driving and positioning device rotates relative to the base, the rotating unit actuates each sliding member to simultaneously move toward the central axis.

US Pat. No. 10,456,103

UNIFIED TRAJECTORY GENERATION PROCESS AND SYSTEM

SHANGHAI UNITED IMAGING H...

1. A method implemented on a computing device having at least one processor and a storage device storing a set of instructions for controlling a system operatively connected to the computing device, comprising:obtaining, by the at least one processor, a plurality of positions for multiple components of the system defined by a plan;
obtaining, by the at least one processor, a set of constraints that express limitations for the multiple components at the plurality of positions, the constraints being applicable to the plan where the multiple components synchronously change their positions with time to traverse a prescribed sequence of the plurality of positions, at least one of the multiple components being further constrained to change its position over time by staying within a predefined tolerance to a predefined smooth function of position over time between different positions;
determining, by the at least one processor, a trajectory of position and a minimum duration in which the multiple components completely synchronously traverse the prescribed sequence of positions while satisfying the constraints for the multiple components;
generating, by the at least one processor, a record of the determined trajectory of position and the minimum duration for the multiple components; and
controlling, by the at least one processor, the multiple components of the system to execute, in synchronous motion, the determined trajectory within the determined minimum duration.

US Pat. No. 10,456,102

AUTOMATED APPARATUS TO IMPROVE IMAGE QUALITY IN X-RAY AND ASSOCIATED METHOD OF USE

WASHINGTON UNIVERSITY, S...

1. A system for improving quality in projection and tomographic x-ray imaging comprising:an x-ray tube emitting x-rays;
a depth sensing device measuring a depth of at least one body part of a patient, wherein the depth represents a distance between said depth sensing device and the body part;
a control unit comprising a memory, wherein said memory stores depth reference data that represents the distance between said depth sensing device and the body part, wherein said depth reference data is used to calculate one of a thickness of the body part and a circumference of the body part, and wherein the calculated thickness or circumference is used to determine an optimal level of x-ray exposure for the body part; and
a RGB camera identifying at least one body part of the patient, wherein said control unit is configured to display an overlay of the patient's body, wherein the patient's body is displayed concurrently with a skeleton frame comprising a plurality of pre-defined joints of the body, wherein said control unit is configured to alert a user if the identified body part is not centered, wherein said RGB camera is configured to capture a plurality of frames of the patient's body, wherein said control unit is configured to detect a motion of the patient by comparing at least one frame currently captured by said RGB camera with at least one frame previously captured by said RGB camera, and wherein said control unit is configured to alert the user if any motion is detected.

US Pat. No. 10,456,101

BREAST TOMOSYNTHESIS WITH FLEXIBLE COMPRESSION PADDLE

GENERAL ELECTRIC COMPANY,...

1. A mammography imaging system, comprising:an X-ray source;
an X-ray detector spaced apart from the X-ray source; and
an image data acquisition system for acquiring mammography image data; and
compression assembly positioned between the X-ray source and the X-ray detector, the compression assembly including a movable flexible compression paddle and a support plate spaced apart from each other and configured to hold an object to be imaged therebetween, and wherein the movable flexible compression paddle is formed of a flexible film material or flexible mesh material held by a frame, and wherein the flexible film or flexible mesh material conforms to the shape and size of the object to be imaged.

US Pat. No. 10,456,100

X-RAY IMAGING DEVICE

Hitachi, Ltd., Tokyo (JP...

1. An X-ray imaging device, comprising:an X-ray tube unit,
a main body provided with a drive unit of the X-ray tube unit, and
an arm unit configured to connect the X-ray tube unit with the main body, the X-ray tube unit being fixed to one end of the arm unit, and the arm unit comprises plural foldable arms,
an operating unit configured to manipulate the X-ray tube unit is provided on a joint between two of the arms, and
a cover that covers the joint between the two of the arms,
wherein the operating unit is attached to the cover.

US Pat. No. 10,456,099

RADIATION DETECTING DEVICE AND MEDICAL IMAGING DEVICE

HITACHI, LTD., Tokyo (JP...

1. A radiation detection device comprising,a plurality of detector elements for generating current pulse signals upon receipt of photons of radiation, and a photon measuring unit and a current measuring unit being connected to the detector elements, wherein,
the detector elements are arranged in a specified array, and every predetermined number of detector elements constitutes one detector pixel,
the photon measuring unit comprises a plurality of photon measuring circuits connected to the detector elements on a one-to-one basis, for counting the current pulse signals outputted from the detector elements,
the current measuring unit comprises an integrator, an adder, and a sample-hold circuit provided for every detector pixel, and a converter for converting an analogue signal to a digital signal, where one converter is provided for a plurality of the detector pixels, the integrator and the adder perform integration and addition of the current pulse signals outputted respectively from the plurality of detector elements constituting one detector pixel, the sample-hold circuit holds outputs of the addition and integration from the integrator and the adder, with a predetermined timing, and the converter selectively converts analogue outputs from the sample-hold circuit into digital signals, as to any of the plurality of detector pixels.

US Pat. No. 10,456,098

MAMMOGRAPHY DETECTOR WITH SMALL CHEST DISTANCE

TELEDYNE DIGITAL IMAGING,...

1. A method of making an X-ray detector, comprising:providing a main frame for supporting a detector stack, wherein the main frame comprises a detachable protruding edge portion;
bonding detector layers onto the main frame leaving the protruding edge portion extending beyond an edge of the detector layers;
detaching the protruding edge portion of the main frame along a detachment line adjacent the edge of the detector layers; and
applying a cover with a thin edge wall to the detector stack;
wherein a trench to collect excess adhesive is located in the protruding edge portion of the main frame.

US Pat. No. 10,456,097

X-RAY GENERATION APPARATUS FOR INTRA-ORAL X-RAY IMAGING, GUIDE HOLDER, AND INTRA-ORAL X-RAY IMAGING SYSTEM COMPRISING SAME

VATECH Co., Ltd., Gyeong...

1. An X-ray generation apparatus for intra-oral X-ray imaging irradiating X-rays to a field of view, the X-ray generation apparatus comprising:a body; and
a plurality of X-ray sources disposed in different positions of the body, and configured to irradiate X-rays to the field of view,
wherein the body moves along a predetermined trajectory for the field of view, and
wherein each of the X-ray sources includes an X-ray source module, and the X-ray source module is detachably coupled to the body.

US Pat. No. 10,456,095

X-RAY DIAGNOSIS APPARATUS AND IMAGE PROCESSING APPARATUS

CANON MEDICAL SYSTEMS COR...

1. An X-ray diagnosis apparatus comprising:processing circuitry configured:
to sequentially generate X-ray images based on X-rays radiated from an X-ray tube and passed through a subject;
to detect, each time one of the X-ray images is generated, a position of a feature point of a device retained in the subject on each of the X-ray images;
to generate, each time the position of the feature point is detected, a correction image by performing at least one of image shift and image transformation of a second X-ray image, based on a position of a feature point detected on a first X-ray image and a position of a feature point detected on the second X-ray image, the first X-ray image being generated before the second X-ray image;
to generate, each time the correction image is generated, an addition correction image obtained by adding together the correction image and at least one correction image generated before the correction image; and
to perform control of displaying, each time the addition correction image is generated, the generated addition correction image sequentially.

US Pat. No. 10,456,094

SYSTEMS AND METHODS FOR NUMERICALLY EVALUATING VASCULATURE

HeartFlow, Inc., Redwood...

1. A method for providing a cardiovascular score for a patient, the method comprising:receiving, using at least one computer system, non-invasively obtained patient-specific image data of multiple coronary arteries of the patient;
creating, using the at least one computer system, a three-dimensional model representing a plurality of portions of the one or more coronary arteries of the patient using the patient-specific image data;
segmenting, using the at least one computer system, one or more geometrical features from the non-invasively obtained patent-specific image data using the three-dimensional model;
analyzing, using the at least one computer system, the one or more geometric features segmented from the non-invasively obtained patient-specific image data to determine multiple characteristics of the one or more coronary arteries;
evaluating, using the at least one computer system, the multiple characteristics of the analyzed one or more geometrical features of the coronary arteries to obtain computer evaluations of the multiple characteristics; and
automatically generating, using the at least one computer system, the cardiovascular score from the computer evaluations of the multiple characteristics.

US Pat. No. 10,456,093

MEDICAL IMAGE DIAGNOSTIC APPARATUS

Hitachi, Ltd., Tokyo (JP...

1. A medical image diagnostic apparatus, comprising:a console including a processor and a storage device; and
a scanning apparatus; wherein
the console is configured to accept input of and display scanning conditions inputted via an input device, the scanning conditions for use in performing a scanning operation on a body;
the scanning apparatus is configured to scan the body according to the scanning conditions;
the storage device is configured to store plural body position setting images which show images of differing body positions and facing-directions of the body, respectively, together with a positional relationship of the body with the scanning apparatus; and
the processor is configured to:
collect measurement data acquired by the scanning apparatus, and generate a medical image based on the measurement data;
display one body position setting image of the plural body position setting images stored in the storage device, to show one body position and facing-direction of the body on a display device;
monitor a plurality of reference part selection objects displayed around the one body position setting image on the display device, each individual reference part selection object being selectable for selecting a position and direction of a reference part of the body in the one body position setting image, and accepts input of an instruction via the input device to select one of the reference part selection objects as a selected reference part selection object; and
set a selected body position and facing-direction of the body as one of the scanning conditions, according to the selected reference part selection object selected through the input device.

US Pat. No. 10,456,092

SURGICAL MICROSCOPE SYSTEM

MITAKA KOHKI CO., LTD., ...

1. A surgical microscope system comprising:a surgical microscope taking light reflected from a surgical field into an objective optical system through a light intake formed at a bottom part of the surgical microscope, and guiding the taken light passing through the objective optical system through a variable power optical system to an eyepiece optical system;
an illuminating unit emitting an illuminating beam and forming an illuminating spot around the surgical field, the illuminating spot covering at least the surgical field;
an infrared thermocamera attached to the surgical microscope, imaging a monitoring area containing at least the illuminating spot, and providing temperature data on the monitoring area; and
an alarming unit being activated if at least a data piece among the temperature data provided by the infrared thermocamera indicates a higher temperature than a temperature represented by reference temperature data,
wherein the monitoring area of the infrared thermocamera is larger than the surgical field and the illuminating spot, and the illuminating spot is larger than the surgical field.

US Pat. No. 10,456,091

DISPLAYS FOR A MEDICAL DEVICE

Abbott Diabetes Care Inc....

1. A system, comprising:an analyte sensor for positioning in fluid contact with bodily fluid under a skin surface to measure an analyte level, the analyte sensor having a predetermined sensor life; and
a receiving device including a display and an alarm component, the receiving device configured to:
receive signals corresponding to the measured analyte level;
operate in a first mode to provide an alarm using the alarm component when the measured analyte level differs more than a predetermined level from an analyte threshold;
determine that the predetermined sensor life of the analyte sensor has elapsed;
operate in a second mode wherein the alarm component is deactivated; and
provide a message on the display to inform a user that the alarm component is deactivated.

US Pat. No. 10,456,090

METHOD TO DETERMINE INDIVIDUALIZED INSULIN SENSITIVITY AND OPTIMAL INSULIN DOSE BY LINEAR REGRESSION, AND RELATED SYSTEMS

Bigfoot Biomedical, Inc.,...

1. An insulin delivery system, comprising:an insulin delivery mechanism; and
an insulin delivery control system comprising a memory and a processor operatively coupled to the memory, wherein the processor is configured to:
store data associated with a user of the insulin delivery system, the data comprising glucose concentration measurements, insulin dosing information, and dietary carbohydrate information;
determine rates of change of glucose concentrations responsive to the glucose concentration measurements;
train a first learned time-dependent glucose response model responsive to the rates of change of glucose concentrations and the insulin dosing information;
train a second learned time-dependent glucose response model responsive to the rates of change of glucose concentrations and the dietary carbohydrate information;
receive a time series of dietary carbohydrate intake;
determine glucose responses over a period of time using the first learned time-dependent glucose response model, the second learned time-depend glucose response model, the time-series of dietary carbohydrate intake, and a number of time series of insulin doses;
integrate the glucose responses over the period of time to determine total glucose responses;
determine a time series of insulin doses of the number of time series of insulin doses that minimizes total glucose responses associated with hyperglycemia and hypoglycemia; and
configure the insulin delivery system to provide insulin doses from the insulin delivery mechanism responsive to the determined time series of insulin doses.

US Pat. No. 10,456,089

PATIENT MONITORING FOR SUB-ACUTE PATIENTS BASED ON ACTIVITY STATE AND POSTURE

KONINKLIJKE PHILIPS N.V.,...

1. A medical system comprising:at least one sensor configured to measure at least one of an activity state and a posture of a patient;
at least one vital sign sensor separate from the at least one sensor and configured to measure one or more vital signs of the patient according to a schedule wherein the one or more vital signs comprise one or more of pulse, oxygen saturation (SpO2), respiration, temperature, and carbon dioxide;
at least one processor programmed to:
adjust the schedule when the measured one or more vital signs is outside of a vital sign threshold;
control the at least one vital sign sensor to measure the at least one vital sign according to the adjusted schedule including delaying a scheduled measurement until the activity state indicates a resting state that is below the position threshold;
generate a patient deterioration alert when (i) the measured at least one of activity state and posture of the patient and (ii) the measured one or more vital signs are each outside of respective alarm thresholds; and
output the patient deterioration alert to an audio device.

US Pat. No. 10,456,088

PERFORMANCE OF BIOLOGICAL MEASUREMENTS IN THE PRESENCE OF NOISE

Samsung Electronics Compa...

1. A method for determining a heart-rate variability (HRV) measurement of a user, comprising:receiving, from a sensor of an electronic device of the user, heart sensor data;
determining, based on the received heart sensor data, an initial HRV measurement of the user;
determining in real-time, using a noise model for the HRV of the user, a noise level of the received heart sensor data, wherein the noise model is based on post-hoc analysis of one or more previous HRV measurements of the user;
adjusting the initial HRV measurement by an amount calculated based on the determined noise level; and
providing the initial HRV measurement to a database of HRV measurements associated with the noise model.

US Pat. No. 10,456,087

METHOD FOR SCORE CONFIDENCE INTERVAL ESTIMATION WHEN VITAL SIGN SAMPLING FREQUENCY IS LIMITED

KONINKLIJKE PHILIPS N.V.,...

1. A patient monitoring system comprising:a display device; and
an electronic data processing component programmed to perform a patient monitoring method including, at each successive current time:
determining a patient status value at the current time based on a most recently received measurement for each of a plurality of input physiological parameters, wherein the most recently received measurements for at least one of the plurality of input physiological parameters is not a continuous measurement, and wherein one or more of the plurality of input physiological parameters are measured via one or more sensors attached to the patient;
determining a plurality of time intervals, wherein each time interval is between the current time and a receipt time of the most recently received measurement for a respective one of the plurality of input physiological parameters;
estimating a confidence interval for the patient status value at the current time by applying the patient status value and the plurality of time intervals to a confidence interval distribution; and
displaying patient status information on the display device wherein the displayed patient status information is based on both the patient status value at the current time and the estimated confidence interval for the patient status value at the current time.

US Pat. No. 10,456,086

METHOD, SYSTEM AND COMPUTER READABLE MEDIUM FOR PREDICTIVE HYPOGLYCEMIA DETECTION FOR MILD TO MODERATE EXERCISE

UNIVERSITY OF VIRGINIA PA...

1. A method for predicting hypoglycemia for a user comprising:obtaining a blood glucose signal (BGstart), a ratio of absolute insulin on board over total daily insulin signal (IOBabs/TDI), and an initial glycemic slope signal (SO);
determining a hypoglycemia risk signal with a hypoglycemia prediction algorithm that determines the probability of the user being hypoglycemic during or after exercise based on the blood glucose signal, the ratio of absolute insulin on board over total daily insulin signal, and the initial glycemic slope signal; and
determining a hypoglycemia risk state with a classifier algorithm that classifies the hypoglycemia risk signal to identify an actionable hypoglycemia risk state based on a predefined threshold.

US Pat. No. 10,456,085

METHOD AND DEVICE FOR MEASURING A BIOLOGICAL SIGNAL

SAMSUNG ELECTRONICS CO., ...

1. A method of measuring a biological variable, the method comprising:irradiating an infrared signal toward a body part;
detecting an infrared signal of the irradiated infrared signal which is reflected from the body part;
extracting spectrum data from the detected infrared signal;
obtaining intensity data corresponding to a first frequency range and a second frequency range from the extracted spectrum data by using an Incremental Association Markov Blanket (IAMB) algorithm, wherein the first frequency range includes a first preset frequency, and the second frequency range includes a second preset frequency being higher than the first preset frequency;
obtaining a biological information-measuring model by performing multiple linear regression (MLR) on the obtained intensity data; and
measuring the biological variable of the body part by using the obtained biological information-measuring model.

US Pat. No. 10,456,084

INTELLIGENT HOSPITAL BED

Yung Hsiang Information M...

1. An intelligent hospital bed comprising a hospital bed, a first measuring unit, at least a second measuring unit, a third measuring unit, a central processor and a remote transmission device,wherein the first measuring unit is a pad body having a pressure sensor, and the first measuring unit is installed on the hospital bed; when a patient lies on the hospital bed, the pressure sensor of the first measuring unit is configured to measure the pressure and send a first signal to the central processor which is adapted to determine whether the patient lies on the hospital bed as instructed;
wherein the second measuring unit is an image capturing device adapted to measure the use status of an intravenous bag hanged on an intravenous stand near the hospital bed, and the second measuring unit is adapted to measure the intravenous use status and send a second signal to the central processor which is configured to determine whether the intravenous drip is successful used and to have immediately report for remaining amount of drip in the intravenous bag after each use;
wherein the third measuring unit is a weight measuring device configured to measure the urination condition of the patient and send a third signal to the central processor; and
wherein the central processor is configured to receive the signals from the measuring units and interpret the signals through comparison of data in a database of the central processor or a server; after interpreting, the central processor is configured to connect to the remote transmission device and send the interpreted information to a human-computer interaction through the remote transmission device such that a caregiver is able to master real-time conditions of the patient in the hospital bed including injection and urination status at the same time.

US Pat. No. 10,456,083

SYSTEM AND METHOD FOR CORTICAL MAPPING WITHOUTH DIRECT CORTICAL STIMULATION AND WITH LITTLE REQUIRED COMMUNICATION

ARIZONA BOARD OF REGENTS ...

1. A method for mapping somatosensory and motor cortical regions of a brain of a subject who is undergoing electrocorticoencephalographic (ECoG) recording, the method comprising:providing an apparatus comprising a computing device, a plurality of stimulation pads interconnected to said computing device, and a neural interface processor interconnected to said computing device;
implanting an ECoG electrodes array on a surface of the subject's brain;
contacting a first selected finger of the patient with a first stimulation pad of the plurality of stimulation pads;
contacting a second selected finger of the patient with a second stimulation pad of the plurality of stimulation pads;
producing, with the first stimulation pad during a first period of time, stimulation of the first selected finger;
producing, with the second stimulation pad during a second period of time, stimulation of the second selected finger;
recording with said neural interface processor, during the first and second periods of time, a plurality of cortical signals originating in said subject's brain;
based upon said plurality of cortical signals, mapping eloquent cortical regions of the subject's brain; and
overlaying an image of said ECoG electrode array onto a 3-D mapping of the subject's brain to produce a composite image, said the 3-D mapping including a plurality of landmark locations; and
correlating the mapped eloquent cortical regions with said composite image to reduce a risk of causing injury to the mapped eloquent cortical regions during a surgical remediation of epileptic seizures.

US Pat. No. 10,456,082

METHOD AND APPARATUS FOR CONTACTING SKIN WITH SENSOR EQUIPMENT

Nokia Technologies Oy, E...

1. A sensor structure for a user wearable apparatus, the sensor structure comprising:a sensor platform configured to be sandwiched between a body of the user wearable apparatus and skin of a user, where the sensor platform is configured to be supported on the body of the user wearable apparatus proximate a connection to be movable with relation to the body of the user wearable apparatus towards and away of the skin when the sensor structure is mounted to the user wearable apparatus and the user wearable apparatus is worn by the user;
a sensor supported on the sensor platform and configured to produce sensor signals corresponding to a property of the skin or underlying matter;
an actuator located on the sensor platform, where the actuator is configured to be located proximate the connection of the sensor platform to the user wearable apparatus, and where the actuator is configured to adjust position of the sensor platform towards and away of the skin;
a processor configured to receive the sensor signals and to determine suitable compensating movement of the sensor platform from the sensor signals and to cause the actuator to adjust the position of the sensor platform to prevent the sensor from moving away from the skin; and
a lateral float configured to enable lateral movement of the sensor platform with relation to the body, where the lateral float is configured to inhibit lateral movement of the sensor with relation to the skin.

US Pat. No. 10,456,081

BLOOD PRESSURE APPARATUS USING ACTIVE MATERIALS AND RELATED METHODS

INTEL CORPORATION, Santa...

1. An apparatus to constrict blood flow in a limb of a user, the apparatus comprising:a band to be worn around the limb of the user;
a shape-memory alloy (SMA) wire carried by the band, the SMA wire in a continuous loop around an inner surface of the band;
a controller to: (1) apply an activation signal to change a shape of the SMA wire from a non-constricting state to a constricting state to constrict blood flow in the limb, and (2) at least one of remove or reduce the activation signal to at least one of stop or reduce constricting the blood flow in the limb; and
a spring carried by the band, the spring to provide a return-biasing force to move the SMA wire toward the non-constricting state in response to the at least one of the removal or the reduction in the activation signal.

US Pat. No. 10,456,080

PADDED, FLEXIBLE ENCASING FOR BODY MONITORING SYSTEMS IN FABRICS

Bloomer Health Tech., Inc...

1. A wearable monitoring device comprising:a printed circuit board having a first side and a second side opposite the first side, wherein said printed circuit board is configured to couple to at least one sensor configured to monitor a physiological condition;
a first padding layer coupled to said printed circuit board proximate the first side, said first padding layer being selected from a group consisting of foam, silicon, gelatinous material and poly laminate foam;
a second padding layer coupled to said printed circuit board proximate the second side, said second padding layer being selected from a group consisting of foam, silicon, gelatinous material and poly laminate foam;
a first protective layer coupled to said first padding layer opposite said printed circuit board;
a second protective layer coupled to said second padding layer opposite said printed circuit board, said first protective layer and said second protective layer seal together and enclose said first padding layer and second padding layer and said printed circuit board; and
a power source coupled to said printed circuit board.

US Pat. No. 10,456,079

DETECTING AND AVOIDING BLOOD VESSELS

ViOptix, Inc., Newark, C...

1. A method comprising:providing a penetration sensor device comprising a tip and a sensor probe, wherein the sensor probe comprises a sensor unit comprising an emitter sensor opening and a detector sensor opening;
from a signal emitter component, transmitting a first light signal through the emitter sensor opening in a direction ahead of the tip into a tissue;
from a signal detector component, receiving a second light signal reflected from the tissue ahead of the tip through the detector sensor opening of the penetration sensor device;
based on information from the first light signal and the second light signal, determining an indication of presence of a blood vessel ahead of the tip of the penetration sensor device; and
identifying the tissue as a blood vessel if the indication for presence of a blood vessel is greater than a threshold, thereby differentiating a blood vessel from a nonvascular tissue inside a patient's body cavity during a surgical procedure.

US Pat. No. 10,456,078

WEARABLE DEVICE AND SYSTEM FOR PREVENTATIVE HEALTH CARE FOR REPETITIVE STRAIN INJURIES

Chandrasekaran Jayaraman,...

1. A wheelchair user strain injury alert system, said system including:a wearable device, wherein said device is worn on the hand of a wheelchair user, wherein said wearable device includes:
one or more force sensing resistors positioned proximal to the palm of the user's hand when said wearable device is worn, wherein said one or more force sensing resistors determine grip force data representing the force of said user gripping said wheelchair; and
a user feedback system including an alert display; and
a user motion dynamics analysis system, wherein said user motion dynamics analysis system includes a memory storing a user-specific grip force risk table,
wherein said user motion dynamics analysis system receives said grip force data and compares said grip force data to said grip force risk table to determine a grip force risk score,
wherein said user motion dynamics analysis system compares said grip force risk score to a predetermined overall average risk score table and generates alert data when said overall average risk score exceeds a predetermined threshold,
wherein said user feedback system receives said alert data and displays an alert using said alert display in response to the receipt of said alert data.

US Pat. No. 10,456,077

ATHLETIC TRAINING OPTIMIZATION

1. A system comprising:one or more processors;
a user interface;
a heart rate monitor;
an interface configured to receive the heart rate data from the heart rate monitor;
a global positioning system configured to monitor a user navigation data comprising user location data and a user pace data; and
one or more computer readable storage media storing one or more application programs comprising instructions executable by the one or more processors, the one or more application programs configured to:
monitor a user heart rate during a time period of an athletic activity with the heart rate monitor;
monitor a user pace during the time period with the global positioning system;
determine an average user heart rate over the time period and an average user pace over the time period; and
identify a current user fitness level utilizing the average user heart rate over the time period in conjunction with the average user pace over the time period comprising:
identifying a performed workout type corresponding to an intensity level determined from the average user heart rate and a maximum user heart rate; and
identifying a current user fitness level training intensity for the performed workout type utilizing the average user pace.

US Pat. No. 10,456,076

METHOD FOR MEASURING MOVEMENT OF CERVICAL VERTEBRA, DEVICE THEREOF AND WEARABLE APPARATUS

BOE Technology Group Co.,...

1. A device for measuring a movement of a cervical vertebra, comprising:a sensor configured to sense a corresponding plurality of movement angles of the cervical vertebra for a plurality of movements of the cervical vertebra during a predetermined measurement period, wherein each of the plurality of movements of the cervical vertebra comprises a first motion process and a second motion process which have inverse directions and whose starting instantaneous velocities and stopping instantaneous velocities are both zero;
a microcontroller unit comprising:
an obtaining unit configured to obtain the plurality of movement angles of the cervical vertebra sensed by the sensor, wherein each of the plurality of movement angles of the cervical vertebra is an angle whose absolute value is greater between a first angle which is a maximum angle made by the cervical vertebra during the first motion process and a second angle which is a maximum angle made by the cervical vertebra during the second motion process during a corresponding one of the plurality of movements of the cervical vertebra, and
a processing unit configured to calculate a movement total amount of the cervical vertebra during the predetermined measurement period based on the plurality of movement angles of the cervical vertebra,
wherein, the processing unit acquires a plurality of movement arc lengths, each being corresponding to one of the plurality of movements of the cervical vertebra and determined based on a corresponding one of the plurality of movement angles of the cervical vertebra corresponding to the one of the plurality of movements of the cervical vertebra, and accumulates a sum of the plurality of movement arc lengths for the plurality of movements of the cervical vertebra acquired during the predetermined measurement period as the movement total amount of the cervical vertebra; and
a notifying unit configured to provide an alarm to a user by sounds or vibrations for prompting that the user needs to move the cervical vertebra when the movement total amount of the cervical vertebra during the predetermined measurement period is less than a predetermined threshold value of the movement amount,
wherein, if a movement angle among the plurality of movement angles of the cervical vertebra is greater than or equal to a valid movement threshold value, the processing unit records the corresponding one of the plurality of movements of the cervical vertebra as a valid movement of the cervical vertebra, and counts the valid movements of the cervical vertebra during the measurement period as a valid movement number of the cervical vertebra.

US Pat. No. 10,456,075

METHOD FOR CALIBRATING APPARATUS FOR MONITORING REHABILITATION FROM JOINT SURGERY

Claris Healthcare Inc., ...

1. A method for calibrating a bend sensor measuring the flexion of a patient's knee, comprising the steps of:a. providing a portable computer having an accelerometer capable of measuring the orientation of the computer with respect to a gravitational vector;
b. attaching a bend sensor between the patient's thigh and shank;
c. orienting a selected first face or edge of the computer on the patient's thigh and with the computer recording a first angular orientation of the computer with respect to the gravitational vector;
d. with the bend sensor, recording a first estimated flexion angle between the patient's thigh and the patient's shank at the same time as the first angular orientation is recorded;
e. orienting the selected first face or edge of the computer on the patient's shank and with the computer recording a second angular orientation of the computer with respect to the gravitational vector; and
f. calculating the difference between the first and second angular orientations to determine the actual angle of flexion of the patient's knee to thereby calibrate the bend sensor.

US Pat. No. 10,456,074

METHOD AND DEVICE FOR CONTRACTION MONITORING

Bloom Technologies NV, G...

1. A contraction monitoring system comprising:an electrode patch comprising at least two electrodes, including a first measurement electrode and a reference electrode, wherein the electrode patch is positionable on an abdomen of a pregnant woman; and
a sensor module configured to be connected to the electrode patch, wherein the sensor module is configured to perform a method comprising:
measuring a biopotential signal with the at least two electrodes,
acquiring inertial sensing data with an inertial sensing module,
automatically identifying the inertial sensing data that comprises one or more motion artifact signals resulting from the overall movement of the pregnant woman, movements of the abdomen induced by fetal movement, and local movement of the sensor module,
inputting the inertial sensing data and out of band energy for the biopotential signal into an artifact filter, wherein the input comprises adapting a threshold over time dependent on the out of band energy,
dynamically adjusting the threshold by calculating a moving baseline energy such that the moving baseline energy adapts with time to follow changes in the inertial sensing data or the out of band energy signal, and dynamically changing the threshold based on the moving baseline energy,
dynamically adjusting the artifact filter by calculating a sensor motion energy from the inertial sensing data, establishing a set minimum level for the sensor motion energy, and lowering the threshold in proportion to the amount by which the sensor motion energy exceeds the minimum level,
filtering or excluding, with the artifact filter, the one or more motion artifact signals from the biopotential signal,
processing the filtered biopotential signal, with a signal processing module, to extract one or more electrohysterogram signals, and
processing the one or more electrohysterogram signals, with the signal processing module, to extract one or more uterine contraction signals.

US Pat. No. 10,456,073

SYSTEM, METHOD AND APPARATUS FOR RAPID BRIEF FEEDBACK INTRACEREBRAL STIMULATION BASED ON REAL-TIME DESYNCHRONIZATION

THE GOVERNING COUNCIL OF ...

1. A method of monitoring, detecting and stimulating a human patient with epilepsy, said method comprising:monitoring said patient for a seizure onset by intracranial EEG (icEEG) microelectrodes coupled to two hippocampi of the patient to obtain icEEG recordings in real time;
detecting said seizure onset using phase synchronization analysis, the phase synchronization analysis identifying phase desynchronization at theta wave in between the two hippocampi from said icEEG recordings at seizure onset; and
stimulating one of the two hippocampi of the patient upon detection of a seizure onset by said icEEG recordings of said two hippocampi to restore theta wave synchronization in between the two hippocampi.

US Pat. No. 10,456,072

IMAGE INTERPRETATION SUPPORT APPARATUS AND METHOD

FUJIFILM Corporation, To...

1. An image interpretation support apparatus comprising:a candidate lesion portion extracting unit that analyzes an image to be interpreted and extracts a candidate lesion portion from the image to be interpreted;
a display unit that is capable of displaying the image to be interpreted and support information indicating the candidate lesion portion;
a line-of-sight detecting unit that detects a line of sight of a person who reads the image;
a gaze determining unit that determines, in accordance with a detection result obtained by the line-of-sight detecting unit, whether the candidate lesion portion in the image to be interpreted that is displayed on the display unit has been gazed at by the person who reads the image;
a completion detecting unit that detects completion of image interpretation, by the person who reads the image, of the image to be interpreted that is displayed on the display unit;
a display control unit that, in a case where the completion detecting unit detects the completion of image interpretation and the gaze determining unit determines that the candidate lesion portion has not been gazed at, switches from a first display state in which the image to be interpreted is displayed on the display unit and the support information is not displayed to a second display state in which at least the support information is displayed on the display unit;
a fatigue deducing unit that deduces whether the person who reads the image needs recovery from fatigue caused by the image interpretation; and
a warning unit that outputs a warning in a case where the fatigue deducing unit deduces that the recovery from fatigue is needed,
wherein the fatigue deducing unit deduces whether the recovery from fatigue is needed by using number of switching operations from the first display state to the second display state, performed by the display control unit.

US Pat. No. 10,456,071

SYSTEM AND METHOD FOR ESTIMATING COGNITIVE TRAITS

Tata Consultancy Services...

1. A method for estimating or improvising perceptual-cognitive traits of a subject, the method being implemented by at least one processor and comprising:retrieving and pre-processing data and associated metadata indicative of brainwave activity of the subject to obtain effect of a plurality of elementary cognitive tasks, wherein the data comprises electroencephalogram (EEG) signals, and wherein processed EEG signals are analyzed by:
partitioning the processed EEG signals into plurality of baseline and trial epochs;
analyzing the baseline and trial epochs in a time frequency domain using an S-transform, and
computing mean frequencies of the baseline and trial epochs to derive peak and average power shifts and corresponding frequency shifts thereof, and
concatenating the peak powers and peak frequency shifts or average powers and average frequency shifts or a combination thereof to determine characterizing feature vectors between the baseline and trial epochs obtained from different frequency bands;
identifying cognitive categories within a cognitive domain of a cognitive learning model;
mapping a plurality of elementary cognitive tasks to be performed by the subject with identified cognitive categories;
performing cluster analysis on each of the mapped elementary cognitive tasks and determining separation index values using the cluster analysis in relation to the identified cognitive categories; and
generating metrics from the separation index values for estimation or improvisation of perceptual-cognitive traits of the subject.

US Pat. No. 10,456,070

APPARATUS FOR OBTAINING AND ANALYZING A BLOOD SAMPLE WITH A LANCET COUPLING MECHANISM

Roche Diabetes Care, Inc....

1. A lancet coupling mechanism for an apparatus for obtaining and analyzing a blood sample, comprising:a lancet having an eye;
at least one chamber, which extends in a direction of a piercing axis, wherein the chamber contains the lancet;
a drive rod, which penetrates into the chamber for coupling onto the lancet, in order to execute a controlled forward and reverse movement of the lancet along the piercing axis, wherein the drive rod has at least one hook;
at least one bending axis of the lancet that extends transverse to the piercing axis; wherein the lancet is elastically bendable from a relaxed state to a bent state around the bending axis;
wherein at least in a rear area of the chamber comprises a shaft that has at least one curvature that curves around the bending axis;
wherein the shaft guides the controlled forward and reverse movement of the lancet; wherein the curvature at the rear area of the chamber is configured to bend the lancet from the relaxed state to the bent state; and
wherein the drive rod is configured to push the lancet out of the curvature at the rear area of the chamber to hook the hook of the drive rod into the eye of the lancet.

US Pat. No. 10,456,069

LANCING DEVICE WITH SIDE ACTIVATED CHARGE AND EJECT MECHANISMS

FACET TECHNOLOGIES, LLC, ...

1. A lancing device comprising:a housing comprising a longitudinal axis extending between a proximal end and a distal end;
a lancet carrier translationally mounted for axial movement within the housing;
a drive mechanism secured to the lancet carrier to drive the lancet carrier through a lancing stroke; and
a charging mechanism comprising:
an actuator pivotally mounted to the housing; and
an elongated arm within the housing comprising a free end and a pivot end pivotally mounted to the housing,
wherein the charging mechanism can be engaged with respect to the drive mechanism to charge the drive mechanism during pivotal movement;
wherein the actuator is configured to engage the elongated arm upon actuation;
wherein the elongated arm pivots about the pivot end in response to actuation of the actuator to retract the lancet carrier and charge the drive mechanism; and
a linkage pivotally connected to and driven by the elongated arm toward the housing distal end, the linkage being configured to engage a lancet carried within the lancet carrier and eject the lancet from the lancet carrier.

US Pat. No. 10,456,068

DEVICE FOR OBTAINING SMALL, PRECISE VOLUMES OF FLUID FROM ANIMALS

Med-Ag Industries, Inc., ...

1. A device for obtaining a small volume fluid sample from an animal, the device comprisinga handle for one-handed operation by a user; and
a fluid extraction device disposed at a first end of the handle, the fluid extraction device comprising
a fluid extraction component disposed at an end termination of the fluid extraction device; and
a fluid collection component removably attached to the fluid extraction component, the fluid collection component comprising a pipette disposed in fluid communication with the fluid extraction component for receiving the small volume fluid sample through capillary action.

US Pat. No. 10,456,067

BLOOD COLLECTION ASSEMBLY

Becton, Dickinson and Com...

1. A blood collection assembly, comprising:a holder housing defining a receiving chamber and including a rearward end adapted to receive a sample collection tube within the chamber, a forward end including a receiving port having an interior surface, and a receiving structure formed within the interior surface of the receiving port, the receiving structure comprising a radial receiving portion comprising an annular groove extending perimetrically within the interior surface of the receiving port and dividing the interior surface into a first portion and a second portion and a longitudinal receiving portion; and
a hub comprising a hub outer surface extending between a distal end and a proximal end, the hub further comprising an internal opening extending therethrough and a puncturing element at the proximal end thereof;
wherein the hub outer surface comprises a radial locking component and an anti-rotation member, the radial locking component comprising an annular protrusion extending perimetrically about the hub outer surface and dividing the outer surface of the hub into a first portion and a second portion and the anti-rotation member protruding from and extending longitudinally along the hub outer surface perpendicular to the radial locking component,
wherein a first portion of the anti-rotation member extends from the first portion of the outer surface of the hub on one side of the annular protrusion in a longitudinal direction towards the distal end of the hub and a second portion of the anti-rotation member extends from the second portion of the outer surface of the hub on an opposite side of the annular protrusion in a longitudinal direction towards the proximal end of the hub, the annular protrusion intersecting the anti-rotation member,
wherein upon receipt of the anti-rotation member within the receiving port, the anti-rotation member and the longitudinal receiving portion are adapted to align the hub and the holder housing in a predetermined position with respect to one another and are adapted to prevent rotational movement of the hub within the receiving port;
wherein, with the hub received within the receiving port of the holder housing, the radial locking component lockably engages the radial receiving portion and the anti-rotation member engages the longitudinal receiving portion thereby providing a snap-fit engagement for axially locking the hub to the holder housing with the puncturing element of the hub extending through the receiving port and into the chamber of the holder housing, and
wherein the first portion of the interior surface of the receiving port contacts the first portion of the outer surface of the hub and the second portion of the interior surface of the receiving port contacts the second portion of the outer surface of the hub.

US Pat. No. 10,456,066

WIRELESS, HANDHELD TISSUE OXIMETRY DEVICE

ViOptix, Inc., Newark, C...

1. A method comprising:enclosing in a housing a first printed circuit board comprising a processor and a memory, wherein the memory is coupled to the processor;
providing a display, coupled to the processor and the housing, wherein the display is visible from an exterior side of the housing, wherein a shape of the housing comprises:
a back surface of the housing which during use, rests between a thumb and forefinger of the hand,
a probe tip comprising a relatively planar surface comprising sensor openings, wherein the relatively planar surface is angled at a non-zero angle relative to the back surface,
a top surface of the housing comprising the display, wherein the top surface is angled at a non-zero angle relative to the back surface, and
a tubular hand grip region, comprising the back surface, coupled between the top surface and the probe tip;
forming a structure of the housing to retain the probe tip, wherein the probe tip is coupled to an exterior side of the enclosure, and the probe tip comprises at least a first sensor opening, a second sensor opening, a third sensor opening, and a fourth sensor opening,
wherein a first distance is between the first and second sensor openings, and a second distance is between the first and third sensor openings, a third distance is between the first sensor opening and the fourth sensor opening, and the first distance is different from the second distance, and the third distance is greater than the first distance and the second distance;
providing a first light source for the first sensor opening, wherein the first sensor opening is coupled via an optical fiber to the first light source;
providing light detectors for the second and the third sensor openings, wherein the second and the third sensor openings are coupled via channels to the light detectors, and the optical fiber has a length that is longer than each of the channels;
providing a second light source for the fourth sensor opening, wherein the first sensor opening is coupled via an optical fiber to the second light source;
configuring the probe tip to receive first data associated with the first and the second sensor openings;
configuring the probe tip to receive second data associated with the first and the third sensor openings; and
configuring the processor to perform spatially-resolved spectroscopy using the first and the second data to determine an oxygen saturation value.

US Pat. No. 10,456,065

DEVICE, SYSTEM AND METHOD FOR MONITORING AND COMMUNICATING BIOMETRIC DATA OF A DIVER

InCube Labs LLC, San Jos...

1. A system for measuring and acoustically signaling a blood gas saturation of a diver, the system comprising:a communication device;
a sensor device including a chamber having an opening with a flexible watertight seal configured to receive a finger of the diver, the chamber including a light emitter and a light detector configured to emit and detect light at a wavelength range having an absorbance corresponding to a blood gas saturation level of the diver, wherein the chamber further includes a compressible sealing liner to cause flush contact between the finger of the diver and the light emitter and the light detector;
a processor coupled to the sensor device and the communication device and configured to (i) determine the blood gas saturation level based on an output from the sensor device, (ii) generate an acoustic signal based on the determined blood gas saturation level, and (iii) transmit, using the communication device, the acoustic signal to an acoustical receiving device at or near a water surface; and
a power source for powering the processor, the sensor device, and the communication device.

US Pat. No. 10,456,064

SUBCUTANEOUS SENSOR INSERTER AND METHOD

1. A continuous analyte monitoring inserter apparatus for subcutaneous placement of a sensor into skin of a patient that minimizes pain to a patient, the apparatus comprising:a single action inserter assembly having a housing body with a first body end and a second body end, a deployment button partially disposed and slidable within the housing body through the first body end, the deployment button being movable between a first position and a second position, and a sensor housing partially disposed within and removably retained in the second body end;
a needle having a cross-sectional shape that minimizes a peak force of insertion into the skin of the patient, the needle having an insertion angle that further minimizes the peak force of insertion into the skin of the patient, wherein the needle is movably disposed within the single action inserter assembly, the implantable sensor having sidewalls which frictionally engage an inside surface portion of the needle;
a deployment mechanism that contains a sensor deployment assembly and the needle wherein the deployment mechanism is contained within the deployment button; and
an implantable sensor partially disposed within the needle and the sensor deployment assembly, wherein the implantable sensor comprises a loop configured to secure the implantable sensor in the sensor deployment assembly;
wherein the inserter assembly is adapted to substantially simultaneously implant the sensor subcutaneously into the patient, retract the needle, fix the sensor and the sensor deployment assembly within the sensor housing and release the inserter assembly from the sensor housing with a single activation of the deployment button caused by moving the deployment button from the first position to the second position while minimizing pain to the patient.