Patents Issued in July 20, 2017
  • Publication number: 20170202577
    Abstract: Implant tools and techniques for implantation of a medical lead, catheter or other implantable component are provided. The implant tools and techniques are particularly useful in implanting medical electrical leads in extravascular locations, including subcutaneous locations. An example implant tool for implanting a medical lead includes a rod and a sheath configured to be placed on the rod. The rod includes a handle, a shaft having a proximal end adjacent to the handle and a distal end, and an attachment feature toward the distal end of the shaft, the attachment feature configured to couple to the medical lead. The sheath is configured to be placed in multiple positions along the rod including a first position in which the sheath does not interact with the attachment feature and second position in which the sheath does interact with the attachment feature.
    Type: Application
    Filed: April 3, 2017
    Publication date: July 20, 2017
    Inventors: Kevin R. SEIFERT, Roger A. CHRISTOPHERSON, Nathan L. OLSON, Rebecca L. POINDEXTER
  • Publication number: 20170202578
    Abstract: This invention relates generally to a medical device, and more specifically, to a vaginal surgical apparatus. In one embodiment, an apparatus includes, but is not limited to, an elongated handle portion; a vaginal manipulator probe that is at least partly insertable into a vagina, the vaginal manipulator probe extending from the elongated handle portion and including an arcuate end portion, the arcuate end portion including an aperture for accommodating a cervix; and a disk that is movable along at least a portion of a length of the vaginal manipulator probe, the disk including a locking mechanism to releasably secure the disk in position to limit vaginal insertion depth of the vaginal manipulator probe.
    Type: Application
    Filed: April 5, 2017
    Publication date: July 20, 2017
    Inventor: Mark Edmund Richey
  • Publication number: 20170202579
    Abstract: A bone dust collection device includes a bone dust collection structure defining a longitudinal axis and having a proximal end and a distal end. The bone dust collection structure has a transverse plate member connected at or in the vicinity of the proximal end to a cylindrical wall defining an aperture at the distal end for receiving and collecting bone dust. The aperture extends proximally and includes a filtration member disposed therein. The filtration member causes at least partial separation of fluid from the bone dust via the fluid passing proximally through the filtration member. The bone dust collection structure enables removal of bone dust collected therein. A method of collecting an anatomical specimen includes generating an anatomical specimen in particulate form at a surgical site of a subject; collecting the particulate accumulated in the collection device; and packing the collected particulate into a region of interest in the subject.
    Type: Application
    Filed: July 24, 2015
    Publication date: July 20, 2017
    Applicant: Osteomedix, Inc.
    Inventors: John M. Abrahams, Michael R. Bielski, Don Hannula
  • Publication number: 20170202580
    Abstract: A curving section is always disposed in a projection plane of a probe main body section. The curving section includes a first bending surface which bends relative to a peripheral surface of the probe main body section to approach a longitudinal axis, thereby intersecting the longitudinal axis; a second bending surface which bends relative to the first bending surface toward a bending direction of the first bending surface and a direction away from the longitudinal axis; a third bending surface which bends relative to the second bending surface toward a direction to approach the longitudinal axis on a side reverse to the bending direction of the first bending surface, and extends toward an extension line of the first bending surface.
    Type: Application
    Filed: April 5, 2017
    Publication date: July 20, 2017
    Applicant: OLYMPUS CORPORATION
    Inventor: Hideto YOSHIMINE
  • Publication number: 20170202581
    Abstract: A spinal fixation device includes a housing defining a longitudinal axis, a bone screw member, a locking ring, and a crush ring. The bone screw member includes a head that is selectively securable within the housing and a threaded shaft. The locking ring is disposed within the housing and is radially expandable to a partially expanded position when the head of the bone screw member is positioned therein to retain the head within the housing. The crush ring is disposed within the housing proximal to the locking ring and adjacent the head of the bone screw member. The crush ring pushes against the head of the bone screw member when it transitions from an initial state to a deformed state when a force is applied thereto, which expands the locking ring to a fully expanded position to fix the bone screw member to the housing.
    Type: Application
    Filed: January 19, 2017
    Publication date: July 20, 2017
    Inventor: Michael Barrus
  • Publication number: 20170202582
    Abstract: An instrument for compression and distraction of a vertebral segment and reducing a surgical rod includes a first arm, a second arm, a coupler, and a reducer. The first arm includes a first aperture for receiving a first screw extender that attaches to a first vertebra. The second arm pivotably couples to the first arm and includes a second aperture for receiving a second screw extender that attaches to a second vertebra. The coupler links the first arm to the second arm to position the first arm relative to the second arm for compression and distraction of the first vertebra relative to the second vertebra. The reducer is received within the second aperture for reducing a surgical rod within the second screw extender.
    Type: Application
    Filed: March 17, 2017
    Publication date: July 20, 2017
    Inventors: Jon Wing, Clark Hutton, Garrett Gleeson, Per Freitag
  • Publication number: 20170202583
    Abstract: Spinal rod reduction apparatuses, systems, and methods are provided. In various examples, a rod reduction apparatus includes a first threaded member including an engagement feature configured to selectively anchor the first threaded member to the implantable screw assembly. A second threaded member is configured to threadably engage with the first threaded member. The second threaded member is axially movable with respect to the first threaded member with rotation of the second threaded member. A spinal rod urging member is axially movable with the second threaded member. The urging member includes a bearing surface that is configured to selectively abut the spinal rod and selectively urge the spinal rod toward the implantable screw assembly with rotation of the second threaded member in a first rotational direction.
    Type: Application
    Filed: April 5, 2017
    Publication date: July 20, 2017
    Inventors: Michael D. Daubs, David S. Rathbun, Brian Dec
  • Publication number: 20170202584
    Abstract: A bone fixation device according to an exemplary aspect of the present disclosure includes a nail extending along a longitudinal axis. The nail is provided with a transverse bore arranged along a transverse axis that intersects the longitudinal axis. The bone fixation device further includes a screw assembly received in the transverse bore, and a locking device. The locking device is configured to clasp the screw assembly to lock the screw assembly against movement along the transverse axis and against rotation about the transverse axis.
    Type: Application
    Filed: February 26, 2016
    Publication date: July 20, 2017
    Inventors: Marcus Hientzsch, Gerlinde Michel, Georg Gradl
  • Publication number: 20170202585
    Abstract: A locking clip for retaining a fastener in a bone fixation plate is provided. An embodiment of the locking clip comprises a flexure member and a body member coupled to the flexure member, the body member comprising a locking tab, the locking tab configured to provide an axial limitation to motion of the fastener in a non-rotationally-ratcheting manner, the flexure member resiliently flexible to permit displacement of the locking tab to allow passage of a fastener head of the fastener. An embodiment comprises a bone fixation plate assembly comprising a bone fixation plate and a locking clip. An embodiment comprises a locking fastener assembly comprising a fastener and a locking ring.
    Type: Application
    Filed: April 3, 2017
    Publication date: July 20, 2017
    Applicant: Leith Medical LLC
    Inventors: Timothy J. Leak, Thomas G. Smith
  • Publication number: 20170202586
    Abstract: Disclosed is a novel system for trialing implants used in orthopedic surgery. In one embodiment, the invention is directed to a composite trial implant that employs a wireframe with holes for guide wires (K-wires) and fixation screws. The novel trial implant allows a surgeon to determine the correct size, hole configuration, and cross-sectional profile with a simulated device, that permits more rapid and accurate selection of a permanent implant.
    Type: Application
    Filed: December 8, 2016
    Publication date: July 20, 2017
    Inventors: Christopher CAMPBELL, Erasmo LOPEZ, Daniel KWAK
  • Publication number: 20170202587
    Abstract: A method and apparatus for securing a fractured or sectioned sternum in a patient's body is disclosed. The apparatus can include an attachment member and an adjustable flexible member construct. The attachment member can have a flexible member holder. The adjustable flexible member construct can have first and second ends and a body defining at least one passage portion. The first and second ends can be passed into and through the at least one passage portion via first and second openings associated with the at least one passage portion of the adjustable flexible member construct to form a pair of loops. The attachment member can be configured to be coupled to at least one of the formed pair of loops. The adjustable flexible member construct can be positioned about the sternum and can be reduced to compress the fractured or sectioned sternum.
    Type: Application
    Filed: March 17, 2017
    Publication date: July 20, 2017
    Inventors: Kevin T. Stone, Brian K. Berelsman, Zachary Wagner
  • Publication number: 20170202588
    Abstract: The present application relates to a cross pin fixator device comprising a plate member with spherical cavities that are open to the front and to the back of the plate, collapsible pin holder members having a central channel for insertion of a bone pin, the collapsible pin holder member being press-fit into the spherical cavities, and bone pins individually inserted into the central channel of a pin holder. The application also relates to a method for treating a fracture of the proximal humerus using the proximal humerus cross pin fixator and to a kit for treating a fracture of a bone.
    Type: Application
    Filed: March 21, 2017
    Publication date: July 20, 2017
    Inventors: Romi MIRZA, Ather Mirza
  • Publication number: 20170202589
    Abstract: A crimp configured to fix a cable about a bone includes a body extending from a proximal end to a distal end and a first channel extending through the body from the proximal end to the distal end, the first channel being sized and shaped to permit a cable to be slid therethrough along with a second channel extending through the body from the proximal end to the distal end, the second channel being sized and shaped to permit a cable to be slid therethrough and a deformable extension attached to the proximal end of the body, the extension including a lumen aligned with the second channel and sized and shaped to permit the cable to be slid therethrough.
    Type: Application
    Filed: March 30, 2017
    Publication date: July 20, 2017
    Inventor: Alberto A. Fernandez DELL'OCA
  • Publication number: 20170202590
    Abstract: A fractured hollow bone can be supported by forming a rigid plastics implant within a cavity of the bone, extending across the fracture. An access port aids removal or revision of the implant. The port comprises a hollow cylinder, with a distal end inserted through an aperture in an end of the bone into the cavity to surround a proximal end of the implant. The access port is connectable to a source of torsional-mode ultrasonic vibrations, which soften the plastics material of the implant, improving engagement between the implant and a threaded formation within the distal end of the access port. Removal of the source allows the access port to act as a guide passage, in line with the elongate implant. A cutting tool introduced through the access port is thus guided so that it can be used to hollow out the implant. Once sufficiently hollowed-out, the implant collapses within its surrounding balloon.
    Type: Application
    Filed: July 20, 2015
    Publication date: July 20, 2017
    Applicant: RADLEY SCIENTIFIC LIMITED
    Inventor: Michael John Radley YOUNG
  • Publication number: 20170202591
    Abstract: A surgical instrument comprises a shaft assembly comprising a shaft and an end effector coupled to a distal end of the shaft; a handle assembly coupled to a proximal end of the shaft; a battery assembly coupled to the handle assembly; a radio frequency (RF) energy output powered by the battery assembly and configured to apply RF energy to a tissue; an ultrasonic energy output powered by the battery assembly and configured to apply ultrasonic energy to the tissue; and a controller configured to, based at least in part on a measured tissue characteristic, start application of RF energy by the RF energy output or application of ultrasonic energy by the ultrasonic energy output at a first time.
    Type: Application
    Filed: December 16, 2016
    Publication date: July 20, 2017
    Inventors: Frederick E. Shelton, IV, David C. Yates, Kevin L. Houser, Jeffrey D. Messerly, Jason L. Harris, Geoffrey S. Strobl
  • Publication number: 20170202592
    Abstract: A surgical instrument comprises a shaft assembly; a handle assembly; a battery assembly; a first driver configured to drive movement of at least a first component of the surgical instrument; a second driver configured to drive movement of at least a second component of the surgical instrument; a motor powered by the battery assembly and configured to selectively actuate the first driver or the second driver using an output of the motor; and a controller for the motor, configured to: perform a first limiting operation to the output of the motor when the motor actuates the first driver and a first limiting condition is met, and perform a second limiting operation to the output of the motor when the motor actuates the second driver and a second limiting condition is met.
    Type: Application
    Filed: December 16, 2016
    Publication date: July 20, 2017
    Inventors: Frederick E. Shelton, IV, David C. Yates, Kevin L. Houser, Jason L. Harris
  • Publication number: 20170202593
    Abstract: A surgical instrument comprises a shaft assembly comprising a shaft and an end effector coupled to a distal end of the shaft; a handle assembly coupled to a proximal end of the shaft; a battery assembly coupled to the handle assembly; a driver configured to drive movement of at least one component of the surgical instrument; a motor powered by the battery assembly and configured to actuate the driver using an output of the motor; and a controller for the motor, configured to perform a first limiting operation to the output of the motor when a first limiting condition is met, wherein the first limiting condition defines a maximum control variable profile of the motor over a range of the movement of the at least one component.
    Type: Application
    Filed: December 16, 2016
    Publication date: July 20, 2017
    Inventors: Frederick E. Shelton, IV, David C. Yates, Kevin L. Houser, Jason L. Harris, Geoffrey S. Strobl
  • Publication number: 20170202594
    Abstract: A surgical instrument comprises a shaft assembly comprising a shaft and an end effector coupled to a distal end of the shaft; a handle assembly coupled to a proximal end of the shaft; a battery assembly coupled to the handle assembly; a driver configured to drive movement of at least one component of the surgical instrument; a motor powered by the battery assembly and configured to actuate the driver using an output of the motor; and a controller for the motor, configured to perform a limiting operation to the output of the motor when a limiting condition is met, wherein the limiting condition is determined based at least in part on a tissue characteristic.
    Type: Application
    Filed: December 16, 2016
    Publication date: July 20, 2017
    Inventors: Frederick E. Shelton, IV, David C. Yates, Kevin L. Houser
  • Publication number: 20170202595
    Abstract: A battery powered modular surgical instrument includes a control handle assembly with a processor coupled to a memory, a shaft assembly operably coupled to the control handle assembly and detachable therefrom. The shaft assembly includes circuit modules and a memory. The control programs are configured to operate the circuit modules. The control programs include computer executable instructions. The instrument also includes a transducer assembly operably coupled to the control handle assembly and detachable therefrom. The transducer assembly includes a memory and a transducer configured to convert a drive signal to mechanical vibrations. The control programs are configured to control the conversion of the drive signal to mechanical vibrations. The instrument also includes a battery assembly operably coupled to the control handle assembly and detachable therefrom. The battery assembly comprises a memory and is configured to power the surgical instrument.
    Type: Application
    Filed: December 16, 2016
    Publication date: July 20, 2017
    Inventor: Frederick E. Shelton, IV
  • Publication number: 20170202596
    Abstract: A method of conserving energy in a surgical instrument that includes a segmented circuit having a plurality of independently operated circuit segments, a voltage control circuit, an energy source, a memory, and a processor coupled to the memory. The processor is configured to control a state of a circuit segment of the plurality of circuit segments. The state can be an energized state or a deenergized state. The method includes transmitting an energizing signal from the processor to a voltage control circuit, receiving the energizing signal by the voltage control circuit to apply a voltage to a circuit segment of the plurality of circuit segments, applying the voltage to the circuit segment by the voltage control circuit to cause the circuit segment to transition from the deenergized state to the energized state in accordance with an energization sequence that is different from a deenergization sequence.
    Type: Application
    Filed: December 16, 2016
    Publication date: July 20, 2017
    Inventors: Frederick E. Shelton, IV, David C. Yates, Kevin L. Houser
  • Publication number: 20170202597
    Abstract: Disclosed is a surgical instrument that includes a battery assembly, a handle assembly, and a shaft assembly where the battery assembly and the shaft assembly are configured to mechanically and electrically connect to the handle assembly. The battery assembly includes a control circuit configured to generate a digital waveform. The handle assembly includes a first stage circuit configured to receive the digital waveform, convert the digital waveform into an analog waveform, and amplify the analog waveform. The shaft assembly includes a second stage circuit coupled to the first stage circuit to receive, amplify, and apply the analog waveform to a load.
    Type: Application
    Filed: December 16, 2016
    Publication date: July 20, 2017
    Inventors: Frederick E. Shelton, IV, David C. Yates
  • Publication number: 20170202598
    Abstract: A system comprising a surgical instrument is disclosed. The surgical instrument includes a handle, a shaft, a plurality of magnets, a plurality of sensors configured to determine a distance away from one or more of the plurality of magnets, and a processor communicatively coupled to the plurality of sensors. The processor is configured to determine a three dimensional change in position of the shaft by computing a three dimensional change in position of the one or more magnets, using the change in the distances determined by the one or more plurality of sensors.
    Type: Application
    Filed: December 16, 2016
    Publication date: July 20, 2017
    Inventors: Frederick E. Shelton, IV, David C. Yates, Kevin L. Houser
  • Publication number: 20170202599
    Abstract: Provided is a system and medical device that includes self diagnosing control switches. The control switch may be slidable within a slot in order to control activation of some function of the medical device. Due to natural wear and tear of movement of a control switch, the distances along the sliding slot that correspond to how much energy is used for the function may need to be adjusted over time in order to reflect the changing physical attributes of the actuator mechanism. The self diagnosing control switches of the present disclosures may be configured to automatically adjust for these thresholds using, for example, Hall effect sensors and magnets. In addition, in some cases, the self diagnosing control switches may be capable of indicating external influences on the controls, as well as predict a time until replacement is needed.
    Type: Application
    Filed: December 16, 2016
    Publication date: July 20, 2017
    Inventors: Frederick E. Shelton, IV, David C. Yates, Kevin L. Houser, Jeffrey D. Messerly, Jason L. Harris
  • Publication number: 20170202600
    Abstract: The present disclosure provides for a device and methods of use to endoluminally ablate and/or occlude a body vessel using a current to perform resistive heating. The device includes a resistive coil having thermistor properties where the resistance of the coil changes as a function of temperature. A control unit will detect the voltage, current, and resistance in the coil during the heating of the coil to determine the temperature of the coil. As occlusion occurs and the cooling effect of blood flow decreases, less power will be required to maintain the coil at a desired temperature. Detecting a large decrease in required power will indicate to the control unit that the body vessel has become occluded.
    Type: Application
    Filed: January 13, 2017
    Publication date: July 20, 2017
    Inventors: Rune Tore Paamand, Per Elgaard
  • Publication number: 20170202601
    Abstract: The present disclosure provides for a device and methods of use to endoluminally ablate and/or occlude a body vessel using a radiofrequency (“RF”) signal and a current to perform resistive heating. The device may have a RF mode and a resistive mode, and may perform each mode in sequential order until the vessel is fully occluded. The device further comprises a control unit to operate the device in its various modes. The device may be provided with a dielectric coating to create a low-friction tip or coil.
    Type: Application
    Filed: January 13, 2017
    Publication date: July 20, 2017
    Inventors: Rune Tore Paamand, Per Elgaard
  • Publication number: 20170202602
    Abstract: The present disclosure provides for a device and methods of use to endoluminally ablate and/or occlude a body vessel using a radiofrequency (“RF”) signal and a current to perform resistive heating. The device may have a RF mode and a resistive mode, and may perform each mode in sequential order until the vessel is fully occluded. The device further comprises a control unit to operate the device in its various modes. The device may be provided in a system including an occlusive element, such as a balloon catheter, to prevent blood flow through the ablation/occlusion site.
    Type: Application
    Filed: January 13, 2017
    Publication date: July 20, 2017
    Inventors: Per Elgaard, Rune Tore Paamand, Allan Torp, Raimo Urban Butzbacker
  • Publication number: 20170202603
    Abstract: Described here are devices, systems, and methods for improving blood flow in a vessel. Generally, the method may comprise advancing a catheter into a first vessel proximal to an occlusion in the first vessel and forming a fistula between the first vessel and a second vessel. This may deliver blood flow around an occlusion to ischemic tissues located in the peripheral vasculature.
    Type: Application
    Filed: January 15, 2017
    Publication date: July 20, 2017
    Inventors: William E. COHN, Thomas D. PATE, Philip M. TETZLAFF, David GUNTHER
  • Publication number: 20170202604
    Abstract: In An energy treatment system, a judgment section judges whether a vicinity of a treated target, with which an end effector is in contact, is filled with a liquid, in a state that the end effector is in contact with the treated target and a driving current is being output from an output section. In the energy treatment system, a controller executes at least one of stopping an output of the driving current from the output section and issuing an alert to an effect that the liquid is not filled, based on a fact that the judgment section judged that the vicinity of the treated target is not filled with the liquid.
    Type: Application
    Filed: March 29, 2017
    Publication date: July 20, 2017
    Applicant: OLYMPUS CORPORATION
    Inventors: Yasuo TANIGAMI, Hiroto NAKAMURA, Ryo MIYASAKA
  • Publication number: 20170202605
    Abstract: Disclosed is a method of controlling a modular battery powered handheld surgical instrument. The surgical instrument including a battery, a user input sensor, a controller, a radio frequency (RF) drive circuit, an ultrasonic transducer, ultrasonic transducer drive circuit, and an end effector. The end effector including an electrode electrically coupled to RF drive circuit, an ultrasonic blade acoustically coupled to the ultrasonic transducer, and a sensor to measure tissue parameters. The method includes applying an RF current drive signal to the electrode by the RF drive circuit; applying an ultrasonic drive signal to the ultrasonic transducer by the ultrasonic transducer drive circuit to acoustically excite the ultrasonic blade; controlling intensity, wave shape, and/or frequency of the RF current drive signal and the ultrasonic drive signal on a sensed measure of a tissue or user parameter.
    Type: Application
    Filed: December 16, 2016
    Publication date: July 20, 2017
    Inventors: Frederick E. Shelton, IV, David C. Yates, Kevin L. Houser, Jeffrey D. Messerly, Jason L. Harris, Geoffrey S. Strobl, Adam D. Hensel
  • Publication number: 20170202606
    Abstract: The invention provides a non-invasive treatment device (100) for heating a first (15) and a second (25) inner region of skin using r.f. electrical current, comprising: a first r.f. treatment electrode (10) configured and arranged to allow r.f. current to pass through the first inner region (15) to a return electrode (340), a second r.f. treatment electrode (20) configured and arranged to allow r.f. current to pass through the second inner region (25) to the return electrode (340), the device further being arranged such that the smallest distance between the first r.f. treatment electrode (10) and the return electrode (340) is less than the smallest distance between the second r.f. treatment electrode (20) and the return electrode (340); wherein the electrical skin contact area of the return electrode (340) is 5 or more times larger than the electrical skin contact area of the first r.f. treatment electrode (10), and the electrical skin contact area of the second r.f.
    Type: Application
    Filed: June 8, 2015
    Publication date: July 20, 2017
    Inventors: MARGARET RUTH HORTON, JONATHAN ALAMBRA PALERO, MARTIN JURNA, BABU VARGHESE
  • Publication number: 20170202607
    Abstract: A surgical instrument comprises a controller configured to control application of RF or ultrasonic energy at a low level when displacement or intensity of a button is above a first threshold but below a second threshold higher than the first threshold, and control application of RF or ultrasonic energy at a high level when the displacement or intensity exceeds the second threshold. In another aspect, a surgical instrument comprises a first sensor configured to measure a tissue characteristic at a first location, a second sensor configured to measure the tissue characteristic at a second location, and a controller configured to, based at least in part on the measured tissue characteristic at the first location and the second location, control application of RF or ultrasonic energy.
    Type: Application
    Filed: December 16, 2016
    Publication date: July 20, 2017
    Inventors: Frederick E. Shelton, IV, David C. Yates, Kevin L. Houser, Jeffrey D. Messerly, Jason L. Harris
  • Publication number: 20170202608
    Abstract: Provided is a system including a surgical instrument comprising a handle assembly comprising a handle; a shaft assembly coupled to the handle assembly; and a flexible circuit. The handle assembly comprises a proximal portion of the flexible circuit and the shaft assembly comprises a distal portion of the flexible circuit; the shaft assembly further comprising: an exterior shaft positioned around the distal portion of the flexible circuit and configured to change position while a sub-portion of the distal portion of the flexible circuit remains stationary; and shaft control electronics comprising a stationary portion and a non-stationary portion, the stationary portion coupled to the distal portion of the flexible circuit and the non-stationary portion coupled to the exterior shaft; wherein the stationary portion of the shaft control electronics is configured to measure a distance to the non-stationary portion of the shaft control electronics as the exterior shaft changes position.
    Type: Application
    Filed: December 16, 2016
    Publication date: July 20, 2017
    Inventors: Frederick E. Shelton, IV, David C. Yates, Kevin L. Houser
  • Publication number: 20170202609
    Abstract: An end effector for a surgical instrument is disclosed. The end effector includes an ultrasonic blade and a jaw member including an asymmetric electrode comprising a first electrode and a second electrode. The first electrode defines a first width and the second electrode defines a second width. The first width is not equal to the second width. A first gap is defined between the first electrode and the ultrasonic blade and a second gap is defined between the second electrode and the ultrasonic blade. The first gap is not equal to the second gap.
    Type: Application
    Filed: December 16, 2016
    Publication date: July 20, 2017
    Inventors: Frederick E. Shelton, IV, Jeffrey D. Messerly
  • Publication number: 20170202610
    Abstract: An apparatus is configured to operate on tissue. The apparatus includes an end effector with an upper jaw and a lower jaw. The upper jaw is configured to pivot relative to the lower jaw. The apparatus also includes an electrode cap coupled to either the upper or lower jaw. The electrode cap includes a first electrode surface configured at a first polarity and a second electrode surface configured at a second polarity. The second polarity is opposite to the first polarity. The electrode cap is configured to be applied to tissue such that the electrode cap is operable to deliver bipolar RF energy to the tissue. The electrode cap may be used to selectively weld bleeding tissue in a localized fashion, without having to place the tissue between the jaws, and without having to use an instrument separate from the jaws.
    Type: Application
    Filed: January 31, 2017
    Publication date: July 20, 2017
    Inventors: Frederick E. Shelton, IV, Chester O. Baxter, III, David C. Yates, John V. Hunt, Kreena R. Modi
  • Publication number: 20170202611
    Abstract: The present invention relates to a device and a method for detecting a position of an electrode inserted into a human body that predict a path through a position sensor in a handle part before the electrode is inserted into the human body and display the path. The device for detecting the position of an electrode inserted into a human body according to the present invention includes: a position signal generator generating a position signal; an electrode needle having an electrode-side position sensor that is provided in an interior of a lance needle thereof and receives the position signal to generate first position information; and a handle connected to the electrode needle and having a handle-side position sensor that is included therein and receives the position signal to generate second position information.
    Type: Application
    Filed: May 11, 2015
    Publication date: July 20, 2017
    Applicants: Taewoong Medical Co., Ltd., STARMED Co.,Ltd., Samsung Life Public Welfare Foundation
    Inventors: Kyong Min SHIN, Kyung Hoon SHIN, Dong Un KIM, Jun Hyok LEE, Hyun Chul RHIM, Min Woo LEE
  • Publication number: 20170202612
    Abstract: An electrosurgical probe for ablating tissue includes an elongated shaft having an axis and a distal end. An electrically insulating housing at the distal end of the shaft has a window, and an interior channel in the shaft extends through the housing to the window. The window faces laterally relative to the axis, and a moveable member with a blade-like electrode edge is disposed within the window. A motor drives the energized electrode edge axially in the window to ablate tissue.
    Type: Application
    Filed: January 19, 2017
    Publication date: July 20, 2017
    Applicant: RELIGN Corporation
    Inventors: Aaron Germain, Jeff Norton, Jan Echeverry, Evan Nessim, Sal Mangano
  • Publication number: 20170202613
    Abstract: Methods and systems for modulating intraosseous nerves (e.g., nerves within bone) are provided. For example, the methods and systems described herein may be used to modulate (e.g., denervate, ablate) basivertebral nerves within vertebrae. The modulation of the basivertebral nerves may facilitate treatment of chronic back pain. The modulation may be performed by a neuromodulation device (e.g., an energy delivery device).
    Type: Application
    Filed: November 4, 2016
    Publication date: July 20, 2017
    Inventors: Richard Pellegrino, Paula Papineau, John S. Crombie, Samit Patel, Thomas Ryan
  • Publication number: 20170202614
    Abstract: A method includes, using a computer processor: (1) generating a map of vasculature of a subject, by: (a) displaying (i) a schematic representation of the vasculature including a blood vessel, and (ii) on the schematic representation, a first plurality of branch-site options; (b) receiving a user-selected first branch site, and responsively displaying (i) a schematic representation of a first branch of the vasculature that branches from the schematic representation of the blood vessel at the user-selected first branch site, and (ii) a second plurality of branch-site options; and (c) receiving a user-selected second branch site; (2) in response to receiving the user-selected second branch site, displaying the map; (3) detecting a physiological parameter of the subject; and (4) in response to the detected physiological parameter, determining a value for the parameter, and storing, in association with a location on the map, data representative of the value.
    Type: Application
    Filed: January 20, 2016
    Publication date: July 20, 2017
    Applicant: RAINBOW MEDICAL LTD.
    Inventors: Yossi Gross, Yehuda Zadok
  • Publication number: 20170202615
    Abstract: A catheter assembly for assessing contact between the catheter assembly and tissue is disclosed. The assembly includes a catheter shaft and a pressure sensitive conductive composite member whose electrical resistance varies with pressure applied to the catheter assembly. The assembly also includes at least one measurement terminal to permit the measurement of changes in the electrical characteristics of the pressure sensitive conductive composite member. The assembly may optionally include a measurement device to measure resistance, impedance and/or other electrical characteristics. The assembly may utilize a reference electrode secured to the patient's tissue, which permits the measurement device to measure changes between the reference electrode and the at least one measurement terminal. Optionally, the assembly may include a conductive outer layer.
    Type: Application
    Filed: January 12, 2017
    Publication date: July 20, 2017
    Inventors: Kedar Ravindra Belhe, Saurav Paul
  • Publication number: 20170202616
    Abstract: Described here are devices, systems, and methods for forming a fistula between two blood vessels. The systems may comprise a first catheter including a housing and an electrode having a proximal end and a distal end. The proximal end is fixed relative to the housing and the distal end is longitudinally slidable within the housing.
    Type: Application
    Filed: January 15, 2017
    Publication date: July 20, 2017
    Inventors: Thomas D. PATE, Dana R. MESTER, William E. COHN, Philip M. TETZLAFF
  • Publication number: 20170202617
    Abstract: Methods and apparatus are provided for thermally-induced renal neuromodulation. Thermally-induced renal neuromodulation may be achieved via direct and/or via indirect application of thermal energy to heat or cool neural fibers that contribute to renal function, or of vascular structures that feed or perfuse the neural fibers. In some embodiments, parameters of the neural fibers, of non-target tissue, or of the thermal energy delivery element, may be monitored via one or more sensors for controlling the thermally-induced neuromodulation. In some embodiments, protective elements may be provided to reduce a degree of thermal damage induced in the non-target tissues. In some embodiments, thermally-induced renal neuromodulation is achieved via delivery of a pulsed thermal therapy.
    Type: Application
    Filed: April 3, 2017
    Publication date: July 20, 2017
    Applicant: Medtronic Ardian Luxembourg S.a.r.l.
    Inventors: Denise Zarins, Andrew Wu, Hanson Gifford, III, Mark Deem, Mark Gelfand, Howard R. Levin
  • Publication number: 20170202618
    Abstract: A directional reflector assembly includes a tubular shaft having a proximal end and a distal end and adapted to operably engage an electrosurgical ablation probe, and a conical aperture having a proximal open apex joined to a distal end of the tubular shaft, and a distal open base, wherein an interior volume of the tubular shaft is open to the conical aperture.
    Type: Application
    Filed: April 3, 2017
    Publication date: July 20, 2017
    Inventors: KENLYN S. BONN, DARION PETERSON, JOSEPH D. BRANNAN, KYLE R. RICK
  • Publication number: 20170202619
    Abstract: The invention relates to a tissue monitoring apparatus, a tissue monitoring method and an ablation lesion monitoring, measuring, and controlling automated algorithm incorporating diffuse reflectance spectroscopy (DRS) and/or Arrhenius model thermal denaturation kinetics for determining the characteristics of the lesion or the tissue, especially for identifying the transmurality of the ablation lesion. The invention pertains to a device for and method of real time monitoring of lesion formation as ablation is being carried out.
    Type: Application
    Filed: December 12, 2016
    Publication date: July 20, 2017
    Inventor: Bernard Boon Lim
  • Publication number: 20170202620
    Abstract: A process for creating a curved contour on or within a bone is provided, where the process includes 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 the scan data, generating a cutting program to modify a surface of the bone based on the 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 blades or a curved drill bit that is robotically driven and positioned with the cutting program to form the curved contour. A system for creating a curved congruent contour on or within a bone for mounting a prosthesis is also described.
    Type: Application
    Filed: March 31, 2015
    Publication date: July 20, 2017
    Inventors: Stan SHALAYEV, Nathan A. NETRAVALI, In K. MUN
  • Publication number: 20170202621
    Abstract: Embodiments include a system for determining cardiovascular information for a patient. The system may include at least one computer system configured to receive patient-specific data regarding a geometry of the patient's heart, and create a three-dimensional model representing at least a portion of the patient's heart based on the patient-specific data. The at least one computer system may be further configured to create a physics-based model relating to a blood flow characteristic of the patient's heart and determine a fractional flow reserve within the patient's heart based on the three-dimensional model and the physics-based model.
    Type: Application
    Filed: March 29, 2017
    Publication date: July 20, 2017
    Inventor: Charles A. Taylor
  • Publication number: 20170202622
    Abstract: A method of generating a computerized bone model representative of at least a portion of a patient bone in a pre-degenerated state. The method includes: generating at least one image of the patient bone in a degenerated state; identifying a reference portion associated with a generally non-degenerated portion of the patient bone; identifying a degenerated portion associated with a generally degenerated portion of the patient bone; and using information from at least one image associated with the reference portion to modify at least one aspect associated with at least one image associated the generally degenerated portion. The method may further include employing the computerized bone model representative of the at least a portion of the patient bone in the pre-degenerated state in defining manufacturing instructions for the manufacture of a customized arthroplasty jig.
    Type: Application
    Filed: April 3, 2017
    Publication date: July 20, 2017
    Applicant: Howmedica Osteonics Corporation
    Inventors: Ilwhan Park, Charlie W. Chi
  • Publication number: 20170202623
    Abstract: The present invention provides a device and method for measuring tissue deformation during an invasive medical procedure. A device is provided comprising a flexible fiber having a proximal end and a distal end; at least one sensor embedded in the flexible fiber; a rigid mount having a transverse opening for the flexible fiber; a mechanism for inserting the flexible fiber into a tissue; a detector for receiving information from the sensor; and a tracking system for receiving information from the detector to calculate the sensor location.
    Type: Application
    Filed: March 13, 2016
    Publication date: July 20, 2017
    Inventors: Joshua Lee RICHMOND, Cameron Anthony PIRON
  • Publication number: 20170202624
    Abstract: A surgical controlling system, comprising: at least one surgical tool configured to be inserted into a surgical environment of a human body; at least one location estimating means configured for real-time localization of the 3D spatial position of said at least one surgical tool at any given time t; at least one movement detection means communicable with a movement's database and with said location estimating means; a controller having a processing means communicable with a controller's database; said controller's database is in communication with said movement detection means; and at least one display configured to real time provide an image of at least a portion of said surgical environment; wherein said controller is configured to direct said surgical tool to said location via said instructions provided by said controller; further wherein said location is real time updated on said display as said at least one surgical tool is moved.
    Type: Application
    Filed: June 8, 2015
    Publication date: July 20, 2017
    Applicant: M.S.T. MEDICAL SURGERY TECHNOLOGIES LTD
    Inventors: Gal ATAROT, Tal NIR, Motti FRIMER, Tami HAREL
  • Publication number: 20170202625
    Abstract: A system for tracking an instrument includes two or more sensors (22) disposed along a length of an instrument and being spaced apart from adjacent sensors. An interpretation module (45) is configured to select and update an image slice from a three-dimensional image volume in accordance with positions of the two or more sensors. The three-dimensional image volume includes the positions two or more sensors with respect to a target in the volume. An image processing module (48) is configured to generate an overlay (80) indicating reference positions in the image slice. The reference positions include the positions of the two or more sensors and relative offsets from the image slice in a display to provide feedback for positioning and orienting the instrument.
    Type: Application
    Filed: July 14, 2015
    Publication date: July 20, 2017
    Inventors: SHYAM BHARAT, AMEET KUMAR JAIN, ANTONIO BONILLAS VACA
  • Publication number: 20170202626
    Abstract: The present disclosure provides systems and methods for generating spatial annotations within guidance images that are displayed during a guided medical procedure, where the spatial annotations provide spatial graduations indicating known length measures. The spatial measures may be employed to visually assess the sizes of anatomical and/or functional features displayed in the guidance images.
    Type: Application
    Filed: January 12, 2017
    Publication date: July 20, 2017
    Inventors: Andrew KULA, Elena BERMAN, Adrian MARIAMPILLAI, Peter SIEGLER, Michael LEUNG, Beau Anthony STANDISH, Victor X.D. YANG