Abstract: Ultrasonic imaging method includes sequentially emitting by each transducer group of respective regions, into which transducers are divided, focused ultrasonic pulses to a focal point of an object; sequentially acquiring, by each transducer group, ultrasonic echo signals from the focal point based on the emitted ultrasonic pulses; calculating a normal vector of a surface of the object using emission directions of the focused ultrasonic pulses and intensities of the ultrasonic echo signals in correspondence to the focused ultrasonic pulses emitted by three of the transducer groups; calculating an attenuation rate of the ultrasonic echo signals using the normal vector and the emission directions of the focused ultrasonic pulses emitted by the three of the transducer groups, and correcting the ultrasonic echo signals based on the attenuation rate; beamforming the ultrasonic echo signals, an attenuation of which has been corrected, into ultrasonic image signals to be output as an ultrasonic image.

Abstract: An ultrasound imaging system includes an image processor and a velocity processor configured to process beamformed ultrasound data representing structure flowing through a tubular object and generate, respectively, an image indicative of the tubular object and vector flow imaging data indicative of the structure flowing through the tubular object. The system further includes a segmentation processor configured to segment the tubular object from the image based on a combination of both the vector flow imaging data and the image, wherein a resulting segmentation extends from wall-to-wall of the tubular object. The system further includes a display configured to display the image with the segmentation and the vector flow imaging data superimposed thereover, with the vector flow imaging data extending from wall-to-wall within the tubular object.

Abstract: An image processing apparatus obtains, in both a first image obtained by capturing an object and a predetermined space including the object, a corresponding feature part of the object, specifies a first point on the first image and a second point on the predetermined space, calculates a degree of matching between the first point and the second point, based on a positional relationship between the first point on the first image and the feature part of the object, and a positional relationship between the second point on the predetermined space and the feature part of the object on the predetermined space, and causes a display unit to display the calculated degree of matching.

Abstract: An ultrasound diagnostic apparatus generates an ultrasound image based on an ultrasound signal acquired by an ultrasound probe having an ultrasound transducer. The ultrasound transducer transmits an ultrasound wave to an observation target and receives the ultrasound wave reflected from the observation target.

Abstract: The present invention relates to an urine specimen collection system in which the urine sample to be taken for the laboratory tests, can be collected without interrupting the patient while urinating. Present invention will transfer certain amount of urine into the specimen container by collecting the urine of the patient collected during the urination speed test. Thus, the specimen acquired from the urination speed test can be used in the laboratory tests. System will transfer the urine of the patient into a specimen container automatically by steps applied during the regular urination process and immediately after this process. System then will perform the cleaning of the urinated reservoir.

Abstract: The invention provides devices and methods for self-administered noninvasive retrieval of biological materials of the uterus and/or cervix and preimplantation stage embryos. The cervical device comprises a receptacle with a variable volume receptacle cavity, a controller configured to change the volume of the receptacle cavity, a surface for collection of biological materials, and a flexible pouch for generation of suction to facilitate efficient retrieval of biological materials. The biological materials retrieved include various biomarkers of diseases and disorders of reproduction, are directly isolated from a site of pathology, and are not metabolized or diluted. Information generated by analyzing these biological materials permits early diagnosis and prognosis assessments of disease and disorders of the female reproductive organs, irregularities of pregnancy, anomalies of the fetus in utero, and microbial infections.

Abstract: A biopsy device has a flexible sheath having a terminus with a distal chamber. The distal chamber is configured with a forward facing cutting edge. The forwarding facing cutting edge has multiple movable blades, in which the movable blades are two counter rotating blades configured perpendicular or angular to a long axis of the distal chamber. Each counter rotating blade is configured to pivot from a separate axis. The biopsy has a manipulation end controllable by the user to plunge the forward facing cutting edge at a set depth or a depth selected by the user, and to engage a cutting action by the multiple movable blades at the set depth or the selected depth. The movement of the forwarding facing cutting edge enables the biopsy device to acquire a plurality of specimens for storage in the distal chamber.

Abstract: The present invention comprises methods and devices comprising a cutting element used to contact circumferentially and longitudinally the surface walls of the endocervical canal to provide for broad and complete contact of the intended surface with the device, resulting in attainment of a sufficient volume and comprehensive tissue sample for analysis as an endocervical curettage or screening pap smear. The device may provide for a reservoir for the obtained sample to be contained when removing from the cervical canal and vagina. The device may be comprised of a detachable means or be of a material that allows the user to cut the sampling head of the device for placement in collection means to maximize the amount of tissue or cells being sent to the laboratory for analysis.

Abstract: An electromechanical surgical system is disclosed including a hand-held surgical instrument, an end effector configured to perform at least one function, and a shaft assembly arranged for selectively interconnecting the end effector and the surgical instrument. The shaft assembly includes a linkage having a proximal housing and a distal housing at least partially received within the proximal housing. The distal housing is rotatable relative to the proximal housing and configured to selectively interconnect the end effector to the shaft assembly. The shaft assembly further includes a wire extending through the linkage having a central portion disposed within an annular groove defined between the proximal and distal housings. The central portion of the wire is annularly wound within the annular groove to define a coil. The coil is configured to at least one of radially expand and contract upon rotation of the distal housing relative to the proximal housing.

Abstract: A hemostatic device includes a first tube defining a first lumen configured to channel a fluid therethrough, and a second tube housing at least a portion of the first tube and at least partially defining a second lumen configured to retain a hemocoagulant agent therein. The second tube is moveable with respect to the first tube, such that the hemocoagulant agent is at least substantially retained within the second lumen when the second tube is in a first position, and the hemocoagulant agent is at least partially exposed when the second tube is in a second position.

Abstract: Embodiments described herein are directed to flexible channel instruments for minimally invasive aerodigestive surgical procedures.

Abstract: Surgical instruments are movable in several different dimensions and about several distinct axes. Surgical instruments include a head portion having a desired tool, a body portion freely moveable in several dimensions with respect to the head to which it connects via a connection or joint, which may be maneuverable and lockable in several head-body orientations. The connection may include one or more cooperative shafts, a rotator that angularly moves the head portion, a joint that translates the angular motion from rotator to the head in any relative orientation of the head portion, a crank that couples the shafts with the head portion, and a collar having an end slot to accommodate one or more of the shafts. In this way, as the shaft moves upward and downward, the head portion is transverse angularly displaced.

Abstract: A device 10 for gathering tissue of a heart valve leaflet 2 may include an outer tube 16 extending in an elongation direction, a capture tool 22 moveable in the outer tube between a contained position and a use position, and a tissue securing component 32 disposed at a distal end 17 of the outer tube and adapted to be applied to tissue 8 captured by the capture tool to hold the captured tissue in a gathered configuration. The capture tool may include a first element 20 and a second element 22 that are moveable relative to one another in the elongation direction. The first and second elements 20, 22 may be operable to capture tissue 8 of the heart valve leaflet 2 therebetween and to draw the captured tissue into the outer tube 16 in the gathered configuration.

Abstract: Knots and methods of forming knots made of flexible material for use in a surgical environment are described. The knots include one or more ways to unlock at least a portion of the knot.

Abstract: A flexible construct according to an exemplary aspect of the present disclosure includes, inter alia, a sheath and a suture connected to the sheath to form an adjustable loop. The suture includes a plurality of barbs that permit movement of the suture in a first direction relative to the sheath and restrict movement in a second direction relative to the sheath.

Abstract: Filamentary fixation devices may be used in a variety of surgical procedures to secure soft tissue to bone. The present invention provides various devices, systems, kits and instrumentation for performing such surgical procedures including preparation of soft tissue and bone, preparation and manipulation of such filamentary fixation devices, and insertion and utilization of the fixation devices within a patient's anatomy. In one embodiment, a method for securing soft tissue to bone, the method includes accessing the soft tissue and the bone, passing a filament through the soft tissue, preparing a bore hole in the bone, loading the filament into a filamentary fixation device, implanting the filamentary fixation device, with the filament, into the bore hole, and tensioning the filament so that the filamentary fixation device and filament are secured within the bore hole.

Abstract: A suture device including: an elongated shaft member extending along a longitudinal axis; a pair of gripping members provided at a distal end of the elongated shaft member in a pivotable manner about a pivot orthogonal to the longitudinal axis so as to be opened and closed relative to each other; and a passing mechanism which passes a suture needle between the gripping members, in which the gripping members include: fitting hole portions which are formed along an opening-closing direction of the gripping members, and to which the suture needle is detachably fitted; and contact portions which are brought into contact with front and back surfaces of a suture object in a course of a closing action of the gripping members so as to suppress a movement of the suture object along the front surface of the suture object.

Abstract: A surgical cutting and fastening instrument. The instrument comprises a handle and an end effector connected to the handle. The end effector comprises upper and lower opposing jaw members, wherein the upper jaw member comprises a plurality of co-linear, separately actuatable, RF electrodes.

Abstract: The present disclosure relates to adapter assemblies for use with and to electrically and mechanically interconnect electromechanical surgical devices and surgical loading units, and to surgical systems including hand held electromechanical surgical devices and adapter assemblies for connecting surgical loading units to the hand held electromechanical surgical devices.

Abstract: A surgical instrument including a handle portion, a body portion, an articulating tool assembly and a locking assembly is disclosed. The handle portion includes a movable handle. The body portion extends distally from the handle portion and defines a first longitudinal axis. The articulating tool assembly defines a second longitudinal axis and is movable from a first position where the second longitudinal axis is substantially aligned with the first longitudinal axis to at least a second position where the second longitudinal axis is at an angle to the first longitudinal axis. The locking assembly includes a member that is advanceable distally with respect to the body portion. The member engages the articulating tool assembly upon manipulation of the movable handle to move an anvil and a cartridge assembly in approximation with one another to help maintain the articulating tool assembly in its first position.

Abstract: A surgical instrument includes a shaft, an end effector extending distally from the shaft, and a housing extending proximally from the shaft. The housing includes a motor configured to generate at least one motion to effectuate the end effector, and a power source configured to supply power to the surgical instrument, wherein the power source includes a casing, a data storage unit, and a deactivation mechanism configured to interrupt access to data stored in the data storage unit. In addition, the power source includes a battery pack and a deactivation mechanism configured to deactivate the battery pack if the casing is breached.

Abstract: A surgical instrument includes a shaft, an end effector extending distally from the shaft, and a housing extending proximally from the shaft. The housing includes a motor configured to generate at least one motion to effectuate the end effector, and a power source configured to supply power to the surgical instrument, wherein the power source includes a casing, a data storage unit, and a deactivation mechanism configured to interrupt access to data stored in the data storage unit. In addition, the power source includes a battery pack and a deactivation mechanism configured to deactivate the battery pack if the casing is breached.

Abstract: A surgical instrument includes a shaft, an end effector extending distally from the shaft, and a housing extending proximally from the shaft. The housing includes a motor configured to generate at least one motion to effectuate the end effector, and a power source configured to supply power to the surgical instrument, wherein the power source includes a casing, a data storage unit, and a deactivation mechanism configured to interrupt access to data stored in the data storage unit. In addition, the power source includes a battery pack and a deactivation mechanism configured to deactivate the battery pack if the casing is breached.

Abstract: A surgical instrument includes a shaft, an end effector extending distally from the shaft, and a housing extending proximally from the shaft. The housing includes a motor configured to generate at least one motion to effectuate the end effector, and a power source configured to supply power to the surgical instrument, wherein the power source includes a casing, a data storage unit, and a deactivation mechanism configured to interrupt access to data stored in the data storage unit. In addition, the power source includes a battery pack and a deactivation mechanism configured to deactivate the battery pack if the casing is breached.

Abstract: The invention is an implantable magnetic anastomosis device having an exoskeleton that directs self-assembly. The design allows the device to be delivered in a linear configuration using a minimally-invasive technique, such as endoscopy or laparoscopy, whereupon the device self-assembles into, e.g., a polygon. A coupled set of polygons define a circumscribed tissue that can be perforated, or the tissue can be allowed to naturally necrose and perforate. The device can be used to create anastomoses in a variety of tissues, such as tissues found in the gastrointestinal, renal/urinary, and reproductive tracts. New procedures for using anastomoses, e.g., surgical bypass are also disclosed.

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 and methods may be configured to monitor at least one input signal detected at a coronary sinus and thereby execute a process for determining a satisfactory time period for the occlusion of the coronary sinus. In further embodiments, after the occlusion of the coronary sinus is released, the control system can be configured to select the duration of the release phase before the starting the next occlusion cycle.

Abstract: An occlusion device and a production process for it are described. The occlusion device consists of a mesh or braiding of at least one wire or thread wherein the occlusion device has been given a suitable design using a reshaping and/or heat-treatment process, is self-expandable, and is configured for secure anchoring in an atrial appendage of the left or right atrium of a heart. The occlusion device comprises a proximal retention region on a proximal end of the occlusion device a distal retention region and a central region between the proximal retention region and said distal retention region and wherein the occlusion device has a closed distal end without a holder, and wherein the occlusion device is at least partly of essentially spherical form, and hollow.

Abstract: A sagittal surgical saw blade consisting of a planar body having side edges, a proximal end for attachment to an oscillatory power device and a distal end defining a cutting head carrying distally extending spaced apart teeth. The teeth are configured to provide a kerf wider than the thickness of the cutting head. A large chip collection void is formed in the cutting head and the sides of the body define left and right chip collection and evacuation areas.

Abstract: A surgical sagittal saw cartridge that includes a guide bar formed form an inner plate and opposed outer plates, the inner plate having a head. The cartridge has a blade that is disposed against the head of the inner plate. The inner plate is formed to have an inner tine and two opposed outer tines. The inner tine is formed to define the head against which the blade is disposed. The outer tines extend forward of the inner tine so as to define a space between the outer tines in which the blade is seated.

Abstract: An orthopedic guide for preparing a particular patient's bone to receive a prosthesis using a milling tool with a rotating burr comprises a platform having a top surface and a bottom surface adapted to face the patient's bone. The platform defines an elongate milling track that extends through the platform from the top surface to the bottom surface of the platform, the milling track being sized and shaped so as to be adapted to guide the milling tool across the patient's bone with the burr of the milling tool rotating beneath the bottom surface of the platform to be adapted to remove a first bone portion from the patient's bone. A plurality of legs are coupled to the platform and each comprise a referencing end that is contour-matching fabricated as a function of the patient's bone data to be adapted to abut the patient's bone, the referencing ends of the plurality of legs adapted to cooperate to locate the orthopedic guide at a single predetermined location of the patient's bone.

Abstract: An endoscopic probe for use during spinal surgery has an enlarged proximal end for cooperation with the hand of the surgeon and an elongate shaft terminating in a functional distal tip. The tip may be detachable for replacement. An endoscope extends through the shaft and is connected with a monitor to enable the surgeon to visually observe the area being treated. In a preferred form, a light means extends through the shaft to illuminate the area being treated, and in a further preferred form a conduit extends through the shaft to convey a fluid to flush the area being treated. In a further embodiment, two endoscopes are associated with the probe.

Abstract: Tools adapted for spinal distraction are provided. More specifically, tools having an elongate shaft connected to a head portion are provided for imparting a force for displacing vertebral bodies. The tools may comprise features, such as textured surfaces or the ability to transmit pressure, for cleaning and preparing a spinal disc space for subsequent tools and procedures. A plurality or set of distraction tools is contemplated where the plurality of tools is made up of tools having various distinctions from one another. Such distinctions may be in the way of length, width, angle, and other geometric features or may comprise differences in materials or additional features.

Abstract: An arthroscopic positioning instrument is provided to overcome the problem of inconvenient operation of the modern arthroscopic positioning instrument. The arthroscopic positioning instrument includes a handle, a positioning member and a guiding cylinder is disclosed. The handle includes a finger holding member, a palm holding member and at least one connecting member. The palm holding member is connected to the finger holding member via the at least one connecting member. The finger holding member includes one end provided with an engaging portion and an arched guiding groove. The palm holding member does not intrude into a maximum axial range of the engaging portion. The positioning member includes an arched end and a hook end. The arched end is received in the arched guiding groove. The guiding cylinder is coupled with the engaging portion of the finger holding member.

Abstract: An intravascular access system for facilitation of intraluminal medical procedures within the neurovasculature through an access sheath. The system includes an aspiration or support catheter having a flexible, distal luminal portion having an inner diameter defining a lumen extending between a proximal opening at a proximal end of the luminal portion and a distal opening at a distal end of the luminal portion. The catheter has a rigid spine coupled to at least the proximal end of the luminal portion and extending proximally therefrom. The system includes a dilator having a flexible, distal dilator portion sized to be received within the lumen of the luminal portion. Associated systems, devices, and methods of use are also described.

Abstract: A clot removal device has a segment that has two main struts that serve as a frame for holding a plurality of secondary struts. Each of the two main struts has a proximal end that is connected at a proximal point of the segment and extends along a generally circumferential path, with each main strut terminating at a separate connecting point that is distal from the proximal point. The connecting points are connected to each other to form a generally tubular structure defining an inner lumen. The plurality of secondary struts forms a lattice of cells, with each cell surrounded by four secondary struts. Two generally straight distal struts are connected to the lattice of cells at a distal end of the segment, and are connected to each other to form a distal point. A distal opening is defined by the cells adjacent the distal struts, the distal opening communicating with the lumen and terminating at the proximal point.

Abstract: A clot retrieval device, for example to be used in a thrombectomy, is provided including a catheter, an elongated member, and a knitted basket with a proximal end coupled to the catheter and a distal end coupled to the elongated member. The elongated member is movable between an expanded position and a compressed position relative to the catheter and is configured so that the knitted basket expands radially and compresses as the elongated member is moved to the compressed position. The knitted basket is comprised of a plurality of wires coupled together by a plurality of windings. Each winding comprises one of the plurality of the wires twisted about another of the plurality of wires.

Abstract: An embolectomy device includes a tubular body having a plurality of interconnected primary struts that define a plurality of openings when the tubular body is in a radially expanded deployed configuration, and a plurality of secondary struts connected to the primary struts that move from being aligned with the primary struts to a non-aligned configuration in which the secondary struts extend at least partially into and/or across the openings, to thereby ensnare or encapsulate a vascular obstruction within the primary and secondary struts after the tubular body is deployed proximate the obstruction and allowed to expand into or through the obstruction.

Abstract: A handle device, in particular a surgical-tool handle device, with a first handle element and a second handle element, and with a shear joint by means of which the two handle elements are connected pivotably and separably, and with a coupling unit, which is configured to keep the two handle elements together counter to a separation direction and which comprises at least one coupling element that is configured to establish, depending on a relative position of the handle elements, a form-fit connection of the handle elements counter to the separation direction. The at least one coupling element is embodied as a centering element for centering the form-fit connection.

Abstract: A surgical method for placing an implantable medical device for constricting at least one of a patient's rectum, anal channel, anal sphincter or colon. The surgical method comprises creating an incision in a vaginal wall of a patient, inserting a surgical instrument through said incision. The instrument comprising an elongated main part, an elongated member having a proximal end fixed to a distal end of the elongated main part by means of a first adjustable joint having a pivotal axis, for adjusting a first angle between the main part of the instrument and the elongated member between 0 and 180 degrees, wherein the elongated main part and the elongated member lie in a first plane extending perpendicularly to the pivotal axis.

Abstract: The bifurcated forceps include a first pair of forceps having a first pair of opposed forceps or pincer arms and a second pair of opposed forceps or pincer arms. Each arm has a pivot end and a gripping end. Each pair is coupled at the pivot end and resiliently biased to a spaced apart position at the gripping end so that each pair may be independently pinched together, defining a gripping plane. The pivot ends of the two pairs are rotatable about a common pivot axis in a plane normal to the gripping planes, the arms in each pair being constrained to rotate to an identical radial angle in order to grip the same object at spaced apart positions. Adjacent arms in different pairs may have a mating blade and receptacle configuration to releasably lock the arms together to use the two pairs as a single pair.

Abstract: A catheter device with a cutting structure or means on the distal portion is disclosed, along with a medical procedure for using the device. The catheter is utilized in such a way as to create a permanent interatrial aperture in the heart, including creating a permanent interatrial hole and/or removing tissue.

Abstract: The present disclosure is directed to devices, kits, and methods for treating lumbar spinal stenosis by at least partially decompressing a compressed nerve root. The method can include identifying the compressed nerve root and percutaneously accessing a region of a lamina located adjacent to the compressed nerve root. The method can also include forming a channel through the region of the lamina, wherein the channel can be formed medial to a lateral border of the lamina. Further, the method can include expanding the channel in a lateral direction.

Abstract: The described invention provides several aspects designed to help mechanically break up and/or lyse a clot inside vessels and/or remove a clot via aspiration. According to some embodiments, the devices are adapted to irrigate a blood vessel during thrombectomy; to macerate an obstruction during thrombectomy, to block blood flow in a blood vessel during aspiration of a thrombus; or to capture distal emboli.

Abstract: A catheter device is provided that has a first end and a second end. The first end has a first rigid ring disposed thereon. The first rigid ring has an occlusion engaging feature disposed at a free end thereof. The second end has a second rigid ring disposed thereon. The second rigid ring has an occlusion engaging feature disposed at a free end thereof An elongate body extends between the first end and the second end. The elongate body has a lumen extending therethrough. A handle is configured such that a body thereof can be removeably coupled with the elongate body at a first position adjacent to the first end. The handle is configured such that the body thereof can be removeably coupled with the elongate body at a second position adjacent to the second end.

Abstract: This document describes rotational atherectomy devices and systems for removing or reducing stenotic lesions in blood vessels by rotating an abrasive element within the vessel to partially or completely remove the stenotic lesion material.

Abstract: A fluid vessel insertion device (10), typically for medical use, comprises a puncture member (18) arranged for locaton within a sleeve (20), and a retraction mechanism (44, 48, 60) for retracting the puncture member relative to the sleeve. The puncture member (18) is retractable in use between a first condition in which an end (18A) of the puncture member protrudes beyond an end (24) of the sleeve and a second condition in which the end of the puncture member is within the sleeve (20). The retraction mechanism (44, 48, 60) actuates the puncture member between the first and second conditions in response to fluid pressure at the end (18A) of the puncture member. The device may be used during positioning of the sleeve in a desired fluid vessel, such as, for example, during intravenous cannulation.

Abstract: A single body port or body flange access device and method for performing laparoscopic surgery are disclosed. The device comprises a plurality of crisscrossing conduits through which surgical instruments may be inserted. The instruments are manipulated so that triangulation is obtained using one patient body flange while standard surgical procedures are performed on the patient.

Abstract: Described here are delivery or fastener device fixation implant devices, delivery instrumentation, and methods for using them. In particular, the description relates to implants having a having a strength sufficient to support, anchor, secure, maintain, or to otherwise repair an elongated delivery or fastener device anywhere such a device, such as, for example, a bone screw, may need further securing within a substrate it is inserted into, such as, for example, within human or animal tissue, such as bone tissue.

Abstract: Embodiments herein are generally directed to fastener or fixation members, such as bone screws, for use in orthopedic stabilization assemblies.

Abstract: A tethering screw system includes a bone screw, a fastening member, and a securing member. The bone screw includes a threaded shank and a head portion. The head portion includes inner walls defining a slot and a recess distal of the slot. The fastening member is received in the recess of the head portion of the bone screw. The securing member has an engaging portion and a set screw rotatably coupled with the engaging portion. The engaging portion is configured to secure the fastening member in the recess of the head portion. The set screw is configured to threadably engage the inner walls of the head portion of bone screw, wherein when the set screw threadably engages the inner walls of the head portion of the bone screw, the engaging portion advances relative to the fastening member to secure the fastening member in the recess of the head portion.