Abstract: Calibration methods and related calibration controllers (CC) for calibrating imaging apparatuses (102) such as a 3D computed tomography imager or a 2D x-ray imager. The imaging apparatuses (102) are equipped with a dynamic beam shaper (RF). The dynamic beam shaper (RF) allows adapting the energy profile of a radiation beam (PR) used in the imaging apparatuses (102) to a shape of an object (PAT) to be imaged. A plurality of gain images are acquired in dependence on a shape of the object and the view along which the gain images are acquired or a target gain image is synthesized from a plurality of basis gain images (BGI).

Abstract: The present invention relates to a device for auscultation of a body. An embodiment of the device includes a housing dimensioned and configured for disposition in an operative orientation relative to a predetermined portion of the body. The housing includes a plurality of chambers disposed therewithin. The plurality of chambers are collectively structured to receive an acoustic signal at least when the housing is disposed in the operative orientation. The housing also includes at least one transducer at least partially disposed in a corresponding one of the chambers. The transducer is structured to convert the acoustic signal into an electrical signal.

Abstract: An invention is disclosed for locating a region of interest in the calcaneus. A pair of ultrasound transducers are positioned on the medial and lateral sides of the heel, respectively. The positioning is based on a size of a portion of the body of a subject upon whom the ultrasound assessment of the calcaneus is to be made. In a presently preferred embodiment, the length of the foot from the back to the head of the first metatarsal is used in conjunction with a proportionality constant and an angle, to position the pair of transducers. The positioning so obtained facilitates (i) reproducible measurements and (ii) comparisons of the results obtained in one person with another, because relatively analogous portions of the highly heterogeneous calcanei are assessed in both. In an alternative embodiment, a single transducer is positioned similarly on the heel, operating in pulse-echo mode.

Abstract: Adaptors for ultrasound probes can have an adaptor body can have an open lower end that allows a distal end of the ultrasound probe to extend therethrough to contact skin of a patient. The adaptor can include a plurality of spaced apart resilient members held by the adaptor body that, in operation, are able to change in length such that the resilient members translate from a first longer length to a second shorter length when the probe applies compressive force to the target tissue.

Abstract: Drivers and drive systems (e.g., off-axis drive systems, pneumatic motors, multi-gear drive systems, and/or the like), and kits comprising drivers with drive systems, such as those, for example, configured to move a drive shaft.

Abstract: A wound closure apparatus can be a self-contained device for delivery and deployment of a tissue engineered wound plug that can secure fascial closure of laparoscopic port-site wounds. The wound plug can include a subfascial rivet head, a suprafascial rivet head, and a compressible column. Once in the wound, the wound plug may be deployed with the subfascial rivet head below the fascia of the wound and the suprafascial rivet head above the fascia of the wound. As this occurs, the column of the wound plug can be stationed within the opening of the wound. Once the wound plug is secured above, below, and within the fascial defect, the rivet heads may be interlocked within an inner channel of the column and remaining elements of the apparatus may be removed and discarded.

Abstract: A retractor includes a first arm, a second arm, and a translating member. The first arm comprises a proximal portion configured to retain a first retractor member and a distal portion configured to rotate relative to the proximal portion about a first axis. The second arm is configured to retain a second retractor member, such that rotation of the distal portion about the first axis causes the first retractor member to pivot toward or away from the second retractor member when the first retractor member and the second retractor member are coupled to the first arm and the second arm, respectively. The translating member is coupled between the proximal portion and the distal portion, and is configured to receive a drive force that causes the translating member to bias the distal portion to pivot relative to the proximal portion about the first axis.

Abstract: Devices, instruments and associated methods for the subchondral treatment of osteoarthritis in small joints are provided. In addition, a method for treating joint pain in small joints is provided. These small joints may be ankle, elbow or wrist joints. The methods may target one of many different access points having trajectories with a common focal point at or near the small joint. The instruments may limit access to areas within or near the small joint by providing predefined entry paths that avoid damage to surrounding tissues.

Abstract: A suture anchor includes a material having thermoplastic properties and is fixated in a hard tissue opening by liquefying at least part of this material and letting it penetrate into walls of the hard tissue opening. During the named fixation and preferably towards the end of it, the suture being held in a distal suture conduit is locked relative to the hard tissue by being clamped between the suture anchor and the wall of the hard tissue opening or by being clamped or braked through collapse of the suture conduit.

Abstract: Systems and methods for soft tissue to bone repairs, without knot tying. The soft tissue repair systems include self-cinching constructs with splices and loops that are pre-loaded onto modified knotless anchors (for example, swivel and/or screw-in suture anchors and/or push-in suture anchors with a distal eyelet) to position the self-locking, adjustable construct at the repair site. The systems allow for knotless tensioning of the tissue after the knotless anchors have been implanted.

Abstract: A soft anchor insertion kit includes a flexible anchor member. A flexible strand extends from the flexible member. A cannulated tool is configured to form a bone tunnel through a first cortex in a bone. A guide tool is configured to guide the cannulated tool. A delivery tool is configured to deploy the flexible member beyond a second cortex of the bone. The cannulated tool guides the delivery tool.

Abstract: Tools and methods for removing anchors from medical leads involve a guide portion and a blade. The lead is inserted within a lead passageway of the guide portion of the tool and the tool is moved along so that the blade contacts the anchor and cuts a slit in the anchor as the tool. Once the blade has cut the slit through the entire anchor, the anchor comes free of the lead and the tool can be removed. The tool may include a manner of opening and closing the guide portion so as to provide access to the lead when open and to contain the lead when closed. Opening the guide portion allows the lead to be inserted or removed by laterally moving the lead into or out of the lead passageway such that the tool may be installed or removed at any available point along the lead.

Abstract: A handle assembly for operating an articulatable surgical instrument is provided and includes a housing; an actuation shaft translatably and rotatably supported in the housing; a first trigger supported on the housing and connected to the actuation shaft, the first trigger being configured to translate the actuation shaft to operate a first function of the surgical instrument; a second trigger supported on the housing and connected to the actuation shaft, the second trigger being configured to rotate the actuation shaft to operate a second function of the surgical instrument; and a second-trigger release supported in the housing, the second-trigger release having a first position blocking actuation of the second trigger and a second position permitting actuation of the second trigger, where the second-trigger release is actuated from the first position to the second position upon and complete actuation of the first trigger.

Abstract: A release tool is provided for an end effector with a pair of jaw members and a drive beam assembly configured for axial movement through the pair of jaw members. The release tool includes an elongate body member, a gripping assembly, and a release bar. The gripping assembly is secured to the elongate body member and is configured to secure the elongate body member to the end effector. The release bar is supported by the elongate body member and is axially movable relative to elongate body member. The release bar is configured to engage a beam of the drive beam assembly to retract the beam to a proximal position when the beam is disposed in a position distal of the proximal position.

Abstract: In various embodiments, a staple cartridge for use with a surgical stapler is disclosed. The staple cartridge comprises a cartridge body comprising a deck, a row of first staple cavities defined in the deck, a plurality of first staples, wherein the first staples are positioned in the first staple cavities, a row of second staple cavities defined in the deck, and a plurality of second staples, wherein the second staples are positioned in the second staple cavities. The staple cartridge further comprises a first layer comprising a first portion positioned over the first staple cavities and configured to be captured within the first staples and a second portion positioned over the second staple cavities and configured to be captured within the second staples. The staple cartridge further comprises a second layer positioned over the second portion and not positioned over the first portion of the first layer.

Abstract: A surgical stapling device for sequentially applying a plurality of fasteners to body tissue and simultaneously incising tissue is provided. The surgical stapling device is adapted to receive disposable loading units having staples in linear rows whose length can be between about 30 mm and 60 mm. The disposable loading unit includes a proximal body portion, a mounting assembly and a tool assembly. The mounting assembly is secured to the proximal end of the tool assembly and pivotally mounted about a pivot axis to the distal end of the proximal body portion. A support member or blow-out plate assembly is positioned on opposite sides of the pivot axis and extends between the proximal body portion and the mounting assembly.

Abstract: A surgical stapling device has an elongated body and a removable loading unit and a securing structure for securing the loading unit onto the elongated body. A guiding ramp guides the movement of the loading unit as it is mounted onto the loading portion. The locking structure has a first position for locking movement of the loading unit and enabling firing rod to engage the loading unit. The locking unit has a second position for allowing the loading unit to be disengaged and removed from the device.

Abstract: A surgical instrument including a handle assembly, an elongated portion, an end effector, and a stop member is disclosed. The end effector is disposed adjacent a distal portion of the elongated portion and includes a first jaw member and a second jaw member. At least one jaw member is movable with respect to the other jaw member between spaced and approximated positions. The first jaw member includes an upper tissue-contacting surface and a lower shelf portion. The shelf portion includes a groove disposed therein. The stop member is disposed adjacent a distal portion of the first jaw member and is pivotable with respect to the first jaw member between a first position, a significant portion of the stop member being positioned external to the first jaw member, and a second position where a lower portion of the stop member being positioned at least partially within the groove.

Abstract: A surgical fastener is provided for various surgical fastening applications, including attaching an implantable prosthesis, such as a soft tissue repair fabric, to tissue and/or muscle. The surgical fastener may include a coil body and a separate head that is attached to the coil body. The head may include an internal thread that is threadably attached to the coil body. The head may also be further secured to the coil body with a compression fit therebetween. A locking feature may prevent back-out of the coil body from the head. The surgical fastener may be assembled by threading the coil body through the head.

Abstract: Implantable devices for placement at a cavity or opening such as an aneurysm are disclosed. The implantable devices, in a deployed condition, have a generally inverted U-shaped profile with a curved or angled framework support structure sized and configured for placement in proximity to tissue surrounding the opening and anchoring legs extending proximally from the framework structure sized and configured to contact the wall of a neighboring lumen at opposed locations. Occlusive and semi-occlusive membranes may be associated with the framework support structure and deployed over the opening to provide exclusion of the opening and flow diversion. Proximal anchoring segments providing additional lumen wall surface area contact for the implantable device following deployment may be incorporated.

Abstract: An aneurysm occlusion system includes a device positionable within a cerebral blood vessel covering a neck of an aneurysm on the blood vessel. The device includes an expandable tubular element having a lumen surrounded by a sidewall including a plurality of gaps. When expanded, the tubular element includes longitudinal standards arrayed helically in a proximal to distal direction. The standards support struts and the gaps are defined between adjacent struts and are sufficiently large to permit delivery of embolic coils or other embolic materials therethrough.

Abstract: A method for producing an in-vivo indwelling member includes a step of winding a metal wire (1) to form a primary coil (2-4), a step of giving the primary coil (2-4) a shape to form a secondary coil (10-19), and a step of inserting the secondary coil (10-19) into an inner hollow section (43) of a shaping mold (40). The secondary coil (10-19) includes different patterns such as a helical shape (20, 22-25, 29, 61, 63-65), a linear shape (21, 26, 28), and a circular arc shape (27, 50-53, 60, 62). When the secondary coil (10-19) is pushed into the inner hollow section (43), the secondary coil (10-19) makes contact with the inner wall surface of the inner hollow section (43), and a portion between different patterns is randomly curved. Accordingly, the in-vivo indwelling member has a three-dimensional structure that corresponds to the shape of the inner hollow section (43). The in-vivo indwelling member is less likely to deviate from the inside of an aneurysm when released into the aneurysm.

Abstract: Patient-matched surgical instruments, and methods for making patient-matched surgical instruments, may include patient-matched surgical instruments having an anatomy facing side with several discrete, physically separate anatomy contacting portions configured to match the anatomy of a particular patient. The anatomy contacting portions may be one or more of non-uniform in distribution, non-uniform in shape or non-uniform in surface area.

Abstract: A hammer drill attachment is provided for attachment to a bi-directional surgical drill. The attachment comprises a lengthwise adapter to engage a chuck of the surgical drill, a transmission mechanism, and a quick-release mechanism. The transmission mechanism comprises a pair of toothed plates, the teeth of a proximal plate configured to permit engagement with the teeth of a distal plate. When the proximal plate rotates in a first direction, the proximal plate transmits a rotational motion to the distal plate. When the proximal plate rotates in a second direction, the proximal plate transmits an axial percussive force to the distal plate. The quick-release mechanism comprises a socket to receive a collet, a socket seater, and a latching arm to move the socket seater with respect to the socket, thereby seating or unseating the collet in the socket.

Abstract: A remote-controlled actuator assembly includes a distal end member fitted to a tip end of a spindle guide section for alteration in attitude, a tool rotatably provided in the distal end member, a tool rotation drive source for rotating the tool, and an attitude altering drive mechanism for operating the attitude of the distal end member. The spindle guide section has a rotary shaft for transmitting a rotation of the tool rotation drive source to the spindle and an attitude altering member to alter the attitude of the distal end member. The attitude altering mechanism includes an attitude altering drive source, a reduction unit to reduce a speed of input rotation from the attitude altering drive source, a motion converter mechanism to convert a rotational output from the reduction unit to advancing/retracting motion, and an output member to cause the attitude altering member to advance/retract according to an output of the motion converter mechanism.

Abstract: Improved instruments for modifying a shape of a proximal femur of a patient for installation of a stem of a femoral component of a prosthetic hip during hip replacement surgery, comprising a handle including an elongated shaft extending downward approximately in a z-direction, a first offset extending from a bottom of the elongated shaft approximately in a y-direction, a second offset extending from the second offset approximately in an x-direction, and a shaping member elongated downward from the second offset approximately in the z-direction. Provided is an improved femoral broach and an improved osteotome. Also provided is a method of improving a patient's positioning during hip replacement surgery by using a variable configuration mattress for positioning the patient.

Abstract: The present disclosure provides methods for forming or enlarging holes in bone tissue and methods for fixing medical plates to bodies. The present disclosure also provides for products produced by the methods of the present disclosure and for apparatuses used to perform the methods of the present disclosure.

Abstract: Disclosed herein are systems and methods for securing a glenoid baseplate to a resected glenoid cavity in a preoperatively planned position. Image information obtained from the glenoid cavity and surrounding scapula is analyzed to determine the location of optimal bone stock. A guide is designed based on the image information, the guide having a patient specific contact surface that contacts a surface of the bone in a preoperatively planned position. The guide is designed to have a cannulated portion including a specific length. A marking pin having at least one reference feature is drilled into the glenoid cavity. The length of the cannulated portion of the guide is based on a location of the at least one reference feature on an outer surface of the marking pin. A cannulated reamer guided by the marking pin is then used to resect the glenoid cavity until a stop surface of the cannulated reamer contacts an end of the marking pin.

Abstract: A patient tissue includes a primary patient tissue area and an anatomically differentiated bordering secondary patient tissue area. An apparatus is at least partially customized responsive to preoperative imaging of the patient tissue. Means are provided for mating with the primary patient tissue area in a preselected relative orientation. Means are provided for fixing a first landmark to the primary patient tissue area in at least one of a predetermined marking location and a predetermined marking trajectory. Means are provided for fixing a second landmark to the secondary patient tissue area in at least one of a predetermined marking location and a predetermined marking trajectory. A method of associating a plurality of landmarks with a patient tissue is also provided.

Abstract: The invention relates to a device for penetratingly extending a blind hole into a hard tissue, particularly a jawbone. The device is characterized in that it comprises a tubular body (1) having a distal working opening (2) and an inlet (3) opposite the working opening (2), said inlet being closed by a sealing element (4) that is penetrated by a shaft (5) of a working tool, for example a milling tool (5, 6), and allows at least a feed motion, a drive motion and a steering motion of the working tool (5, 6), the tubular body (1) being provided with a connection (8) for applying an internal pressure.

Abstract: A method of retrieving calculus in a renal pelvis of a living body involves positioning an enclosure in the renal pelvis, creating convection in the renal pelvis by introducing liquid into the renal pelvis from outside the living body to lift the calculus from a surface of the renal pelvis, retrieving the calculus in the renal pelvis by creating a vacuum in the enclosure while the enclosure is located in the renal pelvis so that the calculus are drawn into the enclosure, wherein the vacuum also draws the liquid into the enclosure, and withdrawing the enclosure from the renal pelvis while the calculus is in the enclosure.

Abstract: An attachment mechanism and method for attaching or coupling a guide wire to a catheter for re-canalization or opening a passage through an occlusion in a blood vessel is provided. The attachment mechanism generates friction forces against the guide wire to couple the guide wire to a catheter, which design permits a greater force to be used on the guide wire during a re-canalization procedure. The invention also encompasses use of the attachment mechanism in conjunction with active catheters, which have vibration-generating means to oscillate the distal end of the catheter or a component in the distal end of the catheter, to add vibration motion, preferably axial vibration motion, to the increased force that may be applied to the guide wire for purposes of penetrating an occlusion. The methods of the invention relate to methods of attaching the guide wire to the catheter and methods of treating a vessel having a partial or total occlusion.

Abstract: An apparatus includes a generator including a control module that is operably coupled to a power module. The power module is configured to produce an electronic signal to be received by an ultrasonic energy delivery assembly. The ultrasonic energy delivery assembly is characterized by a natural frequency, and the electronic signal is characterized by a frequency. The control module is configured to send a control signal to the power module to randomly vary the frequency of the electronic signal within a range defined at least in part by the natural frequency.

Abstract: A device for retrieving calculus in a lumen of a living body includes an elongated member positionable in the living body lumen and including an inlet, an outlet and a retrieval space between the inlet and the outlet, and a sealing member movably positioned in the lumen of the elongated member to axially move in distal and proximal directions, wherein the sealing member is in sealing contact with the inner surface of the lumen in the elongated member. A plunger is connected to the sealing member and includes two parts separated from one another to form a divided sealing member when the plunger is moved in the distal direction and that directly contact one another to form an integrated sealing member when the plunger is moved in the proximal direction to draw fluid and the calculus into the retrieval space.

Abstract: An endoscopic instrument includes a shank (2) with an instrument head (9) arranged at the distal shank end (1) and includes a tool with two jaw parts (11, 12). The jaw parts (11, 12) are pivotable relative to one another and can be controlled from the proximal instrument end via a pull elements (5-8) led in the shank (2). At least one jaw part (11, 12) includes two curved disks (36, 37), on which the pull elements (5-8) engages in each case. Two curved disks (36, 37) of a different radial size are provided for each jaw part (11, 12). The radially larger curved disk is arranged closer to the longitudinal middle axis (14) of the tool than the radially smaller curved disk.

Abstract: In one embodiment, a medical device may include an insertion member configured to be inserted into a body opening, and a needle member, movably coupled to the insertion member, configured to be inserted into the body opening. The needle member may include a lumen configured to transfer dissection fluid, a blunt tip located on a distal end of the needle member, and an opening disposed proximate to the blunt tip that is configured to discharge the dissection fluid into a space between tissue layers.

Abstract: An intravascular catheter device is provided for use during a surgical procedure. The catheter device includes a catheter tube having an expandable portion with a plurality of struts each defining an outer surface. The expandable portion is operable between a closed position, wherein the expandable portion has a first diameter, and an opened position, wherein the expandable portion has a second diameter that is larger than the first diameter. An incising element is provided on the outer surface of at least one of the struts. The incising element has a sharpened edge that extends outwardly in a radial direction from the outer surface of the strut for creating an incision in atherosclerotic material located within a blood vessel when the expandable portion is in the opened position.

Abstract: A method of treating a lesion in a body lumen to enlarge a passageway in the lumen including inserting a plurality of cutting members and a tracking member through a first lumen of a catheter, withdrawing the catheter from the cutting members and tracking member, inserting the catheter over the tracking member and leaving the cutting members outside the catheter, and expanding a portion of the catheter to move the cutting members into cutting contact with the lesion. A device for treating a lesion in a body lumen including a plurality of cutting members and a tracking member is also provided.

Abstract: An atherectomy catheter is provided for excising and imaging material in a body lumen. In one embodiment, the catheter comprises a catheter body, a cutting blade, and an imaging device. The cutting blade is mounted on the catheter body and configured to move between a first position and a second position relative to an aperture or cutting window. When the cutting blade is in the second position, the blade substantially closes the aperture on the catheter body. The imaging device which is mounted on or otherwise coupled to the cutting blade is configured to be in an imaging position when the cutting blade substantially closes the aperture or cutter window. This allows the imaging device to survey material within the cutting zone of the atherectomy catheter. By allowing the imaging device to view materials within this cutting zone, material may be imaged and then removed from the body lumen without having to reposition the catheter between each step.

Abstract: A device and method for delivering a device such as a sensor or fluid transport structure or a fluid transport structure sensor combination into, for example, mammalian skin. Such a device allows a sensor to penetrate mammalian skin without the use of an introducer device such as a needle. A device in accordance with embodiments of the present disclosure includes a housing for attachment to mammalian skin including an exit port for receiving the distal end of a biosensor and an injection activation device including a mechanism for forcing the sensing device from a first position within the housing, through the exit port to a second position, with sufficiently high velocity to partially penetrate the mammalian skin.

Abstract: A laparoscopic port is disclosed which includes a tubular member comprising a proximal end and a distal end and a lumen extending there between. At least one seal member provided in the lumen adapted to prevent pressurized gas flow from the distal end to the proximal end of the tubular member. The laparoscopic port further includes a shielding trigger positioned distal to the seal member in the lumen, the shielding trigger is shaped so as at least a proximal portion of the shielding trigger has a narrowing cross-section that extends towards the seal member, the proximal portion is adapted to actuate a reversibly opening and protection of the seal member upon a proximally projected pressure from a distal end of an artifact.

Abstract: A perianal support device is provided that is configured to inhibit the formation and/or progression of tissue damage in the perianal region of the body. A method is provided to apply the perianal support device to patients during childbirth to inhibit the formation and/or progression of tissue damage in the perianal region of the body.

Abstract: A beauty tool (1) includes: a substantially rod-shaped main body (10); an attraction head (2) provided in the main body (10); and a beauty effect imparting part for imparting a beauty effect to human skin in a state where it is in contact with or close to the human skin. The attraction head (2) is provided at one end of the main body (10) and includes a magnetic force generating surface (20) for attracting and removing, by means of a magnetic force, a cosmetic agent applied to the human skin.

Abstract: The percutaneous minimally invasive pedicle fixation system herein comprises a bone screw and a hook-rod, wherein the bone screw includes a positioning casing and a screw body. The positioning casing comprises securing base, an alignment casing and a screw body passage. The securing base includes a through hole at the bottom and two openings arranged opposite to each other in the wall. The alignment casing has a wall portion and a volume reduce portion, wherein the wall portion is configured with an elongate opening and the volume reduced portion is a portion with part of the wall removed to recede from the outer surface of the securing base and a guide opening formed in the volume reduced portion. The positioning casing further includes a first easy breaking portion between the alignment casing and the securing base so that the alignment casing can be removed from the positioning casing.

Abstract: Devices for sacroiliac joint fusion may be implanted from an anterior, posterior, or lateral approach. Multiple devices may be used in a single fusion procedure. Some examples include blade anchors which extend from a central beam, pin, cage, or body.

Abstract: The bottom loading fastening system that consists of the polyaxial ball and socket joint used in conjunction with a bone screw having threads on one end for use in anchoring to the spine and a spherical connector on the other end operating as a pivot point about which a connecting assembly moves in a polyaxial fashion. A substantially U-shaped connecting assembly has a lower receptacle having at least two retainer rings within at least two retaining ring grooves for use in securing the spherical connector to the connecting assembly.

Abstract: Connector assemblies are provided to couple an elongate member extending along the spinal column to a bone engaging implant engaged to the spinal column. The connector assembly includes a coupler having an implant coupling portion and an elongate member coupling portion. The positioning and orientation of the coupler relative to the implant and elongate member can be adjusted to facilitate engagement of the connector assembly between the implant and elongate member.

Abstract: An apparatus for securing a vertebra during healing of a fracture within a pars area of the vertebra is described. In certain embodiments, the apparatus is a plate that has an outer shape similar to a shape of a pedicle and/or lamina of the vertebra, and an inner section that facilitates access to the pars area when the plate is secured to the vertebra.

Abstract: A laminar plate that reconstructs or supports the lamina of a vertebra after lamina bone has been removed during spinal surgery and prevents bone growth material from entering the spinal canal. The laminar plate spans a gap from the removed lamina bone and is coupled to, or proximate to, and between a facet and the spinous process by screwing the plate to the bone.

Abstract: Disclosed is an instrument to assist in installing bottom loading orthopedic devices. The orthopedic devices are used to fix and stabilize bones to correct anomalies in skeletal structure occurring naturally or by trauma. Bone screws are anchored and tulips by the disclosed instrument wherein push/pull forces are equalized to eliminate the imposition of stress on the skeletal of individual.