Abstract: An ultrasonic diagnostic apparatus according to an embodiment comprises an ultrasonic probe, image generation circuitry, and processing circuitry. The ultrasonic probe performs ultrasonic scanning on a two-dimensional region of a subject. The image generation circuitry generates ultrasonic image data corresponding to the two-dimensional region. The processing circuitry calculates a characteristic amount of a structure that is detected from each of a plurality of pieces of ultrasonic image data generated by the ultrasonic scanning at different positions. The processing circuitry outputs information based on a comparison result of the calculated characteristic amounts.

Abstract: In contrast agent imaging, a beamformer and transducer scan a region of a patient having contrast agents. A detector detects the contrast agents with at least two different contrast agent imaging techniques from ultrasound data resulting from the scanning. A processor compares responses of the contrast agents detected between the at least two different contrast agent imaging techniques and selects a relative contribution of the at least two different contrast agent imaging techniques. The selection is based on the comparing. Contrast agent imaging of the patient is performed using at least one of the contrast agent imaging techniques. The performance is based on the selected relative contribution.

Abstract: In multi-modality imaging fusion with ultrasound, one transducer is used for registering ultrasound scan data with scan data from another mode. This registration is used to then align scan data from a different ultrasound transducer with the scan data of the other mode. The alignment may account for differences in position sensing between the two transducers.

Abstract: An ultrasound diagnosis apparatus is configured to generate an ultrasound image based on an ultrasound signal obtained by an ultrasound probe having an ultrasound transducer that transmits ultrasound to a subject and receives the ultrasound reflected from the subject. The apparatus includes: an analysis unit that analyzes a frequency of the ultrasound signal to calculate a frequency spectrum of the ultrasound signal for each reception depth; a calculation unit that calculates, in a predetermined order, a distance change rate and a frequency change rate in the frequency spectrum or in a function defined by using the frequency spectrum, to calculate a second-order change rate of the frequency spectrum or of the function; and an estimation unit that estimates an attenuation rate of the ultrasound signal, per unit distance and per unit frequency, in a predetermined region within a scanning region of the ultrasound transducer using the second-order change rate.

Abstract: An ultrasound apparatus comprising a plurality of ultrasonic transducers, a non-acoustic sensor, a memory circuitry to store control data for operating the ultrasound apparatus to perform an acquisition task, and a controller. The controller is configured to receive an indication to perform the acquisition task, receive non-acoustic data obtained by the non-acoustic sensor, and control, based on the control data and the non-acoustic data, the plurality of ultrasonic transducers to obtain acoustic data for the acquisition task.

Abstract: Systems and methods (the “utility”) presented herein provide for the assessment of acousto-electrical probes, such as their connections (e.g., transducer leads) and their response characteristics. For example, the utility may provide for readily evaluating transducer leads that have been broken and/or detached from transducers within an ultrasound probe. Due to the increasing complexity of ultrasound probes, identification of broken and/or detached transducer leads also becomes increasingly complex. Being able to identify such disconnected transducer leads may enable a person to repair, or “reterminate”, these transducer leads leading to a potentially substantial cost savings, the least of which being incurred by avoiding total replacement of an ultrasound probe.

Abstract: Embodiments include methods, systems and computer program products for monitoring a user of a helmet for traumatic brain injury. Aspects include obtaining a saliva specimen from a mouthguard and providing the saliva specimen to a lab on chip. Aspects further include determining whether the saliva specimen contains a biomarker that indicates the user suffered a traumatic brain injury and creating an alert that the user of the helmet has suffered a traumatic brain injury.

Abstract: Devices for collecting a fluid sample from the oral cavity, the device including a mouthpiece that includes a chamber, the chamber including front and rear inner walls; and means for collecting the fluid sample from the oral cavity; and methods of collecting and analyzing samples of fluid from the oral cavity, including the steps of placing the device in the oral cavity, collecting the fluid sample and conducting an analysis of the fluid sample.

Abstract: A sample collection apparatus or device, various abrasive devices or components, and methods for their use, are provided for collecting samples from within a mammalian body. Tissue collection and sample preparation is the gold standard in cytology. Many cell scrapers and abrasives and their respective methods of collection destroy cellular tissue, decreasing the quality of the sample. Devices for obtaining cell and tissue samples, can comprise a collection device which is inserted into a cavity, a finger worn collection device, a glove based collection device and respective abrasive instruments or components.

Abstract: What is described is a minimally invasive system comprising an elongate sheath and an elongate instrument slidably disposed within a lumen of the sheath. The sheath includes a flexible tube portion including a plurality of slots, a sheath element, and a rigid tube section, wherein the flexible tube portion is fixedly coupled to a distal end of the sheath element, and the rigid tube section is fixedly coupled to a distal end of the flexible tube. The lumen extends through the sheath element, the flexible tube portion, and the rigid tube section and defines a longitudinal axis of the sheath. The instrument includes a rigid distal portion adapted to slide between a retracted configuration in which the rigid distal portion is retracted within the rigid tube section and an extended configuration in which the rigid distal portion at least partially extends from the rigid tube section.

Abstract: A rigid endoscope for prostate biopsy includes: an insertion portion including a distal end portion including an ultrasound transmission and reception portion, and a bent portion bent at a predetermined curvature; a treatment instrument insertion channel that passes through inside the bent portion and includes a first opening portion provided on a distal end side and a second opening portion provided on a proximal end side; a shaft-shaped portion installed to extend in a proximal end direction of the bent portion along a straight line passing through an inflection portion provided between the distal end portion and the bent portion; and a grasping portion that includes the shaft-shaped portion.

Abstract: A medical device may include a longitudinally extending body. The longitudinally extending body may define an exterior surface and be configured for into a body of a patient. The medical device may further include a sheath coupled to and surrounding at least a portion of the longitudinally extending body. The sheath may have a selectively expandable mesh of interconnected filaments defining openings between adjacent filaments of the mesh. Further, the mesh may be configured to expand to pass a medical device along the longitudinally extending body, between the sheath and the exterior surface, and through an opening between adjacent filaments of the mesh.

Abstract: A post that is configured to be coupled to a head of a bone fixation element that is attached to a bone part can include a post body that is elongate along a first direction and defines a proximal end and a distal end that is spaced from the proximal end along the first direction. The post body can include an internal surface that defines a socket at the distal end. The socket can be configured to receive the head of the bone fixation element. The post can further include a locking member that is disposed within the socket such that when the socket receives the head of the bone fixation element the locking member couples the post body to the bone fixation element. The post body is polyaxially pivotable relative to the head when the post body is coupled to the bone fixation element.

Abstract: In intervertebral operative spinal procedures, using separate or pre-attached spreader blocks to control the directional growth of a distracting balloon.

Abstract: Organ manipulation devices for atraumatically grasping the surface of an organ and repositioning the organ to allow access to a location on the organ that would otherwise be substantially inaccessible. Methods of accessing a beating heart, retracting the heart using an organ manipulation apparatus, and stabilizing a surgical target area with a stabilizer. Both the organ manipulator and stabilizer are fixed to a stationary object which may be a sternal retractor. A system for performing beating heart coronary artery bypass grafting includes a sternal retractor, organ manipulator and stabilizer.

Abstract: The present invention is a retractor for displacing an organ within the body cavity or the inner wall of a hollow organ, the retractor being provided with: a housing tube; an expansion body which can be housed into and extend from the housing tube; and a grip connected to the proximal ends of the housing tube and the expansion body. The expansion body is provided with: a displacing part configured from a movable wire and multiple fixed wires disposed in the periphery of the moveable wire; and an introduction tube which is disposed along the displacing part and through which the movable wire penetrates. Moreover, when the expansion body is expanded, the displacement part is designed so that, from among the expansion angles formed by two adjacent fixed wires, one expansion angle (?2) becomes larger than the other expansion angle (?1).

Abstract: A thin film metallic glass coated needle includes a needle body, a needle head and a thin film metallic glass in amorphous structure and formed on a surface of the needle head and a surface of the needle body to reduce a surface energy and coefficient of friction. The thin film metallic glass is a titanium based comprising 35-45 at % titanium, 5-15 at % zirconium, 32-42 at % copper, 1-11 at % niobium and 2-12 at % cobalt.

Abstract: An orthopedic ligation assembly includes a bone anchor having an eyelet and a suture line formed in a continuous loop and loaded onto the bone anchor, the suture line passing through the eyelet of the bone anchor to form a first looped portion on a first side of the bone anchor and a second looped portion on a second side of the bone anchor. The suture line can be pre-loaded onto the bone anchor prior to implantation of the bone anchor in a configuration that prevents unloading of the suture line from the anchor. The suture line can include a plurality of differentiable sections providing a surgeon with the ability to differentiate separate portions of the suture line during an orthopedic procedure.

Abstract: Apparatus and methods for positioning and securing anchors are disclosed herein. The anchors are adapted to be delivered and implanted into or upon tissue, particularly tissue within the gastrointestinal system of a patient. The anchor is adapted to slide uni-directionally over suture such that a tissue plication may be cinched between anchors. A locking mechanism, either within the anchor itself or positioned proximally of the anchor, may allow for the uni-directional translation of the anchor while enabling the anchor to be locked onto the suture if the anchor is pulled, pushed, or otherwise urged in the opposite direction along the suture. This uni-directional anchor locking mechanism facilitates cinching of the tissue plication between the anchors, and it may be utilized in one or several anchors in cinching a tissue fold.

Abstract: The present disclosure is directed to suture anchors, and techniques for using the same, that may lead to greater patient recovery than previously obtained. In some embodiments, one or more lengths of suture are fixed relative to an anchor device. Additional lengths of suture may be sliding relative to the anchor device. The sutures may be placed in a strategic manner to minimize the stress concentration and maximize tissue compression throughout the soft tissue. The suture anchors and techniques described herein may eliminate the need to tie knots, thus adding to the security of the procedure while also reducing operative time. The suture anchors and techniques may also reduce and/or eliminate the potential failures after rotator cuff repair.

Abstract: A needle driver includes a first elongated body that defines an interior chamber. A second elongated body defines an interior space, and is slideable within the interior chamber defined by the first elongated body between a retracted position and an extended position. The needle driver also includes a clamping device having a clamping end and a connecting member, which is affixed to the first elongated body and coupled within the clamping end. A biasing shaft is slideably disposed within the interior space defined by the second elongated body. An actuator is affixed to the biasing shaft and is slideable in a proximal direction and a distal direction.

Abstract: A substantially U-shaped staple has a bridge, legs, and an internally disposed compression device with a bias portion having a compression surface movably disposed between the legs and a compression resistor connected to the bridge and to the compression surface and is formed to resist movement of the compression surface towards the bridge with a force.

Abstract: Disclosed herein is a needle for being connected to a suture, including: a body having a tip portion disposed at one end portion thereof and a rear end portion disposed at the other end portion thereof; and a suture connection part formed in a side surface portion of the body, wherein the suture connection part includes a reception path extended toward a lengthwise axial portion of the body and receiving a portion of the suture therein, and a closure member constituting a portion of the body and deformed by external force after a portion of the suture is received in the reception path, thereby closing a portion of the reception path.

Abstract: A fastening system includes first and second fastening members and a penetrating member. The first fastening member includes a backspan and a set of lobes that extend from the backspan. The second fastening member includes a backspan and a set of lobes that extend from the backspan. The penetrating member includes a first body which is substantially planar, a set of teeth, and a first trailing wall that extends from the first body orthogonal to a plane that is defined by the first body. The set of teeth extend from a leading edge of the first body which is opposite a trailing edge of the first body and are configured to pierce and spread tissue over the set of lobes of the first fastening member. The first trailing wall is configured to support the backspan of the first fastening member.

Abstract: A method for applying and maintaining compression with a staple includes piercing a material with deformable ends of staple legs. The legs enter the material until the material applies a pre-set compressive force within a pre-defined compression range to a compression device disposed at least partly between the legs. The compression device has a compression resistor connected to a compression surface. The compression surface is movably disposed with respect to the bridge. Movement of the compression surface towards the bridge is resisted with a force imparted by the compression resistor. The legs are deformed to maintain at least some of the compressive force between the material and the compression device. Forces greater than the pre-set force are absorbed with the compression resistor. The pre-set compressive force to the material is maintained within the pre-defined compression range throughout a state change of the material.

Abstract: A surgical suturing system comprises a shaft having a proximal end, a distal end, a longitudinal axis between the proximal and distal ends, and receiver on the distal end with a rotary drive. A cartridge is selectively attachable to and detachable from the receiver. The cartridge has a surgical needle, a length of suture connected to the needle, a needle driver operative to engage and move the needle relative the cartridge, a transmission operatively connected to the needle driver, and a torsional interface rotationally coupling the rotary drive to the transmission.

Abstract: A rotary drive arrangement for a surgical instrument that includes a surgical end effector. In one form, the rotary drive arrangement includes a drive shaft assembly that is selectively axially movable between a first position and a second position. A rotary transmission operably interfaces with the drive shaft assembly such that when the drive shaft assembly is in the first axial position, application of one of the rotary drive motions to the drive shaft assembly causes the rotary transmission to apply a first rotary control motion to the surgical end effector and when the drive shaft assembly is in the second axial position, application of the rotary drive motion to the drive shaft assembly causes the rotary transmission to apply a second rotary control motion to the surgical end effector.

Abstract: Apparatus and methods for endoscopic colectomy are described herein. A colectomy device having a first and a second tissue approximation device is mounted on a colonoscope separated from one another. During deployment of the colectomy device, a diseased portion of the colon is positioned inbetween the tissue approximation devices. The tissue approximation devices are radially expanded such that they contact and grasp the colon wall at two sites adjacent to the diseased portion of the colon. The diseased portion is separated from the omentum and is transected using a laparoscope or is drawn into the colonoscope for later removal. The tissue approximation devices are then urged towards one another over the colonoscope to approximate the two free edges of the colon into contact together where they are fastened to one another using the tissue approximation device as a surgical stapler to create an end-to-end anastomosis.

Abstract: Detachment of a medical device from a delivery assembly can be electrolytic and provide flushing with an infusion of fluid to enhance detachment procedures. A device providing such capabilities can include a catheter having a lumen; a core member extending through the lumen; an implant attached to the core member by an electrolytic detachment junction, the detachment junction being radially adjacent to an electrode within the lumen; and a pump in fluid communication with a distal end region of the catheter through the lumen, the pump being configured to provide a flow of a fluid between the return electrode and the detachment junction. The implant can be positioned at a target location. The electrode can be positioned radially adjacent to the detachment junction. A voltage potential is applied while a fluid is flushed between the detachment junction and the electrode through the lumen of the catheter.

Abstract: Various systems and methods are provided for reducing pressure at an outflow of a duct such as the thoracic duct or the lymphatic duct. In one embodiment, an indwelling catheter can be configured to be at least partially implanted within a vein of a patient in the vicinity of an outflow port of a duct of the lymphatic system. The catheter can include first and second restrictors each configured to at least partially occlude the vein within which the catheter is implanted and thus to restrict fluid flow within the vein when the restrictors are activated. The restrictors can each be configured to move between an activated configuration, in which the restrictor occludes the vein, and a relaxed configuration, in which the restrictor does not occlude the vein. The catheter can include a pump, such as an axial motor pump, configured to pump fluid through the catheter.

Abstract: A medical filler delivery assembly includes a micro catheter for delivering filler material such as filamentary material into an aneurysm in a vessel. The assembly also includes a positioning mechanism which includes a support element made of knitted wires, as well as an expansion mechanism for expanding the support element within the vessel. The support element is able to trap the micro catheter in position and in practice such that its distal end is disposed within the aneurysm sac. The knitted wire configuration of the support element provides sufficient holding force to the distal end of the micro catheter and also has an open structure which permits continuation of fluid flow through the vessel. The entire assembly can be removed from the vessel after the delivery of filamentary material, thereby not retaining within the vessel any foreign object such as a stent.

Abstract: According to embodiments of the present invention, an embolic device for embolizing a target vascular site is provided. The embolic device includes a biodegradable shape memory element having an original shape and a deformed shape, wherein the biodegradable shape memory element in the deformed shape is in at least one dimension of a smaller size than the biodegradable shape memory element in the original shape, and wherein the biodegradable shape memory element is provided in the deformed shape and configured to resume the original shape in response to an external stimulus being applied to the biodegradable shape memory element in its deformed shape, to embolize the target vascular site and prevent fluid flow through the target vascular site. According to further embodiments of the present invention, an apparatus for embolizing a target vascular site and a method thereof are also provided.

Abstract: Detachment of an implant from a delivery assembly can be electrolytic. A distal end of a core member and a proximal end of an implant can be joined together by one or more weld joints disposed axially between the distal end and the proximal end, the one or more weld joints being further disposed at a radially outermost periphery of the distal end and a radially outermost periphery of the proximal end. Delivery of a detachable implant as described herein can include advancing, to a target location within a patient, an implant having a proximal end and being connected to a distal end of a core member by one or more weld joints, as described above, and separating the implant from the core member by corroding the one or more weld joints.

Abstract: Various aspects of the present disclosure are directed toward apparatuses, methods, and systems as relating to occlusion. In certain instances, the apparatuses, methods, and systems may include a device for placement in vessels, appendages, and openings in a body. The device may include a unitary frame having a face portion that includes a center frame portion a plurality of elongate members.

Abstract: A device for occluding a vasculature of a patient including a micrograft having an absorbent polymeric structure with a lumen of transporting blood. The micrograft has a series of peaks and valleys formed by crimping. The occluding device is sufficiently small and flexible to be tracked on a guidewire and/or pushed through a microcatheter to a site within the vasculature of the patient. Delivery systems for delivering the micrografts are also disclosed.

Abstract: A spiked head assembly for a tibial jig for use during an orthopaedic surgical procedure, includes a body and a mount for mounting the spiked head assembly on the tibial jig. The spiked head assembly comprises an elongate member having a central longitudinal axis, a first end and a second end and superior and inferior surfaces. The elongate member also has least one securing spike provided on the inferior surface towards the second end of the elongate member and configured to engage with a bone mass and arms extending from the elongate member in a direction perpendicular to the inferior surface. The arms are spaced apart from a plane that includes the central longitudinal axis and extends substantially perpendicularly to the inferior surface, so that the arms and the inferior surface define an access space for the surgical procedure.

Abstract: An angled instrument assembly includes an angled sleeve, a driver shaft, and a tool bit. The angled sleeve includes a straight passage segment that meets an angled passage segment at a junction. The junction includes an inner elbow and an outer elbow. Material is removed from the inner surface of the inner elbow in order to improve the ease with which the driver shaft can be moved in and out of the angled sleeve. The assembly can also include drafted female or male engagement bodies for facilitating the engagement and disengagement of the tool bit with a tool bit engagement assembly located at the distal end of the driver shaft.

Abstract: Disclosed herein are systems and methods for bone preparation with designed areas having accurate tolerance profiles to enable improved initial fixation and stability for cementless implants and to improve long-term bone ingrowth/ongrowth to an implant. A method of preparing a bone surface to receive a prosthetic implant thereon having an articular surface and a bone contacting surface includes resecting the bone surface at a first location to create a first resected region having a first tolerance profile with a first cross-section, resecting the bone surface at a second location to create a second resected region having a second tolerance profile with a second cross-section less dense than the first cross-section, and contacting the bone contacting surface of the prosthetic implant with the first resected region.

Abstract: An acromioclavicular joint guide for forming multiple drill tunnels spaced apart by a predetermined distance employs two drill guides in a pivoting arrangement allowing one drill guide to pivot around the axis of the other. The drill guides are each disposed in a respective sleeve of a pivot block for insertion toward the surgical member along nonintersecting axes defined by the sleeve. An elongated arm attaches to the pivot block at a proximate end and has a aimer point at a distal end, in which the arm may extend around the surgical member via an inverted portion or bend such that that aimer point is on the insertion axis of the primary drill guide. In this manner the aimer point locates an exit of the hole from the insertion point defined by the primary drill guide, and the pivotal drill guide defines a second tunnel at the predetermined distance.

Abstract: Systems and methods are described for a sternal osteotomy guide and sternal fixation system.

Abstract: Described herein are low-profile electrodes for use with an angioplasty shockwave catheter. A low-profile electrode assembly may have an inner electrode, an insulating layer disposed over the inner electrode such that an opening in the insulating layer is aligned with the inner electrode, and an outer electrode sheath disposed over the insulating layer such that an opening in the outer electrode sheath is coaxially aligned with the opening in the insulating layer. This layered configuration allows for the generation of shockwaves that propagate outward from the side of the catheter. In some variations, the electrode assembly has a second inner electrode, and the insulating layer and outer electrode may each have a second opening that are coaxially aligned with the second inner electrode. An angioplasty shockwave catheter may have a plurality of such low-profile electrode assemblies along its length to break up calcified plaques along a length of a vessel.

Abstract: A tongue manipulation device (10) has a tissue anchor (20) for attachment to the tongue, a bone anchor (22) typically for attachment to the mandible and a tether line (24) which fixes the tissue anchor to the bone anchor. The bone anchor comprises a tether line spool arrangement which comprises a spool (46) rotatable about a spooling axis and a spooling locking arrangement (54). The spooling locking arrangement is controlled by rotation about the spooling axis between spooling locking and permitting configurations. In this way, the physician implanting and setting the device can perform titration and subsequent locking as two independent operations.

Abstract: This invention is an advanced tissue gripping forceps with novel design of forcep's jaw best suitable for medical surgery. The novel tissue holding forceps has first and second arms with two ends each i.e Head and rear end; and jaws at the heads of each arms of the forceps. The rear ends of two arms of the forceps are coupled together. The second ends, the head of the First and Second arms of the forceps form opposing First and second jaws which are resiliently biased apart. The First and second jaws each include a plurality of sharp, directly opposing sharp elongated teeth to grip the tissue firmly during the use. The both jaws has a deep “CUT” in the center which makes jaw as “U” shape. This novel design enable fast and easy surgical operations by reducing the time of operation by facilitating the stitching and other surgical operations.

Abstract: A surgical assembly includes a tensioner having a first end and a second end. A tension member extends from the first end of the tensioner. A mounting member is connected to the second end of the tensioner. An arm extends from the first end of the tensioner and includes a series of relatively moveable links that define an axial bore configured for disposal of the tension member. Each link defines a first mating surface and a second mating surface disposed in a configuration such that tensioning of the tension member interlocks the first mating surface with the second mating surface of an adjacent link in the series to selectively fix the links in a selected orientation.

Abstract: A support tool that is used with a liquid ejection device ejecting liquid and including an operation section operated by an operator and a device main body section and is capable of supporting a plurality of cylindrical members including a tube group connected to the operation section and the device main body section, the support tool including a first support section capable of supporting a first cylindrical member among the plurality of cylindrical members in such a way that the first cylindrical member is immobile in the axial direction thereof and second support sections capable of supporting second cylindrical members different from the first cylindrical member in such a way that the second cylindrical members are movable in the axial directions thereof, wherein the first support section and the second support sections are integrated with one another.

Abstract: Devices and methods are described for penetrating hard plaque that partially or completely occludes blood vessels and disturbs blood flow through the blood vessel. The device includes a distal pre-loaded spring that can store energy and release it as impact at the device distal tip, in order to penetrate or break through hard plaque that is blocking blood path in blood vessels.

Abstract: Multiple tools may be inserted into a body and/or controlled using a laparoscopic access system. For example the lap-aroscopic access system, may include a rigid tube adapted for insertion into a human body and long enough for laparoscopic use; a handle including a manipulator coupled to the tube; and a tool body including a tool head, slidably received in the rigid tube and long enough to extend from the manipulator with the tool head extending out a distal opening of the rigid tube and wherein the tool body mechanically couples force from the manipulator to the tool head.

Abstract: A surgical handle for a surgical instrument, in particular a shaft-type instrument for actuating a tool that is distally arranged on an instrument shaft, includes a handle housing on which at least one handle is mounted so as to be movable relative to the handle housing. The handle is coupled via a toggle mechanism to a sliding element that is axially movable in the handle housing in order for the sliding element to be moved as the handle is actuated from the starting position against the restoring force of a spring element, the spring element being embodied by the toggle mechanism.

Abstract: This disclosure relates to elongated needle assemblies and methods of their manufacture and use.

Abstract: Aspects of the present disclosure are directed toward apparatuses, methods, and systems that may include a blade comprising a leading point configured to puncture skin of a patient. In addition, the apparatuses, methods, and systems may also include a housing configured to hold the blade and provide a surface for a user to control the housing and the blade, the opening comprising sidewalls configured to control a depth to which the blade extends under the skin of the patient, and a motor arranged with the housing and configured to mechanically vibrate the blade.