Abstract: The invention relates to a computed tomography apparatus designed for dental use, which includes a first arm part supporting imaging means and arranged turnable by means of an actuator, and a second arm part supporting the first arm part and arranged turnable by means of an actuator. The actuators are arranged controllable such that, during the imaging process, said first arm part does not rotate but remains in its place in relation to said second arm part and said second arm part rotates about its rotation axis.

Abstract: An intraoral x-ray sensor with embedded standard computer interface. The sensor includes a data transfer cable. In one embodiment, the cable is quad-twisted USB cable and includes two data lines, a ground line, and fillers twisted within a metallic sheath. The cable is symmetrically organized about a centerline. The symmetric cable has an improved life due to the ability to withstand mechanical stress (e.g., rotational stress). The sensor includes a processor and a housing with an inner metallization layer. The sheath is coupled to the inner metallization layer to transfer heat generated by the processor from the inner metallization layer to the sheath.

Abstract: A radiological imaging device has a panel section which houses radiation conversion panels for converting radiation to a radiological image, and a control section which is disposed on the panel section and which controls the radiation conversion panels. The control section is thicker than the panel section, or protrudes from the panel section.

Abstract: According to one embodiment, an image processing apparatus includes a storage unit, a specifying unit, an extraction unit and a setting processing unit. The storage unit stores first X-ray image data in which a blood vessel of an object is not visually enhanced, and second X-ray image data in which the blood vessel is visually enhanced. The specifying unit specifies a catheter image included in the first fluoroscopic image by performing image processing of the first X-ray image data. The extraction unit extracts a blood vessel region included in the second fluoroscopic image by performing image processing of the second X-ray image data. The setting processing unit sets a region of interest based on the position of end point of the catheter.

Abstract: Methods, systems, and apparatus for obtaining a sequence of x-ray images are disclosed. An object of interest in a first x-ray image is detected and an area of interest, based on a predicted motion of the object of interest, is determined. A second x-ray image of the area of interest is acquired using spatial x-ray modification to control an x-ray to pass through a portion of a patient corresponding to the area of interest.

Abstract: It is possible to reliably avoid a problem that radiation irradiation does not stop even when an accumulated radiation dose reaches a target radiation dose. An AEC unit starts monitoring an integrated value of a radiation dose detection signal from a detection pixel and an output of an irradiation continuation signal at the same time, and continuously transmits the irradiation continuation signal in a predetermined period while the integrated value does not reach a threshold value. When the integrated value reaches the threshold value, the output of the irradiation continuation signal is stopped. The irradiation continuation signal is transmitted to an irradiation signal I/F of a radiation source control device through an irradiation signal I/F by wireless. The radiation source control device stops X-ray irradiation by an X-ray source when the irradiation signal I/F does not receive the irradiation continuation signal.

Abstract: An X-ray diagnostic apparatus according to an embodiment includes a generating unit and a display controller. The generating unit generates a diagram illustrating the angle information of an arm. The display controller performs display control to visualize, together with the diagram generated by the generating unit, at least one of information showing the status of the arm when the arm is at an angle illustrated in the diagram and information showing the status of a subject to be imaged when the arm is at the angle illustrated in the diagram.

Abstract: A method of and system to perform image acquisition of a subject supported from a floor is provided. The system includes an imaging system and a table system having a tabletop in support of the subject from the floor. The table system also includes a mobile device having a drive to automatically transport the table system across the floor, identify a current position and to calculate a path relative to a reference to a pre-programmed target position for image acquisition.

Abstract: An ultrasound diagnostic apparatus is provided. The ultrasound diagnostic apparatus includes an input device configured to receive an input to display a cross-section of a reference medical image, wherein the reference medical image identifies a location of the cross-section in relation to a subject, and includes a characteristic region, and a reference medical image display control device configured to display the cross-section of the reference medical image based on volume data of the reference medical image previously acquired, the cross-section displayed according to the input.

Abstract: Provided is a technology which quantitatively measures blood flow in the vicinity of circulatory organs. An ultrasound image capture device according to the present invention removes an image portion corresponding to an organ shape by taking the difference of a multi-frame ultrasound image, and thereafter computes a measured value of a blood flow velocity vector on the basis of a plurality of images at different timings (as per FIG. 3).

Abstract: An intravascular guidewire with integrated imaging and pressure measurement capabilities is disclosed. The guidewire can comprise an integrated CMUT-on-CMOS ultrasound transducer array to provide 3D imaging of vasculature and other tissue. The guidewire can also comprise a conventional FFR pressure sensor or Doppler flow sensor. Due to the low power consumption of the chip, power can be provided via a single pair of wire pair proximate the core wire of the guidewire to provide power and ground to the chip. The system can also include a power wire, a ground wire, and a data wire, the data wire using similar data transmission techniques. Data from the sensor array can be transmitted over the power wire using, for example, RF or impedance modulation. Data can also be transmitted through the body using an ultra wideband wireless transmitter and flexible patch antenna on the skin.

Abstract: In quantitative analysis using blood flow velocity measurement and the like, whether to select the forward direction or reverse direction is determined in accordance with the positional relationship between a baseline for controlling the display scale of a Doppler waveform and a reference line which can be arbitrarily set by an operator. The determination is executed at one of the stages of selecting a tracing direction by an automatic tracing process, selecting an approximate Doppler waveform as an analysis target, and selecting an analysis result as a display target.

Abstract: An ultrasound probe for cavity scanning of a body, comprising: an elongated rod-like member (101), with a longitudinal axis (102), configured to accommodate at its one end a first transducer (104). The first transducer (104) has a field of view (105a, 105b) established by acquiring an image along radial scan lines in a first image plane that coincides with the longitudinal axis (102). The field of view covers more than 15 degrees of scan lines at each side of its intersection with the longitudinal axis and more than 15 degrees of scan lines at each side of its intersection with a transverse axis (103) that lies in the first image plane and is perpendicular to the longitudinal axis. The probe may comprise a first and second needle guide (203, 204) arranged to guide an instrument along a path (202, 201) which intersects with the first field of view (105), respectively.

Abstract: The present invention provides an ultrasound system, which comprises: a signal acquiring unit to transmit an ultrasound signal to an object and acquire an echo signal reflected from the object; a signal processing unit to control TGC (Time Gain Compensation) and LGC (Lateral Gain Compensation) of the echo signal; a TGC/LGC setup unit adapted to set TGC and LGC values based on TGC and LGC curves inputted by a user; and an image producing unit adapted to produce an ultrasound image of the object based on the echo signal. The signal processing unit is further adapted to control the TGC and the LGC of the echo signal based on the TGC and LGC values set by the TGC/LGC setup unit.

Abstract: A sampling tool for isolating and collecting a tissue biopsy includes a hollow sampling cylinder that includes a first end and an opposing second end. The first end being a sharpened, annular cutting edge and a central bore extending completely from the first end to the second end. The sampling tool also includes a plunger having a first end and a second end. The plunger includes an air evacuation feature in the form of an air evacuation channel that extends from one end of the plunger to the other end and is open at both ends. The sampling tool has particular utility in isolating and collecting cylindrical core placental biopsies of a standardized size that can be used for multiple downstream applications, including the sampling of other harvested solid, soft-tissue organs such as brain, liver, kidney, and spleen.

Abstract: An excisional biopsy and delivery device may comprise one or more rotating, penetrating and cutting rod elements. The rod elements may be configured to advance from a stored and confined first position and rotate about an axis, while being simultaneously revolved about a central axis. The rod elements may then assume a second released and expanded configuration that is operative to cut around and surround target tissue. In this manner, the rod elements are operative to move through the surrounding tissue to create a volume of revolution and to sever and capture the target tissue contained within the volume of revolution from the surrounding tissue. The severed and captured volume of revolution containing the target tissue may then be removed.

Abstract: Wound closure apparatus is provided having a force-transmitting surface operable to be placed in a proximal, external, wound-closing position on a patient, together with a force-exerting assembly operable to exert a wound-closing pressure against the patient's tissue. The force-transmitting surface is preferably three-dimensionally asymmetric to generate different forces along the length of the surface. The apparatus is especially designed for the closure of wounds attendant to endovascular interventions, e.g., a femoral artery puncture wound. The apparatus is positioned and operated so as to partially close the patient's artery upstream of the arteriotomy. The apparatus and methods hereof may also be used for the closure of wounds created during venous intervention procedures. A smaller wound closure apparatus is provided for the closure of brachial and radial wounds, and has a wrist or arm strap for securing the apparatus onto the wrist or bicep region of a patient.

Abstract: The proposed retractor blade is designed to function with a number of the currently available retractor systems with only minor modifications to those systems. The retractor blade has a hinge allowing it to flex and thereby allow a lateral approach to the discs at L1-L2 and L4-L5 despite the angle to these discs caused by coming in under the ribs or over the iliac crest.

Abstract: An internal retractor has a clamp, a retractor hook and a universal joint therebetween. The internal retractor has a transverse dimension insertable through a cannula, and a longitudinal dimension deployable to retract user selectable organs. The internal retractor may be elongable. The internal retractor clamp may be closed in its rest position. The internal retractor clamp may be atraumatic. The internal retractor hook may be traumatic.

Abstract: Systems and methods are adapted for treating the carotid artery. The systems include interventional catheters and blood vessel access devices that are adapted for transcervical insertion into the carotid artery. Embodiments of the systems and methods can be used in combination with embolic protection systems including blood flow reversal mechanisms, arterial filters, and arterial occlusion devices.

Abstract: A fixation device, having an elongated element extending along a central axis, having a total length L and including a proximal section formed of a material that is substantially non-absorbent for electromagnetic radiation within a preselected wavelength range and a distal section formed of a material that is substantially nonabsorbent for electromagnetic radiation within the preselected wavelength range in combination with a middle section axially arranged between the proximal and distal sections, the middle section formed of a material that is substantially absorbent for electromagnetic radiation in the preselected wavelength range.

Abstract: A bone fixation assembly can include a suture button, a bone plate, and a suture assembly. The suture button can include a body that has a first end surface, a second end surface, and a circumferential outer surface. A first pair of passages can be formed through the body from the first end surface to the second end surface. The circumferential outer surface can include at least one protrusion or retaining rib extending radially therefrom. The bone plate defines an aperture. The suture button is configured to be at least partially received into the aperture in an assembled position such that the retaining rib engages the bone plate and inhibits withdrawal of the suture button from the aperture in the assembled position. The suture assembly includes a suture engaging member and a suture configured to couple the suture engaging member in the suture button.

Abstract: A tissue anchor includes a generally flexible elongate continuous anchor member capable of being inserted through tissue and moving between an elongate configuration and a shortened configuration suitable for anchoring against at least one side of the tissue. The anchor member has a first set of openings and a second set of openings formed therein at spaced locations along a length of the anchor member. The tissue anchor also includes a tensioning member operatively connected to the anchor member and the tensioning member extends through the proximal end portion to the distal end portion by passing through the first set of openings and then back to the proximal end portion by passing through the second set of openings. The anchor member is configured to form a plurality of folded panels upon pulling the tensioning member.

Abstract: The present invention provides novel medical devices for use in surgical procedures and methods for manufacturing novel medical devices. In some embodiments, the novel medical devices can include surgical needles that are capable of being repeatedly passed through tissue using minimal force. More particularly, the surgical needles can be manufactured with one or more coatings that provide the surgical needles with both durability and lubricity for ease of repeated and successive passes through tissue. Novel methods for manufacturing the surgical needles and for providing and applying coatings to the surgical needles are also provided.

Abstract: A staple for attaching a sheet-like implant to tissue or bone may include first and second arms, and first and second flukes. In some embodiments, the first arm has a proximal end and a distal end, and the second arm has a proximal end and a distal end. A bridge extends from the proximal end of the first arm to the proximal end of the second arm. The first fluke has a proximal end abutting the distal end of the first arm, and the first fluke extends distally from the first arm. The first fluke has a lateral extent larger than a lateral extent of the first arm and is mounted eccentrically thereto. The first fluke includes a proximal surface projecting at an outward angle in a proximal direction away from the distal end of the first arm to engage the tissue or bone when inserted therein. The second fluke has similar features. This arrangement causes the first and second flukes to rotate in response to a pullout force on the bridge.

Abstract: An absorbable screw fastener and a method of firing with an applicator capable of applying a surgical fastener to tissue in order to form tissue connection to secure objects to tissue, the fastener including a body portion having a helical thread, a head portion disposed at the proximal end of the body portion. The head portion includes a driver receiving configuration on its outer surface. The screw fastener further includes a cannulated center lumen with an opening extending from the head portion through the longitudinal length of the body portion.

Abstract: A medical device for delivering a staple formed from a shape memory material is disclosed. The staple includes a first tine and a second tine connected by a bridge. The staple may be disposed within the medical device in an open position. The medical device is configured to sequentially deliver the first tine and the second tine, respectively, to opposing body tissues. Upon warming up to a temperature at or above a transformation temperature of the shape memory material, the staple may assume a closed position, thus drawing together opposing body tissues and closing an incision.

Abstract: A device for treating obesity of a patient, the device comprising: at least one operable stretching device implantable in the patient and adapted to stretch a portion of the patient's stomach wall, and an implantable control unit for automatically controlling the operable stretching device, when the control unit and stretching device are implanted, to stretch the stomach wall portion in connection with the patient eating such that satiety is created.

Abstract: Methods and devices for creating a seal in a vessel for performing multiple anastomoses. The device includes an expandable region at the shaft assembly distal end with a sealing membrane that spans the expandable region, and a corresponding clamping member moveable toward the expandable region. Once inserted into the vessel lumen the expandable region is deployed from a first low-profile position into a second expanded position, and positioned at the target site of the anastomoses. Movement of the distal end of the clamping member, which remains located outside the vessel, against the expanded region creates a seal at the target site allowing a blood-free, graft site area that is large enough to accommodate multiples anastomoses.

Abstract: Embodiments of the present invention provide devices and methods for treating various target sites, such as vascular abnormalities. For example, a medical device according to one embodiment includes at least one layer of a fabric of braided strands having proximal and distal ends and a central axis extending therebetween. The medical device has an expanded configuration a generally frustroconical shaped portion at each end. The medical device is configured to be constrained to a reduced configuration for delivery through a diagnostic catheter and to at least partially return, when unconstrained, towards the expanded configuration.

Abstract: A vascular plug for implantation into a patient's vessel includes an inflatable balloon and a flow accelerator. The flow accelerator includes a conical portion and a tubular coupling element which couples the conical portion to an aperture to the interior of the inflatable balloon. The flow accelerator will concentrate and therefore accelerate fluid flow into the inflatable balloon. Flow accelerator will increase the pressure of fluid thereby to cause the inflatable balloon to inflate even within a pressurised blood vessel. The plug may include a sleeve which provides a chamber between the flow accelerator and the balloon, into which blood may pass from the inflatable balloon or the flow accelerator to create additional blood statis and as a result thrombosis and a second occlusive barrier.

Abstract: Devices for the occlusion of body cavities, such as the embolization of vascular aneurysms and the like, and methods for making and using such devices. The devices may be comprised of novel expansile materials, novel infrastructure design, or both. The devices provided are very flexible and enable deployment with reduced or no damage to bodily tissues, conduits, cavities, etceteras.

Abstract: The present disclosure describes implantable therapeutic devices and methods for endovascular placement of devices at a target site, such as an opening at a neck of an aneurysm. In particular, selected embodiments of the present technology comprise a coil loop, or tip, on a portion of the implantable device. The coil tip can provide a soft and/or smooth interface with the aneurysm and can provide improved coverage of the neck of the aneurysm.

Abstract: A microfracture pick having features configured to aid a user in advancing the microfracture pick through bone. The microfracture pick has an elongated member with a proximal end, a distal end, a sharp, optionally angled tip disposed adjacent the distal end of the elongated member, and at least one engaging feature disposed at one or more locations on the elongated member for engaging a complementary feature of a strike instrument. By striking an impact surface of the strike instrument, the user can produce a force that is translated via the elongated member of the microfracture pick through the tip, thereby making penetration of the tip through the bone more effective.

Abstract: An apparatus is configured to deliver destructive energy to a stone. The apparatus includes a detector operative to obtain image data from the stone, a generator operating according to one or more producing parameters for producing the destructive energy, and a video processor unit receiving the image data from the detector. The video processor unit is operative to analyze the image data to determine a displacement of the stone relative to a previous location of the stone. A controller linked to the video processor unit and to the generator is operative to vary the one or more producing parameters of the generator responsively to the displacement of the stone. Methods carried out by the apparatus are further provided.

Abstract: A surgical endoscopic instrument with detachable end tool as a clamp is provided. The instrument comprises a clamp, removably connected by a coupling to an elongated shaft, this comprising two concentric tubes, which can rotate about each other, connected to a rotating element, that is attached to a housing, inside which a push-pull rod, driven by a handle, transmits the surgeon's commands, leading to the actuating of the end tool's jaws, as well as the clamp detachment/retrieving, from/to the elongated shaft, by operating the coupling, given by the rotation of the concentric tubes about each other, thus resulting in the detachment/attachment of clamp with its jaws blocked in its given position at the time of detachment.

Abstract: Method and device for distending a gynecological cavity. According to one embodiment, a mechanical, non-fluid device is used to distend the gynecological cavity. Such devices include, for example, self-expanding members, such as resilient baskets, coils, whisks, prongs, and loops, or mechanically expanded members, such as inflatable balloons, mechanically-expanded cages and loops, and scissor jacks. The device may serve a purpose in addition to distension, such as illumination, imaging, irrigation, drug delivery, resection and cauterization.

Abstract: In one general aspect, various embodiments are directed to an ultrasonic surgical instrument that comprises a handpiece housing that rotatably supports an ultrasonic transducer assembly therein that may be selectively rotated by a motor housed therein. Various forms of blades are disclosed for attachment to the ultrasonic transducer assembly such that the blade may be selectively rotatable within a hollow outer sheath. The hollow outer sheath has at least one opening therein through which the blade tip may be exposed to tissue. Vacuum may be applied to the cutting implement or through the outer sheath to draw tissue through the opening(s) in the sheath and into contact with a portion of the blade.

Abstract: A device for electrically isolating pulmonary veins in atrial fibrillation for treatment thereof by ablation of a circumferential zone of tissue. The device includes a catheter (with terminal and distal parts) and comprising a first tubular element; a second tubular element concentric with the first tubular element and an axial rod-like element which extends beyond the distal end of the first and second tubular elements; and a first tubular toroidal element supported by tubular arms extending from the distal end towards the toroidal element, forming a cage which can be opened in umbrella fashion around the distal end of the catheter. The tubular arms and the toroidal element are in fluid communication with each other and with the tubular element of the catheter. The device also includes a second toroidal tubular element in fluid communication by means of the radial arms with the first tubular element of the catheter.

Abstract: The stabilization of the dermal area around a follicular unit of hair for harvesting comprises the introduction of a small volume of fluid into the dermal area around a target follicular unit in order to stabilize the dermal area and initiate a limited time period during which the harvesting of the target follicular unit can occur.

Abstract: A device and method for intravascular treatment of an embolism, and particularly a pulmonary embolism, is disclosed herein. One aspect of the present technology, for example, is directed toward a clot treatment device that includes a support member configured to extend through a delivery catheter and a plurality of clot engagement members positioned about the circumference of a distal portion of the support member. The individual clot engagement members can have a first portion and a second portion extending from the first portion, and the first portions can have a proximal region attached to the support member. In the deployed state, the individual second portions can extend from the distal region of one of the first portions and project radially outwardly relative to the support member in a curve that has a proximally extending section which defines a proximally facing concave portion.

Abstract: A balloon trocar includes a cannula assembly including a cannula and an outer sleeve fitting over the cannula. The distal end of the outer sleeve is proximal to the distal end of the cannula. A balloon is coupled to a distal portion of the sleeve and a distal portion of the cannula. The outer surface of the cannula includes a plurality of longitudinal channels for transmitting gas or fluid to the balloon. A bolster having a gel pad at its distal portion is slidably mounted to the cannula assembly and may be locked in a desired position. In use, the trocar is inserted into an incision through a body wall and into a body cavity. The balloon is inflated and the cannula assembly pulled proximally against the incision while the bolster is slid distally to the body wall and locked in place to seal the incision with the compressed balloon.

Abstract: Methods and apparatus for performing a medical procedure which involves penetrating a bone structure are disclosed. According to one aspect of the present invention, a method for performing a surgical procedure includes introducing an assembly that includes a threaded cannula and a stylet into a bone structure. The threads have a shape that allows the cannula tip to be pushed into the bone body yet prevent the tip from being pulled out of the bone body. In one embodiment, the threads have a buttress shape. The method may also include applying a rotational motion, as for example a torque, to the threaded cannula to adjust the depth of insertion with respect to the implantation site when it is determined that the depth of insertion is to be adjusted.

Abstract: A surgical system includes one or more arms defining a passageway therethrough. The arm includes a proximal portion configured for positioning externally of a patient's body and a distal portion configured for positioning within an internal body cavity. The distal portion includes first and second articulatable segments spaced apart from one another and capable of independent articulation between a substantially straight configuration and an articulated configuration. A first articulation assembly is coupled to the proximal portion of the one arm and is transitionable between a first state and a second state for articulating the first articulatable segment between the substantially straight configuration and the articulated configuration. A second articulation assembly is coupled to the proximal portion of the arm and is configured to move between a plurality of positions for articulating the second articulatable segment between the substantially straight configuration and the articulated configuration.

Abstract: System and methods are shown having a tube-within-tube assembly with a deployable curved deflectable tube or cannula that deploys from a straight cannula or trocar. The curved cannula has pre-curved distal end to create an angular range of 0° to 180° when fully deployed from the straight trocar. The curve is configured such that the flexible element carrying a treatment device can navigate through the angular range of deployment of the curved cannula. The curved cannula allows the flexible element to navigate through a curve within bone without veering off towards an unintended direction.

Abstract: A fixation clamp is used in an external fixation system for holding bone fragments adjacent to each other with the help of fixation elements. The clamp has at least one clamping assembly having at least one reception to accommodate a fixation element along the longitudinal axis of the reception and at least one locking element extending through the clamping assemblies for blocking the position of the clamping assemblies in a defined angular position. Between the locking element and the at least one clamping assembly there is arranged a washer. The clamping assembly comprises a first contact surface and the washer comprises a second contact surface wherein the first contact surface is in contact with the second contact surface. The washer has a through bore and an opening extending radially from the bore to an outer surface of the washer.

Abstract: The invention relates to an apparatus for displacing tissue within the body, wherein the apparatus includes two or more attachment members selectively displaceable with respect to each other via a driving member. The driving member preferably is rotatable and is caused to rotate by a magnetic actuator that can be activated by a magnetic field from outside the body.

Abstract: A spine stabilization system is provided. The system utilizes a self-cutting rod having a sharp cutting edge that can be anchored to a patient's spine with pedicle screws. The system can be percutaneously delivered, low profile, and allow cutting of surrounding tissue rather than simply spreading the tissue apart during rod insertion.

Abstract: Surgical device for correcting deformation of the spinal column includes tubular elements for temporary attachment at pedicle screw heads connected by a curved implantable rod, and rods engaged through the elements to align them corresponding to the correction. Each tubular element has two independent portions coupled to outside of the heads; one end of each part having fittings coupling the portions together. The rods comprise an alignment rod and a handling rod, arranged in openings delimited by the portions to move parallel to an axis of the elements. The handling rod acting, as displaced, to simultaneously displace the curved rod, previously engaged into the openings, towards the heads. The handling rod being removed and then coupled to the outside of the elements arranged in alignment to remove the alignment rod and engage, inside each element, a member actuating a nut for fastening the curved rod in each head.

Abstract: A method for stabilizing the spine at the level of one or more vertebrae includes the step of inserting a pedicle connector through the pedicle of a vertebra from one of the anterior side and posterior side of the vertebra to the other of the anterior side and the posterior side of the vertebra. The pedicle connector is secured to a stabilization construct positioned adjacent to either the anterior side or posterior side of the vertebra. The process is repeated for the opposite side of the pedicle connector. A system for stabilizing the spine and a pedicle connector are also disclosed.