Abstract: Instrument and systems for applying ablative energy to epicardial tissue via a subxiphoid access surgical approach. The instrument has a head assembly sized and shaped for a subxiphoid surgical approach to a patient's heart and defines a contact face. The head assembly includes a paddle body, a first ablation electrode, and a second ablation electrode. The ablation electrodes are coupled to the paddle body in a spaced apart, spatially-fixed fashion. The ablation electrodes are exteriorly exposed at the contact face. A tubular member extends from the head assembly and maintains wiring connected to the ablation electrodes. The instrument is manipulable to locate the contact face on epicardial tissue of a patient's heart via a subxiphoid surgical approach, such as between the left and right pulmonary vein junctions of the posterior left atrium.

Abstract: A surgical instrument for bonding body tissue includes a shank and first and second tool elements which are movable relative to each other and include a respective electrode. The electrodes define a minimum distance from each other, are opposed to each other and face each other in an approximating position of the tool elements. The first tool element is arranged or formed at the distal end of the shank, so that a mechanical load of anastomoses of body tissue parts produced by current flow is minimized when removing the surgical instrument. The second tool element is adapted to be brought from an operating position, in which it can be brought into the approximating position, into a removing position, in which a peripheral withdrawing line defined by the electrode of the second tool element is shorter than a peripheral approximating line defined by the electrode in the approximating position.

Abstract: A handheld electrosurgical instrument includes a handpiece (2) and an electrode assembly (3), the electrode assembly including one or more electrodes (12), (13) and a connector (8), (9) by which the electrode assembly (3) is capable of being attached and detached with respect to the handpiece (2). The handpiece includes a battery (4), an RF oscillator circuit (5) for generating a radio frequency output, and switching means (7) operable by a user of the electrosurgical instrument. A control circuit is provided (6) for controlling the RF output, the control circuit (6) being capable of receiving signals from the switching means (7) and causing one or more RF outputs to be supplied to the electrode assembly (3) in response thereto. The electrode assembly (3) includes a component (14), (21) capable of modifying the RF output reaching the one or more electrodes (12), (13) to produce a desired RF output at the one or more electrodes.

Abstract: An electrosurgical forceps includes a housing having a shaft affixed thereto, the shaft including jaw members at a distal end thereof. The forceps also includes a switch assembly that includes a supporting member, a flexible membrane circuit having snap dome switch contacts operably fixed thereto, and ergonomically-contoured keytops. The switch assembly provides at least one monopolar activation switch, and a bipolar activation switch. The forceps also include a drive mechanism which causes the jaw members to move relative to one another for manipulating tissue. A monopolar safety switch is incorporated into the switch assembly which cooperates with the drive mechanism to inhibit the monopolar activation switch when the jaw members are in an open position.

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

Abstract: A method is disclosed for the treatment of a thoracic region of a patient's body. Embodiments of the method comprise positioning an energy delivery portion of an electrosurgical device to face a segment of a thoracic vertebra at a distance from the segment; and cooling the energy delivery portion and delivering energy through the energy delivery portion.

Abstract: An electrosurgical instrument is provided for the treatment of tissue, the instrument (3) including a shaft (14) and a tip portion including at least one electrode (16), located at the distal end of the shaft. A fluid impermeable sheath (25) covers at least a proportion of the shaft and extends to the tip portion where it terminates in a distal end portion (26). A metallic shroud (29) is provided, comprising an annular ring portion (30) and a rearwardly extending cylindrical portion (31). The ring portion (30) is connected to the tip portion, and the cylindrical portion (31) overlies the distal end portion (26) of the sheath (25) so as to prevent ingress of fluids at the distal end portion of the sheath.

Abstract: A medical system includes an expandable structure and a first flexible circuit. The expandable structure is sized to be received in a chamber of a heart and is selectively moveable between a delivery configuration and an expanded configuration. The expandable structure includes a plurality of metal strips. The first flexible circuit includes a first flexible electrically insulative substrate and a plurality of electrically conductive traces patterned on the first flexible electrically insulative substrate. A portion of the first flexible circuit is patterned to form at least a first transducer element, and at least a part of the first flexible circuit is at least positioned between two of the plurality of metal strips that contact the first flexible circuit when the expandable structure is in the expanded configuration.

Abstract: Disclosed herein are systems and methods for locating and identifying nerves innervating the wall of arteries such as the renal artery. The present invention identifies areas on vessel walls that are innervated with nerves; provides indication on whether energy is delivered accurately to a targeted nerve; and provides immediate post-procedural assessment of the effect of energy delivered to the nerve. The methods includes evaluating a change in physiological parameters after energy is delivered to an arterial wall; and determining the type of nerve that the energy was directed to (sympathetic or parasympathetic or none) based on the evaluated results. The system includes at least a device for delivering energy to the wall of blood vessel; sensors for detecting physiological signals from a subject; and indicators to display results obtained using said method. Also provided are catheters for performing the mapping and ablating functions.

Abstract: A hand-held skin treatment device comprises a source of electromagnetic radiation, an energy supply electrically coupled to the source and a controller arranged to control the energy supplied to the source of electromagnetic radiation. The source, the energy supply and the controller are enclosed in a watertight housing allowing use of the hand-held skin treatment device in a wet environment. To provide sufficient cooling of the source, the device comprises an internal heat exchanger in heat conducting relation with the source, an external heat exchanger outside of the watertight housing, and a heat path from the internal heat exchanger to the external heat exchanger that passes hermetically through a wall of the watertight housing. With this device, users can conveniently integrate their skin treatment activities with the daily washing routine in a shower or bath. The device is especially useful in the context of hair removal.

Abstract: A system for monitoring ablation size includes a power source including a microprocessor for executing one or more control algorithms. A microwave antenna is configured to deliver microwave energy from the power source to tissue to form an ablation zone. A plurality of spaced-apart electrodes is operably disposed along a length of the microwave antenna. The plurality of spaced-apart electrodes is disposed in electrical communication with one another and each of the plurality of spaced-apart electrodes has a threshold impedance associated therewith corresponding to the radius of the ablation zone.

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

Abstract: A skin treatment device having a treatment window for treating skin through the treatment window and a user guide to deliver a tactile feedback signal during movement in stepwise increments of the treatment window along the skin.

Abstract: A method comprises receiving a surgical instrument into engagement with a grip actuator of a teleoperational activation system. The surgical instrument includes movable jaws, and the surgical instrument is received in a prearranged gripping configuration with the jaws gripping a surgical accessory. The method includes generating a first control signal for manipulating the surgical instrument while maintaining the surgical instrument in the prearranged gripping configuration. The method further includes generating a second control signal for manipulating the surgical instrument to move from the prearranged gripping configuration to a second configuration.

Abstract: A robot system is provided that includes a transport device and a robot. The transport device has a receiving device that receives a robot and a movement device connected with the receiving device. The robot has a robot base with at least one manipulator element connected with the robot base. The robot system further includes a fastening device connected with the robot base for fastening the robot to a holding device and includes a transport device receiver that is connected with the robot base for fastening the robot to the transport device.

Abstract: System and method for controlling a surgical manipulator to apply an energy applicator to a patient. The surgical manipulator cooperates with a navigation system to position the energy applicator with respect to a boundary so that the energy applicator is constrained from moving outside the boundary. The boundary is generated based on implant parameters measured after manufacture of the implant.

Abstract: A robotic catheter system includes an arch-shaped suspension system comprising a first and second vertical span, a horizontal span between the pair of vertical spans, and at least one robotic catheter head coupled to the horizontal span. The arch-shaped suspension system can include a pair of linear guide blocks that can be attached to a patient bed and in some embodiments the linear guide blocks can be configured to slidably move along a rail. The arch-shaped suspension system can be moved to allow for proper placement of the arch-shaped suspension system for use on a patient or for placing the system away from a patient or for storage. In some embodiments the robotic catheter system can include a suspension system cart for storing and moving the arch-shaped suspension system.

Abstract: A module for a visualization apparatus includes an imaging optic accommodated in a base body for generating a viewing image of an object region with an optical viewing beam path. The module includes a display unit for visualizing an image superimposed on the viewed image of the object region with orientation information. The module has an image acquisition unit having an image sensor for acquiring an image of the object region. The module contains a switching unit for selectively providing and blocking an optical beam path from the display to the image sensor. The switching unit, in a first switching state, provides the image of a geometric structure on the display onto the image sensor with the optical beam path and, in a further switching state blocks the optical beam path from a geometric structure on the display to the image sensor.

Abstract: A method of fabricating a customized patient-specific guide block is disclosed. The method includes generating a image of a patient's bony anatomy and an implanted prosthetic component secured to the patient's bony anatomy, identifying landmarks on the patient's bony anatomy and the prosthetic component, selecting a revision surgical instrument based the image and the landmarks, and manufacturing the customized patient-specific guide block including a customized prosthesis-specific negative contour shaped to match a corresponding contour of the implanted prosthetic component.

Abstract: A device sized and shaped for insertion into a body comprising: at least one mechanical limb comprising: a support segment; a first flexible section extending from the support segment and terminating in a coupling section; and a second flexible section extending from the coupling section and terminating in a tool or a connector for a tool; wherein a long axis of one or more of the flexible sections is bendable in a single bending plane; wherein a long axis length of the first flexible section is at least double a maximum extent of the first flexible section perpendicular to a flexible section long axis; wherein a long axis length of the second flexible section is at least double a maximum extent of the second flexible section perpendicular to a flexible section long axis.

Abstract: A method of controlling an end effector of a robotically-controlled surgical instrument may include receiving a first input signal indicative of a high grip level input at a master grip input mechanism that controls a slave gripping force of the end effector; receiving a second input signal indicative of a user's readiness to operate the surgical instrument to perform a first surgical procedure; and outputting a locking signal in response to receiving the first input signal and the second input signal together to lock one or more degrees of freedom of the surgical instrument during the first surgical procedure.

Abstract: A method for treating a site within a patient from which tissue has been removed includes providing at least one press-formed marker body formed of polysaccharide and a suitable binder; and placing the at least one of the press-formed marker body within the site where tissue has been removed so as to provide hemostasis therein.

Abstract: Techniques, including a surgical system and a method for providing a surgical system, for detecting detachable attachment of a first component to a console, for detecting detachable attachment of a second component to one of the console the first component, and for controlling a function module based on the detection result are provided.

Abstract: The invention provides an ultrasonic tip in titanium for ultrasonic instrument, and further provides a method of dental treatment of peri-implantitis using an ultrasonic tip operable to cooperate with an ultrasonic instrument to transmit ultrasonic vibrations to a surface of a dental implant to be treated, said implant and said ultrasonic tip being made of titanium. The present invention guarantees a safe and complete debridement of most implants for the dental treatment of peri-implantitis, and for the maintenance of the implant surface after such a treatment. Designed in pure titanium, like most dental implant in the market, the tip of the present invention advantageously avoids the transfer of material on the implant and the alteration of the surface, thereby preventing the risk of bacterial recontamination.

Abstract: A method relating to inserting an ultrasonic oscillatory dental tip into a gingival sulcus of a patient proximate to a subgingival tooth surface, and ultrasonically oscillating the dental tip while supplying a fluid to a porous surface of the dental tip to space the dental tip surface from the subgingival tooth surface to inhibit contact therebetween while debriding biofilm from the tooth surface. A dental tool relating to a tip body having first and second ends, the first end coupleable to a dental delivery device; an internal fluid flow passage through the tip body disposed between the first end and the second end; the second end having a dental tip surface in fluid communication with the internal fluid flow passage.

Abstract: The removable veneer for teeth is a cosmetic accessory adapted to overlay the teeth. The accessory includes a veneer designed to simulate perfectly positioned human teeth. A fastener system is employed to removably attach the veneer to the existing natural teeth of a user. Various teeth adornments may be attached to the veneer, if desired, when the wearer wants to assume a more modern look.

Abstract: Embodiments are provided for utilizing metallic portions in dental positioning appliances. One embodiment includes a removable dental positioning appliance having a shell having one or more cavities shaped to receive and reposition one or more teeth from a first orientation to a successive orientation and where at least a portion of the shell is formed from a metallic mesh material.

Abstract: An orthopedic appliance for a temporomandibular joint, includes: an upper teeth supporter and a lower teeth supporter, each of which includes a front arch portion corresponding to front teeth, and a pair of rear legs extended from the front arch portion, facing with each other and corresponding to a molar region; at least one set of upper and lower pivots which are respectively coupled to the upper teeth supporter and the lower teeth supporter and rotatable in at least one direction among forward, backward, leftward and rightward directions; and a connection member which connects the upper pivot and the lower pivot and adjusts a space between the upper pivot and the lower pivot. Thus, it is easy to adjust relative movement in a horizontal direction and height between the upper and lower teeth supporters.

Abstract: A dental implant fixture as a fixture implanted in an alveolar bone to be an artificial tooth root includes a main body vertically extending long along a center axis, at least part of the main body being implanted in the alveolar bone, and a cutting face formed on an outer circumferential surface of the main body to secure a space for accommodating blood when the main body is implanted in the alveolar bone. The dental implant fixture does not apply excessive pressure to a cortical bone of an alveolar bone when being inserted into an implantation hole, and is capable of rapidly regenerating the alveolar bone by accommodating a large amount of blood inside the implantation hole.

Abstract: A vertically adjustable rotational stabilizer (10) for a disposable articulator is provided. The articulator comprises a hinged pair of support arms, each support arm having a proximal end and a distal end, with the proximal ends of the support arms being hingedly fitted together. Each arm defines an opening or cavity between its distal and proximal ends. The vertically adjustable rotational stabilizer (10), in broad terms, comprises at least one body (30, 66) secured or securable to the support arms (14, 16) and positioned substantially within the opening defined by the support arm, and an elongate member (56) being adjustable relative to the at least one body so as to adjust and fix the distance between the distal ends of the support arms (14, 16).

Abstract: Prosthetic tooth support (1) with at least one prosthetic tooth (2), in particular with several prosthetic teeth (2), wherein a crown area (3) of the prosthetic tooth (2) or of the prosthetic teeth (2) is embedded, preferably cast, at least partially, preferably completely, in a support layer (4).

Abstract: A tip assembly for use with a dental tool, the tip assembly comprising a housing for attaching to the dental tool, at least one aspiration needle having a passageway extending at least partially through the aspiration needle, a substantial length of the aspiration needle, or at least from one end to the other end of the aspiration needle, the passageway providing a single continuous path to aspirate the irrigant and/or debris from the root canal cavity of the tooth, and at least one irrigation needle having a passageway extending at least partially through the irrigation needle, a substantial length of the irrigation needle, or at least from one end to the other end of the irrigation needle, the passageway provides a continuous flow path for delivering fluid/irrigant from a reservoir in communication with a proximal end of the irrigation needle to the distal end of the irrigation needle and into a root canal/coronal opening of a tooth.

Abstract: A method for generating a mapping of dental occlusion generates a three-dimensional model of the patient's teeth according to acquired image data. The maxillary and mandibular arches are positioned in opposition in the generated model of the patient's teeth and a meal model generated having characteristics of a foam material. A pressure field distribution for the generated meal model is calculated for one or more pairs of opposed teeth from the generated three-dimensional model of the patient's teeth. The calculated pressure field distribution can be displayed.

Abstract: An intra-vaginal device for controlling urinary incontinence, designed to be placed longitudinally in the vagina, includes: a. a deformable distal portion, placed in the subvesical region of the vagina, characterized by a deformable state and an un-deformable state; b. a deformable proximal portion placed in the sub-urethral portion of the vagina, characterized by a deformable state and an un-deformable state; c. a deformation controlling mechanism interconnecting said distal portion and said proximal portion, adapted to reversibly transform said distal portion and said proximal portion form said deformable state to said un-deformable state; and from said un-deformable state to said deformable state; wherein upon predetermined amount of intra-vaginal pressure applied on said proximal pressure, said deformation controlling mechanism is adapted to transform proximal portion from said un-deformable state to said deformable state such that pressure is applied on said urethra.

Abstract: A novel single plane tissue repair patch is disclosed. The patch has a base member with an opening therethrough, and a closure member associated with the opening. The mesh may be used in open surgical procedures for hernia repairs and other repairs of body wall defects.

Abstract: A novel single plane tissue repair device such as a patch is disclosed. The device has a base member with an opening therethrough, and a closure member associated with the opening. The mesh has a biaborbable polymeric adhesion barrier attached to the bottom side of the base member about its periphery to form a pocket that is accessible through the opening. The mesh may be used in open surgical procedures for hernia repairs and other repairs of body wall defects.

Abstract: A novel single plane tissue repair patch is disclosed. The patch has a base member with an opening therethrough, and a closure member associated with the opening. Mounted to the periphery of the bottom side of the base member is a locating structure. The mesh may be used in open surgical procedures for hernia repairs and other repairs of body wall defects.

Abstract: Novel deployment devices for use as adjuncts with tissue repair implants. The devices are removeably mounted to mesh tissue repair implant devices to manipulate the devices into position and provide for secure fixation about the periphery of such mesh implant devices by providing guide structures such as grooves for directing and positioning a surgical tacking instrument.

Abstract: A medical device including a mesh prosthesis having a first mesh layer affixed to a second mesh layer along a perimeter area. An enclosure is defined between the first and second layers and extends inwardly from the perimeter area. An opening in the first layer passes through the first layer to the enclosure. A fixation guide template defines a guide pocket within the enclosure. A resilient deployment structure is removably disposed within the enclosure and extending toward the perimeter area. The resilient deployment structure has an elasticity that generates a resilient deployment force for urging the mesh prosthesis to a deployed configuration from a non-deployed configuration. A shield projection extends outwardly from a perimeter of the resilient deployment structure and is engaged within the guide pocket to prevent relative rotational movement between the resilient deployment structure and the mesh prosthesis. A method of using a medical device is also included.

Abstract: Formulations of shape memory polymer (SMP) are integrated with several existing clinically available medical fabrics. The SMP portion of a SMP integrated fabric can be fabricated in varying thicknesses with the minimum thickness determined by the thickness of the underlying fabric and up to almost any thickness. Integration of the SMP with the base fabrics does not alter the shape memory functionality of the SMP. The design tools for controlling activation rate for traditional SMP materials thus apply to SMP integrated fabrics. SMP integrated fabrics may also be steam sterilized without loss of shape memory functionality.

Abstract: Materials for soft tissue repair, and in particular, material for hernia repair. These materials may be configured as an implant, such as a graft, that may be implanted into a patient in need thereof, such as a patient having a hernia or undergoing a hernia repair surgical procedure. These grafts may include a first layer comprising a substrate (e.g., mesh) and a second layer comprising a sheet of anti-adhesive material. The layers may be attached with a plurality of relatively small attachment sites that are separated by regions in which the two layers are not attached, to provide a highly compliant graft.

Abstract: The disclosure provides an IVC filter device and method to filter. The device has a first bar and a first slider. The first slider has a first bore formed therethrough slidably disposed on the first bar. The device further comprises a second bar and a second slider. The second slider has a second bore formed therethrough and slidably disposed on the second bar. The device further has a first set of filter struts with a first filter strut being arcuate and attached to the first bar. The first filter strut may extend to the second slider. In addition, a second set of filter struts has a second filter strut being arcuate and attached to the second bar, extending to the first slider. When disposed in the vena cava, the device may receive a force through its filter struts and slide one of the sliders to accommodate the force.

Abstract: A catheter that includes storage for an embolic protection device in an accessible, out-of-the-way location within the advancing catheter.

Abstract: The present invention provides a reparation method of a tubular vascular graft, (a) immersing a tubular scaffold in a first light sensitivity gelatin solution, and irradiate the tubular scaffold by a first time period, to let surface of the tubular scaffold form a base layer; (b) immersing the tubular scaffold of the step (a) in a chitin gelatin solution, when the surface of the base layer form a film, then immersing the tubular scaffold into a sodium hydroxide solution to generate a middle layer of the surface of the base layer; (c) immersing the tubular scaffold of the step (b) in a second light sensitivity gelatin solution, wherein the second light sensitivity gelatin solution comprises a cell, the tubular scaffold is irradiated by a second time period to form a surface layer of the middle layer; (d) until the cell forms a tubular structure of the surface layer by the cell in the tubular scaffold of the step (c), heating the tubular scaffold by a temperature to solve the base layer into a solution, pulling

Abstract: Synthetic structures for fibrous soft tissue repair include a polymeric fibrillar structure that exhibits mechanical properties of the human fibrous soft tissue.

Abstract: A system and method for insetting an intraocular lens in a patient's eye includes a light source for generating a light beam, a scanner for deflecting the light beam to form an enclosed treatment pattern that includes a registration feature, and a delivery system for delivering the enclosed treatment pattern to target tissue in the patient's eye to form an enclosed incision therein having the registration feature. An intraocular lens is placed within the enclosed incision, wherein the intraocular lens has a registration feature that engages with the registration feature of the enclosed incision. Alternately, the scanner can make a separate registration incision for a post that is connected to the intraocular lens via a strut member.

Abstract: The present invention relates to an intraocular lens, in particular capsular intraocular lens, with at least an anterior, a posterior optic element, a haptic element connecting both optic elements, wherein a cavity is formed by the optic element, and haptic elements, which are opened by circumferentially arranged openings. The object of the present invention is to provide an intraocular lens that allows a symmetrical deformation of one or more optic elements of the intraocular lens as well as a relative displacement of these optic elements relative to each other on their optic elemental axis, so that a sufficient change in refractive power is obtained.

Abstract: The present invention relates to novel methods and materials particularly useful for ophthalmic applications and to methods for making and using the same. More particularly, the present invention relates to relatively soft, optically transparent, foldable, high refractive index materials particularly suited for use in the production of intraocular lenses, contact lenses, and other ocular implants and to methods for manufacturing and implanting IOLs made therefrom.

Abstract: A prosthetic heart valve is designed to be circumferentially collapsible for less invasive delivery into the patient. At the implant site the valve re-expands to a larger circumferential size, i.e., the size that it has for operation as a replacement for one of the patient's native heart valves. The valve includes structures that, at the implant site, extend radially outwardly to engage tissue structures above and below the native heart valve annulus. These radially outwardly extending structures clamp the native tissue between them and thereby help to anchor the prosthetic valve at the desired location in the patient.

Abstract: A prosthetic heart valve may include a collapsible and expandable stent extending in a flow direction between a proximal end and a distal end, a cuff attached to an annulus section of the stent and having an outer surface facing in a radial direction orthogonal to the flow direction, a plurality of prosthetic valve leaflets attached to the cuff, and a sealing structure attached to the annulus section of the stent at an inner edge of the sealing structure. The flow direction may be defined from the proximal end toward the distal end. The sealing structure may have an outer edge remote from the inner edge. The sealing structure may have a collapsed condition with the outer edge disposed adjacent the outer surface of the cuff and an expanded condition with the outer edge spaced apart from the outer surface of the cuff.