Abstract: An embodiment relates to a method for generating a virtual X-ray projection of at least one body region of a patient to be imaged with an X-ray imaging device, a machine-readable data carrier and/or an X-ray imaging device. The method includes acquiring at least one projection data set representing the at least one body region of the patient to be imaged; reconstructing an image data set from the at least one projection data set, the image data set representing local X-ray attenuation values in the at least one body region; replacing at least one local X-ray attenuation value by a modified X-ray attenuation value; forward projecting the modified image data set onto a virtual X-ray radiation detector; calculating intensity values for a plurality of detector elements from the modified projection data set; transforming the calculated intensity values into scan values; and assigning the scan values to an image matrix.

Abstract: The presently described method is directed to determining a way of positioning a patient before execution of a medical procedure involving irradiating the patient with ionizing treatment radiation based on comparing medical images of the patient with a pre-acquired medical image. The planning computed tomography is searched for an image of the reference structure in order to determine the position of the patient relative to a patient support device. A retroreflective marker device, having a known and advantageously fixed position relative to the base plate, is detected by a navigation system operatively coupled to a motor of the support device. Based on the detected position of the marker device, the motor of the support device is activated to drive the patient into a desired position relative to beam direction along which the treatment radiation is to be issued towards the patient to execute the medical procedure.

Abstract: The present invention provides a radiation blocking unit including: an attachment member that is attachable between sources and an object table surface to which radiation from a radiation source and visible light from a visible light source are emitted, the sources including the radiation source and the visible light source; a radiation blocking portion, disposed on the attachment member, that transmits the illuminated visible light to an overlapping incidence region on the object table surface in which an incidence region of the radiation and an incidence region of the visible light overlap, and that blocks the irradiated radiation outside the overlapping incidence region; and a visible light blocking portion, disposed on the attachment member, that transmits the irradiated radiation to the overlapping incidence region, and blocks the illuminated visible light outside the overlapping incidence region.

Abstract: In a radiation image processing apparatus, method, and program, performing image processing based on scattered radiation, such as scattered radiation elimination processing, accurately by taking into account the influence of scattered radiation from an area adjacent to a processing target area. For this purpose, performing image processing on a radiation image captured by applying radiation to a subject based on scattered radiation generated by the subject. In this case, a processing target area which is the processing target in the radiation image is added with another area different from the processing target area in the radiation image. Then, the image processing based on scattered radiation is performed on the processing target area using the another area and the processing target area.

Abstract: The disclosure is directed at a method and apparatus for a flat panel X-ray imaging detector. In one embodiment, the apparatus includes three (3) layers including a top layer, an intermediate layer and a bottom layer. The top layer generates a top layer image; the intermediate layer generates an intermediate layer image; and the bottom layer generates a bottom layer image. The intermediate layer also operates simultaneously as an intermediate X-ray energy filter.

Abstract: An x-ray detector for obtaining x-ray images of an object is provided that is capable of increasing the ability of the detector to withstand shock and other types of forces acting on the enclosure to prevent and/or limit damage to the internal components of the detector. The enclosure includes an internal filler/force distribution layer formed from a lightweight, rigid material such as rigid foam and/or a suitable structure, such as a honeycomb or other lattice structure. The material is formed or shaped to fill a layer or portion of the interior of the detector that is otherwise empty space defined between the various internal components of the detector. The position and shape of the force distribution layer determines the path of load distribution across or through the enclosure away from the internal components of the detector and is optimized for shock absorption and/or load distribution.

Abstract: An X-ray system (2) for acquiring an image of an object has an X-ray detector (8), which is segmented into a plurality of neighboring detector tiles. In particular, the image can be a two-dimensional projection image but also a three-dimensional volume of the object reconstructed from a tomosynthesis acquisition. An X-ray detector moving mechanism (18) is adapted for moving the X-ray detector (8) at least between a first X-ray detector position and a second X-ray detector position during operation of the X-ray system. An X-ray source (4), a collimator (22) and the X-ray detector (8) of the X-ray system (2) are adapted for acquiring a plurality of partial X-ray images through the adjacent detector tiles while irradiating the object with X-ray beams from a plurality of tomographic angles ?. The processing unit is adapted for generating a two-dimension image of the object and/or for reconstructing a three-dimensional volume of the object from the acquired partial images.

Abstract: A radiation image photographing system includes: a radiation generator installed on a round visit cart or a transportable radiation generator; and an FPD cassette including a plurality of radiation detecting elements arrayed two-dimensionally, wherein the radiation image photographing system performs videography by photographing a sequence of multiple radiation images using the FPD cassette, and the radiation image photographing system further includes: a calculation device configured to calculate remaining time before the photography of the sequence of multiple radiation images is finished; and a display device configured to display the calculated remaining time.

Abstract: A console device of a portable type for retrieving a radiation image created by a radiographic imaging device is provided. A registration unit registers plural user menu options for retrieving the radiation image. A radiation image retrieving unit retrieves the radiation image respectively according to the registered user menu options. A display controller is operated while the radiation image retrieved according to a current user menu option among the user menu options is displayed on a display unit, for display processing to display a part of the user menu options inclusive of a succeeding user menu option for retrieving at least a further radiation image among the user menu options. Preferably, the succeeding user menu option is displayed inside an image display area of the radiation image. Also, the display controller further performs display processing to display the current user menu option.

Abstract: Described here is a method for performing phase contrast imaging using an array of independently controllable x-ray sources. The array of x-ray sources can be controlled to produce a distinct spatial pattern of x-ray radiation and thus can be used to encode phase contrast signals without the need for a coded aperture. The lack of coded aperture increases the flexibility of the imaging method. For instance, because a fixed, coded aperture is not required, the angular resolution of the imaging technique can be increased as compared to coded-aperture imaging. Moreover, the lack of a radioopaque coded aperture increases the photon flux that reaches the subject, thereby increasing the attainable signal-to-noise ratio.

Abstract: A structure includes a silicon substrate having a plurality of recessed portions, each recessed portion having a bottom and a side wall, silicide layers, each silicide layer in contact with the bottoms of the plurality of recessed portions, and a metal structure including metal portions, each metal portion disposed in the plurality of recessed portions and in contact with the silicide layers. The silicide layers are electrically connected to each other through the silicon substrate.

Abstract: A method includes determining a registration transform between first three dimensional pre-scan image data and second three dimensional pre-scan image data based on a predetermined registration algorithm. The method further includes registering first volumetric scan image data and second volumetric scan image data based on the registration transform. The method further includes generating registered image data. A system (100) includes a pre-scan registerer (122) that determines a registration transform between first three dimensional pre-scan image data and second three dimensional pre-scan image data based on a predetermined registration algorithm. The system further includes a volume registerer (126) that registers first volumetric scan image data and second volumetric scan image data based on the registration transform, generating registered image data.

Abstract: A perfusion analysis system includes a perfusion modeller and a user interface. The perfusion modeller generates a patient specific perfusion model based on medical imaging perfusion data for the patient, a general perfusion model, and a quantification of one or more identified pathologies of the patient that affect perfusion in the patient. The user interface accepts an input indicative of a modification to the quantification of the one or more identified pathologies. In response, the perfusion modeller updates the patient specific perfusion model based on the medical imaging perfusion data for the patient, the general perfusion model, and the quantification of the one or more identified pathologies of the patient, including the modification thereto.

Abstract: An embryo transfer catheter or other medical device has a shaft extruded with two layers. The outer layer is relatively thick and contains gas bubbles sufficient to increase the visibility of the catheter under ultrasound observation but with a density that allows material within the catheter to be viewed by the eye. The inner layer is relatively thin and is free of bubbles so that it provides a smooth bore to the catheter.

Abstract: An integrated therapeutic and imaging device that uses at least two balloons to provide a guarded zone that can be evacuated and replaced with a fluid that is sufficiently clear to permit optical coherence tomography (or even high resolution ultrasound) imaging that would otherwise be of poor quality or impossible. Methods of making and operating the imaging device to obtain clear, high quality images, as well as treating a patient's tissue with the device within a living body in association with obtaining an image of the patient's tissue, are included.

Abstract: In some embodiments, a method includes releasably attaching an image capture assembly to a distal portion of a TEE device. Next, the TEE device coupled to the image capture assembly is inserted into an oral cavity of the patient. With the image capture assembly releasably attached to the distal portion of the TEE device, image data of an esophagus of the patient captured by the image capture assembly is displayed. While viewing the display of image data, the TEE device coupled to the image capture assembly can be moved within the esophagus. With both the TEE device and the image capture assembly disposed within the esophagus, the image capture assembly is detached from the TEE device. With the image capture assembly detached from the TEE device, and with the TEE device disposed at least in part within the esophagus, the image capture assembly is removed from the patient.

Abstract: A test chamber for epicutaneous patch test units is provided. The test chamber is formed of a multilayer material including at least one absorbent layer and at least one barrier layer. The test chamber is adapted to contain a liquid or petrolatum-based allergen. The absorbent layer absorbs the liquid or petrolatum-based allergen, while the barrier layer prevents the allergen from migrating out of the test chamber.

Abstract: The present invention provides a device that can move inside a biological conduit such as an intestinal tract for sampling the content therein, and a process thereof. While moving along the intestinal tract, the device can continuously collect the content in the intestinal tract. One or more convoy belts having an adsorbent layer are configured to continuously absorb and preserve the collected intestinal content. The belt loaded with the sample may be used to establish a chemical, biochemical and microbiological spectrum along the length of the intestinal tract.

Abstract: Methods, apparatus and systems for tissue dissection and testing are disclosed herein. A method for tissue dissection and testing may comprise inserting a tissue dissecting wand (TD) through an incision in a patient's body. The TD may comprise a tip having a plurality of protrusions with lysing segments positioned between the protrusions to dissect and/or modify tissue. The TD may also comprise a sensor dock positioned on top of the TD that is configured to allow tissue and/or body fluid contact to a sensor. After separating tissue using the lysing segment(s) to access a target region, the sensor may be activated and moved around within the target region to assess tissues.

Abstract: A dilation device including a dilation instrument which includes a distal radially expandable section which is coupled via an elongate shank to a handling section, and an expandable covering with a closed distal end and an open proximal end, for the expansion section of the dilation instrument. The covering has a shank section extending along the shank of the dilation instrument. The open proximal end of the covering is detachably coupled to the distal end of the handling section of the dilation instrument. Furthermore, the covering is disclosed per se, which consists of a mesh material and has a shank section, which is connected to a coupling sleeve at the open proximal end.

Abstract: An endoscopic treatment tool set includes: an endoscopic treatment tool that includes a sheath having a lumen, an elongated shaft inserted into the lumen and the elongated shaft having an insertion passage, a stylet disposed in the insertion passage, an implant connected to the stylet, and a manipulation part provided at the sheath; and a jig. The endoscopic treatment tool is packed together with the jig. The jig is coupled to a proximal end portion of the stylet disposed in the manipulation part and the jig is configured to be movable relative to the manipulation part. The implant is connected to the jig via the stylet, and the implant is configured such that the jig is pulled toward a proximal end side of the manipulation part so that the stylet is moved to a proximal end side in the insertion passage and the implant is loaded in the insertion passage.

Abstract: An external medical device generates a drive signal inductively coupled to an implantable coil from an external coil. A regulator module coupled to the implantable coil generates an output signal in response to the inductively coupled signal and a feedback signal correlated to an amplitude of the inductively coupled signal. A signal generator receives the output signal for generating a therapeutic electrical stimulation signal. The control module adjusts the drive signal in response to the feedback signal to control the electrical stimulation signal.

Abstract: The present disclosure provides a variety of prostheses, delivery systems and techniques to facilitate closure of transvascular or transcameral access ports. Various embodiments of prostheses are provided including a plurality of radially expandable discs that can be filled with material to facilitate coagulation and to reduce or stop leakage from punctures in vessel walls.

Abstract: Several unique intracardiac pressure vents, placement catheters, methods of placement and methods of treating heart failure are presented. The intracardiac pressure vents presented allow sufficient flow from the left atrium to the right atrium to relieve elevated left atrial pressure and resulting patient symptoms but also limit the amount of flow from the right atrium to the left atrium to minimize the potential for thrombus or other embolic material from entering the arterial circulation.

Abstract: An iris retractor made of two slender elements operatively coupled via a joining mechanism, wherein each slender element has an iris grabbing hook located at its distal end; and a handle located at the proximal end of the slender element, wherein the joining mechanism is configured to endow the iris retractor with at least two configurations: a retracted configuration and an expanded configuration, wherein the length of each slender element is between 4 mm to 14 mm.

Abstract: Devices, systems and surgical methods for achieving surgical access to a site within the body, particularly the spine. The system includes a modular retractor with a body and hood that are independently operable at their proximal ends to manipulate soft tissue at their distal ends, and may be adjustably and releasably coupled to form an open channel to a target tissue. On insertion, the hood is at least partially compressed against the retractor body. When coupled, the retractors are displaced from one another and constrained to one or more of at least three degrees of freedom, movable pivotally around a proximal end pivot axis that is perpendicular to the channel to adjust displacement of the retractors at their distal ends, displaceable vertically to adjust the distance between the retractors at their proximal ends, and slidable horizontally along the channel axis.

Abstract: Circular stapling instruments and anvil assemblies. The anvil assemblies may have collapsible anvil support members that may be inserted through an opening in a patient and then expanded to be attached to an anvil plate assembly that has a staple-forming surface thereon. The anvil support member is attachable to the anvil plate assembly in such a way that when the anvil assembly is coupled to the stapling head of a circular stapler, the staple-forming surface is in substantial registry with the staples supported in the stapling head. A variety of different anvil support members and anvil plate assemblies are disclosed.

Abstract: A fenestrated suture anchor for fixation of tissue to bone. In a preferred embodiment, the suture includes an implant, such a swivel implant with a forked tip for capturing suture. The implant is secured in a hole in bone by advancing a fixation device, such as a cannulated interference screw, to engage and fully seat the implant. The cannulated fixation device is provided with a plurality of openings or fenestrations of various dimensions and geometries to provide multiple pathways through the anchor (i.e., though the interior of the body and through the fenestrations) to allow blood to flow to increase the healing zone, for example, for rotator cuff repair, while also promoting bone in-growth.

Abstract: A suture anchor comprises a shell and an anchor member. The shell comprises a body having a distal end, a proximal end and sidewalls therebetween defining an axial cannulation therethrough. The anchor member comprises a body having a distal end and a proximal end which is sized to fit within the cannulation. The sidewalls define a lateral cut-out such that with the anchor member received within the cannulation a first lateral portion of the anchor member is exposed laterally and a second, laterally opposite, lateral portion of the anchor member is enclosed by the sidewalls. A friction enhancement on the first lateral portion frictionally engages a bone surface when the suture anchor is disposed within a bone tunnel defined by the bone surface. Suture is trapped between the shell and the anchor and also between the anchor and the bone surface.

Abstract: A suture anchor including a sleeve with an optional solid tip and a threaded, hollow interior portion. A transverse hole passes through a distal end of the sleeve. An inner screw with a flat distal end and threads disposed on an outer surface and a driver head extension monolithically connected with a proximal end of the inner screw are also provided.

Abstract: Devices and methods are provided herein that generally involve suture anchors having one or more anti-backup features configured to resist or prevent backward movement of a suture that is pulled through the suture anchor. In some embodiments, the suture anchor can be configured to permit a suture to slide freely in one direction but resist or prevent suture movement in the opposite direction. For example, cleats can be rotatably mounted within the suture anchor, can project radially outward from an exterior sidewall of the suture anchor, or can project circumferentially from sidewalls of one or more channels formed in the suture anchor's exterior surface.

Abstract: An apparatus and a method for surgical fastening is disclosed. An illustrative apparatus for tissue suturing includes a cartridge having a suturing needle having a pointed end and a blunt end, the suturing needle capable of rotating about an axis, a reciprocating needle drive, and an actuator capable of releasably engaging the needle drive to rotate the needle. A method for suturing tissue is provided that includes placing a suturing device having a cartridge containing a suturing needle to span at least one tissue segment, activating an actuator to cause rotational movement of the suturing needle through the at least one tissue segment, and deactivating the actuator to stop an advancing movement of the suturing needle to cause a suturing material to be pulled through the at least one tissue segment forming a stitch.

Abstract: An arterial closure device includes an elongated catheter having a proximal end, an opposing flexible distal end, and a lumen extending between the proximal end and the distal end. An externalization needle and an internal catheter are disposed within the lumen. The externalization needle is in communication with a first plunger. A first threading needle and a second threading needle are positioned in separate threading channels and in communication with a second plunger. A suture has a first end attached to the second end of the first threading needle and a second end attached to the second end of the second threading needle. A primary aperture extends through a wall of the elongated catheter. A first threading aperture and a second threading aperture extend through the wall of the elongated catheter at opposing sides of the primary aperture.

Abstract: A modular surgical instrument and method for using the same. The method can comprise attaching a surgical instrument attachment to a surgical instrument handle to form a surgical instrument, and powering a master processor in the surgical instrument attachment. The method can also comprise identifying a slave processor in the surgical instrument handle, wherein the slave processor is configured to control a motor in the surgical instrument handle, and affecting operation of the motor based on at least one command from the master processor.

Abstract: An apparatus for delivering bioabsorbable fasteners comprises a housing and an actuator movable by a user to deliver one fastener at a time.

Abstract: A surgical tool for use with a surgical system is disclosed. The surgical tool comprises a housing containing three drive motors and three non-concentric rotatable output members, a modular shaft assembly comprising three rotatable drive shafts coupled to the three non-concentric rotatable output members, an end effector comprising a first jaw and a second jaw, and a motion conversion assembly. The motion conversion assembly is operably coupled to one of the drive motors and an axial drive assembly. The motion conversion assembly is configured to convert a rotational motion of one of the three rotatable drive shafts to an axial motion. The application of the axial motion to the axial drive assembly approximates the first jaw from an open position to a closed position and performs an actuation stroke within the end effector.

Abstract: An apparatus is disclosed which comprises, one, a handle module that is attachable to a detachable shaft module for collectively performing a surgical procedure and, two, an inspection station for connection to the handle module when the handle module is not being used in a surgical procedure. The handle module comprises a rotary drive system for driving the detachable shaft module, an electric motor coupled to the rotary drive system for powering the rotary drive system, and a handle module processor circuit in communication with the motor. The inspection station comprises an inspection station processor circuit that communicates with the handle module processor circuit via a data connection when the handle module is connected to the inspection station. The inspection station further comprises a display in communication with the inspection station processor circuit for displaying information about handle module.

Abstract: A method for manipulating tissue of a patient includes a surgical instrument having a handle assembly, a shaft assembly, and an end effector. The method includes positioning a tissue within a gap between a cartridge and an anvil and against a guide pin to laterally position the tissue relative to the cartridge and the anvil. The method also includes moving a retaining pin from an open position to a closed position to capture the tissue and moving the cartridge toward the anvil in a closed configuration. Furthermore, the method includes inhibiting deflection of a distal end portion of the end effector wherein at least at least one of the guide pin or the retaining pin connects to the distal end portion. The method further includes forming a plurality of staples within the tissue and cutting the tissue with a knife.

Abstract: A surgical instrument is disclosed. The surgical instrument can include a first jaw, a second jaw, and a jaw closure lockout system. The first jaw can comprise a pivot pin slot and a slide pin slot. The second jaw can comprise an anvil and, in addition, a mounting portion comprising a pivot pin, which can be movably positioned in the pivot pin slot. A shiftable guide can be movably positioned in the first jaw and can comprise a body and a barrier wall. The body can comprise a slide pin movably positioned in the slide pin slot. The barrier wall can be aligned with a portion of the pivot pin slot when the slide pin is positioned within a range of positions in the slide pin slot, and the barrier wall can be offset from the pivot pin slot when the slide pin is positioned outside the range of positions.

Abstract: A surgical loading unit for use with a handle assembly includes an elongate outer frame, an end effector mounted to a distal end of the outer frame, a drive at least partially disposed within the outer frame and operatively coupled to the end effector, and a rotatable counter mounted to the outer frame and adapted for rotational movement about the longitudinal axis. A counter actuator is mounted to the drive and dimensioned to engage the rotatable counter to cause rotational movement of the rotatable counter through an arc segment of rotation during each firing stroke of the drive.

Abstract: A ligature device and method of use are provided. More specifically, a ligature device capable of maintaining a ligature band in an elongated position, applying a preformed ligation band to an object to be ligated, manually releasing the ligation band from an elongated position, and securing a ligation band in a tensioned position is provided. The ligation device may be used to apply ligation bands to various body parts of various animals.

Abstract: Devices and methods for ligating anatomical structures are provided herein. In particular, the devices and methods provided herein can be used to ligate the left atrial appendage. The ligating devices (10, 110, 210, 310, 410) comprise a ligating element (30, 130, 230, 330, 430) and a control element (40, 140, 240, 340, 430) which controls the opening of the ligating element in a loop or lariat shape. Some embodiments comprise also a positioning element (50, 150) which help position the ligating element. In some embodiments a conduit (250) is provided for deploying the ligating element by inflating control.

Abstract: A double-balloon inferior vena cava (IVC) shunt for use in controlling blood loss and simultaneously maintaining venous return is disclosed. The IVC shunt comprises a first balloon-catheter unit and second balloon-catheter unit that are slidably coupled to one another to form an adjustable shunt. The first and second balloons in the shunt are independently inflatable. The double-balloon shunt is readily adjustable to fit the dimensions of the injured region.

Abstract: An expansile member that may be used on a delivery device or may be used for occlusive purposes within the vasculature.

Abstract: Orthopedic device holder systems including a quick connect between an orthopedic device holder and an orthopedic tool are disclosed. The orthopedic device holder can include a shaft having a shaft connection end including at least three shaft engaging surfaces. The orthopedic tool can have a tool connection end including at least three tool engaging surfaces configured to couple with the three shaft engaging surfaces of the orthopedic device holder.

Abstract: A retrograde resection apparatus may include a cutting blade including a slot defined in the cutting blade, a recess defined in at least a portion of the slot, a screw, including a proximal end and a distal end defining a bore therethrough, a shaft having a distal end and a proximal end, wherein the shaft passes through the bore and the distal end is configured to be received in the recess, and a biasing device configured to bias the shaft against the cutting blade. In addition, the apparatus may include a tether, a first portion of which is affixed to the cutting blade and a second portion of which passes through the bore.

Abstract: Devices, systems, and methods are provided for ligament repair procedures, and can be used to establish a location and trajectory for forming a bone tunnel in bone. One exemplary embodiment of a surgical guide for using in a ligament repair procedure includes a guide arm and a carriage that can be selectively locked along the guide arm to define an angle of the bone tunnel. The guide arm also defines a location of a distal end of the bone tunnel. In some embodiments the carriage is configured to have a bullet side-loaded into it, and the bullet can be used to define a location of a proximal end of the bone tunnel. The present disclosure also provides for a gage that limits the distance a drill pin that drills the bone tunnel can travel. A variety of other, devices, systems, and methods are also provided.

Abstract: A system and method for managing an occlusion, such as a blood clot, within a lumen or passageway of a patient. More particularly, a system and method for rapidly restoring blood flow through an occlusion including a self-expanding, tubular member through which blood may flow when in an expanded state. The tubular member has a structure configured to engage the occlusive material, thereby allowing for extraction of at least a portion of the occlusive material. The system may further employ a material extraction member that is deployed distally of the tubular member.

Abstract: A medical manipulator includes: a manipulator body that has a handle; a drive unit that can be detachably attached to the handle and has a drive source; a guide mechanism that guides the movement of the drive unit when the drive unit is attached to or detached from the handle; a motive force-transmitting coupling that has a driving member and a driven member, and transmits the drive force from the drive source to the handle side; and an electrical connection mechanism that electrically connects the handle and the drive unit when the drive unit is mounted to the handle.

Abstract: A tool for surgical operation using ultrasonic waves is provided. The tool includes a transducer generating ultrasonic waves, a cylindrical bar-shaped transmitting rod for transmitting the ultrasonic waves, an end effector for cutting a surgical site using the ultrasonic waves transmitted from the transmitting rod, extended from one end of the transmitting rod, in which a part of the circular cross-sectional area thereof is flatly formed from the point corresponding to a second vibration node so as to allow gain step to start at the second vibration node, a rod cover for encompassing the transmitting rod using, as connection points, a plurality of vibration nodes formed when ultrasonic waves are transmitted through the transmitting rod, and a jaw for holding the surgical site while engaged with the end effector, is combined to one end of the rod cover in a pivotable manner, and is positioned to face the end effector.