Abstract: The ultrasound probe insertable into a body cavity of a subject has a clamped member including a plurality of pairs of clamped surfaces capable of being clamped by a forcep. The clamped member is formed so as to protrude from a surface which is the opposite side of the surface from where ultrasound waves are emitted, among the surfaces of the probe head.

Abstract: A Multiple Aperture Ultrasound Imaging (MAUI) probe or transducer is uniquely capable of simultaneous imaging of a region of interest from separate apertures of ultrasound arrays. Some embodiments provide systems and methods for designing, building and using ultrasound probes having continuous arrays of ultrasound transducers which may have a substantially continuous concave curved shape in two or three dimensions (i.e., concave relative to an object to be imaged). Other embodiments herein provide systems and methods for designing, building and using ultrasound imaging probes having other unique configurations, such as adjustable probes and probes with variable configurations.

Abstract: The present invention provides an ultrasound system comprises a display and a pointer controller. The pointer controller has a probe head, a control unit and a probe body. The display displays a pointer and an ultrasound image according the ultrasound signals received by the probe head. When pushing a button of the probe body or handling the probe body in a specific manner, the control unit switches the probe head to control the pointer on the display from the scanning the ultrasound image.

Abstract: Ultrasound image processing method and ultrasound diagnostic device using the method, the method including: acquiring frame signals generated at different time points; generating, by using the frame signals, a first motion map composed of pixel areas each having a motion, the motion indicating an inter-frame signal change and calculated from corresponding pixel areas of the frame signals; holding a second motion map and creating a third motion map by performing a calculation using motions in the first and second motion maps; and adding emphasis to a frame signal by using the third motion map and generating an ultrasound image from the frame signal. In the method, after the calculation using motions, the third motion map is held in place of the second motion map.

Abstract: The present invention relates to an ultrasound imaging system and a method for the measurement of a distance (58) between two points (54, 56) within a volume of a three-dimensional image (50). To avoid the commonly known fore-shortening effect, according to which a distance measured by the system is shorter than an actual distance (58) between the two points (54, 56), an in-depth control of a cursor (53) shown in the image (50) on the display as provided to the user. Further, an indication (72) may be given to the user that the cursor (53) collides with a structure (52) within the volume to allow the user to assess the movement of the cursor out of the plane shown on the display more conveniently. By this, occurrence of the fore-shortening effect may be avoided.

Abstract: An apparatus and a method for combining three-dimensional ultrasound images are provide. The method involves obtaining a plurality of three-dimensional ultrasound image data that corresponds to a Region of Interest (ROI); detecting one or more landmarks, using a parameter for detection; outputting the detection result and receiving a response from a user; registering each of one or more selected landmarks as link information according to a received response from the user; and generating a combined three-dimensional ultrasound image by combining at least two pieces of three-dimensional ultrasound image data using at least one of the one or more selected landmarks registered as the link information, wherein the at least two pieces of three-dimensional ultrasound image data commonly comprise the at least one of the one or more selected landmarks.

Abstract: Sub-performing elements of an ultrasound transducer array are detected. The power, such as current, used by or provided to the transmit driver is measured. By driving each element or group of elements separately, defective elements or groups of elements are detected from the amount of power used.

Abstract: A fluid sample collection device includes at least one fluid conduit penetrator, and a container and penetration fitment with a valved opening penetration into the container, the valved opening penetration being configured to seal the container and includes a valve configured to accept through the valve the at least one fluid conduit penetrator to effect a transfer of fluid into and out of the container.

Abstract: The collection of a urine sample is disclosed. An inlet receives expelled urine. A first exit (203) directs the expelled urine towards a collection receptacle (202). The collection receptacle cooperates with a valve (201) to close off the receptacle after being filled with an initial flow. A second exit (206) expels excess urine after the receptacle has been filled.

Abstract: The present invention discloses a clinical specimen sampler, including a filtering device; and a sampling device. The sampling device includes a sampling adsorber and a rod. The sampling adsorber is connected with one end of the rod, and the sampling adsorber is encompassed in the filtering device. The sampling adsorber is utilized to absorb the body fluid secreted by the intima of an organ, and the filtering device is employed to prevent the mucosal tissue of the intima of the organ from entering the sampling adsorber and enable the body fluid secreted by the intima of the organ to enter the sampling adsorber, so as to be absorbed by the sampling adsorber.

Abstract: An ablation catheter system that comprises a channel, a tubular braided element having an outer circumferential surface and a lumen, the tubular braided element being sized and shaped to be placed in the channel when in a compressed configuration and to be expanded in a target area of a blood vessel in a manner that the outer circumferential surface touches the walls of the target blood vessel in the target area when in an expanded configuration, and a longitudinal maneuvering element which is mechanically connected to a distal end of the tubular braided element and set to pull the distal end into the lumen so as to curve radially and outwardly a plurality of annular segments of the expand tubular braided element in a sequential manner.

Abstract: A tissue retrieval system can contain and withdraw excised tissue specimens from within a body cavity. The tissue retrieval system can include a tissue retrieval bag, a foldable actuator, and an introducer. The foldable actuator can be foldable between an insertion configuration for placement through an access device without the aid of a grasper or applicator, and a deployed configuration for supporting the tissue retrieval bag in an open state. The actuator can have a foldable handle to facilitate withdrawal from the body cavity. After insertion of the tissue specimens into the retrieval bag, the retrieval bag is then cinched closed to prevent spillage of its contents and to prevent contamination of the body cavity and body cavity wall during withdrawal of the retrieval bag from within the body cavity.

Abstract: Devices, systems and methods for minimally open orthopedic spine surgery are disclosed. A first flexible screw-based retractor is designed to be coupled to each pedicle screw inserted into adjacent vertebral bodies. A retractor system is provided in which a first retractor blade is mounted to one of the screws and a second movable retractor blade is moved away from the first blade, in a medial direction, to create a working channel through which the disc space may be accessed for passing instruments and implants. Light may be incorporated into the device to illuminate the surgical field. One or all of the retractor blades may be made of a sterilizable plastic or metal and be disposable or reusable.

Abstract: A retractor system for use in medical procedures is connectable to a head fixation device. The retractor system includes a support assembly and an accessory that is mountable thereto. The support assembly is coupled with the head fixation device such that a position of the support assembly is adjustable relative to the head fixation device. The support assembly includes an upright support and a rod having a non-circular profile. The support assembly and rod are selectively and adjustably coupled to one another via a coupling assembly. The coupling assembly includes a pair of resilient members having contacting and non-contacting surfaces within bores of the resilient members. The accessory and rod are selectively and adjustably coupled to one another via another coupling assembly that comprises locking features operable to selectively engage and disengage the accessory with the rod.

Abstract: An illuminated surgical retractor system includes a surgical retractor and at least one illumination device. The surgical retractor includes an outer ring, a light-transmissive hollow inner ring, and a tubular retraction membrane which extends between the output ring and the inner ring and which has a first open end connected to and spread open by the outer ring and a second open end connected to and spread open by the inner ring. The illumination device is disposed in the inner ring and is operable to emit a light beam. The illumination device includes a magnetic component which is responsive to an applied magnetic field to cause the illumination device to change a direction in which the light beam is emitted.

Abstract: Various exemplary methods and devices are provided for improved surgical sutures, suture systems, and methods for suturing. In general, the sutures, suture systems, and methods can allow a suture to form a secure, closed loop without tying a knot. The suture can include a barbed portion configured to be threaded through a hollow portion. The barbed portion can have a plurality of barbs thereon, which can grasp onto an inner wall of the hollow portion when disposed therein to help secure the loop at a desired size. The barbs can all be oriented in one direction that corresponds to a direction of movement of the suture when the loop is being tightened. Thus, the barbs can be configured to allow for a size of the loop to be easily reduced to any desired size to approximate tissue, but can be configured to resist subsequent expansion of the loop to ensure that the tissue remains in place.

Abstract: Tissue suspension (e.g., bladder neck, urethral, etc.) devices, apparatuses, kits, and methods, such as those, for example, configured to suspend tissue at a target area (e.g., near a urethra, within a vagina, etc.) without tissue at the target area having been incised prior to using the devices, apparatuses, kits and/or methods.

Abstract: The invention relates to a medical anchor (1) for implanting in a bone mass by impacting, said anchor comprising a main body (2) of longitudinal axis X-X? with firstly a distal portion (3) for penetration and secondly a proximal portion (4) for acting as an interface with an installation instrument (5), said anchor also including anchor means (6) and being characterized in that the anchor means (6) are stationary, projecting radially from the main body (2), and are shaped to provide the anchor (1) with anchoring in the bone mass on said anchor being turned, the main body (2) being cylindrical in shape with a distal portion (3) that is terminated by a penetration cone (16) with a pointed end. Surgical device.

Abstract: A laparoscopic device for anchoring an internal organ to the thoracic diaphragm or abdominal wall of the patient, said device comprising: an introducer sheath (13); a washer (18) closing the outer end of said introducer sheath in a sealing manner; at least one T-fastener (1) and at least one anchor (4, 6) having at least one fluke (6) and a shank (4); said anchor is connected by means of a flexible string (3) to said T-fastener, said T-fastener assembly disposed inside said introducer needle; a flexible disc (2) at the junction of flexible string with T-fastener and a piece of thread attached to crown of anchor; at least one introducer needle (14) for introducing said T-fastener into lumen of the internal organ/gall bladder; at least one T-fastener pusher (15) disposed inside said introducer needle; a locking arrangement disposed for locking said introducer needle inside said introducer sheath; another locking arrangement disposed for locking said T-fastener pusher inside said introducer needle; a blocker to

Abstract: A suture anchor for knotless fixation of tissue. A swivel suture anchor has a rotatable anchor tip for receiving a suture strand, for example a rotatable forked tip for capturing a suture chain, for surgical tissue repair without requiring suture knots. Tension on the repair constructs is adjustable through the selection of the specific chain link or links of the suture chain captured by the forked anchor tip of the suture anchor. The swivel anchor is secured in a hole in bone by advancing a fixation device, such as a cannulated interference screw, over the body of the anchor.

Abstract: Methods and systems for medializing a turbinate. Exemplary embodiments comprise methods and systems for repositioning a turbinate proximal to a septum. Certain embodiments comprise an implant and a flexible member coupled to the implant. Embodiments may also comprise an insertion device to install the implant in a desired location.

Abstract: Tissue repair suture plates and methods of use are provided which can, in general, allow soft tissue to be secured to bone. In one embodiment, a tissue repair suture plate can include a plurality of openings formed therethrough that can each be configured to have one or more sutures passed therethrough. Each of the sutures can be configured to be coupled to a soft tissue to be positioned against bone for healing thereagainst such that the soft tissue can have multiple sutures coupled thereto at different areas thereof. One or more bone fixation elements can be coupled to the plate and can be configured to attach the plate to the bone. The plate can be configured to move between a first configuration in which the plate has a first maximum length and a second configuration in which the plate has a second, greater maximum length.

Abstract: Among other things, embodiments of a retaining mechanism for holding a portion of the suture of a suture anchor are disclosed. When a suture anchor is inserted into a patient, the portion of the suture extending from the body is held in tension by a two-piece snap-fit mechanism. One piece has a base with an extending shaft portion and a bulbous head, and a lumen runs through the shaft. The second piece has a hole or space for snapping the second piece onto the first piece. The extending portion of the suture runs through the lumen in the first piece and can be wrapped around the shaft. Snapping the second piece onto the first contains the suture and prevents loss of tension in it.

Abstract: A tissue closure device to assist in retrieving a suture during a suturing procedure, the device including an elongated body having a proximal end, a distal end, and a lumen extending axially through the elongated body. The device further including an actuator rod at least partially extending through the lumen of the elongated body to actuate a plurality of wings and a plurality of shields attached to a distal end of the elongated body. The elongated body including at least one needle guide lumen with an opening an exit, the at least one needle guide lumen traversing the elongated body at an angle with respect to a central axis of the elongated body to guide a suture grasper to an enclosed suture retrieval cavity.

Abstract: A device to assist in securing a holding a portion of a suture during an intra-abdominal suturing procedure, the device including an elongated tubular body, a handle, an inner member element, and a push button. The inner member element may include at least one grasping element that expands as the at least one grasping element is extended beyond a distal end of the elongated tubular. The device may include a proximal spring disposed within the push button and abutting against a proximal end of the inner member element to allow the at least one grasping element to retract into the elongated tubular body in a proximal direction.

Abstract: A non-reloadable surgical fastener cartridge is provided. The non-reloadable surgical fastener cartridge includes a cartridge body that includes a tissue contacting surface that includes a plurality of fastener retention slots. A plurality of surgical fasteners is disposed in the plurality of fastener retention slots. Each surgical fastener includes first and second legs of different lengths. A plurality of pushers is operably associated with the plurality of surgical fasteners. One or more of the pushers is configured such that, upon formation of a corresponding surgical fastener, a first area defined by the first leg is smaller than a second area defined by the second leg. The non-reloadable surgical fastener cartridge also includes an actuation mechanism operably associated with the plurality of pushers.

Abstract: A suture including a reinforced loop is described herein. The suture includes an elongate body including a proximal section and a distal section, wherein the distal section includes first and second overlapping sections and a loop. A polymeric coating is positioned on at least a portion of the distal section to reinforce the loop.

Abstract: The present disclosure relates to adapter assemblies for use with and to electrically and mechanically interconnect electromechanical surgical devices and surgical loading units, and to surgical systems including hand held electromechanical surgical devices and adapter assemblies for connecting surgical loading units to the hand held electromechanical surgical devices.

Abstract: The present disclosure relates to adapter assemblies for use with and to electrically and mechanically interconnect electromechanical surgical devices and surgical loading units, and to surgical systems including hand held electromechanical surgical devices and adapter assemblies for connecting surgical loading units to the hand held electromechanical surgical devices.

Abstract: A wound closure system and a method of closing a wound are disclosed. The disclosure is directed to a wound closure system comprising a skin anchor mechanically attached to external skin tissue on a first side of a generally linear wound, an anchorable tensioning apparatus mechanically attached to external skin tissue on an opposite side of the wound, and a line extending between the skin anchor and the tensioning apparatus to movably connect the anchor to the tensioning apparatus. The line is fixedly engaged with an anchor on one side of the wound while the tensioning apparatus provides tension on the line to draw the skin anchor and the tensioning apparatus toward each other and toward the wound.

Abstract: A surgical stapler is provided. The stapler includes a tubular body portion. A cartridge assembly is disposed at a distal end of the body portion for expelling an annular array of staples. Each of the staples of the annular array of staples has a generally bent backspan. An anvil member disposed at the distal end of the tubular body portion is positioned opposite the cartridge assembly to clinch the staples in tissue upon expulsion of the staples from the cartridge assembly. The anvil member has a corresponding annular array of staple forming buckets. Each of the buckets is configured to accommodate the generally bent configuration of the staples to facilitate formation thereof.

Abstract: An anastomotic connector includes a tubular shell and a porous biocompatible liner configured to connect two or more natural and/or artificial lumens, such as blood vessels and/or grafts. The tubular shell may be bioabsorbable, ultimately dissolving in the body, while the biocompatible liner can remain in the body and connected to the lumens.

Abstract: Devices and methods for protecting the neurovascular structures about the vertebral column are provided. One embodiment of the invention comprises a neuroprotective stent or device adapted for placement in an intervertebral foramen of a vertebral column and configured to resist compression or impingement from surrounding structures or forces. The stent or device may further comprise a flange or hinge region to facilitate attachment of the device to the vertebrae or to facilitate insertion of the device in the foramen, respectively.

Abstract: Some embodiments of a system or method for treating heart tissue can include a control system and catheter device operated in a manner to intermittently occlude a heart vessel for controlled periods of time that provide redistribution of blood flow. In particular embodiments, the system can be configured to provide an estimation of the cumulative effects of the treatment. For example, some embodiments of the system or method can treat myocardium that is at risk of infarction by intermittently altering blood flow in a venous system to induce microcirculation within the myocardium, and can output a cumulative dosage value indicative of a measurement of progress of reducing an infarct size.

Abstract: A medical device for tissue ligation comprises a band having perforations and rungs defined therein. A locking case is connected to the band and has a channel dimensioned for reception of the band. A locking member of the locking case is configured to interlock perforations and rungs defined in the band. The channel comprises an arching portion into which the band at least partly protrudes by arching over the locking member when the locking member engages a rung of the band.

Abstract: Described here are devices, systems and methods for closing the left atrial appendage. Some of the methods described here utilize one or more guide members having alignment members to aid in positioning of a closure device. In general, these methods include advancing a first guide having a first alignment member into the left atrial appendage, advancing a second guide, having a second alignment member, into the pericardial space, aligning the first and second alignment members, advancing a left atrial appendage closure device into the pericardial space and adjacent to the left atrial appendage, and closing the left atrial appendage with the closure device. In these variations, the closure device typically has an elongate body having a proximal end and a distal end, and a closure element at least partially housed within the elongate body. The closure element comprises a loop defining a continuous aperture therethrough.

Abstract: An implant may include a frame and a cover to facilitate endoluminal vessel occlusion, selective release of embolic material toward a target region, and/or endoluminal stenting. The frame of the implant provides radial expansion properties to secure the cover within a body vessel. The cover and/or the frame can reduce or occlude flow of a fluid through the body vessel.

Abstract: Methods and apparatus for closing a left atrial appendage are described. The methods rely on introducing a closure tool from a location beneath the rib cage, over an epicardial surface, and to the exterior of the left atrial appendage. The closure device may then be used to close the left atrial appendage, preferably at its base, by any one of a variety of techniques. A specific technique using graspers and a closing loop is illustrated.

Abstract: A generally spherical vascular remodeling device is permanently positionable at a junction of afferent and efferent vessels of a bifurcation having an aneurysm. After positioning the device at the junction to substantially conform the device to the shape of the junction, the device acts as a scaffolding to inhibit herniation of objects out of the aneurysm and permits perfusion to the efferent vessels. Positioning the device may include deployment and mechanical or electrolytic release from a catheter. Embolic material may be inserted in the aneurysm before or after positioning the device. The device may have a first end, a second end substantially opposite to the first end, and a plurality of polymer filaments extending between and coupled at the first end and the second end. Such devices may be football shaped, pumpkin shaped, or twisted. The device may include a plurality of polymer loops forming a generally spherical shape.

Abstract: Certain aspects of the present invention provide devices for occluding vascular vessels. In some preferred forms, these devices are able to move from a first condition to a less compact, second condition in a vascular vessel so as to fully or partially prevent fluid from passing through the vessel. One such device includes a frame and a flexible sheet material. The device also includes an occluding material that is located in an interior region of the frame. The flexible sheet material and frame are associated with one another such that when the device is in the second condition in the vascular vessel, the sheet material is positioned in the vessel lumen so as to block fluid flow through the lumen.

Abstract: An occlusion system can include an expandable implant that can be delivered to a bodily lumen. The implant can be carried on an engagement section of a catheter used in the system. The implant can be assembled onto the catheter by coupling a cover member of the implant with a support member of the implant. When assembled, the system can be advantageously configured to have a low delivery profile to facilitate delivery through catheters having a size of less than 7 Fr, and in some cases, less than 6 Fr.

Abstract: A cutting guide for performing a bone osteotomy procedure is disclosed. The cutting guide includes a first arm having a first cutting guide surface formed therein, a second arm having a second cutting guide surface formed therein pivotably connected to the first arm and a distractor operatively connected to the first arm. The cutting guide is adapted to be affixed to the bone such that the first cutting guide surface is open to the second cutting guide surface. The first arm and second arm are rotatable with respect to each other such that manipulation of the distractor creates a force between the first arm and the second arm causing rotation of the first arm and second arm relative to each other. A method for using the cutting guide in a bone osteotomy procedure is also disclosed.

Abstract: A combination of a first assembly for guiding resection of a femur and tibia of a knee joint and a second assembly including femoral and tibial knee components. The combination of the first assembly and the second assembly provides optimal placement and positioning of the femoral and tibial knee components to achieve near-normal knee kinematics and tension. The preparation for and placement of the prosthetic knee components provides medial-pivoting kinematics mimicking that of the natural knee thereby promoting improved outcome for the patient.

Abstract: In a pneumatically actuatable surgical instrument comprising a handle and a pressurized gas operated tool arranged at the handle, a replaceable pressurized gas reservoir and a locking device for fixing the pressurized gas reservoir on the handle in an operative position in which the pressurized gas reservoir is connected to a pressurized gas channel by which the tool is supplied with pressurized gas, it is proposed, in order to improve the handling of the pressurized gas reservoir, that the instrument further comprises an unlocking device for releasing the fixing of the pressurized gas reservoir in the operative position.

Abstract: An aiming device for targeted drilling of a hole into bone includes a slot hole extending through the aiming device, the slot hole being configured to receive a guide sleeve therein at different locations therein and at different angles each of which corresponds with one of the locations along a longitudinal extension of the slot hole. The aiming device can be positioned relative to a bone plate using a positioning device including a base having a guide hole extending therethrough from a first side of the base to a second side of the base. The guide hole is formed as an elongated hole and is configured to receive the guide sleeve therein at different angles relative to the positioning device.

Abstract: Various embodiments of a targeting device for use with systems, methods, and apparatuses for fusion, stabilization, and/or fixation of bones are disclosed. In one embodiment, a targeting device is provided, the targeting device comprising: a targeting arm including a targeting portion, a radial portion, and at least one aperture oriented in the targeting portion; a target lock; and a rotation arrestor including an arresting engagement portion, an elongated shaft, and a button operatively connected to the arresting engagement portion.

Abstract: Various surgical devices and methods are disclosed herein. Also disclosed is multi-component prosthesis, which can be used as an ankle prosthesis. One of the disclosed surgical alignment systems includes a guide arm, a ratchet arm frame configured to be coupled slidably to the guide arm, a ratchet arm configured to be coupled to the ratchet arm frame, and a sagittal sizing guide body configured to be coupled to the ratchet arm. The sagittal sizing guide body includes a first radiopaque object disposed at a first position and a second radiopaque object disposed at a second position that is spaced apart from the first position.

Abstract: Various surgical devices and methods are disclosed herein. Also disclosed is multi-component prosthesis, which can be used as an ankle prosthesis. One of the disclosed surgical alignment systems includes a guide arm, a ratchet arm frame configured to be coupled slidably to the guide arm, a ratchet arm configured to be coupled to the ratchet arm frame, and a sagittal sizing guide body configured to be coupled to the ratchet arm. The sagittal sizing guide body includes a first radiopaque object disposed at a first position and a second radiopaque object disposed at a second position that is spaced apart from the first position.

Abstract: A patient-specific unicompartmental tibial guide has a patient-specific body with an inner surface. The inner surface is preoperatively configured to nestingly conform and mate in only one position with an anterior portion and a proximal portion of a tibial bone of a specific patient. The tibial guide includes a vertical resection channel having a variable width preoperatively configured for guiding a vertical resection through the proximal portion of the tibial bone.

Abstract: The present disclosure provides a femoral cut guide for preparing a distal femur to receive a prosthetic femoral component of a knee implant. The prosthetic femoral component includes a central box. The femoral cut guide replicates the size and shape of the prosthetic femoral component, such that the femoral cut guide may serve as a trial or provisional component used to reduce and test the prepared knee joint before implanting the final prosthetic femoral component. The femoral cut guide includes a detachable box cut guide for preparing the distal femur to receive the central box of the prosthetic femoral component.