Abstract: A method and device for image guided dynamic radiation treatment of prostate cancer and other pelvic lesions including: 1) a unique fan geometry of radiation sources; 2) a special collimation method and apparatus to sculpt the radiation borders; 3) an integrated three-dimensional imager and a special tissue interface imaging system to locate and track critical boundaries in real-time; 4) a dynamic patient support system, which is shared by the said imager and the irradiation system; and 5) motorized custom shielding filters to further protect neighboring normal tissues such as the kidneys and femoral heads. The fan geometry utilizes a plural number of radiation sources arranged specifically for irradiating tumors in the human pelvis while not harming critical structures, and the collimation sculpts the radiation borders using motorized shields for different sensitive structures.

Abstract: A multimodal auditory prosthesis. The prosthesis comprises a sound processing unit configured to process sound and to generate electrical signals representing different frequency components of the processed sound and a stimulation module communicably coupled to the sound processing unit, configured to stimulate the recipient to evoke a hearing percept of a range of the frequency components. The prosthesis also comprises an external stimulation module, configured to be positioned within an externally accessible portion of the recipient's first ear, comprising: a receiver unit to wirelessly receive the electrical signals representing the different frequency components, and a transducer that delivers acoustic or mechanical energy to the recipient's ear to evoke a hearing percept of a range of the frequency components.

Abstract: An applicator for delivering brachytherapy includes elongate members movable between collapsed and expanded configurations for delivering brachytherapy within a lumpectomy cavity, a vaginal cavity, or other target region. The elongate members may be expandable into a symmetrical or asymmetrical expanded configuration, e.g., into a generally spherical, pear-shaped, or planar configuration. A system for delivering brachytherapy includes the applicator and an access device for lining and/or dilating a body cavity and/or for receiving the applicator therein. The access device is advanced into a body cavity, an expandable member on the access device is inflated, the applicator is advanced into the access device, and the elongate members are expanded to deliver radiation to the target region.

Abstract: Described are methods and devices useful for supporting posterior vaginal tissue for various purposes such as treating or preventing vaginal prolapse or enterocele, especially in a patient not having a uterus, the devices including implants designed to contact the vaginal cuff and connect to sacral anatomy such as the sacrum or the uterosacral ligaments.

Abstract: Some aspects include a system, method, and computer-readable medium to divide a representation of a target volume into an array of sub-volumes; define a high dose volume to which a high dose of radiation is to be delivered; define a plurality of sampling volumes; direct an estimated dose of radiation to each sub-volume; determine whether the dose of radiation delivered to each high dose volume is at least a minimum threshold dose, and that the radiation delivered to the plurality of sampling volumes for each of the sub-volumes is at least a minimum difference less than the radiation delivered to the high dose volume; adjust the estimated dose of radiation directed to each sub-volume; and develop a radiation treatment plan, including the adjusted dose, to invoke a biological effect of spatially separated radiation.

Abstract: Disclosed are systems and methods for characterizing interactions or proton beams in tissues. In certain embodiments, charged particles emitted during passage of protons, such as those used for therapeutic and/or imaging purposes, can be detected at relatively large angles. In situations where beam intensity is relatively low, such as in certain imaging applications, characterization of the proton beam with charged particles can provide sufficient statistics for meaningful results while avoiding the beam itself. In situations where beam intensity is relatively high, such as in certain therapeutic applications, characterization of the proton beam with scattered primary protons and secondary protons can provide information such as differences in densities encountered by the beam as it traverses the tissue and dose deposited along the beam path. In certain situations, such beam characterizations can facilitate more accurate planning and monitoring of proton-based therapy.

Abstract: Devices, systems, and methods for the localization of body lumen junctions and other intraluminal structure are disclosed. Various embodiments permit clinicians to identify and locate lesions and/or anatomical structures within a lumen and accurately place leads and/or devices within a lumen, through determining the intralumen conductance and/or cross-sectional area at a plurality of locations within the body lumen.

Abstract: An apparatus comprises a strap and an inflatable bladder secured to the strap. The apparatus is sized and configured to wrap along a first plane to encompass an anatomical feature such as an esophagus or stomach. The bladder may have a cross-sectional profile that is asymmetric about the first plane, such as a tapered profile or a contoured profile. The wall thickness of the bladder may be substantially uniform or may vary about the perimeter of the bladder. The bladder may include an expansion section that allows the bladder to transition from having a substantially flat cross-sectional configuration in a non-inflated state to having a substantially tapered cross-sectional configuration an inflated state. The expansion section may include folds, pleats, gussets, or the like. The strap may have a cross-sectional profile that is asymmetric about the first plane. Such a strap may include annular ribs of varying sizes.

Abstract: Described are methods and apparatus for use in supporting tissue in a patient's body. In some embodiments, the patient's breast or another tissue is supported. One method involves introducing a superior soft tissue anchor into a patient, the anchor having an inferiorly facing total surface area; and introducing at least one inferior soft tissue anchor into the patient, such that the at least one inferior soft tissue anchor is suspended from the superior soft tissue anchor, the sum of all of the at least one inferior soft tissue anchors having a superiorly facing total surface area. The inferiorly facing total surface area of the superior anchor can be greater, such as at least two times greater than the superiorly facing total surface area of the at least one inferior anchor.

Abstract: Systems and methods for optimizing the sleep and post-sleep performance of individuals regardless of their environment and time available for sleep are provided. The systems and methods take into account factors that determine the effects of a sleep episode on dexterity, cognitive functions and the subjective feeling of fatigue after sleeping: duration and sleep architecture of the sleep episode, point on the circadian cycle at which the episode occurred, the amount of sleep debt accumulated prior to the episode and the subject's susceptibility to sleep deprivation. The systems and methods include monitoring of sleep architecture over a longer period of time, measurement of accumulated sleep debt and assessment and/or tailoring of the sleep architecture for each subsequent sleep episode, determining a desired sleep state in which the subject should be in, and generating sensory stimuli for guiding the subject to the desired sleep state.

Abstract: An interventional device (12) is configured to be positioned in a body and includes an electrically operable unit (E1, E2) configured to carry out an interaction with the body upon a receipt of electric power. The device further includes a sensor (2) configured for wirelessly receiving electromagnetic energy from a remote source. The sensor is configured as a resonant circuit (2a, 2b) which converts the received electromagnetic energy into the electric power. The electrically operable device may include a diagnostic and/or therapeutic module.

Abstract: Systems for providing support to body tissue to alleviate incontinence are disclosed that comprise an elongated incontinence sling (20) having a central support portion (40) adapted to be positioned to support any one of the urethra or anus (58, 67) and first and second sling end portions (42, 44) extending from the central support portion through body tissue and a tension adjustment mechanism acting on or within one or both of the sling end portions. The sling tension adjustment mechanism comprises one or more of a sling tensioning suture (312, 314) or band, and a tensioning device (310) coupled to a suture or band free end.

Abstract: The invention generally relates to surgically implantable supportive slings. More specifically, in various embodiments, the invention is directed to multilayer mesh slings formed from a tubular mesh material.

Abstract: A system for controlling a controllable gastric band (1), having a control unit (11), wherein the gastric band (1) includes a nonextensible back (4) and a chamber (2) arranged on the stoma side of the back and capable of being filled with a fluid, which chamber is in connection with a second chamber (5) and has at least one sensor (7) for the detection of the pressure on the gastric wall. The sensor (7) can be connected with a device (8) for the wireless transmission of the detected pressure values to the control unit (11). The control unit (11) can include a device (13) for receiving transmitted pressure data from the at least one sensor (7). Also, at least one memory (9, 14) for storing the pressure values detected and a device (16) for processing the time courses of the pressure values detected.

Abstract: The present provides novel systems and methods to facilitate embryo transfer, to maximize implantation rates and to improve pregnancy rates resulting from In Vitro fertilization.

Abstract: The present invention relates generally to the design and optimal placement of transmitting and receiving directional antennas, a priori, as used in intra-oral to extra-oral (or visa versa) wireless electronic systems regardless of the type and purpose of the data transmitted between the antennas (intra-oral and extra-oral). Systems related to the invention transmit data via electromagnetic radio waves or through an inductive loop coupling such as in stimulating the human hearing nerve (inner ear) via dental bone conduction pathway when operating in “receive mode”. “Send mode” systems related to the invention transmit non-acoustic information or voice data from inside the mouth to a receiver located outside the mouth.

Abstract: An anatomical augmentation device configured to augment a tubular member of a human body includes an inflatable bladder, a support coupled to the inflatable bladder, and a pump coupleable with the inflatable bladder. The support includes a first connection line and a second connection line that are each attachable to soft tissue to position the inflatable bladder relative to the tubular member of the human body. The device is a body-implantable device and the pump is configured to selectively inflate the inflatable bladder to occlude the tubular member of the human body.

Abstract: The invention relates to a general composite compartmental model and a compartmental analysis procedure to extract non-invasively the concentration (Cp) of the imaging agent in plasma (301), in metabolites (304, 504) and in blood elements (303) (like red cells, platelets, plasma protein etc.) from time signal curves measured within a reference tissue region (200). This is made possible by deploying an injection function (SINJ(t)) as input which models the amount of imaging agent administered to the patient as a function of time. The invention allows the presentation of the plasma input function to the medical practitioner without the need for invasively drawing blood samples.

Abstract: An apparatus for placing a cardiac support device (CSD) on a heart. The apparatus includes a body, a deployment mechanism on the body for supporting the CSD in an open position for placement on the heart, and a release mechanism coupled to the deployment mechanism for releasably mounting the CSD to the deployment mechanism. The release mechanism includes a release element for releasably engaging the CSD, and a release actuator coupled to the release element for actuating the release element to release the CSD.

Abstract: A urinary control device for sealing off at a neck and along the inside wall of a bladder to prevent leaking and dislodging of the device from within the bladder is disclosed. The device includes an inner tubular member. The device also includes an expandable sealing member. A deployable stiffening member is positioned within the expandable sealing member. The stiffening member expands within the expandable sealing member to erect and shape the expandable sealing member. The deployable stiffening member strengthens the expandable sealing member, retaining the device within the bladder and sealing off the bladder against leaking.