Abstract: The invention relates to an assembly for treating wounds and to a hand held unit for treating wounds. The assembly and the hand held unit comprise a device for producing a plasma and/or an excited gas or gas mixture by means of a piezoelectric transformer, which is housed together with a circuit board in a housing of the device, and the assembly comprises an expansion element. A control circuit, to which the piezoelectric transformer is electrically connected, is realized on the circuit board. A second end of the expansion element surrounds a wound region to be treated. A first end of the expansion element is detachably connected to the housing of the device at the opening of the housing. The produced plasma and/or excited gas or gas mixture thus enters the expansion element from the opening of the housing.

Abstract: Disclosed are systems, devices, and methods for interdigitation of waveforms for dual-output electrosurgical generators. Such methods may comprise outputting DC energy from a power supply, converting DC energy from the power supply, by a plurality of amplifiers coupled to the power supply, into a plurality of RF waveforms, and controlling the plurality of RF amplifiers to interdigitate the first and second RF waveforms.

Abstract: Method and devices for delivering pulsed RF ablation energy to enable the creation of lesions in tissue are disclosed. The delivery of RF energy is controlled such that the generator power setting remains sufficiently high to form adequate lesions while mitigating against overheating of tissue. An ablation catheter tip having high-thermal-sensitivity comprises a thermally-insulative ablation tip insert supporting at least one temperature sensor and encapsulated, or essentially encapsulated, by a conductive shell. A system for delivering pulsed RF energy to a catheter during catheter ablation comprises an RF generator and a pulse control box operatively connected to the generator and configured to control delivery of pulsatile RF energy to an ablation catheter comprising at least one temperature sensor mounted in its tip. Also disclose is a method of controlling the temperature of an ablation catheter tip while creating a desired lesion using pulsatile delivery of RF energy.

Abstract: Electrical pulses are applied to tissue in a manner which destroys targeted cells such as cancerous cells while sparing non-targeted cells such as nerve cells. The electrical pulses are controlled within ranges for voltage, wattage and duration of application. Multiple pulses or groups of pulses may be applied to obtain a desired result while maintaining any temperature increase below a level which destroys cells.

Abstract: The present invention relates to the field of biomedical engineering and medical treatment of diseases and disorders. Methods, devices, and systems for in vivo treatment of cell proliferative disorders are provided. In embodiments, the methods comprise the delivery of high-frequency bursts of bipolar pulses to achieve the desired modality of cell death. More specifically, embodiments of the invention relate to a device and method for destroying aberrant cells, including tumor tissues, using high-frequency, bipolar electrical pulses having a burst width on the order of microseconds and duration of single polarity on the microsecond to nanosecond scale. In embodiments, the methods rely on conventional electroporation with adjuvant drugs or irreversible electroporation to cause cell death in treated tumors. The invention can be used to treat solid tumors, such as brain tumors.

Abstract: Methods and devices for treating nasal airways are provided. Such devices and methods may improve airflow through an internal and/or external nasal valve, and comprise the use of mechanical re-shaping, energy application and other treatments to modify the shape, structure, and/or air flow characteristics of an internal nasal valve, an external nasal valve or other nasal airways.

Abstract: Devices and methods for sealing and cutting tissue are provided in one exemplary embodiment, the device includes a proximal handle portion, an elongate shaft, and a jaw assembly having first and second jaws. At least one of the jaws includes an electrode that is segmented into a plurality of zones. Each zone includes a parameter monitor, and the parameter monitors provide information about the tissue that is then mapped to define one or more characteristics of the tissue. A controller can then be operated to adjust functionality of the device within each zone based on the mapped parameters/characteristics. Other devices and methods for sealing and cutting tissue are also provided.

Abstract: A grasping treatment apparatus includes an ultrasonic control section stopping an output of a vibration generating electric power or outputting the vibration generating electric power in a second ultrasonic output mode where incision performance provided by an ultrasonic vibration in a treatment section becomes smaller than that in a first ultrasonic output mode before a peak detection point. The grasping treatment apparatus includes a high-frequency control section outputting a high-frequency electric power in a second high-frequency output mode where incision performance provided by a high-frequency current flowing between a probe electrode portion and a jaw electrode portion becomes higher than that in a first high-frequency output mode before the peak detection point.

Abstract: A surgical instrument includes a housing that supports an elongated shaft. A selectively movable drive rod extends through the elongated shaft and carries a cam pin in a longitudinal direction. An end effector for surgically treating tissue is supported by the elongated shaft and includes upper and lower jaw members pivotally coupled to one another about a pivot axis. The upper jaw member includes a first pair of laterally spaced flanges, and the lower jaw member includes a second pair of laterally spaced flanges defining a camming slot for engaging the cam pin. The flanges are arranged in an offset configuration where one flange of the upper jaw member is positioned on a laterally exterior side of a corresponding flange of the lower jaw member, and the other flange of the upper jaw member is positioned on a laterally interior side of the other flange of the lower jaw member.

Abstract: A surgical instrument includes a reusable base component including a handle and an electrically activatable modular component removably coupled to the base component. The modular component includes an end effector operable from the handle to treat tissue. The end effector is responsive to manipulation of the handle. A first energy storage component is disposed onboard the base component and is electrically coupled to a source of electricity. A second energy storage component is disposed onboard the modular component and is electrically insulated from the first energy storage component. The second energy storage component is arranged such that a current may be selectively induced in the modular component by delivery of electrical energy to the first energy storage component.

Abstract: The invention relates to tissue scissors (10) with improved stability and improved handling that have two structurally and electrically different branches (11, 12). While the sliding surface (25) of the first branch (11) has a metal-ceramic hard material layer (30), such as, for example, titanium nitride, the second sliding surface (34) of the second branch (12) has an electrically non-conductive ceramic layer (33). The material mating produces great mechanical resistance to abrasion in the bearing (17) and on the cutting edges (28, 35). At least one of the branches, in particular branch (12), can have a cermet body (36) to improve the cooling of the cutting edge (35 (28)) and/or keep it sharp, to prevent heating of the branches (11, 12) during coagulation and sticking of the tissue.

Abstract: An assembly that consist of a cannula; an electrode and a syringe. The cannula has a hub that defines a set of adjacent bores. A first proximal bore receives the head of the electrode. A second bore receives the head of the syringe. The cannula has a stop that limits the extent to which the electrode can be inserted in the proximal bore. When the syringe is inserted in the cannula hub, the syringe is inserted beyond the stop. The syringe presses against an adjacent surface that defines the second bore to form a seal between the cannula and the syringe.

Abstract: A facet joint surgical tool for treating a facet joint synovial cyst includes rotatable members disposed side-by-side through a minimally invasive sheath and rotatable to reconfigure distal end portions between a facet joint penetration configuration with a tissue piercing tip and a facet joint retraction configuration. Facet joint synovial cysts located to an anterior side of the facet joint are treated by a posterior approach with access to the cyst through the facet joint retracted by the surgical tool. Facet joint synovial cysts located to a posterior side of the facet joint are treated by direct access from a posterior approach.

Abstract: A balloon ablation catheter includes a catheter shaft containing a reinforcement wire in a thick section; a balloon provided at an end of the catheter shaft; and a high-frequency electric current electrode arranged in the balloon; which balloon ablation catheter satisfies L>t, wherein L represents the shortest distance from the surface of the reinforcement wire to the surface of the catheter shaft, and t represents the wall thickness of the thinnest portion of the balloon.

Abstract: Methods and devices for treating and preventing conditions of tubular body structures, such as veins, are disclosed. In one example embodiment, there are provided methods and devices for the treatment of deep vein thrombosis. In another example embodiment, there are provided methods and devices using irreversible electroporation for sterilizing intravenous catheters.

Abstract: Endovascular nerve monitoring devices and associated systems and methods are disclosed herein. A nerve monitoring system configured in accordance with a particular embodiment of the present technology can include a shaft having a proximal portion and a distal portion and a nerve monitoring assembly at the distal portion. The shaft is configured to locate the distal portion intravascularly at a treatment site. The nerve monitoring assembly can include a bipolar stimulation electrode array and a bipolar recording electrode array disposed distal to the bipolar stimulation electrode assembly.

Abstract: Method and devices for delivering pulsed RF ablation energy to enable the creation of lesions in tissue are disclosed. The delivery of RF energy is controlled such that the generator power setting remains sufficiently high to form adequate lesions while mitigating against overheating of tissue. An ablation catheter tip having high-thermal-sensitivity comprises a thermally-insulative ablation tip insert supporting at least one temperature sensor and encapsulated, or essentially encapsulated, by a conductive shell. A system for delivering pulsed RF energy to a catheter during catheter ablation comprises an RF generator and a pulse control box operatively connected to the generator and configured to control delivery of pulsatile RF energy to an ablation catheter comprising at least one temperature sensor mounted in its tip. Also disclose is a method of controlling the temperature of an ablation catheter tip while creating a desired lesion using pulsatile delivery of RF energy.

Abstract: The present invention relates to surgical devices and related methods of use. In particular, the present invention relates to surgical devices used for contacting and treating deeply seated areas of the brain.

Abstract: According to some embodiments, an ablation device comprises an elongate body (e.g., a catheter) having a proximal end and a distal end, a first electrode (e.g., a radiofrequency electrode) positioned at the distal end of the elongate body, at least a second electrode (e.g., a radiofrequency electrode) positioned at a location proximal to the first electrode, the first electrode and the second electrode being configured to contact tissue of a subject and deliver radiofrequency energy sufficient to at least partially ablate the tissue, at least one electrically insulating gap positioned between the first electrode and the second electrode and a filtering element configured to present a low impedance at a frequency used for delivering ablation energy via the first and second electrodes.

Abstract: A method and device for modulating the autonomic nervous system adjacent a pericardial space to treat cardiac arrhythmia includes a treatment source arranged to supply a treatment medium, a catheter having an end sized for insertion into the pericardial space, a medium delivery assembly having a distal end arranged to be positioned by the catheter into the pericardium, with the distal end of the delivery assembly comprising a delivery tip arranged to extend away from the distal end of the catheter into the pericardial space. A connector operatively couples the delivery tip of the medium delivery assembly to the treatment source, and the delivery tip of the medium delivery assembly including a plurality of delivery points for delivering the treatment medium at a plurality of treatment areas within the pericardial space. The device performs modulation or ablation of the autonomic nervous system at selected treatment areas within the pericardium.

Abstract: A method of adjusting an ablation field radiating into tissue includes the initial steps of providing an energy applicator and providing one or more microwave field-detecting needle assemblies. Each microwave field-detecting needle assembly includes one or more rectifier elements capable of detecting microwave field intensity via rectification. The method includes the steps of positioning the energy applicator and the one or more microwave field-detecting needle assemblies in tissue, transmitting energy from an energy source through the energy applicator to generate an ablation field radiating about at least a portion of the energy applicator into tissue, and adjusting the ablation field radiating about at least the portion of the energy applicator into tissue based on at least one electrical signal transmitted by the one or more microwave field-detecting needle assemblies.

Abstract: A microwave energy delivery and measurement system, including a microwave generator and a microwave energy delivery device, for performing medical procedures, and a remote power coupler system for measuring one or more parameters of the microwave energy signal including a remote RF sensor housed in the microwave energy delivery device and a power coupler processer coupled with the processing unit of the microwave energy delivery device.

Abstract: An Automated Surgical instrument is disclosed that is computer controlled and provided with a high degree of autonomy for performing automated procedures within humans and other animals. It may be mobile under its own control and may include a plurality of means to disrupt tissue including lasers and water jets. A method of providing barriers to prevent unwanted damage to tissue is also described. The instrument may be used to construct both artificial and biological structures in-vivo by taking advantage of 3D printing techniques made available by the flexible laser system disclosed, a selection of micro tools, and raw material delivery to the worksite for printing to the target area. The use of vibration generated electricity may avoid the need for wires or batteries. A particular embodiment for automated cataract surgery is described.

Abstract: A handheld device has an array of light sources, for example light emitting diodes. The array is divided into different groups and selection circuitry selects a group of energy sources to be driven at any given time. Control circuitry controls the selection so that the different groups of light sources are driven at different times.

Abstract: In one aspect, recording instruments, probes, probe sheaths, and probe sleeves may include one or more recording elements, such as one or more ECG wires, EEG wires, and/or SEEG wires. A recording element may be used for lesion localization and assessment at the time of cryotherapy, thermal therapy, or temperature modulation therapy. A recording element may be used to provide positioning and monitoring during functional neurosurgery; to apply local tissue stimulation responsive to detection of an abnormal event to regulate cellular behaviors during treatment; to effect deep brain stimulation during a neurosurgical operation; to monitor internal electrical signals and identify abnormalities. Recording instruments may be deployed in vivo for hours or days while monitoring and analyzing signals. For signal analysis, leads disposed between recording element contact surfaces and along a shaft of the recording instrument may deliver recorded signals to a controller external to the patient for analysis.

Abstract: A manufacturing method of a bone cutting assist device includes generating a bone cutting assist device model representing the bone cutting assist device including a fitting surface that fits a surface of a bone model, a cutting slit that guides a cutting jig, a first guide hole for inserting a first rod model, and second guide holes for inserting second rod models. The manufacturing method also includes outputting three-dimensional manufacturing data representing the generated bone cutting assist device model, and manufacturing the bone cutting assist device according to the outputted three-dimensional manufacturing data.

Abstract: Provided is a method for providing procedure guide information using a surgical guide for a dental implant such that convenience of a procedure using the surgical guide is improved.

Abstract: A system and method for a patient-specific surgical procedure is disclosed. The method may include preparing a request for a customized surgical plan, loading the customized surgical plan onto an augmented reality device, and performing an orthopaedic surgical procedure with the augmented reality device in accordance with the customized surgical plan.

Abstract: Systems and methods are disclosed for providing personalized estimates of bioheat transfer through a patient's body or a portion of a patient's body. One method includes receiving a patient-specific vascular model of a patient's anatomy, including at least one vessel of the patient; receiving a patient-specific tissue model including at least a portion of tissue of the patient's anatomy; receiving an estimate of heat content of the portion of tissue of the patient-specific tissue model or tissue surrounding the portion of tissue; determining an estimate of heat distribution of the portion of tissue of the patient-specific tissue model or tissue surrounding the portion of tissue based on the vascular model, the tissue model, or the received estimate of heat content; and output the determined estimate of heat distribution to a storage medium or user display.

Abstract: A method for manufacturing a three-dimensional anatomical structure comprising the steps of obtaining a plurality of medical images containing at least one anatomical region of interest, wherein each anatomical region of interest is defined based on a grey level value on the medical images; segmenting each medical image based on the anatomical region of interest to obtain the grey level value; converting the grey level values of the respective segmented medical images into vector data; interpolating the vector data of each segmented medical image to form a three-dimensional data; and producing a three-dimensional anatomical structure of the region of interest from the three-dimensional data.

Abstract: A method of pre-operatively forming a surgical splint configured to receive a patient's dentition can include combining a 3-D facial computer model and a 3-D dental computer model. The method includes the step of obtaining a 3-D facial computer model of at least the patient's maxilla, mandible, and dentition from a CT scanner and the step of obtaining a 3-D dental computer model of the patient's dentition with an optical scanner. The 3-D dental computer model is then combined with the 3-D facial computer model to form a composite virtual model. The composite virtual model can be manipulated into a planned post-operative shape, and a surgical splint can be custom constructed to match the planned post-operative shape. The surgical splint can be configured to receive the patient's dentition.

Abstract: An optical tracking system and a method using the same capable of detecting an exact spatial position and a direction of a target regardless of the distance from the target to be calculated is disclosed. The optical tracking system and a method using the same according to an embodiment of the present invention has an effect of expanding an available area by detecting an exact spatial position and a direction of a target regardless of the distance from the target to be calculated, as well as, a system downsizing is also achieved by significantly reducing size of the marker unit compared with conventional system.

Abstract: Disclosed is a system for determining a location and configuration of an expandable member. A flexible coil can be provided on a shape changing portion, such as an expandable portion, to measure a signal as the shape changes.

Abstract: A system for navigating a medical device is provided. In one embodiment, a magnetic field generator assembly generates a magnetic field. Position sensors on the medical device, on an imaging system and on the body generate signals indicative of the positions within the magnetic field. The generator assembly and reference sensors are arranged such that a correlation exists between them and the positions of the body and of a radiation emitter and a radiation detector of the imaging system. An electronic control unit (ECU) determines, responsive to signals generated by the sensors, a position of the medical device, a position of one of the radiation emitter and detector and a distance between the emitter and detector. Using this information, the ECU can, for example, register images from the imaging system in a coordinate system and superimpose an image of the device on the image from the imaging system.

Abstract: A shape sensing apparatus comprises an instrument including an elongated shaft with a neutral axis. The shape sensor also includes a first shape sensor with an elongated optical fiber extending within the elongated shaft at a first radial distance from the neutral axis. The apparatus also includes a shape sensor compensation device extending within the elongated shaft and including a temperature sensor. The apparatus also comprises a tracking system for receiving shape data from the first shape sensor and compensating data from the shape sensor compensation device for use in calculating a bend measurement for the instrument.

Abstract: A surgical method and workflow to improve the efficiency of a surgical procedure by intraoperatively acquiring a digital radiographic image, processing the digital radiographic image, and using information based on the radiographic image to make adjustments during the surgical procedure. A checklist of parameters may be displayed so that the surgeon can confirm all considerations have been made for the surgical procedure.

Abstract: A flexible-manipulator guide member is provided in an inserted portion of a flexible manipulator including the elongated flexible inserted portion, the movable portion disposed at the distal end of the inserted portion, a drive portion disposed at the base end of the inserted portion, and the elongated driving-force transmitting member that transmits motive power of the drive portion to the movable portion, and is provided with a lumen through which the driving-force transmitting member passes in the longitudinal direction, wherein the lumen has a twisted shape about the longitudinal axis of the inserted portion.

Abstract: A tomography apparatus has a gantry with an exterior surface, and a tunnel-shaped opening proceeding through the gantry that defines an examination region, from which tomographic data are acquired from a patient in the opening. An illuminant is integrated into the gantry. The illuminant has a light exit window with a smooth transition to the exterior surface of the gantry.

Abstract: A method for illuminating a treatment target includes providing a medical device and a malleable waveguide, and positioning the medical device and the malleable waveguide into the treatment target. The method also includes deforming the medical device to conform with a native anatomy in the treatment target, and deforming the malleable waveguide to conform with the native anatomy in the treatment target. The deformation of the malleable waveguide cooperates with the deformation of the medical device. The method also includes performing a medical procedure with the medical device and illuminating the treatment target with light from the malleable waveguide.

Abstract: Disclosed herein, a power supply may be recharged with a generally used system. In various embodiments, cleaning systems may be used to affect a generator to cause the generator to charge a power supply. Such charging systems may be used without the need for separate or specialized power charging systems. A charging source or system may, therefore, also charge a power supply without requiring additional steps.

Abstract: A washer machine for medical instruments comprises a washing chamber, at least a sliding loader trolley at least to load the medical instruments into the washing chamber and a washing device to wash the medical instruments, comprising a multiple connection unit and a plurality of flexible washing pipes connectable to the aperture of the medical instrument to be washed. The multiple connection unit comprises a free multiple connector, autonomous and unconstrained from the sliding loader trolley and connectable to said flexible washing pipes, and a static and fixed multiple counter-connector disposed in the washing chamber. A releasable manual mechanical clamping device is provided for the selective connection of the free multiple connector to the static and fixed multiple counter-connector.

Abstract: The invention relates to a dental device (1) comprising a housing with a tool portion (2) and a handling portion (3); at least on dental tool (49 located in the tool portion (2) of the housing; an interface device (5) for activating the at least one tool located in the handling portion of the housing, wherein the interface device (5) comprises a touch sensor with a touch surface and being adapted to translate wiping of a use's finger on the touch surface (6) into an instruction to operate the dental tool (4). The invention also relates to a method for activating a dental device.

Abstract: A device for inserting a threaded dental implant (I) in a patients jawbone as well as for loosening and removing a threaded dental implant (I) mounted and possibly osseointegrated in the alveolus jaw-bone of a patient. An ultrasonic vibration actuator, e.g. a piezoelectric transducer, generates ultrasonic vibrations with a frequency within the range 20-50 kHz, preferably within 24-36 kHz, and preferably in a direction around the longitudinal axis of the dental implant (I). The actuator, being a handpiece (H) structurally connected with a handpiece head (HD). A fitting-means (F), e.g. a socket, is positioned in the head (HD) of the handpiece (H), the head (HD) being arranged for entering the patient's mouth. The fitting-means (F) is shaped to provide a rigid engagement directly with the dental implant (II, I2) or indirectly by an adaptor (AD1, AD2) being rigidly tightened on top of the dental implant (II, I2) platform.

Abstract: The invention is directed to improved jigs or mandibular positioning bite blocks for positioning the mandible relative to upper jaw for treatment of obstructive sleep apnea and/or snoring, as well as a system for mandibular advancement positioning. The invention provides for controlled variations for both (1) forward (protruded) and back positions in the anterior plane of the mandible relative to the jaw and (2) bite opening positions in the vertical plane.

Abstract: A method and system for optimizing stiffness of an orthodontic archwire for a tooth malocclusion of a patient with a computer system, the method including: constructing a model of a patient's teeth in the computer system; inputting material properties of the archwire to the computer system; and determining an adjusted stiffness of a first section of the orthodontic archwire, the first section associated with the tooth malocclusion of the patient. In some cases, the adjusted stiffness may be determined based on different variables associated with the patient's teeth, which may include at least one of interbracket distance, malocclusion magnitude, bracket slot size, wire size, teeth size or extent of stiffness modification of the archwire.

Abstract: The present disclosure provides computing device implemented methods, computing device readable medium, and molds for filling undercut areas of teeth relative to an axis of placement. Filling undercut areas of teeth relative to an axis of placement can include calculating an undercut area of a tooth relative to an axis of placement of part of a dental appliance over a number of teeth and a height of contour that is defined based on the axis of placement. Filling undercut areas of teeth relative to an axis of placement can also include filling in a part of the undercut area of the tooth with a virtual filler wherein the undercut is filled to within a threshold distance from the tooth that is defined relative to the axis of placement and the height of contour.

Abstract: An orthodontic bracket for receiving an arch wire of orthodontic patients having both primary teeth and permanent teeth, the orthodontic bracket including a pad sized to fit on one of the primary teeth, the pad extending a first distance generally in a longitudinal direction and a second distance generally in a lateral direction, the first distance being greater than the second distance. An eyelet can extend from the pad, the eyelet including an aperture defined through the eyelet, the aperture having a central axis oriented transverse to the lateral direction. The aperture can slidingly receive the arch wire. A method including bonding the pad of the orthodontic bracket to one of the primary teeth of the patient.

Abstract: The present invention relates to an implant and, more specifically, has a fixture having a circular ball shape and a socket structure of an abutment body coupled to the fixture, and thus enables improvement of the matching between the fixture and an abutment which are an implant structure during an implant procedure.

Abstract: The invention relates to a device for detecting the three-dimensional geometry of objects (9), in particular teeth, comprising a handpiece (1) which is provided with at least one position sensor (12) for detecting the change of the spatial position of the handpiece (1), and an optical device (2) having at least one camera (5, 6) for capturing images and at least one light source (3) for at least one projector (4). The position sensor (12) in the handpiece (1) initially determines the size of the change of the spatial position of the device. It is determined therefrom, how many pictures the camera (5, 6) can take in a defined time unit.

Abstract: The disclosure is related to a device and method for obtaining a complete and accurate three-dimensional surface image of a target object by registering a three-dimensional optical image with a volume data obtained by X-ray imaging. The device for generating a three-dimensional surface image for dentistry includes a three-dimensional imaging module including an optical camera which obtains a three-dimensional optical image of the target object and an X-ray imaging unit which obtains X-ray images of the target object in multiple directions, a reconstruction unit generating a volume data by reconstructing the X-ray images, and an image processing unit registering the three-dimensional optical image with the volume data and generating a three-dimensional surface image of the target object by substituting a different portion of the three-dimensional optical image with a boundary of the volume data.