Abstract: Electronic devices, apparatus, systems, and methods of operating and constructing the devices, apparatus, and/or systems include a wireless sensor configured to measure strain of hardware implanted in a subject. In various embodiments, temporal measurement of the hardware strain includes monitoring changes of the resonant frequency of the sensor. The sensor can be realized as an inductively powered device that operates as an all-on-chip resonator, where the components of the sensor are biocompatible. Additional apparatus, systems, and methods are disclosed.

Abstract: An electrode catheter is provided with a catheter shaft (10), an operating handle (20) provided with a connector (70), a tip electrode (31), ring-shaped electrodes (32 to 34), lead wires (41 to 44) connected to the tip electrode (31) and the ring-shaped electrodes (32 to 34), respectively, and a pull wire (50) fixed to the tip electrode (31). The catheter shaft (10) is constituted of a shaft proximal end portion (11) formed of a metal tube having a spiral slit (115) formed in a tip portion, a shaft distal end portion (12) formed of a resin tube of multi-lumen structure, and a resin covering layer (13) covering outer peripheries of the shaft proximal end portion (11) and a rear end portion of the shaft distal end portion (12). The lead wires (41 to 44) and the pull wire (50) extend through different lumens of the resin tube constituting the shaft distal end portion (12). This electrode catheter can exhibit good kink resistance, torque transmissibility and pushability in the entire shaft.

Abstract: Breast implants including sensor modules and related methods are described herein. Breast implants include those with: a shell configured to be substantially filled with a viscous material; at least one fluid-permeable cover, the cover completely enveloping the shell; and a plurality of sensor modules attached to the shell and positioned at a distance from each other, each of the sensor modules oriented to detect one or more analytes in a fluid between the shell and the cover, wherein each of the plurality of sensor modules includes a unique identifier and is configured to utilize energy transmitted from an external source.

Abstract: A method of measuring an artifact removed photoplethysmographic (PPG) signal and a measurement system for measuring an artifact removed photoplethysmographic (PPG) signal are provided. The method comprises obtaining a first set of PPG signals from a plurality of detectors at respective measurement sites using a first illumination; obtaining a second set of PPG signals from the plurality of detectors using a second illumination; obtaining at least two pairs of PPG signals, each pair comprising one PPG signal from the first set and one PPG signal from the second set, and for each pair, computing an artifact reference signal to obtain a candidate PPG signal; and choosing one of the candidate PPG signals as the artifact removed PPG signal.

Abstract: An electrocardiogram (ECG) sensor includes an analog front end device configured to remove a DC offset in a first ECG signal received from a measuring electrode, and adjust a gain amplification value based on the first ECG signal. The analog front end device is configured to output an adjusted first ECG signal, the adjusted first ECG signal being based on the adjusted gain amplification value and the removed DC offset in the first ECG signal. The ECG sensor includes a digital signal processor configured to analyze and process the adjusted first ECG signal based on an algorithm and to output information. The analog front end device is configured to remove the DC offset in the first ECG signal during a first period, and remove a DC offset in a second ECG signal and simultaneously adjust a gain amplification value for the second ECG signal during a second period.

Abstract: A biopotential signal acquisition system comprising an analog readout unit configured to receive an analog biopotential signal and to extract an analog measured biopotential signal and an analog reference signal, and an ADC unit configured to provide a digital version of the analog measured biopotential signal and the analog reference signal. The system also includes a first digital filter unit comprising a cascaded integrator-comb filter configured to provide a first digital filtered version of the digital measured biopotential signal and the reference signal, and a second digital filter unit configured to calculate a digital motion artifact estimate based on the first digital filtered version signals.

Abstract: A method of compressing an electrocardiography (ECG) signal and an ECG signal sensing apparatus thereof are provided. The method of compressing the ECG signal includes the following steps. A current first characteristic wave is identified and captured from the ECG signal. A set of difference is obtained by subtracting a previous first characteristic wave from the current first characteristic wave. A first encoding process is executed on the set of difference, so as to obtain a first bit stream. A compressed ECG data is generated, wherein the compressed ECG data at least comprises the first bit stream.

Abstract: There is provided a method of determining a measure of the cardiac output, CO, of a patient, the method comprising obtaining measurements of one or more physiological characteristics of the patient, the physiological characteristics including at least the heart rate, HR, of the patient, the systolic blood pressure, S, of the patient and the diastolic blood pressure, D, of the patient; and processing the measurements to determine a measure of the cardiac output of the patient; wherein the measure of the cardiac output of the patient is derived using the relationship CO = K 1 ? ( HR ? S - D S + D ) , CO = K 2 ? HR ? ( S - D ) ? ( PTT ) 2 , and ? / ? or ? CO = K 2 ? HR ? ( S - D ) ? ( PAT - PEP ) 2 where K1 and K2 are patient-specific calibration factors, PAT is the pulse arrival time, PEP is the pre-ejection period and PTT is the pulse transit time, the time taken for a pulse wave to travel between two points in the body of the patient.

Abstract: Methods and systems for visualizing mechanical ventilation information are provided. One system includes a user interface for a medical system having a ventilator is provided. The user interface includes a memory storing one or more sensor measurements for a patient and a processor. The processor is programmed to display a visualization of a tidal volume determined from one of the sensor measurements of the patient and display a visualization of lung compliance for the patient, wherein the tidal volume visualization and the lung compliance visualization are displayed concurrently.

Abstract: An approach for providing diagnostic information regarding one or more impacts sustained by one or more users while the one or more users are participating in a team activity is described. A diagnostic platform detects one or more impacts sustained by a user, wherein the user is part of a team with one or more other users engaged in a team activity. The diagnostic platform generates a recommendation for a level of participation of the user, the one or more other users, or a combination thereof in the team activity based on the one or more impacts, a severity level of the one or more impacts, or a combination thereof. The diagnostic platform further presents the recommendation, a representation of the severity level, a representation of the level of participation, or a combination thereof in a user interface.

Abstract: Approaches for acquiring CT image data corresponding to a full scan, but at a reduced dose are disclosed. In one implementation, X-ray tube current modulation is employed to reduce the effective dose. In other implementations, acquisition of sparse views, z-collimation, and two-rotation acquisition protocols may be employed to achieve a reduced dose relative to a full-scan acquisition protocol.

Abstract: A mammogram table for supporting a patient during a breast examination. The mammogram table includes a platform configured to support a patient while lying in a prone position during a breast examination and a pedestal configured to bear the platform and the patient during the breast examination. The mammogram table also includes a breast template configured to position the breasts of the patient during a breast examination and a mounting bracket configured to allow imaging equipment to be attached to the mammogram table. The mammogram table further includes a breast support configured to receive the breasts of the patient.

Abstract: A radiographic system is provided that can shorten the work time required for adjusting the initial values. The radiographic system comprises: an X-ray tube controller; an initial value calculator; and a storage. The X-ray tube controller is configured to control a filament current flowing through a filament of the X-ray tube for stabilizing the tube current at a desired value, the tube current otherwise tending to fluctuate at activation. The initial value calculator is configured to calculate an initial value for the filament current that is to be applied at next activation, based both on a stable value of the filament current while the tube current has been stable and on the image-capturing conditions at the time. The storage configured to store the calculated initial value, the image-capturing conditions, and a radiographic history that includes radiographed dates.

Abstract: The present invention concerns a method for the treatment of stimulable phosphors and/or screens for use in diagnosis, in particular medical radiography. The method comprises subjecting the stimulable phosphors and/or screens to an epoxide containing gaseous compound, promptly following their manufacture. By applying the method according to the invention yellowing of the stimulable phosphors and/or screens is prevented in a safe and efficient manner; thereby the disadvantages known as such resulting from such yellowing will not occur.

Abstract: A hazardous fluid handling system which includes a housing having a radiation shielded internal chamber disposed therein which may accommodate a container holding a radioactive fluid, one or more radioactivity detectors positioned within the shielded internal chamber in operational proximity to the radioactive fluid in the container, and a dosimeter control device electronically coupled to the radioactivity detector(s) is disclosed. The dosimeter control device is operational for determining information regarding the radioactive fluid in the container based on individual measurements received from the one or more radioactivity detectors. The hazardous fluid handling system may be integrated into a patient support platform which includes a patient stimulus apparatus, an imager proximate the patient support platform, a radiopharmaceutical fluid delivery system for infusing a radiopharmaceutical fluid into a patient, a patient monitor to be associated with the patient, and an integrated system controller.

Abstract: The present invention relates to a Computed Tomography (CT) imaging system, in particular to a multi-energy CT imaging system and imaging method.

Abstract: According to some aspects, an x-ray apparatus for imaging and/or radiation therapy is provided, the x-ray apparatus comprises an electron source capable of generating electrons, at least one first target arranged to receive electrons from the electron source, the at least one first target comprising material that, in response to being irradiated by the electrons, emits broad spectrum x-ray radiation, at least one second target arranged to receive at least some of the broad spectrum x-ray radiation, the at least one second target comprising material that, in response to irradiation by broad spectrum x-ray radiation from the first target, emits monochromatic x-ray radiation, and at least one detector positioned to detect at least some of the monochromatic x-ray radiation emitted from the at least one second target.

Abstract: A dynamic diagnosis support information generation system includes: a radiation generator capable of irradiating a pulsed radiation; a radiation detector which is provided with a plurality of detecting elements arranged in two-dimension, detects the pulsed radiation irradiated from the radiation generator at each of the plurality of detecting elements and generates frame images successively; and an analysis section which calculates and outputs a feature value relating to a dynamic image of a subject based on a plurality of frame images generated by radiographing the subject by using the radiation generator and the radiation detector, wherein the analysis section calculates the feature value relating to the dynamic image of the subject by corresponding pixels to each others representing outputs of a detecting element at a same position in the radiation detector among the plurality of the frame images.

Abstract: An X-ray CT apparatus includes a specifying unit, a setting unit, a controller, and a reconstruction unit. The specifying unit refers to exposure dose information to specify a high exposure area in an imaging area in a subject. The setting unit sets a scan condition under which a cross section of the imaging area can be imaged and under which X-rays are not directly applied to the high exposure area or another scan condition under which a cross section of the imaging area can be imaged and under which an X-ray radiation dose directly applied to the high exposure area is reduced relative to an area other than the high exposure area. The controller collects data of X-rays applied from an X-ray tube and detected by an X-ray detector under the set scan condition. The reconstruction unit reconstructs a tomographic image using the collected data of X-rays.

Abstract: A mobile radiation imaging apparatus includes a radiation generation unit configured to generate radiation, a cart, a supporting member formed on the cart and configured to hold the radiation generation unit in a movable manner with respect to the cart, a detection unit configured to detect arrangement of the radiation generation unit in a particular non-imaging position, and a control unit configured to limit a motion of the supporting member according to a detection result by the detection unit.

Abstract: A clinical apparatus includes a storage to store strain data, strain rate data, or acceleration data measured in a ROI (region of interest); and a data processor to calculate a stress, a stress tensor, a stress tensor component, an inertia, a mean normal stress, a pressure, a mechanical source, an elastic constant, a visco elastic constant, a viscosity, or a density of an arbitrary point within the ROI. The data processor calculates the stress, the stress tensor, the stress tensor component, the inertia, the mean normal stress, the pressure, or the mechanical source based on an equation representing a relation between (i) the stress, the stress tensor, the stress tensor component, the inertia, the mean normal stress, the pressure, or the mechanical source, (ii) the elastic constant, the visco elastic constant, the viscosity, or the density, and (iii) the measured strain data, the strain rate data, or the acceleration data.

Abstract: An ultrasound diagnosis apparatus includes: a scan controlling unit that exercises control to perform a first scanning process by transmitting an ultrasound wave in a first direction and a second scanning process by transmitting an ultrasound wave in each of a plurality of directions; an image generating unit that generates a first ultrasound image and second ultrasound images from the first and the second scanning processes, respectively; an image generation controlling unit that has a needle image generated, based on an analysis result on the brightness distribution of each member of a group of images based on the first ultrasound image and the second ultrasound images or an analysis result on the brightness distribution of each of the second ultrasound images; an image synthesizing unit that generates a synthesized image from the first ultrasound image and the needle image; and a display controlling unit that displays the synthesized image.

Abstract: Disclosed is an ultrasound diagnostic imaging apparatus including an ultrasound probe which outputs a transmission ultrasound toward a subject and a received signal obtained by receiving a reflected ultrasound from the subject, a transmission unit, a receiving unit and a puncture needle position detection unit which obtains a puncture needle echo information indicating an angle and a position of the puncture needle from the plane-wave received signal, and an ultrasound image is displayed on the basis of the received signal, the transmission unit applies the driving signal to the ultrasound probe so that a plane-wave transmission ultrasound is output from the ultrasound probe, and the receiving unit receives a plane-wave received signal which is obtained in such a way that the plane-wave transmission ultrasound is transmitted from the ultrasound probe, reflected by a puncture needle to be the reflected ultrasound and received by the ultrasound probe.

Abstract: An in vivo apparatus includes a flexible shaft having a proximal end, a distal end, and a length sufficient to access a patient's renal artery relative to a percutaneous access location. An energy guide apparatus is provided at the distal end of the shaft and dimensioned for deployment within the renal artery. An ex vivo apparatus includes an arrangement configured to localize the energy guide apparatus within the renal artery, and an energy source configured to direct ablative energy to target tissue located a predetermined distance from the localized energy guide apparatus. The target tissue includes perivascular renal nerve tissue adjacent the renal artery.

Abstract: An ultrasonic imaging device includes an ultrasonic probe including a piezoelectric device transmitting ultrasonic waves to a sample and receiving echo waves, an X axis scanner and a Y axis scanner scanning the sample and positions the probe at a scanning position, a frequency controller controlling a frequency of a received signal in accordance with the position of the scanning position, a signal processing unit processing the received signal, and an image generator generating an ultrasonic wave image at the frequency based on an output of the signal processing unit. The frequency controller generates and supplies a burst signal having a predetermined frequency by a burst wave oscillator to the piezoelectric device of the ultrasonic probe to generate the ultrasonic waves having a predetermined frequency.

Abstract: An ultrasonograph that can automatically optimize the sweep rate of Doppler images and M-mode images according to the heart rate of a test subject. The ultrasonograph includes means for sending an ultrasonic beam into body tissue, a means for receiving an ultrasonic signal reflected off the body tissue and a blood flow, a means for constructing a cross-sectional image of the body tissue from the received signal, a means for performing phase detection on an ultrasonic Doppler blood flow signal, a means for calculating a frequency component of the Doppler blood flow signal, and a means for performing a sweeping display of the calculated frequency component as Doppler images in a time series. The ultrasonograph has a heart rate measuring means, an optimum sweep rate calculating means and an optimum sweep rate setting means.

Abstract: A tissue sampling device includes a sheath having an inner surface having a proximal end and a distal end, and an inner surface defining a passage. An inner tube is disposed within the passage. The inner tube has an inner surface defining a passage, and an outer surface radially spaced outward from the inner surface. A cutting needle is pivotally mounted to the inner tube and pivots between a first position radially inward of the inner surface of the sheath and a second position substantially radially outward of the outer surface of the inner tube. Relative movement between the inner tube and the sheath causes the cutting needle to move between the first position and the second position. Rotation of the inner tube relative to the sheath when the cutting needle is in the second position causes the cutting needle to remove tissue in a helical path.

Abstract: A biopsy device includes a probe, a holster, and a tissue sample holder for collecting tissue samples. The probe includes a needle and a hollow cutter. The tissue sample holder includes a housing having one or more chambers that are configured to receive a removable tray including one or more prongs and a bulk chamber of a different volume than the one or more chambers. The housing is releasably engageable with the probe. Each tray prong is configured to receive a tissue sample communicated through the cutter lumen. The tray is removable from the housing, such as along an axial direction. The tissue sample holder is rotatable to successively index each chamber to the cutter lumen. The trays may be flexible, resilient, or rigid.

Abstract: Improved hand assemblies and methods combining a number of the separate known devices used in transseptal catheterization procedures, including sheaths, dilators, and needle assemblies (including a puncture device and a stylet, for example). The hand assemblies provide cooperating members that reduce the overall complexity and increase safety of transseptal catheterization procedures.

Abstract: Various surgical instruments for laparoscopic procedures are provided for aspirating and retracting a hollow organ such as a gallbladder. The surgical instruments include a needle body and an anchor coupled to the needle body. The anchor is adapted and configured for engaging and retracting the hollow organ, and can be held and deployed from within the needle body or from an outside surface of the needle body. The needle body defines an aperture for permitting aspiration of contents of the hollow organ.

Abstract: The invention pertains to a system, and related methods, for the percutaneous transluminal delivery and retrieval of a prosthetic occluder through a front-end loader. The prosthetic occluder may be, for example, an intracardiac occluder for a patent foramen ovale. The system includes, in one embodiment, a front-end loader having a beveled distal end. In another embodiment, the system includes a front-end loader having a chamfered rim at the beveled distal end.

Abstract: Occluder devices for occluding an anatomical aperture, such as an atrial septal defect (ASD) or a patent foramen ovale (PFO) comprise two sides connected by a central tube. The occluder devices are formed from a tube, which is cut to produce struts in each side. Upon the application of force, the struts deform into loops. The loops may be of various shapes, sizes, and configurations, and, in at least some embodiments, the loops have rounded peripheries. In some embodiments, at least one of the sides includes a tissue scaffold. The occluder devices include a catch system that maintains its deployed state in vivo. When an occluder device is deployed in vivo, the two sides are disposed on opposite sides of the septal tissue surrounding the aperture and the catch system is deployed so that the occluder device exerts a compressive force on the septal tissue and closes the aperture.

Abstract: A medical device of the present invention includes one or more anchors and an elongated member. Advantageously, the elongated member may be coupled to the anchors. The elongated member and anchors are configured to generate a force on a mesentery. The force is sufficient to retract a bowel of the patient into an upper portion of an abdominal cavity of the patient. When the patient is in a slightly angled position, the weight of the medical device pulls the mesentery into the upper abdomen. Since the bowel is connected to the mesentery, the device also indirectly pulls up the bowel. In some implementations of the device, a slight angle may be unnecessary. In others, the device may also inversely retract the mesentery and attached organs into the lower abdomen to facilitate surgical access to the upper abdomen. In some implementations of the device, a slight angle may be unnecessary.

Abstract: An access device includes a body, a first tube, a second tube, and a mechanism. The first and second tubes extend through the body. The mechanism operably couples the first and second tubes such that at least one tube is pivotable about an axis with respect to the other tube. The body may form a substantially fluid-tight seal at the incision. In another embodiment, the access device further includes a third tube extending through the body and the mechanism operably couples the tubes together such that at least two tubes are pivotable about the axis with respect to the remaining tube.

Abstract: A suture passing instrument including an operation handle, a needle member, and a suture holder assembly. The operation handle has at least one actuator movable between a first position and a second position. The needle member extends from the operation handle. The needle member has a curved end portion and defines an eyelet extending therethrough. The suture holder assembly extends from the operation handle and has a movable suture carrier at a distal end configured to hold a suture. The movable suture carrier has a suture pusher telescopically and movably received in the movable suture carrier. The suture carrier is movable between a retracted position and an extended position. The suture pusher is movable beyond the suture carrier to carry the suture through the eyelet.

Abstract: A device for suturing an anatomic valve, the device having an elongate body, a suture catch mechanism and a suture clasp arm. The suture catch mechanism can be operatively coupled to the elongate body for movement between a retracted position and an advanced position. The suture clasp arm can be attached to the elongate body for movement between a retracted position and an extended position. The suture clasp arm can have a suture clasp configured to releasably retain a suture portion. In some embodiments, the suture clasp is positioned on the suture clasp arm such that the suture catch mechanism retrieves the suture portion from the suture clasp arm while the arm is at least partially retracted. In some embodiments, the suture clasp arm can be closed about a tissue portion without damaging the tissue portion.

Abstract: A device for suturing tissue includes a handle that has a proximal end and a distal end. The device also includes a generally hollow suturing needle including a pointed distal end, an opposite proximal end and an inner lumen having an suture exit port through which the suture exits. The device further includes a suture dispensing mechanism disposed within the handle and including an actuator which when manipulated by a user is configured to advance suture material within the handle such that the suture material is guided into the inner lumen of the hollow suturing needle and exits through the suture exit port. The device includes a safety mechanism that shields at least a portion of the needle.

Abstract: A needle driver, comprising a first elongated body having a substantially hollow interior portion and a first and second end, a second elongated body having a substantially hollow interior portion slideably disposed in the first elongated body, a clamping device having a clamping end and a connected end, the clamping device at least partially disposed in the first elongated body and in the second elongated body, wherein the connected end is affixed to the first elongated body, and a slideable actuator affixed to the second elongated body.

Abstract: A joy stick control assembly for operating a motor driven surgical instrument. In at least one form, the joystick control assembly comprises a first switch assembly that is movably supported by a housing. The first switch assembly may include a joystick that is movably mounted thereto such that pivotal movement of the joystick relative to the first switch assembly causes at least one corresponding control signal to be sent to at least one motor communicating therewith. The joystick control assembly may further include a second switch assembly that comprises a first sensor and a second sensor that is movable with the first switch assembly such that movement of the second sensor relative to the first sensor causes at least one other control signal to be sent to another one of the surgical instrument motors.

Abstract: A staple cartridge for use with a stapling device that has an actuator that is selectively actuatable in an axial direction and an anvil portion that is selectively movable between open and closed positions is disclosed. Various embodiments of the present invention include a cartridge body that movably supports first and second staple drivers. The staple drivers each support a staple thereon and serve to drive the staples into forming contact with the anvil upon actuation by the actuator. The various embodiments of the present invention enable the final formed heights of the staples to be varied without the need to use different sizes of staples.

Abstract: A surgical stapling system is disclosed. The surgical stapling system comprises a housing comprising a motor and a battery configured to supply power to the motor. The surgical stapling system further comprises a firing actuator operably coupled with the motor and a stapling assembly comprising a plurality of staples and a distal end. The surgical stapling system further comprises a shaft configured to support the stapling assembly, a firing member configured to transmit a firing motion from the motor to the stapling assembly, and a firing member sensor system configured to detect the position of the firing member within a detectable range of positions relative to the end of the stapling assembly.

Abstract: A surgical fastening instrument is disclosed. The instrument comprises an end effector cartridge assembly, a handle, and a firing member, wherein an electric motor is configured to impart a firing motion to the firing member to eject fasteners from a fastener cartridge of the end effector cartridge assembly. The instrument further comprises an electronic lockout system configured to ascertain whether the fastener cartridge is present in the end effector, permit the motor to apply the firing motion to the firing member when the presence of the fastener cartridge has been ascertained, and prevent the motor from applying the firing motion to the firing member when the presence of the fastener cartridge has not been ascertained.

Abstract: A surgical stapling instrument can include a staple cartridge, wherein the staple cartridge includes a cartridge body, a plurality of staples, a cutting member stored therein, and means for covering, enclosing, encasing, and/or protecting the cutting member. In various embodiments, the staple cartridge body can include a housing which can extend around and/or over the cutting member when the cutting member is in an unfired position. In various circumstances, the housing can protect a clinician as they assemble the staple cartridge to the surgical stapling instrument.

Abstract: A surgical ligation clip capable of remote deployment through a cannula to engage an anatomical structure.

Abstract: The present disclosure provides a surgical stapling device and a method for joining tissue portions. The surgical stapling device includes a handle assembly and a tubular body portion supported on a distal end of the handle assembly having a staple cartridge assembly containing a plurality of surgical staples in an annular array. An anvil assembly is at a distal end of the stapling device and has a shaft for removably connecting the anvil assembly to the tubular body portion. The anvil assembly and tubular body portion are juxtaposed with respect to one another along the shaft and are arranged so as to be approximated with respect to one another. A support member extends from the tubular body portion towards the anvil assembly and a buttress material is supported by the support member and removably attached to the support member.

Abstract: An apparatus for implanting a medical device is provided that can be severed by electrolysis from a delivery member positioned in a patient. The apparatus can include an electrolytically detachable component that interconnects the medical device and the delivery member. The detachable component can have at least one corrodible first portion being adapted to serve as an anode in electrolytic corrosion. The at least one first portion can define a body having an outer surface and at least one surface structure extending inwardly from the outer surface into the body. The first portion can be electrolytically corrodible when in contact with a body fluid such that the medical device may be severed by electrolysis.

Abstract: A system for obesity control includes a sheath and a plurality of medical devices. The sheath has a proximal end, a distal end, and a lumen extending therebetween. The medical devices are disposed within the lumen. Each medical device includes a shell defining a cavity, the shell being movable between a deformed state and an unstressed state; a magnet disposed within the cavity; and a filler material disposed within the cavity. The filler material conforms to a shape of the shell when the shell is in the unstressed state. The filler material changes state to maintain a shape of the shell in the deformed state.

Abstract: A surgical clip applier is provided having a cartridge carrying multiple surgical clips with a manual graspable actuator configured to sequentially deliver clips to the jaws of the clip applier. Both the cartridge and the jaws are connectable to a scissors-like handle assembly arranged to translate motion from finger loops to the jaws to open and close the jaws and thus close or crimp a delivered clip between the jaws.

Abstract: An instrument for selectively decorticating a bony surface is described. The instrument may have a decorticating implement having a truncated scoop on its medial face and an inclined blade disposed on its opposing lateral face. The blade edge may be coincident with the linear distal edge of the truncated scoop. Also described is a method for using such an instrument to selectively decorticate a bony surface in order to prepare it for service as a bone graft bed.

Abstract: A fluted osteotome is rotated in one direction to enlarge an osteotomy by burnishing, and by cutting/drilling when turned in an opposite direction. A conically tapered body has an apical end with lips. The lips are set to grind bone when rotated in the burnishing direction and cut bone when turned in the cutting/drilling direction. Helical flutes and interposed lands are disposed about the body. The flutes each have a working edge that burnishes bone when rotated in the burnishing direction and cuts bone when turned in the cutting/drilling direction. The lips and lands generate an opposing axial reaction force that improves surgical control. The osteotome auto-grafts bone by reapplying ground particles in a compacted manner along the entire depth of the osteotomy, particularly at the bottom.