Abstract: Headless compression screws are described. The headless compression screws include first and second ends coupled by a shaft, a first threaded portion positioned proximate the first end that surrounds the shaft and includes s first threads spaced apart from one another at a constant pitch, and a second threaded portion proximate the second end that surrounds the shaft and includes second threads. The second threads are spaced apart from one another at a variable pitch, such that distances between adjacent threads of the second threaded portion decrease as distance from the second end decreases. Methods of reducing a fracture using headless compression screws are also described.

Abstract: A distraction screw includes a proximal portion secured to a first vertebra, a distal portion secured to a second vertebra and an intermediate portion. The intermediate portion is coupled to the proximal and distal portions and is positioned in an intervertebral space. The intermediate portion is configured and adapted to enable distraction of the first vertebra relative to the second vertebra.

Abstract: A method for cryogenically treating tissue. A connection is detected between a probe having a disposable secure processor (DSP) to a handpiece having a master control unit (MCU) and a handpiece secure processor (HSP), the probe having at least one cryogenic treatment applicator. The probe is fluidly coupled to a closed coolant supply system within the handpiece via the connection. An authentication process is initiated between the DSP and the HSP using the MCU. As a result of the authentication process, one of at least two predetermined results is determined, the at least two predetermined results being that the probe is authorized and non-authorized.

Abstract: An electrosurgical instrument. The electrosurgical instrument includes a first arm, a second arm and a coupling system. The first arm includes a first jaw. The second arm is pivotably connected to the first arm and includes a second jaw, a cutting member movable within the first and second jaws, and a cutting member trigger. The coupling system includes a coupling member mechanically coupled to the cutting member trigger. The coupling member is movable between a first position and a second position. In the first position of the coupling member, the cutting member is mechanically uncoupled from the cutting member trigger. In the second position of the coupling member, the cutting member is mechanically coupled to the cutting member trigger.

Abstract: In a method of controlling electrosurgical power delivery based on a comparison of sensed tissue impedance to various impedance threshold values, energy is delivered to tissue in a sealing cycle as a series of pulses. An initial pulse has a profile with a preset energy starting value that increases at a ramping rate to a preset end value. Sensed impedance data are monitored throughout each pulse and compared to an impedance threshold value for RF setpoint, an impedance threshold value for cumulative time, and an impedance threshold value for energy cutback. Based on sensed impedance during a pulse, the profile of a subsequent pulse can be modified. In a high impedance event that reflects low tissue presence, energy may be cutback. A sealing cycle is stopped when a cumulative amount of time with an impedance value over the impedance cumulative time threshold value reaches a sealing cycle duration limit.

Abstract: Systems and methods for estimating tissue parameters, including mass of tissue to be treated and a thermal resistance scale factor between the tissue and an electrode of an energy delivery device, are disclosed. The method includes sensing tissue temperatures, estimating a mass of the tissue and a thermal resistance scale factor between the tissue and an electrode, and controlling an electrosurgical generator based on the estimated mass and the estimated thermal resistance scale factor. The method may be performed iteratively and non-iteratively. The iterative method may employ a gradient descent algorithm that iteratively adds a derivative step to the estimates of the mass and thermal resistance scale factor until a condition is met. The non-iterative method includes selecting maximum and minimum temperature differences and estimating the mass and the thermal resistance scale factor based on a predetermined reduction point from the maximum temperature difference to the minimum temperature difference.

Abstract: An end-effector assembly includes opposing jaw members movably mounted with respect to one another. At least one of the jaw members includes a temperature-sensing electrically-conductive tissue-contacting plate having a tissue-contacting surface and a bottom surface. A first layer is disposed on one or more portions of the bottom surface of the temperature-sensing electrically-conductive tissue-contacting plate. The first layer includes an electrically-insulative material. One or more openings are formed in the first layer. One or more electrically-conductive traces are formed over the electrically-insulative material and associated with the one or more openings. One or more temperature sensors are coupled to the bottom surface of the temperature-sensing electrically-conductive tissue-contacting plate and associated with the one or more openings. The one or more openings are each configured to receive at least a portion of the one or more temperature sensors therein.

Abstract: A sealing instrument (10) including two branches (15, 16) with sealing jaws (19, 20, 36, 37) acted on by a sealing voltage preferably between 80 and 120 volts. Tissue receptacles (53, 54) are separated from one another by a wall-like extension (24), which at its lower edge carries a cutting electrode (31), are defined between the branches (15, 16). A cutting voltage from 300 to 500 volts is applied between a branch (16) and the cutting electrode. When the branches are closed the grasped tissue is sealed simultaneously between the sealing jaws (19, 36 and 20, 37) and is severed by the cutting electrode (31). Even though the tissue is severed completely; for example after 0.3 to 0.5 seconds and the sealing requires more time, the rolls of tissue grasped in the tissue receptacles (53, 54) act as form-fitting protection of the vessel edges in the tool (12).

Abstract: An electrode array supports multiple electrodes and energizes them so that adjacent electrodes do not have the same polarity. In one embodiment, the electrodes are held about a circumference outside and surrounding a tumor and opposed electrodes are energized in a round robin fashion to promote current flow through the center of the tumor from a variety of angles.

Abstract: A surgical instrument includes a reusable component and a limited-use component releasably engagable with the reusable component. The reusable component includes a detecting member and is configured to connect to a source of energy. The limited-use component is transitionable from a first state to a second state. The detecting member is configured to detect a response of the limited-use component for determining the state of the limited-use component. Energy is permitted to be supplied to the limited-use component when it is determined that the limited-use component is disposed in the first state. Energy is inhibited from being supplied to the limited-use component when it is determined that the limited-use component is disposed in the second state.

Abstract: A bipolar electrosurgical probe configured for applying electrical energy to tissue includes a first tubular electrode carried by a probe shaft and having a distal end, a second tubular electrode carried by the probe shaft and having a proximal end, and an insulation member, wherein at least a portion of the insulation member is disposed between overlapping ends of the first and second tubular electrodes, wherein the distal end of the first electrode defines at least one aperture extending through a wall of the first electrode.

Abstract: The invention relates to ablation catheter electrodes that solve in part the problem of tissue charring during radiofrequency ablation. The electrode assemblies of the invention include passageways that lead from the inner lumen of the assemblies to the surface of the assemblies, wherein the passageways have a smooth conjunction with the outer surface. These smooth conjunctions comprise rounded edges or are chamfered. In the case of rounded edges, the rounded edges can have fixed radii of about 0.002? to about 0.008?.

Abstract: A system and method for assessing effective delivery of ablation therapy to a tissue in a body is provided. A three-dimensional anatomical map of the tissue is generated and displayed with the map defining a corresponding volume. An index is generated corresponding to a location within the volume with the index indicative of a state of ablation therapy at the location. The index may be derived from one or more factors such as the duration an ablation electrode is present at the location, the amount of energy provided, the degree of electrical coupling between an ablation electrode and the tissue at the location and temperature. A visual characteristic (e.g., color intensity) of a portion of the anatomical map corresponding to the location is then altered responsive to the index.

Abstract: A catheter adapted for pulmonary vein isolation, has a distal electrode assembly that can sit stably in an ostium as secured by a plurality of spines and a membrane member. Preshapened and flexible, the spines support the membrane in a concave configuration when the distal electrode assembly approaches the ostium, the spines and membrane member being sized and configured to span across and over the ostium. As the distal electrode assembly is pushed into the ostium, the membrane member elastically deforms, generally turning inside out to expose surface electrodes carried on a contact surface of the membrane member and ring electrodes carried on the spine for contact with the ostium. The membrane member may be inflated. The ring electrodes contact tissue along axial lines of the ostium. The surface electrodes contact tissue along radial lines of the ostium.

Abstract: Magnetic guided ablation catheters and methods of manufacture are disclosed. In an exemplary embodiment, a catheter includes a unitary flexible tubing having a proximal end and a distal end. A plurality of magnets are positioned along an axis of the unitary flexible tubing, the plurality of magnets provided within the unitary flexible tubing. During operation, the plurality of magnets are responsive to an external magnetic field to selectively position and guide the catheter within a body of a patient.

Abstract: A catheter includes an elongated body having a longitudinal axis, a distal assembly distal the elongated body, the distal assembly having a tapered helical form comprising a larger, electrode-carrying proximal loop and a smaller, softer distal loop, and a shape-memory support member extending through at least the proximal loop. For example, the helical loop subtends at least about 720 radial degrees, with the proximal loop subtending about 360 radial degrees, and the distal loop subtending about 360 radial degrees. The softer distal loop with a straight distal end atraumatically guides the distal assembly into a tubular region so that the larger proximal loop can sit on the ostium of the tubular region with improved electrode and tissue contact.

Abstract: Systems, devices, and methods for electroporation ablation therapy are disclosed, with the device including a set of splines coupled to a catheter for medical ablation therapy. Each spline of the set of splines may include a set of electrodes formed on that spline. The set of splines may be configured for translation to transition between a first configuration and a second configuration.

Abstract: Embodiments of the invention include a treatment device and corresponding treatment method for laser wound healing, the device and method making use of the simultaneous action of multiple laser types and laser wavelengths which are applied at human tissue. The treatment device generally includes a laser system and a hand-piece which is coupled to the laser system. The hand-piece is designed so that one or multiple laser beams are applied at relatively small spot and at a relatively high power level, and are surrounded by a relatively large spot of another laser beam with a relatively low power level. In a preferred implementation, the hand-piece is adapted to facilitate the emission of first and second laser beams together with a third laser beam which is delivered at a different spatial profile in comparison to the first and second laser beams.

Abstract: A system and method for performing layer treatment for skin blemish in which the target area of the skin is first treated by performing a deep layer treatment by cutting the fibrous bands and then performing a superficial skin treatment by using electromagnetic radiation and both of the treatment take place within the same day.

Abstract: Method for planning a process of cutting human or animal bone tissue. The method includes: obtaining initial data of an initial situation of the bone tissue; defining target data of a target situation of the bone tissue; and computing a cut geometry using the initial data and the target data for cutting the bone tissue apart. The cut geometry includes a structure such that the bone tissue is reassemblable at least in one degree of freedom in the target situation after being cut apart along the cut geometry. By shaping the structure of the cut geometry according to the target situation the planned cut can be provided with a particular function. Such a functional cut can geometrically define and restrict possible movements of cut apart bone portions. The functional cut can allow for comparably precisely repositioning the bone into the target position and any movement therefrom can be prevented.

Abstract: Systems and methods for introducing and driving flexible members in a patient's body are described herein. In one embodiment, a robotic method includes positioning a flexible elongated member that has a preformed configuration, wherein at least a part of the flexible elongated member has a first member disposed around it, and wherein the first member includes a first wire for bending the first member or for maintaining the first member in a bent configuration, releasing at least some tension in the first wire to relax the first member, and advancing the first member distally relative to the flexible elongated member while the first member is in a relaxed configuration.

Abstract: Examples of an orthopedic surgical device for use in operating on a target bone and methods for operating a system for use in orthopedic surgery on a bone are generally described herein. An orthopedic surgical device can include an primary positioning block, and a secondary positioning component removably coupled to the primary positioning block. The secondary positioning component can be configured to: engage a prepared engagement feature machined into the target bone, and guide the primary positioning block to a predetermined position on a target bone. The orthopedic surgical device can include a first cutting block configured to: removably couple to the primary positioning block, and guide a cutting tool to cut the target bone.

Abstract: Various exemplary methods, systems, and devices for controlling movement of a robotic surgical system are provided. In general, a plurality of surgical instruments are simultaneously usable during performance of a surgical procedure. One or more of the plurality of instruments is coupled to a robotic surgical system, that is configured to control movement of the one or more of the plurality of instruments.

Abstract: A no-touch surgical navigation method for guiding a surgical instrument corresponding to a part of a patient's anatomy is provided. An image registration step is for matching the preoperative implant device planning image and the part of the patient's anatomy via a spatial coordinate transformation relationship. An instrument checking step is for identifying the surgical instrument, and then calibrating a size of the surgical instrument to display an instrument tip mark on the displaying device. An implant device placement selecting step is for moving the surgical instrument by a user, and then the instrument tip mark is synchronously moved with the surgical instrument to select a virtual surgical instrument pattern. A skin incision and trajectory guiding step is for moving the surgical instrument according to a skin incision and trajectory guiding picture so as to move the instrument tip mark close to a planned surgical position.

Abstract: A robotic surgery system includes a robot and an instrument assembly. The instrument assembly includes a drive unit with at least one rotary drive having an electric motor and a drive shaft that has a coupling part for coupling to a drive shaft of the instrument; an instrument including an instrument shaft and a drive shaft that has a coupling part for coupling to a drive shaft of the drive unit; and an instrument interface including a sheath that encompasses the drive unit. In order to detachably couple an instrument module to an instrument part of a surgical instrument, an electromagnet in a magnet assembly of the instrument module is activated or deactivated, a permanent magnet of said magnet assembly is moved into a locking position and/or an angular position of a coupled counter element assembly of the instrument part is detected by an angle sensor of the instrument module.

Abstract: Methods and devices are provided for performing robotic surgery. In general, a surgical system is provided including an electromechanical tool with a first mode of operation in which the electromechanical tool mimics movement of a controller, and a second mode of operation in which the tool mirrors movement of the controller. A hybrid surgical device is also provided including an adapter matable to a handle assembly such that the adapter is electronically coupled to a motor of the handle assembly and is configured to communicate with the motor. A robotic laparoscopic surgical device is also provided including a motion sensor configured to sense movement of an electromechanical tool and an electromechanical arm that assists movement of the tool. A robotic surgical device is also provided including an electromechanical driver associated with a trocar and being configured to rotate and to translate a tool disposed through a passageway.

Abstract: A robot system includes a robot linkage (202) having one or more arms connected by two joints (220, 222). The joints each including a joint axis of rotation (206 or 208) and a light source (128) aligned with the respective joint axis. The light sources are configured to direct light along the respective joint axis such that light from the light sources intersects at a position along an instrument (204) being held in an operational position by the robot linkage to define a remote center of motion (RCM) for the robot linkage.

Abstract: A Robotic control system has a wand, which emits multiple narrow beams of light, which fall on a light sensor array, or with a camera, a surface, defining the wand's changing position and attitude which a computer uses to direct relative motion of robotic tools or remote processes, such as those that are controlled by a mouse, but in three dimensions and motion compensation means and means for reducing latency.

Abstract: A method for operating a medical-robotic device is provided. The robotic device includes a number of components able to be moved autonomously in an environment of the robotic device. Planning data for an autonomous movement or constraint of at least one subset of the movable components is provided to the robotic device. A movement or constraint of the corresponding movable components to be carried out autonomously by the robotic device is planned based on the planning data provided. The planned movement or constraint is visually presented. A way for an operator to exert influence on the planned movement or constraint is provided, and the movement or constraint is autonomously carried out as a function of the influence exerted.

Abstract: A teleoperational medical system for performing a medical procedure in a surgical field includes a teleoperational assembly having a plurlity of motorized surgical arms configured to assist in a surgical procedure. It also includes an input device configured to receive an input to move all the arms of the plurality of motorized surgical arms to a pre-established position. A processing system is configured to receive the input form the input device and output control signals to each arm of the plurality of motorized surgical arms to move each arm to the pre-established position.

Abstract: A shaft for a surgical instrument comprises an outer tube having a proximal end and a distal end, a central lumen extending through the outer tube, and a plurality of stiffening rods positioned around the central lumen. The plurality of stiffening rods may comprise a nonconductive material. The shaft may form part of an electrosurgical instrument. In another embodiment, a surgical instrument may comprise an end effector and a shaft having an outer tube having a proximal end and a distal end, a drive rod, and at least four stiffening rods positioned around the drive rod, each stiffening rod being positioned substantially immediately adjacent to the drive rod. The axial stiffness of the shaft increases incrementally during actuation of the end effector.

Abstract: Disclosed is a surgical glove that alleviates the biasing force associated with bending or abducting the hand and fingers when wearing a surgical glove.

Abstract: A package for an object includes a support element with means for coupling the object to the support element. A first hollow protective element is provided as a stopper coupled to the support element of the object. The support element presents a grip portion which projects from the stopper, the support element, alone or in co-operation with the stopper, defining a first chamber containing the object. A second hollow protective element is provided as a cover. The cover is coupled to the stopper so as to cooperate with the stopper to define a second chamber inside which the grip portion of the support element extends. The cover is coupled to the stopper, with the grip portion of the stopper projecting from the cover.

Abstract: This invention is directed to devices and methods for stereotactic access, and particularly to a frameless stereotactic access device for accessing a body cavity and methods therefor. In general, a stereotactic device may include portions or features for fixing the device to a portion of a patient's body, such as, for example, a skull, such that the device may be generally spatially fixed in relation to the patient's body or part thereof. The stereotactic device may also generally include portions or features for guiding a medical device or other device at a particular trajectory in relation to the patient's body or part thereof.

Abstract: A clip-on light source is provided that is suited for use with medical instruments. The device comprises a light source housing that is rotatably affixed to a spring biased clip. The clip includes an upper clip member and a lower clip member that are hinged and spring biased together. The upper clip member is rotatably affixed to the lower surface of the housing such that the housing can rotate relative to the clip once the clip is affixed to a support surface. The housing comprises a frontal portion, an upper portion, and an interior volume, whereby the interior volume supports a circuit board, a battery power supply, and the light source. The light source projects through an upper surface projection along the housing, whereby the light is directed along the upper surface of the housing and towards the frontal portion.

Abstract: An interchangeable tag for attaching to an item for automatically identifying the item, including: a base with a small footprint for attaching to the item at a first end of the base; an identification head with a larger footprint that is attached to the item by the base at a second end of the base; wherein the identification head wirelessly accepts communication queries and transmits identification information related to the item; and wherein the base is attached to the tool by a technological process that requires use of an attachment tool by a skilled user and the identification head is attached to the base after attaching it to the item by a simple process that is performed without requiring an attachment tool.

Abstract: A dental instrument is designed to help facilitate the procedure of root canal therapy and can reduce the inaccuracies that are accompanied with using traditional methods of attaching an electronic apex location (EAL) to an endodontic hand file. The endodontic hand file can include an exposed window in the handle of the file that holds an extension of the main body of the file. The clasp from the EAL can attach to this exposed metal in the window of the handle. This new location for attaching the EAL to the hand file can provide an accurate measurement while removing variables such as file movement in the canal, stopper thickness, clearance from the opposing tooth. The endodontic hand file with its exposed window provides a safe, reliable and accurate way of using an EAL to measure the root canal length.

Abstract: An endodontic instrument includes a plurality of flutes and a plurality of lands extending helically around a working portion. Each flute includes a curved concave flute surface, a pair of flute shoulders at the peripheral edges of the flute surface, a flute width defined by a distance between the flute shoulders, and a flute depth defined by a point of maximum depth between the flute shoulders. Each land is positioned between a pair of axially adjacent flutes and includes a curved concave land surface, a pair of land shoulders at the peripheral edges of the land surface, a land width defined by a distance between the land shoulders, and a land depth defined by a point of maximum depth between the land shoulders. The land width is less than the flute width and the land depth is less than the flute depth in the upper region of the working portion.

Abstract: The present disclosure provides method, systems, and devices for expanding arch of teeth. A device for expanding an arch of teeth of a patient can include a removable shell formed of a first material having a number of cavities formed therein. The number of cavities are shaped to receive teeth of a patient. A device for expanding an arch of teeth of a patient can include an arch element extending from the removable shell in a lingual direction and across an arch width of the removable shell. The arch element can be formed of the first material and a second material that is a different material than the first material, can be designed to expand an arch of the teeth of the patient, and can have a width specific to a stage of a treatment plan.

Abstract: Method for determining a position and an orientation of a dental implant includes scanning a surface of a scan body connected to the implant wherein a plurality of data points is determined which correspond to positions of points that are located on the surface of the scan body. The method further included reconstructing at least three planes based on the data points, reconstructing intersection information of the reconstructed planes, where the intersection information includes the reconstruction of straight intersection lines and of intersection points, and determining the position and the orientation of the implant based on the reconstructed intersection information.

Abstract: An interface element for dental prostheses, having a hollow cylindrical body with two different sections, one lower section (a) of greater outer diameter and another upper section (b) of smaller outer diameter, each provided externally with retention circular grooves (2). The element had an internal seat (4) for a screw head (5) which fixes the implant, and a lower base (6). A side mortise (7) is provided that covers the upper section (b) and provides a side opening for the inclined entrance of the screw (5) and screwdriver (8). The element further includes two flat surfaces (9) at diametrically opposite sides of the lower section.

Abstract: The invention relates to a dental restoration, having a base which in particular comprises an implant (1) in combination with an abutment (4), and a supraconstruction (3) which is fixed to the base, in particular by adhesive bonding, wherein the base has a screw connection having a screw head which extends over or on the base. Said screw head connects the two parts of the base to each other so as to be fixed against rotation, and has an access channel (10, 35) for the screw, the opening of which is offset with respect to the extension of the axis of the screw in the lingual direction of the supraconstruction (3). The diameter of the access channel (10, 35) is smaller than the diameter of the screw head of the screw, and the screw can be screwed through the access channel (10, 35), i.e. can be screwed in and screwed out.

Abstract: A dental casting billet material includes: Co as a main component; Cr in a proportion of 26% by mass or more and 35% by mass or less; Mo in a proportion of 5% by mass or more and 12% by mass or less; and Si in a proportion of 0.3% by mass or more and 2.0% by mass or less, wherein the billet material is formed from a sintered body of a metal powder, and the billet material has a relative density of 92% or more and 99.5% or less.

Abstract: A laser induced thermo-acoustical system has a waveguide for propagating laser radiation to an absorbing layer of a tip. The tip has an absorbing layer serving to absorb the laser radiation propagating through the waveguide. The absorbing layer has such an absorption coefficient that upon absorbing the laser radiation the absorbing layer heats up to boil a quantity of a liquid when the tip is surrounded by the liquid. A laser induced thermo-acoustical method calls for providing a waveguide for propagating laser radiation to the absorbing layer of the tip to be at least partially absorbed by the absorbing layer and to boil a quantity of the liquid surrounding the tip and generating the stream of liquid. The laser induced thermo-acoustical streaming of the liquid is used, in particular, for the treatment of a root canal and periodontal pockets.

Abstract: A tip assembly for use with a dental tool, the tip assembly comprising a housing for attaching to the dental tool, at least one aspiration needle having a passageway extending at least partially through the aspiration needle, a substantial length of the aspiration needle, or at least from one end to the other end of the aspiration needle, the passageway providing a single continuous path to aspirate the irrigant and/or debris from the root canal cavity of the tooth, and at least one irrigation needle having a passageway extending at least partially through the irrigation needle, a substantial length of the irrigation needle, or at least from one end to the other end of the irrigation needle, the passageway provides a continuous flow path for delivering fluid/irrigant from a reservoir in communication with a proximal end of the irrigation needle to the distal end of the irrigation needle and into a root canal/coronal opening of a tooth.

Abstract: An oral cleaning device (100) including: a nozzle portion (30) configured to direct a plurality of liquid droplets; an actuator (120); a mode selector (130); a liquid reservoir (38) wherein in operation liquid is moved from the liquid reservoir into an orifice (36) at the proximal end of the nozzle; a system (12, 13, 14, 24) configured to drive a plunger or piston element (16) toward the proximal end of the nozzle to create a spray of liquid droplets when the moving air comes into contact with the liquid; a control unit (15) configured to control the system to drive the plunger a predetermined number of times in response to a single actuation of the actuator, where the control unit is further configured to accept input from the user via the mode selector, and the mode selector is configured for the user to select a number of liquid bursts that will be delivered in response to a single actuation of the actuator.

Abstract: A bite registration device is provided that can be placed within a patient's mouth and adjusted to a desired position relative to the patient's maxillary and/or mandibular teeth while permitting visual inspection of the patient's anterior teeth during acquisition of the bite registration. The bite registration device is also configured to permit introduction of bite registration material without having to remove the device from the patient's mouth once optimal positioning has been established.

Abstract: This document provides vaccine delivery devices and methods for vaccinating an animal (e.g., a mammal). For example, vaccine delivery devices that include a container having one or more openings, a vaccine depot located within the container, and a diffusion barrier located within the container in a manner such that material (e.g., an antigenic vaccine component) within the vaccine depot must pass through the diffusion barrier before reaching one of the openings are provided.

Abstract: Various embodiments of a sling implant system are provided. Embodiments of the implants can include one or more collapsibility and expandability features or portions adapted to improve introduction and deployment of the implant within the patient. The implants can be folded, collapsed or otherwise reduced in size or construct to fit within a delivery tool or catheter for later expandability upon deployment of the implant.

Abstract: A heart support system featuring a sleeve sized to fit about at least a portion of an adult human heart in a living body, the sleeve having an inner surface arranged to contact the heart in use and a sheath extending about and constraining the sleeve. At least one of the sheath and sleeve carry a discrete mark detectable from outside the body with the sheath and sleeve implanted within the body. The position of the support system about the heart can be determined with reference to the mark.