Abstract: A pneumatic ventricular assist device (VAD) is disclosed for use in any circulatory support application including RVAD, LAVD, or BIVAD, trans-operative, short-term or long-term, tethered implantable or extracorporeal. In the preferred embodiment, the VAD consists of a soft contoured pump shell and a disposable pumping unit, which includes: a pump sac; an inlet and an outlet (a.k.a. discharge) with one-way valves; and tubing connectors. The valves comprise a cantilevered pair of closely adjacent thin ledges, nicknamed “valve leaflets,” that resemble needle-nose pliers. The valve leaflets permit a one-way flow of blood between them, as an opposite flow pinches the distal ends of leaflets together, thereby closing off the channel between them. This design is specially designed to allow continuous and fluid movement of blood (in one direction) while limiting blood-contacting surfaces.

Abstract: A closing system is described and a correspondingly suitable method for the selective opening and closing of a tubular body organ, comprising a closing element and a regulating system controlling the closing element.

Abstract: A prosthesis for correcting urinary stress incontinence in women including right and left para-urethral hemi-prostheses, each of the hemi-prostheses formed of a biocompatible material and in the form of a strip, one end of the strip having a bulged portion and another end of which is adapted to be attached to the aponeurosis of the rectus muscle of the abdomen, and means for attaching the another end to the aponeurosis of the rectus muscle of the abdomen.

Abstract: An apparatus for collection of semen comprises: i) a frame forming an elongate body; ii) a base supporting the body; iii) a tubular receptacle containing an artificial vagina having a rear end portion pivotally carried on opposite lateral sides within the body, and an inner end portion releasably carried within the body, so that when the inner end portion is released collected semen therein will drain downwardly to an inner end portion; and, iv) a recessed rear access door, said door having an inner side portion positioned adjacent to the opening in the rear end portion of the tubular receptacle and an outer side portion positioned within an interior peripheral top and lateral side portions of the rear entry end of the body, so that downward and lateral components of thrust load exerted by the horse are largely sustained by the frame of the body, and wherein said recessed and protected door also has an enlarged thickness to accommodate a funnel shaped opening in the exterior side portion thereof to guide the

Abstract: A heart stabilizer that may include a wrist which couples an end effector to a first linkage. The end effector and wrist may be inserted through an incision in the chest of a patient to assist in performing a minimally invasive coronary procedure. The wrist provides dexterity so that the end effector can be placed on the heart to stabilize the same. The end effector may include a pair of paddles that are moved between open and closed positions by a pair of manually actuated levers. The paddles may have cleats that allow sutures to be attached to the stabilizer during a minimally invasive procedure.

Abstract: A direct view rigid video-endoscope (11) supported by an articulated and compensated arm (2), equipped with a grip (3) crossed by an air flow (92) originating from a generator (93) upstream of the device. The air flow (92) comes out of small holes (8) made in the distal end (28) of the grip (3), at the base of an optical tube (10).

Abstract: Methods are provided for enhancing the image of brachytherapy seeds implanted in tissue using a transrectal ultrasound apparatus. In a first arrangement the resonance of the seeds is determined and the seeds are insonified using acoustic signals having a resonance frequency of the seeds to cause the seeds to vibrate. The vibrating seeds have enhanced detection using a Doppler ultrasound device. In a second arrangement the acoustic signature of the seeds is determined and used to enhance the imaging of the seeds using a correlation function. In a third arrangement images are taken of the tissue and implanted seeds prior to and during the application of mechanical stress to the tissue. A correlation between the unstressed and stressed tissue can cause enhanced imaging of the seeds.

Abstract: A plurality of 2D sub arrays are defined on a 2D array transducer for effecting transmission and reception of ultrasound. For each sub array, a plurality of groups are set. More specifically, a plurality of (16, for example) transducer elements forming a sub array are grouped or divided into a plurality of (4, for example) groups. A multiplexer sums a plurality of receiving signals output from the plurality of transducer elements for each group, and generates a group receiving signal. A plurality of group receiving signals thus generated are then subjected to a sub phase adjusting and summing process to form a sub phase adjusted and summed signal. A plurality of sub phase adjusted and summed signals corresponding to the plurality of sub arrays are then subjected to a main phase adjusting and summing process. A sub phase adjusting and summing processing section is provided within a probe head, a cable connector, or an apparatus body.

Abstract: A pressure pulse wave sensor for being worn on a surface of a body of a living subject so as to detect a pressure pulse wave from the subject, the sensor including a plurality of elongate flexible piezoelectric sheets each of which is formed of a piezoelectric resin and detects a pressure pulse wave from the subject, and a flexible sheet to which the piezoelectric sheets are fixed such that the piezoelectric sheets are arranged in a widthwise direction thereof.

Abstract: The systems, methods and apparatus of the present invention comprise noninvasive methods of measuring temperature changes and rates of temperature change in selected body tissues and fluids as a result of absorption and/or dissipation of externally applied heat for the purpose of detecting and monitoring disease or dysfunction, and for preparing diagnostic images of the tissues and related areas from such measurements. Some embodiments of the present invention monitor temperatures of heated tissues directly while other embodiments may measure temperatures of tissues which are heated through flow of heated fluid therethrough.

Abstract: A medical device for placement in an incision. The medical device includes a cannula member configured to be inserted into the incision. The medical device also includes a guide wire holding member having a base member connected to the cannula member. Wall members are connected to said base member and form an open channel along said cannula member. A guide wire or fixation pin can be inserted into the guide wire holding member. The guide wire holding member can be configured as an open c-shaped channel or a plurality of curled tabs to hold the guide wire. The various configurations of the guide wire holding member can be constructed without the use of tapered or flared pins in an injection molding manufacturing process.

Abstract: A method for obtaining an assist torque to be applied to a human joint, in a human assist system for applying an assist torque to the human joint to reduce load of muscles, and the human assist system are provided. The method comprises the step of obtaining a moment due to gravity, acting on a joint of each human segment, based on equations of force and moment balance on each segment. The method further comprises the step of obtaining an assist torque to be applied to the joint to compensate for the moment due to gravity, acting on the joint. The human assist system comprises a motor for delivering an assist torque to a joint and a motor driver for driving control of the motor. The system further comprises a controller for determining a desired value of an assist torque, comprising a processor and a memory.

Abstract: This invention relates to a chair, particularly to one provided with a massage device positioned in a seat, backrest, thigh rest or armest. The massage device is composed of a frame and massage roller unit consisting of plural rows of massage rollers fixed in the frame. Two pivotal plates are provided with a center shaft hole for center shaft and two shaft holes respectively for a center shaft and two independent shafts to fit pivotally therein and string each row of the massage rollers. The center shaft is pivotally connected with the inner side of the frame, enabling the massage roller device rotate with the center shaft as a pivot. So when a user rests the body on the massage device, he/she shifts the body to get massage function by the massage surface of the massage roller device.

Abstract: A brace for supporting the knee of the wearer. The brace has an adjustable support mechanism for accommodating a variety of leg shapes. The hinge portion of the brace is adjustable so that there is proper balanced support on opposite sides of the knee. Furthermore, the brace is universal in applicability and may be used on either the right or left leg.

Abstract: A stent may include a flexible, elongate body having a curled proximal portion, a curled distal portion, and a main portion extending between the proximal and distal portions. The main and distal portions together may define a channel laterally open throughout at least a part of the channel's length and extending along the main and distal portions without extending along the proximal portion, whereby the channel's proximal end is disposed in the main portion. In addition, the proximal portion may be curled away from the channel.

Abstract: Catheter systems including one or more flow restrictors are disclosed. The catheter systems may include two or more delivery branches. The delivery branches may be connected to a supply catheter section using a branching catheter connector that may include one or more flow restrictors. The flow restrictors may include a restrictor body located within a lumen with a channel located between the restrictor body and interior surface of the lumen, the channel restricting flow through the lumen past the flow restrictor. The channel may be defined by a groove formed in the restrictor body and/or the interior surface of the lumen. Methods of providing pressure relief by flowing fluid past a flow restrictor are also disclosed.

Abstract: A device for delivering a medicated product into a bodily cavity includes a barrel member having a dispensing end, a proximal end, which is positioned opposite the dispensing end, and a bore, which extends through the barrel member. The bore is sized and shaped so as to receive a medicated product therein and includes an opening formed in the dispensing end of the barrel member. The opening is sized and shaped so as to permit a medicated product received in the bore to be dispensed therethrough. The applicator is also provided with a plunger member movably extending through the bore of the barrel member for dispending a medicated product from the bore through the opening. The barrel member includes at least one substantially flexible section located between the dispending end and the proximal end such that the barrel member is bendable about the flexible section.

Abstract: A device and two-step sequential method for providing medication for injection and infusion by a jet injector includes a cassette which connects an injector system to a reservoir. The cassette forms a fluid pathway at an interface of a cassette lower body and a cassette upper body. The cassette also forms an impulse chamber with a nozzle leading therefrom. The fluid pathway interconnects the reservoir with the impulse chamber. The medication flows from the reservoir along the fluid pathway and into the impulse chamber. Force from an impulse generator drives the fluid medicament from the impulse chamber through the nozzle, out an orifice in a tip of the nozzle, and into the skin of a patient. To prevent the pressure waves generated by the jet injector from damaging a glass reservoir, the fluid pathway is formed with pressure attenuators.

Abstract: A device for application of material to a surface, for example, biocompatible material to a tissue surface in a medical or clinical setting, is adapted to receive one or more biocompatible materials and one or more sources of pressurized medical gas, and to deliver these biocompatible materials via the medical gas(es) to a tissue surface or other surface. A regulation system controls flow of medical gas at a variety of pressures, and flow of biocompatible agent or agents, allowing agents to be sprayed or otherwise deployed onto a tissue surface. Switching apparatus operably connected to the regulation system directs a set of preset treatment positions allowing sequential application of biocompatible materials under various conditions in conjunction with an overall treatment protocol. The device can be used to apply a photoinitiating primer and polymeric sealant to a tissue surface, followed by light activation to form a polymer coating on the surface.

Abstract: An embolic protection device for use in a blood vessel when an interventional procedure is being performed in a stenosed or occluded region to capture any embolic material which may be created and released into the bloodstream during the procedure. The device includes a filtering assembly having a self-expanding strut assembly and a filter element attached thereto. In one embodiment, the filtering assembly is attached to the distal end of a guide wire and is deployed within the patient's vasculature as the guide wire is manipulated into the area of treatment. A restraining sheath placed over the filtering assembly in a coaxial arrangement maintains the filtering assembly in its collapsed position until it is ready to be deployed by the physician. Thereafter, the sheath can be retracted to expose the filtering assembly which will then self-expand within the patient's vasculature.

Abstract: A catheter designed to be anchored in an internal cavity of a patient such as a drainage catheter employs a novel hub design. The hub has a slide member slidably coupled to the hub and a latch that latches the hub and the slide member together when the slide member slidably moves relative to the hub. Preferably, latching takes place when the slide member moves relative to the hub in an axial direction of the hub. A manually operable release member is provided on the hub such that the latch is disabled from unlatching unless the release member is manually operated. This feature advantageously limits a person's ability to accidentally unlatch the hub.

Abstract: An aspiration flow resistor 10 includes an inlet 12 and an outlet 14. A housing 16 is connected to the inlet 12 and outlet 14. A series of spaced walls 18 are disposed between the inlet 12 and the outlet 14. The walls 18 and the inlet 12 and the outlet 14 together with the housing 16 define a plurality of aspiration flow chambers 22. As aspirant flows from the inlet 12 to the outlet 14, a pressure decrease in the aspirant flow occurs at each wall 18 to provide resistance to aspirant flow.

Abstract: A medical device for use with a fluid transfer device having a frusto-conically-shaped tip includes a hub having an open proximal end with a frusto-conically-shaped cavity therein, a distal end and a passageway therethrough. The cavity is part of the passageway. A release element in the passageway of the hub is positioned to block fluid-tight engagement of the frusto-conically-shaped tip with the cavity of the hub. Structure is provided to release at least part of the release element, upon application of a proximally directed force on the hub, to allow the abrupt fluid-tight engagement of the tip and the cavity in the hub.

Abstract: An interlabial absorbent article is provided for disposition primarily within the vestibule of a female wearer. The article includes a liquid permeable top sheet, a polymeric film back sheet, and an absorbent material disposed between the top sheet and back sheet. The polymeric film back sheet is also liquid permeable such that the article may be disposed at generally any orientation within the wearer's vestibule and absorb bodily fluids at any such orientation.

Abstract: Absorbent articles such as disposable diapers, incontinent briefs, diaper holders, training pants, and the like, that provide dynamic fit about the wearer by the use of extensible, outwardly extending side panels. The side panel includes at least one discontinuity for dividing the tensile force extending the side panel into a waist-directing force and a leg-directing force. The waist-directing force is transmitted by the side panel to the waist area of the article to maintain the waist area in a snug, but comfortable, fit against the waist of the wearer. The leg-directing force is transmitted by the side panel to the leg cuff area of the article to prevent leakage between the leg cuff and the wearer's leg.

Abstract: An article includes an auxiliary elastic member extending in a waist-circumferential direction and arranged between a waist-surrounding elastic member extending in front and rear waist regions and leg-holes of a base sheet assembly in a stretched state. The base sheet assembly includes a first sheet and a second sheet. The auxiliary elastic member includes first elastic elements and second elastic elements. In the article, the first and second elastic elements respectively have longitudinally opposite end portions, middle portions and the remaining portions. The end portions of the first and second elastic elements are secured to the first and second sheet, the middle portions of the first elastic elements are secured to the second sheet and the remaining portions of the first and second elastic elements as well as the middle portions of the second elastic elements are let free from the first and second sheets.

Abstract: An absorbent article comprising a stretchable fastening member is disclosed. The absorbent article comprises a chassis and a stretchable fastening member. The chassis extends longitudinally and laterally and comprises a liquid pervious topsheet, a liquid impervious backsheet and an absorbent core disposed therebetween. The stretchable fastening member comprises a fixed portion permanently joined to the chassis, a distal portion provided with a fastening material and a stretchable panel positioned between the fixed portion and the distal portion. The stretchable fastening member is joined to the chassis such that the distal portion is positioned laterally outwardly from the fixed portion in the flat-out configuration of the stretchable fastening member. The stretchable panel of the stretchable fastening member comprises a first stretchable zone and a second stretchable zone disposed in the lateral direction.

Abstract: A microcatheter system that allows for vascular infusion into retinal veins for extended periods of time. The microcatheter system includes a flexible cannula that is inserted into the retinal vein lumen and that remains stably within the retinal vein lumen without being held by a robot, micromanipulator or similar holding devices. The microcatheter system is particularly suitable for the treatment of retinal venous occlusive disease.

Abstract: A tool actuating assembly for a multi-function surgical instrument is disclosed. The tool actuating assembly of the present invention can be utilized in a variety of differently configured multi-function surgical instruments and can be embodied in various physical configurations. The tool actuating assembly of the present invention provides for more efficient use of the tools of the instrument by the surgeon who is utilizing the instrument.

Abstract: A method and apparatus that will alter the fibrous strands in the fatty layers of the skin to reduce the appearance of cellulite. Electromagnetic energy is used to selectively shrink or alternatively loosen the collagen in the constricting bands of connective tissue that causes the dimpled appearance of cellulite while avoiding damage to the surrounding fatty cells.

Abstract: A platform Smart Scalpel system using rapid real-time feedback for effecting laser treatment. The platform system includes an imaging system for rapid real-time detection of tissue characteristics, a processing system for processing the detected characteristics, and a treatment system for effecting treatment in accordance with results of the processing. The platform system provides for preprogramming and real-time inputting conditions and parameters for diagnosis using the imaging system and/or treatment using the treatment system.

Abstract: A hair treatment device includes a generator of electromagnetic radiation and optical guide components operatively connected to the generator so as to direct electromagnetic radiation from the generator away from entering a skin surface and in a direction substantially parallel to the skin surface, to impinge on hair fibers protruding from the skin surface. A control unit is connected to the generator for controlling the generator to produce the electromagnetic radiation in bursts of light pulses each having a predetermined number of pulses of light for treating the hair fibers protruding from the skin surface.

Abstract: An electrosurgical probe (10) comprises a shaft (13) having an electrode array (58) at its distal end and a connector (19) at its proximal end for coupling the electrode array to a high frequency power supply (28). The shaft includes a return electrode (56) recessed from its distal end and enclosed within an insulating jacket (18). The return electrode defines an inner passage (83) electrically connected to both the return electrode and the electrode array for passage of an electrically conducting liquid (50). By applying high frequency voltage to the electrode array and the return electrode, the electrically conducting liquid generates a current flow path between the return electrode and the electrode array so that target tissue may be cut or ablated. The probe is particularly useful in dry environments, such as the mouth or abdominal cavity, because the electrically conducting liquid provides the necessary return current path between the active and return electrodes.

Abstract: An electrosurgical control system includes a selector by which a user can select any of a number of electrosurgical devices or similar devices for use, and a processor system responsive to user actuation of a foot control or other central control by controlling the selected device. Each device has an associated intelligent adapter that communicates information relating to device with which the adapter is associated. The processor system uses the information communicated by the adapter to properly interface the associated device with the control system and its central control.

Abstract: A coating is provided for use in lubricating an electro-cautery probe of a cauterization device to resist sticking of tissue on the electro-cautery probe. The coating is also provided to lubricate other medical instruments as well as to facilitate sliding of one instrument against another. The coating includes an amphiphilic lipid. The coating also includes an amphiphilic phospholipid, a glycerol-based lipid, a glycerol-based phospholipid, and/or a lecithin.

Abstract: An orthopaedic reamer assembly for minimally invasive surgery including a reamer and a driver. The driver includes a shaft with a distal end and a longitudinal axis; and a driver head connected to the distal end. The driver head is pivotable about an axis generally perpendicular to the longitudinal axis. The reamer is connected to the driver head.

Abstract: An orthopaedic reamer for cutting bone includes a rotatable shaft and a cutting head coupled with the shaft. The cutting head includes a distal face with a radius and a plurality of cutting teeth. Each cutting tooth includes a pair of opposed side walls extending from the distal face and a cutting edge extending between the side walls. Each cutting edge includes at least three adjoining segments. Each segment has a radius which is less than the radius of the distal face.

Abstract: A fluid operated retractor for use in surgery. The retractor has a portion that is expandable upon the introduction of fluid under pressure. The expandable portion is made of a material strong enough, and is inflated to enough pressure, to spread adjoining tissues within the body. The retractor is especially useful in fiber optic surgery because it can be inserted percutaneously through a small opening then expanded to a much larger dimension when in the desired location, to retract tissue from within. The retractor may be used to spread a joint, such as a knee joint or shoulder joint, or may be used to separate tissue planes generally, to improve visualization and create a working space for the surgeon.

Abstract: A hand-operated injector for inserting a lens into an eye has a grip body (1) with a lens holder (13) for holding a lens, and a plunger (2) arranged displaceably in the grip body (1) for guided insertion of the lens into the eye. An actuating means (5, 6) for displacing the plunger (2) relative to the grip body (1) is arranged on the plunger (2), which actuating means (5, 6) is rotatable relative to the plunger (2). The injector can thus be rotated through any desired angle, without having to substantially change the position of the hand pressing on the plunger (2), in particular the position of the thumb.

Abstract: Provided herein is a port apparatus and method for inserting a tube device, in particular peritoneal dialysis catheters, into an organism. Access to the peritoneal cavity for dialysis is established by creating a controlled cutaneoperitoneal fistula with a catheter device that bridges the abdominal wall. The apparatus is designed to minimize the occurrence of mechanical complications associated with traditional catheter implantation techniques, such as catheter obstruction from the omentum, catheter displacement to a position of poor drainage function, leaks and hernias. The device is capable of performing its functions in a simple, safe, accurate, reproducible, and expeditious fashion. In particular embodiments, a serial gas-check assembly is provided that maintains pneumatic competence and prevent the backflow/leakage of insufflation gas or fluids.

Abstract: Generally, the present invention is directed to a method and system for a aligning surgical guide instrument over a burr hole in a patient's body. More particularly, the present invention is directed to a stand-alone instrument guidance unit that is attachable to a patient's skull. Adjustments of a surgical instrument can be made in x, y, z, and angular directions using the system and method of the present invention. In one aspect of the present invention, an instrument guide unit includes an instrument guide for guiding a surgical instrument into the body of a patient and a base unit operative to be secured to the body in an area in which surgery is to occur. The base unit is coupled to the instrument guide. An adjustment mechanism, coupled to the base unit and the instrument guide, is operative to adjust the instrument guide in lateral directions with respect the surface of the area. The adjustment mechanism is operative to adjust the instrument guide in x and y directions.

Abstract: An access device for providing access into a hollow organ during an open surgical procedure. The access device includes: a body for insertion into an opening in a wall of the hollow organ, the body having a bore for passage of at least a distal portion of an instrument into an interior of the hollow organ; a valve disposed in the bore for allowing passage of the instrument and substantially preventing a fluid in the interior of the hollow organ from leaking outside the hollow organ; and a mechanism for securing the body to the wall of the hollow organ; wherein the body has a low-profile length in an axial direction of the bore.

Abstract: Medical balloons and balloon preforms are made by methods which include the step of selectively removing material from the proximal and/or distal ends of a segment. In the case of a thermoplastic material characterized by one or more glass transition temperatures, the segment may optionally be maintained at a temperature below the glass transition temperature of the segment during the material removal step.

Abstract: A suture anchor is provided having a body with at least one suture-receiving channel that extends distally from a proximal end of the body. The suture-receiving channel can include a cavity formed in a distal-most end of the body, or it can terminate at a transversely-extending bore formed through the body. The suture anchor can also include a suture loop that is positioned within the suture-receiving channel and cavity or bore, and that includes a proximal portion that extends proximal of the proximal end of the body.

Abstract: A suture anchor having a conical surface and a bore in which an end of an insertion tool is inserted. The insertion end of the insertion tool is made of material having elastic properties. The bore and base of the suture anchor are angled with respect to the central axis of the suture anchor and preferably are parallel to each other. During insertion, the suture anchor is reoriented to fit into the hole, thereby bending the elastic end of the insertion tool. When the suture anchor is within cancellous bone tissue, the elastic properties of the insertion tool deploy the suture anchor to an orientation in which the suture anchor cannot fit through the bone hole, thereby firmly anchoring the suture anchor in the human bone.

Abstract: A method of detecting and correcting a debilitating causative factor of a health issue in a human system includes the steps of determining a debilitating causative factor in the human system and treating the human system by subjecting the human system to a low level laser having a deactivating frequency corresponding to the debilitating causative factor.

Abstract: Methods and apparatus for temperature modification of selected body regions including an induced state of local hypothermia of the brain region for neuroprotection. A heat exchange catheter is provided with heat transfer fins projecting or extending outward from the catheter which may be inserted into selected blood vessels or body regions to transfer heat with blood or fluid in the selected blood vessels or body regions. Another aspect of the invention further provides methods and apparatus for controlling the internal body temperature of a patient. By selectively heating or cooling a portion of the catheter lying within a blood vessel, heat may be transferred to or from blood flowing within the vessel to increase or decrease whole body temperature or the temperature of a target region. Feed back from temperature sensors located within the patient's body allow for control of the heat transfer from the catheter to automatically control the temperature of the patient or of the target region within the patient.

Abstract: An orthopaedic implant is provided for the treatment of avascular necrosis of the bone. The orthopaedic implant includes a hollow support structure and a synthetic vascular graft. The support structure defines a passageway and includes a proximal opening and a distal opening. The synthetic vascular graft is received, at least in part, within the passageway such that a proximal end portion of the synthetic vascular graft is received through the proximal opening of the support structure and a distal end portion of the synthetic vascular graft is received through the distal opening of the support structure.

Abstract: Apparatus and methods are provided for thermally and/or mechanically treating tissue, such as valvular structures, to reconfigure or shrink the tissue in a controlled manner. The apparatus comprises a catheter in communication with an end effector which induces a temperature rise in an annulus of tissue surrounding the leaflets of a valve or in the chordae tendineae sufficient to cause shrinkage, thereby causing the valves to close more tightly. Mechanical clips can also be implanted over the valve either alone or after the thermal treatment. The clips are delivered by a catheter and may be configured to traverse directly over the valve itself or to lie partially over the periphery of the valve to prevent obstruction of the valve channel. The clips can be coated with drugs or a radiopaque coating. The catheter can also incorporate sensors or energy delivery devices, e.g., transducers, on its distal end.

Abstract: An apparatus for performing anastomosis between a graft vessel and a target vessel may include a connector holder having spaced-apart arms, and a member connected to the connector holder, where the member is insertable through an opening in a wall of the target vessel at least partially into the lumen of the target vessel. One or more connectors, such as staples, may be deployed from each arm to connect the graft vessel to the target vessel. One or more connectors may be deformable against the member.