Abstract: Apparatus and methods for determining a type of a material in a region within a vascular system of a patient and/or a distance to the material are provided. At least one source fiber is provided that supplies light from a light source to a region within a vascular system of a patient. At least one return fiber is provided to receive light reflected from the region within the vascular system. At least one controller is provided to determine at least one property of the region within the vascular system from the reflected light, and to determine a type of a material in the region within the vascular system and/or an indication of a distance to the material. Techniques such as laser ablation may then be performed based on the determined material type and/or distance to remove unwanted buildup, deposits, etc., while avoiding harmful results such as tearing of tissue.

Abstract: Apparatus and methods for ablating material in a region within a vascular system of a patient are provided. A determination of at least one of a type of material in the region and an indication of a distance to the material in the region is made based on at least one property of the region determined from light reflected from the region. Light from a light source is transmitted in at least one of a plurality of optical fibers based on the determination, and at least some of the transmitted light is received at a first emitter disposed along a length of a laser catheter proximate a distal end thereof. The first emitter radially transmits the at least some of the light from the length of the laser catheter so that the light impinges upon and ablates the material through an opening in the length of the laser catheter.

Abstract: A system for assessing performance of a procedure comprises a tissue model or a tool comprising assessment indicators applied thereto, one or more image-capturing devices for capturing one or more assessment images of the assessment indicators while or after a user performs the medical procedure, and a processor configured to analyze the assessment indicators in the one or more assessment images and provide feedback to the user. A system can also comprise a tissue model, one or more image-capturing devices each configured to capture one or more images of the tissue model, and a processor configured to analyze the one or more images from the one or more image-capturing devices to determine a deformation of the tissue model and determine a force exerted on the tissue model based on the determined deformation of the tissue model.

Abstract: A trocar for use in a minimally invasive surgical procedure includes an elongated body, nozzle means and means for delivering a pressurized flow of fluid to the nozzle means. The elongated body has a generally tubular configuration with coaxially arranged inner and outer walls and longitudinally opposed proximal and distal end portions, with the inner wall defining a lumen to accommodate passage of an instrument therethrough. The nozzle means is operatively associated with the inner wall of the body for directing pressurized fluid into the lumen to develop a pressure differential in an area within a region extending from a location adjacent a distal end portion of the lumen to a location adjacent a proximal end portion of the lumen, to form a fluid seal around an instrument passing therethrough.

Abstract: Disclosed are lactation assistive devices. The lactation assistive device may include a stimulation component and a controller. The stimulation component may include electrical components or mechanical components to stimulate a breast. The stimulation component may be sized to fit within a garment worn about the breast and may define an opening to be located proximate a nipple of the breast when the garment is worn. The controller may be configured to control stimulation of the breast by the stimulation component.

Abstract: Apparatus and methods for ablating material in a region within a vascular system of a patient are provided. A determination of at least one of a type of material in the region and an indication of a distance to the material in the region is made based on at least one property of the region determined from light reflected from the region. Light from a light source is transmitted in at least one of a plurality of optical fibers based on the determination, and at least some of the transmitted light is received at a first emitter disposed along a length of a laser catheter proximate a distal end thereof. The first emitter radially transmits the at least some of the light from the length of the laser catheter so that the light impinges upon and ablates the material through an opening in the length of the laser catheter.

Abstract: Apparatus and methods for determining a type of a material in a region within a vascular system of a patient and/or a distance to the material are provided. At least one source fiber is provided that supplies light from a light source to a region within a vascular system of a patient. At least one return fiber is provided to receive light reflected from the region within the vascular system. At least one controller is provided to determine at least one property of the region within the vascular system from the reflected light, and to determine a type of a material in the region within the vascular system and/or an indication of a distance to the material. Techniques such as laser ablation may then be performed based on the determined material type and/or distance to remove unwanted buildup, deposits, etc., while avoiding harmful results such as tearing of tissue.

Abstract: An anatomical simulation model comprises a first artificial bodily structure that simulates a corresponding first anatomical structure of a living body, one or more second artificial bodily structures that simulate a corresponding second anatomical structure of the living body, and one or more connectors to connect the first artificial bodily structure to the one or more second artificial bodily structures so that the first artificial bodily structure will move substantially in an anatomically accurate manner relative to the one or more second artificial bodily structures when an outside force is applied to the first artificial bodily structure.

Abstract: A system for assessing performance of a procedure comprises a tissue model or a tool comprising assessment indicators applied thereto, one or more image-capturing devices for capturing one or more assessment images of the assessment indicators while or after a user performs the medical procedure, and a processor configured to analyze the assessment indicators in the one or more assessment images and provide feedback to the user. A system can also comprise a tissue model, one or more image-capturing devices each configured to capture one or more images of the tissue model, and a processor configured to analyze the one or more images from the one or more image-capturing devices to determine a deformation of the tissue model and determine a force exerted on the tissue model based on the determined deformation of the tissue model.

Abstract: A trocar for use in a minimally invasive surgical procedure includes an elongated body, nozzle means and means for delivering a pressurized flow of fluid to the nozzle means. The elongated body has a generally tubular configuration with coaxially arranged inner and outer walls and longitudinally opposed proximal and distal end portions, with the inner wall defining a lumen to accommodate passage of an instrument therethrough. The nozzle means is operatively associated with the inner wall of the body for directing pressurized fluid into the lumen to develop a pressure differential in an area within a region extending from a location adjacent a distal end portion of the lumen to a location adjacent a proximal end portion of the lumen, to form a fluid seal around an instrument passing therethrough.

Abstract: A trocar assembly for providing a pressurized insufflation fluid into a patient cavity and for providing sealable access to the patient cavity by a surgical instrument. The assembly comprises an inner tubular member having a proximal end and a distal end. An outer tubular member is disposed about the inner tubular member, the outer tubular member having a proximal end and a distal end. The distal end of the inner tubular member and the distal end of the outer tubular member define a trocar seal nozzle arranged therebetween.

Abstract: A trocar for use in a minimally invasive surgical procedure includes an elongated body, nozzle means and means for delivering a pressurized flow of fluid to the nozzle means. The elongated body has a generally tubular configuration with coaxially arranged inner and outer walls and longitudinally opposed proximal and distal end portions, with the inner wall defining a lumen to accommodate passage of an instrument therethrough. The nozzle means is operatively associated with the inner wall of the body for directing pressurized fluid into the lumen to develop a pressure differential in an area within a region extending from a location adjacent a distal end portion of the lumen to a location adjacent a proximal end portion of the lumen, to form a fluid seal around an instrument passing therethrough.

Abstract: A trocar for use in a minimally invasive surgical procedure includes an elongated body, nozzle means and means for delivering a pressurized flow of fluid to the nozzle means. The elongated body has a generally tubular configuration with coaxially arranged inner and outer walls and longitudinally opposed proximal and distal end portions, with the inner wall defining a lumen to accommodate passage of an instrument therethrough. The nozzle means is operatively associated with the inner wall of the body for directing pressurized fluid into the lumen to develop a pressure differential in an area within a region extending from a location adjacent a distal end portion of the lumen to a location adjacent a proximal end portion of the lumen, to form a fluid seal around an instrument passing therethrough.

Abstract: A surgical access device is provided having a surgical access port. The surgical access port has an elongated body with opposed proximal and distal end portions, and defines a longitudinal axis. The body has a central lumen extending therethrough and includes a resilient bulb portion formed between the proximal and distal end portions of the body. The resilient bulb portion is adapted and configured to transition, through engagement with an insertion device, between a first condition in which the bulb portion has a first diameter and a first length and a second condition in which the bulb portion has a second diameter and a second length for insertion and removal through a patient's abdominal wall, and to be retained in place therethrough. The second diameter is less than the first diameter, and the second length is greater than the first length.

Abstract: A trocar assembly for use in surgery in a patient, comprising an elongated outer tubular member having a first or proximal end and a second or distal end. The proximal end has a housing enclosing a fluid pressure chamber therein. The distal end of the outer tubular member has a gaseous fluid discharge arrangement therethrough, through which a medical instrument is disposed for surgical manipulation of the patient.

Abstract: A surgical access device is provided having a surgical access port. The surgical access port has an elongated body with opposed proximal and distal end portions, and defines a longitudinal axis. The body has a central lumen extending therethrough and includes a resilient bulb portion formed between the proximal and distal end portions of the body. The resilient bulb portion is adapted and configured to transition, through engagement with an insertion device, between a first condition in which the bulb portion has a first diameter and a first length and a second condition in which the bulb portion has a second diameter and a second length for insertion and removal through a patient's abdominal wall, and to be retained in place therethrough. The second diameter is less than the first diameter, and the second length is greater than the first length.

Abstract: A cannula assembly for the maintenance of an operative pneumoperitoneum in a patient comprising an elongated cannula having a proximal end and a distal end. A removable valve is securely arranged in the proximal end of the cannula to provide a seal and minimize the escape of gas introduced into the patient's pneumoperitoneum when an operative instrument is passed therethrough.

Abstract: A trocar assembly for use in surgery in a patient, comprising an elongated outer tubular member having a first or proximal end and a second or distal end. The proximal end has a housing enclosing a fluid pressure chamber therein. The distal end of the outer tubular member has a gaseous fluid discharge arrangement therethrough, through which a medical instrument is disposed for surgical manipulation of the patient.

Abstract: An exercise monitoring system which includes an electronic positioning device; a physiological monitor; and a display unit configured for displaying data provided by said electronic positioning device and said physiological monitor.

Abstract: A trocar assembly for providing a pressurized insufflation fluid into a patient cavity and for providing sealable access to the patient cavity by a surgical instrument. The assembly comprises an inner tubular member having a proximal end and a distal end. An outer tubular member is disposed about the inner tubular member, the outer tubular member having a proximal end and a distal end. The distal end of the inner tubular member and the distal end of the outer tubular member define a trocar seal nozzle arranged therebetween.