Abstract: A blood pump system includes a blood pump having a motor with a rotor and a stator. The stator has a plurality of stator windings situated therein. A motor controller is coupled to the motor, and a processor has inputs coupled to the motor controller for receiving a time continuous signal from the pump. The processor is programmed to transform the time continuous signal to the frequency domain, and control the pump and detect excess suction in response to the time continuous signal in the frequency domain.

Abstract: The invention comprises a totally implantable hearing prosthesis for hearing impaired persons. An inertial vibrational element is hermetically sealed and implanted in bone between the lateral and superior semicircular canals without breaching the integrity of the canals. The vibrational element is adapted to vibrate the walls of the canals and the fluids contained therein, thereby vibrating contiguous fluids within the cochlea thus stimulating hair cells and creating a hearing percept. The invention can also be adapted to be a tinnitus masking system, and/or used in combination with a cochlear implant hearing system.

Abstract: An endourethral device is provided having an elongate member having proximal and distal segments, the elongate member positionable within a lower urinary tract so as to at least partially traverses a prostatic urethra. A proximal anchor, adapted to abuttingly engage portions of a bladder neck so as to at least proximally anchor the device, is supported at least indirectly by the proximal segment of said elongate member. The proximal anchor includes bladder engaging elements radially extending from the proximal segment of said elongate member, urine being freely dischargable about at least the proximal segment so as to substantially bathe the bladder neck therewith.

Abstract: A kit and method for supporting a pelvic floor of a person with stress urinary incontinence or other symptoms. The method involves using barbed sutures as part of a sling for supporting the pelvic floor or urethra of a person experiencing stress urinary incontinence or other symptoms. A surgeon implants the sling along with the barbed sutures, using one of several known methods. The barbed sutures may be interwoven with the sling and the supports for the sling, so that once the sling and its supports are placed into the patient, barbs of the sutures will resist movement. The sutures may also be woven into the supports to resist movement.

Abstract: A medical retrieval device of an embodiment of the present disclosure includes an assembly for positioning a medical device includes a sleeve having a lumen configured to accept a medical device, and a tab. The tab includes a distal portion and a proximal portion. The distal portion is configured to receive the sleeve for positioning the sleeve proximate the proximal portion. The proximal portion is configured such that severing the tab along the proximal portion maintains the tab in one piece.

Abstract: An implantable band for placement around an anatomical passageway, such as the stomach or other lumen, includes a first end portion with an opening configured to receive part of a second end portion, with a retaining part included as part of the first or second end portion.

Abstract: A rotating self-traveling endoscope system of the invention comprising an insertion portion having an image pickup unit at its distal end portion and a helical structure formed on the outer surface, a rotating driving device for rotating the insertion portion around a long axis, and a rotating self-traveling insertion assisting tool through which the insertion portion can be freely inserted and which is provided with a flexible tube having a bending portion disposed therein is capable of passage of the insertion portion through a space in a body cavity and passage through a valve in the body cavity, which improves insertion performance into a small intestine.

Abstract: Devices for enhancing minimally invasive cardiac surgery include a visualization device including an inflatable balloon at or near the distal end. Some visualization devices also include one or more lumens for allowing the introduction of one or more devices to a surgical site through the visualization device. Systems of the invention involve a visualization device which has at least one lumen for allowing introduction of an ablation device and/or other devices. A visualization device with an inflatable balloon may be positioned to create a space between a heart and pericardium when the balloon is inflated.

Abstract: An object observation method and system including an endoscope, at least one treating device, a first detecting portion for detecting information indicating an observation direction of the endoscope, a second detecting portion for detecting information indicating a treatment direction of the treating device, a three dimensional virtual image data storing portion for storing three dimensional image data prepared in advance, a virtual image data processing portion for creating virtual image data based on the information indicating the observation direction and the treatment direction, first and second three dimensional image display monitors, each having first and second image display devices, and switch sections for instructing change of display mode of the second image display devices.

Abstract: A flexible shaft includes a flexible, elongated outer sheath, at least one drive shaft disposed within the outer sheath and a moisture sensor disposed within the outer sheath configured to detect moisture within the outer sheath. Another flexible shaft includes a flexible, elongated outer sheath, at least one flexible drive shaft disposed within the outer sheath and a coupling connected to a distal end of the outer sheath configured to couple to a surgical attachment. A sleeve includes an elongated shaft configured to receive a flexible shaft therein and a securing arrangement configured to selectively and variably retain the elongated shaft in any one of a number of longitudinal positions along the flexible shaft.

Abstract: A controllable sheath for optimizing the control of surgical instruments at the operation site includes a flexible sheath surrounding an endoscope and including a lumen extending along the walls of the sheath and adjacent to the endoscope. The lumen permits the passage of surgical instruments from the proximal end of the endoscopic device to the operation site. The lumen extends beyond the distal end of the endoscope and deflects at the distal end as desired by the operator's manipulation of a controller device. This distal end deflection may occur through various different techniques where the ability to deflect the lumen gives the operator increased control and maneuverability over the surgical implements located in the lumen. Depending upon the particular requirements of the surgical procedure, the controllable sheath may include any number of lumens capable of distal end deflection.

Abstract: Various embodiments of a surgical device that combines tissue cutting and spraying in a single device and related methods of use are disclosed. The device may include an elongated member having a proximal end and a distal end, an end effector proximate the distal end of the elongated member, and a nozzle member configured to substantially seal the distal end of the elongated member. The nozzle member may define a flow path in fluid communication between inside and outside of the elongated member when the distal end of the elongated member is sealed with the nozzle member.

Abstract: An endoscope device is proposed for dealing with an erroneous operation of a surgeon. An endoscope device has an endoscope and a processor, wherein the endoscope has a switch unit and the processor has a CPU and an operating panel. In the event that the CPU of the processor detects that, of a first instruction signal transmitted from the switch unit and a second instruction signal transmitted from the operating panel, the instructions for performing the predetermined operation are not performed normally with one of the instruction signals, and instructions for performing an operation other than the predetermined operation is performed normally with the other instruction signal, the CPU stops the transmission of one of the instruction signals, and validates the operation content instructed by the other instruction signal.

Abstract: An endoscopic inspection method includes staining step and super magnified observation step. In the staining step, a distal end surface of a distal end portion of an endoscope which includes a distal end opening of a channel and a first lens that forms a super high-power observation optical system is held in contact with the tissue surface of the observation subject region such that the staining fluid supplied via the channel penetrates to the gap between the distal end surface and the tissue surface to eliminate the mucus on the tissue surface. The tissue surface having the mucus eliminated is stained with the staining fluid. In the super magnified observation step, the first lens which forms the super high-power observation optical system provided at the distal end portion is brought into contact with the tissue surface that has been stained with the staining fluid such that the observation at the cellular level is performed.

Abstract: A surgical access device adapted for disposition relative to an incision in a patient comprising a valve including a plurality of overlapping sheets defining an access channel, and a ring having an inner diameter for holding the valve by fixing each of the overlapping sheets along a portion of the perimeter is described. The access channel extends into communication with the incision in the patient. Each of the overlapping sheets includes a portion of the perimeter that is not fixed to the inner diameter of the ring, which provide open edges defining the access channel. The open edges slightly overlap at the center of the ring.

Abstract: A method and instruments for performing breast augmentation mammaplasty in a patient are provided. The method includes making an incision to gain access to an area underneath the breast of the patient, and providing a retractor including a shaft and a tubular member connected to the shaft. The tubular member includes a hollow endoscope guide portion and a generally flattened blade portion, where the endoscope guide portion transitions into the blade portion such that an end of the blade extends beyond an end of the endoscope guide. The method further includes inserting the retractor at least partially through the incision to aid in placing a breast implant within the patient.

Abstract: Personal and family health history information can be used to assess familial risk of disease. For example, information can be collected about the disease history of a person and the person's first- and second-degree relatives and then analyzed to determine the familial risk of common diseases such as coronary heart disease, stroke, type 2 diabetes, and colorectal, breast, and ovarian cancer. Assessed familial risk of disease can then be used by researchers to better estimate the contribution of personal history and family history to the etiology and natural history of a disease of interest, and by consumers and health professionals to determine recommendations for disease management, prevention and screening that are personalized and targeted to the familial risk. Other embodiments are also described and claimed.

Abstract: A computer-assisted method and apparatus for providing information pertaining to consumptions of a consumer.

Abstract: Devices and methods for maintaining a medical device on-body are provided. Embodiments include medical device securement systems having first and second on-body securement elements. Also provided are systems and kits for use maintaining a medical device on-body.

Abstract: An imaging transducer assembly is combined with a sensor of a medical positioning system, forming a transducer/sensor assembly. In one embodiment, the sensor includes a coil proximally coupled with the imaging transducer. A cable having first and second wires are proximally coupled to the coil. A non-conductive potting layer is wrapped around the coil. Traces are formed in the non-conductive potting layer that are used to electrically couple the imaging transducer with the first and second wires of the cable.

Abstract: A two-dimensional drawing module (25) (i) periodically reads acoustic line data (S401), (ii) checks a scanning method of a physical structure of a probe and acoustic line data, and (iii) selects the optimum coordinate conversion algorithm (S402). After that, the two-dimensional drawing module (25) (i) selects an interpolation algorithm, based on a display rate (S403), (ii) generates display data by performing a two-dimensional DSC process using the selected coordinate conversion algorithm and the like (S404a, 404b or 404c), (iii) performs a persistence process for the display data (S405), a frame interpolating process for a “B mode” image data (S406) and a display color conversion process (S407), and (iv) transmits the display data after such processes as described above to the display unit (14) (S408).

Abstract: The phase or associated amplitude analysis of a sequence of images is improved by, first, providing quantifications in response to the phase or amplitude information. For example, a value or values representing asynchrony between different locations through a sequence of images may provide useful diagnostic information. Second, since heart motion or other motion within a body may become complex, multiple harmonics may be used in addition to the first harmonic or fundamental information for parametrically imaging a motion. Third, where different portions of a cycle have different characteristics, such as the systolic phase and diastolic phase of a heart cycle, images associated with each of the portions may be separated from other portions. A phase or amplitude analysis of the sequence of images for each portion is handled separately.

Abstract: An ultrasonic diagnostic apparatus comprising an ultrasonic transmitting unit, an image signal generating unit and a signal addition unit. The ultrasonic transmitting unit transmits an ultrasonic wave having a wave surface except a plane wave surface and a focused focal wave surface to a subject so that shapes of wave surface portions change mutually in time on a same scanning line. The image signal generating unit receives reflected waves produced by the wave surface portions and generating image signals according to the reflected waves received. The signal addition unit obtains an image signal of which a speckle noise is reduced by adding the image signals mutually.

Abstract: Methods and systems for automatic optimization in spectral Doppler ultrasound imaging are provided. The value for one or more spectral Doppler parameter is optimized using numerical optimization rather than predefined sampling. Various spectral Doppler parameters are set, such as a position of the gate, gate size, transmit frequency, filter settings, Doppler gain, beamline orientation or angle of intersection between the gate position and the scan line, aperture size, or other spectral Doppler transmit or receive parameters effecting the spectral Doppler imaging. A processor automatically calculates a setting or value for one or more of the spectral Doppler parameters, resulting in more objective optimization than provided by a user setting.

Abstract: A measurement device for generating an arterial volume-indicative signal includes an exciter and a detector. The exciter is adapted to receive an oscillating signal and generate a pressure wave based at least in part on the oscillating signal on the artery at a measurement site on a patient. The pressure wave includes a frequency. The detector is placed sufficiently near the measurement site to detect a volumetric signal indicative of arterial volume of the patient.

Abstract: A system to monitor heart sounds. The system comprises an implantable heart sound sensor configured to produce an electrical signal representative of at least one heart sound, an implantable posture sensor operable to produce an electrical signal representative of a patient's posture, and a controller circuit. The controller circuit is configured to determine a patient posture, measure at least one heart sound in correspondence with at least one corresponding patient posture, adjust the heart sound measurement by using the corresponding determined patient posture to reduce or remove variation in the heart sound measurement due to patient posture, detect a change in the adjusted heart sound measurement, and provide an indication of congestive heart failure to a user or an automated process in response to the detected change.

Abstract: A catheter assembly for sensing the temperature of an arterial wall or other body lumen includes a blood-flow-occluding feature to increase the accuracy the temperature measurements. In addition to the flow-occluding feature, the catheter includes a distal end with a temperature sensing structure and a proximal end including a manually operated expansion control. The temperature sensing structure includes one or more presentation elements in the form of a basket or braided structure having at least one temperature sensor supported thereon, each sensor being operative to generate an electrical signal indicative of temperature. In the preferred embodiment, the feature to occlude blood flow is an inflatable balloon disposed near the expandable basket or braid structure. The temperature sensors are preferably thermistors, and an elastic sleeve covering the expandable basket or braid structure is also preferably provided to further insulate the temperature sensors from the cooling effects of blood flow.

Abstract: An apparatus and method for harvesting bone and bone marrow are provided. The apparatus may include a driver operable to be releasably engaged with an intraosseous device. The intraosseous device may include a cannula having a first end operable to penetrate bone and bone marrow and to allow retrieval of portions of bone and/or bone marrow. The cannula may have a second end operable to be releasably engaged with bone marrow sampling equipment. The apparatus may include a removable trocar. The removable trocar may have an inner channel operable to convey portions of bone and/or bone marrow. The removable trocar may have an inner channel and a side port communicating with the inner channel. The removable trocar may have a first end operable to penetrate bone and bone marrow.

Abstract: The invention relates to a cannula, preferably equipped with a cannula holder for, in particular a blood sampling device, which comprises a pivotable protective housing (102) for a free end of the cannula. Said protective housing (102) is closed on the periphery except for a cannula insertion opening (8) provided between opposing side walls. Said insertion opening is produced by at least one pair of lamella (8a, 8b), formed on the side walls, the lamella tapering towards one another in the manner of a funnel and forming an expandable funnel slot. The protective housing (102) comprises two housing parts which can be inserted into each other. The inner housing (2a) comprises the pair of lamella (8a, 8b) and an outer housing (11), which surrounds the inner housing (2a), is embodied as a sleeve that is less elastic than the inner housing (2a).

Abstract: A guide wire comprising an elongate, flexible core having a proximal region, a proximal end, a distal region, and a distal end, and the distal region having a tapered portion; a plurality of wire strands wrapped helically parallel to one another and disposed on at least a portion of the tapered distal region of the core; a polymer tie layer disposed on at least a portion of the plurality of wire strands; and a lubricious polymer layer disposed on the polymer tie layer.

Abstract: A guidewire loader apparatus is provided for loading a guidewire into a lumen opening of a guidewire lumen of a medical device. The loader apparatus includes a first member defining a respective medical device receiving portion and a respective guidewire receiving portion in communication therewith via a respective interface portion. The loader apparatus further includes a second member configured for placement in an opposed relationship to the first member. The second member defines a respective medical device receiving portion and a respective guidewire receiving portion in communication therewith at a respective interface portion. The first member and the second member cooperatively associate with one another between a first position and a second position. In the first position, the medical device can be positioned into at least one respective medical device receiving portion.

Abstract: Medical devices and methods of manufacturing medical devices. The medical devices include an elongate member having a proximal portion and a distal portion and a connector assembly disposed adjacent the elongated member to connect the proximal and distal portions, the connector assembly including a radiopaque marker.

Abstract: A hollow medical device includes a coil member having a distal end, a proximal end, a plurality of turns extending therebetween, and a lumen extending through the turns. The coil member further includes at least one weld extending from one turn to an adjacent turn.

Abstract: An ultrasound medical system includes an ultrasound end effector and at least one non-ultrasound tissue-property-measuring sensor. The ultrasound end effector includes a medical ultrasound transducer assembly having at least one medical-treatment ultrasound transducer. The at-least-one non-ultrasound tissue-property-measuring sensor is supported by the ultrasound end effector and is positionable in contact with patient tissue.

Abstract: A rehabilitation apparatus is disclosed. The rehabilitation apparatus includes a supporting housing, a rotary housing, an actuator, a control unit, and a torque detector. The rotary housing is slidably mounted to the supporting housing to hold a body segment. The actuator has a driving shaft to rotate the rotary housing. The control unit is electrically connected to the actuator to control the actuation of the actuator. The torque detector is electrically connected to the control unit, thereby detecting a torque exerted on the driving shaft, and transmitting a torque signal to the control unit.

Abstract: An automated therapy table is disclosed. The automated therapy table may have various support portions capable of independent automatic actuation of a person's lower extremities through passive exercise. The automated therapy table allows a patient to perform leg elevation, approximation/decompression of the leg, internal/external rotation of the leg, ankle plantar flexion/dorsiflexion, and foot inversion/eversion movements. During each movement, the patient may be instructed to think in the direction of the movement. It has been found that doing so helps increase the healing effects. The disclosed table and method may be beneficial for patients after certain operations as well as for those suffering from various forms of debilitating illnesses, such as Multiple Sclerosis, Charcot-Marie-Tooth, and Muscular Dystrophy.

Abstract: An amplitude change-over device for a body vibration machine includes two eccentric units respectively fixed on the opposite ends of a rotating shaft driven by a motor. Each eccentric unit contains an eccentric driving plate secured with the rotating shaft for rotating together and an eccentric driven plate movably fitted on the rotating shaft at one side of the driving plate. Either one of the driving plate or the driven plate has a surface bored with a slide groove with the rotating shaft acting as a pivot, and another one has a surface provided with a projecting stud inserted in the slide groove. The motor is a right-handed and left-handed one. When the motor is chosen to rotate clockwise or counterclockwise, the included angle of the driving plate and the driven plate is changeable and hence amplitude power is adjustable by using a single motor.

Abstract: A massage device. The massage device includes a pair of therapeutic elements and a bottom therapeutic member. The therapeutic elements are rotated by a driving shaft, driven by a driving mechanism, for supporting and massaging feet. The bottom therapeutic member is disposed between two therapeutic elements, supporting the instep of a foot. The therapeutic elements are formed along the instep.

Abstract: An abdominal wound dressing and methods of use are described that enable the application of negative pressure to the wound site in a healing manner while also limiting the formation of adhesions that would prevent the removal of the dressing. The dressing comprises a layer of porous foam material enclosed by sheets of elastomeric material punctuated by a number of appropriately placed holes. Multiple layers of porous foam may also be used. A suction tube connector is provided on an upper surface of a layer of foam for connection to a negative pressure source. At least one layer of foam is enclosed in elastomeric material and is placed in direct contact with the tissue within the open wound. Fluids are drawn by negative pressure through the holes positioned in the elastomeric envelope and through the foam.

Abstract: An orthopaedic aid for an extremity includes at least one adjustable element for positioning the orthopaedic aid relative to the extremity. The detector arrangement includes a plurality of indicators for indicating torques generated by the detector arrangement. The detector arrangement is positionable such that a section of the detector arrangement is torque-free. The detector arrangement generates torques arising in two opposite directions in a measuring plane in response to deviations from a stable load position.

Abstract: The present invention discloses a novel cervical collar for maintaining the airways in head and neck immobilized trauma patient open. This collar comprises a rigid motion-restricting frame (220, 230, 240, 270, 280) attached to the head (100); and, a jaw clasp (210, 290) attached to the jaw (110). The collar is simultaneously restricting the motion of the head (100) and neck while allowing motion of the jaw (110) to maintain open airways. A jaw clasp (290) useful for performing the jaw-thrust maneuver motion of the jaw (110) to maintain open airways is also presented. Said device comprising a plurality of movable fitting elements adapted to fit the jaw (110) tightly; and, a plurality of movable mover elements adapted to move the jaw (110).

Abstract: An orthopedic retractor is provided made of polymer gel shaped to be inserted into an interdigital space, having two complementary parts made of polymer gel, each part having a flat face shaped to be assembled to the flat face of the other part, such that together the two parts form the retractor, the flat faces once assembled forming a junction resistant to shearing forces while remaining separable from each other. Advantages: simplification of manufacturing and packaging methods.

Abstract: Systems and methods are disclosed for providing supplemental support to the arm and/or elbow region of an individual. In one exemplary implementation, a brace for a user's arm is provided comprising a rigid element including arm-engaging portions and a strap of flexible material configured to encircle the arm. Moreover, the exemplary rigid element and strap may be further characterized in that the strap comprises an elastic nature or portion that provides a force (such as a compressive or constraining force) to the user's arm, the arm-engaging portions include muscle/tendon-engaging regions that each engage the user's arm along a leading face/edge, with various leading faces/edges corresponding to the muscle/tendon-engaging regions being positioned in relationship with each other to apply a desired pressure or force to the user's arm.

Abstract: Shunts (valves) (100) for controlled flow of bodily fluids, such as cerebrospinal fluid, include a valve actuating member (114) (such as a piston (120)) between inlet (108) and outlet (110) ports. The valve actuating member is biased toward a state wherein the valve is closed, and it includes a face adjacent the upstream side of the valve (and preferably isolated from the downstream side of the valve) whereby fluid pressure in the upstream side exerts an opening force on the face to urge the valve toward an open state. When the opening force on the valve exceeds the closing force by some amount, the valve actuating member moves the valve to the open state, allowing fluid flow through the fluid passage between the inlet and outlet ports.

Abstract: A personal hygiene device for cleaning orifices, such as the nostrils, one at a time without batteries or power. The device can further be usable in the application of medications, which can be disposed in a tubular body of the device for exact dosage amounts. The personal hygiene device can be reusable without deformation.

Abstract: A method and apparatus are provided for quickly connecting a handpiece to a pressurized fluid source. A hollow tube on the handpiece is inserted through an aperture in an annular gasket which is held in a chamber in a body. On application of pressurized fluid to the body, the gasket is pressed against the walls of the chamber, and against the tube, thereby channeling the pressurized fluid through the hollow tube. The handpiece is retained in connection with the body by a releasable connector, such as a latch. The handpiece can be removed and replaced by releasing and remaking the connection.

Abstract: A mixing syringe and method for using the mixing syringe are provided. The mixing syringe comprises a housing having a first compartment for containing a first component, an outer plunger having a second compartment for containing a second component, and an inner plunger. Prior to use, a seal separates the first and second components. To prepare the mixture, the seal is pierced and the two components are mixed. The mixing syringe and its method of use are particularly suited to applications in which at least one of the mixture components is a relatively highly viscous material.

Abstract: A storage and dispensing cap for a liquid receptacle having a cap body storage chamber for use with a receptacle such as a bottle, pouch or intravenous bag that is used to store a liquid for use with a syringe that is inserted into the receptacle for drawing the liquid contents into the syringe. A liquid, powder or capsule in the cap body chamber is mixed into the liquid receptacle for use with the syringe. A sleeve penetrator is mounted inside said cap body chamber and is sized in length to permit rupture of the bottom floor of said cap body chamber when manually depressed for dispensing whatever material is placed inside said cap body chamber and sleeve penetrator into said syringe bottle. An open passage from the cap body to the inside of the receptacle is provided once the storage chamber is ruptured by manually depressing the penetrator to allow the syringe needle end to be inserted into the liquid receptacle.

Abstract: Disclosed is an expandable percutaneous sheath, for introduction into the body while in a first, low cross-sectional area configuration, and subsequent expansion to a second, enlarged cross-sectional configuration. The sheath is maintained in the first, low cross-sectional configuration by a removable tubular restraint or by structural elements built into the wall of the expandable portion of the sheath. In one application, the sheath is utilized to introduce a formed in place orthopedic fixation rod such as for use in spinal fixation procedures, preparation of a spinal segment, or placement of a vertebral body spacer. The sheath can further comprise structural elements to permit re-collapse of the sheath under fluid pressure following completion of the procedure and prior to removal from the patient.

Abstract: A valvuloplasty catheter has a dog-bone shaped balloon with semi-compliant smaller diameter waist and non-compliant larger diameter bulbous end regions. The balloon centers across the valve with the waist adjacent to the annulus. One bulbous region serves to hyperextend the valve leaflets and the other assists in stabilizing the balloon position to reduce migration. The semi-compliant waist increases in diameter as fluid enters the balloon until it comes into contact with the valve annulus. The pressure within the balloon per unit of volume delivery has a greater slope after contact with the annulus than before resulting in a change in slope for the pressure versus volume curve. The diameter of the balloon and annulus are determined at this inflection point when the balloon contacts the annulus.