Abstract: A three-dimensional ultrasonic imaging method and a three-dimensional ultrasonic imaging system. The method comprises: transmitting an ultrasonic wave to a fetal head; receiving an ultrasonic echo, obtaining an ultrasonic echo signal, and obtaining the three-dimensional volume data of the fetal head according to the ultrasonic echo signal; according to the characteristics of a median sagittal section of the fetal head, detecting the median sagittal section in the three-dimensional volume data; and displaying the median sagittal section. The ultrasonic imaging method and the ultrasonic imaging system can obtain the three-dimensional volume data of the fetal head by ultrasonically scanning the fetus and can also automatically detect and display the median sagittal section of the fetal head, thus solving the problem that it is difficult for a doctor to precisely and manually position the median sagittal section.

Abstract: A head frame for a medical patient includes support for a probe and a neck support. The frame wraps around the head of the patient and can be used in the supine position. The support may include a probe holder slidable under the head and configured to contact or engage the neck support. In some embodiments, conformal shaping to the head and/or neck of the patient, the frame's rigid construction, the alignment of the optionally separable holder to the neck support, the weight of the head, or a combination thereof serve to keep the distal tip of the ultrasound probe in place against the temporal region of the head without need for attaching the frame to the head as by straps, which may provide an arrangement robust against patient/vehicle movement in an emergency medical services setting.

Abstract: A converting circuitry convert position information on at least one of an ultrasonic probe and a scan area, used in a past ultrasonic scan, into first position information based on a predetermined coordinate system. The converting circuitry further convert position information on at least one of ultrasonic probe and a scan position, used in a current ultrasonic scan, into second position information based on the predetermined coordinate system. The display circuitry determine the position of a first marker, which represents at least one of the ultrasonic probe and scanning area used in a past ultrasonic scan, and a second marker, which represents at least one of the ultrasonic probe and scanning area used in a current ultrasonic scan, based on first position information and second position information, and display the first and second markers.

Abstract: An imaging apparatus for diagnosis is provided in which a simpler configuration enables an anatomical technique and a physiological technique to be used in combination. The imaging apparatus for diagnosis disclosed herein includes a first calculator for calculating a parameter indicating each deformation degree of measurement slit portions, by using a tomographic image including the measurement slit portions which are disposed at different positions in an axial direction of a probe unit and whose cross-sectional shape is deformed in response to a pressure applied to the probe unit, and a second calculator for calculating a value corresponding to a myocardial fractional flow reserve, based on the calculated parameter.

Abstract: An ultrasound imaging system provides coronal and transverse images for guiding a superior temporal artery guidewire (STA guidewire) through a tortuous region of the STA to an aortic arch region for snaring by a femoral artery catheter snare and pulling through for “through and through” guidewire access. The STA guidewire includes a knob at a distal end which is advanced into a superficial temporal artery (STA) using multi-plane ultrasound guidance, and the STA guidewire is guided through the tortuous region using transverse and coronal images provided by the multi-plane ultrasound imager. The transverse and coronal images indicate the rotational direction for the wire tip to advance the knob end of the STA guidewire within the STA to the external carotid artery.

Abstract: Disclosed herein are a high voltage switching circuit which includes one or more main switching devices connected to one or more current sources, and a control circuit unit configured to control a potential difference between terminals of each of the main switching devices within a predetermined range by receiving current from the one or more current sources.

Abstract: A needle includes a surface with a plurality of first ultrasound reflecting depressions formed therein. The first depressions are distributed along at least a portion of a length of the needle separated from one another by intervening sections. Each of the first depressions is extending along a curve between first and second ends adjacent to corresponding ones of the intervening sections with troughs at which surfaces of each of the first depressions most closely approach a longitudinal axis of the needle being offset toward the first ends of each of the first depressions.

Abstract: The invention relates to a device (100) for sampling a biological tissue comprising: a rod (1) extending along a longitudinal axis (X) between a proximal end (1a) and a distal end (1b), a capture surface (2) borne by the rod (1), intended to be applied against a biological tissue, wherein the capture surface is nanoporous or has protrusions adapted for sampling a biological tissue by micro abrasion, an observation window (3) transparent to visible light, laid out in the external surface of the rod (1), a housing (4) extending in the rod, parallel to the longitudinal axis, from the proximal end (1a) as far as the observation window (3) said housing being able to receive a bundle of optical fibers.

Abstract: An apparatus for sealing a puncture through tissue to a vessel includes an elongate occlusion member including an expandable member, a cartridge carried on the occlusion member, and a sealant carried within the cartridge. The cartridge includes an outer member and a pusher member within the outer member. The sealant is disposed within the outer member adjacent the expandable member distal to the pusher member. During use, the occlusion member is introduced into a puncture until the expandable member and the sealant extend from the puncture into the vessel. The expandable member is expanded, and withdrawn until the expanded expandable member contacts the vessel wall, thereby withdrawing the sealant back into the puncture. The outer member is withdrawn to expose the sealant within the puncture, while the pusher member prevents removal of the sealant, and then the cartridge, occlusion member, and pusher member are successively removed.

Abstract: A surgical instrument includes an element connectable with a fixture. A first member is independently and selectively movable relative to the element and includes a part engageable with an incision in a cranial-caudal orientation relative to a body to space apart tissue. A second member is independently and selectively movable relative to the element and includes a part engageable with tissue of an anterior portion of the incision relative to the body. A third member is independently and selectively movable relative to the element and includes a part engageable with tissue of a posterior portion of the incision relative to the body. Systems and methods are disclosed.

Abstract: Systems, devices and methods related to retractor systems that retract tissue to allow access to a surgical site are described. The retractor systems can include a first rotatable arm attachable to a first blade, a second rotatable arm attachable to a second blade and a third linearly translatable arm attachable to a third blade. An attachment mechanism that is attachable to a fourth blade can be removably coupled to a mount on the frame. The retractors systems can also include two blade systems whereby when the retractor is in a closed configuration, the two blades form an oval opening.

Abstract: A surgical retraction system includes a sternal retractor having a first retractor arm and a second retractor arm. An insert is coupled with the sternal retractor. The insert includes a first section having a first rigid backing, a second section having a second rigid backing that is spaced from the first rigid backing, and a connector section including resilient material interconnecting proximal ends of the first and second sections. The first section of the insert is coupled with the first retractor arm, the second section of the insert is coupled with the second retractor arm, and the connector section extends laterally between the proximal ends of the first and second sections. When the insert is bent, the resilient connector section normally urges the first and second sections of the insert away from one another for returning the insert to a flat configuration.

Abstract: The present invention provides a fixation device that includes an elongate shank defining a longitudinal axis and having at least one engaging member for applying the fixation device within tissue and securing the fixation device in the tissue once implanted formed thereon, and a drive head having a proximal end, a distal end and a radial cross-sectional geometry, where the drive head is mated to the elongate shank, and includes at least one anti-rotational member integral therewith, Fixation device kits utilizing the fixation device, and methods of fixation in tissue are also provided.

Abstract: A hand-held, surgical suturing device that can be operated and manipulated with one hand. The device has a suture spool that can be locked The device can rotate in either direction. It is configured to accept at least two different types of needles, a single hook needle and a corkscrew needle useful in different suturing applications. These needles can be supplied in different sizes and shapes. The needle, suture spool and needle carrier are typically supplied in sterile packages and are disposable. A first embodiment has a triangular-shaped squeeze handle that, when squeezed, causes the needle to rotate. A second embodiment has a cylindrical handle for manual stitching where the needle can be released to freely rotate by pressing a control button. In either embodiment, the suture spool can be locked or allowed to rotate freely by activating a releasing rod.

Abstract: Polymeric fibers, and apparatuses for and methods of processing such fibers to be useful as sutures, where at least one end of a fiber includes a termination feature. The termination feature is formed through the application of energy to a coiled region of the fiber.

Abstract: A fastener cartridge assembly for use with a surgical end effector. The fastener cartridge assembly can comprise a cartridge body having fastener cavities, fasteners removably positioned in the fastener cavities, a layer of material releasably secured relative to the cartridge body, a connector configured to secure the layer of material to the cartridge body at a location distal to at least one fastener cavity, and an actuator. The layer of material can be a tissue thickness compensator. When actuated, the actuator can overcome the connector, and can overcome the connector prior to the removal of the fasteners from the fastener cavities. The actuator can be actuated at a location proximal to at least one fastener cavity, and can extend distally past at least one fastener cavity toward the connector.

Abstract: A surgical stapler configured for intraoral use. The surgical stapler includes an elongated barrel section that allows for surgical staples to be applied to difficult-to-reach locations within a patient's oral cavity. The distal end of the barrel is configured to releasably engage a cartridge containing a plurality of spring-biased surgical staples. When actuated, the surgical stapler ejects a single staple, which slides along a pair of elongated arms extending from the barrel. The distance between the elongated arms increases towards their distal ends, thereby gradually opening the spring-biased staple as it slides therealong until the staple comes to rest within slots on the arms. The user can then place the staple at the wound site and then unhook the arms from the staple. Once free from the arms of the surgical stapler, the staple then closes around the wound site.

Abstract: Implementations of the disclosed technology include a forcipate surgical instrument including a channel at the working end for guiding a scalpel blade during tissue resection. In some implementations, the forceps may also include a scalpel-driven stapling mechanism for sealing the tissue simultaneously with resection via a single scalpel motion.

Abstract: A staple cartridge disclosed herein comprises a cartridge body and staples removably stored therein. The staple cartridge further comprises a longitudinal row of staple drivers movable between an unfired position and a fired position to drive the staples toward an anvil and a firing system movable toward a distal end of the cartridge body to sequentially move the staple drivers toward their fired positions. The staple drivers comprise a first staple driver comprising a first bottom drive surface and a first staple support surface, wherein a first driver distance is defined between the first bottom drive surface and the first staple support surface, and a second staple driver comprising a second bottom drive surface and a second staple support surface, wherein a second driver distance is defined between the second bottom drive surface and the second support surface which is different than the first driver distance.

Abstract: A method of controlling a surgical stapler system includes transmitting an actuation force to a staple cartridge to actuate a staple firing procedure, the staple cartridge being removably received by a portion of an end effector of a surgical instrument, measuring the transmitted actuation force, and controlling continued transmission of the actuation force based on a comparison of the measured actuation force to a range defined from a minimum threshold actuation force to a maximum threshold actuation force.

Abstract: A staple cartridge is disclosed. The staple cartridge is insertable into and removable from a jaw of surgical stapling instrument. The staple cartridge comprises a cartridge body including staple cavities and staples removably stored in the staple cavities. Each of the staple cavities includes a bottom opening and a top opening. The staples include features configured to inhibit the staples from falling out of the bottom openings of the staple cavities. The staple cartridge further comprises a firing member configured to eject the staples from the staple cavities through the top openings of the staple cavities. The firing member further comprises one or more features configured to inhibit the firing member from falling out of the bottom of the cartridge body. In various instances, as a result, a cover extending around the bottom of the cartridge body may not be required.

Abstract: A loading unit for engagement with a surgical instrument. The loading unit includes a proximal body portion, an end effector, an actuation sled, and pushers. The actuation sled is longitudinally translatable within a cartridge assembly. The pushers are disposed within the cartridge assembly. Each pusher includes a camming surface configured for engagement with the actuation sled. The camming surface of each pusher in a first row is longitudinally aligned with the camming surface of each pusher in a second row. The first row of pushers is laterally offset from the second row of pushers.

Abstract: A surgical stapling device and method for joining tissue portions are provided including a handle assembly, an elongate body extending from the handle assembly, a cartridge assembly supported on a distal end of the elongate body, and an anvil assembly at a distal end of the surgical stapling device. The anvil assembly includes a shaft for removably coupling the anvil assembly to the cartridge assembly and a head pivotally mounted to a distal end of the shaft. A sleeve member is slidably disposed about the shaft of the anvil assembly and is transitionable between a first position, where the sleeve member engages the head of the anvil assembly to secure the head in an un-tilted condition, and a second position, where the sleeve member is disengaged from the head of the anvil assembly to allow the head to tilt.

Abstract: A device for performing a remote ischemic conditioning treatment. The device includes an inflatable cuff and a cartridge which is a source of gas for inflating the cuff. A first valve controls the flow of gas from the cartridge to the cuff so as to maintain a predetermined pressure in the cuff during an ischemic period. A second valve allows gas to escape from the cuff during a reperfusion period of the remote ischemic conditioning treatment. A controller which may be battery-powered is used to control the opening and closing of the valves. The cartridge may contain a gas, or materials which, under certain conditions, react to produce a gas. The chemical reaction may be initiated by an electrical pulse or signal from the controller.

Abstract: A magnetic device and method are disclosed for providing a safer and more reliable technique for closing a hole or rupture in the septum of the heart. A device is disclosed with proximal and distal occluders that are connected to one another via a catheter and are inserted on either side of the hole or rupture. Also disclosed are two patches that are placed on either side of the hole or rupture with at least one of the patches being composed of magnetic material with the other being magnetic or metallic.

Abstract: A balloon is fashioned in the shape of a modified toroid that changes position by rotation. As a result, the toroidal balloon is an improvement over existing balloons for dilation and applying pressure since it can apply the pressure to both the external surface and the surface lining the balloon's internal channel and change position while applying that pressure. In addition, the toroidal balloon can apply a biologically active substance or medical device to a biological wall then leave that substance or device in place with the rotational extraction of the balloon. Other balloons for dilation or application of a substance or device need to be deflated to change their position.

Abstract: An occluding device for occluding fluid flow through a lumen of a body vessel. The device comprises a coil and fibers attached to the coil. The coil has about 5 to 60 grams of initial tension to facilitate the coil to fold when deployed. The fibers extend from the coil at a length.

Abstract: Vessel closure system that can be affixed in a spatially defined position for closing open blood vessels has a closure element, at least one pressure body arranged on the closure element and holding bands coupled to the closure element and made from a material having elastic properties. The pressure body is designed, when placed on an opened vessel of a patient, to apply increased pressure, in relation to other regions of the vessel, to a puncture site in the vessel. A skin adhesive layer is arranged on each holding band on the same side of the closure element as the pressure body. Each pressure body has a curvature projecting outwardly from the closure element such that lateral sides of the pressure body are closer to the closure element than a middle region of the pressure body between the lateral sides to provide the pressure body with an elongate pressure surface.

Abstract: The invention relates to a medical device and method for applying pressure onto a patient's limb, especially at a blood vessel or a wound site, in order to achieve local hemostasis. The device comprises a body (1) for blood vessel compression, holding element (2) for attaching the body (1) to a patient's limb, a fastening means (3) for holding the device in a desirable position, wherein the body (1) has a first compression area (1a) which is situated at the outer surface of the body (1), at least one second compression area (1b) through which the body (1) is pressed with a holding element (2), a third compression area (1c) for compression control during application of the device, and wherein the holding element (2) is guided over the first compression area (1a), when the device is attached to the patient's limb.

Abstract: Disclosed are methods and devices for obtaining patent hemostasis of the radial artery by compressing the uninstrumented ulnar artery to increase radial artery flow. The device comprises a band having an inflatable bladder for applying blunt pressure to the ulnar artery. The method comprises applying a pressure to the homolateral ulnar artery and applying a pressure to the radial artery at the access site to obtain hemostasis at the access site.

Abstract: A hemostatic device is provided to stop bleeding at a puncture site on an artery of a patient, the device comprising a transparent flexible band to be wrapped at the site where the bleeding is to be stopped, a curved compression member having an inner peripheral side and possessing a first curved portion in its first half and a second curved portion in its second half, a first balloon provided on the inner peripheral side in the first half of the curved compression member and a second balloon provided on the inner peripheral side in the second half of the curved compression member. The bleeding from a first artery is stopped by compressing the first artery at the puncture site using inflation of the first balloon and blood flow in the first artery is increased by compression of a second artery using inflation of the second balloon.

Abstract: Disclosed are methods and devices for obtaining patent hemostasis of the radial artery by compressing the uninstrumented ulnar artery to increase radial artery flow. The device comprises a band having an inflatable bladder for applying blunt pressure to the ulnar artery. The method comprises applying a pressure to the homolateral ulnar artery and applying a pressure to the radial artery at the access site to obtain hemostasis at the access site.

Abstract: A surgical method for forming a void in bone includes the steps of positioning a support member securely within an intramedullary canal of a bone; attaching a guide member having a longitudinal axis to the support member in a fixed and offset relation to the intramedullary canal; connecting a cutting member having a cutting head to the guide member in a slidable arrangement along the longitudinal axis of the guide member such that the cutting head faces a first bone segment; and cutting the first bone segment along the longitudinal axis of the guide member, thereby forming a first offset bone void.

Abstract: A method for providing therapy to a patient, the method comprising: providing microfracture therapy to the acetabular cup of the patient, wherein providing microfracture therapy to the acetabular cup of the patient comprises forming at least one hole extending from the acetabular shelf to the cortical bone bed of the acetabular cup, such that blood may flow from the cancellous bone underlying the cortical bone bed to the surface of the cortical bone bed, whereby to form a blood clot at the surface of the cortical bone bed.

Abstract: An adjustable drill depth guide includes a first sleeve, a second sleeve and a stop member. The first sleeve includes a longitudinal axis and defines a helical slot disposed about the longitudinal axis. The second sleeve is concentrically arranged relative to the first sleeve and is axially adjustable relative to the first sleeve for adjusting a length of the adjustable drill depth guide. The stop member extends radially from the second sleeve and is disposed in the helical slot. The stop member is selectively received at various positions along the helical slot to positively locate the second sleeve relative to the first sleeve in the axial direction.

Abstract: A sleeve pin assembly for fixing a bone piece, and more particularly, a new structure of sleeve pin assembly for fixing a bone piece in which a pin for fixing a plurality of bone pieces that have occurred upon being fractured is coupled to a sleeve with a collet method is provided. The sleeve pin assembly for fixing a bone piece includes: a pin having a fixing portion; a collet portion detachably coupled to the pin; a fastening portion having one end connected to the collet portion and the other end that can be fastened to an electric drill; and a sleeve including an internal receiving space to receive the collet portion.

Abstract: This disclosure relates to a targeting guide assembly for positioning a surgical instrument. The targeting guide assembly is used to accurately place a surgical instrument for establishing a precise path for subsequent screw placement, retrograde drilling, etc. A targeting guide assembly according to an exemplary aspect of the present disclosure includes, among other things, a first bracket, a second bracket rotatable relative to the first bracket and a cannula guide body movable within a slot of the first bracket.

Abstract: A method and system for performing a total joint arthroplasty procedure on a patient's damaged bone region. A CT image or other suitable image is formed of the damaged bone surfaces, and location coordinate values (xn,yn,zn) are determined for a selected sequence of bone surface locations using the CT image data. A mathematical model z=f(x,y) of a surface that accurately matches the bone surface coordinates at the selected bone slice locations, or matches surface normal vector components at selected bone surface locations, is determined. The model provides a production file from which a cutting jig and an implant device (optional), each patient-specific and having controllable alignment, are fabricated for the damaged bone by automated processing.

Abstract: A surgical instrument includes a housing, a handle, an elongated shaft, an end effector assembly, a drive assembly, and an extension depending from the handle. The extension includes a proximal surface having a first proximal cam portion defining a first angle with respect to the longitudinal axis and a second proximal cam portion defining a second angle with respect to the longitudinal axis. Initial actuation of the handle from a non-actuated position causes the first proximal cam portion to contact the first portion of the drive assembly causing a first movement of the at least one jaw member, and a subsequent actuation of the handle causes the second proximal cam portion to contact the first portion of the drive assembly causing a second movement of the at least one jaw member.

Abstract: A method and apparatus for transecting soft tissue, such as a ligament, and more particularly, the transverse carpal ligament. A pair of hollow introducer needles can be used to rout a thread-like, smooth and non-abrasive cutting element around tissue, such as a soft tissue, to enable a transection of the soft tissue using minimally invasive techniques. The cutting element is routed into position about the target soft tissue such that the cutting element both enters and exits the body from the same side of the soft tissue. The smooth and non-abrasive exterior surface of the cutting element serves to provide a kerf-less cut.

Abstract: An arthroscopic surgery method for ankle ligament reconstruction of this embodiment is removed using an ultrasonic treatment tool, blowing away a synovial membrane, and secures the view for a remnant ligament. Then, bone holes are produced to a fibula, a talus and a calcaneus using the ultrasonic treatment tool.

Abstract: A cleaning device for cleaning a catheter lumen of a tissue removal catheter has a flushing chamber with distal and proximal seals and an inlet port. The proximal seal is a duckbill seal that includes a pair of opposing duckbill members that slidingly accept the distal end portion of a catheter body to form a seal about the catheter body proximal to a proximal opening in of the catheter lumen. Fluid is directed in the inlet port, into the flushing chamber, into proximal opening in the catheter body, and through the catheter lumen to discharge tissue contained in the catheter lumen. In some embodiments, the cleaning device is preloaded on the catheter body. The cleaning device can have an internal stop that engages with an external stop on the catheter body when the cleaning device is positioned in an operative position.

Abstract: Robotic debridement apparatuses, related systems, and methods of using the same are disclosed herein. The robotic debridement apparatuses are configured to facilitate debridement of tissue from a body region. For example, the robotic debridement apparatuses can include one or more of at least one debriding tool configured to debride tissue, at least one debris disposal device configured to capture substances in the body region. The systems disclosed herein can include a plurality of robotic debridement apparatuses. The systems disclosed herein can include a dressing associated with the plurality of robotic debridement apparatuses. The dressing can be associated with the robotic debridement apparatuses in a manner that facilitates operations of the robotic debridement apparatuses.

Abstract: A tissue-removing catheter includes an elongate catheter body. The catheter body has a jogged portion that applies an urge force against a body lumen wall and urges a portion of the catheter body toward a portion of the body lumen wall. A tissue-removing element removes tissue from the body lumen during the cutting operation. The tissue-removing element is located generally adjacent the portion of the catheter body that is urged toward the body lumen wall by the jogged portion. An urging mechanism selectively applies a compressive load to the catheter body to adjust the bending stiffness of the jogged portion and the urge force applied by the jogged portion.

Abstract: This transcatheter device for the ablation of calcified tissue at the flaps of an aortic valve, is characterized in that it comprises a flexible body (1) acting as a catheter and having a soft and flexible end piece (2) that engages with a previously inserted wire guide (g) suitable for passing through the flaps of the valve above the part where the calcified tissue needs to be removed, said end piece (2) having at least one cutting system (3) comprising two motorized rotating cutting heads (3a) and (3b) disposed coaxially one above the other, the head (3a) located at the end of the end piece and acting first to remove the calcified tissue, has arrangements suitable for making a rough cut by grinding, while the other head (3b) has arrangements suitable for making a fine cut by grinding, said cutting system being mounted in combination with a vacuum suction means (4), said end piece (2) being provided with an adjustable guide means (5) suitable for engaging with the calcified tissue over the course of the abla

Abstract: A surgical instrument includes a cannula and a member coupled to the cannula. The member includes a first locking element. The surgical instrument further includes a patient attachable ring having a second locking element configured to engage the first locking element to fix the cannula relative to the patient attachable ring. Systems and methods are disclosed.

Abstract: Insertion devices and associated systems and methods for the percutaneous placement of patient leads are disclosed herein. A system in accordance with a particular embodiment includes a cannula having a lumen and a first dilator. The first dilator can be positioned within the lumen and the first dilator and the cannula can be used to create a percutaneous entry point. An additional dilator can be positioned over the first dilator and advanced into the percutaneous entry point to expand the percutaneous entry point. A final dilator can be inserted into the patient and two leads can be advanced into the patient through the final dilator.

Abstract: A kit having instructions for use for performing uterine lavage in a female patient includes a uterine lavage catheter configured for insertion into a woman's uterus to remove viable blastocysts from the uterus, and one or more first containers having a sufficient dosage amount of a GnRH antagonist to cause desynchronization of the endometrium of the patient prior to, during and/or following recovery of viable blastocysts from the uterus.

Abstract: A spinal implant system includes an elongated implant defining a distal portion interconnected to a proximal portion. The distal portion includes a set of threads for joining the distal portion with a distal part of the bone fracture. The system also includes a compression device coupled to the proximal portion of the elongated implant. The compression device is movable from an end of the proximal portion towards the distal portion of the elongated implant, wherein the compression device is structured to apply a compression force to a proximal part of the bone fracture.

Abstract: Systems, assemblies, components and methods for correcting alignment of one or more vertebrae of a spine are provided. A first elongate derotator member includes a first elongate element having a first proximal end portion and a first distal end portion. The first distal end portion is releasably engageable with a first implant implanted in one of the vertebrae. A second elongate derotator member comprising a second elongate element is releasably engageable with a second implant implanted in the same vertebra. A transverse member is engageable with the first and second elongate elements.