Abstract: Devices and methods are disclosed herein for accessing the hip joint. A first device can be securely attached to the capsule of a joint. The first device can tent the capsule to increase the volume of the peripheral compartment. A second device can be biased against the first device to pierce the tented capsule and create a portal. Devices and methods are also disclosed herein for distending the capsule of a joint. A distention device may access a portal established within the capsule. The distention device can expand the capsule by applying an expansive force within the peripheral compartment. The distention device can maintain distention of the peripheral compartment while other devices access the joint.

Abstract: Described are embodiments of methods and systems for using a removable data storage device to efficiently transfer medical data from a medical device to a remote server. In some embodiments, the medical device tracks transfer statuses of medical data stored on a local storage. A transfer status assigned to a data portion of the medical data may inform the medical device of whether that data portion needs to be transferred, has been transferred, or has been successfully ingested at the remote server. The medical device can use information stored on the removable data storage device in conjunction with the tracked transfer statuses to determine which portions of the stored medical data should be transferred to a physically coupled removable data storage device. After completing a data transfer process, the medical device can update transfer statuses of portions of medical data that was transferred to the removable data storage device.

Abstract: Mechanical thrombectomy apparatuses, and particularly knitted rolling tube mechanical thrombectomy apparatuses configured to have improved tracking for delivery through tortious vessels are described herein. Also described herein are methods of removing clots using a mechanical thrombectomy apparatuses in which the clot is larger than the tractor portion of the mechanical thrombectomy apparatus.

Abstract: N A surgical console system configured to provide a drive signal to a surgical instrument for rotating a surgical bur. The surgical console system may supply a first drive signal to the surgical instrument to rotate the bur at a desired speed and to determine an electrical current drawn by the surgical instrument based on the drive signal. The surgical console system may be further configured to identify a chatter event based on the electrical current, and to supply a second drive signal to the surgical instrument based on the identified chatter event.

Abstract: A patient transport apparatus with a support structure having a base, a support frame, and a patient support deck defining a support surface. An inertial sensor is coupled to the support structure and generates a signal representing a change in velocity of the support structure. A controller in communication with the inertial sensor has a processor and a non-transitory storage medium having stored thereon a program that monitors the signal generated by the inertial sensor for changes relative to a predetermined threshold. In response to an event in which the signal exceeds the predetermined threshold, the program is further configured to: generate a waveform based on the signal received from the inertial sensor; store the waveform at an overwritable address in the non-transitory storage medium; and generate an entry in an event log stored in the non-transitory storage medium, the entry comprising one or more parameters associated with the waveform.

Abstract: A protective apparel system for use with a surgical helmet having a headlamp and including a protective apparel apparatus comprising a surgical garment, wherein the garment defines a sterile barrier between the wearer and the environment. The system includes a lens assembly adjacent to the surgical garment on the environment side and configured to cooperate with a coupling member for use with the headlamp. The lens assembly may include a control member and a lens, wherein the control member is be manipulatable by a wearer. The control member may be configured wherein manipulation by the wearer may reposition the lens of the lens assembly to adjust the direction and/or intensity of the light from the headlamp without breaching the sterile barrier.

Abstract: A patient support apparatus for concurrently transporting a patient and a medical device includes a base and an intermediate frame coupled to the base and further includes a support assembly coupled to the intermediate frame. The support assembly supports the medical device for concurrent movement with the patient support apparatus. The support assembly includes a track extending between first and second track ends with at least one curvilinear region defined therebetween and includes a carrier for selective movement between the ends. The support assembly also includes a mount coupled to the track and configured to support the medical advice. The support assembly further includes a retainer operatively attached to the carrier with the carrier operable between an engaged state to inhibit relative movement of the carrier along the track and a disengaged state to permit movement of the carrier along the track.

Abstract: A surgical handpiece assembly for operating a bit having resilient arms to engage the handpiece assembly. The handpiece assembly includes a housing assembly. A drive cannula is coupled to the housing assembly and receives torque from a motor. The drive cannula extends along an axis. The drive cannula has an internal surface defining a bore that extends along the axis. The bore receives the bit. The internal surface has a driving portion to transmit torque to the bit. A retention surface near an end of the drive cannula assists the resilient arms of the bit to retain a position of the bit relative to the drive cannula. A release assembly proximal the drive cannula includes a release member moveable relative to the retention surface to disengage the resilient arms from engagement with the retention surface to permit the bit to move relative to the drive cannula.

Abstract: Methods and systems for delivering a tubular implant to a target location in a body lumen, wherein the tubular implant has a delivery length when in a radially collapsed, delivery configuration, and a foreshortened length shorter than the delivery length when in a radially expanded, implanted configuration. Respective markers are provided on a delivery catheter and on the tubular implant which provide a visual indication of the landing location of a foreshortened length of a last proximal portion of the tubular implant prior to implanting the last proximal portion. This allows the clinician to determine if the landing location of the last proximal portion is clinically desirable prior to fully implanting the tubular implant.

Abstract: A patient transport apparatus comprises a support structure comprising base, a frame, and a patient support surface to support a patient. The apparatus also includes at least one caster assembly coupled to the support structure, with each one of the caster assemblies comprising a wheel, a wheel support coupled to the wheel, and a steer lock assembly movable relative to the wheel support. An actuator is operatively coupled to the steer lock assembly to move the steer lock assembly between a non-steer locked and steer locked state to permit or prevent the wheel support and coupled wheel from swiveling about a swivel axis. The caster assemblies can also include a brake assembly coupled to the wheel, with the actuator operatively coupled to the brake assembly to move the brake assembly between a braked and unbraked state.

Abstract: An endovascular management and tracking system comprises a track and at least one shuttle to which at least one elongate medical device can be respectively affixed. Each of the shuttle(s) is configured for being mechanically coupled to the track. Each of the shuttle(s) comprises a sled configured for riding on the track, an axial drive mechanism carried by the sled and configured for being actuated to axially translate the respective shuttle along the track, and a first actuator carried by the sled and configured for actuating the axial drive mechanism.

Abstract: Systems and methods for managing surgical sponges. A dispenser assembly coupled to a main support includes an internal or first storage location to removably receive a carton of sponge sorters, and an external or second storage location to removably support a carton of surgical draping. At least one arm may be supported on the housing and movable between an undeployed position and a deployed position. The arm may include weighing means to measure a weight of the surgical sponge being disposed in a sponge sorter supported by the arm. The arm may be a cantilever and abeam load cell may be disposed within a channel of a beam. A processor may determine fluid weight based on measured weight and dry weight correlated with the surgical sponge being counted out as detected with a data reader. The processor may estimate blood loss to be displayed on a display.

Abstract: A system and method for performing a package status check are provided, including a scanner for use in a surgical field and having an antenna for emitting a radio frequency detection field, the scanner including control circuitry configured to determine a predetermined quantity of sponges corresponding to a complete pack of sponges; count a number of sponges associated with the pack with the scanner prior to use of the sponges in a surgical field; and issue an alert when a number of counted sponges does not match the predetermined quantity corresponding to the complete pack. The system and method may include the control circuitry configured to determine whether a sponge has been re-scanned or is unknown by comparing detected information with previously detected information prior.

Abstract: A patient support apparatus includes a base having a length and including a plurality of caster wheels enabling movement of the patient support apparatus across a floor surface. An auxiliary wheel support structure is secured to the base and rotatably supports at least one non-castered auxiliary wheel. A drive mechanism including a motor may be configured to drive the auxiliary wheel. A braking system including at least one brake member may be configured to apply a braking force to decelerate the auxiliary wheel and is movable between a first position wherein the at least one brake member is disengaged from the auxiliary wheel and a deployed position wherein the at least one brake member is frictionally engaged with the auxiliary wheel to restrict rotation of the auxiliary wheel. The braking system may be configured to synchronize the braking forces applied to first and second auxiliary wheels.

Abstract: A track assembly for a patient transport apparatus, comprising a rail defining a first end and a second end, an axle defining an axis, a roller supported about the axis, and a belt engaging roller and arranged for movement relative to the rail in response to rotation of the roller. A guide supports the axle for movement. A keeper coupled to the axle is operable between a disengaged configuration to permit movement of the axle, and an engaged configuration to restrict movement. A brace is operatively attached to the rail adjacent to the guide. A tensioning cam coupled to the axle defines a plurality of relief catches arranged for engagement with the brace. The relief catches are each shaped to remain in selective engagement with the brace effected by concurrent movement of the axle and the tensioning cam to tension the belt against the roller in the disengaged configuration.

Abstract: A medical device includes: an elongated tube having a wall defining a lumen for the elongated tube, wherein the wall of the elongated tube comprises a first opening; and a first actuating element coupled directly or indirectly to the wall of the elongated tube; wherein at least a part of the first actuating element and the first opening of the wall are located at a same longitudinal position with respect to a longitudinal axis of the elongated tube; and wherein the first actuating element is configured to change size to induce stress and/or displacement at the wall of the elongated tube to cause the elongated tube to bend.

Abstract: Fluid management systems are disclosed that include software-controlled, electro-mechanical devices used in combination with single-use or multi-use tubing sets. Functions of the fluid management systems can include fluid pressurization, fluid warming, fluid deficit monitoring (including flow-based and weight-based), suction, fluid collection, and fluid evacuation (including indirect-to-drain and direct-to-drain options). The systems can be configured based on the surgical environment (e.g., operating room or physician office) as well as other user needs and/or preferences.

Abstract: A self-adjustable surgical garment includes a front defining a centerline, a back, and two sides connecting the front and the back. The self-adjustable surgical garment also includes a strap having a first segment and a second segment, the second segment separable from the first segment. The first segment of the strap comprises a first strap and a second strap each comprising fastening portions, and wherein the second segment is a third strap which is removably coupled to both of the first strap and the second strap. The fastening portions are removably coupled to a portion of the garment such that a portion of the first segment is in a sterile zone. The region corresponding to a sterile zone of the wearer being at least partially defined as a region within ninety degrees in either direction of the centerline.

Abstract: Closed cavity adjustable sensor mount systems include a sealed, closed cavity enclosing a sensor and forming a closed cavity sensor assembly. The closed cavity sensor assembly may be tilted and/or translated relative to a platform in order to adjust the orientation of the sensor to align it with an imaging optical axis. Following alignment, the closed cavity sensor assembly may be permanently or reversibly fixed in place. The closed cavity adjustable sensor mount systems may be part of medical imaging systems such as endoscopic imaging systems and/or open field imaging systems.