Patents Issued in February 15, 2018
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Publication number: 20180042614Abstract: A tourniquet cuff for placement on a limb, having an inflatable body which encloses an inflatable chamber and which can be inflated with a compressed gas so as to create blood flow restriction in the limb, with the inflatable body being formed from an elongated support made of a bendable support material extending along a longitudinal direction and from a stretchable wall made of a stretchable material attached to the support. To enable thorough and easy cleaning and sterilization of the tourniquet cuff and easy placement on a limb and to ensure the most uniform possible distribution of the pressure exerted by the tourniquet cuff on the limb, the stretchable wall is affixed to the elongated support while the stretchable material is stretched at least in the longitudinal direction. A method of manufacturing the tourniquet cuff is also disclosed.Type: ApplicationFiled: August 10, 2017Publication date: February 15, 2018Applicant: ulrich GmbH & Co. KGInventors: Sven ERDMANN, Uwe STRIGGOW, Sarah Andrea Diana WIMBÖCK
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Publication number: 20180042615Abstract: A hemostatic device has a flexible band that can be wrapped around a hemostasis-requiring site of a limb, a securing portion that secures the band in a state where the band is wrapped around the limb, and an inflation portion that interlocks with the band, and that inflates when a fluid is injected. The inflation portion has a plurality of convex portions in a width direction orthogonal to a longitudinal direction of the band when the inflation portion inflates.Type: ApplicationFiled: October 3, 2017Publication date: February 15, 2018Applicant: TERUMO KABUSHIKI KAISHAInventors: Ayako KIMURA, Teppei HAYASHI
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Publication number: 20180042616Abstract: A compression device, useful for applying circumferential compression to an object, includes a simplified cinch mechanism. The device includes a guidance slide, a jamming feature/pull tab, a buckle assembly and a cinch strap, which form a loop for placing about an object. The cinch strap includes both an inner portion, anchored to the jamming feature, and an outer portion, anchored to the guidance slide. The inner portion of the cinch strap passes through the guidance slide to an adjustable, locking side of the buckle assembly, and the outer portion of the cinch strap passes from the adjustable, locking side of the buckle assembly to the guidance slide. The cinch strap can move freely when pulled on by the inner portion and lock when pulled on by the outer portion, such that an inner circumference of the device is adjustable but can maintain a minimum circumferential length after tension is applied.Type: ApplicationFiled: March 17, 2016Publication date: February 15, 2018Inventors: Nickolas Peter Demas, Anton Stuart Hunt
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Publication number: 20180042617Abstract: Patient-matched surgical instruments and associated methods having an anatomy facing side including several discrete, physically separate anatomy contacting portions configured to match the anatomy of a particular patient and including one or more of non-uniform in distribution, non-uniform in shape and non-uniform in surface area.Type: ApplicationFiled: October 24, 2017Publication date: February 15, 2018Inventors: Michael Dean Hughes, Abraham Biglari Salehi, Aashiish Agnihotri, Luke Andrew Gibson, David L. Evans, Jeffrey A. Sharp, Thomas S. Wolfe
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Publication number: 20180042618Abstract: A cutting head for use with an intramedullary reamer is described. The reamer cutting head is of a unitary body construction that comprises a conically-shaped body having a bone cutting portion spaced from a barrel portion for attachment to a drive shaft. The bone cutting portion comprises a plurality of blades having a tissue cutting edge that outwardly extends from the cylindrical body. The plurality of blades is positioned about the cutting head in a spaced apart manner. The various plurality of blades are arranged at prescribed angular relationship that increases cutting efficiency and debris removal, thereby reducing reactive torque, axial loading, and head pressure during a surgical procedure.Type: ApplicationFiled: August 14, 2017Publication date: February 15, 2018Inventors: Gary C. Victor, Kari Ann Sausen, Jack T. Bryant
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Publication number: 20180042619Abstract: The present application relates to systems, methods, and devices for performing drilling operations, such as in a surgical setting. The embodiments disclosed herein include handheld drill apparatus configured to be used with guides for completing a specific operation. The drill apparatus is capable of receiving instructions either through programming, from a memory device, or from scanning a device located on an external item, such as a guide.Type: ApplicationFiled: August 11, 2017Publication date: February 15, 2018Inventors: George Frey, Sean Starkman
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Publication number: 20180042620Abstract: A reamer operably connected to a movable drive element by a translation assembly such that the movement of the movable drive element rotates the reamer. The reamer can be sized such that the reamer can be navigated through or around soft tissue to position the reamer adjacent the defect region and angled to align the reamer with a reamer axis perpendicular to the plane of the defect region. The translation assembly can be configured to translate rotation of the movable drive element to the reamer through an opening through or around the soft tissue. The translation assembly can permit axial reaming of the defect region when the perpendicular axis is obscured by soft tissue.Type: ApplicationFiled: February 23, 2016Publication date: February 15, 2018Inventors: Andrew Rolfe HOPKINS, Philippe FAVRE
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Publication number: 20180042621Abstract: A method of preparing a shoulder to receive a glenoid component in one embodiment includes accessing a glenoid of a shoulder, applying a rotational force to a combination device, forming a first bore in the glenoid with a rotating boring section of the combination device, forming a second bore in the glenoid at a location spaced apart from the first bore using a first drill guide defined by the combination device, and reaming a portion of the glenoid with a rotating reaming section of the combination device, wherein forming a first bore and reaming a portion of the glenoid occur at least partially simultaneously.Type: ApplicationFiled: October 25, 2017Publication date: February 15, 2018Inventors: Kyle E. Lappin, Lieven De Wilde
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Publication number: 20180042622Abstract: The present disclosure relates to an anatomical locking guide steel plate for a complicated acetabulum fracture, an anatomical locking guide apparatus and matched guide sleeve apparatus. The inner side of said anatomical locking guide steel plate contacts with a face of the acetabulum, said anatomical locking guide steel plate includes three portions, a head of the steel plate, a body of the steel plate and a tail of the steel plate, said head of the steel plate, said body of the steel plate and said tail of the steel plate are jointed seamlessly. Using the steel plate provided by the present disclosure can reposition and fix the complicated acetabulum fracture efficiently. It can avoid shaping the steel plate in the surgery, so the operative time may be shortened, and the difficulty of the surgery may be lower. The surgical trauma is small, and the surgical bleeding is slight.Type: ApplicationFiled: July 28, 2017Publication date: February 15, 2018Inventors: Peifu TANG, Lihai ZHANG, Zhe ZHAO, Xiuyun SU, Licheng ZHANG, Zhirui LI
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Publication number: 20180042623Abstract: A blood clot aspiration catheter includes an aspiration/flushing lumen having a distal portion that is insertable into a blood vessel of a patient, an aspiration device configured to create an aspiration phase to aspirate clot and blood into the aspiration/flushing lumen and a flushing phase to flush non-clotted blood from the aspiration/flushing lumen, a one-way valve configured to allow clot and blood to flow through the aspiration/flushing lumen during the aspiration phase and to block flow during the flushing phase, and filter valves configured to filter non-clotted blood to be flushed from the aspiration/flushing lumen.Type: ApplicationFiled: August 11, 2017Publication date: February 15, 2018Inventor: Stanley Batiste
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Publication number: 20180042624Abstract: Mechanical thrombectomy apparatuses (devices, systems, etc.) and methods for positioning them within a vessel and using them to remove a thrombus, e.g., clot, from within a vessel. In particular, described herein are methods of advancing an inverting tractor thrombectomy apparatus having a tractor comprising a flexible tube of material that inverts over itself as it rolls over a distal end opening of an elongate inversion support by extending the tractor region and/or a puller coupled to the tractor distally beyond the end of the catheter. Also described herein are power-driven mechanical thrombectomy apparatuses.Type: ApplicationFiled: October 26, 2017Publication date: February 15, 2018Applicant: STRYKER CORPORATIONInventors: E. Skott Greenhalgh, Michael P. Wallace
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Publication number: 20180042625Abstract: A medical device may include a shaft and an end-effector extending distally of the shaft. The end-effector may be expandable between a collapsed configuration and an expanded configuration. The end-effector may include a proximal nose and a distal body. The proximal nose may have a radial dimension smaller than a radial dimension of the distal body in the expanded configuration. The end-effector may include a plurality of legs and a transition point of each leg may be located between the nose and the distal body along a common plane normal to the shaft. The shaft may include proximal ends of the legs wrapped about one another.Type: ApplicationFiled: August 7, 2017Publication date: February 15, 2018Applicant: Boston Scientific Scimed, Inc.Inventor: Eric D. McLEISH
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Publication number: 20180042626Abstract: Mechanical thrombectomy apparatuses including an inverting, rolling conveyor region (“tractor”) at the distal end that are configured to grab and remove thrombus material. In particular, described herein are mechanical thrombectomy apparatuses that are adapted to prevent premature deployment of the tractor, e.g., by including a tractor hold (e.g., a housing, a lock, a clamp, etc.) or the like to secure the outer end of the tractor against and/or relative to the elongate inversion support.Type: ApplicationFiled: October 26, 2017Publication date: February 15, 2018Applicant: STRYKER CORPORATIONInventors: E. Skott Greenhalgh, Michael P. Wallace, Robert Garabedian
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Publication number: 20180042627Abstract: Adaptive lithotripsy systems assist diagnosis and treatment of patients with kidney stones (stones being associated with subsequent development of cancer). As stimulation vibration is transmitted to the patient, both its total transmitted power and power spectral density (PSD) are tailored to individual patient needs. One such need is for progressive stone fragmentation (a hallmark of adaptive lithotripsy systems) at minimum power levels. And minimum power levels are achieved through two adaptive mechanisms for shifting PSD to concentrate transmitted vibration power in more effective frequency ranges. This concentration necessarily reduces power in relatively ineffective ranges, thus minimizing collateral tissue damage. Effective ranges for vibration power concentration are estimated in near-real time using backscatter vibration that is retransmitted from resonating stones while encoding information on the stones' existence, size and composition.Type: ApplicationFiled: July 10, 2017Publication date: February 15, 2018Inventors: Dennis W. Gilstad, Barbara C. Gilstad
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Publication number: 20180042628Abstract: A guard device for removal of thromboembolic material from a blood vessel includes a placement catheter having at least one axial lumen, a shield device having a pusher wire with an expandable braid assembly attached to its distal end and deliverable through the lumen of the placement catheter. The expandable braid assembly has a distal end with a distal tip at the distal end, where the distal tip prevents the distal end of the expandable braid assembly from fully expanding when deployed from the placement catheter. The expandable braid assembly has a diameter that is at least 1.5 times larger in its expanded position than in its collapsed configuration when inside the placement catheter.Type: ApplicationFiled: June 13, 2017Publication date: February 15, 2018Inventor: Justin Panian
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Publication number: 20180042629Abstract: The present disclosure provides a mechanically-actuated tool for cutting a tissue graft having a hollow core and methods for use thereof. A portion of a biological structure, such as a nerve, is attached to the hollow core to form an implantable neural graft assembly. The tool has a cutter mechanism and a grasper mechanism. The grasper mechanism has one or more component(s) that open and close via an actuation mechanism, like a handle, and rotate via a controller component, like a rotatable wheel. The cutter mechanism may be a cutting tube component that harvests the tissue graft. The tool may also have an ejector mechanism to remove the tissue graft as part of the implantable neural graft assembly. Such devices and methods are particularly suitable for treating neuromas and other neural regeneration procedures.Type: ApplicationFiled: March 11, 2016Publication date: February 15, 2018Applicant: THE REGENTS OF THE UNIVERSITY OF MICHIGANInventors: Nicholas B. LANGHALS, Cynthia Anne CHESTEK, Paul S. CEDERNA, Albert SHIH, Melanie G. URBANCHEK, Grant H. KRUGER, Jeffrey Stephen PLOTT, Jordan T. KREDA
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Publication number: 20180042630Abstract: A catheter mounted arterial surgical tool has a body with a fluid jet prong extending from a distal end of the body along a prong axis that is parallel to and laterally offset from a body axis. A fluid passage extends through the fluid jet prong to an outlet that points laterally relative to the prong axis. A deflector anvil extends from the distal end of the body along a deflector axis that is parallel to and offset from the body axis. The deflector anvil has a face that faces toward the fluid jet prong and is impinged by a fluid jet discharged from the outlet. A pair of guide wire holes extend from the proximal to the distal end of the body parallel to the body axis for receiving guide wires to enable the body to slide along the guide wires.Type: ApplicationFiled: October 6, 2017Publication date: February 15, 2018Applicant: Board of Regents of the University of NebraskaInventors: Jason N. MacTaggart, Nicholas Y. Phillips, Amy R. Mantz, Alexey Kamenskly
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Publication number: 20180042631Abstract: Surgical systems and methods for performing endoscopic release procedures are disclosed herein. In an embodiment, a surgical system includes a plane finder probe adapted to establish a cutting plane for resecting an anatomical structure, and a slotted cannula insertable over the plane finder probe to position the slotted cannula along the cutting plane.Type: ApplicationFiled: August 7, 2017Publication date: February 15, 2018Inventors: Adam Garlock, Zachary Day, Phinit Phisitkul, Annuziato Amendola
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Publication number: 20180042632Abstract: A surgical instrument includes a shaft defining an axis, an end effector coupled to a distal portion thereof, a fixed handle coupled to a proximal portion thereof, a drive bar, a movable handle, and a linkage. The drive bar is disposed within the shaft and operably coupled to the end effector. The movable handle is movable relative to the fixed handle between open and closed positions and is coupled to the drive bar via a first pin on the axis. The linkage includes a first end portion coupled to the movable handle via a second pin and a second end portion coupled to the shaft via a third pin on the axis. In the closed position of the movable handle, the second pin is disposed in a near-over-center position relative to the axis to reduce a force necessary to maintain the movable handle in the closed position.Type: ApplicationFiled: August 8, 2017Publication date: February 15, 2018Inventors: Scott E.M. FRUSHOUR, Eric R. LARSON
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Publication number: 20180042633Abstract: An endoscopic surgical device having a windowed blade case featuring an interior surface that is black or dark, provides improved feasibility and ease of use. Further advantages are achieved by flanging the exterior surface of the blade case, and by providing a scraper tip.Type: ApplicationFiled: October 25, 2017Publication date: February 15, 2018Inventors: Douglas Keller, Shannon Vaughn
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Publication number: 20180042634Abstract: An ultrasonic surgical blade with an improved heel portion is disclosed. The blade includes a solid body, a longitudinal portion having a proximal end configured to couple to an ultrasonic transmission waveguide and a transverse portion extending crosswise from the distal end of the longitudinal portion. At least one dissection edge and at least one hemostasis surface is provided on the blade. The transverse portion defines a hook having a free end configured to pull and dissect tissue. The blade further comprises a tissue plow comprising a plow edge and a distal-most vertex to increase the efficiency of heel dissection and tissue diversion.Type: ApplicationFiled: August 9, 2016Publication date: February 15, 2018Inventors: Sean P. Conlon, Benjamin M. Boyd
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Publication number: 20180042635Abstract: An ultra-sonic medical dissector includes a vibration generator and a wire that defines a cutting loop remote from a first end and a second end. The wire is coupled to the vibration generator in a cutting configuration, and a cutting surface is located on an inner curvature of the cutting loop. A vibration is generated by the vibration generator is transmitted to the cutting loop by the wire when the wire is in tension. The cutting loop can free an embedded end of a vena cava filter from a vessel wall to ease retrieval.Type: ApplicationFiled: May 18, 2017Publication date: February 15, 2018Inventors: Rebecca Roeder, Joshua F. Krieger
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Publication number: 20180042636Abstract: An ultrasound catheter has an elongate flexible catheter body having a lumen extending longitudinally therethrough, and an ultrasound transmission member extending longitudinally through the lumen of the catheter body. The ultrasound transmission member has a proximal end that is coupled to a separate ultrasound generating device, and a distal tip that is attached to the distal end of the ultrasound transmission member and which is located at the distal end of the catheter body. The ultrasound transmission member is directly attached to the catheter body and/or to a guidewire tube either directly or via an attachment device. The catheter has an additional radiopaque marker positioned on the distal end the catheter.Type: ApplicationFiled: October 23, 2017Publication date: February 15, 2018Inventor: Henry Nita
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Publication number: 20180042637Abstract: A surgical instrument includes a housing, an end effector, a movable handle, and a drive assembly. The movable handle includes first and second cantilever spring arms and is movable relative to the housing between a spaced-apart position and an approximated position. The first cantilever spring arm is flexed upon movement of the movable handle from the spaced-apart position towards the approximated position to bias the movable handle towards the spaced-apart position. The drive assembly is operably coupled between the movable handle and the end effector such that movement of the movable handle from the spaced-apart position towards the approximated position moves the end effector from an open position towards a clamping position for clamping tissue. The second cantilever spring arm is flexed upon application of a threshold pressure to tissue clamped by the end effector to control an amount of pressure applied to tissue clamped by the end effector.Type: ApplicationFiled: August 7, 2017Publication date: February 15, 2018Inventors: JASON L. CRAIG, RYAN C. ARTALE, THOMAS W. MEISER, ROLAND JEFFREY WYATT
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Publication number: 20180042638Abstract: A medical device includes, a vibration transmitting member configured to be capable of transmitting vibration for use in a treatment; a jaw configured to move between an abutted position where the jaw abuts on the vibration transmitting member, and a spaced position where the jaw is spaced apart from the vibration transmitting member; and a cover provided in such a position that the vibration transmitting member is interposed between the cover and the jaw, and configured such that a first distal portion, which is located at a distal end of the cover, comes in contact with the vibration transmitting member, when the jaw is located in the abutted position.Type: ApplicationFiled: October 10, 2017Publication date: February 15, 2018Applicant: OLYMPUS CORPORATIONInventors: Yuji HIRAI, Yukihiko SAWADA, Tsunetaka AKAGANE
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Publication number: 20180042639Abstract: A catheter device for crossing occlusions includes an elongate catheter shaft, a rotatable tip configured to rotate relative to the elongate catheter shaft, a drive shaft, and an OCT imaging sensor. The rotatable tip includes a housing coupled with the elongate catheter shaft and cutting wedges extendable from the housing. The drive shaft has a central lumen extending therethrough and extends within the elongate catheter shaft. The drive shaft is coupled with the wedges and is configured to rotate the rotatable tip. The OCT sensor includes an optical fiber coupled with the rotatable tip and configured to rotate therewith. The elongate catheter shaft is configured to move axially over the drive shaft to extend and retract the wedges from the housing while maintaining a fixed position of the imaging sensor relative to the cutting wedges.Type: ApplicationFiled: October 10, 2013Publication date: February 15, 2018Applicant: AVINGER, INC.Inventors: Richard R. Newhauser, Mark W. Askew
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Publication number: 20180042640Abstract: A surgical apparatus includes a rotatable shaft and a turbine assembly. The rotatable shaft includes a cutter located thereon. The cutter is configured to cut an object when the shaft is rotating about a rotational axis. The turbine assembly includes a turbine and a turbine housing. The turbine housing is configured to receive a fluid that enters the housing parallel to the rotational axis, and to steer the fluid to impinge on the turbine in a direction that is not parallel to the rotational axis. The turbine is configured to rotate the shaft so as to cut the object by the cutter.Type: ApplicationFiled: August 11, 2016Publication date: February 15, 2018Inventors: Assaf Govari, Yehuda Algawi
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Publication number: 20180042641Abstract: A cutting operation is performed with an apparatus having an elongated sleeve with a port in its distal section. The sleeve is connected to a vacuum source and a rotating shaft is disposed in the lumen of the sleeve. The shaft has a cutting blade at its distal end opposite the port. The blade has two cutting edges, a gear assembly operative to alternately rotate the shaft in a first direction and a second direction about the axis of symmetry of the shaft, and a motor for powering the gear assembly.Type: ApplicationFiled: August 15, 2016Publication date: February 15, 2018Applicant: Biosense Webster (Israel) Ltd.Inventors: Assaf Govari, Yehuda Algawi, Ilan Grunberg
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Publication number: 20180042642Abstract: Various methods and devices are provided for use of a cannula. For example, provided herein is a flexible cannula having an elongate body with an elongate shaft extending between a proximal hub and a distal dam. A lumen can extend through the cannula. The dam is in the form of a flexible annular member formed on a distal end of the shaft. The dam and the hub have diameters greater than a diameter of the shaft. A flexible, expandable sleeve is removably positioned on the distal end of the shaft of the cannula. The sleeve deformably encapsulates the dam such that the dam is folded against the shaft of the cannula. An obturator is also provided having an elongate shaft configured to be removably positioned within the lumen of the cannula. The shaft can be configured to fit within the lumen in a clearance fit.Type: ApplicationFiled: October 5, 2017Publication date: February 15, 2018Inventor: David B. Spenciner
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Publication number: 20180042643Abstract: A percutaneous access device for use in minimally invasive surgery includes an elongated body having a proximal portion and an opposing distal portion. The proximal portion has a proximal bore extending therethrough and the distal portion has a distal bore extending therethrough. The distal portion of the body is hingedly connected to the proximal portion in a first percutaneous access position and a second anchoring position. In the first percutaneous access position the distal and proximal bores are linearly aligned when a surgical instrument is inserted into both the proximal and distal bores. In the second anchoring position the distal bore is angularly displaced from the proximal bore when the surgical instrument is removed from the distal bore.Type: ApplicationFiled: October 17, 2017Publication date: February 15, 2018Applicant: Axcess Instruments Inc.Inventors: Michael J. Norton, Noel D. Ischy
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Publication number: 20180042644Abstract: The present invention provides two types of a line-shaped paw-type patella external fixator, comprising A type: two ends of a line-shaped main girder are respectively provided with pressure regulating fixing parts, an arc auxiliary girder is arranged below the line-shaped main girder, and two ends of the arc auxiliary girder are respectively provided with one auxiliary fastener and fixing needles; B type: one end of B type is the same with that of the A type, a b-shaped fixing part is provided below a q-shaped fixing part on the other end, a fixing needle is provided below the b-shaped fixing part, an auxiliary fastener is provided in the middle of the line-shaped main girder, and a splayed needle seat and an auxiliary fixing needle are arranged on both sides. The fixator has advantages of easy installation, wide adjustment range and minimal damage.Type: ApplicationFiled: October 28, 2017Publication date: February 15, 2018Inventor: Chengji HU
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Publication number: 20180042645Abstract: A screw extension assembly for use in minimally invasive spinal surgery, the assembly has an inner slotted shaft and an outer shaft, a rod reducer and a removable nut. The combination when assembled is configured to move a spinal fixation rod into a slotted rod receiving spinal implant where it is seated and affixed thereto. The screw extension assembly further has a locking knob rotationally coupled to a proximal end of the outer shaft, wherein the inner shaft has one or more cam grooves and the locking knob has a pin extending into and guided by said cam groove causing the outer shaft to translate longitudinally upon rotation of the locking knob relative to the inner shaft toward an engaged position locking the deflectable legs in the coupled position to the slotted rod receiving implant.Type: ApplicationFiled: August 12, 2016Publication date: February 15, 2018Applicant: Amendia, Inc.Inventors: Joshua David Gunn, David Brett Cain
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Publication number: 20180042646Abstract: The present disclosure includes fixation devices, such as an orthopedic screw or implant, that comprises one or more porous elements or fenestrations to aid in osteo-integration of the fixation device. The fixation device may be additively manufactured using biocompatible materials such that the solid and porous aspects of the screw are fused together into a single construct. In yet another aspect, the fixation device comprises at least a portion or section incorporating a porous structure, which enables bony ingrowth through the porous section/portion of the screw, and thereby facilitates biocompatibility and improve mechanical characteristics. Methods for using the fixation device are also described herein.Type: ApplicationFiled: August 11, 2017Publication date: February 15, 2018Inventors: George Frey, Gregory Kana
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Publication number: 20180042647Abstract: A spinal construct comprises a fastener including a first portion defining an implant cavity and a second portion configured to penetrate tissue. A member defines a cavity configured for disposal of at least a portion of the first portion. The member includes an implant engaging surface fixable within the implant cavity and connected to a connecting element fixable adjacent the first portion. Systems and methods of use are disclosed.Type: ApplicationFiled: August 9, 2016Publication date: February 15, 2018Inventors: Benjamin David Cowan, Robert A. Farris
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Publication number: 20180042648Abstract: A method for correcting a spinal deformity is provided. A spinal implant for correcting a spinal deformity includes a multipoint connector that connects to at least one vertebra of a spine at a plurality of locations and a force directing device that applies a force to the vertebra through the multipoint connector. The force directing device may include a rod which extends generally along an axis of the spine and a force directing member which is adjustably coupled to both the rod and the multipoint connector and which applies a corrective force to the at least one vertebra.Type: ApplicationFiled: October 3, 2017Publication date: February 15, 2018Applicant: Albany Medical CollegeInventors: Allen L. Carl, Dan Sachs
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Publication number: 20180042649Abstract: A method of expanding the spinal canal of a vertebra including inserting a bone anchor into a first lamina of the vertebra, cutting completely through the first lamina to create a space in the first lamina, cutting partially through a second, contra-lateral of the vertebra to create a partial cut in the second lamina, engaging a first segment of a plate with the bone anchor, pivoting the bone anchor and the first lamina about the partial cut in the second lamina to increase the extent of the space in the first lamina, and connecting a second segment of the plate to a portion of the vertebra across the space from the first segment of the plate such that the plate spans the space and stabilizes the vertebra.Type: ApplicationFiled: October 6, 2017Publication date: February 15, 2018Inventors: John C. VOELLMICKE, Edward ZALENSKI, Michael D. SORRENTI
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Publication number: 20180042650Abstract: Disclosed herein are gear shifters to reverse an output shaft rotation and a method for using the same. A gear shifter in accordance with the present invention may include a housing, an input shaft, an output shaft and an idler shaft. The input shaft may have input gears, the output shaft may have output gears and the idler shaft may have idler gears. The output shaft may be slidably coupled with the input shaft and the idler shaft to rotate in a first direction in a first position and in a second opposite direction in a second position. A method of reversing an output shaft direction using a gear shifter may include the steps of pushing the gear shifter in a first direction to rotate the output shaft in a first direction and pushing the gear shifter in a second direction to rotate the output shaft in a second direction.Type: ApplicationFiled: August 10, 2017Publication date: February 15, 2018Inventors: Xiao Hui Gao, Hyosig Kang, Daryle Lee
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Publication number: 20180042651Abstract: A device and method for correcting a rotational deformity, for use in lengthening a bone or aiding in stabilising a fractured bone. When used to correct a rotational deformity, the device comprises a first member and a second member moveably connected to each other such that when the two members are moved apart along a first axis, the first and/or second members rotate relative to each other about the first axis.Type: ApplicationFiled: February 15, 2016Publication date: February 15, 2018Applicant: The Sydney Children's Hospitals Network (Randwick and Westmead)Inventors: David Graham Little, Mathemorn Lan, Justin Bobyn
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Publication number: 20180042652Abstract: Systems, apparatuses and methods for bone fusion are disclosed. In particular, a fixation screw assembly is provided that comprises a bone engagement portion including a shaft and a head member. The assembly also includes a flexible washer member that can be operably attached and secured around the head member of the bone engagement portion. The washer member is polyaxial relative to the bone engagement portion, such that it can assume a variety of angles. The washer member can help prevent back out of the bone engagement portion when the bone engagement portion is implanted into a bone member. The design of the fixation screw assembly can be used in different fusion procedures, including fusion of the sacroiliac joint.Type: ApplicationFiled: October 27, 2017Publication date: February 15, 2018Inventors: Liana Mari, Michael Barnum, Khiem Pham
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Publication number: 20180042653Abstract: A fastener assembly that can be used for the fixation or anchoring of orthopedic devices or instruments to bone tissue. In particular, a low profile variable angle or fixed angle fastener assembly is able to securely connect the orthopedic device to bone tissue. The fastener assembly may have a locking mechanism that will quickly and easily lock the fastener assembly with respect to the orthopedic device.Type: ApplicationFiled: October 24, 2017Publication date: February 15, 2018Inventors: Mark Weiman, Sean Suh
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Publication number: 20180042654Abstract: An orthopedic device includes a brace support having at least one strap for providing corrective orientation of a joint and unloading of the joint, and an electrical stimulation system for providing an electrical signal to a user's musculature at or proximate to the joint. The electrical stimulation system provides at least one electrical pulse to the musculature in supplement to the corrective orientation of the joint to induce contraction of the musculature. The electrical stimulation system may include at least one electrode for generating the electrical pulse, and a sensor module for determining movement and orientation of a user's limb for selectively activating the at least one electrode according to predefined criteria and feedback from the sensor module.Type: ApplicationFiled: October 3, 2017Publication date: February 15, 2018Inventors: Thorvaldur INGVARSSON, Arni Thor INGIMUNDARSON
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Publication number: 20180042655Abstract: A cryosurgery system for application of medical-grade liquid nitrogen to a treatment area via a small, low pressure, open tipped catheter. The system includes a console, including a touch panel computer, a cryogen module, a suction module and an electronics module, and a disposable spray kit. Features include optional low cryogen flow setting to reduce the cryogen flow rate by 50%, improved cryogen flow consistency reducing pressure pulses and peaks, an integrated suction pump for improved consistency and self-checks, specified vent tube areas and corresponding maximum expected pressures during cryospray procedure; optional pressure sensing capability to monitor pressure during a treatment, and novel catheter designs of multilayer and flexible construction providing a variety of spray patterns.Type: ApplicationFiled: October 25, 2017Publication date: February 15, 2018Inventors: Ron Burr, Rafael Cordero, Marc Davidson, Wendelin Cherise Maners, Janel Petrilli
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Publication number: 20180042656Abstract: Methods of using hardware (e.g., bone screws, anchors or other devices) previously inserted within the body to facilitate energy delivery are disclosed. The energy delivery (e.g., thermal energy) may be used for neuromodulation (such as stimulation or denervation), tissue heating and ablation, curing, and other applications in the spine and non-spine orthopedic locations.Type: ApplicationFiled: August 4, 2017Publication date: February 15, 2018Inventor: Avram Allan Edidin
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Publication number: 20180042657Abstract: A treatment instrument includes: a first treatment section which includes a first body including a first contact surface and a second body including a second contact surface; a movement mechanism which is configured to switch between a closed position in which the first contact surface and the second contact surface are close to each other, and an opened position in which the first contact surface and the second contact surface are distant from each other; and a second treatment section which is disposed on a distal side along the longitudinal axis with respect to the first treatment section when the first contact surface and the second contact surface are located in the closed position, and which is configured to apply energy to the living tissue to incise or separate the living tissue.Type: ApplicationFiled: October 11, 2017Publication date: February 15, 2018Applicant: OLYMPUS CORPORATIONInventors: Yuki KAWAGUCHI, Shinya MASUDA, Tomoyuki KAGA, Hiroto TOMIYA
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Publication number: 20180042658Abstract: An electrosurgical device is disclosed. The electrosurgical device includes a handle, a shaft extending distally from the handle, and an end effector coupled to a distal end of the shaft. The end effector comprises a first electrode and a second electrode. The second electrode includes a first position and a second position. The second electrode is configured to move from the first position to the second position when a force is applied to the end effector by a tissue section. The first electrode and the second electrode define a treatment area when the second electrode is in the second position.Type: ApplicationFiled: October 24, 2017Publication date: February 15, 2018Inventors: Frederick E. Shelton, IV, David C. Yates, Chester O. Baxter, III, John V. Hunt, Jennifer M. Mallow, Barry C. Worrell, Taylor W. Aronhalt, Kevin L. Houser, Geoffrey S. Strobl
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Publication number: 20180042659Abstract: A generator is configured to output two or more waveforms at different frequencies. In particular, the generator is configured to provide an ultrasonic waveform, which may be suitable for driving a transducer of an ultrasonic surgical instrument, and electrosurgical radiofrequency energy, which may be suitable for electrosurgical instruments.Type: ApplicationFiled: August 9, 2016Publication date: February 15, 2018Inventors: STEVEN C. RUPP, ROBERT B. SMITH, DANIEL A. FRIEDRICHS
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Publication number: 20180042660Abstract: An electrosurgical generator, which has a high-voltage DC power supply unit and a resonant circuit connected thereto. The resonant circuit has an output transformer, the primary winding of which is part of the resonant circuit and the secondary winding of which is connected to connections for an electrosurgical instrument. The resonant circuit is furthermore connected to an actuation circuit, which is configured to periodically emit actuation pulses for the purpose of exciting the resonant circuit using the resonant frequency thereof. The actuation circuit includes a synchronization unit, which is connected to the resonant circuit, and includes at least one gradient detector and is configured to synchronize actuation pulses with a reversal point of the voltage profile of the voltage in the resonant circuit.Type: ApplicationFiled: March 3, 2016Publication date: February 15, 2018Applicant: OLYMPUS WINTER & IBE GMBHInventors: Ilja ASSMUS, Stefan SCHIDDEL, Andreas KARRASCH
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Publication number: 20180042661Abstract: An energy source for use with an electrosurgical system is disclosed. In one embodiment, the energy source includes a power supply, one or more capacitors coupled to the power supply, and a switching component coupled to the one or more capacitors. The switching component is configured to output pulses of a biphasic waveform. The pulses are capable of treating undesired tissue by inducing a change in voltage potential across cell membranes of a plurality of cells in the undesired tissue to promote non-thermal cell death in the plurality of cells. The pulses are also capable of treating the undesired tissue with no or minimal muscle contractions in patient tissue within reach of the biphasic waveform during treatment of the undesired tissue.Type: ApplicationFiled: August 4, 2017Publication date: February 15, 2018Inventors: Gary L. Long, Gregory J. Bakos, David N. Plescia
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Publication number: 20180042662Abstract: An operation method of an electric power source device for operating a high-frequency treatment instrument configured to perform a high-frequency treatment on a biological tissue includes causing a high-frequency electric power source circuit to output electric power; acquiring an initial impedance value in a first period from a start of the output; determining an increase rate of an output voltage relative to time; increasing the output voltage of the high-frequency electric power source circuit in accordance with the increase rate in a second period; acquiring the value relating to impedance of the biological tissue in the second period; and terminating the second period after the value relating to the impedance reaches a minimum value.Type: ApplicationFiled: October 16, 2017Publication date: February 15, 2018Applicant: OLYMPUS CORPORATIONInventors: Danilo LEGASPI, Tsuyoshi HAYASHIDA
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Publication number: 20180042663Abstract: A high-frequency generator for an electric surgical instrument that treats a living tissue includes a power supply that generates a power, and a resonant circuit that excites a high-frequency signal. The resonant circuit includes a parallel resonant circuit which is connected to the power supply, and a series resonant circuit which is coupled to the parallel resonant circuit and is connected to the electric surgical instrument. The parallel resonant circuit has a higher parallel resonant frequency than a series resonant frequency of the series resonant circuit.Type: ApplicationFiled: September 14, 2017Publication date: February 15, 2018Applicant: OLYMPUS CORPORATIONInventor: Sadayoshi TAKAMI