Abstract: A method of soft tissue cephalometric analysis for diagnosis and a method for cephalometric planning treatment for aesthetic correction of facial imbalance in a patient. Normal size, distance, and angle ranges and harmony values of various facial landmarks of aesthetically pleasing faces from a population group are established. The patient will place his or her head in a natural head position. Markers will be placed on soft tissue landmarks and an image will be taken of the patient's head. A true vertical line will be established, and soft and hard tissue landmarks will be measured to the true vertical line. Dentoskeletal measurements will be taken of the face. Finally, in the method of cephalometric planning treatment necessary orthodontic and orthognathic action will be taken to bring measurements into normal range to improve facial balance and aesthetics.

Abstract: A measuring device that effectively measures the distance that a subject's ear is located from the mid point of the subject's shoulder. The device consists of a shoulder mounted base that is placed on a subject's shoulder by an examiner. Extending vertically from the shoulder mounted base is a vertical tower consisting of two parallel vertical members. An extension bar holder is slidably positioned overlying the vertical tower such that the vertical distance of the ear from the shoulder can be adjustably spanned by the extension bar holder and then locked into place. An extension bar is slidably mounted in the extension bar holder so that the extension bar can span the lateral to medial distance that the lateral shoulder is located from the ear. A measuring bar is mounted in the extension bar that includes a distance scale and an ear position cone so that the anterior distance a subject's ear is located from a subject's shoulder can be quickly and accurately measured.

Abstract: A driver apparatus is provided for use with a biopsy instrument, the driver apparatus including a housing and an insertion mechanism including a carriage movably associated with the housing and adapted to support the biopsy instrument to affect longitudinal movement of at least a portion of the biopsy instrument. A linear motion control mechanism is also included that is adapted to move a tissue cutting element of the biopsy instrument from a first position to a second position relative to a tissue receiving portion of the biopsy instrument. Further, a tissue retract mechanism is included which facilitates removal of a tissue specimen from the biopsy instrument without removing the entire biopsy instrument from a surgical site.

Abstract: A blood viscosity measuring system and method that monitors the rising head of a column of fluid representing a living being's blood in-vivo to determine the blood viscosity over a range of shears. The system includes a capillary tube, at least a portion of which is located within the vascular system of the being, and a riser tube, having a liquid therein coupled to the capillary tube. A sensor and associated microprocessor are provided to determine the change in the height of the liquid in the riser tube at plural points along the length of the tube from which the viscosity is calculated. The system can be utilized to determine the deformability of the red blood cells of a living being's blood and/or the thixotropic properties of a living being's blood. Use of the system enables one to screen a material, e.g., a pharmaceutical, on a test subject, such as a living human being or laboratory animal, to determine the likely effect of the material in altering a parameter of the blood, e.g.

Abstract: Guide catheter incorporating a braidless construction having increased performance characteristics for catheterization procedures. The guide catheter may include a tracking wire, inner or outer guide for positioning the guide catheter within the patient's vascular system.

Abstract: A device to record and analyze habitual daily activity in terms of the history of gait-related musculoskeletal loading is disclosed. The device consists of a pressure-sensing insole—placed into the shoe or embedded in a shoe sole—which detects contact of the foot with the ground. The sensor is coupled to a portable battery-powered digital data logger clipped to the shoe or worn around the ankle or waist. During the course of normal daily activity, the system maintains a record of time-of-occurrence of all non-spurious foot-down and lift-off events. Off line, these data are filtered and converted to a history of foot-ground contact times, from which measures of cumulative musculoskeletal loading, average walking- and running-specific gait speed, total time spent walking and running, total number of walking steps and running steps, and total gait-related energy expenditure are estimated from empirical regressions of various gait parameters to the contact time reciprocal.

Abstract: An ablation apparatus system for treating tissues or atherosclerosis on a patient having a stent or a metallic implant, wherein said stent or metallic implant comprises a coating layer including a carrier composed of a biocompatible material and having dispersed therein a radioactive substance, the ablation apparatus system comprising an electrical conducting wire that is coupled to an external radiofrequency generator for delivering the radiofrequency current to the stent or the metallic implant for the purposes of thermally enhanced irradiation capability for tissue therapeutic treatment.

Abstract: A layer of material is provided for covering a plurality of sensors when using those sensors to examine tissue. The layer material is used with a tissue examination device that has a plurality of pressure sensors that produce signals in response to pressure imposed on the sensor as the sensors are pressed against tissue. The device also has a processor for processing those signals to detect whether an underlying tissue structure is present in the tissue being examined. The layer of material is configured to be disposed over the sensors and to distribute the imposed pressure in a selected manner. The processor can also process the signals to generate an image representative of the underlying tissue structure and a display then can display that image.

Abstract: This invention relates to a method of performing accurate biopsies, particularly core breast biopsies, and a device for facilitating the accuracy of the taking of biopsies. The device involves the provision of guiding members or wing-type projections on at least two sides of the barrel of a biopsy gun. Each guiding member is parallel to the axis of a biopsy needle attached to the gun and there are at least two guiding members projecting from the barrel of the gun substantially perpendicular to one another. Each guiding member is preferably in line with the needle, so that in use the biopsy needle is in the plane of each guiding member. The device may be in the form of a biopsy gun with the guiding members integrally formed or affixed, or it may be in the form of an attachment for attaching to a conventional biopsy gun.

Abstract: A tissue sampling device, comprising a stylet having a notch therein and a cannula at least partially surrounding the stylet. The notch has an exposed portion for receiving tissue to be sampled, and the cannula is adjustable relative to the stylet to vary the size of the exposed portion and therefore the amount of tissue to be sampled. The device also comprises a trigger mechanism operatively connected to at least one of the cannula and the stylet. Actuation of the trigger mechanism causes relative movement of the stylet with respect to the cannula for collection of a tissue sample.

Abstract: An improved method and apparatus for providing a readily insertable guide wire that is also accurately steerable. One embodiment of the present invention comprises one or more thin diameter, liquid filled, polymer balloons enclosed by the guide wire coils and connected through a hypotube lumen to a pressure transducer. The pressure transducer exerts pressure via a fluid medium to the balloon(s), which then expand and exert pressure onto the inner surface of the coils, thereby stiffening the distal section of the guide wire. In operation, the guide wire will typically be inserted with the balloons deflated, hence the distal tip is very flexible. Once the distal tip reaches its destination, the balloons are inflated and expanded to stiffen and/or reorient the distal tip to allow it to perform as required, typically by aiding in the positioning of a catheter or stent in the desired location.

Abstract: A biopsy forceps instrument is provided having a proximal actuation handle, a flexible multi-lumen tubular member, at least one control member extending through a lumen, an irrigation means, an aspiration means, and a distal assembly. The proximal actuation handle includes a shaft and a spool slidably mounted on the shaft. The actuation handle is coupled to the proximal ends of both the flexible tubular member and the control member. Lumens of the tubular member form irrigation and aspiration conduits. The distal assembly includes a hollow jaw cup coupled to the aspiration conduit and a hollow movable jaw coupled adjacent the irrigation conduit. The movable jaw is coupled to the control member, such that actuation of the actuation handle moves the movable jaw relative to the jaw cup. Moving the hollow jaws into a closed position provides a substantially fluidtight coupling between the irrigation and aspiration conduits.

Abstract: This invention is a surgical device. It is a guidewire for use in a catheter and is used for accessing a targeted site in a lumen system of a patient's body. The guidewire may be of a high elasticity metal alloy, preferably a Ni-Ti alloy, having specified physical parameters, and is especially useful for accessing peripheral or soft tissue targets. A special variation of the inventive guidewire includes the concept of coating the wire with a one or more lubricious polymers to enhance its suitability for use within catheters and with the interior of vascular lumen. The "necked" guidewire tip also forms a specific variant of the invention.

Abstract: The invention provides a method of non-invasively determining intracranial pressure from measurements of an eye. A parameter of an optic nerve of the eye is determined, along with an intraocular pressure of the eye. The intracranial pressure may be determined from the intraocular pressure and the parameter.

Abstract: An improved indication of a condition of an ear of a subject, such as a human or other mammal, is provided by combining two or more measurements such as body temperature, detection of fluid in the ear (for example by acoustic reflectance), and/or a characteristic of any fluid in the ear. Results of any two of these measurements may be combined to provide improved diagnostic information. The combination of measured body temperature and a determined likelihood that fluid is present in the ear provides improved diagnostic information regarding the risk of an ear infection. In particular, if a subject has an elevated body temperature and the likelihood is high that fluid is present in the ear, an indication of a risk of ear infection may be provided by the device. The presence of fluid may be detected using acoustic reflectometry, tympanometry, pneumatic otoscopy, otoacoustic emissions or other mechanism.

Abstract: A retinal scanning display, an active-pixel image sensor array, and an im processor track the movements of the human eye. The scanning nature of the display acts as a sequential source of eye illumination. The active-pixel image sensor array is directed toward the cornea of the eye through a matrix of micro-lens. The sensor is integrated with a comparator array which is interfaced to bilateral switches. An element address encoder and latch determines the sensor element which reaches maximum intensity during the raster-scan period of the display driver. Over a display field refresh cycle, the invention maps the corneal surface to a data table by pairing sensor activations to the specular reflections from the cornea of the sequenced source lights.

Abstract: Apparatus (10) for measuring the anorectal angle comprises an outer rubber-like sheath (12), which may be a suitably modified catheter, within which is disposed an elongate angular deflection detector (14) which provides on display (16) a read-out of the angular deflection of the apparatus. The sheath (12) may include pressure ports with associated pressure lines back to the proximal end of the sheath to allow the pressure to be read at different points along the anal canal.

Abstract: An ultrasonic-based method for continuous, noninvasive intracranial pressure (ICP) measurement and monitoring is described. The stress level in the skull bone is affected by pressure. This also changes the interfacial conditions between the dura matter and the skull bone. Standing waves may be set up in the skull bone and the layers in contact with the bone. At specific frequencies, there are resonance peaks in the response of the skull which can be readily detected by sweeping the excitation frequency on an excitation transducer in contact with a subject's head, while monitoring the standing wave characteristics from the signal received on a second, receiving transducer similarly in contact with the subject's head. At a chosen frequency, the phase difference between the excitation signal and the received signal can be determined. This difference can be related to the intracranial pressure and changes therein.

Abstract: A guide wire for intravascular investigations includes an elongated element, and electrical conductors extending along a length of the guide wire. A portion of one of the electrical conductors is provided as a layer of electrically conductive material, extending concentrically over the circumference of, and along the elongated element forming a part of the guide wire.A method of manufacturing a conductor element for a guide wire with conductors in the form of a layer of a conductive material extending along the length of the conductor element is provided. A core element is provided. Overlapping layers of alternating insulating and conductive materials are applied concentrically around the circumference of the core element along a portion of its length, until a desired number of conductive layers have been applied.

Abstract: A cable particularly for tracheostomy and retrograde-intubation techniques, including in combination an elastic guiding wire (2) constituted by a steel wire (3) arranged inside a flexible spring (4) and a traction-resistant steel cord (10) which is rigidly connected to the steel wire (3).