Abstract: An electrophysiology catheter and method of use for mapping and ablation procedures. The catheter includes a braided conductive member at its distal end that can be radially expanded. The catheter can be used in endocardial and epicardial mapping and ablation procedures.

Abstract: A tissue ablation device comprises first and second electrodes of opposite polarities, the first electrode being mounted to a first elongated member for movement relative to the second electrode for separation therefrom by a desired distance. A method of ablating a tissue comprises inserting first and second electrodes to desired initial positions relative to a tissue mass to be ablated and applying electrical energy to the first and second electrodes to ablate a first portion of tissue between the first and second electrodes in combination with the step of applying electrical energy to desired second positions separated from the desired initial positions by a distance selected to transfer electrical energy around the first portion of tissue through a second portion of tissue to be ablated, the second portion of tissue surrounding the first portion of tissue.

Abstract: An electrosurgical apparatus having improved placement accuracy is provided. The electrosurgical apparatus comprises an elongate shaft having a proximal end, a distal end and at least one lumen therethrough, a stylet positioned within a lumen, a conductive tip at the distal end for delivery of energy to the tissue, an electrical coupling at or near the proximal end for flexibly coupling a power source control unit to supply energy to the conductive tip, a fluid delivery connection interface flexibly coupled at or near the proximal end for coupling a fluid delivery mechanism. The apparatus further comprises a temperature sensor. A method of delivering electrical energy to a target treatment area of an animal body is also provided.

Abstract: The present invention provides robotic surgical instruments and systems that include electrosurgical cutting/shearing tools and methods of performing a robotic surgical procedure. The surgical instruments can advantageously be used in robotically controlled minimally invasive surgical operations. A surgical instrument generally comprises an elongate shaft having a proximal end and a distal end. An end effector, for performing a surgical operation such as cutting, shearing, grasping, engaging, or contacting tissue adjacent a surgical site, is coupleable to a distal end of the shaft. Preferably, the end effector comprises a pair of scissor-like blades for cooperatively shearing the tissue. A conductor electrically communicating with at least one blade delivers electrical energy to tissue engaged by the blades. An interface coupled to the proximal end of the shaft and removably connectable to the robotic surgical system is also included.

Abstract: A system for treating a wide-neck aneurysm comprising a mesh-like sleeve fabricated from a class of polymer filaments that carry conductive particles therein to provide the filaments with a specified resistivity. The releasable mesh-like sleeve is introduced to the site of a targeted vascular malformation by the working end of a catheter that carries an electrode arrangement at its distal terminus. The system further provides an electrical source and controller (i) that modulates power delivery to the polymer matrix which can then fuse the sleeve to the wall of a blood vessel to span across the vascular malformation.

Abstract: A medical instrument includes an elongated insertion section, a pair of holding portions which hold tissue, a heat source portion, and an operation section which relatively opens/closes the holding portions. The holding portions are provided at a distal end portion of the insertion section. The heat source portion is provided to at least one of the holding portions, generates heat, and transfers the heat toward the other holding portion. At least a part of the heat source portion is covered with an insulating member provided to the holding portions. The operation section is provided at a proximal end portion of the insertion section.

Abstract: An implant for fixation of a bone includes a shaft having a proximal end and a distal end, and a longitudinal axis defined between the proximal end and the distal end. A plurality of blades are disposed on the shaft, and are helically twisted about the longitudinal axis. At least one of the blades has a variable blade width that increases in a direction along the longitudinal axis. A mechanism for coupling the implant to a second fracture fixation implant may be provided separately or in combination.

Abstract: System, including methods and apparatus, for provisionally bracing an external fixator while the external fixator is reconfigured.

Abstract: This invention relates to an apparatus for spinal fixation, in particular, for joining a bone anchor with spinal stabilizers such as a spinal rod or spinal plate in a polyaxial fashion. The invention is also directed to polyaxial connectors which incorporate arcuate washers. The polyaxial features of this invention are achieved preferably with snap-in washers which minimize the numbers of parts that a surgeon may have to handle during surgery.

Abstract: A minimally invasive method for stabilizing adjacent vertebrae to be fused is accomplished with a device configured to interlink the pedicles of the adjacent vertebrae and including multiple pedicle screws. Each of the pedicle screws has a screw head configured to receive a connecting rod in a position, in which the rod and the receiving pedicle screw are vertically aligned.

Abstract: A clamping nut suitable for co-operating with a threaded shank of an osteosynthesis appliance, the nut including an annular body and a tapped bore for cooperating with the threaded shank. The annular body is provided with a structure which enables turning the body and with a transverse bearing face. The osteosynthesis nut further includes a ring mounted in a housing of the annular body which is provided internally with the tapped bore, and which cooperates externally with the annular body.

Abstract: An anterior cervical plate has a lower surface adapted to engage the cervical spine and a top surface. At least one location along the plate there are two transversely aligned bone screw holes. A locking element is pivotally mounted between these two bone screw holes for movement between an open position which uncovers the two bone screw holes and a locking position wherein the locking element at least partially covers each of the two bone screw holes. A positive positioning structure positively positions the locking element in the locking position.

Abstract: A bone screw assembly including a coupling member with a lower surface and a channel formed by two arms extending from a base portion. The coupling member has a hole extending from the base portion of the channel to its lower surface. The assembly further includes a spacer having a top surface adjacent the base portion of the channel and a bottom surface generally opposite the top surface within the hole of the coupling member, and includes a hollow retaining ring within the hole of the coupling member, the retaining ring comprising an inner surface, an outer surface, a top surface spaced from the bottom surface of the spacer, and a slot extending from the inner surface of the ring to the outer surface of the ring. The assembly includes a bone screw having a head portion with an outer surface adjacent to the inner surface of the retaining ring.

Abstract: A tool assembly and a method for forming a less invasive resection of a selected bone portion. For example, a distal femur may be resected with substantially a single minor incision. Tools may be positioned through the single incision to resect a portion of the condyles of the femur. Generally, the medial condyle is resected followed by resecting a lateral condyles, but each condyle may be resected at a selected time through a single minor incision.

Abstract: A femoral slideway and a femoral slideway/femur-size template combination is employed to create an installed knee prosthesis that creates a reduced amount of stress in the collateral ligaments relative to previous prostheses. In one embodiment, the reduced stress is achieved by employing a femoral slideway/femur-size template combination which results in installation of a femoral slideway which has a smaller dorsal-ventral dimension than a corresponding dimension of the femur prior to resection.

Abstract: The present invention discloses a method of hardening a bone cement under an exerted pressure in a bone cavity including preparing a cement paste; injecting said cement paste into a balloon placed in a bone cavity; and allowing the cement paste harden in the balloon. Preferably, the balloon is opened after the cement paste is set, and the opened balloon is removed from the bone cavity. The present invention also discloses a device for use in the method of the present invention.

Abstract: A device for delivering small spheres of biomaterial into a determined portion of a bone including a cylindrical hollow body of inside diameter D1 having a filling first end and a second end provided with a snap-fastener, a shutter-forming guide rod having a main portion that is cylindrical with an outside diameter D2 and presenting an enlarged cylindrical portion suitable for co-operating with the snap-fastener of the body, and a piston constituted by a cylindrical part presenting an outside diameter D3 and an axial bore of diameter D4. The diameter D3 is slightly smaller than the inside diameter D1 of the body and the inside diameter D4 is slightly greater than the diameter D2 of the rod in such a manner that, once the snap-fastener has been released, the rod can slide inside the piston, and the piston can slide inside the body.

Abstract: A cranial spinal column support assembly includes a base having a first end, a second end, an upper surface and a lower surface. A support frame is attached to and extends upwardly from the upper surface. The support frame is positioned generally adjacent to the first end of the base. A mounting is positioned on the support frame and is selectively positioned between an upper portion of the support frame and a lower portion of the support frame. A securing member is adapted for releasably securing the mounting to the frame in a fixed position. A head support is mounted to and extends outwardly away from the mounting. The head support includes a face receiving member for receiving a head in a downward facing position.

Abstract: A tissue-piercing device includes two piercing members, and an operation section to which a proximal end of each of the piercing members is connected. Each of the piercing members includes a flexible outer sheath, a slidable inner sheath which is slidably inserted in the outer sheath, and a slidable needle which is inserted in the inner sheath. A switch portion is provided for switching between an operation mode in which a piercing action by the two piercing members is performed in a single operation, and an operation mode in which piercing actions by the two piercing members are performed in respective separate operations. The switch portion includes a sheath-coupling member to couple and decouple the two slidable inner sheaths. The switch portion may include a needle-coupling member to couple and decouple the two slidable needles.

Abstract: An overtube apparatus for insertion into a body is described herein. The assembly includes an overtube having a lumen defined throughout. The distal end of the overtube member has two or more windows in apposition configured to draw in tissue via a vacuum. A drive tube, which also defines a lumen, is inserted and is freely adjustable within the overtube. A spiral or helical fastener, which is temporarily attached to the drive tube distal end, is positioned within the overtube lumen. Endoscopic devices can be inserted within the drive tube lumen and advanced past the distal ends of both the drive tube and overtube. A pump provides the vacuum to draw apposed regions of tissue from within a hollow body organ into the windows of the overtube. Once the tissue has been invaginated, the drive tube is rotated to advance the fastener into the tissue to fasten them together.

Abstract: An anatomic handle for surgical precision scalpel includes a first upper curved body anatomically corresponding to the curved direction of the forefinger, a second underlying body prolonging the first one, having an asymmetrical overturned-saddle shape, a central are area determined by the combination of the first upper body and the second underlying body, two equal and opposite heads to the two terminal parts of the first curved body constituting on the upper part an ergonomic handle, said the heads presenting each on the lateral side the joint for an interchangeable blade. The peculiarity of the handle is that its morphological characteristics allow several different grips according to the peculiar surgical situation in which the scalpel is used.

Abstract: A balloon catheter method of providing same, wherein a balloon catheter defines one or more indentations which provide improved flexibility to at least a portion of the catheter shaft and/or improved folding and rewrapping characteristics to the balloon.

Abstract: A catheter with proximal and distal ends having a spiral centering device attached near the catheter distal end. The spiral centering device has at least one spiral strut having a proximal end and a distal end. The spiral centering device resiliently tends to center the distal end portion of the catheter, steering the catheter away from the vessel wall during insertion through the vasculature and toward the treatment site. The spiral centering catheter may facilitate access to tortuous anatomy by preventing the distal catheter tip from catching on irregularities in the lumenal surface. If a stent is provided on the catheter, the spiral centering catheter may also facilitate uniform stent expansion by stabilizing the catheter during stent deployment.

Abstract: Apparatus and methods are provided for use in filtering emboli from a vessel and/or performing thrombectomy and embolectomy, wherein a vascular device disposed on a guidewire comprises a support hoop disposed from a suspension strut. Alternately, a support hoop having an articulation region may be directly connected to a region proximate the distal end of the guidewire. A blood permeable sac is affixed to the support hoop to form a mouth of the blood permeable sac. The support hoop is disposed obliquely relative to the longitudinal axis of the guidewire and is capable of being properly used in a wide range of vessel diameters. The vascular device collapses during removal to prevent material from escaping from the sac. A delivery sheath and introducer sheath for use with the vascular device of the present invention are also provided.

Abstract: A capture device for removal of clots and foreign bodies from vasculature or filtering of particulate from blood flow. The parachute-like capture device is connected to an elongate wire located within a longitudinally elongated tubular member. The capture device is radially expandable and is refolded to a reduced profile during contraction.

Abstract: A method of prevention and treatment of microbial infections that occur on, or just below, the skin and nails of a person consisting of electromagnetic radiation to inactivate the microbes thus rendering them harmless. The treatment consists of irradiating an area of the skin and nails for a period of time long enough to inactivate the organisms. Some additional features which are not integral to the treatment but increase the safety of the treatment include shielding of non-infected areas from irradiation and a cover to prevent damage to sight which may result from viewing the electromagnetic radiation.

Abstract: A method for controlling heat dissipated from a prosthetic retinal device is described. A heat transfer device employs the Peltier heat transfer effect to cool the surface of the retinal device that faces the retina by dissipating/transferring collected heat away from the retina and towards the iris or front of the eye. According to one embodiment, a heat pump is formed in a second substrate on the retinal device. The heat pump is controlled by a temperature sense device that activates the heat pump, when a first predetermined temperature limit is exceeded. The temperature sense device deactivates the heat pump, when a temperature of the retinal device drops below a second predetermined temperature. According to another embodiment, a supply current of the retinal device may pass through the heat pump and a direction of heat transfer by the heat pump can be reversed, when the first predetermined temperature is exceeded.

Abstract: A method and device used for treating an aneurysm or a vessel of a patient. An embolization element that is adapted to reduce or block the blood flow into the aneurysm or vessel, together with a stent connected to the embolization element, is provided. The embolization element includes an expandible member. The embolization element and the stent are introduced into the vessel leading to and communicating with the aneurysm or vessel. The embolization element is directed into the aneurysm or vessel, with the stent being located in another vessel communicating with the first vessel. In this manner, the stent becomes compressed against the inner wall of the second vessel for anchoring the embolization element. In one form of the invention, the stent comprises a helical coil and the embolization element comprises a collapsible framework.

Abstract: A branch graft stent system includes a tubular primary graft having a branch graft opening which when deployed is located in alignment with a side branch vessel emanating from the primary vessel in which a branch graft is deployed. A connector (flange) member forms a perimeter of the branch graft opening and is constructed so that the connector member is substantially flush with the wall of the tubular primary graft. The tubular branch graft has a first expandable ring and a second expandable ring spaced apart from each other as part of a connection section located at a proximal end of the tubular branch graft.

Abstract: A method for reducing blood flow to an aneurysm proximate to a bifurcation having a source blood vessel a first branch vessel and a second branch vessel, the method comprising: providing a first mesh-like tube of bio-compatible material, the first mesh-like tube exhibiting a porosity index pre-selected to skew blood flow about the bifurcation away from the aneurysm; inserting the first mesh-like tube into the source blood vessel and the first branch vessel; and securing the first mesh-like tube to at least one of the source blood vessel and the first branch vessel, whereby blood flowing from the source blood vessel flows without undue impedance to the first branch vessel and the second branch vessel while being skewed away from the aneurysm.

Abstract: The present invention relates to a balloon expandable stent mounted on a balloon catheter, the entire assembly being overcoated with a coherent polymer coating, which is preferably substantially continuous over the circumference and, more preferably, axial length of the stent on the balloon. The polymer coating improves retention of the stent on the balloon during delivery and does not adversely effect the deployment characteristics, nor the balloon failure characteristics. The product is made by mounting the stent on the balloon and coating the assembly with a liquid coating composition containing a suitable polymer followed by curing of the coating. The polymer is biocompatible and preferably crosslinkable in the coating composition, and crosslinked in the final product. A suitable polymer is formed from monomers including a zwitterionic, preferably a phosphoryl choline, group, and monomers including a trialkoxysilyl group.

Abstract: A surgical method for loading ligament grafts into a joint. A longitudinal socket formed in a bone is intersected by a transverse pin. A flexible strand is drawn with the pin through the bone. A looped portion of the strand is diverted so as to protrude out of the entrance to the longitudinal socket. The ends of the strand remaining accessible on either side of the bone. The ligament graft is captured within the strand loop protruding from the entrance to the socket. The strand is retracted into the socket, drawing the graft into the socket by pulling on the accessible ends of the flexible strand. The graft is fixed in the socket using a transverse implant.

Abstract: Acellular matrix grafts are provided with are isolated from natural sources and consist essentially of a collagen and elastin matrix which is devoid of cellular components. The grafts are useful scaffolds which promote the regeneration of muscle tissue and aid in restoring muscle function. Due to their acellular nature, the grafts lack antigenicity. As a result, the acellular matrix grafts can be isolated from autographic, allographic or xenographic tissues.

Abstract: The present invention is an interspinous process implant with a selectably expandable spacer that can be placed between adjacent spinous processes.

Abstract: A proximal femoral head assembly having a variable offset that is selectively adjustable to conform to various anatomical conditions encountered during a femoral surgical procedure. The assembly includes a femoral head, a neck removeably connectable to the femoral head, and an adjustment mechanism. The adjustment mechanism provides the neck with a plurality of different femoral offsets with respect to a femoral hip stem.

Abstract: A composition comprising at least one coupler chosen from 2-chloro-6-methyl-3-aminophenol and addition salts thereof, at least one oxidation base and at least one associative polymer comprising at least one C8-C30 fatty chain; the use of the composition for the oxidation dyeing of keratin fibres; the dyeing process using this composition; and multi-compartment devices comprising the composition.

Abstract: Compositions for the oxidative dyeing of keratin fibers, comprising a medium suitable for dyeing and one or more bicyclic 5-6 heteroaromatic keratin dyeing compounds with one ring junction nitrogen one or two extra heteroatoms. A method for oxidative dyeing of keratin fibers, comprising applying such compositions in the presence of an oxidizing agent, for a period sufficient to develop the desired coloration.

Abstract: The invention is directed to novel hair dye compositions, novel leave-in conditioners, and novel leave-in conditioners with a hair coloring effect. Hair dye compositions, leave-in conditioners, and leave-in conditioners with hair coloring effect may include a styrene/vinylpyrrolidone copolymer emulsion.

Abstract: The present invention concerns a pre-treatment composition comprising dihydroxyacetone (DHA) for oxidative coloring keratin fibers especially human hair and a coloring process therefore.

Abstract: A fuel additive iron salt composition effective in improving the operation of diesel engine particulate traps when added to a diesel fuel so as to provide 1-25 ppm iron in the fuel which comprises an oil soluble or oil dispersible neutral or overbased iron salt of an acidic organic compound, 50-99 mole % of the total iron present in the composition being in the ferric form, the balance being the ferrous form.

Abstract: Coal-based cellular products that can be custom designed to have integral stiffeners or load paths, directed heat transfer paths, and/or directed mass transfer paths and methods for their production are described. Such design and production is made possible by the appropriate selection of starting materials, thermal treatment conditions and mold materials combined in at least some instances with segregation of different starting materials in different regions of a forming mold.

Abstract: The present invention relates to a method of depositing a crystalline ?-Al2O3-layer onto a cutting tool insert by Chemical Vapor Deposition at a temperature of from about 625 to about 800° C. The method comprises the following steps: depositing a from about 0.1 to about 1.5 ?m layer of TiCxNyOz where x+y+z>=1 and z>0, preferably z>0.2; treating said layer at 625-1000° C. in a gas mixture containing from about 0.5 to about 3 vol-% O2, preferably as CO2+H2 or O2+H2, for a short period of time from about 0.5 to about 4 min, optionally in the presence of from about 0.5 to about 6 vol-% HCl; and depositing said Al2O3-layer by bringing said treated layer into contact with a gas mixture containing from about 2 to about 10 vol-% of AlCl3, from about 16 to about 40 vol-% of CO2, in H2 and 0.8-2 vol-% of a sulphur-containing agent, preferably H2S, at a process pressure of from about 40 to about 300 mbar.

Abstract: The invention provides chemical-mechanical polishing systems, and methods of polishing a substrate using the polishing systems, comprising (a) an abrasive, (b) a liquid carrier, and (c) a positively charged polyelectrolyte with a molecular weight of about 15,000 or more, wherein the abrasive comprises particles that are electrostatically associated with the positively charged polyelectrolyte.

Abstract: The present invention is directed to methods for polishing and cleaning a wafer having CoFeNi structures within alumina fill to achieve corrosion-free, smooth, and planar surface. A preferred chemical mechanical polishing (CMP) method includes a CMP polishing compound including alumina abrasive particulates, 1H-Benzotriazole (BTA), and hydrogen peroxide (H2O2) in a concentration working range of 4% to 12%. In a preferred embodiment the H2O2 concentration is approximately 6% and the pH is approximately 4.0 at polishing pressure 6 psi. A cleaning solution for CoFeNi structures in alumina fill of the present invention preferably includes 4-Methyl-1H-Benzotriazole, 5-Methyl-1H-Benzotriazole, hydrogenated 4-Methyl-1H-Benzotriazole, hydrogenated 5-Methyl-1H-Benzotriazole, sodium octanoate, and water.

Abstract: A structure and method of removing semi-rigid debris and demisting gas for use primarily in surface maintenance or conditioning machines, Demisting is accomplished by, a combination techniques including rapid pressure reduction and removal of semi rigid debris is accomplished by forcing the debris through a path with curvatures to great for the debris to follow.

Abstract: A vacuum cleaner includes a first dirt separation unit and a second dirt separation unit. The first dirt separation unit has a first inlet port through which a suction air stream including dirt particles is introduced thereinto, and the second dirt separation unit has a second inlet port through which the air stream introduced into the first dirt separation unit is introduced into the second dirt separation. The first and the second inlet port are disposed such that they are not registered with each other. Accordingly, the dirt particles suctioned are separated in two stages, thereby decreasing the possibility of occlusion of a filter and rapid deterioration of a suction force.

Abstract: An integral fuel cartridge and filter apparatus includes a fuel cartridge, a filter housing coupled to the fuel cartridge, and a filter coupled to the filter housing.

Abstract: A porous ceramic support for a gas separation membrane formed by sintering a green body containing grains of a refractory ceramic oxide with a high coefficient of thermal expansion and grains of a reactive binder precursor. Upon sintering, the reactive binder precursor reacts with at least one gaseous, liquid or solid reactant to create a reaction bond that binds the refractory ceramic oxide grains. The support configuration can be a tubular, flat plate, hollow fiber, or multiple-passageway monolith structure.

Abstract: The method introduces additives into a flowing melt or fluidized metallic/ceramic powder media in a pulsed high pressure manner. The nozzle needle of at least one nozzle is variable and highly precisely moved for the introduction by means of a device and in such a way that additive is dosed exactly in relation to the volume flow of the medium. The pulsating additive stream is injected into the flowing medium by at least one well-aimed nozzle opening. The additives are dosed by means of a pressure that can be variably adjusted by pulse width and pulse frequency. The desired homogenous distribution is obtained by the penetrating injection jet.

Abstract: The present invention provides a system and method for generation of nitrogen enriched air for inerting aircraft fuels tanks. One embodiment of the present invention includes a duct assembly; a primary heat exchanger; a gas generating system heat exchanger; a first temperature sensor; a second temperature sensor; a controller monitor; a valve; an air separation module assembly having a primary module and a secondary module; at least one flow control orifice; and a pressure sensor. The present invention utilizes a minimal complement of components and streamlined processes, thus minimizing structural and operational costs while optimizing performance and safety features.