Abstract: A non-expandable pessary device, the pessary device having a top, a base, a length, a longitudinal axis, a maximum diameter, and a minimum diameter that is less than the maximum diameter. The pessary device has a pressure region adapted to extend between an anterior vaginal wall and a posterior vaginal wall of a user to provide pressure on the user's urethra through the vaginal wall. The pressure region includes the maximum diameter, and the maximum diameter is less than 25 mm.

Abstract: The present subject matter provides method and apparatus for placement of implantable devices adjacent a body lumen. A method of implanting an implantable device at a target site for controllable coaptation of a patient's urethra using an ultrasonic probe inserted into a rectum of the patient comprises inserting a Foley catheter into the urethra, expanding a Foley balloon in the bladder neck, inserting the ultrasonic probe into the rectum of the patient, using the ultrasonic probe to image the urethra and Foley balloon at the bladder neck, placing a small puncture in the perineum, passing a delivery device to the target site under ultra sonic guidance, injecting echogenic fluid at the target site adjacent the urethra, delivering the implantable device to the target site, and adjusting the implantable device to improve coaptation of the urethra.

Abstract: Devices and methods for delivering and placing a surgical sling without resorting to an abdominal incision are disclosed.

Abstract: An implantable device system is disclosed. The implantable device system comprises, a first energy transceiver system, a second energy transceiver system at least partially implanted within an organic tissue and capable of being interrogated by the first energy transceiver system, and a sensing system, wherein a state of the sensing system is available at the second energy transceiver system.

Abstract: An incontinence treatment device includes a non-porous sling located between two anchors. A first line is attached between a first end of the sling and the first anchor, and a second line is attached to a second end of the sling and inserted through a channel of the second anchor. The second anchor is provided with a restrictor segment provided in the channel. The second line has an adjustment device attached to the second line and the restrictor segment is configured to resist movement of the adjustment device through the channel. The adjustment device is movable through the channel from a first position that locates the adjustment device between the second anchor and the sling to a second position that locates the second anchor between the adjustment device and the sling to thereby reduce an effective length of the sling between the first and second anchors.

Abstract: A device for treatment of premature ejaculation or stimulation of a male organ includes an elastic sleeve mounted within a housing, at least one aperture formed on the elastic sleeve, and at least one liquid-absorbing member held between the housing and the elastic sleeve over the at least one aperture. The at least one liquid-absorbing member is adapted to soak up a liquid with a temperature higher or lower than the body temperature of a user and deliver the liquid through the at least one aperture and into the elastic sleeve when the at least one liquid-absorbing member is squeezed by a male organ of the user frictionally moving to-and-fro inside the elastic sleeve, thereby stimulating the male organ and reducing the sensitivity thereof.

Abstract: Endoscopes, medical devices for use with endoscopes, and methods for making and using endoscopes. An example medical device for use with an endoscope is a catheter having one or more ridges formed on an outer surface thereof. The ridges may interact, for example, with the elevator of an endoscope.

Abstract: In a light irradiating device of a scanning endoscopic device, a proximal end of a lens optical system is located apart from a distal end of an optical fiber in directions parallel to the longitudinal axis, and a lens-side facing portion faces a fiber-side facing portion apart from the fiber-side facing portion by a second dimension smaller than a first dimension between the distal end of the optical fiber and the proximal end of the lens optical system in the directions parallel to the longitudinal axis. The proximal end of the lens optical system and the distal end of the optical fiber are located between a distal end and a proximal end of the window in the directions parallel to the longitudinal axis.

Abstract: Endoscope sheaths and associated endoscopy data collection and analysis systems and methods are described. In one implementation an endoscope sheath include a body and one or more sensors disposed in the body. The sheath may further include a leak detection apparatus configured to detect leaks in the sheath body. In addition, the sheath may include actuator apparatus, such as a balloon catheter or other surgical instrument. Data from the endoscope and endoscope sheath may be collected, fused and displayed for use in medical procedures and/or analysis.

Abstract: There is provided herein an endoscope assembly comprising at least one front-pointing camera and at least one front illuminator associated therewith, at least one side-pointing camera and at least one of side illuminator associated therewith, a front working channel configured for insertion of a medical tool and a side service channel configured for insertion of a medical tool.

Abstract: A medical instrument having a lighting system for illuminating a target area, the system comprising a light source and associated power controller, the system being configured to move from a first illumination mode to a second illumination mode based on a sensed or determined changed condition, such as predetermined temperature and/or change in a scene or brightness signal, or lack of change, from an image sensor that may be associated with the instrument.

Abstract: An access assembly includes a body portion defining a longitudinal axis and having at least one lumen defined therethrough. The at least one lumen is configured for passage of a surgical instrument therethrough. An outer sleeve is disposed about the body portion to define a chamber therebetween. The chamber is selectively inflatable from a deflated condition, for positioning the access assembly within an opening in tissue, and an inflated condition, for retaining the access assembly within the opening in tissue in sealing relation therewith.

Abstract: An anoscope kit comprising an anoscope having a plurality of spaced apart fingers having free ends and a dilator removably positionable within the anoscope to aid insertion of the anoscope. The dilator has a proximal region, an intermediate region and a distal region, the distal region including an enlarged distal head. A ramped surface extends from the enlarged distal head toward the intermediate region, the intermediate region having an outer surface to contact the fingers of the dilator.

Abstract: Methods and devices are provided for providing surgical access into a body cavity. In one embodiment, a surgical access device is provided that includes a housing coupled to a retractor. The housing can be have one or more movable sealing ports for receiving surgical instruments. Each movable sealing port can include one or more sealing elements therein for sealing the port and/or forming a seal around a surgical instrument disposed therethrough. Each movable sealing port can be rotatable relative to the housing and each sealing element can be rotatable relative to the housing along a predetermined orbital path.

Abstract: A surgical apparatus includes a housing member having leading and trailing ends that define a longitudinal axis. One or more ports longitudinally extend between the leading and trailing ends, and are configured and adapted to receive a surgical instrument therein in a substantially sealed relation. At least one cleaning port longitudinally extends between the leading and trailing ends, and is configured and adapted to receive a cleaning device therein. The cleaning device is configured and adapted to clean surgical instruments positioned within the one or more ports without necessitating removal of the surgical instruments from the one or more ports.

Abstract: A cannula assembly includes a cannula adapted for insertion within tissue and having a longitudinal passage extending along a longitudinal axis of the cannula for passage of a surgical instrument. An expandable member is mounted to the cannula and longitudinally spaced from a distal end of the cannula. The expandable member is adapted to expand, upon introduction of fluids therein, in a radially outward direction relative to the longitudinal axis whereby the expandable member engages the tissue to facilitate anchoring of the cannula relative to the tissue, and also to expand in a radially inward direction relative to the longitudinal axis and within the longitudinal passage to engage the surgical instrument positioned within the longitudinal passage to facilitate formation of a seal about the surgical instrument.

Abstract: The present invention provides methods, devices, and systems for wireless physiological sensor patches and systems which incorporate these patches. The systems and methods utilize a structure where the processing is distributed asymmetrically on the two or more types of ASIC chips that are designed to work together. The invention also relates to systems comprising two or more ASIC chips designed for use in physiological sensing wherein the ASIC chips are designed to work together to achieve high wireless link reliability/security, low power dissipation, compactness, low cost and support a variety of sensors for sensing various physiological parameters.

Abstract: Described herein is a device for glaucoma treatment and monitoring that comprises a combination of an intraocular pressure (IOP) sensor and a glaucoma drainage device. The device comprises an IOP sensor and an inductive antenna mounted within a porous biocompatible material that forms the drainage path. The IOP sensor is mounted in a footplate portion of the device and is mountable in the anterior chamber of an eye. The footplate portion is connected to a body portion that houses the spiral antenna by a neck portion which retains the footplate portion in a suitable position within the anterior chamber. Due to its size, the footplate portion housing the IOP sensor can readily be inserted into the anterior chamber with the body portion housing the spiral antenna located outside of the anterior chamber in a sub-scleral space to disperse the aqueous humour.

Abstract: Control of an invasive medical instrument during a medical procedure is achieved using a system that includes magnetic field-based location facilities. Magnetic field sensors are placed in a medical instrument, e.g., a probe, and in an interface device to enable respective positions of the probe and the interface device to be ascertained by a location processor when the sensors are exposed to a magnetic field. The interface device is disposed such that an operator can control the medical instrument and the interface device concurrently. A display device, which can comprise a virtual reality display, is responsive to movements of the interface device as determined by the location processor to control the medical instrument, invoke various functions of the system, e.g., image manipulation, and otherwise facilitate the medical procedure via a graphical user interface.

Abstract: A resolution optimization unit determines an optimal sound velocity corresponding to a tissue component at each position in a scan slice, and calculates a reception delay time or the like for each reception beam from each position in the scan slice. A control processor executes delay addition processing in a scan for acquiring an ultrasonic image actually used for diagnosis by using the reception delay time calculated using an optimal sound velocity. This can correct the difference between the set sound velocity used for the calculation of a reception delay time and the actual in vivo sound velocity and acquire an ultrasonic image with optimized resolution.

Abstract: The analysis image generating unit generates section images from volume analysis data that is collected by sending an ultrasound wave down to a region under the ribs. The right/left identifying unit identifies the right or left breast from cyclic motion components in the section images. The extending direction detecting unit analyzes plane-A images or plane-B images generated from the same volume analysis data, or a plane-C thickness-added MIP image, and detects the rib extending direction. The extending direction detecting unit also determines the position of the ultrasound probe based on the relative displacement of the extending direction. The body mark generating unit generates a body mark from the analysis results obtained by the right/left identifying unit and the extending direction detecting unit. The image synthesizing unit integrates the display image generated by the display image generating unit and the body mark, and displays it on the monitor.

Abstract: An iterative method of computing time delay values for ultrasound receive beamforming. Sensing signals are generated by transducer elements in a transducer array which detect reflected sound waves from a target tissue region for a time sample (n) for a first focal point and at a later time sample (n+1) for a second focal point. Respective time delays are calculated for time sample (n) for sensing signals received from the transducer elements for focusing the reflected sound waves from the first focal point. For the later time sample (n+1), respective time delays are calculated for the sensing signals received from the transducer elements for focusing the reflected sound waves from the second focal point, wherein the respective time delays for time sample (n+1) are computed iteratively from the respective time delays for time sample (n).

Abstract: A method and apparatus for continuously measuring the absolute intracranial pressure in a non-invasive manner is described by using an ultrasonic Doppler device which detects the pulsatility indexes of the blood flow inside the eye artery for both intracranial and extracranial eye artery portions. The eye in which the blood flow is monitored is subjected to a small pressure, sufficient to equalize the pulsatility index measurements of the internal and external portions of the eye artery. The pressure at which such equalization occurs is used as a reference for autocalibration of the apparatus so that continuous absolute intracranial pressure measurements may be taken over a particular sampling period.

Abstract: An ultrasound imaging apparatus comprises an ultrasonic probe configured to transmit and receive an ultrasonic wave and a controller configured to control the ultrasonic probe such that an ultrasonic wave for imaging a contrast agent injected into an object and an ultrasonic wave for imaging a tissue movement of the object are transmitted in time division. A method of ultrasound imaging comprises transmitting a first ultrasonic wave and a second ultrasonic wave which hardly destroys bubbles of a contrast agent, obtaining blood flow information based on a signal generated from the first ultrasonic wave, and obtaining tissue movement information based on a signal generated from the second ultrasonic wave.

Abstract: A curved or bendable micro-electro-mechanical transducer (such as the cMUT) is disclosed. The transducer has a plurality of transducer elements built on a substrate. The substrate has a slot below every two neighboring device elements. Each slot is at least at least partially filled with a flexible material to allow bending of the substrate. A bending actuator may be included to facilitate the bending of the substrate. An exemplary bending actuator uses a nonuniformly shrinkable material to bend the substrate. A curved or bendable cMUT of the present invention can be configured to be an intravascular ultrasound (IVUS) device.

Abstract: A dental ultrasonography probe includes a probe tip having a scanning ultrasonography transducer that generates a narrow beam ultrasonic transmission signal over a sequence of beam angles, that receives an ultrasonic return signal, and that generates an ultrasonic receive signal in response to the ultrasonic return signal to identify and measure dental and craniofacial objects and features. A probe body has a longitudinal axis that is substantially perpendicular to a longitudinal axis of the probe tip.

Abstract: The present invention is a guide wire imaging device for vascular or non-vascular imaging utilizing optic acoustical methods, which device has a profile of less than 1 mm in diameter. The ultrasound imaging device of the invention comprises a single mode optical fiber with at least one Bragg grating, and a piezoelectric or piezo-ceramic jacket, which device may achieve omnidirectional (360°) imaging. The imaging guide wire of the invention can function as a guide wire for vascular interventions, can enable real time imaging during balloon inflation, and stent deployment, thus will provide clinical information that is not available when catheter-based imaging systems are used. The device of the invention may enable shortened total procedure times, including the fluoroscopy time, will also reduce radiation exposure to the patient and to the operator.

Abstract: A transducer interface system/method allowing conversion from an analog sensor input to a standardized analog output interface is disclosed. In some preferred embodiments the system/method permits a fiber optic pressure sensor to be interfaced to a standard patient care monitor (PCM) system using standardized Wheatstone Bridge analog interface inputs. Within this context the Wheatstone Bridge sensed output is defined by stimulus from the PCM and modulation of bridge element values by the conditioned output of an analog pressure sensor. The use of analog-to-digital-to-analog conversion in this transducer interface permits retrofitting of PCM devices having analog Wheatstone Bridge inputs with advanced patient monitoring sensors without the need for specialized modifications to the baseline PCM data collection framework. Methods disclosed herein include techniques to connect arbitrary types/numbers of analog sensors to traditional PCM systems without the need for PCM system hardware/software modifications.

Abstract: Disclosed embodiments include a method for measuring non-invasive blood pressure from an oscillometric signal and a cuff pressure signal implemented in a medical apparatus comprising: (a) calculating a pulse pressure signal by subtracting an upper and a lower envelope of the oscillometric signal; and (b) calculating without the use of beat detection a mean arterial pressure, a systolic blood pressure, and a diastolic blood pressure from said oscillometric signal, said cuff pressure signal, and a plurality of thresholds a device with at least one processor.

Abstract: A device for correlating trend data with respect to a patient's weight ankle displacement can identify conditions indicative of congestive heart failure. A weight scale or similar device coupled with imaging mechanism operable to measure ankle displacement collects a plurality of measurements over a period of time. Over time trend analysis of both the patient's weight and the ankle displacement measurements can be obtained and compared to identify whether over a particular sample period an increase in a patient's ankle displacement is or is not correlated with an increase in the patient's weight. When an increase in ankle displacement is identified as not correlating to a corresponding change in the patient's weight an alert can be issued of conditions indicative of congestive heart failure.

Abstract: An implantable medical device that includes a first elongated lead body having an outer surface and an opening along the outer surface, a sensor positioned along the lead body and configured to receive acoustic signals through the opening of the first lead body and generate an electrical signal representative of sounds produced at a targeted location along a patient's cardiovascular system. A therapy delivery module is capable of delivering a cardiac therapy via predetermined electrodes of a plurality of electrodes, and a processor is configured to detect a cardiac event in response to the sensed cardiac electrical signals, determine a plurality of time intervals between the electrical signals and acoustic signals, determine a correlation between the electrical signals and the acoustic signals, and control the therapy delivery module to deliver therapy in response to the determined correlation.

Abstract: An implantable polymer-based pressure sensor featuring an electrical LC-tank resonant circuit for passive wireless sensing without power consumption on the implanted site. The sensor is microfabricated with parylene to create a flexible coil substrate that can be folded for smaller physical form factor during implantation, and can be stretched back without damage for enhanced inductive sensor-reader coil coupling. Data received from the sensor can be enhanced to provide improved pressure measurements at increased distances.

Abstract: Methods and structures for detecting a physiologic parameter of a target anatomical environment. The device including a housing with a distal portion first port couplable to a probe and a proximal portion; and a sensing unit, a processing unit, and an output unit carried by the housing, the output unit configured to output a reporting signal based on the determined physiologic parameter value such as pressure; the sensing unit, processing unit, and output unit being disposed substantially between the first port and the proximal portion of the housing.

Abstract: An orally ingestible capsule device with monitoring and control instruments is provided for practicing physicians to use in patient examining rooms. The Capsule is part of an in vivo gastrointestinal tract (GI Tract or Gut) healthcare system with capabilities of delivering medications to any point in the gut, administering them at any time, or autonomously based upon onboard measurements, and simultaneously measuring results, along with extra body function measurements. It is capable of delivering gut medications or autoimmune perturbation substances and simultaneously measure responses and sample gut substances/microbes at application points. Objectives, as part of patient diagnosis, include determining microbe roles in the patient's digestion process, along with toxic substances in contributing to illnesses or diseases, such as gluten sensitivities.

Abstract: A self-contained hand-held biopsy device includes a hollow needle having a distal end portion with a circumferential cutting edge. A sample-receiving device is received in the hollow needle, and has a tapered distal tip and a cavity configured to receive a tissue sample. The sample-receiving device is configured to move in the hollow needle between a first extended position and a second retracted position. A transport device is configured to move the sample-receiving device relative to the hollow needle. A liquid supply unit is configured to operatively connect to the cavity of the sample-receiving device when the sample-receiving device is in the second retracted position and is configured to deliver a flow of the flushing liquid to the cavity to facilitate tissue sample ejection from the cavity. The liquid supply unit is disconnected from the cavity of the sample-receiving device when the sample-receiving device is in the first extended position.

Abstract: An apparatus includes a narrow elongate probe is adapted for insertion into the body of a living subject. The probe may be flexible and has a plurality of sensors consisting of single coils of very fine wire wound about a backbone of the probe, which transmit signals proximally via fine connecting wires to a position processor. The position processor analyzes the signals to determine position coordinates at multiple points along the length of the probe.

Abstract: A method and apparatus for manipulating a surgical guidewire. The apparatus comprises a chuck for selectively coupling motive force to a surgical guidewire and an actuator, coupled to the chuck, for imparting an axial motive force to the chuck. Embodiments of the invention further comprise a method of using the apparatus.

Abstract: At least one embodiment is directed to an insert for measuring a parameter of the muscular-skeletal system. The insert can be temporary or permanent. In one embodiment, the insert is prosthetic component for a single compartment of the knee. The insert comprises a support structure and a support structure respectively having an articular surface and a load bearing surface. The height of the insert is less than 10 millimeters. At least one internal cavity is formed when support structures are coupled together for housing electronic circuitry, sensors, and the power source. The cavity is sterilized through a port. A membrane is between the port and the cavity. A sterilization gas permeates the membrane for sterilizing cavity. The membrane prevents ingress of solids and liquids to the cavity.

Abstract: A body motion detection section (2) for continuously detecting the frequency of a user's activity as an activity level is provided. The activity level detected by the body motion detection section (2) is outputted to a fatigue detection section (3) for estimating a user's fatigue level on the basis of the activity level.

Abstract: A goniometer comprises a first arm (2), a second arm (4) and a connecting portion (6) pivotally connecting the first arm (2) to the second arm (4) about a pivot axis (7). An instrument connector (8) is coupled to the first arm (2) arranged to couple to a surgical instrument (10). A method of aligning a surgical instrument (10) using the goniometer is also disclosed.

Abstract: Therapy heads and related medical systems having an actuation assembly for controlling the position/orientation of a directional energy applicator in at least two planes are disclosed. A therapy head includes an enclosure, a partition separating a lower compartment from an upper compartment, an aperture in the partition, a control arm extending through the aperture, an actuation assembly positioned within the upper compartment, and a directional energy applicator positioned in the lower compartment for transmitting energy through a window. The control arm includes an upper end disposed within the upper compartment and a lower end disposed within the lower compartment. The actuation assembly is coupled with the upper end of the control arm such that the control arm is movable by the actuation assembly in at least two planes. The directional energy applicator is coupled with the lower end of the control arm.

Abstract: A powered orthotic device includes a brace having a first section and a second section, the first section and the second section operationally coupled at a pivot, the first and the second sections moving about the pivot to define flexion and extension directions, such directions defining inside and outside regions of the brace respectively. The device further includes at least one set of straps that removably attach the first section and the second section to a corresponding limb segment such that the pivot is proximate to a joint between each limb segment.

Abstract: The present disclosure provides an adjustable bed handheld remote control that may include a handheld housing, a touch sensor on a front face of the handheld housing, a transmitter and the like. The touch sensor may be presented in a slider form and may be adapted to facilitate a user in adjusting a frame position of an adjustable bed. The transmitter may be electrically coupled to a processor and may receive input from the touch sensor, for communication control signals to the adjustable bed in accordance with the input received from the touch sensor.

Abstract: A junctional and truncal tourniquet and a hip-girdling pelvic sling device for maintaining a desired amount of tension surrounding a person's hips and pelvis to securely support and stabilize a pelvis that has been fractured and for securing a pressure applying device to a person with a preferred amount of tension so that blood vessel-occluding pressure can be applied. Areas of mating types of fastener material such as mating hook-bearing fastener material and loop pile fastener material are arranged on the device to enable a strap to be secured at various effective lengths to provide a wide range of adjustability. The device may include inflatable bladders, and may be wrapped around a patient's torso to occlude blood vessels proximal to an injury on a limb. A bladder may be expandable in distinct tiers and may carry a separate and removable pressure-concentrating fitting. An auxiliary strap may be included and may be used to keep the junctional and truncal tourniquet in place on a patient's torso.

Abstract: In an embodiment, an orthopedic device in the form of a lumbar support includes first and second elongate belt members, an anatomically shaped plate, and a closure system connecting the belt members to the plate. The closure system is arranged to move the belt members relative to the plate, and connects to the belt members via a flexible belt attachment which removably secures to the belt members. The closure system includes tensioning elements corresponding to the belt members, and a pulley system connecting to the tensioning elements. The closure system is slidably mounted to the plate and arranged to the belt members relative to the plate between opposed linear directions. The plate has various contours which provide pressure distribution over a lumbar region of a back. Anatomically shaped and resiliently formed handles secure to the tensioning elements and the belt members.

Abstract: A support device for assisting a wearer in the administration of cardiopulmonary resuscitation (CPR), the device comprising: a wearable support for strengthening at least one of the wearer's wrist, hand or forearm, the wearable support being adapted to circumscribe a majority of the circumference of the at least one of the wearer's wrist, hand or forearm; wherein the wearable support is adapted to be in close contact with the at least one of the wearer's wrist, hand or forearm, to provide support to the wearer through compression of the at least one of the wearer's wrist, hand or forearm.

Abstract: A knee orthosis that includes a medial tracking member that operatively fits along a lateral side of, and provides medial traction to, a patella having patellofemoral articular tissue; an inward tracking member that operatively fits over, and provides inward pressure against, the patella; wherein the inward tracking member provides a compressive force against the patella, thereby increasing the contact surface area between the patellofemoral articular tissue and an associated femoral trochlear groove. The inward tracking member overlays the patella and the medial tracking member so that medial traction can be placed on the patella. The inward tracking member provides continued compressive force against the patella to stretch lateral connective tissue of the patella, throughout a full extension or flexion motion of an associated knee, and the continuous compressive force is substantially the same throughout the extension or flexion motion.

Abstract: A hemodialysis system includes (i) a dialyzer; (ii) a blood pump; (iii) a blood cassette operatively connected to the dialyzer and the blood pump; (iv) a dialysate heater; (v) first and second peristaltic dialysate pumps; and (vi) a dialysate cassette separate from the blood cassette, the dialysate cassette including an organizer configured to support a drain tube, a to-dialyzer tube and a from-dialyzer tube, the cassette further including a first pumping tube, a second pumping tube and an inline fluid heating pathway, the cassette when mounted for operation orienting (a) the first pumping tube for operation with the first peristaltic dialysate pump, (b) the second pumping tube for operation with the second peristaltic dialysate pump and (c) the fluid heating pathway for operation with the dialysate heater.

Abstract: This invention relates to a means of clearing out a cholesterol, calcium and plaque build-up resident to a living circulatory system, in addition to dissolving various kinds of blood clots, and removing other foreign matter, all by means of charged particle migration, through the application of an electromotive source.

Abstract: A method includes monitoring an indicator of fluid volume of a patient via a sensor device, and setting an initial fluid volume removal prescription for a blood fluid removal session based on the monitored indicator of fluid volume. The method may further include transmitting data regarding the indicator of fluid volume from the implantable sensor device to fluid removal device. In some embodiments, the fluid removal device sets or calculated the initial fluid volume removal prescription based on the data received from the implantable sensor. The indicator of fluid volume may be an indicator of tissue fluid volume or an indicator of blood fluid volume.