Abstract: A vein harvesting device is disclosed. The vein harvesting device includes a handle assembly, at least one elongated portion, first and second end effectors, and a tip. Each end effector is disposed adjacent a distal portion of the at least one elongated portion. Each end effector includes a first jaw member and a second jaw member, and at least one jaw member is movable toward the other jaw member. The tip is disposed in mechanical cooperation with the elongated portion. A distal end of the tip extends distally beyond a distal-most end of the first end effector. The first end effector is movable independently of the tip, and the second end effector is movable independently of the tip.

Abstract: Access assemblies includes an instrument valve housing and a valve assembly disposed within the cavity of the instrument valve housing. The valve assembly includes a guard assembly, a seal assembly disposed adjacent to the guard assembly, and a centering mechanism for maintaining the seal assembly and guard assembly centered within a cavity of the instrument valve. In embodiments, the seal assembly includes a plurality of seal sections that are movable from an unfolded configuration to folded configuration in which the seal assembly forms a hexagonal member defining an opening to facilitate sealed passage of a surgical instrument. The seal sections may include a tapered inner edge for engaging a surgical instrument inserted through the instrument valve housing.

Abstract: A surgical stapling apparatus includes an actuating device, a tool assembly mounted on the actuating device, and a firing cam bar assembly movable with respect to the tool assembly. The tool assembly articulates between first and second positions. The tool assembly includes first and second jaw members having an open position and an approximated position. The firing cam bar assembly includes at least one firing cam bar having a cam surface including a first cam portion and a second cam portion. The second cam portion is connected to and extends from the first cam portion. The first and second cam portions are disposed proximally of a distal end of the at least one firing cam bar. The cam surface is configured to engage the tool assembly to move the first and second jaw members from the open position to the approximated position.

Abstract: Methods, systems, and devices for wireless patient monitoring and medical sensing are described. The methods, systems, and devices may include functionality for receiving a medical dataset associated with a patient, the medical dataset including a plurality of physiological measurements taken from the patient and a plurality of parameters associated with the plurality of physiological measurements. The methods, systems, and devices may also identify one or more groups of parameters from the plurality of parameters within the medical dataset, determine at least a medical device type from which at least a portion of the plurality of physiological measurements were measured, the determining based at least in part on the one or more identified groups of parameters; and display at least a subset of the plurality of physiological measurements from the medical dataset.

Abstract: Methods, apparatuses and systems are described for managing communication modes on a network used for physiological status monitoring. The methods may include receiving indications that a network had been selected and that a communication or operation mode for the network had been selected. The communication or operation mode may be based at least in part on a number of remote physiological monitoring devices that are to be allowed to communicate on the radio access network. A beacon may be transmitted to indicate one or more transmission parameters associated with the selected communication or operation mode.

Abstract: An end effector assembly includes first and second jaw members pivotable between spaced-apart and approximated positions. The first and second jaw members include first and second proximal flanges, respectively. A pivot pin couples the proximal flanges of the jaw members to one another. The pivot pin includes a body and a head. The body is coupled to the first proximal flange. The head defines a first ramped surface configured to slidably contact a second ramped surface of the second proximal flange. In the spaced-apart position of the jaw members, the first and second ramped surfaces are oppositely disposed such that a maximum clearance is defined between the first and second proximal flanges. In the approximated position of the jaw members, the first and second ramped surfaces are similarly disposed such that a minimum clearance is defined between the first and second proximal flanges.

Abstract: A tool assembly for a surgical stapling device includes a channel member for supporting a staple cartridge therein and an anvil to deform a plurality of staples ejected from the staple cartridge thereagainst. The tool assembly also includes a sled which is movable to force the staples from the cartridge against the anvil to staple tissue disposed between the anvil and the staple cartridge. A dynamic clamping member is included which has a pin which movably engages the anvil and a flange which movably engages the channel assembly. The dynamic clamping member is mounted to and movable with the sled. The pin and the flange of the dynamic clamping member cooperating to oppose the forces associated with clamping and stapling tissue and also to maintain a substantially uniform gap between the anvil and the staple cartridge during stapling of the tissue.

Abstract: A tissue-removing catheter includes a tissue-removing element operatively connected to a drive shaft for rotation of the tissue-removing element about an axis of rotation in a cutting direction. In some embodiments, the tissue removing element has a cutting blade and cutting teeth positioned radially inward of the cutting blade with respect to the axis of rotation. The cutting blade and cutting teeth are fixed with respect to one another to form first and second cuts in tissue as the tissue-removing element rotates. In certain embodiments, the tissue-removing element includes a cutting blade and raised elements spaced apart inward of the cutting blade relative to the axis of rotation to define an annular tissue-receiving channel between the cutting blade and the raised elements. A bottom surface of the channel can define cutting teeth.

Abstract: Methods and devices for providing improved ultrasound visibility of medical devices intended for intravascular use are described. The inclusion of gas/solid boundary regions within a medical devices improves the resolution of the device under ultrasound visualization. Gas/solid boundary regions may be provided through the use of embedded gas-filled microlumens, microwells, or enclosed pockets within the medical device.

Abstract: A thermal management system and method for electronic devices is provided. The system includes an electronic device, a heat sink, and a thermally conducting and electrically insulating thermal bridge that is interposed between the electronic device and the heat sink. The thermal bridge thermally couples the electronic device to the heat sink and electrically isolates the electronic device from the heat sink. The electronic device, the heat sink, and the thermal bridge are mounted on a same planar surface of a printed circuit board.

Abstract: An electrosurgical generator and related systems and methods using a gain-compensated full bridge topology. Gain nonlinearity is corrected by applying impedance and phase correction factors to a control loop to achieve a linear gain structure. In embodiments, gain compensation is performed by comparing an RF setpoint signal with a calculated output signal to generate a first error signal. An impedance correction factor is applied to the first error signal to generate a second error signal. The second error signal is processed by a proportional-integral-derivative controller to generate a phase control signal. A phase control correction factor is applied to the phase control signal to generate a corrected pulse width modulation driving signal, which is used to generate PWM driving signals for a full-bridge inverter. One or more sensors provide feedback for comparison with the RF setpoint.

Abstract: A surgical stapling apparatus comprises a handle assembly, an actuation shaft having a connector, and a retraction mechanism positioned within the handle assembly. The retraction mechanism includes a motor coupled to a transmission shaft, a first gear rotatably mounted on the transmission shaft, the first gear configured to engage a second gear, a clutch operatively attached to the second gear, a main shaft rotatably connected to the clutch, and a pulley coupled to the main shaft, the pulley being operatively attached to the connector. The connector and the pulley may be attached via a cable. The retraction mechanism may include a spring motor for maintaining the cable in tension. The spring motor may have a spring element wrapped around and interconnecting at least two arbors.

Abstract: A device for needle biopsy is presented. The device includes a handle member having proximal and distal portions. A proximal handle member is disposed to the proximal portion of the handle member and a distal handle member is disposed to the distal portion of the handle member. A sheath lumen is disposed within the handle member and extends from the distal portion of the handle member. A needle housing member is partially disposed to the proximal portion of the handle member and a needle is disposed within the sheath lumen. A plurality of protrusions is disposed upon the needle. A needle protection member is partially disposed to the distal portion of the needle housing member. The needle protection member includes a needle protection hub and a needle protection shaft.

Abstract: A catheter fixture 11 for fixing a tubular catheter 1 to skin of a patient is provided with a plate shaped fixture main body 21, a fixing member 41 that is configured separately from the fixture main body, and a pivot connecting shaft 45. The plate shaped fixture main body 21 includes a retention part 22 where a catheter retaining groove 25 is formed, and a pair of winged pieces 23a and 23b. The pivot connecting shaft 45 both connects the fixture main body 21 and the fixing member 41 and acts as the pivot access C1 of the fixing member 41. The fixing member 41 has a pivoting action along a horizontal plane direction of the fixture main body 21 centrally around the pivot connecting shaft 45. When doing so, the catheter retaining groove 25 is covered by the fixing member 41 thereby fixing the catheter 1.

Abstract: The present disclosure relates to a hydrogel composition and methods of using the same. The hydrogel composition may include precursors that react with each other upon contact as well as precursors that react upon contact with an initiator. In embodiments, the resulting hydrogels may have varying levels of crosslinking with both denser and less dense regions.

Abstract: An electrosurgical instrument for treating tissue includes a housing having a flexible shaft extending therefrom having an axis A-A defined therethrough. The flexible shaft has first and second jaw members attached at a distal end thereof and each jaw member includes an electrically conductive tissue contacting surface adapted to connect to a source of electrosurgical energy such that the electrically conductive tissue contacting surfaces are capable of conducting electrosurgical energy through tissue held therebetween. A drive assembly is disposed in the housing and has a first actuator operably coupled to a drive rod for reciprocation thereof and a second actuator operably coupled to the drive rod for rotation thereof. A knife is operably coupled to a distal end of the drive rod.

Abstract: A medical dressing containing an antimicrobial agent is disclosed. The medical dressing comprises a layered fabric comprising an inner layer of substantially hydrophilic material, an outer layer of substantially hydrophobic material on both sides of the inner layer; and an antimicrobial agent. The antimicrobial agent may be releasably impregnated into the fabric, coated on said fabric or a combination thereof. The antimicrobial agent may be a biguanide, such as polyhexamethylene biguanide (PHMB). The fabric inner layer material may be substantially a cellulose fiber, preferably substantially rayon, and the fabric outer layer material may be substantially polyester, e.g., a combination of textile matrix grade polyester fiber and amorphous binder grade polyester fiber. The fabric is preferably treated with an aqueous solution of surfactant and PHMB to have about 1500-3500 ppm of extractable PHMB.

Abstract: A laparoscopic port device includes a compliant port body having a distal and proximal end having a lumen extending therethrough. The lumen has a filtering agent configured to retain or treat particulate contaminates present in insufflation gases. The laparoscopic port device further includes a valve operatively connected with the lumen to selectively regulate flow of the insufflation gases therethrough.

Abstract: A patient monitoring system is provided which includes a platform and one or more monitoring modules. Monitoring modules include parameter modules for monitoring physiological activity of a patient, and utility modules for providing additional functionality to the patient monitoring system. A platform and one or more monitoring modules may be coupled to form a communications bus, allowing communication between any of the plurality of coupled devices. Updates such as software upgrades may be provided by a monitoring module to a platform or other monitoring module to update functionality.

Abstract: Embodiments of the present disclosure relate to display features that facilitate observation of monitored physiological data. According to certain embodiments, a monitoring system may include a monitor capable of receiving data related to the physiological parameters and storing data related to the parameters. The monitor may include a microprocessor capable of determining a respiration rate baseline from the data and establishing an alarm sensitivity for respiration rate based on the respiration rate baseline. The alarm sensitivity may comprise a first tier, a second tier, and a third tier. Each tier may correspond to a specific respiratory rate range and the alarm sensitivity may be selected based on which specific respiratory rate range encompasses the respiration rate baseline. Further, in certain embodiments a blood pressure baseline may be determined and an alarm sensitivity established based on the blood pressure baseline.