Abstract: A surgical instrument for assessing tissue characteristics such as tissue density and volume is disclosed. The surgical instrument is hand-held and includes transducers adapted for emitting and/or receiving acoustic signals. The surgical instrument utilizes pulse-echo to determine tissue characteristics. The surgical instrument may be utilized to determine such things as the size of a lesion and whether the lesion has been completely removed or filled with graft material.

Abstract: An interventional medical device is provided that incorporates a forward-directed ultrasound imaging system integrated into a single minimally invasive device. The medical device can be in the form of an image guided catheter having a replaceable and reusable ultrasound imaging assemble and replaceable interventional devices such as a removable introducer needle and syringe, the device having a tapered distal tip, particularly those suitable for minimally invasive direct introduction into the human or other mammalian body. The imaging system comprises one or more small ultrasound transducers that can be replaceably integrated into the device via a longitudinal slot in an expendable elongate body and may be inserted into and removed from the device to customize the device for a particular use.

Abstract: An intravascular ultrasound (IVUS) device includes a catheter body having a proximal portion and an opposing distal portion; a transducer array disposed adjacent the distal portion, the transducer array having a plurality of transducers and each of the plurality of transducers having a maximum width, wherein the plurality of transducers are positioned circumferentially around the catheter body with a minimum spacing between adjacent transducers that is at least twice as large as the maximum width. A minimally invasive measuring device includes an elongate body configured for insertion in a patient, the elongate body having a proximal portion and an opposing distal portion; and a transducer array disposed adjacent the distal end, the transducer array having a plurality of transducers disposed circumferentially around the elongate body, the plurality of transducers comprising 3 to 16 transducers. A method of generating an intravascular measurement using an intravascular device is provided.

Abstract: An ultrasound imaging system and method includes accessing a graphical model of a representative patient, accessing a medical image of an anatomical structure, and registering the medical image with the graphical model to generate a composite image. The imaging system and method includes displaying the composite image and simultaneously displaying an unregistered medical image of the anatomical structure with the composite image. The unregistered medical image has at least one of a higher resolution and a larger form factor than the registered medical image.

Abstract: A method and ultrasound imaging system for selecting an examination workflow for ultrasound imaging. The method and system include displaying a graphical model on a display device, selecting a modeled anatomical region in the graphical model that corresponds to an anatomical region in a patient. The method and system include automatically loading an examination workflow for the anatomical region, executing the examination workflow to acquire ultrasound data of the anatomical region, and generating and displaying a graphical output based on the ultrasound data on the display device.

Abstract: An ultrasound diagnostic apparatus includes a monitor simultaneously displaying in blocks a series of examination items on an ultrasound diagnosis within a screen in chronological order and a controller causing the monitor to highlight a block of an examination item being currently executed among blocks indicating the series of examination items displayed on the monitor.

Abstract: Provided is a method of generating an ultrasound image corresponding to a cross-section of interest, which is performed by an ultrasound imaging apparatus. Exemplary embodiments include a method of generating an ultrasound image corresponding to a cross-section of interest of an object by storing ultrasound echo signals respectively corresponding to a plurality of frames that constitute a three-dimensional (3D) ultrasound image of the object, performing beamforming on a focal point on the cross-section of interest of the object, and generating beam focused data for the focal point.

Abstract: Various embodiments include systems and methods for gain auto-correction. Automatic gain optimization or correction may be applied in an ultrasound system, during an automatic gain mode. The automatic gain optimization or correction may comprise automatic time gain compensation (TGC) and/or lateral gain compensation (LGC) optimization or correction. The applying of the gain optimization or correction may comprise determining an optimal gain, such as based on processing input ultrasound images; determining, based on the optimal gain, settings for a plurality of user controls of the ultrasound system (e.g., slides, knobs, etc.), corresponding to the optimal gain; and providing feedback to a user of the ultrasound system, relating to (e.g., showing) the settings for the plurality of user controls that correspond to the optimal gain. The plurality of user controls may be adjustable manually and automatically. The user controls may be physical or virtual.

Abstract: A system and method for imaging a subject are disclosed. A plurality of edge points corresponding to a set of candidate structures are determined in each image frame in a plurality of 3D image frames corresponding to a volume in the subject. A target structure is detected from the set of candidate structures by applying constrained shape fitting to the edge points in each image frame. A subgroup of image frames including the target structure is identified from the 3D frames. A subset of edge points corresponding to the target structure is determined in each of the subgroup of image frames. A plurality of 2D scan planes corresponding to the subset of edge points is determined, and ranked using a determined ranking function to identify a desired scan plane. A diagnostic parameter corresponding to the target structure is measured using a selected image frame that includes the desired scan plane.

Abstract: An ultrasonic diagnostic apparatus according to an embodiment generates, based on the echo signal, velocity distribution information of a tissue in the object. The ultrasonic diagnostic apparatus generates state information representing a cycle of the pressurization or the depressurization and target information representing a target cycle of pressurization or depressurization based on the velocity distribution information. The ultrasonic diagnostic apparatus associates one of two variables defining a predetermined graphic pattern with the cycle, displays the state information and the target information as the graphic pattern, and displays the graphic pattern upon deforming a shape of the graphic pattern in accordance with a change in the cycle of the pressurization or the depressurization in the state information.

Abstract: An ultrasonic probe includes a transducer circuit configured to receive ultrasonic waves reflected from an object and output an ultrasonic signal based on the ultrasonic waves; a simulated circuit having circuit characteristics substantially the same as the transducer circuit and configured to output a noise signal; and a differential amplifier circuit configured to output a voltage difference between the ultrasonic signal and the noise signal.

Abstract: A graphic image displayed on a tomographic image includes a puncture guide. The puncture guide has a main guide line and a sub guide line. The main guide line represents a reference puncture route based on a puncture angle, and the sub guide line represents the edge of a composite area defined by a plurality of scans. A deflection angle (?1) is determined according to the designation of a puncture angle (?1), and the puncture guide is formed on the basis of these angles.

Abstract: An ultrasonic diagnostic apparatus according to an embodiment acquires a tomogram of a subject and displays the tomogram, based on a reception signal which is obtained by transmitting/receiving ultrasonic waves to/from the subject. The apparatus comprises maximum value memory circuitry, select circuitry, and an ultrasonic output controller. The maximum value memory circuitry stores a maximum value of an index value relating to an ultrasonic output, with respect to each of scan regions of the subject. The ultrasonic output controller acquires, from the maximum value memory circuitry, the maximum value of the index value corresponding to the scan region selected by the select circuitry, and controls the ultrasonic output such that the ultrasonic output does not exceed the maximum value of the index value.

Abstract: A system and method is provided for solving the AX=XB calibration problem. A calibration method is presented to determine the unknown X in the AX=XB calibration problem. Sensor data is filtered, such that data without the desired screw theory invariants are discarded. The correspondence between A and B is then computed, either through a probabilistic Batch method that treats the data streams as probability density functions, or by formulating the data streams as a time-evolving differential equation which allows for online calibration of the device. Also, a calibration phantom and software is also provided. The phantom is an extension of known Z-fiducial phantoms, in which the Z-fiducials are oriented based on consideration of imaging physics. An additional phantom is designed that does not utilize rods within the phantom to perform the calibration.

Abstract: Systems for collecting medical specimens are generally described. The systems may be configured to, among other things, improve the ease of specimen collection and increase the ability of a patient to provide the highest quality sample with no loss of specimen. A system may include a collection container and a specimen collection portion removably coupled to the collection container. A system may be configured to include a base portion and a specimen collection portion extending from the base portion, the base portion and the specimen collection portion being a single monolithic piece and arranged to form a substantially bent cylinder shape. A system may include a base portion and a specimen collection portion extending from the base portion formed from a single monolithic piece in which the base portion has a substantially cylindrical shape and the specimen collection portion has a substantially funnel shape.

Abstract: Methods, apparatuses and systems for collecting cells from a body lumen are described. The system may include a swallowable cell collection device comprising an abrasive and substantially non-absorbent material configured to collect cells from the body lumen by scraping a surface of the body lumen and a swallowable and dissolvable capsule comprising a plurality of scoring features and configured to releasably retain the cell collection device. Additionally, a method of manufacturing an apparatus for collecting cells from a body lumen is described. The method may include encapsulating a swallowable cell collection device comprising an abrasive and substantially non-absorbent material within a swallowable and dissolvable capsule and mechanically weakening the capsule with a plurality of scoring features.

Abstract: Methods, apparatuses and systems for collecting cells from a body lumen are described. The system may include a swallowable cell collection device comprising an abrasive and substantially non-absorbent material in a compressed configuration and configured to collect cells from the body lumen by scraping a surface of the body lumen. The system may further include one or more expansion elements coupled with the cell collection device configured to expand the cell collection device from the compressed configuration.

Abstract: Methods, apparatuses and systems for collecting cells from a body lumen are described. A system may include a cell collection device comprising an abrasive material configured to collect cells from the body lumen by scraping a surface of the body lumen. The cell collection device may have a first end with a first diametric dimension and a second end with a second diametric dimension, wherein the second diametric dimension is larger than the first diametric dimension.

Abstract: Disclosed is a biopsy needle, medical device incorporating the biopsy needle, and method of using the biopsy needle and medical device. The biopsy needle and medical device is used to obtain a sample of tissue for further analysis and testing. The biopsy needle includes an inner stylet that is slidably engaged with an outer coaxial sheath and at least part of the distal portion of the stylet is bent or curved relative to the longitudinal axis of the coaxial sheath.

Abstract: The present subject matter relates to a biopsy needle assembly (102) for performing biopsy. In one implementation, the biopsy needle assembly (102) includes a biopsy needle (106) which further includes a primary needle section (202), formed as a hollow tube, where the primary needle section (202) comprises a first end and a second end; a converging section (204) arcuately converging from wall of the hollow tube of the first end of the primary needle section to form a piercing tip (108). The converging section (208) further includes an opening on lateral wall to form cutting edges to extract the tissue sample. The biopsy needle (106) also includes a body (208) coupled to the second end of the primary needle section (202), where wherein the body (208) may be adapted for coupling to an actuator to initiate a movement of biopsy needle (106).

Abstract: A device for collecting a tissue sample includes an outer sheath extending from a proximal end to a distal end and including a lumen extending therethrough. The device also includes a needle movably housed within the outer sheath. The needle extends from a proximal end to a serrated distal end and including a channel extending therethrough. The needle is longitudinally movable relative to the outer sheath between an insertion configuration, in which the distal end of the needle is proximal of the distal end of the outer sheath, and a tissue collecting configuration, in which the distal end of the needle extends distally past the distal end of the outer sheath to penetrate tissue and collect a tissue sample in the channel. In addition, the device includes a drive mechanism rotating a distal portion of the needle about a longitudinal axis thereof as the needle is moved between the insertion and tissue collecting configurations.

Abstract: A biopsy system, including a biopsy device, a localization assembly, and a control module. The localization assembly is configured to orient the biopsy device relative to a patient. The control module is communication with the biopsy device. The control module is configured to operate a plurality of functional features of the biopsy device. The control module includes a cable and a cable management assembly. The cable management assembly includes a pair of cable management plates, and a weight. Each of the pair cable management plates are disposed substantially parallel to each other and define a space therebetween. The weight is configured to move within the space defined by the pair of cable management plates. The weight is attachable to the cable of the control module and is further configured to slide axially along the cable.

Abstract: Methods, apparatuses and systems for collecting cells from a body lumen are described. The system may include a cell collection device and a capsule configured to releasably retain the cell collection device. The cell collection device may comprise a plurality of distinct regions, each region comprising one or more material properties. In some instances, at least one material property of at least one distinct region differs from at least one material property of at least one other distinct region. The distinct regions may comprise different materials or may comprise the same material where at least one of the distinct regions is mechanically or chemically altered to yield the at least one differing material property.

Abstract: A device for collecting a tissue sample includes a needle extending longitudinally from a proximal end to a distal end and including a channel extending therethrough, the distal end including a pair of jaws, at least a first one of the jaws being movable relative to the other between an open configuration, in which the jaws are open to receive tissue therebetween, and a closed configuration in which the jaws are drawn toward one another to collect a tissue sample therein.

Abstract: A method of assembling a surgical instrument includes coupling a power bus to a switch base that has a top, a bottom, and side surfaces; adhering a membrane to the top surface of the switch base over the power bus to form a switch base assembly; positioning the switch base assembly within a first portion of a switch base cavity defined by a lower housing portion; and joining the lower housing portion with an upper housing portion. The upper housing portion defines a second portion of the switch base cavity. Joining the lower housing portion with the upper housing portion disposes the switch base within the first portion of the switch base cavity and prevents fluid from penetrating a proximal portion of the switch base cavity within which an electrical lead is coupled to the power bus.

Abstract: A wound closure device comprises a first frame and a flexible tubular section connected to the first frame, the first frame implantable through a wound in a patient's skin into a lumen of a blood vessel with a portion of the tubular section extending out through the skin. The tubular section has a first portion and a second portion, a wall of the tubular section defining a coaxial inner bore. Twisting the first portion relative to the second portion of the tubular section closes the bore is closed in an area of the tubular section between the first and second portions, thereby closing the wound. Also disclosed is an embodiment for closing an opening in a heart, as well as a delivery device, systems, and methods.

Abstract: A surgical instrument comprises a first member engageable with tissue of a substantially posterior portion of an incision relative to a body. A second member is engageable with tissue of a substantially anterior portion of the incision relative to the body. A third member is engageable with tissue of a substantially cephalad portion of the incision relative to the body. The members are disposable in a configuration to space the tissue to define an oblique surgical pathway relative to a bilateral axis of the body. Systems and methods are disclosed.

Abstract: A system for accessing a surgical target site and related methods, involving an initial distraction system for creating an initial distraction corridor, and an assembly capable of distracting from the initial distraction corridor to a secondary distraction corridor and thereafter sequentially receiving a plurality of retractor blades for retracting from the secondary distraction corridor to thereby create an operative corridor to the surgical target site, both of which may be equipped with one or more electrodes for use in detecting the existence of (and optionally the distance and/or direction to) neural structures before, during, and after the establishment of an operative corridor to a surgical target site.

Abstract: Systems, devices and methods related to retractor systems that retract tissue to allow access to a surgical site are described. The retractor systems can include a first rotatable arm attachable to a first blade, a second rotatable arm attachable to a second blade and a third linearly translatable arm attachable to a third blade. An attachment mechanism that is attachable to a fourth blade can be removably coupled to a mount on the frame. The retractors systems can also include two blade systems whereby when the retractor is in a closed configuration, the two blades form an oval opening.

Abstract: A surgical access device including a frame, first and second supports, and first and second retractor blades releasably coupled with the first and second supports, respectively. The frame has first and second arms. The first support is releasably coupled with the first and second arms. The second support is slidably mounted on the first and second arms. The second support is movable between a first position with the retractor blades in close cooperative position and a spaced apart position with respect to the first support. The first and second retractor blades each have a distal end portion configured and adapted to engage a vertebral body. In one method of use, the retractor is inserted through an incision in first orientation with the blades in close approximation and rotated approximately 90°, before spreading the retractor blades to retract tissue.

Abstract: An intraocular expansion and retention device (“IERD”) expands the iris, enlarging the pupil during intraocular surgery, and can be removed following the procedure without damaging the eye tissue. The intraocular expansion and retention device includes a number of stepped blades that form pockets to cup the iris margins and expand the pupil allowing increased visualization during intraocular surgery.

Abstract: Novel stay suture devices and stay suture combinations with meshes are disclosed. The stay suture devices have a clip and a suture. The clip has leg members that are mounted to a hernia mesh implant such that the leg members are locked in a closed configuration. Also disclosed are novel methods of mounting stay sutures to a surgical mesh implant and repairing a body wall defect such as a hernia defect.

Abstract: Endoscopic devices and methods used for fastening multiple tissue layers, such as, for example, an endoscopic fundoplication procedure, are disclosed. The endoluminal device includes a tissue fastener, a flexible needle having means for grasping and releasing a portion of the tissue fastener, and a deflector for deflecting and guiding the needle toward the multiple tissue layers.

Abstract: An apparatus for delivering bioabsorbable fasteners comprises a housing and an actuator movable by a user to deliver one fastener at a time.

Abstract: A method for bunion repair using a suture passing K-wire configured to easily pass through bone tunnels with suture trailing. The suture passing K-wire includes a tapered guide pin with a multi-diameter shaft (i.e., comprising at least two regions or sections that have different diameters) and a loop which is securely attached to an end of the guide pin (i.e., to the smaller diameter section of the guide pin). The reconstruction system may be formed of a pair of buttons connected by a flexible strand. The procedure offers indirect placement of buttons and a minimally invasive approach.

Abstract: An apparatus comprises a body, a shaft assembly, an end effector, a cartridge, and a staple driver actuator. The end effector is operable to manipulate tissue. The end effector comprises a lower jaw, a pivotable anvil, and a translating cutter. The translating cutter is operable to translate relative to the lower jaw and the anvil when the anvil is pivoted toward the lower jaw to manipulate tissue. The cartridge is insertable into the lower jaw and includes a plurality of staples. The staple driver actuator is disposed within the cartridge. The staple driver actuator comprises a secondary cutting element. The translating cutter of the end effector is operable to drive the staple driver actuator distally to staple and cut tissue substantially simultaneously.

Abstract: A method of retrieving a pair of previously implanted magnets from a patient's body includes maneuvering a guide catheter, which includes a guide magnet affixed to its distal end, toward the implantation site of the implanted magnets. The guide magnet is magnetically coupled to one of the implanted magnets in an orientation in which a through hole of the guide magnet is in register with through holes of the first and second implant magnets. An elongate capture member is slid through the lumen of the guide catheter until one of a proximal segment and a distal segment extends through the through holes of the guide magnet and the implanted magnets. An abutment segment of the elongate capture member, which separates the proximal segment and the distal segment is maneuvered into contact with the magnets. Then, the abutment segment, the guide magnet and the implanted magnets are moved as a group away from the implantation site.

Abstract: A double-balloon inferior vena cava (NC) shunt for use in controlling blood loss and simultaneously maintaining venous return is disclosed. The NC shunt comprises a first balloon-catheter unit and second balloon-catheter unit that are slidably coupled to one another to form an adjustable shunt. The first and second balloons in the shunt are independently inflatable. The double-balloon shunt is readily adjustable to fit the dimensions of the injured region.

Abstract: A vasculature occlusion device detachment system including a heating element of a predetermined resistivity. A coil securing suture terminates in a proximal bead retained within the heating element while the distal end of the coil securing suture extends beyond the distal end of the heating element and is attached to the proximal end of the vasculature occlusion device. The coil securing suture is independently rotatable of the heating element 360 degrees about a longitudinal axis extending therethrough the heating element. A power source applies electrical current to the heating element via an electrically conductive corewire and separate insulated electrically conductive wire to increase its resistance and, as a result of the heat produced, sever the coil securing suture.

Abstract: A vasculature occlusion device detachment system including a heating fuse element made of a material that melts when a current is applied that exceeds a predetermined maximum current threshold. An electrically conductive corewire connected proximate its distal end directly to the heating fuse element at a first electrical connection joint, while a separate insulated electrically conductive wire is electrically connected directly to the heating fuse element at a second electrical connection joint. An inner insulation sleeve placed over a distal section of the corewire covers the first electrical connection joint and is disposed between the insulated electrically conductive wire and the electrically conductive corewire. An outer insulation sleeve is disposed over a distal section of an assembly including the insulated electrically conductive wire, the inner insulation sleeve and the electrically conductive corewire. The outer insulation sleeve covers the second electrical connection joint.

Abstract: A magnetic device and method are disclosed for providing a safer and more reliable technique for closing a hole or rupture in the septum of the heart. A device is disclosed with proximal and distal occluders that are connected to one another via a catheter and are inserted on either side of the hole or rupture. Also disclosed are two patches that are placed on either side of the hole or rupture with at least one of the patches being composed of magnetic material with the other being magnetic or metallic.

Abstract: In various aspects, present disclosure is directed to methods, devices and systems whereby one or more low viscosity fluids may be introduced into a catheter and whereby the one or more low viscosity fluids may be converted into a high viscosity fluid in the catheter, which high viscosity fluid may be delivered from an exit port of the catheter.

Abstract: A surgical sagittal saw blade with first and second elongated openings. The openings have major axes that are angled relative to each other. The openings are arranged to receive draw for pivoting a blade in a sagittal plane. Each opening receives a separate drive member integral with the saw to which the blade is mounted. The action of one drive member in a first opening results in the proximal to distal reciprocation of the blade. The action of a the second drive member in the second opening results in the back and forth pivoting of the blade around an axis that extends through the plane of the blade. The blade has a constraining feature that engages a complementary constraining feature integral with the saw. The engagement of the constraining features limits the reciprocal and pivotal movement of the blade.

Abstract: Improved spinal instruments are provided. In particular, the present application relates to an improved rongeur that allows for multiple bites of bone to be performed in a patient before removing the rongeur from the patient. The rongeur includes a lower shaft and an upper shaft slidable relative to the lower shaft. The lower shaft and upper shaft form a jaw mechanism that can take multiple bites of bone, which can be deposited in a storage cavity formed in the upper shaft. To assist in removing the bone from within the storage cavity, an internal plunger mechanism can be provided that is actuated by a finger hold. In addition, at least portions of the upper shaft are detachable from the lower shaft such that the upper shaft can be thoroughly cleaned and re-used if desired.

Abstract: A surgical device comprising: a handpiece comprising a distal end and a proximal end; a chamber formed within the handpiece; a motor disposed within the chamber; an exhaust port in fluid communication with the chamber, the exhaust port being configured for attachment to a suction source so as to apply suction to the chamber; and at least one inlet port in fluid communication with the chamber, the at least one inlet port being configured to allow ambient air to be drawn into the chamber.

Abstract: A technique for knee replacement surgery that allow for the removal of an oval oblong-shaped allograft bone and cartilage plug from a donor distal femur. The technique uses instruments including (i) sizing guides to match the recipient's femoral size and curvature to that of a donor femur (the sizing guides also acting as a wide pin placement template for the donor distal femur); (ii) osteotomes that cut the curved and straight portions of the implant shape (these may be disposable or reusable); and (iii) templates that fit over the guide pins and have openings to allow the osteotomes to cut the donor femur plug to the correct size, shape and depth. The instruments allow for a non-circular shape to be extracted from a donor femur for use in a bone-saving osteoarthritis distal femur resurfacing procedure.

Abstract: A calculus removing device includes a retaining portion (e.g., a wire or gel), a cylinder, an introduction tube, and a hand-operated unit. The retaining portion is configured to retain calculi and broken calculus pieces. The cylinder includes a storage portion configured to store the calculi, an opening communicating with the storage portion, and an introducing portion configured to permit the retaining portion to be introduced into the storage portion. The introduction tube is provided with a lumen which allows introduction of the retaining portion into the storage portion via the introducing portion. The hand operating unit is provided with an operating member configured to operate the introduction of the retaining portion into the storage portion.

Abstract: There is provided herein, a method of attaching a mesh to a loop member, which includes covering a wire with a layer, manipulating the wire along with the layer to form the loop member, wherein the loop member has a shape, placing the mesh over the loop member, wherein portions of the mesh extend beyond a circumference of the loop member, transferring heat to the layer to cause it to partially melt and become tacky, allowing the mesh to fuse with the tacky layer and form a secure bond on cooling, and trimming portions of the mesh extending beyond the circumference of the loop member. A retrieval device formed by the method includes the loop member and attached mesh positioned and longitudinally movable within a tubular sheath. The loop member and mesh are deployed to capture a target object and partially retracted for removal of the object.

Abstract: A calculus removing device includes a cylinder, a screw, and a hand-operated unit. The cylinder includes a storage portion configured to store calculi and broken calculus pieces, and an opening communicating with the storage portion. The screw is helically-shaped, is arranged in the storage portion and is configured to move the calculi to a proximal end of the cylinder while drawing the calculi into the storage portion thereof via the opening in association with the rotation of the cylinder about an axial line along a longitudinal direction of the cylinder. The hand-operated unit includes an operating member for rotating the screw.

Abstract: Disclosed is a catheter for the extraction of foreign substances from blood vessels including an insertion tube configured to be inserted into a blood vessel and provided at one side thereof with a branched suction tube, a moving crusher configured to be inserted into the blood vessel while being received inside the insertion tube, the moving crusher serving to crush foreign substances inside the blood vessel after being discharged out of the insertion tube, and a foreign substance moving net coupled to a front end of the moving crusher so as to guide the crushed foreign substances into the insertion tube, the foreign substance moving net having a mesh shape.