Abstract: A power source delivers oscillating electrical energy to an electrical conductor, such as a wire or catheter, which is coated circumferentially with a ferromagnetic material in a selected region. With high frequency electrical energy, the ferromagnetic material has a quick response in heating and cooling adjustable by the controllable power delivery. The ferromagnetic material can be used for separating tissue, coagulation, tissue destruction or achieving other desired tissue effects in numerous surgical procedures.

Abstract: An electrosurgical unit including a radio frequency generator configured to generate electrosurgical energy. The radio frequency generator includes a first receptacle configured to electrically couple with an electrosurgical hand piece configured to deliver bipolar radiofrequency energy. A second receptacle is included and configured to electrically couple with an electrosurgical hand piece configured to deliver monopolar radiofrequency energy. The radiofrequency generator includes a relay circuit configured to allow simultaneous radiofrequency energy delivery to the electrosurgical hand pieces in the first receptacle and the second receptacle.

Abstract: A coating and devices using the coating are provided. The coating is applied in liquid form and dried or otherwise cured to form a durable adherent coating resistant to high temperatures and having optional hydrophobic properties. The coating formulation contains an aqueous formulation of silica, one or more fillers, and sufficient base, (e.g., potassium hydroxide), to have a pH exceeding about 10.5 during at least part of the formulation process. The formulation may contain a compound(s) that affects surface free energy, energy to make the cured coating hydrophobic. Such compounds include silanes containing halogens (e.g., fluorine or chlorine) and in particular silanes containing one or more hydrolyzable groups attached to at least one silicon atom and a group containing one or more halogens (e.g., chlorine or fluorine). A medical instrument (e.g., electrosurgical instrument) may be at least partially covered by a coating using the formulation.

Abstract: An electrosurgical device having an electrode with a first portion whose exterior is electrically uninsulated, a second portion whose exterior is electrically insulated, and a third portion. An elongated hollow body has an internal cavity, a front end, a rear end, an external surface. An electrical circuit is arranged within the body. The second portion of the electrode is not surrounded by the hollow body. A first button is arranged on the external surface of the body for controlling a current flow at a first level. A vacuum tube is slidably engaged by the body. The vacuum tube is configured with a blade holder to reversibly receive the third portion of the electrode such that electrical contact is made between the electrode and a conductor which is connected to the electrical circuit by electrical connector. A vacuum outlet port is arranged near the rear end, and the outlet port, internal cavity, and vacuum inlet are in fluid communication with each other.

Abstract: A surgical instrument includes a reusable component and a limited-use component releasably engagable with the reusable component. The limited-use component is configured for one or more uses and includes a clocking mechanism configured to count each engagement of the reusable component and the limited-use component to one another. The clocking mechanism is incrementally transitionable upon each successive count from one or more uses state, wherein the clocking mechanism permits both mechanical engagement and electrical coupling of the reusable component and the limited-use component to one another, to a spent state, wherein the clocking mechanism inhibits both mechanical engagement and electrical coupling of the limited-use component and the reusable component to one another.

Abstract: Described here are systems and methods for affecting tissue within a body to form a lesion. Some systems comprise tissue-affecting devices, devices that guide the advancement of the tissue-affecting elements to a target tissue region, devices that locate and secure tissue, and devices that help position the tissue-affecting devices along the target tissue. The methods described here comprise advancing a first tissue-affecting device to a first surface of a target tissue, advancing a second tissue-affecting device to a second surface of the target tissue, and positioning the first and second devices so that a lesion may be formed in the tissue between them. In some variations, the devices, systems, and methods described here are used to treat atrial fibrillation by ablating fibrillating tissue from an endocardial surface and an epicardial surface of a heart. Methods of closing, occluding, and/or removing the left atrial appendage are also described.

Abstract: A method, including selecting a first maximum radiofrequency (RF) power to be delivered by an electrode within a range of 70W-100W, and selecting a second maximum RF power to be delivered by the electrode within a range of 20W-60W. The method also includes selecting an allowable force on the electrode within a range of 5 g-50 g, selecting a maximum allowable temperature, of tissue to be ablated, within a range of 55° C.-65° C., and selecting an irrigation rate for providing irrigation fluid to the electrode within a range of 8-45 ml/min. The method further includes performing an ablation of tissue using the selected values by initially using the first power, switching to the second power after a predefined time between 3 s and 6 s, and terminating the ablation after a total time for the ablation between 10 s and 20 s.

Abstract: Devices and methods for cooling microwave antennas are disclosed herein. The cooling systems can be used with various types of microwave antennas. One variation generally comprises a handle portion with an elongate outer jacket extending from the handle portion. A microwave antenna is positioned within the handle and outer jacket such that cooling fluid pumped into the handle comes into contact directly along a portion of the length, or a majority of the length, or the entire length of the antenna to allow for direct convective cooling. Other variations include cooling sheaths which form defined cooling channels around a portion of the antenna. Yet another variation includes passively-cooled systems which utilize expandable balloons to urge tissue away from the surface of the microwave antenna as well as cooling sheaths which are cooled through endothermic chemical reactions. Furthermore, the microwave antennas themselves can have cooling lumens integrated directly therethrough.

Abstract: A microwave applicator device comprising a probe (11) for ablating the body of a human or animal, a cooling passage (20,21) extending through the probe (11) and arranged to carry a cooling fluid, a pump (71) for pumping the fluid through the probe (11), and an elongate flexible duct (104) extending between the pump (71) and one end of the cooling passage (20,21), the pump comprising a pump body (73) including a motor (120) and a pump head (72) detachably mounted to the pump body (73), the pump head (72) comprising a first port (86) connected to a proximal end of the elongate flow duct (104), a second port (85) and fluid propulsion means (84,92) for creating a flow of fluid between the ports (85,86) and along the elongate flow duct 104 upon energization of the motor (120), the pump head (72) being arranged to sealingly contain the fluid. The pump head (72), the elongate flexible duct (104) and the probe (11) form a replaceable assembly that can be detached from the pump body (73) and discarded following use.

Abstract: In one aspect of the present disclosure, a laser fiber may include an optical fiber. The optical fiber may include a proximal portion. The optical fiber also may include a distal portion having a distal end. The optical fiber may be configured to transmit laser energy from the proximal portion to the distal portion for emission of the laser energy from the distal end. The optical fiber also may include a distal tip surrounding the distal portion to protect the distal portion. The distal tip may include a sheet glass material having a laser energy emitting surface. The laser energy emitting surface may be defined by a chemically-strengthened surface layer.

Abstract: A system for ablation and removal of occlusions from blood vessels is provided. Laser cutting systems and mechanical cutting systems are provided in catheter devices, the cutting systems operable to ablate, cut, dislodge, and otherwise remove occlusions within a blood vessel that may limit or prevent proper circulation. Aspiration systems are further provided, the aspiration systems operable to remove ablated, cut, or dislodged material through a primary orifice at the distal end of the catheter and/or through an auxiliary orifice, which may be on the side of the catheter.

Abstract: Systems and methods are disclosed for creating an interactive tool for determining and displaying a functional relationship between a vascular network and an associated perfused tissue. One method includes receiving a patient-specific vascular model of a patient's anatomy, including at least one vessel of the patient; receiving a patient-specific tissue model, including a tissue region associated with the at least one vessel of the patient; receiving a selected area of the vascular model or a selected area of the tissue model; and generating a display of a region of the tissue model corresponding to the selected area of the vascular model or a display of a portion of the vascular model corresponding to the selected area of the tissue model, respectively.

Abstract: A method of planning a procedure to fasten an implant to a bone includes displaying a model of the bone and a model of the implant on a display device. The model implant is positioned on the model bone in a desired implant position. A first boundary volume of a first fastener configured to fasten the prosthesis to the bone is also displayed on the display device. The first boundary volume represents a range of possible positions that the first fastener may have with respect to the prosthesis when fastened to the bone. The boundary volume may be used to determine a desired size, shape, and/or positioning of the fastener with respect to the bone.

Abstract: Devices and methods for performing a surgical step or surgical procedure with visual guidance using an optical head mounted display are disclosed.

Abstract: A computer-assisted surgery (CAS) system for tracking an orientation of a pelvis comprises at least one instrument, the instrument having an acetabulum abutment end adapted to be received in an acetabulum, a rim abutment adapted to be abutted against a rim of the acetabulum, and an indicator representative of a physical orientation of the instrument. An inertial sensor unit is connected to the at least one instrument, the inertial sensor unit producing readings representative of its orientation.

Abstract: An attachment mechanism for a rotating surgical tool includes a mounting body defining a tool passage therein and configured for connection to a non-rotational component of the surgical tool, such that the tool passage is concentric about a rotational component of the surgical tool. The attachment mechanism further includes a ring arranged around the tool passage and rotatably connected to the mounting body. A mounting arm is attached to the ring such that rotation of the ring relative to the mounting body sets a desired circumferential position of the mounting arm relative to the tool passage, the mounting arm being configured to receive a tracking system emitter. An engagement mechanism is operable between the ring and the mounting body to maintain the desired circumferential position of the mounting arm.

Abstract: The present invention provides a device and method for measuring tissue deformation during an invasive medical procedure. A device is provided comprising a flexible fiber having a proximal end and a distal end; at least one sensor embedded in the flexible fiber; a rigid mount having a transverse opening for the flexible fiber; a mechanism for inserting the flexible fiber into a tissue; a detector for receiving information from the sensor; and a tracking system for receiving information from the detector to calculate the sensor location.

Abstract: Provided is a medical robot arm apparatus including a plurality of joint units configured to connect a plurality of links and implement at least 6 or more degrees of freedom in driving of a multi-link structure configured with the plurality of links, and a drive control unit configured to control driving of the joint units based on states of the joint units. A front edge unit attached to a front edge of the multi-link structure is at least one medical apparatus.

Abstract: Various embodiments of tool assemblies are provided having at least one rotary input coupling and at least one linear input coupling for allowing either a rotary output or a linear output (e.g., from a tool driver on a surgical robot) to activate at least one mechanism of the tool assembly. For example, mechanisms of the tool assembly can include a clamping assembly, a firing assembly, an articulation assembly, and a roll assembly. The clamping assembly can open and close jaws of an end effector, the firing assembly can translate a knife assembly through the end effector to fire staples and cut tissue, the articulation assembly can articulate the end effector, and the roll assembly can rotate the elongate shaft and/or the end effector.

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

Abstract: A medical robotic system has a robotic arm holding a medical device, and a control system for controlling movement of the arm according to operator manipulation of an input device. If the medical device is being commanded to a state exceeding a limitation by a threshold amount, then the control system disengages control of the medical device by the input device, servos the arm so that it remains in its current state, servos the input device so that it is set at a position such that a force being applied on the input device remains at its current level, requests the operator to lighten hold of the input device, sets a parameter associated with the input device upon detecting such lightened hold so that the medical device is commanded to a different state that does not exceed the limitation, and reengages control of the medical device by the input device.

Abstract: A spinal implant system includes a spinal implant template having a base connected to vertebral tissue and a member movable relative to the base. The member includes a sensor configured to identify coordinates of one or more bone fasteners connected with the vertebral tissue. An implant bending device includes work surfaces engageable with a spinal implant to manipulate the spinal implant to a selected implant configuration based on the coordinates. Surgical instruments, spinal constructs, implants and methods are disclosed.

Abstract: A parallel kinematic mechanism apparatus includes a frame, a handle and an input joint that connects having at least two independent and functionally parallel paths for transmission of motion coupling the handle to the frame. A first path includes a first intermediate body connected to the frame by a first connector and to the handle by a third connector while the second path that is independent from the first path includes a second intermediate body that is connected to the frame by a second connector and to the handle by a fourth connector. The first connector and the fourth connector both allow rotation in a first rotational direction and restrict rotation in a second rotational direction and the second and third connectors allow rotation in the second rotational direction and restrict rotation in the first rotational direction.

Abstract: A cover for a rotary tool allows a non-sterile rotary tool to be used in a sterile field. The cover comprises a flexible enclosure of a sterilizable material and a rotary pass through extending through a wall of the flexible enclosure. A rotary tool within the flexible enclosure is coupled to drive an inner rotatable member on the rotary pass through. The cover prevents the tool (which may not be sterile) from coming into direct contact with anything in a sterile field.

Abstract: The present invention relates to a kit and an assembly for the storage and transportation of medical equipment including endoscopes, as well as a method for storing and transporting endoscopes. In particular, the present invention relates to a support tray (1) for endoscopes, a barrier sheet (264, 764, 864, 967 and 978) and a kit for the transportation of endoscopes comprising a support tray and barrier sheet. A kit for the transportation and storage of an endoscope comprises a rigid support tray and barrier means.

Abstract: An endolumenal robotic system provides the surgeon with the ability to drive a robotically-driven endoscopic device to a desired anatomical position in a patient without the need for awkward motions and positions, while also enjoying improved image quality from a digital camera mounted on the endoscopic device.

Abstract: An endolumenal robotic system provides the surgeon with the ability to drive a robotically-driven endoscopic device to a desired anatomical position in a patient without the need for awkward motions and positions, while also enjoying improved image quality from a digital camera mounted on the endoscopic device.

Abstract: An illuminated medical system comprises a medical instrument and a light transmitting waveguide. The waveguide projects lights from a distal portion of the waveguide toward a target area. The waveguide is formed primarily of a cyclic olefin copolymer or a cyclic olefin polymer.

Abstract: An air frame system includes a frame body defining one or more openings, a plurality of air passages along an inner periphery of the one or more openings, and an airframe grid coupled to the frame body. The airframe grid includes at least one wireway channel therein and a wireway channel cover clip is removably coupled to the at least one wireway channel. The air frame system also includes a light assembly removably coupled to the airframe grid, and a retainer clip removably coupled to the airframe grid. The airframe grid retains the light assembly within the airframe grid.

Abstract: A kit for performing a reduced radiation percutaneous procedure is provided. The kit includes a needle access device having a needle connected to a hub portion having an opaque cap portion, a non-opaque body portion positioned between the opaque cap portion and the needle, and a channel extending through the opaque cap portion; a sticker having an adhesive side adapted to adhere to the skin of a patient, and a display surface opposite the adhesive side configured to enhance visualization of the sticker in low light; and a guidewire having a floppy portion with a distal end, an intermediate region connected to the floppy portion, such that the intermediate region is less floppy than the floppy portion; and an ultrasonic-profile-enhancing feature disposed within 3 centimeters of the distal end of the floppy portion.

Abstract: A computer-assisted medical device includes an articulated arm with a plurality of joints and a control unit coupled to the articulated arm. The control unit is configured to send a command to a plurality of brakes in the articulated arm to begin a release of the plurality of brakes in a predetermined staggered manner. In some embodiments the predetermined staggered manner prevents the simultaneous release of the plurality of breaks. In some examples, the predetermined staggered manner causes each brake in the plurality of brakes to release within a predetermined time of each other. In some embodiments, the first predetermined staggered manner causes each brake in the first plurality of brakes to release within a predetermined time of each other. In some embodiments, the first predetermined staggered manner causes each brake in the first plurality of brakes to begin a gradual release within a predetermined time of each other.

Abstract: A bone foundation guide with a bone foundation guide body contoured to guide a cutting implement to alter an exposed bone of a dental surgical site. The bone foundation guide body may form an encircled open surgical space that continuously connects a top and a bottom of the bone foundation guide body. The bottom may be further contoured to affix to the exposed bone of the dental surgical site while the top is further adapted to support a dental implant surgical guide or in the alternative a cutting containment guard. The cutting containment guard may have a cutting channel for receiving the exposed bone when the cutting containment guard is combined with the bone foundation guide body. The combination forms a cutting slot for guiding a cutting edge of a cutting implement to alter the exposed bone from the dental implant surgical guide.

Abstract: There are disclosed methods for the restoration of a decayed portion of a tooth, and dental matrices, dental wedges, interdental matrix stabilizers, dental separator rings, dental curing light devices, and kits that can be used in the methods for the restoration of a decayed portion of a tooth.

Abstract: Method and system for managing multiple impressions of a patient's jaw for an orthodontic treatment is provided. The method includes scanning at least a first impression and a second impression of same jaw for the orthodontic treatment; determining if the first jaw impression and the second jaw impression have distortion in different areas; selecting the first jaw impression or the second jaw impression as a base impression; and replacing a distorted tooth data from the base impression with data for the same tooth from a non-base impression. The method also includes scanning at least a first jaw impression for the orthodontic treatment; scanning a bite impression for the orthodontic treatment; matching the scanned first jaw impression with the scanned bite impression; comparing bite information with a tooth occlusal surface; and determining if reconstruction is to be performed on the tooth occlusal surface.

Abstract: The invention relates to an orthodontic device which is particularly economical and as small as possible, and which has hooks and a small tube, produced from a sheet metal plate using stamping and bending techniques and without the use of welding or soldering. The orthodontic device comprises a base plate having a flat region with a gingival and an occlusal edge. An occlusal rolling forms the small tube. The gingival edge has a counter-directional rolling. Concave cuts are formed in the side edges in order to form wing-shaped hooks. Both rollings can hold an applicator/protector, with which the orthodontic device is protected during adhesion, and can then be applied to a tooth in the correct orientation.

Abstract: The various embodiments described herein include a method for applying a set of orthodontic brackets to a set of teeth of a patient. The method includes: (1) for each tooth in the set of teeth, determining an optimal orientation for a respective orthodontic bracket in the set of orthodontic brackets to be mounted to the tooth; (2) producing a bracket applicator configured to mount each orthodontic bracket in the set of orthodontic brackets to the respective tooth in the set of teeth in the respective optimal orientation; and (3) mounting the set of orthodontic brackets to the set of teeth using the bracket applicator and a bonding material.

Abstract: An orthodontic appliance includes features for reducing friction between an interior of an archwire slot portion of the appliance and an archwire to be placed within the archwire slot. Other embodiments include a rounded exterior occlusal surface. Embodiments further include one or more receptacles for receiving an installation tool.

Abstract: A 3D virtual model of an intra oral cavity in which at least a part of a finish line of a preparation is obscured is manipulated in virtual space by means of a computer or the like to create, recreate or reconstruct finish line data and other geometrical corresponding to the obscured part. Trimmed virtual models, and trimmed physical models, can then be created utilizing data thus created. The virtual models and/or the physical models may be used in the design and manufacture of copings or of prostheses.

Abstract: A blank which is provided for producing dental shaped parts such as crowns, bridges, veneers, abutments and the like, already has at least one preform of a dental shaped part, which is available for producing this shaped part. In particular, the preforms in the blank are prepared by machining of the blank, preferably by cutting, sawing, grinding, drilling and/or milling. The preforms are in particular preforms for single crowns.

Abstract: Provided is a method for quickly producing a dental prosthesis with a good accuracy. The method for producing a dental prosthesis including: a melting step of melting a material including no less than 60.0 mass % and no more than 80.0 mass % of SiO2, no less than 10.0 mass % and no more than 20.0 mass % of Li2O, and no less than 5.1 mass % and no more than 10.0 mass % of Al2O3; a glass blank production step of cooling to solidify the molten material to obtain a glass blank; a lithium disilicate blank production step of heating the glass blank to obtain a lithium disilicate blank whose main crystalline phase is lithium disilicate; and a processing step of processing the lithium disilicate by machining.

Abstract: A compact oral hygiene device includes a unique mini constant jet pump which integrated with a motor, has three diaphragm chambers, draws the fluid from a reservoir and propels fluid out from a buffer room to tips at constant pulseless, high efficiencies and low noise; and a plurality of exchangeable tips cleanses teeth and the interdental area.

Abstract: An injector for injecting pellets includes a main body, a delivery opening which is formed on the main body and to which a hollow-bore needle can be connected and a magazine guide formed in the main body for a magazine which, for accommodating the pellets, comprises several barrels. Each barrel includes a hollow cylindrical compartment with an open front end and an open rear end. The magazine guide brings the magazine, barrel by barrel, into an injection position, in which a plunger of the injector can be introduced into the barrel via the rear end of the barrel positioned in the injection position and moved in the direction of the delivery opening in order to deliver the pellet provided in the barrel via the delivery opening. A drawer is formed in the main body for accommodating a replacement hollow-bore needle.

Abstract: A device to administer multiple capsules or pills or a combination of capsules or pills into the mouth of an animal. The device is gravity fed and is composed of seven parts. The parts are: (i) a molded tee handle, (ii) a molded trigger pin (tee handle), (iii) a spring pin (trigger release pin) which is part of the molded trigger; (iv) a torsion spring; (v) a tube which can be 6 inches long with an outer diameter such as ½ inch with varying inner diameters resulting from different interior thicknesses of the barrel; (vi) a ? inch ID#4 pan head screw; and (vii) a ? inch diameter disc.

Abstract: A method for monitoring oestrus of a cattle animal, for example a cow. The method includes: a) collecting activity data of the animal, b) computing a current activity level based on the activity data, c) deciding whether to generate an oestrus attention signal by comparing at least one current activity level to a corresponding baseline activity level. The computing b) further includes b1) detecting travelling movements of the animal and b2) correcting the baseline activity level for detected travelling movements.

Abstract: A medical device includes an elongate member configured to be at least partially disposed within a body of a patient. The elongate member has an outer surface. The outer surface of the elongate member has a first ridge and a second ridge.

Abstract: An apparatus for treating urinary incontinence, comprising a node; a support section adapted for providing urethral support attached to the node; and, an anchoring section adapted for resisting movement of the apparatus attached to the node; wherein the node is no longer than 30% of the entire length of the apparatus comprising the node, support section and the anchoring section together.

Abstract: The invention relates to a prosthesis (1) comprising a textile (2) of elongate shape defining a longitudinal axis A, and a resilient frame (3) connected to said textile along substantially the peripheral edge of the textile, said frame forming, in the area of each short side of the textile, at least one U-shaped bend (4) extending in the direction of the longitudinal axis, said frame being able to adopt an unstressed configuration, in which said textile is deployed, and a stressed configuration, in which said frame is subjected to a radial force directed towards said longitudinal axis and said textile forms at least one longitudinal fold.

Abstract: Disclosed herein are medical products, including a surgical mesh, with a layer of dehydrated modified basement membrane preparation formed thereon. The basement membrane has been modified before dehydration of remove low molecular weight components. In some embodiments, the basement membrane is crosslinked. Methods of making and using the products also are disclosed.

Abstract: A method for making a polymer with a porous layer from a solid piece of polymer is disclosed. In various embodiments, the method includes heating a surface of a solid piece of polymer to a processing temperature and holding the processing temperature while displacing a porogen layer through the surface of the polymer to create a matrix layer of the solid polymer body comprising the polymer and the porogen layer. In at least one embodiment, the method also includes removing at least a portion of the layer of porogen from the matrix layer to create a porous layer of the solid piece of polymer.

Abstract: The present invention includes biomimetic nerve conduits that can be used as nerve regeneration pathways. The present invention further provides methods of preparing and using biomimetic nerve conduits. The disclosed compositions and methods have a broad range of potential applications, for example replacing a missing or damaged section of a nerve pathway of a mammal.