Patents Issued in September 20, 2018
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Publication number: 20180263668Abstract: A surgical instrument includes a body, a securement arm, a clamp lock, and a tensioning assembly. The body defines a longitudinal axis and has proximal and distal portions. The distal portion defines a recess. The securement arm is coupled to the body and translatable along the body in a direction parallel to the longitudinal axis between first and second position. The clamp lock is pivotally coupled to the distal portion of the body. The clamp lock is pivotable between secured and unsecured configurations. The tensioning assembly translatable in a direction parallel to the longitudinal axis between proximal and distal position. The tensioning assembly configured to draw a flexible band to tension the flexible band about a bony element.Type: ApplicationFiled: May 16, 2018Publication date: September 20, 2018Inventors: Brian Hsu, Greg Mundis, JR., Burt Yaszay, Suken Shah, Behrooz Akbarnia, Catherine Ross, Brian Kunes, Brandon Moore
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Publication number: 20180263669Abstract: Compression devices for joining tissue and methods for using and fabricating the same.Type: ApplicationFiled: April 4, 2018Publication date: September 20, 2018Applicant: ActivOrtho, Inc.Inventors: Alex Peterson, Daniel S. Savage, Paul J. Hindrichs, Andrew K. Palmer, Michael P. Brenzel
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Publication number: 20180263670Abstract: A tracking device for a surgical navigational system. A tracking head includes tracking elements configured to communicate tracking information to the surgical navigation system. An extension arm is configured to be coupled to the tracking head, and a bone plate is configured to be coupled to the extension arm. The bone plate is further configured to be coupled to anatomic structure and includes openings each configured to receive a fastener. A central opening may be provided to receive an additional fastener for coupling the extension arm to the bone plate. A recess within the top surface may receive the base plate of the extension arm. Spikes of the bone plate are configured to penetrate the anatomic structure and, in conjunction with the fasteners, prevent movement of the tracking device. The bottom surface is concave between the spikes to define a space configured to accommodate portions of the anatomic structure.Type: ApplicationFiled: May 12, 2018Publication date: September 20, 2018Inventors: Jose Luis Moctezuma De la Barrera, Timothy Wade Perez, Donald W. Malackowski
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Publication number: 20180263671Abstract: A sliding plate variable angle locking mechanism includes a bone plate, a first sliding plate, a locking ring and a bone screw. The bone plate includes a plate cavity, a bone plate surface and a shelf. The plate hole defines a plate hole diameter. The first sliding plate a central hole that defines a sliding plate hole diameter. The sliding plate hole diameter is smaller than the plate hole diameter. The first sliding plate is positioned in the plate cavity in an assembled configuration. The locking ring is movably mountable to the bone plate. The locking ring hole diameter is greater than the sliding plate hole diameter. The bone screw head diameter is greater than the sliding plate hole diameter. The head threads are configured to form internal threads in the central hole of the first sliding plate when the bone screw is driven into the first sliding plate.Type: ApplicationFiled: December 6, 2016Publication date: September 20, 2018Inventors: Paul J. VASTA, Michael G. THOMAS
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Publication number: 20180263672Abstract: Exemplary embodiments are directed to an augment and methods of implanting an augment. The methods include inserting the augment into a bone cavity of a bone of a host. The augment includes a body with an outer surface and at least one hole preformed in the body. The method includes introducing a fastener from an outer surface of the bone into a hole formed in the bone and engaging the fastener with the hole of the bone. The method includes passing the fastener through the hole of the bone. The method includes introducing into and engaging the fastener with the at least one hole in the body of the augment to fixate the augment within the bone cavity.Type: ApplicationFiled: March 14, 2018Publication date: September 20, 2018Inventor: Charles L. Nelson
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Publication number: 20180263673Abstract: A flexible spine plate, including a first mounting portion defining at least one top attachment opening, a second mounting portion defining at least one bottom attachment opening and a plate mid-portion, wherein the first mounting portion and second mounting portion are separated by the plate mid-portion, and wherein the plate-mid portion is configured to flex in the Sagittal Plane.Type: ApplicationFiled: November 22, 2017Publication date: September 20, 2018Inventors: Catherine A. Mazzola, Nicholas Breault
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Publication number: 20180263674Abstract: Device for bone fixation with a head portion (5), a tapering front portion (8) and a shaft (3) between said head portion (5) and said tapering front portion (8), said shaft (3) having a distal portion (3a) adjacent to said tapering front portion (8) and a proximal portion (3b) adjacent to said head portion (5); whereby said distal portion (3a) being provided with a thread and having a constant outer diameter DA and an inner core diameter DI; at least the proximal portion (3b) of said shaft (3) has a core (2) consisting of a biologically non-degradable material with degradation rate BND and having a diameter d?DI; a sleeve (9) surrounding said core and consisting of a biologically degradable material with degradation rate BD, whereby BD>BND and said sleeve (9) being fixed to said core in a non-rotatable manner.Type: ApplicationFiled: January 28, 2016Publication date: September 20, 2018Applicant: Biomech Innovations SAInventor: Stefano Brianza
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Publication number: 20180263675Abstract: Instruments and related methods for breaking reduction tabs are disclosed herein, e.g., for breaking reduction tabs of a bone anchor or other implant. In some embodiments, the instrument can be configured to minimize the space needed to operate the instrument. For example, the instrument can be configured to receive a reduction tab that is to be broken while the instrument is coaxially positioned with respect to a bone anchor receiver to which the reduction tab is attached. As another example, the instrument can have a maximum outer transverse dimension that is less than, equal to, or only slightly greater than a corresponding dimension of a bone anchor from which a reduction tab is to be broken. Guide rods for positioning a tab breaker instrument over a reduction tab are also disclosed.Type: ApplicationFiled: March 14, 2017Publication date: September 20, 2018Inventors: Seetal Erramilli, Frank Spratt, Grant Mellor, Chris Culhane, Ben Stungo, Joanna Talis
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Publication number: 20180263676Abstract: A tool for use with a fastener, more particularly, a medical screwdriver tool arranged to interact with a fastener has a driver body with a driver shaft, the driver shaft being associated with a tip configured for interaction with a fastener. The tool has an actuator arranged for reciprocal movement with respect to a longitudinal axis of the driver shaft between a first position proximal the tip and a second position distal the tip. The tip has first and second portions. The tool is configured for moving the first and second portions from a closed condition to an open condition upon movement of the actuator from the second position to the first position.Type: ApplicationFiled: November 10, 2016Publication date: September 20, 2018Inventors: Samuel Rees, Vaughan Rimmer, Susan Allison
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Publication number: 20180263677Abstract: Treatment systems include conformable applicators and adhesive liners for performing cryotherapy. Aspects of the technology are further directed to treatment methods and conformable applicators capable of affecting target regions. The conformable applicators and liners can be applied to a wide range of treatment sites. The liner can include a thermal coupling substance within a sealed reservoir to promote thermal coupling with the target region. A strap assembly can hold the applicator against the treatment site, and a holder assembly can be adhered to the subject's skin to inhibit, limit, or substantially prevent movement of the applicator along the subject's skin.Type: ApplicationFiled: March 15, 2018Publication date: September 20, 2018Inventors: Tamara Lynn Hilton, Joseph Coakley
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Publication number: 20180263678Abstract: Apparatus and methods for treating conditions such as rhinitis are disclosed herein where a distal end of a probe shaft is introduced through the nasal cavity where the distal end has an end effector with a first configuration having a low-profile which is shaped to manipulate tissue within the nasal cavity. The distal end may be positioned into proximity of a tissue region having a post nasal nerve associated with a middle or inferior nasal turbinate. Once suitably positioned, the distal end may be reconfigured from the first configuration to a second configuration which is shaped to contact and follow the tissue region and the post nasal nerve may then be ablated via the distal end. Ablation may be performed using various mechanisms, such as cryotherapy, and optionally under direct visualization.Type: ApplicationFiled: May 17, 2018Publication date: September 20, 2018Inventor: Vahid Saadat
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Publication number: 20180263679Abstract: A cryotreatment catheter for treating tissue. The catheter may include an outer elongate body, a balloon treatment element coupled to the distal portion of the elongate body with a plurality of balloon lobes radially arranged around the outer elongate body, an inner elongate body rotatably movable within the lumen of the outer elongate body, and a fluid delivery lumen located within the lumen of the outer elongate body and at least partially within the lumen of the inner elongate body. The fluid delivery lumen may be branched at a distal portion into a plurality of linear segments, each linear segment being in fluid communication with one of the plurality of balloon lobes. Each of the balloon lobes may be inflated independently of each other by the linear segments of the fluid delivery lumen.Type: ApplicationFiled: May 24, 2018Publication date: September 20, 2018Inventors: Rahmani SARA, Lies SAFAR REMALI
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Publication number: 20180263680Abstract: An ultrapolar electrosurgery blade includes lop and bottom thin elongated conductive members in vertical, alignment and spaced apart, from one another along their lengths, a non-conductive coating covering both the top and bottom thin elongated conductive members and the space located between them to create opposing non-conductive sides of the blade with conductive cutting and ends and conductive non-cutting ends exposed, and both return and active contact layers located on each of the opposing non-conductive sides of the blade. An ultrapolar electrosurgery blade assembly having argon beam capability further includes a non-conductive tube member having a slot positioned over the top of the ultrapolar electrosurgery blade and a conductive hollow tubular member contained within at least a portion of the non-conductive tube member.Type: ApplicationFiled: March 13, 2018Publication date: September 20, 2018Inventor: Ioan Cosmescu
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Publication number: 20180263681Abstract: Disclosed embodiments include apparatuses, systems, and methods for positioning electrodes within a body. In an illustrative embodiment, an apparatus for slidably moving multiple features relative to a sheath inserted into a body and positioned relative to a reference point includes a primary actuator configured to move a primary electrode, a secondary actuator configured to move a secondary electrode, and a control mechanism. The control mechanism is configured to selectively prevent movement of at least one of the primary actuator based on a position of the secondary actuator and of the secondary actuator based on a position of the primary actuator and lock positions of the primary actuator and the secondary actuator.Type: ApplicationFiled: March 19, 2017Publication date: September 20, 2018Applicant: Spiration, Inc. - Olympus Respiratory AmericaInventors: Brandon J. Shuman, David H. Dillard, Peter A. Lambe, Nathan Dale, Cassandra R. Saleira, Fan Zhang, Nicolas G. Hostein, Randall D. Mills, Christine N. Jurevicius, Michael S. Smith
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Publication number: 20180263682Abstract: Disclosed embodiments include apparatuses, systems, and methods for positioning electrodes within a body. In an illustrative embodiment, an apparatus for slidably moving multiple features relative to a sheath inserted into a body and positioned relative to a reference point includes a primary actuator configured to move a primary electrode, a secondary actuator configured to move a secondary electrode, and a control mechanism. The control mechanism is configured to selectively prevent movement of at least one of the primary actuator based on a position of the secondary actuator and of the secondary actuator based on a position of the primary actuator and lock positions of the primary actuator and the secondary actuator.Type: ApplicationFiled: March 19, 2017Publication date: September 20, 2018Applicant: Spiration, Inc. - Olympus Respiratory AmericaInventor: Randall D. Mills
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Publication number: 20180263683Abstract: An electrosurgical system includes an RF current generator, a handle body, and an end effector in mechanical communication with the handle body. The end effector has a first jaw including a first electrode having a first electrode surface in electrical communication with a first terminal of the generator. The end effector also includes a second jaw including a second electrode having an essentially planar second electrode surface in electrical communication with a second terminal of the generator The first jaw includes at least one feature configured to apply an amount of a compressive force to a tissue compressed between the at least one feature and the second electrode surface that differs from an amount of a compressive force applied to the tissue compressed between the first electrode surface and the second electrode surface when the first jaw is placed in a proximate position to the second jaw.Type: ApplicationFiled: March 15, 2017Publication date: September 20, 2018Inventors: Ellen M. Renner, Kevin A. Bash, Joshua M. Basler, Christopher Q. Seow
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Publication number: 20180263684Abstract: In a method of forming a FinFET, a first sacrificial layer is formed over a source/drain structure of a FinFET structure and an isolation insulating layer. The first sacrificial layer is recessed so that a remaining layer of the first sacrificial layer is formed on the isolation insulating layer and an upper portion of the source/drain structure is exposed. A second sacrificial layer is formed on the remaining layer and the exposed source/drain structure. The second sacrificial layer and the remaining layer are patterned, thereby forming an opening. A dielectric layer is formed in the opening. After the dielectric layer is formed, the patterned first and second sacrificial layers are removed to form a contact opening over the source/drain structure. A conductive layer is formed in the contact opening.Type: ApplicationFiled: May 24, 2018Publication date: September 20, 2018Inventors: Tung Ying LEE, Ziwei FANG, Yee-Chia YEO, Meng-Hsuan HSIAO
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Publication number: 20180263685Abstract: An imaging, guidance, planning and treatment system integrated into a single unit or assembly of components, and a method for using same, that can be safely and effectively deployed to treat prostate cancer in all medical settings, including in a physician's office or in an outpatient setting. The system utilizes the novel process of Radio-Frequency Electrical Membrane Breakdown (“EMB” or “RFEMB”) to destroy the cellular membranes of unwanted or cancerous tissue without denaturing the intra-cellular contents of the cells comprising the tissue, thereby exposing tumor antigens and other intra-cellular components which can have an immunologic effect on local or distant cancerous tissue, with or without the addition of immunologic adjutant drugs. The system preferably comprises at least one EMB treatment probe 20, at least one trackable biopsy needle 200, at least one trackable anesthesia needle 300, and at least one controller unit for at least partially automating the treatment process.Type: ApplicationFiled: February 1, 2016Publication date: September 20, 2018Applicant: RFEMB HOLDINGS, LLCInventors: Gary M. Onik, James A. Miessau, David G. Bostwick
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Publication number: 20180263686Abstract: Disclosed embodiments include apparatuses, systems, and methods for positioning electrodes within a body. In an illustrative embodiment, an apparatus for slidably moving multiple features relative to a sheath inserted into a body and positioned relative to a reference point includes a primary actuator configured to move a primary electrode, a secondary actuator configured to move a secondary electrode, and a control mechanism. The control mechanism is configured to selectively prevent movement of at least one of the primary actuator based on a position of the secondary actuator and of the secondary actuator based on a position of the primary actuator and lock positions of the primary actuator and the secondary actuator.Type: ApplicationFiled: March 19, 2017Publication date: September 20, 2018Applicant: Spiration, Inc. - Olympus Respiratory AmericaInventor: Brandon J Shuman
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Publication number: 20180263687Abstract: A polypectomy snare comprising two snare parts has a snare part that is completely electrically insulated and another snare part that is not electrically insulated in at least one distal portion thereof. The snare furthermore has at least one electrically insulated, HF surgically inactive skid at its distal end.Type: ApplicationFiled: June 25, 2015Publication date: September 20, 2018Inventor: Günter FARIN
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Publication number: 20180263688Abstract: Improved systems for diagnosing and/or treating arrhythmia of a heart makes use of an array of articulation balloons to control movement of a distal portion of a catheter inside the heart, and may be used to align a diagnostic or treatment tool with a target tissue surface region along or adjacent an inner surface of one of the chambers of the heart. The articulation balloons can generate articulation forces at the site of articulation, and the movement may provide greater dexterity than movements induced by transmitting articulation forces proximally along a catheter body that winds through a tortuous vascular pathway.Type: ApplicationFiled: September 28, 2017Publication date: September 20, 2018Inventors: Mark D. Barrish, Keith Phillip Laby
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Publication number: 20180263689Abstract: Apparatus, consisting of a probe configured to be inserted into contact with a myocardium, and an electrode attached to the probe. A temperature sensor, incorporated in the probe, is configured to output a temperature signal. A pump irrigates the myocardium, via the probe, with an irrigation fluid at a controllable rate, and a radiofrequency (RF) signal generator applies RF power via the electrode to the myocardium, so as to ablate the myocardium. The apparatus also has processing circuitry that measures a temperature of the probe, based on the temperature signal, while the RF power is applied and, when the measured temperature exceeds a preset target temperature, iteratively reduces the RF power applied by the signal generator and concurrently iteratively varies a rate of irrigation of the irrigation fluid provided by the pump, until the measured temperature is reduced to the preset target temperature.Type: ApplicationFiled: February 13, 2018Publication date: September 20, 2018Inventors: Assaf Govari, Andres Claudio Altmann, Ella Ozeri, Israel Zilberman
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Publication number: 20180263690Abstract: Apparatus, consisting of a probe having a distal end that is configured to be inserted into contact with tissue. An electrode is attached to the distal end, and there is a temperature sensor incorporated in the distal end and configured to output a temperature signal. A radiofrequency (RF) signal generator is configured to apply a pulse of RF electrical energy via the electrode to the tissue, so as to heat the tissue. The apparatus includes processing circuitry that is configured to compute, based on the temperature signal, a rate of temperature change of the distal end following termination of the pulse, and to estimate a thickness of the tissue in response to the rate of temperature change.Type: ApplicationFiled: February 14, 2018Publication date: September 20, 2018Inventors: ASSAF GOVARI, Israel Zilberman, Andres Claudio Altmann
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Publication number: 20180263691Abstract: Systems and methods for monitoring and performing tissue modulation are disclosed. An example system may include an elongate shaft having a distal end region and a proximal end and having at least one modulation element and one sensing electrode disposed adjacent to the distal end region. The sensing electrode may be used to determine and monitor changes in tissue adjacent to the modulation element.Type: ApplicationFiled: May 18, 2018Publication date: September 20, 2018Inventors: LEONARD B. RICHARDSON, SCOTT R. SMITH, MARK L. JENSON
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Publication number: 20180263692Abstract: A method of treating an airway of a lung may include inserting a medical device into the airway, and delivering an agent from the medical device to a nerve disposed within or adjacent the airway to damage the nerve sufficient to reduce an ability of the nerve to send nerve signals.Type: ApplicationFiled: May 21, 2018Publication date: September 20, 2018Applicant: Boston Scientific Scimed, Inc.Inventors: Bryan Allen CLARK, Aiden FLANAGAN, Michael EPPIHIMER, Timothy A. OSTROOT, Derek C. SUTERMEISTER
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Publication number: 20180263693Abstract: A tissue-treating portion of a surgical instrument includes a body defining a cavity and a light-energy transmissible sphere captured within the cavity such that a portion of the light-energy transmissible sphere protrudes from the body. The light-energy transmissible sphere is capable of unlimited rotation in all directions relative to the body. The light-energy transmission cable extends through the body to a position spaced-apart from the light-energy transmissible sphere. The light-energy transmission cable is configured to transmit light energy to the light-energy transmissible sphere. The light-energy transmissible sphere, in turn, is configured focus the light energy towards tissue to treat tissue.Type: ApplicationFiled: February 21, 2018Publication date: September 20, 2018Inventors: JOHN A. HAMMERLAND, WILLIAM H. NAU, JR.
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Publication number: 20180263694Abstract: An energy delivery probe and method of using the energy delivery probe to treat a patient is provided herein. The energy delivery probe has at least one probe body having a longitudinal axis and at least a first trocar and a second trocar. Each trocar comprises at least two electrodes that are electrically insulated from each other, and each electrode is independently selectively activatable. An insulative sleeve is positioned in a coaxially surrounding relationship to each of the first trocar and the second trocar. The probe also has a switching means for independently activating at least one electrode. The method involves independently and selectively activating the first and second electrodes to form an ablation zone, then repeating the ablation by delivering energy to a second set of electrodes, producing one or more overlapping ablation zone, and eliminating the need to reposition the ablation probes.Type: ApplicationFiled: May 21, 2018Publication date: September 20, 2018Applicant: AngioDynamics, Inc.Inventors: Kevin L. Moss, Robert M. Pearson
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Publication number: 20180263695Abstract: The present invention relates to an optical treatment apparatus and an operating method thereof. The present invention provides an optical treatment apparatus and an operating method thereof, the optical treatment apparatus comprising: a treatment beam generation unit for generating a treatment beam; a beam delivery unit for forming a path through which the treatment beam generated from the treatment beam generation unit travels to a treatment area located in a fundus; a monitoring unit for irradiating a detecting beam along the path through which the treatment beam travels, and detecting state information on the treatment area on the basis of speckle change information of the detecting beam scattered and reflected from the treatment area; and a control unit for controlling the driving of the treatment beam generation unit on the basis of the state information on the treatment area detected by the monitoring unit.Type: ApplicationFiled: August 25, 2015Publication date: September 20, 2018Inventor: Jong Min KIM
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Publication number: 20180263696Abstract: An adapter for attachment to a medical application device includes an energy generating device and a distal tip for applying the energy generated to skin tissue. The adapter includes a substantially hollow body with a distal end portion and a proximal end portion. The proximal end portion is sized to mount on the distal tip of the energy generating device; the distal end portion is substantially open. The adapter further includes at least one through port extending from the proximal end portion to the open distal end portion of the adapter.Type: ApplicationFiled: March 12, 2018Publication date: September 20, 2018Inventor: Emri Valtzer
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Publication number: 20180263697Abstract: A process and system for computer assisted orthopedic procedure is provided with a plurality of options to plan, execute, and monitor the creation of a cavity to receive a prosthetic based on clinical needs and pre-operative imaging data. A phantom made of materials of known densities is used to normalize CT image intensity values to estimate bone density. The process and system controls the speed, cutter engagement, orientation, and shape of the cavity so produced based on the normalized bone density values.Type: ApplicationFiled: January 14, 2016Publication date: September 20, 2018Inventors: Justin ESKESEN, Micah FORSTEIN, Joel ZUHARS
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Publication number: 20180263698Abstract: Disclosed is an image registration and an augmented reality system and an augmented reality method thereof which is suitable for solving the problem of spatial localization of the temporomandibular joint (TMJ) in arthroscopic surgery. The system comprises a three-dimensional scanning model building device, a stereoscopic image photographing device, a projection device and an arithmetic unit. The three-dimensional scanning model was constructed by preoperative or intraoperative imaging of the patient, and the surface three-dimensional model constructed by the stereoscopic image photographing device was spatially aligned to remove the surface (skin layer) of the three-dimensional image to display the TMJ image. Through the calibration of the stereoscopic image photographing device and the projection device, accurate, three-dimensional TMJ image location information is projected onto the patient's body to achieve the purpose.Type: ApplicationFiled: February 13, 2018Publication date: September 20, 2018Inventors: YEN-YU WANG, Kai-Che Liu, Kumar Atul, Li-Hsun Chen
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Publication number: 20180263699Abstract: Systems and methods facilitate the planning and performance of hip and other surgeries. A computer model of a hip may be generated and displayed. A template of a hip component that replaces a native portion of the hip may be superimposed on the model. Changes in leg length, offset, or anterior-posterior (AP) position as well as a virtual distance between a landmark on the model and a location on the template may be determined. During surgery, a physical distance corresponding to the virtual distance may be obtained. The template may be moved relative to the model to match the physical distance, and new change values in leg length, offset, or anterior-posterior (AP) position may be determined. The new change values may be evaluated, and the surgery may proceed, or the process may be repeated using templates corresponding to alternative components.Type: ApplicationFiled: March 12, 2018Publication date: September 20, 2018Inventors: Stephen B. Murphy, William S. Murphy
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Publication number: 20180263700Abstract: A method of reducing a fractured bone of a patient is disclosed. The method may include generating a fractured bone surface image from image data of the fractured bone structure of the patient. A reduced bone surface image of the fractured bone structure of the patient may be formed. In some embodiments, an implant image may be superimposed in an installation position on the reduced bone surface image. A patient specific jig image may be superimposed proximate the implant image and the bone image, according to the installation position of the implant. In some embodiments, control data from the patient specific jig image may be generated.Type: ApplicationFiled: March 14, 2018Publication date: September 20, 2018Inventors: Michael GILLMAN, Benjamin A. GILLMAN
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Publication number: 20180263701Abstract: The present application describes computer apparatus and software programs useful to the field of corrective spinal surgery. The apparatus and software implement and facilitate methods for assessing the degree of balance and alignment achieved through corrective measures applied to the spine prior to completing a surgical procedure. The apparatus and software facilitate pre-operative planning and virtual testing of the corrective measures to be applied. The apparatus and software further facilitate intra-operative reconciliation with the pre-operative plan prior to completing the surgery.Type: ApplicationFiled: May 14, 2018Publication date: September 20, 2018Inventors: Niall Casey, Jennifer Jassawalla, Eric Forman, Thomas Scholl
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Publication number: 20180263702Abstract: A method of providing a modular prosthetic socket for a residual limb of a patient may involve receiving digital data defining a three-dimensional digital profile of the residual limb and selecting prosthetic socket components from component-specific inventories, based at least in part on the digital profile. The selected prosthetic socket components may include: multiple longitudinal struts; one or more proximal brim members for attachment to the longitudinal struts; and a distal socket base to which the longitudinal struts attach at or near their distal ends. The method may further involve providing the selected prosthetic components to an operator for assembling into the modular prosthetic socket. The prosthetic socket, when assembled, defines an internal space substantially complementary to the profile of the residual limb.Type: ApplicationFiled: May 17, 2018Publication date: September 20, 2018Applicant: LIM Innovations, Inc.Inventors: Garrett Ray Hurley, Andrew C. Pedtke
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Publication number: 20180263703Abstract: A telepresence device may autonomously check patients. The telepresence device may determine the frequency of checking based on whether the patient has a risk factor. The telepresence device may include an image sensor, a thermal camera, a depth sensor, one or more systems for interacting with patients, or the like. The telepresence device may be configured to evaluate the patient's condition using the one or more sensors. The telepresence device may measure physiological characteristics using Eulerian video magnification, may detect pallor, fluid level, or fluid color, may detect thermal asymmetry, may determine a psychological state from body position or movement, or the like. The telepresence device may determine whether the patient is experiencing a potentially harmful condition, such as sepsis or stroke, and may trigger an alarm if so. To overcome alarm fatigue, the telepresence device may annoy a care provider until the care provider responds to an alarm.Type: ApplicationFiled: May 21, 2018Publication date: September 20, 2018Inventors: Marco Pinter, Timothy C. Wright, H. Neal Reynolds, Fuji Lai, Yulun Wang
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Publication number: 20180263704Abstract: Devices and methods for performing a surgical step or surgical procedure with visual guidance using an optical head mounted display are disclosed.Type: ApplicationFiled: May 24, 2018Publication date: September 20, 2018Inventor: Philipp K. Lang
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Publication number: 20180263705Abstract: Disclosed embodiments include apparatuses, systems, and methods for positioning electrodes within a body. In an illustrative embodiment, an apparatus for slidably moving multiple features relative to a sheath inserted into a body and positioned relative to a reference point includes a primary actuator configured to move a primary electrode, a secondary actuator configured to move a secondary electrode, and a control mechanism. The control mechanism is configured to selectively prevent movement of at least one of the primary actuator based on a position of the secondary actuator and of the secondary actuator based on a position of the primary actuator and lock positions of the primary actuator and the secondary actuator.Type: ApplicationFiled: March 19, 2017Publication date: September 20, 2018Applicant: Spiration, Inc. - Olympus Respiratory AmericaInventors: Christine N. Jurevicius, Michael S. Smith
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Publication number: 20180263706Abstract: The present invention provides a method, including: introducing an instrument into a cavity of a subject; obtaining a first image from a first imaging modality; identifying on the first image from the first imaging modality at least one element, obtaining a second image from a second imaging modality; generating a compatible virtual image from the first image from the first imaging modality; mapping planning data on the compatible virtual image; coarse registering of the second image from the second imaging modality to the first image from the first imaging modality; identifying at least one element of the mapped planning data from the compatible virtual image; identifying a corresponding element on the second imaging modality; mapping the corresponding element on the second imaging modality; fine registering of the second image from the second imaging modality to the first image from the first imaging modality; generating a third image.Type: ApplicationFiled: October 20, 2015Publication date: September 20, 2018Applicant: Body Vision Medical Ltd.Inventor: Dorian Averbuch
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Publication number: 20180263707Abstract: A medical navigation system is provided for registering a patient for a medical procedure with the medical navigation system using fiducial markers. The fiducial markers are placed on the patient prior to a 3D scan and the fiducial markers each have a target for use with a tracking system. The medical navigation system comprises a 3D scanner, a tracking system, a display, and a controller electrically coupled to the 3D scanner, the tracking system, and the display. The controller has a processor coupled to a memory.Type: ApplicationFiled: July 21, 2015Publication date: September 20, 2018Inventors: Gal SELA, Dorothy LUI, Alexander Gyles PANTHER, Kelly Noel DYER
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Publication number: 20180263708Abstract: An optical tracking system includes a reference marker part stationarily disposed relative to a first region; a sticker marker part attached in a sticker form to a second region capable of being rigidly registered with the first region; a shape measurement part measuring three-dimensional shapes of the first region and the second region; a tracking sensor part sensing the reference marker part and the shape measurement part; and a processing part acquiring a first coordinate transformation relationship among the reference marker part, the tracking sensor part, the shape measurement part, and the first region of the patent and a second coordinate transformation relationship among the reference marker part, the tracking sensor part, the shape measurement part, and the second region of the patient and tracking the first region by extracting a third coordinate transformation relationship between the first region and the second region.Type: ApplicationFiled: December 18, 2015Publication date: September 20, 2018Inventor: Sang Yong KIM
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Publication number: 20180263709Abstract: The present invention relates to an optical shape sensing system for sensing a shape of a medical device (24), comprising an input polarization controller (12) for setting an input polarization state of an input light signal, at least one interferometer unit (18) for dividing said polarized input light signal into a device signal and a reference signal, guiding said device signal to be scattered within an optical fiber (19) inserted into said device (24) and coupling said scattered device signal with said reference signal to form an output light signal, and at least one measurement branch (39) comprising an output polarization controller arrangement (26) for setting an output polarization state of said output light signal, a polarizing beam splitter (30) for splitting said polarized output light signal into two signal portions, each being in a corresponding one of two signal portion polarization states, and a detector arrangement (35) comprising two detectors (32, 34), each for detecting a corresponding one oType: ApplicationFiled: January 4, 2016Publication date: September 20, 2018Inventors: Gert Wim 'T Hooft, Theodorus Thomas Marinus van Schaijk, Jeroen Jan Lambertus Horikx
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Publication number: 20180263710Abstract: A surgical information processing apparatus, including circuitry that obtains position information of a surgical imaging device, the position information indicating displacement of the surgical imaging device from a predetermined position, in a registration mode, obtain first image information from the surgical imaging device regarding a position of a surgical component, determines the position of the surgical component based on the first image information and the position information, and in an imaging mode, obtains second image information from the surgical imaging device of the surgical component based on the determined position.Type: ApplicationFiled: November 18, 2016Publication date: September 20, 2018Applicant: SONY CORPORATIONInventors: Tatsumi SAKAGUCHI, Takara KASAI
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Publication number: 20180263711Abstract: A robotic surgical system employing a treatment catheter (30) (e.g., a thermoablation catheter or a cyroablation catheter), and an articulated robot (40) including a the linkages for navigating the treatment catheter (30) within an anatomical region. The robotic surgical system further employs a robot controller (41) for controlling a navigation by the articulated robot (40) of the treatment catheter (30) along a intraoperative treatment path within the anatomical region relative to the anatomical structure derived from a planned treatment path within the anatomical region relative to the anatomical structure based on a registration between the articulated robot (40) and a preoperative image (21a) illustrative of the planned treatment path within the anatomical region relative to the anatomical structure.Type: ApplicationFiled: September 16, 2016Publication date: September 20, 2018Inventors: Aleksandra POPOVIC, David Paul NOONAN
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Publication number: 20180263712Abstract: A hole portion detection unit detects a hole portion of the bronchus from at least one of a first endoscope image or a second endoscope image temporally earlier than the first endoscope image. A first parameter calculation unit calculates a first parameter indicating the amount of parallel movement for matching the hole portions of the two endoscope images with each other. A second parameter calculation unit performs alignment between the two endoscope images based on the first parameter, and calculates a second parameter including the amount of enlargement and reduction. Based on the two parameters, a movement amount calculation unit calculates the amount of movement of the endoscope from the acquisition time of the second endoscope image to the acquisition time of the first endoscope image.Type: ApplicationFiled: January 11, 2018Publication date: September 20, 2018Applicant: FUJIFILM CorporationInventor: Yoshiro KITAMURA
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Publication number: 20180263713Abstract: A system and method for providing image guidance for placement of one or more medical devices at a target location. The system can be used to determine one or more affected regions corresponding to the operation of one or more medical devices and display at least a portion of the one or more affected regions. The affected regions can correspond to predicted affected regions and/or dynamic affected regions and can be based at least in part on a variance parameter of the medical device.Type: ApplicationFiled: January 29, 2018Publication date: September 20, 2018Inventors: Andrei State, Luv Kohli, Sharif Razzaque, Brian Heaney
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Publication number: 20180263714Abstract: In certain embodiments, the systems, apparatus, and methods disclosed herein relate to robotic surgical systems with built-in navigation capability for patient position tracking and surgical instrument guidance during a surgical procedure, without the need for a separate navigation system. Robotic based navigation of surgical instruments during surgical procedures allows for easy registration and operative volume identification and tracking. The systems, apparatus, and methods herein allow re-registration, model updates, and operative volumes to be performed intra-operatively with minimal disruption to the surgical workflow. In certain embodiments, navigational assistance can be provided to a surgeon by displaying a surgical instrument's position relative to a patient's anatomy.Type: ApplicationFiled: March 14, 2018Publication date: September 20, 2018Inventors: Szymon Kostrzewski, Jean-Marc Wismer, Daniel Gehriger, Roderik Berthelin, Chetan Patel
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Publication number: 20180263715Abstract: A centralized control apparatus is a centralized control apparatus configured to operate in a centralized manner, one or more operated devices used in a medical action, and includes a specification section configured to specify at least one of an operator and a procedure, an end operation section configured to receive an end operation to end the centralized operation of the operated device when the medical action ends, a recording section configured to record information on an operated device for which an end operation is necessary in association with at least one of the operator and the procedure, and a control section configured to, when the end operation section receives the end operation, acquire and execute setting items of an end process on the operated device linked by the recording section based on the specification result of the specification section.Type: ApplicationFiled: May 21, 2018Publication date: September 20, 2018Applicant: OLYMPUS CORPORATIONInventors: Yorito MAEDA, Kiyoshi SEKIGUCHI
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Publication number: 20180263716Abstract: A robotic system for operating a endovascular deployment device (40) including a treatment device (43) mounted to a delivery tool (42) connected to a proximal control (41), and further including an optical shape sensor (44) (e.g., an endograft endovascular deployment device incorporating an optical shape sensor). The robotic system employs a robot (50) attachable to proximal control (41) and/or delivery tool (42) for navigating the treatment device (43) within a cardiovascular system (e.g., a robot controlling an axial rotation and/or axial translation of an endograft mounted to a sheath catheter). The robotic system further employs a robot controller (74) for controlling a navigation of treatment device (43) within the cardiovascular system by the robot (50) derived from a spatial registration between a shaping sensing by the optical shape sensor (44) of a portion or entirety of endovascular deployment device (40) to a medical image of the cardiovascular system (e.g.Type: ApplicationFiled: January 6, 2016Publication date: September 20, 2018Inventors: MOLLY LARA FLEXMAN, GREGORY COLE, DAVID PAUL NOONAN, NERIMAN NICOLETTA KAHYA
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Publication number: 20180263717Abstract: An actuation mechanism for actuating an electromechanical end effector includes a housing, and a shaft assembly extending distally from the housing. The shaft assembly includes a shaft, a longitudinal knife bar, a first hub, and a second hub. The shaft is axially movable relative to the housing and configured to be coupled to the electromechanical end effector. Rotation of a first screw of the housing moves the first hub to effect longitudinal movement of the shaft. The longitudinal knife bar is axially movable relative to the shaft and configured to be coupled to a knife blade of the electromechanical end effector. Rotation of a second screw of the housing moves the second hub to effect axial movement of the longitudinal knife bar.Type: ApplicationFiled: September 23, 2016Publication date: September 20, 2018Inventor: Brock Kopp