Abstract: A method is provided for determining a central aortic pressure waveform. The method includes: measuring two or more peripheral artery pressure waveforms; analyzing the signals so as to extract common features in the measured waveforms; and determining an absolute central aortic pressure waveform based on the common features.

Abstract: An X-ray imaging apparatus including a sensor unit with a sensor array configured to generate a signal corresponding to X-rays and a sound-production unit configured to make a notification by sound production causes the sound-production unit to execute sound production in response to detection of an event. If an event including a sound-production request occurs during a period including a period of reading out a signal from the sensor array, the X-ray imaging apparatus restricts execution of sound production by the sound-production unit.

Abstract: A data output device capable of simply performing both of recognition of an entire image at an important point in time regarding medical care and recognition of a detailed change in time series data at the point in time is provided. A data display screen includes first and second display areas. In the first display area, time-series data indicating a state transition of a patient or content related to medical care performed on the patient is displayed in a graph. First indicators can be assigned to the graph. Second indicators are displayed at corresponding positions in the second display area that temporally correspond to designated positions in the first display area to which the first indicators are assigned. A second time axis in the second display area has a time scale which is longer than that of a first time axis in the first display area.

Abstract: Systems and methods are disclosed that provide smart alerts to users, e.g., alerts to users about diabetic states that are only provided when it makes sense to do so, e.g., when the system can predict or estimate that the user is not already cognitively aware of their current condition, e.g., particularly where the current condition is a diabetic state warranting attention. In this way, the alert or alarm is personalized and made particularly effective for that user. Such systems and methods still alert the user when action is necessary, e.g., a bolus or temporary basal rate change, or provide a response to a missed bolus or a need for correction, but do not alert when action is unnecessary, e.g., if the user is already estimated or predicted to be cognitively aware of the diabetic state warranting attention, or if corrective action was already taken.

Abstract: An X-ray diagnostic apparatus according to an embodiment includes a first imaging system, a second imaging system, and processing circuitry. The first imaging system holds a first X-ray tube and a first X-ray detector in a rotatable manner. The second imaging system holds a second X-ray tube and a second X-ray detector in a rotatable manner, and rotating centers, which are capable to set independently, between the first imaging system and the second imaging system. The processing circuitry makes a rotating center of the first imaging system and the rotating center of the second imaging system substantially equivalent to each other when a rotation imaging program using the first imaging system and the second imaging system is selected.

Abstract: An image processing apparatus includes a current image acquisition device which acquires a current image of a subject having a structure having a periodic movement, a past image acquisition device which acquires multiple past images of the subject such that the past images captured for over one or more periods of the periodic movement are acquired, and circuitry which searches multiple feature points on each past image and the current image, associates the feature points on the current image and the feature points on each of the past images, calculates, for each of the past images, a degree of similarity between the feature points on each of the past images and the feature points on the current image based on association, and identifies to which one of the past images the current image corresponds such that at which phase of the periodic movement the current image is positioned is estimated.

Abstract: A radiological imaging apparatus (10) acquires a radiological brain image of a subject after administration of a radio tracer binding to a target substance indicative of a clinical pathology. In one embodiment, the clinical pathology is amyloid deposits in the brain at a level correlative with Alzheimer's disease and the target substance is amyloid deposits. A processor (C) tests for the clinical pathology by: performing non-rigid registration of the brain image with a positive template (32P) indicative of having the clinical pathology and with a negative template (32N) indicative of not having the clinical pathology; generating positive and negative result metrics (36P, 36N) quantifying closeness of the registration with the positive and negative template respectively; and generating a test result (54) based on the positive result metric and the negative result metric. An independent test result is generated by quantifying a second mode of an intensity histogram for the brain image.

Abstract: A tomography imaging apparatus and a tomography imaging method are provided. The tomography imaging apparatus includes a data acquirer configured to acquire first X-ray data of an object for each of energy bands, and an image preprocessor configured to perform a beam hardening correction on the first X-ray data for each of the energy bands, to generate second X-ray data of the object. The tomography imaging apparatus further includes an image reconstructor configured to reconstruct a tomography image of the object based on the second X-ray data.

Abstract: A method includes obtaining projection data from a scan of a moving structure of interest. The method further includes reconstructing the projection data, generating first image data. The method further includes identifying a sub-set of the projection. The method further includes reconstructing the sub-set projection data, generating second image data. The method further includes identifying a region in which the moving structure of interest is located based on the first image data. The method further includes identifying a location of the moving structure of interest in the identified region based on the second image data.

Abstract: The invention relates to a method for producing an x-ray image (1) of an object (2) by means of an x-ray device (3). An x-ray source (4) and an x-ray detector (5) are moved about an object (2) during an at least partial circulation (8, 9), and the x-ray beams (10) which are generated by the x-ray source (4) and pass through the object (2) are detected from multiple different directions by means of the x-ray detector (5). In the process, at least one optical camera (13, 14) captures the object (2) during the circulation, wherein an optical image (15, 17) is produced. The optical camera (13, 14) has a rigidly defined position relative to the x-ray source (4) and/or the x-ray detector (5). The optical image (15, 17) is then used to determine a movement trajectory of the object (2) relative to the x-ray source (4) and/or the x-ray detector (5).

Abstract: A medical imaging apparatus includes an X-ray radiation unit configured to radiate X-rays onto an object and onto a calibration phantom, which does not overlap the object, according to a first irradiating condition for a pre-shot; a detector configured to detect the X-rays having passed through the object and through the calibration phantom; and a controller configured to acquire calibration information by using a pre-shot image acquired from the detected X-rays, and determine a second irradiating condition for main imaging by using the calibration information.

Abstract: An enhanced stethoscope device and method for operating the enhanced stethoscope are provided. The enhanced stethoscope device generally operates by providing stethoscope sensors, ultrasonic sensors, and other sensors to obtain a series of measurements about a subject. The series of measurements may be correlated, such as by machine learning, to extract clinically relevant information. Also described are systems and methods for ultrasonic beamsteering by interference of an audio signal with an ultrasonic signal.

Abstract: A method and system is provided for using backscattered data and known parameters to characterize vascular tissue. Specifically, methods and devices for identifying information about the imaging element used to gather the backscattered data are provided in order to permit an operation console having a plurality of Virtual Histology classification trees to select the appropriate VH classification tree for analyzing data gathered using that imaging element. In order to select the appropriate VH database for analyzing data from a specific imaging catheter, it is advantageous to know information regarding the function and performance of the catheter, such as the operating frequency of the catheter and whether it is a rotational or phased-array catheter. The present invention provides a device and method for storing this information on the imaging catheter and communicating the information to the operation console.

Abstract: An actuator for an ultrasound probe comprises a housing assembly configured to accommodate an ultrasound probe and to be positioned adjacent to a target region of interest to be examined, and a motor assembly coupled to the housing assembly, the motor assembly configured to move the housing assembly in a manner to allow an ultrasound probe when accommodated by the housing assembly to perform a compound scan of the target region of interest.

Abstract: An ultrasound diagnostic apparatus includes: a communicator including one of an antenna or a cable and configured to receive, using the one of the antenna or the cable, a signal from an ultrasound probe including a plurality of sensors, the ultrasound probe being external to the ultrasound diagnostic apparatus; and a controller including an electronic circuit configured to acquire a plurality of data sets corresponding to sensing results of the plurality of sensors from the signal, and perform a predetermined operation corresponding to a combination of the plurality of data sets, the plurality of data sets including information configured to synchronize timings when the plurality of data sets is acquired by the plurality of sensors, and the predetermined operation including transmitting a control signal corresponding to the combination of the plurality of data sets to the ultrasound probe.

Abstract: A diagnostic assembly (30, 320) and method for detecting a presence of cancer in a breast of a patient. The diagnostic assembly (20, 320) comprises a frame (22, 322), at least one cold bar (26, 326, 426) supported by the frame (22, 322) for receiving a hand of the patient, and a temperature controller (72) in communication with the cold bar (26, 326, 426) to maintain a constant temperature of the cold bar (26, 326, 426). The method comprises the steps of cooling at least one hand of the patient and recording a test thermal image of the breast of the patient after the hand of the patient has been cooled. The step of cooling the hand of the patient includes receiving the hand of the patient on the cold bar (26, 326, 426) to transfer heat from the hand of the patient to the cold bar (26, 326, 426), and maintaining the cold bar (26, 326, 426) at a preselected temperature.

Abstract: The invention relates to a medical device for obtaining a material sample from a material. The medical device comprises a first member comprising a receptacle for receiving the material sample; and a second member having a hollow region for accommodating at least a portion of the first member such that the at least a portion of the first member is movable within the second member. The first and second members are arranged such that when the material sample is received in the receptacle of the first member, the material sample can be obtained by moving the first member within the second member. The medical device further comprises an optical element arranged to receive electromagnetic radiation that can be used to determine information in relation to the material. The medical device has a distal end for inserting the medical device into the material.

Abstract: A biopsy system includes a biopsy device, a control module, a control module interface, at least one wireless data communication link, and an encoder. The biopsy device is operable to capture a tissue sample and includes a reusable portion and a disposable portion. The reusable portion includes an MR compatible motor. The disposable portion is adapted to be releasably joined with the reusable portion. The control module interface is configured to provide an interface between the control module and the reusable portion of the biopsy device. The at least one wireless data communication link includes a first data link configured to permit communication of data between the reusable portion of the biopsy device and the control module interface. The encoder is operationally coupled with the MR compatible motor.

Abstract: A system and method are disclosed for deploying an elongated unit in a body cavity, for introducing an interchangeable tool to a slender shaft having a distal end. The system comprising: an elongated unit comprising a longitudinal axis and a distal portion arranged to protrude through a first port into the body cavity. At least one maneuvering unit connected to the elongated unit for maneuvering the distal portion of the elongated unit in a 3D coordinate system to a determined depth and orientation in the body cavity. The at least one maneuvering unit is arranged to selectively deploy the distal portion of the elongated unit at the determined depth and orientation at a distance with respect to the distal end of the slender shaft and selectively align the longitudinal axis thereof with a longitudinal axis of the slender shaft.

Abstract: An insertion tongue of the retractor device may be pushed into the subject through the trocar incision, along one side of the organ. The tip of the insertion tongue pushes the impacted organ and its endoscopic recovery bag slightly away from the cavity wall. A scalpel is passed through the insertion guide with the tip of the scalpel blade in the retention guide on the back of the insertion tongue, and with the sharp side of the scalpel blade facing away from the organ and from the tongue of the retractor device. The scalpel is then passed down through the cavity wall, with its tip in the retention guide, while tension on the retractor device handle away from the organ, and gentle outward traction on the organ (and bag) permits removal of the organ (and bag) as soon as the opening is just large enough to allow it.

Abstract: A medical assembly includes a cannula and a sealing cap releasably coupled to the cannula. The cap includes a body and a sealing member integrally molded with the body to form a fluid-tight seal between the cap and cannula. The cap includes a member defining an opening for passage of a medical instrument therethrough in a fluid-tight manner. The member includes a first portion surrounding the opening and being thickened to limit tearing of the first portion, and a second portion surrounding the first portion being tapered down in thickness toward the first portion to increase flexibility of the member. The assembly includes a shaft receivable in a lumen defined by an inner surface of the cannula. The shaft includes a protrusion and the inner surface further defines a protrusion receiving formation.

Abstract: A method for securing soft tissue to bone which does not require the surgeon to tie suture knots to secure the tissue to the bone. Suture is passed through the tissue at desired points. A cannulated plug or screw is pre-loaded onto the distal end of a driver provided with an eyelet implant at its distal end. Suture attached to the tissue is passed through the eyelet of the implant located at the distal end of the driver. The distal end of the driver together with the eyelet implant is inserted into the bone. Tension is applied to the suture to position the tissue at the desired location relative to the bone. The screw or plug is advanced into the pilot hole by turning the interference screw or tapping the plug until the cannulated screw or plug securely engages and locks in the eyelet implant, so that the cannulated plug or screw with the engaged eyelet implant is flush with the bone.

Abstract: A suture anchor loading system for loading a suture anchor on a suture. The suture anchor loading system includes a first portion and a second portion defining a suture anchor receptacle therebetween. A superstructure is configured to retain the first and the second portions together. The suture anchor can be loaded onto the suture when the suture anchor is seated within the suture anchor receptacle.

Abstract: A solid, monolithic shaft member has an engagement end. The engagement end has a proximal end a distal end. The proximal end has a first cross-sectional geometry, and the distal end has a second cross-sectional geometry. The first cross-sectional geometry of the proximal end is different from the second cross-sectional geometry of the distal end. The cross-sectional geometry of the distal end transitions to the a cross-sectional geometry of the proximal end along a longitudinal axis of the engagement end of the solid, monolithic shaft member. This transition provides a gradual, blending, continuously transitioning cross-sectional geometry along the entire length of the longitudinal axis of the engagement end of the solid, monolithic shaft member.

Abstract: Devices and methods for soft tissue reconstruction are provided. One exemplary embodiment of a device includes a body a suture filament extending through through-holes formed in the body. The suture is formed into an overhand knot having three collapsible openings with filament limbs extending from the knot. The limbs can be passed through the thru-holes of the body and selectively into the collapsible openings of the overhand knot to form coils extending to an opposite side of the body. For example, one limb can be passed through first and second collapsible openings to form two coils, while the other limb can be passed through the first and third collapsible openings to form two coils. The collapsible openings are collapsed around the limbs disposed in the openings, resulting in a secured overhand knot. Other configurations of knots, as well as devices and methods for use in tissue reconstruction, are also provided.

Abstract: A method is provided that includes implanting (a) a venous first tissue anchor in a vein selected from the group of veins consisting of: a superior vena cava and an inferior vena cava, (b) an atrial second tissue anchor at an atrial site selected from the group of sites consisting of: an annulus of a tricuspid valve, and a wall of a right atrium of a heart above the annulus of the tricuspid valve, (c) a venous third tissue anchor in a coronary sinus, and (d) one or more tethers, which connect the venous first tissue anchor, the atrial second tissue anchor, and the venous third tissue anchor. A size of a tricuspid orifice is reduced by tensioning the one or more tethers. Other embodiments are also described.

Abstract: An embodiment includes a cardiovascular surgical apparatus comprising: a sleeve including a distal sleeve end, a proximal sleeve end, and a sleeve long axis extending from the distal sleeve end to the proximal sleeve end; a post including a distal post end and a proximal post end; a first projection member, coupled to the distal sleeve end, including a first projection member main body and a first projection member retention body; a second projection member coupled to the proximal sleeve end; wherein (a) the post telescopes distally from within the sleeve and away from the distal sleeve end; (b) at least one of the first and second projection members rotates at least 45 degrees with respect to another of the first and second projection members; and (c) the first projection member retention body includes a long axis generally parallel to the sleeve long axis. Other embodiments are described herein.

Abstract: An implant unit delivery tool is provided. The implant delivery tool may include a body, a holder disposed at a distal end of the body and adapted to hold an implant unit, and an implant activator associated with the body, the implant activator configured to receive power from a power source. The implant activator may be configured to selectively and wirelessly transfer power from the power source to the implant unit during implantation of the implant unit into the body of a subject to cause modulation of at least one nerve in the body of the subject, and determine a degree of nerve modulation response resulting from the selective and wireless transfer of power from the power source to the implant unit claims.

Abstract: A surgical instrument includes first and second members configured to receive tissue therebetween. The first member is adapted to receive suture, the second member is coupled to the first member, and a grasper coupled to the second member engages the suture received by the first member. A method of passing suture includes loading suture into a first member of a suture passing surgical instrument, stabilizing tissue between the first member and a second member of the surgical instrument, passing suture through tissue via the first member of the surgical instrument, holding the passed suture via suture grasper of the surgical instrument, and removing the first member from the tissue. Advantageously, a novel bendable or deflectable needle may be utilized, e.g., in conjunction with the surgical instrument. The bendable or deflectable needle may have one or more unique configuration with respect to a suture slot defined in a distal portion thereof.

Abstract: An assembly for use with a surgical instrument system is disclosed which comprises a cartridge body removably positionable in a channel. The system further comprises staple cavities and a longitudinal slot defined in the cartridge body, staples positioned in the staple cavities, and pushers configured to eject the staples from the staple cavities. The system further comprises rotary drivers couplable to the pushers. The system further comprises a rotatable shaft comprising a threaded portion rotatable by a motor and, in addition, a firing member comprising a threaded aperture engaged with the rotatable shaft which is configured to displace the firing member longitudinally when the shaft is rotated. The firing member comprises a first ramp positioned on a first side of the slot configured to actuate a first row of pushers and a second ramp configured to actuate a second row of pushers disposed laterally with respect to the first ramp.

Abstract: A surgical instrument disclosed herein comprises an elongate channel, a staple cartridge operably supported in the elongate channel, and an anvil movably supported relative to the elongate channel. The instrument further comprises a tissue cutting implement movable relative to the elongate channel, a drive shaft operably interfacing with the tissue cutting implement for transmitting motion to the tissue cutting implement, and an electric motor comprising a rotatable output operably engaged with the drive shaft. The instrument further comprises, one, a controller configured to control the electric motor and, two, a sensor configured to detect resistive forces experienced by the tissue cutting implement as the tissue cutting implement is driven through tissue clamped between the staple cartridge and the anvil, wherein the sensor is in signal communication with the controller.

Abstract: The invention in certain aspects relates to a surgical fastener for fastening tissue segments having tissue surfaces. The fastener includes a first fastener member having a base and a piercing element connected to the base for piercing the tissue segments to be fastened, a second fastener member having an opening for receiving and retaining the piercing element of the first fastener member such that the tissue segments to be fastened are retained between the first and second fastening members, and means for promoting adhesion between the tissue surfaces. The invention also relates to related methods and devices for promoting adhesion of tissue segments and preventing fastener migration, especially in an endoscopic procedure for the treatment of GERD.

Abstract: A surgical instrument comprising an elongate shaft assembly that defines a shaft axis. An end effector mounting assembly may be movably coupled to the elongate shaft assembly for selective articulation about an articulation axis that is transverse to the shaft axis. First and second jaws may be movably coupled to the end effector mounting assembly such that the first and second jaws are each movable relative to each other and the shaft axis about a common pivot axis between an open position and closed positions. The first and second jaws may close at different closure rates upon the simultaneous application of closure motions thereto.

Abstract: An apparatus and a method are provided for a surgical bending instrument for bending surgical implants. The surgical bending instrument comprises a body including a longitudinally extending threaded hole. A shaft comprising a threaded portion is rotatably engaged within the threaded hole. A handle is coupled to a proximal end of the shaft, and a distal extension of the shaft comprises a driver. A distal force applicator comprises the driver centered between a first grip and a second grip. In some embodiments, the distal force applicator is configured to retain a surgical staple, such that the surgical staple may be changed to a distracted configuration suitable for implantation at a bone fixation or fusion site of a patient. In some embodiments, the distal force applicator is configured to bend a bone fusion plate so as to tailor the plate to specific anatomy of the patient's bone.

Abstract: A staple cartridge is disclosed. The staple cartridge comprises a cartridge body comprising a deck and a bottom surface, and a plurality of staple cavities. Each staple cavity extends into the cartridge body from the deck to the bottom surface. The staple cartridge further comprises a plurality of wells. Each well comprises sidewalls and a lowermost surface. The sidewalls of each well extend into the cartridge body from the deck to the lowermost surface. The plurality of wells comprises a first well and a second well laterally offset with respect to the first well. The staple cartridge further comprises a plurality of staples removably positioned in the staple cavities and a tissue thickness compensator releasably secured to the cartridge body. The tissue thickness compensator comprises a compensator body and a plurality of extensions. The plurality of extensions comprises a first extension compressed between the sidewalls of the first well.

Abstract: Novel recessed surgical fastening devices are disclosed. The fastening devices have a compressible member and a fastening element disposed at least partially within the compressible member. The fastening element has at least one tissue engagement member that is extensible through the compressible member to engage tissue when a force is applied to the fastening device.

Abstract: Devices and methods for deploying an anastomotic stent between portions of the gastrointestinal (GI) tract are disclosed. The anastomotic stents are configured to atraumatically engage the tissue walls and to permit the flow of fluid, partially digested food, and food. The stents can be deployed using endoscopic catheter devices, laparoscopic tools, and combinations of both endoscopic tools and laparoscopic tools. Examples of anastomoses include anastomoses between the stomach and a portion of the intestines such as the jejunum. Anastomoses can also be formed between two closed ends of the intestines, such as two closed ends of the colon formed during a colon resection procedure. Anastomoses can also be formed between a fundal pouch formed during a gastric bypass procedure and the jejunum. Laparoscopic tools are disclosed to deploy a stent by selectively removing a radial restraint on a self expanding stent with the restraint removed through the laparoscopic access points.

Abstract: Systems and method for treating aneurysms are provided which utilize formulations that form polymer foams in situ. The formulations generally have a buoyancy greater than or less than blood, and either float to the top of the aneurysm and foam from the top down or sink to the bottom and foam from the bottom up.

Abstract: A device for delivering an implant (e.g., an embolic micro-coil) to a vascular disorder of a patient includes a delivery pusher, a moveable element, and first and second elongate members. The delivery pusher defines a lumen between its proximal and distal ends. The moveable element (e.g., a floating tube or a floating coil) defines a passageway therethrough and is disposed within the lumen of the delivery pusher. The first and second elongate members (e.g., core wires) are also disposed within the lumen of the delivery pusher. A portion of each elongate member passes through the passageway of the moveable element. Movement of the first elongate member in a first direction (e.g., retraction of the first elongate member from a locked to an unlocked configuration) causes a time-delayed or lost motion movement of the second elongate member in the same (i.e., first) direction, which releases the implant from the delivery pusher.

Abstract: The present disclosure relates to a saw, comprising a drive, a first blade configured to oscillate about an axis perpendicular to a plane defined by a surface of the first blade, a second blade configured to oscillate about an axis perpendicular to the plane in a direction opposite to that of the first blade, and wherein gearing is provided between the drive and the first and second blades to reduce the speed transmitted from the drive to the blades. A saw blade, a connection mechanism for connecting a blade to a saw and associated methods are also provided.

Abstract: The present invention refers to a device for the resection of bones (1) for preparing the attachment of an endoprosthesis to the joints which consists of at least two joint elements cooperating with each other, comprising at least one tool guide (3, 4, 5, 7, 14) and at least one support (6, 9, 10, 15, 21) suitable for orienting the at least one tool guide (3, 4, 5, 7, 14), wherein, either in the immediate vicinity of the joint and/or across joints, the at least one support (15, 21) enables the at least one tool guide (3, 4, 5, 7, 14) to be oriented and positioned on a further joint element, or enables the at least one tool guide (3, 4, 5, 7, 14) to be oriented and positioned at the same joint element distally to the area to be treated and/or outside the surgical area. The at least one tool guide (3, 4, 5, 7, 14) and the at least one support are preferably immovably connected to each other so as to manufacture an individual single-use template.

Abstract: An apparatus and methods are provided to penetrate a bone and associated bone marrow using a powered driver having a gear assembly and a motor. The powered driver may include an indicator operable to show status of a power supply associated with the powered driver. The power supply may include a battery power pack having a diamond shaped cross section. The powered driver may have a handle with a corresponding cross section.

Abstract: A tool and method of reaming one or more oblong cross-sectional sections of the femoral canal. The tool may include a reamer sized to be axially inserted into the canal and to be laterally pivoted within the canal. The tool may further include a guide to protect a proximal section of the femur. The guide also includes a channel through which the reamer is inserted to control an extent of movement of the reamer.

Abstract: A device (1) for aligning a guide wire with a bone, comprising: an attachment means (2) reversibly attachable to a bone; an alignment means (31) connected to the attachment means, the alignment means being moveable so as to locate a portion of the bone for insertion of the guide wire. A method for aligning a guide wire with a bone.

Abstract: Provided herein are patient-specific surgical device that allow for a stable fitted position for use in shoulder surgery. The patient-specific surgical devices may have different functions such as a function as a guide.

Abstract: A choking intervention device for clearing an object obstructing a breathing passage of a choking victim includes a bellows assembly and a removable facemask configured to enclose a person's mouth and nose. The bellows assembly includes a bellows having a base with an opening thereon. The opening is configured to provide access to an interior volume of the bellows assembly. The bellows assembly further includes a handle on the bellows at a side opposite the base. The facemask is coupled to the base of the bellows and is configured to enclose the choking victim's mouth and nose.

Abstract: Described herein are devices, systems and methods for treating target tissue in a patient's spine. In general, the methods include the steps of advancing a wire into the patient from a first location, through a neural foramen, and out of the patient from a second location; connecting a tissue modification device to the wire; positioning the tissue modification device through the neural foramen using the wire; modifying target tissue in the spine by moving the tissue modification device against the target tissue; and delivering an agent to modified target tissue, wherein the agent is configured to inhibit blood flow from the modified target tissue. In some embodiments, the step of modifying target tissue comprises removing target tissue located ventral to the superior articular process while avoiding non-target tissue located lateral to the superior articular process.

Abstract: A joint surgical treatment includes bringing a treating portion of an ultrasonic device into contact with a damaged region of a cartilage that is a treated object region in the joint, and transmitting an ultrasonic vibration to the treating portion in contact with the treated object region while observing the treated object region with the arthroscope to remove the treated object region of the cartilage. The ultrasonic vibration is used to remove the treated object so as to smoothly continue a removed surface from which the treated object region is removed and a non-removed surface adjacent to the removed surface without forming any corners between the surfaces in the cartilage.

Abstract: A knee joint surgical treatment under an arthroscope includes: contacting a treating portion of an ultrasonic device with an end region to which an ACL or a PCL of a tibia adheres and with a start region to which the ACL or the PCL of a femur adheres, excising the tibia and a remaining ligament of the ACL, or the tibia and a remaining ligament of the PCL, excising the femur and a remaining ligament of the ACL, or the femur and a remaining ligament of the PCL by ultrasonically vibrating the treating portion, thereby exposing footprints of the tibia and the femur; and forming tunnels between the footprint of the tibia and a medial side of a rough surface of the tibia and between the footprint of the femur and an lateral surface of a lateral condyle of the femur.

Abstract: A surgical treatment of an ACL or a PCL of a knee joint under an arthroscope, includes: contacting a treating portion of an ultrasonic device with a start region to which the ACL or the PCL of a femur adheres, and excising the femur and a remaining ligament of the ACL, or the femur and a remaining ligament of the PCL by ultrasonically vibrating the treating portion, thereby exposing a footprint of the femur; and contacting the treating portion with an end region to which the ACL or the PCL of a tibia adheres, and excising the tibia and a remaining ligament of the ACL, or the tibia and a remaining ligament of the PCL by ultrasonically vibrating the treating portion, thereby exposing a footprint of the tibia.