US Pat. No. 10,687,931

BLOOD CLOT FILTER WITH LOCAL THROMBOLYTIC DRUG DELIVERY

HeartWare, Inc., Miami L...

1. A thrombus capture and lysis device, comprising:a filter sized to be implanted within a blood vessel, the filter including a first upstream portion and a second downstream portion, both portions being configured to be in contact with a wall of the blood vessel at an oblique angle when the filter is implanted within the blood vessel, the filter further including a plurality of hollow elements defining a mesh sized to span an area of the blood vessel and an anchoring element, the anchoring element being entirely defined by the plurality of hollow elements, each of the plurality of hollow elements defining a plurality of pores, the plurality of pores being sized to allow passage of a thrombolytic drug out through the plurality of pores and to prevent a thrombus forming component from entering the plurality of pores, the filter further defining a planar first surface configured to face an upstream direction of the blood vessel and an opposite second surface, the plurality of pores being entirely disposed on the planar first surface.

US Pat. No. 10,687,930

VASCULAR FILTER DEVICE

Novate Medical Limited, ...

1. A vascular filter device comprising:a support for engaging a wall of a blood vessel, wherein the support comprises a proximal support hoop and a distal support hoop;
exactly one filter supported on the support and comprising one or more Y-shaped filter elements each having at least two proximal segments connected to the proximal support hoop and at least one distal segment at least temporarily restrained at an apex when the one or more Y-shaped filter elements are across at least part of a cross-section of a vessel when in a filtering closed position,
wherein the exactly one filter is disposed between the proximal support hoop and the distal support hoop,
wherein at least one filter element extends radially outwardly with respect to a device longitudinal axis when unconstrained, and
wherein when unconstrained, the at least one distal segment extends radially outwardly at an angle to the at least two proximal segments, and the at least two proximal segments each have a length of less than 10 mm.

US Pat. No. 10,687,929

SURGICAL INSTRUMENT FOR DEPLOYING A PROSTHESIS

1. A surgical instrument for deploying a prosthesis intended to repair a hernial defect comprising:at least one sheet made of a flexible resilient material, said sheet continuously overlapping itself one or more times so as to define a plurality of levels forming a spiral, wherein a central hole passes through said plurality of levels and said spiral is configured to adopt an idle configuration in which the spiral is flat and the plurality of levels are in contact with each other.

US Pat. No. 10,687,928

APPARATUS FOR VAGINAL PENETRATION OF ANIMALS COMPRISING A VIEWING SYSTEM, IN PARTICULAR FOR LOCATING THE CERVIX OF THE UTERUS

IMV TECHNOLOGIES, Saint ...

1. A work assembly comprising:an apparatus for aiding in vaginal penetration comprising: a handling shaft, a guide tube extending the shaft to form a compact assembly, and a video viewing tube, comprising lighting at a front end of the video viewing tube; the video viewing tube being received in the guide tube; the shaft comprising a video system rear cell having an image transmitter for transmitting to a remote screen images coming from the video viewing tube; and
a work tool received in said apparatus, said work tool being an insemination gun configured for penetrating a vagina to reach a cervix of a uterus of an animal, said work tool passing through the shaft, in relation to which the work tool is slidable, the work tool comprises a front tip, and is movable between a position in which the front tip is received in the guide tube and a position in which the front tip projects forward from the guide tube.

US Pat. No. 10,687,927

METHOD AND DEVICE TO AUTOMATICALLY DETECT CALVING

LELY PATENT N.V., Maassl...

1. A method to automatically predict a calving moment of a pregnant cow, comprising: recording, by a three-dimensional camera system, at least one three- dimensional image of the cow; and processing, by processing circuitry, the at least one image of the cow, wherein processing of the image comprises: determining at least one a first parameter and a second parameter indicative of the calving moment, and predicting on the basis of the first parameter and the second parameter a calving moment of the cow, wherein the first parameter is an orientation parameter representative of an orientation of the cow, wherein a second parameter is a body contraction parameter representative of body contraction of the cow, and wherein the predicting of the calving moment of the cow is performed based on a weighed combination of the first and second parameter, wherein the weighted combination applies a weight that is more than 0 and less than 1.

US Pat. No. 10,687,926

PHOTOTHERAPY DEVICES AND METHODS

KLOX TECHNOLOGIES INC., ...

1. A method for phototherapy, comprising:attaching to a light source a probe member, the probe member having a flexible fiber optic tip member with a polymer or glass core and a photoactivating agent for transmitting light, wherein the photoactivating agent is: i) within the polymer or glass core; or ii) on a surface of the polymer or glass core, and an elastic tubular connector sleeve, for mechanically coupling the flexible tip member to a light source;
introducing the flexible tip member in a the treatment region; and
activating the photoactivating agent by applying light through the flexible fiber optic tip member.

US Pat. No. 10,687,925

BRUSH HEAD AND ELECTRIC TOOTHBRUSH

BRAUN GMBH, Kronberg (DE...

1. A replaceable brush head for an electric toothbrush, comprising:a housing attachable to and detachable from a handle of the electric toothbrush;
a carrier having a mounting side having a shape selected from a circular, oval, or elliptical shape, wherein the carrier is mounted at the housing for driven oscillatory rotational motion around a rotation axis that extends through a center point on the mounting side of the carrier;
a plurality of tufts comprising filaments mounted on the mounting side of the carrier;
wherein each of the tufts has a tufting area of at least about 2.4 mm2, and the filaments in each of the tufts have a cross-sectional area perpendicular to their length extension direction that corresponds to a circular cross-sectional area having a diameter of between 0.102 mm and 0.127 mm;
wherein the brush head comprises only the tufts of the defined tufting area and diameter.

US Pat. No. 10,687,924

COUPLING DEVICE FOR CONNECTING A WATER POWERED APPARATUS TO A FAUCET

INIZIATIVA CENTRO SUD S.R...

1. A coupling device for connecting a water powered apparatus to a faucet having a mouth to which a cylindrical aerator housing having a stepped portion is mounted, the coupling device comprising:an aerator, which is located inside the cylindrical aerator housing, the aerator including
i) an upper cylindrical portion,
ii) a lower cylindrical portion,
iii) arms that join the upper cylindrical portion to the lower cylindrical portion, the arms converging in a water flow direction, and
iv) ventilation openings located between the arms, the ventilation openings for aerating flowing water;
an aerator holder fitting mounted inside the cylindrical aerator housing resting on the stepped portion of the cylindrical aerator housing;
engagement means integral with the aerator holder fitting; and
an attachment for water powered apparatus,
said attachment for water powered apparatus including connecting means for coupling with the engagement means of the aerator holder fitting,
wherein a top of said aerator is provided with a flange which is sustained by the aerator holder fitting supported by the stepped portion of said cylindrical aerator housing,
wherein said aerator holder fitting includes the engagement means that couples to said connecting means of the attachment for water powered apparatus, and
wherein said engagement means of the aerator holder fitting are a plurality of inwards projecting radial pins, and said connecting means of the attachment for water powered apparatus are in the form of L-shaped grooves.

US Pat. No. 10,687,923

INTERDENTAL CLEANER AND METHOD FOR MANUFACTURING SAME

SUNSTAR SUISSE S.A., Eto...

1. An interdental cleaning comprising:a carrier rod formed of plastic, the carrier rod having opposing proximal and distal ends and a longitudinal axis which extends through the carrier rod and between the proximal and distal ends thereof;
a cleaning device disposed over a distal portion of the carrier rod, the cleaning device including a cover and at least one net fabric part;
the cover is formed from a soft, elastic plastic and covers an exterior surface of the distal portion which includes the distal end of the carrier rod and an outer surface of the cover includes a plurality of projecting elements;
the at least one net fabric part extends along a longitudinal length of the cover and has mutually intersecting thread systems comprising warp threads and weft threads, wherein the warp threads and the weft threads extend at an angle in the range of 20 to 70 degrees with respect to the longitudinal axis and the at least one net fabric part is embedded in the carrier and the cover part such that the at least one net fabric part passes radially through the carrier and the cover and projects from the carrier and the cover on opposite lateral sides thereof; and
wherein, during use, the carrier rod and cleaning element are inserted into an interdental space and moved to and fro to clean or remove particles therefrom.

US Pat. No. 10,687,922

CASTING JIG FOR CHAIR-SIDE MANUFACTURE OF CUSTOMIZABLE SCULPTABLE ANATOMICAL HEALING CAPS

ESTHETIC IMPLANT SOLUTION...

1. A casting jig for manufacture of customizable sculptable anatomical healing caps, the casting jig comprising:a body including one or more wells within the body, each well being open at a proximal end thereof and having a negative shape corresponding to an anatomical healing cuff body of a given tooth position, each respective anatomical healing cuff body negative shape having a cross-section and a surface so that an anatomical healing cuff body having said shape provides substantially custom filling of at least an emergence portion of a void where a natural tooth once emerged from the void or where a tooth would have emerged from a void; and
a socket at a distal end of each well configured to releasably receive therein a dental implant or dental implant analog wherein an upper portion of the well defines lateral buccal and lingual handle extensions so that a manufactured anatomical healing cap includes a laterally extending buccal handle extension and an oppositely disposed laterally extending lingual handle extension, the buccal and lingual handle extensions being integrally formed with the healing cuff body.

US Pat. No. 10,687,921

CONNECTION OF A PROSTHESIS STRUCTURE WITH AN IMPLANT STRUCTURE

VALOC AG, Mohlin (CH)

1. A set comprising:a connection device for connecting a prosthesis structure with an implant structure or a capped tooth; and
a mounting tool for mounting and demounting a retention insert of said connection device to and from a holding shell of the connection device,
said connection device comprising
said holding shell and said retention insert, said holding shell and said retention insert each having a central axis,
wherein said retention insert has an end side extending substantially perpendicular to said central axis and a substantially ring-shaped retention rim projecting from a periphery of the end side of the retention insert to an open end of said retention insert, and said holding shell has an end side extending substantially perpendicular to said central axis and a substantially ring-shaped holding rim projecting from a periphery of the end side of the holding shell to an open end of said holding shell,
wherein said holding rim and said end side of said holding shell form a retainer in which said retention insert can be arranged such that an outer surface of said retention rim of said retention insert is adjacent to an inner surface of said holding rim of said holding shell, and
wherein a space is formed between at least a portion of said outer surface of said retention rim of said retention insert and at least a portion of said inner surface of said holding rim of said holding shell when said retention insert is arranged in the retainer of said holding shell and when no radial forces are acting on said holding rim of said holding shell and on said retention rim of said retention insert pressing the holding rim towards the retention rim and/or the retention rim towards the holding rim, and
said mounting tool comprising
a sleeve-shaped demounting head shaped to be arrangeable within at least a portion of said space that is formed between said outer surface of said retention rim located adjacent said open end of said retention insert, and said inner surface of said holding rim located adjacent said open end of said holding shell, when said retention insert is arranged in said retainer of said holding shell,
such that said retention rim of said retention insert is moved in towards its central axis when said demounting head of said mounting tool is arranged within said space between said outer surface of said retention rim of said retention insert and said inner surface of said holding rim of said holding shell allowing said retention insert to be released from said holding shell.

US Pat. No. 10,687,920

DENTAL ATTACHMENT ASSEMBLY CAP AND METHOD OF USE

ZEST IP HOLDINGS LLC, Ca...

1. A dental attachment assembly, comprising:a retention member adapted to engage a lateral, outer locating surface of an abutment member attached to a tooth root, implant, or adjacent tooth and having a central longitudinal axis; and
a cap comprising
a generally cup shaped member having a central longitudinal axis, a top wall and an annular side wall extending away from the top wall, the top wall and side wall having an outer surface that engages a dental appliance and a rounded, concave inner surface defining a cavity that swivelly engages the retention member, wherein the retention member is adapted to be engaged with the outer locating surface of the abutment member attached to a tooth root, implant, or adjacent tooth and having the central longitudinal axis;
the top wall having an interior top surface with a central portion which protrudes axially into the cavity and a concave recess extending radially in an annular path along an outer annular peripheral portion of the interior top surface between the protruding central portion and annular side wall, the concave recess having a first radius of curvature and having an inner periphery forming part of the protruding central portion and an outer periphery forming a first part of the inner surface of the side wall; and
the concave recess and a second part of the inner surface of the side wall extending from the first part towards an open end of the rounded, concave inner surface of the cavity together forming a curve;
wherein the curve is configured to provide swivel engagement with the retention member between a non-swiveled position in axial alignment with the central longitudinal axis of the retention member and a fully-swiveled position in which the central longitudinal axis of the cavity is at an angle to the central longitudinal axis of the retention member.

US Pat. No. 10,687,919

POROUS IMPLANT DEVICE WITH IMPROVED CORE

Zimmer Dental, Inc., Car...

1. A method of implanting a dental implant comprising:forming a hole in a bone of a patient's mouth;
providing or obtaining the dental implant having an apical anchor, a coronal head portion, a porous portion and a core, wherein the coronal head portion includes a thread and circumferential grooves positioned relatively more coronal of the thread, wherein the porous portion defines a bore that receives a coronal portion of the core, and wherein the apical anchor defines a bore that receives a distal portion of the core, wherein the core is rotationally-locked relative to the porous portion by a mating shape of the core and the bore of the porous portion comprising a polygonal cross-section of the core and a corresponding polygonal cross-section of a wall of the porous portion that defines the bore of the porous portion, and wherein the apical anchor has an exterior surface with a thread;
threading the apical anchor of the dental implant into the hole so that the apical anchor fixably engages the bone and secures the dental implant in the hole; and
inserting the porous portion of the implant into the hole so as to engage the bone, wherein the porous portion comprises a highly porous biomaterial configured to facilitate ingrowth of the bone to further fixedly engage the dental implant with the bone.

US Pat. No. 10,687,918

METHOD OF PREPARING AN ORTHODONTIC BRACKET

3M Innovative Properties ...

1. A method of preparing an orthodontic bracket having a bracket bonding pad and a bracket body with a bracket slot, comprising the steps of:providing a precursor of an orthodontic bracket into a machine for modifying the shape of the orthodontic bracket precursor, wherein the orthodontic bracket precursor has an alignment structure of a pre-determined geometry and a pre-finished bracket slot, wherein the alignment structure and the pre-finished bracket slot are spatially arranged relative to each other at a pre-determined distance and orientation, and wherein the pre-finished bracket slot is undersized relative to the bracket slot;
aligning the orthodontic bracket precursor based on the alignment structure;
embedding the orthodontic bracket precursor at least partially in a liquid;
causing the liquid to solidify and thereby retaining the orthodontic bracket precursor in position; and
changing the shape of the orthodontic bracket precursor retained in the solidified liquid.

US Pat. No. 10,687,917

USING IMMERSIVE PHOTOGRAPHS TO GUIDE PLACEMENT OF ORTHODONTIC BRACKETS, AND APPLICATIONS THEREOF

Dental SmartMirror, Inc.,...

1. A computer-implemented method for positioning orthodontic brackets, comprising:(a) receiving, by at least one processor, an input indicating a location selected on an image by a health care professional to indicate a position to place an orthodontic bracket on a patient's tooth, wherein the image is rendered with respect to a viewport mapped onto an immersive photographic model of a patient's mouth;
(b) extending, by the at least one processor, a ray from a focal point of the viewport at a direction determined based on the input; and
(c) determining, by the at least one processor, an intersection of the ray in a three-dimensional space, the intersection indicating the position to place the orthodontic bracket with respect to the immersive photographic model, such that the determining step enables placement of the orthodontic bracket at the position on the patient's tooth; and
(d) placing the orthodontic bracket on the patient's tooth at the indicated position.

US Pat. No. 10,687,916

SYSTEMS AND METHODS FOR INTRAORAL DEVICE QUALITY CONTROL

SmileDirectClub LLC, Nas...

11. A system for analyzing a quality of a dental aligner, the system comprising:a processor and memory coupled to the processor and storing instructions that, when executed by the processor, cause the processor to:
receive, a digital dental aligner generated based on a fabricated dental aligner;
analyze the digital dental aligner to identify a quality characteristic of the fabricated dental aligner;
determine that the quality characteristic is anomalous; and
flag the fabricated dental aligner based on determining that the quality characteristic is anomalous, wherein flagging the fabricated dental aligner indicates that the fabricated dental aligner is rejected.

US Pat. No. 10,687,915

RAPIDLY REPOSITIONABLE POWERED SUPPORT ARM

Soni Track Systems, Inc.,...

1. A lockable support assembly comprising:a base arm extending along a first longitudinal axis between a lower end and an upper end;
a distal arm having a proximal end and a distal end;
a central joint directly or indirectly linking the upper end of the base arm to the proximal end of the distal arm;
a lower joint at the lower end of the base arm;
an upper joint at the distal end of the distal arm; and
a locking mechanism disposed within the base arm at a location between the lower joint and the central joint, the locking mechanism configured to simultaneously deliver locking forces to the lower joint, to the central joint, and to the upper joint, wherein the locking mechanism comprises a bilateral force generator which transmits a locking force in one axial direction to the lower joint and in an opposite axial direction to the central joint and the upper joint, and wherein the bilateral force generator comprises a lead screw driven by a motor and a follower which travels over the screw.

US Pat. No. 10,687,914

SYSTEM AND METHOD FOR ENHANCED DATA ANALYSIS WITH SPECIALIZED VIDEO ENABLED SOFTWARE TOOLS FOR MEDICAL ENVIRONMENTS

1. A system for medical software tools, comprising:an image stream interface module configured to receive an image stream from a surgical camera wherein said image stream interface module includes a CPU and a GPU for processing said image stream;
a user interface overlay module configured to provide a user interface overlay adapted for presentation over the image stream by use of a video router providing a video stream to overlay an original video image;
an optical sensor located corresponding with said surgical camera for registering changes in spectral characteristics reflected from a tissue surface under inspection wherein said optical sensor provides a signal indicative of light energy detected;
a medical software tools module configured to provide a medical software tool through the user interface, the medical software tool being configured to perform an operation with respect to the image stream and provide an output adapted to be presented over the image stream, responsive to said light energy detected by said optical sensor;
a medical image processing system for processing patient medical data and corresponding said patient medical data with said momentary changes in spectral characteristics for generating optical signature data indicative of various patient conditions, wherein the medical software tool measures: a. changes in color intensity and b. rates at which said color intensities change in response to: heartbeat pushed blood, breathing pushed oxygen or light intensity or modulation from a light source;
image markers used to delineate tissue areas of interest;
annotation data input by said user indicative of quality of observed patient tissue;
digital zoom feature activated by location markers used to indicate an area wherein said image stream is processed digitally for presentation of a zoomed in image for presentation to said user; and
timers set by a user to facilitate the pace at which a medical procedure is performed.

US Pat. No. 10,687,913

IMAGE PROCESSING DEVICE, IMAGE PROCESSING METHOD, AND COMPUTER-READABLE RECORDING MEDIUM FOR DETECTING ABNORMALITY FROM INTRALUMINAL IMAGE USING INTEGRATED FEATURE DATA

OLYMPUS CORPORATION, Tok...

1. An image processing device comprising:a processor comprising hardware, wherein the processor is configured to:
detect, from an intraluminal image obtained by imaging a lumen of a living body, an abnormality candidate region in which a tissue characteristic of the living body or an in-vivo state satisfies a predetermined condition;
calculate, from each of a plurality of regions inside the intraluminal image, a plurality of pieces of feature data including different kinds;
acquire information of the abnormality candidate region;
estimate an abnormality kind in the abnormality candidate region;
set, as a calculation parameter, one of:
number of dimensions for each kind of feature data used to calculate integrated feature data, based on the information of the abnormality candidate region; and
transform number of dimensions for the feature data, based on the information of the abnormality candidate region;
calculate the integrated feature data by integrating the plurality of pieces of feature data based on the calculation parameter; and
detect an abnormality from the intraluminal image by using the integrated feature data.

US Pat. No. 10,687,912

FIBER-BASED MODE MIXING TECHNIQUES FOR SURGICAL LASER ILLUMINATION

Alcon Inc., Fribourg (CH...

1. A method for surgical illumination, the method comprising:projecting first light from a coherent light source into a first optical fiber, the coherent light source used for illumination of a patient during a surgery;
transmitting the first light from the first optical fiber to a fiber mode mixer device, wherein the fiber mode mixer device includes an internal optical fiber receiving the first light and a vibrating fiber mechanism coupled to the internal optical fiber, wherein the first light is homogenized within the internal optical fiber by the vibrating fiber mechanism to generate second light output by the fiber mode mixer device; and
transmitting the second light output from the fiber mode mixer device to a second optical fiber.

US Pat. No. 10,687,911

POSITIONING AND ORIENTATION OF SURGICAL TOOLS DURING PATIENT SPECIFIC PORT PLACEMENT

KONINKLIJKE PHILIPS N.V.,...

1. A positioning apparatus, comprising:a first portion having a first opening for alignment with a port entry point;
a second portion being positionable for alignment with the first opening from a plurality of different positions relative to the first opening; and
an actuation mechanism coupled to the second portion and structurally configured to controllably set the second portion to one of the different positions relative to the first opening to permit a tool axis formed between the first and second portions to be aligned through the first opening such that a tool provided on the tool axis would include a known position and orientation.

US Pat. No. 10,687,910

ORTHOPEDIC SURGERY ASSISTANT SYSTEM AND END EFFECTOR

1. An orthopedic surgery assistant system, comprising:a multi-axis mechanical arm module, comprising at least one multi-axis mechanical arm and configured to provide translation and rotation actions in a plurality of axial directions;
at least one end effector, disposed at a front end of the multi-axis mechanical arm and comprising:
two linear actuating elements, each comprising a drive lever;
two actuating element encoders, respectively connected to the two linear actuating elements and configured to sense a position of the two linear actuating elements, to provide information about the position of the end effector;
a central annular structure, mechanically connected to the two drive levers of the two linear actuating elements and configured to convert two linear motions of the two drive levers into a rotation motion of two degrees of freedom;
a connector, disposed at a front end of the central annular structure and configured to clamp a tool; and
a power/torque sensing element, disposed in the connector and configured to sense interactive forward forces and torque values between an applied end of the tool and an ambient environment;
a guide and positioning module, scanning the applied end to get an image and converting the image from a two-dimensional image into a three-dimensional image to generate a real-time three-dimensional model of the applied end; and
a surgery remote control module, electrically connected to the guide and positioning module, the multi-axis mechanical arm, and the end effector, so that a user pulls the multi-axis mechanical arm and the end effector according to the real-time three-dimensional model, so that the multi-axis mechanical arm performs translation and rotation motions in a plurality of axial directions on the applied end, and the end effector performs a rotation motion of two degrees of freedom on the applied end.

US Pat. No. 10,687,908

SYSTEM AND METHODS FOR POSITIONING A MANIPULATOR ARM BY CLUTCHING WITHIN A NULL-PERPENDICULAR SPACE CONCURRENT WITH NULL-SPACE MOVEMENT

Intuitive Surgical Operat...

1. A robotic system comprising:a manipulator arm comprising a distal portion configured to support an instrument, a proximal portion coupled to a base, and a plurality of joints between the distal portion and the base, the plurality of joints providing sufficient degrees of freedom to allow a range of differing joint states of the plurality of joints for a given state of the distal portion; and
a processor coupled to the manipulator arm, wherein the processor configured with at least a manipulation mode and a first clutch mode, wherein the first clutch mode is an arm-clutch mode, a port-clutch mode, or null-clutch mode, and wherein the processor is configured to perform operations comprising:
in the manipulation mode, driving the plurality of joints to move an end effector of the instrument while pivoting the instrument about a remote center,
in the first clutch mode, operating the plurality of joints in accordance with the first clutch mode,
wherein operating in accordance with the arm-clutch mode comprises: servoing the plurality of joints in a null-perpendicular space of the remote center concurrently with floating the plurality of joints in a null-space of the remote center,
wherein operating in accordance with the port-clutch mode comprises: servoing the plurality of joints in a null-perpendicular space of the end effector concurrently with floating the plurality of joints in a null-space of the end effector, and
wherein operating in accordance with the null-clutch mode comprises: servoing the plurality of joints in a null-perpendicular space of the remote center and a null-perpendicular space of the end effector concurrently with floating the plurality of joints in an intersection of a null-space of the remote center and a null-space of the end effector.

US Pat. No. 10,687,907

METHOD AND SYSTEM FOR ABSOLUTE THREE-DIMENSIONAL MEASUREMENTS USING A TWIST-INSENSITIVE SHAPE SENSOR

INTUITIVE SURGICAL OPERAT...

1. A surgical system comprising:a flexible surgical instrument having a distal portion and a proximal portion;
a reference fixture positioned in a first reference frame;
a shape sensor extending from the distal portion through the proximal portion, to the reference fixture, wherein the shape sensor provides shape information for the flexible surgical instrument relative to the first reference frame; and
a processor configured to perform a registration step to register the first reference frame to a fixed world reference frame, wherein the registration step includes:
receiving a set of the shape information of the shape sensor with a distal point of the flexible surgical instrument located at an at least one patient reference point of a plurality of patient reference points, wherein a first portion of the shape sensor is arranged in a known geometrical shape at a fixed location along a length of the shape sensor, and wherein the known geometrical shape is arranged by mechanically constraining the first portion of the shape sensor in the known geometrical shape;
computing a location of the at least one patient reference point based on the set of the shape information and the known geometrical shape of the first portion of the shape sensor; and
computing a pose of the first reference frame relative to the fixed world reference frame based on the set of the shape information, the known geometrical shape of the first portion, and the location of the at least one patient reference point.

US Pat. No. 10,687,906

SURGICAL INSTRUMENTS, INSTRUMENT DRIVE UNITS, AND SURGICAL ASSEMBLIES THEREOF

Covidien LP, Mansfield, ...

1. A surgical assembly, comprising:a surgical instrument having a proximal end portion and a distal end portion, the surgical instrument including:
a housing disposed at the proximal end portion;
an elongate body extending distally from the housing;
an end effector extending distally from the elongate body; and
a plurality of driven members disposed within the housing, the plurality of driven members being nested with one another, each driven member of the plurality of driven members being coupled to a respective cable that is attached to the end effector; and
an instrument drive unit configured for driving an actuation of the end effector of the surgical instrument and to operatively support the surgical instrument, the instrument drive unit including:
a plurality of actuators nested with one another, wherein each actuator of the plurality of actuators is configured for engagement with one corresponding driven member of the plurality of driven members, and each actuator of the plurality of actuators is disposed distally of a respective driven member of the plurality of driven members; and
a plurality of rotatable driving members, each driving member of the plurality of driving members is rotatably coupled to one actuator of the plurality of actuators such that rotation of each driving member of the plurality of driving members independently axially moves one actuator of the plurality of actuators resulting in an axial movement of the corresponding driven member of the plurality of driven members to actuate the end effector.

US Pat. No. 10,687,905

ROBOTIC SURGICAL SYSTEMS AND METHODS

KB Medical SA, Lausanne ...

1. A robotic surgical system for use in a surgical procedure performed on a patient, the system comprising:a robotic arm comprising an end-effector;
an actuator for controlled movement of the robotic arm and positioning of the end effector, thereby controlling the trajectory and/or insertion depth of a surgical instrument in a guide affixed to the end effector;
a neuromonitoring module for implementing real-time neuromonitoring during a surgical procedure; and
a processor and a memory storing instructions thereon, wherein the instructions, when executed, cause the processor to: receive, by the neuromonitoring module, a trigger based on a neurological response of a portion of a nerve structure of the patient that is measured by a neuromonitoring system; and
move a surgical instrument guided by the robotic surgical system away from upon receipt of the trigger
wherein the surgical instrument guide is integrated with the neuromonitoring module,
wherein the neuromonitoring module is configured to control the robotic system in response to an external signal.

US Pat. No. 10,687,904

ROBOTICS TOOL EXCHANGE

Ethicon LLC, Guaynabo, P...

1. A surgical system, comprising:a trocar holding member configured to mate with a trocar, the trocar holding member having an engagement portion configured to engage and orient a trocar to mate the trocar to the trocar holding member in a desired orientation, and first and second grasper arms coupled to the engagement portion, at least one of the first and second grasper arms having at least one magnet configured to automatically orient the trocar into the desired orientation when the trocar holding member is positioned in proximity to the trocar, wherein the trocar holding member includes at least one rotatable wheel disposed thereon and configured to allow rotation of the trocar engaged by the trocar holding member.

US Pat. No. 10,687,903

ACTIVE DRIVE FOR ROBOTIC CATHETER MANIPULATORS

Auris Health, Inc., Redw...

1. A medical system, comprising:a telescoping catheter assembly, comprising an outer sheath and an inner catheter, the outer sheath including an elongate sheath body and a sheath adapter affixed to a proximal end of the sheath body, and the inner catheter including an elongate catheter body and a catheter adapter affixed to a proximal end of the catheter body; and
an instrument driver comprising:
a sheath interface configured for mating with the sheath adapter;
a slidable carriage configured for mating with the catheter adapter;
a feeder mechanism affixed between the sheath interface and the slidable carriage and engageable with the catheter body, the feeder mechanism comprising:
a pair of rotatable gripping pads, and
a pair of arms configured to pivot the pair of rotatable gripping pads towards each other to engage with the catheter body and away from each other to disengage from the catheter body; and
at least one motor configured for translating the slidable carriage toward the sheath interface to translate the catheter adapter toward the sheath adapter via a first actuator while operating the feeder mechanism to actively advance the catheter body within the sheath body via a second actuator, the second actuator being different from the first actuator,
wherein each of the pair of arms comprises a section gear and the pair of arms are coupled to each other via the section gears such that pivoting one of the pair of arms pivots the other of the pair of arms in an opposite direction.

US Pat. No. 10,687,902

SURGICAL NAVIGATION SYSTEM AND AUXILIARY POSITIONING ASSEMBLY THEREOF

EPED, Inc., Kaohsiung (T...

1. A surgical navigation system for assisting an operator in positioning a surgical site of a patient, the surgical navigation system comprising:a positioning device comprising:
an auxiliary positioning assembly comprising:
a wearing member configured to be fixedly coupled to the patient at a location adjacent the surgical site of the patient, wherein the wearing member moves in sync with the surgical site in response to movement of the surgical site;
a connecting seat coupled to the wearing member; and
an auxiliary positioning member rotatably coupled to the connecting seat, the auxiliary positioning member comprising a plurality of auxiliary positioning marks thereon, wherein each of the plurality of auxiliary positioning marks is selected from the group consisting of a light-emitting unit and a light-reflective unit;
a positioning member configured to be fixedly coupled directly to and engage the surgical site of the patient, separate from the auxiliary positioning assembly, the positioning member comprising a plurality of positioning holes therethrough, wherein each of the plurality of positioning holes is configured to receive a hand tool inserted partially therethrough;
a hand tool positioning member configured to be fixedly coupled to a hand tool, the hand tool positioning member comprising a plurality of hand tool positioning marks, wherein each of the plurality of hand tool positioning marks is selected from the group consisting of a light-emitting unit and a light-reflective unit; and
an optics positioning assembly comprising a plurality of sensing units configured to sense the position of each of the plurality of auxiliary positioning marks and the position of each of the plurality of hand tool positioning marks while a hand tool, to which the hand tool positioning member is coupled, is partially extended into each of the plurality of positioning holes, in sequence, to generate a corresponding positioning information, wherein the positioning information includes the location and orientation of each of the auxiliary positioning member and the hand tool positioning member correspondingly;
a processing device for storing a medical image of the patient and coupled to the optics positioning assembly to receive the positioning information, wherein the processing device is configured to integrate the medical image with the positioning information to form a navigation information; and
a display device coupled to the processing device, the display device being configured to display the navigation information.

US Pat. No. 10,687,901

METHODS AND SYSTEMS FOR REGISTRATION OF VIRTUAL SPACE WITH REAL SPACE IN AN AUGMENTED REALITY SYSTEM

Synaptive Medical (Barbad...

1. A method of using an augmented reality device in a surgical procedure that uses an optical navigation system that optically tracks a patient reference object to locate the patient reference object in a real-world space and determine its coordinates in a navigation coordinate system, wherein the augmented reality device has a display through which a wearer views the real-world space and on which the augmented reality device may render modeled objects, wherein the augmented reality device includes sensors for determining a position and orientation of the augmented reality device in the real-world space using an augmented reality coordinate system, the method comprising:rendering, on the display, a virtual model of the patient reference object;
in response to receiving a first input to manipulate a location of the virtual model of the patient reference object in the augmented reality coordinate system, changing a position of the virtual model of the patient reference object in the augmented reality coordinate system;
determining that the virtual model of the patient reference object is brought into alignment with the patient reference object in the real-world space from a viewpoint of the wearer of the augmented reality device as a result of the first input;
in response to determining that the virtual model of the patient reference object is aligned with the patient reference object in the real-world space as a result of the first input, identifying a first transform from the navigation coordinate system to the augmented reality coordinate system, wherein identifying the first transform comprises:
obtaining navigation coordinates data for a current location of the patient reference object in the navigation coordinate system; and
determining a transform for translating said current location in the navigation coordinate system to coordinates for the corresponding and aligned virtual model of the patient reference object in the augmented reality coordinate system;
subsequently transferring patient image data from the navigation coordinate system to the augmented reality coordinate system using the first transform; and
displaying the patient image data on the display to augment a real-world view of a patient,
wherein the determining step involves a user input to perform first alignment of the virtual model of the patient reference object to the patient reference object in the real-world space, and wherein the patient reference object is in a fixed location relative to the patient.

US Pat. No. 10,687,900

METHOD OF IMAGE SUPPORT FOR A PERSON CARRYING OUT A MINIMALLY INVASIVE PROCEDURE WITH AN INSTRUMENT IN A PROCEDURE SITE OF A PATIENT, X-RAY APPARATUS, COMPUTER PROGRAM AND ELECTRONICALLY READABLE DATA CARRIER

Siemens Healthcare GmbH, ...

1. A method of image support for a person carrying out a minimally invasive procedure with an instrument in a procedure site of a patient, which comprises the steps of:recording one two-dimensional X-ray image respectively of the procedure site by an X-ray apparatus in at least two recording geometries implementing different projection directions and chosen specific to the minimally invasive procedure;
reconstructing a three-dimensional model data set of the procedure site by iterative reconstruction from two-dimensional X-ray images;
inserting a three-dimensional instrument model into the three-dimensional model data set on a basis of a current item of position information of the instrument in the procedure site;
determining at least one two-dimensional supporting image corresponding to one of the recording geometries and incorporating the instrument model by reprojection of the three-dimensional model data set supplemented by the three-dimensional instrument model; and
displaying the three-dimensional model data set and the at least one two-dimensional supporting image to a user.

US Pat. No. 10,687,899

BONE MODEL CORRECTION ANGLE DETERMINATION

1. A computer-implemented method, comprising:receiving at a computing device information relating to a long bone of a particular patient, wherein the long bone includes a shaft;
based upon the received information, generating by the computing device a bone model representative of at least a portion of the long bone, the bone model including a shaft model representative of at least a portion of the shaft;
determining with the computing device a target orientation for the bone model;
identifying with the computing device a plurality of model landmarks on the bone model, wherein each of the model landmarks corresponds to an anatomical landmark of the long bone;
generating by the computing device an axis vector based upon at least one of the model landmarks, wherein the axis vector is representative of an axis of the long bone;
generating by the computing device a cropped model based at least in part upon the axis vector, wherein the cropped model includes at least a portion of the shaft model;
generating by the computing device a cylinder corresponding to the cropped model;
generating by the computing device a registration model comprising a reference model and a source model, wherein the reference model includes one of the cropped model and the cylinder, and wherein the source model includes the other of the cropped model and the cylinder;
generating by the computing device a registered model based upon the registration model, wherein generating the registered model includes registering the source model to the reference model;
generating by the computing device registration information relating to the registering;
generating by the computing device a correction angle based upon the registration information; and
generating by the computing device a corrected bone model, wherein generating the corrected bone model includes applying the correction angle to the bone model.

US Pat. No. 10,687,898

SYSTEMS AND METHODS FOR ATRIAL FIBRILLATION TREATMENT AND RISK ASSESSMENT

The Johns Hopkins Univers...

1. A method for providing an atrial fibrillation (AF) ablation treatment plan, comprising:receiving imaging data for at least a portion of an atrial region of a subject's heart;
processing said imaging data to characterize tissue as one of fibrotic tissue or non-fibrotic tissue;
calculating a metric of spatial distribution of at least a portion of said tissue characterized as fibrotic tissue from said processing said imaging data;
identifying a cardiac tissue ablation target based on said metric; and
providing an AF treatment plan that includes said cardiac tissue ablation target as at least a portion of said AF treatment plan,
wherein said metric of spatial distribution is calculated for each of a plurality of subvolumes of said atrial regions of said subject's heart; and
wherein said plurality of subvolumes are between 1.3 mm and 1.7 mm in radius.

US Pat. No. 10,687,897

SYSTEM AND METHOD FOR HEALTH IMAGING INFORMATICS

Synaptive Medical (Barbad...

1. A method of providing planning information for a neurosurgical procedure by way of an informatics system, the information being provided intra-operatively during the neurosurgical procedure, the method comprising:providing an informatics system, providing the informatics system comprising providing a central system, providing the central system comprising providing at least one data processing module and providing at least one processor operable by the at least one data processing module, providing the at least one data processing module comprising providing at least one planning module, providing a tractography generator to generate 3D models of neural tracts using diffusion tensor imaging data, providing a module for comparing pre-procedure tractography data with post-procedure tractography data generated from the diffusion tensor imaging data to enable determination of correlations between changes in the patient's tractography and patient outcome, and providing a set of executable instructions storable in relation to at least one non-volatile memory device; and providing at least one plug-in configured to translate data formats for transmission to any given database and to enable output of a plurality of data types via a web portal;
receiving a first set of data characterizing the neurosurgical procedure by the central system;
accessing at least one historical database containing historical data about at least one historical procedure by the central system;
determining at least one set of historical data relevant to the neurosurgical procedure, based on a determination of similarity to the first set of data, by the central system;
determining, from the at least one set of historical data, at least one historical instance of at least one procedure parameter relevant to the neurosurgical procedure by the central system;
using the tractography generator, receiving diffusion tensor imaging data and generating the pre-procedure tractography data and the post-procedure tractography data from the diffusion tensor imaging data;
quantifying the pre-procedure tractography data and the post-procedure tractography data, quantifying comprising calculating a fiber volume of a particular fiber bundles in the pre-procedure tractography data and in the post-procedure tractography data;
automatically performing a quantitative comparison of the pre-procedure tractography data with the post-procedure tractography;
using the at least one plug-in, translating data formats for transmission to any given database;
causing an output device to display the quantitative comparison in combination with the pre-procedure image data and the post-procedure image data, the pre-procedure image data comprising pre-procedure tractography data and the post-procedure image data comprising post-procedure tractography data, and the quantitative comparison comprising a comparison of pre-procedure neural tract data in the pre-procedure tractography data with the post-procedure neural tract data in the post-procedure tractography data; and
causing an output device to display the at least one historical instance of the at least one procedure parameter by the central system, the at least one procedure parameter comprising at least one historical entry site for the neurosurgical procedure, displaying comprising displaying at least one indicator of at least one location of the at least one historical entry site superimposed on an image of a region of interest of a current treatment plan for the neurosurgical procedure; and
anonymizing the information,
thereby providing output via the web portal in at least one manner of directly outputting analytics and indirectly outputting translated data in at least one data type of the plurality of data types via the at least one plug-in.

US Pat. No. 10,687,896

COMPUTER-AIDED PLANNING OF LIVER SURGERY

Agency for Science, Techn...

1. A method executed by a computer for generating and displaying an improved surgical resection pre-operative planning of a mass, the mass comprising a plurality of features, the method comprising:modelling, by the computer, the mass including the plurality of features based on a plurality of physical dimensions, wherein the physical dimensions are determined based on image data of the mass received by the computer;
determining, by the computer, a plurality of safety margins around the plurality of features within the mass;
generating, by the computer, the improved surgical resection planning of the mass by:
simulating, by the computer, a resection surface on the mass comprising a plurality of triangles, the simulated resection surface satisfying a selected one of the safety margins;
optimizing, by the computer, local area and position of a first of the plurality of triangles on the resection surface based on a triangle-based algorithm by:
minimizing the local area around the first of the plurality of triangles; and
configuring a distance between the first of the plurality of triangles and a first of the plurality of features to be greater than a safety margin around the first of the plurality of features;
updating, by the computer, dimensions of the plurality of triangles in order to update the simulation of the resection surface;
repeating, by the computer, the steps of optimizing and updating for each of the plurality of triangles on the resection surface to generate the improved resection planning of the mass; and
displaying, by the computer, the improved resection planning of the mass that includes the resection surface on the mass.

US Pat. No. 10,687,895

INTEGRATED FIBER OPTIC PROBE FOR PERFORMING IMAGE-GUIDED LASER INDUCED THERMAL THERAPY

THE UNIVERSITY OF AKRON, ...

1. A fiber optic probe comprising a plurality of fibers, the plurality of fibers comprisinga first diffuse reflectance spectroscopy fiber,
a second diffuse reflectance spectroscopy fiber,
wherein said first diffuse reflectance spectroscopy fiber is a source fiber operatively coupled with a light source in order to provide light from said light source to a tumor to thereby become scattered light,
wherein said second diffuse reflectance spectroscopy fiber is a detection fiber for detecting said scattered light,
a temperature sensor fiber,
said temperature sensor fiber having a temperature sensor at a distal end thereof,
wherein said temperature sensor is an interferometric fiber optic sensor,
a treatment fiber for delivering laser light having a light flux and a wavelength of from 800 nm to 1064 nm to said tumor, and
a dosimetry fiber for monitoring said light flux.

US Pat. No. 10,687,894

VAGINAL REMODELING/REJUVENATION DEVICE AND METHOD

Biolitec Unternehmensbete...

1. A fiber optic medical treatment system for irradiating female genitalia comprising:at least one laser source capable of producing radiation at a preselected wavelength, a power level and a power density to irradiate human tissue;
at least one optical fiber having an axis and optically coupled to said laser source and capable of transmitting said radiation from said laser source from proximal end to distal end of said optical fiber, said optical fiber being configured to emit said radiation from the distal end in a direction perpendicular to the fiber axis; and
a cylindrical applicator device configured for inserting inside a vagina, having a surface and a longitudinal inner hollow tube into which said optical fiber can be moveably inserted and comprising in said surface at least one longitudinal canal transparent to laser radiation at the preselected wavelength, the rest of said surface reflecting or absorbing laser radiation at the preselected wavelength, whereby the vagina may be selectively irradiated with laser light through said at least one longitudinal canal transparent to laser light at the preselected wavelength as the optical fiber is withdrawn from the applicator device.

US Pat. No. 10,687,893

SYSTEM AND METHOD FOR MICROABLATION OF TISSUE

LUMENIS LTD., (IL)

1. A cosmetic method of providing RF energy to deep skin tissue comprising:providing a laser energy source and a source of RF energy;
providing at least two electrodes operatively connected to the source of RF energy;
providing a controller to control and cause application of the laser energy source;
the controller causing the laser source to apply laser energy to the skin tissue, the application of laser energy causing the ablation of skin tissue to form one or more microchannel each of the one or more microchannels having a width (W), a length (L) and a depth (h) formed in the skin tissue;
the one or more microchannels being formed by the application of laser energy fie being such that the depth (h) at the bottom of the one or more microchannels extends at least into the dermis layer of the skin tissue;
the method further comprising the steps of, after forming the one or more microchannels, contacting and placing at least one electrode of the at least two electrodes on skin tissue on each side of the width (W) dimension of each of the one or more microchannels;
then causing the source of RF energy to apply RF energy to the skin tissue through the at least two electrodes;
whereby the presence of the one or more microchannels causes RF energy to flow below the bottom of the microchannels, thus directing RF energy to deeper skin tissue than would have occurred in the absence of the microchannels.

US Pat. No. 10,687,892

SYSTEMS, APPARATUSES, AND METHODS FOR DELIVERY OF PULSED ELECTRIC FIELD ABLATIVE ENERGY TO ENDOCARDIAL TISSUE

Farapulse, Inc., Menlo P...

1. An apparatus, comprising:a first shaft having a longitudinal axis and defining a lumen;
a second shaft disposed within the lumen and having a distal portion that extends from a distal portion of the first shaft, the second shaft moveable along the longitudinal axis relative to the first shaft;
a first electrode coupled to the distal portion of the first shaft;
a second electrode coupled to the distal portion of the second shaft, the first and second electrodes configured to generate an electric field for ablating tissue; and
an inflatable member disposed between the first and second electrodes, the inflatable member configured to transition from an undeployed configuration to a deployed configuration in response to the second shaft being moved proximally relative to the first shaft, the inflatable member in the deployed configuration configured to engage a wall of a pulmonary vein ostium and direct the electric field generated by the first and second electrodes toward the wall.

US Pat. No. 10,687,891

PRESSURE-SENSITIVE CONDUCTIVE COMPOSITE CONTACT SENSOR AND METHOD FOR CONTACT SENSING

St. Jude Medical, Atrial ...

1. A method of sensing contact between a catheter and tissue, said method comprising:providing a catheter comprising: a catheter shaft and at least one quantum tunneling composite member, wherein the quantum tunneling composite member is an electrical insulator when in a quiescent state, and wherein the quantum tunneling composite member has a resistance that varies inversely with pressure to less than one ohm;
placing the catheter in contact with a tissue such that pressure is asserted on the quantum tunneling composite member; and
sensing a signal that is indicative of a degree of contact that exists between the catheter and the tissue.

US Pat. No. 10,687,890

LASSO CATHETER WITH MOVEABLE ABLATION SPINE

Biosense Webster (Israel)...

1. A catheter comprising an elongated catheter body having proximal and distal ends and at least one lumen therethrough and a lasso electrode assembly at the distal end of the catheter body, the lasso electrode assembly having a plurality of sensing electrodes distributed along the lasso electrode assembly, wherein the electrodes are ring electrodes, a track extending around at least a portion of an inner circumference of the lasso electrode assembly, the track defined by an elongated groove in a wall of the inner circumference of the lasso electrode assembly, and a moveable spine extending out from the groove in the wall, the moveable spine having at least one ablation electrode thereon such that the moveable spine travels along the track defined by the elongated groove in the wall of the inner circumference of the lasso electrode assembly.

US Pat. No. 10,687,889

PATIENT-SPECIFIC PRE-SHAPED CARDIAC CATHETER

Biosense Webster (Israel)...

1. A system for manufacturing a patient-specific medical probe, comprising:a 3-D image of an organ of a patient;
a medical probe comprising a distal tip, the distal tip comprising shape memory material configurable into a fixed desired shape by subjecting the distal tip to a known temperature range needed for shaping the shape memory material, and setting the shape by cooling the distal tip;
a physical model derived from the 3-D image of the organ of the patient, the physical model having a desired target region in which other surfaces and features of the organ are omitted, the desired target region of the physical model having a configuration based on an identified region on a corresponding surface of the organ of the patient based on the 3-D image of the organ of the patient, the desired target region of the physical model configured for placement of the distal tip of the medical probe there against thereby defining a tip area of the physical model for which the distal tip can be shape set, the tip area of the physical model being configured to be heated to a temperature sufficient to allow the distal tip to be shape set;
a heat source configured to heat the tip area of the physical model to a temperature needed for shaping the shape memory material of the distal tip, and the distal tip of the medical probe being further configured to assume a set 3-D shape of the identified region on the surface of the organ of the patient when cooled while pressed against the desired target region of the physical model.

US Pat. No. 10,687,888

ABLATION CATHETER WITH DEDICATED FLUID PATHS AND NEEDLE CENTERING INSERT

Biosense Webster (Israel)...

1. A catheter comprising:an elongated catheter body;
a distal tip section having a tip electrode with a distal end;
a needle electrode assembly extending through at least the elongated catheter body and the tip electrode, the needle electrode assembly being longitudinally movable relative to the catheter body and distal tip section into an extended position and a retracted position, the needle electrode assembly including a needle electrode;
an injection control handle proximal of the catheter body configured to move the needle electrode assembly into the extended position and the retracted position;
a fluid path B extending through at least the catheter body and having a distal exit at the distal end of the tip electrode; and
a fluid path A extending through at least the catheter body and having a distal exit at a distal end of the needle electrode assembly,
wherein the fluid path B and the fluid path A are isolated from each other, and
wherein the fluid path B has a proximal portion that extends through the needle electrode assembly, a distal portion that extends outside of the needle electrode assembly, and a mid-portion that connects the proximal portion and the distal portion and traverses a side wall of the needle electrode assembly.

US Pat. No. 10,687,887

VESSEL SEALER AND DIVIDER

Covidien AG, Neuhausen a...

1. A bipolar electrosurgical instrument, comprising:a housing;
a shaft extending distally from the housing;
first and second jaw members disposed at a distal end of the shaft, the first and second jaw members including first and second seal surfaces, respectively, the first and second seal surfaces defining first and second knife channels, respectively, at least one of the first or second jaw members movable relative to the other from a open position to a closed position to grasp tissue between the first and second seal surfaces, the first and second seal surfaces adaptable to connect to a source of electrical energy such that the first and second seal surfaces are capable of conducting energy through tissue grasped therebetween;
a drive rod extending from the housing and through the shaft, the drive rod operably coupled with at least one of the first or second jaw members such that proximal translation of the drive rod moves the at least one of the first or second jaw members relative to the other to the closed position;
a drive linkage including at least a first end portion and a second end portion;
a movable handle coupled to the housing and movable proximally relative to a fixed handle portion of the housing from a spaced-apart position to an approximated position, the movable handle pivotably connected to the first end portion of the drive linkage;
a spring disposed within the housing, wherein a first end portion of the spring is operably coupled to the second end portion of drive linkage and wherein a second end portion of the spring is operably coupled to the drive rod, wherein movement of the drive linkage, in response to proximal movement of the movable handle from the spaced-apart position towards the approximated position moves the spring proximally to translate the drive rod proximally to thereby move the at least one of the first or second jaw members relative to the other to the closed position to maintain a compressive force between the first and second jaw members about tissue grasped between the first and second seal surfaces;
at least one stop member disposed on at least one of the first or second jaw members, the at least one stop member configured to regulate a gap distance between the first and second sealing surfaces in the closed position, wherein the gap distance and the compressive force facilitate sealing tissue grasped between the first and second sealing surfaces; and
a knife configured to translate through the first and second knife channels to cut sealed tissue.

US Pat. No. 10,687,886

SURGICAL INSTRUMENT

COVIDIEN LP, Mansfield, ...

1. A surgical instrument, comprising:an elongated shaft extending from a housing;
a stationary inner shaft disposed within the elongated shaft;
a pair of opposing jaw members disposed at a distal portion of the elongated shaft, at least one of the jaw members including a cam slot and an electrically conductive tissue sealing surface adapted to couple to a source of electrosurgical energy;
a cam pin mechanically coupled to a distal portion of the stationary inner shaft and disposed within the cam slot; and
a movable handle configured to move the elongated shaft relative to the cam pin causing movement of the cam slot relative to the cam pin to move at least one of the jaw members relative to the other jaw member.

US Pat. No. 10,687,885

METHOD AND DEVICE FOR CONTROLLING AN ELECTROSURGICAL HF APPARATUS AND HF APPARATUS

AESCULAP AG, Tuttlingen ...

8. An electrosurgical high-frequency (HF) device comprising:an electrosurgical instrument; and
an HF generator for generating an HF current,
the HF generator being electrically connected to the electrosurgical instrument to deliver the HF current to the electrosurgical instrument in response to a user-side activation,
the HF generator operable in a locked state in which the HF generator cannot be activated by a user, and an unlocked state in which the HF generator can be activated by the user,
the HF generator being configured to automatically switch to the unlocked state after selection of a user-side input of an application type to be performed by the electrosurgical instrument,
the HF generator being configured to automatically switch to the locked state after the HF generator is activated by the user for carrying out the application type to be performed by the electrosurgical instrument, and
the HF generator being configured to automatically switch to the locked state after the HF generator has not been activated by the user during a pre-defined period of time after the user sets the application type to be performed by the electrosurgical instrument.

US Pat. No. 10,687,884

CIRCUITS FOR SUPPLYING ISOLATED DIRECT CURRENT (DC) VOLTAGE TO SURGICAL INSTRUMENTS

Ethicon LLC, Guaynabo, P...

1. A system for managing radio frequency (RF) and ultrasonic signals output by a generator, comprising:a surgical instrument comprising a direct current (DC) motor load, an ultrasonic energy output, and a circuit;
wherein the circuit is configured to:
receive a combined RF and ultrasonic signal from the generator, the combined signal comprising RF signal content and ultrasonic signal content; the RF signal content comprising an RF signal frequency component and an RF signal amplitude component; the ultrasonic signal content comprising an ultrasonic signal frequency component, and an ultrasonic signal amplitude component;
generate an ultrasonic filtered signal by filtering the combined signal to extract the ultrasonic signal content from the combined signal;
generate DC voltage by filtering the combined signal to extract the RF signal content from the combined signal;
provide the DC voltage to the DC motor load; and
provide the ultrasonic filtered signal to the ultrasonic energy output.

US Pat. No. 10,687,883

CONTINUOUS FLOW BALLOON CATHETER SYSTEMS AND METHODS OF USE

PAVmed Inc., New York, N...

1. A system for balloon inflation, the system comprising:a catheter having an inflow lumen and an outflow lumen;
a balloon positioned at a distal end of the catheter, the balloon being in fluid communication with the inflow and the outflow lumen; and
an infusion device including:
a chamber having a first port in fluid communication with the inflow lumen and a second port in fluid communication with the outflow lumen, and
a piston dividing the chamber and configured to move axially within the chamber between the first port and the second port,
wherein axial movement of the piston towards the first port drives a fluid out of the chamber through the first port and into the balloon via the inflow lumen and draws the fluid into the chamber through the second port from the balloon via the outflow lumen, thereby circulating the fluid into and out of the balloon while maintaining the balloon at a constant pressure and volume during an entire infusion.

US Pat. No. 10,687,882

N2O THERMAL PRESSURIZATION SYSTEM BY COOLING

Medtronic CryoCath LP, T...

1. A kit for pressurizing low-pressure refrigerant, the kit comprising:a first fluid reservoir;
a second fluid reservoir in fluid communication with the first fluid reservoir;
a closed-loop fluid flow path including:
a first thermal exchange device in thermal communication with the first fluid reservoir;
a second thermal exchange device in thermal communication with the second fluid reservoir;
a reversing valve, the reversing valve being configured to selectively allow flow of a secondary refrigerant within the closed-loop fluid flow path in a first direction and flow of the secondary refrigerant within the closed-loop fluid flow path in a second direction;
a compressor in fluid communication with the first thermal exchange device and the second thermal exchange device; and
a condenser that is:
in fluid communication with the first thermal exchange device and the second thermal exchange device when the reversing valve allows flow of the secondary refrigerant within the closed-loop fluid flow path in the first direction; and
in fluid communication with the first thermal exchange device and fluidly isolated from the second thermal exchange device when the reversing valve allows flow of the secondary refrigerant within the closed-loop fluid flow path in the second direction.

US Pat. No. 10,687,881

SURGICAL INSTRUMENT

1. A surgical instrument for separating an introducer sheath from a device connected to the introducer sheath, the surgical instrument comprising:an extension extending in a longitudinal direction;
a pin, the pin including a cylindrical configuration; and
a separator connecting the extension and the pin, the separator including a substantially planar configuration, the separator comprising a cam or a cutting edge;
wherein the pin is positioned eccentrically with respect to the extension; wherein the pin is configured to be inserted into a part of said device;
wherein during use, said device is configured to serve as a counter bearing to rotation;
wherein a longitudinal axis of the extension is configured to be positioned eccentrically with respect to a longitudinal axis of said introducer sheath; and wherein a longitudinal axis of the pin and the longitudinal axis of said introducer sheath are configured to be common such that the pin is positioned concentrically with respect to said introducer sheath.

US Pat. No. 10,687,880

BONE MATERIAL DISPENSING SYSTEM WITH LOCKING MEMBER

Warsaw Orthopedic, Inc., ...

1. A bone material dispensing device comprising a housing having a proximal end, a distal end, and a longitudinal axis, the proximal end having a first opening and the distal end having a second opening, the first opening and the second opening configured to slidably receive at least a portion of a plunger; and a locking member pivotably connected to an upper surface of the housing and extending adjacent to the upper surface of the housing, the locking member comprising a locking surface extending adjacent to the distal end of the housing configured to engage a portion of a tubular member, a funnel, or a combination thereof the locking member being movable in a locking position to lock the portion of the tubular member, the funnel, or the combination thereof with the housing.

US Pat. No. 10,687,879

BONE MATERIAL DISPENSING DEVICE

Warsaw Orthopedic, Inc., ...

1. A bone material dispensing device comprising a housing having a proximal end, a distal end, and a longitudinal axis, the proximal end having a first opening and the distal end having a second opening, the first opening and the second opening configured to slidably receive at least a portion of a plunger; and a tubular member pivotably connected to the housing and configured for lateral movement relative to the longitudinal axis of the housing, the tubular member comprising a proximal opening, a distal opening and a channel disposed therebetween, the proximal opening, the distal opening and the channel of the tubular member configured to receive at least the portion of the plunger, the tubular member being movable in a first position to align the proximal opening of the tubular member with the second opening of the housing to allow the tubular member to receive at least the portion of the plunger to dispense the bone material, wherein the tubular member is configured to engage a cannula, wherein the cannula comprises a funnel portion configured to partially enclose the tubular member.

US Pat. No. 10,687,878

IMPLANT FOR THE FIXATION OF BONE ELEMENTS

SPINE ARCH BREVET, Obers...

1. Surgical implant for the fixation of at least two bone elements of a patient, comprising:a curved rod configured to be firstly inserted in a bore practised within the at least two bone elements, said curved rod defining a longitudinal axis which is curved in a relaxed state of the curved rod; and
at least one distinct helical element configured to be mounted on said rod, the at least one distinct helical element including a single filled solid element of a helical shape forming plural coils,
wherein the at least one distinct helical element forms a helical space extending along the at least one helical element from an innermost surface of the at least one helical element to an outermost surface of the at least one helical element, and
wherein a portion of an outer surface of the curved rod is located within the helical space.

US Pat. No. 10,687,877

BONE IMPLANTS

LDR Medical, Rosieres Pr...

1. A bone implant comprisinga body elongated along a longitudinal axis between a first end of the body and a second end of the body, the body comprising a rounded exterior surface portion disposed proximal to the first end and having a rounded cross-section transverse to the longitudinal axis;
a tip disposed proximal to the first end of the body;
a head disposed proximal to the second end of the body and comprising a support surface oriented toward the first end of the body;
an anchor having a support surface mateable with the support surface of the head and comprising a sharpened projection orientable toward the first end of the body;
a bore extending through at least a portion of the body along the longitudinal axis and opening through the tip;
a window disposed along the body and forming an opening extending from the bore through the rounded exterior surface portion, with the opening comprising a sharpened edge configured for cutting bone during rotation of the body about the longitudinal axis; and
a thread winding around at least a portion of the rounded exterior surface portion, the thread uninterrupted by the window disposed along the body;
wherein the sharpened edge extends along a leading edge of the window between the thread winding to scrape bone during rotation of the bone implant upon implantation.

US Pat. No. 10,687,874

PROXIMAL HUMERAL STABILIZATION SYSTEM

Globus Medical, Inc, Aud...

1. A stabilization system for stabilizing a bone, the system comprising:a bone plate, the bone plate comprising an elongated portion extending along a longitudinal axis and an enlarged head portion extending from the elongated portion, the bone plate comprising a plurality of through holes;
an intramedullary nail, the intramedullary nail comprising an upper portion and a lower portion extending from the upper portion, the upper portion and the lower portion including a plurality of holes; and
a plurality of fasteners configured to extend through the plurality of through holes in the bone plate and through the plurality of holes in the intramedullary nail and into the bone such that the plurality of fasteners are oriented obliquely with respect to each other,
wherein the enlarged head portion extends at a lateral angle relative to the longitudinal axis,
wherein the plurality of through holes have an upper portion and a lower portion, the upper portion is tapered with a conical straight tapered surface cut through a top surface of the bone plate, and the lower portion is tapered with a conical surface, wherein the upper portion and the lower portion have different conical sections having different degrees of taper.

US Pat. No. 10,687,873

STABILIZATION SYSTEMS

Globus Medical Inc., Aud...

1. A stabilization system comprising:a bone plate having an upper surface and a lower surface configured to be in contact with bone, the bone plate having an opening extending from the upper surface to the lower surface, the opening including a textured portion and non-textured portion, wherein the textured portion comprises a texture that is a non-threaded surface, wherein the textured portion comprises a knurled surface including a pattern of non-perpendicular crossed lines cut into the plate; and
a fastener configured to be received by the opening and configured to be inserted into the bone, wherein the fastener is either a locking fastener or a compression fastener, the locking fastener having a threaded head portion configured to engage the textured portion and lock to the bone plate, the locking fastener capable of being inserted and locking to the bone plate in a plurality of angles, and the compression fastener having a substantially smooth head portion configured to dynamically compress the bone.

US Pat. No. 10,687,872

INTRAMEDULLARY PIN, CLAMP AND METHOD OF USE THEREOF

A.M. SURGICAL, INC., Smi...

1. An intramedullary pin for immobilizing a fractured bone, comprising:a main body;
a curved extension having a degree of curvature;
a distal cap having a cylindrical portion and a rounded portion;
a grip element having at least one contour; and
a proximal cap having a flat surface on a distal side of the proximal cap,
wherein the flat surface of the proximal cap is perpendicular to an axial direction of the main body,
wherein the degree of curvature is between 1° and 45°, and
wherein the proximal cap is hemispherical, having the flat surface on the distal side of the proximal cap and a spherical surface on a proximal side of the proximal cap.

US Pat. No. 10,687,871

INTRAMEDULLARY ROD FOR PIVOTING A FASTENER

Epix Orthopaedics, Inc., ...

1. An intramedullary rod for use with a fastener to repair a femur comprising an elongate nail extending along a longitudinal axis and having a stem and a head, the head being provided with an aperture extending along an axis at an angle to the longitudinal axis and adapted to receive the fastener, the head having an end proximal of the aperture, and a mechanism carried by the head for pivoting the fastener from a first angled position relative to the head to a second angled position relative to the head, the mechanism being actuatable at the end in situ to pivot the fastener from the first angled position to the second angled position.

US Pat. No. 10,687,870

INTRAMEDULLARY APPARATUS AND METHODS OF TREATING BONE FRACTURE USING THE SAME

1. A method of treating a fractured bone of an animal using an intramedullary (IM) apparatus, the method comprising:inserting an IM nail into a medullary cavity of a first bone fragment of the fractured bone from a fracture end of the first bone fragment, wherein the IM nail is elongated along a longitudinal axis and has a plurality of locking holes positioned along the longitudinal axis, such that the locking holes are hidden in the first bone fragment, and an exposed part of the IM nail from the fracture end of the first bone fragment has at least two of the locking holes;
cutting a slot along the longitudinal axis on the first bone fragment, such that at least two of the hidden locking holes in the first bone fragment are exposed through the slot;
mounting a positional reference member to the IM nail by two positioning members inserted into the at least two exposed locking holes through the slot, such that a longitudinal vernier scale on the positional reference member is parallel to the longitudinal axis of the IM nail;
inserting the exposed part of the IM nail into a medullary cavity of a second bone fragment of the fractured bone from a fracture end of the second bone fragment such that at least one of the locking holes on the exposed part of the IM nail is hidden in the second bone fragment; and
locating the at least one hidden locking hole in the second bone fragment by the longitudinal vernier scale of the positional reference member; and
fixing the IM nail to the second bone fragment by inserting a locking member to the located hidden locking hole through the second bone fragment.

US Pat. No. 10,687,869

TROCHANTERIC NAIL WITH LOCKING OPENING

Advanced Orthopaedic Solu...

1. A method of treating a fracture in a bone includes the steps of:providing a plurality of nails with each nail having a different overall length, each nail having a proximal end, a distal end, a head portion and a stem portion, and a transition portion between the head portion and the stem portion, the head portion having an opening and the stem portion having an opening, each nail having a uniform distance from the proximal end to the opening in the stem portion;
selecting a nail from the plurality of nails and inserting the nail into the bone;
inserting a bone screw into the opening in the head portion;
inserting a bone screw into the opening in the stem portion; and
maintaining at least a lower third of the nail free from an anchoring member.

US Pat. No. 10,687,868

EXTENSION DEVICE FOR A BONE ANCHOR, IN PARTICULAR FOR A PEDICLE SCREW

Silony Medical Internatio...

1. An extension device (2) for a bone anchor (4), having an axial longitudinal direction (16), a circumferential direction (18) concentric thereto and a radial direction (20), wherein the extension device (2) is extended in the axial longitudinal direction (16) and, via a radial projection (38), engages behind an engageable area (14) on a head (8) of the bone anchor (4) in the longitudinal direction (16) and also in the radial direction (20) and is detachably but nevertheless rigidly and also torque proof fixable in the longitudinal direction (16), on the head (8) of the bone anchor,wherein the extension device (2) comprises two shell parts (22) that are separated from each other and extended in the longitudinal direction (16), each of which comprises a radial projection (38) for engaging behind the engageable area (14) on the head (8) of the bone anchor (4),
wherein the respective shell part (22) is designed to be predominately dimensionally stable, and wherein
the extension device further comprises a sleeve-like housing part (60) that can be slid in the axial longitudinal direction (16) onto the two shell parts (22) which are separated from each other and detachably fixed to the head of the bone anchor, and wherein the sleeve-like housing part (60) has a radially inwardly configured run-in bevel (66) against which the shell parts (22) run up if the sleeve-like housing part (60) is slid in the axial longitudinal direction (16) onto the shell parts (22) and, wherein the sleeve-like housing part (60), in the applied state, limits and defines a tunnel-like access (106) to the bone anchor (4) that extends in the axial direction (16).

US Pat. No. 10,687,867

ORTHOPEDIC DEROTATION DEVICES AND METHODS OF INSTALLATION THEREOF

Globus Medical Inc., Aud...

1. A method of derotation comprising:engaging a first derotation tower with a first anchor member, the first derotation tower comprising a proximal derotation tube coupled to a distal engagement assembly to engage the first anchor member;
engaging a second derotation tower with a second anchor member, the second derotation tower comprising a proximal derotation tube coupled to a distal engagement assembly to engage the second anchor member;
clamping the first and second derotation towers with a clamp member, the clamp member having a non-deformable inner surface including a plurality of curved depressions, and one of the plurality of curved depressions is configured to engage an outer surface of the first or second derotation tower; and
applying a force to adjust a position of one or both of the first and second anchor members.

US Pat. No. 10,687,866

SPINAL STABILIZATION WITHOUT IMPLANTATION OF HARDWARE INTO THE VERTEBRAE PROPER OR VIOLATION OF CORTICAL BONE

1. An apparatus for diagnosing pain in human spines comprising a vertebrae anchoring apparatus comprising: a facet anchor base and a transverse process claw, a shaft connects a leading end of said transverse process claw to a trailing end; the trailing end being coupled to said facet anchor base in such a fashion that said transverse process claw can be brought against a target bony facet surface, further comprising a spinous anchoring base where said spinous base includes a left cranial spinous quarter; a right cranial spinous quarter, a left caudal spinous quarter and a right caudal spinous quarter wherein said quarters are adjustably assemble-able together to form an ovoid ring which can be tightly secured against a spinous process, and where in no part of the apparatus intrudes into the vertebrae bone, wherein said facet anchor further comprises a facet coupling extension; and said spinous anchor further includes a spinous coupling extension and where said facet anchor further comprises a coupling peg with a shaft interconnecting said transverse process claw and said facet base and where said shaft includes means for fixing said shafts position, and where no part of the apparatus intrudes into the vertebrae bone.

US Pat. No. 10,687,864

COMPOSITE IMPLANT COATING

Carbofix IN Orthopedics L...

1. A bone implant comprising:a body of fiber-reinforced polymer composite material; and
at least one porous coating layer configured to contact bone when implanted, wherein said at least one porous coating layer includes apertures, wherein at least one exterior facing surface region of said body interacts with said apertures;
wherein said at least one porous coating layer is made at least partly of a material such that the body is shielded from wearing contacts with bone when implanted; and wherein said at least one porous coating layer covers a portion of said body to provide partial radiographic transparency to said body.

US Pat. No. 10,687,863

APPARATUS AND METHOD FOR MINIMALLY INVASIVE OSTEOSYNTHESIS OF SACROILIAC LUXATIONS/FRACTURES

BOARD OF TRUSTEES OF MICH...

1. A method for minimally invasive osteosynthesis of sacroiliac luxations/fractures, the method comprising:providing a surgical system comprising:
a work surface;
a reduction arm mounted to the work surface at a proximal region of the reduction arm, wherein the reduction arm is articulatable relative to the work surface, and the reduction arm is lockable in position relative to the work surface;
a reduction handle mounted to the reduction arm at a distal region of the reduction arm, wherein (i) the reduction handle is adapted to attach to a surgical subject, and (ii) the reduction handle comprises (A) a reduction rod comprising an insertion pin at a distal end of the reduction rod, (B) a reduction tube adapted to receive the reduction rod therethrough, and (C) a reduction sleeve slidably mounted to a distal end of the reduction tube, the reduction sleeve being formed from a flexible material and having a tapered distal tip with longitudinal slots permitting expansion of the tapered distal tip:
a fixation arm mounted to the work surface at a proximal region of the fixation arm, wherein the fixation arm is articulatable relative to the work surface, and the fixation arm is lockable in position relative to the work surface;
a fixation drill guide mounted to the fixation arm at a distal region of the fixation arm, wherein the fixation drill guide is adapted to receive a fixation screw therethrough for insertion into the surgical subject; and
an image acquisition unit directed toward the work surface, wherein the image acquisition unit is lockable in position relative to the work surface;
placing a surgical subject on the work surface of the surgical system;
attaching the reduction handle to the surgical subject;
positioning and orienting the surgical subject using the reduction arm and the reduction handle;
visually confirming proper position and orientation of the surgical subject using the image acquisition unit;
locking the reduction arm in place relative to the work surface;
inserting the fixation drill guide into the surgical subject at a position for minimally invasive osteosynthesis of a sacroiliac luxation or fracture in the surgical subject;
positioning and orienting the fixation drill guide using the fixation arm;
visually confirming proper position and orientation of the fixation drill guide using the image acquisition unit;
locking the fixation arm in place relative to the work surface; and
inserting a fixation screw through the fixation drill guide and into the surgical subject.

US Pat. No. 10,687,862

SPINAL IMPLANT CONNECTOR AND METHODS

Warsaw Orthopedic, Inc., ...

1. A connector comprising:a first receiver defining an implant cavity and including a mating surface, an inner surface, and an outer surface opposite the inner surface, the inner surface defining a first portion of a passageway, the first receiver defining an opening extending through the outer surface such that the opening is in communication with the passageway;
a second receiver defining a second portion of the passageway, a first part being inserted through the opening and into the passageway to attach the second receiver with the first receiver, the second receiver defining an implant cavity and including a mating surface engageable with the mating surface of the first receiver to fix relative orientation of the receivers; and
a second part disposed adjacent the mating surfaces to space the mating surfaces such that the first receiver is movable relative to the second receiver in operation of the connector.

US Pat. No. 10,687,861

SYSTEMS AND METHODS FOR SPINAL COMPRESSION, DISTRACTION, AND FIXATION

Alphatec Spine, Inc., Ca...

1. An apparatus for coupling with a fixation rod to allow spinal compression, distraction, and fixation along an antero-lateral aspect of a spine, comprising:an elongated plate including a first aperture at a superior end and a second aperture at an inferior end of the elongated plate;
a first fixation screw received by the first aperture and configured to engage a first vertebra and a second fixation screw received by the second aperture and configured to engage a second vertebra such that the elongated plate provides rigid fixation of the first vertebra and the second vertebra when the first fixation screw engages the first vertebra and the second fixation screw engages the second vertebra; and
a first arm extending transversely from the elongated plate and being generally orthogonal to the elongated plate, the first arm including a first rod passage, the first rod passage defining a first hook, the first rod passage extending along a first axis, the first axis being: (1) generally orthogonal to a longitudinal axis of the first arm, (2) and generally parallel to a longitudinal axis of the elongated plate and (3) coaxial to the fixation rod, the first hook configured to couple with a first longitudinal length of the fixation rod, and wherein the first arm is generally curved so as to elevate a portion of the fixation rod above the elongated plate; and
a second arm extending transversely from the elongated plate, the second arm including a second rod passage, the second rod passage defining a second hook, the second rod passage extending along a second axis coaxial to the first axis, wherein the apparatus is configured to couple with a second longitudinal length of the fixation rod.

US Pat. No. 10,687,859

SPINAL FIXATION ASSEMBLY

Stryker European Holdings...

1. A spinal rod assembly comprising:a spinal rod,
a spinal rod connector having a connector rod with a coupling mechanism adapted to fit the spinal rod, the coupling mechanism having a channel to receive and secure the spinal rod,
a first pedicle screw having a first channel;
a second pedicle screw having a second channel; and
a third pedicle screw having a third channel,
wherein the first and second pedicle screws are configured to attach the spinal rod to a vertebral body, the spinal rod being received in the first and second channels, the coupling mechanism of the spinal rod connector connects to the spinal rod, and the third pedicle screw is configured to connect the connector rod to the vertebral body via the third channel such that the connector rod extends transversely from the spinal rod.

US Pat. No. 10,687,858

SPINAL IMPLANT SYSTEM AND METHODS OF USE

Warsaw Orthopedic, Inc., ...

1. A bone fastener comprising:a first member defining an implant cavity and a first groove;
a first band disposable in the first groove;
a base connectable with the first member and engageable with the first band, the base defining a second groove and a slot;
a second band disposable in the second groove and defining an opening aligned with the slot;
a second member connectable with the base and engageable with the second band, the second member being configured to penetrate tissue,
the opening being aligned with the slot to facilitate an angular range of movement of the second member relative to the first member; and
a third band disposed with the base expandable between a contracted orientation and an interference orientation to fix connection of the base and the second member.

US Pat. No. 10,687,857

HOOK WITH ROTATING SADDLE AND ROTATABLE MONO AXIAL PEDICLE SCREW

BLACKSTONE MEDICAL, INC.,...

1. A surgical screw system, comprising:a screw member having a head portion, a body portion and a longitudinal axis;
a receiver member having upper and lower portions;
wherein the upper portion is provided with a receiving slot defined therein for receiving a surgical rod;
wherein the receiver member is provided with a retaining means for engagement with the head portion of the screw member;
wherein the receiver member is mountable to the screw member by application of a force in a direction parallel to the longitudinal axis and towards the body portion so as to engage the retaining means with a receiving surface of the screw member;
and wherein when mounted to the head portion the retaining means and receiver member are positioned to slide about the receiving surface to allow rotation of the receiver member about only the longitudinal axis of the screw member and prevent other translational or rotational movement of the receiver member relative to the screw member.

US Pat. No. 10,687,856

SYSTEM AND METHOD FOR IMAGE SEGMENTATION, BONE MODEL GENERATION AND MODIFICATION, AND SURGICAL PLANNING

Howmedica Osteonics Corpo...

1. A computer-implemented method of preoperatively planning a surgical procedure on a knee of a patient, the knee joining together a femur having femoral condyles and a tibia having a tibial plateau, the surgical procedure comprising implanting an implant on at least one of the femur and the tibia as part of the procedure, the method comprising:determining femoral condyle vectors and tibial plateau vectors based on image data of the knee, the femoral condyle vectors and the tibial plateau vectors corresponding to motion vectors of the femoral condyles and the tibial plateau as they move relative to each other;
modifying a bone model representative of at least one of the femur and the tibia into a modified bone model based on the femoral condyle vectors and the tibial plateau vectors; and
determining coordinate locations for a resection of the modified bone model.

US Pat. No. 10,687,854

ACROMIOCLAVICULAR HOOK PLATE

DePuy Synthes Products, I...

1. A bone plate for treating acromioclavicular dislocations, comprising:a shaft including a lateral portion sized and shaped to be positioned along a superior aspect of a lateral clavicle, the shaft including a plurality of openings extending therethrough for receiving bone fixation elements therein; and
a hook member extending from the shaft so that, in an operative position, the hook member is hooked under an acromion and the lateral portion of the shaft is positioned on the superior aspect of the lateral clavicle, the lateral portion of the shaft being substantially rounded so that the hook member is movable in one of an anterior direction and a posterior direction while the shaft maintains contact with the superior aspect of the lateral clavicle without any portion of the lateral portion of the shaft protruding beyond a surface of the lateral clavicle.

US Pat. No. 10,687,853

EXTERNAL BONE FIXATION SYSTEM

DNE, LLC, Slatington, PA...

1. An external bone fixation system, comprising:a cylindrical fracture fusion tube comprising at least one recess along its length; and
multiple bracket/clamp assemblies removably attached to the fracture fusion tube, wherein each of the bracket/clamp assemblies comprises:
only one bracket slideably mounted on the fracture fusion tube via a bracket throughbore, wherein the bracket includes a threaded bracket support aperture;
a single screw threaded through the bracket support aperture;
only one pin collet clamp fixed to the bracket via the single screw that extends through a threaded clamp support aperture of the pin collet clamp, wherein the pin collect clamp further comprises a clamp throughbore, and wherein the pin collet clamp is rotatable, relative to the bracket and before the single screw is tightened, around an axis defined by the collet clamp support aperture, the bracket support aperture, and the single screw; and
only one ball collet rotatably disposed within the clamp throughbore of the pin collet clamp and defining a ball collet aperture for receiving a bone pin, wherein the ball collet is free to rotate in multiple planes within the clamp throughbore to allow a direction of the ball collet aperture to be independently adjusted in the multiple planes;
wherein tightening the single screw simultaneously tightens the bracket over the fracture fusion tube, tightens the bracket and pin collet clamp together so that they cannot rotate relative to one another, and compresses the clamp throughbore, which thus crushes the ball collet, thus preventing the ball collet from rotating within the clamp throughbore and tightening the ball collet aperture over the bone pin.

US Pat. No. 10,687,852

SEPARABLE INSTRUMENT DRIVER HANDLE

Symmetry Medical Manufact...

1. An orthopaedic driver handle, comprising:a drivetrain having a driving end and a driven end opposite said driving end and defining a longitudinal axis; and
a separable housing covering at least a portion of said drivetrain, said separable housing including:
a first portion and a second portion separably connected to the first portion, wherein sliding said first portion relative to said second portion in a direction of the longitudinal axis unlocks said first portion from said second portion, wherein said first portion includes an interior surface with at least one groove formed adjacent a peripheral edge of said first portion and said second portion includes at least one tab adjacent a peripheral edge of said second portion, said at least one tab extending circumferentially, relative to the longitudinal axis, past said peripheral edge of said second portion, each of said at least one groove adapted to separably receive each of said at least one tab, wherein a bottom surface defines a bottom of said at least one groove and at least two ramped features are positioned on said bottom surface, said at least one tab includes at least one locking protrusion extending radially, relative to the longitudinal axis, therefrom, wherein said at least one locking protrusion fits within said at least one groove and slidably aligns with at least one of said at least two ramped features to prevent said first portion and said second portion from being pulled apart, said at least two ramped features are spaced from each other to allow insertion of each of the at least one locking protrusion between the two ramped features.

US Pat. No. 10,687,851

TREATMENT HEAD FOR PERFORMING A MICRODERMABRASION PROCEDURE

KONINKLIJKE PHILIPS N.V.,...

1. A treatment head, comprising a skin contact surface which is positionable against a subject's skin, and at least two vacuum apertures on the skin contact surface configured as abrasive elements, the at least two vacuum apertures each defining a vacuum path at which a vacuum is generatable, wherein the at least two vacuum apertures have an abrasive edge defined by a juncture of a sidewall of the vacuum aperture and the skin contact surface, wherein the abrasive edge extends around the periphery of a vacuum inlet along said juncture, the abrasive edge being configured to act on the subject's skin, wherein the sidewall has a convex cross-sectional profile extending along an entire length of the sidewall from an exposed side to a rear side, and wherein the at least two vacuum apertures have a maximum minor axis dimension of between 0.5 mm and 5 mm.

US Pat. No. 10,687,850

SYSTEM AND METHOD FOR PELVIC FLOOR PROCEDURES

1. A system for attaching an anchor to a ligament located outside of a vaginal wall, the system comprising:a vaginally insertable assembly extending along a longitudinal axis, said vaginally insertable assembly having an open proximal end and an open distal end;
a working channel fixed to said vaginally insertable assembly and extending along at least an elongate portion thereof at an angle with respect to said longitudinal axis, said working channel having a distal end, which is fixed with respect to the vaginally insertable assembly at a first location on said vaginally insertable assembly, and a proximal end, which is rearward of said open proximal end of said vaginally insertable mounting assembly, said working channel also being fixed to said vaginally insertable assembly at a second location on said vaginally insertable assembly, rearward of said first location; and
a suture and penetrating anchor assembly which is configured to be displaceable at least along said elongate portion of said working channel through said vaginal wall and into anchoring relationship with said ligament.

US Pat. No. 10,687,849

MATERIALS AND METHODS OF USING THE SAME TO IMPROVE STRUCTURAL INTEGRITY OF A WALL OF A MAMMALIAN LUMINAL ORGAN

1. A method for reinforcing a wall of a luminal organ, comprising the steps of:inserting a guidewire into a blood vessel;
advancing a distal end of the guidewire within the blood vessel;
advancing at least part of an engagement catheter over the guidewire and into the blood vessel, wherein a distal end of the engagement catheter contacts the wall of the luminal organ;
providing suction through a lumen of the engagement catheter so that the distal end of the engagement catheter suctionally engages the wall of the luminal organ;
inserting at least part of a needle into the blood vessel of a patient, wherein the at least part of the needle is inserted into the at least part of the engagement catheter, which is then present within the blood vessel of the patient;
advancing a distal end of the needle within the blood vessel to a location adjacent to a wall of the luminal organ;
piercing the wall of the luminal organ using the needle so that a tip of the needle is present within the wall of the luminal organ;
injecting a substance through the needle and out of a distal portion of the needle while the suction is being provided through the lumen of the engagement catheter, so that at least some of the substance is present outside of the needle and inside of the wall of the luminal organ to reinforce the wall of the luminal organ; and
withdrawing the distal portion of the needle from the wall of the luminal organ.

US Pat. No. 10,687,848

SURGICAL CANNULA WITH PASSIVE PRIMING AND METHODS FOR USING SURGICAL CANNULAS

Edward J. Mikol, Pawleys...

1. A cannula comprisinga lumen wall defining at least one lumen port,
a flow piston positioned on an outside of the lumen wall and defining at least one piston port,
an outer casing positioned spaced apart from the flow piston to define a fluid chamber therebetween and an outer membrane connected to the outer casing, wherein the outer casing defines at least one casing port to fluidly connect the outer membrane to the fluid chamber,
wherein in a filling configuration the at least one lumen port aligns with the at least one piston port to allow a fluid to enter the fluid chamber and the outer membrane, and
wherein in a pressurizing configuration the at least one lumen port misaligns with the at least one piston port and the flow piston is moved to move fluid from the fluid chamber to the outer membrane to secure the cannula to an incision site.

US Pat. No. 10,687,847

ACCESS DEVICE HAVING MODULAR INSERTS AND SUPPORTING ACCESSORIES USED IN MINIMALLY INVASIVE SURGICAL PROCEDURES

Axcess Instruments Inc., ...

1. A percutaneous access device for use in minimally invasive surgery, comprising:an elongated body having a proximal portion and an opposing distal portion, the proximal portion having a proximal bore extending therethrough and the distal portion having a distal bore extending therethrough, wherein the distal portion of the elongated body is hingedly connected to the proximal portion in a first percutaneous access position in which the distal and proximal bores are linearly aligned along an axis of the elongated body when at least one surgical instrument is inserted into both the proximal and distal bores and a second anchoring position in which the entire distal bore is angularly displaced to a side from the proximal bore when the at least one surgical instrument is removed from the distal portion, wherein the proximal portion of the elongated body includes an O-ring seal configured to slideably engage with an outer surface of the elongated body.

US Pat. No. 10,687,846

SURGICAL DEVICES AND METHODS

SUREMKA, LLC, Dallas, TX...

1. A surgical device for providing soft tissue compression and fluid retention during surgical procedures, said surgical device comprising:a base member having an aperture extending from a proximal end to a distal end; and
a plurality of flexible shafts movably attached to an outer surface of said base member, each of said plurality of flexible shafts slidable on said outer surface of said base member and having a distal end, and a proximal end, and a working length,
wherein said working length of each of said plurality of flexible shafts is a length of each respective flexible shaft, as measured along said respective flexible shaft, from said distal end of said base member to said distal end of said respective flexible shaft,
wherein said distal ends of said plurality of flexible shafts are naturally biased in an outward direction,
wherein an outer surface of said proximal end of said base member is outwardly tapered to deflect said proximal ends of each of said plurality of flexible shafts away from an opening to said aperture adjacent to said proximal end of said base member,
wherein a user grasping and applying a force to the proximal end of one of said plurality of flexible shafts causes said respective flexible shaft to slide in a proximal direction or a distal direction respective to said base member, thereby allowing the user to increase and decrease said working length of said respective flexible shaft,
wherein each of said plurality of flexible shafts is capable of sliding in the proximal direction with respect to said base member such that the respective proximal end of each of said plurality of flexible shafts protrudes past said proximal end of said base member.

US Pat. No. 10,687,845

TRAJECTORY GUIDANCE DEVICE AND SYSTEM FOR SURGICAL INSTRUMENTS

Integrity Implants Inc., ...

1. A precision trajectory guidance instrument for use in conjunction with a surgical tool requiring X-ray imaging for guiding said surgical tool to a surgical target site comprising: a precision trajectory guidance instrument having a radiolucent body, said radiolucent body constructed for attachment to said surgical tool at a position and orientation that causes X-rays associated with said X-ray imaging to pass through said radiolucent body at a known angle, said radiolucent body including at least one front sight constructed from a radiopaque material and at least one rear sight constructed from a radiopaque material, said at least one front sight and said at least one rear sight positioned on said radiolucent body to provide an angular relationship of said radiolucent body, and thus an angular trajectory of said surgical tool with respect to a portion of an animal anatomy in an X-ray image, wherein said surgical tool is a jamshidi needle, said precision trajectory guidance instrument secured to said jamshidi needle as an outrigger extending outwardly and generally perpendicular from a cannula portion of said jamshidi needle.

US Pat. No. 10,687,844

CATHETER ATHERECTOR

1. A device configured to remove occlusive material from a vessel, comprising:a catheter with a hollow elongated lumen, a proximal opening, and a distal opening;
an emulsification reduction of plaque particles sphere within the distal opening of the catheter, wherein the emulsification reduction of plaque particles sphere comprises a substantially spherical shape composed of a plurality of alternating, adjacent protrusions and slots, wherein each protrusion comprises a substantially smooth, curved surface extending outward, and a distal sharp tip, and each slot comprises a substantially smooth, curved sharp bottom surface extending inward;
an opening on the emulsification reduction of plaque particles sphere into the distal opening of the catheter within the plurality of protrusions and slots;
an emulsification-extraction wire contained within the lumen of catheter, wherein the emulsification-extraction wire comprises a substantially cylindrical screw helical ridge body and forms an internal auger within internal walls of the catheter lumen;
a plurality of occlusive material cutters on the distal end of the emulsification-extraction wire extending outwardly from the distal opening of the catheter, wherein the plurality of occlusive material cutters are contained within the plurality of protrusions on the emulsification of plaque particles sphere;
wherein the emulsification reduction of plaque particles sphere and the emulsification-extraction wire are configured to each independently rotate in opposite directions and move axially inside the vessel to engage the occlusive material;
wherein the plurality of protrustions shave and scoop the occlusive material into the plurality of occlusive material cutters for emulsification into reduced particles, and the plurality of protrusions are configured such that the movement of the plurality of protrusions does not pierce or cut the vessel wall;
wherein the distal sharp tips of each protrusion shave the occlusive material into the plurality of occlusive material particles for emulsification and distal sharp tips are configured to not contact the vessel wall; and
wherein the mixture of emulsified occlusive material and blood only flows in a proximal direction into the catheter lumen through the plurality of occlusive material helical walls of the extraction wire cutters, wherein the mixture of emulsified occlusive material and blood is filtered and flows back into the vessel.

US Pat. No. 10,687,843

METHOD AND TOOLS FOR CLEARING THE EPIDURAL SPACE IN PREPARATION FOR MEDICAL LEAD IMPLANTATION

MEDTRONIC, INC., Minneap...

1. A method of implanting a paddle lead into an epidural space, comprising:passing a guidewire through a window to the epidural space created within the spinal column;
passing a tool through the window and into the epidural space by passing the guidewire through a lumen of the tool, the tool having a distal tip on a distal end of an elongated body with the distal tip having a width greater than a largest diameter of the elongated body, the elongated body of the tool being exposed directly to the window created within the spinal column;
cleaning the epidural space by moving the tool further into the epidural space and then retracting the tool;
removing the guidewire and tool from the epidural space; and
after removing the guidewire and tool from the epidural space, inserting the paddle lead through the window and into a desired position within the epidural space.

US Pat. No. 10,687,842

METHOD AND APPARATUS FOR DISCONTINUOUS DERMABRASION

The General Hospital Corp...

1. An apparatus for cosmetic resurfacing of a skin tissue, comprising: at least one shaft having a longitudinal axis, an abrading element coupled to a distal end of the shaft, a substrate, a conduit coupled to the substrate, and a drive arrangement configured to rotate the at least one shaft around the longitudinal axis; wherein the at least one shaft is rotatably coupled to the substrate; wherein a width of the abrading element is less than about 1 mm; wherein the abrading element is configured to contact a surface of the skin tissue to remove at least one portion of the skin tissue; wherein the conduit is configured to facilitate contact between the surface of the skin tissue and the abrading element when the conduit is placed in communication with a low-pressure source; and wherein the drive arrangement is further configured to translate the at least one shaft in a direction substantially along the longitudinal axis.

US Pat. No. 10,687,841

ULTRASONIC SURGICAL SYSTEM

OLYMPUS CORPORATION, Tok...

1. A power supply device connected to an excision device configured to press a predetermined portion of a cartilage, melt the predetermined portion of the cartilage by friction heat generated by ultrasonic vibration generated by a transducer, and excise the predetermined portion of the cartilage, while being in contact with the predetermined portion of the cartilage, the device comprising:an output unit configured to generate a driving power to drive the transducer; and
a controller configured to control the output unit to output the driving power to heat the predetermined portion of the cartilage to a temperature of 120° C. or higher within 2.2 seconds, and to maintain a temperature of the predetermined portion of the cartilage to be at 120° C. or higher.

US Pat. No. 10,687,840

ULTRASONIC TRANSDUCER TISSUE SELECTIVITY

Integra LifeSciences NR I...

1. A method of modulating amplitude of a drive signal applied to at least one transducer of an ultrasonic surgical apparatus, the method comprising:identifying a selection of a particular tissue selectivity level, the particular tissue selectivity level being one of a plurality of available tissue selectivity levels;
determining particular waveform modification parameters for the particular tissue selectivity level, wherein the particular waveform modification parameters are particularized to the particular tissue selectivity level and are determined based on being stored, in one or more computer readable media, in association with the particular tissue selectivity level;
in response to the selection of the particular tissue selectivity level and until occurrence of a stop condition:
generating the drive signal based on the particular waveform modification parameters, wherein generating the drive signal based on the particular waveform modification parameters comprises:
selectively modifying a feedback based reference drive signal based on the particular waveform modification parameters to generate the drive signal with an amplitude that is modulated based on the particular waveform modification parameters that are stored in association with the particular tissue selectivity level.

US Pat. No. 10,687,839

COMPACT ENDOSCOPIC SURGICAL DEVICE AND METHOD OF USE THEREOF

A.M. SURGICAL, INC., Smi...

1. A surgical device, comprising:(a) a housing,
(b) a slotted clear cannula attached to the distal end of the housing, the slotted clear cannula comprising a cannula body having a proximal end and a distal end, and a longitudinal slot extending from the proximal end of the cannula to the proximity of the distal end of the cannula;
(c) a tube assembly having a proximate end and a distal end, wherein the tube assembly allows for inserting a viewing device;
(d) a blade assembly comprising a blade, wherein the blade assembly is attachable to the distal end of the tube assembly; and
(e) a latch assembly having a proximal end and a distal end, wherein the latch assembly comprises a scope lock assembly for holding the viewing device in a stationary position relative to the tube assembly, wherein the scope lock assembly is a two-button pinch-type assembly, wherein compressing the buttons releases the viewing device and allows movement of the viewing device through the tube assembly,
wherein the proximate end of the tube assembly attaches to the latch assembly and the distal end of the tube assembly slides through the housing and is capable of entering the slotted clear cannula from the proximal end of the clear cannula.

US Pat. No. 10,687,838

INFLATABLE BALLOON FOR MEDICAL USE

DIANOSIC, Malakoff (FR) ...

1. An inflatable balloon (10) for medical use, intended to be inserted deflated into a human or animal body cavity and then inflated once inside the cavity so as to apply pressure against it, comprisinga balloon body (12), the wall (14) of which is made from a flexible inflatable material, with a generally elongated shape having a proximal inflation end (16) and a distal positioning end (18) at the back of the cavity, wherein the wall (14) further locally has an elongated portion (30) called the sole that is stiffer than the rest of the wall (14), this sole extending from the proximal end (16) to the distal end (18),
an inflation opening (22) formed in the proximal end (16) through which a fluid is introduced into the balloon body (12) so as to inflate it under pressure, and
an endoscope opening (24) further formed in the proximal end (16), this endoscope opening (24) being designed for the introduction of an endoscope into the balloon body (12),wherein the endoscope opening (24) leads into the inside of the balloon body (12) at the inside of an elongated sock (26) that has a closed distal end (28) not fixed to the wall (14) of the balloon body (12).

US Pat. No. 10,687,837

METHOD FOR MANUFACTURING MEDICAL BASKET TREATMENT TOOL AND THE MEDICAL BASKET TREATMENT TOOL

OLYMPUS CORPORATION, Tok...

1. A method for manufacturing a medical basket treatment tool having one or more wires formed using an alloy containing two or more metals, the method comprisinga heating process of performing heat treatment on a target portion of at least one wire among the wires one or more times, the heat treatment including irradiating the target portion with a laser with an irradiation fluence of 103 J/cm2 or more and heating the target portion to a predetermined temperature lower than a solid solubility limit of the alloy.

US Pat. No. 10,687,836

SNARING SYSTEMS AND METHODS

SPECTRANETICS LLC, Color...

1. A snaring system for engaging an object within a patient's body, the system comprising:a sheath having a longitudinal axis and a distal end, the sheath comprising:
a wall forming an inner surface, an outer surface and a cross sectional area between the inner surface and the outer surface;
a lumen disposed in the cross sectional area of the wall of the sheath, wherein the lumen comprises a distal end; and
a central lumen formed by the inner surface of the wall, wherein the central lumen comprises a distal end, wherein the central lumen and the lumen are substantially parallel; and
an elongate element having a proximal end and a distal end,
wherein the elongate element is slidable relative to the sheath,
whereupon sliding the distal end of the elongate element distally of the distal end of the lumen to a first axial position, the distal end of the elongate element comprises an open loop distally of the lumen and the central lumen in an open position,
whereupon sliding the distal end of the elongate element proximately of the distal end of the lumen to a second axial positon, a portion of the open loop extends into the central lumen in a closed position.

US Pat. No. 10,687,835

CALCULUS REMOVING DEVICE

TERUMO KABUSHIKI KAISHA, ...

1. A calculus removing device comprising:a retaining portion configured to retain calculus;
a collecting unit including:
a storage portion configured to store the calculus in the storage portion, the storage portion including one end and an axially oppositely located other end;
an opening at the one end of the storage portion that is in communication with the storage portion and through which the calculus is introduced into the storage portion, the other end of the storage portion being blocked; and
an introducing portion configured to permit introduction of the retaining portion into the storage portion;
a shaft portion provided with a lumen configured to receive the retaining portion to permit the retaining portion to be introduced into the storage portion via the introducing portion; and
a hand-operated unit that includes an operating member that is operable to control an introduction of the retaining portion into the storage portion, and wherein the retaining portion is configured to be inserted through an outer edge portion of the storage portion and fed into an interior open space of the storage portion and around calculi within the storage portion by operation of the operating member of the hand-operated unit.

US Pat. No. 10,687,834

ISCHEMIC STROKE DEVICE

DEPUY SYNTHES PRODUCTS, I...

1. A method of removing of at least a portion of an obstruction from an obstructed blood vessel for treatment of ischemic stroke, comprising the steps of:providing a telescoping support member including an outer tubular shaft and an inner elongate member extending through said outer tubular shaft and slidable within said outer tubular shaft, said outer tubular shaft having a distal end, and said inner elongate member having a distal end and a proximal end;
providing a first expandable member having a proximal end and a distal end and a tubular body extending between the proximal and distal ends of the first expandable member, said proximal end of said first expandable member being attached to said distal end of said outer tubular shaft of said telescoping support member, and said distal end of said first expandable member being attached to a distal portion of said inner elongate member, said first expandable member having a radially compressed configuration and a radially expanded configuration, and said first expandable member having a longitudinally extended configuration with said proximal and distal ends of said first expandable member disposed at opposing ends of said first expandable member, and an everted configuration with said distal end of said first expandable member withdrawn within said tubular body of said first expandable member adjacent to said proximal end of said first expandable member; and
providing a second expandable member configured to be deployed into an obstruction within the blood vessel, and a tubular mesh body extending between the proximal and distal ends of the second expandable member, said proximal end of said second expandable member being permanently joined to said distal end of said inner elongate member of said telescoping support member,
radially expanding said tubular mesh body into contact with at least a portion of the obstruction such that a portion of the obstruction is dislodged to enhance blood flow through the blood vessel, said tubular mesh body including a plurality of interstices, at least a portion of the interstices being adapted to allow passage of at least one dislodged portion of the obstruction therethrough in a radial direction into the tubular mesh body,
moving said inner elongate member in a proximal direction relative to said outer tubular shaft of the telescoping support member such that the first expandable member moves between said longitudinally extended configuration and said everted configuration such that said first expandable member envelopes said second expandable member and said second expandable member is disposed radially within said first expandable member.

US Pat. No. 10,687,832

METHODS AND DEVICES FOR THROMBUS DISPERSAL

KONINKLIJKE PHILIPS N.V.,...

1. A catheter system for delivering therapy to a body lumen, the catheter system comprisingan elongate body defining a first lumen and comprising a distal portion;
an inner member configured for insertion into the first lumen, the inner member comprising an acoustic energy source configured to deliver therapeutic energy to a treatment site and disrupt an occlusion within the body lumen; and
a dissolution element coupled to the distal portion of the elongate body, wherein the dissolution element comprises a heating element configured to disrupt the occlusion, wherein the heating element is configured to be coupled to a second energy source, wherein the acoustic energy source has a structural configuration different than the heating element and the acoustic energy source is a type different than the second energy source.

US Pat. No. 10,687,831

REAMER AND GUIDE FOR GLENOID AUGMENT PREPARATION

Biomet Manufacturing, LLC...

1. A reaming apparatus comprising:a base guide defining a base guide through bore, a base guide locking member extending outwardly from a first exterior surface of the base guide, and a second exterior surface defining a base guide articulating surface, the base guide articulating surface oriented at an angle relative to the base guide through bore;
a reamer defining a reamer through bore and including a first surface defining a reamer gear, a second surface defining a plurality of reamer teeth, and a reamer articulating surface operable to allow rotation of the reamer on the base guide articulating surface;
a reamer driver defining a reamer driver through bore and a reamer driver gear, the reamer driver gear sized to mesh with the reamer gear; and
a guide shaft defining a reamer driver receiver and a guide shaft locking member operable to engage the base guide locking member to thereby secure the guide shaft to the base guide, wherein upon assembly of the reaming apparatus the base guide through bore, the reamer through bore, and the reamer driver through bore are coaxial.

US Pat. No. 10,687,830

METHODS AND DEVICES FOR SURGICAL ACCESS

Javier Garcia-Bengochea, ...

1. A surgical instrument assembly comprisinga guidance frame system comprising,
a rigid cross bar,
an adjustable connector slidably engaged on the rigid cross bar,
a rigid support bar interconnected at a first end with the rigid cross bar and adjustably positionable relative to the rigid cross bar, and
an adjustable pivot assembly comprising a spherical head affixed at a second end of the rigid support bar, and a socket member engagable with the spherical head and adapted for fixation to a surgical tool,
wherein the rigid cross bar is adapted for fixed attachment to a surgical support surface,
wherein the rigid support bar is adapted at a first end for slidable and lockable engagement with the adjustable connector and is adapted at a second end for lockable engagement with one or more of the adjustable pivot assembly and a surgical tool, and
wherein the adjustable connector is adapted for engagement with the rigid cross bar, and is adjustable to allow positional adjustment of an engaged rigid support bar by ranges of motion that include each of:
translational adjustment of the engaged first end of the rigid support bar along an elongate axis of the rigid cross bar and between a first end and a second end of the rigid cross bar;
translational adjustment along a horizontal axis that is transverse to the elongate axis of the rigid cross bar;
rotational adjustment around the elongate axis of the rigid cross bar;
rotational adjustment around a vertical axis that is perpendicular to the elongate axis of the rigid cross bar; and
rotational adjustment around the horizontal axis that is transverse to the elongate axis of the rigid cross bar;
a surgical tool engageable with one or more of the rigid support bar and the adjustable pivot assembly.

US Pat. No. 10,687,829

SYSTEMS AND METHODS FOR PLACEMENT OF SURGICAL INSTRUMENTATION

MiRus LLC, Marietta, GA ...

1. A system for estimating an orientation, the system comprising:a base attached to a bone of a patient;
a surgical instrument mechanically coupled to the base;
a mechanism configured to adjust a relative position of the surgical instrument with respect to the base;
a first orientation sensor coupled to the base and configured to detect information indicative of an orientation of the bone;
a second orientation sensor coupled to the surgical instrument and configured to detect information indicative of an orientation of the surgical instrument; and
a processor communicatively coupled to the first and second orientation sensors and configured to:
receive information indicative of an orientation of an anatomic axis or plane of the bone; and
estimate an angle between the surgical instrument and the anatomic axis or plane.

US Pat. No. 10,687,828

BONE GRAFT DELIVERY SYSTEM AND METHOD FOR USING SAME

SurGenTec, LLC, Boca Rat...

1. A bone graft delivery system comprising:an elongate tube configured to receive a bone graft material; and
a rasp comprising:
an elongate body extending between a proximal end and a distal end;
a lumen extending through the elongate body and configured to receive at least a portion of the elongate tube;
a rasping surface positioned at the distal end of the elongate body and configured to decorticate bone material of a patient;
one or more openings configured to deliver bone graft material from the elongate tube when the lumen receives at least a portion of the elongate tube; and
a handle portion positioned at a proximal section of the elongate body and configured to be gripped in use to facilitate movement of the rasping surface to decorticate bone.

US Pat. No. 10,687,827

TISSUE COLLECTION AND DELIVERY DEVICE AND METHODS OF USE THEREOF

1. A method of tissue repair comprising:cutting tissue to create tissue fragments;
aspirating fluid and the tissue fragments through a cannulated shaft of a resection system to a filter assembly, the resection system comprising a handpiece having a proximal end, a distal end, and a passageway therethrough, the cannulated shaft being attached to the distal end of the handpiece in fluid communication with the passageway, the filter assembly removeably attached to the proximal end of the handpiece in fluid communication with the cannulated shaft via a tube extending from the proximal end of the handpiece such that a distal end of the filter assembly is spaced apart from the proximal end of the handpiece, the filter assembly comprising a housing allowing direct visualization of an internal volume of the housing and a filter disposed within the internal volume of the housing; and
separating the tissue fragments having a pre-selected size from the fluid using the filter.

US Pat. No. 10,687,826

SURGICAL METHODS OF UNIVERSAL OSTEOTOMY DEVICE

A PLUS BIOTECHNOLOGY COMP...

1. A surgical method of universal osteotomy device comprising the steps of:placing a first body component and a second body component on a surface of a bone;
engaging an engaging member with a connecting member;
inserting at least one aiming bone pin in at least one aiming hole to confirm a cutting direction;
cutting along a guide slot to produce an osteotomy;
spreading said osteotomy;
placing a bone plate to maintain said osteotomy;
wherein a surface of said first body component and a surface of said second body component have an average curvature of bone surface or a uniform curvature.

US Pat. No. 10,687,825

DEVICE FOR THE RESECTION OF THE FEMUR

LIMACORPORATE S.P.A., Sa...

1. A device for resecting a femur, the device comprising:a resection body having a first element and a separate second element, the first and second elements being selectively assembleable to each other in a stable and releasable manner,
the first element being a cutting template having at least one resection groove configured to receive a cutting surgical instrument to obtain at least two sections of the femur, and
the second element being a measuring and reference member having a plurality of measuring and reference holes positioned thereon in ordered rows and columns according to a matrix associated with axial and angular coordinates, the holes being configured to determine an angular offset with respect to a longitudinal axis of the femur and an axial translation along the longitudinal axis of the femur between the at least two sections, and
a releasable holder positioned between the cutting template and the measuring and reference member, for assembling the cutting template and the measuring and reference member together and releasing the cutting template and the measuring and reference member from one another,
wherein groups of measuring and reference holes along the rows of the matrix indicate different values of angular position, both toward the right and toward the left, and groups of measuring and reference holes along the columns of the matrix indicate different values of axial position.

US Pat. No. 10,687,824

SURGICAL SAW AND SAW BLADE FOR USE THEREWITH

Stryker European Holdings...

1. A surgical saw blade for being coupled to a drive hub of a surgical saw assembly, said blade comprising:an attachment portion configured to be removably coupled to the drive hub;
a cutting portion opposite said attachment portion including a plurality of teeth;
a pivot portion configured to engage a pivot structure of the surgical saw assembly,
said cutting portion having a follower which is configured to engage a blade support of the surgical saw assembly and is configured to limit deflection of the blade, wherein said follower includes a projection which extends parallel to said pivot portion.

US Pat. No. 10,687,823

SURGICAL SAGITTAL BLADE CARTRIDGE WITH A REINFORCED GUIDE BAR

Stryker European Holdings...

1. A surgical sagittal saw blade cartridge, said cartridge comprising:a guide bar comprising: two outer plates; and an inner plate located between the outer plates, said inner plate formed to have an inner tine and opposed outer tines located on opposed sides of said inner tine and, wherein, said inner tine is formed to define a head and said outer tines extend distally past said head of said inner tine;
a blade, said blade having: a web disposed between the outer plates and against said head of said inner tine so that at least a portion of said web is disposed between sections of said outer tines located distal to said head of said inner tine; and a head integral with and located distal to said web, said head formed with teeth located distal to said guide bar, said teeth having a sufficient thickness to form a kerf able to receive said guide bar; and
at least one drive link moveably disposed between the outer plates within a space between said inner tine and one of said outer tines, said at least one drive link having opposed proximal and distal ends, the proximal end adapted to be attached to a drive element of a saw and the distal end being connected to said web of said blade so that reciprocation of said at least one drive link results in pivoting of said blade around said head of said inner tine.

US Pat. No. 10,687,822

THICKNESS-ADJUSTABLE HEMOSTATIC CLIPS, CLIP APPLIERS, AND APPLICATIONS THEREOF

1. A thickness-adjustable hemostatic clip comprising:a first clip arm having a first clip arm distal end, and a second clip arm having a second clip arm distal end, said second clip arm opposes and is connected to said first clip arm at a shared proximal end configured as an elastic normally-opened joint portion, each one of said first and second clip arms includes an outer clip arm member connected to an inner clip arm member having a tissue contacting surface, and configured with a gap between said inner clip arm member and said outer clip arm member, such that said inner clip arm member elastically deforms or/and shifts towards a respective one of said outer clip arm member when said first and second clip arms are closed against, and mutually apply compression and clamping forces to, a bodily organ or tissue; and
a locking mechanism configured for locking said first clip arm distal end to said second clip arm distal end;
wherein a first one of said inner clip arm member is connected to a first one of said outer clip arm member, via at least one first arm joining portion, and includes both a distal end portion and a proximal end portion that freely extend from said at least one first arm joining portion.

US Pat. No. 10,687,821

LUNG VOLUME REDUCTION ELASTIC IMPLANT AND LUNG VOLUME REDUCTION INSTRUMENT

Lifetech Scientific (Shen...

1. A lung volume reduction elastic implant, characterized in that the implant is tubular, is opened at least at the proximal end, and comprises an elastic deformation section, a flexible guide section connected with the distal end of the elastic deformation section, and a protuberance connected with the proximal end of the elastic deformation section; and the elastic deformation section has a lengthwise direction and a shape memory characteristic, and has a plurality of grooves formed in a spaced manner along the lengthwise direction of the elastic deformation section; and each groove is communicated with a lumen of the elastic deformation section; and the outer diameter of the protuberance is larger than that of a portion, which is close to the protuberance, on the elastic implant in a delivery state; andwherein the lung volume reduction elastic implant further comprises a connection section located entirely between the elastic deformation section and the protuberance.

US Pat. No. 10,687,820

UNILATERAL SPINAL CORD COMPRESSION

1. An apparatus for unilateral spinal cord compression, comprising:a fixed member, comprising:
a fixed arm having two ends; and
a planar member having an aperture,
wherein a first end of the two ends is a curved base end and the planar member is fixed onto a second end of the fixed arm;
a movable member, comprising a plate parallel to the planar member having a lateral slit to pass through the fixed arm; and
a linear actuating mechanism, comprising:
a fastener, configured to move upward and/or downward through the aperture in a direction toward the curved base end responsive to a screwing movement or a turning movement of the fastener;
a first coupler fixed around the aperture on the planar member, the first coupler configured to couple the fastener perpendicularly on to the planar member; and
a ball bearing fixed onto the movable member aligned to the first coupler, the ball bearing configured to:
couple the fastener to the movable member;
translate the screwing movement or the turning movement of the fastener to a longitudinal movement of the movable member along the fixed arm; and
compress a portion of spinal cord encompassed between the movable member and the curved base end responsive to the longitudinal movement of the movable member toward the curved base end.

US Pat. No. 10,687,819

CLAMPING MECHANISM FOR LINEAR SURGICAL STAPLER

Ethicon LLC, Guaynabo, P...

1. A surgical stapler, comprising:(a) an anvil channel member;
(b) an anvil surface having a plurality of staple forming pockets;
(c) a cartridge channel member configured to releasably couple with the anvil channel member, wherein a distal portion of the cartridge channel member is configured to receive a staple cartridge;
(d) a first latch feature;
(e) a second latch feature, wherein the second latch feature is movable between an open position in which the anvil channel member and the cartridge channel member are moveable relative to one another, and a closed position in which the second latch feature engages the first latch feature and thereby fixes the anvil channel member and the cartridge channel member relative to one another; and
(f) a latch lockout member, wherein the latch lockout member is movable relative to the first and second latch features between a lockout state in which the latch lockout member locks the second latch feature in the open position, and a release state in which the latch lockout member permits the second latch feature to move from the open position to the closed position, wherein the latch lockout member moves from the lockout state to the release state in response to being engaged by the first latch feature.

US Pat. No. 10,687,818

CIRCULAR STAPLER AND STAPLE LINE REINFORCMENT MATERIAL

COVIDIEN LP, Mansfield, ...

1. A surgical stapling instrument, comprising:an anvil assembly having a tissue contacting surface defining a plurality of rows of staple forming recesses therein, wherein each pair of adjacent staple forming recesses of a first row of the plurality of rows of staple forming recesses defines a gap therebetween;
a staple cartridge assembly having a tissue contacting surface defining a plurality of rows of staple receiving slots therein, wherein each pair of adjacent staple receiving slots of a first row of the plurality of rows of staple receiving slots defines a gap therebetween; and
a plurality of attachment members supported on the tissue contacting surface of at least one of the staple cartridge assembly or the anvil assembly, the plurality of attachment members disposed in every other of the gaps in the first row of the plurality of rows of staple forming recesses or in every other of the gaps in the first row of the plurality of rows of staple receiving slots, wherein the plurality of attachment members is configured to be attached to a staple line reinforcement material; wherein the plurality of attachment members are hook and loop type fasteners.

US Pat. No. 10,687,817

STAPLING DEVICE COMPRISING A FIRING MEMBER LOCKOUT

Ethicon LLC, Guaynabo, P...

1. A stapling device, comprising:a shaft having a locked state and an unlocked state;
an anvil;
a replaceable staple cartridge attachable to said shaft, comprising:
a cartridge body;
staples removably stored in said cartridge body;
a metal pan attached to said cartridge body; and
a sled;
a firing member movable longitudinally through a staple firing stroke when said shaft is in said unlocked state, wherein said firing member comprises:
an anvil cam configured to engage said anvil; and
a cartridge cam configured to engage said staple cartridge; and
a lock, wherein said anvil cam is positioned vertically above said lock and said cartridge cam is positioned vertically below said lock, and wherein said lock is movable vertically relative to said metal pan when said shaft is placed in its unlocked state.

US Pat. No. 10,687,816

FLEXIBLE MATERIAL DISPENSER

Ethicon, Inc., Somervill...

8. A method for tissue bonding or closing wounds comprising:utilizing a dispensing device in a forward motion, the dispensing device comprising:
a housing having two segments and an opening and wherein the housing further comprises a pair of projections which are extensions of the segments at the distal end of the housing at the opening;
a supply spool rotatably mounted in the housing, the supply spool comprising a spool of flexible material and backing film, the flexible material comprising a pressure sensitive adhesive applied over at least a portion of a side of the flexible material, and a backing film detachably adhered to the pressure sensitive adhesive;
a guide element mounted at the opening and having two end surfaces and a circumferential surface in close proximity to the tissue, the majority of the circumferential surface of the guide element is not visually obstructed by the housing;
a take-up spool rotatably mounted in the housing, the take-up spool rotatably coupled with the supply spool for receiving the backing film from the guide element;
contacting a tissue surface in need of bonding, wherein at least a portion of the pressure sensitive adhesive side of the flexible material is pressed between the tissue surface and the guide element;
adhering the at least a portion of the pressure sensitive adhesive side of the flexible material to the tissue surface;
operating the dispensing device in a forward direction along the tissue surface;
dispensing the flexible material from the opening of the device while visually observing and directing the contact of the flexible material from the guide element to the tissue; and
bonding the tissue surface.

US Pat. No. 10,687,815

CLIP FOR A MEDICAL IMPLANT

1. An implant delivery system comprising an implant and a clip for fixing the implant to a tissue, wherein:said clip comprises a first leg having a proximal end and a distal end and a second leg having a proximal end and a distal end;
a distal end of the clip forms a tapered shape adapted to pierce the tissue;
the first leg and the second leg are joined at their distal ends at a point on the distal end of the clip;
the first leg or the second leg comprises a proximal connecting element that releasably connects to a delivery device;
the proximal ends of the first and second legs are spaced apart from each other by a first separation distance when the clip is in a delivery shape;
the proximal ends of the first and second legs are spaced apart from each other by a second separation distance when the clip is compressed to an implanted shape;
the second separation distance is shorter than said first separation distance; and
the first leg or the second leg comprises a proximal engagement portion extending radially outwardly such that, when being drawn into a catheter, an edge portion of said catheter pushes the proximal engagement portion radially inwards.

US Pat. No. 10,687,814

STAPLING SYSTEMS AND METHODS FOR SURGICAL DEVICES AND END EFFECTORS

Standard Bariatrics, Inc....

1. An end effector for stapling an anatomical structure, the anatomical structure having a first side and a second side, the end effector comprising:(a) an anvil, the anvil comprising;
(i) a first anvil end, a second anvil end, and an anvil face;
(ii) an anvil blade channel defined by the anvil face, wherein the anvil blade channel is positioned to bisect the anvil face into a first half and a second half;
(ii) a first pocket row including a plurality of first row staple pockets positioned on the first half of the anvil face;
(iii) a second pocket row including a plurality of second row staple pockets positioned on the first half of the anvil face;
(iv) a third pocket row including a plurality of third row staple pockets positioned on the first half of the anvil face;
(v) a fourth pocket row including a plurality of fourth row staple pockets positioned on the second half of the anvil face;
(vi) a fifth pocket row including a plurality of fifth row staple pockets positioned on the second half of the anvil face; and
(vii) a sixth pocket row including a plurality of sixth row staple pockets positioned on the second half of the anvil face;
(b) a cartridge having a first cartridge end, a second cartridge end, and a cartridge face defining a cartridge blade channel, the cartridge being configured to retain a plurality of staples; and
(c) a blade, the blade having a cutting edge, wherein the blade is movable from a first position at a first end of the cartridge to a second position at a second end of the cartridge; and
wherein the first anvil end is coupled with the first cartridge end and the second anvil end is coupled with the second cartridge end in a first open position and in a second closed position.

US Pat. No. 10,687,813

ADAPTERS WITH FIRING STROKE SENSING ARRANGEMENTS FOR USE IN CONNECTION WITH ELECTROMECHANICAL SURGICAL INSTRUMENTS

Ethicon LLC, Guaynabo, P...

1. An adapter for use with an electromechanical surgical instrument, said adapter comprising:a surgical end effector comprising:
an anvil;
a cartridge assembly operably coupled to said anvil such that said anvil and cartridge assembly are movable relative to each other between open and closed positions, said cartridge assembly operably storing a plurality of fasteners therein; and
a dynamic clamping assembly selectively axially movable within said surgical end effector through a firing stroke wherein, when said dynamic clamping assembly is moved from a starting position in a distal axial direction through a proximal portion of said firing stroke, said dynamic clamping assembly moves said anvil and cartridge assembly from a fully open position to a closed position and when said dynamic clamping assembly is distally advanced through an intermediate portion of said firing stroke, said dynamic clamping assembly causes at least a majority of said fasteners stored in said cartridge assembly to be ejected therefrom and when said dynamic clamping assembly is distally advanced through a distal portion of said firing stroke, said dynamic clamping assembly causes any remaining said fasteners stored in said cartridge assembly to be ejected therefrom and wherein said adapter further comprises:
an axially movable firing member operably interfacing with a rotary drive shaft and configured to axially move said dynamic clamping assembly through said firing stroke;
a sensor positioned adjacent a portion of said axially movable firing member in said adapter; and
an actuator sensor movably interfacing with said portion of said axially movable firing member and configured to only be detected by said sensor when said axially movable firing member is in an intermediate actuation stroke portion, wherein said actuator sensor is biased into sensing alignment with said sensor when said axially movable firing member is located within said intermediate actuation stroke portion to communicate a signal indicative of a location of said dynamic clamping assembly to the electromechanical surgical instrument.

US Pat. No. 10,687,812

SURGICAL INSTRUMENT SYSTEM INCLUDING REPLACEABLE END EFFECTORS

Ethicon LLC, Guaynabo, P...

1. A robotic surgical instrument system, comprising:an electric motor;
a housing comprising a motor-driven drive shaft drivable by said electric motor;
a first stapling attachment configured to be coupled to and decoupled from said housing, wherein said first stapling attachment defines a first firing path having a first firing length, and wherein said first stapling attachment comprises:
a first cartridge body having a first cartridge body length;
a first firing member configured to travel along said first firing path; and
a first drive screw configured to be operably coupled to and operably decoupled from said motor-driven drive shaft, wherein said first drive screw is engaged with said first firing member such that the rotation of said first drive screw causes said first firing member to travel along said first firing path, and wherein said first drive screw is configured to cause said first firing member to travel said first firing length when said motor-driven drive shaft turns a pre-set number of revolutions during a first firing actuation; and
a second stapling attachment configured to be coupled to and decoupled from said housing, wherein said second stapling attachment defines a second firing path having a second firing length, wherein said second firing length is different than said first firing length, wherein said second stapling attachment is different than said first stapling attachment, and wherein said second stapling attachment comprises:
a second cartridge body having a second cartridge body length, wherein said second cartridge body length is different than said first cartridge body length;
a second firing member configured to travel along said second firing path; and
a second drive screw configured to be operably coupled to and operably decoupled from said motor-driven drive shaft, wherein said second drive screw is engaged with said second firing member such that the rotation of said second drive screw causes said second firing member to travel along said second firing path, wherein said second drive screw is configured to cause said second firing member to travel said second firing length when said motor-driven drive shaft turns a pre-set number of revolutions during a second firing actuation, and wherein said pre-set number of revolutions during said second firing actuation is different than said pre-set number of revolutions during said first firing actuation.

US Pat. No. 10,687,810

STEPPED STAPLE CARTRIDGE WITH TISSUE RETENTION AND GAP SETTING FEATURES

Ethicon LLC, Guaynabo, P...

1. A staple cartridge assembly for use with a surgical stapling instrument including an anvil, wherein the staple cartridge assembly comprises:a cartridge body, comprising:
a proximal portion;
a distal portion;
an elongate slot extending between the proximal portion and the distal portion; and
a cartridge deck, comprising:
a first deck surface defining a first deck height; and
a second deck surface defining a second deck height, wherein the second deck surface is laterally offset from the first deck surface in a direction away from the elongate slot, and wherein the second deck height is shorter than the first deck height;
a plurality of staple cavities, comprising:
a first row of staple cavities defined in the first deck surface; and
a second row of staple cavities defined in the second deck surface, wherein the first row of staple cavities is closer to the elongate slot than the second row of staple cavities;
a plurality of staples housed in the cartridge body, the plurality of staples comprising:
first staples deployable from the first row of staple cavities into tissue; and
second staples deployable from the second row of staple cavities into the tissue; and
cleats configured to resist movement of the tissue relative to the cartridge deck, wherein the cleats comprise:
first cleats extending from the first deck surface, wherein each of the first cleats comprises a first cleat height, wherein the first cleats are arranged in a first pattern with respect to the first row of staple cavities; and
second cleats extending from the second deck surface, wherein the second cleats are laterally offset from the first cleats in a direction away from the elongate slot, wherein the second cleats are arranged in a second pattern with respect to the second row of staple cavities, wherein the second pattern is different than the first pattern and is configured to provide a different degree of tissue traction than the first pattern, wherein each of the second cleats comprises a second cleat height, and wherein the first cleat height is different than the second cleat height, wherein each of the cleats comprises:
a base defined in the cartridge deck; and
a peak narrower than the base, wherein the peaks define a plane substantially parallel to the cartridge deck.

US Pat. No. 10,687,809

SURGICAL STAPLE CARTRIDGE WITH MOVABLE CAMMING MEMBER CONFIGURED TO DISENGAGE FIRING MEMBER LOCKOUT FEATURES

Ethicon LLC, Guaynabo, P...

1. A surgical staple cartridge configured to be supported within a jaw of a surgical end effector wherein one jaw of the surgical end effector is movable relative to a second jaw of the surgical end effector between an open position and a closed position, the surgical end effector including a lock member that is moved from an unlocked configuration to a locked configuration by the movable jaw when the movable jaw is moved to the closed position such that the lock member prevents axial travel of a firing member through the surgical end effector, said surgical staple cartridge comprising:a cartridge body sized to be seated within the surgical end effector, the cartridge body operably supporting a plurality of surgical staples arranged in staple lines therein; and
a cam assembly movable between a starting position and an ending position within said cartridge body, said cam assembly defining a central axis and a plurality of cam features thereon wherein each said cam feature corresponds to one of said staple lines, said cam assembly further comprising an unlocking feature thereon that is laterally offset from said central axis and is configured to unlockingly engage a corresponding portion of the lock member when said cartridge body is seated within the surgical end effector and said cam assembly is in said starting position to thereby prevent the lock member from attaining said locked configuration when said movable jaw is moved to the closed position.

US Pat. No. 10,687,808

DEVICES AND METHODS FOR ENDOLUMINAL PLICATION

Ethicon Endo-Surgery, Inc...

1. A surgical method, comprising:advancing first and second jaws of a surgical device into a body of a patient with the first and second jaws in a closed position;
articulating the first and second jaws to a first position in the body of the patient;
moving the first and second jaws in the body of the patient from the closed position to an open position to increase a space between facing tissue-contacting surfaces of the first and second jaws;
moving a vacuum port of the surgical device away from the first and second jaws in the open position; and
activating a vacuum source in operative communication with the vacuum port such that tissue is drawn toward the vacuum port and into the space between the facing tissue-contacting surfaces of the first and second jaws and a first fold of tissue is formed.

US Pat. No. 10,687,807

INTEGRATED TISSUE POSITIONING AND JAW ALIGNMENT FEATURES FOR SURGICAL STAPLER

Ethicon LLC, Guaynabo, P...

1. An apparatus comprising:(a) a body; and
(b) an end effector in communication with the body, wherein the end effector comprises:
(i) a cartridge comprising a deck, wherein the cartridge defines a longitudinal axis,
(ii) an anvil, wherein the anvil is configured to pivot relative to the cartridge from an open configuration to a closed configuration, wherein the anvil and the deck are configured to capture tissue when the anvil is in the closed configuration,
(iii) at least one protrusion extending from either the deck or the anvil, wherein the at least one protrusion comprises a first protrusion associated with either the deck or the anvil and a second protrusion associated with an opposite of either the deck or the anvil relative to the first protrusion, wherein the first protrusion comprises a first shallow rounded shape, wherein the second protrusion comprises a first substantially planar shape facing normally toward the deck or the anvil associated with the first protrusion, wherein the first protrusion and the second protrusion are configured to contact each other to arrest motion of the anvil relative to the cartridge at the closed configuration to thereby provide a minimum space defined between the deck and the anvil when the deck is in the closed configuration, wherein the at least one protrusion further comprises a third protrusion associated with either the deck or the anvil and a fourth protrusion associated with an opposite of either the deck or the anvil relative to the third protrusion, wherein the third protrusion comprises a second shallow rounded shape, wherein the fourth protrusion comprises a second substantially planar shape facing normally toward the deck or the anvil associated with the third protrusion, wherein the third protrusion and the fourth protrusion are configured to contact each other to arrest motion of the anvil relative to the cartridge at the closed configuration, wherein the first protrusion is laterally offset from the longitudinal axis in a first direction at a first distance, wherein the third protrusion is laterally offset from the longitudinal axis in a second direction at a second distance.

US Pat. No. 10,687,806

ADAPTIVE TISSUE COMPRESSION TECHNIQUES TO ADJUST CLOSURE RATES FOR MULTIPLE TISSUE TYPES

Ethicon LLC, Guaynabo, P...

1. A surgical cutting and stapling instrument comprising:at least one processor and operatively associated memory, the instrument configured to:
store a parameter, wherein the parameter comprises a rate of average tissue pressure change;
store an acceptable value for the parameter, wherein the acceptable value includes a predetermined threshold value for the rate of average tissue pressure change;
store a first control measure associated with the parameter; and
determine, in response to determining that a measured value of the rate of average tissue pressure change is equal to or greater than the predetermined threshold value, that a second control measure be identified,
wherein the second control measure is associated with a closure rate of a first jaw and a second jaw of the instrument, and the second control measure comprises decreasing the closure rate during a closing phase based on a reference closing speed in response to determining that the measured value of the rate of average tissue pressure change is equal to or greater than the predetermined threshold value,
wherein the second control measure is modified by setting forth a new acceptable value.

US Pat. No. 10,687,805

APPARATUS AND METHODS FOR CLAMPING TISSUE LAYERS AND OCCLUDING HOLLOW VESSELS

Amsel Medical Corporation...

1. A tissue clamp comprising:an upper implant having a tubular body and a plurality of legs extending radially outward from the tubular body;
a lower implant having a tubular body and a plurality of legs extending radially outward from the tubular body, the upper and lower implants being operatively associated with each other and being adapted to clamp tissue layers disposed between the legs of the upper and legs of the lower implants, the lower tubular body having a first locking element;
a separate locking pin movable through the tubular bodies of the upper and lower implants and through tissue layers disposed between the implants, the locking pin having a second locking element formed thereon, the first and second locking elements being configured to lock together; the locking pin having an upper portion engageable with the upper implant to secure the position of the implants together when the locking elements are locked together.

US Pat. No. 10,687,804

APPLICATOR INSTRUMENTS HAVING SURGICAL FASTENER INSERTION TOOLS FOR DISPENSING SURGICAL FASTENERS

Ethicon, Inc., Somervill...

1. An applicator instrument for dispensing surgical fasteners comprising:a housing;
an elongated shaft extending from said housing, said elongated shaft having a proximal end secured to said housing, a distal end, and an elongated conduit extending between said proximal and distal ends of said elongated shaft;
a firing system disposed within said housing, said firing system comprising an insertion tool having a proximal end and distal end, said insertion tool having a top surface that extends between said proximal and distal ends thereof and a stripper ramp that projects above said top surface of said insertion tool;
an actuator for activating said firing system to commence a firing cycle, wherein during said firing cycle said firing system drives said insertion tool toward said distal end of said elongated shaft.

US Pat. No. 10,687,803

METHOD AND APPARATUS FOR COUPLING SOFT TISSUE TO A BONE

Biomet Sports Medicine, L...

1. A suture anchor assembly, comprising:a deformable tube that provides a longitudinal passage extending through the deformable tube from a first open end of the deformable tube to a second open end of the deformable tube; and
an adjustable suture construct that includes a suture with a first free end and a second free end, the first free end extending longitudinally through a first longitudinal passage in the suture to form a first adjustable loop, the second free end extending longitudinally through a second longitudinal passage in the suture to form a second adjustable loop, the first longitudinal passage being separate from the second longitudinal passage in the suture, wherein, with the first adjustable loop formed, the first free end can be pulled through the first longitudinal passage to decrease a size of the first adjustable loop without decreasing a size of the second adjustable loop, and wherein, with the second adjustable loop formed, the second free end can be pulled through the second longitudinal passage to decrease a size of the second adjustable loop without decreasing a size of the first adjustable loop,
wherein at least the first adjustable loop of the adjustable suture construct extends through at least part of the longitudinal passage in the deformable tube so that the deformable tube is received on the adjustable suture construct.

US Pat. No. 10,687,802

SYSTEMS AND METHOD FOR DEPLOYING SURGICAL SUTURE

Edwards Lifesciences Corp...

1. A device for closing an aorotomy during heart valve surgery, comprising: a handle comprising a proximal end, a distal end, and an interior space; the interior space comprising a housing and a spindle rotatably mounted within the housing, a supply of suture supplied on the spindle; the spindle comprising a rotational spool with a first axis member and a second axis member extending outwardly from either side of the rotational spool, the first axis member and the second axis member having different shapes, and an interior of the housing having receptors to receive the first axis member and the second axis member and adapted to permit rotation of the spool; a removable cap that is adapted to be secured to the housing; a tube having a lumen, the tube extending from a distal end of the handle; a curved needle having a lumen, the needle extending from a distal end of the tube and adapted to pierce the aorta, with suture extending from the housing, through the lumen of the tube and the lumen of the needle, and extending out of an opening in the needle; wherein the tube and needle are hypotubes.

US Pat. No. 10,687,801

SUTURE SPOOLS FOR TISSUE SUTURING DEVICE

Nobles Medical Technologi...

1. A device for suturing biological tissue, the device comprising:an elongate body having a proximal end and a distal end;
at least one arm extendible from the elongate body, the at least one arm configured to move between a retracted position wherein the at least one arm is within the elongate body and a deployed position wherein the at least one arm extends away from the elongate body, the at least one arm configured to hold a first portion of a suture;
at least one needle moveable relative to the elongate body between a retracted position and a deployed position, wherein the at least one needle when moving from its retracted position to its deployed position is configured to pass through tissue and capture the suture first portion held by the at least one arm, and is further configured to move from the deployed position to the retracted position to bring the suture first portion through the tissue;
a handle located at the proximal end of the elongate body, the handle having one or more actuators configured to cause movement of the at least one arm and the at least one needle; and
at least one suture spool mountable in fixed relationship to and located external to the elongate body and the handle, the at least one suture spool configured to retain a second portion of the suture, wherein the at least one suture spool comprises a cylindrical portion having an open proximal end, an aperture located on a distal end, and a conical portion between the cylindrical portion and the aperture,
wherein, when the suture first portion is captured by the at least one needle and the at least one needle brings the suture first portion through the tissue, the at least one suture spool is configured such that the at least one suture unwinds from the at least one suture spool.

US Pat. No. 10,687,800

SUTURING DEVICE HAVING STABILIZING MECHANISM

DURASTAT LLC, Wayne, PA ...

1. A suturing device comprising:an elongate body including a proximal end portion and a distal end portion;
an actuator interacting with the elongate body and operable between a first operating position and a second operating position;
a needle holder extending away from the distal end portion or provided as part of the distal end portion of the elongate body, the needle holder defining a needle passage and a distal opening;
a spring clip connected with the elongate body and configured to engage an upper edge of an associated tubular retractor so as to limit movement of the elongate body with respect to the associated tubular retractor when the spring clip is engaged with the tubular retractor, wherein the spring clip includes a curved inner leg, a curved outer leg and a substantially upside-down U-shaped apex portion joining the curved inner leg to the curved outer leg.

US Pat. No. 10,687,799

METHODS AND DEVICES FOR THREADING SUTURES

MEDOS INTERNATIONAL SARL,...

1. A method for threading a suture into a suture anchor, comprisingthreading a woven first portion of a suture into a cannulated anchor such that the first portion of the suture is doubled over upon itself, and such that a woven second portion of the suture extends from the cannulated anchor, the first portion of the suture having a pick count that is greater than zero and less than a pick count of the second portion of the suture.

US Pat. No. 10,687,798

SOFT ANCHOR MADE FROM SUTURE FILAMENT AND SUTURE TAPE

Linvatec Corporation, La...

1. An anchor for placement in or against tissue, the anchor having an undeployed state and a deployed state, the anchor comprising:a flat fibrous construct having a first end and a second end, wherein:
in the undeployed state, the fibrous construct has a first fibrous construct width or thickness and a first fibrous construct length;
in the deployed state, the fibrous construct has a second fibrous construct width or thickness and a second fibrous construct length; and
the second fibrous construct width or thickness being greater than the first fibrous construct width or thickness, the second fibrous construct length being shorter than the first fibrous construct length; and
a filament having a first end and a second end passing through the fibrous construct in two locations including a first passing location nearest a first end of the fibrous construct, a second passing location nearest a second end of the fibrous construct, the filament remaining free to slide through the first passing location and the second passing location such that the filament can be removed from the flat fibrous construct from the first end of the fibrous construct and the second end of the fibrous construct.

US Pat. No. 10,687,797

LATERAL ACCESS SYSTEM FOR THE LUMBAR SPINE

Howmedica Osteonics Corp....

8. A dilation assembly comprising:a ring-shaped dilation device including a plurality of arm holders;
a plurality of arms, each arm extending along a longitudinal axis and being connected to a different arm holder and each arm including proximal and distal ends, the proximal end including a cavity and the distal end having a waist and an adjacent flared portion that defines a flat shoulder portion;
a plurality of arm locks, each of the plurality of arm locks disposed in both an opening in a respective arm holder and in a cavity in a respective arm of the plurality of arms to connect the respective arm to the respective arm holder;
an actuator located with an outer-most perimeter of the ring-shaped dilation device;
a lock that permits the arms to move away from each other in an unlocked configuration and prevents the arms from moving towards each other in a locked configuration; and
a clamp for attaching the dilation device to a surgical table,
wherein actuation of the actuator about an actuation axis substantially parallel to the longitudinal axes moves the arms only in a direction perpendicular to the longitudinal axes from a closed configuration in which the arms are in contacting longitudinal alignment to an open configuration in which the arms are linearly separated from each other.

US Pat. No. 10,687,796

TREATMENT METHOD

TERUMO KABUSHIKI KAISHA, ...

1. A treatment method, the treatment method comprising:causing a medical elongated body introduced into a blood vessel via a puncture site formed on an ulnar artery side of a palmar artery of a patient, to indwell the puncture site.

US Pat. No. 10,687,795

DELIVERY SYSTEM FOR IN SITU FORMING FOAMS AND METHODS OF USING THE SAME

Arsenal Medical, Inc., W...

1. A medical device, comprising:a fluid cartridge comprising at least one chamber and at least one piston, wherein a volume of the chamber is determined by a position of the at least one piston;
at least one impeller located within the at least one chamber;
a static mixer in fluid communication with the chamber, the static mixer including a plurality of dispensing apertures at its tip, wherein said tip is configured for insertion into a body of a patient, and a first actuator adapted to move at least one of the impeller and the piston.

US Pat. No. 10,687,794

DELIVERY CATHETER FOR IMPLANTABLE MEDICAL DEVICE

Medtronic, Inc., Minneap...

1. A kit for intravascular implantation of an implantable medical device within a patient, the implantable medical device comprising a fixation element comprising a first looped portion and a second looped portion, the kit comprising:an elongated outer shaft defining a longitudinal lumen and defining a proximal port and a distal port on a side wall of the elongated outer shaft, the proximal port and the distal port in fluid communication with the lumen, the proximal port and the distal port located proximal a distal end of the elongated outer shaft, the elongated outer shaft sized to traverse a vasculature of the patient;
a tether, wherein at least a first portion of the tether is configured to pass through the lumen of the elongated outer shaft, at least a second portion of the tether is configured to exit the lumen through the proximal port and pass through the first looped portion of the fixation element of the implantable medical device outside of the elongated outer shaft, at least a third portion of the tether is configured to define a looped portion of the tether, and at least a fourth portion of the tether is configured to exit the lumen through the distal port and pass through the second looped portion of the fixation element of the implantable medical device outside of the elongated outer shaft; and
an elongated inner shaft, at least a portion of the elongated inner shaft configured to pass through the lumen of the elongated outer shaft and to pass through the looped portion of the tether to prevent removal of the tether from the elongated outer shaft when the portion of the elongated inner shaft passes through the looped portion of the tether.

US Pat. No. 10,687,792

END EFFECTOR COUPLER FOR SURGICAL ARM

Zimmer Biomet CMF and Tho...

1. An end effector coupler for a surgical arm, the end effector coupler comprising:a body comprising a proximal portion and an opposite distal portion, the distal portion including a distal end;
a proximal coupler connected to the proximal portion and releasably couplable to the surgical arm;
a tool lock for releasably retaining a tool stem to the end effector coupler, the tool lock comprising:
a keyed opening extending through the distal end proximally into the distal portion, the keyed opening configured to receive the tool stem therein;
a pin bore extending through the distal end proximate to the keyed opening;
a pin disposed in the pin bore and extendable from the pin bore to engage and retain the tool stem when the tool stem is inserted into the keyed opening; and
a biasing element located in the pin bore and engaging the pin to bias the pin to extend from the distal end; and
a pin release comprising an actuator extending beyond an external surface of the body and engaging the pin, the pin release operable to retract the pin into to the body to disengage the pin from the tool stem allowing release of the tool stem from the keyed opening.

US Pat. No. 10,687,791

BIOPSY DEVICE

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

1. A biopsy device, comprising:a cannula that defines a tissue chamber configured to receive a tissue sample from a patient;
a pressure chamber including a body having a distal end and a proximal end, the proximal end having an inlet coupled in fluid communication with the cannula;
the body having a first recessed area proximate the proximal end, wherein the first recessed area is configured to release positive pressure within the pressure chamber;
the body having a second recessed area proximate the distal end, wherein the second recessed area is configured to release negative pressure within the pressure chamber; and
a piston movably received in the body and configured to move over the first recessed area to release the positive pressure and configured to move over the second recessed area to release the negative pressure.

US Pat. No. 10,687,789

METHOD AND SYSTEM FOR RECONSTRUCTING A THERMOACOUSTIC IMAGE

ENDRA Life Sciences Inc.,...

1. A method for reconstructing a thermoacoustic image comprising:directing radio frequency (RF) energy pulses generated by an RF source into a tissue region of interest;
detecting, at each of a plurality of views along a scanning trajectory of a transducer element array about the region of interest, acoustic signals generated within the region of interest in response to the RF energy pulses and generating thermoacoustic data;
applying at least one correction kernel to the thermoacoustic data, wherein the at least one correction kernel is a view and position specific kernel to correct for differences in the relative relationship between the transducer element array and an object within the region of interest to be imaged at each view, further wherein the view and position specific kernel for a selected view is generated by:
(i) generating an acoustic impulse at a known impulse position within a field of view of the transducer element array;
(ii) recording time-series thermoacoustic data for each transducer element of the transducer element array;
(iii) combining the thermoacoustic data recorded for each transducer element to generate a matrix; and
(iv) applying back projection to the matrix to generate the view and position specific kernel; and
after the at least one correction kernel has been applied to the thermoacoustic data, reconstructing a thermoacoustic image therefrom.

US Pat. No. 10,687,788

IMAGE PROCESSING APPARATUS, CONTROL METHOD THEREOF, AND ULTRASOUND IMAGING APPARATUS

SAMSUNG ELECTRONICS CO., ...

15. An ultrasound imaging apparatus comprising:an ultrasound probe configured to receive echo ultrasonic waves reflected from an object and to convert reflected echo ultrasonic waves into a first ultrasound image signal; and
an image processing apparatus comprising at least one processor and configured to:
analyze speckle noise of the first ultrasound image including a first portion and a second portion thereof,
adjust a frequency band of the first portion of the first ultrasound image signal into a first frequency band, which is lower than the frequency band of the first portion, in response to the analyzed speckle noise of the first portion having a high speckle energy,
adjust a frequency band of the second portion of the first ultrasound image signal into a second frequency band, which is higher than the frequency band of the second portion, in response to the analyzed speckle noise of the second portion having a low speckle energy,
decompose the first ultrasound image signal, of which the frequency band of the first portion and the frequency band of the second portion have been adjusted, into one or more second ultrasound image signals of different frequency bands,
compound the one or more second ultrasound images signals of the different frequency bands into a compounded third ultrasound image signal, and
restore an axial image based on the compounded third ultrasound image signal.

US Pat. No. 10,687,787

YUKOV TISSUE CHARACTERIZATION METHOD AND APPARATUS

1. A tissue characterization method which applies B-scan visualization and two-frequency attenuation for characterization of a tissue in a patient comprising the following steps:(a) providing a B-scan component wherein said B-scan component has a B-scan transducer, said B-scan transducer comprised of a plurality of piezo-elements, a scanning system and a pulse generator,
(b) providing a two-frequency attenuation component, said two frequency attenuation component has a group of piezo-elements inside said B-scan transducer and is connected to a waveform generator and wherein said two-frequency attenuation component is configured to function through said group of piezo-elements, said group of piezo elements comprising a subset of said plurality of piezo-elements, said group of piezo-elements further configured to function together as a single A-mode transducer, said waveform generator of said two frequency component further configured to generate sinusoidal ultrasound excitation pulses for said A-mode transducer, said sinusoidal excitation pulses comprising pulses of two different frequencies,
(c) placing the B-scan transducer on the patient's body,
(d) displaying on a monitor a B-scan image of the patient's tissue,
(e) selecting a region of interest on said B-scan image displayed on the screen of said monitor,
(f) providing a foot pedal to activate connection of said subset of said plurality of piezo-elements thereby switching from a B-scan mode to a two-frequency A-scan mode,
(g) sliding said B-scan transducer on said patient's body to bring said A-mode transducer to a selected a spot of interest within said region of interest,
(h) generating and displaying A-mode images on the screen of said monitor next to said B-scan image,
(i) analyzing the A-mode images either visually or with an analyzer, with determination of the the frequencies, amplitudes, shapes, widths, and registered times of reflected signals at said chosen two different frequencies from said selected spot of interest to obtain data for a differential attenuation coefficient, thereby permitting differentiation between types of tissue within an organ through analysis of reflected signals from boundaries of tissue layers,
(j) displaying said obtained data for said differential attenuation coefficient on the B-scan image as an overlay color image or as numerical data thereby permitting determination of the type of tissue matter from said selected spot of interest.

US Pat. No. 10,687,786

ULTRASOUND INSPECTION APPARATUS, ULTRASOUND INSPECTION METHOD AND RECORDING MEDIUM

FUJIFILM Corporation, To...

1. An ultrasound inspection apparatus configured to inspect an inspection object using an ultrasonic beam, the apparatus comprising:a probe having a plurality of elements arrayed therein, the probe being configured to transmit the ultrasonic beam, receive an ultrasonic echo reflected by the inspection object, and output an analog element signal corresponding to the received ultrasonic echo;
a transmitter configured to cause, a plurality of times, the probe to transmit the ultrasonic beam in such a way as to form a predetermined transmission focus using the plurality of elements;
in accordance with transmission of each ultrasonic beam, a receiver configured to receive the analog element signal output from the plurality of elements and to perform predetermined processing on the analog element signal;
an A/D converter configured to subject the analog element signal processed by the receiver to A/D conversion to produce a piece of first element data constituted by a digital element signal;
a sound velocity determiner configured to determine a sound velocity value inside the inspection object; and
an element data processing section configured to generate a piece of second element data from at least two pieces of the first element data using the sound velocity value inside the inspection object, the piece of second element data corresponding to any of the at least two pieces of first element data;
an image generator configured to generate an ultrasound image based on the piece of second element data generated in the element data processing section; and
a processor,
wherein the element data processing section includes a delay time calculator configured to calculate a delay time of each of the at least two pieces of first element data using the sound velocity value inside the inspection object, and a superimposition processor configured to generate the piece of second element data by superimposing the at least two pieces of first element data based on each calculated delay time and a position of an element of the probe at which receiving has been carried out,
wherein the element data processing section is performed by the processor,
wherein the piece of second element data is generated by carrying out delay time correction for one or more pieces of first element data of one or more adjacent element adjacent to element of interest which is selected from the plurality of elements, centering on the piece of first element data of the element of interest, and in addition, phase matching the one or more pieces of first element data of one or more adjacent element in accordance with the difference in element position with the element of interest, and superimposing the two or more pieces of first element data,
wherein the piece of second element data is obtained based on each of the plurality of elements which is selected as the element of interest,
wherein the ultrasound image is generated based on the piece of second element data having a high brightness value and selected from the pieces of second element data obtained, and
wherein the sound velocity determiner obtains an optimum sound velocity value by optimizing the sound velocity value, the sound velocity value being used when the piece of second element data is created from the at least two pieces of first element data in the element data processing section.

US Pat. No. 10,687,785

SYSTEM AND METHOD FOR ELECTROMECHANICAL ACTIVATION OF ARRHYTHMIAS

THE TRUSTEES OF COLUMBIA ...

1. A method for mapping electromechanical activity during an arrhythmia, comprising:obtaining image information of a heart of a subject using an imaging device;
generating a strain map of the heart from the image information;
determining from the strain map occurrences of a first electromechanical event of the heart and a second electromechanical event;
generating a spatio-temporal map of atrial and ventricular mechanics of the heart by tracking an onset of the first and second events for each pixel of a heart wall of the subject identified from the image information, wherein an onset of ventricular contraction is identified by determining a zero-crossing of an incremental strain occurring after an onset of a P-wave;
identifying, using the spatio-temporal map, a representative mechanical cycle associated with a contraction of the heart; and
determining a focal rhythm and a type of cardiac arrhythmia present in the heart using the spatio-temporal map.

US Pat. No. 10,687,784

ULTRASOUND GUIDED HAND HELD ROBOT

MAZOR ROBOTICS LTD., Cae...

1. A system comprising:a hand-held robot comprising a base and an actuated arm;
an ultrasound imaging probe attached to the base of the hand-held robot, wherein a co-ordinate system of a field of view of the ultrasound imaging probe is co-registered to a co-ordinate system of the robot;
a tool guide attached to the actuated arm of the hand-held robot; and
a control unit configured to use information received from the ultrasound imaging probe to provide a feedback signal to a automatically adjust a pose of the actuated arm as the ultrasound imaging probe is moved, thus automatically maintaining a direction of the tool guide relative to a feature imaged by the ultrasound imaging probe.

US Pat. No. 10,687,783

PUNCTURE ADAPTER, ULTRASOUND PROBE, AND ULTRASOUND DIAGNOSTIC APPARATUS

CANON MEDICAL SYSTEMS COR...

1. A puncture adapter comprising:a first pressing part configured to have a first surface and a second surface serving as a surface opposite to the first surface;
a second pressing part configured to have a third surface;
a fixing part configured to fix, when a probe body is covered with a cover, the first pressing part and the second pressing part to the probe body with the cover interposed between a cutout surface of a cutout portion of the probe body and the first surface of the first pressing part and with the third surface of the second pressing part brought into contact with the second surface of the first pressing part; and
a guide groove configured to guide a puncture needle, and be formed on at least one of the second surface of the first pressing part and the third surface of the second pressing part, wherein
the fixing part is fastened to the probe body with the first pressing part and the second pressing part sandwiched therebetween.

US Pat. No. 10,687,782

ULTRASOUND IMAGING SYSTEM WITH A TRANSMIT PULSE SEQUENCE GENERATOR CIRCUIT

MTEC GLOBAL CO., LTD., M...

1. A transmit signal generator for generating a sequence of pulses, comprising:a 2n-to-1 multiplexer having 2n input lines, one of the 2n input lines being connected to ground or zero potential, n selector lines connected to a selector signal and an output line providing an output of the multiplexer, the multiplexer operable to select one of the 2n input lines as the output of the multiplexer based on the selector signal; and
a 2n-bit binary counter having a clock signal input line connected to a clock signal input, a reset signal input line connected to a reset signal input, a clock enable line connected to the output line of the multiplexer providing the output of the multiplexer as an input signal for the clock enable line, and 2n output lines, one of the 2n output lines providing a sequence of pulse as an output of the transmit signal generator and the remaining 2n output lines of the binary counter each connected to one of the remaining 2n input lines of the multiplexer;
wherein the output of the transmit signal generator provides a continuous pulse or an N pulse sequence as the output based on the selector signal and the reset signal input initiating generation of the sequence of pulses, wherein N?2n and n is an integer.

US Pat. No. 10,687,781

HEMODYNAMIC MONITORING DEVICE AND METHODS OF USING SAME

Nilus Medical LLC, Redwo...

1. A hemodynamic monitoring device, comprising:a first sensor configured to measure a velocity of blood flow in a superior vena cava of a mammalian patient using ultrasound waves, wherein the first sensor comprises an intravascular Doppler probe configured to provide an instant peak velocity of blood flow at one or more discrete measurement times;
a second sensor configured to measure respiratory cycle data of the mammalian patient;
an input for receiving the measured velocity of blood flow and the measured respiratory cycle data; and
a computer configured to dynamically:
process the measured velocity of blood flow and the measured respiratory cycle data to provide hemodynamic parameters corresponding to the mammalian patient, wherein processing of the measured velocity of blood flow from the intravascular Doppler probe includes determining an average instant peak velocity during an inspiration time period (APVinsp) and an average instant peak velocity during an expiration time period (APVexp), and wherein processing the measured respiratory cycle data comprises determining at least one respiratory waveform having the inspiration time period and the expiration time period;
determine a sequence of points indicative of ratios between the APVinsp and APVexp for multiple respiratory waveforms for a period of time;
determine a relative slope for a line through the sequence of points; and
indicate to a user at least one of:
that the mammalian patient is fluid responsive when the relative slope is above a predetermined level; and
that the mammalian patient is fluid non-responsive when the relative slope is below the predetermined level.

US Pat. No. 10,687,780

ULTRASONOGRAPH

KONICA MINOLTA, INC., To...

1. An ultrasonograph comprising:an image processing circuit configured to generate an ultrasonic image based on an ultrasonic signal from an ultrasonic probe;
a control circuit; and
a display comprising:
a first display area;
a second display area; and
a touch panel that is provided at least in the second display area, the second display area comprising a touch pad area that is displayed at a same constant position and in a same constant size in the second display area during a drag operation;
wherein the control circuit is configured to control the display to display the ultrasonic image and a cursor in the first display area only;
wherein the control circuit controls the display to display, in the second display area, the touch pad area on which the drag operation is performed to move the cursor displayed on the ultrasonic image in the first display area, the drag operation comprising a drag motion;
wherein the control circuit continues to move the cursor displayed in the first display area when the drag motion enters an area of the second display area that is outside of the touch pad area.

US Pat. No. 10,687,779

PORTABLE MEDICAL IMAGING SYSTEM WITH BEAM SCANNING COLLIMATOR

1. A portable medical imaging system comprising:a movable station comprising a c-arm having a first end and a second end that are movable along an arc relative to the movable station;
a detector panel attached to the first end of the movable c-arm;
an X-ray beam transmitter facing the detector panel and attached to the second end of the c-arm, the X-ray beam transmitter containing a collimator that forms a window through which an X-ray beam is transmitted toward the detector panel; and
a controller configured to control movement of the window by the collimator to steer the X-ray beam laterally across the detector panel,
wherein a filter ladder comprising a support structure and a movable elongated strip, the support structure being connected to the collimator, the movable elongated strip being slideably connected to the support structure, and a light source attached to the movable elongated strip at a location spaced apart from a plurality of X-ray filters, wherein the movable elongated strip is configured to be slidable across the window to sequentially align different ones of the X-ray filters and the light source with the window, the light source is configured to project visible light toward the detector panel when aligned with the window.

US Pat. No. 10,687,778

POSITIONING OF AN EXAMINATION OBJECT FOR AN IMAGING METHOD

SIEMENS HEALTHCARE GMBH, ...

1. A method for positioning of an examination object for an imaging method, comprising:recording an external image of externally visible features of the examination object via an external-image recording unit;
determining at least one of a position and an orientation of at least one part of the examination object assigned to the externally visible features of the examination object based upon the external image recorded;
checking whether or not the at least one of the position and the orientation determined, of the at least one part of the examination object, conforms to a respective at least one of a reference position and a reference orientation; and
correcting the at least one of the position and the orientation determined, of the at least one part of the examination object, in response to the checking indicating that the at least one of the position and the orientation determined, of the at least one part of the examination object, does not conform to the respective at least one of the reference position and the reference orientation.

US Pat. No. 10,687,777

VASCULAR DATA PROCESSING AND IMAGE REGISTRATION SYSTEMS, METHODS, AND APPARATUSES

LIGHTLAB IMAGING, INC., ...

1. A method of co-registering angiographic data and intravascular data obtained with regard to a blood vessel comprising storing a plurality of frames of intravascular image data in memory;storing a plurality of frames of angiography image data in memory;
substantially reducing or removing one or more shadows, using one or more computing devices, in the plurality of frames of angiography image data;
removing a guide catheter image from one or more frames of angiography image data using superposition of an intensity profile;
generating a vessel trace for each frame of the plurality of frames of angiography image data, using the one or more computing devices;
detecting a probe marker in the plurality of frames of angiography image data, using the one or more computing devices; and
tracking a position of the probe marker along one or more vessel traces, using the one or more computing devices.

US Pat. No. 10,687,775

CEPHALOMETRIC X-RAY IMAGE ACQUISITION DEVICE CAPABLE OF ACQUIRING THREE-DIMENSIONAL FACIAL OPTICAL IMAGE AND CEPHALOMETRIC X-RAY IMAGE

VATECH Co., Ltd., Gyeong...

1. A cephalometric X-ray image acquisition device comprising:an X-ray source configured to irradiate X-rays toward a subject's head;
a cephalometric sensor disposed to face the X-ray source with the subject's head therebetween, and configured to receive the X-rays transmitted through the subject's head to acquire a cephalometric X-ray image of the subject;
a three-dimensional camera configured to acquire a three-dimensional facial optical image with depth information by imaging a face of the subject;
a sensor support configured to support the cephalometric sensor; and
a camera mount arm configured such that a first end thereof is movably connected to the sensor support and the three-dimensional camera is mounted to a second end thereof,
wherein the cephalometric sensor obtains the cephalometric X-ray image while moving in a first direction along the sensor supports, the three-dimensional camera obtains the three-dimensional facial optical image while moving in a second direction different from the first direction along the camera mount arm.

US Pat. No. 10,687,774

METHOD AND APPARATUS FOR VISUALIZING A BLOOD VESSEL

1. A method for visualizing a blood vessel of a patient during an intervention, the blood vessel including a thrombosed section, the method comprising:capturing, by an imaging device after administration of a contrast agent, a first contrasted volume data set;
locating a proximal end and a distal end of the thrombosed section of the blood vessel within the first contrasted volume data set;
defining a data capture region area for a second volume data set based on the located proximal end and the located distal end of the thrombosed section of the blood vessel that has been located within the first contrasted volume data set such that the data capture region for the second volume data set includes only an extract of a spatial region covered by the first contrasted volume data set;
capturing, by the imaging device, the second volume data set, wherein capturing the second volume data set is limited to the data capture region defined based on the located proximal end and the located distal end of the thrombosed section of the blood vessel;
segmenting the thrombosed section of the blood vessel out of the second volume data set;
capturing, after the second volume data set is captured, live fluoroscopic images during the intervention; and
superimposing the segmented thrombosed section of the blood vessel with the live fluoroscopic images, wherein superimposing comprises displaying, by a display, an image of the segmented thrombosed section of the blood vessel not otherwise shown in the live fluoroscopic images, the image of the segmented thrombosed section of the blood vessel being based on a three-dimensional image of the data capture region reconstructed using projection images from only the second volume data set.

US Pat. No. 10,687,773

MAMMOGRAPHY APPARATUS

Planmeca OY, Helsinki (F...

1. A mammography apparatus, which includesa substantially vertically standing frame part or a frame part attachable to a wall or a ceiling,
an arm structure connecting to said frame part and pivotable in relation to a horizontal rotation axis,
wherein at a substantially first end of the opposite ends of the arm structure is placed an X-ray source and substantially at a second end an image data receiving means, and
wherein in connection with said second end of the arm structure is additionally arranged a lower tray structure, positioned substantially on top of the image data receiving means and
a control system and in connection with it a user interface arrangement, said user interface arrangement being attached to the frame, characterized in that saiduser interface arrangement includes at least one display or at least one touch screen, which is(i) attached as articulated to the frame part such that a view of said at least one display or touch screen can be aligned in at least two directions or
(ii) implemented with a technology by which a direction in which information on the display is visible is adjustable so that a view of said at least one display or touch screen can be aligned in at least two directions,
and wherein in both embodiment (i) and (ii) there is a first direction in which the view is aligned away from said lower tray structure so that a patient when positioned at the lower tray structure and her eyes facing the display or touch screen does not have a line of sight to information on the display or touch screen and a second direction which is aligned at least partially towards said lower tray structure so that the patient when positioned at the lower tray structure and her eyes facing the display or touch screen has a line of sight to the display or touch screen and can view the information.

US Pat. No. 10,687,772

DYNAMIC ANALYSIS APPARATUS

KONICA MINOLTA, INC., To...

1. A dynamic analysis apparatus comprising:a control unit and a storage unit, the control unit processing a program stored in the storage unit and being operable as:
an obtainment unit configured to set a region of interest in a dynamic image obtained by photographing a dynamic state by irradiation of a check target part with radial rays, and obtain movement information on movement of the region of interest between frame images of the dynamic image;
a determination unit configured to determine an emphasis level of a pixel signal value of an attentional pixel corresponding to a pixel in the region of interest on the basis of the movement information of the region of interest obtained by the obtainment unit, wherein the movement information includes a movement amount and the determination unit determines the emphasis level to be a lower emphasis level as the movement amount of the region of interest is larger; and
a correction unit configured to correct the pixel signal value of the attentional pixel of the dynamic image or analysis result images generated by analyzing the dynamic image, on the basis of the emphasis level determined by the determination unit.

US Pat. No. 10,687,770

MOBILE ANATOMICAL IMAGING SYSTEM WITH IMPROVED MOVEMENT SYSTEM

NeuroLogica Corporation, ...

1. An imaging system comprising:a scanner; and
a transport mechanism mounted to the base of the scanner, wherein the transport mechanism comprises:
a gross movement mechanism for transporting the scanner relatively quickly across room distances; and
a fine movement mechanism for moving the scanner precisely, relative to the object being scanned, during scanning; and
apparatus for selectively causing the gross movement mechanism or the fine movement mechanism to engage the floor;
wherein the gross movement mechanism comprises a plurality of wheels configured to provide omnidirectional drive; and
wherein the fine movement mechanism comprises a plurality of independently powered wheels;
wherein, when lateral drift is detected during the course of a scan, the fine movement mechanism is configured to adjust the speed of rotation of at least one of the independently powered wheels so as to re-align the imaging system with the desired scan path.

US Pat. No. 10,687,769

METHOD FOR CREATING A 3D DENTAL X-RAY IMAGE

DENTSPLY SIRONA Inc., Yo...

1. A method for creating a 3D dental X-ray image of a jaw region of a patient from a plurality of projection exposures of an exposure volume having a cylindrical core volume with a flat base area, generated during a circulation of an X-ray emitter and an X-ray detector about a head of the patient, wherein the patient is positioned relative to the core volume so that the jaw region is located within the core volume, wherein a bottom edge of a lower jaw of the patient and the base area of the core volume are aligned at least approximately parallel.

US Pat. No. 10,687,768

X-RAY IMAGE FORMING DEVICE

VATECH Co., Ltd., Gyeong...

1. An X-ray image forming device comprising:an X-ray imaging unit including an X-ray source and an X-ray sensor to face each other with a region of interest therebetween, a moving member configured to rotate the X-ray source and the X-sensor about a rotating shaft and to move linearly;
a penetration data acquisition unit configured to acquire X-ray penetration data from multiple directions crossing through an image layer in the region of interest by controlling the X-ray imaging unit, and further configured to control the X-ray imaging unit such that the X-ray penetration data includes penetration data penetrating through a substantial entire area of the region of interest by respectively penetrating through a part of the region of interest; and
an image reconstructor configured to generate projection data within an angle range between 10 degree and 180 degree including a normal direction at each section of the image layer from the X-ray penetration data, for reconstructing a two-dimensional X-ray panoramic image of the image layer based on the projection data, and the image reconstructor further reconstructs a three-dimensional CT image of the entire region of interest based on the X-ray penetration data, and
wherein the X-ray imaging unit moves continuously during the penetration data acquisition unit acquiring the X-ray penetration data from multiple directions.

US Pat. No. 10,687,767

RADIOGRAPHIC SYSTEM AND METHOD FOR REDUCING MOTION BLUR AND SCATTER RADIATION

1. A radiographic system comprising:a radiation source emitting a radiation beam;
a radiation sensor for detecting incident radiation from the radiation beam on sensor area;
a collimator arranged between the radiation source and the radiation sensor for masking the radiation beam to irradiate a radiation area on the radiation sensor which is smaller than the sensor area;
means for moving the collimator across the radiation beam, whereby the radiation area is moved across the sensor area; and
wherein:
the radiation sensor is a rolling shutter type sensor;
movement of the collimator is synchronized with a rolling shutter operation of the radiation sensor such that movement of the radiation area across the sensor area corresponds to movement of an active area across the sensor area,
the system further comprising a different collimator arranged between the radiation source and the collimator.

US Pat. No. 10,687,766

SYSTEM TO DETECT FEATURES USING MULTIPLE RECONSTRUCTIONS

Siemens Healthcare GmbH, ...

1. A system comprising:an interface configured to:
receive first image data of a patient volume;
a processor configured to execute processor-executable program code that causes the processor to:
generate, using a first image generation technique, a first image based on the first image data;
receive, at an input device, one or more indications of features in the first image of the patient volume identified by an operator of the input device;
generate, using a second image generation technique, a second image based on the first image data;
perform automated feature extraction on the second image to automatically extract information associated with features of the patient volume; and
generate a feature report of the patient volume based on the one or more indications of features and the information associated with features;
a display configured to display the first image to the operator; and
an input device configured to receive the one or more indications of features from the operator.

US Pat. No. 10,687,765

GRAPHICAL USER INTERFACE FOR PARALLEL ELECTROANATOMICAL MAPPINGS

Biosense Webster (Israel)...

1. A system, comprising:a display; and
a processor, configured:
to display on the display in a graphical user interface (GUI), while a plurality of electrogram signals are acquired from a heart, a plurality of widgets corresponding to different respective electroanatomical maps generated from the electrogram signals,
each of the electroanatomical maps being associated with a respective set of suitability criteria such that any one of the electrogram signals is used to generate the map only if the signal satisfies the set of suitability criteria, and
to display in the GUI, in response to a user selecting any one of the widgets, a status of a most recently acquired one of the electrogram signals with respect to at least one criterion in the set of suitability criteria associated with the electroanatomical map to which the selected widget corresponds.

US Pat. No. 10,687,764

BIOMARKER CHANGE INDICATOR FOR BEHAVIORAL HEALTH

International Business Ma...

1. A method for detecting user biomarker identifier changes based on audio preferences and generating biometric alerts based on the detected user biomarker identifier changes, the method comprising:receiving, by one or more processors, a user's current audio preferences;
retrieving, by the one or more processors, user's historic audio preferences and biometric data associated with the user's historic audio preferences;
analyzing, by the one or more processors, the user's current audio preferences based on the user's historic audio preferences and the biometric data associated with the user's historic audio preferences;
creating, by the one or more processors, a user biometric profile based on analyzing the user's current audio preferences, the user's historic audio preferences and the biometric data associated with the user's historic audio preferences; and
outputting, by the one or more processors, the user biometric profile;
accumulating, by the one or more processors, a score based on historic biomarker identifiers stored in the user biometric profile, current biomarker identifiers over a predetermined time-period, current user biometric data and the biometric data associated with the user's historic audio preferences wherein the accumulated score develops models as indicators of behavioral health, and isolates music from the accumulated score based on region, demographic background and medical background.

US Pat. No. 10,687,763

SPO2 TONE MODULATION WITH AUDIBLE LOWER CLAMP VALUE

KONINKLIJKE PHILIPS N.V.,...

1. A patient monitoring device, the device comprising:one or more sensors configured to measure a blood oxygen concentration of a patient;
an audio source;
a controller configured to control the audio source to generate an audible tone and adjust a frequency of the audible tone to indicate the measured blood oxygen concentration according to a non-linear mapping scheme that corresponds to an octave-based musical scale in which an octave is double a frequency of the tone;
an audio output device which outputs the audible tone;
wherein the mapping scheme clamps the frequency of the audible tone after reaching a predetermined threshold; and
wherein the controller is further configured to, for each one percent change in the blood oxygen concentration, step the frequency of the audible tone in accordance with the non-linear mapping scheme by one half tone or one full tone of the octave-based musical scale.

US Pat. No. 10,687,762

MEASUREMENT DEVICE

PHC HOLDINGS CORPORATION,...

1. A measurement method of a measurer for measuring a characteristic amount of a specific analyte in a biological fluid with a biosensor having a reagent surface, the method comprising:detecting whether or not the biosensor has been inserted into a sensor attachment part of the measurer;
confirming whether or not the biological fluid has been detected when the insertion of the biosensor is detected;
measuring a tilt angle or rotation angle of the reagent surface from horizontal as motion information of living activity when the insertion of the biosensor is detected and the detection of the biological fluid is confirmed;
detecting whether or not the motion information is within a predetermined range;
measuring the characteristic amount and recording the characteristic amount and the motion information when the motion information is within the predetermined range; and
recording a nullification of the measurement of the characteristic amount when the motion information is out of the predetermined range.

US Pat. No. 10,687,761

CATHETER FRAME PIECES USED AS LARGE SINGLE AXIS SENSORS

Biosense Webster (Israel)...

1. A method, comprising:inserting a probe into an organ of a living subject, the probe having a distal end having a framework disposed on the distal end, the framework comprising a plurality of electrically conducting wire loops defining a chamber, each of the loops functioning independently as a single-axis magnetic location sensor when subjected to the magnetic field produced by field generating coils, the loops being connected to a magnetic tracking system having a field generating coils disposed around the living subject;
modeling the wire loops as respective polygons;
subdividing the polygons into a plurality of triangles,
identifying local coordinates of the triangles in a local coordinate system; and
transforming the local coordinates of the triangles to coordinates of the magnetic position tracking system;
exposing the wire loops to magnetic fluxes at respective frequencies provided by the field generating coils;
reading signals from the wire loops responsively to the magnetic fluxes at the respective frequencies;
computing the theoretical magnetic fluxes in the polygons as respective sums of theoretical magnetic fluxes in the triangles thereof; and
determining a location and orientation of the framework by relating the computed theoretical magnetic fluxes to the signals and reporting a position and orientation of the probe in the organ.

US Pat. No. 10,687,760

COMBINED WEARABLE ELECTROCARDIOGRAM AND ELECTRONIC STETHOSCOPE

INTERNATIONAL BUSINESS MA...

1. A wearable patch system, comprising:an electrocardiogram (ECG) sensor having at least one electrode configured to contact a subject;
an electronic stethoscope having a diaphragm structure responsive to sounds from the subject, the at least one electrode being disposed on the diaphragm structure; and
a housing configured to support the diaphragm structure, the housing including a mechanical interface configured to mount on the subject.

US Pat. No. 10,687,759

SHIELDING TECHNIQUES FOR NOISE REDUCTION IN SURFACE ELECTROMYOGRAPHY SIGNAL MEASUREMENT AND RELATED SYSTEMS AND METHODS

Facebook Technologies, LL...

1. A wearable device comprising:amplification circuitry comprising at least a first differential amplifier;
at least two dry sEMG electrodes electrically connected to the amplification circuitry;
at least one auxiliary conductor not electrically connected to the amplification circuitry, wherein the at least one auxiliary conductor is configured to be electrically coupled to a wearer of the wearable device; and
an electromagnetic shield electrically connected to the at least one auxiliary conductor,
wherein the amplification circuitry is positioned between the electromagnetic shield and the at least two dry sEMG electrodes.

US Pat. No. 10,687,758

PHYSIOLOGICAL MEASUREMENT USING WEARABLE DEVICE

Verily Life Sciences LLC,...

1. A wearable device, comprising:a mount for mounting the wearable device to an external surface of a body proximate to a portion of subsurface vasculature;
a magnet;
a detector;
a communication interface;
a processor;
a non-transitory computer-readable medium; and
program instructions stored in the non-transitory computer-readable medium, wherein the program instructions are executable by the processor to cause the wearable device to perform functions comprising:
operating the magnet to direct a magnetic field into the portion of subsurface vasculature, wherein the magnetic field causes magnetic nanoparticles that have been introduced into the body to collect in a lumen of the portion of subsurface vasculature, wherein the magnetic nanoparticles each comprise a marker, wherein the marker is a fluorophore, an autofluorescent marker, a luminescent marker, or a chemo-luminescent marker, and wherein the marker produces fluorescence radiation indicative of an analyte;
operating the detector to detect the fluorescence radiation produced by the marker in the magnetic nanoparticles collected in the lumen of the subsurface vasculature by the magnetic field;
using the fluorescence radiation detected by the detector to detect a presence of the analyte;
determining whether the presence of the analyte indicates a medical condition; and
in response to a determination that the medical condition is indicated, transmitting data representative of the medical condition via the communication interface.

US Pat. No. 10,687,757

PSYCHOLOGICAL ACUTE STRESS MEASUREMENT USING A WIRELESS SENSOR

Vital Connect, Inc., San...

1. A method for determining psychological acute stress by a wireless sensor device, the method comprising:detecting a physiological signal;
detecting accelerations and determining a posture state from the detected accelerations;
storing a separate probability mass function (PMF) for each of a plurality of postures;
calculating a normalized heart rate using the detected physiological signal;
calculating a plurality of heart rate variability (HRV) features using the detected physiological signal;
determining whether an activity level threshold is reached based on the detected accelerations and posture state;
in response to the activity level threshold being reached,
detecting another physiological signal prior to a determination of a stress feature; and in response to the activity level threshold not being reached,
determining the stress feature using the normalized heart rate and the plurality of heart rate variability (HRV) features,
determining a stress level using the stress feature and PMF to determine the psychological acute stress, and
displaying the determined stress level via the wireless sensor device.

US Pat. No. 10,687,756

RISK TOLERANCE SIMULATION AND BASELINE

Wells Fargo Bank, N.A., ...

1. A system comprising:a biometric sensor configured to detect physiological data associated with anxiety of a user;
at least one hardware processor; and
a memory storing instructions that, when executed by the at least one hardware processor, cause the at least one hardware processor to perform operations comprising:
selecting a plurality of stimuli from a pool of stimuli, the selected plurality of stimuli including at least one target stimulus associated with a subject matter and at least one generic stimulus not directly associated with the subject matter;
generating visual and audio outputs for each stimulus of the plurality of stimuli;
presenting the visual and audio outputs for each stimulus of the plurality of stimuli to the user via a display device and a speaker of a computing device, respectively;
during presentation of each stimulus, collecting sensor readings from the biometric sensor, in response to presentation of the visual and audio outputs;
generating a plurality of anxiety results from the sensor readings, each stimulus of the plurality of stimuli associated with an anxiety result;
determining an anxiety score based on the plurality of anxiety results;
identifying a plurality of risk tolerance ranges, each risk tolerance range of the plurality of risk tolerance ranges being associated with a category of risk tolerance; and
determining a risk tolerance result of the user based on comparing the anxiety score to the plurality of risk tolerance ranges.

US Pat. No. 10,687,755

WEARABLE PHYSIOLOGICAL MONITORING DEVICE

MedicusTek Inc., Taipei ...

1. A wearable physiological monitoring device comprising:a wearable garment;
a sensing module disposed on the wearable garment and configured to stretch based on a local displacement of a target organ of an under-test person contacted by the wearable garment to generate a change of a sensing value;
a processing module configured to generate a physiological changing mode that comprises physiological information and occurrence time information based on the change of the sensing value sensed by the sensing module, wherein the physiological information comprises a number, a duration, a degree or a combination of the above of the stretching of the wearable garment to determine a health condition of the under-test person; and
a storage module configured to store a plurality of physiological changing templates, wherein each of the physiological changing templates includes physiological information and occurrence time information that correspond to a certain dysfunction symptom,
wherein the processing module is further configured to compare the physiological changing mode and the physiological changing templates to determine that the under-test person has a dysfunction symptom when the physiological changing mode matches one of the physiological changing templates.

US Pat. No. 10,687,754

BRAIN ACTIVITY MEASURING APPARATUS AND BRAIN ACTIVITY MEASURING METHOD

ADVANCED TELECOMMUNICATIO...

5. A brain activity measuring method for generating a tomographic image of a region of a subject to be measured by detecting a detection signal caused by nuclear magnetic resonance from the subject, the method comprising the steps of:applying a static magnetic field to said region to be measured;
applying to said region to be measured a magnetic field modulated such that said detection signal has positional information of an atomic nucleus emitting said detection signal in a selected cross-section of said region to be measured;
applying an electro-magnetic wave to said region to be measured and detecting said detection signal from said region to be measured;
receiving said detection signal and generating said tomographic image of a slice;
storing said generated tomographic image in a storage device; and
communicating via a network interface with a relay server through a measurement network to transfer the generated tomographic image stored in the storage device to the relay server, wherein
said step of generating said tomographic image includes the steps of
determining three-dimensional rigid transformation between a reference tomographic image of said subject obtained in a past measurement and stored in said storage device and a preliminary tomographic image of said subject obtained in a present imaging session such that mutual information between said reference tomographic image and said preliminary tomographic image is locally maximized, and
based on a parameter of said determined rigid transformation, controlling a magnetic field gradient applying device during the present imaging session thereby correcting a position and direction of the slice of tomographic imaging,
said relay server transfers tomographic image data received via the network interface on the measurement network to a terminal device on an experimental network independent from said measurement network by synchronizing data stored in a first access area on the relay server with data from the measurement network by running a file transfer program that constantly monitors data stored in a second access area of the measurement network and syncs the data stored in the second access area with the data stored in the first access area and transferring the data stored in the first access area to the terminal device on the experimental network,
the terminal device on the experimental network is prevented from directly accessing the data on the measurement network.

US Pat. No. 10,687,753

SYSTEM AND METHOD FOR OPTIMIZING BODY AND OBJECT INTERACTIONS

3M INNOVATIVE PROPERTIES ...

1. A method comprising:obtaining a contact pressure map at a contact interface where at least a portion of a body is in physical contact with a surface of an object, the contact pressure map being a first representation of the contact interface and being expressed as P (xi, yi, zi) where (xi, yi, zi) denotes surface locations of the contact interface;
obtaining a coefficient of friction (COF) map at the contact interface, the coefficient of friction map being a second representation of the same contact interface and being expressed as COF (xi, yi, zi) where (xi, yi, zi) denotes surface locations of the contact interface and COF (xi, yi, zi) denotes the respective coefficient of friction of one or more materials at the contact interface; and
calculating, via a processor, a friction force map based on the obtained contact pressure map and the obtained coefficient of friction map, the friction force map being a third representation of the same contact interface and being expressed as F(xi, yi, zi) as a function of the first and second representations P (xi, yi, zi) and COF (xi, yi, zi).

US Pat. No. 10,687,752

DETECTING UNMEASURABLE LOADS USING HEART RATE AND WORK RATE

Apple Inc., Cupertino, C...

1. A method for determining an energy expenditure of a user with a wearable device, the method comprising:determining, by a processor circuit of the wearable device, a start of an exercise session for the user;
detecting, by the processor circuit, an exercise type associated with the exercise session wherein the exercise type is walking or running;
measuring, by a heart rate sensing module of the wearable device, heart rate data of the user, wherein the heart rate sensing module comprises a photoplethysmogram (PPG) sensor and the PPG sensor is configured to be worn adjacent to the user's skin;
applying, by the processor circuit, a first time stamp to the measured heart rate data;
collecting, by one or more work rate sensing modules of the wearable device, work rate data of the user;
applying, by the processor circuit, a second time stamp to the collected work rate data;
calculating, by the processor circuit, a heart rate-based energy expenditure based on the heart rate data measured at the first time stamp;
calculating, by the processor circuit, a work rate-based energy expenditure based on the work rate data collected at the second time stamp;
determining, by the processor circuit, an energy expenditure of the user based on the calculated heart rate-based energy expenditure and the calculated work rate-based energy expenditure; and
outputting the energy expenditure of the user.

US Pat. No. 10,687,751

ENHANCING DIAGNOSIS OF DISORDER THROUGH ARTIFICIAL INTELLIGENCE AND MOBILE HEALTH TECHNOLOGIES WITHOUT COMPROMISING ACCURACY

President And Fellows of ...

1. A computer system for diagnosing a behavioral disorder, a developmental delay, or a neurological impairment of a subject with a diagnostic tool comprising a classifier and a set of diagnostic questions, the computer system comprising:a processor; and
a non-transitory computer readable medium that stores instructions that when executed by the processor causes the processor to:
display the set of diagnostic questions;
receive responses to the set of diagnostic questions;
provide the responses as an input to the classifier, wherein the classifier is trained with data from a plurality of individuals having the behavioral disorder, the developmental delay, or the neurological impairment, and wherein the classifier has an accuracy of at least 90%;
evaluate the responses with the classifier; and
generate an output indicating whether there is an indication that the subject has the behavioral disorder, the developmental delay, or the neurological impairment.

US Pat. No. 10,687,750

DEVICE FOR CROSS FLOW FILTRATION

1. A whole blood filtration device separating blood plasma/serum from blood cells and collecting the separated plasma/serum in a connection container for analysis, the whole blood filtration device comprising:a filter housing, comprising:
a first feeding side opening at a first end of the filter housing, the first feeding side opening having a first opening orientation;
a second feeding side opening at an opposite second end of the filter housing, the second feeding side opening having a second opening orientation;
wherein the first opening orientation is inclined at a first inclination relative to the longitudinal extension of the filter housing; and
the second opening orientation is inclined at a second inclination relative to the longitudinal extension of the filter housing,
wherein the first and second inclinations are each between 30° and 60° relative to the longitudinal extension of the filter housing;
two piston driven manual blood pumps, each having a push button actuator having a corresponding push button actuator orientation, the two piston driven manual blood pumps comprising:
a first blood pump of the two piston driven manual blood pumps coupled onto the first feeding side opening by a lock connection, the first blood pump having a push button actuator orientation of between 30° and 60° relative to the longitudinal extension of the filter housing; and
a second blood pump of the two piston driven manual blood pumps coupled onto the second feeding side opening by a lock connection, the second blood pump having a push button actuator orientation between 30° and 60° relative to the longitudinal extension of the filter housing,
wherein the push button actuators are arranged for alternate operation by a user's thumbs when the whole blood filtration device is handheld;
a filter membrane separating a feeding volume and a clean side of the filter membrane from each other, the filter membrane arranged in an interior of the filter housing;
wherein the filter membrane comprises at least one hollow fiber membrane made of a ceramic material, comprising a lumen including a first terminal opening and a second terminal opening;
wherein the lumen in an interior of the at least one hollow fiber membrane forms the feeding volume, the first feeding side opening in communication with the first terminal opening and the second feeding side opening is in communication with the second terminal opening;
wherein the at least one hollow fiber membrane comprises a hydrophilicity-reducing coating;
wherein the term “hydrophilicity-reducing” is defined to refer to a water or blood droplet contact angle of the at least one hollow fiber membrane which is larger than a water or blood droplet contact angle of the at least one hollow fiber membrane prior to coating;
the feeding volume communicating with a first feeding side opening and with a second feeding side opening;
the filter membrane including pores with a pore size that ensures permeability of the filter membrane to blood plasma/serum and that retains blood cells, the pore size is between 100 nanometers and 1,000 nanometers, the filter membrane having a roughness lower than 10 microns;
the first feeding side opening is coupled to a first blood pump by a lock connection for feeding blood from the first feeding side opening into the feeding volume so that blood plasma/serum permeates the filter membrane and blood cells, retained by the filter membrane, exit from the feeding volume through the second feeding side opening;
wherein the second feeding side opening is coupled to a second blood pump for feeding blood from the second feeding side opening into the feeding volume so that a blood plasma/serum permeates the filter membrane and blood cells, retained by the filter membrane, exit from the feeding volume through the first feeding side opening;
wherein the interior of the filter housing at the clean side is hydrophobically coated,
wherein the filter housing further comprises:
a plasma/serum outlet opening in communication with the clean side of the and arranged on the filter housing between the first end and the second end.

US Pat. No. 10,687,749

MEDICAL DEVICE FOR THE PREPARATION OF A CONCENTRATE OF CELLS

ELTEK S.p.A., Casale Mon...

1. A medical device for centrifugal separation of a concentrate enriched with cells from a biological fluid, in particular a concentrate of stromal or stem cells from medullar aspirate or venous blood, comprising:a treatment container, for receiving and treating the biological fluid for the purposes of its separation into a number of fractions;
a first collection container, for receiving a first fraction of the fluid, in particular a fraction poor in said cells;
a second collection container, for receiving a second concentrated fraction of the fluid enriched with said cells;
a deviator valve having a first way connected or prearranged for connection to the treatment container, a second way connected or prearranged for connection to the first collection container, and a third way connected or prearranged for connection to the second collection container;
a first connection line for connection of the treatment container to the first way of the deviator valve, a second connection line for connection of the first collection container to the second way of the deviator valve, and a third connection line for connection of the second collection container to the third way of the deviator valve,
wherein the treatment container is a syringe container with a plunger having a plunger stem associated in a releasable way to a corresponding plunger head via a coupling arrangement, the plunger stem being releasable from the plunger head prior to centrifugation of the treatment container,
wherein the first connection line comprises a first transparent tube, in particular a flexible transparent tube, and at least one of the second and third connection lines preferably comprises a second flexible tube; and
wherein at least one connection line, or each connection line, further comprises:
at least one respective hydraulic connector including two mutually coupling parts, for separable connection of a corresponding tube to the corresponding container and/or to the corresponding way of the deviator valve; and
at least one self-closing valve.

US Pat. No. 10,687,748

INJECTOR

ASAHI POLYSLIDER COMPANY,...

1. An injector for launching a lancet to provide a pricking, the injector comprising:a plunger capable of launching the lancet in a pricking direction, the lancet being in attachment to the plunger, the plunger comprising a lancet holder;
an injector housing which surrounds the plunger; and
an injector cap capable of being attached and detached with respect to the injector housing,
wherein the injector cap comprises a front opening and an inner face, the inner face of the injector cap comprising a first pair of ribs and a second pair of ribs, each of the ribs of the first and second pairs of ribs respectively extending from the inner face to a top edge/apex as viewed in a cross-section of the injector cap taken along a direction orthogonal to the pricking direction, the first pair of ribs opposing one another along a first direction orthogonal to the pricking direction, the second pair of ribs opposing one another in a second direction orthogonal to the first direction and orthogonal to the pricking direction,
wherein the respective top edges/apexes of the first and second pairs of ribs extend along the pricking direction, and
wherein the first and second pairs of ribs of the injector cap and the plunger are capable of contacting with each other at a point in time after a launching of the plunger, such that an outer face of a front portion of the plunger makes contact with one or more of the respective top edges/apexes of the first and second pairs of ribs of the injector cap.

US Pat. No. 10,687,747

MEDICAL NEEDLE AND PUNCTURE TOOL

Lightnix, Inc., Nishinom...

1. A medical needle comprising:a flat puncturing part having a front surface and a back surface that are parallel to each other, wherein
the flat puncturing part includes a pair of side-surface inclined parts provided at tips of respective side surfaces and a front-surface inclined part provided at a tip of the front surface of the flat puncturing part,
the pair of side-surface inclined parts and the front-surface inclined part each extend in an inclined manner relative to a puncturing direction so as to be tapered, and the tip of the front-surface inclined part adjoins a blade edge part formed by adjoining the tips of the pair of side-surface inclined parts, and
a depression is formed in the front surface of the flat puncturing part so as to partially indent front inclined surfaces of the pair of side-surface inclined parts and a front surface of the front-surface inclined part in a direction perpendicular to the plane of the front surface of the flat puncturing part.

US Pat. No. 10,687,746

METHOD OF MAKING NANOPARTICLE COLLOID AND NANOPOROUS LAYER

UXN CO., LTD., Seoul (KR...

1. A method of making a nanoporous layer, the method comprising:providing a liquid composition comprising a surfactant and metal ions, wherein the surfactant is in a reverse micelle phase comprising a plurality of hydrophilic spaces;
adding a reducing agent to the liquid composition to cause reduction of at least part of the metal ions to form nanoparticles, which provides a first colloid, wherein at least some of the hydrophilic spaces enclose at least one of the nanoparticles;
removing the surfactant from the first colloid to form a second colloid comprising nanoparticles from the first colloid such that the second colloid is substantially free of the surfactant, wherein removing the surfactant causes at least part of the nanoparticles to get together and form a number of nanoparticle clusters having an irregularly shaped body which comprises a number of nanoparticles having a generally oval or spherical shape with a length ranging between about 2 nm and about 5 nm;
subsequently, adjusting a concentration of the nanoparticles in the second colloid to provide a colloid composition such that the nanoparticles contained in the colloid composition are in an amount between about 0.01 wt % and about 2 wt % with reference to the total weight of the colloid composition;
dispensing, over a substrate, the colloid composition comprising nanoparticle clusters from the second colloid; and
subjecting the dispensed colloid composition to drying to form a nanoporous layer in which the nanoparticle clusters contained in the dispensed colloid composition deposit over the substrate such that irregularly shaped bodies of the nanoparticle clusters connect to one another to form a three-dimensional interconnected network of irregularly shaped bodies comprising a number of nanoparticles,
wherein the substrate comprises an electrically conductive or semiconductive surface, and the irregularly shaped bodies comprising a number of nanoparticles settle on the electrically conductive or semiconductive surface of the substrate.

US Pat. No. 10,687,745

PHYSIOLOGICAL MONITORING DEVICES, SYSTEMS, AND METHODS

Masimo Corporation, Irvi...

1. A physiological monitoring device comprising:a plurality of light-emitting diodes configured to emit light in a first shape;
a material configured to be positioned between the plurality of light-emitting diodes and tissue on a wrist of a user when the physiological monitoring device is in use, the material configured to change the first shape into a second shape by which the light emitted from one or more of the plurality of light-emitting diodes is projected towards the tissue;
a plurality of photodiodes configured to detect at least a portion of the light after the at least the portion of the light passes through the tissue, the plurality of photodiodes further configured to output at least one signal responsive to the detected light;
a surface comprising a dark-colored coating, the surface configured to be positioned between the plurality of photodiodes and the tissue when the physiological monitoring device is in use, wherein an opening defined in the dark-colored coating is configured to allow at least a portion of light reflected from the tissue to pass through the surface;
a light block configured to prevent at least a portion of the light emitted from the plurality of light-emitting diodes from reaching the plurality of photodiodes without first reaching the tissue; and
a processor configured to receive and process the outputted at least one signal and determine a physiological parameter of the user responsive to the outputted at least one signal.