Abstract: The invention relates to a method of creating a curvilinear cavity within a vertebral body or other body structure. The invention also relates to devices that may be used to perform the steps to create the curvilinear cavity. One such device is a curved drill including a lever and cam sub assembly. The curved drill can include a spring assembly that controls the curvature of the drill. The lever and cam sub assembly can be provided to allow tension to be reduced in the spring assembly.

Abstract: Disclosed herein are minimally invasive systems and method for stabilizing the spine, while preserving a degree of spinal flexion and extension of the spine at the level of the stabilized vertebrae postoperatively. The systems and methods can include an expandable anchor and rod that span an intervertebral disc. The anchor can have interstices, and ends in two adjacent vertebral bodies. The system can also include a volume of bone cement media.

Abstract: A bidirectional torque limiting driver with a handle, internal wall, movable head and a tool mounted thereon, with flexible torque limiting flex ramp(s) formed on said internal wall, whereby said ramps move under sufficient force to impart a predetermined torque to a tip is disclosed.

Abstract: Systems, methods, and devices allow intravascular or percutaneous mapping, orientation and/or ablation, in bodily cavities or lumens. A device includes elongate members, moveable between an unexpanded configuration and an expanded or fanned configuration. The elongate members form a stack in the unexpanded configuration to fit through a catheter sheath. The elongate members follow respective arcuate or curvilinear paths as advanced from the sheath into the bent or coiled stack configuration, adopting volute, scroll or rho shapes, and may be nested. The elongated members are fanned or radially spaced circumferentially with respect to one another into the expanded or fanned configuration. Transducer elements carried by elongate members sense various physiological characteristics of or proximate tissue, and/or may apply energy to or proximate tissue. The elongate members are rotatable in groups or as a group in the expanded configuration. The device is retractable.

Abstract: A vessel dissector for harvesting a target vessel has a tubular member carrying a blunt transparent tip with a terminus for blunt dissection of tissue and a base affixed to the tubular member. An active ring set has first and second ring segments mounted to distal ends of respective manipulator bars in the tubular member. The ring segments juxtapose to define a closed loop with an inner diameter larger than the outside diameter of the tip base. The ring segments are movable between a retracted position nested at the base and respective extended positions distally forward of the terminus. At least one of the ring segments is energizable to cut and cauterize a cylindrical pedicle including the target vessel. The ring segments independently extend longitudinally to provide a variable gap between the ring segments to capture, cut, and cauterize side branches to the target vessel between the ring segments.

Abstract: A vessel dissector for harvesting a target vessel from a donor has a generally cylindrical tip body with a sloping channel formed along a longitudinal side. A channel bottom provides a channel depth that decreases from a distal channel end to a proximal channel end. The tip body has a crescent-shaped forward lip extending distally from the channel. An arcuate collar is slidably disposed in an arcuate recess within the tip body to selectably bridge the channel at the distal end of the channel to form a ring profile with the forward lip. A first ferromagnetic heating element is disposed along a radially outward surface of the forward lip. A second ferromagnetic heating element is disposed on a distal edge of the arcuate collar. The first and second ferromagnetic heating elements are adapted to be energized simultaneously to make a vasiform cut including a pedicle around the target vessel.

Abstract: A control system for use with an electrosurgical generator which delivers electrosurgical energy to tissue has a control module. The module includes a processor executing an algorithm. The algorithm has the steps of determining a sensed voltage value corresponding to a sensed voltage signal output by the electrosurgical generator and determining a sensed current value corresponding to a sensed current signal output by the electrosurgical generator. The algorithm has the steps of determining phase information corresponding to a phase shift between the voltage signal and the current signal and determining a characteristic related to the electrosurgical energy delivered to the tissue using the phase information, the sensed voltage value and the sensed current value.

Abstract: Removal of damaged tissue itself can enable biosynthetic activity in vivo as an unburdened homeostatic or repair response. By removing a biologic and mechanical irritant, the lesion site can be altered to a more favorable perturbation-specific mechanotransductive environment supportive of differentiated gene expression. One aspect of one embodiment of the present invention provides an engineered irrigant that produces ion exchanges in tissues for example deliver of protons which interact with biology tissues.

Abstract: An electrode head is disclosed that utilizes electrically conductive or dissipative fabric to exchange electrical energy with tissue. This electrode head may be used for any appropriate application, such as a catheter electrode, a return electrode, or the like. Any appropriate function may be provided by this electrode head, such as tissue ablation, tissue mapping, or providing an electrical ground.

Abstract: Tissue ablation devices are provided. Aspects of the tissue ablation devices include an elongated member having a proximal and distal end. At the distal end are first and second jaws that are configured to apply ablation energy to tissue disposed between the jaws during use. Each jaw includes a surface proximal radiofrequency (RF) ablation energy component and a surface distal thermal ablation energy component. Also provided are systems that include a tissue ablation device operatively coupled to an energy source, as well as kits that include the devices and methods of using the devices in tissue ablation applications, including cardiac tissue ablation applications.

Abstract: An electrosurgical vessel sealing instrument having a first and a second opposing jaw member at a distal end thereof, wherein each jaw member includes a jaw housing, a seal plate having a tissue contacting surface and a side wall, and an insulating region disposed on the side wall of the seal plate. The instrument includes the ability to move the jaw members relative to one another from a first position wherein the jaw members are disposed in spaced relation relative to one another to a second position wherein the jaw members cooperate to grasp tissue. The insulating region enables precision overmolding of the jaw housing to the seal plate, while advantageously reducing thermal spread and edge cutting during vessel sealing procedures.

Abstract: A jaw angle detection system for an end effector assembly includes a first electrical contact that connects to a first jaw member and connects to a generator. A sensor connects to a second jaw member (or an actuator) and connects to the generator, and configured to move relative to the first electrical contact upon movement of the second jaw member (or the actuator) when the first and second jaw members are moved to close about tissue disposed therebetween. Information relating to the position of the sensor relative to the first electrical contact is relayed back to the generator to determine an angle between the first and second jaw members.

Abstract: A cutting device includes an elongated shaft extending between a proximal end and a distal end. A lower portion extends from the distal end of the elongated shaft and includes an outer surface and an inner surface spaced apart from the outer surface which together form a blunt end configured as a stop so as to protect adjacent tissue. An upper portion extends from the distal end of the elongated shaft and including an inner surface. The upper portion is configured so as to be disposed opposite the lower portion. A cutting element is disposed between the lower portion and the upper portion and is configured for retractable extension beyond the distal end of the elongated shaft so as to contact tissue.

Abstract: The present disclosure relates to the field of tissue mapping and ablation. Specifically, the present disclosure relates to expandable medical devices for identifying and treating local anatomical abnormalities within a body lumen. More specifically, the present disclosure relates to systems and methods of focal treatment for overactive bladders.

Abstract: The present disclosure relates to the field of tissue mapping and ablation. Specifically, the present disclosure relates to expandable medical devices for identifying and treating local anatomical abnormalities within a body lumen. More specifically, the present disclosure relates to systems and methods of focal treatment for overactive bladders.

Abstract: The present disclosure relates to the field of tissue mapping and ablation. Specifically, the present disclosure relates to expandable medical devices for identifying and treating local anatomical abnormalities within a body lumen. More specifically, the present disclosure relates to systems and methods of focal treatment for overactive bladders.

Abstract: A method for ablating tissue by applying at least one pulse train of pulsed-field energy. The method includes delivering a pulse train of energy having a predetermined frequency to cardiac tissue, the pulse train including at least 60 pulses, an inter-phase delay between 0 ?s and 5 ?s, an inter-pulse delay of at least 5 ?s, and a pulse width of 5 ?s.

Abstract: The catheter allows mapping and/or ablation of the area around two or more PV ostia at the same time, with a single placement of a distal section of the catheter having a 2D configuration resembling an infinity or lazy 8 symbol. The catheter has an elongated catheter body, a distal section having at least a flexible elongated member with shape memory, the member being configured to assume a 2D configuration resembling an infinity symbol, and at least one electrode mounted on the member. The 2D configuration resembles a first loop and a second loop, wherein the first and second loops are side-by-side, generally extending in a common plane.

Abstract: An apparatus and method for treatment of a tubular anatomical structure is disclosed. The method includes using an electrical energy to destroy elongated cells on the tubular anatomical structure. The apparatus may include one or more electrodes for creating an electric field, and a cooling system for carrying heat away from the electrode. The elongated cells can include nerve cells on the tubular anatomical structure.

Abstract: A catheter includes a tip electrode with a shell and a support member to provide a plenum chamber. The support member is formed with a U-shaped passage for a safety line to wrap around and secure the support member (with the shell affixed thereto) to the catheter. Additional passages are formed in the support member to accommodate components such as irrigation tubing, lead wires and a thermocouple wire pair. A method of manufacture provides distal installation and/or anchoring of the safety line, lead wire and thermocouple wire pair in the support member prior to sealing the support member and mounting the shell.

Abstract: A system for ablating internal heart tissue in an ablation pattern on a surface of the tissue within the heart. The system includes an ablation catheter with a distal end having an ablating tip portion operative to allow selective ablation of tissue. A guiding device is engageable with the ablation catheter and includes a tissue anchoring portion operable to engage with tissue proximate to the tissue to be ablated so as to temporarily anchor the guiding device relative to the tissue. Engagement of the guiding device with the ablation catheter operates to assist with guiding the ablating tip portion in moving along the pattern. Various devices and methods of use are further disclosed.

Abstract: Devices and methods for cooling microwave antennas are disclosed herein. The cooling systems can be used with various types of microwave antennas. One variation generally comprises a handle portion with an elongate outer jacket extending from the handle portion. A microwave antenna is positioned within the handle and outer jacket such that cooling fluid pumped into the handle comes into contact directly along a portion of the length, or a majority of the length, or the entire length of the antenna to allow for direct convective cooling. Other variations include cooling sheaths which form defined cooling channels around a portion of the antenna. Yet another variation includes passively-cooled systems which utilize expandable balloons to urge tissue away from the surface of the microwave antenna as well as cooling sheaths which are cooled through endothermic chemical reactions. Furthermore, the microwave antennas themselves can have cooling lumens integrated directly therethrough.

Abstract: Devices and methods for cooling microwave antennas are disclosed herein. The cooling systems can be used with various types of microwave antennas. One variation generally comprises a handle portion with an elongate outer jacket extending from the handle portion. A microwave antenna is positioned within the handle and outer jacket such that cooling fluid pumped into the handle comes into contact directly along a portion of the length, or a majority of the length, or the entire length of the antenna to allow for direct convective cooling. Other variations include cooling sheaths which form defined cooling channels around a portion of the antenna. Yet another variation includes passively-cooled systems which utilize expandable balloons to urge tissue away from the surface of the microwave antenna as well as cooling sheaths which are cooled through endothermic chemical reactions. Furthermore, the microwave antennas themselves can have cooling lumens integrated directly therethrough.

Abstract: A laser diode packaging arrangement for a laser system handpiece configured to generate laser power within the hand-piece using a TO-CAN diode. Instead of using optical connections, an electrical connection is made to the handpiece from a laser system body, where the laser diode generates laser power within a handpiece body to a detachable laser tip assembly. The detachable laser tip assembly allows for interchangeable laser tips to be employed to provide laser tips having the same or different geometries. By employing various electrical contacts within the hand-piece and the end applicator, the laser can auto-detect the type of tip attached to the system and configure itself.

Abstract: A system and method for performing layer treatment for skin blemish in which the target area of the skin is first treated by performing a deep layer treatment by cutting the fibrous bands and then performing a superficial skin treatment by using electromagnetic radiation and both of the treatment take place within the same day.

Abstract: Provided are an apparatus and method for hair removal. The apparatus includes a light source, a coherent imaging fiber, a plurality of multimode optical fibers that transmit energy from the light source, and an applicator housing each proximal end of each optical fiber of the plurality of multimode optical fibers, with the coherent imaging fiber transmitting an image of a hair follicle from among a plurality of hair follicles, for viewing on a display.

Abstract: A puncturing instrument is provided to overcome the inconvenience in performing the puncturing operation due to the inability to see the internal structure of a patient. The puncturing instrument includes a first tube, a second tube and a light-guiding member is disclosed. The first tube includes two first openings. One of the two first openings forms a sharp portion. The second tube is received in the first tube and includes two second openings and a gas outlet. One of the two second openings is provided with a lens, and the gas outlet is adjacent to the lens and the sharp portion of the first opening. The light-guiding member is received in the second tube. Furthermore, a puncturing equipment using the puncturing instrument and a signal processing method of the puncturing equipment are also disclosed.

Abstract: An ablation tool includes a trocar and cannula with a hollow shaft. The hollow shaft is configured to permit passage of the trocar therethrough and has a proximal segment and a distal segment. The distal segment includes a distal tip aligned with the hollow shaft of the cannula to permit passage of the trocar within the hollow shaft of the cannula, and has tissue-adhering irregular surfaces protruding therefrom. An auxiliary port extends from an exterior surface of the cannula and defines a hollow passageway into the hollow shaft. Notably, an insert is provided as part of the tool. The insert defines a hollow shaft and is adapted to be inserted into the hollow shaft of the cannula and includes a diameter of less than an interior diameter of the hollow shaft of the insert so as to permit passage of a laser fiber through the hollow shaft of the insert. An auxiliary port extends from an exterior surface of the insert defining a hollow passageway into the hollow shaft of the insert.

Abstract: A laser therapeutic device for a laser endoscope capable of relatively reducing the diameter of the endoscope while being capable of emitting a laser beam of a uniform intensity over a wide area is provided. An optical guide element (a square-shaped rod lens 15, a guide tube 2b) having a quadrangular cross section and guiding a therapeutic laser beam emitted from the tip of an optical fiber toward the tip side of a probe is used. On the tip side of a probe tube 2 being a barrel, using clearances C1 to C4 formed between the optical guide element and the inner circumferential surface of the probe tube, a camera unit 11 as imaging means and white-color LED units 12 and an ultraviolet LED unit 13 as illumination means are arranged.

Abstract: The subject invention provides a rapid sequence intubation tray that enables fast and accurate medication dosing of patients under emergency conditions. By “automating” medication dosing, the subject invention reduces delays in medication administration and reduces the risk of medication errors.

Abstract: Methods for predetermining a contour of a resected bone surface and assessing a fit of a prosthesis on the resected bone surface, for designing prostheses to fit discrete patient populations, and for designing customized prostheses.

Abstract: Methods and systems for facilitating clinical decisions during a catheterization procedure based at least in part on image data captured during the catheterization procedure, are disclosed. More particularly, embodiments include analyzing the image data and transmitting decision support data representative of past catheterization procedures having a similarity to the current catheterization procedure. Other embodiments are also described and claimed.

Abstract: The present invention proposes an electromagnetic (EM) tracking technology that can be used to track devices with embedded EM sensors over time. If these objects move too fast, tracking signals are lost because of the motion induced potential differences. It is therefore proposed to add a processing mechanism incorporating additional processing algorithms to enable tracking of the EM sensors. An embodiment of the invention is for performing biopsies using a biopsy gun. The additional processing algorithms incorporate dedicated prior information on the expected signal obtained from the embedded EM sensor and are introduced to allow processing the signals from the moving sensors. The prior information can be incorporated in a heuristic or statistical model to process the EM signal.

Abstract: A multipoint detection fiber sensor including a plurality of sensing parts at a plurality of positions is provided. The sensing parts are able to detect curve amounts respectively. The multipoint detection fiber sensor includes a plurality of optical fibers arranged in an overall effective detection area that is an extent in which the multipoint detection fiber sensor detects curve amounts. Each of the optical fibers includes the plurality of sensing parts. The multipoint detection fiber sensor also includes a light source which supplies light to the optical fibers and a light receiver which receives light emitted through the optical fibers to which light is supplied. Furthermore, an insertion apparatus into which the multipoint detection fiber sensor is incorporated is provided.

Abstract: A system and method for converting medical images of a particular patient into high resolution, 3D dynamic and interactive images interacting with medical tools including medical devices by coupling a model of tissue dynamics and tool characteristics to the patient specific imagery for simulating a medical procedure in an accurate and dynamic manner. The method includes a tool to add and/or to adjust the dynamic image of tissues and ability to draw and add geometric shapes on the dynamic image of tissues. The system imports the 3D surgery plan (craniotomy, head position, approach etc.). The surgeon establishes multiple views, rotates and interacts with the navigation image to see behind pathology and vital structures. The surgeon can make structures such as tumors, vessels and tissue transparent to improve visualization and to be able to see behind the pathology. The System can warn on proximity of tools to specific anatomical structure.

Abstract: Devices, systems, and methods for positioning an end effector or remote center of a manipulator arm by floating a first set of joints within a null-perpendicular joint velocity sub-space and providing a desired state or movement of a proximal portion of a manipulator arm concurrent with end effector positioning by driving a second set of joints within a null-space orthogonal to the null-perpendicular space. Methods include floating a first set of joints within a null-perpendicular space to allow manual positioning of one or both of a remote center or end effector position within a work space and driving a second set of joints according to an auxiliary movement calculated within a null-space according to a desired state or movement of the manipulator arm during the floating of the joints. Various configurations for devices and systems utilizing such methods are provided herein.

Abstract: Methods, apparatus, and systems for controlling a telesurgical system are disclosed. In accordance with a method, a first tool connected to a first manipulator of the system, and a second tool connected to a second manipulator of the system, are controlled. A swap of the tools such that the first tool is connected to the second manipulator and the second tool is connected to the first manipulator is then detected. The first tool connected to the second manipulator and the second tool connected to the first manipulator are then controlled.

Abstract: An auxiliary apparatus for MIS including an in vivo device and an in vitro device to stretch a surgery target is provided. The in vitro device comprises an in vitro magnet field-generating element. The in vivo device comprises an in vivo magnet-anchoring element to the surgery target. The in vivo magnet moves and/or rotates according to the direction change of the external magnetic field, which is generated by the in vitro magnet field-generating element, and thereby the surgery target can move in a controlled speed and/or rotate in a controlled angle according to the direction change of the external magnetic field. A method to control the auxiliary apparatus is also provided.

Abstract: A medical robotic system includes an entry guide with articulated instruments extending out of its distal end. A controller is configured to command manipulation an articulated instrument in response to operator manipulation of an associated input device while generating a force command to the input device that nudges the operator to command the instrument to a preferred pose. When a transition is to occur between first and second preferred poses, one is phased in while the other is phased out. Virtual barriers may be imposed to prevent the articulated instrument from being commanded to an undesirable pose.

Abstract: A surgical instrument organizer. The surgical instrument organizer includes an upper assembly affixed to a lower assembly. The upper assembly includes a recessed area for supporting surgical instruments, one or more catheters extending therefrom, and one or more clips for supporting tubes, cables, and the like. In one embodiment, the catheters are operably connected to a valve that controls passage therethrough. The lower assembly includes one or more chambers accessible via one or more ports. In one embodiment, a channel and tube causes the upper assembly to be in fluid communication with the chambers of the lower assembly, wherein cleaning solution may be added or removed from the chambers as desired. Each port of the lower assembly is configured to receive wires for cleaning the chambers of blood or other fluids.

Abstract: A surgical apparatus for use by a surgeon can include a tray and a plurality of surgical instruments. The tray can have a plurality of structures located on an upper side of the tray for receiving the plurality of surgical instruments. The tray can receive a separate control unit. The tray can also have a fluid reservoir receiver for receiving a bottle or container of fluid, such as balanced salt solution. The fluid reservoir receiver can include one or more features, including, a spike, an air vent, and a light. A separate container can be used to place the bottle or container of fluid into the fluid reservoir receiver on the tray. This separate container can include a collapsible section.

Abstract: A medical pendant is disclosed. The medical pendant has a medical pendant post that extends along a longitudinal direction of the medical pendant, the medical pendant post including an electric interface. The electric interface includes a groove disposed in the medical pendant post and extending along the longitudinal direction of the medical pendant post, an insulator disposed in the groove, and a conductor disposed within the insulator.

Abstract: The present disclosure provides systems and methods for performing surgery on a patient's skull or brain. A mounting and stabilization device is provided for frameless, trajectory-based laser ablation surgery. The device employs a simple aiming mechanic and can be used to treat patients such as pediatric patients that cannot be treated with other devices and methods.

Abstract: The various inventions relate to robotic surgical devices, consoles for operating such surgical devices, operating theaters in which the various devices can be used, insertion systems for inserting and using the surgical devices, and related methods.

Abstract: Systems and methods for manufacturing and using magnetic resonance (“MR”) visible labels, markers, or assemblies to encode information unique to the subject or object being imaged by a magnetic resonance imaging (“MRI”) system are provided. The use of such MR-visible labels, markers, or assemblies enables unique information associated with the subject or object being imaged to be encoded into the images of the subject or object. This information can be used to anonymize protected health information (“PHI”); to provide detailed information about a surgical simulation device, quality assurance phantom, or the like; to provide spatial orientation and registration information; or so on.

Abstract: Devices are provided that include a protective window integrated with a faceplate for a medical device. In embodiments, a machine-readable identifier adapted to be affixed to an interior portion of a medical device is viewable via a window of a faceplate. Accordingly, the machine-readable identifier is protected from damage during use of the medical device. And, in embodiments, the machine-readable identifier encodes medical-device identifying information to enable tracking the medical device to which it is affixed. As such, should the faceplate require repair or be changed, the machine-readable identifier remains intact and affixed to the medical device. Further embodiments include a device including a faceplate that has a visual signifier of an interiorly placed radio-frequency identifier.

Abstract: A vibration-transmitting medical tool-coupling device includes a first coupling element and a second coupling element, wherein one of the two coupling elements is designed as a coupling protrusion which can be inserted into a coupling recess on the other coupling element, wherein the coupling protrusion and the coupling recess each have a first section having a thread with at least one thread flight for releasable connection of the two coupling elements and one second section which is designed so that the two coupling elements can be positioned relative to one another and are displaceable along the shared longitudinal axis before the two coupling elements can be connected releasably to one another by the thread. A guide ring which extends around the coupling protrusion is provided on one end of the thread which is arranged on the coupling protrusion and the at least one thread flight of the thread ends at this guide ring.

Abstract: A medical or dental handpiece has a grip. The grip includes first to third rotation shafts. The first and second shafts are connected through a first gear mechanism and the second and third shafts are connected through a second gear mechanism so that a rotation is transmitted from the first shaft through the first gear mechanism to the second shaft and then from the second shaft through the second gear mechanism to the third shaft. The first or second gear mechanism has an internal gear secured on one shaft and an external gear secured on the other shaft, the internal and the external gears being engaged with each other. The external gear is substantially enclosed within a cylindrical plane extending along a peripheral edge of the internal gear.

Abstract: An orthodontic retention system includes a fixed component that remains on teeth and a component that attaches to this fixed component. The fixed component and the component have mating or interlocking parts. The component that mates with the fixed component can be removable. The component that mates with the fixed component can be adjustable. The retention system also can include magnetic retention components to retain the removable component with respect to one or more teeth. The retention system also can include an element that replaces as tooth.

Abstract: A cover for an orthodontic bracket having an arch wire laterally extending therethrough includes a body having a forward-facing planar surface and a rearward-facing recess configured for at least partially receiving the orthodontic bracket therein. The body includes first and second slots located on opposed lateral sides of the body and each configured so that the arch wire passes laterally through the first and second slots and the recess of the body when the cover is positioned over the orthodontic bracket. The forward-facing planar surface is provided with decorative indicia thereon. The cover is configured so that the cover does not bind movement of the arch wire relative to the orthodontic bracket, does not secure the arch wire to the orthodontic brackets, and does not alter the functioning of the dental braces.