Abstract: Provided is a radiation imaging apparatus including a moving member configured to move along a ceiling; a first arm supported by the moving member to rotate with respect to a first rotation axis, wherein the first arm supports a first radiation source and a first radiation detector which are facing each other; a second arm configured to rotate with respect to a second rotation axis crossing the first rotation axis, wherein the second ram supports a second radiation source and a second radiation detector which are facing each other; and a supporting arm supported by the moving member, wherein the supporting arm supports the second arm such that the second arm may be rotatable with respect to the second rotation axis.

Abstract: Embodiments of methods and apparatus are disclosed that can provide a modular approach to an accessory shell for a portable DR detector that can accessorize features for various applications.

Abstract: Provided are a diagnostic medical image system and the like which enable diagnostic medical images generated in either an imaging system used for general imaging or an imaging system which includes a Talbot imaging device to be accurately associated with imaging order information. In the diagnostic medical image system, a controller groups a plurality of types of diagnostic medical images reconstructed and generated on the basis of a plurality of image signals captured by a second imaging system equipped with a Talbot imaging device and transmits the group to a console; and the console associates one diagnostic medical image generated from one image signal acquired from a first imaging system equipped with an X-ray imaging device with the imaging order information corresponding thereto and, by the same associating method, associates the grouped plurality of types of diagnostic medical images transmitted from the controller with the imaging order information corresponding thereto.

Abstract: A mounting system is provided to allow the attachment of an acoustic collector to a handheld electronic device such that sound is conducted directly to the device's microphone. A fitted case or band encloses part of the device and includes a tube running from the collector to the device's microphone. In certain embodiments, the tube may be embedded in the case, and a detachable mount may be provided to connect the collector to the case. The collector may be a stethoscope chestpiece, or an open air collector, such as a parabolic collector.

Abstract: Intravascular devices, systems, and methods are provided. In one embodiment, an intravascular system includes an intravascular device and a computing device in communication with the intravascular device, the computing device operable to: present a set of mode options to a user at a user display device; receive a mode selection from the presented set of mode options; determine a set of operating parameters based on the mode selection; receive a first set of medical sensing data; and process the first set of medical sensing data according to the operating parameters, wherein the computing device is further operable to determine the set of operating parameters based on at least one of a previous mode selection, a user preference, an operative course of a medical procedure, patient information, the first set of medical sensing data, a second set of medical sensing data, a status indicator, or a sensing device identifier.

Abstract: An interventional medical device is provided that incorporates a forward-directed ultrasound imaging system integrated into a single minimally invasive device. The medical device can be in the form of an image guided catheter having a replaceable and reusable ultrasound imaging assemble and replaceable interventional devices such as a removable introducer needle and syringe, the device having a tapered distal tip, particularly those suitable for minimally invasive direct introduction into the human or other mammalian body. The imaging system comprises one or more small ultrasound transducers that can be replaceably integrated into the device via a longitudinal slot in an expendable elongate body and may be inserted into and removed from the device to customize the device for a particular use.

Abstract: An ultrasound system includes a 2-D transducer array and a velocity processor. The 2-D transducer array includes a first 1-D array of one or more rows of transducing elements configured to produce first ultrasound data. The 2-D transducer array further includes a second 1-D array of one or more columns of transducing elements configured to produce second ultrasound data. The first and second 1-D arrays are configured for row-column addressing. The velocity processor processes the first and the second ultrasound data, producing 3-D vector flow data. The 3-D vector flow data includes an axial component, a first lateral component transverse to the axial component, and a second lateral component transverse to the axial component and the first lateral component.

Abstract: The control panel and display of a cart-borne ultrasound system are support by a lift which can be controlled to allow the control panel and display to be raised, lowered, and rotated. The lift has a first pivot elbow mounted to the ultrasound system cart and a second pivot elbow on which the control panel and display are mounted. A four-bar linkage is coupled between the pivot elbows which enables to control panel and display to be raised and lowered while maintaining the inclination of the control panel. The pivot elbows allow the control panel and display to be turned and rotated. A pair of hydraulic struts are mounted to the four-bar linkage to support the weight of the control panel and display. When a control button on the handle of the control panel is depressed the control panel and display can be freely raised, lowered and rotated. When the control button is released the pivot elbows and four-bar linkages are locked in their current positions.

Abstract: A medical diagnostic imaging apparatus includes identification-information-changing circuitry and comparison-result-calculating circuitry. The identification-information-changing circuitry changes identification information given to a plurality of points corresponding to contours of tissue in first medical-image-data in a first medical-image-data group each including a plurality of pieces of medical-image-data of different time phases.

Abstract: According to one embodiment, an ultrasonic diagnostic apparatus comprises a receiving unit which provides at least some of echo signals with reception delays that vary with ultrasonic transducers and adds each of the echo signals provided with the reception delays to acquire a reception beam includes a predetermined receiving direction and a reception focus and a control unit, the control unit controlling the transmission unit so that a transmission beam including a transmission direction and a transmission focus that are fixed is transmitted, the control unit also controlling the receiving unit by changing patterns of the reception delays and adding the respective patterns to at least some of the echo signals based on the transmission beam including the transmission direction and the transmission focus that are fixed in order to acquire reception beams different in receiving direction and reception focus.

Abstract: A steerable laser probe may include a handle, an actuation structure of the handle, a housing tube, a flexible tube, an optic fiber, and a wire having a pre-formed curve. The flexible tube may be disposed within the housing tube wherein a distal end of the flexible tube projects out from a distal end of the housing tube. The optic fiber may be disposed within an inner bore of the handle, the housing tube, and the flexible tube. The wire may be disposed within the housing tube.

Abstract: The present disclosure generally relates to a retractor device for retracting soft tissue to provide access to a surgical site. The retractor device includes a plurality of arms coupled to a frame and operatively coupled to a ring disposed at least partially within the frame. Related methods of using the retractor device are also described.

Abstract: A multi-suture knotless anchor and related method for securing soft tissue, such as tendons, to bone are described. The suture anchor includes a body, a sleeve, and an outer deformable bone locking structure. The bone locking structure has a first low profile configuration for insertion into the bone, and a second larger profile configuration for engaging the bone when actuated. The bone anchor and methods permit a suture attachment that lies beneath the cortical bone surface and does not require tying of knots in the suture.

Abstract: A method of fixating soft tissue to bone using a bone anchor connected to a construct formed of a suture strand passing through the anchor and a shuttle device passing through a splice region of the suture strand. After installing the anchor in bone, an end of the suture strand is passed around or through soft tissue to be fixated, and then the end of the suture strand is inserted into an eyelet of the shuttling device. By pulling on the opposite end of the shuttling device, the end of the suture strand is passed through the splice region of the flexible strand, thereby forming a knotless closed loop having an adjustable perimeter. As the loop is tightened, the soft tissue is tensioned against the bone.

Abstract: A suture anchor is disclosed having an outer body with an axial bore which receives and inner body for rotation. Suture passes between the inner body and outer body and rotation of the inner body wraps the suture thereabout locking the suture thereto. Rotation of the inner body also effects radial expansion of at least a portion of the outer body to engage to anchor into a bone hole.

Abstract: A suture delivery system is described. The system includes an anchor and a cooperating driver, the driver facilitating a delivery of the anchor into the abdominal cavity. The system allows for the deployment of a suture internally into an abdominal wall.

Abstract: Some embodiments of the present disclosure may include a device for conveying power from a location external to a subject to a location within the subject The device may include a flexible carrier, an adhesive on a first side of the carrier, a coil of electrically conductive material associated with the flexible carrier, and a mechanical connector extending from a second side of the carrier opposite the adhesive. The mechanical connector may be configured to be received by and retained by a receiver associated with a housing configured for mounting on the carrier.

Abstract: An apparatus and method is disclosed for securing tissue to a bone comprising a novel screw anchor for insertion into a bone by a novel rotational driver. The screw anchor and rotation driver enables the screw to be completely embedded into the bone while permitting a suture to be threaded through a transverse aperture in the screw. The rotation driver facilitates insertion and engagement of a capture with one of a series of protuberance formed along a length of a suture. In addition, the method is disclosed of forming the series of protuberance.

Abstract: A tissue fixation device includes an elongated body defining a longitudinal axis and including a proximal end and a distal end. At least two barbed segments diverge distally away from the distal end of the elongated body and a pledget is disposed at distal ends of the barbed segments. The elongated body, barbed segments, and pledget are provided in a variety of configurations depending upon the performance requirements desired of the tissue fixation device for the envisaged application of use.

Abstract: This disclosure includes needle holders and related methods. Some holders use or include an elongated handle having a proximal portion and a distal portion, a first jaw member coupled to the distal portion of the handle, a second jaw member pivotally coupled to the first jaw member, and a lever pivotally coupled to the handle and coupled to the second jaw member such that the lever can be actuated by a user's thumb to selectively open and close the jaw members. In some holders, the handle extends proximally beyond the lever such that the lever can be actuated by the user's thumb to selectively open and close the jaw members while the handle is grasped within the user's hand. In some holders, the handle is defined by an elongated housing defining an interior volume configured to receive at least a portion of the lever when the jaw members are closed.

Abstract: A staple comprising: a bridge configured to be elastically stretchable; a first leg connected to said bridge and configured to be elastically bendable; and a second leg connected to said bridge and configured to be elastically bendable; said first and second legs being connected to said bridge so that they are angled toward one another when they are in an unstrained state; such that when said bridge is elastically strained into an elongated condition, and said first and second legs are elastically strained so that they extend substantially parallel to one another, and said first and second legs are disposed in appropriate holes on opposing sides of a fracture line, and when the strain on said staple is thereafter released, compression will be provided across the fracture line by both said bridge and said first and second legs.

Abstract: A fastener for attaching a sheet-like implant to tissue or bone. The fastener includes a first arm having a proximal end and a distal end, a second arm having a proximal end and a distal end, and a bridge extending therebetween. Each of the first and second arms include a trunk portion defining at least a portion thereof, the trunk portion having a cavity therein and an aperture through a wall thereof. A claw is disposed in the cavity which is moveable from a first delivery position to a second deployed position. A pull member engages each claw to move the claw from the delivery position to the deployed position.

Abstract: A medical device comprises a control handle and a surgical end effector connected to the control handle through a passive articulating connection. A medical device end effector connection assembly comprises a passive articulation joint for connecting an end effector to a control handle. In a medical device having an end effector connected to a control handle, an end effector connection assembly comprises a passive articulation joint connecting the end effector to the control handle. A medical device comprises a control handle and a surgical end effector passively articulated with respect to the control handle. A medical device comprises a control handle having a first portion of a passive articulation joint and a surgical end effector having a second portion of the passive articulation joint, the first and second portions of the passive articulation joint connecting the end effector to the control handle.

Abstract: A surgical device is disclosed which includes a handle portion, a central body portion and a SULU. The SULU includes a proximal body portion, an intermediate pivot member and a tool assembly. The intermediate pivot member is pivotally secured to the proximal body portion about a first pivot axis and the tool assembly is pivotally secured to the intermediate pivot member about a second pivot axis which is orthogonal to the first pivot axis. The SULU includes a plurality of articulation links which are operably connected to the tool assembly by non-rigid links. The articulation links are adapted to releasably engage articulation links positioned in the central body portion. The body portion articulation links are connected to an articulation actuator which is supported for omni-directional movement to effect articulation of the tool assembly about the first and second axes.

Abstract: An end effector includes first and second jaw members that are pivotable relative to one another between open and clamped configurations about a pivot axis. The first and second jaw members each define a pivot hole which defines the pivot axis. The first and second jaw members also each define an articulation axis that is orthogonal to the pivot axis and position distal of the pivot axis. The first and second jaw members are articulatable about the articulation axis between straight and fully articulated configurations.

Abstract: A surgical fastener includes a first leg having a distal end, a proximal end, and a first insertion tip at the distal end of the first leg, the first insertion tip having a first distal piercing point, and a second leg having a distal end, a proximal end, and a second insertion tip at the distal end of the second leg, the second insertion tip having a second distal piercing point. A bridge connects the first and second legs. The first and second distal piercing points are located outside the respective first and second legs. The first and second legs extend along respective longitudinal axes, and the first and second insertion tips are asymmetrical and skewed outwardly relative to said respective longitudinal axes of the first and second legs.

Abstract: Disclosed is an end effector of a surgical linear stapler, which includes a staple cartridge, an anvil, a pusher unit, a driving wedge, a stabilizer unit and a blade unit, wherein the stabilizer unit is arranged on the staple cartridge while neighboring on the pusher unit and at least partially discharged from the staple cartridge by the driving wedge so as to hold tissue placed in between the staple cartridge and the anvil.

Abstract: A jaw closure mechanism for use in a surgical clip applier having first and second jaws movable relative to one another between a spaced-apart position and an approximated position to form a surgical clip about tissue. The jaw closure mechanism includes first and second eccentric wheels rotatably coupled to the respective first and second jaws. Each of the wheels includes a center and a pivot point that is offset relative to the center. A cable is disposed about each of the wheels. The cable is engaged to the first wheel at a first engagement point and to the second wheel at a second engagement point such that, upon application of a drive force to the cable, the wheels are rotated and displaced relative to the respective jaws from a first position to a second position to urge the jaws from the spaced-apart position to the approximated position.

Abstract: The present invention is directed to an apparatus and its method of use in delivering surgical tissue connectors into an area of the body and removing the surgical tissue connectors from the body area. Svlore specifically, the present invention is directed to a surgical tissue connector apparatus having at least two tissue connectors connected by a length of cord and a delivery and removal tube. At least one of the tissue connectors has a base with a tapered, beveled or chamfered surface projecting from one end of the base. A hook or other type of tissue connector projects from the opposite side of the base. The hook is positioned on the base where a peripheral side surface of the base shields the hook from unintentionally snagging objects. The base peripheral surface is also dimensioned to slide easily through an interior bore of the tube. This enables the base and the projecting hook to be easily delivered through the tube into an area of the body.

Abstract: An anvil assembly suitable for trans-oral delivery is provided. The anvil assembly includes a housing configured to receive a guide suture that is severed during a stapling procedure. An anvil delivery assembly including the anvil assembly and a suture guide assembly secured to the anvil assembly is also provided.

Abstract: An extra-luminal ring (1200) includes a structural member (1202), which assumes a first elongate hollow shape (1206) when in a relaxed state; when deformed to a planar state (1208), generally defines a planar shape (1209) having two first sides (1220A, 1220B) parallel to each other, and two second sides (1222A, 1222B) parallel to each other; and when in the relaxed state, is configured such that the two first sides (1220A, 1220B) are generally straight and parallel with each other, and the two second sides (1222A, 1222B) are curved at least partially around a first longitudinal axis (1230) defined by the first elongate hollow shape (1206).

Abstract: A vascular occluding device for modifying blood flow in a vessel, while maintaining blood flow to the surrounding tissue. The occluding device includes a flexible, easily compressible and bendable occluding device that is particularly suited for treating aneurysms in the brain. The neurovascular occluding device can be deployed using a micro-catheter. The occluding device can be formed by braiding wires in a helical fashion and can have varying lattice densities along the length of the occluding device. The occluding device could also have different lattice densities for surfaces on the same radial plane.

Abstract: Systems and methods are provided for reversibly controlling a size and/or restricting the movement of a body orifice, such as a pyloric opening, using an implantable device configured to allow a distance between opposed ends thereof to be adjusted. A device is provided having attachment members and a connector portion extending therebetween and configured such that a size of the pyloric opening is decreased upon the implantation of the device. The connector can be adjustable to allow a size of the pyloric opening to be adjusted after it has been restricted. The connector can include two or more bridge portions having different lengths such that cutting a first bridge portion can increase the distance between the attachment members so as to increase the size of the pyloric opening. To revert to a natural size of the body orifice, the entire connector can be cut or otherwise broken and/or removed.

Abstract: Some embodiments of a system or method for treating heart tissue can include a control system and catheter device operated in a manner to intermittently occlude a heart vessel for controlled periods of time that provide redistribution of blood flow. In particular embodiments, the system can be configured to provide an estimation of the cumulative effects of the treatment. For example, some embodiments of the system or method can treat myocardium that is at risk of infarction by intermittently altering blood flow in a venous system to induce microcirculation within the myocardium, and can output a cumulative dosage value indicative of a measurement of progress of reducing an infarct size.

Abstract: A vasculature occlusion device detachment system including a heating fuse element made of a material that melts when a current is applied that exceeds a predetermined maximum current threshold. An electrically conductive corewire connected proximate its distal end directly to the heating fuse element at a first electrical connection joint, while a separate insulated electrically conductive wire is electrically connected directly to the heating fuse element at a second electrical connection joint. An inner insulation sleeve placed over a distal section of the corewire covers the first electrical connection joint and is disposed between the insulated electrically conductive wire and the electrically conductive corewire. An outer insulation sleeve is disposed over a distal section of an assembly including the insulated electrically conductive wire, the inner insulation sleeve and the electrically conductive corewire. The outer insulation sleeve covers the second electrical connection joint.

Abstract: Devices and methods for treating vascular defects, such as, for example, balloon-type aneurysms, are described herein. In one embodiment, an apparatus includes an insertion portion and an expandable implant. The expandable implant is configured to be deployed in an aneurysm and is coupled to the insertion portion. The expandable implant has a first portion and a second portion coupled to the first portion. The expandable implant is movable between a first configuration in which the first portion and the second portion are substantially linearly aligned and a second configuration in which the second portion at least partially overlaps the first portion.

Abstract: Devices and methods for treating vascular defects, such as, for example, balloon-type aneurysms, are described herein. In one embodiment, an apparatus includes an insertion portion and an expandable implant. The expandable implant is configured to be deployed in an aneurysm and is coupled to the insertion portion. The expandable implant has a first portion and a second portion coupled to the first portion. The expandable implant is movable between a first configuration in which the first portion and the second portion are substantially linearly aligned and a second configuration in which the second portion at least partially overlaps the first portion.

Abstract: A surgical ligation clip and method of operation are described and include a top jaw member and bottom jaw member joined at a hinge section for movement about the hinge section. The hinge section can be offset or space laterally from one or both of the jaw members. Teeth arrangements and distributions are also described, as well as closing and jaw ends engagement configurations, for example for more easily engaging/piercing connective or other tissue.

Abstract: A nosebleed arrest element is placed into a human mouth to alleviate bleeding from a nose. An upper portion of the device is placed between an interior portion of an upper lip and the gingiva of a crest of a maxillary bone. Placement of the device provides sufficient pressure upon subjacent arterial passageways to stem a flow of blood. A lower portion of the device protrudes from the mouth of a user. The lower portion is provided with a grasp catch to obviate swallowing of the device as a whole and to assist with maneuvering and removal of the device.

Abstract: A pre-fabricated tourniquet that is easy to apply, that ensures consistent and even circumferential pressure, that is light weight, that provides standard life saving operation, and that can be utilized in any setting or situation, and related methods are provided. Mechanically constricting tourniquet apparatus and related methods are provided that are comprised of a tourniquet body, a carriage, a torsion bar, a receiver and a slider. The tourniquet is long enough to encircle a human limb, for example, an arm or leg.

Abstract: An implant for use in orthognathic surgery of a mandible may include a longitudinal plate member and a plurality of pre-configured guides coupled to the plate member. The longitudinal plate member is pre-bent to correspond to the post-operative shape of the mandible; and the guides are pre-configured to align the plate member with the mandible when the implant is positioned against the mandible after the mandible has been separated.

Abstract: A method for aligning an orthopedic implant in a joint replacement includes determining the bone and cartilage deficiency from an undegenerated state caused by wear of a joint. Then a resection of a bone in the joint is made based on the deficiency of bone and cartilage from the undegenerated state and the size of a joint implant so as to locate the joint surface of the implant in the undegenerated cartilage location. The condylar wear from the undegenerated states may be assessed at a distal and posterior location on each of a medial and a lateral femoral condyle. A distal cut is made on the femur at a location adjusting for the condylar wear from the undegenerated state. The distal cut varus-valgus angle is oriented parallel to a plane across the distal femur after adjusting for wear in the distal location on the medial and lateral condyle.

Abstract: A dilation introducer for orthopedic surgery is provided for minimally invasive access for insertion of an intervertebral implant. The dilation introducer may be used to provide an access position through Kambin's triangle from a posterolateral approach. A first dilator tube with a first longitudinal axis is provided. An access cannula may be introduced over the first dilator tube. A drill may be inserted through the access cannula and used to perform a foraminoplasty. Surgical instruments may pass through the access cannula to operate on an intervertebral disc and/or insert an intervertebral implant.

Abstract: A holder for a medical instrument having a quick coupling for receiving a connection end of the instrument's shaft. The quick coupling has a first coupling element having a first axial through-hole for the connection end and a second coupling element having a second axial through-hole for the connection end. The second coupling element is movable relative to the first coupling element in a direction crosswise to the axial direction of the through-holes from a locked position, in which the through-holes are offset so that an edge of the second through-hole engages behind an undercut on the shaft's connection end in a locking manner, to a release position, in which the through-holes lie in alignment and the connection end is freely guidable through both through-holes. A spring bridge connects the first and second coupling elements together and preloads the first and second coupling elements into the locked position.

Abstract: Provided herein is an adaptor for modifying the operation of a surgical bone-tool, comprising: a housing having a distal end and a proximal end coupled between a chuck and an operating bit of said tool, such that force generated by a motor of the tool is delivered to the operating bit through the adaptor; a clutch, contained in the housing, having an engaged and a disengaged configurations, respectively interconnecting and disconnecting the chuck to the operating bit; the clutch automatically disengages in response to an electric current, causing a cutoff of the force delivery; wherein the housing comprises a proximal fastener, sized and shaped to connect with the operating bit and a distal fastener, sized and shaped to connect with the chuck.

Abstract: Equipment for inserting a joint prosthesis, in particular a femur component of a knee prosthesis, comprises a base frame having a guiding plate and a laterally protruding primary gage, a fastening device on the bone, and a curved milling gage having a main body and a guiding piece, which can be moved along a curved guiding path relative to the main body and has a receptacle for an abrasive tool. Furthermore, the equipment comprises an aligning device, which places the curved milling gage in a clearly defined relative position when the curved milling gage is inserted into the base frame. Due to the precise positioning in conjunction with the curved guiding path, the mounting seat can be prepared easily without damaging surrounding tissue. Thus, even large and complexly shaped prostheses, such as knee joint prosthesis, can be reproducibly inserted in an easy and safe manner.

Abstract: A prosthetic knee implant for implantation into a mammal, which accommodates an anterior cruciate ligament substitute to provide stability to the knee implant. The prosthetic knee implant includes a femoral component having a pair of condylar surfaces and a tibial component having a surface portion adapted to slidably engage the femoral component upon rotation of the same. The femoral component further includes a central femoral recess between the condyles providing access to the femur for drilling a channel through which a cruciate ligament substitute may be integrated into the femur. The tibial component further includes a center portion defining an aperture through which the ligament substitute maybe threaded through the tibia and integrated therein, or anchored upon its surface. Also disclosed is a method used to replace the total knee joint in a mammal with the improved prosthetic knee implant of the present invention.

Abstract: A stabilization apparatus for reaming bone elements includes an outer sleeve having support rod apertures. Support rods are configured to extend through the support rod apertures and into one or more bone elements to secure the outer sleeve to the bone elements. An inner sleeve is movable axially into the outer sleeve, and rotationally relative to the outer sleeve, when the outer sleeve is secured to the bone elements by the support rods. The apparatus further includes means for releasably blocking movement of the inner sleeve axially out of the outer sleeve, while permitting rotation of the inner sleeve relative to the outer sleeve, when the outer sleeve is secured to the bone elements by the support rods.

Abstract: A drill guide assembly according to an exemplary aspect of the present disclosure includes, among other things, a drill sleeve and an alignment bar spaced from the drill sleeve. A positioning of the drill sleeve is linked to a positioning of the alignment bar.

Abstract: An orthopedic surgical instrument includes a patella trial and drill guide that may be used to both perform a surgical trial of the patellofemoral joint and guide the surgeon in drilling a number of anchor holes in the patella of the patient.