US Pat. No. 10,335,256

SURGICAL ARTICLES AND METHODS FOR TREATING PELVIC CONDITIONS

Boston Scientific Scimed,...

1. A method of supporting a tissue of a pelvic floor, the method comprising:creating an incision that allows access to a region of the pelvic floor;
providing a pelvic implant including a tissue support portion, a first extension portion, and a second extension portion, the tissue support portion including a first side end and a second side end opposite the first side end, the first side end having a first length and the second side end having a second length, the second length being different than the first length, the first extension portion and the second extension portion being integrally formed with the tissue support portion, a first anchor disposed at the first extension portion and a second anchor disposed at the second extension portion, a third length between the first extension portion and the second extension portion defining a third side end, the third side end being at an angle with respect to at least one of the first side end or the second side end, the pelvic implant having a width at a medial portion of the tissue support portion, the third length being larger than the width;
adjusting a length of the first extension portion to allow a distal end of the first anchor to reach a desired tissue within or external to the pelvic floor;
passing the pelvic implant through the incision and placing the tissue support portion at the tissue of the pelvic floor; and
positioning the tissue support portion at the region of the pelvic floor to support the tissue of the pelvic floor.

US Pat. No. 10,335,255

STRAW FOR THE PRESERVATION OF A PREDETERMINED DOSE OF LIQUID-BASED SUBSTANCE, IN PARTICULAR A BIOLOGICAL SUBSTANCE

IMV TECHNOLOGIES, Saint ...

1. A straw for preservation of a predetermined dose of liquid-based substance containing water, comprising a tube configured to be filled with the liquid-based substance, the liquid-based substance being a biological substance, the tube extending between a first end and a second end and further comprising a liquid-tight, gas-permeable stopper, the stopper being disposed in the tube close to a first end of the tube and extending between a first end turned towards the first end of the tube and a second end turned towards the second end of the tube, said stopper and said tube being configured so that after the liquid-based substance has come to meet the stopper by the second end of the stopper, the stopper blocks passage of the liquid-based substance and, by pushing on the first end of the stopper, the stopper is slidable in the tube towards the second end of the tube;wherein the stopper comprises towards the second end of the tube a barrier plug formed over the whole cross-section of the tube by hydrophobic threads, the barrier plug being configured to allow the liquid-based biological substance to pass therethrough while filling the tube but to be repelled by the barrier plug while passage of the liquid-based substance is blocked by the stopper.

US Pat. No. 10,335,254

METHOD AND APPARATUS FOR RECORDING SPATIAL GINGIVAL SOFT TISSUE RELATIONSHIP TO IMPLANT PLACEMENT WITHIN ALVEOLAR BONE FOR IMMEDIATE-IMPLANT PLACEMENT

EVOLLUTION IP HOLDINGS IN...

1. A soft tissue preservation arrangement, comprising:a hollow shell with an interior volume and a shell axis, the hollow shell having an outer surface configured to engage a soft tissue socket after a tooth has been extracted from a bone socket, the shell having a first perimeter configured for placement toward the bone socket and a second perimeter configured for placement adjacent an outer surface of the soft tissue socket, the first perimeter being smaller than the second perimeter so that the shell tapers outwardly from the first perimeter to the second perimeter, the second perimeter having an asymmetrically scalloped shape; and
a temporary post having a maximum dimension that is less than a minimum dimension of the hollow shell such that when the temporary post extends in the interior volume of the hollow shell such that an interior space is formed between an outer surface of the temporary post an inner surface of the hollow shell,
wherein the minimum inside diameter of the first perimeter of the hollow shell is greater than the maximum outside diameter of the temporary post, whereby the hollow shell and the temporary post do not make physical contact during axial relative movement of the hollow shell and temporary post, wherein the temporary post has an upper end portion and a lower end portion, wherein the lower end portion is configured to engage with a dental implant such that the first outer perimeter is situated above the lower end portion.

US Pat. No. 10,335,253

TOOTH-POSITIONING APPLIANCE FOR CLOSING SPACES

Martz Inc., Bakersfield,...

1. A tooth-positioning appliance comprising:a first appliance segment having:
a shell with at least one recess for removably engaging a first tooth; and
a receptacle on the shell of the first appliance segment;
a second appliance segment having:
a shell with at least one recess for removably engaging a second tooth, wherein the first tooth and the second tooth are separated by a space; and
a tab extending laterally from the second appliance segment spanning the space and in sliding engagement with the receptacle of the first appliance segment, the shell of the second appliance segment and the tab of the second appliance segment being a single piece of material; and
an activating element connected between the first appliance segment and the second appliance segment exerting a force to change the space as the tab slides with respect to the receptacle.

US Pat. No. 10,335,252

SYSTEM AND METHOD FOR DIGITAL TOOTH IMAGING

Align Technology, Inc., ...

1. A method for combining digital data from at least first and second scanned impressions of a jaw of a patient to form a combined digital jaw impression of the jaw for use in a customized dental treatment of the patient, the method comprising:receiving a first scanned impression of one jaw of the patient, the first scanned impression having distorted digital tooth data for a first tooth of the patient;
receiving a second scanned impression of the one jaw of the patient, the second scanned impression having non-distorted digital tooth data for the first tooth of the patient, wherein the first scanned impression and the second scanned impression are scanned impressions of the same jaw of the patient; and
creating a combined digital jaw impression by replacing the distorted digital tooth data for the first tooth of the first scanned impression with the non-distorted digital tooth data for the first tooth from the second scanned impression.

US Pat. No. 10,335,251

ORTHODONTIC DIGITAL SETUPS

3M INNOVATIVE PROPERTIES ...

1. A computer-implemented method of simulating a collision between a first virtual tooth and a second virtual tooth comprising:receiving into the computer digital data defining, in three-dimensional space, the first virtual tooth and the second virtual tooth;
receiving permissible movement input data directed to permissible movement of the first virtual tooth along or about a first axis;
using the computer's processor, simulating, in three-dimensional space, bringing the first virtual tooth into contact with the second virtual tooth while constraining movement of the first virtual tooth based on the permissible movement input data, further comprising accompanying the movement of the first virtual tooth with an automatic movement that forces the first virtual tooth along or about an axis different from the first axis until the first virtual tooth contacts one or more neighboring teeth; and
displaying, in a user interface of a display, data resulting from the simulation.

US Pat. No. 10,335,250

THREE-DIMENSIONAL PRINTED DENTAL APPLIANCES USING LATTICES

uLab Systems, Inc., Redw...

1. A method for fabricating an oral appliance, comprising:capturing a three-dimensional representation of a dentition of a subject;
generating a free-form structure having a polymeric lattice structure via three-dimensional printing, wherein the lattice structure is based on the three-dimensional representation and is complementary to at least part of a surface of the dentition, wherein the lattice structure defines a plurality of open spaces such that the free-form structure is at least partially transparent; and
manufacturing the lattice structure by impregnating or covering a coating into or upon the lattice structure such that the oral appliance is formed.

US Pat. No. 10,335,249

SYRINGE FOR MULTI-COMPONENT MATERIALS, METHOD OF ACTIVATING A SYRINGE, MIXING AND DISPENSING APPARATUS AND MULTI-COMPONENT CARTRIDGE

SULZER MIXPAC AG, Haag (...

1. A single fill syringe for multi-component materials, comprising:a mixer housing;
a mixing element;
a multi-component cartridge; and
a mixing head separate from the mixer housing, the mixing head being arranged at least partly within the mixer housing and adjacent to the multi-component cartridge, and arranged to be moveable in an axial direction of the syringe between at least two positions, the at least two positions comprising a sealed position and a dispensing position, the movement in the axial direction of the mixing head being brought about by a rotation of at least a part of the mixer housing relative to the multi-component cartridge, and the mixing head being axially displaced in a direction opposite to a dispensing direction on displacement of the mixing head from the sealed position into the dispensing position, the syringe configured to be activated upon displacement of the mixing head from the sealed position to the dispensing position by the rotation of the at least a part of the mixer housing relative to the multi-component cartridge and with at least a part of a base of the mixing head being a seal and being configured to seal outlets of the multi-component cartridge when the mixing head is in the sealed position, rotation of the mixer housing causing axial displacement of at least a part of the mixer housing and the mixing head relative to the multi-component cartridge.

US Pat. No. 10,335,248

THERAPEUTIC TOOTH BUD ABLATION

TRIAGENICS, INC., Eugene...

19. A tooth bud ablation procedure that results in tooth agenesis, comprising the steps of:(a) obtaining a volume scan image in which hard tissue is visible;
(b) obtaining a volume scan image in which a dental impression is visible;
(c) superimposing the volume scan image of the hard tissue with the volume scan image of the dental impression to create an overlay so that soft tissue is “visible” as the space between the visible hard tissue and the visible dental impression;
(d) pre-operatively taking measurements from said overlay in which said soft tissue is “visible” to determine a three-dimensional location of a measured middle of a tooth bud;
(e) placing an ablation probe tip having a center of ablation so that said center of ablation is in said three-dimensional location of the measured middle of a tooth bud; and
(f) at least partially ablating at least one tooth bud.

US Pat. No. 10,335,247

UNIVERSAL INSTRUMENT OR INSTRUMENT SET FOR COMPUTER GUIDED SURGERY

Brainlab AG, Munich (DE)...

1. A reference element adapter apparatus rotatably attachable with a shaft of an associated instrument for use in computer guided surgery, the reference element adapter apparatus comprising:a body member comprising a portion configured for selective attachment with an associated reference element, the body member defining an inner axial passageway having a fixed inner diameter,
wherein the body member is selectively coaxially receivable directly and rotatably on an instrument shaft adapting interface of the shaft of the associated instrument at the fixed inner diameter to provide relative rotatable attachment between the associated instrument and the associated reference element selectively attached with the body member, the reference element adapter apparatus further comprising a mechanical retainer operable to provide selective retention of the instrument shaft of the associated instrument relative to the body member, wherein the mechanical retainer comprises a catch providing a surmountable frictional or positive coupling between the body member and the instrument shaft of the associated instrument, wherein the catch comprises:
a ball-thrust piece configured to engage a plurality of associated longitudinal notches on the instrument shaft of the associated instrument to inhibit rotation between the body member and the instrument shaft of the associated instrument, or
a plurality of circumferentially distributed longitudinal notches defined on the inner axial passageway, the plurality of circumferentially distributed longitudinal notches being configured to receive an associated ball-thrust piece carried on the instrument shaft of the associated instrument to inhibit the rotation between the body member and the instrument shaft of the associated instrument.

US Pat. No. 10,335,246

DISPOSABLE KIT FOR MEDICAL APPARATUS

B. Braun Avitum AG, (DE)...

1. A disposable kit for a medical apparatus, comprising:a first subassembly arranged in the form of a tray having a first side and a second side, wherein the tray is configured as a plate having protrusions extending from the first side and the second side to predetermined heights and forming a first elevated region on the first side of the tray and a second elevated region on the second side of the tray, and wherein the first elevated region and the second elevated region each have one or more recesses forming channels; and
a second subassembly comprising:
a plurality of sections foldably connected to each other, the plurality of sections including at least a left section and a right section; and
one or more tube sections; and wherein
the left section of the second subassembly comprises first mounts arranged to hold ends of one or more first tube sections such that bent regions of the one or more first tube sections extend beyond an outer definition of the left section and correspond in form to the channels formed in one of the first or second elevated regions of the tray;
the right section of the second subassembly comprises second mounts arranged to hold ends of one or more second tube sections such that bent regions of the one or more second tube sections extend beyond an outer definition of the right section and correspond in form to the channels formed in the other one of the first and second elevated regions of the tray; and
at least one of the plurality of sections is arranged to be folded onto one of the first side or the second side of the tray and thereby to enclose at least one of the channels of the tray.

US Pat. No. 10,335,245

PACKAGING, PACKAGING ASSEMBLY, AND METHOD FOR USING THE SAME

OSSUR ICELAND EHF, Reykj...

18. A packaging assembly containing an article comprising at least first and second functional features and secured at a predetermined location relative to the packaging assembly in closed and open configurations of the packaging assembly, the packaging assembly comprising:at least two sections arranged to be secured in place relative to one another in the closed configuration, and move relative to one another in the open configuration, the at least two sections forming an inner surface defining an attachment area upon which the article is secured;
at least one instruction area located along the inner surface and having indicia comprising at least first and second indicators pointing to the at least first and second functional features of the article, respectively, for placement in the packaging assembly, the at least one instruction area being located relative to an attachment area displayed by the at least two sections and the article having a feature corresponding to and secured to the attachment area at a marking in both the closed and open configurations;
at least one closure is arranged to secure edges of the at least two sections to one another in the closed configuration;
wherein the indicia represents a sequence of steps for utilizing a sequence of the at least first and second functional features of the article;
wherein the article is secured to the at least two sections such that the article is stabilized in the open configuration of the packaging assembly in an open configuration of the article;
wherein the packaging assembly is arranged to support the article in a preconfigured condition for donning.

US Pat. No. 10,335,244

MOBILE MEDICAL CART

NEONATAL PRODUCT GROUP, I...

1. A medical cart for transporting medical supplies, the cart comprising:a chassis having a plurality of wheels attached thereto;
a plurality of drawers supported on the chassis, wherein at least one of the drawers is slidable along a first axis toward the chassis to a closed orientation and slidable away from the chassis along the first axis to an open configuration, and wherein at least one of the drawers has a drawer lock shiftable between a locked position in which it secures the drawer in the closed orientation and an unlocked position in which it allows the drawer to be in the open configuration;
a plurality of drawer mounts disposed on interior surfaces of the chassis;
a plurality of interchangeable drawer slides attached to the plurality of drawers and removably attachable to the plurality of drawer mounts so that the drawer slides may be placed on different mounts thereby allowing different-sized drawers to be mounted to the chassis; and
a temperature-regulated compartment mounted within the chassis, the temperature-regulated compartment having a storage space with a door, a lock shiftable between a locked position in which it prevents the door from opening and an unlocked position in which it allows the door to open, and a temperature-regulating unit that regulates a temperature of the storage space at a predetermined temperature.

US Pat. No. 10,335,243

DRAPE UNIT

OLYMPUS CORPORATION, Tok...

1. A manipulator system comprising:a manipulator having:
an elongated portion;
a proximal portion coupled to a proximal end of the elongated portion; and
an end effector coupled to a distal end of the elongated portion;
a console detachably coupled to the manipulator, the console having a motor configured to generate a driving force so as to drive the end effector;
a drape configured to separate the manipulator and the console, the drape having:
a main body configured to cover a top surface of the console, the main body having an opening so as to expose a connecting portion; and
an adapter detachably coupled to a top surface of the motor, the adapter being configured to cover the opening;
wherein the motor is detachably coupled to the proximal portion via the adapter, and the adapter is configured to transmit the driving force from the motor to the proximal portion;
the console further having a linear-motion mechanism configured to move the motor in a horizontal direction relative to the console; and
the adapter is configured to be movable relative to the main body in response to a movement of the motor.

US Pat. No. 10,335,242

INDICATOR FOR TOOL STATE AND COMMUNICATION IN MULTI-ARM ROBOTIC TELESURGERY

Intuitive Surgical Operat...

1. A method comprising:receiving an input at a control system indicating a status change for a first tool coupled to a first manipulator assembly of a telesurgical system, wherein the status change is correlated to a procedure to decouple the first tool from the first manipulator assembly or manually reconfigure the first manipulator assembly;
transmitting a command to the first manipulator assembly; and
responsive to the transmitted command, activating a multiple-color light emitting diode (LED) array in an indicator section on the first manipulator assembly to generate a signal indicating a reconfiguration action for the first tool or the first manipulator assembly to a first user.

US Pat. No. 10,335,241

METHOD AND APPARATUS FOR INTRAOPERATIVE MEASUREMENTS OF ANATOMICAL ORIENTATION

DePuy Synthes Products, I...

1. An apparatus comprising:a plurality of electronic devices, each electronic device including an internal power source and being configured to detect at least one of an orientation or a position of the electronic device with respect to earth's frame of reference in a plurality of dimensions; and
a coupler configured to removeably maintain the plurality of electronic devices in physical proximity of one another, the coupler maintaining the plurality of electronic devices in at least one of a similar orientation or a similar position;
wherein the internal power source of the electronic device is configured to be deactivated when at least a portion of the coupler is in proximity to the electronic device.

US Pat. No. 10,335,240

ENDOVASCULAR NAVIGATION SYSTEM AND METHOD

ARROW INTERNATIONAL, INC....

1. An endovascular navigation system, comprising:an elongate flexible member configured to access the venous vasculature of a patient;
a sensor disposed at a distal end of the elongate flexible member and configured to sense a physiological signal of the venous vasculature of the patient;
a processor configured to:
receive the physiological signal of the venous vasculature of the patient provided by the sensor;
process the physiological signal to determine one or more physiological characteristics of the venous vasculature of the patient;
track a position of the distal end of the elongate flexible member within the venous vasculature of the patient over time; and
determine, based on the one or more physiological characteristics of the venous vasculature of the patient, that the position of the distal end of the elongate flexible member is within a predetermined structure within the venous vasculature of the patient;
a display output device configured to simultaneously display:
a graphical representation of a path between tracked positions of the distal end of the elongate flexible member within the venous vasculature of the patient over time;
a first visual indication of the position of the distal end of the elongate flexible member in real time;
at least part of the physiological signal provided by the sensor over time; and
a second visual indication that the distal end of the elongate flexible member is within the predetermined structure within the venous vasculature of the patient only when it is determined that the position of the distal end of the elongate flexible member is within the predetermined structure within the venous vasculature of the patient, wherein the second visual indication is different from the physiological characteristic of the venous vasculature of the patient, and the graphical representation is different from the at least part of the physiological signal and the second visual indication; and
an audible output device configured to output an audible indication of the position of the distal end of the elongate flexible member.

US Pat. No. 10,335,239

DISPOSABLE REFLECTIVE MARKER

Brainlab AG, Munich (DE)...

1. A marker for optical medical navigation, the marker comprising a structure with one or more recesses, and one or more supporting elements, wherein the one or more supporting elements are accommodated within the one or more recesses and support one or more optically detectable elements wherein the one or more recesses have a first opening which allows the one or more optically detectable elements together with one of the one or more supporting elements to be introduced into one of the one or mote recesses, and wherein:the one or more recesses each have at least two second openings which are different from the first opening, wherein each of the at least two second openings has a predetermined contour and allows one of the one or more optically detectable elements to be optically detected therethrough, wherein the structure and the one or more supporting elements retain the at least one of the one or more optically detectable element within one of the one or more recess, and wherein a detectable shape of the one or more optically detectable elements is confined by the predetermined contours of the at least two second openings.

US Pat. No. 10,335,237

VISUAL ORIENTATION AID FOR MEDICAL INSTRUMENTS

Brainlab AG, Munich (DE)...

1. A method comprising:displaying, on an image output of a medical navigation system, a virtual representation of a medical instrument in a positional relationship to a part of a patient's body, the virtual representation of the medical instrument having an axis and a tip; and
displaying, on the image output of the medical navigation system, an orientation aid situated at the tip of the virtual representation of the medical instrument, the orientation aid shaped as a cone having a symmetry axis coinciding with the axis of the visual representation of the medical instrument and a particular aperture angle based on a desired orientation of the medical instrument relative to a predefined axis of the part of the patient's body, the particular aperture angle of the cone determining an exterior enveloping straight line of the cone, the exterior enveloping straight line of the cone abutting the predefined axis of the part of the patient's body indicating that the medical instrument has the desired orientation.

US Pat. No. 10,335,236

SURGICAL SYSTEM USING A REGISTRATION DEVICE

1. A method comprising:determining, pre-operatively, a patient-specific coordinate system for a portion of a patient's anatomy to be operated on, where the patient-specific coordinate system defines at least one of
an anterior pelvic (AP) plane, or
an ipsilateral hemipelvic plane;
registering, during an operating phase, the portion of the patient's anatomy to be operated on to the pre-operatively determined patient-specific coordinate system, the registering performed using a physical instrument or a virtual instrument;
continuously tracking, by a processor, positions of a robotic controlled instrument relative to the patient-specific coordinate system as the robotic controlled instrument moves near the portion of the patient's anatomy, wherein the continuously tracking includes receiving position information from a tracking system utilizing a tracker attached to the robotic controlled instrument as the robotic controlled instrument moves;
automatically engaging and disengaging operation of the robotic controlled instrument based on the continuously tracked positions relative to the patient-specific coordinate system; and
utilizing the patient-specific coordinate system to at least one of
orient, or
locate
an implant at the portion of the patient's anatomy.

US Pat. No. 10,335,235

STEERABLE LASER PROBE

KATALYST SURGICAL, LLC, ...

1. A laser probe comprising:a handle having a handle distal end and a handle proximal end;
an actuation mechanism guide of the handle;
a handle base of the handle having a handle base distal end and a handle base proximal end;
a handle end cap of the handle having a handle end cap distal end and a handle end cap proximal end;
an actuation control guide of the handle having an actuation control guide distal end and an actuation control guide proximal end;
an actuation mechanism having an actuation mechanism distal end and an actuation mechanism proximal end wherein the actuation mechanism is disposed in the handle base, the handle end cap, and the actuation mechanism guide and wherein the actuation mechanism guide is configured to facilitate an actuation of the actuation mechanism within the actuation mechanism guide;
an actuation control of the actuation mechanism wherein the actuation control is disposed in the actuation control guide;
a housing sleeve having a housing sleeve distal end and a housing sleeve proximal end, the housing sleeve having a non-uniform outer diameter;
a first housing sleeve portion of the housing sleeve having a first stiffness;
a plurality of apertures of the first housing sleeve portion;
a second housing sleeve portion of the housing sleeve having a second stiffness wherein the second stiffness is greater than the first stiffness;
a shape memory wire housing of the actuation mechanism, the shape memory wire having a shape memory wire distal end, a shape memory wire proximal end, and a pre-formed curve wherein the shape memory wire is disposed in the shape memory wire housing, the actuation mechanism guide, and the housing sleeve; and
an optic fiber having an optic fiber distal end and an optic fiber proximal end wherein the optic fiber is disposed in the handle, the actuation mechanism guide, and the housing sleeve wherein the optic fiber distal end is adjacent to the housing sleeve distal end and wherein an actuation of the actuation control within the actuation control guide towards the actuation control guide distal end and away from the actuation control guide proximal end is configured to curve the housing sleeve and the optic fiber within an eye.

US Pat. No. 10,335,234

ABLATION CANNULA AND KIT WITH INSERT

ORTHOPAEDIC DEVELOPMENT, ...

1. An ablation tool comprising:a trocar;
a cannula comprising a hollow shaft, the hollow shaft of the cannula having a proximal segment and a distal segment, wherein the distal segment comprises a distal tip aligned with the hollow shaft of the cannula to permit passage of the trocar within the hollow shaft of the cannula, and having tissue-adhering irregular surfaces protruding therefrom;
an auxiliary port extending from an exterior surface of the cannula and defining a hollow passageway into the hollow shaft of the cannula; and,
an insert comprising an additional hollow shaft and adapted to be inserted into the hollow shaft of the cannula, the insert further comprising an auxiliary port extending from an exterior surface of the insert and defining a hollow passageway into the additional hollow shaft of the insert, the additional hollow shaft comprising an outside diameter of less than an interior diameter of the hollow shaft of the cannula so as to permit passage of a laser fiber through the additional hollow shaft of the insert.

US Pat. No. 10,335,233

MYOMA/POLYP IN-OFFICE TREATMENT WITH LASERS

Biolitec Unternehmensbete...

1. A method for the laser treatment of uterine growths without the use of general or regional anesthetic consisting of the steps of:a. providing a paracervical anesthetic to a cervix;
b. inserting a hysteroscope into a uterus;
c. assessing size, location and type of unwanted uterine growth;
d. placing a distal end of said hysteroscope to a position proximate to said uterine growth;
e. inserting an optical waveguide, whose proximal end is connected to a radiation source and whose distal end comprises a radiation distribution device, into said hysteroscope, wherein said radiation distribution device comprises a needle-like fiber;
f. advancing said distal end of said waveguide through said distal end of said hysteroscope to a predetermined point inside said uterine growth;
g. irradiating said uterine growth with radiation from said radiation source so as to cut/vaporize said growth to cause reduction to a size/shape for easy mechanical removal or elimination by vaporization of said uterine growth, while not impairing a patient's fertility;
h. assessing results by ultrasound imaging; and,
i. repeating steps g. and h. until unwanted growth is removed.

US Pat. No. 10,335,232

APPARATUS FOR USING INTENSE PULSED LIGHT TO NON-INVASIVELY TREAT BLEPHARITIS, DRYEYE, CONJUNCTIVAL BLOOD VESSELS, PIGMENTED LESIONS, AND OTHER PROBLEMS OF THE EYE AND EYELID

1. An IPL system for precisely and non-invasively treating small blood vessels, small lesions, small dermatological stains, ingrown hairs, blepharitis, dry eye, and other ocular and periocular problems of a patient, including:a handpiece;
a power source;
an IPL source, including a crystal having a distal end and a handpiece end operatively connected to the handpiece;
controls for varying one or more parameters that determine the amount of IPL to be used;
wherein the handpiece is sized and configured for precise digital manipulation by an operator's fingers for applying IPL to non-corneal and periocular portions of an eye and is operatively connected to the power source, the IPL source, and the controls;
a distance guide, sized and configured to contact the non-corneal and periocular portions of the eye, and having a distal end for contact and a proximal end attached to the handpiece such that the distal end of the IPL source is located at a fixed and known distance from the distal end of the distance guide; and
an eye shield for covering a portion of the patient's eye, including the entire cornea.

US Pat. No. 10,335,231

MICROWAVE APPLICATOR AND METHOD OF FORMING A MICROWAVE APPLICATOR

EMBLATION LIMITED, Alloa...

1. A method of forming a medical microwave applicator for use in treating tissue comprising:forming a body comprising dielectric material so that there is a void in the dielectric material;
performing a deposition process to deposit conductive material in the void to partially or entirely fill the void to create a conductive feature that adheres directly to the dielectric material, the deposited directly adhered conductive feature being a probe feed that partially or entirely fills the void and that couples electromagnetic energy via the directly adhered conductive material of the probe feed into a waveguide comprising the dielectric material such that the electromagnetic energy is transmitted through the dielectric material of the waveguide to an end of the medical microwave applicator for placing adjacent to or in contact with the tissue;
further performing the deposition process so that the directly adhered conductive material of the probe feed is deposited to have a thickness and configuration to provide a directly adhered transmission structure that receives the electromagnetic energy from a coaxial feed and transmits the electromagnetic energy through the directly adhered conductive material of the probe feed and into the dielectric material; and
forming a conductive link from the conductive material deposited in the void to conductive material on an outer surface, the outer surface of the conductive material being configured for connection to the coaxial feed to receive the electromagnetic energy via the coaxial feed and the conductive link being arranged so as to launch the electromagnetic energy as a transverse electric (TE) mode.

US Pat. No. 10,335,230

SYSTEMS FOR THERMAL-FEEDBACK-CONTROLLED RATE OF FLUID FLOW TO FLUID-COOLED ANTENNA ASSEMBLY AND METHODS OF DIRECTING ENERGY TO TISSUE USING SAME

COVIDIEN LP, Mansfield, ...

1. A method of directing energy to tissue by using a fluid-cooled antenna assembly of an energy applicator, the method comprising:connecting the energy applicator to a hub, the hub coupled to a coolant supply system for providing fluid to the antenna assembly of the energy applicator, the coolant supply system having a coolant source, a first coolant supply line, a second coolant supply line, and a third coolant supply line in fluid communication with the coolant source, the first coolant supply line connected between the coolant source and a fluid-movement device, the second coolant supply line directly connected between a pressure transducer and the fluid-movement device, and the third coolant supply line directly connected between a flow-control device and the antenna assembly;
positioning the energy applicator in tissue;
activating the energy applicator via an electrosurgical generator;
measuring a temperature of the fluid in the antenna assembly;
controlling a thermal-feedback-controlled rate of fluid flow based on the measured temperature of the fluid in the antenna assembly;
providing fluid to the antenna assembly at the thermal-feedback-controlled rate of fluid flow using a feedback control system including the flow-control device, the flow control device including a valve and an electro-mechanical actuator, and the feedback control system including a processor unit; and
connecting the pressure transducer to the valve, the pressure transducer disposed within the coolant supply system;
wherein the pressure transducer outputs a signal at a pressure below a burst pressure of a pressure relief valve to indicate to the electrosurgical generator that the fluid-cooled antenna assembly has coolant flowing therethrough and wherein the processor unit triggers a shut-off of the electrosurgical generator based on pressure levels of the coolant in the fluid-cooled antenna assembly; and
wherein the processor unit outputs a signal indicative of an error code if a predetermined time elapses between energy delivery to the fluid-cooled antenna assembly and detection of the signal outputted by the pressure transducer.

US Pat. No. 10,335,229

VESSEL SEALING INSTRUMENT WITH SUCTION SYSTEM

COVIDIEN LP, Mansfield, ...

1. A forceps, comprising:a first elongated shaft having a first proximal portion and a first distal portion;
a second elongated shaft having a second proximal portion and a second distal portion;
a first jaw member secured to and extending from the first distal portion;
a second jaw member secured to and extending from the second distal portion, the first and second jaw members moveable about a pivot between an open position in which the first and second jaw members are spaced-apart from one another and a closed position in which the first and second jaw members cooperate to grasp tissue therebetween; and
a tube extending from the first proximal portion to the first distal portion and including a distal tube segment, the distal tube segment slidable relative to the first and second jaw members between a retracted position relative to the first and second jaw members and a deployed position relative to the first and second jaw members distal of the retracted position.

US Pat. No. 10,335,228

SURGICAL INSTRUMENT WITH SWITCH ACTIVATION CONTROL

COVIDIEN LP, Mansfield, ...

1. An electrosurgical instrument, comprising:a housing;
an elongated shaft extending from the housing;
a pair of opposing jaw members disposed at a distal portion of the elongated shaft and configured to connect to a source of electrosurgical energy, at least one of the jaw members movable relative to the other jaw member between an open position and a closed position;
a movable handle operably coupled to the housing and configured to move between an unactuated position and an actuated position to move at least one of the jaw members between the open and closed positions;
a switch supported by the housing and configured to move between an activated position and a deactivated position to control delivery of electrosurgical energy to the jaw members;
a depressible button having a proximal portion coupled to the switch and a distal portion extending from the housing, the distal portion of the depressible button configured to be engaged by the movable handle to move the switch between the activated and deactivated positions;
a switch activation post housed within the depressible button, the switch activation post extending from the distal portion of the depressible button and configured to engage the switch to move the switch to the activated position upon depression of the depressible button; and
a coiled spring disposed around the switch activation post and housed within the depressible button, the coiled spring configured to maintain a spring force on the switch to maintain the switch in the activated position during at least a portion of travel of the moveable handle toward the unactuated position.

US Pat. No. 10,335,227

ELECTROSURGICAL TISSUE SEALER AND CUTTER

COVIDIEN LP, Mansfield, ...

1. A surgical instrument, comprising:an end effector including a pair of jaw members having opposing tissue clamping surfaces, at least one of the jaw members configured to move with respect to the other jaw member from an open configuration for receiving tissue and a closed configuration for clamping tissue between the opposing tissue clamping surfaces, at least one jaw member defining an elongated cam slot;
a reciprocating member advanceable through a plurality of sequential sealing positions through the elongated cam slot to a distal end thereof to cam the pair of jaw members to the closed configuration, wherein advancement of the reciprocating member is configured to be interrupted at each of the plurality of sequential sealing positions, wherein the reciprocating member includes a blade for transecting tissue and a cam driver configured to engage the elongated cam slot and the blade is disposed proximal of the cam driver; and
a plurality of electrically isolated and independently activatable electrodes supported by at least one of the tissue clamping surfaces of one of the pair of jaw members, each of the plurality of electrically insulated electrodes spaced along at least one respective tissue clamping surface and configured to selectively deliver electrosurgical energy to tissue, wherein the blade is disposed sufficiently proximal relative to the cam driver such that when the reciprocating member is in each of the plurality of sequential sealing positions, the blade is disposed proximal one of the electrically isolated electrodes of the plurality of electrically insulated electrodes.

US Pat. No. 10,335,226

SURGICAL FORCEPS CAPABLE OF ADJUSTING SEALING PRESSURE BASED ON VESSEL SIZE

COVIDIEN LP, Mansfield, ...

1. A forceps, comprising:an end effector assembly including first and second jaw members disposed in opposing relation relative to one another, at least one of the first and second jaw members movable relative to the other from a first position to a plurality of second positions, the first and second jaw members configured to grasp tissue therebetween in each of the plurality of second positions, at least one of the first and second jaw members including a sensor configured to sense at least one property of tissue disposed between the first and second jaw members and determine an output based upon the at least one sensed property;
a handle assembly including a movable handle coupled to the end effector assembly, the movable handle movable between an initial position and a plurality of subsequent positions for moving the first and second jaw members between the first position and the plurality of second positions, respectively;
a processor configured to receive the output from the sensor and determine a seal pressure for adequately sealing tissue disposed between the first and second jaw members based upon the output; and
a regulator in communication with the processor and configured to receive the determined seal pressure from the processor, the regulator configured, based on the determined seal pressure received, to regulate a range of motion of the first and second jaw members between the first position and a selected one of the plurality of second positions such that movement of the first and second jaw members from the first position to the selected one of the plurality of second positions applies the determined seal pressure to tissue disposed between the first and second jaw members, the regulator disposed within the handle assembly and configured to regulate the range of motion of the first and second jaw members by limiting movement of the movable handle between the initial position and a selected one of the subsequent positions to thereby regulate the range of motion of the first and second jaw members.

US Pat. No. 10,335,225

ELECTROSURGICAL MEDICAL DEVICE HANDPIECE WITH INSULATED ASPIRATION SYSTEM

Arthrex, Inc., Naples, F...

1. An electrosurgical instrument for the treatment of tissue, comprising:a shaft;
an electrode assembly, comprising:
at least one active electrode;
at least one return electrode separated from the active electrode via at least one insulator;
the at least one insulator forming an internal aspiration collection chamber configured to received aspirated material from a surgical site and to pass the aspirated material on within the electrosurgical instrument;
wherein the internal aspiration collection chamber is in fluid communication with at least one aspiration inlet; and
an aspiration system for removing material from a surgical site, the aspiration system including at least one conduit formed by a channel extending through the shaft, the internal aspiration collection chamber and the at least one aspiration inlet;
wherein the at least one active electrode includes a support arm extending from a substantially planar outer surface of the at least one active electrode inwardly toward a longitudinal axis of the channel of the aspiration system whereby the support arm includes a threaded support orifice configured to be threadably attached to threads at a distal end of the channel of the aspiration system.

US Pat. No. 10,335,224

METHOD OF DESTROYING TISSUE CELLS BY ELECTROPORATION

AngioDynamics, Inc., Lat...

1. A method of treating a living human body by destroying tissue cells, comprising:positioning one or more electrodes over skin cells of the living human body, the skin cells of the living human body overlying fat cells of the living human body, the one or more positioned electrodes defining a target area containing fat cells to be killed in the living human body; and
treating the living human body by applying electrical pulses through the one or more positioned electrodes in an amount above an upper limit of electroporation to irreversibly open pores in membranes of the fat cells in the target area, thereby killing the fat cells in the target area.

US Pat. No. 10,335,222

INDUCTION COIL VAPOR GENERATOR

NxThera, Inc., Maple Gro...

1. An inductive vapor generator, comprising:an outer support assembly comprising a first tube wherein the first tube is thermally insulating and electrically insulating;
a coil disposed around the outer support assembly;
an inner assembly comprising a second tube, the inner assembly being disposed within the outer support assembly wherein the second tube is thermally conductive and electrically insulating;
a plurality of microtubes disposed within the inner assembly, the plurality of microtubes being configured to receive a fluid from a fluid source;
a first cap pressure-fit on a first end of the inner assembly and a second cap pressure-fit on a second end of the inner assembly, wherein each of the first and the second pressure-fit caps includes an o-ring seal;
a sintered filter disposed within the inner assembly; and
a radiofrequency generator electrically coupled to the coil, the radiofrequency generator being configured to apply a current to the coil to inductively heat the fluid in the plurality of microtubes to convert the fluid into a heated condensable vapor.

US Pat. No. 10,335,221

METHODS AND DEVICES TO TREAT NASAL AIRWAYS

AERIN MEDICAL, INC., Sun...

1. A method of treating an airway in a patient, the method comprising:advancing a cryotherapy balloon of a treatment device through a nostril of the patient and into the airway in an uninflated configuration;
inflating the cryotherapy balloon by circulating a low-temperature liquid into an interior of the cryotherapy balloon, wherein inflating the cryotherapy balloon causes the cryotherapy balloon to contact nasal mucosa lining the airway;
removing energy from submucosal tissue underlying the nasal mucosa by maintaining the cryotherapy balloon in an inflated configuration and continuing to circulate the low-temperature liquid through the interior of the cryotherapy balloon, to change a property of the submucosal tissue;
deflating the cryotherapy balloon by removing the low-temperature liquid from the interior of cryotherapy balloon; and
removing the cryotherapy balloon from the airway.

US Pat. No. 10,335,220

BONE POSITIONING GUIDE

Treace Medical Concepts, ...

1. A method of positioning a bone comprising:engaging a surface of a bone engagement member of a bone positioning guide with a first bone;
placing a tip of the bone positioning guide in contact with a second bone, the second bone being different from the first bone; and
moving the bone engagement member with respect to the tip to change the position of the first bone with respect to the second bone, wherein moving the bone engagement member comprises correcting an alignment of the first bone in more than one plane with respect to the second bone, including about an axis in a frontal plane.

US Pat. No. 10,335,219

METHOD AND IMPLANT FOR STABILIZING TWO BONE PORTIONS SEPARATED BY A CUT OR FRACTURE

WOODWELDING AG, Stanssta...

1. A set of tools for stabilizing two bone portions separated by a cut or fracture in a human or animal patient, the set of tools comprising an implantation tool and mounted or mountable to the implantation tool an implant, wherein the implant comprises a plurality of anchoring pins and at least one bridge portion connecting proximal ends of the anchoring pins and wherein a material having thermoplastic properties is arranged on lateral surfaces of the anchoring pins or in a perforated sheath of at least one anchoring pin, wherein said lateral surfaces of the anchoring pins or said perforated sheath is arranged on the implant for being in contact with bone tissue on implantation, wherein the set of tools further comprises a fixation/guide tool comprising an axial tunnel and resilient outwards flaring distal half portions with distal faces equipped for fixation on a bone surface, wherein the distal half portions flare outwards with respect to a longitudinal axis of the fixation/guide tool.

US Pat. No. 10,335,218

MULTICHANNEL CANNULA AND METHODS FOR USING SAME

Spinal Generations, LLC, ...

1. A method for delivering a substance to bone, comprising:placing a stabilizing wire in a bone;
creating a hole in the bone around the stabilizing wire;
providing a multichannel cannula, comprising:
a first channel having an open proximal end and an open distal end, wherein the first channel is configured to receive the stabilizing wire; and
a second channel having an inlet portal and an exit portal, wherein the inlet portal and the exit portal are in fluid communication for continuous flow of the substance from the inlet portal to the exit portal;
inserting the multichannel cannula into the hole in the bone such that the first channel receives the stabilizing wire; and
delivering the substance into the bone by introducing the substance into the inlet portal of the second channel such that the substance flows continuously in the second channel between the inlet portal and the exit portal, wherein the stabilizing wire remains placed in the bone and received by the first channel during delivery of the substance to the bone.

US Pat. No. 10,335,217

PEDICLE SCREW WITH LARGE-DIAMETER BONE THREAD

Aesculap AG, (DE)

1. A pedicle screw system comprising a receiving sleeve for a longitudinal support, a bone screw and a shank head element;the bone screw comprising a bone thread formed as an external thread and a connection thread formed as an inner thread;
the shank head element at a proximal end having a head on which the receiving sleeve is mounted, and the shank head element at a distal end having a connection thread formed as an external thread and screwed into the connection thread of the bone screw;
the connection threads both being formed as multi-threads, each having a distal connection thread portion and a proximal connection thread portion;
the distal connection thread portions and the proximal connection thread portions having an identical thread pitch; and
the distal connection thread portions having a diameter smaller than that of the proximal connection thread portions.

US Pat. No. 10,335,216

SCREW IMPLANTS FOR BONE FUSION

Globus Medical, Inc., Au...

1. A fixation screw assembly for fusing a sacroiliac joint comprising:a fixation member including a head member and a bone-engaging portion coupled to the head member, the head member having a generally spherical outer surface and a groove; and
a washer member having an inner annular lip, wherein the washer member is operatively coupled to the fixation member around the head member, an inner surface of the washer member being generally spherical and corresponding to the generally spherical outer surface of the head member, and the inner annular lip extends inwardly from the inner surface of the washer member, wherein the washer member is capable of polyaxial movement relative to a longitudinal axis of the fixation member,
wherein when the washer member is sufficiently angled relative to the longitudinal axis of the fixation member, the lip of the washer member bottoms out on the groove of the head member on one side and the lip of the washer member is positioned above the head member of the fixation member on an opposite side such that the lip directly contacts the head at the groove on the one side and the lip does not directly contact the head on the opposite side.

US Pat. No. 10,335,215

BONE SCREW WITH SELF-CONSTRAINED FLEXIBILITY

1. A bone screw comprising:a longitudinal core member defining a longitudinal axis and having an outer surface and a helical groove recessed from the outer surface, the helical groove having a groove cross-section defined by opposed sidewalk and a bottom surface connecting the opposed sidewalk and forming a first portion of the groove cross-section that is positioned closest radially to the longitudinal axis, wherein a minor diameter of the core member measured radially between diametrically opposite portions of the bottom surface of the helical groove is greater than a depth of the helical groove measured radially from the first portion of the groove cross-section to the outer surface of the core member; and
a helical thread body configured to be accommodated in the helical groove,
wherein when the thread body is assembled in the helical groove of the core member and when the core member is straight along the longitudinal axis, the thread body is configured to abut one opposed sidewall without abutting the other opposed sidewall along a full turn of the thread body,
wherein when the thread body and the core member are assembled and the thread body is contacting the bottom surface of the helical groove, a portion of the thread body that extends outside the helical groove has a height measured radially outwardly from the outer surface of the core member that is greater than the depth of the helical groove over an uninterrupted length of the thread body that covers a majority of the entire thread body, and
wherein the thread body is configured to slide in the helical groove between the opposed sidewalls of the helical groove in a direction parallel to the longitudinal axis.

US Pat. No. 10,335,214

MULTIPLEXED SCREWS

DePuy Synthes Products, I...

1. A bone fixation element, comprising:a shaft extending substantially along a longitudinal axis of the fixation element; and
a head extending from and integrally formed with the shaft, the head defining a plurality of fixation element openings distributed about a perimeter thereof, each of the fixation element openings extending through the head from a proximal surface thereof to a distal surface of the head, each of the fixation element openings extending through the head along an opening axis, wherein at least two of the fixation element openings are only partially enclosed by the head, wherein a first one of the openings includes a threading along an inner surface thereof to lockingly engage a corresponding threading on a head of a bone fixation element to be inserted therethrough.

US Pat. No. 10,335,213

BONE PLATE WITH A BONE SCREW

1. An osteosynthesis device with a bone plate and with at least one bone screw, wherein the bone plate has at least one through-hole with a conical inner thread formed at least in part in the through-hole, the bone screw moreover has a screw shank and also a screw head with a conical thread, with the possibility of forming a connection at a variable and stable angle between bone screw and bone plate by receiving the screw head with conical outer thread in the respective through-hole of the bone plate,characterized in that the thread in the screw head has a first portion with a first conicity and a second portion with a second conicity, wherein a zone of discontinuity with respect to the conicity is present between the first portion and the second portion.

US Pat. No. 10,335,212

VARIABLE ANGLE SCREWS, PLATES AND SYSTEMS

Orthofix S.R.L., Verona ...

1. A variable angle orthopedic plate, the plate comprising:an upper surface;
a bone facing surface;
at least one variable angle through hole between the upper surface and the bone facing surface, the through hole defined by a wall having a generally cylindrical shape with a central hole axis with a constant total radius from the upper surface to the bone facing surface, wherein the wall comprises a single continuous thread, the apex of which defines a central hole aperture of radius (raperture), and a thread trough defining a total hole radius of (rhole),
wherein the thread has at least one indentation along its length, each indentation having a radius (rindent), wherein raperture wherein the surface of the wall defining the variable angle hole engages a threaded head of an orthopedic fastener at a first angle aligned with the central hole axis and at least one other angle measured between the central hole axis and an axis of an orthopedic fastener.

US Pat. No. 10,335,211

HIGHLY-VERSATILE VARIABLE-ANGLE BONE PLATE SYSTEM

DePuy Synthes Products, I...

1. A method of forming a thread in an outer surface of a head of a bone screw that is elongate along a central axis, the method comprising the steps of:orienting a thread cutter in a first orientation with respect to the bone screw, the thread cutter including a cutting bit having an apex, wherein the cutting bit extends along a longitudinal axis that normally intersects the apex of the cutting bit, and when the thread cutter is in the first orientation the longitudinal axis is perpendicular to a central axis of the bone screw;
after the orienting step, rotating the bone screw at least one complete revolution about the central axis relative to the cutting bit while 1) maintaining the thread cutter in the first orientation with respect to the bone screw; 2) maintaining contact between the cutting bit and the outer surface; and 3) translating the bone screw relative to the cutting bit with respect to the central axis a first distance per revolution; and
after the rotating step, further rotating the bone screw another at least one complete revolution about the central axis relative to the cutting bit while 1) maintaining the thread cutter in the first orientation with respect to the bone screw; 2) maintaining contact between the cutting bit and the outer surface; and 3) translating the bone screw relative to the cutting bit with respect to the central axis a second distance per revolution that is different than the first distance per revolution,
wherein both of the rotating steps result in the forming of a cross-sectional profile of the thread, the cross-sectional profile having a plurality of peaks, a plurality of troughs each of which are positioned between adjacent ones of the plurality of peaks, and a plurality of flanks each of which connect one of the plurality of peaks to an adjacent one of the plurality of troughs, each of the plurality of peaks being spaced farther from the central axis than adjacent ones of the plurality of flanks, each of the plurality of flanks being spaced farther from the central axis than the adjacent one of the plurality of troughs.

US Pat. No. 10,335,210

ANATOMIC PLATES FOR MEDIAL PROXIMAL TIBIA

Biomet Manufacturing, LLC...

1. A bone plate comprising:a proximal head extending from a first head end to a second head end;
a distal shaft connected to the proximal head and extending from a first shaft end to a second shaft end; and
a strut connecting the second end of the proximal head and a mid-section of the distal shaft;
wherein the first head end is connected to the first shaft end, and the proximal head extends perpendicularly medially from the distal shaft;
wherein the proximal head is offset from the distal shaft in an anterior direction by approximately 10 millimeters;
wherein the proximal head is shaped to conform to a proximal medial portion of a tibia;
wherein the proximal head is shaped to conform to a medial condyle of the tibia; and
wherein the proximal head is shaped to conform to an anterior medial portion of the medial condyle.

US Pat. No. 10,335,209

SYSTEMS AND METHODS FOR SPINAL FIXATION

Alphatec Spine, Inc., Ca...

1. A rod inserter tool for inserting a rod into a surgical site, the rod inserter tool comprising:a handle;
a shaft coupled to the handle; and
a rack-and-pinion mechanism that comprises a first rod and a second rod, the rack-and-pinion mechanism configured to slide out of the shaft and to rotate the rod about an axis orthogonal to the shaft;
wherein the handle is rotatably coupled to the shaft and operatively connected to the rack-and-pinion mechanism wherein rotation of the handle actuates the rack-and-pinion mechanism so as to rotate the rod;
wherein the rack-and-pinion mechanism further includes a pivot pin, a head having ratchet teeth and a guide slot, and a guide rod disposed within the guide slot, wherein the second rod is slidably engaged with the pivot pin; and
wherein the second rod is slidably coupled to the head, and a distal end of the second rod is pivotably coupled to a proximal end of the rod.

US Pat. No. 10,335,208

DEVICE FOR CARRYING OUT A DISTRACTION OR A COMPRESSION OF VERTEBRAL BODIES DURING SPINAL SURGERY

SILONY MEDICAL INTERNATIO...

1. Device for carrying out at least one of a distraction and a compression of vertebral bodies during spinal surgery, said device comprising a first and a second extension part, which parts are sleeve-shaped, at least in portions, each part having a longitudinal direction and each of which parts can be secured on a bone anchor in a detachable but rigid and rotationally fixed manner, the bone anchors in each case being adapted to be either of inserted or being already inserted into one of the vertebral bodies to be treated, characterized by a first eccentric bearing part and a second counter bearing part, which parts are adapted for positioning or are positioned on the first and on the second extension part respectively in corresponding positions in the longitudinal direction, the first eccentric bearing part being a movable component that is in addition to the first extension part, and the second counter bearing part being a movable component that is either of in addition to the second extension part or being formed by the second extension part itself, and in that at least the eccentric bearing part can be rotated relative to the first extension part about the longitudinal direction of said extension part, such that due to the eccentricity, the first bearing part can be brought into contact with the second counter bearing part and thus a bearing point is formed for forming a pivot joint between the two extension parts in order to perform the distraction or compression.

US Pat. No. 10,335,207

SPINOUS PROCESS PLATE FIXATION ASSEMBLY

NuVasive, Inc., San Dieg...

1. A spinous process plate fixation assembly, comprising:a pin plate including a first central aperture and a pin plate interior surface, and a first plurality of spikes extending from the pin plate interior surface;
a lock plate including second central aperture and a lock plate interior surface opposing the pin plate interior surface, and a second plurality of spikes extending from the lock plate interior surface;
a pin receptacle disposed within the pin plate, the pin receptacle configured to receive a lock pin;
a pivoting lock mechanism disposed within the lock plate, wherein the pivoting lock mechanism includes:
a threaded channel disposed within a top surface of the lock plate;
a lock chamber disposed within the lock plate;
a pivoting lock disposed within the lock chamber and including a lock slot in communication with the threated channel , wherein the pivoting lock includes a connector shaft passage configured to receive the lock side of the connector shaft, wherein the pivoting lock includes a compression slot proximal to the lock slot and opposite from a compression flat configures for orientation when the pivoting lock is compressed; and
a connector shaft extending from the pin plate to the lock plate and passing through the first central aperture and the second central aperture, the connector shaft including:
a pin side configured to receive the lock so as to secure the pin within the pin receptacle; and
a lock side opposite the pin side, the lock side configured to operatively engage the pivoting lock mechanism so as to pivotally secure the lock side with the pivoting lock mechanism.

US Pat. No. 10,335,206

LOW PROFILE CONNECTORS

GLOBUS MEDICAL, INC., Au...

1. A coupling device for securing first and second vertebrae, the device comprising:a first coupling element having a first body portion with an opening extending longitudinally through the first body portion;
a first locking assembly comprising a rotatable locking member, a clamp portion and a ring portion, wherein the locking member, the clamp portion and the ring portion are sized and dimensioned to be received in the opening in the first body portion, the first locking assembly is configured and dimensioned for receiving a head of a first bone fastener, and wherein the first coupling element having an elongate rod portion extending transversely from the first body portion; and
a second coupling element having a second body portion for receiving a second bone fastener and an extension portion extending transversely from the second body portion, the extension portion defining a recess sized and configured to receive the rod portion of the first coupling element,
wherein, when unlocked, the rod portion is moveable in the recess to allow for rotational and translational movement of the first and second coupling elements, and when locked, the relative position of the first and second coupling elements is fixed,
wherein the ring portion is configured to surround the rotatable locking member and a lower portion of the ring portion is configured to engage an upper portion of the clamp portion,
wherein when the locking member is rotated to a locked position, the locking member forces the ring portion and clamp portion downward to secure the first bone fastener.

US Pat. No. 10,335,205

MIS CROSS-CONNECTOR

Globus Medical, Inc., Au...

10. A bone fixation system for implanting in bone, comprising:a member that contacts a pair of substantially parallel elongate members, the member extending transverse to the elongate members; and
a plurality of locking caps that secure the member to the pair of elongate members,
wherein at least one of the plurality of locking caps comprises a cap portion and a hook portion, wherein the cap portion is adapted to rotate while the hook portion remains stationary, the hook portion having a receptacle and a lower surface,
wherein each locking cap is configured such that during fixation, the cap portion has a contact surface that presses upon a surface of one of the pair of elongate members while the receptacle receives the member, the hook portion presses down on the member, and the lower surface of the hook portion contacts one of the elongate members, and
wherein the hook portion is configured to receive the member in a manner to allow adjustment of the member prior to fixation.

US Pat. No. 10,335,204

BONE ANCHORING DEVICE

1. A polyaxial bone anchoring device comprising:a bone anchoring element having a head with a spherical-segment shaped portion and a shaft for anchoring to a bone;
a receiving part for coupling the bone anchoring element to a rod, the receiving part having a head receiving portion with an accommodation space for accommodating the head, and a rod receiving portion with a bore in communication with the accommodation space;
a pressure member movable in the bore and comprising a first surface for engaging the head, a second surface for engaging the rod, and two radially outwardly extending projections configured to latch into annular grooves in the receiving part to restrict axial movement of the pressure member in the receiving part; and
a sleeve-like insert piece comprising an endless ring separable from the pressure member and insertable into the receiving part;
wherein when the head of the bone anchoring element, the insert piece, and the pressure member are in the receiving part, the insert piece is positionable around and forms a seat for the spherical-segment shaped portion of the head, and the pressure member is movable to a position where the first surface of the pressure member directly contacts the head to lock the head relative to the receiving part.

US Pat. No. 10,335,203

POLYAXIAL SCREW FOR SURGICAL IMPLANT

MEDACTA INTERNATIONAL SA,...

1. A polyaxial screw for surgical implant comprising:an axially hollow central body having an outer surface and a top perimetral edge;
an anchoring element having an anchoring portion and a coupling portion, said anchoring portion projecting from said central body and said coupling portion being received inside the axial cavity of said central body;
an insert axially received inside said axial cavity of the central body and an attachment element suitable to couple internally to said central body; and
two diametrically opposed grooves along the outer surface of said central body extending from the top perimetral edge and configured to receive centering prongs of a surgical instrument;
wherein said insert has an elastic portion able to apply to at least a portion of the anchoring element a distributed compression load the resultant force of which being directed along a central axis X of the central body, the elastic portion of the insert has, on at least a part thereof, at least one groove having a helical development.

US Pat. No. 10,335,202

LOCKABLE PEDICLE FASTENER

BLACKSTONE MEDICAL, INC.,...

1. A spinal fixation system, comprising:at least one screw having a screw head at a proximal end and wherein the screw head comprises a substantially spherical surface;
at least one body, wherein the body has a proximal portion and a distal portion;
the proximal portion comprising:
a rod receiving channel operable to receive a fixation rod;
an external attachment feature; and
a pressure cap disposed at a distal end of the proximal portion and formed integrally with the proximal portion, wherein a distal end of the pressure cap comprises an interior surface contoured to fit against the substantially spherical surface of the screw head;
the distal portion comprising:
an internal attachment feature operable to engage the external attachment feature of the proximal portion, wherein the engaging of the internal attachment feature with the external attachment feature secures the proximal portion to the distal portion;
a screw head receiving chamber disposed at a distal end of the distal portion operable to retain the screw head within the body; and
an external surface operable to engage a drive tool that operates to join the internal attachment feature with the external attachment feature and further cause the pressure cap to apply a bias against the screw head;
wherein a majority of a diameter of the external surface is greater than an outer diameter of the proximal portion;
wherein the screw head receiving chamber allows multi-axial movement of the body in relation to the screw when the pressure cap is disengaged from the screw head; and
wherein the difference in diameter between the external surface and the proximal portion allows the body to be secured in a mono-axial position in relation to the screw when the external surface is engaged after the pressure cap has been biased against the screw head.

US Pat. No. 10,335,201

SPINAL IMPLANT SYSTEM AND METHODS OF USE

Warsaw Orthopedic, Inc., ...

1. A bone fastener comprising:a first member defining an implant cavity;
a first part disposed with the implant cavity and engageable with an implant; and
a second member configured to penetrate tissue and including a mating surface engageable with the first member such that the members are expandable, the second member further including a body connected with a screw shaft, the body defining a first groove configured for disposal of a first band, the second member comprising a base defining a second groove configured for disposal of the first band to provisionally fix the base with the body, the base defining a third groove configured for disposal of a second band to facilitate engagement of the screw shaft with the base.

US Pat. No. 10,335,200

PIVOTAL BONE ANCHOR ASSEMBLY WITH TWIST-IN-PLACE INSERT HAVING ALIGNMENT NOTCHES

1. A pivotal bone anchor assembly for securing an elongate rod to a bone via a closure top, the pivotal bone anchor assembly comprising:a receiver having a longitudinal axis, a base, and a pair of upstanding arms extending upwardly from the base with opposed inner surfaces defining an upwardly-opening rod-receiving channel configured to receive the elongate rod, the arm inner surfaces having a closure top mating feature formed thereon, the base including a cavity in communication with the channel and with a bottom surface of the base through a bottom opening to define a receiver bore centered about the longitudinal axis, the cavity having a spherical seating surface proximate the bottom opening, the receiver bore including:
a downwardly-facing surface below the closure top mating feature; and
at least one integral structure protruding inwardly toward the longitudinal axis between the closure top mating feature and the cavity;
a shank having a proximal capture portion with a spherical outer surface and an anchor portion extending distally from the capture portion for fixation to the bone, the shank capture portion being positionable within the receiver cavity with the shank anchor portion extending downwardly through the bottom opening; and
a pressure insert having an upwardly-facing curvate seating surface configured to receive at least an underside portion of the elongate rod, a central opening for a tool to pass through, at least one notch formed in an outer side surface thereof, a lower surface configured to engage the shank capture portion spherical outer surface to directly apply downward pressure to the shank capture portion, and an upwardly-facing surface positioned radially outward from the curvate seating surface, the pressure insert being installed into a first position within the receiver bore with the curvate seating surface in a non-alignment orientation with respect to the receiver rod-receiving channel,
wherein upon rotation of the pressure insert about the longitudinal axis into a second position within the receiver, with the insert curvate seating surface in a co-linear alignment with the receiver rod-receiving channel,
the at least one receiver inwardly-protruding integral structure is positioned in the at least one insert outer side surface notch so as to prevent further rotation of the pressure insert within the receiver bore, and
the insert upwardly-facing surface is rotated under the receiver downwardly-facing surface so as to inhibit upward movement of the pressure insert within the receiver bore along the longitudinal axis.

US Pat. No. 10,335,199

SPINAL CORRECTION CONSTRUCT AND METHOD

Warsaw Orthopedic. Inc., ...

1. A method for treating a spinal disorder, the method comprising the steps of:disposing an expandable spinal construct in a selected configuration;
fixing the spinal construct in the selected configuration with a member;
attaching a first end of the spinal construct with a bone screw that is threaded with tissue;
attaching a second end of the spinal construct with a bone screw that is threaded with tissue; and
disengaging the member from the spinal construct to release the spinal construct from the selected configuration,
wherein the member comprises a plurality of openings and a bearing positioned in each of the openings, the bearings being configured to engage a tapered portion of a sleeve of the spinal construct to prevent movement of a rod of the spinal construct relative to the sleeve in one direction.

US Pat. No. 10,335,198

SCREW ELEMENT FOR USE IN SPINAL, ORTHOPEDIC OR TRAUMA SURGERY AND A SYSTEM OF SUCH A SCREW ELEMENT AND A SCREW DRIVER ADAPTED THERETO

1. A screw element for use in spinal, orthopedic, or trauma surgery, the screw element comprising:a screw axis;
a shank extending along the screw axis and configured to be inserted in a bone; and
a drive portion configured to engage a screw driver, wherein the drive portion comprises:
a first wall defining a first recess, wherein a plurality of drive grooves are formed in the first wall and extend parallel to the screw axis;
a second wall defining a second recess, wherein the second wall extends axially from a free end portion of the screw element to the first wall, wherein in a first radial direction relative to the screw axis, the second wall has an inner width that is greater than an inner width of the first wall;
wherein a plurality of guide grooves are formed in the second wall at circumferential positions around the screw axis that correspond respectively to circumferential positions of the drive grooves;
wherein the guide grooves extend further radially from the screw axis than the drive grooves and are spaced apart from the drive grooves by respective inclined portions extending axially therebetween, and wherein each inclined portion is angled relative to an end of the drive groove directly connected thereto and angled relative to an end of the guide groove directly connected thereto, to guide an engagement portion of the screw driver from the free end portion of the screw element to the drive grooves, while in at least the first radial direction, the second wall is directly connected to the first wall in an axial direction.

US Pat. No. 10,335,197

ORTHOPEDIC ANCHORING METHODS

JCBD, LLC, Fort Collins,...

1. A method of performing an orthopedic surgical procedure on a pelvic region of a patient, the pelvic region including a sacrum, an ilium and a sacroiliac joint therebetween, the method comprising:positioning an implant assembly adjacent the pelvic region, the implant assembly comprising:
i) an implant body comprising at least a portion of a locking element;
ii) an implant outer layer comprising a longitudinal axis, a lumen extending parallel to the longitudinal axis, an exterior surface, and a fastener opening including a fastener opening perimeter, and a fastener path, wherein the lumen is configured to receive at least a portion of the implant body within the lumen;
iii) a fastener comprising a longitudinal axis and an attachment feature configured to mechanically interlock with the locking element in an interference mechanical engagement, the attachment feature comprising a distal end and a contracted neck region,
wherein the attachment feature is configured to mechanically interlock with the locking element when the distal end of the attachment feature is received within the fastener opening of the implant outer layer, and when there is a predetermined alignment between the implant body relative to the implant outer layer and the locking element relative to the attachment feature, respectively,
delivering the implant body and the implant outer layer into the ilium, across the sacroiliac joint, and into the sacrum such that the fastener opening resides within the sacrum;
delivering the fastener through a posterior surface of the sacrum such that the distal end of the attachment feature is received within the implant outer layer; and
interlocking the locking element and the attachment feature with each other.

US Pat. No. 10,335,196

SURGICAL INSTRUMENT HAVING A STOP GUARD

Ethicon LLC, Guaynabo, P...

1. A surgical instrument, comprising:an outer shaft having an inner lumen and at least one opening extending through an outer sidewall of the outer shaft;
an inner shaft disposed within the inner lumen of the outer shaft and configured to translate relative to the outer shaft along a longitudinal axis thereof, the inner shaft including a distal end configured to puncture tissue;
a stop guard coupled to the inner shaft, the stop guard having at least one retractable wing configured to both extend radially outward through the at least one opening of the outer shaft and retract radially inward towards the inner shaft such that the retractable wing is disposed within a diameter of the outer shaft; and
an intermediate shaft having an inner lumen and at least one opening extending through an outer sidewall of the intermediate shaft, the intermediate shaft being disposed between the outer shaft and the inner shaft and configured to translate relative to the outer shaft along a longitudinal axis thereof, the intermediate shaft being further configured to translate to a position at which the at least one opening of the intermediate shaft is aligned along at least a portion of its length with the at least one opening of the outer shaft and a distal end of the intermediate shaft extends distally beyond the distal end of the outer shaft;
wherein, when the at least one retractable wing is extending radially outward through the at least one opening of the outer shaft, the at least one retractable wing is configured to retract radially inward towards the inner shaft in response to the at least one retractable wing coming into contact with an external object as the instrument is advanced distally into tissue, the radially inward retraction of the at least one retractable wing resulting in the distal end of the inner shaft retracting proximally towards the distal end of the outer shaft.

US Pat. No. 10,335,195

PERCUTANEOUS ACCESS SYSTEMS AND METHODS

Summit Access, LLC, Engl...

1. A percutaneous access system, comprising:a cannula with an internal passageway extending through a length thereof, the internal passageway including a tapered section within an expandable section at a distal portion of the cannula, the expandable section including a plurality of leaves that are circumferentially adjacent to one another and that are capable of being forced radially outward from one another;
an obturator capable of coaxial movement through the internal passageway through the cannula; and
a handle secured to a proximal end of the cannula, the handle including a channel capable of receiving the obturator, the handle further including:
a distal hub at a fixed location relative to the proximal end of the cannula;
a main body proximal to the distal hub, the distal hub secured to a distal end of the main body; and
a proximal hub coupled to the main body in a manner that enables selective rotation of the proximal hub relative to the main body and the distal hub, selective longitudinal movement of the proximal hub toward and/or away from the main body and the distal hub, and fixed coupling of the proximal hub to a coupling element at a proximal end of the obturator such that rotational movement and/or longitudinal movement of the proximal hub relative to the distal hub causes the obturator to be driven rotationally and/or longitudinally within the internal passageway through the cannula.

US Pat. No. 10,335,194

HANDLES FOR NEEDLE ASSEMBLIES

SurGenTec, LLC, Boca Rat...

1. An impact handle comprising:an attachment portion configured to couple to a needle assembly;
a handle portion extending from the attachment portion and configured to be gripped in use, wherein the handle portion is movable relative to the attachment portion, wherein the handle portion is coupled to the attachment portion in a foldable arrangement; and
an impact strikeplate, the impact strikeplate configured to be struck with an instrument in use and configured to transfer forces form the instrument to the needle assembly to drive at least a portion of the needle assembly into bone when the attachment portion is coupled to the needle assembly.

US Pat. No. 10,335,193

RETROGRADE ENTRY ANTEGRADE PLACEMENT FOR FEMORAL ARTERY ACCESS

POLR ANGIOSCIENCE, LLC, ...

1. An apparatus for aiding vascular access comprising:an access director having a first lumen and a second lumen;
the first lumen extending from a head of the access director to a tip of the access director, the first lumen sized to receive an air-to-air wire to diminish bleed-back, wherein the air-to-air wire extends from outside a skin of a subject and into and out of a vascular channel of the subject and out of the skin of the subject, and wherein the first lumen does not communicate with the vascular channel; and
the second lumen extending from the head of the access director to a point proximal to the tip that ends in an oval orifice, the oval orifice having a bump located at a leading edge of the oval orifice, wherein the second lumen communicates with the vascular channel and allows bleed-back when the oval orifice is within the vascular channel, the second lumen sized to receive a wire to diminish bleed-back when the wire is received in the second lumen, wherein when the oval orifice is within the vascular channel the wire is deflected by the bump and extended out of the oval orifice and into the vascular channel.

US Pat. No. 10,335,192

APPARATUS FOR DETERMINING A PROPERTY OF AN OBJECT USING ULTRASOUND SCATTER

Koninklijke Philips N.V.,...

1. Property determining apparatus for determining a property of an object, wherein the property determining apparatus comprises:an ultrasound signal providing unit (18) for providing an ultrasound signal produced by
sending an ultrasound pulse out to the object,
receiving echo series from the object, and
generating the ultrasound signal depending on the received echo series,
a scatter determination unit (8) for determining at least one scatter value being indicative of a scatter of the ultrasound pulse by a fluid perfusing the object, wherein the scatter determination unit (8) is adapted to determine the at least one scatter value based on a histogram of ultrasound intensities of the ultrasound signal,
a property determination unit (15) for determining a property of the object depending on the at least one scatter value.

US Pat. No. 10,335,191

PIXEL ARRAY MEDICAL DEVICES AND METHODS

SRGI HOLDINGS, LLC, Hend...

1. A method comprising:positioning a guide plate at a donor site;
aligning a scalpet array of a device with the guide plate at the donor site, wherein the scalpet array comprises at least one scalpet;
incising skin pixels at the donor site with the scalpet array;
preparing a recipient site by positioning the guide plate at the recipient site, and generating with the scalpet array skin defects; and
applying the incised skin pixels at the recipient site.

US Pat. No. 10,335,190

PIXEL ARRAY MEDICAL SYSTEMS, DEVICES AND METHODS

SRGI HOLDINGS, LLC, Hend...

1. A method, comprising:identifying a donor site on a subject;
removing a portion of the epidermis within the donor site;
harvesting a plurality of dermal plugs within the donor site;
forming an injectable filler by mincing the dermal plugs; and
injecting the injectable filler into a recipient site on the subject, wherein the recipient site is different from the donor site.

US Pat. No. 10,335,189

SYSTEMS AND METHODS FOR PERCUTANEOUS DIVISION OF FIBROUS STRUCTURES

PAVmed Inc., New York, N...

1. A device for dividing a fibrous structure, the device comprising:a catheter having a proximal end, a distal end, and lumen extending therebetween;
an expandable member positioned near the distal end of the catheter and in fluid communication with the lumen of the catheter so that the expandable member can be biased between an inflated state and a deflated state, the expandable member having a cross-sectional shape that expands radially in a first direction more than it expands in a second direction to provide the expandable member with an elongated cross-sectional shape when inflated; and
a cutting element situated on an outer surface of the expandable member at a location that expands in the second direction, such that, as the expandable member expands in the first direction and pushes the fibrous structure in opposing lateral directions, the fibrous structure is pulled taut against the cutting element to allow tensioning of the fibrous structure against a discrete portion of the cutting element, wherein the cutting element is a blade configured to apply a mechanical force to weaken or cut the fibrous structure.

US Pat. No. 10,335,188

METHODS OF MANUFACTURE OF CATHETER WITH HELICAL DRIVE SHAFT

Covidien LP, Mansfield, ...

1. A method of making a helical drive shaft having a double-helical auger blade with a desired pitch, depth, width, and outer diameter comprising:placing a cylindrical drive shaft into an extruded polymer tube, the polymer tube having a circular cross-section;
attaching one end of the polymer tube to the drive shaft;
applying a single heated tool to the tube overlying the drive shaft at a temperature sufficient to soften the polymer tube;
rotating the heated tool about the driveshaft; and
sculpting the softened polymer tube with the heated tool causing a portion of the tube to buckle under the heated tool, the buckled portion of the tube forming a helical auger blade with a secondary helical pitch of residual polymer left on the wall opposite with the same desired pitch, depth, and width.

US Pat. No. 10,335,187

ATHERECTOMY DEVICES AND METHODS

Cardio Flow, Inc., St. P...

1. A rotational atherectomy device for performing rotational atherectomy to remove stenotic lesion material from a blood vessel of a patient, the device comprising:an elongate flexible drive shaft defining a longitudinal axis;
an array of at least three spherical abrasive elements fixed to the drive shaft and spaced apart from one another by a first separation distance, the spherical abrasive elements fixed to the drive shaft such that a center of mass of each abrasive element is offset from the longitudinal axis, the center of mass of a first spherical abrasive element of the spherical abrasive elements being offset from the longitudinal axis at a first radial angle, the center of mass of a second spherical abrasive element of the spherical abrasive elements being offset from the longitudinal axis at a second radial angle that differs from the first radial angle, the center of mass of a third spherical abrasive element of the spherical abrasive elements being offset from the longitudinal axis at a third radial angle that differs from the first radial angle and the second radial angle; and
a metallic concentric abrasive element having a cylindrical shape with an abrasive exterior coating and a center of mass aligned with the longitudinal axis, the metallic concentric abrasive element fixed to the drive shaft and distally spaced apart from a distal-most spherical abrasive element of the spherical abrasive elements by a distal separation distance.

US Pat. No. 10,335,186

METHODS AND APPARATUS FOR TREATING EMBOLISM

Inari Medical, Inc., Irv...

1. A device for treating an embolism that at least partially restricts blood flow through a blood vessel, the device comprising:an elongated shaft having a proximal region and a distal region;
an expandable braid attached to the distal region of the elongated shaft, the braid having a plurality of radially extending portions and at least one cylindrical portion, and the radially extending portions and the cylindrical portion being configured to move from a compressed state sized to fit in a delivery catheter to an expanded state;
wherein the cylindrical portion is between a pair of the radially extending portions, and in the expanded state the cylindrical portion is configured to press radially outward against the embolism;
wherein a diameter of the cylindrical portion in the expanded state is between four and eight times greater than a diameter of the cylindrical portion in the compressed state;
wherein the radially extending portions extend radially outward from the cylindrical portion in the expanded state such that portions of the embolism are retained between the radially extending portions; and
wherein the cylindrical portion has a first length along a longitudinal direction of the braid in the expanded state and the radially extending portions have a second length along the longitudinal direction of the braid in the expanded state that is less that the first length.

US Pat. No. 10,335,185

SNARE INSTRUMENT WITH A DISTAL SNARE STRUCTURE

1. An endoscopic snare instrument comprising:a shaft;
a plurality of bending tubes disposed in the shaft, with each of the plurality of bending tubes spaced around a circumference of the shaft and separated from an adjacent one of the plurality of bending tubes;
a snare structure disposed in the shaft, the snare structure comprising a plurality of intersecting noose wires including a first noose wire, a second noose wire and a third noose wire, each noose wire having a noose arch, with the first noose wire having a first base portion retained in a first bending tube of the plurality of bending tubes, a first noose arch extending from the first base portion to a second base portion, with the second base portion retained in the first bending tube of the plurality of bending tubes;
wherein, in an open position of the snare structure, the snare structure forms a trap opening with the noose arch of each of the plurality of intersecting noose wires extending in a circular shape in a plane transverse to a longitudinal direction of the shaft; and
wherein, in a contracted position of the snare structure, each noose arch is shortened and combines with another noose arch to form a knot in a central area of the trap opening, which shuts the trap opening and prevents an object trapped in the trap opening from escaping the trap opening;
wherein the first noose arch of the first noose wire is coupled to and intersects a second noose arch of the second noose wire and a third noose arch of the third noose wire, the second noose arch of the second noose wire is coupled to and intersects with the first noose arch of the first noose wire and the third noose arch of the third noose wire, and the third noose arch of the third noose wire is coupled to and intersects with the first noose arch of the first noose wire and the second noose arch of the second noose wire.

US Pat. No. 10,335,184

NEGATIVE PRESSURE TISSUE DEBRIDEMENT DEVICES, SYSTEMS, AND METHODS

KCI Licensing, Inc., San...

1. A system for debriding tissue from a tissue site, comprising:a debridement tool, comprising:
a housing comprising an interior space,
a reduced-pressure lumen adapted to communicate reduced pressure,
a debridement head moveable relative to the housing and positioned within the interior space,
an impeller moveable relative to the housing and positioned within the interior space in fluid communication with the reduced-pressure lumen and the debridement head, and
a drive system coupled between the impeller and the debridement head, the drive system being configured to impart movement from the impeller to the debridement head;
a therapy device, comprising:
a reduced-pressure source in fluid communication with the impeller through the reduced-pressure lumen,
a pressure sensor, and
a canister configured to retain fluid from the tissue site drawn through the debridement tool; and
a multi-lumen conduit comprising a primary lumen and a secondary lumen in fluid communication between the debridement tool and the therapy device, the primary lumen in fluid communication with the reduced-pressure lumen and the secondary lumen in fluid communication between the interior space and the pressure sensor.

US Pat. No. 10,335,183

FEEDBACK DEVICES FOR SURGICAL CONTROL SYSTEMS

Ethicon LLC, Guaynabo, P...

1. A control system for a surgical robot, the control system comprising:a controller;
a sensor coupled to the controller;
a handheld surgical user interface coupled to the sensor and the controller;
a feedback device coupled to the controller; and
a first socket coupled to the controller, wherein the controller is configured to couple to a stand-alone input device through the first socket.

US Pat. No. 10,335,182

SURGICAL INSTRUMENTS WITH ARTICULATING SHAFTS

Ethicon LLC, Guaynabo, P...

1. An articulatable surgical instrument, comprising:an end effector to treat tissue, wherein the end effector comprises an ultrasonic blade;
a hollow shaft extending proximally from the end effector along a longitudinal axis;
a waveguide extending through the hollow shaft and acoustically coupled to the ultrasonic blade, wherein the waveguide comprises a distally positioned flange positioned within the hollow shaft proximally from the ultrasonic blade, and wherein the waveguide is held stationary at a pivot point positioned within the hollow shaft proximally from the distally positioned flange; and
a reciprocatable wedge configured to interact with the distally positioned flange to cause the ultrasonic blade to pivot about the pivot point in a first direction.

US Pat. No. 10,335,181

TRANSDUCER/WAVEGUIDE ENGAGEMENT MECHANISMS FOR ULTRASONIC SURGICAL INSTRUMENTS

COVIDIEN LP, Mansfield, ...

1. An ultrasonic surgical instrument, comprising:a transducer assembly configured to supply ultrasonic energy, the transducer assembly including a distal engagement member;
a waveguide having a proximal engagement member configured to engage the distal engagement member of the transducer assembly, the waveguide configured to transmit the ultrasonic energy therealong from the proximal engagement member towards a distal end thereof for treating tissue; and
a latch mechanism including a lever having a handle portion, an intermediate portion, and an engaging portion including a first engagement member, wherein the intermediate portion of the lever is pivotably coupled to one of the waveguide or the transducer assembly about a pivot with the handle portion extending from one end of the intermediate portion and the engaging portion extending from the other end of the intermediate portion, and wherein the other of the waveguide or the transducer assembly includes a second engagement member, the handle portion selectively movable between an unlocked position and a locked position to transition the latch mechanism between:
a first condition, wherein the first and second engagement members are disengaged from one another such that the proximal engagement member of the waveguide and the distal engagement member of the transducer assembly are engagable with and disengageable from one another and movable relative to one another, and
a second condition, wherein the first and second engagement members are engaged with one another to thereby secure the proximal engagement member of the waveguide and the distal engagement member of the transducer assembly in fixed position relative to one another under compression between the pivot and the first and second engagement members.

US Pat. No. 10,335,180

MOTOR CONTROL AND FEEDBACK IN POWERED SURGICAL DEVICES

Ethicon LLC, Guaynabo, P...

1. A surgical device, comprising:a proximal handle;
an end effector coupled to the proximal handle and configured to engage tissue;
a cutting element configured to translate longitudinally along the end effector and cut the tissue engaged by the end effector;
a motor operatively coupled to the cutting element and configured to output power that causes the cutting element to translate along the end effector;
a first actuator configured to be moved by a user relative to the proximal handle and thereby cause the motor to output the power that causes the cutting element to translate along the end effector; and
a processor configured to
compare a position of the first actuator relative to the proximal handle and a longitudinal position of the cutting element relative to the end effector to determine whether a predetermined relationship between the positions is satisfied, and
in response to the predetermined relationship being determined to not be satisfied, cause the output power of the motor to change.

US Pat. No. 10,335,179

SURGICAL DEVICE WITH KNIFE LOCKOUT

Ethicon LLC, Guaynabo, P...

1. A surgical device, comprising:a handle having an elongate shaft extending distally therefrom;
an end effector at a distal end of the elongate shaft and having first and second jaws that are movable between an open configuration and a closed configuration in which the first and second jaws are configured to engage tissue therebetween;
a closure lever coupled to the handle and movable from an open position to an actuated position to move the first and second jaws from the open configuration to the closed configuration;
a knife trigger coupled to the handle and configured to move a cutting element through the first and second jaws; and
a knife lockout disposed within the handle such that it prevents actuation of the knife trigger until the closure lever is in the actuated position, the knife lockout being positioned proximal to a proximal-most point on the knife trigger to thereby block proximal movement of the knife trigger until the closure lever is in the actuated position, the knife lockout having a distally-facing substantially planar lockout engagement face that abuts a substantially planar trigger engagement face of the knife trigger when the closure lever is in the open position to thereby block proximal movement of the knife trigger.

US Pat. No. 10,335,178

ANVIL GRASPER

Covidien LP, Mansfield, ...

1. A jaw assembly for use with a surgical grasping instrument comprising:a drive rod including a drive pin and a retention pin disposed along a longitudinal axis defined by the drive rod;
a first jaw having a first arcuate gripping portion and a first arm extending from the first arcuate gripping portion;
a second jaw having a second arcuate gripping portion and a second arm extending from the second arcuate gripping portion; and
a living hinge interconnecting the first and second arms of the respective first and second jaws, the living hinge held in place between the drive pin and the retention pin such that the living hinge and the drive rod are movable as a single construct, the first and second jaws transitionable between an open position in which the first and second arcuate gripping portions are spaced apart and a closed position in which the first and second arcuate gripping portions are in close cooperative alignment, wherein each arm of the first and second arms includes an engaging portion configured to be cammed against an elongate tubular member of the surgical grasping instrument to transition the first and second jaws between the open and closed positions, the engaging portions of the respective first and second arms being coplanar with remaining portions of the respective first and second arms.

US Pat. No. 10,335,177

MEDICAL INSTRUMENT WITH SNAKE WRIST STRUCTURE

Intuitive Surgical Operat...

1. A method for operating a medical device having a first joint structure that includes a first strut, a second strut, a first joint disk, and a second joint disk, the first strut and the second strut being separate components connecting a first rim of the first joint disk to a second rim of the second joint disk and leaving an inner opening extending between the first strut and the second strut through the first joint structure, the method comprising:pulling in a first length of a first actuating member to rotate the second joint disk relative to the first joint disk, the first actuating member passing through the first joint disk of the medical device and attaching to the second joint disk of the medical device;
feeding out a second length of a second actuating member as the second joint disk rotates relative to the first joint disk, the second actuating member passing through the first joint disk and attaching to the second joint disk, the second length of the second actuating member being taken up in the first joint structure as the second joint disk rotates relative to the first joint disk; and
the first joint structure controlling rotation of the second joint disk relative to the first joint disk so that as the second joint disk rotates relative to the first joint disk, the first length of the first actuating element being pulled in is equal to the second length of the second actuation element being taken up.

US Pat. No. 10,335,175

APPARATUS FOR REMOVING CALCULUS IN VITRO

Zhengzhou Fujianda Medica...

1. A lithagogue equipment in vitro, characteristics in that, said lithagogue equipment comprises a vibrating bed and a control device provided outside the vibrating bed; said vibrating bed includes a primary oscillator located above a bed body and connected with said bed body via an adjustable mechanical arm, and a sub oscillator protruding from an upper surface of said bed body, said control device is used to control the vibration of the primary oscillator and the sub oscillator and the movement of the bed body,wherein a length of the sub oscillator is in a range of 200-300 mm, and a height of the sub oscillator from an upper surface of the bed body is adjustable in a range of 20-50 mm such that the sub oscillator is configured to be attached to a treatment area in a waist region of a patient,
wherein the primary oscillator and the sub oscillator are configured to remove a renal calculus with a vibrating frequency of 50 Hz or less,
wherein said lithagogue equipment further comprises a scanning imaging device which is provided above said bed body and adjustably combined with the bed body, said control device includes a displaying device and a work station, the work station transfers images scanned by the scanning imaging device to the displaying device, and
wherein a pressure sensor is provided inside of the primary oscillator, the pressure value applied by the primary oscillator is displayed by the displaying device of the control device.

US Pat. No. 10,335,174

SYSTEM AND METHOD FOR RE-ENTERING A VESSEL LUMEN

CARDINAL HEALTH SWITZERLA...

1. A re-entry catheter for facilitating formation of a passageway from a subintimal area to a lumen of a vessel, comprising an elongated outer tubular member configured to be disposed in the subintimal area between an intimal layer and an adventitial layer, the elongated outer tubular member having a distal end and a window adjacent the distal end, a plurality of deflectable struts arranged longitudinally within the window, a lateral port in the outer tubular member in a location opposing the window, and an actuating member coaxially disposed within the elongated outer tubular member and configured for axial motion relative to the elongated outer tubular member, a cutting member comprising a cannula coaxially disposed within the actuating member, wherein proximal ends of the plurality of deflectable struts are operatively connected to a distal end of the actuating member, such that axial motion of the actuating member deflects the plurality of deflectable struts radially outward so that the lateral port is held against the intimal layer as the cannula advances out of the lateral port and into a lesion disposed in the lumen of the vessel.

US Pat. No. 10,335,173

RE-ENTRY STYLET FOR CATHETER

Avinger, Inc., Redwood C...

1. A stylet for re-entry into a vessel comprising:an elongate body having a proximal portion, a middle curved portion, a pointed distal end, and a longitudinal axis extending through the proximal portion, the middle curved portion, and the pointed distal end;
wherein the proximal portion and the middle curved portion have substantially circular cross-sections, and wherein the middle curved portion has a pre-shaped curve along the longitudinal axis configured to match a curve of an occlusion-crossing device;
wherein the pointed distal end has an s-shaped curve along the longitudinal axis and a flattened portion along the longitudinal axis, the flattened portion having a substantially oblong cross-section; and wherein the flattened portion tapers to a sharp tip at the pointed distal end.

US Pat. No. 10,335,172

METHODS AND APPARATUS FOR PREPARING A HEMISPHERICAL SURFACE

1. A composite reamer being attachable to a driving shaft and rotatable around a longitudinal axis of the shaft for preparing a desired hemispheric surface having a first radius, a spherical center, a pole, an equator and a rotational axis, respectively, comprising:a lower cutting element configured to couple to a lower frame to form a lower cutting portion of the reamer with a lower cutting surface for reaming a first portion defined from the pole to an intermediate latitude of the desired hemispheric surface, the lower cutting surface having a lower spherical cutting center and a lower rotational axis; and
an upper cutting element configured to couple to an upper frame to form an upper cutting portion of the reamer with an upper cutting surface for reaming at least a second portion defined from the intermediate latitude to the equator of the desired hemispheric surface, the upper cutting surface having an upper spherical cutting center and an upper rotational axis;
wherein the lower and upper rotational axis are coaxial with the longitudinal axis of the shaft, when the reamer is in the primary mode, the upper cutting elements depart from the second portion so that the first portion of the desired hemispherical surface is reamed, and in the finishing mode, the upper and lower cutting elements are connected end-to-end to form a continuous hemispheric cutting surface for reaming the first and second portion of the desired hemispherical surface.

US Pat. No. 10,335,171

VOID FILLING JOINT PROSTHESIS AND ASSOCIATED INSTRUMENTS

Howmedica Osteonics Corp....

1. A method of preparing a distal femur for receipt of a prosthesis comprising:reaming through a distal end of the femur along an intramedullary axis thereof to form a central void;
reaming through the distal end of the femur adjacent the central void to form a first offset void; and
reaming through the distal end of the femur adjacent the central void to form a second offset void, wherein the first and second offset voids intersect the central void to form a continuous void configured to receive a void filler prosthesis in a press-fit manner.

US Pat. No. 10,335,170

CUTTING HEADS FOR INTRAMEDULLARY REAMERS

1. A bone cutter configured for detachable connection to a source of rotary motion, the bone cutter comprising:a) a cutting head extending distally along a longitudinal axis from a proximal end to a distal end surface; and
b) at least two spaced apart cutting blades supported by the cutting head, each cutting blade comprising a relief surface residing between opposed cutting and trailing sidewall surfaces, wherein a tissue cutting edge resides at an intersection of the cutting sidewall surface and the relief sidewall surface, the tissue cutting edge having a frusto-conical shape extending distally and downwardly toward the distal end surface of the cutting head,
c) wherein, with respect to any one cross-section aligned normal to the longitudinal axis and taken adjacent the distal end surface of the cutting head to a proximal end of the cutting blade,
i) the tissue cutting edge comprises
A) a first imaginary line that is coincident the blade relief surface;
B) a second imaginary line that intersects the longitudinal axis and an outermost endpoint of the tissue cutting edge;
C) a third imaginary line that is normal to the second imaginary line and intersects the outermost endpoint of the tissue cutting edge; and
D) a relief angle defined between the first imaginary line and the third imaginary lines ranges from about 40° adjacent the distal end surface of the cutting head to about 21° at the proximal end of the cutting blade; and
ii) the cutting sidewall surface has a planar cutting surface portion extending from the tissue cutting edge toward the longitudinal axis to a transition point where the planar cutting surface portion meets a curved cutting surface portion of the cross-section so that with respect to the any one cross-section, the cutting sidewall surface comprises
A) a fourth imaginary line that intersects the transition point and the outermost end point of the tissue cutting edge; and
B) a rake angle defined between the second imaginary line and the fourth imaginary lines that ranges from about 5° adjacent the distal end surface of the cutting head to about 19° at a proximal end of the frusto-conical shape of the tissue cutting edge; and
d) wherein, with respect to a cross-section aligned normal to the longitudinal axis and taken at the distal end surface of the cutting head,
i) the rake angle defined between the second imaginary line and the fourth imaginary lines is 0°; and
ii) the cutting sidewall surface does not have the planar cutting surface portion; and
e) a proximal barrel portion of the cutting head, the barrel portion having a cavity that is configured to detachably receive a drive shaft.

US Pat. No. 10,335,169

ANGLED ORTHOPAEDIC DRIVER

Symmetry Medical Manufact...

1. An orthopaedic driver, comprising:a drivetrain having a driven end and a second end opposite said driven end, said drivetrain defining a first axis;
an instrument connector rotatably coupled to said second end of said drivetrain and defining a second axis angled relative to said first axis;
an angling bushing associated with said instrument connector; and
a housing having a straight portion covering at least a portion of said drivetrain and an angled portion connected to said straight portion, said housing including a bushing groove formed adjacent to an end of said angled portion, said angling bushing being held in said bushing groove within said housing, and said angled portion interacting with said angling bushing to hold said instrument connector angled relative to said drivetrain.

US Pat. No. 10,335,168

RETRO-CUTTING INSTRUMENT WITH ADJUSTABLE LIMIT SETTING

1. A cutting instrument, comprising:an elongate body having a distal drilling tip; and
a cutting blade selectively deployable from a cavity formed in the elongate body at a location proximal to the distal drilling tip, the cutting blade being deployable to any of a plurality of diameters, the cutting blade being in a fully-deployed position at each of the plurality of diameters, with the cutting blade being configured to cut an opening of a predetermined diameter at each of the plurality of fully-deployed positions.

US Pat. No. 10,335,167

DRILL BIT AND METHOD FOR PRODUCING A DRILL BIT

SURGIBIT IP HOLDINGS PTY ...

1. A medical device for use during surgery, said device comprising a shaft and a tapered tip for drilling into a surface of body material; the tip including a plurality of faces, each face having at least two sub-faces formed and arranged to define a generally pyramidal shaped remote end terminating in an extreme drill point whereby the remote end is adapted to pierce the surface and thereby locate the tip prior to drilling; and whereinthe shaft and tip includes at least one flute having a first portion and a second portion;
wherein the first portion is generally helical and extends at least partially along the shaft;
wherein the second portion is formed in the tip and associated with a respective sub-face and extends partway along the tip behind the drill point;
wherein the second portion includes a groove formed in the tip and adjacent at least one edge of the respective sub-face, thereby to enhance the cutting ability of the tip;
wherein the first portion intersects with the second portion to direct debris away from the tip during drilling; and
wherein the sub-faces are asymmetrically offset about a center line of the respective face.

US Pat. No. 10,335,166

SURGICAL BURS WITH DECOUPLED RAKE SURFACES AND CORRESPONDING AXIAL AND RADIAL RAKE ANGLES

MEDTRONICS PS MEDICAL, IN...

1. A surgical bur comprising:a plurality of flutes, wherein each of the plurality of flutes comprises a cutting edge;
a plurality of rake surfaces;
a planar clearance surface,
wherein the plurality of rake surfaces of one of the flutes comprises
a first rake surface having a first rake angle and a first distinct planar surface, and
a second rake surface having a second rake angle and a second distinct planar surface, wherein the second rake angle is decoupled from the first rake angle, and wherein the first rake surface and the second rake surface are distinct from the planar clearance surface; and
a plurality of lands, wherein each of the plurality of lands is disposed between a pair of the plurality of flutes;
wherein:
the first rake surface of the one of the flutes has a negative axial rake angle; and
the second rake surface of the one of the flutes has a positive radial rake angle.

US Pat. No. 10,335,165

BONE PUNCH WITH SECURE PUNCHING SLIDE

1. A bone punch comprising:a base body comprising a guide shaft and a handle arranged fixed and angled on the guide shaft;
a punching slide supported adjustably along the guide shaft on an upper guiding surface of the guide shaft, the guiding surface being located opposite a handle side;
guide elements, having a T-shaped profile, associated with the punching slide;
a restoring spring;
an actuating lever pivotably mounted to the guide shaft in a connection area of the handle between two side walls formed by the guide shaft of the base body, which are spaced apart from one another, wherein the actuating lever forms an adjusting lever configured for the actuating lever operatively interacting with the punching slide for adjustment of the punching slide along the guide shaft against the spring action of the restoring spring and wherein the punching slide is guided adjustably along on the guide shaft via the guide elements, which engage one another in a positive-locking manner and are detachable by longitudinal displacement; and
a securing element connected to the punching slide at a distal end area of the punching slide, the securing element extending between the two side walls in an assembled state of the punching slide on the guide shaft and the securing element having two laterally protruding positive-locking elements and each of the side walls is provided with an inner, distally limited longitudinal groove running in a longitudinal direction of the guide shaft, each positive-locking element being inserted longitudinally displaceably in a respective one of said longitudinal grooves.

US Pat. No. 10,335,164

PATIENT-MATCHED INSTRUMENTATION AND METHODS

1. A patient specific tibial cutting guide, comprising:a central portion configured to at least partially overlay anterior and superior portions of a proximal tibia;
a plurality of outrigger portions extending from the central portion and configured to at least partially overlay medial and lateral articulation surfaces of the proximal tibia; and
a plurality of wing portions extending medially and laterally from the central portion and configured to extend at least partially around medial and lateral sides of an anterior face of the proximal tibia, wherein the central portion and the plurality of outrigger portions define guides configured for guiding a cutting tool to form vertical and anterior eminence-preserving resections of the proximal tibia and the plurality of wing portions define guide slots for guiding a cutting tool to form horizontal plateau resections of the proximal tibia.

US Pat. No. 10,335,162

TIBIAL TUBERCLE OSTEOTOMY

Biomet Sports Medicine, L...

1. A patient-specific system for a tibial osteotomy, comprising: a patient-specific guide comprising a guide body defining,a bone-engaging portion with a bone-engaging surface, wherein the bone-engaging surface is configured during a pre-operative planning stage of a tibial osteotomy to conform as a negative surface to a corresponding surface of a specific patient's tibia at, around, or near the patient's tibial tubercle;
a first planar slot oriented at a first predetermined angle and at a first predetermined position relative to a proximal-distal axis of the specific patient's tibia that is selected during the pre-operative planning stage of the tibial osteotomy;
a second planar slot oriented at a second predetermined angle and at a second predetermined position relative to the proximal-distal axis of the specific patient's tibia that is selected during the pre-operative planning stage of the tibial osteotomy; and
a plurality of apertures.

US Pat. No. 10,335,161

APPARATUS AND METHOD TO STOP BLEEDING

VASOINNOVATIONS INC., So...

1. A method directed at attaining hemostasis of a radial artery of a patient after performing a catheterization procedure at an access site of the radial artery, comprising performing the following steps:(a) applying a first pressure on an ulnar artery at an ulnar pressure site by inflating at least a first balloon for a purpose of reducing risk of post-instrumentation radial artery occlusion;
(b) applying a second pressure on the radial artery by inflating at least a second balloon at the access site to stop bleeding at the access site;
(c) continuing to apply the second pressure on the radial artery to attain hemostasis of the radial artery;
(d) continuing to apply the first pressure simultaneously on the ulnar artery for the purpose of reducing risk of post-instrumentation radial artery occlusion;
(e) reducing the first pressure on the ulnar artery to zero before attaining hemostasis of the radial artery, whereby the first pressure is not applied up until and including the moment in which hemostasis of the radial artery is attained;
(f) attaining hemostasis of the radial artery.

US Pat. No. 10,335,160

TOURNIQUET BELT

Ballistipax, LLC, Melbou...

1. A tourniquet belt comprising:a first elongate fabric member having a first stiffness, a length, a first side, an opposing second side, a first end, and an opposing second end;
a second elongate fabric member having a first side, an opposing second side, a second stiffness greater than the first stiffness, and affixed to the first elongated fabric member with the second side of the second elongate fabric member proximate the first side of the first elongate fabric member, wherein an area of the second elongate fabric member, which overlays the first elongate fabric member, defines a tourniquet portion of the first elongate fabric member;
a third elongate fabric member having a length, a first side, an opposing second side, a first end, and an opposing second end, wherein the third elongate fabric member is secured to the first elongate fabric member with the second side of the third elongate fabric member proximate the first side of the first elongate fabric member and a second end of the third elongate fabric member proximate the tourniquet portion, wherein the first end of the third elongate fabric member extends distal the tourniquet portion and secures to the first elongate fabric member along the lengths of the third elongate fabric member and the first elongate fabric member to form a first pocket having a first pocket opening proximate the tourniquet portion of the first elongate fabric member;
a fourth elongate fabric member having a length, a first side, an opposing second side, a first end, and an opposing second end, wherein the fourth elongate fabric member is secured to the first elongate fabric member with the second side of the fourth elongate fabric member proximate the first side of the first elongate fabric member and a second end of the fourth elongate fabric member proximate the tourniquet portion, wherein the first end of the fourth elongate fabric member extends distal the tourniquet portion and secures to the first elongate fabric member along the lengths of the fourth elongate fabric member and the first elongate fabric member and the first end of the fourth elongate fabric member to form a second pocket having a second pocket opening proximate the tourniquet portion of the first elongate fabric member;
a fifth elongate fabric member carried within the first pocket, extending through the first pocket opening, across the tourniquet portion, through the second pocket opening, and carried within the second pocket;
a belt fastener secured to the first end of the first elongate fabric member, and
a windlass carried by the fifth elongate fabric member along the tourniquet portion.

US Pat. No. 10,335,159

RELOADABLE MECHANICAL DEVICE FOR LIGATING LIVING TISSUE AND ACHIEVING HEMOSTASIS

BOSTON SCIENTIFIC SCIMED,...

1. A system for treating tissue, comprising:a clip assembly including a pair of clip arms, each of the clip arms extending from a proximal end to a distal end, the proximal ends of the clip arms connected to one another via a central member slidably received within a channel of a capsule to be moved between an open configuration, in which distal ends of the clip arms are separated from one another, and a closed configuration, in which distal ends of the clip arms are moved toward one another;
a cartridge for encasing the clip assembly including a groove formed therein to accommodate the clip assembly and an opening extending therein to in communication with a portion of the groove such that the groove is open to an exterior of the cartridge via the opening; and
an applicator releasably connectable to the central member to move the clip assembly between the open configuration and the closed configuration, a distal portion of the applicator insertable through the opening of the cartridge to reversibly engage and disengage from the central member while the central member remains intact within the capsule,
wherein the capsule includes a locking feature formed in a wall thereof for engaging an engaging tab at the proximal end of one of the clip arms to lock the clip arms in the closed configuration.

US Pat. No. 10,335,158

VASCULAR AND INTESTINAL OCCLUSION

1. A method for occluding a conduit, comprising the steps of:providing a first, elongate member having first and second ends, the first member having a cross-section that will minimize stress concentrations in the conduit, the first member being long enough to extend from one side of the conduit to the other;
providing a second, elongate member having first and second ends, the second member having a cross-section that will minimize stress concentrations in the conduit, the second member being long enough to extend from one side of the conduit to the other;
disposing the first and second members on either side of the conduit with the longitudinal axes of the first and second members generally parallel with each other;
moving the first and second members sufficiently close to each other while maintaining the longitudinal axes generally parallel with each other to compress the conduit between the first and second members without causing the development of damaged or necrotic tissue;
maintaining the first and second members in a compressed position relative to the conduit;
providing a flexible container for the first and second members, the container being long enough to receive both the first and second members, the container being made of a material that is biocompatible with the conduit and which provides traction relative to the conduit;
placing the first and second members in the container prior to the step of disposing the first and second members on either side of the conduit with the longitudinal axes of the first and second members generally parallel with each other; and
suturing the flexible container to a selected one of the first member or the second member.

US Pat. No. 10,335,157

ASYMMETRICAL SURGICAL CLIP WITH PENETRATING LOCK, NON-SLIP CLAMPING SURFACE, SEVERABLE HINGE, HINGE BOSS AND PIVOTING APPLICATOR TIP

Covidien LP, Mansfield, ...

1. A surgical clip comprising:a pair of opposed arms joined at a hinged end by an integrally formed flexible hinge, the pair of opposed arms comprising:
a first arm having a first arm width, the first arm comprising a clamping side with a plurality of spaced-apart longitudinally-oriented wedge shaped protrusions, each of the wedge shaped protrusions comprising chamfered surfaces extending from outer lateral sides of the first arm and converging at a vertex such that each of the wedge shaped protrusions extends across the first arm width; and
a second arm having a second arm width, the second arm comprising a clamping side with a plurality of spaced-apart longitudinally-oriented V-shaped trough segments and comprising chamfered surfaces that converge at a vertex, the V-shaped trough segments extending across the second arm width, such that the clamping side of the second arm faces the clamping side of the first arm, and the V-shaped trough segments conform to the shape of the wedge shaped protrusions and are aligned to receive the wedge shaped protrusions,
each arm having a free end, one of the first and second arms including a male locking pin near the free end, and the other of the first and second arms including a female aperture near the free end, the first and second arms movable from an open configuration in which the male locking pin is spaced from the female aperture to a locked configuration in which the male locking pin is engaged with the female aperture, said male locking pin including a tissue piercing head, said tissue piercing head being configured to penetrate tissue in the path of the male locking pin when the male locking pin is urged towards the female aperture, and said female aperture being configured to engage the tissue piercing head of the male locking pin and resist withdrawal of the head when the head has been urged through the female aperture into the locked configuration.

US Pat. No. 10,335,156

SELF-ADAPTING FLOATING DIAMETER EMBOLIC COIL

NDI TIP TEKNOLOJILERI ANO...

1. A vaso-occlusive device, consisting of:a self-adaptive floating diameter member, consisting of:
a distal end with an anchoring loop for anchoring said self-adaptive floating diameter member to an inner surface of a vessel at a site of an embolization procedure;
a proximal end with a proximal loop for detaching from a gripper assembly adapted to deliver to said site of said embolization procedure;
a primary coil arrangement configured with a plurality of primary omega curves extending along a length of said self-adaptive floating diameter member between said proximal end and said distal end;
a secondary coil arrangement configured with a plurality of secondary omega curves extending along a trajectory along said length of said self-adaptive floating diameter member-between said proximal end and said distal end, said plurality of secondary omega curves configured in an arcuate curvature comprising an upper crest portion and a lower trough portion following said trajectory of said plurality of primary omega curves about a longitudinal axis of said self-adaptive floating diameter member between said proximal end and said distal end; and
whereby said primary coil arrangement and said secondary coil arrangement in a relaxed, state in the patient's body substantially assume a shape of said inner surface of said vessel at said site of said embolization procedure.

US Pat. No. 10,335,155

POSITIONING AND DETACHING IMPLANTS

Covidien LP, Mansfield, ...

1. A system for placing an implant at an aneurysm, comprising:a tubular member having (a) a member lumen in the tubular member and (b) an opening at a distal end portion of the tubular member;
an implant configured for placement at an aneurysm and having an enlarged portion positioned in the member lumen proximal to the opening; and
an elongate member extending in the lumen and having an expandable/compressible body (a) positioned at least partially distal to the enlarged portion in the lumen and (b) expanded distal to the enlarged portion to retain the enlarged portion in the lumen, and wherein the expandable/compressible body comprises a mesh.

US Pat. No. 10,335,154

POLYMERIC ELECTROSPUN EMBOLIZATION DEVICE AND METHODS OF USE

IkoNano Venture Partners,...

1. A method of deploying an embolization device, the method comprising:inserting into a vessel the embolization device, the embolization device comprising a fiber section comprising a plurality of polymeric electrospun fibers, wherein the embolization device further comprises a plurality of fiber sections, wherein each fiber section is separated by a linker; and
applying an electrical current to one or more of the linkers, wherein the electrical current is from about 0.1 mA to about 100 mA.

US Pat. No. 10,335,153

SYSTEMS AND METHODS FOR ENCLOSING AN ANATOMICAL OPENING

PULSAR VASCULAR, INC., L...

1. An aneurysm device endovascularly deliverable to a site proximate an aneurysm near a terminus of a parent artery with bifurcating downstream arteries, the aneurysm device comprising:a closure structure comprising:
a distal-facing aspect configured to at least partially occlude the aneurysm and a proximal-facing aspect configured to arch over lumina of the downstream arteries,
wherein the closure structure is configured to span unobtrusively over the lumina and forms no incursion onto the vascular flow path;
a barrier supported by at least the distal-facing aspect; and
a supplemental stabilizer connected to the closure structure, the supplemental stabilizer configured to reside in the parent artery and press outward against a luminal wall thereof;
wherein the closure structure further comprises a distal framework portion having a lateral axis orthogonal to the supplemental stabilizer, wherein opposing lateral faces of the distal framework portion are biased away from the lateral axis to press against the parent artery;
wherein the supplemental stabilizer has a proximal framework portion, and the lateral axis of the distal framework portion comprises a vertex from which the proximal framework portion is biased to press outward against a luminal wall of the parent artery.

US Pat. No. 10,335,152

PARTIAL AORTIC OCCLUSION DEVICES AND METHODS FOR CEREBRAL PERFUSION AUGMENTATION

Zoll Circulation, Inc., ...

1. A device comprising:an elongate member having proximal and distal regions;
a first expandable member engaged with the distal region;
a second expandable member engaged with the elongate member proximal the first expandable member; and
a first mechanism disposed about the first expandable member for centering the first expandable member within a patient's blood vessel, wherein the first centering mechanism is established at least in part by struts mounted to the elongate member at first ends proximal to the first expandable member and mounted to the elongate member at second ends distal to the first expandable member.

US Pat. No. 10,335,151

ROBOTICALLY-DRIVEN SURGICAL INSTRUMENT

Ethicon LLC, Guaynabo, P...

1. A surgical instrument, comprising:a channel member configured to support a staple cartridge;
an anvil coupled to the channel member;
a rotatable drive screw positioned in the channel member;
a firing member configured to be advanced by the rotatable drive screw;
a sled member configured to be advanced to eject staples from the staple cartridge to form a staple pattern during a firing cycle, wherein the sled member is positioned at least partially distal to the staple pattern at a completion of the firing cycle;
an elongate shaft assembly coupled to the channel member;
a housing coupled to the elongate shaft assembly, wherein the housing comprises more than two rotatable disks couplable to a robotic device; and
a closure system comprising:
a linear camming member coupled to the anvil; and
a rotatable member coupled to the linear camming member, wherein:
a rotation of the rotatable member in a first direction operates to urge the anvil into a close approximation to the channel member; and
a rotation of the rotatable member in a second direction operates to release a clamp load on the anvil and move the anvil to an unclamped position, wherein a first one of the more than two rotatable disks is coupled to the rotatable member.

US Pat. No. 10,335,150

STAPLE CARTRIDGE COMPRISING AN IMPLANTABLE LAYER

Ethicon LLC, Guaynabo, P...

1. A staple cartridge assembly for stapling patient tissue, comprising:a staple cartridge including a deck, wherein said deck comprises a plurality of staple cavities, and wherein said deck is configured to support the tissue;
a plurality of staples removably stored in said staple cavities;
an implantable layer positioned adjacent to said deck, wherein said implantable layer comprises a composite absorbable material, wherein said composite absorbable material comprises at least two distinct fibrous materials, and wherein at least one freeze-dried medicament is releasably held on at least one of said fibrous materials; and
a liquid impermeable film wrapped around said staple cartridge and said implantable layer.

US Pat. No. 10,335,149

ARTICULATABLE SURGICAL INSTRUMENTS WITH COMPOSITE FIRING BEAM STRUCTURES WITH CENTER FIRING SUPPORT MEMBER FOR ARTICULATION SUPPORT

Ethicon LLC, Guaynabo, P...

20. A surgical instrument, comprising:an elongate shaft assembly defining a shaft axis;
a surgical end effector operably coupled to said elongate shaft assembly by an articulation joint such that said surgical end effector is selectively articulatable relative to said elongate shaft assembly about an articulation axis that is transverse to said shaft axis;
a firing member movably supported for axial travel between a proximal end portion of said surgical end effector and a distal end portion of said surgical end effector;
a central firing beam support member axially aligned along said shaft axis and extending across said articulation joint and comprising a distal end coupled to said surgical end effector and a proximal end attached to said elongate shaft assembly; and
a longitudinally movable flexible firing beam assembly comprising a plurality of beam layers such that as said longitudinally movable flexible firing beam assembly is distally advanced, said longitudinally movable flexible firing beam assembly is bifurcated by said central firing beam support member so that portions of said longitudinally movable flexible firing beam assembly pass adjacent to each lateral side of said central firing beam support member, said longitudinally movable flexible firing beam assembly configured to drive said firing member between said proximal and distal end portions of said surgical end effector.

US Pat. No. 10,335,148

STAPLE CARTRIDGE INCLUDING A TISSUE THICKNESS COMPENSATOR FOR A SURGICAL STAPLER

Ethicon LLC, Guaynabo, P...

1. A staple cartridge, comprising:a support portion including a cartridge body, comprising:
a plurality of staple cavities that define a staple field, wherein said staple field extends between said staple cavities;
a deck; and
a plurality of cartridge cleats; and
a layer assembly, comprising:
a first layer covering said staple cavities, wherein said first layer comprises a fibrous polymeric composition containing structural voids; and
a second layer for releasably holding said first layer to said support portion;
wherein said cartridge cleats are configured to interact with said layer assembly to limit movement of said layer assembly relative to said deck, and wherein said cartridge cleats are present in said staple field.

US Pat. No. 10,335,147

METHOD OF USING LOCKOUT FEATURES FOR SURGICAL STAPLER CARTRIDGE

Ethicon LLC, Guaynabo, P...

1. A method of operating on tissue using a surgical instrument, the surgical instrument comprising a body, a shaft assembly, and an end effector, wherein the end effector comprises a lower jaw configured to receive a staple cartridge, an anvil pivotable toward and away from the lower jaw, a translatable knife member having a cutting edge and a distal feature arranged distally of the cutting edge and defining a distal end of the translatable knife member, and at least one lockout feature, wherein the knife member is movable between a raised state toward the anvil and a lowered state toward the lower jaw, wherein the lockout feature is configured to engage the knife member in the lowered state to thereby prevent translation of the knife member, wherein the staple cartridge comprises a cartridge body having a longitudinal channel defined between a pair of opposed interior surfaces, wherein the cartridge body further includes a bypass feature integrally formed with the cartridge body, wherein the bypass feature is configured to transition between a bypass position and a locked position, wherein the bypass feature is configured to extend inwardly into the channel from each of the opposed interior surfaces and prevent engagement of the knife member and the lockout feature when in the bypass position, wherein the bypass feature comprises a pair of fins projecting upwardly from the cartridge body, wherein engaging the bypass feature with a portion of the knife member comprises separating the fins from one another, wherein the bypass feature is configured to provide for engagement of the knife member and the lockout feature when in the locked position, the method comprising the steps of:(a) inserting the staple cartridge into the lower jaw;
(b) capturing tissue between the anvil and the staple cartridge;
(c) translating the knife member distally through the longitudinal channel from a first proximal position to a first distal position, wherein the bypass feature is in the bypass position at the initiation of the act of translating the knife member distally such that the knife member does not engage the lockout feature, wherein the act of translating the knife member distally further comprises:
(i) substantially simultaneously cutting the captured tissue and driving a plurality of staples of the staple cartridge through the captured tissue,
(ii) contacting the distal feature of the knife member with the bypass feature in the bypass position to urge the knife member upwardly into the raised state to thereby prevent engagement of the knife member with the lockout feature, and
(iii) transitioning the bypass feature from the bypass position to the locked position by engaging the bypass feature with the knife member; and
(d) translating the knife member proximally from the first distal position to the first proximal position while the bypass feature remains in the locked position, wherein the bypass feature in the locked position is configured to permit the knife member to move downwardly into the lowered state to engage the lockout feature to prevent subsequent distal translation of the knife member.

US Pat. No. 10,335,146

SURGICAL FASTENER APPLYING APPARATUS, KITS AND METHODS FOR ENDOSCOPIC PROCEDURES

Coviden LP, Mansfield, M...

1. An endoscopic surgical device, comprising;a handle assembly including a handle housing and a trigger operatively connected to the handle housing, and a drive mechanism actuatable by the trigger, wherein the handle housing includes a tooth projecting from a surface thereof, wherein the handle assembly includes a ferrule removably and rotatably connected to the handle housing, the ferrule defining an aperture therein that is in operative alignment with the drive mechanism of the handle assembly, the ferrule including a tooth projecting radially into the aperture of the ferrule, the ferrule having:
a first position wherein the tooth of the ferrule is radially aligned with the tooth of the handle housing; and
a second position wherein the tooth of the ferrule is radially out of alignment with the tooth of the handle housing; and
an endoscopic assembly selectively connectable to the handle assembly, the endoscopic assembly including:
an outer tube defining a lumen therethrough and having an outer helical thread disposed within the lumen thereof, the outer tube defining a proximal end and a distal end;
an inner tube rotatably supported in the outer tube, the inner tube defining a lumen therethrough and having a proximal end and a splined distal end, wherein the splined distal end of the inner tube is defined by a pair of opposed longitudinally extending tines and a pair of opposed longitudinally extending channels;
a plurality of surgical anchors loaded in the lumen of the inner tube of the endoscopic assembly, wherein each anchor of the plurality of surgical anchors includes a threaded body portion, and a head portion defining a pair of opposed radially outer threads and a pair of opposed radial recesses, wherein the pair of radial recesses of each head portion receives a respective tine of the pair of opposed longitudinally extending channel of the inner tube and wherein the pair of opposed radially outer threads of each head portion projects from the pair of opposed longitudinally extending channels of the inner tube and engage the inner helical thread of the outer tube; and
a connector having:
an outer connector member non-rotatably connected to the proximal end of the outer tube and being non-rotatably connectable to the handle assembly, the outer connector member including a channel formed therein, wherein:
the channel of the outer connector member receives the tooth of the handle housing when the endoscopic assembly is connected to the handle assembly; and
the tooth inhibits rotation of the outer connector member when the trigger is actuated to rotate the inner connector member of the endoscopic assembly; and
an inner connector member non-rotatably connected to the proximal end of the inner tube and being non-rotatably connectable to the drive mechanism, wherein the outer connector member and the inner connector member are rotatable with respect to one another.

US Pat. No. 10,335,145

MODULAR SURGICAL INSTRUMENT WITH CONFIGURABLE OPERATING MODE

Ethicon LLC, Guaynabo, P...

1. A surgical instrument, comprising:a drive system;
an electric motor mechanically coupled to the drive system;
a controller electrically coupled to the electric motor; and
at least two user-actuated input devices electrically coupled to the controller; and
wherein the controller is configured to operate the electric motor according to a first operating mode for the electric motor;
wherein the controller is configured to detect activation of a first user-actuated input device and to override the first operating mode for the electric motor upon detecting the activation of the first user-actuated input device and to detect activation of a second user-actuated input device to operate the electric motor in a second operating mode according to an input associated with the second user-actuated input device upon the controller overriding the first operating mode for the electric motor.

US Pat. No. 10,335,144

SURGICAL INSTRUMENT

Ethicon LLC, Guaynabo, P...

1. A surgical stapling instrument, comprising:a stapling assembly comprising a first jaw and a second jaw, wherein said first jaw is movably coupled to said second jaw;
a shaft configured to support said stapling assembly;
a firing member configured to transmit a firing motion to said stapling assembly, wherein said firing member comprises:
a cutting member;
a first camming member configured to engage said first jaw; and
a second camming member configured to engage said second jaw;
a closure member configured to transmit a push-to-close motion to said stapling assembly;
a manually-actuatable closure trigger which is operable to impart said push-to-close motion to said closure member; and
a motor, wherein said motor is operably coupled to said firing member to impart said firing motion to said firing member.

US Pat. No. 10,335,143

SURGICAL CUTTING AND STAPLING DEVICE

Covidien LP, Mansfield, ...

1. A surgical attachment for cutting and stapling a section of tissue, comprising:a housing including at least two drivers and a plurality of staples disposed in slots;
a flexible trocar shaft; and
an anvil assembly mechanically attachable to the flexible trocar shaft, the anvil assembly and flexible trocar shaft being moveable relative to the housing between an extended position and a retracted position with respect to the housing, the anvil assembly including an anvil end cap with a clamping face defining staple guides, and an anvil sleeve with a plurality of slots enabling a proximal end of the anvil sleeve to be radially compressed;
wherein a first one of the at least two drivers is configured to move the anvil assembly relative to the housing to an intermediate position between the extended position and the retracted position, and wherein a second one of the at least two drivers is configured to move at least a portion of the housing relative to the anvil assembly between the intermediate position and the retracted position.

US Pat. No. 10,335,142

TWIST NEEDLE PASSER CLOSURE DEVICE

BOSTON SCIENTIFIC SCIMED,...

1. A tissue closure device, comprising:a needle extending longitudinally from a first end to a second end;
a suture extending from a distal end attached to the needle to a proximal end extending to a proximal end of the device;
a proximal head including a proximal slot extending longitudinally therethrough and a proximal locking mechanism for releasably engaging the first end of the needle in the proximal slot in a first configuration; and
a distal head movably coupled to the proximal head so that the proximal and distal heads are movable relative to one another between an open configuration, in which a target tissue is received therebetween, and a closed configuration, in which the target tissue is gripped therebetween, the distal head including a distal slot extending longitudinally therethrough and a distal locking mechanism for releasably engaging the second end of the needle in the distal slot in a second configuration, the needle movable between the first and second configurations when the proximal and distal heads are in the closed configuration by rotating the needle relative to the proximal and distal heads, the needle alternatingly passed between the proximal and distal heads to thread the suture through the target tissue.

US Pat. No. 10,335,141

VARIABLE SPREAD SUTURING DEVICE

HeartStitch, Inc., Fount...

13. A method of controlling a suturing device having an elongated body, a proximal arm, and a first distal arm, comprising:operating a first control wire to move the first proximal arm laterally and outwardly from the elongated body at a first angle;
operating a second control wire to move the first distal arm laterally and outwardly from the first proximal arm;
wherein the first and second control wires are independently moveable; and
wherein a distal end of the first proximal arm is pivotally coupled to a proximal end of the first distal arm.

US Pat. No. 10,335,140

MENISCAL REPAIR SYSTEMS AND METHODS

Cayenne Medical, Inc., S...

1. A device for repairing a tear in a portion of tissue, comprising:a proximal actuator portion;
a transfer needle extending distally from the proximal actuator portion and having a distal tip for piercing tissue;
a catch needle extending distally om the proximal actuator portion and having a distal tip for piercing tissue;
a suture needle disposed within a lumen in said transfer needle, said suture needle being extendable from said transfer needle toward said catch needle and retractable from said catch needle toward said transfer needle; and
a window disposed on said transfer needle, through which said suture needle may be deployed, said window having two substantially parallel sides and a bearing surface which is disposed substantially perpendicularly to a path of the suture needle as the suture needle traverses into and out of said window;
wherein said window has a length that is shorter than required to permit free translation of the suture needle into and out of the window, so that an interfering contact is created between a first surface of the suture needle and the edge of the transfer needle window; and
wherein said suture needle comprises a second surface thereof which is substantially flat and on an opposing side of the suture needle relative to the first surface, so that the interfering contact between the first suture needle surface and the edge of the transfer needle window causes the substantially flat second suture needle surface against the transfer needle bearing surface.

US Pat. No. 10,335,139

INSTRUMENTS FOR DELIVERING TRANSFASCIAL SUTURES, TRANSFASCIAL SUTURE ASSEMBLIES, AND METHODS OF TRANSFASCIAL SUTURING

C.R. Bard, Inc., Murray ...

1. An instrument for delivering a transfascial suture, comprising:a handle;
an elongated shaft extending from the handle and including a distal end;
a first needle and a second needle, the first and second needles being moveable from a retracted position within the distal end of the shaft to an extended position beyond the distal end of the shaft, each needle having a sharp end adapted to pierce a soft tissue repair prosthetic and abdominal wall tissue, and including a suture receiving channel; and
a suture carried by the instrument, the suture defined by a first segment, a second segment and an intermediate segment located between and extending from the first needle to the second needle, the first segment located in the first suture receiving channel and the second segment located in the second suture receiving channel, the intermediate segment including opposing ends supported by the needles at the sharp ends thereof when the needles are in the retracted position.

US Pat. No. 10,335,138

SUTURE PASSER AND METHOD

1. A method of passing a suture through a material, the method comprising:positioning a distal portion of a foot of a suture passer behind the material, the suture passer comprising a housing defining a linear motion axis extending proximally to distally, a needle mounted for translation along the motion axis in a proximal-distal direction between a first position and a second position, and the foot, wherein the foot is mounted to the housing, the distal portion of the foot having a proximal facing surface extending along a distal portion axis crossing the motion axis and a distal facing surface, the distal portion including an opening in the proximal facing surface aligned with the motion axis and able to receive the needle in the second position, the distal portion further including a tip, a notch formed in the tip, a groove extending proximally from the notch to the opening, and a hole positioned proximal of the groove;
threading a first end of a suture through the distal portion of the foot from distal to proximal and across a portion of the opening such that a portion of the suture crosses the portion of the opening, wherein the threading comprises passing the first end of the suture through the hole such that a distal segment of the suture is seated in the notch and the groove, and wherein the portion of the suture extends distal to proximal from the groove to the hole;
extending the needle through the material and into the opening in the distal portion; and
retracting the needle to retrieve a bight of suture from the distal portion proximally through the material.

US Pat. No. 10,335,137

FENESTRATED LOCKING SUTURE ANCHOR ASSEMBLY

1. A method of tissue repair comprising:driving a tip structure of an anchor system into a bone hole with an anchor driver, the anchor system comprising:
a sleeve comprising:
at least one open helical coil having a proximal end and a distal end wherein the at least one open helical coil defines an internal volume communicating with a region exterior to the at least one open helical coil through a spacing between turns of the at least one open helical coil, and
at least one rib disposed within the internal volume, connected to at least two turns of the at least one open helical coil, wherein the at least one rib is engageable with a grooved outer shaft of the anchor driver;
wherein the tip structure is engageable with the sleeve, the tip structure comprising:
a body defining an internal cavity comprising:
a distal region defining an aperture sized to accept a suture, wherein the aperture is connected to the internal cavity, and
a proximal region sized to engage the distal end of the sleeve, and a suture capture member positioned within the internal cavity and advanceable distally through the internal cavity into the aperture to capture the suture in a locked position;
advancing, using the anchor driver, the suture capture member until a feedback member of a torque and/or travel limiter of the anchor driver indicates full advancement to capture the suture in a distal, suture-locked position, the feedback member providing audible feedback to indicate the full advancement; and
advancing the sleeve into the bone and into engagement with the tip structure using the anchor driver;
wherein the anchor driver further comprises an axially compliant member configured to allow a relative motion between the grooved outer shaft and an inner shaft along a longitudinal axis of the anchor driver, the axially compliant member being separate and distinct from a spring of the torque and/or travel limiter.

US Pat. No. 10,335,136

TENSIONABLE CONSTRUCTS WITH MULTI-LIMB LOCKING MECHANISM THROUGH SINGLE SPLICE AND METHODS OF TISSUE REPAIR

Arthrex, Inc., Naples, F...

1. A method of tissue repair, comprising the steps of:installing at least a first fixation device in bone, the first fixation device comprising a first body and a first flexible strand comprising an unsplit end and an opposite split end, the split end being split into a plurality of limbs;
installing at least a second fixation device in bone, the second fixation device comprising a second body and a second flexible strand;
passing at least one of the plurality of limbs of the first flexible strand through or around tissue;
passing the at least one of the plurality of limbs of the first flexible strand of the first fixation device through a portion of the second flexible strand of the second fixation device, thereby forming at least a first knotless closed loop having an adjustable perimeter; and
adjusting the at least first knotless closed loop to approximate the tissue to bone.

US Pat. No. 10,335,135

FIXING DEVICE FOR SUTURE THREADS TO BE INSERTED INTO A BONE TISSUE

NCS LAB S.R.L., Carpi (I...

1. A fixing device for suture threads to be inserted into a bone structure, comprising a first portion (11, 21) and a second portion (12, 22), the device having an undeployed state, a deployed state, and a longitudinal dimension, the deployed state being a state when the device is deployed in a bone structure, the first portion (11, 21) being provided with a first eyelet (10, 20) or eye effectively sized to receive a first suture thread (4) therethrough, the first eyelet or eye defining an opening which extends through the device in a direction substantially perpendicular to the longitudinal dimension in the undeployed state, the second portion (12, 22) exhibiting a second eyelet or eye effectively sized to receive a second suture thread (4) therethrough, the second portion (12, 22) comprising an engagement portion which is effectively sized and shaped such that it can effectively contact and engage an interior surface of a transosseus seating or hole (5) afforded in the bone structure to thereby stably couple the device with the bone structure, the second portion (12, 22) having a neck portion located between the engagement portion and the first portion, the engagement portion being spaced apart from the first portion, the engagement portion having a medial portion and a distal portion, the medial portion being located between the neck portion and the distal portion, the device being configured so that, in use, the engagement portion is inserted, distal portion first, into the transosseus seating or hole (5), the neck portion having a first width transverse to the longitudinal dimension, the first portion comprising a mushroom-shaped portion having a second width transverse to the longitudinal dimension, the second width being larger than the first width in both the undeployed state and the deployed state, the second width being larger than the first width when the first eyelet or eye defines the opening in the undeployed state, the mushroom-shaped portion being integral with the neck portion, the neck portion being integral with the engagement portion, the mushroom-shaped portion extending beyond the neck portion in a first direction transverse to the longitudinal dimension in both the undeployed state and the deployed state, the mushroom-shaped portion extending beyond the neck portion in a second direction transverse to the longitudinal dimension in both the undeployed state and the deployed state, the second direction being opposite to the first direction, and wherein at least the second portion (12, 22) is elastically deformable in order to enable effective coupling to the transosseus seating or hole (5).

US Pat. No. 10,335,134

MAGNARETRACTOR SYSTEM AND METHOD

Attractive Surgical, LLC,...

1. A system for manipulating tissue inside a body of a patient, comprising:an intracorporeal apparatus comprising a body comprising
a first end comprising a clip, and
a second end comprising a magnet or magnetically responsive material, wherein the second end is adapted to engage with a placement apparatus; and
a placement apparatus comprising:
an elongated body comprising a proximal end and a distal end;
a shaft disposed within the elongated body and comprising
a shaft proximal end, and
a shaft distal end adapted to selectively engage and disengage the intracorporeal apparatus; and
a handle located at the proximal end of the elongated body and operably connected to the proximal end of the shaft.

US Pat. No. 10,335,133

EXPANDABLE DEVICES FOR POSITIONING ORGANS

Manual Surgical Sciences ...

1. A positioning device capable of being introduced against an interior surface of an organ and of diverting a pathway of a portion of the organ, comprising:a shaft with a longitudinal axis; and
an expandable element at a distal end of the shaft, the expandable element being:
substantially flaccid in an unexpanded state and substantially rigid and substantially non-compliant when in an expanded state; and
asymmetrical about the longitudinal axis in the expanded state such that the positioning device, in the expanded state, is capable of repositioning the organ,
the expandable element comprising a balloon expandable to a shape that includes a plurality of bends capable of diverting a portion of the organ, the balloon including:
a diverting element that extends away from the longitudinal axis at a first bend defining a first obtuse angle when the expandable element is in the expanded state;
a spacing element distal to, continuous with, and extending away from the diverting element at a second bend defining a second obtuse angle to the diverting element when the expandable element is in the expanded state, at least a portion of a length of the spacing element being oriented substantially parallel to the longitudinal axis when the expandable element is in the expanded state; and
a convergent element distal to, continuous with, and extending away from the spacing element at a third bend defining a third obtuse angle to the spacing element when the expandable element is in the expanded state, the convergent element extending toward the longitudinal axis when the expandable element is in the expanded state,
with corners at the first bend, at the second bend between the diverting element and the spacing element, and at the third bend between the spacing element and the convergent element respectively defining the first obtuse angle between the longitudinal axis and the diverting element, the second obtuse angle between the diverting element and the spacing element, and the third obtuse angle between the spacing element and the convergent element,
the diverting element, the spacing element, and the convergent element having cross-sectional shapes and cross-sectional dimensions capable of diverting the organ upon expansion of the expandable element without distending the organ or causing trauma to the organ upon expansion of the expandable element,
the cross-sectional shapes and cross-sectional dimensions of the diverting element, the spacing element, and the convergent element being the same as one another and uniform along lengths of the diverting element, the spacing element, and the convergent element when the expandable element is expanded.

US Pat. No. 10,335,132

RETRACTOR

NATIONAL HOSPITAL ORGANIZ...

1. A retractor for holding a surgical incision open and maintaining a surgical field during an operation, the retractor comprising:a belt-shaped body made of a wire; and
a connecting part that is provided at one end portion of the belt-shaped body and capable of being connected to another end portion or an intermediate portion of the belt-shaped body so that the belt-shaped body can be formed into a loop of a desired size,
the retractor being so configured that when the belt-shaped body is formed into a loop, an outer surface of the belt-shaped body resists a force generated at the surgical incision and acting in such a direction as to close the surgical incision.

US Pat. No. 10,335,131

METHODS FOR PREVENTING TISSUE MIGRATION

INTUITIVE SURGICAL OPERAT...

1. A method of inhibiting tissue migration during a procedure, comprising: positioning an open area of a non-inflatable hood against or adjacent to a tissue region, where the hood expands when unconstrained to a deployed configuration which defines the open area; displacing an opaque fluid with a transparent fluid from the open area through a distal opening in the hood defined by the hood and the tissue region; engaging a portion of the tissue region within the open area via an end effector advanced through the open area and which grasps onto the portion, the end effector including a tapered section through which a lumen extends, the tapered section being tapered along its entire length, the tapered section being tapered along a longitudinal axis of the end effector and including threads extending from a surface of the tapered section in a direction orthogonal to the longitudinal axis, wherein engaging comprises screwing the tapered and threaded section of the end effector into the portion of tissue region; and piercing the tissue region while displacing the opaque fluid with the transparent fluid through the distal opening of the hood and while maintaining engagement of the portion of the tissue region such that distal movement of the tissue is inhibited.

US Pat. No. 10,335,130

SURGICAL RETRIEVAL APPARATUS

Covidien LP, Mansfield, ...

1. A surgical retrieval apparatus, comprising:an elongate tubular member defining a bore and a first longitudinal axis, the elongate member having a distal end and a proximal end;
an end effector defining a second longitudinal axis and having a tubular configuration pivotally coupled to the distal end of the elongated tubular member, the end effector having a proximal end and a distal end and being repositionable between a first position in which the second longitudinal axis is aligned with the first longitudinal axis and a second position in which the second longitudinal axis defines an acute angle with respect to the first longitudinal axis;
an articulation assembly including a control arm having a distal end pivotally connected to the end effector, the control arm being movable to move the end effector between the first position and the second position;
a support member movably supported within the end effector, the support member being movable between a retracted position located at least partially within the end effector and a distal position extending from the distal end of the end effector; and
a pouch attached to the support member, the pouch being positioned within the end effector when the support member is in the retracted position;
wherein the elongate tubular member defines a passageway extending from the distal end of the elongate tubular member to a handle secured to the elongate tubular member, the control arm extending through and being movable within the passageway to move the end effector between the first and second positions.

US Pat. No. 10,335,129

METHODS AND DEVICES FOR AUTO RETURN OF ARTICULATED END EFFECTORS

Ethicon LLC, Guaynabo, P...

1. A surgical device, comprising:an elongate shaft having a longitudinal axis;
an end effector at a distal end of the elongate shaft, the end effector being movable between a first position aligned along the longitudinal axis and a second position angularly oriented relative to the longitudinal axis; and
a handle coupled to a proximal end of the elongate shaft, the handle comprising
a first actuator having a first mode in which movement of the end effector between the first and second positions is controlled by rotation of the first actuator, and the first actuator having a second mode in which the first actuator is operatively disengaged from the end effector such that the end effector can move from the second position to the first position, and
a second actuator configured to be rotated so as to cause the first actuator to move from the first mode to the second mode and thereby move the end effector from the second position to the first position.

US Pat. No. 10,335,128

BIOPSY DEVICE AND INSERTABLE BIOPSY NEEDLE MODULE

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

1. A biopsy device, comprising:a disposable unit including:
a needle carrier configured to move in a first direction and a second direction opposite to the first direction; and
a biopsy needle and a cutting element disposed therein, wherein both the biopsy needle and the cutting element are coupled to the needle carrier, and a sample chamber in the biopsy needle, the cutting element having a cutting blade, the cutting element being configured to move the cutting blade relative to the sample chamber; and
a drive unit configured to receive the disposable unit, the drive unit having a needle-shooting mechanism with a cocked configuration and a released configuration, the needle-shooting mechanism having a spring and a clamping carriage, the clamping carriage being configured to drivably engage the needle carrier;
the drive unit configured to move the cutting element to drive the needle carrier in the second direction by a predetermined distance to move the needle-shooting mechanism to the cocked configuration; and
the drive unit having a user-actuatable control unit configured to release the needle-shooting mechanism to cause the needle-shooting mechanism to shoot the needle carrier including the biopsy needle simultaneously with the cutting element in the first direction by an amount of the predetermined distance.

US Pat. No. 10,335,127

BIOPSY DEVICE WITH SELECTABLE TISSUE RECEIVING APERATURE ORIENTATION AND SITE ILLUMINATION

SenoRx, Inc., Franklin L...

1. A method for collecting one or more tissue specimens from a target site within a patient, comprising:a. providing a biopsy device having:
i. a disposable elongated probe component comprising:
an elongated tubular section which has a longitudinal axis, which has an inner lumen extending therein, which has a penetrating distal tip and which has a tissue receiving aperture proximal to the penetrating distal tip configured to receive tissue from the target site,
a first driven gear coupled to the elongated tubular section and configured to rotate, to in turn rotate the elongated tubular section around the longitudinal axis,
an elongated tissue cutting member which is disposed within the elongated tubular section, which has a distal end having at least one tissue cutting edge and which has an inner lumen extending therein, the elongated tissue cutting member having a proximal end opposite the distal end, and
a second driven gear coupled to the elongated tissue cutting member and configured to rotate to longitudinally move the elongated tissue cutting member relative to the elongated tubular section along the longitudinal axis,
the first driven gear and the second driven gear being arranged coaxially and adjacent each other on the longitudinal axis;
ii. a driver component configured to receive a proximal portion of the disposable elongated probe component in an operational relationship, the driver component having:
a first driver unit configured to rotate the elongated tubular section of the disposable elongated probe component to orient the tissue receiving aperture of the elongated tubular section, the first driver unit having a first drive gear, and
a second driver unit configured to drive the elongated tissue cutting member longitudinally within the elongated tubular section to cut a tissue specimen from the tissue received in the tissue receiving aperture of the elongated tubular section, the second driver unit having a second drive gear positioned adjacent the first drive gear,
the first drive gear and the second drive gear of the driver component configured to respectively drivably engage the first driven gear and the second driven gear that are arranged coaxially and adjacent to each other on the longitudinal axis; and
iii. a tissue collection device located at the proximal end of the elongated tissue cutting member, a portion of the elongated tissue cutting member being positioned inside the tissue collection device;
b. advancing the disposable elongated probe component at least partially into or adjacent to tissue at the target site;
c. rotating the elongated tubular section about the longitudinal axis by the first driver unit to a predetermined aperture orientation of the tissue receiving aperture;
d. applying a vacuum within the elongated tubular section to draw the tissue at the tissue site through the tissue receiving aperture of the elongated tubular section into an interior thereof;
e. advancing the elongated tissue cutting member longitudinally within the elongated tubular section by the second driver unit to cut the tissue specimen from the tissue extending into the elongated tubular section; and
f. applying a vacuum to the proximal end of the elongated tissue cutting member for transporting the cut tissue specimen through the inner lumen of the elongated tissue cutting member to discharge the cut tissue specimen directly from the proximal end of the elongated tissue cutting member into the tissue collection device.

US Pat. No. 10,335,126

BONE MARROW ASPIRATION NEEDLE ASSEMBLY

ARTHREX, INC., Naples, F...

1. A needle assembly, comprising:a cannula;
a trocar separate from and insertable through said cannula, said trocar including a cap, a shaft connected to said cap, and a central lumen extending through said cap and said shaft, wherein said shaft extends longitudinally between a proximal portion of said shaft and a tip portion of said shaft;
a groove formed in an outer surface of said shaft and extending to said cap, wherein said groove extends radially into said shaft and is linear along an entire longitudinal length of said groove; and
a k-wire insertable through said central lumen.

US Pat. No. 10,335,125

BIOPSY DEVICE WITH STERILE SLEEVE

Devicor Medical Products,...

1. A method for providing a sterile barrier to a biopsy device, the biopsy device including a reusable holster and a disposable probe having a needle extending distally from the probe, the method comprising:(a) inserting the holster of the biopsy device into a sterile cover assembly including an elongate flexible cover attached to a sleeve ring, wherein inserting the holster includes inserting the holster into the flexible cover through an opening in the sleeve ring while the sterile cover assembly is in a reduced length configuration that includes a portion of the flexible sleeve loaded onto the sleeve ring;
(b) moving the sleeve ring relative to the holster to unload the flexible sleeve from the sleeve ring to thereby cover the holster with the flexible cover; and
(c) attaching the probe to the holster while the holster is disposed within the flexible cover.

US Pat. No. 10,335,124

MARKER DELIVERY DEVICE WITH ADAPTOR FOR BIOPSY SITE MARKING AND METHOD OF USE THEREOF

Devicor Medical Products,...

1. A marker delivery device for marking a biopsy site, comprising:a cannula having a proximal end, a distal end, and a marker exit proximate to the distal end, wherein the cannula is configured to receive a marker deploying rod for deploying a marker through the marker exit;
a handle; and
a tapered adaptor portion disposed between the handle and the proximal end of the cannula, the tapered adaptor portion being configured to engage different inner surfaces of a plurality of obturator sleeves into which the tapered adaptor portion is received, wherein the tapered adaptor portion includes:
an outer surface,
a first radially extending feature extending from the outer surface of the tapered adaptor portion, and
a second radially extending feature extending from the outer surface of the tapered adaptor portion,
wherein the tapered adaptor portion engages each of the different inner surfaces of the plurality of obturator sleeves at a position defined by one of the first radially extending feature or the second radially extending feature.

US Pat. No. 10,335,123

SYSTEM AND METHOD FOR IDENTIFICATION OF BIOLOGICAL TISSUES

MICROMASS UK LIMITED, Wi...

1. A method of analyzing a condensed-phase sample, the method comprising:disintegrating a portion of the condensed-phase sample to generate gaseous particles with a disintegrating device that operates by Joule heating via inducing an electric current in at least a portion of the condensed-phase sample;
transporting at least some of the gaseous particles toward an analyzer;
analyzing at least some of the gaseous particles using the analyzer; and
generating data in response to at least some of the gaseous particles.

US Pat. No. 10,335,122

MULTI-CHAMBER TISSUE SAMPLE CUP FOR BIOPSY DEVICE

Devicor Medical Products,...

1. A biopsy device comprising:(a) a body;
(b) a needle extending distally from the body;
(c) a cutter longitudinally translatable relative to the needle, wherein the cutter defines a cutter lumen; and
(d) a tissue sample holder including,
(i) a rotatable member, wherein at least a portion of the rotatable member defines an inner chamber divided by a plurality of tray walls extending radially inwardly from an outer wall of the rotatable member,
(ii) an individual sample tray including a single sample chamber, wherein the single sample chamber is configured to receive only a single tissue sample, and
(iii) one or more bulk sample trays, wherein the bulk sample tray is configured to receive a plurality of tissue samples, wherein each bulk sample tray includes a distal end wall having a single sample opening for receiving tissue samples therethrough.

US Pat. No. 10,335,121

FEMALE URINATION RECEIVER

1. A urine receiver comprising a hollow body having an upper end and a lower end,the upper end terminating in an open top of saddle shape which at least approximates the configuration of the inside of a users thighs, labia, or other convenient zone,
the lower end terminating in a base, in which an outlet is located, and configured for discharge of the contents of the receiver, the outlet being connectable to a sample container for collection of samples of urine,
wherein the urine receiver further comprises an indicator holder for litmus or other indicators, the indicator holder including an insert shaped to support a filter and/or sponge conforming in shape to the inside of the urine receiver, configured for absorbing the initial stream of urine and prevent unwanted ingress of microorganisms or other dirt.

US Pat. No. 10,335,120

SYSTEM AND METHOD FOR 3D ULTRASOUND VOLUME MEASUREMENTS

Koninklijke Philips N.V.,...

1. An ultrasound imaging system for providing a three-dimensional image of a volume within anatomy of a patient, the ultrasound imaging system comprising:a transducer array configured to be placed adjacent to the anatomy and provide an ultrasound receive signal;
one or more processors configured to receive the ultrasound receive signal and to provide display data representing the three-dimensional image of the volume, wherein the three-dimensional image of the volume comprises a structure;
a display configured to receive the display data and to provide the three-dimensional image of the volume, wherein the display is further configured to provide a cursor movable within the three-dimensional image of the volume; and
an input device configured to provide input data to the one or more processors, wherein the input data includes a movement of the cursor,
wherein the one or more processors are further configured to determine a distance, without foreshortening, between a first point on the structure and a second point on the structure, wherein the one or more processors determining the distance includes:
causing a first movement of the cursor in a X-Y plane of the three-dimensional image;
receiving a selection of the first point on the structure based on the first movement of the cursor, wherein the first point is located in the X-Y plane;
causing a second movement of the cursor in a X-Z plane of the three-dimensional image while the structure remains in a same orientation in the three-dimensional image as during the first movement of the cursor, wherein the X-Z plane is normal to the X-Y plane;
causing a display of a visual representation of a collision between the cursor and a surface of the structure during the second movement of the cursor in the X-Z plane;
receiving a selection of the second point based on the visual representation of the collision such that the second point is on the structure and not in space around the structure in the three-dimensional image, wherein the second point is located in the X-Z plane; and
determining the distance between the first point and the second point.

US Pat. No. 10,335,119

ULTRASOUND IMAGE DIAGNOSTIC APPARATUS

KONICA MINOLTA, INC., To...

1. An ultrasound image diagnostic apparatus comprising:an ultrasound probe which transmits ultrasound to a subject, receives reflected ultrasound, and generates a reception signal;
a transmitter which generates an excitation signal and outputs the excitation signal to the ultrasound probe to instruct the ultrasound probe to generate the transmitted ultrasound;
a receiver which receives the reception signal from the ultrasound probe; and
an image generator which extracts harmonic components from the reception signal and generates ultrasound image data based on the harmonic components,
wherein the transmitter drives the ultrasound probe with the excitation signal to instruct the ultrasound probe to transmit the transmitted ultrasound that satisfies the following requirements: a wave packet duration is equivalent to or more than the length of 1.5 waveforms at the lower limit frequency of the ?6 dB transmission bandwidth of the ultrasound probe; signal intensity of frequency components in the ?6 dB transmission bandwidth has a standard deviation of 6 or less; and lower limit frequency components in the ?6 dB transmission bandwidth have a signal intensity of ?8 [dB] or higher, the signal intensity being normalized with respect to the maximum intensity of 0 [dB], and
wherein the image generator generates the ultrasound image data based on the harmonic components in the reception signal obtained after the transmission of the transmitted ultrasound.

US Pat. No. 10,335,118

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

Canon Medical Systems Cor...

1. An ultrasonic diagnostic apparatus comprising:an ultrasonic probe including a plurality of transducers configured to perform ultrasonic scans, the ultrasonic probe being connected to a main body;
a display attached to the main body; and
processing circuitry configured to
preset diagnostic parameters before performing the ultrasonic scans, diagnostic parameters including a visual field depth and an azimuth angle,
generate a plurality of ultrasonic images based on outputs from the ultrasonic probe as a result of the ultrasonic scans,
set a first display layout or a second display layout selectively based on the visual field depth and the azimuth angle of the plurality of ultrasonic images, the first display layout being a layout laterally parallelly displaying the plurality of ultrasonic images and the second display layout being a layout vertically parallely displaying the plurality of ultrasonic images, and
cause the display to display the plurality of ultrasonic images in accordance with the preset diagnostic parameters and the set display layout, the processing circuitry being contained in the main body, wherein
the processing circuitry is configured to
automatically set the first display layout or the second display layout selectively in response to an input by a user to perform a switching operation to switch a number of ultrasonic images to be displayed on the display from one to a plural number, and
when an enlarged display instruction is input to enlarge, from a first magnification, part of one ultrasonic image of the plurality of ultrasonic images while the plurality of ultrasonic images are being displayed in accordance with the set display layout, and when an aspect ratio of a display area of the enlarged part of the one ultrasonic image exceeds a predetermined threshold, set the other layout that was not previously set, and display on the display the part of the one ultrasonic image and parts of other ultrasonic images corresponding to the part of the one ultrasonic image that are all enlarged at a same magnification that is greater than the first magnification.

US Pat. No. 10,335,117

PROBE FOR ULTRASONIC DIAGNOSTIC APPARATUS

SAMSUNG ELECTRONICS CO., ...

1. A probe for an ultrasonic diagnostic apparatus, the probe comprising:a case;
a piezoelectric object provided at an interior portion of the case and configured to generate an ultrasonic wave;
a backing layer provided at a rear portion of the piezoelectric object and configured to block the generated ultrasonic wave from propagating through and out of a rear portion of the backing layer;
an acoustic matching layer provided at a front portion of the piezoelectric object and configured to match a sound impedance of the piezoelectric object with a sound impedance of a subject;
an acoustic lens provided at a front portion of the acoustic matching layer and configured to concentrate the generated ultrasonic wave and facilitate a propagation of the concentrated ultrasonic wave signal toward the subject; and
a pad which is detachably provided at a front side of the acoustic lens, the pad comprising a layer configured to directly contact a skin of the subject, the layer being constructed of an ultrasonic wave mediating material,
wherein the acoustic lens comprises a concave portion configured to facilitate a performance of a diagnosis with respect to the subject along a curved surface of the subject, and
wherein the concavity of the concave portion of the acoustic lens is a concavity with respect to the skin of the subject.

US Pat. No. 10,335,116

ROBOT ASSISTED ULTRASOUND SYSTEM

The Johns Hopkins Univers...

1. A cooperatively controlled robot-assisted ultrasound tomography system, comprising:a first ultrasound probe;
a robot comprising a manipulator arm having a tool end;
a second ultrasound probe attached to the tool end of the manipulator arm,
the first ultrasound probe and the second ultrasound probe configured to communicate signals therebetween;
a tracker to track at least one of a position or pose of the first ultrasound probe,
the tracker including a camera configured to detect a marker associated with the first ultrasound probe,
the camera and the marker being positioned such that the marker is in a line of sight of the camera during an ultrasound scan;
a robot control system in operable communication with the tracker and configured to control at least one of a position or a pose of the second ultrasound probe based on the at least one tracked position or pose of the first ultrasound probe,
the at least one of the position or the pose of the second ultrasound probe to mirror the at least one tracked position or pose of the first ultrasound probe during a simultaneous imaging operation of the second ultrasound probe and the first ultrasound probe; and
an ultrasound processing system configured to:
communicate with at least one of the first ultrasound probe or the second ultrasound probe; and
provide, for display, an ultrasound image based on the simultaneous imaging operation of the first ultrasound probe and the second ultrasound probe.

US Pat. No. 10,335,115

MULTI-VIEW, MULTI-SOURCE REGISTRATION OF MOVING ANATOMIES AND DEVICES

Siemens Healthcare GmbH, ...

1. A method of multi-source, multi-type image registration:receiving a plurality of camera images from a plurality of cameras, wherein the plurality of camera images depict a medical device being tested in an in-vitro experimental environment and wherein the plurality of images further depicts a probe of an ultrasound scanner;
receiving a plurality of ultrasound images from an ultrasound scanner, wherein the plurality of ultrasound images depict at least a portion of the medical device in the in-vitro experimental environment;
receiving a pre-existing diagram of the probe of the ultrasound scanner;
determining a four-dimensional model of at least a portion of the medical device being tested in the in-vitro experimental environment based on the received plurality of camera images;
determining a pose of the probe of the ultrasound scanner based on the pre-existing diagram of the probe and the received plurality of camera images; and
registering the plurality of ultrasound images with the four-dimensional model based on a common coordinate system of the plurality of camera images and the determined pose of the probe.

US Pat. No. 10,335,114

METHOD AND ULTRASOUND APPARATUS FOR PROVIDING ULTRASOUND IMAGE

SAMSUNG MEDISON CO., LTD....

1. A method of providing an ultrasound image comprising a medical tool that is inserted into an object, performed by an ultrasound apparatus, the method comprising:obtaining a plurality of steering images corresponding to a plurality of steering angles;
selecting one of the plurality of steering images based on brightness information of the medical tool in each of the plurality of steering images;
detecting a steering angle corresponding to the one of the plurality of steering images;
obtaining the ultrasound image comprising the medical tool by using the detected steering angle; and
displaying the obtained ultrasound image on a screen,
wherein the selecting the one of the plurality of steering images comprises:
selecting a first steering image comprising the medical tool having a highest brightness value from among the plurality of steering images,
when a brightness value of the medical tool in the first steering image is equal to or less than a threshold value, selecting a second steering angle within a particular angle range based on a first steering angle corresponding to the first steering image, and
when a brightness value of the medical tool in a second steering image corresponding to the second steering angle is greater than the threshold value, selecting the second steering image.

US Pat. No. 10,335,113

APPARATUS FOR ULTRASOUND FLOW VECTOR IMAGING AND METHODS THEREOF

VERSITECH LIMITED, Hong ...

1. An ultrasound imaging system comprising:a data acquisition unit, which transmits, via an ultrasonic array transducer, a series of plane waves into a tissue and receives waves reflected from the tissue to obtain beam-formed data frames;
a flow vector estimation unit which estimates flow vectors at pixels of the data frames using data of the data frames; and
a display rendering circuit which displays, on a display, the flow vectors estimated as color coded moving projectiles having varying lengths and colors themselves across the moving projectiles based on velocity magnitudes of one or more flow vectors of the flow vectors corresponding to the moving projectiles, wherein positions of the projectiles are dynamically updated between data frames based on axial lateral velocities of the projectiles representing the corresponding flow vectors across the data frames and one or more inter-frame periods between the data frames to depict movement of the projectiles corresponding to one or more flow patterns in the tissue.

US Pat. No. 10,335,112

X-RAY CT APPARATUS AND CONTROL METHOD FOR THE X-RAY CT APPARATUS

HITACHI, LTD., Tokyo (JP...

1. An X-ray CT apparatus comprising:an X-ray source that irradiates an object with X-rays;
an X-ray detector that is disposed to oppose the X-ray source and detects X-rays having been transmitted through the object;
a rotation disk that is mounted with the X-ray source and the X-ray detector, and is rotated around the object;
an image reconstruction device that reconstructs a tomographic image of the object on the basis of a transmitted X-ray dose detected by the X-ray detector;
an image display device that displays the tomographic image reconstructed by the image reconstruction device;
a system control device that controls the respective devices so as to perform scanning;
an operation console instruction device that instructs the system control device to prepare, start, and stop scanning in an operation console; and
a scan gantry instruction device that instructs the system control device to prepare, start, and stop scanning in a scan room,
wherein the system control device includes a scanning preparation control unit that performs some scanning preparation processes among a plurality of scanning preparation processes on the basis of an instruction for scanning preparation from the operation console instruction device or the scan gantry instruction device.

US Pat. No. 10,335,111

ELECTRONIC CASSETTE SYSTEM AND ELECTRONIC CASSETTE

FUJIFILM Corporation, To...

1. An electronic cassette system comprising:an electronic cassette including an image detector and a housing for housing the image detector, the image detector detecting a radiation image of a subject based on radiation having been transmitted through the subject, and the housing having a front surface on which the radiation is incident, a rear surface facing the front surface, and four side surfaces;
a female connector disposed in the housing; and
a male connector to be connected to the female connector, the male connector extending from a side-surface side of the housing in a direction parallel to the front surface and the rear surface of the housing, wherein
a center position of the female connector is located closer to the rear surface of the housing compared with a center position of the housing in a thickness direction of the housing perpendicular to the front surface and the rear surface,
the housing has an inclined surface which is formed at least between one of the side surfaces and the rear surface and inclined relative to the one of the side surfaces and the rear surface, and
the female connector includes an insertion port configured to open only in the inclined surface and to receive an insertion of the male connector.

US Pat. No. 10,335,110

RADIOGRAPHIC IMAGE CAPTURING SYSTEM AND RADIOGRAPHIC IMAGE CAPTURING APPARATUS

KONICA MINOLTA, INC., To...

1. A radiographic image capturing system comprising:a radiographic image capturing apparatus comprising:
a two-dimensional array of radiation detecting elements which each have a first electrode and a second electrode; and
a control circuit which controls reading of image data from each of the radiation detecting elements based on a predetermined capturing sequence; and
an image processor which has first gain data to correct gains of the radiation detecting elements in the radiographic image capturing apparatus, which corrects the image data based on the first gain data, and which generates a radiographic image based on the corrected image data, wherein
a reverse bias voltage is applied to the first electrode of each of the radiation detecting elements of the radiographic image capturing apparatus,
a corresponding signal line is connected to the second electrode of each of the radiation detecting elements via a switching element,
the control circuit of the radiographic image capturing apparatus is capable of varying at least one of the reverse bias voltage and a signal line voltage to be applied to the corresponding signal line, and
after resetting of the radiation detecting elements, the control circuit reads a signal value from each of the radiation detecting elements by varying at least one of the reverse bias voltage and the signal line voltage, creates second gain data based on the read signal value, and corrects the radiographic image with the first gain data and the second gain data.

US Pat. No. 10,335,109

RADIATION PHASE-CONTRAST IMAGING DEVICE

Shimadzu Corporation, Ky...

1. A radiation phase difference imaging apparatus comprising:a radiation source which radiates a plurality of radiations having different wavelengths;
a phase grating in which absorbers extending in one direction and absorbing a radiation are arranged in a direction orthogonal to one direction;
a detection unit which detects a self-image of the phase grating formed by a Talbot interference on a detection surface detecting a radiation;
a self-image picture generation unit which generates a self-image picture capturing a self-image based on an output of the detection unit; and
a fluoroscopic image generation unit which generates a fluoroscopic image obtained by imaging a phase difference inside a subject based on the self-image picture,
wherein a distance between the phase grating and the detection surface of the detection unit is determined based on how much the self-image captured on the detection surface is disturbed by noise.

US Pat. No. 10,335,108

SYSTEM AND METHOD FOR INCREASING THE ACCURACY OF A MEDICAL IMAGING DEVICE

1. A method for improving the accuracy of a digital medical model of a part of a patient, the medical model comprising at least 2 medical images recorded with a medical imaging device, the method comprising:obtaining a set of at least 2 medical images of the patient, where an element comprising a predefined geometry or predefined information was attached to the patient during the recording of the medical images;
obtaining at least 2 tracking images taken with at least one camera having a known positional relationship relative to the medical imaging device, said tracking images depicting at least part of the element;
determining any movement of the element between acquisition of the at least 2 tracking images; and
generating the digital medical model from the acquired medical images, wherein the determined movement of the element is used to compensate for any movement of the patient between the acquisition of the medical images;
wherein compensating for any movement of the patient between the acquisition of the medical images comprises:
associating a time stamp with each of the medical images, and each of the tracking images;
determining the position and orientation of the element at each time stamp and determining therefrom the movement of the element during medical image acquisition; and
generating the digital medical model from the acquired medical images, wherein the generating of the digital medical model comprises iteratively adjusting the digital medical model to account for the movement of the element during medical image acquisition.

US Pat. No. 10,335,107

TOMOGRAPHIC IMAGE GENERATION DEVICE AND METHOD, AND RECORDING MEDIUM

FUJIFILM Corporation, To...

1. A tomographic image generation device comprising:an image obtaining unit for obtaining a plurality of projection images corresponding to different radiation source positions, the projection images being taken by moving a radiation source relative to a detecting unit and applying radiation to a subject from the different radiation source positions to which the radiation source is moved;
a pixel value projecting unit for projecting pixel values of the projection images on coordinate positions on a desired slice plane of the subject based on a positional relationship between the radiation source position with which each of the projection images is taken and the detecting unit, while preserving the pixel values of the projection images; and
a pixel value calculating unit for calculating a pixel value at each coordinate position of interest on the slice plane based on a plurality of pixel values of the projection images projected in a predetermined range relative to the coordinate position of interest on the slice plane to thereby generate a tomographic image of the slice plane;
wherein the pixel value projecting unit projects, for each of the different radiation source positions, pixel values at coordinate positions on the corresponding projection image intersecting with straight lines that connect the radiation source position and individual pixel positions on the slice plane as pixel values at the pixel positions on the slice plane on the straight lines, and
wherein the pixel value calculating unit calculates the pixel value at the coordinate position of interest by performing regression analysis on pixel values of the projection images projected on the slice plane.

US Pat. No. 10,335,106

COMPUTING SYSTEM AND METHOD FOR IDENTIFYING AND VISUALIZING CEREBRAL THROMBOSIS BASED ON MEDICAL IMAGES

Infinitt Healthcare Co., ...

1. A method of identifying and visualizing a thrombosis, the method comprising:registering an acquired computer tomography (CT) image of an examinee and a computer tomography angiography (CTA) image-based average standard model to each other;
identifying a candidate blood vessel region from the CT image of the examinee based on results of the registration to the average standard model;
acquiring a volume, selected by applying a threshold value for brightness of the CT image to the candidate blood vessel region, as a first thrombosis candidate region;
acquiring at least part of the first thrombosis candidate region as a second thrombosis candidate region based on size information of the first thrombosis candidate region; and
visualizing the second thrombosis candidate region by assigning a visual effect, adapted to distinguish the second thrombosis candidate region from a remaining portion of the CT image of the examinee, to the second thrombosis candidate region.

US Pat. No. 10,335,105

METHOD AND SYSTEM FOR SYNTHESIZING VIRTUAL HIGH DOSE OR HIGH KV COMPUTED TOMOGRAPHY IMAGES FROM LOW DOSE OR LOW KV COMPUTED TOMOGRAPHY IMAGES

Siemens Healthcare GmbH, ...

1. A method for synthesizing a target medical image from a source medical image comprising:extracting a plurality of image patches from a source medical image; and
generating a synthesized target medical image from the source medical image by calculating voxel values in the synthesized target medical image based on a probabilistic model that combines: 1) a likelihood function that calculates a first probability for the voxel values in the synthesized target medical image based on the image patches extracted from the source medical image, and 2) a prior function that calculates a second probability for the voxel values in the synthesized target medical image based on a predetermined condition associated the synthesized target medical image,
wherein the prior function comprises at least one of: a probability function learned from intensity distributions in a set of target training samples, a function that calculates the second probability based on a spatial smoothness condition, and a function that calculates the second probability based on a sparseness condition, and
wherein generating the synthesized target medical image from the source medical image comprises:
detecting K nearest neighbors in a set of source training samples for each of the plurality of image patches in the source medical image;
identifying K corresponding target training samples from the K nearest neighbors in the set of source training samples for each of the plurality of image patches in the source medical image;
determining an individual likelihood function for each of a plurality of voxels in the synthesized target medical image based on the K corresponding target training samples identified for a respective one of the plurality of image patches of the source medical image centered at a corresponding voxel in the source medical image; and
calculating the likelihood function as a sum of probabilities calculated by the individual likelihood function for each of the plurality of voxels in the synthesized target medical image.

US Pat. No. 10,335,104

MULTI ENERGY X-RAY MICROSCOPE DATA ACQUISITION AND IMAGE RECONSTRUCTION SYSTEM AND METHOD

Carl Zeiss X-ray Microsco...

1. An x-ray imaging system, comprising:an x-ray source system for generating a high energy x-ray beam and a low energy x-ray beam;
a sample holder for rotating a sample in the high energy x-ray beam and the low energy x-ray beam from the x-ray source system to perform a low-energy scan and a high-energy scan of the sample;
a detector system for detecting the high energy x-ray beam and the low energy x-ray beam after transmission through the sample to generate projection data;
a computer system generating a low-energy reconstructed tomographic volume data set from the low-energy scan and generating a high-energy reconstructed tomographic volume data set from the high-energy scan in the computer system from the projection data, and rendering slice views from the low-energy and high-energy reconstructed tomographic volume data sets on a display device of the computer system and presenting a mathematically combined synthetic slice on the display device of the computer system, wherein the slice view from the low-energy reconstructed tomographic volume data set, the slice view from the high-energy reconstructed tomographic volume data set, and the mathematically combined synthetic slice are simultaneously displayed on the display device by the computer system;
wherein the computer system further presents an interactive slice selection graphic that is displayed on the display device simultaneously with the slice view from the low-energy reconstructed tomographic volume data set, the slice view from the high-energy reconstructed tomographic volume data set, and the mathematically combined synthetic slice, and wherein a different low-energy slice view from the low-energy reconstructed tomographic volume data set and a different high-energy slice view are displayed in response to user selection of a different slice view within the interactive slice selection graphic; and
wherein the computer system displays a two-dimensional histogram of high-energy x-ray pixel intensity values versus low-energy x-ray pixel intensity values in which intensity of points on the histogram is associated with the count of voxels with the low-energy and high-energy pixel intensity values respectively.

US Pat. No. 10,335,103

IMAGE DISPLAY SYSTEM, RADIATION IMAGING SYSTEM, RECORDING MEDIUM STORING IMAGE DISPLAY CONTROL PROGRAM, AND IMAGE DISPLAY CONTROL METHOD

FUJIFILM CORPORATION, To...

1. An image display system comprising:a tomographic image generation unit that:
comprises an x-ray source disposed opposite an x-ray image detector with an examined breast of a subject there between, such that the breast is irradiated by x-rays from the source, said x-rays incident upon the breast at different angles of incidence with respect to the x-ray image detector,
acquires a plurality of x-ray images captured by the x-ray image detector at the respective angles from the x-ray image detector, and
generates a tomographic image on the basis of the acquired plurality of x-ray images, wherein said tomographic image is reconstructed with respect to a detection plane of the x-ray image detector;
a height specification unit that specifies a height of a nipple of the breast with respect to the detection plane; and
a display control unit that causes a display unit to display the tomographic image together with information relating to the nipple height specified by the height specification unit; wherein
the display unit, on a graphical axis on the screen of the display that shows the thickness of the breast, (1) displays information that indicates the height of a slice of the tomographic image that is displayed, and (2) displays information that indicates a location of the nipple height, the location of the nipple height being relative to the thickness of the breast shown on the axis; and wherein
the axis that shows thickness of the breast is graphically displayed in the tomographic image that is displayed, the axis is graphically displayed in a specific area in the displayed tomographic image, in the specific area, the breast is not displayed, and the information that indicates the nipple height is displayed with respect to the axis, and the information that indicates the nipple height is graphically displayed in the specific area.

US Pat. No. 10,335,102

MOBILE X-RAY IMAGING APPARATUS

SAMSUNG ELECTRONICS CO., ...

1. A mobile X-ray imaging apparatus comprising:a main body comprising a driving wheel;
an X-ray source configured to radiate an X-ray to an object;
a first column rotatably coupled to the main body and extending in an extension direction;
a second column slidably coupled to the first column in the extension direction of the first column;
an X-ray source support body that supports the X-ray source and slidably coupled to the second column;
a first display provided in the main body and configured to visually display an X-ray irradiation condition;
a second display coupled to the X-ray source and configured to control an operation of the mobile X-ray imaging apparatus; and
a visual indicator that is attached to one end of the second column, the visual indicator being configured to move in the extension direction together with the second column when the second column slidably moves with respect to the first column, which stands stationary in the extension direction,
wherein a color of the visual indicator is changed based on receiving, a signal that preheating of a generator is started and the visual indicator displays the color during the preheating of the generator.

US Pat. No. 10,335,101

INTEGRATED PORTABLE DIGITAL X-RAY IMAGING SYSTEM

Carestream Health, Inc., ...

1. A mobile digital radiography system comprising:a digital detector;
a cart housing a first wireless module and an X-ray generator; and
one or more wireless portable display devices detachably attached to the cart, each portable display device comprising: (1) a digital display serving as an operator console to control the cart, (2) a second wireless module to communicate with the cart, and (3) an interface module adapted to:
initiate capture of the digital image in response to an instruction entered from the operator console;
obtain radiographic image data from the digital detector that is subjected to the exposure;
automatically analyze the obtained radiographic image data according to a plurality of predefined criteria for diagnostic suitability of the radiographic image;
indicate one or more results of the diagnostic suitability analysis at the operator console, the one or more results including one or more problems with the diagnostic suitability; and
automatically provide, on the operator console, a listing of one or more corrective actions based on the indicated one or more results.

US Pat. No. 10,335,100

X-RAY SCATTER REDUCING DEVICE FOR USE WITH 2D MAMMOGRAPHY AND TOMOSYNTHESIS

HOLOGIC, INC., Marlborou...

1. A multi-mode imaging apparatus comprising:an X-ray source operable in at least a mammography mode and a tomosynthesis mode;
a detector;
an anti-scatter grid positioned between the X-ray source and the detector, wherein the anti-scatter grid comprises a plurality of septa wherein at least one septa of the plurality of septa extends substantially parallel to a coronal plane of a subject during imaging by the X-ray source; and
a motor coupled to the anti-scatter grid and configured to selectively move the anti-scatter grid, wherein the anti-scatter grid is retracted out of a field of view of the X-ray source in the mammography mode, wherein the anti-scatter grid is configured to move at least partially within a field of view of the X-ray source in the tomosynthesis mode, and wherein during imaging by the X-ray source in the tomosynthesis mode, the anti-scatter grid is movable in a direction wherein the at least one septa maintains substantially parallel orientation to the coronal plane of the subject.

US Pat. No. 10,335,099

PERIODONTAL DISEASE TESTING APPARATUS AND IMAGE PROCESSING PROGRAM USED THEREIN

Media Co., Ltd., Tokyo (...

1. A periodontal disease testing apparatus comprising: an X-ray CT scanner photographing a portion including a tooth, a gingiva, and alveolar bone within an oral cavity to generate volume data of the portion; region setting means setting a related region of a subject tooth based on the volume data; defining means defining a principal axis of the subject tooth; correcting means correcting the related region so as to align the principal axis of the subject tooth with a normal direction of a cross-section of an X-ray CT image; multi-planar reconstruction image generating means generating a multi-planar reconstruction image of the corrected related region; means for generating a tomogram image by transforming a coordinate of the related region to generate a developed image and a rotated image wherein the means for generating the tomogram image creates cross-sections while rotating the related region about the principal axis and overlays the cross- sections such that the cross-sections have the same distance from the principal axis; and navigating means indicating correspondences of a spatial coordinate among the multi-planar reconstruction image, the developed image, and the rotated image.

US Pat. No. 10,335,098

PANORAMIC IMAGING APPARATUS AND DIAGNOSTIC IMAGING METHOD IN SAME APPARATUS

AXION JAPAN CO., LTD., S...

1. A dental panoramic imaging apparatus, comprising:an X-ray source irradiating X-rays;
a detector receiving the X-rays, converting the X-rays to digital electric signals pixel by pixel, and outputting, as frame data, the electric signal at a constant rate;
a moving member moving the X-ray source and the detector around a jaw portion of a subject being examined, the X-ray source and the detector being located opposite to each other with the subject therebetween;
a data storage unit storing therein the frame data outputted from the detector while the moving member moves the X-ray source and the detector around the jaw portion of the subject;
a display unit;
a processor; and
an operating unit operated by a user;
wherein the processor is configured to, responsively to user's instructions issued via the operating unit,
generate data of an optimally focused panoramic image of a section along curved dentitions in the jaw portion, based on the frame data stored in the data storage unit;
display the generated optically focused panoramic image on the display unit;
superimposedly display both information and a measurement line on the panoramic image displayed on the display unit, the information indicating a restricted range in a vertical direction on the panoramic image, the vertical direction being approximately vertical to a lateral direction which is along the dentitions, the measurement line positioned within the restricted range on the panoramic image in the vertical direction, wherein said measurement line is provided for analyzing a degree of loss of alveolar bone supporting teeth at a tooth row of the jaw portion of the subject;
designate; on the panoramic image, via interactive operator input on the input unit, a position of the measurement line by changing a position of the measurement line superimposed on the panoramic image within the restricted range in the vertical direction, such that the position of the measurement line is decided based on a feature point or a reference point associated with the feature point, the feature point indicating features of both one or more teeth being targeted among the whole teeth and a support portion which supports the one or more of the whole teeth at the alveolar bone;
measure a length on the panoramic image displayed on the display unit, wherein the length is decided based on the feature point or the reference point designated; and
analyze the degree of loss of the support portion of the alveolar bone, based on the measured length.

US Pat. No. 10,335,097

PATIENT-SUPPORTING UNIT FOR A DEVICE FOR SUPPORTING A PATIENT, WHO IS TO BE X-RAYED, DURING AN OPERATION

MAQUET GMBH, Rastatt (DE...

1. A patient-supporting device, comprising:a fastening assembly that fastens the patient-supporting device to a structural member;
a support member configured to receive a body part of a patient; and
a height adjustment assembly that adjusts a distance between the fastening assembly and the support member;
wherein the height adjustment assembly includes a locking assembly and an elongated member;
wherein the support member is attached to a first end portion of the elongated member;
wherein the locking assembly is stationary relative to the fastening assembly;
wherein the elongated member is guided in an aperture of the locking assembly in a longitudinal direction of the elongated member;
wherein a plurality of first snap-in recesses is disposed on a first side portion of the elongated member, and a plurality of second snap-in recesses is disposed on a second side portion of the elongated member;
wherein the locking assembly includes a first locking member and a second locking member;
wherein the first locking member, in a locked position, selectively engages in one of the plurality of first snap-in recesses and substantially prevents a movement of the elongated member in a first direction; and
wherein in a locked position, the second locking member selectively engages in one of the plurality of second snap-in recesses and substantially prevents a movement of the elongated member in the first direction.

US Pat. No. 10,335,096

SYSTEM AND METHOD FOR AUXILIARY ANATOMY SCANNING UTILIZING A COMPUTED TOMOGRAPHY (CT) SYSTEM

GENERAL ELECTRIC COMPANY,...

1. A method, comprising:coupling an extension disposed on a first end of a cradle nearest a gantry bore of a stationary computed tomography (CT) imaging system to a second end of a board nearest the gantry bore, wherein a subject to be imaged is disposed on the board;
positioning the board with the subject on it into the gantry bore via the cradle by pulling on the second end of the board;
partially supporting the subject to be imaged on the board extending from a mobile patient transport into the gantry bore while partially supporting both the subject and the board with the cradle extending from a table; and
acquiring a single imaging volume, during an imaging scan with the stationary CT imaging system, without moving the subject while the subject remains partially supported on the board extending from the mobile patient transport.

US Pat. No. 10,335,095

METHOD FOR LOCAL IMPROVEMENT OF IMAGE QUALITY

Siemens Healthcare GmbH, ...

1. A method for local improvement of image quality of an imaging X-ray acquisition, the method comprising:localizing an imaging region of a structure;
selecting an environment of the imaging region of the structure, the environment being a portion of a field of view and including at least a portion of the imaging region and an additional region adjacent to the at least the portion of the imaging region;
setting a first acquisition parameter for the environment, the first acquisition parameter having a value different from a value of a second acquisition parameter for a remainder of the field of view exclusive of the environment, both of the first acquisition parameter and the second acquisition parameter being configured to change at least one of a spatial resolution or a spectral resolution; and
acquiring an image dataset using the first acquisition parameter.

US Pat. No. 10,335,094

BREAST BIOPSY AND NEEDLE LOCALIZATION USING TOMOSYNTHESIS SYSTEMS

HOLOGIC, INC., Marlborou...

1. A method for needle localization for breast biopsy, said method comprising:performing a tomosynthesis scan of a patient's breast using a source of an imaging x-ray beam that moves through a multiplicity of imaging positions along a source trajectory, and obtaining image data from the tomosynthesis scan and deriving therefrom tomosynthesis reconstructed images representing respective slices of the breast;
displaying at least some of the tomosynthesis reconstructed images of the patient's breast;
receiving an indication on at least one of the tomosynthesis reconstructed images of an area of interest within the patient's breast, and determining therefrom three-dimensional coordinates of the area of interest;
positioning a biopsy needle based on the determined three-dimensional coordinates of the area of interest;
emitting a verification x-ray beam from the source at a plurality of verification x-ray positions each disposed at an orientation to the biopsy needle and breast so as to verify the position of the biopsy needle relative to the area of interest or to verify that tissue located at the area of interest has been removed, and
reducing image artifacts due to the presence of the biopsy needle or other radiopaque materials.

US Pat. No. 10,335,093

BIOSIGNAL PROCESSING METHOD AND APPARATUS

Samsung Electronics Co., ...

1. A biosignal processing method comprising:extracting reference points from a waveform of a biosignal;
determining a pulse direction of the biosignal based on the extracted reference points;
determining a feature point of the biosignal based on a feature point determining method corresponding to the pulse direction; and
outputting bioinformation based on the feature point,
wherein the extracting of the reference points comprise extracting a first reference point having a highest signal value from among neighboring first candidate reference points, and extracting a second reference point having a lowest signal value from among neighboring second candidate reference points, and
wherein the determining of the pulse direction comprises determining pulse sharpness levels corresponding to each of the first reference point and the second reference point, and determining the pulse direction based on the pulse sharpness levels.

US Pat. No. 10,335,091

METHOD AND APPARATUS TO INFER OBJECT AND AGENT PROPERTIES, ACTIVITY CAPACITIES, BEHAVIORS, AND INTENTS FROM CONTACT AND PRESSURE IMAGES

Tactonic Technologies, LL...

1. An apparatus for determining cognitive capacity decline of a person comprising:a sensor portion of a plurality of sensor tiles forming a walkway with which the person makes contact and to which the person applies pressure a number of times a day;
a computer in communication with the sensor portion that receives signals indicative of gait of the person moving on the walkway the number of times a day from the sensor portion corresponding to the contact and pressure applied to the sensor portion by the person, determines from the signals over time the cognitive capacity decline based on center of pressure measurements of footsteps of the person; and
an output in communication with the computer that identifies the cognitive capacity decline determined by the computer.

US Pat. No. 10,335,090

MOBILE PHONE HOLDER FOR MONITORING PHYSICAL FEATURE AND PHYSICAL FEATURE MONITORING METHOD

BOE TECHNOLOGY GROUP CO.,...

1. A mobile phone holder for monitoring a physical feature of a user, comprising a first body and a base,wherein the base is connected to the first body at a first side, and connected to a mobile phone at a second side, the first side of the base is opposite to a second side of the base, the first body is configured to collect physical feature data of the user, and the base is configured to determine a physical feature parameter of the user in accordance with the physical feature data, and control to display the physical feature parameter;
the first body comprises an annular body, a collection circuit arranged at an inner side of the annular body, and a transmission circuit arranged between the annular body and the collection circuit, wherein the collection circuit is configured to collect the physical feature data of the user, and the transmission circuit is configured to transmit the physical feature data collected by the collection circuit to the base; and
the first body is of an annular shape and comprises two toroidal surfaces being opposite to each other, and the first body is configured to be rotatable relative to the base, to enable either one of the two toroidal surfaces to be angled relative to a surface of the mobile phone at any angle in a range from 0 degree to 180 degrees.

US Pat. No. 10,335,089

STIFFNESS ENHANCED FILAMENTS

The Alfred E. Mann Founda...

1. An implantable dual state biocompatible electrically conductive filament configured for contact with living tissue, said filament, having an uncoated first state wherein the filament is pliable, said filament having a coated second state wherein the filament is stiff, said filament comprising a dissolvable filament stiffness enhancing coating formed on the surface of the filament, the coating providing enhanced filament stiffness to accommodate penetration of the filament into selected living tissue such that upon dissolution of the coating, the filament returns to its uncoated state of pliability,wherein the stiffness enhancing coating includes at least one of the following:
an anti-fibrotic agent, or
a neural growth hormone.

US Pat. No. 10,335,088

APPARATUS AND METHOD FOR DETECTING BIOMETRIC INFORMATION

SAMSUNG ELECTRONICS CO., ...

1. A biometric information detecting apparatus comprising:a bio-signal measurer configured to measure a bio-signal and comprising a light emitter and a light receiver, the light emitter being configured to emit an optical signal and the light emitter being configured to detect the optical signal that is modulated by a target object;
a low-frequency signal obtainer circuitry configured to obtain a low-frequency signal from the bio-signal measured by the bio-signal measurer; and
a signal processor configured to analyze a waveform of the bio-signal in response to determining that the low-frequency signal obtained from the bio-signal is within a reference range,
wherein the signal processor does not start analyzing the waveform of the bio-signal until it is determined that the low-frequency signal obtained from the bio-signal is within the reference range.

US Pat. No. 10,335,087

BIOSIGNAL PROCESSING APPARATUS AND BIOSIGNAL PROCESSING METHOD

SAMSUNG ELECTRONICS CO., ...

1. A biosignal processing apparatus comprising:a biosignal measurement module that comprises a prism and a spectroscope and is configured to detect a biosignal of a subject in a non-invasive manner while the prism is in contact with the subject;
a touch sensor configured to bend to cover a three-dimensional shape of the subject, measure a change in an amount of charges carried in the touch sensor, and determine a contact area between the prism and the subject based on the change in the amount of the charges carried in the touch sensor, a contact surface of the touch sensor and a contact surface of the prism being disposed on a same plane with respect to the subject while the contact areas of the touch sensor is being measured; and
a controller configured to control the biosignal measurement module to start measuring the biosignal in response to determining that the contact area between the prism and the subject being equal to or greater than a reference value,
wherein the touch sensor is disposed to surround the prism, and boundaries of the contact surface of the prism are entirely in contact with boundaries of the contact surface of the touch sensor.

US Pat. No. 10,335,086

ITEM ATTACHABLE TO A SUBJECT AND INCLUDING A SENSOR FOR SENSING AN OBJECT THAT A BODY PORTION OF THE SUBJECT MAY CONTACT

Elwha LLC, Bellevue, WA ...

1. An apparatus, comprising:at least one sensor configured to be worn on a body portion of a subject and to sense an object;
a determiner configured to determine, in response to the at least one sensor, a trajectory of the subject as the subject is moving backward and whether the body portion will come within a threshold distance of the object if the trajectory remains unchanged; and
a notifier configured to notify the subject, in response to the determiner determining that the body portion will come within the threshold distance of the object if the trajectory remains unchanged, of a direction to avoid to prevent the body portion from contacting the object.

US Pat. No. 10,335,085

DEVICE AND METHOD FOR DETECTION OF PERIODIC LEG MOVEMENTS

The Johns Hopkins Univers...

1. A method for tracking movements and positions of a leg or foot of a subject, comprising:launching, by a device, an application for monitoring and tracking the movements and positions of the leg or foot;
activating, by the device and based on launching the application, a movement and position detector to collect data regarding the movements and positions of the leg or foot;
collecting, by the device and based on activating the movement and position detector, the data regarding the movements and positions of the leg or foot,
the data, regarding the movements and positions of the leg or foot, including information associated with a rotational movement;
generating, by the device and based on collecting the data regarding the movements and positions of the leg or foot, a graphical output comprising an indication of one or more particular movements that satisfy a criteria for a movement from a lying down leg position,
the criteria being satisfied based on a threshold activity, duration, and periodicity for time;
providing, by the device, the graphical output; and
transmitting, by the device, the data, regarding the movements and positions of the leg or foot, to a system cloud.

US Pat. No. 10,335,084

AUDIO DEVICE

KYOCERA Corporation, Kyo...

1. An audio device comprising:an audio unit to externally abut on an ear without being inserted into the ear; and
an organism sensor unit to be inserted into the ear, wherein
the audio unit includes a piezoelectric element, and a panel directly attached to the piezoelectric element, and the panel delivers sound by being bent directly by the piezoelectric element,
the organism sensor unit is inserted into a concha,
the audio unit externally abuts a tragus, wherein the audio unit and the organism sensor unit sandwich the tragus,
the organism sensor unit is provided with a light emission unit and a light reception unit, and
the light emission unit emits light to the concha.

US Pat. No. 10,335,083

SYSTEMS AND METHODS FOR DETECTING AND ANALYZING BIOSIGNALS

1. A system for monitoring biosignals of a user, the system comprising:a first end region, positionable on one of an area posterior and an area superior to a first ear of a user, comprising a first sensor array;
a second end region, positionable on one of an area posterior and an area superior to a second ear of the user, comprising a second sensor array;
an intermediate region, positionable on a back of a neck region of the user, wherein the intermediate region comprises an analog to digital converter for receiving and digitizing biosignals acquired by the first and second sensor arrays, a processor configured to perform an analysis and translation of the digitized biosignals into physiological measurement data, a transmission module configured to perform signal transmission, and a power module configured to supply power to the system;
a coupling element configured to couple the first and second end regions to the intermediate region; and
a first attachment element and a second attachment element, wherein the first attachment element couples the first end region to a head-mounted accessory and the second attachment element couples the second end region to the head-mounted accessory.

US Pat. No. 10,335,082

MEDICATION DELIVERY DEVICE WITH MULTI-RESERVOIR CARTRIDGE SYSTEM AND RELATED METHODS OF USE

Picolife Technologies, LL...

1. A miniature medication delivery system for delivery of medicament to a body of a user, comprising:a housing configured to be affixed to the body, the housing comprising control electronics, a power source, a sensor support socket, and a plurality of electromagnetic coils;
an adhesive patch platform attached to the housing, wherein the adhesive patch platform is configured to affix the housing to the body;
a first sensor configured to continuously monitor a parameter of the user removably connectable through the sensor support socket, wherein the first sensor is configured to be inserted into the body of the user through the sensor support socket;
an outlet mechanism disposable within the body of the user; and
a cartridge system removably connectable to the housing comprising:
a first reservoir comprising a first medicament;
a second reservoir comprising a second medicament; and
a pump mechanism configured to pump the first medicament from the first reservoir and the second medicament from the second reservoir to the outlet mechanism, wherein the control electronics are in electrical communication with the first sensor, the pump mechanism comprising:
a first pump insert body in fluid communication with the first reservoir, wherein the first pump body comprises first magnet, a plurality of fluid channels, a fluid receiving opening, and a fluid discharge opening;
a second pump insert body in fluid communication with the second reservoir, wherein the second pump insert body comprises a second magnet; and
a flexible member disposed in between the first and second pump insert bodies, wherein the flexible member is operably coupled to the first and second magnets;
wherein the plurality of electromagnetic coils are configured to selectively control position of one or both of the first and second magnets relative to the plurality of electromagnetic coils.

US Pat. No. 10,335,080

BIOMECHANICAL ACTIVITY MONITORING

Imperial Innovations Limi...

1. A wearable sensor apparatus comprising:a motion sensor configured to sense two or three dimensional movement and orientation of the motion sensor;
a vibration sensor configured to sense acoustic vibrations, wherein the vibration sensor comprises an acoustic pressure sensor;
means for attaching the motion sensor and the vibration sensor to a body; and
a classification processor configured to receive motion signals from the motion sensor and to receive muscle vibration signals from the vibration sensor, and to classify a pattern of movement, or a posture of, at least one part of a body on which the wearable sensor apparatus is attached, based on said motion signals, and to identify muscular activity used during said pattern of movement or posture based on the sensed acoustic vibrations.

US Pat. No. 10,335,079

ASSESSING COGNITION USING ITEM-RECALL TRIALS WITH ACCOUNTING FOR ITEM POSITION

Medical Care Corporation,...

1. A computer-implemented method comprising:receiving data comprising responses, and lack thereof, for items of a cognitive test, wherein the cognitive test comprises multiple item-recall trials used to assess cognition;
processing the data using a stochastic model of a cognitive process, in which a conditional probability distribution of future states of the cognitive process depend only upon a present state; and
encoding a result of the processing on a non-transitory computer-readable medium to supply the result to a computer device for use in an assessment related to cognition;
wherein the processing using the stochastic model comprises representing recall of an item in the multiple item-recall trials using distinct cognitive states; and
wherein the processing using the stochastic model comprises adjusting separate memory storage and retrieval parameters for each of the distinct cognitive states in the modeled cognitive process to account for position of the items in each respective trial of the multiple item-recall trials.

US Pat. No. 10,335,078

DEVICE FOR SEPARATION AND COLLECTION OF PLASMA

General Electric Company,...

1. A method of separating and collecting a cell-free plasma sample that minimizes contamination with genomic DNA (Deoxyribonucleic Acid) from a donor, the method comprising:placing a tourniquet on a digit of the donor's hand to apply pressure;
lancing the digit to create an incision in the digit;
collecting blood from the incision;
dispersing the collected blood onto a separation membrane wherein the separation membrane is in contact with a collection membrane and said separation and collection membranes only overlap at a portion of the collection membrane defined as an overlapping contact area for both said membranes, wherein both the separation membrane and the collection membrane are inserted into a substrate configured to provide overlap between said membranes at the defined overlapping contact area; and
collecting the cell-free plasma sample on the defined overlapping contact area,
wherein the collected cell-free plasma sample contains cell-free DNA and is substantially free of genomic DNA, and
wherein the substrate further comprises:
an inner flexure defined by a plurality of first slots in the substrate, disposed proximate to a first peripheral portion of the substrate;
an outer flexure defined by a plurality of second slots in the substrate, disposed surrounding at least a portion of the plurality of first slots;
wherein the inner flexure comprises a first distal end portion and the outer flexure comprises a second distal end portion overlapping with a fraction of the first distal end portion of the inner flexure, and
means for holding and aligning the separation membrane to position along the inner flexure, said means located between the first peripheral portion and a first proximal end portion of the inner flexure.

US Pat. No. 10,335,077

APPLICATION OF ELECTROCHEMICAL IMPEDANCE SPECTROSCOPY IN SENSOR SYSTEMS, DEVICES, AND RELATED METHODS

MEDTRONIC MINIMED, INC., ...

1. A method of performing real-time sensor diagnostics on a subcutaneous or implanted sensor of a sensor system, said sensor including at least one working electrode and said sensor system including a microprocessor that is operatively connected to said sensor, the method comprising:(a) periodically performing an electrochemical impedance spectroscopy (EIS) procedure to generate multiple sets of impedance-related data for said at least one working electrode;
(b) calculating, by said microprocessor, respective values of a plurality of impedance-related parameters based on said multiple sets of impedance-related data, said plurality of parameters including impedance, phase angle, and Nyquist slope;
(c) based on said respective values, determining, by said microprocessor, whether the sensor is functioning normally, wherein the microprocessor:
(i) performs a first test based on values of real impedance or phase angle;
(ii) performs a second test based on values of respective frequencies at which successive EIS procedures are performed;
(iii) performs a third test based on a comparison of current and post-sensor initialization impedance values at 1 kHz;
(iv) performs a fourth test based on the value of post-sensor initialization impedance at 0.1 Hz;
(v) performs a fifth test based on a global change in the value of Nyquist slope between 0.1 Hz and 1 Hz;
(vi) performs a sixth test based on a change, over time, in the magnitude of real impedance;
(vii) determines that the sensor is functioning normally if at least 3 of said first through sixth tests are satisfied by generating results that fall within respective predetermined criteria, and that the sensor is not functioning normally if less than 3 of said first through sixth tests are satisfied by generating results that fall within respective predetermined criteria,
wherein the microprocessor determines that the third test is satisfied if the current value of impedance is less than the post-initialization value of impedance at 1 kHz,
wherein the microprocessor determines that the fourth test is satisfied if the value of impedance is less than 300 kOhms at 0.1 Hz during post-initialization sensor operation, and
wherein the microprocessor determines that the fifth test is satisfied if the value of Nyquist slope is determined to be globally increasing from 0.1 Hz to 1 Hz; and
(d) based on said determination that the sensor is not functioning normally, sending an alert to a user of the sensor, by the microprocessor, that the sensor should be replaced.

US Pat. No. 10,335,076

APPLICATION OF ELECTROCHEMICAL IMPEDANCE SPECTROSCOPY IN SENSOR SYSTEMS, DEVICES, AND RELATED METHODS

MEDTRONIC MINIMED, INC., ...

1. A method of performing real-time sensor diagnostics on a subcutaneous or implanted sensor of a sensor system, said sensor including at least one working electrode and said sensor system including a microprocessor that is operatively connected to said sensor, the method comprising:(a) periodically performing an electrochemical impedance spectroscopy (EIS) procedure to generate multiple sets of impedance-related data for said at least one working electrode;
(b) calculating, by said microprocessor, respective values of a plurality of impedance-related parameters based on said multiple sets of impedance-related data, said plurality of parameters including impedance, phase angle, and Nyquist slope;
(c) based on said respective values, determining, by said microprocessor, whether the sensor is functioning normally, wherein the microprocessor:
(i) performs a first test based on values of real impedance or phase angle;
(ii) performs a second test based on values of respective frequencies at which successive EIS procedures are performed;
(iii) performs a third test based on a comparison of current and post-sensor initialization impedance values at 1 kHz;
(iv) performs a fourth test based on the value of post-sensor initialization impedance at 0.1 Hz;
(v) performs a fifth test based on a global change in the value of Nyquist slope between 0.1 Hz and 1 Hz;
(vi) performs a sixth test based on a change, over time, in the magnitude of real impedance;
(vii) determines that the sensor is functioning normally if at least 3 of said first through sixth tests are satisfied by generating results that fall within respective predetermined criteria, and that the sensor is not functioning normally if less than 3 of said first through sixth tests are satisfied by generating results that fall within respective predetermined criteria,
wherein the microprocessor determines that the fourth test is satisfied if the value of impedance is less than 300 kOhms at 0.1 Hz during post-initialization sensor operation,
wherein the microprocessor determines that the fifth test is satisfied if the value of Nyquist slope is determined to be globally increasing from 0.1 Hz to 1 Hz, and
wherein the microprocessor determines that the sixth test is satisfied if the value of real impedance is determined to be globally decreasing over successive EIS runs; and
(d) based on said determination that the sensor is not functioning normally, sending an alert to a user of the sensor, by the microprocessor, that the sensor should be replaced.