Abstract: A method for controlling an electrosurgical generator includes generating at least one electrosurgical waveform at a selected energy setting through an RF output stage comprising an RF inverter coupled to a power source. The at least one electrosurgical waveform has a duty cycle and a crest factor. The method also includes adjusting a repetition rate of the at least one electrosurgical waveform based on the selected energy setting to regulate the duty cycle of the at least one electrosurgical waveform. The method also includes applying the at least one electrosurgical waveform to tissue through at least one electrode and measuring an output voltage of the at least one electrosurgical waveform. The method also includes supplying a control signal to the RF inverter based on the repetition rate when the output voltage is increasing to regulate the crest factor of the at least one electrosurgical waveform.

Abstract: A method for medical treatment includes bringing an applicator, having an array of protrusions disposed thereon, into proximity with a skin surface of a patient so as to maintain a space between a plurality of the protrusions and the skin surface. Radio-frequency (RF) electrical power is applied to the applicator so as to cause electrical discharges to be generated, in response to the RF electrical power, between the plurality of the protrusions and respective points on the skin surface via a fluid medium in the space.

Abstract: An HF surgical device comprising an HF surgical generator, at least one surgical instrument having an active electrode and a neutral electrode, which are connectable to the HF generator. The surgical instrument is connectable to the HF generator via a first wire and the neutral electrode is connectable to the HF generator via second wire. The first and/or second wire is/are equipped with a shield and a decoupling capacitor is disposed at a distal end of each shielded wire.

Abstract: An electrosurgical probe including a probe body which defines a longitudinal probe axis. The electrosurgical probe also includes a first and second conductive electrode, each disposed along the probe axis. The surface area of the first conductive electrode is greater of the surface area of the second conductive electrode. The ratio of the surface area of the first conductive electrode to the surface area of the second conductive electrode may be adjustable. Another aspect of the present invention is an electrosurgical probe having a probe body which defines a single longitudinal probe axis. The electrosurgical probe of this aspect of the invention further includes more than two electrodes operatively disposed at separate and distinct positions along the axis of the probe body. The electrodes may be selectively connected to one of or a combination of a stimulation energy source, an ablation energy source or a ground for either energy source.

Abstract: An electrosurgical instrument for the treatment of tissue in the presence of an electrically-conductive fluid medium comprises an instrument shaft (10), and an electrode assembly (12) at one end of the shaft. The electrode assembly (12) comprises a tissue treatment electrode (14) and a return electrode (18) which is electrically insulated from the tissue treatment electrode by means of an insulation member (16). The tissue treatment electrode (14) has an exposed surface for treating tissue, and the return electrode (18) has a fluid contact surface so as to define, in use, a conductive fluid path that completes an electrical circuit between the tissue treatment electrode and the return electrode.

Abstract: Methods and devices for assessing, and treating patients having sympathetically mediated disease, involving augmented peripheral chemoreflex and heightened sympathetic tone by reducing chemosensor input to the nervous system via carotid body ablation.

Abstract: A method and systems for treating chronic total occlusions, particularly those that are difficult to treat, is disclosed. In this approach, recanalizing the CTO is achieved using a combined antegrade and retrograde approach. The proximal end of the occlusion is penetrated using an antegrade wire, using a traditional approach. Using collateral vessels, the distal end of the occlusion is crossed in a retrograde fashion. By appropriately maneuvering each member and applying radiofrequency energy between the proximal and distal ends of the occlusion, a continuous channel is created.

Abstract: Polymer insulators and methods of using polymer insulators are disclosed. In some embodiments, a method includes separating a first portion of a subject's tissue from a second portion of the subject's tissue so that there is a space between the first and second portions of tissue. Deionized water, a buffered saline solution, liquid polymers, gels, particles, foams, and/or gases are disposed between the first and second portions of tissue, and the first portion of tissue is exposed to energy to treat the first portion of tissue.

Abstract: A laser therapy method and apparatus is disclosed. The optical coherence property of the therapy laser is actively controlled to provide optimum therapy results for difference types of biological tissue and body parts.

Abstract: The laser micro-porator (10) for porating a biological membrane (1), comprises: a) a laser source (7) that emits a pulsed beam (4), the laser source (7) comprising a laser diode (7c); b) optics (8a,8b,8x) that modify the pulsed beam to direct a laser beam (4) of less that 1 mm width on the biological membrane (1); c) a deflector (8f) oriented to direct the laser beam (4) in various directions; d) a laser beam shaping device that reshapes the energy intensity distribution of the laser beam (4); and e) a poration controller (11) that controls the laser source (7) to create a poration consisting of a plurality of individual pores (2) in the biological membrane (1).

Abstract: The invention relates to a system and method for removing hair. The system comprises a hair detection device and a hair-removing device (20). Since 3D information on hairs (32) is required, but due to the very dispersed presence of, e.g., human hairs (32) on skin (30), known detection devices are too slow, the invention provides a combination of two image sensors. A first image sensor (12) produces a first image, based on which a selected part is imaged with a second image sensor (14) that provides the required 3D position information with which the hair-removing device (20) can remove the hair. Thus, optimum use may be made of both fast but less accurate image sensors, such as (2D) CCDs or CMOS sensors, and accurate but slow sensors such as 3D scanning sensors.

Abstract: Embodiments of the present invention comprise a fiber optic guidewire having a hypotube with a plurality of openings that provide variable stiffness and tracking characteristics between at least one proximal segment and one distal segment of the guidewire. In some embodiments, the guidewire further comprises a mandrel disposed within the hypotube, the mandrel cooperating with the optical fibers to permit the distal end of the hypotube to be shaped as desired by a user. Methods of manufacturing and using the guidewire are also disclosed.

Abstract: Catheter devices for ablation and removal of occlusions from blood vessels and methods of using the same are provided. Catheter devices are useful to ablate, cut, dislodge, and otherwise remove occlusions within a blood vessel that may limit or prevent proper circulation. Distal features of the catheter devices comprise arrangements of laser ablative or mechanical cutting features that generally provide enhanced surface areas and cutting functions. Spiral or helical arrangements are provided to aid in cutting operations.

Abstract: A drape, such as but not limited to, a drape that can be used to cover a C arm of a medical device is provided. The drape includes material, at least one cuff and at least one adhesive strip. The material has a select property and has a select shape. The at least one cuff is formed along at least one edge of the material. The at least one cuff is configured to allow manipulation of the drape by a user. The at least one adhesive strip is configured to selectively adhere the drape to a surface to be covered by the drape.

Abstract: A pillow drape for use with a thermal medical treatment apparatus or device is provided. The drape includes a sterilized sheet for covering the warming medical device that covers the device body and a basin that is used to store a warming liquid. The pillow drape includes an enclosure having a support member therein to support a medical instrument, such as a surgical scope, during warming of the scope. The support member can be housed between first and second sections of the pillow drape sheet in a pocket portion. The support member can be positioned on an extension shelf added to the warming device to provide additional storage room while not taking up room in the surgical or medical room. Additionally, a cord hook can be attached to the medical device to aid in routing a power cord for the device away from traffic.

Abstract: A system for microsurgery includes a first assembly and a second assembly, each including: (1) a planar remote center of motion (RCM) device configured to constrain motion of a surgical instrument attached to the planar RCM device such that an axis of the surgical instrument passes through the RCM while remaining in a planar region defined based on a rotational orientation of the planar RCM device; and (2) a rotational device attached to the planar RCM device and configured such that an axis of rotation of the rotational device passes through the remote center of motion. The rotational orientation of the planar RCM device is defined about the axis of rotation. The first assembly and the second assembly are configured to be positioned such that a distance between the remote centers of motion of the first assembly and the second assembly is no greater than two centimeters.

Abstract: A solenoid system for magnetically guided capsule endoscopy, has the following components arranged under a patient table which defines a flat plane: a central coil with normal direction being perpendicular to the flat plane, and four coil pairs arranged in the form of a cross around the central coil with respect to the flat plane. Each pair includes two single coils, the normal directions of which are parallel to the flat plane and offset by 90 degrees in relation to each other.

Abstract: Various surgical instruments are disclosed. At least one surgical instrument includes an instrument mounting portion configured to mount to a robotic surgical system. The instrument mounting portion includes an interface to mechanically and electrically interface to the surgical instrument adapted for use with the robotic surgical system. A fluid management system is contained within the instrument mounting portion. The fluid management system includes a first container to contain a first fluid agent to be dispensed.

Abstract: A system may include a controller configured to determine a user interface status, wherein the user interface status includes user interaction of a user interface. The controller may also be configured to determine a drive mechanism location relative to a first limit and a second limit and select a clutching location based on the user interface status and drive mechanism location.

Abstract: A control device for surgical system that controls a surgical tool attached to a slave arm in accordance with manipulation input values for a position and an orientation from a remote control device, comprising a control unit that stores setting information for setting the position and the orientation of a first target portion of the surgical tool, corrects the manipulation input values in accordance with the setting information, and controls a position and an orientation of a post-correction second target portion of the surgical tool in compliance with corrected manipulation input values.

Abstract: Described herein are systems, apparatus, and methods for precise placement and guidance of tools during a surgical procedure, particularly a spinal surgical procedure. The system features a portable robot arm with end effector for precise positioning of a surgical tool. The system requires only minimal training by surgeons/operators, is intuitive to use, and has a small footprint with significantly reduced obstruction of the operating table. The system works with existing, standard surgical tools, does not require increased surgical time or preparatory time, and safely provides the enhanced precision achievable by robotic-assisted systems.

Abstract: A medical robotic system having non-ideal actuator-to-joint linkage characteristics, includes a control system including a proximal control loop with actuator sensor feedback to control dynamic response of an actuator coupled to a distal joint which in turn, is coupled to an end effector to provide a degree of freedom movement of the end effector, a distal control loop with distal joint sensor feedback and feedforward to the actuator to ensure steady-state convergence of the distal joint position, and an end effector control loop with end-point sensor feedback to control the end effector position to reach a commanded end effector position.

Abstract: A robotic surgical system is configured with rigid, curved cannulas that extend through the same opening into a patient's body. Surgical instruments with passively flexible shafts extend through the curved cannulas. The cannulas are oriented to direct the instruments towards a surgical site. A teleoperation control system that moves the curved cannulas and their associated instruments in a manner that allows a surgeon to experience intuitive control is disclosed. The flexible shaft instruments are controlled as if extending along a virtual straight line insertion and withdrawal axis. Various port features that support the curved cannulas within the single opening are disclosed. Cannula support fixtures that support the cannulas during insertion into the single opening and mounting to robotic manipulators are disclosed.

Abstract: The invention provides for a system for estimating a 3-dimensional treatment volume for a device that applies treatment energy through a plurality of electrodes defining a treatment area, the system comprising a memory, a display device, a processor coupled to the memory and the display device, and a treatment planning module stored in the memory and executable by the processor. In one embodiment, the treatment planning module is adapted to generate an estimated first 3-dimensional treatment volume for display in the display device based on the ratio of a maximum conductivity of the treatment area to a baseline conductivity of the treatment area. The invention also provides for a method for estimating 3-dimensional treatment volume, the steps of which are executable through the processor. In embodiments, the system and method are based on a numerical model which may be implemented in computer readable code which is executable through a processor.

Abstract: A method is provided for planning a position and/or a movement trajectory of a medical instrument in a heterogeneous body structure. The method includes providing at least one of a) body structure data corresponding to mechanical properties of the heterogeneous body structure, wherein said mechanical properties influence a movement of the instrument through the heterogeneous body structure due to the mechanical interaction between the instrument and the heterogeneous body structure, b) instrument data concerning mechanical and/or geometric properties of the instrument, or c) movement data concerning mechanical properties that are intended to cause and/or describe a movement of the instrument through the heterogeneous body structure. The position and/or movement trajectory-of the instrument or a probability that said position and/or movement trajectory will be achieved then is determined based on at least one of the movement data, the body structure data or the instrument data.

Abstract: Apparatuses and methods for implanting objects, such as a marker, in the lungs of patients. In one embodiment, a bronchoscopic catheter assembly for implanting an object in the lung of a patient includes a handle, a delivery catheter projecting outwardly from the handle, and a push wire contained within the catheter In one aspect of this embodiment, the catheter can be configured to releasably hold a plurality of markers at a distal end. In another aspect of this embodiment, the push wire can be operably connected to the handle and axially moveable within the delivery catheter to eject the marker out of the catheter within the bronchi of the patient. In a further aspect of this embodiment, the marker can further include an anti-migration device associated with the marker for holding the marker in place once the marker is deployed in the bronchi. The anti-migration device can be integral with the marker or positioned proximate to the marker to prevent migration of the marker.

Abstract: An interactive display. The interactive display can include a first layer of information and a second layer of information. The first layer of information can include video feedback of a surgical instrument as viewed by an endoscope. The second layer of information can include a control panel, feedback measured and/or sensed by the surgical instrument, and/or controls for controlling the surgical instrument. A user can interface with the interactive display via a touch screen.

Abstract: Aligning a drill bit for preparing a bore to receive a dental implant. Using a frame to position cartridges, the frame fitting patient anatomy and having a chamber to receive cartridges. Creating an initial cartridge with an opening to receive a guide sleeve. Optionally, mounting at least one measuring device assembly onto the initial assembly so that measuring device assembly takes measurements with a known relationship to the initial linear trajectory. Using the measurements to enhance a model of the surgical site and to select a surgical linear trajectory for a surgical bore to stay within bone found at the surgical site. Placing a surgical cartridge into the chamber; and placing a guide sleeve in the surgical cartridge with the guide sleeve oriented along the surgical linear trajectory to constrain a drilling trajectory of a drill bit along the surgical trajectory. Many variations disclosed.

Abstract: A method of forming an implant to be implanted into living bone is disclosed. The method comprises the act of roughening at least a portion of the implant surface to produce a microscale roughened surface. The method further comprises the act of immersing the microscale roughened surface into a solution containing hydrogen peroxide and a basic solution to produce a nanoscale roughened surface consisting of nanopitting superimposed on the microscale roughened surface. The nanoscale roughened surface has a property that promotes osseointegration.

Abstract: Systems, apparatuses, devices, kits and processes are provided to enhance bone implants. The bone implant includes one or more bone attachment components for securing the implant into a bone and a head component independent of and separable from the bone attachment components. In one embodiment, each bone attachment component includes an internally threaded bore hole sleeve for receiving a connector component. The head component preferably is adapted so as to be secured to the one or more bone attachment components at the time of initial implantation of the one or more bone attachment components and the head component into the bone. The head component preferably is adapted to be oriented relative to at least one of the one or more bone attachment components at a predetermined tilt angle, so that the implant generally conforms with a natural root structure of a missing tooth.

Abstract: The invention provides a plastic impression tray for a local area having an outer wall provided in an outer side of a curve of a bottom portion, and an inner wall provided in an inner side of the curve of the bottom portion. A rim having a particular height is provided in the bottom portion side along each of upper ends of the outer wall and the inner wall, elongated through holes each reaching the bottom portion from a portion just below the rim are formed approximately at uniform distances in the outer wall and the inner wall, circular through holes each having a particular diameter are formed at particular positions in the bottom portion, and elongated end portion side through holes each having a particular width and a particular length are provided vertically to an axial direction of the bottom portion, in both ends of the bottom portion.

Abstract: Disclosed herein are a tissue management impression material and a method of application into the sulcus of a patient, whereby the tissue management impression material is a part of the final dental impression made when manufacturing a dental device, such as a crown.

Abstract: A device for dispensing a dental substance. The device includes a cartridge for containing the dental substance. The cartridge has a plunger, and a dispensing opening. Further the device is operable to urge the dental substance toward the dispensing opening. The device further includes a cutter for cutting off a portion of the dental substance which protrudes over the dispensing opening. The device may particularly facilitate precise dispensation of a high viscosity dental substance.

Abstract: The invention describes a method for the geometrical analysis of scan data from oral structures, comprising the steps of selecting a number of parameterized tooth models of desired tooth types according to the scan data to be analyzed, whereby each tooth model comprises at least one boundary line whose path is defined by line parameters and which divides a tooth model in at least one active adjustment area and at least one inactive adjustment area, and segmenting the scan data on the basis of individualized tooth models and individualized boundary lines and/or determining at least one boundary line in the scan data. The invention further describes a method of generating a model database; and an analysis system for the geometrical analysis of scan data from oral structures.

Abstract: The present invention relates to various devices, systems, kits and methods having dental applications. For instance, a dental tray is provided for use in taking an impression of a person's teeth. A dental shade chart is also provided and includes a shade sticker for use in determining the shade of a person's tooth. Further, the dental tray and/or the shade chart can be included in a kit.

Abstract: A medical device and methods of delivery of the medical device within a patient's body are disclosed by the present invention. The medical device includes a first elongate member, a second elongate member and a coupling member. The coupling member is configured to be coupled to and extend between the first elongate member and the second elongate member to couple the first elongate member to the second elongate member when the medical device is in a first configuration. The coupling member is configured to be decoupled from at least one of the first elongate member and the second elongate member when the medical device is in a second configuration.

Abstract: Described are implants, tools, and related methods, for use in pelvic surgery to treat conditions such as prolapse, including embodiments of methods that involve a tissue path above the arcus tendineus.

Abstract: A method and an apparatus for anchoring a medical implant device within a blood vessel or other body passageway are described herein. An anchor delivery system houses one or more expandable anchors connected to the medical implant device. The anchors remain housed in a non-expanded configuration until the medical implant device has been placed in a desired position within the body, and then the anchors are propelled through a body wall where each anchor expands outwardly from an anchor shaft. In one configuration, each anchor is formed as a compressible closed loop which extends outwardly from an anchor shaft and loops back to cross over and extend beyond the anchor shaft. To propel the anchors, a drive shaft is connected to a triggering unit which, when activated, causes the drive shaft to drive the anchor shafts in a direction such that the anchors are propelled through the body wall.

Abstract: Apparatus and methods are provided for use in filtering emboli from a vessel and/or performing thrombectomy and embolectomy, wherein a vascular device comprises one or more support hoops connected near a distal end of a guide wire, each support hoop having an articulation region, and a blood permeable sac affixed to the support hoop or hoops to form a mouth of the blood permeable sac. The mouth of the sac closes when the apparatus is collapsed for removal to prevent material from escaping from the sac.

Abstract: According to the invention, the tubular prosthesis for connecting an anatomical duct includes at least two individual tubular elements and a sealed mechanical element for connecting said separate elements to each other.

Abstract: A visceral double-barreled main body stent graft and methods for its use, the stent graft comprises, a main body stent graft having distal and proximal ends, the main body stent graft's length ranges from about 100-120 mm and diameter at the proximal end ranges from about 30-45 mm, first and second lumens defined at the main body stent graft's distal end, the first lumen's diameter ranges from about 18-20 mm, the second lumen's diameter ranges from about 16-18 mm, the first and second lumens have about the same length from about 50-70 mm, the first lumen is secured to the second lumen along a shared length, and the main body stent graft defines a tubular wall that is contiguous with the first and second lumens such that any fluid entering the main body must exit through one of the first or second lumens.

Abstract: An intravitreous stent includes a multi-loop single wire having a proximal end; a distal end; at least a first loop defined by the proximal end and a first portion of the single wire; at least a second loop defined by the distal end and a second portion of the single wire; wherein the first portion is joined to the second portion via a reversing loop portion.

Abstract: A plate haptic is used with an intraocular lens. The plate haptic comprises: a plurality of opposing lateral portions; a distal portion having a plurality of opposing projections extending substantially laterally therefrom; and a proximal portion comprising a strap across which is a hinge connecting the lens optic to the haptic. The intersection of the proximal portion with each lateral portion forms a plurality of appendages, or paddles, to partially surround the optic.

Abstract: A rear-loaded injector cartridge for an intraocular lens (IOL) having a proximal opening that provides a haptic slot. The haptic slot receives a leading haptic of an IOL loaded therein, and temporarily retains the leading haptic while the optic of the IOL is inserted into a holding area of the cartridge. As the optic passes by, the leading haptic folds over the top of the optic, on its anterior side. The length of the haptic retention slot is sufficient to maintain the leading haptic in its anteriorly folded position while the IOL remains in holding area, typically while the cartridge is mated with a handpiece of the injector. The cartridge also has a rear or proximal cut out which advantageously keys with a similarly-sized rail on the handpiece so that the cartridge cannot be inserted in the wrong way.

Abstract: Described embodiments are directed toward centrally-opening, leaflet valve devices and systems for transcatheter delivery having a two-piece valve body as well as methods of making and delivering the two-piece valve devices. A transcatheter valve is operable to have a collapsed configuration and an expanded configuration. The transcatheter valve can further be operable to have an everted configuration and a non-everted configuration.

Abstract: An annuloplasty ring including a sheath, an arcuate stiffening element, and a tensioning member. The stiffening element is disposed within the sheath and defines discrete, first and second ends separated by a lateral spacing. The tensioning member extends between the stiffening element ends. The tensioning member is characterized as being more flexible than the stiffening element and is configured to provide a taut state in which the tensioning member is substantially non-extensible and impedes expansion of the lateral spacing. With this configuration, the stiffening element serves to remodel the valve annulus to a desired shape, while the tensioning member exhibits sufficient flexibility to allow for natural movement of the valve annulus while limiting (in the taut state) the extent of annular dilatation (e.g., overt lateral separation of the first and second ends of the stiffening member) due to in vivo forces.

Abstract: An implant for deployment in select locations or select tissue for regeneration of tissue is disclosed. The implant includes collagen and or other bio-resorbable materials, where the implant may also be used for therapy delivery. Additionally, the implant may include, or have blended in, an additive, such as an osteoinductive factor, for example biocompatible ceramics and glass.

Abstract: An implant system for total shoulder arthroplasties, hemi shoulder arthroplasties, and “reverse” total shoulder arthroplasties including a humeral stem having an enlarged head portion with interfaces adapted to removably receive various modular interchangeable components, such as articulating liners, spacers, and adapter inserts. The humeral stem functions as a universal platform that may be used in either conventional or “reverse” total shoulder arthroplasties, as well as hemi shoulder arthroplasties, and may remain implanted in place during a revision in which the implant system is converted between the foregoing configurations, for example.

Abstract: A system and method for repairing a defect on an articular surface. An excision guide is positioned on an articular surface, wherein the excision guide includes a guide head and a guide sleeve disposed on the guide head, wherein the guide head includes a contact surface configured to locate the excision guide relative to the articular surface. A guide pin may be advanced through the guide sleeve and secured to the articular surface, wherein the guide sleeve is configured to receive the guide pin therethrough and position the guide pin at an angle ? relative to an axis generally normal and central to a defect on the articular surface, wherein angle ? is less than 90 degrees.

Abstract: An implant system for implantation at a joint, the implant system including an implant device (10), the implant device comprising a body portion (20) having first (15) and second (16) ends, and a first elongate member (40), extending from the first or second end of the body portion, the implant system further comprising a corresponding fixation device (70) for securing the first elongate member to a subject, the fixation device comprising at least one latching element, the first elongate member comprising at least one cooperating element, the at least one cooperating element being capable of cooperating with said at least one latching element of the fixation device in use.