Abstract: Provided are an ultrasound medical imaging apparatus and a method of controlling the ultrasound medical imaging apparatus. The ultrasound medical imaging apparatus includes: an ultrasound probe configured to transmit an ultrasound signal to an object and receive an ultrasound echo signal from the object; at least one processor configured to obtain ultrasound image data by using the ultrasound echo signal and generate ultrasound streaming image data of the object based on the ultrasound image data; and a communicator configured to transmit the ultrasound streaming image data to an external device, wherein the at least one processor is further configured to generate ultrasound still image data based on the ultrasound image data when a preset event occurs, and the communicator is further configured to transmit the ultrasound still image data to the external device.

Abstract: A method of full-field or “ping-based” Doppler ultrasound imaging allows for detection of Doppler signals indicating moving reflectors at any point in an imaging field without the need to predefine range gates. In various embodiments, such whole-field Doppler imaging methods may include transmitting a Doppler ping from a transmit aperture, receiving echoes of the Doppler ping with one or more separate receive apertures, detecting Doppler signals and determining the speed of moving reflectors. In some embodiments, the system also provides the ability to determine the direction of motion by solving a set of simultaneous equations based on echo data received by multiple receive apertures.

Abstract: Disclosed is an ultrasound imaging apparatus and control method thereof, which may improve diagnostic reproducibility and accuracy in diagnosing a fatty liver based on ultrasound images by automatically establishing a region of interest of a liver appearing in the ultrasound image and a region of interest of another internal organ to be compared with the liver, automatically calculating diagnostic parameters for the respective regions of interest, and providing the diagnostic parameters for the user.

Abstract: An ultrasound diagnostic apparatus has: an image acquiring unit that transmits/receives an ultrasound beam from an ultrasound probe to acquire an ultrasound image; a part probability calculating unit that calculates, for the ultrasound image acquired in accordance with a first imaging condition, a probability that a part included in the ultrasound image is a specific part from at least one of an orientation angle of the ultrasound probe or an analysis result of the ultrasound image; and an imaging condition changing unit that changes, when the probability is greater than or equal to a threshold value, the first imaging condition to a second imaging condition for identifying the part for which the probability has been calculated, in which an ultrasound image is further acquired by using the second imaging condition.

Abstract: A system and method for generating a patient-specific organ model is provided. The method may include receiving ultrasound images of an organ and probe position data corresponding with each of the ultrasound images. The method may include receiving identification of landmarks in the ultrasound images corresponding with pre-defined landmarks of a generic geometric organ model. The method may include automatically identifying surface points of the organ in the ultrasound images. The method may include generating a patient-specific ultrasound point cloud of the organ based on the received identification of the landmarks, the automatically identified surface points of the organ, and the probe position data. The method may include registering a point cloud of the generic geometric model to the patient-specific ultrasound point cloud to create a patient-specific organ model. The method may include presenting the patient-specific organ model at a display system.

Abstract: An ultrasound imaging method for generating a visualization image includes an emission and reception step of interleaved ultrasound waves, a processing step during which the received sequences are processed for generating three images via three different process, an image combining step during which the visualization image is determined by combining the three images for simultaneously visualizing the results of all images process.

Abstract: The present disclosure relates to the technical field of medical instruments, in particular to a bodily fluid collector and a bodily fluid collection method. The bodily fluid collector of the present disclosure comprises a collection member and a storage member having a storage chamber. Moreover, the storage chamber of the storage member may be partitioned into a first chamber for receiving a bodily fluid and a second chamber for storing a preservative product separated from each other by fitting a lower end of the collection member with the storage member, such that the isolation of the bodily fluid from the preservative product is no longer dependent on the sealing of a thin film, but only needs to engage the collection member with the storage member, and also such that the mixing of the bodily fluid with the preservative product is no longer dependent on the damage of the thin film by a blade, but only needs to separate the collection member from the storage member.

Abstract: A needle system includes a needle, a needle handle coupled to a proximal end of the needle and a needle stiffening device. The needle stiffening device includes a first handle portion, a second handle portion, a stylet having a distal end component and a shaft component, a fixing component configured to fix a proximal end of the stylet to the first handle portion, a hollow component configured to slidably receive the shaft component of the stylet and a compression device having a proximal end that makes contact with a distal end of the hollow component and a distal end that makes contact with the distal end component of the stylet. A distal end of the second handle portion makes contact with a proximal end of the hollow component within the first handle portion.

Abstract: The present disclosure relates to adapter assemblies for use with and to electrically and mechanically interconnect electromechanical surgical devices and surgical loading units, and to surgical systems including handheld electromechanical surgical devices and adapter assemblies for connecting surgical loading units to the handheld electromechanical surgical devices.

Abstract: This invention is directed to a medical device having an elongate shaft having a distal end and a controller coupled to the shaft. A control member can extend through at least part of the elongate shaft and at least part of the controller, wherein the control member in a tensioned configuration can be moveable by the controller to control the distal end of the shaft and the control member can be slack in an untensioned configuration. A tensioning mechanism can be configured to move relative to at least one of the elongate shaft and the controller to tension the control member and automatically lock the control member in the tensioned configuration.

Abstract: An example closure device is disclosed. The closure device includes a framework including a first end region, a second end region and a medial region extending therebetween. The medical device also includes a biodegradable tissue ingrowth member extending over at least a portion of the framework, wherein the tissue ingrowth member is configured to promote tissue ingrowth thereupon, and wherein the tissue ingrowth is configured to seal an opening in the heart.

Abstract: A surgical stapler including a shipping lock configured to obstruct movement of a drive member is provided. The surgical stapler includes an elongate body, a tool assembly pivotally secured to the elongate body, a drive member movable within the tool assembly between retracted and advanced positions, and a shipping lock releasably secured to the elongate body. The shipping lock includes a projection. When the shipping lock is secured to the elongate body, the projection obstructs movement of the drive member to its advanced position.

Abstract: Devices and methods are disclosed herein for accessing the hip joint. A first device can be securely attached to the capsule of a joint. The first device can tent the capsule to increase the volume of the peripheral compartment. A second device can be biased against the first device to pierce the tented capsule and create a portal. Devices and methods are also disclosed herein for distending the capsule of a joint. A distention device may access a portal established within the capsule. The distention device can expand the capsule by applying an expansive force within the peripheral compartment. The distention device can maintain distention of the peripheral compartment while other devices access the joint.

Abstract: A septal closure and port device for implantation in the atrial septum of a patient's heart comprises an expandable frame can comprise a central portion defining a lumen, and first and second opposing end portions. The frame is configured to expand and contract between a compressed, tubular configuration for delivery through the patient's vasculature and an expanded configuration in which the first and second end portions extend radially outwardly from the opposite ends of the central portion. The device can further comprise a valve member supported on the frame and positioned to block at least the flow of blood from the left atrium to the right atrium through the lumen of the frame. The valve member is configured to permit a medical instrument inserted through the lumen and into the left atrium, such as for performing a subsequent medical procedure in the left side of the heart.

Abstract: Methods and devices for the repair of a ruptured ligament using a scaffold device are provided. Aspects of the invention, may include a scaffold attached by a suture to an anchor. In aspects of the invention, the anchor may be secured to a bone near or at the repair site.

Abstract: A suturing device includes an elongate body, a needle holder, a needle actuator mechanism, and a needle capture mechanism. The needle holder extends away from or is provided as part of a distal end portion of the elongate body. The needle holder defines a needle passage and a distal opening. The needle actuator interacts with a needle to move the needle from a retracted position toward the distal opening. The needle capture mechanism includes a needle capture member having a needle receiving portion. The needle receiving portion is capable of being positioned adjacent to and aligned with the distal opening in the needle holder to receive the associated needle exiting the needle passage through the distal opening and the needle receiving portion is capable of being offset from the distal opening so as to receive tissue between the needle capture member and the needle holder.

Abstract: A wound closure device includes a shaft, a needle, and a housing. The needle includes a first leg portion coupled to a distal end of the shaft, a curved portion, and a second leg portion including a needled end portion terminating at a needle tip. The housing includes a first channel slidingly engaged with the elongated body of the shaft and a second channel slidingly engageable with the second leg portion of the needle. The second channel terminates at an opening defined within a notched section defined in a proximal portion of the housing. The needle is movable to a covered position in which the needle tip is disposed within the second channel of the housing, an advanced position in which the needle tip is disposed distal to the housing, and a retracted position in which the needle tip is disposed within the notched section of the housing.

Abstract: A method for controlling a surgical instrument is disclosed. In at least one instance, the surgical instrument comprises a shroud and the operation of the surgical instrument is modified based on input from a sensing circuit configured to sense a parameter of the shroud. In certain instances, the surgical instrument comprises a strain gage circuit and the operation of the surgical instrument is modified based on input from the strain gage circuit.

Abstract: Implantable materials for use with end effectors like surgical stapling devices, and methods for using the same, are generally provided. In some embodiments, adjunct materials for use with surgical staplers are provided. For example, a kit for stapling tissue is provided that can include a surgical stapler having an end effector. The end effector can have first and second jaws. The kit can include an adjunct material having hydrophobic surface regions and hydrophilic surface regions and the adjunct material can be configured to mate to at least one of the jaws of the end effector. Other implants, devices, and methods for surgical stapling are also provided.

Abstract: An applicator instrument for dispensing surgical fasteners including a housing, an elongated shaft extending from the housing, surgical fasteners disposed in the elongated shaft, a firing system for dispensing the surgical fasteners from the distal end of the elongated shaft, and a trigger coupled with the housing for activating the firing system. The firing system includes a firing rod disposed in the elongated shaft and an energy storing element disposed in the housing for building up energy for dispensing the surgical fasteners from the distal end of the elongated shaft.

Abstract: A surgical instrument is disclosed. The surgical instrument includes an end effector, a user interface, and a control circuit. The end effector is configured to deploy staples into tissue grasped by the end effector and cut the grasped tissue during a firing stroke. The control circuit is configured to cause at least one parameter setting associated with the firing stroke to be displayed on the user interface and cause interpreted information relevant to the firing stroke to be displayed concurrently with the at least one parameter setting on the user interface, wherein the interpreted information is based on external data.

Abstract: A method of compressing tissue during a surgical procedure is disclosed. The method comprises obtaining a surgical instrument comprising an end effector, wherein the end effector comprises a first jaw and a second jaw, establishing a communication pathway between the surgical instrument and a surgical hub, and inserting the surgical instrument into a surgical site. The method further comprises compressing tissue between the first jaw and the second jaw, determining a location of the compressed tissue with respect to at least one of the first jaw and the second jaw, communicating the determined location of the compressed tissue to the surgical hub, and displaying the determined location of the compressed tissue on a visual feedback device.

Abstract: A medical stapler system according to the present invention is equipped with a medical stapler and a staple that closes tissue. The medical stapler is equipped with: a first grasper and a second grasper that have a longitudinal axis and that graspe the tissue therebetween when in a closed state; a holder that retains the staple; a housing body that houses the holder while a needle of the staple projects from a first contact surface of the first grasper; and a drive mechanism that slides the holder along the longitudinal axis. The second grasper has a second contact surface that graspes the tissue between the first contact surface and the second contact surface, a recessed portion that houses the needle without causing penetration or deformation when a closed state, and an anvil against which the needle is pushed and deformed when the closed state.

Abstract: A medical device drive system including a lever body having portions defining a lever body cavity, a nut housing in the lever body cavity, and a first nut at least partially in the first nut cavity. The first nut is slideable in the first nut cavity between an engaged position in which the lead screw interface is engaged with the engagement portion of the lead screw, and a disengaged position in which the lead screw interface is not engaged with the engagement portion of the lead screw. The lead screw interface of the first nut is selectively engageable with the engagement portion of the lead screw by sliding the lever body and pin relative to the first nut housing.

Abstract: A surgical system includes a control circuit, a surgical instrument, and a user interface is disclosed. The surgical instrument includes a plurality of components and a sensor. Each of the plurality of components of the surgical instrument includes a device parameter and is configured to transmit its respective device parameter to the control circuit. The sensor of the surgical instrument is configured to detect a tissue parameter associated with a proposed function of the surgical instrument, and transmit the detected tissue parameter to the control circuit. The control circuit is configured to analyze the detected tissue parameter in cooperation with each respective device parameter based on a system-defined constraint. The user interface is configured to indicate whether the surgical instrument comprising the plurality of components is appropriate to perform the proposed function.

Abstract: A surgical instrument includes an end effector having a first jaw, a second jaw movable relative to the first jaw to grasp tissue therebetween, an anvil, a staple cartridge comprising staples deployable into the tissue, wherein the staples are deformable by the anvil, and a sensor configured to provide a sensor signal according to a physiological parameter of the tissue. The surgical instrument further includes a control circuit coupled to the sensor, wherein the control circuit is configured to receive the sensor signal, and assess proximity of the sensor to cancerous tissue based on the sensor signal.

Abstract: Various cartridge assemblies for surgical instruments are provided. Cartridge assemblies can include active sensors for applying stimuli to a tissue clamped by an end effector of the surgical instrument and a circuit configured to determine a tissue type of the tissue according to a change in the tissue parameter detected by the sensor resulting from a stimulus from the active element. Cartridge assemblies can also include physical features and/or stored data that identify the cartridge. Surgical instruments further can be configured to resolve conflicts when the physical features and/or stored data are not consistent with each other in their identification of the cartridge type.

Abstract: A surgical instrument cartridge is usable with different versions of surgical instruments. The surgical instrument includes a sensor having different output modes and a control circuit coupled to the sensor. The control circuit is configured to determine whether a version of the modular component corresponds to a version of the surgical instrument and cause the sensor to output data detected by the sensor in different output formats that are compatible with the version of the particular surgical instrument in which the cartridge has been inserted.

Abstract: A surgical system is usable in a surgical procedure. The surgical system includes a surgical hub; a powered surgical instrument; and a communication module configured to: receive first data regarding a first surgical activity of the surgical procedure; receive second data regarding a second surgical activity of the surgical procedure; select transmission rates for transmission of the first data and the second data between the powered surgical instrument and the surgical hub based on at least one characteristic of at least one of the first surgical activity and the second surgical activity; and transmit the first data and the second data between the powered surgical instrument and the surgical hub at the selected transmission rates.

Abstract: Surgical devices, systems, and related methods provide automated assessment of the status of a surgical instrument. A surgical device is configured to staple tissue via a replaceable stapler cartridge. The surgical device includes a pusher member configured to articulate the stapler cartridge to deploy staples. The surgical device includes an actuation mechanism that articulates the pusher member and a control unit configured to control operation of the actuation mechanism to attempt move the pusher member from a first position to a second position subject to an output limit for the actuation mechanism and determine an attribute of the stapler cartridge based on an amount of movement of the pusher member achieved. The determined attribute can indicate a type of the stapler cartridge selected from different stapler cartridges, whether the stapler cartridge has already been fired, or that no stapler cartridge is mounted to the surgical device.

Abstract: A dispensing device configured to operate with an adhesive backed mesh and backing film for tissue bonding is disclosed. The dispensing device provides for low-friction, low force pay-out of a desired length of an adhesive backed mesh to a wound site. The device prevents or eliminates distortion of the mesh prior to application to the wound site, and includes means for reducing or eliminating binding during use. The dispensing device is configured to operate in a “forward” mode (substrate to which mesh is applied passes beneath applicator after mesh is applied) to provide essentially an unobstructed view of the wound site during use.

Abstract: A detachable motor-powered surgical instrument. The instrument may include a housing that includes at least one engagement member for removably attaching the housing to an actuator arrangement. A motor is supported within the housing for supplying actuation motions to various portions of a surgical end effector coupled to the housing. The housing may include a contact arrangement that is configured to permit power to be supplied to the motor only when the housing is operably attached to the actuator arrangement.

Abstract: A detachable motor-powered surgical instrument. The instrument may include a housing that includes at least one engagement member for removably attaching the housing to an actuator arrangement. A motor is supported within the housing for supplying actuation motions to various portions of a surgical end effector coupled to the housing. The housing may include a contact arrangement that is configured to permit power to be supplied to the motor only when the housing is operably attached to the actuator arrangement.

Abstract: A detachable motor-powered surgical instrument. The instrument may include a housing that includes at least one engagement member for removably attaching the housing to an actuator arrangement. A motor is supported within the housing for supplying actuation motions to various portions of a surgical end effector coupled to the housing. The housing may include a contact arrangement that is configured to permit power to be supplied to the motor only when the housing is operably attached to the actuator arrangement.

Abstract: A detachable motor-powered surgical instrument. The instrument may include a housing that includes at least one engagement member for removably attaching the housing to an actuator arrangement. A motor is supported within the housing for supplying actuation motions to various portions of a surgical end effector coupled to the housing. The housing may include a contact arrangement that is configured to permit power to be supplied to the motor only when the housing is operably attached to the actuator arrangement.

Abstract: The present disclosure relates to a method for installing a cuff around a target biological structure. The method may include inserting a guidewire through an incision in a patient underneath an exterior surface of a target biological structure, guiding a ramp device over the guidewire to a position underneath the target biological structure such that the target biological structure is partly supported by the ramp device, guiding a cuff deployment tool over the guidewire to the ramp device, the cuff deployment tool comprising an interior volume and a cuff positioned within the interior volume, and causing the cuff from the cuff deployment tool to deploy such that the cuff moves from within the interior volume to an extended position. At least part of the cuff is positioned between the ramp device and the target biological structure in the extended position.

Abstract: A surgical stapling instrument is disclosed. The surgical stapling instrument includes an anvil configured to clamp a tissue, a circular stapling head assembly comprising a first row of staples and a second row of staples, a first staple driver configured to drive the first row of staples, a second staple driver configured to drive the second row of staples, wherein the first and second staple drivers are independently actuatable. A motor is coupled to the anvil. The motor is configured to move the anvil between a first position and a second position. A control circuit coupled to the motor. The control circuit is configured to set a stroke length for the first and second staple drivers to a first length, detect a malformed staple in the first row of staples, and set the stroke length for the second staple driver to a second length.

Abstract: A surgical stapling instrument is disclosed. The surgical stapling instrument includes an anvil configured to clamp a tissue, a stapler configured to drive surgical staples through tissue and form against the anvil, a first sensor to sense a first parameter of the surgical stapling instrument, and a second sensor to sense a second parameter of the surgical stapling instrument. A motor is coupled to the anvil. The motor is configured to move the anvil from a first position and a second position. A control circuit is coupled to the motor and the first and second sensor. The control circuit is configured to execute an electronic lockout process to prevent operation of the stapler based on the first and second sensed parameters.

Abstract: A method of adjusting a staple parameter of a surgical stapling instrument is disclosed. The method includes determining, by a control circuit of the surgical stapling instrument, a first stroke length for a first staple driver of the surgical stapling instrument to drive a first row of staples of a circular stapling head assembly of the surgical stapling instrument; detecting, by the control circuit, a malformed staple in the first row of staples; adjusting, by the control circuit, the staple parameter, based on the detection of the malformed staple; and determining, by the control circuit, a second stroke length for a second staple driver of the surgical stapling instrument to drive a second row of staples of the circular stapling head assembly.

Abstract: A stapler according to the present invention is provided with: a holder provided with an accommodating portion that accommodates a plurality of staples with tips thereof, which pass through a suturing target, directed in one direction; a plurality of pushers that push out the staples accommodated in the accommodating portion in accordance with a plurality of groups thereof; an anvil that presses and deforms the staples pushed out from the accommodating portion by the pushers; driving-force transmitting mechanisms that are respectively connected to the individual pushers, in which the movement thereof in directions other than the directions in which the staples are pushed out is restricted at the individual connection portions, and that transmit driving forces that move the individual pushers toward the anvil.

Abstract: A vaso-occlusion system for occluding an aneurysm includes a delivery catheter having a delivery lumen extending therethrough, a pusher member at least partially extending through the delivery lumen, and a vaso-occlusive device loaded within the delivery lumen, the vaso-occlusive device comprising an expandable braid formed out of a plurality of elongate braid filaments, the elongate braid elements having respective proximal end portions that are formed into a flexible transition section having a proximal end portion attached to a distal end of the pusher member and/or to an elongate central member coupled to, and extending distally of, the pusher member.

Abstract: Delivery systems for liquid embolics and methods of using them are disclosed. The devices generally include a catheter and one or more retention elements to limit migration of the liquid embolic to non-target sites.

Abstract: The invention relates to a balloon catheter device (1) for use in an aorta of a rabbit or a human being. The device (1) comprises a balloon catheter (2), a syringe (3), an actuator (4), a pressure sensor (5), a balloon retracting unit (6), a first control unit (7) and a second control unit (8). The balloon catheter (2) comprises a flexible tube (10) and a balloon (11) at a distal end (12) of the tube (10) and the syringe (3) comprises a chamber (16) containing a fluid, wherein the chamber (16) is connected to a proximal end of the tube (10). The actuator (4) is adapted for increasing/decreasing a volume of the fluid contained within the balloon (11). The pressure sensor (5) is adapted for sensing an inflation pressure of the balloon (11) and the balloon retracting unit (6) is adapted for retracting the balloon (11) out of the aorta.

Abstract: A blade assembly for use with a surgical saw. The blade assembly may comprise a static guide bar, a blade and a drive member, that when actuated, oscillates the blade. The blade may further comprise teeth that extend distally from the static guide bar, the teeth adapted to form a kerf in tissue against which the teeth are pressed. The static guide bar may be dimensioned to fit into the kerf formed in the tissue cut by the teeth. The static guide bar may comprise a thickness dependent on a length of the static guide bar. The blade assembly may be configured such that blade may be the only oscillating component of the blade assembly to provide a generally constant mass moment of inertia irrespective of the mass and/or length of the static guide bar.

Abstract: A surgical assembly, a stabilisation plate and methods are disclosed. The surgical assembly comprises: a jig (100) comprising a body having a tissue-engaging surface shaped to be received by tissue to be re-orientated by a correction factor, said body defining a plurality of alignment apertures, said plurality of alignment apertures being orientated to be parallel with respect to each other on application of said correction factor. In this way, it is possible to determine from the jig itself when the desired correction factor, rotation or displacement has been applied correctly because the alignment apertures become parallel, thereby avoiding the need for additional operative measurement and/or imaging.

Abstract: A guide for an implant site in bone. The guide includes a bone mating surface configured to engage a prepared bone surface at the implant site to position the guide at a predetermined orientation, and a patient-specific surface configured to engage a predetermined portion of a specific patient's natural anatomy to position the guide at the predetermined orientation.

Abstract: A surgical instrument including a tool, a handpiece, and a locking member. The handpiece includes both a coupling member configured to cooperate with the tool, and a driver for rotating the tool. The locking member is movable from an unlocked position to a locked position in response to centrifugal force generated during rotation of the locking member. The locking member is configured to secure the tool to the handpiece when in the locked position.

Abstract: Apparatuses and methods for microfracture (e.g., forming a plurality of microfractures in a bone to encourage cartilage regeneration). Some of the present apparatuses and methods are configured to create microfractures with smaller transverse dimensions (e.g., diameters) and greater depths than previously known. Some of the present apparatuses and methods comprise a penetrator removal tab coupled to the penetrator and configured to retract the penetrator relative to the cannula.

Abstract: An osteotome is provided that is designed for implanting and extracting medical device implants. The osteotome includes a handle, a blade attachment assembly about a first end of the handle for receiving a blade, and a wing assembly about a second end of the handle opposite the first end. The wing assembly further includes a wing extending outwardly from the handle.

Abstract: An orthopedic drill bit includes a cutting head formed to include diametrically opposed cutting lips leading to a central point and away to a radiused periphery to center said bit. The drill includes flutes extending from a cutting end, said flutes having a dulled periphery to prevent out of round holes. The flute design increases in width progressively from the tip up the shank, to maintain an adequate and unrestricted space for chips to easily move upward, preventing the chips from being compressed into a smaller opening while maintaining the tapered depth of the flutes for strength.