US Pat. No. 10,426,641

STENT WITH ANTI-MIGRATION FEATURE

BOSTON SCIENTIFIC SCIMED,...

13. An intraluminal prosthesis comprising:a radially expandable tubular stent structure having a first end, a second end, and a length extending therebetween, the expandable tubular stent structure having an interior surface, an exterior surface, and a plurality of openings extending through the tubular stent structure from the interior surface to the exterior surface, wherein the tubular stent structure includes a first flared end region at the first end; and
a polymeric covering surrounding the tubular stent structure and covering the plurality of openings, the polymeric covering having a first end at the first end of the tubular stent structure and a second end at the second end of the tubular stent structure such that the polymeric covering extends along the entire length of the tubular stent structure;
an adhesive layer disposed between the polymeric covering and the exterior surface of the tubular stent structure to attach the polymeric covering to the expandable tubular stent structure;
wherein the polymeric covering is a preformed covering attached to the tubular stent structure with the adhesive layer subsequent to formation of the polymeric covering;
wherein the polymeric covering includes a plurality of projections extending radially outward from an outer surface of the polymeric covering, wherein an inner surface of the polymeric covering opposite each projection is devoid of projections or recesses along the entire length of the tubular stent structure, the plurality of projections arranged circumferentially around the first flared end region, wherein the plurality of projections include a plurality of polymeric annular rings integrally formed with the polymeric covering, the plurality of projections integrally formed with the polymeric covering, the plurality of projections configured to contact an inner surface of a body lumen to prevent migration of the prosthesis in the body lumen.

US Pat. No. 10,426,640

ADJUSTABLE SOCKET SYSTEM

OSSUR HF, Reykjavik (IS)...

1. An adjustable prosthetic socket having proximal and distal ends and an axis extending between the proximal and distal ends, comprising:a distal base at the distal end of the socket including a first part and a second part slidable relative to the first part and the axis, the distal base attachable to a prosthetic pylon and defining at least in part a limb receiving portion adapted to receive and support a distal end portion of a residual limb;
first and second spines extending upwardly from the distal base toward the proximal end and defining at least part of a circumference of the socket about the axis, the first spine being connected to the first part, and the second spine being connected to the second part via a hinge connection such that the second spine is slidable inward and outward relative to the first spine and foldable about the hinge connection relative to the first spine to selectively adjust the circumference of the socket;
a proximal support connected to the second spine and arranged to distribute pressure from the second spine over a portion of the residual limb;
a tensioning system operatively connected to the first and second spines and arranged to selectively adjust the circumference of the socket, the tensioning system including a dial tensioner.

US Pat. No. 10,426,639

MULTI-CHAMBER VACUUM PUMP

Otto Bock HealthCare LP, ...

1. A vacuum pump for a prosthetic device, comprising:a housing having an inner wall;
a piston having an outer diameter and being positioned within the housing;
a shaft having an inner surface and being positioned between the inner wall of the housing and the outer diameter of the piston;
a first evacuation chamber positioned between a top surface of the piston and the inner surface of the shaft, the first evacuation chamber having a variable volume as the shaft moves axially relative to the piston and the housing, the first evacuation chamber being fluidly connectable to a socket of the prosthetic device through a first valve and fluidly connected to atmosphere through a second valve;
a second evacuation chamber positioned between a bottom surface of the piston and the inner surface of the shaft, the second evacuation chamber having a variable volume as the shaft moves axially relative to the piston and the housing, the second evacuation chamber being fluidly connectable to the socket through a third valve and fluidly connected to atmosphere through a fourth valve.

US Pat. No. 10,426,638

ARM PROSTHETIC DEVICE

DEKA Products Limited Par...

1. A brake apparatus for a prosthesis, the brake apparatus comprising:a first caliper configured to operatively engage with a peripheral edge of a first brake rotor;
a second caliper configured to operatively engage with a peripheral edge of a second brake rotor, the second brake rotor configured to rotate concentrically to the first brake rotor;
wherein the first and second calipers are engaged with the peripheral edges of the first and second brake rotors such that the first and second brake rotors are prevented from rotating when the first and second calipers are in a locked position; and
an actuation mechanism configured to move the first and second calipers from the locked position to an unlocked position;
wherein the first and second brake rotors can freely rotate when the first and second calipers are in the unlocked position.

US Pat. No. 10,426,637

EXOSKELETON ANKLE ROBOT

THE HONG KONG POLYTECHNIC...

1. An exoskeleton ankle robotic device comprising:a leg brace;
a foot piece pivotally coupling to said leg brace at or proximal to an ankle position;
an actuator coupling to said leg brace and said foot piece through an articulated joint, said actuator receiving power from a power source and generating a torque to drive said articulated joint to produce relative rotatory movement between said leg brace and said foot piece;
a gear transmission system coupling to said actuator and said articulated joint to transmit rotation axis of the actuator;
at least one force sensor for measuring force applied to the foot piece;
motion sensors comprising an accelerometer for measuring linear acceleration along a shank of a user and a gyroscope for measuring angular velocity of the shank of the user; and
a controller configured to:
receive the force applied to the foot piece for determining a gait phase of the user;
receive the linear acceleration and the angular velocity, both of which are measured at the gait phase; wherein the gait phase is either a swing phase or a pre-swing phase;
compare the linear acceleration and the angular velocity with a set of predetermined thresholds to classify a walking condition of the user using a control algorithm, the set of predetermined thresholds being determined under different walking conditions; and
send a command to control said actuator for actively assisting a gait of the user under the walking condition.

US Pat. No. 10,426,636

ARTIFICIAL FINGER

OTTO BOCK HEALTHCARE PROD...

1. An artificial finger for prosthetics and gripping technology, comprising:a base;
a first finger member mounted on the base in an articulated manner;
a secondary member mounted on the first finger member in an articulated manner;
a drive for adjusting the secondary member relative to the first finger member and the first finger member relative to the base;
a deflection member displaceably mounted to at least one of the first finger member and the secondary member and biased against displacement when the drive is operated;
a traction member coupled to the drive and guided on the deflection member;
a first reset element provided for resetting the first finger member relative to the base and a second reset element for resetting the secondary member relative to the first finger member, and the first finger member is acted upon with a resetting force from the first reset element which differs from a resetting forcing acting upon the secondary member from the second reset element;
wherein moving a position of the deflection member along the length of the artificial finger adjusts a position of a point arranged on at least one of the first finger member and the secondary member, wherein application of an external force resulting from grasping an object using the artificial finger leads to either a flexion movement or a hyperextension movement of the secondary member relative to the first finger member depending on a location of the object along a length of the artificial finger distal or proximal of the point, and depending on at least one of a size of the object and a shape of the object.

US Pat. No. 10,426,635

MEDICAL FORCE MEASURING SYSTEM

Aesculap AG, Tuttlingen ...

1. Medical force measuring system for measuring a force that is effective between two prosthesis parts of a joint prosthesis, the two prosthesis parts being connected to one another in an articulated manner, the joint prosthesis comprising a ball joint or a partial component thereof, which force measuring system comprises:a measuring instrument, the measuring instrument comprising:
a sample joint element having a sample joint surface, the sample joint element being formed in correspondence with a first joint element that forms a part of the ball joint and comprises a joint surface that is formed in correspondence with the sample joint surface and is moveable into engagement therewith for forming a sample ball joint, and
an indicating device arranged or formed on the measuring instrument which cooperates with the sample joint element for indicating a force that is effective on the sample joint surface or a partial component of the force that is effective on the sample joint surface,
wherein:
the measuring instrument further comprises a coupling element;
the medical force measuring system further comprises a medical instrument which is couplable to the measuring instrument,
the medical instrument further comprises an instrument coupling device,
the instrument coupling device comprises a clamping element which is moveable into engagement in at least one of a force-locking and a positive-locking manner with a prosthesis part or the medical instrument on the one hand and with the coupling element on the other hand, and
the clamping element is in the form of a clamping ring which, in a clamping position, engages in at least one of (a) an annular groove in the prosthesis part or in the medical instrument on the one hand, and (b) an annular groove in the coupling element on the other hand.

US Pat. No. 10,426,634

EXPANDABLE INTERVERTEBRAL CAGE

King Saud University, Ri...

1. An expandable intervertebral cage comprising:a lower block having left and right proximal yokes and left and right distal yokes, the lower block having a lower channel portion defined therein extending between the left and right yokes, each of the lower block yokes defining left and right cam surfaces;
an upper block having left and right proximal yokes and left and right distal yokes, the upper block having an upper channel portion defined therein extending between the left and right yokes, each of the upper block yokes defining left and right cam follower surfaces, the upper and lower block each having a bone contacting surface adapted for engaging vertebrae on a patient's spine;
a left proximal linkage connecting the left proximal yokes, a right proximal linkage connecting the right proximal yokes, a left distal linkage connecting the left distal yokes, and a right distal linkage connecting the right distal yokes; each of the linkages maintaining contact between the cam and cam follower surfaces for at least 90 degrees of rotation;
a screw extending through the lower block and into the lower channel portion between the lower block left and right yokes; and
a nut wedged between the upper block and the lower block, the screw engaging the nut so that rotating the screw in a first direction causes the nut to separate the upper and lower block, and rotating the screw in an opposite direction causes the nut to compress the upper and lower blocks.

US Pat. No. 10,426,633

ZERO-PROFILE EXPANDABLE INTERVERTEBRAL SPACER DEVICES FOR DISTRACTION AND SPINAL FUSION AND A UNIVERSAL TOOL FOR THEIR PLACEMENT AND EXPANSION

Moskowitz Family LLC, Ro...

1. An expandable intervertebral fusion device comprising:a first movable portion extending from a first end to a second end, wherein the first movable portion has first and second end portions positioned at the first and second ends, respectively, and has first and second side portions extending between the first and second end portions, wherein the first movable portion has a first vertebral body engagement surface and has a first interior surface positioned on an opposite side of the first movable portion than the first vertebral body engagement surface;
a second movable portion extending from a third end to a fourth end, wherein the second movable portion has third and fourth end portions positioned at the third and fourth ends, respectively, and has third and fourth side portions extending between the third and fourth end portions, wherein the second movable portion has a second vertebral body engagement surface and has a second interior surface positioned on an opposite side of the second movable portion than the second vertebral body engagement surface, wherein the first movable portion is aligned with the second movable portion such that the first end of the first movable portion is axially aligned with the third end of the second movable portion and the second end of the first movable portion is axially aligned with the fourth end of the second movable portion, wherein the first end portion of the first movable portion is hingedly connected to the third end portion of the second movable portion such that the first movable portion can pivot with respect to the second movable portion so as to move the second end portion of the first movable portion away from the fourth end portion of the second movable portion, wherein the second movable portion defines a slot in the fourth end portion between the third and fourth side portions that is sized to receive the second end portion of the first movable portion such that the second end of the first movable portion and the fourth end of the second movable portion are axially aligned; and
a mechanism that pivotably moves the first movable portion and the second movable portion with respect to each other to expand a dimension of the expandable intervertebral fusion device, wherein the mechanism comprises:
a wedge extending from a fifth end to a sixth end and having an angled wedge surface extending along at least a portion of a distance between the fifth end and the sixth end, wherein the wedge is positioned between the first movable portion and the second movable portion with the angled wedge surface facing the first interior surface of the first movable portion, wherein the first interior surface of the first movable portion has an angled movable portion surface shaped to engage the angled wedge surface of the wedge, wherein a distance from the fifth end to the sixth end of the wedge is less than a distance from the first end to the second end of the first movable portion and is less than a distance from the third end to the fourth end of the second movable portion, wherein the wedge is configured to slide within a space defined between the first and second movable portions in a direction toward the second and fourth ends of the first and second movable portions from a first wedge position that allows the first and second movable portions to pivot to a device position that is substantially closed to a second wedge position whereby the angled wedge surface presses against the first interior surface of the first movable portion to hingedly open the first movable portion with respect to the second movable portion whereby the wedge remains axially confined within the space defined by the first and second movable portions in the first and second wedge positions; and
a rotation screw operably connected to the wedge and to the second movable portion, wherein rotation of the rotation screw moves the wedge in an axially translating direction with respect to the first movable portion and the second movable portion within the space defined between the first and second movable portions from the first wedge position to the second wedge position.

US Pat. No. 10,426,630

SPINAL IMPLANT

K2M, Inc., Leesburg, VA ...

1. A spinal implant, comprising:first and second bone screws; and
a body including:
a planar back surface having first and second openings for receiving the first and second bone screws, the first opening configured for orientation towards a first vertebral body and the second opening configured for orientation towards a second vertebral body;
first and second end surfaces extending from opposing ends of the back surface, the first and second end surfaces defining a divergent angle with respect to one another;
first and second side surfaces extending from the respective first and second end surfaces, wherein ends of the first and second side surfaces meet and define an atraumatic nose, wherein the first side surface defines a first longitudinal axis extending perpendicular thereto, the first longitudinal axis bisecting the first side surface, wherein the body is asymmetrical about the first longitudinal axis;
a first angle formed between the first side surface and the first end surface;
a second angle formed between the second side surface and the first side surface, the second angle being less than the first angle;
wherein the back surface defines a second longitudinal axis extending perpendicular thereto, the back surface oriented relative to the first side surface such that the second longitudinal axis defines an oblique angle with respect to the first longitudinal axis,
first and second insert slots each defined in one of the top and bottom surfaces such that the first insert is disposed on one side of the second longitudinal axis and the second insert slot is disposed on an opposite side of the second longitudinal axis, the first and second insert slots being in communication with corresponding openings of the first and second openings and configured to receive plate inserts, each plate insert including a screw opening defined therethrough and configured to be received within one of the first and second insert slots with the screw opening substantially aligned with a corresponding opening of the first and second openings of the body,
wherein the first and second openings are disposed parallel to a plane containing the second longitudinal axis, the back surface, the first and second end surfaces, and the first and second side surfaces define top and bottom surfaces, each of the top and bottom surfaces has a first portion and a second portion, wherein the second portions are proximate to the back surface, the first portions of the top and bottom surfaces include ridges adapted to engage first and second vertebral bodies and the second portions of the top and bottom surfaces lack ridges.

US Pat. No. 10,426,629

DEVICES FOR TREATING THE SPINE

Benvenue Medical, Inc., ...

1. A tissue distraction device, comprising:a first elongated member including a top portion, a bottom portion, and a plurality of deformable connection members each extending from the top portion to the bottom portion; and
an augmenting elongated member at least partially insertable between the top portion and the bottom portion of the first elongated member, wherein
the first elongated member is movable from a first configuration having a height to a second configuration having a greater height, and
insertion of at least a portion of the augmenting elongated member between the top portion and the bottom portion of the first elongated member causes deformation of the plurality of deformable connection members and movement of the first elongated member from the first configuration to the second configuration.

US Pat. No. 10,426,628

INTERVERTEBRAL PROSTHESIS

Simplify Medical Pty Ltd,...

1. An intervertebral prosthesis for insertion between adjacent vertebrae, the prosthesis comprising:a first plate having an outer surface locatable against a respective vertebrae, an inner curved surface, an annular perimeter surface surrounding the inner curved surface and a lateral portion between the annular perimeter surface and the outer surface, wherein a first central projection extends from the inner curved surface;
a second plate having an outer surface locatable against a respective vertebrae, an inner curved surface, an annular perimeter surface surrounding the inner curved surface and a lateral portion between the annular perimeter and the outer surface, wherein a second central projection extends from the inner curved surface toward the first plate;
a flattened ring shaped core having upper and lower surfaces complementary in shape to the inner, curved surfaces of the first and second plates to allow the plates to slide over the upper and lower surfaces of the core and a central opening for receiving the first and second central projections, wherein the core has a cross section having an isosceles trapezoidal shape;
wherein the first and second central projections and central opening cooperate with one another to retain the core between the plates and limit motion of the first and second plate with respect to one another to prevent contact between the annular perimeter surfaces of the first and second plates during sliding movement of the plates over the core; and
wherein the first and second central projections each have a diameter of about one half or less of a diameter of the central opening in the core.

US Pat. No. 10,426,627

METHODS AND APPARATUS FOR PERFORMING SPINE SURGERY

NuVasive, Inc., San Dieg...

1. A method for correcting sagittal imbalance of a lumbar spine, comprising the steps of:inserting an access system along a lateral, trans-psoas path to a target site on the lumbar spine to create an operative corridor to the target site;
preparing the intervertebral space between first and second vertebra of the lumbar spine for receipt of an intervertebral implant, the intervertebral space being at least partially defined by an anterior aspect, a posterior aspect, and opposing first and second lateral aspects;
advancing a tissue retractor through the operative corridor along the lateral, trans-psoas path to a protective position in which a protective head of the tissue retractor is positioned between the Anterior Longitudinal Ligament (ALL) and the anterior vasculature, the tissue retractor protective head including an inner surface that faces the ALL and an outer surface that that faces the anterior vasculature when the tissue retractor is in the protective position, a distal end of the protective head being curved such that the distal end curves around the anterior aspect of the target site,
advancing a cutting blade along the inner surface of the tissue retractor protective head and severing the Anterior Longitudinal Ligament (ALL) with the cutting blade; and
advancing an intervertebral implant through the operative corridor along the lateral, trans-psoas path and depositing the intervertebral implant into the intervertebral disc space.

US Pat. No. 10,426,626

BONE FIXATION DEVICE AND METHOD OF USE

Additive Orthopaedics, LL...

1. An interphalangeal implant for insertion between a patient's interphalangeal joints, comprising:a first elongated anchoring segment at a first end of the implant, said first elongated anchoring segment being substantially frustoconical in shape and having an insertion tip at the first end of the implant and a body portion adjacent to the insertion tip, wherein the insertion tip extends out from the body portion, wherein said insertion tip includes a plurality of side portions which are curved towards a center of the first elongated anchoring segment;
a second elongated anchoring segment at a second end of the implant, said second elongated anchoring segment being substantially cylindrical and having an end member at the second end of the implant and a body portion adjacent to the end member, wherein the end member extends out from the body portion of the second elongated anchoring segment, wherein said second elongated anchoring segment has a plurality of longitudinally-extending tip portions spaced about a longitudinal axis of the second elongated anchoring segment and a plurality of longitudinally-extending side portions which are curved toward a center of the second elongated anchoring segment, wherein the plurality of longitudinally-extending side portions of the second elongated anchoring segment extend between the plurality of longitudinally-extending tip portions to form a polygonal shape in cross-section; and
an intermediate segment comprising a first tapered portion coupled to the first elongated anchoring segment on a first end, a second tapered portion coupled to the second elongated anchoring segment on a second end, a neck positioned between and coupled to the first tapered section and the second tapered section, and a plurality of side portions which are curved towards a center of the intermediate segment,
wherein each of the plurality of longitudinally-extending tip portions includes a series of barbs, each barb formed by a taper portion and an engagement portion extending radially into the tip portion,
wherein a maximum diameter of the intermediate segment being less than a maximum diameter of each of the first and second elongated anchoring segments,
wherein a length of the first elongated anchoring segment ranges from about 3 mm to about 6 mm, a length of the second elongated anchoring segment ranges from about 9 mm to about 17 mm, and a length of the intermediate segment ranges from about 1 mm to about 2 mm,
wherein the intermediate segment is angled from the first elongated anchoring segment with respect to the longitudinal axis of the second elongated anchoring segment,
wherein the first elongated anchoring segment is sized and shaped for anchoring within an intramedullary canal of a first phalange, and wherein the second elongated anchoring segment is sized and shaped for anchoring within an intramedullary canal of a second adjacent phalange.

US Pat. No. 10,426,625

SET FOR A GLENOID IMPLANT

Tornier, Montbonnot-Sain...

1. Set for a glenoid implant, comprising:an anatomic articulating member, having a concave articulating surface intended to articulate with a complementary humeral implant and having an anatomic coupling feature,
a reversed articulating member, having a convex articulating surface intended to articulate with a complementary humeral implant and having a reversed coupling feature that is shaped differently from the anatomic coupling feature,
an anchorage member intended to be anchored in a human glenoid, the anchorage member including a body which defines a proximodistal axis and has an inner bore extending along the proximodistal axis, the body being provided within the inner bore with both:
an inner first feature that is designed to cooperate with the anatomic coupling feature when the anatomic coupling feature is introduced within the inner bore, so as to fixedly couple the anchorage member with the anatomic articulating member, and
an inner second feature that is designed to cooperate with the reversed coupling feature when the reversed coupling feature is introduced within the inner bore, so as to fixedly couple the anchorage member with the reversed articulating member, the first feature and the second feature being distinct from each other, wherein the body is operable to be axially introduced into the glenoid before being coupled indifferently with one or the other of the anatomic and reversed articulating members,
a spacer which is operable to be axially interposed between the body and one or the other of the anatomic articulating member and the reversed articulating member when the anchorage member is coupled indifferently with one or the other of the anatomic and reversed articulating members, and
a bone graft which is conformed to surround the spacer and to be arranged axially between the glenoid and one or the other of the anatomic articulating member and the reversed articulating member.

US Pat. No. 10,426,624

GLENOSPHERE GUIDE TOOL

Zimmer, Inc., Warsaw, IN...

1. A glenosphere helper comprising:a C-shaped body having an interior surface curved around a central axis for engaging at least a portion of an outer surface of a glenosphere, the interior surface of the C-shaped body having a shape configured to mate with a hemi-spherical shaped glenosphere;
a flange extending from the c-shaped body to receive a guide pin at a point on the flange, wherein the point comprises a bore extending through the flange such that the guide pin is configured to extend along a slide axis parallel to the central axis, the flange extending from the c-shaped body such that the point is positioned outside a periphery of the glenosphere; and
a guide having a threaded bore, the guide positioned such that the threaded bore is configured to be angled toward the glenosphere.

US Pat. No. 10,426,623

HIP STEM PROSTHESIS

Zimmer, Inc., Warsaw, IN...

1. A hip prosthesis having a medial side, a lateral side, an anterior side, and a posterior side, the hip prosthesis comprising:a neck; and
a stem defining a longitudinal axis and having a proximal portion, a distal portion, and a transition portion extending between the proximal portion and the distal portion of the stem, the proximal portion of the stem including an anterior surface, a posterior surface, and a lateral surface, the lateral surface of the proximal portion having a lateral most point at which the lateral surface transitions from a flat relief surface to a conical tapering surface, the flat relief surface angling toward the longitudinal axis of the stem in a proximal direction from the lateral most point and the conical tapering surface angling toward the longitudinal axis of the stem in a distal direction from the lateral most point,
wherein the distal portion of the stem has a proximal cross-section defining a circle and a distal cross-section defining a polygon.

US Pat. No. 10,426,622

CUSTOMIZED ACETABULAR CUP POSITIONING GUIDE AND METHOD OF GENERATING AND EMPLOYING SUCH A GUIDE

Howmedica Osteonics Corpo...

1. A method of inserting an implant device into a target site of a patient during a surgical procedure, the method comprising:implanting a reference rod into a first bone at the target site, the reference rod comprising a penetrating tip at a distal end, a headless end at a proximal end, and a shaft extending between the distal and proximal ends;
coupling the reference rod to a first coupler portion of an alignment guide by sliding the first coupler portion over the shaft of the reference rod and positioning the first coupler portion along the shaft of the reference rod;
aligning a central axis of a second coupler portion of the alignment guide relative to a pre-operatively planned insertion axis, the first and second coupler portions of the alignment guide adjustably coupled together, the second coupler portion comprising a pair of jaws including opposed ends, an inner tool-engaging surface defined between the opposed ends of the pair of jaws, and an opened portion opposite the inner tool-engaging surface and positioned between the opposed ends of the pair of jaws, the central axis aligned centrally between the pair of jaws;
inserting a shaft of a surgical tool in between the pair of jaws of the second coupler portion such that a shaft axis of the shaft is generally coaxial with the central axis of the second coupler portion; and
distally advancing the surgical tool relative to the pair of jaws, wherein the pair of jaws maintains the shaft axis of the shaft of the surgical tool generally coaxially aligned with the central axis during the distal advancement.

US Pat. No. 10,426,619

IMPLANT AND METHOD FOR IMPROVING COAPTATION OF AN ATRIOVENTRICULAR VALVE

AVVIE GMBH, Vienna (AT)

1. An implant for improving coaptation of an atrioventricular valve, the atrioventricular valve having a native first leaflet, a native second leaflet and an annulus, the implant comprisinga support structure configured to be arranged on and fixed to the annulus or to at least one of the first and second native first leaflets,
retention means fixed to the support structure so as to prevent prolapse of the at least one native leaflet,
wherein the support structure comprises an upper support element to be arranged on a superior surface of the annulus or of the at least one native leaflet and a lower support element to be arranged on an inferior surface of the annulus or of the at least one native leaflet, the upper and the lower support elements each comprising connection means cooperating which each other for interconnecting the upper and the lower support element while clamping a section of the annulus or of the at least one native leaflet between the upper support element and the lower support element,
at least one connection means comprises a penetrating section configured to penetrate the annulus or the at least one native leaflet for being connected with the other connection means,
a deployment instrument with a distal end, the deployment instrument comprising a tubular housing, wherein the support structure and the retention means are deployable from a first position in which the support structure and retention means are arranged within the tubular housing into a second position in which the support structure is deployed, wherein the tubular housing comprising two half-shells in which a first half shell housing the upper support element and a second half-shell housing the lower support element, with the first and second half-shells are arranged to swing open so as to deploy the implant, the lower support element carries at least one holding arm for holding the retention means, and the retention means, when arranged in the tubular housing, on one end thereof, are connected to the lower support element, and on the other end thereof are connected to the upper support element.

US Pat. No. 10,426,618

IMPLANTABLE DEVICE AND DELIVERY SYSTEM FOR RESHAPING A HEART VALVE ANNULUS

Millipede, Inc., Santa R...

1. An implant for reducing heart valve regurgitation comprising:a frame having upper crowns, lower crowns and struts between the upper and lower crowns, the frame having a tissue engaging configuration having a tissue engaging diameter and an annulus remodeling configuration where the frame has an annulus remodeling diameter that is less than the tissue engaging diameter;
a plurality of anchoring members coupled with the lower crowns of the frame for engaging cardiac tissue proximate the heart valve annulus; and
a plurality of collars coupled with the upper crowns of the frame, wherein when force is applied to the collars, the collars slide along the upper crowns and the struts to move the frame from the tissue engaging configuration towards the annulus remodeling configuration and wherein each collar includes at least one flex section configured to reduce friction between the collar and the upper crowns and the struts.

US Pat. No. 10,426,617

LOW PROFILE VALVE LOCKING MECHANISM AND COMMISSURE ASSEMBLY

BOSTON SCIENTIFIC SCIMED,...

1. A replacement heart valve locking mechanism, comprising:a buckle member fixedly attached to a tubular anchor member;
a post member axially translatable relative to the buckle member; and
an actuator member releasably connected to the post member at an attachment point;
wherein the post member includes a latch portion configured to engage a catch formed in the buckle member such that movement of the post member distally relative to the buckle member is prevented;
wherein the attachment point is disposed proximal of the latch portion;
wherein the post member includes a cantilevered leg extending proximally from a distal end of the post member and radially inward from the tubular anchor member;
wherein distal movement of the actuator member relative to the post member is configured to disengage the latch portion from the catch.

US Pat. No. 10,426,616

CARDIAC IMPLANT DELIVERY SYSTEM

Evalve, Inc., Santa Clar...

1. A delivery system configured for delivering an interventional device to a targeted treatment area within a body, the delivery system comprising:a steerable catheter having a proximal end and a distal end; and
an interventional device delivery system positioned within the steerable catheter and configured to be translatable within the steerable catheter so as to selectively deploy the interventional device beyond the distal end of the steerable catheter, the interventional device delivery system comprising:
a shaft; and
a sheath operatively coupled to the shaft, the sheath having a first portion, a second portion, and a space defined by the first portion and the second portion, the first portion of the sheath enclosing a first portion of the interventional device, the second portion of the sheath enclosing a second portion of the interventional device, and the first and second portions of the sheath being selectively moveable relative to one another and relative to the interventional device so as to:
selectively deploy the first portion of the interventional device from the sheath while maintaining the second portion of the interventional device within the sheath, or
alternatively, selectively deploy the second portion of the interventional device from the sheath while maintaining the first portion of the interventional device within the sheath, and
once one portion of the interventional device is deployed and positioned at the targeted treatment area, move the other portion of the sheath to selectively deploy the other portion of the interventional device,
wherein a portion of the sheath is translatable upon subjection to a hydraulic force, from a fluid ejected into the space enclosing the interventional device prior to the sheath separating to deploy the interventional device, to deploy one of the first portion or the second portion of the interventional device.

US Pat. No. 10,426,615

DELIVERY SYSTEM WITH PACING ELEMENT

Medtronic Vascular Galway...

1. A prosthetic heart valve delivery assembly comprising:a delivery system comprising a shaft and an implantable pacemaker removably attached at a distal end of the shaft, wherein the implantable pacemaker is configured to pace a heart; and
a prosthetic heart valve removably disposed over the shaft proximal of the implantable pacemaker such that implantable pacemaker is not attached to the prosthetic heart valve.

US Pat. No. 10,426,614

MINIMALLY-INVASIVE DELIVERY SYSTEMS

CARDIOVALVE LTD., Or Yeh...

1. Apparatus, comprising:an implant:
comprising (i) a frame that defines a central longitudinal lumen, and (ii) prosthetic valve leaflets disposed within the lumen,
constrainable, by a constraining force, in a compressed state in which the lumen has a compressed internal diameter,
having an expanded state into which the implant automatically transitions upon removal of the constraining force, and in which the lumen has an expanded internal diameter; and
a tool, configured for transluminal delivery of the implant, the tool comprising:
a shaft that extends longitudinally from a proximal part of the tool;
a nosepiece fixed to the shaft, and arranged with respect to the implant such that the implant extends proximally away from the nosepiece and over the shaft; and
a balloon, in fluid communication with the proximal part of the tool,wherein:the balloon has:
a maximally-inflated state in which the balloon (i) has a widest part that has an inflated external diameter that is smaller than the expanded internal diameter, (ii) has a tapered portion that tapers longitudinally away from the widest part and from the nosepiece, and (iii) is dimensioned such that, while the implant is in its expanded state, the balloon is withdrawable by sliding of the balloon through the lumen, between the leaflets, and out of the lumen, and
a deflated state in which the widest part has a deflated external diameter that is smaller than the inflated external diameter, and
the apparatus has a delivery state in which:
the implant is in the compressed state,
the balloon is in the deflated state, and
a portion of the balloon is disposed within the lumen.

US Pat. No. 10,426,613

DELIVERY CATHETER AND CATHETER ARRANGEMENT

BIOTRONIK AG, Buelach (C...

1. A delivery catheter for implanting a self-expanding implant, the delivery catheter comprising a first, inner catheter shaft arranged inside at least one second, outer catheter shaft, and an implant connector attached to a distal region of the inner catheter shaft, wherein the implant connector comprises eyelets or cut-outs, wherein the implant is arranged in the distal region of the delivery catheter on the first, inner catheter shaft and a piece of the implant engages the eyelets or cut-outs, and wherein a distal portion of the second, outer catheter shaft is formed as an implant capsule for encasing the implant during the insertion process, the delivery catheter further comprising a flexible distal support element having a substantially truncated cone-shaped portion, which tapers in the proximal direction, which extends proximally from the implant connector and is attached, directly proximally of the implant connector, in a fixed position to the first, inner catheter shaft, and/or further comprising a flexible proximal support element fixed to move with the outer shaft, and having a substantially truncated cone-shaped portion, which tapers in the proximal direction, and extends to form a transition between the outer catheter shaft and the implant capsule.

US Pat. No. 10,426,612

MEDICAL DEVICE DELIVERY SYSTEMS AND METHODS

Medtronic Vascular Galway...

1. A system for replacing a native heart valve of a patient, comprising:a prosthetic heart valve comprising a self-expanding frame and a valve assembly coupled to the self-expanding frame, the prosthetic heart valve comprising a first end portion, an intermediate portion, and a second end portion; and
a delivery system for deploying the prosthetic heart valve, the delivery system comprising:
a first attachment member configured to selectively couple to and radially constrain the first end portion of the prosthetic heart valve; and
a second attachment member configured to selectively couple to and radially constrain the second end portion of the prosthetic heart valve,
wherein the first attachment member is configured to move relative to the second attachment member such that the first attachment member applies a first tensile force to the first end portion of the prosthetic heart valve in a first direction and the second attachment member applies a second tensile force to the second end portion of the prosthetic heart valve in a second direction substantially opposite from the first direction, and
wherein the first attachment member and the second attachment member are configured to selectively decouple from the first end portion and the second end portion, respectively, to release the prosthetic heart valve from the delivery system, thereby enabling the prosthetic heart valve to self-expand.

US Pat. No. 10,426,611

LOW PROFILE TRANSCATHETER HEART VALVE

Edwards Lifesciences Corp...

1. An assembly comprising:a delivery catheter comprising a balloon; and
an implantable prosthetic heart valve that is radially collapsible to a collapsed configuration and radially expandable to an expanded configuration, the prosthetic heart valve comprising:
a radially expandable annular frame having an inflow end portion defining an inflow end of the frame that is configured to receive antegrade blood flow into the prosthetic heart valve when implanted within a patient's body in the expanded configuration, and the frame also having an outflow end portion defining an outflow end of the frame opposite the inflow end of the frame;
wherein the frame comprises at least first and second circumferentially extending rows of angled struts arranged end-to-end in a zig-zag pattern and a plurality of axially extending struts interconnecting the first and second rows of angled struts; and
wherein each of the axially extending struts joins to a U-shaped crown structure joining adjacent ends of struts of the first row of angled struts and joins to a U-shaped crown structure joining adjacent ends of struts of the second row of angled struts, wherein the first and second rows of angled struts and axially extending struts form a circumferentially extending row of six-sided cells of the frame;
wherein the prosthetic valve can be radially crimped to the collapsed configuration around the balloon for delivery into a patient's body and radially expanded to the expanded configuration with the balloon inside the patient's body.

US Pat. No. 10,426,610

PROSTHETIC VALVE WITH RADIALLY-DEFLECTABLE TISSUE ANCHORS

CARDIOVALVE LTD., Or Yeh...

1. An expandable prosthetic valve for implantation within a native mitral valve, the prosthetic valve comprising:an expandable annular valve body having:
an annular outer frame including an atrial end, a ventricular end opposite the atrial end, and an intermediate portion extending between the atrial end and the ventricular end, and
an inner frame positioned at least partially within the annular outer frame, the inner frame including an atrial end, a ventricular end opposite the atrial end, and an intermediate portion extending between the atrial end and the ventricular end;
a plurality of atrial anchoring arms configured to extend from the annular valve body, each atrial anchoring arm comprising a proximal arm end secured to the annular valve body and a terminal arm end opposite from the proximal arm end; and
a plurality of ventricular anchoring legs configured to extend from the annular valve body,
wherein at least one ventricular anchoring leg is configured to extend from the intermediate portion of the annular outer frame and is configured to assume:
a leg delivery configuration in which the ventricular anchoring leg is radially constrained within a delivery device, and
a deployed-leg configuration in which the ventricular anchoring leg pivots radially outward about a connection point of the ventricular anchoring leg to the annular valve body by less than 90° from the delivery configuration, and
wherein at least one of the plurality of atrial anchoring arms is configured to extend from the intermediate portion of the inner frame and is configured to assume:
an arm delivery configuration in which the atrial anchoring arm is radially constrained within the delivery device such that a portion of the atrial anchoring arm extends from the annular valve body towards an atrium in a first arm direction, and
a deployed-arm configuration in which the portion of the atrial anchoring arm deflects radially outward to extend from the annular valve body towards a ventricle in a second arm direction, the second arm direction forming an angle of at least 90° with the first arm direction.

US Pat. No. 10,426,609

FIBER REINFORCED PROSTHETIC HEART VALVE HAVING UNDULATING FIBERS

Boston Scientific Scimed,...

1. A prosthetic heart valve comprising:a plurality of leaflets comprising:
a composite material comprising a first plurality of polymeric fibers embedded in a polymer matrix, each fiber of the first plurality of polymeric fibers having a first common extending direction and a plurality of regularly spaced repeating undulations, wherein the plurality of regularly spaced repeating undulations of the first plurality of polymeric fibers is adapted to provide the composite material with multi-stage elastic properties; and
wherein the plurality of regularly spaced repeating undulations of the first plurality of polymeric fibers has crests that extend in a direction orthogonal to the first common extending direction;
wherein each leaflet comprises a first sleeve portion, a second sleeve portion, and a body portion disposed between the first and the second sleeve portions; and
wherein at least a portion of the first plurality of polymeric fibers extend along a linear path along the first common extending direction comprising a circumferential direction between the first sleeve portion and the second sleeve portion.

US Pat. No. 10,426,608

REPOSITIONABLE HEART VALVE

BOSTON SCIENTIFIC SCIMED,...

1. A replacement heart valve assembly comprising:an expandable anchor having a delivery configuration and a fully deployed configuration, the expandable anchor comprising a skirt region, a lip region, and a groove region therebetween;
in the delivery configuration, the expandable anchor having a first diameter and a first length and in the fully deployed configuration having a second diameter and a second length, wherein the first length is greater than the second length and the second diameter is greater than the first diameter;
a replacement valve disposed within the expandable anchor, the replacement valve including posts and hoop regions, the posts and hoop regions having a collapsed delivery configuration and an expanded deployed configuration in which the hoop regions are adapted to engage the groove region of the expandable anchor in the fully deployed configuration thereof;
the lip region of the expandable anchor is configured and adapted to expand radially outward relative to the groove region while transitioning from the delivery configuration to the fully deployed configuration to engage native valve leaflets and to provide positive registration and ensure accurate placement of the expandable anchor relative to a valve annulus during deployment.

US Pat. No. 10,426,607

APPARATUS FOR REPLACING A NATIVE HEART VALVE AND METHOD OF MAKING THE SAME

BOSTON SCIENTIFIC SCIMED,...

1. An apparatus for replacing a native heart valve comprising:an expandable anchor having a central longitudinal axis;
a replacement heart valve attached to the expandable anchor; and
a plurality of rivets;
the expandable anchor comprising a woven braid structure surrounding at least a portion of the replacement heart valve, the woven braid structure having a plurality of braid intersections, each braid intersection having a first wire segment and a second wire segment overlapping the first wire segment,
wherein the woven braid structure defines an inflow end and an outflow end;
each of the plurality of rivets extending through the first wire segment and the second wire segment at one of the plurality of braid intersections along a radial axis normal to the central longitudinal axis,
wherein at least some of the plurality of braid intersections of the woven braid structure between the inflow end and the outflow end of the woven braid structure are free of the plurality of rivets;
wherein the first wire segment is hingeable with respect to the second wire segment along the radial axis,
a plurality of buckles attached to the expandable anchor; and
a plurality of posts insertable into the plurality of buckles;
wherein the plurality of rivets is disposed between the plurality of posts at consecutive braid intersections along the inflow end of the woven braid structure.

US Pat. No. 10,426,605

DEVICE AND METHOD FOR MITRAL VALVE REGURGITATION TREATMENT

Sino Medical Sciences Tec...

1. A mitral valve replacement device adapted to be deployed at a mitral valve position in a human heart, comprising:an atrial flange defining an atrial end of the device, the atrial flange having a ventricular end that extends horizontally in a radial direction;
a ventricular portion defining a ventricular end of the device;
a neck positioned between the atrial flange and the ventricular portion;
an annulus support that is positioned between the ventricular portion and the neck, the annulus support including a ring of anchors, each anchor extending radially from the neck and ending in a rounded tip that bends in a circumferential direction, each anchor further including a segment that extends radially outwardly from the tip, then bends longitudinally toward the ventricular end, and then bends radially inwardly, with an annular clipping space defined between the atrial flange and the ring of anchors;
a plurality of leaflet holders positioned at the atrial end of the atrial flange; and
a plurality of valve leaflets secured to the leaflet holders, and positioned inside the atrial flange at a location above the native annulus.

US Pat. No. 10,426,604

COLLAPSIBLE-EXPANDABLE PROSTHETIC HEART VALVES WITH STRUCTURES FOR CLAMPING NATIVE TISSUE

St. Jude Medical, LLC, A...

1. A prosthetic heart valve, comprisinga unitary stent having a length in a longitudinal direction between an inflow end and an outflow end, the inflow end of the stent having an inflow edge, the stent being formed of metal and including a plurality of closed perimeter, diamond-shaped cells, the stent having a collapsed condition and an expanded condition, the inflow end of the stent having a first circumference in the expanded condition of the stent and the outflow end of the stent having a second circumference larger than the first circumference in the expanded condition of the stent;
an expandable and collapsible valve element mounted within the stent and connected to the stent by sutures;
a skirt connected to the stent and extending continuously from a skirt inflow end that extends in a circumferential direction around the inflow edge of the stent to a skirt outflow end, the skirt having a length in the longitudinal direction that is less than the length of the stent so that the skirt outflow end is positioned at a spaced distance from the outflow end of the stent; and
a sealing ring disposed in the circumferential direction around the inflow edge of the stent and around an outside of the skirt, the sealing ring extending in the longitudinal direction from a lower end located at a first distance from the outflow end of the stent to an upper end located at a second distance from the outflow end of the stent, the second distance being less than the first distance, the upper end being farther from the outflow end of the stent than the spaced distance, the sealing ring being positioned on the stent to impede paravalvular leakage, the stent, the valve element, the skirt and the sealing ring collectively forming a valve assembly that is collapsible and expandable along the entire length of the stent.

US Pat. No. 10,426,603

METHODS AND APPARATUS FOR TREATING GLOTTIC INSUFFICIENCY

APREVENT MEDICAL INC., (...

1. An implant system to treat glottic insufficiency of a patient, comprising:a fixation frame comprising a first set of flanges at a first edge of the fixation frame, a second flange at a second edge of the fixation frame, and a set of side arms, wherein the fixation frame is configured to secure the implant system at an opening of the patient's thyroid cartilage, wherein the second flange is configured to extend from the second edge away from the first edge to cover the opening of the patient's thyroid cartilage;
a port system disposed in the fixation frame and configured to deliver, maintain or remove a filler, wherein the port system includes a port membrane, and the port system is configured to prevent sliding of the port membrane, wherein the set of side arms form a boundary around the port membrane of the port system;
a shovel disposed on one of the first set of flanges at an angle, wherein the shovel protrudes anteriorly from the port system; and
a flexible member, coupled to the fixation frame and in fluid or air communication with the port system, wherein based on an amount of the filler in the flexible member, the flexible member is configured to inflate in a direction to push against the patient's arytenoid cartilage so the arytenoid cartilage can be rocked, adducted and/or rotated inferomedially.

US Pat. No. 10,426,602

INTRAOCULAR LENS (IOL) INJECTOR AND METHOD OF USE THEREOF

AST Products, Inc., Bill...

1. An intraocular lens (IOL) injector comprising:a) an injector body elongated along a longitudinal axis, the injector body having a lumen disposed along the longitudinal axis;
b) a lens cartridge in operable connection with the injector body, the lens cartridge having a lumen configured to receive an IOL and a positioning mechanism for folding and aligning the IOL in the lens cartridge lumen, wherein the lens cartridge lumen is coextensive with the injector body lumen;
c) an injector tip in operable connection with the lens cartridge, the injector tip having a lumen disposed along the longitudinal axis and terminating in a distal opening, wherein the injector tip lumen is coextensive with the injector body lumen;
d) a plunger having an elongated shaft, the elongated shaft being slidably disposed within the injector body lumen from an undeployed position to a deployed position, wherein the plunger is configured to contact the IOL in the lens cartridge lumen and push the IOL along the longitudinal axis through the injector tip lumen and out of the distal opening when the plunger is transitioned to the deployed position; and
e) a sleeve in operable connection with the lens cartridge, wherein the lens cartridge is configured to fold the IOL and align the IOL within the lens cartridge lumen via the positioning mechanism upon moving the sleeve over the lens cartridge from a first position to a second position, the sleeve covering at least a portion of the lens cartridge in the second position, wherein the positioning mechanism comprises a first cartridge portion having a surface adapted to contact an internal surface of the sleeve and urge the first cartridge portion toward a second cartridge portion when the sleeve is moved from the first position to the second position.

US Pat. No. 10,426,601

PROGRESSIVE POWER INTRAOCULAR LENS, AND METHODS OF USE AND MANUFACTURE

AMO Groningen B.V., Gron...

1. A radial power-progressive intraocular lens (IOL), comprising:a lens surface defined by a continuous aspheric function, the lens surface having an elevation profile, wherein
a first region of the lens surface approximates a first zone of a multizonal surface, the first zone having a first elevation profile and a first optical power profile; and
a second region of the lens surface approximates a second zone of the multizonal surface, the second zone having a second elevation profile and a second optical power profile,
the first region comprises a first range of optical power values and the second region comprises a second range of optical power values different from the first range,
the first zone and the second zone share a common boundary,
the first and second regions are radially symmetric and concentric about an optical axis of the lens, the second region being disposed around the first region,
the first and second regions are merged by the continuous aspheric lens function such that a power profile of the intraocular lens from a center of the lens to a periphery of the lens is continuous,
an elevation difference between the first elevation profile and the lens surface elevation profile at an outer peripheral location of the first zone adjacent the common boundary has a positive value, and
an elevation difference between the second elevation profile and the lens surface elevation profile at an inner peripheral location of the second zone adjacent the common boundary has a positive value,
wherein the continuous aspheric function merges a first curvature of an outer periphery of the first region and a second curvature of an inner periphery of the second region such that the first region of the lens surface transitions smoothly into the second region of the lens surface.

US Pat. No. 10,426,600

ACCOMMODATING INTRAOCULAR LENS AND METHODS OF USE

University of Houston, H...

1. An accommodating intraocular lens (IOL) comprising:a flexible retainer plate consisting of a material annular region surrounding a central aperture having a diameter,
wherein the annular region has an inner surface defining the diameter of the central aperture,
characterized by a flexibility that is sufficient to allow a continuous accommodating movement of the IOL; and
an optical element consisting of a single optical lens having an anterior surface and a posterior surface, disposed fully within the aperture, and at least one of one or more flanges on the anterior surface to prevent posterior displacement and one or more flanges on the posterior surface to prevent anterior displacement.

US Pat. No. 10,426,599

MULTIFOCAL LENS HAVING REDUCED CHROMATIC ABERRATIONS

Novartis AG, Basel (CH)

1. A multifocal ophthalmic lens comprising:an anterior surface;
a posterior surface; and
at least one diffractive structure including a plurality of echelettes having at least three different step heights of at least one wavelength and not more than two wavelengths in optical path length, the at least one diffractive structure residing on at least one of the anterior surface and the posterior surface, the at least one diffractive structure providing:
a first diffractive order for a first focus corresponding to a first focal length;
a second diffractive order for a second focus corresponding to a second focal length, the second focal length being different from the first focal length;
a third diffractive order for a third focus corresponding to a third focal length, the third focal length being different from the first focal length and the second focal length;
a fourth diffractive order for a fourth focus corresponding to a fourth focal length, the fourth focal length being different from the first focal length and the second focal length and the third focal length; and
wherein the diffractive structure excludes a 0th diffractive order.

US Pat. No. 10,426,598

IMAGE PROCESSING METHOD AND SYSTEM FOR IRREGULAR OUTPUT PATTERNS

Monash University, Clayt...

1. A visual image processing system comprising:a sensor input configured to receive spatial field information from an associated spatial field sensor;
a data store containing a sensor map data structure which comprises a set of predefined regions within a spatial field corresponding with the information received via the sensor input, wherein each predefined region is associated in the data structure with one or more of a set of stimuli applicable to a biological visual system, each stimulus corresponding to a visual percept;
a visual image processor configured to process spatial field information associated with each region to generate stimulus control information, and to apply the stimulus control information to select, from within the sensor map data structure, stimuli from the set of stimuli for application to the biological visual system;
a signal generator configured to receive the selected stimuli from the visual image processor, and to generate corresponding output stimulus signals for application to the biological visual system; and
an auxiliary image source configured to provide spatial field information in place of information received from the spatial field sensor, wherein spatial field information provided by the auxiliary image source comprises one or more predetermined test images; and
a visualisation system configured to display a simulated image representative of the sensory experience of a subject associated with the biological visual system;
wherein the data store contains a percept map data structure comprising information relating to the location and appearance of visual percepts experienced by the subject in response to stimuli within the set of stimuli.

US Pat. No. 10,426,597

SOFT TISSUE REBALANCING DEVICE AND METHOD

1. A soft tissue rebalancing method to rebalance a phalanx comprising the steps of:forming a mesh body portion having a ligament mesh portion and a braided mesh portion;
positioning the mesh body portion on a phalanx;
connecting the ligament mesh portion to a driver tool;
tensioning the ligament mesh portion to increase the tension of the mesh body portion on the phalanx;
performing transverse plane correction on the phalanx.

US Pat. No. 10,426,596

TISSUE FIXATION SYSTEM WITH AUXILIARY PLATE

DEPUY SYNTHES PRODUCTS, I...

1. A method of anchoring a tissue graft to bone comprising the steps of:preparing a bone tunnel through a bone;
affixing a first fixation plate to a second fixation plate to form a construct, the first fixation plate comprising an elongated body having a first end and a second end with a length therebetween a first suture aperture at the first end, and a central graft support loop depending therefrom, the second fixation plate receiving the first fixation plate and comprising an upper surface having a first peg projecting upwardly therefrom through the first suture aperture of the first fixation plate and wherein the second fixation plate has a length exceeding the length of the first fixation plate;
affixing the tissue graft to the graft support loop;
passing the construct lengthwise through the bone tunnel and then reorienting the construct to place a lower surface of the second plate against the bone adjacent the bone tunnel with the graft support loop and graft depending downwardly into the bone tunnel; and
wherein a suture affixed to the second fixation plate is used to pass the construct through the bone tunnel, wherein the suture is passed through the first peg.

US Pat. No. 10,426,595

ELONGATE GUIDE ELEMENT FOR AN IMPLANT

XIROS LIMITED, Leeds, Yo...

1. A one-piece elongate guide element for guiding an implant along a tunnel in a bone and for securing the implant within the tunnel, the one-piece guide element comprising:a first end, a second end opposite the first end, and a main longitudinal axis extending between said ends;
a pair of support apertures for receiving a loop by which the implant can be coupled to the one-piece guide element, the support apertures being spaced apart in a direction along the main longitudinal axis;
a saddle extending in a direction transverse to the main longitudinal axis, one of the pair of support apertures being disposed between the saddle and the first end and the other between the saddle and the second end, in which the one-piece guide element is adapted to receive the loop so that the loop extends through one of the pair of support apertures, at least partly around the saddle and then through the other one of the pair of support apertures;
a generally planar bottom defining a bone facing surface; and
a second surface disposed opposite the bone facing surface;
wherein the one-piece guide element has a height, measured in a direction from the generally planar bottom towards the second surface, the height increasing from a first height defined by the first end towards an intermediate section of maximum height disposed between the first and second ends, and from a second height defined by the second end towards the intermediate section of maximum height; and
wherein the saddle defines a third height which is greater than each of the first height and the second height, the intermediate section comprises the saddle, and the third height is less than the maximum height so that a recess is defined in the second surface of which is adapted to receive part of the loop.

US Pat. No. 10,426,594

ANCHORING DEVICE AND ITS IMPLEMENTATION

KVINNO CENTRE PTY LTD, C...

1. A method of providing ligamentary-like support between two tissues disposed at spaced locations in the body of a patient, comprising the steps of:fixing an anchor to the tissue at each location;
providing a filamentary element, wherein said anchors include an aperture and at least some of said anchors further include a retaining element, said retaining element being configured to permit said filamentary element to be drawn through said aperture in one direction and to prevent movement of said filamentary element through said aperture in the opposite direction;
connecting said anchors by passing said filamentary element through the respective apertures of the anchors; and
adjusting the tension of the filamentary element between the locations by drawing the filamentary element through at least one of the anchors with the retaining element, the retaining element preventing said filamentary element from moving back through said aperture after said filamentary element is released thereby retaining said filamentary element between the anchors in a state of tension, wherein the filamentary element establishes a sling-like support for an organ or other body tissue between the two tissues
and the filamentary element is retained in the state of tension between the anchors by said retaining element after the filamentary element is released to provide said ligamentary-like support between the tissues.

US Pat. No. 10,426,593

EXPANSIBLE CARDIOVASCULAR GRAFT SYSTEM

Arizona Board of Regents ...

1. An expansible cardiovascular graft system (100) comprising: a graft conduit (110) having a proximal end (111) and a distal end (112) and having corrugations (200) stacked from the proximal end (111) to the distal end (112), wherein a proximal anchor (121) is disposed at the proximal end (111) of the graft conduit (110) and an inner edge (121a) of the proximal anchor (121) comprises serrations (125) that cut across the stacked corrugations (200) of the graft conduit and a distal anchor (122) is disposed at the distal end (112) of the graft conduit (110) and an inner edge (122a) of the distal anchor (122) comprises serrations (125) that cut across the stacked corrugations (200) of the graft conduit; and an expansible portion (130) is disposed between the proximal anchor (121) and the distal anchor (122), wherein the serrations allow the expansible portion (130) to gradually expand in systole and recoil in diastole.

US Pat. No. 10,426,591

EMBOLIC DEFLECTION DEVICE

Edwards Lifesciences AG, ...

1. A method of reducing the risk of emboli entering the cerebral circulation as a consequence of an index procedure in the heart or the aorta, comprising the steps of:placing a wire through a first side branch vessel and into the aortic arch;
advancing an elongated introducer sheath over the wire and along the first side branch vessel until a distal end of the sheath is positioned in the aortic arch, wherein the elongated introducer sheath houses an expandable emboli deflection device attached to a distal end of an elongate shaft, the emboli deflection device having an elongated periphery in plan view when expanded, the periphery defined by a Nitinol skeleton in a modified rectangle with straight longitudinal sides terminating in opposite rounded ends, the periphery having a concave depth profile with a concave side facing toward the shaft, the emboli deflection device having a porous material stretched over the skeleton, the material having pores to allow the flow of blood but deflect or trap emboli;
retracting the sheath to expose and permit the emboli deflection device to expand;
manipulating the emboli deflection device such that the concave side covers the ostia of each of the first side branch vessel and a second side branch vessel, wherein manipulating the deflection device comprises pulling the shaft to create a seal between the periphery of the emboli deflection device and a wall of the aortic arch around the ostia of the first and second side branch vessels;
wherein the emboli deflection device permits blood flow from the main vessel into each of the first and second side branch vessels, but deflects emboli from entering the first and second side branch vessels;
performing an index procedure in the heart selected from the group consisting of a balloon aortic or mitral valvuloplasty, a mitral or aortic valve replacement, and a coronary angioplasty; and
retracting the emboli deflection device into the sheath and withdrawing the sheath from the body.

US Pat. No. 10,426,590

FILTERS WITH ECHOGENIC CHARACTERISTICS

VOLCANO CORPORATION, San...

1. A filter comprising:a hub; and
a plurality of legs or wires or segments extending from the hub; wherein the plurality of legs or wires or segments comprise a first section having a first pattern of voids formed therein to provide an enhanced echogenic characteristic of the first section and a second section having a second pattern of voids formed therein to provide an enhanced echogenic characteristic of the second section, wherein the first pattern of voids is different than the second pattern of voids.

US Pat. No. 10,426,589

SYSTEM AND METHOD FOR DELIVERING A LEFT ATRIAL APPENDAGE CONTAINMENT DEVICE

BOSTON SCIENTIFIC SCIMED,...

1. A system for deploying a medical implant, comprising:a delivery catheter having a lumen extending therethrough;
an elongate shaft slidably disposed within the lumen of the delivery catheter; and
an expandable implant including a proximal tubular portion and a distal tubular portion discontinuous with the proximal tubular portion;
wherein the distal tubular portion extends at least partially within an interior of the implant,wherein the distal tubular portion includes a slot forming an opening extending from an interior surface of the distal tubular portion through a wall thereof to an exterior surface of the distal tubular portion.

US Pat. No. 10,426,588

CONTAINER, APPARATUS AND METHOD FOR HANDLING AN IMPLANT

NOVA PLASMA LTD., Megidd...

1. A portable container for handling an implant, the portable container comprising:a sealed compartment enclosing an ionizable fluid of a pre-defined composition, said sealed compartment further containing an implant therein configured to be installed in a live subject, said sealed compartment configured to be opened by a user to thereby enable removing said implant from said portable container; and
at least one electrode made of an electrical conductive material, electrically associated with an at least one electric conductor outside said sealed compartment, and configured for applying a plasma-generating electric field inside said sealed compartment,
wherein the portable container is configured to enable storing said implant inside said sealed compartment, shipping said portable container with said implant being stored therein, and, without breaking the seal of the sealed compartment, generating plasma in said fluid using an electric field, thereby surface-treating said implant.

US Pat. No. 10,426,587

COMPLIANCE CONTROL STITCHING IN SUBSTRATE MATERIALS

TELA Bio, Inc., Malvern,...

1. A method for repairing or reconstructing soft tissue in the body of a subject in need thereof, the method comprising:implanting, at a location in need of soft tissue repair or reconstruction, an implant comprising:
a substrate comprising a biotextile, medical textile, or both a biotextile and medical textile, and
two or more compliance control stitch patterns sewn or embroidered into the substrate, wherein the two or more compliance control stitch patterns comprises a first compliance control pattern overlaid onto and intersecting a second compliance control pattern, each of the first and second compliance control patterns have a zig-zag pattern with angle vertices, wherein the angle vertices of the first compliance control pattern interlock with corresponding angle vertices of the second compliance control pattern, forming a grid, so that the implant has a peak compliance strain at a load of 16 Newtons per centimeter (N/cm) that is between 10% and 30%.

US Pat. No. 10,426,586

SACROCOLPOPEXY SUPPORT

1. A sacrocolpopexy support comprising:a head section extending from a first end portion to a second end portion;
a leg section having a first leg portion placed on and in longitudinal alignment with a second leg portion;
a first connector securing the leg section to the second end portion of the head section; and
a second connector securing the first leg portion to the second leg portion to form a closed joint that defines a space between the first leg portion and the second leg portion;
wherein an end of the second end portion of the head section terminates at a location exterior to the closed joint outside of the space between the first leg portion and the second leg portion.

US Pat. No. 10,426,585

FECAL INCONTINENCE TREATMENT DEVICE AND METHOD

Boston Scientific Scimed,...

1. An implant device for treating fecal incontinence in a patient, comprising:a restriction member having a first end portion, a second end portion, and an intermediate restriction portion adapted to wrap around a portion of an anal sphincter of the patient, the intermediate restriction portion including a first portion and a second portion, the first portion including interwoven filaments and extending from the first end portion to the second end portion, the second portion including a plurality of non-woven struts and extending from the first end portion to the second end portion, the plurality of non-woven struts being interwoven with the interwoven filaments, the plurality of non-woven struts including voids configured to increase tissue in-growth, the voids being disposed between the plurality of non-woven struts;
at least two first connector elements provided at the first end portion; and
at least two second connector elements provided at the second end portion and adapted to connect with the at least two first connector elements to retain the restriction member around the anal sphincter of the patient to promote continence.

US Pat. No. 10,426,584

METHOD OF TREATING URINARY INCONTINENCE BY IMPLANTING A RESERVOIR AROUND A URETHRA OF THE USER

1. A method of treating urinary incontinence, the method comprising:implanting one and only one reservoir in a body of a user by placing the reservoir around a urethra of the user, where the reservoir includes a first compartment and a storage compartment having a pathway communicating with the first compartment;
placing a liquid in the reservoir;
implanting a pump in the body of the user, with the pump communicating with the reservoir;
operating the pump and moving the liquid from the first compartment to the storage compartment thus relieving a constriction of the urethra and allowing the user to pass urine through the urethra; and
configuring the reservoir to move the liquid from the storage compartment through the pathway to the first compartment and constricting the urethra of the user in providing the user with urinary continence.

US Pat. No. 10,426,583

HIGH TRANSLUCENT COLORED DENTAL ZIRCONIA BLANK

20. A colored zirconia sintered body comprising:a) a sintered body comprising zirconia containing between 6.0 wt % to 20 wt % of yttria (Y2O3);
b) the sintered body having multiple different colored layers;
c) at least one of the colored layers having a total light transmittance of at least 50% to light with a wavelength at a point between 600 nm and 800 nm;
d) a difference in total light transmittance between at least two adjacent vertical layers being less than 2% to light with wavelength of 600 nm, with a layer on one side having lower total light transmittance than a layer on the other side, with a translucency increasing from one side to the other side.

US Pat. No. 10,426,582

PERFORMED PROSTHESIS-BASE BLANK

Kulzer GmbH, Hanau (DE)

1. A denture base blank for producing a denture base for a denture with a subtractive CAM method, wherein the denture base blank comprises a wax or a plastic material selected from the group consisting of polymethyl methacrylates, polyether ketones, polyether ether ketones, polyamides, polycarbonates, and polyurethanes, the denture base blank is pre-formed, and a dental arch or a dental arch section is pre-formed as a material thickening of the denture base blank, wherein the material for the dental arch or dental arch section to be produced is contained in the material thickening and wherein the dental arch comprises the form of the denture base but not of prosthetic teeth to be inserted in the denture base.

US Pat. No. 10,426,581

MODULAR SYSTEM FOR THE REALIZATION OF ORTHODONTIC GYPSUM MODELS

Ortolab Pompei S.R.L., P...

1. Modular system for the realization of orthodontic Gypsum models with the faithful tilting of the individual occlusal plane and mobile and fixed prostheses and other orthodontic aids, the system includes a first module of a supporting device comprising:a lower base having a bottom rectangular plate, and two bottom cantilevered semi-cylindrical elements attached to said bottom rectangular plate such that said two bottom cantilevered semi-cylindrical elements extended in parallel to one another, each one of said two bottom cantilevered semi-cylindrical elements includes a conical shape defined along the length thereof;
two pairs of cylindrical bars are orthogonally attached to said bottom rectangular plate, each cylindrical bar having a circular section and is provided on a surface thereof with a scale for measuring the height;
a quadrangular intermediate element affixed to said cylindrical bars by threaded bolts;
a topmost element having a top rectangular plate coupled to the top of said cylindrical bars, said top rectangular plate includes four holes for coupling to said two pairs of cylindrical bars said topmost element further includes two top cantilevered semi-cylindrical elements transversely attached to said top rectangular plate, such that said two top cantilevered semi-cylindrical extended in parallel to one another, each one of said top cantilevered semi-cylindrical elements includes a conical shape defined along the length thereof;
wherein position of said top semi-cylindrical elements is secured by threaded bolts and said top cantilevered semi-cylindrical elements and are provided, near their free ends, with anchoring screws for coupling to said top semi-cylindrical elements additional modules.

US Pat. No. 10,426,580

IMPLANT UNIT

1. An implant unit comprising:a fixture configured to assemble to an alveolar bone and comprises a long hole formed in a depth-wise direction and having an opening on a top of the fixture, wherein the long hole comprising:
a bottom surface;
a first lower inclined surface, which is extended from the bottom surface upwardly and having a first inclined angle;
an accommodating surface, which is extended from the first lower inclined surface upwardly and having a second inclined angle; and
a first upper inclined surface, which is extended from a first structure upwardly and having a third inclined angle;
an intermediate structure, which is inserted into the long hole via the opening of the fixture, wherein the intermediate structure comprising:
a bottom surface;
a second lower inclined surface, which is extended from the bottom surface of the intermediate structure and having a shape being conformed to the first lower inclined surface;
a second structure, which is extended from the second lower inclined surface;
an extension surface, which is extended from the second structure; and
a second upper inclined surface, which is extended from the extension surface and having a shape being conformed to the first upper inclined surface; and
an abutment assembled to the intermediate structure;
wherein the first structure for coupling the fixture to the intermediate structure is formed on an inner surface of the fixture,
wherein a lower portion of the intermediate structure comprises a split rivet structure including a plurality of pieces apart from one another,
wherein a groove is formed on an outer surface of the pieces,
wherein the groove is filled with a first polymer elastic material,
wherein when the intermediate structure is assembled to the fixture, the second structure is temporarily coupled to the first structure and then decoupled from the first structure and guided straight into the long hole,
wherein the implant unit further comprises a first gap formed between the bottom surface of the fixture and the bottom surface of the intermediate structure and a second gap formed between the accommodating surface and the extension surface when the fixture is completely assembled to the intermediate structure,
wherein the first gap and the second gap are filled with at least one of a biocompatible material, a lubricating material, and a second polymer elastic material to disperse stresses applied thereto.

US Pat. No. 10,426,579

RENEWABLE DENTAL IMPLANT

IMPLANT B LTD., Nazareth...

1. A dental implant having an outer surface renewable while the dental implant remains in place, the dental implant comprising:an implant body,
wherein the implant body extends between a proximal end comprising an abutment attachment region, and a distal end including a screw thread for anchoring in a dental socket of a jawbone, and
wherein the proximal end of the implant body is smaller in diameter than an outer diameter of the distal end to an extent sized for receiving a single thin-walled removable sleeve element; and
the thin-walled removable sleeve element; fitted around the circumference of the proximal end;
wherein:
the removable sleeve element comprises a receiving bore, configured to match the circumference of the proximal end, such that the removable sleeve element is configured to be removed from the circumference of the proximal end, thereby exposing a surface underneath to become a new outer surface,
a friction fit between an inner surface of the removable sleeve element and the proximal end of the implant body holds the removable sleeve element in a fixed location along a longitudinal axis of the implant, and
a ratio of thicknesses of the wall of the removable element and of the proximal end of the implant body is about 1:10 or a smaller ratio, such that the implant body maintains an approximately functionally equivalent implant shape to the complete dental implant upon removal of the removable sleeve element, including sufficient width for osseointegration and strength sufficient for functional support of a prosthetic device including acting as an anchoring base for an abutment attached to the abutment attachment region, wherein the friction between the inner surface of the sleeve and the outer surface of the proximal end of the implant body is developed by a partial collapse of the inner surface of the sleeve onto the outer surface of the proximal end of the implant body.

US Pat. No. 10,426,578

CUSTOMIZED DENTAL PROSTHESIS FOR PERIODONTAL OR OSSEOINTEGRATION AND RELATED SYSTEMS

NATURAL DENTAL IMPLANTS, ...

1. A dental implant system comprising:a computer including one or more processors operably coupled to a graphical user interface to allow for user manipulation of an input device;
one or more of the following: a physical impression, a surface scan, or a computed tomography scan image having or describing a shape portion of a three-dimensional outer surface shape of a dental crown anatomy of a specific pre-identified patient, or image data thereof, or generated therefrom;
a modeled virtual crown portion substantially matching the shape of the dental crown anatomy of the specific pre-identified patient;
a reduced-size modeled virtual crown portion substantially matching the shape of the modeled virtual crown portion and including reduced dimensions relative to the modeled virtual crown portion,
the computer generating responsive to user manipulation of the input device the reduced-size modeled virtual crown portion from a virtual reduction of at least a substantial portion of the modeled virtual crown portion by reducing dimensions of the modeled virtual crown portion, wherein the reduced-size modeled virtual crown portion defines a virtual prosthesis interface model and the virtual prosthesis interface model includes a virtual occlusal component interface, the virtual occlusal component interface formed by the computer to be reduced in size relative to and have smaller dimensions than the modeled virtual crown portion and to substantially match the shape of the modeled virtual crown portion, the virtual occlusal component interface reduced in three-dimensional size by between about 50 to about 300 micrometers compared to the modeled virtual crown portion;
a virtual representation of a custom interface between the modeled virtual crown portion and a virtual dental implant, the virtual representation of the custom interface derived from clinical imaging data including a bone crest of a specific tooth of the specific pre-identified patient to be replaced by a dental implant, a gum line surrounding the specific tooth of the specific pre-identified patient to be replaced by the dental implant, and crowns adjacent and opponent to the specific tooth of the specific pre-identified patient to be replaced by the dental implant; and
the dental implant, wherein the dental implant is configured to replace a nonfunctional natural tooth initially positioned in a jawbone of the specific pre-identified patient to receive the dental implant, the dental implant having a dental implant body and a longitudinally extending axis extending therethrough, the dental implant body comprising:
an asymmetrically-contoured outward facing edge circumscribing portions of the dental implant body, the asymmetrically-contoured outward facing edge substantially matching the shape of the virtual representation of the custom interface between the modeled virtual crown portion and the virtual dental implant,
a root body portion configured to be positioned substantially within the jawbone of the specific pre-identified patient, and
an occlusal component interface configured to receive a dental crown, the occlusal component interface including a positive raising, the positive raising having an interface body portion extending from portions of the dental implant body located occlusal to a location of a most occlusal portion of the asymmetrically-contoured outward facing edge, the shape of the occlusal component interface substantially matching the shape of the virtual occlusal component interface, where all components proceeding longitudinally from the root body portion to and including the occlusal component interface are custom-shaped, having individual three-dimensional shapes that are substantially asymmetric, do not include generic concentric shapes, and do not include generic symmetric shapes,
the interface body portion having
an asymmetric, three-dimensional surface shape being substantially devoid of concentric, symmetrically shaped surface segments with respect to the longitudinally extending axis, the asymmetric, three-dimensional surface shape of the interface body portion being correlated to or with a corresponding asymmetric, three-dimensional surface shape of an occlusal-facing outer surface of the dental crown anatomy of the specific pre-identified patient,
a substantially asymmetric cross-section substantially parallel to the longitudinally extending axis, and
a substantially asymmetric cross-section substantially perpendicular to the longitudinally extending axis;
the dental implant body of the dental implant being characterized by one of the following structural configurations:
the occlusal component interface is integral with the root body portion, and
the dental implant body comprises an assembly to form the dental implant prior to insertion of the root body portion into the jawbone of the specific pre-identified patient, the assembly comprising the root body portion and a transgingival cap configured to connect to the root body portion, the occlusal component interface being integral with the transgingival cap,
wherein the dental implant system further comprises the dental crown, the dental crown substantially matching the size and shape of the modeled virtual crown portion, and
wherein the occlusal component interface is configured to create a form locking fit with the dental crown, the form locking fit between the occlusal component interface and the dental crown substantially matching the shape of the modeled virtual crown portion, the form locking fit allowing for a certain thickness of a layer to be disposed between the occlusal component interface and the dental crown accounting for manufacturing tolerances, and allowing space for adhesive between about 50 to about 300 micrometers, the occlusal component interface having a substantial footprint of the form locking fit across the asymmetric, three-dimensional surface shape of the interface body portion when the dental crown is positioned thereon.

US Pat. No. 10,426,576

METHOD FOR DEBONDING OF ORTHODONTIC METAL BRACKETS WITH EUGENOL EMULGEL

King Abdulaziz University...

1. A method for removing an object bound to a tooth or teeth via a dental cement or dental resin, comprising:contacting the dental cement or dental resin with a gel comprising eugenol for a time sufficient to reduce Vickers hardness of the dental cement or dental resin or for a time sufficient to decrease debonding force needed to remove a metal bracket, dental appliance or dental prosthetic from the tooth or teeth, and
removing the metal bracket, dental appliance or dental prosthetic from the tooth or teeth.

US Pat. No. 10,426,575

SYSTEMS AND METHODS FOR DETERMINING AN ORTHODONTIC TREATMENT

3D MED AG, St. Moritz (C...

1. A method for determining an orthodontic treatment having a number of sequential treatment steps with a given orthodontic appliance, the sequential treatment steps defining treatment intervals therebetween, the method executable by a processor of a computer system, the method comprising:obtaining a segmented 3D model of a plurality of teeth of a patient, the segmented 3D model of each tooth of the plurality of teeth including at least crown portion data;
obtaining a start position and a desired end position of each tooth of the plurality of teeth;
determining an initial number of sequential treatment steps to move each tooth of the plurality of teeth from the start position to the desired end position, the initial number of sequential treatment steps being based on an initial distance of each treatment interval;
for each tooth of the plurality of teeth, and for each treatment interval, determining a root force imposed on a root portion of the given tooth by the given orthodontic appliance;
selectively executing:
in response to the root force of each tooth of the plurality of teeth not exceeding a predetermined threshold value, determining that the determined initial number of sequential treatment steps is the determined orthodontic treatment; and
in response to the root force, for any one of the teeth of the plurality of teeth, exceeding the predetermined threshold value, iteratively decreasing the initial distance of each treatment interval to provide a revised number of sequential treatment steps, and for each one of the determined revised number of sequential treatment steps re-calculating the root force imposed on the root portion of each tooth by the given orthodontic appliance, until it is determined that the root force, of each tooth of the plurality of teeth, does not exceed the predetermined threshold value.

US Pat. No. 10,426,574

COMPUTER SYSTEM-AIDED DESIGN OF DENTAL APPLIANCES

3M INNOVATIVE PROPERTIES ...

1. A method comprising:receiving, with a computer system, a digital representation of a three-dimensional (3D) tooth structure of a patient, the tooth structure providing initial positions of one or more teeth of the patient;
determining, with the computer system, dimensions and shapes of a removable dental appliance for the patient, the dimensions and shapes of the removable dental appliance being configured to reposition the one or more teeth of the patient from their initial positions to adjusted positions when the removable dental appliance is worn by the patient; and
transmitting, with the computer system, a representation of the removable dental appliance to a computer-aided manufacturing system,
wherein the removable dental appliance comprises an appliance body configured to surround two or more teeth of the patient, wherein the appliance body having an active band and at least one anchor includes:
a facial portion configured to register with facial sides of the surrounded teeth; and
a lingual portion configured to register with lingual sides of the surrounded teeth,
wherein the appliance body is configured such that occlusal surfaces of the surrounded teeth of the patient are exposed when the removable dental appliance is worn by the patient,
wherein the facial and lingual portions form an active band of the removable dental appliance, and wherein the appliance further comprises one or more struts connected to the active band, wherein the removable dental appliance further comprises anchors extending from each side of the appliance body, and wherein the struts couple the active band to the anchors.

US Pat. No. 10,426,573

CUSTOMIZED ROOT CANAL OBTURATION CORES AND METHODS OF MAKING CUSTOMIZED ROOT CANAL OBTURATION CORES

1. A customized core for obturating a root canal defining a non-uniform contoured volume that includes an apical portion including a physiologic apex of the root canal, the customized core comprising:a pre-formed body shaped to match at least the apical portion of the non-uniform contoured volume such that, when the pre-formed body is inserted in the root canal, the pre-formed body substantially fills the apical portion including the physiologic apex, thereby forming a seal substantially impervious to bacteria and tissue fluid in the apical portion including the physiologic apex,
wherein the pre-formed body is generated by a computer controlled manufacturing system based on a three-dimensional image of the root canal,
wherein the pre-formed body further comprises a handle formed at a coronal end of the pre-formed body, and configured to allow a user to manipulate the pre-formed single-piece body relative to the root canal, and
wherein an exterior surface of the pre-formed single-piece body comprises a biocompatible and bioactive material comprising calcium silicate.

US Pat. No. 10,426,572

DENTAL TOOL AND GUIDANCE DEVICES

Viax Dental Technologies ...

1. A dental overlay for temporary installation into the mouth of a patient to guide a dental instrument having a tooth treatment element configured for removing a portion of tooth structure from a tooth in the removal of a predetermined portion of working tooth structure to be removed from a working tooth to be treated, the overlay comprising:(i) a base having one or more surfaces for contacting portions of one or more teeth in a mouth of a patient to secure the overlay in a suitable position with respect to the tooth to be treated, and the base further having one or more open areas for exposing the portion of the working tooth structure to be removed; and
(ii) a cutting guide comprising a plurality of sets of adjacent guide walls extending from the base, each of the sets of adjacent guide walls defining, in combination with the base, a respective side aperture for receipt of a guide projection of separated guide projections of the dental instrument, a combination of a guide wall of each of the sets of adjacent guide walls and the base defining a side opening for receipt of the tooth treatment element through the side opening, wherein the side opening has a width as measured in a first plane perpendicular to the sets of adjacent guide walls that is larger than a width of each of the side apertures as measured in the first plane, and wherein the adjacent guide walls of each of the sets of adjacent guide walls have a predetermined configuration for contacting a guide projection of separated guide projections of the dental instrument to limit the movement of the tooth treatment element of the dental instrument without the tooth treatment element contacting the guide walls of the cutting guide and to restrict the portion of the working tooth structure to be removed to the predetermined portion of the working tooth to be treated.

US Pat. No. 10,426,571

INTELLIGENT HOLDING ARM FOR HEAD SURGERY, WITH TOUCH-SENSITIVE OPERATION

Medineering GmbH, Munich...

1. A method for controlling a mechatronic assistance system coupled to a holding arm to navigate said mechatronic assistance system during surgical treatment, the method comprising:coupling the mechatronic assistance system to a second interface at a distal end of the holding arm;
transmitting electrical energy and signals from a first interface at a proximal end of the holding arm to the second interface using a transmission unit arranged inside the holding arm;
detecting attitudes of one or more joints of the holding arm;
determining a pose of the holding arm based on the detected attitudes of the one or more joints; and
providing data representing the determined pose at the first interface.

US Pat. No. 10,426,570

POSITIONING APPARATUS FOR BIOMEDICAL USE

CONMED CORPORATION, Utic...

1. A medical positioning apparatus for positioning and holding an object, comprising:a telescopic member extending between a first end and a second end and having an adjustable length;
a support member for receiving the object;
a base member securable to a base;
a first joint mechanism movably securing the support member to the first end of the telescopic member;
a second joint mechanism including a housing with a top portion directly rotationally connected to the second end of the telescopic member, a bottom portion opposite the top portion, and at least one side portion directly rotationally connected to the base member and movably securing the base member to the second end of the telescopic member, the first and second joint mechanisms each having at least two rotational degrees of freedom;
a locking device operatively connected to the first and second joint mechanisms and the telescopic member, the locking device operable between a locked position in which the support member, the base member, and the telescopic member are lockingly interconnected together and the length of the telescopic member is fixed, and a released position in which the support and base members are free to pivotally move with respect to the telescopic member and the length of the telescopic member is adjustable, the locking device being passively biased in the locked position; and
a lock activation device to unlock the locking device biased in the locked position in order to adjust the length of the telescopic member and a relative position of the support member, the base member, and the telescopic member.

US Pat. No. 10,426,569

STABILIZATION DEVICE AND METHOD FOR SURGICAL LOCALIZATION WIRE

1. A wire stabilization device for stabilizing a localization wire extending out of a patient's skin, the wire stabilization device comprising:a device body having a cover portion coupled to a base portion, a gripping mechanism, a device distal end, and a reception end;
an adhesive portion for securing the device body to the patient's skin;
wherein the base portion includes a base wall;
wherein the base wall includes a base slot extending into the base wall from the reception end towards the device distal end;
wherein the gripping mechanism comprises a set of ribs including a first cover rib, a second cover rib, and a first base rib;
wherein the gripping mechanism is configured to grip a portion of the localization wire extending between the base portion and the cover portion when the cover portion is in a closed position;
wherein the base slot is configured to receive the localization wire extending out of the patient's skin through the base slot, and the localization wire is bent between the location that the localization wire exits the patient's skin and a second location where the localization wire extends between the base portion and the cover portion, when the cover portion is in the closed position; and
wherein the first cover rib extends into a space between the first and second base ribs when the cover portion is in the closed position.

US Pat. No. 10,426,568

PROJECTION SYSTEM

PANASONIC INTELLECTUAL PR...

1. A projection system comprising:a light source that emits first light having a predetermined wavelength to a subject;
a camera that captures an image of a specific area in the subject, the specific area being specified by second light that is excited by the first light;
a projector that projects the image of the specific area and associated information associated with the image of the specific area by visible light;
a distance sensor that acquires a distance from the distance sensor to the subject by using third light having the predetermined wavelength;
a controller that adjusts a projection magnification in the projector based on the distance, acquired by the distance sensor, from the distance sensor to the subject; and
a mirror that causes an optical path of the camera with respect to the subject and an optical path of the projector with respect to the subject to coincide with each other, wherein:
the distance sensor emits the third light in a first period,
the light source does not emit the first light in the first period,
the controller determines, in the first period, whether the distance acquired by the distance sensor is in a predetermined allowable range,
in response to the determining that the distance is in the predetermined allowable range, the controller causes the distance sensor to stop emitting the third light in the first period and causes the light source to emit the first light in a second period, the second period being after the first period, and
in response to the determining that the distance is not in the predetermined allowable range, the controller causes the distance sensor to stop emitting the third light in the first period and causes the light source not to emit the first light in the second period.

US Pat. No. 10,426,567

RETRACTOR WITH IMPROVED LIGHT SOURCE, AND LIGHT SOURCE FOR AN IMPROVED RETRACTOR

Clear Surgical Limited, ...

1. A retractor comprising:at least one paddle; and
at least one light source, wherein the at least one light source is removeably attached to the at least one paddle, the light source comprising:
a lighting module having a first housing portion, a second housing portion attached to the first housing portion, and one or more LEDs located between the first housing portion the second housing portion, the first housing portion comprising:
a first section and a second section wherein the first section has a thickness that is greater than that of the second section and the first section is aligned with the location of the one or more LEDs to form a light exit surface at the interface between the first section and second section.

US Pat. No. 10,426,566

METHODS AND SYSTEMS FOR PULSED ILLUMINATION

Novartis AG, Basel (CH)

1. A vitreoretinal surgical system for performing an ocular treatment procedure, comprising:an illumination instrument sized and structurally configured to illuminate tissue at a surgical site during an ocular treatment procedure;
a light source arranged to provide illumination to the illumination instrument for emission from the illumination instrument toward the surgical site; and
a controller in communication with the light source and configured to activate the light source in a manner providing illumination pulses at a frequency above a flickering perception in humans;
wherein the system is configured to receive a desired overall light intensity level from a user and wherein the controller is configured to determine the frequency, pulse width, and pulse intensity to provide the desired overall light intensity level.

US Pat. No. 10,426,564

APPARATUS AND METHOD FOR APPLYING LIGHT IN OCULAR AND PERIOCULAR AREAS

Lumenis Ltd., Yokneam (I...

1. A method of protecting ocular tissue during application of light energy, the method comprising:providing a handpiece having a light energy device, the handpiece having a tip having a shielding extension configured to be inserted posterior to an eyelid;
inserting the shielding extension behind the eyelid prior to applying light energy to an anterior surface of the eyelid;
applying light energy from the light energy device to an anterior surface of the eyelid;
wherein the light energy device is an LED or a laser; and
wherein the shielding extension is comprised of a thermally insulative material such that energy not absorbed by a target tissue is prevented from reaching ocular tissue located posterior to the eyelid.

US Pat. No. 10,426,563

LIFESTYLE WEATHERPROOF WEARABLE BAG FOR VENTRICULAR ASSIST DEVICE

CUSTOM DESIGN AND DEVELOP...

1. A water-resistant ventricular assist device (VAD) lifestyle bag, comprising:a removable strap connected to two connectors along the top of the VAD lifestyle bag and comprising a shoulder pad;
a lower unit having two curved top edges connected to two connectors and comprising at least one water bottle pocket to contain water bottles of various shapes and a front pocket cover flap;
a zipper configured along the top of the lower unit;
an emergency information window made of clear material to view the status of a VAD device;
a plurality of pockets built into the back of the VAD lifestyle bag configured to secure at least one of pens, phones, and snacks;
at least one credit card pocket built into the VAD lifestyle bag;
a VAD controller pocket comprising clips and configured to secure a VAD controller; and
at least one VAD battery pocket comprising clips and fitted to house at least one VAD battery for powering the VAD device,
wherein the VAD controller pocket and the at least one VAD battery pocket is outlined with polypropylene piping with a ? inch polypropylene cord, lined with waterproof lining of 200 Denier Oxford Coated DWR fabric, and contains a styrene insert to maintain the firm shape of the VAD lifestyle bag.

US Pat. No. 10,426,562

WEARABLE MULTI-ACCESSORY TOOL FOR NURSES AND OTHER HEALTH CARE WORKERS

1. A wearable multi-accessory tool for health care professionals, comprising:a body having a truncated conical geometry and configured to incorporate a plurality of health care related accessories, the body extending longitudinally about a central axis and comprising:
a plurality of sidewall panels adjoined to one another to form a closed-top, open-bottom tool housing defining an interior space;
an end cap seated upon the closed top of said body; and
a platform having a generally annular geometry, the platform releasably-engaging a lower end of said adjoined sidewall panels and depending downwardly beyond the lower end of said adjoined sidewall panels;
an elongated tubular shaft extending longitudinally about the central axis of said body, the elongated tubular shaft comprising:
an upper shaft portion disposed within the interior space defined by said adjoined sidewall panels, the elongated tubular shaft; and
a lower shaft portion releasably-attached to said upper shaft portion, said lower shaft portion having a bottom end section terminating at a lower end having at least one protrusion extending radially-outward therefrom, the at least one protrusion located a distance below said platform to define a gap between the platform and the at least one protrusion, said bottom end section of said lower shaft portion extending between said platform and said at least one protrusion sized, shaped, and otherwise configured to enable an annular-shaped roll of medical tape to be mounted about said lower shaft portion in such a manner that the tape roll is supported from below by said at least one protrusion, and a central core opening of the annular-shaped tape roll has an internal diameter nominally greater than a corresponding external diameter of the lower shaft portion, thereby enabling the tape roll to rotate about the lower shaft portion as a user of the tool removes a desired length of the tape; and
a magnet secured proximate to an open upper end of the upper shaft portion of said elongated tubular shaft, said magnet functioning to exert a magnetic attractive force against a distal end of at least one elongated metal tool inserted through an opening at a lower end of the lower portion of said elongated tubular shaft.

US Pat. No. 10,426,561

HAND CONTROLLER APPARATUS FOR DETECTING INPUT POSITION IN A ROBOTIC SURGERY SYSTEM

Titan Medical Inc., Toro...

1. A hand controller apparatus for controlling a tool in a robotic surgery system, the apparatus comprising:a body including a proximal end and a distally located interface end configured to be coupled to an input apparatus configured to remotely control the tool;
a control lever attached to the body at a pivot joint proximate a side surface of the body, the control lever extending along the body toward the distally located interface end and away from the proximal end, the control lever being laterally moveable relative to the side surface of the body about the pivot joint; and
a lateral movement detector configured to magnetically or inductively detect a lateral movement of the control lever with respect to the side surface,
wherein detection of the lateral movement causes the input apparatus to control movement of the tool based on the detected lateral movement of the control lever.

US Pat. No. 10,426,560

ROBOTIC SYSTEM AND METHOD FOR REORIENTING A SURGICAL INSTRUMENT MOVING ALONG A TOOL PATH

Stryker Corporation, Kal...

1. A surgical manipulator comprising:a surgical instrument and an energy applicator extending from said surgical instrument, and wherein said surgical instrument and said energy applicator define a common axis; and
at least one controller configured to:
model said surgical instrument and said energy applicator as a virtual rigid body;
define a reference surface aperture in a reference surface;
determine forces and torques to be applied to the virtual rigid body to maintain the common axis within the reference surface aperture;
reposition said surgical instrument, based on the forces and torques, to maintain the common axis within the reference surface aperture; and
dynamically change a shape of the reference surface aperture.

US Pat. No. 10,426,558

PORT CONTROL

Cambridge Medical Robotic...

1. A port locator of a surgical port of a surgical robot system, where the surgical robot system includes an instrument attached to a robot arm, the instrument having an instrument shaft configured to pass through the surgical port to a surgical site, the port locator comprising:an interface configured to couple to the surgical port;
a mechanism coupled to the interface and configured to apply a force to the interface as the interface moves relative to the instrument shaft at the surgical site; and
a controller including a processor configured to estimate the position of a part of the robot arm, the controller configured to control the mechanism in dependence on the estimated position of the part of the robot arm such that as the robot arm moves the instrument, the mechanism provides a force to keep the port in place at the surgical site.

US Pat. No. 10,426,557

SYSTEM AND METHOD OF AUTOMATIC DETECTION OF OBSTRUCTIONS FOR A ROBOTIC CATHETER SYSTEM

St. Jude Medical, Atrial ...

1. A robotic catheter system comprising:a robotic catheter manipulator assembly comprising:
a support member having a longitudinal axis and comprising a catheter manipulation base configured for linear movement along the longitudinal axis of the support member and a sheath manipulation base configured for linear movement along the longitudinal axis of the support member;
a robotic catheter device cartridge removably mounted to the catheter manipulation base, wherein the robotic catheter device cartridge is configured to be generally linearly movable relative to the support member along the longitudinal axis of the support member, and wherein the robotic catheter device cartridge comprises a catheter; and
a robotic sheath device cartridge removably mounted to the sheath manipulation base, wherein the robotic sheath device cartridge is generally linearly movable relative to the support member along the longitudinal axis of the support member; and
an input control system for controlling operation of the robotic catheter manipulator assembly,
wherein one of the catheter manipulation base and the robotic catheter device cartridge includes at least one first element engageable with at least one complementary second element of the other one of the catheter manipulation base and the robotic catheter device cartridge, wherein linear movement of one of the first element and the second element is configured to cause corresponding linear movement of the other one of the first element and the second element and control deflection of the catheter by pulling a steering wire attached to the catheter and one of the first element and the second element, and wherein the linear movement of one of the first element and the second element is configured to laterally deflect a distal end of the catheter.

US Pat. No. 10,426,556

BIOMECHANICAL MODEL ASSISTED IMAGE GUIDED SURGERY SYSTEM AND METHOD

VANDERBILT UNIVERSITY, N...

1. A method of performing image-guided surgery, comprising:obtaining intraoperative location data for a patient comprising intraoperative fiducial location data for a non-rigid structure of interest in the patient and intraoperative rigid structure location data for at least one rigid structure in the patient associated with the non-rigid structure;
estimating a gravity deformation for the non-rigid structure of interest based on a first rigid registration for preoperative fiducial location data in a preoperative computer model of the patient with respect to the intraoperative fiducial location data and a second rigid registration for the preoperative rigid structure location data for at least one rigid structure in the computer model with respect to the intraoperative rigid structure location data;
modifying the preoperative fiducial location data using first rigid registration and the gravity deformation to yield modified fiducial location data;
determining a third rigid registration comprising a rigid registration for the modified fiducial location data with respect to the intraoperative fiducial location data;
calculating a non-rigid transformation for the computer model based on the volumetric gravity field deformation and first boundary conditions derived from errors in the third rigid registration;
displaying deformed image data comprising preoperative image data corresponding to the computer modified to undergo the non-rigid transformation.

US Pat. No. 10,426,555

MEDICAL INSTRUMENT WITH SENSOR FOR USE IN A SYSTEM AND METHOD FOR ELECTROMAGNETIC NAVIGATION

COVIDIEN LP, Mansfield, ...

1. A medical instrument, comprising:a base non-conductive layer on a distal portion of the medical instrument;
a sensor printed on the base non-conductive layer, the sensor including a first conductive coil, a second conductive coil, and a non-conductive layer disposed between the first conductive coil and the second conductive coil;
a proximal conductive layer printed circumferentially around a proximal portion of the medical instrument;
a proximal non-conductive layer printed on the proximal conductive layer; and
at least one pair of contacts electrically connected to at least one of the first conductive coil or the second conductive coil of the sensor and coupled to the proximal conductive layer, the proximal conductive layer connectable to a measurement device configured to sense an induced electrical signal in the sensor based on a magnetic flux change of an electromagnetic field,
wherein a location of the medical instrument in a coordinate system of the electromagnetic field is identified based on the induced electrical signal in the sensor.

US Pat. No. 10,426,554

SYSTEM AND METHOD FOR TRACKING AND NAVIGATION

The Johns Hopkins Univers...

1. A tracking and navigation system, comprising:an imaging or treatment device, wherein at least part of the imaging or treatment device is movable relative to a patient;
a tracker device mounted on the imaging or treatment device and movable therewith relative to the patient; and
a fiducial marker configured to be fixed relative to the patient to define a position and orientation of a patient coordinate system relative to a coordinate system of the tracker device, the fiducial marker having a polyhedral structure having a plurality of faces, each face being connected to at least two neighboring faces, each face having a plurality of marks defining a three dimensional coordinate system with an origin point and first and second axes within each face and a third axis that is perpendicular to the first and second axes, each face having marks that are distinguishable from marks on other faces of the polyhedral structure,
wherein the fiducial marker is configured and arranged to be detected by the tracker device to substantially maintain six-degree-of-freedom registration between the patient coordinate system and the coordinate system of the tracker device, and
wherein the tracker device is configured to:
detect the plurality of marks on at least one face of the fiducial marker, and
determine a position and an orientation of the patient coordinate system relative to the coordinate system of the tracker device in six degrees of freedom based upon the marks on each face and based upon the three dimensional coordinate system defined by the plurality of marks on the at least one face of the fiducial marker detected by the tracker device.

US Pat. No. 10,426,553

METHODS, SYSTEMS, AND DEVICES FOR DESIGNING AND MANUFACTURING A SPINAL ROD

Medicrea International, ...

1. A system for generating a specification for a patient-specific implantable spinal rod to correct a vertebral column of a patient, the system comprising:an electronic interface configured to analyze one or more preoperative representations of the vertebral column of the patient, wherein the one or more preoperative representations is analyzed by:
generating one or more modified preoperative representations by correcting a first portion and a second portion of the one or more preoperative representations; and
preoperatively obtaining a corrected curvature of the vertebral column of the patient, wherein obtaining the corrected curvature comprises:
determining a curvature of a first curved segment of the vertebral column generated based on the corrected first portion and the corrected second portion, wherein the first curved segment comprises a portion of the vertebral column below a reference point; and
determining a curvature of a second curved segment of the vertebral column, wherein the second curved segment comprises a portion of the vertebral column above the reference point, wherein the second curved segment comprises a different curvature than the first curved segment;
wherein the electronic interface is further configured to:
generate preoperative data instructions based at least in part on the preoperatively obtained corrected curvature of the vertebral column of the patient, the generated preoperative data instructions configured for use by a manufacturing apparatus to manufacture the patient-specific implantable spinal rod; and
electronically transfer the generated preoperative data instructions to a manufacturing system for producing the patient-specific implantable spinal rod.

US Pat. No. 10,426,552

REDUCTION METHODS FOR ALIGNING BONE SEGMENTS USING CUSTOMIZED JIGS

1. A reduction method for aligning a first bone segment and a second bone segment comprising:surgically attaching: (i) a first interaction implant to the first bone segment; and (ii) a second interaction implant to the second bone segment;
imaging the first and second bone segments to create a model;
processing the model to find an optimal bone alignment;
generating, based on the optimal bone alignment and with a three-dimensional printer, a custom jig, wherein the custom jig includes a global jig element, a first local jig element, and a second local jig element;
attaching the first local jig element to the first interaction implant;
attaching the second local jig element to the second interaction implants; and
engaging, after attaching the custom jig to the first and second interaction implants, the first and second local jig elements with the global jig element;
wherein the first and second bone segments are translated as the first and second local jig elements are engaged with the global jig element; and
wherein the first bone segment and second bone segment are properly aligned in the optimal bone alignment.

US Pat. No. 10,426,551

PERSONALIZED REFRACTIVE SURGERY RECOMMENDATIONS FOR EYE PATIENTS

MICROSOFT TECHNOLOGY LICE...

1. A computer system, the computer system comprising: one or more hardware processors;system memory coupled to the one or more hardware processors, the system memory storing instructions that are executable by the one or more hardware processors;
the one or more hardware processors executing the instructions stored in the system memory to provide a refractive surgery recommendation for a patient, including the following:
access pre-operative eye characteristic data for the patient's eyes, the pre-operative eye characteristic data taken from pre-operative diagnostic procedures performed on the patient;
access demographic data for the patient;
input the pre-operative eye characteristic data and demographic data into a predictive model in the system memory, the predictive model formulated from other patient data for a plurality of other patients that previously had refractive surgery, the other patient data including, for each other patient included in the plurality of other patients, one or more of: pre-operative eye characteristic data and demographic data, a refractive surgery type, and one or more post-operative uncorrected visual acuity (UCVA) values, each of the one or more post-operative uncorrected visual acuity (UCVA) values measured at a different post-operative time after refractive surgery, the predictive model transforming the pre-operative eye characteristic data and the demographic data of the patient's eye through linear regression to:
predict one or more post-operative uncorrected visual acuity (UCVA) maps for the patient, each of the one or more post-operative uncorrected visual acuity (UCVA) maps inferred for a corresponding refractive surgery type based on the patient's pre-operative eye characteristic data and demographic data in view of the other patient data, each uncorrected visual acuity (UCVA) map predicting post-operative uncorrected visual acuity (UCVA) values for the patient at one or more post-operative time periods for the corresponding refractive surgery type; and
match the patient to a selected refractive surgery type based on predicted post-operative uncorrected visual acuity (UCVA) values in the one or more uncorrected visual acuity (UCVA) maps for the patient; and
recommend the selected refractive surgery type as the refractive surgery recommendation for the patient.

US Pat. No. 10,426,550

ROTATABLE CURVED BIT AND ROBOTIC CUTTING IN ORTHOPAEDIC APPLICATIONS

Think Surgical, Inc., Fr...

1. A process for creating a curved contour on or within a patient's bone comprising:positioning a bone of a patient in a fixed position in a coordinate system;
generating scan data of the bone;
creating a three-dimensional surface model of the bone based on said scan data;
generating a cutting program to modify a surface of the bone based on said three-dimensional surface model and a prosthesis having a bone interface shape that is complementary to the curved contour; and
modifying the bone with one or more curved drill bits that is robotically driven and positioned based on said cutting program to form the curved contour, each of said one or more curved drill bits having a rotatory head extending from a nonlinear shaft and rotating within a nonlinear sheath.

US Pat. No. 10,426,549

METHODS FOR PATIENT-SPECIFIC SHOULDER ARTHROPLASTY

Biomet Manufacturing, LLC...

1. A method of positioning a virtual guide on a virtual model of a patient's scapula for installing a glenoid implant, the method comprising:creating the virtual model of a patient's scapula using software run by a processor, the virtual model created from an anatomical image of the patient's scapula;
identifying at least a first point on an anterior rim of a glenoid fossa and a second point on a posterior rim of the glenoid fossa of the virtual model; and
positioning the virtual guide on the virtual model of the glenoid fossa as a function of the first point on the anterior rim and the second point on the posterior rim.

US Pat. No. 10,426,548

METHODS AND SYSTEMS FOR PROVIDING ELECTROMAGNETIC RADIATION TO AT LEAST ONE PORTION OF A SAMPLE USING CONFORMAL LASER THERAPY PROCEDURES

The General Hosppital Cor...

1. A process for applying a laser radiation to at least one portion of a biological structure, comprising:a) providing a beam of the laser radiation to the at least one portion, wherein a cross-sectional area of the beam is at most about 1/10th of an entire area of the at least one portion;
b) applying the beam to the at least one portion (i) while modulating a wavelength of the laser radiation and (ii) while monitoring a depth of the application of the laser radiation;
c) receiving at least one return radiation from the at least one portion;
d) determining speckle information related to the at least one return radiation;
e) determining a laser damage depth within the biological structure based on the speckle information; and
f) adjusting a penetration depth of the beam by changing the wavelength of the laser radiation.

US Pat. No. 10,426,547

SURGICAL LASER SYSTEM AND LASER FIBER

Boston Scientific Scimed,...

1. An optical device, comprising:a controller coupled to a first treatment laser source and a first aiming laser source, wherein the controller is configured to:
in response to a request to discharge the first treatment laser source from a non-discharged state, discharge the first aiming laser source from a non-discharged state to deliver a first aiming beam in a first direction, and discharge the first treatment laser source from the non-discharged state to deliver a first laser energy in the first direction, wherein the first laser energy has a first wavelength configured to perform a first treatment, and the first aiming beam does not cause tissue damage.

US Pat. No. 10,426,546

LAPAROSCOPIC HANDPIECE FOR WAVEGUIDES

1. An articulating instrument, comprising:a handle;
an articulation actuator having a first portion and a second portion, the articulation actuator coupled to pivotally rotate with respect to the handle about an axis of rotation, the axis of rotation spaced between the first portion and the second portion of the articulation actuator, the first and the second portions of the articulation actuator each exposed to physical contact to be physically manipulable to operate the articulating instrument;
a distal assembly having a proximal end, a distal end, a length that extends between the proximal end and the distal end, a lumen that extends between the proximal end and the distal end, and at least one passage that extends between the proximal end and the distal end, the distal assembly comprising a plurality of links successively arranged along at least a portion of the length of the distal assembly, successive ones of the links pivotally coupled to a respective previous one of the links to articulate between a first configuration, a second configuration, and a plurality of intermediate configurations between the first and the second configurations, the second configuration in which the distal assembly is curved at a maximum articulation angle, the intermediate configurations in which the distal assembly is curved at a respective articulation angle, the respective articulation angles each of which is smaller than the maximum articulation angle;
and at least one actuation member having a first leg and a second leg, each of the first leg and the second leg having a proximal end and a distal portion and which passes through the at least one passage of the distal assembly, the proximal ends of the first leg and the second leg coupled to the articulation actuator to move in response to a pivotal rotation of the articulation actuator and the distal portion that physically engages at least a portion of the distal assembly to adjust a tension applied thereto in response to the pivotal rotation of the articulation actuator, the proximal end of the first leg movable between a first position in which the first leg perpendicularly intersects the axis of rotation and a second position in response to rotation of the articulation actuator in a first rotational direction, the proximal end of the second leg movable between the first position in which the second leg perpendicularly intersects the axis of rotation and a third position in response to rotation of the articulation actuator in a second rotational direction opposite the first rotational direction,
wherein the articulation actuator includes a number of stops, the links each include a respective number of stops, and the stops of the links engage before the stops of the articulation actuator engage to render at least one of the first and the second configurations relatively more stable than the intermediate configurations such that the distal assembly has a tendency to remain in the first or the second configurations when placed in the at least one of the first or the second configurations.

US Pat. No. 10,426,545

METHOD AND APPARATUS FOR PERCUTANEOUS EPICARDIAL ABLATION OF CARDIAC GANGLIONATED PLEXI WITHOUT MYOCARDIAL INJURY

Mayo Foundation for Medic...

1. A method of ablating or modulating ganglia on an epicardial surface of a heart to treat cardiac disorders, the method comprising:sensing activity of the ganglia to identify a desired location on the epicardial surface;
placing an energy delivery assembly adjacent to the desired location, the energy delivery assembly comprising a plurality of electrodes;
coupling the energy delivery assembly to a source of non-thermal DC electrical energy;
selecting one or more characteristics of the non-thermal DC electrical energy; and
applying to the desired location, via the plurality of electrodes, the non-thermal DC electrical energy according to the selected one or more characteristics, wherein the selected one or more characteristics comprises applying the non-thermal DC electrical energy at a pulsation frequency of between 5 kHz and 10 kHz to ablate or modulate the ganglia without affecting pericardial and myocardial tissues of the heart.

US Pat. No. 10,426,544

APPARATUS FOR PERFORMING AN ELECTROSURGICAL PROCEDURE

COVIDEN LP, Mansfield, M...

1. An endoscopic forceps, comprising:a housing having a shaft that extends from the housing to a distal end portion, the shaft defining a longitudinal axis therethrough;
a handle assembly operatively coupled to the housing and movable relative thereto;
an end effector assembly operatively coupled to the distal end portion of the shaft, the end effector assembly including first and second jaw members, the first and second jaw members movable relative to one another from an open position, wherein the first and second jaw members are disposed in spaced relation relative to one another, to a clamping position, wherein the first and second jaw members cooperate to grasp tissue; and
a drive mechanism operably coupled to the handle assembly and a biasing component, the drive mechanism being one of a hydraulic drive mechanism or a pneumatic drive mechanism, the drive mechanism in fluid communication with the biasing component, the biasing component operably associated with the first and second jaw members,
wherein the biasing component is movable in a plane that is orthogonal to the longitudinal axis and is configured to move the first and second jaw members when the handle assembly is moved relative to the housing.

US Pat. No. 10,426,542

ELECTROSURGICAL APPARATUS HAVING RF PULSE PROFILE CONTROLLER

CREO MEDICAL LIMITED, Ch...

1. Electrosurgical apparatus for resection of biological tissue, the apparatus comprising:a radiofrequency (RF) signal generator for generating an RF waveform having a first frequency;
a probe arranged to deliver the RF waveform from a distal end thereof;
a feed structure for conveying the RF waveform to the probe along an RF channel;
an RF signal detector for sampling current and voltage on the RF channel and generating therefrom a RF detection signal indicative of the current and the voltage; and
a controller in communication with the RF signal detector to receive the RF detection signal,
wherein the RF signal generator is arranged to deliver the RF waveform as a plurality of RF signal pulses, each of the plurality of RF signal pulses having a predetermined power limit and a pulse duration,
wherein the controller is arranged to:
monitor, based on the RF detection signal, energy accumulated in the biological tissue during the pulse duration of each of the plurality of RF signal pulses,
control a profile of each of the plurality of RF signal pulses to keep an average power delivered by that RF signal pulse to the biological tissue over its respective pulse duration below a target value, and
cause each of the plurality of RF signal pulses to include:
a cut initiation portion during which the controller sets a cut initiation voltage limit for the respective RF signal pulse, and
a cut sustain portion during which the controller sets a cut sustain voltage limit for the respective RF signal pulse,
wherein the cut sustain voltage limit is less than the cut initiation voltage limit, and the cut sustain portion follows the cut initiation portion.

US Pat. No. 10,426,541

DEVICE FOR ASSISTING WITH THE PLACEMENT OF AN ORTHOPEDIC INSTRUMENT

CENTRE NATIONAL DE LA REC...

1. A device assisting with placement of an orthopedic instrument intended to be inserted in a receiving bone by impaction, said device comprising:an impactor comprising at least one striking surface designed to impact an impact surface, coupled to an orthopedic instrument, to apply a first impaction force to said orthopedic instrument;
a force sensor that:
measures, upon a first impact, said first impaction force applied by the impactor to said impact surface,
supplies a first measurement signal, the first measurement signal comprising a first temporal variation of said first impaction force, the first temporal variation of the first impaction force being a first signal representative of the first impaction force over a first time duration, the first signal comprising a first plurality of points, wherein each point out of the first plurality of points along the first signal comprises a first amplitude value representative of the first impaction force and a first time value representative of an instant in the first time duration of the first measurement signal; and
a processor coupled to a memory, wherein the processor:
is connected to said force sensor,
receives the first measurement signal including the first temporal variation of the first impaction force,
calculates a first indicator representative of a degree of insertion of said orthopedic instrument in the receiving bone based on evaluation of the plurality of points in the first temporal variation after the first measurement signal is received, and
determines an accuracy of a level of insertion of the orthopedic instrument in the receiving bone based on the first indicator.

US Pat. No. 10,426,540

PROSTHESIS INSTALLATION

1. An apparatus for acting on a portion of bone, comprising:a force transfer anchor fixed to the portion of bone, said force transfer anchor including a tool mount; and
a tool, coupled to said tool mount, including an operational end configured to interface with the portion of bone using an interface force;
wherein a portion of said interface force is transferred between the portion of bone and said tool through said force transfer anchor;
wherein said force transfer anchor includes a dynamically adjustable structure;
wherein said dynamically adjustable structure includes a relative navigation system configured to position said tool relative to the portion of bone; and
wherein said force transfer anchor includes a force measurement unit.

US Pat. No. 10,426,539

METHOD AND IMPLANT SYSTEM FOR SACROILIAC JOINT FIXATION AND FUSION

Orthocision Inc., Folsom...

1. A method for repairing a sacroiliac joint of a patient, comprising:a. creating a first incision in the patient's skin in a position proximal to the patient's sacroiliac joint to allow access to the posterior portion of the sacroiliac joint;
b. inserting a working channel into said first incision and spreading said posterior portion of the sacroiliac joint with an inserted end of said first working channel;
c. creating a void in said posterior portion of the sacroiliac joint; and
d. inserting a fusion implant into said void along a path that is substantially parallel to articular surfaces of the sacroiliac joint, said fusion implant having at least one fixation element for engagement with bone tissue in an articular surface of at least one of an ilium and a sacrum in said sacroiliac joint, wherein said at least one fixation element first penetrates said articular surface of at least one of said ilium and said sacrum and said fusion implant compresses the sacroiliac joint.

US Pat. No. 10,426,538

INSTRUMENTS AND METHODS FOR ADJUSTING SEPARATION DISTANCE OF VERTEBRAL BODIES WITH A MINIMALLY INVASIVE SPINAL STABILIZATION PROCEDURE

Zimmer Spine, Inc., Edin...

1. An adjuster for adjusting a distance between vertebral bodies of a human spine, the adjuster comprising:a first handle member comprising:
a first proximal portion for grasping; and
a first distal portion including an extender engager defining a first longitudinal axis, the first extender engager configured to detachably couple to a first extender that can detachably couple to a bone fastener assembly;
a second handle member comprising:
a tube portion for receiving a shaft of a driver, the tube portion defining a second longitudinal axis; and
an engagement mechanism coupling the first handle member and the second handle member, the engagement mechanism permitting the first distal portion and the tube portion to translate laterally relative to each other;
wherein the engagement mechanism permits the first handle member to rotate relative to the second handle member.

US Pat. No. 10,426,537

METHOD AND INSTRUMENT FOR TENSIONING A FLEXIBLE TIE

Zimmer Spine, S.A.S., Bo...

1. An instrument for tensioning a flexible tie, comprising:a shaft comprising a distal end configured for contact with a rod;
a moving part slidably engaged with the shaft along an actuation axis;
a holder connected to the moving part and configured to hold an end of the flexible tie, the holder being movable in translation relative to the shaft;
a tension control member connected to the moving part and configured to cause the moving part and the holder holding the end of the flexible tie to move in translation away from the distal end of the shaft along the actuation axis, thereby exerting tension on the flexible tie;
a handle extending from the moving part transverse to the actuation axis;
a trigger that is pivotable relative to the moving part toward the handle to engage the tension control member and cause the moving part and the holder to move along the actuation axis;
a dynamometer system located in the moving part and configured to provide a visual indication of a magnitude of tension in the flexible tie held by the holder as the trigger is actuated;
a carriage disposed at least partially within the moving part, the holder extending from the carriage;
a first spring located in the moving part adjacent the carriage and extending toward the distal end of the shaft;
a second spring located in the moving part between the carriage and the tension control member; and
a longitudinal slot located on the moving part, wherein the holder extends from the carriage through the longitudinal slot.

US Pat. No. 10,426,536

METHOD OF DELIVERING A PLURALITY OF ELEMENTS AND FLUENT MATERIAL INTO A VERTEBRAL BODY

STRYKER CORPORATION, Kal...

1. A method of delivering elements and a fluent material capable of setting into a hardened condition into a vertebral body having an interior of cancellous bone to form an implant, said method comprising the steps of:providing a delivery cannula defining a delivery passage and at least one groove separate from and open to the delivery passage, and a push rod;
placing the fluent material at least partially within a void space defined among the elements in the delivery passage of the delivery cannula, wherein the elements are disposed adjacent to one another in the delivery passage; and
inserting the push rod in the delivery passage of the delivery cannula to slide the push rod along the delivery passage and apply a force to a first of the elements and transfer the force through the first element to a second of the elements disposed in the delivery passage to move the elements through the delivery passage and into the interior of the vertebral body such that the fluent material is simultaneously carried with the elements as the elements move through the delivery passage and into the interior of the vertebral body, and such that the fluent material flows from the void space to the at least one groove and backflows around the elements so that pressurization of the fluent material is reduced upon application of the force whereby the fluent material sets to the hardened condition to secure the elements and form the implant.

US Pat. No. 10,426,535

SELF-HOLDING SCREW HEAD

Stryker European Holdings...

18. A bone fastener comprising:a threaded shaft at a leading end and a head connected to the shaft at a trailing end, the head having a threaded outer surface extending from a free end to an end connected to the shaft;
the head having a first diameter at the free end and a second diameter at the end connected to the shaft, each of the first diameter and the second diameter being measured at a root of a thread of the threaded outer surface, a crest adjacent to the second diameter being a maximum diameter of the bone fastener; and
the first diameter being less than the second diameter.

US Pat. No. 10,426,534

SEMI-CONSTRAINED BONE SCREW AND INSERTION INSTRUMENT

K2M, Inc., Leesburg, VA ...

1. A bone screw comprising:a tubular body defining a first longitudinal axis and having open proximal and distal ends defining a passageway therethrough;
a helical thread circumscribing an outer surface of the tubular body;
a head having a lumen extending therethrough, wherein a proximal opening of the lumen has a diameter greater than a diameter of a distal opening of the lumen, and a portion of an interior surface of the lumen tapers inwardly toward the distal opening of the lumen; and
a shaft slidably insertable through the lumen of the head and the passageway of the tubular body and into engagement therewith to rotatably fix the shaft relative to the tubular body, wherein a distal portion of the shaft is disposed distal of the distal end of the tubular body, wherein a proximal portion of the shaft is flared outwardly and has a maximum diameter greater than a maximum diameter of the distal portion of the shaft and greater than the diameter of the distal opening of the lumen of the head, and a portion of an exterior surface of the shaft tapers inwardly toward the distal portion of the shaft and is configured to at least partially contact the tapered interior surface of the lumen of the head when the shaft is assembled to the head, the shaft defining a second longitudinal axis, wherein the shaft couples the head to the tubular body such that a gap is defined between a distal surface of the head and the open proximal end of the tubular body, the head repositionable with respect to the first longitudinal axis of the tubular body and the second longitudinal axis of the shaft, wherein the shaft is configured to rotatably couple the tubular body to the head such that rotation of the head effectuates a corresponding rotation of the tubular body.

US Pat. No. 10,426,533

FENESTRATED IMPLANT

SI-Bone Inc., Santa Clar...

1. An implant for bone fixation, the implant comprising:an elongate body having a longitudinal axis, a distal end, a proximal end, a rectilinear cross section transverse to the longitudinal axis having three or four sides, and a plurality of faces, each of the plurality of faces formed from a wall with a thickness between 1 mm and 5 mm in thickness, and each face having a width and a plurality of fenestrations, the plurality of fenestrations each having a diameter that is between about 0.2 to about 0.5 of the width of its associated face, the elongate body having a central lumen located along the longitudinal axis and configured to receive a guide pin, wherein each of the plurality of fenestrations reach and provide access to the central lumen, wherein a concentration or number of fenestrations is higher in a distal half of the elongate body than in a proximal half, wherein the distal end of the elongate body is tapered to facilitate implantation into the bone, and wherein the elongate body has a bending strength or a shear strength of at least 0.5 relative to a reference elongate body with identical dimensions and material composition but without any fenestrations.

US Pat. No. 10,426,532

BONE PLATE SYSTEM AND METHOD

1. A bone plate system for stabilizing bone portions, the bone plate system comprising:a plurality of bone screws;
a bone plate having a longitudinal axis;
a cable adapted to be looped around the bone portions and connected to the bone plate;
body portions of the bone plate that are laterally spaced from each other for contacting the bone portions;
throughbores of the body portions for receiving the bone screws;
a cylindrical, straight tubular member of the bone plate that interconnects the bone plate body portions and extends straight laterally therebetween, the tubular member resisting relative movement of the bone plate body portions;
tool-receiving through openings of the bone plate at opposite sides of the tubular member;
a cylindrical outer surface of the tubular member that extends along the tool-receiving through openings for being engaged by a tool positioned in the tool-receiving openings, the cylindrical outer surface having an outer diameter that is uniform throughout the tubular member;
a through aperture of the tubular member extending laterally therethrough and sized to receive the cable to allow the cable to be looped around the bone portions and advanced through the tubular member; and
exposed arcuate crimp portions of the tubular member each including a portion of the cylindrical outer surface, the exposed arcuate crimp portions being across the through aperture from one another and defining a portion of the through aperture therebetween, the arcuate crimp portions being configured to be deformed toward each other to fix the cable to the bone plate, each one of the arcuate crimp portions extending along a different one of the tool-receiving through openings.

US Pat. No. 10,426,531

SURGICAL BONE SCREW AND IMPLANT SYSTEM

ZIMMER GMBH, Winterthur ...

1. A surgical bone screw comprising:a shaft having a bone thread; and
a screw head having a blocking feature for cooperating with a bone plate or for a direct anchorage in a bone, and a rotationally symmetrical enveloping contour, wherein the blocking feature has a groove structure having a plurality of flank structure sections extending in a peripheral direction;
wherein a jacket surface of the enveloping contour has a stepped concave progression that defines a non-constant transition between adjacent flank structure sections; and
wherein the plurality of flank structure sections of the groove structure extending in the peripheral direction are interrupted at least once in the peripheral direction such that at least one notch results for blocking cooperation with the bone plate or with the bone.

US Pat. No. 10,426,530

RETAINING MECHANISM

WARSAW ORTHOPEDIC, INC., ...

1. A retaining mechanism comprising:a plate comprising a hole;
a retaining element comprising a body including a cutout, the retaining element being rotatable relative to the plate between a first position in which the cutout is aligned with the hole to permit a fastener to be passed through the hole and a second position in which the body at least partially overlaps the hole; and
a resilient element positioned between the plate and the retaining element, wherein the resilient element is a spring having a linear configuration.

US Pat. No. 10,426,529

SURGICAL SYSTEMS, KITS AND METHODS FOR SETTING BONE SEGMENTS

Mark A. Barry, Las Vegas...

1. A method of intramedullary bone fixation comprising:installing a bone anchor in a side surface of a bone, the bone anchor having a head;
sliding a distal end of a resilient, elongate nail body longitudinally into the bone through a channel in the head of the installed bone anchor and along a medullary cavity of the bone to occupy a portion of the cavity such that the nail body enters the anchor channel through the side surface of the bone adjacent to the anchor head; and
tightening a mechanism on the bone anchor such that the mechanism moves from a movable state in which the nail body may slide axially and rotate through the engagement portion and a fixed state in which the nail body is prevented from moving relative to the bone anchor,
wherein the resilient, elongate nail body includes a curved portion that exerts a lateral spring force against a wall of the medullary cavity after the nail body is implanted.

US Pat. No. 10,426,528

PERCUTANEOUS TRANSVERSE CONNECTOR SYSTEM

The University of Iowa Re...

1. A transverse rod installation instrument assembly for inserting a transverse rod on a spine of a subject percutaneously comprising:an ipsilateral rod clamp;
a contralateral rod clamp;
a first rod clamp extender configured to be mounted on the ipsilateral rod clamp and a second rod clamp extender configured to be mounted on the contralateral rod clamp when the ipsilateral rod clamp and the contralateral rod clamp are secured to a vertebra at an ipsilateral and a contralateral pedicle of the vertebra; and
a pivoting installation instrument configured to be pivotably mounted to the first rod clamp extender and the second rod clamp extender to pass a transverse rod percutaneously through a head portion of the ipsilateral rod clamp and to a head portion of the contralateral rod clamp after passing through a spinous process of the vertebra along arc “A” on radius “R” such that the transverse rod is secured at the head portion of the ipsilateral rod clamp and the head portion of the contralateral rod clamp, wherein the head portion is superior to a longitudinal rod receiving section having an upper surface and a lower surface and having a tightening screw through its upper surface for securing the longitudinal rod receiving section to a longitudinal rod when positioned therein, and positioned between the transverse rod receiving section and the longitudinal rod receiving section is a polyaxial head to allow for freedom of movement when positioning the transverse rod in the transverse rod receiving section.

US Pat. No. 10,426,527

MINIMALLY INVASIVE SPINAL FIXATION SYSTEM AND RELATED METHODS

NuVasive, Inc., San Dieg...

1. A guide assembly for use with a spinal fixation system, the guide assembly comprising:an outer sleeve comprising an outer sleeve proximal end and an outer sleeve distal portion, the outer sleeve distal portion including a ridge configured to mate with a slot in an anchor element to secure the outer sleeve to the anchor element;
an inner arm assembly positioned within the outer sleeve, the inner arm assembly comprising first and second inner arm members positioned within the outer sleeve, wherein the first inner arm member comprises a first inner arm distal portion and the second inner arm member comprises a second inner arm distal portion, the first and second inner arm distal portions configured to engage the anchor element; and
an actuator moveable to cause translation of the first and second inner arm members from a first position to a second position with respect to the outer sleeve, whereby in the second position the first and second inner arm distal portions are in a locked engagement with the anchor element, wherein the actuator is a visual indicator configured to alert a user that the first and second inner arm distal portions are in a locked engagement, wherein the actuator comprises an actuator proximal end and an actuator distal end, wherein when the first and second inner arm members are in the second position the actuator proximal end is flush with the outer sleeve proximal end and the actuator distal end is distal of the outer sleeve proximal end, and when the first and second inner arm members are in the first position the actuator protrudes proximally from the outer sleeve proximal end.

US Pat. No. 10,426,526

SYSTEMS AND METHODS FOR INTRODUCING A BONE ANCHOR

NuVasive, Inc., San Dieg...

1. A guide assembly for introducing a bone anchor to an operative target site, the bone anchor including a housing having a pair of opposed arms defined by first and second opposed slots formed in the housing, comprising:an outer sleeve having a distal end, a proximal end, a central passage extending from the distal end to the proximal end, the outer sleeve being divided into a first outer arm and a second outer arm, the first outer arm and second outer arm being separated by a third slot open at the distal end and a fourth slot opposite the third slot and open at the distal end, wherein the first outer arm includes a first projection at the distal end extending into the central passage and the second outer arm includes a second projection at the distal end extending into the central passage, the first and second projections configured to engage first and second recesses formed in the housing arms, a first inner arm slidably coupled to the first outer arm such that the first inner arm translates longitudinally relative to the first outer arm, and a second inner arm slidably coupled to the second outer arm such that the second inner arm translates longitudinally relative to the second outer arm, the first inner arm and second inner arm being separated by a fifth slot and a sixth slot, the fifth slot being aligned with the third slot of the outer sleeve and the sixth slot being aligned with the fourth slot of the outer sleeve, the third and fifth slot together being aligned with the first slot of the housing and the fourth and sixth slot together being aligned with the second slot of the housing when the first and second projections are engaged in the first and second recesses of the housing, the first inner arm and second inner arm moveable between an open position and a closed position for temporarily fixing the housing to the guide assembly, the first inner arm having a first longitudinally extending engagement feature configured to slideably engage a complementary first longitudinally extending engagement feature on the housing when the first inner arm moves from the open position, the second inner arm having a second longitudinally extending engagement feature configured to slideably engage a complementary second longitudinally extending engagement feature on the housing when the second inner arm moves from the open position.

US Pat. No. 10,426,525

DEVICES AND METHODS FOR MONOAXIAL SCREW CONVERSION

1. A method for correcting spinal deformities, comprising:coupling a screw extension instrument to a receiving member of a polyaxial screw, the receiving member being coupled to a threaded shank that is polyaxially movable relative to the receiving member;
distally advancing relative to the receiving member of the polyaxial screw opposed arms of an inner component of the screw extension instrument that are disposed radially inward from opposed arms of the receiving member to exert a compressive force on a compression member disposed within the receiving member to convert the polyaxial screw into a monoaxial screw; and
retracting the inner component of the screw extension instrument relative to the receiving member to convert the monoaxial screw into a polyaxial screw after distally advancing the opposed arms of the inner component.

US Pat. No. 10,426,524

APPARATUS FOR SPINAL FIXATION AND METHODS OF USE

Spinal Elements, Inc., C...

1. A method, comprising:disposing a flexible band into contact with a first bone portion and into contact with a second bone portion, the flexible band having an aperture configured to receive a fastener that is configured to secure the flexible band to the first bone portion;
advancing a portion of the flexible band through an attachment connection of the flexible band until the first bone portion and the second bone portion are stabilized; and
advancing a portion of the fastener through the aperture and into the first bone portion until the flexible band is secured to the first bone portion, wherein the first bone portion is a spinous process of a first vertebra and the second bone portion is a spinous process of a second vertebra.

US Pat. No. 10,426,523

MEDICAL DEVICE AND METHOD TO CORRECT DEFORMITY

K2M, Inc., Leesburg, VA ...

1. A system for correcting a deformity of a spine, the system comprising:a first implant configured to be fixed to a first side of a first vertebra;
a rod configured to extend parallel to the spine on a second side of the first vertebra;
an adjustment member coupled to the rod including a rotatable reel and a first gear engaged with the reel;
a first force directing member extending across the spine and between the first implant and the adjustment member, the adjustment member noninvasively changes a distance between the adjustment member and the first implant,
wherein, when the reel rotates in a first direction, the first force directing member wraps around a portion of the reel to pull the first implant toward the adjustment member.

US Pat. No. 10,426,522

RECEIVING PART FOR RECEIVING A ROD FOR COUPLING THE ROD TO A BONE ANCHORING ELEMENT

1. A receiving part for receiving a rod for coupling the rod to a bone anchoring element, the receiving part comprising:a receiving part body having a first end, a second end below the first end, a substantially U-shaped recess at the first end forming a channel for receiving the rod, an accommodation space for accommodating a head of the bone anchoring element, and an opening at the second end for inserting the head into the accommodation space; and
a pressure element configured to be arranged at least partially in the accommodation space, the pressure element comprising a first section configured to contact the rod when the pressure element is in the receiving part body, and a second section axially connected to the first section and having an expandable portion configured to accommodate and clamp the head;
wherein the pressure element is insertable upwards through the opening at the second end of the receiving part body into the accommodation space; and
wherein when the pressure element is in the receiving part body, the pressure element is configured to assume a pre-locking position wherein an abutment at an inner wall of the receiving part body holds the pressure element against movement towards the first end of the receiving part body, while the inner wall of the receiving part body further restricts expansion of the expandable portion to prevent removal of an inserted head of the bone anchoring element from the receiving part.

US Pat. No. 10,426,520

COUPLING DEVICE FOR COUPLING A BONE ANCHOR TO A ROD AND BONE ANCHORING DEVICE WITH SUCH A COUPLING DEVICE

1. A coupling device for coupling a bone anchor to a rod, the coupling device comprising:a receiving part having a first end, a second end below the first end, a longitudinal axis extending through the first end and the second end, a channel at the first end for receiving a rod, and an accommodation space at the second end for pivotably holding a head of the bone anchor;
a pressure member positionable in the receiving part, the pressure member comprising a first portion for holding and clamping the head and a deformable portion with a free end, wherein the pressure member is adjustable in the receiving part from an insertion position where the first portion is expandable in the accommodation space for inserting the head to a locking position where the first portion exerts pressure on the head to lock the head in the receiving part; and
a locking member insertable into the channel, the locking member comprising an upwardly facing engagement surface engageable with the receiving part to move the locking member in the channel along the longitudinal axis and a lower surface for engaging the rod;
wherein when the pressure member and the locking member are in the receiving part and the deformable portion of the pressure member is at a first configuration, the free end of the deformable portion contacts a surface of the receiving part that faces downward towards the second end of the receiving part to restrict axial movement of the free end relative to the receiving part, and at least part of the locking member is movable downward past the free end of the deformable portion to exert a radially outwardly directed force on the deformable portion for adjusting the deformable portion from the first configuration to a second configuration where at least part of the deformable portion is positioned farther away from the longitudinal axis in a radial direction and at least part of the pressure member is at a different axial position compared to the first configuration while the free end of the deformable portion remains in contact with the surface of the receiving part that faces downward.

US Pat. No. 10,426,519

MINIMALLY INVASIVE SYSTEM FOR DYNAMIC CORRECTION OF A SPINAL DEFORMITY

Centre Hospitalier Univer...

1. A minimally invasive system for dynamic correction of a spinal deformity in patients, the system comprising:a flat ligament made of synthetic material;
a plurality of staples configured to be anchored on a respective vertebral body of the patient to hold the ligament against each vertebral body;
a device configured to mechanically tension the ligament;
wherein the device configured to mechanically tension the ligament comprising:
a tubular rod configured to allow the ligament and at least one pin capable of penetrating the vertebral body so as to prevent slippage of the distal end of the rod on the vertebral body to pass between a distal end and a proximal end of the rod, the rod leading, at the distal end thereof, into a notch suitable for the ligament to pass through; and
a torque wrench arranged at the proximal end of the rod, the torque wrench comprising a spindle that is perpendicular to the rod and has a slit through which the ligament passes, the spindle of the wrench being suitable for being rotated so as to adjust the mechanical tension of the ligament.

US Pat. No. 10,426,518

REVISABLE ORTHOPEDIC ANCHOR AND METHODS OF USE

DePuy Synthes Products, I...

1. A bone anchor member configured to be implanted in bone, comprising:a first probe component in the form of an elongate member having a proximal end and a distal end, a bone engaging edge having a plurality of barbs, an opposed edge, an external surface, and an opposed internal surface having a guide shoulder formed thereon, the guide shoulder extending in a diagonal curve across the internal surface of the first probe component, wherein the proximal end of the first probe component is connected to a first rod having an external surface and an opposed internal surface; and
a second probe component in the form of an elongate member having a proximal end and a distal end, a bone engaging edge having a plurality of barbs, a mating edge having a profile complementary to the guide shoulder and being configured to be seated along the guide shoulder, an external surface, and an opposed internal surface, wherein the proximal end of the second probe component is connected to a second rod, having an external surface and an opposed internal surface;
wherein the first and second probe components are configured to be assembled to form a bone anchor such that the barbed bone engaging edges of the first probe component and the second probe component face away from one another, the external surfaces of the first probe component and the second probe component face away from one another, the mating edge of the second probe component is seated along the guide shoulder of the first probe component, and distal ends of each probe component diverge away from one another; and
wherein the first and second rods are configured to be assembled to form a spinal fixation element such that the external surfaces of the first and second rods face away from one another.

US Pat. No. 10,426,517

CRANIOFACIAL EXTERNAL DISTRACTION APPARATUS

DEKA Products Limited Par...

1. A craniofacial external distraction apparatus comprising:a stationary member configured to be affixed to a head of a patient and having a halo portion, the stationary member configured to be affixed to a first lateral side of the head via a first fixation and to a second lateral side of the head via a second fixation, the halo portion configured to be operatively coupled to the first fixation and the second fixation and traversing therebetween via a front side of the head and superior to eyes of the patient;
a first upright body configured to be coupled to the stationary member adjacent to the first lateral side of the head, the first upright body inferior to the stationary member;
a second upright body configured to be coupled to the stationary member adjacent to the second lateral side of the head, the second upright body inferior to the stationary member;
a first arm member coupled to the first upright body, the first arm member extending anteriorly; and
a second arm member coupled to the second upright body, the second arm member extending anteriorly, wherein:
the first arm member includes an anterior portion and a posterior portion,
the anterior portion is pivotally coupled to the posterior portion via a pivot, and
the pivot is a harmonic drive assembly.

US Pat. No. 10,426,516

TROCAR SEAL SYSTEM

Covidien LP, Mansfield, ...

1. A surgical access apparatus, which comprises:an access member defining a longitudinal axis, the access member having a longitudinal opening to permit passage of a surgical object, the access member being dimensioned for insertion within body tissue to permit access to an underlying site, and defining proximal and distal ends, the access member including a housing segment and an elongated segment, the housing segment having internal walls that include a proximal wall surface and a lateral wall, the internal walls of the housing segment defining an object seal channel; and
an object seal mounted within the object seal channel of the housing segment, the object seal configured to move during manipulation of the surgical object, the object seal including:
a generally annular seal support; and
a seal member secured to the generally annular seal support, the seal member comprising:
a resilient material and a fabric material;
an inner seal segment defining an inner passage configured to permit passage of the surgical object in substantial sealed relation therewith;
an outer flange segment disposed radially outward of the generally annular seal support, the outer flange segment bending outwardly and having a radially outer-most free end disposed flat against only the proximal wall surface of the housing segment, the radially outer-most free end of the outer flange segment detached from the lateral wall of the housing segment; and
wherein the seal member defines at least one aperture adjacent the outer flange segment, the at least one aperture adapted for at least partial reception of the generally annular seal support.

US Pat. No. 10,426,515

TRANSSEPTAL ACCESS DEVICE AND METHODS

THE REGENTS OF THE UNIVER...

1. A method of performing a procedure in the left heart of a subject comprising the steps of:inserting a puncture needle and transseptal access sheath into the vasculature of the subject;
advancing the puncture needle and transseptal access sheath into the right ventricle;
guiding the puncture needle and transseptal access sheath to the inter-ventricular septum;
advancing the puncture needle through the inter-ventricular septum into the left ventricle;
advancing at least a portion of the transseptal access sheath over the puncture needle into the left ventricle;
removing the puncture needle such that the transseptal access sheath remains positioned across the inter-ventricular septum, thereby forming a passageway from the right ventricle to the left ventricle through the transseptal access sheath;
advancing an instrument through the transseptal access sheath into the left ventricle;
performing a procedure in the left ventricle with the instrument while the transseptal access sheath is maintained across the inter-ventricular septum; and
removing the instrument through the transseptal access sheath.

US Pat. No. 10,426,514

SELF-DILATING CANNULA

LivaNova USA, Inc., Arva...

1. A cannula assembly comprising:a cannula comprising:
an elongate body having a proximal end, a distal end, and a fluid-flow lumen extending therebetween; and
an atraumatic tip positioned at the elongate body's distal end;
a stylet having a stylet distal end; and
an obturator comprising a lumen sized to receive the stylet, wherein the obturator is sized to provide an interference fit between the stylet distal end of the stylet and an inside surface of a distal end of the obturator, wherein the interference fit is configured to control an amount of stylet insertion into the obturator.

US Pat. No. 10,426,513

APPARATUS AND METHOD FOR MINIMALLY INVASIVE SURGERY

Axcess Instruments Inc., ...

1. A system for performing a surgical procedure in a body cavity of a patient through a single incision, comprising:a) an access port body for placement within the single incision and having at least first and second passageways extending therethrough in a common vertical plane;
b) a first surgical instrument extendible through the first passageway of the access port body into the body cavity of the patient; and
c) at least a second surgical instrument extendible through the second passageway of the access port body into the body cavity of the patient, wherein the first and second passageways extend through the access port body in a crisscrossed configuration and guarantee triangulation of the first and second surgical instruments within the body cavity of the patient in the common vertical plane.

US Pat. No. 10,426,512

DEVICES AND METHODS FOR MINIMALLY INVASIVE TISSUE REMOVAL

ANGIOWORKS MEDICAL B.V., ...

1. A medical device for minimally invasive cutting of tissue from a body lumen, comprising:a sheath having a proximal and a distal end;
a tool configured to pass through the sheath and configured to transition from a crimped state to a deployed state, the distal end of the tool having at least one tube loop and at least one wire loop; and
a cutting element located at a distal end of the at least one tube loop,
wherein the cutting element is configured to cut tissue.

US Pat. No. 10,426,511

DEVICE FOR DETACHING PARIETAL THROMBI FROM A BLOOD VESSEL

1. A device for detaching a parietal thrombus from a body vessel comprising:a catheter including at least one catheter section disposed longitudinally relative to the catheter;
a catheter wall including at least one wall opening passing completely through the catheter wall;
the catheter wall being disposed longitudinally relative to the least one catheter section and comprising a resiliently deformable material, the at least one wall opening including a separating gap wound helically with a constant pitch around the catheter wall at least in parts of the at least one catheter section including a cut passing completely through the catheter wall having two faces which include cutting edges that contact each other when the separating gap is closed, the catheter in a distal direction from the separating gap including a fixing device configured for releasably fixing the catheter to the body vessel;
means configured for severing at least part of the parietal thrombus from the body vessel including the cutting edges which are responsive to removal of torque acting on the catheter when the parietal thrombus is at least partially within the opening to sever the at least part of the parietal thrombus;
the catheter being configured so that torque acting on the catheter causes diameter of the catheter to expand from a smaller catheter outer diameter when the faces including the cutting edges contact each other to a larger catheter outer diameter which is constant along the catheter and causes the separating gap to change from being closed to being opened with the faces including the cutting edges being separated; and
the catheter, in an absence of an external constraint being applied thereto while the parietal thrombus is at least partially within the opening, is configured to spontaneously adopt the smaller catheter outer diameter due to resilient restoring forces of the resiliently deformable material causing the separating gap to close to activate the means configured for severing to cause the cutting edges to sever at least part of the parietal thrombus from the body when the parietal thrombus is at least partially within the opening; and wherein
the fixing device comprises a dilatable balloon mounted on the catheter and is either spaced distally from the separating gap or is positioned distally from the catheter, and the balloon is inflatable by a lumen which is disposed along the lumen.

US Pat. No. 10,426,510

METHOD AND APPARATUS FOR CENTERING A MICROCATHETER WITHIN A VASCULATURE

ROXWOOD MEDICAL, INC., R...

1. A method of centering a microcatheter in a vessel comprising:inserting a catheter into the vessel, wherein the catheter comprises
a hollow shaft with a distal end and a proximal end,
a non-occluding self-expandable scaffold having a distal end, a proximal end, and a central longitudinal axis, the self-expandable scaffold being disposed at the distal end of the catheter, wherein a portion of the distal end of the catheter is disposed at least in part inside the self-expandable scaffold, and wherein the proximal end of the scaffold is permanently affixed to the hollow shaft and the distal end of the scaffold is configured to be slidable along the hollow shaft, and
a sheath
wherein the distal end is slidable along the hollow shaft,
wherein the scaffold is configured to be coupled to the distal end of the catheter, wherein at least a portion of the distal end of the catheter is disposed substantially along the central axis of the self-expandable scaffold structure,
wherein the hollow shaft is covered by the sheath; and
inserting a microcatheter into the catheter; and
withdrawing the sheath to expand the self-expandable scaffold structure whereby expansion of the scaffold centers the microcatheter along the central longitudinal axis of the scaffold thereby centering the microcatheter in the vessel.

US Pat. No. 10,426,509

MEDIAN LOBE DESTRUCTION APPARATUS AND METHOD

NeoTract, Inc., Pleasant...

1. A system for treating a median prostatic lobe of a patient, comprising:a handle configured to remain outside the patient;
an actuator operable by a user after the system has been placed partially within a urethra;
an introducer coupled to the handle and configured to be placed within the urethra of the patient;
a needle advanceable from the introducer by operation of the actuator to move through a curved trajectory to align with the handle, the needle being extendable from a portion of the system placed within the urethra and the needle being sized and configured to form an initial penetration track within the median prostatic lobe, wherein the needle exits from a side of the introducer;
an elongate member including a cutting blade with a hooked distal end, the elongate member being advanceable within and beyond a distal end of the needle while the distal end of the needle is within the median prostatic lobe;
and an elongate cylindrical implant deliverable through the introducer to be implanted in a passageway through the median prostatic lobe;
wherein the system is configured to treat the median prostatic lobe by dissecting and removing a portion of the median prostatic lobe.

US Pat. No. 10,426,508

CORDLESS HAND-HELD ULTRASONIC CAUTERY DEVICE

COVIDIEN AG, (CH)

1. An ultrasonic surgical assembly, comprising:a surgical handle including a first handle body portion defining an aseptically sealable battery-holding compartment and a second handle body portion connected to the first handle body portion;
a waveguide supported by and extending distally from the second handle body portion;
a cordless ultrasonic generator supported by the second handle body portion, the cordless ultrasonic generator including a driving-wave generation circuit and a shell housing the driving-wave generation circuit;
a cordless ultrasonic transducer supported by the second handle body portion, the cordless ultrasonic transducer coupled to the driving-wave generation circuit and having an output couple connected to the waveguide; and
a battery, wherein the first handle body portion is configured to removably hold the battery within the aseptically sealable battery-holding compartment, and wherein the surgical handle is configured to electrically connect the battery with the cordless ultrasonic generator when the battery is disposed within the battery-holding compartment.

US Pat. No. 10,426,507

ULTRASONIC SURGICAL INSTRUMENTS

Ethicon LLC, Guaynabo, P...

1. A surgical instrument, comprising:a transducer configured to generate an acoustic standing wave of vibratory motion along a longitudinal axis, wherein the transducer comprises a piezoelectric stack positioned along the longitudinal axis, wherein the transducer is configured to resonate at a predetermined vibrational frequency, wherein a wavelength of the acoustic standing wave corresponds to the predetermined vibrational frequency, and wherein a length of the transducer is less than ½ of the wavelength of the acoustic standing wave; and
an end effector acoustically coupled to and extending distally from the transducer along the longitudinal axis;
wherein a sum of the length of the transducer and a length of the end effector is an integer multiple of ½ of the wavelength of the acoustic standing wave.

US Pat. No. 10,426,506

ULTRASONIC SURGICAL INSTRUMENT WITH MULTI-GRIP ACTIVATION AND POWER SELECTION

Ethicon LLC, Guaynabo, P...

1. An ultrasonic instrument for use during a surgical procedure, comprising:(a) a body defining a longitudinal axis and configured to receive an ultrasonic transducer for selectively generating an ultrasonic oscillation at a first predetermined power level and an ultrasonic oscillation at a second predetermined power level;
(b) a shaft assembly projecting from the body, the shaft assembly including an acoustic waveguide configured to communicate the selected first or second predetermined power level therealong;
(c) an ultrasonic blade connected to the acoustic waveguide such that the acoustic waveguide communicates the selected first or second predetermined power level to the ultrasonic blade; and
(d) an actuation assembly connected to the body and configured to selectively activate the ultrasonic blade, the actuation assembly comprising:
(i) a selector collar generally surrounding the body and being selectively moveable relative to the body between a first selector collar position, a second selector collar position, and a third selector collar position, the selector collar configured to select from the first predetermined power level and the second predetermined power level and
(ii) a plurality of activation buttons operable to initiate activation of the ultrasonic blade at the predetermined power level as selected by the selector collar,
(e) a switch assembly, including:
(i) an electrical contact selector switch operatively connected to the selector collar and movable to an open selector position to thereby be configured to electrically disconnect from a transducer circuit, and
(ii) at least one electrical contact activation switch operatively connected to at least one of the plurality of activation buttons and movable to a closed activation position to thereby be configured to electrically connect to the transducer circuit,
wherein the electrical contact selector switch in the open selector position is an off mode that inhibits oscillation of the ultrasonic blade despite operation of the at least one activation button directing the at least one electrical contact activation switch to the closed activation position.

US Pat. No. 10,426,505

HOLLOW STRANDED WIRE LINE FOR MANIPULATION

TOKUSEN KOGYO CO., LTD., ...

1. A hollow stranded wire line for manipulation, the hollow stranded wire line comprising a side wire or a side strand which is an outermost layer, the side wire or the side strand having a forming rate that is greater than 100% and not greater than 110%, whereinin a state where the hollow stranded wire line is disentangled, the side wire or the side strand having been formed has a flattened spiral shape, and wherein the side wire or the side strand has a spiral shape with a flatness having an aspect ratio obtained by a major axis being divided by a minor axis of not less than 1.01 and not greater than 1.10.

US Pat. No. 10,426,504

METHODS AND SYSTEMS FOR FEMORAL CONDYLAR RESECTION ARTHROPLASTY OF THE KNEE

6. A method for femoral condylar resection arthroplasty of the knee, comprising the steps of:preserving undamaged meniscus in the knee via arthroscopy or arthrotomy;
making an incision over a joint line of the knee;
placing an intercondylar insert between articular surfaces of a distal femoral condyle and a tibial plateau with the knee in extension;
pinning a distal femoral condyle cutting block at a tide mark;
resecting the distal femoral condyle;
using a posterior and chamfer cutting block;
resecting the posterior femoral condyle;
sizing the distal and posterior femoral condyle with trial components; and
replacing the distal and posterior femoral condyle with a correspondingly sized distal and posterior femoral condyle component.

US Pat. No. 10,426,503

SYSTEM AND METHOD FOR PERFORMING SURGICAL PROCEDURES WITH A REUSABLE INSTRUMENT MODULE

Covidien LP, Mansfield, ...

1. A handle assembly of a surgical instrument, the handle assembly comprising:an outer housing shell defining a cavity;
an instrument module selectively insertable into the cavity of the outer housing shell and including:
an inner housing shell defining a cavity therein; and
a motor disposed within the cavity of the inner housing shell;
wherein the inner housing shell and the outer housing shell are configured such that a driving force of the motor is communicated through each of the inner housing shell and the outer housing shell when the motor is contained within the inner housing shell and when the instrument module is contained within the outer housing shell.

US Pat. No. 10,426,502

NOSEBLEED-ATTENUATING APPARATUS

1. A nosebleed-attenuating apparatus comprising:a cylinder defining an aperture element opening extending between a first cylinder end and an opposing second cylinder end, said cylinder sized to fit between a nose and an upper lip;
an annular member coupled to said cylinder, said annular member defining an annular member opening configured to receive at least one finger of a hand to apply pressure to said annular member;
wherein an annular member opening longitudinal axis of said annular member is parallel to an aperture element opening longitudinal axis of said aperture element opening; and
a single straight elongate member extending between said annular member and said cylinder, said elongate member being directly coupled to said annular member and said cylinder;
a cylindrical absorbent element comprising a first absorbent portion and a second absorbent portion, said absorbent element positioned in said aperture element opening such that said first absorbent portion extends out of said first cylinder end and said second absorbent portion extends out of said second cylinder end;
wherein said nosebleed-attenuating apparatus is symmetrical about a central axis passing through said cylinder, said annular member, and said elongate member;
wherein during use, said pressure is transferred from said annular member to said cylinder for application to an external surface of a body to compress an area of nasal vascularization between said nose and said upper lip; and
wherein during said use, an entirety of said nosebleed-attenuating apparatus remains outside of said body.

US Pat. No. 10,426,501

RETRIEVAL SNARE DEVICE AND METHOD

CRUX BIOMEDICAL, INC., M...

1. A method for capturing an object in a lumen defined by a lumen wall, the method comprising:advancing a sheath within the lumen, the sheath having a proximal end and a distal end, until the distal end of the sheath is proximal to the object;
deploying a plurality of loop elements of a snare out of the distal end of the sheath in a propeller-like configuration, wherein each of the plurality of the loop elements emanates from and returns to the distal end of the sheath, and wherein at least some of the plurality of loop elements comprise a first portion disposed out of the distal end of the sheath and extending distally of the distal end of the sheath and a second portion disposed out of the distal end of the sheath and extending proximally of the distal end of the sheath when the snare is fully deployed; and
capturing a portion of the object with at least one of the plurality of loop elements.

US Pat. No. 10,426,500

RADIALLY-FIRING ELECTROHYDRAULIC LITHOTRIPSY PROBE

NORTHGATE TECHNOLOGIES IN...

1. An invasive electrohydraulic lithotripter probe comprising:an invasive electrohydraulic lithotripter tip comprising a first electrode and a second electrode and having a length in excess of 250 cm;
wherein the invasive electrohydraulic lithotripter probe is dimensioned to be inserted into a long channel having a length in excess of 250 cm;
wherein at least a portion of a distal edge of the invasive electrohydraulic lithotripter tip is a rounded bevel;
wherein the invasive electrohydraulic lithotripter probe comprises a stiffening over-sheath positioned over at least a part of insulating material of the invasive electrohydraulic lithotripter probe, the stiffening over-sheath configured to reinforce a linear strength of at a least a portion of the invasive electrohydraulic lithotripter probe by up to approximately 50%; and
wherein the first and second electrodes are positioned on the invasive electrohydraulic lithotripter tip such that an electric arc between the first and second electrodes causes a shockwave for breaking up concretions or disrupting tissue positioned adjacent to the invasive electrohydraulic lithotripter tip.

US Pat. No. 10,426,499

METHOD AND APPARATUS TO DETECT THE FRAGMENTATION OF KIDNEY STONES BY MEASURING ACOUSTIC SCATTER

University of Washington,...

1. A computer-implemented method for determining fragmentation of a kidney stone, comprising:generating a first acoustic wave and a second acoustic wave, wherein the first acoustic wave and the second acoustic wave are directed to the kidney stone;
receiving a first resonant wave from a pre-fragmented kidney stone that is a first particle having a first size;
receiving a second resonant wave from a post-treated kidney stone;
determining that a second particle has a second size, wherein the first resonant wave is induced by internal stress vibrations in the pre-fragmented kidney stone in response to the first acoustic wave and the second resonant wave is induced by internal stress vibrations in the post-treated kidney stone in response to the second acoustic wave;
determining a first frequency of the first resonant wave and a second frequency of the second resonant wave, wherein the first frequency and the second frequency scale inversely with the first size and the second size;
calculating the first size of the first particle from the first frequency;
calculating the second size of the second particle from the second frequency; and
based on calculating the first size and the second size, determining one of (a) that the kidney stone is fragmented when the second size is smaller than the first size and (b) that the kidney stone is not fragmented when the second size is the same as the first size.

US Pat. No. 10,426,498

DEVICES AND METHODS FOR PERFUSION THERAPY

NEURONAL PROTECTION SYSTE...

19. A method for cerebral perfusion therapy of a patient, including:a. Providing a cerebral perfusion device including:
i. An outer catheter configured for cerebral perfusion therapy and including a single lumen first elongate member having a proximal portion with a proximal end, a distally tapered distal portion having a distally tapered distal end and an open distal tip, an inner lumen extending along at least the outer catheter distal portion, a plurality of apertures disposed along the distal portion and extending from an outer surface of the first elongate member to the first elongate member inner lumen; and
ii. An inner catheter configured for use in cerebral perfusion therapy and including a second elongate member having a proximal portion with a proximal end, a distal portion with a distal end and an open distal tip, a lumen extending along at least the inner catheter distal portion, the inner catheter configured for slidable coaxial advancement within the inner lumen of the outer catheter and through the outer catheter distal tip, and slidable disposal at a location near or at the vicinity of at least a portion of the outer catheter apertures;
iii. Navigating the device intracorporeally through a patient's artery to a treatment site;
iv. Applying suction thromboaspiration simultaneously through at least a portion of the outer catheter and the inner catheter to assist in removal of obstruction from the site and minimize embolic particles liberated during treatment of the treatment site from migrating to a previously uninvolved vascular territories.

US Pat. No. 10,426,497

ANCHORING DELIVERY SYSTEM AND METHODS

Route 92 Medical, Inc., ...

1. A catheter system for use to deliver a working device to an intracranial artery, the catheter system comprising:a tethering device comprising:
an elongated tether having a distal end and a proximal end; and
an anchor coupled to the distal end of the tether, the anchor deployable from a low profile configuration to a higher profile configuration to fix the distal end of the tether at an anchoring site in an anchoring vessel; and
a guide-sheath comprising:
a tether lumen configured to receive the tethering device, the tether lumen communicating with a tether port near a distal end of the guide-sheath;
a working lumen extending from a proximal end of the guide sheath to a mouth at or near the distal end of the guide sheath, the working lumen configured to deliver a working device; and
a deflecting surface near the distal end of the guide sheath, the deflecting surface located between the working lumen and the tether lumen, and positioned oblique to the working lumen; and
a point of fixation located proximal to the anchoring site, wherein the guide-sheath is reversibly attachable to the elongated tether at the point of fixation, and
wherein, when the anchor is deployed at the anchoring site and the guide-sheath is attached to the elongated tether at the point of fixation, delivery of the working device through the working lumen tensions the elongated tether between the anchoring site and the point of fixation.

US Pat. No. 10,426,496

METHOD FOR SURGICALLY REMOVING A TUMOR FROM A WOMAN'S BREAST

1. A method for surgically removing a tumor from a woman's breast, comprising:inserting a single optical trocar having working channels and a transparent tip through a skin incision located at a breast;
visually guiding the transparent tip of the single optical trocar as the single optical trocar advances through breast tissue with visualization through the transparent tip of the single optical trocar until the transparent tip of the single optical trocar is placed adjacent to the tumor;
insufflating gas via one of the working channels of the single optical trocar under a positive pressure, wherein the insufflating gas presses against the breast tissue, pressing the breast tissue away to create a cavity in an operative field next to the tumor;
within the cavity created next to the tumor, dissecting the tumor free with a surgical instrument inserted through one of the working channels;
removing the tumor through one of the working channels of the single optical trocar;
wherein the inserting, guiding, insufflating, dissecting and removing are all performed with the single optical trocar such that the single optical trocar is the only trocar used; and
inserting a dilatation balloon through one of the working channels to create an initial cavity for insufflating gas.

US Pat. No. 10,426,495

METHODS AND DEVICES FOR INSTALLING STANDARD AND REVERSE SHOULDER IMPLANTS

1. A system for resurfacing a humeral head, comprising;a humeral head resurfacing template having a patient specific surface fabricated from an anatomical scan of a proximal humerus, the patient specific surface configured to at least partially achieve a stable engagement with an anatomical feature of the proximal humerus; and
a cutting block having an upper cutting surface disposed at a desired resection angle, the cutting block extending below the upper cutting surface and configured to at least partially cover the anatomical feature of the proximal humerus;
wherein the template has a negative geometry that matches a positive geometry of at least part of the proximal humerus and the anatomical feature; and
wherein the cutting block has a negative geometry that matches a positive geometry of the anatomical feature of the proximal humerus and a portion of the humeral head disposed between the anatomical feature and the upper cutting surface of the cutting block.

US Pat. No. 10,426,494

ANKLE ARTHROPLASTY SYSTEMS AND METHODS

LIMACORPORATE S.P.A., Ud...

1. A system for preparing a bone for joint arthroplasty, the system comprising:a burr comprising a rotatable cutting element having a shape, extending along a length of the rotatable cutting element, selected from the group consisting of a concave shape and a convex shape; and
a guide mechanism comprising:
a bone attachment interface securable to the bone;
a burr attachment interface securable to the burr; and
wherein the burr attachment interface is mechanically coupled to the bone attachment interface such that relative motion between the bone attachment interface and the burr attachment interface occurs along a non-linear pathway and is constrained to facilitate formation of a prepared surface on the bone with the burr, so that the prepared surface has at least one convex curvature.

US Pat. No. 10,426,493

PATIENT-SPECIFIC GLENOID GUIDES

Biomet Manufacturing, LLC...

1. A system for a shoulder joint of a patient comprising: a glenoid guide comprising:an upper surface;
a lower surface that is shaped as a patient-specific surface that is configured as a negative surface of at least a portion of a glenoid face based on a three-dimensional image of a shoulder joint of a patient reconstructed preoperatively from image scans of the shoulder joint of the patient;
a first drill guide extending from the upper surface along a first alignment axis configured preoperatively with a patient-specific orientation and insertion location for guiding a first glenoid implant into the glenoid face;
a second drill guide extending from the upper surface along a second alignment axis configured preoperatively with a patient-specific orientation and location for guiding a second glenoid implant into the glenoid face;
a baseplate implant configured to engage the glenoid face and having a plurality of fixation holes therein; and
a finishing drill guide configured to couple with the baseplate implant, the second drill guide including a plurality of drilling bores that communicate with the fixation holes.

US Pat. No. 10,426,492

PATIENT SPECIFIC ALIGNMENT GUIDE WITH CUTTING SURFACE AND LASER INDICATOR

Biomet Manufacturing, LLC...

1. A patient-specific guiding system for guiding an instrument relative to a portion of an anatomical feature of a patient, the patient-specific guiding system comprising:a patient-specific guide having:
a first portion having a first patient-specific inner surface that is configured to conform to and mate with a first surface of the anatomical feature in only one position and an outer surface opposite the first patient-specific inner surface, the first portion including a guide surface for use in guiding the instrument relative to the anatomical feature and a fixation feature for coupling the first portion to the first surface of the anatomical feature; and
a second portion having a second patient-specific inner surface that is configured to conform to and mate with a second surface of the anatomical feature in only one position and an outer surface opposite the second patient-specific inner surface, the second portion being removably connected to the first portion;
wherein the first and second patient-specific inner surfaces each have a three dimensional contour that is configured to nest and closely conform to the first and second surfaces, respectively, of the anatomical features, to align the guide relative to the anatomical feature; and
wherein the first and second portions are non-adjustably conformable with the first and second surfaces when the first and second portions are connected to each other to facilitate engagement in a single desired orientation; and
wherein the guide surface is an opening in the first patient-specific inner surface that is configured to receive the instrument.

US Pat. No. 10,426,491

TANGENTIAL FIT OF PATIENT-SPECIFIC GUIDES

Biomet Manufacturing, LLC...

1. A bone preparation guide comprising:a first patient-specific portion based on image data of a specific patient's bone and configured to match a bone surface on the specific patient;
a first bone-contacting portion based on image data of the specific patient's bone and configured to match the bone surface; and
an intermediate portion configured to be a bone-facing portion supported by the first patient-specific portion and the first bone-contacting portion;
wherein the bone contacting portion includes bone contacting members including pointed tips.

US Pat. No. 10,426,490

TRANSPARENT PRESSURE DRESSING DEVICE AND METHODS FOR ENABLING HEMOSTASIS OF BLOOD

1. A transparent pressure dressing device configured to enable hemostasis of blood in a perforation of a blood vessel, the transparent pressure dressing device comprising;a rectangular plate shaped artificial hand component, wherein the artificial hand component comprises a protuberance section positioned proximal to a distal edge of the artificial hand component; and
one or more adhesive fins extending from an upper surface of the artificial hand component, wherein the protuberance section of the artificial hand component is configured to be gradually pressed against the perforation on the blood vessel to enable hemostasis of the blood, and the adhesive fins are configured to adhere to a body surface of a patient proximal to the perforation on the blood vessel; and
further comprising one or more metal weight components positioned above and conforming to the upper surface of the artificial hand component, wherein each metal weight component is configured to add weight to the artificial hand component to increase the pressure applied to enable hemostasis of the blood at the perforation of the blood vessel; and
further comprising a plurality of magnetic pieces positioned on an upper surface of each metal weight component, wherein the magnetic pieces allow attachment of the one or more metal weight components above the artificial hand component to generate required compression on body's tissues proximal to the perforation of the blood vessel.

US Pat. No. 10,426,489

ENDOSCOPIC REPOSABLE SURGICAL CLIP APPLIER

Covidien LP, Mansfield, ...

12. An endoscopic assembly for use with a reposable surgical clip applier, the endoscopic assembly comprising:an outer tube defining a longitudinal axis extending therealong, and a pair of transverse channels formed therein;
a pusher bar slidably supported within the outer tube, wherein a proximal portion of the pusher bar is received within the pair of transverse channels; and
a spindle assembly slidably supported within the outer tube, a surface of the spindle supporting a fin that is in selective engagement with a proximal portion of the pusher bar,
wherein during a distal advancement of the spindle, the fin urges the pusher bar in a distal direction.

US Pat. No. 10,426,488

EXCLUSION OF THE LEFT ATRIAL APPENDAGE

1. A method for excluding the left atrial appendage (LAA), 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 LAA, the first member being long enough to extend from one side of the LAA 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 LAA, the second member being long enough to extend from one side of the LAA to the other;
disposing the first and second members on either side of the LAA adjacent the heart 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 LAA between the first and second members without causing the development of necrotic tissue:
maintaining the first and second members in a compressed position relative to the LAA;
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 LAA;
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 LAA adjacent the heart 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. 10,426,487

DEVICES, SYSTEMS AND METHODS FOR ENCLOSING AN ANATOMICAL OPENING

Pulsar Vascular, Inc., S...

1. An aneurysm enclosure framework in a planar configuration prior to assembly into a deliverable configuration, the aneurysm enclosure framework comprising:a central framework portion and two support framework portions, the support framework portions connected to opposite sides of the central framework portion, the central and support framework portions aligned along a longitudinal axis,
wherein the central framework portion comprises a set of central struts forming at least one quadrilateral form with first and second longitudinal junctions joining the struts at two longitudinal apices, and two lateral junctions joining the struts at apices of a lateral axis; and
a radiopaque composition incorporated in a laterally asymmetric pattern on the central framework portion.

US Pat. No. 10,426,486

VASO-OCCLUSIVE DEVICE DELIVERY SYSTEM

STRYKER CORPORATION, Kal...

1. A vaso-occlusive device delivery assembly, comprising:a pusher assembly including a substantially fluid tight pressure chamber in a distal end portion thereof;
a thermally activated pressure generating material disposed in the pressure chamber;
a heat generating member at least partially disposed in the pressure chamber, the heat generating member substantially surrounded by the pressure generating material; and
a vaso-occlusive device detachably coupled to the pusher assembly distal of the pressure chamber, wherein the pressure generating material comprises a solid that is configured for changing state into, or otherwise releasing at least one of, a liquid or a gas that increases a pressure in the pressure chamber, thereby detaching the vaso-occlusive device from the pusher assembly, in direct response to heat generated by the heat generating member, wherein
the vaso-occlusive device comprises an attachment member at a proximal end thereof, the attachment member being frictionally secured to the pusher assembly, wherein a proximal end of the attachment member comprises a distal wall of the pressure chamber, such that the increased pressure in the pressure chamber expels the attachment member from the pusher assembly.

US Pat. No. 10,426,485

EMBOLIC COIL DETACHMENT MECHANISM WITH HEATING ELEMENT AND KICKER

DEPUY SYNTHES PRODUCTS, I...

1. A catheter for delivering an embolic component, comprising:a flexible tubing defining a lumen, the flexible tubing having a proximal end and a distal end;
a cylindrical heating element disposed at the distal end of the flexible tubing, said cylindrical heating element defining a channel therethrough, the cylindrical heating element including electrical conductors extending along the flexible tubing in a longitudinal direction; and
a spring disposed in the flexible tubing and proximal to the cylindrical heating element in a compressed condition, the spring having a proximal end and a distal end, the proximal end of the spring being fixed within the flexible tubing and the distal end of the spring being configured for longitudinal movement within the flexible tubing, the distal end of the spring extending within a portion of the channel defined by the cylindrical heating element in an uncompressed condition.

US Pat. No. 10,426,483

HEMOSTATIC DEVICES AND METHODS FOR USE THEREOF

1. A hemostatic device for use in an internal organ comprising:an elongate member configured for insertion into a kidney, the elongate member having an exterior surface, a distal end and a proximal end, and a first lumen defined by an interior surface of the elongate member extending from the distal end to the proximal end, the first lumen configured to permit surgical implements to pass through the elongate member after the elongate member is inserted in a percutaneous tract of the kidney; a hemostatic material located on the exterior surface;
a removable covering adapted to move slidably over the elongate member and the hemostatic material;
a plurality of channels on the exterior surface and configured to retain the hemostatic material on the exterior surface;
wherein the elongate member configured to achieve hemostasis after the surgical implements are removed from the first lumen by the simultaneous application of the hemostatic material and pressure exerted by the exterior surface of the elongate member while surgery is performed on the internal organ using the surgical implements placed in and through the first lumen from the distal end to the proximal end; and wherein the elongate member comprises a retention disk located near the distal end for securing the elongate member to an interior wall of the percutaneous tract;
a collar slidably connected to the elongate member and configured to be slid into a position against an exterior wall of the percutaneous tract for securing the elongate member to the exterior wall of the percutaneous tract after deployment of the retention disk;
a control element located inside a second lumen in the elongate member and configured to control deployment of the retention disk, wherein a first end of the control element is attached to the retention disk and a second end of the control element is attached to the collar, wherein the retention disk is configured to change from a collapsed configuration to a deployed configuration, and the control element is configured to move the retention disk toward the proximal end of the elongate member for operable engagement with the interior wall of the percutaneous tract.

US Pat. No. 10,426,482

DEVICES AND METHODS FOR EFFECTUATING PERCUTANEOUS GLENN AND FONTAN PROCEDURES

The United States of Amer...

1. A reinforced endograft shunt prosthesis, comprising:a distal flange configured to help seat the prosthesis when it is pulled proximally;
a distal segment extending proximally from the distal flange that has sufficient stiffness to maintain a puncture in an open condition that is formed through a first vessel wall through which the distal segment passes;
a compliant middle segment extending proximally from the distal segment, the compliant middle segment being more compliant than the distal segment, and including a plurality of undulating strut rings attached to at least one of an inner tubular fabric and an outer tubular fabric, the combined structure providing flexibility and compliance to allow for full patency while flexed, the segment being further configured to accommodate up to a 90 degree bend;
a proximal segment having a plurality of adjacent undulating strut rings that are connected to each other, the proximal segment being sufficiently stiff to seat within and urge against a second vessel wall; and
an undulating proximal end including a tether that is threaded through the openings to cause the proximal end of the prosthesis to collapse radially inwardly when tension is applied to the tether.

US Pat. No. 10,426,481

IMPLANTABLE LAYER ASSEMBLIES

Ethicon LLC, Guaynabo, P...

1. A staple cartridge assembly for use with a surgical instrument, wherein the staple cartridge assembly comprises:a staple cartridge defining a longitudinal axis, the staple cartridge comprising:
a cartridge body; and
a plurality of staples stored in the cartridge body; and
a compressible tissue thickness compensator, comprising:
a deck-facing side;
a tissue-facing side;
a first portion; and
a second portion, wherein the second portion comprises a curved depression on the tissue-facing side of the compressible tissue thickness compensator, wherein the curved depression partially extends through the second portion of the compressible tissue thickness compensator, and wherein the curved depression is transverse to the longitudinal axis defined by the staple cartridge.

US Pat. No. 10,426,480

CUTTING RING ASSEMBLY WITH RIGID CUTTING MEMBER

Covidien LP, Mansfield, ...

1. An anvil assembly comprising:an anvil center rod;
an anvil head supporting an anvil plate having a plurality of staple deforming pockets; and
a cut ring assembly supported within the anvil head adjacent the anvil plate, the cut ring assembly including a backup member, an intermediate member and a cutting ring body, the backup member formed of a single integral material, wherein the intermediate member is formed of a thin, rigid material and is sandwiched directly between the backup member and the cutting ring body, wherein the intermediate member is in direct contact with the backup member and the cutting ring body, the thin, rigid material being formed of a material having a hardness less than the hardness of the backup member and greater than the hardness of the cutting ring body.

US Pat. No. 10,426,479

FASTENERS, DEPLOYMENT SYSTEMS, AND METHODS FOR OPHTHALMIC TISSUE CLOSURE AND FIXATION OF OPHTHALMIC PROSTHESES AND OTHER USES

O3 OPTIX LLC, Santa Moni...

1. A device for deploying surgical fasteners in a tissue, the device comprising:a fastener support configured to deliver a fastener to an anvil assembly, the fastener having a first leg and a base portion, the first leg configured to advance distally through a tissue surface and into the tissue; and
the anvil assembly operably coupled with the fastener support, the anvil assembly having:
a first anvil with a distal end configured to penetrate through the tissue surface and into the tissue during fastener deployment, the first anvil further configured to deform a received fastener from an open configuration to a closed configuration during fastener deployment of the fastener in the tissue; and
a first rotatable lobe including a non-penetrating tissue engaging surface configured for non-penetrating placement distally against the tissue surface, wherein rotation of the first rotatable lobe against the tissue surface controls a penetration depth of the distal end of the first anvil into the tissue relative to the tissue surface during fastener deployment.

US Pat. No. 10,426,477

STAPLE CARTRIDGE ASSEMBLY INCLUDING A RAMP

Ethicon LLC, Guaynabo, P...

1. A staple cartridge assembly, comprising:a cartridge body comprising a proximal end and a distal end;
a deck;
a longitudinal row of staple cavities defined in said deck;
a plurality of staples removably stored in said row of staple cavities, wherein each said staple comprises:
a base comprising a groove;
a first leg extending from said base; and
a second leg extending from said base; and
a ramp configured to move from said proximal end toward said distal end to eject said staples from said staple cavities, wherein said ramp travels along a path aligned with said bases of said staples, wherein said first legs are positioned on a first side of said path, wherein said second legs are positioned on a second side of said path, and wherein said groove of said base is configured to receive said ramp as said ramp travels along said path.

US Pat. No. 10,426,476

CIRCULAR FASTENER CARTRIDGES FOR APPLYING RADIALLY EXPANDABLE FASTENER LINES

Ethicon LLC, Guaynabo, P...

1. A fastener cartridge assembly for use with a circular surgical fastening device comprising a circular knife and an anvil, wherein the fastener cartridge assembly comprises:a cartridge body comprising a circular deck, wherein said circular deck comprises an inner edge, wherein said inner edge comprises an inner circular axis having an inner radius, and wherein said circular knife is configured to cut tissue clamped between said circular deck and the anvil along a circular knife path having a knife radius that is less than said inner radius;
a plurality of transverse fastener cavities opening through the circular deck in a transverse cavity zone, wherein each said transverse fastener cavity comprises two cavity ends, wherein one said cavity end of each of the transverse fastener cavities is positioned on a first circular axis having a first radius, and wherein the other said cavity end of each said transverse fastener cavity is positioned on a second circular axis that has a second radius that differs from the first radius;
a plurality of circumferential fastener cavities opening through the circular deck, wherein each of the circumferential fastener cavities are aligned on a third circular axis that comprises a third radius that differs from the first and second radiuses, and wherein the circumferential fastener cavities are not positioned in said transverse cavity zone; and
a plurality of fasteners removably positioned within said fastener cavities, wherein said plurality of fasteners are configured to be ejected from said fastener cavities simultaneously, and wherein said plurality of fasteners comprises:
a plurality of first fasteners comprising a first formed height; and
a plurality of second fasteners comprising a second formed height, wherein said first formed height and said second formed height are different,
wherein said third radius is greater than said inner radius, and
wherein said first radius and said second radius are greater than said third radius.

US Pat. No. 10,426,475

SURGICAL DEVICE

AtriCure, Inc., Mason, O...

1. A medical instrument comprising:a hand-held control at least partially housing a plurality of controls;
a first joint including first joint components that are repositionable with respect to one another within a first degree of freedom;
a second joint operatively coupled to the first joint, the second joint including second joint components that are repositionable with respect to one another within a second degree of freedom, the second degree of freedom being different than the first degree of freedom;
an elongated conduit operatively coupling the hand-held control to at least one of the first joint and the second joint; and,
an occlusion clip deployment end effector removably coupled to a closed-ring occlusion clip;
wherein the plurality of controls comprises a first passive control configured to control repositioning of the first joint among a first position that allows free movement of the first joint across a predetermined range of a motion, and a second position that locks a position of the first joint within the predetermined range of motion; and,
wherein the plurality of controls comprises a second control configured to control repositioning of the second joint.

US Pat. No. 10,426,474

SUTURELESS DEVICE AND METHODS FOR CLOSING A TISSUE OPENING

Black Diamond Creations, ...

1. A tissue closing device comprising:(a) an anchor base and a receiving base; the bottom of the anchor base and the receiving base having an adhesive; the receiving base having a receiving body;
(b) a tie strip having a plurality of teeth, and a rack; wherein the tie strip connects with the anchor base;
(c) the receiving body having a slide port and a pawl extending into the slide port; the slide port is for receiving the tie strip; the pawl is adapted to engage with the teeth on the tie strip for preventing movement of said base portion in a release direction;
(d) a key having a pinion; wherein the key releasably connects with the receiving body; the pinion corresponds with the rack on the tie strip;wherein rotational motion to the key causes the rack on the tie strip to move relative to the pinion, thereby translating the rotational motion of the pinion into linear motion of the tie strip and the anchor base, such that the distance between the anchor base and the receiving base decreases; the teeth and the pawl maintains the distance between the anchor base and receiving base.

US Pat. No. 10,426,473

SYSTEM AND METHOD FOR PLICATING A HEART VALVE

Abbott Cardiovascular Sys...

1. A device for connecting together two opposing leaflets of a valve in a patient's heart, comprising:a first clip having a generally U-shape, comprising a first prong and a second prong, and a first bridge connecting the first prong to the second prong;
a second clip having a generally U-shape, comprising a third prong and a fourth prong, and a second bridge connecting the third prong to the fourth prong;
a third clip having a generally U-shape, comprising a fifth prong and a sixth prong, and a third bridge connecting the fifth prong to the sixth prong;
wherein the third prong has a first elongate axis and the fifth prong has a second elongate axis and the third prong and the fifth prong are positioned to extend adjacent to and parallel with the first prong, and are configured to rotate about the first elongate axis and the second elongate axis respectively.

US Pat. No. 10,426,472

DEVICES, SYSTEMS, AND METHODS FOR WOUND CLOSURE

Covidien LP, Mansfield, ...

1. A suture grasper for retrieving a suture from an internal surgical site, the suture grasper comprising:a housing;
an inner shaft extending from the housing and fixed relative thereto, the inner shaft having a tissue-penetrating tip;
an intermediate shaft disposed about the inner shaft, the intermediate shaft extending through a distal opening of an outer shaft and having a plurality of spring fingers movable between a spread position, wherein the spring fingers extend radially outwardly from the inner shaft and surround the inner shaft, and a compressed position, wherein the spring fingers are approximated about the inner shaft; and
the outer shaft disposed about the intermediate shaft and selectively translatable relative to the inner shaft and the intermediate shaft for moving the spring fingers between the spread position and the compressed position, wherein the intermediate shaft is translatable relative to the inner shaft and the outer shaft between a first proximal position, in which free ends of the spring fingers are positioned proximally of a distal region of the inner shaft, and a first distal position, in which the free ends of the spring fingers collectively enclose therein the tissue-penetrating tip of the inner shaft.

US Pat. No. 10,426,471

SURGICAL INSTRUMENT WITH MULTIPLE FAILURE RESPONSE MODES

Ethicon LLC, Guaynabo, P...

22. A powered surgical instrument, comprising:an end effector, comprising:
an actuation member movable through a firing stroke to actuate said end effector; and
a motor operably coupled to said actuation member, wherein said motor is configured to generate at least one rotational motion to move said actuation member through said firing stroke; and
a failure response system, comprising:
a first circuit configured to detect a first operational error of said powered surgical instrument, wherein said first operational error comprises detecting said movement of said firing member and said rotational motion of said motor exceeding a predetermined correlation during said firing stroke;
a second circuit configured to detect a second operational error of said powered surgical instrument, wherein said second operational error comprises detecting failure of at least one of a beginning-of-stroke switch and an end-of-stroke switch; and
a controller, comprising:
a memory;
a processor; and
a storage medium comprising program instructions which, when executed by said processor, cause said processor to:
activate a first failure response mode in response to the detection of said first operational error;
activate a second failure response mode in response to the detection of the first operational error and the second operational error, wherein said first failure response mode and said second failure response mode are different.

US Pat. No. 10,426,470

STAPLING DEVICE WITH RELEASABLE KNIFE CARRIER

Covidien LP, Mansfield, ...

1. A surgical stapling device comprising:an elongate body defining a longitudinal axis and having a proximal portion and a distal portion, the elongate body including a pusher drive member and a knife carrier pusher, the knife carrier pusher movable independently of the pusher drive member;
a reload assembly including a housing including an inner housing portion defining a housing through bore, a staple cartridge supporting a plurality of staples, a pusher assembly movably supported within the housing between a retracted position and an advanced position to eject the plurality of staples from the staple cartridge, and a knife carrier supporting a knife, the knife carrier including first engagement structure;
wherein the knife carrier pusher includes a second engagement structure that is configured to releasably engage the first engagement structure of the knife carrier to couple the knife carrier pusher to the knife carrier, the first engagement structure being movable from a first position engaged with the second engagement structure to a second position disengaged from the second engagement structure; and
a reload member supported on the housing, the reload member having a first portion configured to prevent movement of the first engagement structure from the first position to the second position and a second portion configured to accommodate movement of the first engagement structure from the first position to the second position.

US Pat. No. 10,426,469

SURGICAL INSTRUMENT COMPRISING A PRIMARY FIRING LOCKOUT AND A SECONDARY FIRING LOCKOUT

Ethicon LLC, Guaynabo, P...

1. A surgical instrument, comprising:a shaft comprising a longitudinal axis;
a firing drive comprising a firing member movable along said longitudinal axis;
an end effector, comprising:
a distal end;
a channel configured to receive a staple cartridge;
an anvil; and
a primary lockout configured to block said firing member from being moved toward said distal end if a staple cartridge is not positioned in said channel; and
a secondary lockout actuatable to prevent said firing member from being moved toward said distal end, wherein said secondary lockout is actuated in response to the distal movement of said firing member being blocked by said primary lockout.

US Pat. No. 10,426,468

HANDHELD ELECTROMECHANICAL SURGICAL SYSTEM

Covidien LP, Mansfield, ...

1. A handheld electromechanical surgical device, comprising:a non-sterile power-pack including:
at least one drive component, each drive component having a rotatable drive shaft extending therefrom;
a main processor coupled to the at least one drive component and configured to control each drive component;
a battery coupled to the main processor and the at least one drive component, the battery configured to power each drive component;
an electrical receptacle coupled to the main processor; and
at least one control interface coupled to the main processor, the at least one control interface actuatable to direct the main processor to control a functionality of at least one of the at least one drive component; and
a sterile outer shell housing configured to removably encase the power-pack, the sterile outer shell housing defining a sterile barrier between the power-pack and an exterior of the outer shell housing when encased about the power-pack to enable use thereof in a surgical environment without breaking sterility, the outer shell housing including:
a barrier plate assembly including:
a coupler configured to transmit a rotation from the rotatable drive shaft of each drive component through the outer shell housing, wherein the coupler includes a plurality of rotatable coupling shafts, each rotatable coupling shaft including a proximal end configured to operably couple to a respective rotatable drive shaft to receive rotative forces therefrom, and a distal end projecting from the outer shell housing;
at least one control button in operative registration with each of the at least one control interfaces such that actuation of the at least one control button actuates the at least one control interface in operative registration therewith; and
a pass-through connector configured to transmit electrical communications from the electrical receptacle through the outer shell housing, wherein the pass-through connector includes a proximal end configured to operably couple to the electrical receptacle, and a distal end projecting out of the outer shell housing.

US Pat. No. 10,426,467

SURGICAL INSTRUMENT WITH DETECTION SENSORS

Ethicon LLC, Guaynabo, P...

1. A surgical instrument comprising:a handle assembly;
a shaft coupled to the handle assembly;
an end effector communicatively coupled to the handle assembly through the shaft and comprising a first and second jaw, the handle assembly configured to manipulate the first and second jaws to define an open position and a closed position; and
a sensor apparatus integrally coupled to a distal end of the shaft comprising at least one sensor configured to transmit sensor signals onto patient tissue at a surgical site to directly measure a characteristic of the patient tissue and at least one receiver configured to receive sensor data of the patient tissue based on the transmission of the sensor signals.

US Pat. No. 10,426,466

HANDHELD ELECTROMECHANICAL SURGICAL SYSTEM

Covidien LP, Mansfield, ...

1. An adapter assembly, comprising:an elongate body including a proximal portion configured to couple to a handle assembly and a distal portion configured to couple to a surgical loading unit;
a switch actuator disposed within the elongate body and being movable between a proximal position, in which the switch actuator actuates a switch, and a distal position;
an actuation bar disposed within the elongate body and being movable between a proximal position and a distal position; and
a latch associated with the switch actuator and the actuation bar, the latch being movable between a first position, in which the latch permits proximal movement of the switch actuator, and a second position, in which the latch prevents proximal movement of the switch actuator, wherein the latch is configured to move from the first position toward the second position in response to the actuation bar moving toward the proximal position.

US Pat. No. 10,426,465

MECHANICAL, HOSE-LESS, CABLE-LESS, RE-USABLE DYNAMIC COMPRESSION BONE STAPLE DELIVERY DEVICE WITH ATTRIBUTES BUILT INTO HANDLE

Zimmer, Inc., Warsaw, IN...

1. A compression bone staple delivery system, comprising:a housing;
a handle attached to the housing;
a shaft disposable within the housing, movable between a proximal orientation and a distal orientation and positionable so that a distal end of the shaft impacts a staple for deploying the staple distally into a desired bone site when the shaft is moved from the proximal orientation to the distal orientation;
a spring configured to bias the shaft toward the distal orientation;
a latch configured to retain the shaft in the proximal orientation;
a coupling attachable to a distal end of the housing;
a staple cartridge housed within the coupling; and
a latch release, the latch release being actuatable to move the latch to a non-restraining orientation so that the shaft moves to the distal orientation, thereby deploying the staple from a position in the staple cartridge into the desired bone site.

US Pat. No. 10,426,464

METHODS AND APPARATUS FOR FIXING SHEET-LIKE MATERIALS TO A TARGET TISSUE

ROTATION MEDICAL, INC., ...

1. A system for attaching a sheet-like implant to tissue or bone comprising:a stapler including:
a fixation tool shaft comprising an elongated tubular member having a proximal end, a distal end, and a lumen therebetween,
wherein the distal end of the fixation tool shaft includes a first prong and a second prong which extend distally beyond the distal end of the lumen, the first prong and the second prong each being configured and adapted to form a first pilot hole and a second pilot hole respectively in a soft tissue and/or bone when pressed against the soft tissue and/or bone;
a staple push rod disposed within at least a portion of the lumen of the fixation tool shaft and slidable relative thereto, the staple push rod including a distal fork,
wherein the distal fork includes a first stake and a second stake extending distally therefrom,
wherein the first stake has a first proximal portion and a first distal portion, the first distal portion of the first stake being joined to the first proximal portion of the first stake by a first shoulder,
wherein the second stake has a second proximal portion and a second distal portion, the second distal portion of the second stake being joined to the second proximal portion of the second stake by a second shoulder;
a handle attached to the proximal end of the fixation tool shaft;
a trigger attached to the proximal end of the staple push rod and operably coupled to the handle such that the staple push rod will be advanced and/or retracted in an axial direction in response to movement of the trigger relative to the handle;
a staple carried by the staple push rod, the staple comprising:
a first arm having a proximal end and a distal end;
a second arm having a proximal end and a distal end;
a bridge element extending between the proximal end of the first arm and the proximal end of the second arm;
a first fluke attached to the distal end of the first arm, the first fluke having a first proximal end, a first proximally facing surface, and a first distal end; and
a second fluke attached to the distal end of the second arm, the second fluke having a second proximal end, a second proximally facing surface, and a second distal end,
wherein the first fluke defines a first passage way extending distally into the first fluke from the first proximally facing surface of the first fluke and the second fluke defines a second passage way extending distally into the second fluke from the second proximally facing surface of the second fluke,
wherein the first proximately facing surface of the first fluke is adapted to cooperatively mate with the first shoulder of the first stake to urge the first fluke into a first pilot hole adjacent to the first prong and the second proximately facing surface of the second fluke is adapted to cooperatively mate with the second shoulder of the second stake to urge the second fluke into a second pilot hole adjacent to the second prong when the trigger is moved relative to the handle.

US Pat. No. 10,426,463

SURGICAL INSTRUMENT HAVING A FEEDBACK SYSTEM

Ehticon LLC, Guaynabo, P...

1. A powered surgical stapler, comprising:a housing comprising a motor configured to produce output rotary motions;
an actuator movable relative to said housing between an unactuated state and an actuated state;
a counter;
an elongate shaft extending from said housing;
a lockout system;
an end effector extending from said elongate shaft, wherein said end effector comprises:
a first jaw;
a second jaw movable relative to said first jaw between an open position and a closed position, wherein said second jaw is moved toward said closed position when said actuator is in said actuated state;
a channel;
a staple cartridge configured to be operably received in said channel; and
an anvil;
a firing member configured to translate through said staple cartridge during a firing stroke in response to said output rotary motions of said motor, wherein said firing member is resettable to translate through another firing stroke; and
a display which displays:
the position of said firing member;
a locked-out condition, wherein said firing member is prevented from performing a said firing stroke when said firing member is in said locked-out condition by way of said lockout system, and wherein said firing member is placed in said locked-out condition by said lockout system when said second jaw is not in said closed position; and
an actuation count determined by said counter, wherein said actuation count comprises the number of firing strokes performed by said firing member.

US Pat. No. 10,426,462

SIDE LOADING KNOT CUTTER

1. An instrument for securing a knot disposed in surgical suture, the instrument comprising:a shaft comprising:
a cannula having a proximal portion coupled to a handle and a distal portion including a distal end, the cannula extending parallel with a longitudinal axis of the handle, the cannula extending through a distal end of the handle to define a cannulated tip of the shaft; and
a cutting sleeve movably disposed over the cannula and configured to slide over the cannula;
a side-loading channel disposed along a side of the distal portion of the cannula and extending through the distal end of the cannula; and
a user manipulable control portion slidably mounted on an upper surface of the handle, the user manipulable control portion configured for controlling axial movement of the cutting sleeve along the cannula;
wherein the distal end of the cannula comprises a knot pushing surface,
wherein the side-loading channel is configured to receive a suture, and
wherein the cannulated tip is configured for receiving the suture from the side-loading channel.

US Pat. No. 10,426,461

SURGICAL ACCESS DEVICES HAVING A VARIABLE TISSUE APPROACH ANGLE

Ethicon LLC, Guaynabo, P...

1. A surgical access device, comprising:(a) a housing having a top surface, a side surface, and a tapered distal end;
(b) a cannula extending distally from the tapered distal end of the housing, wherein the cannula includes a cylindrical sidewall and an elongate opening disposed in the cylindrical sidewall, wherein the housing and the cannula define a working channel extending therethrough that is sized and configured to receive a surgical instrument;
(c) a cylindrical sleeve that encircles the cylindrical sidewall of the cannula, wherein the cylindrical sleeve overlies the elongate opening;
(d) a seal disposed within the working channel and configured to seal the working channel when no instrument is disposed therethrough; and
(e) a first suture channel, wherein the first suture channel extends through the side surface of the housing, passes directly from the housing to the cannula, extends across the working channel, and extends through the elongate opening and the cylindrical sleeve,
wherein the first suture channel extends at an oblique angle with respect to a central longitudinal axis extending through the cannula, wherein the oblique angle is selectively adjustable.

US Pat. No. 10,426,460

COMPRESSION AND TENSION INSTRUMENTS AND METHODS OF USE TO REINFORCE LIGAMENTS

Mortise Medical, LLC, Lo...

1. A clamp for compressing first and second bone portions together to reduce a space therebetween, comprising: a body comprising opposing first and second ends, the first and second ends comprising respective first and second jaws that define a longitudinal clamp axis, the first jaw engageable with the first bone portion and the second jaw engageable with the second bone portion to define a directional force vector between the first and the second bone portions that is parallel with the longitudinal clamp axis; and an adjustment mechanism coupled with the second jaw and configured to translate the second jaw distally toward the first jaw along the longitudinal axis to compress the first and the second bone portions between the first and the second jaws, the adjustment mechanism including a force gauge configured to indicate a compression force placed upon the first and the second bone portions by the first and the second jaws along the directional force vector, wherein: the body forms a bow-shaped angle gauge presenting a series of angle indicia; and when a reference line defined by a portion of a patient's anatomy aligns with a zero-degree marking on the angle indicia, the reference line is perpendicular to the longitudinal clamp axis and the directional force vector.

US Pat. No. 10,426,458

KNOTLESS SUTURE FASTENER INSTALLATION SYSTEM

Edwards Lifesciences Corp...

1. A system for securing a suture, comprising:a deployment tool having a distal shaft and an ejector movable within the distal shaft; and
a subassembly configured to attach to the distal shaft of the deployment tool, the subassembly comprising:
a cartridge having a lumen, wherein a proximal portion of the cartridge lumen is configured to engage the distal shaft of the deployment tool;
a suture fastener positioned within a distal portion of the cartridge lumen, the suture fastener having a clamping structure that is held by the cartridge in a resiliently deformed open condition wherein a suture can pass through the clamping structure, the clamping structure being biased toward a closed position in which the clamping structure resiliently clamps onto a suture passed therethrough; and
a suture snare having a snare portion extending radially into the cartridge and extending axially through the suture fastener in its open condition, the snare portion being adapted to capture and pull a suture proximally through the suture fastener;
wherein when the cartridge is engaged with the deployment tool, movement of the ejector causes the suture fastener to deploy from the cartridge and change from its open condition to its closed condition to clamp onto a suture extending through the suture fastener.

US Pat. No. 10,426,457

SURGICAL FASTENER DEPLOYMENT SYSTEM

Apollo Endosurgery US, In...

1. A tissue fastener deployment system, comprising:a) a handle;
b) a first tubular member having a proximal end and a distal end and defining a longitudinal axis, the proximal end rotatably coupled to the handle;
c) a coil having a tissue-piercing distal tip, the coil rotationally fixed relative to the first tubular member, such that rotation of the first tubular member relative to the handle results in rotation of the coil, wherein when the distal tip of the coil is rotated against tissue the distal tip of the coil is adapted to pierce and engage the tissue;
d) at least one fastener axially displaceable relative to the distal end of the first tubular member and through the coil;
e) a push member longitudinally displaceable relative to the first tubular member and adapted to apply an axial displacement force against the at least one fastener; and
f) an actuator movably coupled relative to the handle, wherein actuating the actuator results in longitudinal displacement of the push member relative to the first tubular member and to apply an axial displacement force against the at least one fastener to deploy one of the at least one fastener from the deployment system.

US Pat. No. 10,426,455

SURGICAL ANCHOR AND METHOD OF USE

Westek, LLC, Fresno, CA ...

1. A surgical method for attaching tissue to bone, comprising:selecting a surgical anchor, the surgical anchor comprising:
a shaft comprising a side wall, a top end, a terminal end, and a central axis extending from the top end to the terminal end;
a head positioned at the top end of the shaft, the head comprising a beveled bottom surface oriented at a first angle relative to the central axis of the shaft;
a central bore extending through at least a portion of the shaft along the central axis;
a first side bore extending from the shaft side wall to the central bore and angled at a second angle relative to the central axis of the shaft, the first side bore comprising a first opening in the shaft side wall positioned proximate to an intersection of the beveled bottom surface of the head and the shaft side wall;
a second side bore positioned a radial distance around the shaft from the first side bore, the second side bore extending from the shaft side wall to the central bore and angled at a third angle relative to the central axis of the shaft, and comprising a second opening in the shaft side wall positioned proximate to the intersection of the beveled bottom surface of the head and the shaft side wall;
drilling a hole through a bone and chamfering an edge of the hole, the hole passing from a visible surgical field of view to a hidden surgical field of view and adapted to receive the surgical anchor;
retrieving a tissue to be attached to the bone and securing one or more sutures in the tissue;
placing an elastomeric membrane adjacent to the hole in the hidden surgical field of view;
selecting a shuttle stitch comprising a leading end adapted to pass through the elastomeric membrane and a barb at the leading end, the barb adapted to resist movement of the shuttle stitch back through the elastomeric membrane and thereby capturing the shuttle stitch in the elastomeric membrane;
inserting the shuttle stitch into the elastomeric membrane such that the barb passes into the elastomeric membrane and is captured therein;
moving the elastomeric membrane and the captured shuttle stitch from the hidden surgical field of view to the visible surgical field of view;
removing the shuttle stitch from the elastomeric membrane and coupling the shuttle stitch to the one or more sutures;
withdrawing the shuttle stitch and the coupled one or more sutures back through the hole in the bone and decoupling the shuttle stitch from the one or more sutures;
passing the one or more sutures through the central bore of the surgical anchor and out one or both of the first and second side bores;
inserting the surgical anchor into the hole in the bone;
removing excess slack in the one or more sutures such that the tissue is positioned in contact with the bone; and
securing the surgical anchor into the hole in the bone such that the beveled bottom surface of the head contacts the chamfered edge of the hole, thereby immobilizing the one or more sutures between the beveled bottom surface and the chamfered edge.

US Pat. No. 10,426,454

ORTHOPEDIC TOOLS FOR IMPLANTATION

GLOBUS MEDICAL, INC., Au...

1. An orthopedic system comprising:a first bone pin, wherein the first bone pin comprises a lower threaded portion and an upper threaded portion;
a first wide blocking blade delivered over the first bone pin, wherein the first wide blocking blade comprises at least two blocking panels;
a first distraction blade delivered over the first bone pin, wherein the first distraction blade includes a slot for receiving the first bone pin therein;
a second bone pin, wherein the second bone pin comprises a lower threaded portion and an upper threaded portion;
a second wide blocking blade delivered over the second bone pin, wherein the second wide blocking blade comprises at least two blocking panels;
a second distraction blade delivered over the second bone pin, wherein the second distraction blade includes a slot for receiving the second bone pin therein; and
a frame attached to at least one of either: (i) the first distraction blade and the second distraction blade or (ii) the first wide blocking blade and the second wide blocking blade,
wherein the first wide blocking blade comprises a first bone pin receiver configured to directly and slidably receive the first bone pin,
wherein the first bone pin receiver is configured such that the first wide blocking blade does not rotate once the first bone pin receiver is deposited on the first bone pin,
wherein the first distraction blade comprises a ring element to engage the first bone pin, and
wherein the first bone pin includes a non-threaded shelf portion disposed in the middle of the first bone pin and extending radially around the first bone pin, the shelf portion having a diameter that is larger than a diameter of the first bone pin.

US Pat. No. 10,426,453

METHOD AND APPARATUS FOR DISTRACTING A JOINT

Pivot Medical, Inc., Sun...

1. A method for creating space between two articulating surfaces of a joint, the method comprising:providing a joint-spacing balloon catheter, the joint-spacing balloon catheter comprising:
a shaft having a distal portion and a proximal portion; and
a plurality of balloons mounted to the distal portion of the shaft, the plurality of balloons comprising balloons of different sizes, and the plurality of balloons configured to be inflated to the same pressure;
inserting the distal portion of the shaft and the plurality of balloons between the two articulating surfaces of the joint while the plurality of balloons are in a contracted condition;
expanding the plurality of balloons to the same pressure so as to separate the two articulating surfaces of the joint from one another by a distance which is greater than the distance that the two articulating surfaces of the joint are normally separated from one another when the joint is in a healthy state, whereby to create space between the two articulating surfaces of the joint.

US Pat. No. 10,426,452

LATERAL RETRACTOR SYSTEM FOR MINIMIZING MUSCLE DAMAGE IN SPINAL SURGERY

1. A retractable blade assembly for use in forming a surgical pathway to an intervertebral disc space of a patient's spine, the retractable blade assembly comprising:a first blade subassembly detachably attached to a second opposing blade subassembly, each of the first and the second blade subassemblies comprising:
a blade defined by a planar inner surface, an outer surface, and two longitudinal edges, the blade including a proximal blade portion extending from a proximal end to a distal end that is attached to a distal blade portion extending from a proximal end to a distal edge;
wherein each of the first and the second blade subassemblies further comprises:
an adjustable wing rotatably coupled to each of the two longitudinal edges of the blade, the adjustable wing having an inner surface, an outer surface, and extending from a proximal end adjacent to the proximal end of the proximal blade portion to a distal edge adjacent to the distal edge of the distal blade portion.