Abstract: Technologies are provided for an opto-mechanical device for enabling surgeons to rapidly simulate proposed intestinal/colorectal anastomosis cut lines and assess their impact upon tissue perfusion prior to their implementation. The pre-selection process enables a surgeon to decide upon the locations of the anastomotic cut lines that are most likely to reduce ischemia, while preserving most of the intestinal tissue length. The opto-mechanical device may simulate a cut line by applying pressure to intestinal tissue and detecting a light pattern transmitted through the intestinal tissue before and after the applied pressure. A perfusion map may be generated to estimate perfusion quality around the circumference of the intestinal tissue at the site of a simulated cut line, and the perfusion map may be displayed as a two-dimensional graphic image of the proposed anastomosis site. Once the site of the best cut line is selected, the surgeon may activate a cutting blade to implement the cut.

Abstract: An apparatus includes a monolithically-constructed transmission member that defines a lumen along a longitudinal axis. The transmission member includes a first portion, a second portion, and a third portion. The first portion is configured to be coupled to an ultrasonic energy source. The second portion is configured to contact a bodily tissue to transfer ultrasonic energy from a first portion into the bodily tissue. The third portion is disposed between the first portion and the second portion and defines a cross-sectional moment of inertia that is less than at least one of a cross-sectional area moment of inertia of the first portion or a cross-sectional moment of inertia of the second portion.

Abstract: The present invention relates to an improved cannula that enables a plurality of applications to such as tools to be utilized through a single cannula. According to the present invention there is a cannula having a distal end for insertion into a body, the distal end defining an opening to a primary conduit extending along the longitudinal axis of the cannula. The cannula further comprises a tool element for providing a tool function at or adjacent the distal end of the cannula. At least a portion of the tool element is arranged to be moveable outwardly relative to the longitudinal axis of the cannula. Accordingly, it is beneficial that more than one function can be provided at the distal end of the cannula reducing the trauma to the patient and improving access for the surgeon.

Abstract: The inventions described in this patent application include i) a torqueable introducer sheath which is useable in conjunction with a transvascular passageway forming catheter to effect precise rotational control of the catheter; ii) an anchorable guide catheter which is useable in conjunction with an intravascular imaging catheter and a transvascular passageway-forming catheter to effect precise positioning and aiming of the passageway-forming catheter; iii) a passageway forming catheter having a torqueable proximal portion to facilitate precise rotational positioning of the distal portion of the catheter; iv) a deflectable-tipped passageway forming catheter, v) various markers and other apparatus useable in conjunction with any of the passageway-forming catheters to facilitate precise positioning and aiming of the catheter, and vi) an apparatus which may be formed within a catheter to prevent a member, apparatus of flow of material from being inadvertently advanced through a lumen of the catheter.

Abstract: The invention comprises a method for fixating bones in the foot by aligning the bones in their desired position, inserting a screw in the aligned bones, inserting at least one transverse element near the head or tip of the screw, and tightening the screw to compress the bones. The screw comprises a shaft having first and second ends with spirally wound screw threads beginning near the first end and extending along the shaft. Advantageously, the screw is cannulated and screw threads are formed on an interior surface of the cannulation. Illustratively, the transverse elements may be staples, open-ended washers, or open-ended nuts. Reduction instruments and drill guides used in the invention are also disclosed.

Abstract: A bone plate has a first frame portion with a plurality of apertures. The apertures may have central axes angled with respect to a bone contacting surface adjacent thereto at an angle of other than 90°. The plate has a second plate portion comprising a plurality of apertures therethrough and has a first end connected to the first plate portion. The plate has a third plate portion having first and second ends respectively connected to a second end of the second plate portion and to the first plate portion at a point thereon closer to a center of the first plate portion than the first end of the second plate portion to the first plate portion. The first, second and third plate portions having an arcuate shape capable of conforming to an arcuate bone surface, the bone contacting surface forming a concave portion of the arcuate shape.

Abstract: Disclosed is a fixation device for spinal fixation. The fixation device includes an elongated body comprising a bone anchor at a distal end. An axially moveable proximal anchor is carried by the proximal end of the fixation device. In one embodiment, the device is inserted through a first vertebra and the bone anchor is rotated into positioned within a second vertebra. The proximal anchor is distally advanced with respect to the bone anchor to provide compression across the first and second vertebra. In other embodiments, the device is used to secure stabilization devices across two or more vertebra.

Abstract: A bone screw and a method for manufacturing the same includes a screw thread configuration having one or more grooves cut into a leading face of the thread, a trailing face of the thread, and/or the shaft between the threads. Other implementations include the incorporation of facets into the one or more grooves. The implementation of the one or more grooves increases the surface are of the orthopedic screw and functions to increase in anchoring the bone screw within the bone once inserted therein, and thereby reduce the possibility for the screw backing out after insertion.

Abstract: A method of treating a spinal column shape deformation includes fixing at least two fixation screw assemblies to respective vertebrae, sliding a rod between the arm extensions on each of the fixation screw assemblies, swinging the channels of the screw assemblies relative to the fixation screws so that the channels become less inclined to the axes of the fixation screws, and so that the rod is located generally posteriorly of the spinal column, locking the channel against swinging relative to the screw, rotating the rod about its axis relative to at least one of the channels, and locking the rod against movement relative to the channel.

Abstract: Electrosurgical methods and systems. At least some of the illustrative embodiments are methods including maintaining plasma proximate to an active electrode in a first energy range, and a second energy range. During periods when plasma is proximate to the active electrode, the illustrative method may include controlling flow of fluid drawn into an aperture of an electrosurgical wand, and in some situations increasing fluid flow drawing into the aperture responsive to the active electrode being in operational relationship with tissue, and in other cases decreasing fluid flow drawing into the aperture responsive to the active electrode being in operational relationship with tissue. Further, during periods when plasma is proximate to the active electrode, the illustrative method may include providing output energy at a default energy setpoint, and then providing output energy at a second energy setpoint.

Abstract: In a multi-electrode ablation system, method, and controller, the controller is configured to measure a first current through a common return path when a first voltage is applied by a power supply to a first electrode of a plurality of electrodes, measure a second current through the common return path when a second voltage is applied by the power supply to a second electrode of the plurality of electrodes, measure a third current through the common return path when a third voltage is applied by the power supply concurrently to the first electrode and the second electrode, and determine a common path impedance based at least in part on the first voltage and the first current, the second voltage and the second current, and the third voltage and the third current.

Abstract: A method for manufacturing an electrode configuration configured for use with an electrosurgical instrument is provided. A pre-assembled jaw configuration including jaw members including respective first and second electrodes is provided. One or more stop members are positioned on the first electrode. The first and second electrodes are approximated toward one another for contact therebetween so as to form an at least one indentation on the second electrode.

Abstract: A surgical instrument includes an end effector assembly and a switch assembly. The end effector assembly includes a monopolar assembly and a bipolar assembly. The switch assembly includes first and second bipolar inputs, first and second bipolar outputs, a monopolar input, and a monopolar output. The switch assembly is transitionable between a first condition, wherein the first and second bipolar inputs are coupled to the first and second bipolar outputs, respectively, for supplying energy to the bipolar assembly, and a second condition, wherein the monopolar input and the monopolar output are coupled to one another for supplying energy to the monopolar assembly.

Abstract: The present disclosure is directed to an electrosurgical instrument having a housing that includes a generator configured to output electrosurgical energy and a controller configured to control the output of the generator. The instrument also includes a switch coupled to the controller and configured to provide a signal to the controller to select the energy modality of the electrosurgical energy. An indicator is also included to provide an indication of the selected energy modality.

Abstract: A renal denervation system includes an ablation catheter and an inflation balloon. The renal denervation catheter is insertable into a renal artery to perform a renal denervation procedure. The inflation balloon is inflatable within the renal artery, wherein one of a blood pressure condition in the renal artery resulting from operation of the inflation balloon and a performance characteristic of the inflation balloon indicates efficacy of the renal denervation procedure.

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: An electrosurgical ablation system includes an energy source adapted to supply energy to an energy delivery device. The energy delivery device includes a handle assembly configured to couple a pair of antennas extending from a distal end thereof to the energy source for application of energy to tissue. A power splitting device is operatively associated with the handle assembly and has an input adapted to connect to the energy source and a pair of output channels operably coupled to the respective pair of antennas. A phase shifter is operatively associated with the handle assembly and is operably coupled to the pair of output channels. The phase shifter is configured to selectively shift a phase relationship between the pair of output channels.

Abstract: An ablation device includes an antenna assembly having a radiating portion configured to deliver energy from a power source to tissue. The radiating portion has an outer conductor and an inner conductor. The inner conductor is disposed within the outer conductor. The device also includes an imaging device operably coupled to the radiating portion. The imaging device is configured to generate imaging data corresponding to tissue proximate the radiating portion of the antenna assembly.

Abstract: A camera and drape assembly for use with tracking elements of a surgical system includes a camera unit and a drape covering the camera unit. The camera unit includes a casing presenting a face for facing the tracking elements. Optical sensors are supported by the casing and are exposed through the casing for detecting the tracking elements. The drape covers the camera unit such that light signals from the tracking elements can be received by the optical sensors.

Abstract: A robotic surgical system incorporating a surgical robot attached to a patient's bone by an attachment member, such that motion of the bone induces corresponding motion of the robot, maintaining the robot/bone positional relationship. The robot is supported on a mechanical mounting member attached through a controlled joint to a bed-mounted base element. The controlled joint can alternatively enable the mechanical mounting member to move freely relative to the base element, or its position can be controlled by signal inputs adapted to prevent excessive force being applied in the system. Two modes of operation are available (i) free motion in which the control system is decoupled from the mounting member, which rides freely with patient bone motion, and (ii) servo-controlled motion, in which drive mechanisms control the joint motion to prevent application of excessive force on the patient bone or attachment member.

Abstract: Disclosed herein is a surgical robot control apparatus, in which a control stick member is connected to an upper surface of a base member, pivots and rotates around a connection portion, and is provided with a rotary button control member, a mode switching button member, and a control member which can be operated with the thumb. Thus, the surgical robot control apparatus can realize multiple functions. A surgeon can grasp the control stick member to easily control operation of a surgical robot and can perform other work using the other hand. Thereby, when performing surgery, the surgical robot control apparatus remarkably reduces the fatigue of the surgeon, thereby providing a surgical environment that is convenient and safe; and which provides maximized efficiency. Further, the surgical robot control apparatus can increase the safety of a patient using a safety device based on a buttons, software, and hardware while performing surgery.

Abstract: Provided herein is a tissue stretching device configured for orbicular expansion of a tissue placed therein. Methods of use of the device to stretch a tissue as well as for culturing organized tissues are also provided. Stretched and/or cultured tissues produced by these processes are also provided, as well as methods making use of the same.

Abstract: Apparatus, including a housing that is configured to be mounted in proximity to a human eye. The apparatus further includes optics that is retained by the housing and that is configured to focus optical radiation from a scene to an image viewable by the human eye. The apparatus also includes a tunable wavelength filter that is retained by the housing and that is configured to sequentially filter the optical radiation from the scene by a first wavelength and by a second wavelength different from the first wavelength.

Abstract: A surgical utility connector is detectable by a surgical utility supplying device to indicate connection with the surgical utility supplying device. The surgical utility connector includes a first connecting region, a second connecting region, and a detection region between the first connecting region and the second connecting region. A utility channel may pass a utility from the surgical utility supplying device. The utility channel may extend through the first connecting region, the detection region, and the second connecting region. The surgical utility connector also may include a magnetic element disposed in the detection region and surrounding the utility channel. The magnetic element may have a field detectable by the surgical utility supplying device when the surgical utility connector is connected to the surgical utility supplying device.

Abstract: A surgery assistance apparatus includes an organ region extraction unit that extracts a tubular-organ region from a three-dimensional image obtained by imaging a tubular-organ and a blood vessel dominating the tubular-organ, a blood vessel region extraction unit that extracts a blood vessel region dominating the tubular-organ from the three-dimensional image, a branching structure extraction unit that extracts a branching structure of the blood vessel from the extracted blood vessel region, and a dominated region identification unit that identifies, with respect to an arbitrary partial blood vessel corresponding to an upper edge branching at least once to reach an edge including a terminal-end of the extracted branching structure, a dominated region in the tubular-organ region that is dominated by the arbitrary partial blood vessel by using positional relationships between a plurality of terminal end points present after the edge of the arbitrary partial blood vessel branches last and the tubular-organ region

Abstract: A system and a method are disclosed that allow for generation of a model or reconstruction of a model of a subject based upon acquired image data. The image data can be acquired in a substantially mobile system that can be moved relative to a subject to allow for image acquisition from a plurality of orientations relative to the subject. The plurality of orientations can include a first and final orientation and a predetermined path along which an image data collector or detector can move to acquire an appropriate image data set to allow for the model of construction.

Abstract: Systems, methods and devices are disclosed for use in electronic guidance systems for surgical navigation to determine the relationship between the three-dimensional coordinates of an anatomy of a patient and those of medical image data. These coordinates are required to assist in the determination of the surgical measurements with respect to which components, such as, an acetabular prosthesis, are inserted into a body of the patient. In one such example, during hip replacement surgery, a surgeon receives guidance of how to place an acetabular prosthesis in the body of the patient, specifically in the pelvis with respect to medical image data.

Abstract: A robotic surgical system comprising a surgical instrument comprising an end effector comprising (i) a blade, (ii) a first jaw member including a first electrode, and (iii) a second jaw member including a second electrode. The robotic surgical system may also comprise a motor and a control circuit configured to: (i) produce control signals comprising a first control signal and a second control signal, (ii) deliver an electrosurgical energy signal to the first electrode and the second electrode via the first control signal, (iii) deliver a drive signal to the motor via the second control signal (iv) receive at least one feedback signal, (v) determine a rate of change based on a first feedback signal of the at least one feedback signal, and (vi) maintain the rate of change at a predetermined rate or within a predetermined range.

Abstract: A method for correlating a 2D ultrasonagraphic image of a patient's spine with a relative location along the spine may include storing a generic 3D model of a spine in a database of an ultrasonagraphic system, recording a patient-specific spine contour line via an ultrasound probe, resizing the length of the generic 3D model according to the patient-specific contour line, distorting the shape of the generic 3D model according to the patient-specific spine contour line to create a patient-specific 3D model of the patient's spine, capturing a first ultrasound image of the patient's spine via the ultrasound probe and concurrently determining a 3D location of the ultrasound probe. The method may include correlating the 3D location of the ultrasound probe with a corresponding location on the patient-specific 3D model. A rendering of the patient-specific 3D model may be displayed, including an indication of the relative location of the ultrasound probe.

Abstract: An instrument device manipulator (IDM) is attached to a surgical arm of a robotic system and comprises a surgical tool holder and an outer housing. The surgical tool holder includes an attachment interface that can secure a surgical tool in a front-mount configuration (where the attachment interface is on a face opposite of an elongated body of the surgical tool) or a back-mount configuration (where the attachment interface is on the same face as the elongated body of the surgical tool). The surgical tool holder may rotate continuously within the outer housing. In a back-mount configuration, the surgical tool holder may have a passage that receives the elongated body of the tool and allows free rotation of the elongated body about the rotational axis. A surgical drape separates the IDM and robotic arm from a tool, while allowing electrical and/or optical signals to pass therebetween.

Abstract: A drill limit system includes a holder having drill stops removably coupled thereto and configured to receive a drill bit therethrough, and a platform coupled to the holder and configured to engage a tip end of the drill bits when received through the drill stops, wherein the holder and platform are movable relative to each other so that the position of the drill stops relative to the drill bits may be selectively varied. A method for attaching drill stops to a drill bit includes providing a holder and a platform movable relative to each other, the holder having a plurality of drill stops removably coupled thereto, inserting a plurality of drill bits through respective drill stops, moving the holder and platform relative to each other to select a desired height of the drill stops on the bits, and engaging the drill stops to the drill bits at the selected height.

Abstract: An apparatus for endodontic treatment, comprising: a nozzle connected to a fluid source comprising: a tip small enough to be inserted into a pulp chamber of a tooth; an inner geometry which forms a flow parameters including non-axial flow direction of nozzle fluid flowing through the inner geometry such that discharge fluid discharged from the inner geometry increase rotation of root canal fluid within a root canal sufficiently to remove tissue from the root canal.

Abstract: An orthodontic device-setting tool is provided with: a fitting section having a fitting surface, which covers and fits together with at least one of the incisal margin, the dental cusp, or the occlusal surface of a tooth; a foundation section, which has a back surface that adheres closely to the labial/buccal surface or the lingual surface of the tooth and has, on the surface opposite the back surface, a front face on which the orthodontic device is mounted; and a connecting section that connects the fitting section and the foundation section. The tool has a frame section, which protrudes from the front face of the foundation section and can fit together with the orthodontic device.

Abstract: The subject matter of the disclosure is, in one example, a dental implant having a corpus, an external thread attached on the endosteal area of the corpus, and a post accommodation formed in the inside of the corpus. Providing a dental implant that can be anchored well in the jaw is achieved by forming a recess on the endosteal end of the corpus oriented coaxially to the longitudinal axis of the corpus.

Abstract: Provided are related to implant abutments. The implant abutment that is coupled to a fixture that becomes an artificial tooth root by being implanted to an alveolar bone, the implant abutment includes: a main body; a first rotating member that is coupled to the main body to be able to rotate with respect to a first rotational axis, includes a first gear portion on an end portion thereof, and includes a male screw portion that is formed on the other end portion thereof to be screw coupled to the fixture; and a second rotating member that is coupled to the main body to be able to rotate with respect to a second rotational axis which crosses the first rotational axis, and includes a second gear portion that is formed on the other end portion thereof to form a bevel gear structure by being coupled to the first gear portion.

Abstract: An artificial teeth packaging container includes an artificial teeth accommodating portion for fixing a plurality of continuously arranged artificial teeth detachably, and holding an arrangement position relation with an adjacent artificial teeth and an arrangement position relation with an upper or lower artificial molar teeth, in which the artificial teeth accommodating portion covers the plurality of artificial teeth from an occlusal plane in a state exposed around a cervical portion.

Abstract: An inhaler, preferably for insertion into a nostril, in particular a horse's nostril, with an inhalation valve, which has a movable valve element, whereby the valve element is designed in an annular manner and has an outer edge and an inner edge, whereby the valve element is fastened at the outer edge, the inner edge forms the boundary of an indentation of the valve element, and the inhalation valve has a valve body seat that corresponds to the inner edge.

Abstract: A method of placing an implant indwelling in a living body is disclosed. The method can include forming an insertion hole in the living body, the insertion hole extending from a living body surface and passing an obturator foramen on one side and an obturator foramen on the other side, the insertion hole having its end portion on the one side opened in the living body surface and its end portion on the other side closed in relation to the living body surface; inserting a medical tube that permits the implant to be inserted into the medical tube, prior to insertion of the implant; inserting the implant into the medical tube inserted in the insertion hole; and pulling the medical tube out of the insertion hole so that the implant is placed indwelling in the living body.

Abstract: Some embodiments are directed to implants and methods for making and using the implants. An exemplary implant includes a first elongate member and a second elongate member each having a first end portion and a second end portion. The first and second end portions of the first elongate member may be configured to be coupled to tissue of a patient proximate the vagina and sacrum, respectively. The first elongate member may define a first opening and a second opening, where the second elongate member may be configured to extend through the first opening and the second opening. The first end portion of the second elongate member may be coupled to tissue proximate the vagina of the patient.

Abstract: An implantable prosthesis can have a three-dimensional shape that is invertible, so as to assume either a right configuration or a left configuration, which can be substantially mirror images of each other, so as to eliminate the need for separately manufacturing a left prosthesis and a right prosthesis. An implantable prosthesis can be preformed to independently assume a contoured three-dimensional shape that more adequately fits the extraperitoneal laparoscopic inguinal space, while simultaneously maintaining a relatively large area for fixation of the prostheses (e.g., through suturing or integration with the surrounding tissue). An implantable prosthesis can have a three-dimensional contoured shape that is formed from a single piece of continuous material, such as a mesh, and can possess substantially uniform rigidity.

Abstract: Novel tissue repair implants are disclosed. The tissue repair implants have a bottom planar base member and an upper skirt member extending about the periphery of the base member. The implants have at least one position indicating feature that alerts the surgeon if the skirt member has rolled over or displaced during fixation to tissue in order to assist in preventing fixation of the skirt in an improper position to provide an optimal surgical repair.

Abstract: The invention provides a highly aligned and closely packed hollow fiber assembly, wherein the assemblies of fibrous membrane has a width-to-fiber diameter ratio (W/d) larger than 10 and the orientation of the fibers is no larger than +/?10°. Also provided is an electrospinning process for the preparation of the fiber assembly of the invention and its applications.

Abstract: A stent comprised of a valve and a scaffolding structure having components configured to allow at least a portion of the stent to decrease in diameter in response to an axial force applied to the stent. Further, the components and elements of the stent may be configured to balance transverse forces applied to the stent, thus reducing the incidence of infolding.

Abstract: The invention provides a stent-graft system comprising a graft member and a stent having a connection end interconnected with the graft member and a free end opposed thereto. A belt retaining structure is provided at the stent free end. A belt is releasably retained in the belt retaining structure and is configured to constrain the stent free end independent of the stent connection end. A method of securing at least one end of a stent-graft within a vessel is also provided.

Abstract: Human implantable tissue expanders are provided, that comprise an inner foam filling enclosed within a substantially non-stretchable resilient expansion restricting layer configured to retain a shape and/or volume of said foam filling upon changes of ambient pressure and/or temperature, and an outer shell comprising one or more layers formed of a resilient material.

Abstract: An intraocular lens for reducing aberrant optical effects includes a substantially oval, elliptical, or rectangular optic with an anterior surface, a posterior surface and a peripheral region/zone disposed about a central optical axis and a plurality of haptics coupled to the optic. The peripheral region/zone has an inflection region/transition area that is inclined with respect to the anterior surface at an angle between about 40 degrees and 120 degrees with respect to the optical axis. The thickness at the edge of the IOL is less than or about 0.03 mm.

Abstract: The invention relates to an artificial intra ocular lens of variable optical power, comprising at least two optical elements which can be shifted relative to each other in a direction extending perpendicular to the optical axis wherein the optical elements have such a shape that they exhibit, in combination, different optical powers at different relative positions. This results in a construction which has such a low weight that it is applicable as an intra ocular lens of adjustable optical power. According to a first preferred embodiment the lens comprises positioning means the optical elements in the eye and driving means, which can be operated by the user to execute a movement of at least one of the optical elements relative to the other optical element. This embodiment can be used to correct the accommodation function.

Abstract: The invention relates to a multi-lens intraocular lens system having an accommodation material between the lenses. The system comprises an posterior lens attached to the posterior surface of the capsular bag and an anterior lens attached to the anterior surface of the capsular bag. The anterior and posterior lenses have different optical properties providing different degrees and types of correction. An accommodation material is place between the anterior and posterior lenses. The accommodation material may comprise of one or more macromers, which, when polymerized, adjust the properties of the accommodation material.

Abstract: An intraocular lens insertion device having a configuration in such a manner that, with the displacement of a haptic toward the convex side of an optical portion, which can be deformed in a curved shape, restricted by an engaging part provided to the tip part of a plunger, the haptic is deformed in a curved shape in the direction in which the haptic approaches the optical portion. The configuration allows, when the intraocular lens is pushed out by the plunger, the haptic to enter a gap formed on the concave side of the optical portion which has been deformed in a curved shape.

Abstract: A sequentially deployed prosthetic cardiac valve includes a self-expanding frame having an atrial skirt, a ventricular skirt, and an annular region disposed therebetween. A first anterior tab is disposed on an anterior portion of the frame. A posterior tab is on a posterior portion of the self-expanding frame. The frame may be designed so that any portion may expand sequentially in any desired order. For example, a portion of the first anterior tab and a portion of the posterior tab may partially self-expand first. Next, the first anterior tab may fully self-expand before the posterior tab fully self-expands. The posterior tab may fully self-expand next followed by the ventricular skirt, or the ventricular skirt may self-expand next followed by full expansion of the posterior tab.