Abstract: A device for converting acoustic data collected by a stethoscope into digital data for transmission to a processor for storage and/or comparison with data stored in a database, and to optionally provide computer generated suggestions for diagnosis, is provided in the form of an in-line device interposable between a head of the stethoscope and an acoustic transmission portion of the stethoscope, or is integral with the head, and advantageously has the appearance of an icon of pleasing appearance, for example, a butterfly, in which are incorporated the structural requisites of a functioning stethoscope and/or capabilities for receiving and transmitting to a diagnostician, audio signals gathered from patient examination, and optionally also other data collected at examination and/or following the examination. The butterfly-shaped device, includes a central body advantageously serving as a conduit for transmitting sound received from the patient to the physician or a remote system for analysis and diagnosis.

Abstract: A system and method provide heart sound tracking, including an input circuit, configured to receive heart sound information, and a heart sound recognition circuit. The heart sound recognition circuit can be coupled to the input circuit and can be configured to recognize, within a particular heart sound of a particular heart sound waveform, a first intra heart sound energy indication and a corresponding first intra heart sound time indication using the heart sound information from the particular heart sound waveform and the heart sound information from at least one other heart sound waveform. The particular heart sound can include at least a portion of one of S1, S2, S3, and S4. Further, the first intra heart sound energy indication and the corresponding first intra heart sound time indication can correspond to the at least a portion of one of S1, S2, S3, and S4, respectively.

Abstract: Scanning a subject with an ultrasonic probe and obtaining an ultrasonic image of the subject. Obtaining a cross-sectional image of a cross-section of a three-dimensional image corresponding to the ultrasonic image from the three-dimensional image, the three-dimensional image including a puncture line set for a puncture needle and a superimposed columnar index having a central axis line on the puncture line and opacity which is reduced with the distance from the central axis line. Displaying the ultrasonic image and the cross-sectional image. In this case, the thickness, opacity, and cross-sectional shape of the index displayed on the cross-sectional image vary according to the positional relationship between the scan plane of the ultrasonic probe and the cross-section in which the puncture line is set.

Abstract: An ultrasound diagnostic apparatus according to an embodiment includes processing circuitry. The processing circuitry sets a ROI in ultrasound image data that corresponds to at least one temporal phase and is among moving image data of two-/three-dimensional ultrasound image data acquired while using a region containing a tissue in motion as an image taking target. The processing circuitry obtains first position information of an estimated ROI based on movement information and second position information of an estimated ROI based on information other than the movement information, in ultrasound image data corresponding to the other remaining temporal phases within an acquisition period of the moving image data. The processing circuitry tracks the ROI, by obtaining position information combining the first and second position information based on an index related to reliability of the movement information, as position information of the ROI.

Abstract: The invention describes a novel implementation of ultrasound or OCT technology to approximate the dimensions of fluid-filled structures (when using ultrasound technology) or other structures (when using OCT technology). The invention in a preferred embodiment is an elongated member such as a catheter that uses ultrasound or OCT technology to approximate the dimensions of a structure into which the catheter has been placed. In a preferred embodiment, the catheter includes multiple ultrasound transducers arranged in an annular or circumferential configuration on, embedded into or within the body of the elongated member so that distance measurements can be obtained between the elongated member and the wall of the immediately facing structure (e.g., a fluid-filled lumen). Utilizing these measurements, the present invention approximates for the physician the shape and size of the structure into which the elongated member is placed.

Abstract: A wearable ultrasound system comprising an ultrasound probe, a proximal wearable component electrically interconnected with said ultrasound probe adapted to be wearable on the hand, wrist, or arm of a user, and including at least one user interface mechanism, a processor, and one or more displays.

Abstract: High frequency ultrasound transducers configured for use with high frequency ultrasound diagnostic imaging systems are disclosed herein. In one embodiment, an ultrasound transducer includes a concave lens having an average thickness in a center portion that that is substantially equal to an odd multiple a ¼-wavelength of the center frequency of the ultrasound transducer.

Abstract: Various embodiments relate to methods and systems for displaying an ultrasound image of a patient's target body portion using a wearable display module. A wearable display module can be mounted on a user's head. A wearable display module can display ultrasound images as a heads up display so that a user can view an ultrasound image while maintaining lines of sight with other viewpoints. Various embodiments relate to methods and systems for displaying both an ultrasound image and a light image (e.g., a near infrared image). A single display can be configured to display the light image and the ultrasound image on a single surface, in close proximity, and at the same time or in sequence. This disclosure provides in some embodiments for the use of wireless communication between various imaging probes, sensors, image processors, and display modules in order to facilitate more effective viewing of images.

Abstract: Provided is a method of representing a pressure variation in an object on an image of the object. The method includes: measuring all velocity components of the object; selecting a first position on the image of the object; estimating a pressure variation between the first position and a second position that is separate from the selected first position; and displaying an estimated pressure variation on the image of the object by using a predetermined indicator.

Abstract: Provided is a method of operating a medical diagnostic apparatus that displays a medical image, including: modifying an operating state of the medical diagnostic apparatus from a first state to a second state based on sequential first user inputs; storing a history of a plurality of operating states respectively corresponding to the first user inputs; receiving a recovery input; selecting a third state from among the plurality of operating state included in the history, based on the recovery input; and modifying the operating state of the medical diagnostic apparatus from the second state to the third state.

Abstract: Provided is an ultrasound diagnosis apparatus including: a display unit that displays a first screen including at least one marker; a user interface unit for receiving a selection of a predetermined marker among the at least one marker; and a controller that controls the display unit to display a first screen including a second ultrasound image that represents an object and has a view which is changed according to the predetermined marker. The ultrasound diagnosis apparatus may provide an ultrasound image screen that allows a user to easily and conveniently diagnose an object.

Abstract: An ultrasound diagnostic apparatus according to an embodiment includes processing circuitry and controlling circuitry. The processing circuitry is configured to generate brightness transition information indicating a temporal transition of a brightness level in an analysis region that is set in an ultrasound scan region, from time-series data acquired by performing an ultrasound scan on a subject to whom a contrast agent has been administered and to obtain a parameter by normalizing reflux dynamics of the contrast agent in the analysis region with respect to time, based on the brightness transition information. The controlling circuitry is configured to cause a display to display the parameter in a format using one or both of an image and text.

Abstract: A body fat diagnostic apparatus with which fat can be diagnosed safely is provided even in the case where a deep portion of the living body is diagnosed or there are bone tissues outside the measurement region. The body fat diagnostic apparatus is formed of: a probe 2 for emitting ultrasonic waves both for applying heat and for diagnosis; and an ultrasonic wave velocity change analyzing unit 15 for calculating the change in the velocity of ultrasonic waves in the measurement region on the basis of the ultrasonic wave echo signals acquired from the region before and after the application of heat using the probe 2, so that fat is diagnosed on the basis of the calculated change in the velocity of ultrasonic waves.

Abstract: Provided is a method of marking a diffusion boundary of medicine, the method performed by an ultrasound apparatus and including operations of obtaining first B mode image data and first Doppler data about a target object to which the medicine is injected; detecting a first area of the target object from which the first Doppler data is obtained; determining a first diffusion boundary of the medicine, based on the first area; and marking the first diffusion boundary of the medicine on a B mode image that is generated by using the first B mode image data.

Abstract: A handle for a surgical instrument, which handle has a carriage designed to move an actuation rod. A second actuation element is arranged adjacent to the first actuation element and is rotatable over the longitudinal axis of the main body. The second actuation element is annular, toward the first actuation element, and carries on its inner circumference a rotationally fixed locking ring. The carriage has a finger which extends, eccentrically with respect to the longitudinal axis of the main body, from a front face of the carriage facing the locking ring. In a locked state, a protuberance on the ring provides an abutment for the carriage. In the release state, the finger is offset with respect to the protuberance, and a range of travel of the carriage is freed.

Abstract: A device for percutaneously accessing the pericardial space has a tubular body wall enclosing a lumen. The wall ends in a tip that has an inferior aperture in fluid communication with the lumen. The tip surrounds and roofs over the aperture to form an chamber above the aperture, The portion of the tip over the aperture has a plurality of grooves in fluid communication with the lumen. The device includes a hollow body with a piercing end moveable in the first tubular body to extend into the chamber. A vacuum applied by the device to the chamber draws a bleb of pericardium into the chamber where it can be safely pierced by the piercing body to fain access to the pericardial space.

Abstract: An actuation input mechanism for a teleoperated surgical instrument may include an interface structure and a shaft connected to the interface structure. The interface structure may be engageable with a drive structure of an actuation interface assembly of a teleoperated surgical system to be driven by the drive structure. The shaft may be rotatable in response to the interface structure being driven. The interface structure may comprise a depression shaped and sized to receive a fingertip. The interface structure may further comprise one or more gripping features disposed in the depression. A surgical instrument for a teleoperated surgical system may include an instrument shaft, an end effector, and a force transmission mechanism. The force transmission mechanism may comprise an actuation input mechanism to transmit drive forces to actuate the surgical instrument, the actuation input mechanism including an interface structure and a shaft.

Abstract: A delicate tissue retraction system having a hollow tubular retractor, a hollow tubular introducer that is removably installed within the retractor, and a navigation module that is removably installed within the introducer. The navigation module has a shaft with a proximal shaft end and a distal shaft end, and a navigation unit mounted to the proximal shaft end. When assembled, the distal shaft end is contained generally within the introducer and the navigation module outside the introducer. The navigation module indicates the location of one or more points on at least one of the retractor and the introducer to a navigation system.

Abstract: Access devices including access ports and retractors, which enhance the working area and access to a surgical site. The access port includes a tubular body with at least one sidewall defining an interior path along the length of the tubular body. The sidewall includes a rigid portion and a flexible portion. The flexible portion is able to stretch or deform, for example, to accommodate an angled trajectory of a surgical implement. A surgical access device for retracting tissue includes a plurality of retractor blades. The outer surface of the retractor blades form a substantially circular cross-sectional configuration with a plurality of spiral ridges projecting therefrom such that advancement of the retractor into the surgical site may be improved.

Abstract: A retractor assembly for defining a working channel to a surgical site for conducting minimally invasive spinal surgery includes a plurality of relatively articulable components. Temporary interconnections are formed between adjacent sidewalls of the components to hold the components in a desired configuration, such as in a closed triangular form. The components are articulable relative to each other for adjusting the working channel or for performing surgical functions.

Abstract: A laparoscopic device configured with an ergonomic external control to manipulate an internal organ, the laparoscopic device comprises: an introducer sheath having an open inner end and an open outer end fitted with an annular disc; the opening in the annular disc adapted to be closed in a sealing manner by means of a washer; at least one anchor attached to a common flexible string which is subsequently divided into a plurality of flexible strings extending out of the introducer sheath through the opening in the washer; the anchor being disposed inside the introducer sheath; means for securing the anchor inside the introducer sheath and means for releasing the anchor into the abdomen; wherein the plurality of flexible strings passing through the opening in the washer are adapted to be fixed in a pivotable clip and each of said plurality of strings passes through a skin guard having a string director for externally manipulating the internal organ with ergonomic control.

Abstract: A method and apparatus for reattaching soft tissue to a boney structure using an expanding suture anchor. The method can include providing a suture anchor and forming a cavity in the boney structure for receipt of the suture anchor. The method can also include coupling the soft tissue to a suture and coupling the suture to the suture anchor. The method can further include deploying the suture anchor to fix the suture to the suture anchor and the suture anchor to the cavity.

Abstract: Methods of attaching a soft tissue to an adjacent bone at a defect site are provided. An adjustable loop region of a flexible construct contained in a bore defined by a fastener is passed through a tissue. The adjustable loop is passed through the tissue. The fastener is passed back through the adjustable loop to fold the adjustable loop upon itself. The fastener is attached to the bone. An adjusting arm on the flexible construct is engaged to reduce the size of the adjustable loop and secure the soft tissue to the bone.

Abstract: Apparatus for securing a suture thread to a region of tissue, the apparatus comprising: first and second elongate jaws respectively having first and second longitudinal axes and first and second gripping surfaces for gripping and holding a region of tissue at a tilt angle relative to the first and second axes when the jaws are closed; a channel in the first elongate jaw having a substantially straight section extending along the first longitudinal axis and a curved section that extends from the straight section to the first gripping surface for housing at least one suture anchor configured to secure a portion of a suture thread to the tissue region, and; a flexible needle inside the channel that extends along the straight section and is controllable to extract a suture anchor in the channel from the first jaw through the curved section and drive the extracted suture anchor through the tissue region to secure the suture thread.

Abstract: The device generally relates to medicine, more particularly to surgery, and may be used to carry out dissection and occlusion of tubular structures and organs via ligating them with surgical sutures. The invention improves improving the reliability of the application of sutures with a body with control tools at the proximal end and at the distal end, the suture retriever with cutting elements and suture fixators, the device for capturing and clamping the tissue that is provided with oppositely located clamping jaws and knot fixators, and also the body that has pivoted clip with cutting edges for cutting free ends of ligations and transmitting gear, implemented capable of transmitting the controlling action from the control tools to the device for capturing and clamping the tissue, the suture retriever, and the pivoted clip, wherein the device for capturing and clamping the tissue is provided tissue fixation elements located on the clamping jaws.

Abstract: Systems and methods are provided for suturing tissue. An elongated deployment shaft carries a needle deployment assembly with needles carrying suture material and a stabilizer that is reconfigurable between an unexpanded insertion profile and an expanded profile. A catcher tube over the shaft having a catcher at a distal end may retain at least a portion of the needles carrying the suture material when the needles are passed through the tissue to be sutured into engagement with the catcher. A sheath over the catcher tube may sandwich tissue to be sutured against the stabilizer when expanded. A first actuator may move the catcher tube distally relative to the shaft to decrease a distance between the proximal end of the stabilizer and the distal end of the stabilizer to expand the stabilizer and may move the sheath distally relative to the shaft to sandwich the tissue.

Abstract: Systems and methods are provided for suturing tissue. An elongated deployment shaft carries a needle deployment assembly with needles carrying suture material. A needle catcher is disposed over the shaft and configured to engage and retain at least a portion of each of the needles carrying the suture material when the needles are passed through the tissue to be sutured to a proximal position.

Abstract: Disclosed is an apparatus and method for facilitating the implantation and secure positioning of implantable medical devices within a subcutaneous pocket formed by a surgeon within the patient. Such apparatus and method are configured to address the above-described challenges of containing implantable medical devices within such subcutaneous pockets, and the spring-like leads or catheters that may be attached to them, during implantation.

Abstract: A surgical device has first and second clamp jaws, at least one of which is pivotable relative to the other. The surgical device also has first and second locking suture guides configured to receive at least one locking suture for knotting to hold the first and second clamp jaws in a clamped position.

Abstract: A system for clipping tissue includes a clip having first and second jaws. Each of the first and second jaws defines an opening through which a control wire passes. A collapsible member is coupled between the first and second jaws. The member is biased to urge the first and second jaws away from one another along an axis of the control wire to a first expanded configuration. The first and second jaws are movable against the bias of the member via the control wire to a second contracted configuration in which the first and second jaws are moved along the axis of the control wire toward one another to lockingly engage tissue received therebetween. The movement of control wire causes a corresponding movement of the first jaw relative to the second jaw to move the first and second jaws from the first expanded configuration to the second contracted configuration.

Abstract: Devices include at least two spaced apart flexible legs formed of a shape memory material, each leg having a respective free end configured to engage local tissue. The devices can also include at least one resilient member having opposing end portions, a respective end portion being attached to each leg at a location away from the free end. The resilient member is configured to take on a stretched configuration inside an endoscope during delivery. Alternatively or additionally, the devices include a cinch that is configured to snugly hold portions of both legs to force the legs closer together.

Abstract: An anastomosis device for facilitating side-to-side arteriovenous fistula creation and maintenance of patency thereof is presented. The device comprises two device halves each containing an anastomosis window which is in fluid connection with an interior lumen of the device. Further, the device comprises a pair of suturing windows in which the bounds of the fistula are created. The invention also has an embodiment wherein a method of joining a vein and an artery in order to create a fistula is presented.

Abstract: An anastomosis device for facilitating sutureless side-to-side arteriovenous fistula creation and maintenance of patency thereof is presented. The device comprises two device halves each containing an anastomosis window which is in fluid connection with an interior lumen of the device. Further, the device comprises a pair of vessel joining portions in which the bounds of the fistula are created. The invention also has an embodiment wherein a method of joining a vein and an artery in order to create a fistula is presented.

Abstract: In some aspects, a surgical procedure for the removal of a prostate gland is provided. The procedure comprises: (a) positioning an implant material within the urethra, (b) removing the prostate, thereby cresting a urethral stump and a bladder neck, wherein the implant material occupies the urethral stump, the bladder neck, or both, and (c) securing the bladder neck to the urethral stump in an anastomosis procedure to establish a path of urine flow from the bladder to an external urethral opening (e.g., the meatus). Subsequently, the implant material is removed from the urethra, for example, by natural urine voiding or by flowing a removal fluid through and/or around the implant material in the urethra. In other aspects, a medical kit is provided.

Abstract: A device for implanting a prosthesis 12 in a body tissue equipped with a tubular element 7, within which a prosthesis 12 can slide, and a pressure element 16 for moving said prosthesis 12. The device also comprises a cartridge 5 provided with a seat 31 at its interior, such seat housing the prosthesis 12 and movable under the action of a pusher element 13 from a first position, in which the seat 31 is not facing the tubular element 7, to a second position, in which the seat 31 is in communication with the tubular element 7 in order to allow the insertion of the prosthesis 12 inside the tubular element 7 upon command of the pressure element 16.

Abstract: An occlusion device for placement within a body vessel may include a wire constructed support structure having a covering applied thereto. The covering includes a mixture of PET and ultra-high molecular weight polyethylene (UHMWPE). The covering is applied to the support structure via an electrospinning process to produce a non-woven fiber covering having increase strain capabilities relative to an electrospun PET covering without UHMWPE. The device has a nominal state that is radially expanded and a delivery state that is radially compressed and longitudinally extended for disposal within a low-profile delivery sheath. The covering increased strain capability allows for the device to have relative large diameter in the nominal state while still being capable of low-profile delivery. This occlusion device can provide faster occlusive capability when deployed and does not rely on delayed embolization. The covering extends across the vessel upon deployment to provide instant occlusion.

Abstract: A system for occluding a physical anomaly. One embodiment comprises a shape memory material body wherein the shape memory material body fits within the physical anomaly occluding the physical anomaly. The shape memory material body has a primary shape for occluding the physical anomaly and a secondary shape for being positioned in the physical anomaly.

Abstract: An occlusion device for a vascular or biological lumen includes a plurality of coiling members held together at both the proximal and distal ends by retaining features. A restraining loop can hold coiling members together at a point along a length of the coiling members. The coiling members are delivered simultaneously to form a coil pack to occlude a target location in the lumen. One or more of the coiling members has at least a portion with a larger curl diameter than other coiling members to secure the occlusion device against lumen walls at the target location. The coil members may have different or varying material moduli. The device may be used, for example, for occluding a vessel to block blood flow to an artery supplying blood liver (hepatic artery), kidney (renal artery), spleen (splenic artery) or intestines (mesenteric artery).

Abstract: A hemostatic tablet preferably including potassium ferrate and a cation ion exchange resin pressure formed into a tablet for delivery to a bleeding wound. The tablet improves the rate of adhesion to a bleeding wound surface, and allows a significantly greater and more uniform pressure to be exerted by manual compression of the tablet on the wound site, as compared to that of a thin layer of scattered hemostatic powder. After the seal is formed from the interaction of blood or exudates with the immediate contacting surface of the tablet, the bulk of the unused tablet easily delaminates from the seal making clean up facile. If the unused portion of the tablet is not removed from the wound site, a reservoir of hemostatic dressing stops further bleeding and to provide antimicrobial protection and healing. The tablet may be applied to any surface orientation and take any shape and thickness possible.

Abstract: A tourniquet device includes a tourniquet strap having an outward facing surface and an inward facing surface, the outward facing surface being covered with a plurality of hook fasteners, the inward facing surface having a section that is provided with a plurality of loop fasteners, a first end and a second end, the first end comprising a buckle, the second end having a cavity, and a securement strap configured for storage within the cavity, the securement strap including a terminal end that includes a pull tab, the securement strap is configured to be selectively placed in a stored position and a deployed position.

Abstract: A method for performing a surgical procedure on a patient using a robotic system and a navigation system. The robotic system includes a cutting tool. The navigation system has at least one locating device to track a portion of the patient during the surgical procedure. The navigation system provides information as to a position of the portion of the patient. An optical cutting guide is projected onto the portion of the patient to enable cutting of the portion of the patient with the cutting tool of the robotic system while the optical cutting guide is projected onto the portion of the patient.

Abstract: A reaming instrument, in accordance with one embodiment, includes a rotatable cutting head and a cutting face on a distal end of the cutting head. At least one radially displaceable cutting element has a cutting edge projecting in a distal direction from the cutting face. An adjustment element is operable to displace the cutting element toward a fully retracted state, or toward a fully expanded state. In another embodiment, a method of modifying a bone surface includes displacing at least one cutting element on a reamer instrument to a fully retracted state, inserting the instrument into a human or animal, operating an adjustment element to displace the cutting element toward an expanded state, and activating the cutting head to begin cutting the bone.

Abstract: A method of cutting tissue between a first bone and a second bone. An aperture is formed through the first bone. The aperture has a radius. An undercutting system is provided. The undercutting system includes a cutter. The undercutting system is extended into the aperture. The cutter is moved with respect to the undercutting system to an extended configuration where at least a portion of the cutter extends from the undercutting system. The cutter is used to cut tissue between the first bone and the second bone that is beyond the radius of the aperture. The undercutting system is removed from the aperture.

Abstract: Various exemplary methods and devices are provided for removing abnormalities from bone. In general, the methods and devices can be used to allow excess bone to be scraped from a bone surface. In an exemplary embodiment, a scraper tool is provided that includes an elongate shaft having a plurality of blades movably disposed therein. The blades can be configured to move as a unit between a retracted configuration, in which the blades can be entirely disposed within the elongate shaft, and an advanced configuration, in which at least a portion of the blades can extend distally from the elongate shaft and/or flare away from one another. A distal portion of each of the blades can have a radius of curvature corresponding to a radius of curvature of the bone to be scraped.

Abstract: A planing instrument, in accordance with one embodiment, includes a rotatable cutting head and a cutting face on a distal end of the cutting head. At least one radially displaceable cutting element has a cutting edge projecting in a distal direction from the cutting face. An adjustment element is operable to displace the cutting element toward a fully retracted state, or toward a fully expanded state. In another embodiment, a method of modifying a bone surface includes displacing at least one cutting element on a planing instrument to a fully retracted state, inserting the instrument into a human or animal, operating an adjustment element to displace the cutting element toward an expanded state, and activating the cutting head to begin planing the bone.

Abstract: Devices and methods for creating holes in the articular process of the vertebra are provided. One embodiment of the invention comprises a drill head comprising a frame, punch arm with punch tip and opposing plate. Methods of using the resulting holes to anchor or stabilize facet joint prosthesis, and also altering the spacing and motion at the facet joints of the vertebral column, are provided.

Abstract: Systems for less invasive medical procedures comprise a filter device mounted on an integrated guiding structure and an aspiration catheter. These components can be used together or separately, and the system can be used with other medical devices that are designed for less invasive procedures, such as procedures in a patient's vasculature. The catheter can have a radiopaque band that is held in place under metal wire embedded within the polymer forming the tube of the catheter. In some embodiments, the aspiration catheter has a small diameter distal portion that can access into small diameter vessels in which the distal portion has a smaller average diameter than the remaining tube of the catheter.

Abstract: A clot retrieval device comprising an elongate shaft having a proximal end and a distal end and a clot retrieval element at the distal end of the elongate shaft. A proximal end of the elongate shaft of the clot retrieval device is adapted for retraction of a first catheter over the clot retrieval device elongate shaft. A second catheter is advanced to or adjacent to the distal end of the clot retrieval device shaft to enable enhanced aspiration adjacent to the clot retrieval element.

Abstract: A surgical clamp jaw is disclosed, having an inner profile and a deflection control profile opposite the inner profile. In one embodiment, the inner profile has a first substantially concave profile in an unclamped position and a second substantially flat profile in a clamped position. In one embodiment, the deflection control profile has one or more sets of corresponding abutment surfaces, at least one set of which is not contacting each other when the inner profile is in the unclamped position and which is contacting each other when the inner profile is in the clamped position. In one embodiment, the surgical clamp jaw defines one or more flexion assistance voids, wherein at least one of the one or more flexion assistance voids is in contact with a gap between one of the one or more sets of corresponding abutment surfaces.

Abstract: A scalpel having a sharpened edge and a coupling region that is configured to be removably attached to a handle. At least a portion of the scalpel is made of a material that is malleable such that the shape of the scalpel may be modified to provide a shape that improves accessibility to a surgical site.