Abstract: Provided is a bed positioning system for a radiation therapy system capable of capturing X-ray transparent images and CT images by rotating an X-ray tube and an X-ray detector around a subject on a bed, comprising: a transparent image registration system which generates a subtraction image from a first X-ray transparent image captured by the X-ray tube and the X-ray detector and a digitally reconstructed radiograph generated from a treatment plan CT image, corrects the first X-ray transparent image by use of a correction image generated by processing the subtraction image in a previously specified direction, and compares the first X-ray transparent image after the correction and the digitally reconstructed radiograph to determine a movement amount of the bed.

Abstract: An automatic collimator adjustment device and method for medical treatment equipment are disclosed. The medical treatment equipment includes an automatic collimator adjustment device, which includes a processor unit, a depth camera, and a collimator control device. The processor unit receives an instant image pixel depth signal acquired by the depth camera to compare with a predetermined image pixel depth signal of a predetermined human body portion of a target human body in order to generate at least one collimator adjustment signal to the collimator control device, so that the collimator control device controls the collimator to adjust the X-ray beam to align with the predetermined human body portion of the target human body.

Abstract: An adhesive patch for monitoring acoustic signals from a human or animal body, comprising a skin contact surface, converting means for recording both body acoustic signals and environmental acoustic noise, reducing the body signals by the recorded noise, and providing a first electric output signal. The patch also comprising an adhesive element and a compression structure for attaching the converting means to the skin surface. The patch further comprises transmitting means for transmitting the output signal to a peripheral device.

Abstract: A method and apparatus for ultrasound imaging of a biopsy needle or the like during an ultrasound imaging examination, including the steps of alternately performing one or more imaging scans with ultrasound transmit and receive parameters which are adapted for optimized imaging and visualization of the needle and one or more imaging scans with ultrasound transmit and receive parameters adapted for optimized imaging and visualization of the body, in which the needle is inserted, injecting contrast agents in the region to be examined before imaging, and setting ultrasound transmit and receive parameters adapted for optimized imaging and visualization of the body.

Abstract: A method and a system for producing images of a subject, such as the heart of a human being. The method may comprise acquiring ultrasound images of the subject with a catheter comprising a position sensor. The method may also comprise capturing a plurality of 4D surface registration points in the acquired ultrasound images corresponding to points on the subject. The method may also comprise registering, in space and time, a high-resolution 4D model of the subject with the plurality of 4D surface registration points. The method may also comprise displaying high resolution, real-time images of the subject during a medical procedure based on the registration of the high resolution 4D model to the 4D surface registration points. Embodiments of the present invention are especially useful in left atrium ablation procedures.

Abstract: According to one embodiment, a medical image display apparatus includes a storage unit storing data of a three-dimensional image, a slice image generating unit generating three slice images associated with three slices from the three-dimensional image, a display unit displaying the three slice images respectively in three display areas, an ROI marker generating unit generating three ROI markers to be respectively superimposed on the displayed three slice images, the three ROI markers corresponding to a single ROI, an operation unit performing operation of changing relative positions between the three slice images and the three ROI markers, and a display control unit controlling move the three slice images in the three display areas in accordance with the operation of changing the relative positions and fix the three ROI markers at center positions of the three display areas.

Abstract: A tissue handling system includes a biopsy device having an invasive unit with tissue-receiving and tissue-severing components being capable of harvesting and bringing at least one tissue sample to a point outside the body of a patient. The tissue handling system further includes a tissue collecting device adapted to be brought in detachable operative engagement with the tissue-receiving components of the biopsy device to remove the at least one tissue sample. Additionally, the tissue handling device comprises a tissue storage container configured to receive the at least one tissue sample, the entire tissue collecting device, or the part of the collecting device that contains the at least one tissue sample. The tissue storage container further is configured to receive a volume of preserving agent. The tissue handling system also comprises a vessel including the preserving agent adapted to be gas-tightly mated or coupled to the tissue storage container.

Abstract: An embodiment of the present invention provides a kit of parts for use in a surgical procedure performed under image guidance, and particularly under real time image guidance. The kit includes a sterilized drape for use with the chosen imaging machine and which can be used to provide a sterile operating environment when the procedure is performed under the imaging beam. The kit also includes a needle holder that can keep the surgeon's hand away from the imaging beam. The needle holder is operable to hold a needle that is made from a material suitable for piercing tissue, but also substantially preserves the appearance of the needle when it is viewed under the imaging beam.

Abstract: A cryogenic biopsy device is configured to provide thin, frozen tissue samples, which may be viewed under a microscope and selected for biomarker analysis. The device is configured to provide slices which are less than 50 micrometers in thickness, while snap-freezing the tissue and maintaining the sample in a deep-frozen state until it reaches the pathology lab for further processing. Alternatively, thicker slices can be harvested by the device and additional sectioning can be done in the pathology lab by using cryomicrotome. The device of the present invention may be used in rigid instruments and in flexible devices, such as endoscopes, for example, and may be suitable for single use or multiple use.

Abstract: One example of a surgical apparatus may include an end effector; a shaft extending proximally from the end effector, the shaft including an articulation region; a handle including at least one button; an articulation gear held by the handle, where at least one cam path is defined in the articulation gear; and at least one holder post extending into each cam path; where actuation of one button causes the end effector to articulate through a discrete angular increment relative to the shaft.

Abstract: A tool for deploying an anchor sleeve onto an implantable device includes handle and base members, which may be fitted together by an operator. The operator may select the handle member from a plurality thereof included in a kit; and the base member, also included in the kit, includes a rail segment with which a gripping portion of the selected handle member may be engaged, for example, via guidance from a marked portion of the base member. Once engaged, a deployment tip of the base member is located to move a mounted anchor sleeve from a tubular member of the handle member and onto a body of the device. The tubular member of some tools has a laterally offset distal end portion, on which the corresponding anchor sleeve is mounted; thus, kits including this type of handle member, may include a converter for the base member to facilitate engagement therewith.

Abstract: An apparatus for use in connection with an endoscopic surgery comprises an elongated body adapted to be placed at least partially in the vagina of a female patient partially passing through the wall of the vagina such that an end portion of said elongated element is introduced into rectouterine pouch; the elongated body comprises at least an attachment means for accommodating at least a part of at least a surgical instrument comprising an end portion adapted to be received inside the vagina, the surgical instrument and the apparatus are movable to each other. An endobag having an elongated port is provided through the vagina into the pelvis.

Abstract: A tissue puncture closure assembly including a wire assembly and a sealing pad delivery device, The wire assembly includes a proximal end portion, a distal end portion, and a temporary expandable anchor positioned at the distal end portion. The sealing pad delivery device includes a carrier tube, a sealing pad positioned in the carrier tube, and a lateral wire slot. The lateral wire slot is defined in an outer surface of the sealing pad delivery device and extends along at least a portion of a length of the sealing pad delivery device. The lateral wire slot is configured to permit mounting of the sealing pad delivery device to the wire assembly in a lateral direction.

Abstract: A delicate tissue retraction system having a hollow tubular retractor, a hollow tubular introducer that is removably installed within the retractor, and a navigation module that is removably installed within the introducer. The navigation module has a shaft with a proximal shaft end and a distal shaft end, and a navigation unit mounted to the proximal shaft end. When assembled, the distal shaft end is contained generally within the introducer and the navigation module outside the introducer. The navigation module indicates the location of one or more points on at least one of the retractor and the introducer to a navigation system.

Abstract: The present invention provides a combination cannula positioned targeting guide adapted for angular receipt and support of a surgical instrument, the combination including an endoscopic portal having an enlarged membrane chamber having a rear port and an elongated portal cannula extending towards a portal tip, the rear port and the portal cannula being axially aligned; a portal stand extending from a substantially rectangular body towards an arcuate channel in communication with the enlarged membrane chamber; and the endoscopic portal being rotationally secured to the portal stand.

Abstract: A surgical apparatus for positioning within a tissue tract accessing an underlying body cavity includes a seal anchor member including leading portion, a trailing portion, and an intermediate portion disposed between the leading and trailing portions. The leading portion of the seal anchor member is configured and adapted to ease insertion of the seal anchor member into the tissue tract. Subsequent to insertion of the seal anchor member, the leading portion of the seal anchor member is also configured and adapted to facilitate securing and/or anchoring of the seal anchor member within the tissue tract.

Abstract: A surgical instrument includes a first member comprising an end surface. A second member includes a flange and a first groove having a holding member movably disposed therein. A third member includes a lip and a second groove having the holding member movably disposed therein. The lip extends at an acute angle relative to an axis defined by the third member. The holding member is movable between a first configuration in which the holding member is disposed in the second groove and first and second portions of the holding member are positioned in the first groove and a second configuration in which the holding member is spaced apart from the second groove and the first and second portions of the holding member are spaced apart from the first groove. Systems and methods are disclosed.

Abstract: A suture anchor is described. The suture anchor includes an elongate anchor body having a proximal end and a distal end, at least one suture secured within the anchor body, and at least one piercing structure secured within the body extending proximally out of the proximal end of the body, wherein the at least one piercing structure is engaged with the at least one suture. A method of attaching soft tissue to bone in a subject is also described. The method includes the steps of securing an anchor device into a bore formed in the bone, the anchor device comprising an anchor body and at least one pre-loaded piercing structure with at least one suture attached to both the anchor body and the piercing structure, piercing a soft tissue by forcing the at least one piercing structure through the soft tissue, such that at least a portion of the at least one suture passes through the soft tissue, and tying the at least one suture against the soft tissue to secure the soft tissue to the bone.

Abstract: The present invention provides suture retention devices for retaining a suture on a bodily wall, e.g. for affixing the suture to the skin such as during the creation of an external percutaneous fluidic connection. In one embodiment, a device includes a base member and a swivel member. In another embodiment, the device includes a base member, first and second jaws, and a key. Operation of the swivel member or key serves to lock the suture to the device, and hence maintain tension on the suture while affixed to the skin.

Abstract: For suture tying in a medical procedure including the use of an anchor that includes a suture locking device that includes a sliding pin guided by axial side slots formed in the locking device that forces the suture where the two ends thereof are inserted into the interior of the suture locking mechanism to drive the captured suture and pin to fit into a recess on the top of the suture locking mechanism such that the top of the pin binds the suture against the upper inner surface of the recess. The recess can be serrated to enhance the locking capability and the pin is polygonal shaped to provide side surfaces that run parallel to the wall of the recess to assure that the side portion of the pin does not fracture the suture and cause it to weaken. The locking of the suture is automatic upon the deployment of the anchor which actuates the pin into the locking position, thus eliminating the necessity of manually knotting the suture and improving the cinching of the tissue to the bone.

Abstract: Laparoscopic device for anchoring an internal organ to the thoracic diaphragm or abdominal wall of a patient having an introducer sheath; washer with two openings; T-fastener assembly having T-fastener with anchor having a shank with a crown and at least one fluke. The anchor is connected to the T-fastener by a flexible string. A thread is attached to the crown. An introducer needle introduces the T-fastener into a lumen of the internal organ of the patient The device further has a T-fastener pusher inside the introducer needle and locking arrangements for locking the introducer needle and the T-fastener pusher. A blocker blocks the first washer opening and a grasper, inserted through the second washer opening, grasps the shank inside the introducer sheath in a predefined orientation Finally, a holding mechanism on the introducer sheath is provided for holding the grasper in a predetermined position inside the introducer sheath.

Abstract: Described herein is a simplified placement system and method for a tissue graft anchor by which a surgeon may introduce one or more sutures into a hole in a boney tissue, apply a precise amount of tension to the sutures to advance a soft tissue graft to a desired location, and then advance the anchor into the bone, preferably while maintaining the requisite pre-determined suture tension and without introducing spin to the suture.

Abstract: A fastener cartridge can comprise a cartridge body and a layer, such as a tissue thickness compensator, for example, releasably attached to the cartridge body. The tissue thickness compensator can comprise a compressible first portion and a second support portion. The second portion can be rigid and can support the first portion when mounted thereto. The properties of the first portion and/or the second portion can be selected so as to prevent the premature deflection and release from the cartridge body. The fastener cartridge can further comprise one or more attachment portions configured to releasably hold the tissue thickness compensator to the cartridge body. The attachment portions can be configured to permit a firing member to pass therethrough. In some circumstances, the tissue thickness compensator can be configured to hold the firing member in an unfired position until a sufficient firing force has been applied to the firing member.

Abstract: An apparatus for operating on tissue includes an outer sheath, upper and lower jaws connected at a pivot point, and a firing beam comprising a distal pair of flanges. The firing beam is configured to be received within slots defined in the upper and lower jaws to close the jaws. A proximal portion of the upper jaw defines a lever arm, and a free end of the lever arm extends proximally past a distal end of the lower jaw and proximally past the pivot point. The lever arm includes a pair of segments defining a portion of the slot of the upper jaw. The segments are configured for receipt through an outer sheath aperture. The pair of segments are operable to abut a distal end of the distal pair of flanges or be driven by the distal pair of flanges to assist with closure of the jaws.

Abstract: A fastener for attaching a sheet-like implant to tissue or bone may be provided with a first arm having a proximal end and a distal end, a second aim having a proximal end and a distal end, and a bridge extending therebetween. Each of the first and second arms include a trunk portion defining at least a portion thereof, the trunk portion having a lateral extent larger than a lateral extent of the bridge or non-trunk portion of the arm adjacent thereto and can be mounted eccentrically to the bridge or non-trunk portion of the arm adjacent thereto such that the staple includes a first change in lateral stiffness disposed proximate the bridge or non-trunk portion of the arm abutment with the trunk. Fastener delivery devices and methods are also disclosed.

Abstract: A surgical stapling apparatus (stapler) is provided. The stapler includes a housing, elongated member, and a reload. A cartridge is configured to selectively couple to a first jaw member of the reload and includes one or more resilient members thereon. An anvil operably supported on a second jaw member of the reload is configured to compress one or more fasteners ejected from the cartridge. The anvil includes one or more locking members thereon. A knife is configured to translate through the cartridge and anvil when the first and second jaw members are in a closed configuration. Engagement between the knife and the resilient member(s) causes the resilient member(s) to move from an initial configuration that allows the knife to travel distally past the locking member(s) to a final configuration that allows the locking member(s) to engage the knife.

Abstract: A surgical stapling apparatus configured to perform stapling and/or cutting operations on a target tissue of a patient. The surgical stapling apparatus comprises of a mode selection switch to place the apparatus in either a clamping operational phase or a deployment operational phase. In the clamping operational phase, various clamp components are operated to facilitate loading of surgical staples into the stapling apparatus, if not preloaded, placement of the stapling apparatus to a target surgical site, and clamping of target tissue to be stapled and/or cut. In the deployment operational phase, various deployment components are operated to staple and/or cut the target tissue to one or more desired distance intervals to achieve the desired outcome for the surgical procedure.

Abstract: A surgical fastener applying instrument including a handle portion, an elongated portion, a pair of jaw members and a removable clamp. One of the jaw members contains a plurality of fasteners arranged in at least one row substantially transverse to a longitudinal axis of the elongated portion. At least one of the jaw members is movable with respect to the other between an open position and an approximated position for engaging body tissue therebetween. The removable clamp has an elongated member and a tissue clamping surface extending substantially transverse to a longitudinal axis of the elongated member. The clamp is movable from a proximal position to a distal position for engaging body tissue and is releasably mountable to the elongated portion of the instrument.

Abstract: A surgical stapling device particularly suited for endoscopic procedures is described. The device includes a handle assembly and an elongated body extending distally from the handle assembly. The distal end of the elongated body is adapted to engage a disposable loading unit. A control rod having a proximal end operatively connected to the handle assembly includes a distal end extending through the elongated body. A control rod locking member is provided to prevent movement of the control rod until the disposable loading unit is fully secured to the elongated body of the stapling device.

Abstract: Techniques for sutureless vascular anastomosis are described, including a connector configured to provide fluid communication between a graft vessel and a main vessel, the connector having tines disposed circumferentially about an outer surface of the connector, a front wing coupled to the base, the front wing having a tine configured to engage an inner surface of the main vessel, and having a hinge coupling the front wing to the connector, and a rear wing coupled to the base, the rear wing having another tine configured to engage the inner surface of the main vessel, and having another hinge coupling the rear wing to the connector.

Abstract: A ligating instrument is provided, including an elongate member, such as a tube, having a lumen, the elongate member extending from a proximal actuator member to a distal ligating band dispenser. A pull line may extend through the lumen of the elongate member, with a proximal end of the pull line connected to the actuator member and a distal end of the pull line connected to the ligating band dispenser, wherein actuation of the actuator member draws the pull line in a proximal direction through the elongate member to deploy the ligating bands. The ligating band dispenser may be adapted to be mounted on the distal tip of an endoscope, and the elongate member may be adapted to be positioned outside of the endoscope from the ligating band dispenser to the actuator member.

Abstract: A device and method for treating bodily diseases and/or conditions, for example, varicose veins, tumors and aneurysms including for example insertion of a blocking device toward a target destination using a catheter and delivery of sclerosing or other agents to the vessel while maintaining minimal, for example zero pressure in the treatment area. The blocking device may prevent treatment materials, embolisms, debris etc. from entering the upstream section of vessel. The blocking device may include, for example, a cap or other concave shape and may be expandable or extendible towards the vessel walls.

Abstract: An embolization device for treating ischemic stroke is disclosed, having a surface, wherein the body portion is configured to have a radiopaque and electropositive surface under physiological conditions when the device is emplaced, which ionically binds a blood component in an amount effective to promote stability of device in situ to bind to a tissue component in an amount effective to increase adhesion of the device as compared to a device without an electropositive surface. Embolic coils being so delivered are electrolytically detachable in under 10 seconds, according to the disclosed vascular implant systems.

Abstract: Vaso-impacting implants and novel methods of making coils, stent-trievers, flow diverters and the like enable aneurysm treatment, including in the brain. Refined and variegated framing and complex coils provide for rapid electrolytic detachment, including less than 20 second embodiments. Novel enhanced mandrels, fittings and winding schemes are likewise disclosed improving the standard of care and state of the art.

Abstract: Devices, systems and methods for atrial appendage occlusion. A device is described with respect to non-surgically occluding the left atrial appendage with minimal invasiveness. Additionally, a system and method are described for using the device to perform the left atrial appendage occlusion procedure.

Abstract: A surgical system for cutting tissue of a patient includes an outer housing and a reciprocating assembly structurally configured to carry a cutting tool in a reciprocating motion. An actuator knob is manually accessible to the user and may be fixed axially to the outer housing. The reciprocating assembly may reciprocate relative to the actuator knob. The actuator knob may be configured for rotational movement between a lock position and an unlock position. The system may also include a locking mechanism configured to retain a cutting tool within the reciprocating assembly. The locking mechanism may be responsive to movement of the actuator knob to maintain the tool within the output shaft when the actuator knob is in the lock position and permit removal of the tool when the actuator knob is in the unlock position. Surgical cutting tools, such as blades include thickness enhancing features.

Abstract: A resection guide locator includes a bone engagement portion with surfaces that are complementary to the surface topographies of a bone to be resected during surgery. A housing includes a socket defined by a resilient annular wall that is sized and arranged so to accept a resection guide by press-fit to thereby position and hold the resection guide within the socket. The resection guide is maintained in a predetermined, preferred position while the surfaces are releasably locked in position on the bone. A method is disclosed for forming and using the resection guide locator.

Abstract: A low profile patient specific cutting block for a knee includes a plurality of bone interfacing portions and a cutting slot. The plurality of bone interfacing portions are configured to overlie portions of an end of a bone. The bone interfacing portions each have a surface that is generally a negative of the portion of the bone that the respective bone interfacing portion overlies. The bone interfacing portions are angularly offset from each other such that a first of the bone interfacing portions overlies an anterior portion of the bone, and a second of the bone interfacing portions overlies a portion of bone generally perpendicular to the anterior portion of bone. The cutting slot is oriented in a fixed position relative to the bone interfacing portions such that the cutting slot directs a cutting tool at a fixed angle and at a fixed depth relative to the bone interfacing portions.

Abstract: In a pneumatically actuatable surgical instrument comprising a handle and a pressurized gas operated tool arranged at the handle, a replaceable pressurized gas reservoir and a locking device for fixing the pressurized gas reservoir on the handle in an operative position in which the pressurized gas reservoir is connected to a pressurized gas channel by which the tool is supplied with pressurized gas, it is proposed, in order to improve the handling of the pressurized gas reservoir, that the instrument further comprises an unlocking device for releasing the fixing of the pressurized gas reservoir in the operative position.

Abstract: A tissue protection sleeve for use in suprapatellar surgery is provided. The sleeve has a first end, a second end, an inner surface and an outer surface. The sleeve further comprises at least two open grooves that extend along the inner surface from the first end to the second end. The grooves are adapted to accommodate elongated fixation elements inserted into a tibia. A drill guide sleeve and a trocar for inserting a guide wire are also provided and can be accommodated by the tissue protection sleeve.

Abstract: A single probe percutaneous surgical instrument for de-bulking/removing thrombus/clog/calculi has an actuator assembly (4), a probe set (13), an operating switch (10), and a generator (12). The actuator assembly (4) has a proximal end (4a) and a distal end (4b), a cable connector (1), a suction connector (2), and actuator switch (3) mounted with the proximal end (4a) and a horn (5) mounted at the distal end (4b). The probe set (13) is mounted to the horn (5) and includes at least one disturber (6), a spring (7), a 10 spring adjusting nut (8) and a fixed probe (9), the cable connector (1) connecting to the generator (12) through a cable, and the suction connector (2) connecting to a suction system. The actuator switch (3) controls a probe vibration mode through the generator (12), the actuator assembly (4) comprising at least two piezoelectric ceramic rings (18) assembled with a bolt (15), the horn (5) and a back plated (16).

Abstract: A grasping treatment device includes a first sheath section, a second sheath section including a bending cylindrical section, and a rotating transmitting portion configured to rotate to allow a grasping section and the first sheath section to rotate in one of periaxial directions of a longitudinal axis with respect to the second sheath section. The grasping treatment device includes an opening/closing transmitting portion configured to move a movable portion of the first sheath section toward a proximal direction with respect to a probe fixed portion by being pulled toward the proximal direction, and an acting force transmitting portion configured to transmit an acting force from the probe fixed portion to the bending cylindrical section, the acting force being configured to act on the probe fixed portion from the movable portion toward the proximal direction.

Abstract: An actuation grip for a microsurgical instrument, with an inner shaft, which is surrounded coaxially and cylindrically by an outer shaft, wherein the shafts are axially movable relative to each other. Two pivotable grip parts, each with two ends, are coupled pivotably at a proximal end of the actuation grip. On each grip part, a first lever is articulated rotatably via an attachment point between the ends of the grip part, wherein the two first levers are coupled rotatably to each other at an intersection point between their ends. The first levers are each connected rotatably to a second lever at their ends directed away from the grip parts, such that the first levers form, with the second levers, a double scissor hinge which serves to move the two shafts axially relative to each other, in order to use this movement to actuate a surgical tool.

Abstract: An endoscopic instrument includes a control wire having a push rod at its distal end and an end effector assembly having first and second effector elements such as scissors blades mounted on a clevis. The effector elements are operated by a cam-pin on the push rod riding in cam-slots defined in the effector elements. According to one aspect of the invention, the effector elements are symmetrically opened even when the push rod is canted relative to the clevis. According to another aspect of the invention, the effector elements can be rotated into a closed configuration that minimizes the distal dimension across the effector elements. In addition, the effector elements, when in the closed configuration, can rotate together to facilitate insertion of the end effector into an entry portion of an endoscope.

Abstract: An endoscopic instrument includes an elongate hollow member, an actuator that moves axially through the hollow member, and first and second end effectors with respective tissue engaging edges. At least one of the end effectors is rotatably coupled to the hollow member adjacent its distal end. At least one of the end effectors includes a base supporting a resilient leaf-spring portion that includes a respective cutting edge. The resilient leaf-spring portion extends from the base in a cantilevered arrangement and generates a spring force acting on the respective cutting edge such that in a loaded state there is an automatic preload force imparted between the cutting edges of the end effectors to maintain a consistent and continuous mating force between the two opposed tissue engaging edges preferably over the complete range of rotational movement of the end effectors.

Abstract: A treatment device includes a longitudinal probe, a distal end portion, a sheath, a fixed handle, a movable handle, a jaw side through hole portion that is provided in the movable handle and formed between a finger placing portion and a jaw, a sheath side through hole portion that is provided in the sheath and provided at a position at which the sheath side through hole portion does not overlap with the hollow portion; and an opening/closing axis member. The opening/closing axis member is inserted in the jaw side through hole portion and the sheath side through hole portion to openably and closably attach the movable handle to the fixed handle.

Abstract: A fluid ejection device includes: a fluid ejection unit that ejects a fluid in a pulsed manner; a fluid accommodation portion that accommodates the fluid at a predetermined pressure or higher; a fluid supply unit that supplies the fluid accommodated in the fluid accommodation portion to the fluid ejection unit; a connection channel that connects the fluid ejection unit and the fluid accommodation portion, and acts as a channel through which the fluid flows; an opening and closing unit that opens and closes the connection channel; and a control unit that sends an open signal for opening the connection channel to the opening and closing unit, and sends an ejection signal for ejecting the fluid to the fluid ejection unit. The control unit sends the ejection signal after a predetermined amount of time has elapsed from the sending of the open signal.

Abstract: A dilator that facilitates implantation of an interspinous spacer is provided. The dilator includes a proximal portion and a tapered distal portion interconnected by an elongated body portion. The tapered distal portion is ideally suited for splitting ligamentous tissue for creating a posterior midline pathway through the supraspinous ligament as well as for distracting the adjacent spinous processes. Two oppositely located and longitudinally extending channels or grooves are formed in the outer surface of the dilator for stabilizing the dilator with respect to the spinous processes. An accompanying cannula together with the dilator form a system for the distraction of the adjacent spinous processes, stabilization of the spinous processes with respect to the system and creation of a working channel for the implantation of an interspinous spacer.

Abstract: An access device for placing a medical article within a body space includes a needle, a dilator, and a sheath. The dilator can be coaxially and slideably disposed about the needle, and the sheath can be coaxially and slideably disposed about the dilator. The access device can further include a inner member coaxially disposed between the needle and dilator. The needle can include a fenestration in fluid communication with a space between the needle and inner member. When the needle punctures a blood vessel, the fenestration allows blood to flow into the space between the needle and inner member to provide a visual indicator to a physician or healthcare professional that the needle is in a vessel.

Abstract: According to some embodiments, a method of treating a skin surface of a subject comprises heating a skin surface, abrading native skin tissue of a subject using a microdermabrasion device, wherein using the microdermabrasion device comprises moving the microdermabrasion device relative to the skin surface while simultaneously delivering at least one treatment fluid to the skin surface being treated and cooling the abraded skin surface.