Abstract: This disclosure relates to verifying the operation of cell analyzers, including microscope-based cell imaging and counting analyzers. In one general aspect, a mixture of micro-beads having known characteristics is introduced into the analyzer. One or more images of the mixture are acquired with the analyzer's microscope, the images are analyzed, and a determination is made about whether results meet one or more predetermined quality control thresholds. Also disclosed is a hematology control material that can be used to perform the verification and includes a solvent, a dye dissolved in the solvent, and micro-beads suspended in the solvent. In another general aspect, a quality control method for the analyzers includes capturing images of samples that include patient cells using at least a microscope, extracting sample-specific information about properties of the patient samples from the images, and testing information from the samples against predetermined standards to verify the operation of the analyzer.

Abstract: In general, scapular tethers and methods of using scapular tethers are provided. A tether is configured to be implanted in a body of a patient and to control movement of the patient's scapula. In an exemplary embodiment, the tether is configured to be attached to at least one body structure in a patient. The tether includes a flexible member configured to, when implanted in the patient, flex in response to movement of the patient's scapula accompanying arm movement of the patient.

Abstract: Implants are provided. In one exemplary embodiment, an implant includes a spacer configured to be implanted within a joint. The spacer includes an elongated central body extending from a first end to a second end with a longitudinal axis extending therebetween, and first and second wings extending from the first and second ends of the elongated central body, respectively. The elongated central body has a first maximum height in a direction transverse to the longitudinal axis, and each of the first and second wings has a maximum height greater than the first maximum height. When implanted and in the inflated state, at least one of the first wing and the second wing is configured to mechanically interlock with a portion of the anatomy to thereby self-anchor the spacer to the joint and inhibit migration of the spacer. Implant systems and methods for biomechanically augmenting muscle function are also provided.

Abstract: In general, thermal debriding tools and methods of using thermal debriding tools are provided. In an exemplary embodiment, a thermal debriding tool is configured to be advanced minimally invasively, e.g., arthroscopically, into a patient and to cut tissue using electrical energy. The thermal debriding tool includes a heating element configured to be positioned in contact with tissue and to be heated. The heated heating element is configured to cut the tissue so as to allow the thermal debriding tool to cut the tissue using electrical energy. The heating element can be a resistive heating element that is configured to become hot when a current is delivered to the heating element. The thermal debriding tool can include an actuator configured to be actuated to cause the current to be delivered to the heating element, thereby allowing the heating element to be heated on demand.

Abstract: In general, scapular tethers and methods of using scapular tethers are provided. A tether is configured to be implanted in a body of a patient and to control movement of the patient's scapula. In an exemplary embodiment, the tether is configured to be attached to at least one body structure in a patient. The tether includes a flexible member configured to, when implanted in the patient, flex in response to movement of the patient's scapula accompanying arm movement of the patient.

Abstract: In general, arthroscopic medical implements and assemblies and methods of operating arthroscopic medical implements and assemblies are provided. Devices, systems, and methods are described herein in connection with accessing a surgical site using an arthroscopic medical implement. In an exemplary implementation, an optical sensor of the arthroscopic medical implement can gather and output image data, and an inertial sensor of the arthroscopic medical implement can gather and output orientation data. The orientation data can be used to modify the gathered optical image to maintain a display of the gathered optical image in a predetermined desired orientation before, during, and after any rotation of the arthroscopic medical implement. The arthroscopic medical implement can also include at least one sensor configured to gather and output pressure and/or temperature.

Abstract: In general, arthroscopic medical implements and assemblies and methods of operating arthroscopic medical implements and assemblies are provided. Devices, systems, and methods are described herein in connection with accessing a surgical site using an arthroscopic medical implement. In an exemplary implementation, an optical sensor of the arthroscopic medical implement can gather and output image data, and an inertial sensor of the arthroscopic medical implement can gather and output orientation data. The orientation data can be used to modify the gathered optical image to maintain a display of the gathered optical image in a predetermined desired orientation before, during, and after any rotation of the arthroscopic medical implement. The arthroscopic medical implement can also include at least one sensor configured to gather and output pressure and/or temperature.

Abstract: This disclosure relates to verifying the operation of cell analyzers, including microscope-based cell imaging and counting analyzers. In one general aspect, a mixture of micro-beads having known characteristics is introduced into the analyzer. One or more images of the mixture are acquired with the analyzer's microscope, the images are analyzed, and a determination is made about whether results meet one or more predetermined quality control thresholds. Also disclosed is a hematology control material that can be used to perform the verification and includes a solvent, a dye dissolved in the solvent, and micro-beads suspended in the solvent. In another general aspect, a quality control method for the analyzers includes capturing images of samples that include patient cells using at least a microscope, extracting sample-specific information about properties of the patient samples from the images, and testing information from the samples against predetermined standards to verify the operation of the analyzer.

Abstract: This disclosure relates to verifying the operation of cell analyzers, including microscope-based cell imaging and counting analyzers. In one general aspect, a mixture of micro-beads having known characteristics is introduced into the analyzer. One or more images of the mixture are acquired with the analyzer's microscope, the images are analyzed, and a determination is made about whether results meet one or more predetermined quality control thresholds. Also disclosed is a hematology control material that can be used to perform the verification and includes a solvent, a dye dissolved in the solvent, and micro-beads suspended in the solvent. In another general aspect, a quality control method for the analyzers includes capturing images of samples that include patient cells using at least a microscope, extracting sample-specific information about properties of the patient samples from the images, and testing information from the samples against predetermined standards to verify the operation of the analyzer.

Abstract: An automated blood separation method and apparatus is described that allows for the separation of multiple units of blood simultaneously. The method and apparatus reliably and quickly separates blood into its components. An auto-balancing feature within the apparatus automatically preferably compensates for the changing state of imbalance, thereby eliminating the need for additional balancing steps during the separation process. The apparatus has a rotor into which a plurality of cassettes can be inserted. The cassettes have a number of sections for the containment of the whole blood and for the separated blood components, which are contained in disposable bags. The rotor is placed into a centrifuge assembly, and the blood components are then separated and transferred to the bags in the individual sections of the cassettes. Means for including secondary separation devices such as filters is included.

Abstract: An automated blood separation method and apparatus is described that allows for the separation of multiple units of blood simultaneously. The method and apparatus reliably and quickly separates blood into its components. An auto-balancing feature within the apparatus automatically preferably compensates for the changing state of imbalance, thereby eliminating the need for additional balancing steps during the separation process. The apparatus has a rotor into which a plurality of cassettes can be inserted. The cassettes have a number of sections for the containment of the whole blood and for the separated blood components, which are contained in disposable bags. The rotor is placed into a centrifuge assembly, and the blood components are then separated and transferred to the bags in the individual sections of the cassettes. Means for including secondary separation devices such as filters is included.

Abstract: A novel method is disclosed for detecting and controlling the flow rate of a perturbed, droplet-forming stream in an electrostatic particle sorting apparatus. Detection apparatus is located at two points along the stream, at a first particle sensing point for sensing the presence of particles within a core portion of the stream, and at a second downstream point, preferably the stream breakpoint, for sensing light scatter and extinction characteristics which are proportional to the surface characteristics of the sheath portion of the stream. Changes in phase shift, pulse width, duty cycle, pulse area, or breakpoint location are detected by analyzing these sheath surface-related characteristics. An error signal is produced in response to such changes which drives an electromechanical fluid flow regulator to increase or decrease the fluid flow rate in a direction which tends to minimize the error signal. The flow rate is thus maintained at a reference flow rate setting.

Abstract: A method for the measurement of fluid velocity and fluid flow rate is described which may be applied to a system in which fluid is caused to exit through an orifice to form a free jet. Optical as well as fluidic properties of the jetting fluids are used to determine the mean velocity of the jet between its point of exit from the orifice and at least a preselected detection point. From the mean velocity determination, the fluid flow rate may also be determined. A marker signal perturbation is applied to the jetting fluid at the orifice, and is detected downstream at a stream sensing point which is located a preselected distance from that orifice.

Abstract: A novel method and apparatus for automatically setting the time delay for relatively charging droplets in an electrostatic particle sorting system is disclosed. By utilizing a movable sheath sensing means for sensing the light scatter and extinction of this stream, the flow rate and distance to breakpoint are automatically measured and used to calculate and set the timing delay circuitry. This insures that droplet charging at the breakpoint will occur synchronously to produce selective relative charging of those droplets containing particles to be sorted.

Abstract: In order to initiate the charging of droplets at a specific point in time with respect to the formation of those droplets in an electrostatic flow sorting system, the charge phase of the system of the present invention is continuously and automatically adjusted by droplet break point monitoring. The charge phase is therefore flow rate and fluid velocity independent. The break point is monitored by a light source which is focused onto the jet stream at the droplet formation break point, or close to it, and the modulation of light caused by the scatter induced by the sheath stream portion as it passes the focused beam of light is detected via the use of a suitable electro-optical detector. From the output of the electro-optical detector, after appropriate signal conditioning, an electrical wave form is obtained which shape depends upon the shape of the fluid column passing the focus beam.