Abstract: Provided are an ultrasound diagnosis apparatus and an ultrasound diagnosis method that provide to a user an ultrasound image which is easy to recognize. The ultrasound diagnosis apparatus includes a probe, an ultrasound transmitter configured to transmit ultrasound waves to an object by using the probe, an ultrasound receiver configured to generate ultrasound data based on reflection waves corresponding to the transmitted ultrasound waves, a bio-signal obtaining unit configured to obtain bio-signals that are periodically generated, a data processor configured to obtain first loop image data and second loop image data based on the ultrasound data, and an image generator configured to generate combined data by combining the first loop image data and the second loop image based on the bio-signals.

Abstract: In general, according to one embodiment, an ultrasonic diagnostic apparatus includes an ultrasonic probe, a plurality of power supplies implemented by circuitry, at least one pulser, and a controller implemented by circuitry. The ultrasonic probe includes a plurality of piezoelectric transducers which generate ultrasonic waves in response to supplied driving signals. The pulser outputs the driving signal based on an applied voltage applied from any one of the plurality of power supplies. The controller switches the plurality of power supplies in accordance with the at least one pulser used for generation of the driving signal in one transmission mode period.

Abstract: A system and software application are disclosed for detecting impairment of person under the influence of drugs and/or alcohol. The system may scan the person's eye(s) and measure the pupil for excessive dilation. The system may also record eye movement and check for nystagmus of the eye that indicates the person is under the influence of alcohol.

Abstract: The present invention provides a feces sampling and detecting device and a method for detecting feces based on the feces sampling and detecting device. The device includes a detector, a casse with detecting strips provided in the detector, a collector accommodated in the detector detachably, a feces sampler for sealing the collector detachably, and at least one puncturing part arranged at a bottom of the detector facing one side of the collector. The feces sampling and detecting device can detect collected feces quickly, thereby avoiding feces sample from nature changing in an interval period, and preventing liquid in the collector from entering the detector to influence safety of the device of the present invention.

Abstract: Sample collection apparatus and methods of sample collection are provided, for example saliva collection apparatus and methods of saliva collection. Said apparatus conveniently comprises a filter assembly and an interface for delivering material from the apparatus to an assay unit.

Abstract: A biopsy device is provided having a shaft and a tubular member. The shaft may be movably accommodated within the tubular member and may have a longitudinal axis and a distal end with a bevel. At least two channels are formed within the shaft in a longitudinal direction of the shaft, each channel forming an opening in the bevel surface, wherein an optical fiber is accommodated within each of the channels. Furthermore, a recess for accommodating tissue to be extracted may be formed in the shaft adjacent the distal end of the shaft. The bevel is facing upwardly whereas the recess is facing sidewardly.

Abstract: A biopsy assembly including a biopsy catheter having a proximal portion and a distal portion, a navigation catheter configured to receive the biopsy catheter for positioning the biopsy catheter adjacent target tissue, wherein the biopsy catheter is configured to be received within the navigation catheter, a coring component, and an anchoring component configured to anchor the biopsy catheter to target tissue. The coring component includes a proximal region and a distal region, the distal region formed of one or more distally extending blades and the proximal region being coupled to the distal portion of the biopsy catheter and the one or more blades are configured to penetrate target tissue and sever a tissue sample from the target tissue.

Abstract: A device for closing an aperture in a vessel wall comprising a covering member having a longitudinal axis and positionable inside the vessel against the internal opening of the aperture and a first spherical retainer positionable external of the vessel. The covering member has a dimension to prevent egress of fluid through the aperture.

Abstract: A device for closing an aperture in a vessel wall comprising a covering member having a longitudinal axis and positionable inside the vessel against the internal opening of the aperture and having a dimension to prevent egress of fluid through the aperture and having a first opening. A first retainer is positionable external of the vessel. A flexible connecting member operatively connects the covering member and the first retainer, wherein the first opening of the covering member is configured to restrict movement of the connecting member.

Abstract: Insertion tool for a medical closure device for the sealing of an opening in a wall of a bodily organ, comprising a tamping force source adapted to deliver a first member to a position at the opening on one side of the wall subsequently to a second member being positioned at the opening on the opposite side of the wall. The tamping force source, which is energized prior to the tamping procedure, can be a spring, an elastic band or a pressurized gas container. A tamping spring can be compressed or extended upon loading. The tamping force source can be released in response to a manual operation or be triggered by retraction of the insertion tool.

Abstract: The present technology relates generally to a method and device for closing percutaneous punctures, and more particularly to a multi-lumen tamper for such a device. A closure device for sealing a percutaneous puncture in a wall of a body passageway is disclosed, the closure device including a plug configured to engage a surface of the puncture; a toggle configured to engage an internal surface of the body passageway; an elongate filament configured to associate the plug with the toggle; a locking member configured to engage the plug; and a tamper comprising at least two lumens, wherein a first lumen of the at least two lumens is configured to deliver a pharmaceutical agent to the plug.

Abstract: A device for providing an access opening in a body, in particular for a spinal operation, comprised of a tubular device body (12) that extends along a longitudinal axis (L) of a device body, said body having a distal end (14) that is to be positioned inside a body and a proximal end (16) that is to be positioned outside a body, wherein in the region of the proximal end (16) an optics-carrier arrangement (28) with a movable optics-carrier (36) is positioned or can be positioned to have a path of motion (B) about the longitudinal axis of the device body, characterized in that that the optics carrier arrangement (28) comprises a guideway element (30) that carries the optics carrier (36), said guideway element having a guideway region (34) that can be positioned by means of pivoting about a swivel axis (S) in an operating position in the region of the proximal end (16) of the device body (12).

Abstract: A sequence of access channels to provide access to a surgical site on a spine using: 1) a first retractor adapted to provide an access channel from outside the patient's body; 2) an inserted second retractor with a set of blades with a set of distal tips for insertion into tissue distal to the distal end of the first retractor; and 3) a retractor inserter for use with the second retractor.

Abstract: Described are various embodiments of surgical procedure systems, devices, tools, and methods, useful for treating pelvic conditions such as vaginal prolapse and other conditions caused by muscle and ligament weakness, the devices and tools being useful for accessing a posterior region of pelvic anatomy, and related methods. Such devices can include retractors, introducers, and other devices for accessing desired areas of a patient's anatomy.

Abstract: Meniscal repair devices, systems, and methods are provided.

Abstract: The present disclosure relates to a tissue repair device. The device includes a handle, a knob coupled to the handle, and a needle coupled to the handle. The needle includes a proximal end and a distal end, the distal end including a slot, wherein a first anchor is housed within the distal end and a second anchor is housed within the slot and located proximal to the first anchor. An actuator disposed within the needle and operatively coupled to the knob, wherein advancement of the knob allows for engagement of the actuator with the first anchor and subsequent advancement of the first anchor via the actuator. A method of tissue repair is also disclosed.

Abstract: An apparatus for performing ankle syndesmosis repairs includes, inter alia, a first button, a second button, and a suture connecting the first button and the second button. The first button and the second button are stainless steel buttons. At least one of the first button and the second button is oblong. The suture includes multiple strands that extend between the first button and the second button. A first free end of the suture is tensionable to shorten a length of the suture between the first button and the second button and thereby move the first button and the second button closer together.

Abstract: A tissue fixation system is provided for dynamic and rigid fixation of tissue. A fastener connected with an elongate fastening member, such as a cable, wire, suture, rod, or tube, is moved through a passage between opposite sides of tissue. A medical device is used to secure the fastener to the elongate fastening member. The medical device includes a tensioning mechanism for tensioning the elongate fastening member. As crimping mechanism is used to secure the fastener to the elongated member, where a cutting mechanism cut the excess portion of the elongated member.

Abstract: A ferrule is disclosed for use with a surgical suturing device. The ferrule has a suture interface and a needle receptacle. The ferrule also has one or more indentations protruding into the needle receptacle. The ferrule further has one or more slits adjacent the one or more indentations. Another ferrule is disclosed for use with a surgical suturing device. The ferrule has a suture interface and a needle receptacle. The ferrule also has three indentations protruding into the needle receptacle. The ferrule further has three slits, each of the slits substantially centered between a different pair of indentations from the three indentations, and wherein each of the slits is longer and thinner than any one of the three indentations.

Abstract: An automatic suturing hook apparatus comprises a main body having a movement hole formed on one side surface thereof and having a first protrusion hole formed on the front end thereof; a needle part which is provided inside the main body and protrudes from the first protrusion hole; a slide body which slidably moves through the movement hole from one side surface of the main body to the front end or rear end of the main body and comes into close contact with the front end of the main body; a slide part which is provided inside the main body and slidably moves the needle part provided inside the main body to the outside of the main body; and a first trigger which is provided at the bottom of the rear end of the main body and operates the slide part which is provided inside the main body.

Abstract: A shaft for a medical instrument for a minimally invasive procedure includes a proximal end that is mechanically connectable or connected with an operational device and a distal end that is connectable or connected with a tool, whereby the shaft comprises a bent portion and whereby no plane exists from which the center points of all cross-sections of the shaft are at a lesser distance than one-third of a diameter of the shaft.

Abstract: A looped suture construct is formed by looping a suture on itself and slidably connecting the suture through an anchoring structure such that a looped end and a free end of the suture are on opposite sides of the slidable connection. The anchoring structure may be bone, a suture anchor, or another structure securely attached to bone. The looped end and the free end are passed through the soft tissue to be repaired. The free end is then passed through the looped end. Tension is applied to the free end to draw the soft tissue into contact with the desired bone, whereupon the free end is secured to maintain the tension. The looped suture end remains open and positioned on one side or surface of the soft tissue. Suture anchors of the invention are pre-loaded with at least one suture having a looped end and at least one free end.

Abstract: Various exemplary surgical fasteners are provided, and methods and devices are provided for deploying a surgical fastener. In general, the methods and devices allow a surgical fastener to be deployed to secure tissue to bone. In one embodiment, a surgical fastener can be configured to move between a first linear or compressed configuration, in which the fastener can have a first maximum diameter, and a second bent or expanded configuration, in which the fastener can have a second maximum diameter greater than the first maximum diameter. A delivery device can be configured to advance the fastener through tissue and into bone to attach the tissue to the bone. The delivery device can be configured to maintain the fastener in the compressed configuration such that when the fastener is released from the delivery device, the fastener can be configured to self-expand from the compressed configuration to the expanded configuration.

Abstract: An end effector comprising a staple cartridge and an anvil is disclosed. The staple cartridge comprises a cartridge body including a deck, a cartridge longitudinal slot configured to receive a cutting member, a first set of staple cavities, and a second set of staple cavities. The staple cartridge further comprises staples, longitudinal rows of staple drivers, and an implantable layer assembly releasably attached to the cartridge body. The implantable layer assembly comprises a first layer positioned over the first set of staple cavities and a second layer positioned over the second set of staple cavities. The anvil comprises a plurality of staple-forming pockets comprising a first set of staple-forming pockets and a second set of staple-forming pockets. The anvil further comprises an anvil longitudinal slot comprising a T-shaped opening configured to receive the cutting member. The T-shaped opening extends behind the first set of staple-forming pockets.

Abstract: The present disclosure relates to electromechanical surgical systems configured for use with removable disposable loading units and/or single use loading units for clamping, cutting and/or stapling tissue. A force transmitting assembly of surgical instrument transmits a rotation of a rotatable drive member of the surgical instrument to the rotation receiving member of the end effector. A distal neck assembly of the surgical instrument includes at least one gear system configured to convert a rotational input of the rotatable drive member into at least two output forces to the end effector; and an articulating neck assembly interconnecting the tubular body and the distal neck housing. The articulating neck assembly is configured to enable off-axis articulation of the distal neck assembly. The rotatable drive member extends through the articulating neck assembly.

Abstract: A surgical instrument can comprise a rotary input shaft and a surgical end effector that comprises a first jaw and a second jaw that is movable relative to the first jaw. The surgical instrument can further comprise a firing shaft that operably interfaces with the rotary input shaft. A firing member is movably supported in one of the first and second jaws. A closure member is in threaded engagement with the rotary input shaft such that rotation of the rotary input shaft in a first direction causes the closure member to move the second jaw to the closed position. The closure member remains in threaded engagement with the rotary input shaft to positively retain the second jaw in the closed position while continued rotation of the rotary input shaft in the first direction drives the firing member from a start position to an end position.

Abstract: A surgical stapling device includes an elongated tool assembly having spaced first and second jaws positioned to receive a body organ. The length of the tool assembly (which may have a curved configuration) is selected to receive and staple and/or transect a body organ in a single actuation of the tool assembly.

Abstract: A surgical implant includes at least two porous film layers each having a plurality of pores. The porous film layers are in a stacked configuration and are interconnected to one another at a plurality of attachment points to define at least one void between the porous film layers.

Abstract: Devices and methods for sealing staples in tissue using adjuncts coupled to an individual staple are described herein. In one embodiment, a staple cartridge assembly is described that can include a cartridge body having a plurality of staple cavities, where each staple cavity has a surgical staple disposed therein. The assembly can also include a plurality of adjuncts, where each adjunct is disposed around at least one leg of a surgical staple such that each adjunct forms a seal around the at least one leg of the surgical staple upon deployment of the surgical staple from the cartridge body.

Abstract: A staple cartridge assembly including staples is disclosed herein. The staples comprise features which improve the biocompatibility and/or bioabsorption of the staples. The staples are comprised of a magnesium alloy, for example. The magnesium alloy can also include zinc. In certain instances, a bioabsorbable polymer is coated on part of, but not all of, the staple. Portions of the staple that are not coated by the bioabsorbable polymer will be absorbed at a first rate while portions of the staple that are coated by the bioabsorbable polymer will be absorbed at a slower rate. In various instances, the tips of the magnesium staples are coated with magnesium nitride and/or any other suitable material which can increase the hardness of the staples. In certain instances, the staples are coated in silver. In some instances, the staples include one or more apertures defined therein.

Abstract: A surgical clip applicator includes a universal handgrip and an individual clip magazine having an integrated crimping head, which individual clip magazine can be detachably fastened to the universal handgrip. The universal handgrip and the individual clip magazine fastened thereto interact to form a feed path for the clip transport of individual clips from a clip receiving portion of the clip magazine toward the crimping head, which feed path is defined or individually available for actuation. The individual clip magazine can be selected from a plurality of clip magazines for different clip types as needed. The clip magazine can include an integrated coding mechanism designed depending on the clip type to be applied, which coding mechanism defines in interaction with the universal handgrip at least the feed path adapted to the respective clip type.

Abstract: The present disclosure relates to endoscopic reposable surgical clip appliers having a reusable handle assembly, at least one reusable shaft assembly, and at least one disposable clip cartridge assembly.

Abstract: Tissue anchors comprise a woven filament braid body having an elongated tubular configuration and a foreshortened configuration where proximal and distal ends of the body expand radially into double-walled flange structures while leaving a cylindrical saddle region therebetween. The tissue anchors are deployed through penetrations between adjacent tissue layers, where the flanges engage the outer surfaces of the tissue layers and the saddle region resides within the tissue penetrations.

Abstract: The present invention relates to surgical instruments and methods for enhancing properties of tissue repaired or joined by surgical staples and, more particularly to surgical instruments and methods designed to enhance the properties of repaired or adjoined tissue at a target surgical site, especially when sealing an anastomosis between adjacent intestinal sections so as to improve tissue viability, prevent tissue infection, and to prevent leakage. The present invention further relates to circular stapling instruments and elongated tubular hollow sleeves deployed from such stapling instruments and establishing an enclosure around the stapled and resected tissues at the anastomotic joint.

Abstract: A fastener apparatus includes a handle, an elongate body connected to the handle, a fastener cartridge disposed adjacent the distal end of the elongate body and having at least one fastener, a pusher at least partially disposed within the elongate body, and adapted for longitudinal movement through a firing stroke to eject the at least one fastener from the fastener cartridge, a linear position sensor mounted within the elongate body and dimensioned and positioned to engage the pusher during movement through the firing stroke and being adapted to send at least one output signal representative of strain imparted thereupon by the pusher during the firing stroke, and a controller configured and adapted to determine a position of the pusher within the firing stroke based upon the at least one output signal.

Abstract: Methods for treatment of aneurysms using a sequential manifold console to deploy multiple filling structures are provided herein. In one aspect, aneurysms are treated by simultaneously filling two double-walled filling structure using a sequential manifold console to guide a user in the steps to be followed in the procedure and to reliably achieve a consistent and durable aneurysmal treatment using a curable medium. The structures may be delivered over balloon deployment mechanisms in order to shape and open tubular lumens therethrough. Pairs of filling structures delivered to the aneurysm from different access openings of a patient can be simultaneously prepared and pressurized from a single treatment console when treating abdominal aortic aneurysms using the described systems and methods.

Abstract: A catheter devices/systems and methods therefrom are described herein for treating acute kidney injury, especially the contrast-induced acute kidney injury wherein the devices may prevent the contrast dyes from entering into kidney and/or facilitate blood flow of kidney by said catheter system.

Abstract: The present invention generally provides improved medical devices, systems, and methods, particularly for treating one or both lungs of a patient with an implant, such as a coil, having a strength tuned to a patient's tissue treatment region. More particularly, embodiments of the present invention include a method for treating a lung of a patient with chronic obstructive pulmonary disease. The method comprises determining a regional tissue density of at least a portion of lung tissue of the patient and selecting between first and second coils based on the determined regional tissue density of the portion of lung tissue. In particular, the first coil has a first austenite final tuning and second coil has a second austenite final tuning different than the first tuning. Determining may comprise imaging at least the portion of lung tissue of the patient so as to identify a localized lung tissue density.

Abstract: A means of manufacturing an adjustable radial and ulnar vascular compression wristband that assists in achieving partial or full occlusion of a blood vessel when applied to a patient's wrist during or following a medical procedure by application of preferential compression to portions of the circumference of the wrist.

Abstract: Set suitable for use in a bone-shortening osteotomy of a predetermined distance, the set comprising: an implant (1) with threaded holes (8); an accessory (2) with successively a first segment (5), a second segment (6) and a third segment (7); wherein the first segment comprises first threaded holes (9) and wherein the third segment comprises second threaded holes (9), and wherein the second segment comprises two guides (10) which are each adapted to guide a saw blade (17) so that the osteotomy of predetermined distance (d) can be performed via the two guides.

Abstract: A motorized surgical instrument is disclosed. The surgical instrument includes a control circuit configured to control the movement of an end effector. If the end effector moves outside a predetermined acceptable range, the control circuit may create a dynamic brake to resist the undesired movement of the end effector. The control circuit may apply pulse width modulated (PWM) current to resist the undesired movement of the end effector outside a predetermined acceptable range.

Abstract: The present subject matter relates to a geared instrument. The geared instrument is configured to translate rotation about a first axis to rotation about a second axis. The geared instrument comprises a handle configured to rotate about the first axis. A translation gear is configured to couple to the handle. A stem is coupled to the translation gear and rotates in unison with the translation gear. The translation gear is configured to translate the rotation of the handle about the first axis to rotation of the stem about the second axis. The stem is configured to couple to a modular head.

Abstract: A system for a trajectory and aiming guide for use with fluoroscopy is comprised of a ring holder is with a plurality of connecting arms, a radiolucent ring disk with an outer perimeter wall and a central axle on the bottom surface of the ring disk; a first rotatable disk located below the ring holder and comprised of a handle, a radiolucent disk ring with a central cutout to receive the central axle, the material of the disk comprising an embedded array of a plurality of radiopaque wires and an outer perimeter wall; a second rotatable disk located below the first rotatable disk and comprised of a handle, a radiolucent disk ring with a central cutout to receive the central axle, the material of the disk comprising an embedded array of a plurality of radiopaque wires and an outer perimeter wall; and a locking cap for the axle.

Abstract: A targeting system for aligning an axis of a targeting sleeve and a bore in a distal end portion of an intramedullary nail is proposed, the targeting device comprising a distal targeting arm with a first end being configured to be coupled to a trailing end of an intramedullary nail, an adjusting device, the adjusting device being configured to be coupled to the distal targeting arm. The adjusting device may comprise an adjusting element and a nail follower including two targeting holes each being configured to receive a sleeve assemply. The adjusting element may cooperate with the nail follower such that the positions of the two targeting holes are adjustable so as to correspond to respective locking holes at a leading end of the intramedullary nail, even when the nail is bent.

Abstract: An orthopedic device for a shoulder joint includes a patient-specific alignment guide. The alignment guide includes a cap having a three-dimensional engagement surface customized in a pre-operative plan by computer imaging to be complementary and closely mate and conform to a humeral head of a proximal humerus of a patient. The alignment guide includes a tubular element extending from the cap and defining a longitudinal guiding bore for guiding an alignment pin at a patient-specific position and orientation determined in the pre-operative plan, and an orientation feature on the cap. The orientation feature is designed to orient the cap relative to the humeral head when the orientation feature is aligned with a landmark of the proximal humerus.

Abstract: A short main incision and portal incisions at portal positions strategically displaced from the main incision are provided in a patient's hip. One portal incision (acetabular portal) provides for a disposition of reamers in the patient's acetabulum to shape the acetabulum. A cannula is inserted through the portal incision to the acetabulum and the successive reamers of progressive size are inserted into the acetabulum through the main incision to progressively size and shape the acetabulum. An approximately hemispherical acetabular component is then disposed in the prepared acetabulum to provide for hip rotation relative to the femoral component. The other portal incision (femoral portal) provides for insertion into the patient's hip of a member for driving the femoral stem into a cavity in the patient's femur. The provision of the short main incision and the portal incision minimizes the patient's loss of blood, tissue trauma, length of operating time and patient recovery time.

Abstract: An aspiration device can be used to aspirate an obstruction from a blood vessel. The aspiration device is configured to allow controlled one-handed aspiration yet maintain a syringe plunger feel of vacuum. The aspiration device also allows one-handed injection to empty the device when needed. Furthermore, mechanisms enable one-handed locking of a plunger position of the device to maintain vacuum when the user releases the device.

Abstract: A snare for snaring an article in a vessel of a vascular system or other body vessel. The snare includes a core cable having a proximal end portion and a distal end portion. The snare also includes first, second and third loops each having a proximal end portion and a distal end portion, and a mid-portion therebetween formed by spaced apart first and second sides connected together at the distal end portion of the loop. The mid-portions of each of the loops cross over mid portions of one of the other two loops, and the loops are only connected together at their proximal end portions, where they are gathered together and attached to the distal end portion of the core cable. The loops are movable between an open position and a closed position.

Abstract: This patent document discloses assemblies and methods for removing obstructive material from a body vessel or other cavity. An assembly can include an elongate inner member, an elongate outer member, an aspirator, one or more valves, or a waste collection reservoir. Each of the elongate members can extend from a proximal end portion to a distal end portion and can include a lumen therethrough. The elongate inner member can be partially disposed in the lumen of the elongate outer member and can be moveable along its longitudinal axis relative to the elongate outer member. The aspirator can be in flow communication with the proximal end portion of the elongate inner member for drawing the obstructive material into or through its lumen. The one or more valves can be configured and positioned to allow obstructive material removed from the body vessel or cavity to be urged toward the waste collection reservoir.

Abstract: A clot retrieval device may include an elongate member and an expandable clot engaging element configured to extend across the clot in its expanded state. The expandable clot engaging element may include a first monolithic structure and a second monolithic structure. The first monolithic structure may encircle the second monolithic structure over at least a portion of its length. The second monolithic structure may include a proximal section, an intermediate section, and a distal section. The distal section may include an expansion.