Abstract: A control apparatus includes a changing unit which changes the sequence of a plurality of imaging examination information, based on a user operation, displayed based on an imaging sequence on an imaging control screen, and a control unit which controls at least one of a radiation detector and a radiation generation unit which are associated with imaging examination information as an imaging target based on the sequence changed by the changing unit.

Abstract: A device for digitizing the sound of a stethoscope and sending it to an electronic instrument. The device includes a solid body equipped with lateral slots able to house the ear tips of the stethoscope in an active measurement configuration, and with a hooking lip and a hooking system for connecting the device respectively to the membrane and to the Y-shaped tube of the stethoscope in a passive rest configuration.

Abstract: A mounting system is provided to allow the attachment of an acoustic collector to a handheld electronic device such that sound is conducted directly to the device's microphone. A fitted case or band encloses part of the device and includes a tube running from the collector to the device's microphone. In certain embodiments, the tube may be embedded in the case, and a detachable mount may be provided to connect the collector to the case. The collector may be a stethoscope chestpiece, or an open air collector, such as a parabolic collector.

Abstract: A regurgitant orifice of a valve is detected. The valve is detected from ultrasound data. An anatomical model of the valve is fit to the ultrasound data. This anatomical model may be used in various ways to assist in valvular assessment. The model may define anatomical locations about which data is sampled for quantification. The model may assist in detection of the regurgitant orifice using both B-mode and color Doppler flow data with visualization without the jet. Segmentation of a regurgitant jet for the orifice may be constrained by the model. Dynamic information may be determined based on the modeling of the valve over time.

Abstract: An image processing apparatus and method are disclosed, which processes an image of a target object. The image processing apparatus includes an image acquisition unit which acquires a series of first images and a series of second images of the target object which are scanned at a first pull-back speed and at a second pull-back speed faster than the first pull-back speed, a correlation unit which correlates first images, which are scanned at the first pull-back speed, with first images, which are scanned at the second pull-back speed, and a control unit which correlates a series of the first images which are scanned at the first pull-back speed and a series of the second images which are scanned at the second pull-back speed so as to display the images on a display apparatus, based on the result of the correlation.

Abstract: The invention relates to a method for determining and particularly imaging sound speed in an object by means of pulse-echo ultrasound, comprising the steps of: transmitting by means of an ultrasound probe (1) at least a first ultrasound pulse (10) in a first direction (?0) and a second ultrasound pulse (20) in a different second direction (?) into an object (O) to be imaged, so that said first ultrasound pulse (10) is backscattered in said object towards said ultrasound probe in the form of first ultrasound pulse echoes (11), and so that said second ultrasound pulse (20) is backscattered in said object towards said ultrasound probe in the form of second ultrasound pulse echoes (21), detecting said backscattered first ultrasound pulse echoes (11) and said backscattered second ultrasound pulse echoes (21) with said ultrasound probe (1), reconstructing from said detected backscattered first ultrasound pulse echoes (11) a first image of first local echoes (5) and from said detected backscattered second ultrasound

Abstract: An endovascular navigation system and method are disclosed. The endovascular navigation system includes an elongate flexible member, a endovascular electrogram lead disposed at a distal end of the elongate flexible member and configured to sense an endovascular electrogram signal, a processor and an output device. The processor is configured to receive the endovascular electrogram signal, to determine a peak amplitude of a P-wave in the endovascular electrogram signal, and to determine that the position of the distal end of the elongate flexible member is within a predetermined structure within the venous vasculature of the patient. The output device is configured to display a visual indication that the distal end of the elongate flexible member is within the predetermined structure within the venous vasculature of the patient, where the visual indication is different from the endovascular electrogram signal of the venous vasculature of the patient.

Abstract: A method of ultrasound imaging and a corresponding ultrasound scanner are provided. The method includes the steps of receiving an echo signal induced by an ultrasonic plane wave transmission from a transducer of an ultrasound scanner, resampling the echo signal in time domain and/or space domain, performing a spectrum zooming on a band of interest (BOI) of an input signal, performing a Fourier transform on a result of the spectrum zooming, and generating an ultrasound image based on a result of the Fourier transform. The input signal is generated based on the resampling of the echo signal.

Abstract: A medical imaging apparatus includes: an ultrasound probe to transmit and receive an ultrasound signal to obtain an ultrasound image of an object; a sensor coupled to the ultrasound probe to provide a position information related to an ultrasound imaging position in the object; and a processor to extract a certain anatomical feature from the ultrasound image and the certain anatomical feature from a medical image, perform a first registration between the medical image and the ultrasound image by matching the certain anatomical feature in the ultrasound image the certain anatomical feature in the medical image, perform a second registration between the sensor and the medical image based on the position information and the first registration, and control a display to display a portion of the medical image corresponding to the ultrasound imaging position based on at least one of the first registration and the second registration.

Abstract: The present approach relates to extracting a heart cycle signal from ultrasound sequences (e.g., echocardiograms) without complex spatial image processing and without finding or assuming the knowledge of the position of heart reference points. The present heart cycle signal is computed by determining temporal changes in low-resolution versions of the echocardiographic frames, such as temporal information of the heartbeat.

Abstract: The various embodiments herein provide a device for analyzing a rectum gas discharge. The device comprises a central bag, a peripheral bag, and an electronic unit. The central bag comprises a gas inlet and a gas outlet on directionally opposite ends of a central bag surface. The peripheral bag is housed in a container and radially encapsulates the central bag. The electronic unit comprises a pressure sensor and a connector for further connecting a monitoring unit. The pressure sensor is attached over a surface of the peripheral bag. The central bag is attached to an anal canal of a patient and expands on ingestion of discharged rectal gas from the anal canal. The peripheral bag expands with the central bag resulting in activation of the pressure sensor to measure a gas collected in the central bag.

Abstract: Methods of using a biological sample collection device comprising a collection portion and a body portion, the body portion including a holding portion for holding a biological sample storage medium, and a sample transfer means, such as a cover. The collection portion can be arranged in a first position separated from the body portion for collecting a sample, and in a second position at least partly between the sample transfer means and the holding portion, with the sample transfer means being operable to push the collection portion towards a position at which the holding means is arranged to hold the biological sample storage medium, enabling a sample held in the collection portion to be transferred to the latter.

Abstract: A swab assembly for collecting a specimen from a patient includes an elongated shaft having a proximal end, a distal end, and a notch between its proximal and distal ends; a sheath having a proximal end, a distal end, and a lumen extending between its proximal and distal ends, wherein a portion of the elongated shaft is disposed within the sheath lumen, and the sheath is slidable relative to the elongated shaft; and a collection tip coupled to the distal end of the elongated shaft and configured for obtaining the specimen. The sheath is slidable between a first position in which the shaft notch is disposed within the sheath lumen and wherein the sheath protects the elongated shaft from breaking at the notch, and a second position in which the shaft notch is exposed out of the sheath lumen.

Abstract: A biopsy device includes a housing containing an electric power source and a tension slide, wherein the tension slide is configured to be moved to a cocked position against the action of a first spring. A releasable locking mechanism is configured to lock the tension slide in the cocked position. A removable element is configured for insertion into the housing. The removable element has a cutting sheath configured to couple the electric power source to the tension slide. The electric power source is configured to rotate the cutting sheath to move the tension slide to the cocked position.

Abstract: A image file creation method includes: an image pickup step of picking up an image of a living body; a treatment detection step of detecting a treatment related to the living body; and an image file creation step of creating, according to a result of the detection in the treatment detection step, an image file, for image data obtained in the image pickup step, with specimen information including information indicating that the image is an image relating to specimen collection by the treatment related to the living body, to record data of, e.g., an image of a tissue such as a cell itself and data of, e.g., an image related to the tissue such as the cell, a treatment and/or collection, enabling a plurality of institutions, facilities, etc., to easily refer to information on the tissue such as the cell.

Abstract: A method of directing energy to tissue includes the initial steps of determining target tissue location and/or target tissue margins, positioning an ablation device for delivery of energy to target tissue, and positioning one or more heat-sensitive optical probes into a tissue region to be monitored. Each heat-sensitive optical probe is adapted to utilize spectral properties of light to access one or more optical fiber portions of the heat-sensitive optical probe in response to heat. The method also includes the steps of applying energy to the ablation device, continuing ablation while size and/or position of ablated zone which received heat above a threshold value is displayed on a monitor using one or more electrical signals generated by the one or more heat-sensitive optical probes, and determining whether the ablated zone displayed on the monitor is larger than the target tissue margins.

Abstract: An instrument for navigating a surgical device includes a hollow shaft having a longitudinal axis and a distal end. The distal end of the hollow shaft includes a flexible section, a handle and an articulation surface positioned adjacent the handle. The handle is polyaxially displaceable against the articulation surface and relative to the longitudinal axis of the hollow shaft. At least one tensioning element extends substantially parallel to the longitudinal axis of the hollow shaft. The at least one tensioning element is operable to bend the flexible section in response to polyaxial displacement of the handle relative to the longitudinal axis of the hollow shaft.

Abstract: A medical device may include a shaft, and a first tool extending from a distal end of the shaft. The medical device also may include a control assembly coupled to the shaft. The control assembly may include a console, a first grip extending proximally from the console, and a second grip extending proximally from the console. The control assembly also may include a first deflection actuator configured to deflect the first tool about a longitudinal axis of the first tool, a first rotation actuator configured to rotate the first tool about the longitudinal axis of the first tool, and a first longitudinal actuator configured to move the first tool along the longitudinal axis of the first tool.

Abstract: An expandable trial can include an inferior portion, a superior portion, and a middle expanding portion as well as load cells for monitoring the load on the trial. The trial may also include recesses on its lateral sides to provide spacing to accommodate a disc removal tool so tissue can be cleared monitoring load. In addition, neural foramen spacing can be monitoring to provide information about how much neural release has been achieved as the disc is cleaned and the spine is positioned and repositioned.

Abstract: Systems, devices, and methods are provided for securing soft tissue to bone. One exemplary embodiment of a surgical soft tissue repair device includes a snare assembly coupled to a soft anchor in which the soft anchor has a first, unstressed configuration that can be used to insert the anchor into bone and a second, anchoring configuration that can be used to fixate the anchor in the bone. The snare assembly can be configured to actuate the anchor from the first configuration to the second configuration, and it can also be used to engage and approximate tissue by drawing the tissue closer to the anchor fixated in the bone. The snare assembly can be used in conjunction with a number of different anchor configurations, and other exemplary systems, devices, and methods for use with soft tissue repair are also provided.

Abstract: A closure device for closing an opening in tissue is provided. The closure device includes an elongate member through which needles may be deployed. The closure device also includes a closure element having a foot portion and a needle guide portion. The foot portion and the needle guide portion are each movable between a delivery configuration and a deployed configuration. The foot portion includes cuffs removably mounted thereon and having sutures connected therebetween. The needle guide portion includes needle guide apertures that guide the needles to the cuffs. The needles securely engage the cuffs and draw the cuffs and suture through the lumen wall so that the opening in the lumen wall can be closed with the sutures.

Abstract: A device for surgical ligation is provided, which comprises: a housing, where a pulling portion is provided therein; and an opening portion provided at one end of the housing and connected to the pulling portion, where a line delivery element is provided therein. The line delivery element comprises: a first arc unit having a first coupling portion and a slot thereon; a second arc unit having a second coupling portion corresponding to the first coupling portion; and a gear assembly comprising a plurality of gears engaging with each other, wherein a first gear is engaged with the pulling portion while a second gear is engaged with the second arc unit.

Abstract: An endoscopic stitching device includes an actuation shaft, a tool assembly, and a drive assembly. The tool assembly includes a suture needle and a pair of jaws transitionable between open and closed positions. Each jaw includes a needle engaging blade slidably supported thereon. Each needle engaging blade is transitionable between an extended position in which the needle engaging blade engages the suture needle and a retracted position in which the needle engaging blade is disengaged from the suture needle. The drive assembly includes first, second, and third electrical actuators. The first actuator is operatively coupled with the actuation shaft to cause axial displacement of the actuation shaft. The axial displacement of the actuation shaft causes opening and closing of the pair of jaws. The second and third actuators are operatively coupled with the needle engaging blades to provide axial displacement of the needle engaging blades.

Abstract: An arteriotomy closure device. The arteriotomy closure device includes a proximal end and a distal end designed to be inserted into an arteriotomy opening resulting from an endovascular procedure. The arteriotomy closure device provides a pair of doors operated by a door drive that stabilize the arteriotomy closure device within an artery during a closure operation. A plurality of needles with a suture attached to each penetrate the arterial wall. When the needles are engaged with a plurality of needle receptors, a cap trap is engaged with the needle receptors so that when the needles are retracted, the suture is secured in a position to close the arteriotomy opening. When the needles are retracted, the doors are lowered and the arteriotomy closure device is removed from the closure site, the suture is used to close the arteriotomy opening.

Abstract: A device for accurately guiding and positioning a surgical instrument bearing suture material to a predetermined area within the body for closing an open wound includes an elongated conically shaped guide that is wider at the top and which has two openings in the side wall thereof. The top has two openings that communicate with the openings in the side wall through generally linear passageways that pass through the guide and which allow surgical instruments carrying suture material to pass therethrough. A thin elongated rod extends upwardly from the top wall approximately two inches and includes a handle at the top thereof. Raising the handle above the guide increases the field of view of the surgeon.

Abstract: An implant for stabilizing two separated bone portions relative to each other an implant includes a peg, a bridge assembly and a securing element. The peg and bridge assembly include at least two peg portions and a bridge portion, wherein the bridge portion is arranged between the peg portions and wherein the peg and bridge portions are rigidly connected. The peg and bridge assembly is positioned relative to the bone portions such that one peg portion extends into the bone tissue of each one of the bone portions and the bridge portion extends across the gap separating the bone portions. The securing element is anchored in the bone tissue of one of the bone portions, its proximal end extending through an opening in an assembly portion extending parallel to a bone surface or across a notch in a proximal edge of an assembly portion.

Abstract: A surgical instrument is provided. The surgical instrument includes: a handle assembly; a jaw assembly comprising a staple cartridge containing a plurality of staples and an anvil to form the plurality of staples upon firing; a drive assembly at least partially located within the handle and connected to the jaw assembly and the lockout mechanism; a motor disposed within the handle assembly and operatively coupled to the drive assembly; and a controller operatively coupled to the motor, the controller configured to control supply of electrical current to the motor and to monitor a current draw of the motor, wherein the controller is further configured to terminate the supply of electrical current to the motor in response to a rate of change of the current draw indicative of a mechanical limit of at least one of the jaw assembly, the drive assembly, or the motor.

Abstract: A surgical instrument includes an anvil, a staple applying assembly, an adjustment member, a user input feature, and a bailout assembly. The staple applying assembly includes a distal surface defining openings and a driver that is operable to drive an annular array of staples through the openings of the distal surface and into tissue. The adjustment member is operable to adjust the position of the anvil to thereby vary a gap distance defined between the anvil and the distal surface. The adjustment member includes a first section and a second section. The user input feature is operable to actuate the driver to thereby drive the staples. The bailout assembly is operable to selectively separate the first section of the adjustment member from the second section of the adjustment member.

Abstract: A surgical instrument for stapling tissue includes a body, a shaft assembly, and an anvil. The shaft assembly includes a stapling head assembly and an actuator. The anvil is configured to be selectively coupled to the actuator. The anvil is configured to cooperate with the stapling head assembly to staple tissue. The anvil comprises a head and a shank extending from the head. The shank includes a proximal end, a distal end, a lumen, and an engagement feature. The engagement feature is in communication with the lumen such that the engagement feature is configured to move relative to the axis in response to the rod being directed into the lumen. The engagement feature is configured to selectively couple the shank to the actuator. The proximal end of the engagement feature is radially fixed relative to the axis.

Abstract: A surgical instrument comprising a handle assembly, an elongated portion, a head portion, an approximation mechanism, and a lockout mechanism is disclosed. The handle assembly comprises a movable handle and a stationary handle. The elongated portion extends distally from the handle assembly and defines a longitudinal axis. The head portion is disposed adjacent a distal portion of the elongated portion, and comprises a first jaw member and a second jaw member. The approximation mechanism comprises a drive member disposed in mechanical cooperation with the first jaw member and is configured to longitudinally move the first jaw member in relation to the second jaw member. The lockout mechanism is configured to selectively permit actuation of the movable handle to eject fasteners from the second jaw member. The lockout mechanism comprises a pin extending from the movable handle and is slidingly engaged with a slot in the drive member.

Abstract: A surgical device is provided that includes a tool assembly having an anvil assembly and a cartridge assembly configured to grasp tissue therebetween, the cartridge assembly including a plurality of surgical fasteners. A motor is configured to fire one or more surgical fasteners. A sensor determines a first parameter of the tool assembly and a control system adjusts a second parameter of the motor used to fire the one or more surgical fasteners based on the first parameter detected by the sensor.

Abstract: A surgical stapling assembly comprising an anvil, a firing member, and a replaceable cartridge is disclosed. The replaceable cartridge comprises a longitudinal slot, a first row of staple cavities, a second row of staple cavities, first staples, second staples, staple drivers, and a sled. The sled comprises a plurality of first rails positioned on a first side of the longitudinal slot and a plurality of second rails positioned on a second side of the longitudinal slot. The first rails are configured to lift the drivers toward the anvil to deform the first staples to a first formed height and the second staples to a second formed height. The first formed height is different than the second formed height. At least one first rail of the plurality of first rails comprises a height which is different than the height of another first rail of the plurality of first rails.

Abstract: A staple cartridge for use with a stapling device that has an actuator that is selectively actuatable in an axial direction and an anvil portion that is selectively movable between open and closed positions is disclosed. Various embodiments of the present invention include a cartridge body that movably supports first and second staple drivers. The staple drivers each support a staple thereon and serve to drive the staples into forming contact with the anvil upon actuation by the actuator. The various embodiments of the present invention enable the final formed heights of the staples to be varied so as to apply various clamping forces and pressures to soft tissue captured within the staples. In at least one embodiment, the staples can include crowns formed thereon which can be utilized to adjust or control the clamping force and/or pressure applied by the staples.

Abstract: A surgical device comprising a first jaw member, a second jaw member, a clamping member and a clamp apparatus is disclosed. The clamping member is slidably positioned to translate at least partially through the first jaw member. The clamping member engages the first jaw member and the second jaw member, and has a knife blade for cutting tissue. A flange of the clamping member is configured to engage a cam surface to pivot the second jaw member with respect to the first jaw member from an open position toward an approximated position. The clamp apparatus is movable from a retracted position to an advanced position for preventing a gap between proximal portions of the first jaw member and the second jaw member from exceeding a predetermined distance. The clamping member and the clamp apparatus are separately movable.

Abstract: According to one aspect of the present disclosure, a surgical instrument is disclosed. The instrument includes a handle portion, a body portion extending distally from the handle portion and defining a first longitudinal axis and a loading unit. The loading unit includes a tool assembly, the loading adapted to be coupled to the body portion. The instrument also includes a sensor tube movably positioned within the body portion, the sensor tube adapted to engage the loading unit and a load switch coupled to a microcontroller. The load switch is adapted to be actuated by the sensor tube when the sensor tube is engaged by the loading unit being inserted into the body portion.

Abstract: A staple cartridge assembly comprising an implantable layer is disclosed. The implantable layer comprises a top portion, a bottom portion, and structural walls interwoven between the top portion and the bottom portion.

Abstract: A circular anastomosis stapler is provided and includes a handle assembly having a firing trigger that is actuatable between a first firing stroke and a second firing stroke. A shell assembly includes a pusher assembly having a main pusher, a staple pusher and a knife pusher. A compressible member positioned between the main pusher and the knife pusher is movable between a first configuration for advancing the staple pusher through the first firing stroke to drive at least one staple from the shell assembly to staple tissue and a second configuration for advancing the knife pusher through the second firing stroke to drive a knife from the shell assembly to core the stapled tissue.

Abstract: A surgical stapling system kit is disclosed which comprises a first module comprising, one, a first display system configured to display a first set of data regarding the operation of the first module and, two, a first attachment portion. The kit further comprises, one, a second module comprising a second display system configured to display a second set of data regarding the operation of the second module and, two, a second attachment portion attachable to the first module. The kit further comprises a third module comprising, one, a third display system configured to display a third set of data regarding the operation of the third module and, two, a third attachment portion attachable to the third module to the first module.

Abstract: The present invention relates to a spring to return more quickly the jaws of a gripper assembly of a delivery system for deploying an embolic coil. Each of the jaws and spring are formed of shape memory alloy configured to be movable between a first position and a second position and returning to the first position, with the spring tension increasing the speed of the return to the first position of the jaws of the gripper assembly. The gripper assembly may be used to insert, retract, reconnect, and rapidly disconnect from the embolic coil.

Abstract: A laparoscopic clip applier comprising multiple clips housed in a rigid sleeve, where the arms of the clips are oriented lengthwise in the sleeve, and a deployment mechanism for deploying the clips from a distal end of the sleeve via a perforation made by a needle provided with the distal end of the sleeve.

Abstract: An apparatus for application of surgical clips to body tissue is provided and includes a handle assembly and a shaft assembly. The handle assembly includes a drive assembly; and a trigger operatively connected to the drive assembly. The shaft assembly extends from the handle assembly and includes an articulating neck assembly; and an end effector assembly supported on a distal end of the articulating neck assembly and being configured to form a surgical clip in place on the body tissue.

Abstract: A pre-fabricated pneumatic tourniquet apparatus and related methods are provided. The tourniquet is easy to apply, ensures consistent and even circumferential pressure, is light weight, provides standard life saving operation, and can be utilized in any setting or situation. The pneumatic tourniquet apparatus is comprised of a bladder, a reservoir chassis, a retaining cover, a receiver and a slider. The bladder is elongated in shaped—long enough to wrap around most human limbs.

Abstract: The Vertebral Osteotomy Saw Guide allows precise osteotomies to be performed through the vertebral column in conjunction with a thread-wire saw. The guide is designed so that it can mount to rods commonly used during spinal surgery for spinal stabilization. The mount of the guide is a polyaxial mount, allowing the angle of the guide mount to be adjusted and locked to create a desired cutting plane to produce a precise osteotomy. The guide itself consists of two interdigitated pulley wheels that allow the thread-wire saw to pass smoothly through the guide. The simple, but unique design of the guide allows a surgeon to perform an osteotomy through the vertebral column cutting from one side of the vertebral column to the other. This unique orientation allows the osteotomy to be performed away from critical structures in the region (the spinal cord, aorta, and inferior vena cava).

Abstract: A spiked head assembly for a tibial jig for use during an orthopedic surgical procedure, includes a body and a mount for mounting the spiked head assembly on the tibial jig. The spiked head assembly comprises an elongate member having a central longitudinal axis, a first end and a second end and superior and inferior surfaces. The elongate member also has least one securing spike provided on the inferior surface towards the second end of the elongate member and configured to engage with a bone mass and arms extending from the elongate member in a direction perpendicular to the inferior surface. The arms are spaced apart from a plane that includes the central longitudinal axis and extends substantially perpendicularly to the inferior surface, so that the arms and the inferior surface define an access space for the surgical procedure.

Abstract: A system for generating a model of a patient specific cut guide instrument for harvesting a graft comprises a model of a graft defined by an implant interface surface, a bone interface surface, and a spatial geometry therebetween, the model being specific to a patient.

Abstract: A method of preparing a region between adjacent bones for fusion. A first aperture is formed that extends through one of the bones. An undercutting system is inserted into the first aperture. The undercutting system includes an insertion apparatus and a cutting assembly. A first path is cut between the adjacent bones by extending or retracting the cutting assembly with respect to the insertion apparatus.

Abstract: Tap guide assembly devices, systems, and methods are disclosed herein. A tap guide assembly can have a body assembly, a tension pin assembly, a tension spring, and a setscrew. The body assembly can have an elongate body and a drill bushing. The drill bushing can have a diameter that is less than the diameter of the elongate body and can be positioned within a portion of the elongate body. The tension pin assembly can have a pin and a collar and can be configured to be received within the body assembly. The tension spring can be positioned proximate to the collar. The setscrew can be securely positioned proximate to the tension spring and within the second opening of the elongate body.

Abstract: A customised patient-specific 4-in-1 femoral finishing cutting jig comprising a cutting block which is configured to be placed, in use, in contact with the distal resection surface of a femur; the jig being characterised in that it comprises a reference means which is connected to said block; wherein the reference means is configured to position, in use, said block relative to the distal resection surface in a predetermined and patient-specific manner; wherein the reference means comprises a first contact element having a first surface which is configured to face, in use, a first femoral condyle and being customised and patient-specific; said first surface is configured to be placed against a respective portion of a first femoral condyle having a corresponding profile.

Abstract: A method of surgically preparing a proximal end of a tibia includes inserting an intramedullary orthopedic surgical instrument into a medullary canal of the tibia, securing an attachment device to the intramedullary orthopedic surgical instrument, attaching a cutting block to the attachment device, resecting the proximal end of the tibia using the cutting block to form a surgically-prepared surface, positioning a tibial base trial on the surgically-prepared surface, and inserting a keel punch through a slot defined in the tibial base trial and into the surgically-prepared surface of the tibia.

Abstract: A device and a method for increasing or restoring a flow in a body lumen are provided. The device and the method may treat conditions like a stroke by removing a clot from a blood vessel and/or reopen the vessel. The device may have a plurality of engaging elements, wires that can link at least two engaging elements, a central wire, and proximal control element. The positions of the engaging elements and the distance there between can be adjusted to ensure the engagement of the clot or occlusion.