Abstract: Method and apparatus for performing a laser-assisted posterior capsulotomy and for performing laser eye surgery on an eye having a penetrated cornea are provided. A method for performing a posterior capsulotomy includes injecting fluid between the lens posterior capsule and the anterior hyaloids membrane to separate the lens posterior capsule and the anterior hyaloids membrane. With the lens posterior capsule separated from the anterior hyaloids membrane, a posterior capsulotomy is performed on the lens posterior capsule by using a laser to incise the lens posterior capsule.

Abstract: A laser delivery system is configured to delivery light energy to soften and realign the tissue of the eye in order to increase accommodation and treat glaucoma. The laser system can be configured to increase a circumlental space of the eye and increase movement of a posterior vitreous zonule in order to increase accommodation. The light energy may comprise wavelengths strongly absorbed by collagen of the sclera. In many embodiments a heat sink is provided to couple to the conjunctiva and the heat sink comprises a material transmissive to the light energy absorbed by collagen, for example Zinc Selenide. The heat sink can be chilled to inhibit damage to the conjunctiva of the eye. In many embodiments, one or more layers of the epithelium of the eye remain substantially intact above the zone where the eye has been treated when the heat sink has been removed.

Abstract: A laparoscopic surgical apparatus for performing a surgical procedure through a single incision in a patient's body includes a gross positioning arm supported on a moveable platform, the gross positioner including a head; at least one articulated tool positioning apparatus coupled via a tool controller to an underside of the head, the articulated tool positioning apparatus being configured to receive a tool for performing surgical operations, the tool controller being actuated by the head to cause movements of the articulated tool positioning apparatus for performing surgical operations; and wherein the gross positioner is configured to permit the head to be positioned to facilitate insertion of the articulated tool positioning apparatus through the incision into the patient's body.

Abstract: A tool has a handle and an elongate shaft that extends distally from the handle. A distal portion of the shaft is inserted into a subject during a surgical procedure. An optical fiber delivers laser energy to a tip at the distal portion of the shaft. The tip includes a mechanical cutting mechanism including a moving part that absorbs the laser energy, thermally conducts the absorbed energy to tissue that is disposed between the moving part and another part, and moves with respect to the other part in order to cut tissue that is disposed between the parts using a mechanical force that is lower than a mechanical force that would be required to cut the tissue in the absence of the laser energy. Other embodiments are also described.

Abstract: A heart rate (HR) monitor for use in a medical device configurable to measure a patient's ECG such as, for example, a WCD system. Embodiments can include an ECG sensor and a processor configured with classification criteria to classify a received ECG signal into one of a plurality of ECG rhythm types each with a corresponding algorithm to determine the patient's heart rate. The processor uses the classification criteria to identify the ECG signal's type and determine a heart rate of the patient using the corresponding algorithm. The HR monitor is configurable to avoid overcounting of erroneous measurements of R-R intervals that can result from large T-waves and/or bigeminy by comparing the mean of even R-R intervals with the mean of odd R-R intervals. If the means are significantly different double counting or bigeminy is indicated and the HR calculation is adjusted accordingly.

Abstract: A method of determining signal quality in a patient monitoring device includes acquiring one or more signals using the patient monitoring device. One or more signal quality metrics are determined based on the one or more acquired signals. A noise condition is detected based on the one or more signal quality metrics, and a determination is made whether the noise condition should be classified as intermittent or persistent. One or more actions are taken based on the classification of detected noise as intermittent or persistent.

Abstract: A treatment device for the surgical correction of hyperopia in the eye comprising a laser device controlled by a control device. The laser device separating corneal tissue by applying laser radiation. The control device controls the laser device for emitting the laser radiation into the cornea such that a lenticule-shaped volume is isolated. Removal thereof effects the desired correction. The control device predefines the volume such that a posterior surface and an anterior surface are connected via an edge surface that has a width in projection along the visual axis that is wider than the one which a straight line in the same projection, that is perpendicular at the edge of the posterior or the anterior surface would have relative to the associated surface and connects the anterior surface to the posterior surface or to the perceived extension thereof.

Abstract: A robotic microsurgery assembly (1) includes at least one master tool (2) to detect a manual command; at least one slave manipulator (3); and at least one surgical instrument (70) operated on by the one slave manipulator (3). At least one control unit (4) receives at least a first command signal including information about the manual command and sends a second command signal to at least one actuator to control the slave manipulator (3). The surgical instrument includes at least one jointed subassembly (5). The jointed subassembly (5) includes a first link (6), a second link (7), and a third link (8). The first link structural body (9) and the second link structural body (10) have at least one tendon contact surface (18), avoiding the at least one tendon contact surface (18) being a hole surface.

Abstract: A device for cutting human or animal tissue including a femtosecond laser that can emit a L.A.S.E.R. beam in the form of impulses. The device directs and focuses the beam onto or into the tissue for the cutting thereof. The device further includes and element to shape the L.A.S.E.R. beam, positioned in the trajectory of the beam, and to modulate the energy distribution of the L.A.S.E.R. beam in the focal plane thereof, corresponding to the cutting plane.

Abstract: Within examples, a wire clamping device includes a base. The base includes an indentation, a first attachment component at a first end of the base, and a second attachment component at a second end of the base that is opposite the first end. The wire clamping device further includes an arm that includes a protrusion and a third attachment component that is attached to the first attachment component. The arm is configured to rotate with respect to the first attachment component to a position at which the arm is restrained by the second attachment component against the base and at least a portion of the protrusion is within the indentation or aligned with the indentation. Additional examples include a method for using the wire clamping device, a tool for opening the wire clamping device, and a method for using the tool to open the wire clamping device.

Abstract: Certain aspects of the present disclosure provide a thermally robust laser probe assembly comprising a cannula, wherein one or more optical fibers extend at least partially through the cannula for transmitting laser light from a laser source to a target location. The probe assembly further comprises a lens housed in the cannula and a protective component press-fitted to the distal end of the cannula, wherein the lens is positioned between the one or more optical fibers and the protective component.

Abstract: A pulsed laser skin treatment device is for laser induced optical breakdown of hair or skin tissue. A beam scanning system scans the beam to define a circular or arc path, using a rotated prism which implements a lateral shift to the beam. A focusing system at the output side of the beam scanning system focuses the incident light beam into a focal spot in the hair or skin tissue, and it rotates with the prism.

Abstract: Provided are a patient monitor and vital-sign data statistics system, having vital-sign data statistics functionality. The patient monitor includes a signal acquisition module, a data processing module, and a display module. The data processing module processes the vital-sign signal acquired by the signal acquisition module and generates physiological parameters. If request information requesting to display a vital-sign data statistics result is received, then the data processing module statistically classifies the vital-sign data within a preset time range according to set type and a statistical item of each type, and displays the data by means of the display module.

Abstract: An apparatus for sensing a heart rate of a subject, including an eyewear frame and a heart rate sensing circuit. The sensing circuit includes first and second piezoelectric sensors configured to be in communication with the subject's skin and to generate first and second voltage signals in response to a periodic vibration in at least one artery of the subject, a first voltage amplifier configured to receive the first voltage signal and output a first amplified voltage signal related to the heart rate of the subject, a second voltage amplifier configured to receive the second voltage signal and output a second amplified voltage signal related to the heart rate of the subject, and a device configured to output a differential signal that is a representation of a difference between the first amplified voltage signal and the second amplified voltage signal that relates to the heart rate.

Abstract: An example system for estimating a hydration level of an individual can include: a mechanism configured to apply mechanical pressure to a digit of the individual; an light detector configured to sense the light from the digit; and a controller programmed to perform functions including: send a first signal to the mechanism to apply the mechanical pressure to the digit; send a second signal to the mechanism to release the mechanical pressure on the digit; determine a capillary refill time based upon a third signal from the light detector indicating an amount of time for capillaries of the individual to refill with blood; and estimate the hydration level of the individual based upon the capillary refill time and one or more additional parameters.

Abstract: A surgical instrument with improved end-effector gripping force. The instrument comprises a shaft, which may be inserted into a body of a patient. The articulated end-effector is mounted on the distal extremity of the instrument shaft and comprises a plurality of links interconnected by a plurality of joints, whose movements are remotely actuated by the surgeon's hands. This remote actuation is accomplished through mechanical transmission, mainly along flexible elements, which are able to deliver motion from a set of actuation elements, placed at a proximal extremity of the shaft, to the instrument's articulated end-effector. The articulated end-effector further comprises one or more cam-and-follower mechanisms that are able to amplify the force transmitted by the flexible elements so that the actuation force at the instrument jaws is maximized and the tension on the transmission elements minimized, thus increasing the fatigue resistance and life of the instrument.

Abstract: A sensor mount may include a flexible substrate that may be folded to form a flexible inner portion that may be arranged to face a wearer and a flexible outer portion that may be arranged to face away from the wearer. The flexible inner portion and the flexible outer portion may define a channel and may be configured to secure the sensor mount to an article of clothing. A belt may be connected to the flexible outer portion. The outer flexible portion may include two slits configured to receive the belt such that the belt may be attachable to the outer flexible portion of the flexible substrate. A sensor may be disposed on the flexible inner portion of the flexible substrate.

Abstract: The invention relates to a determination system for determining a heart failure risk for a subject (4). The determination system (1) comprises a photoplethysmogram providing unit for providing a photoplethysmogram of the subject and a heart failure risk determination unit for determining the heart failure risk based on the provided photoplethysmogram. A photoplethysmogram can be provided in an unobtrusive way by using a photoplethysmogram sensor without requiring a physician's attendance. In particular, it is not necessarily required to measure electrocardiograms, to carry out blood tests and to perform a coronary angiography for determining the heart failure risk. The heart failure risk can therefore be determined in a technically relatively simple way without requiring a physician's attendance.

Abstract: A light based skin treatment device comprises a laser light source for providing a pulsed incident light beam for treating skin by laser induced optical breakdown of hair or skin tissue. In one arrangement, a focusing system has a pre-focusing lens for increasing the convergence of the an incident light beam and a skin contact lens having convex light input and light exit surfaces. The focal spot position is controlled by adjusting a spacing between the pre-focusing lens and the skin contact lens. In another arrangement, there is an adjustable lens system before an adjustable focusing system for providing compensation for aberration in the focusing system.

Abstract: A method of reversing hearing loss using a therapy stimulator machine that includes a first and second handheld probe electrode; using the hand held probe electrodes with water to apply pressure to locations and at the same time wiggle the probe electrodes around the patient's ear to stimulate hearing loss reversal. Simultaneously an isolated sound source is applied to the side of the ear under treatment so patient would be able to appreciate the improvement in the hearing capability instantly.