Abstract: Methods and apparatus for predicting x-ray tube liquid bearing failure are disclosed. An example circuit board device includes a sensor to detect, in a free run mode of an x-ray tube, vibration in an x-ray tube housing. The example device includes a digital signal processor to process vibration information representing vibration detected to generate x-ray tube characterization information. The example device includes a communication interface to relay the x-ray tube characterization information to a cloud infrastructure to process the characterization information to generate a failure prediction based on x-ray tube bearing coast down characteristics extracted from the characterization information. Other example instructions cause a machine to receive x-ray tube characterization information related to bearing vibration in the x-ray tube.

Abstract: An enhanced stethoscope device and method for operating the enhanced stethoscope are provided. The enhanced stethoscope device generally operates by providing stethoscope sensors, ultrasonic sensors, and other sensors to obtain a series of measurements about a subject. The series of measurements may be correlated, such as by machine learning, to extract clinically relevant information. Also described are systems and methods for ultrasonic beamsteering by interference of an audio signal with an ultrasonic signal.

Abstract: A phantom for simulating fetal heartbeat. The phantom includes a housing and a fetal heartbeat simulator. The housing has an exterior shaped like a female human pelvic region and surrounds an interior. The fetal heartbeat simulator includes a tube having a proximal end and a distal end, the distal end being positioned within the interior of the housing. The tube is filled with a first fluid having a first compressibility. A second fluid, having a compressibility that is greater than the compressibility of the first fluid, is disposed at the distal end of the tube. A pressure mechanism operably coupled to the proximal end of the tube is configured to selectively compress and decompress the first and second fluids.

Abstract: The present invention provides an ultrasound inspection device, an ultrasound image data generation method, and a computer-readable recording medium in which is stored a program, which determine for each of data calculation points whether or not the distance to a transmission focal point is with a predetermined range, and when the distance from the data calculation point to the transmission focal point is outside the predetermined range, superimposition of a plurality of first element data is carried out assuming an ultrasonic beam to be a convergent wave, and when the distance from the data calculation point to the transmission focal point is within the predetermined range, the superimposition of the plurality of first element data is carried out assuming an ultrasonic beam to be a planar wave to thereby generate second element data corresponding to the data calculation points.

Abstract: An ultrasonic device includes a base, a plurality of ultrasonic transducer elements, and a reinforcing body. The base defines a plurality of openings arranged in an array form. The ultrasonic transducer elements are arranged respectively corresponding to the openings with a plurality of vibration films being respectively provided for the ultrasonic transducer elements. The reinforcing body is fixed to the base in an area between adjacent ones of the vibration films when viewed in a plan view along a thickness direction of the base. The reinforcing body has Young's modulus greater than Young's modulus of the base.

Abstract: A method of refining an anatomical model includes acquiring a two-dimensional echocardiogram that has a variable intensity, relating the two-dimensional echocardiogram to a plurality of mapping points that exist in three-dimensional space, and determining a confidence value for each of two or more mapping points that corresponds to an intensity at a point on the two-dimensional echocardiogram.

Abstract: A diagnostic ultrasound image of a region of interest (ROI) of a body is formed by transmitting into the ROI at least a first and a second ultrasound pulse, in which the second pulse is phase-shifted relative to the first pulse by an amount other than 0 or a multiple of 180 degrees. Discretized receive signals from the pulses are interleaved to form a resultant operating signal that is detected and beamformed as the operating signal.

Abstract: An ultrasound diagnostic apparatus includes an acquisition unit acquiring pieces of ultrasound image data at different deflection angles; a calculation unit calculating coefficients corresponding to respective positions in ultrasound image data corresponding to a certain deflection angle based on signal or pixel values corresponding to the respective positions in at least one piece of ultrasound image data corresponding to a deflection angle other than the certain deflection angle; a multiplication unit multiplying, by the coefficients, signal or pixel values corresponding to the respective positions in the piece of ultrasound image data corresponding to the certain deflection angle, or signal or pixel values corresponding to the respective positions in image data obtained by compounding ultrasound image data corresponding to respective deflection angles including the certain deflection angle; and a control unit causing a display unit to display an image based on the signal or pixel values multiplied by the c

Abstract: According to one embodiment, a medical image diagnostic apparatus comprises a position acquisition unit, a data acquisition unit, an alignment unit, a decision unit, and a data generation unit. The position acquisition unit acquires the position of a medical tool in an imaging region with respect to the imaging region at the time of obtaining the medical image. The data acquisition unit acquires volume data corresponding to a three-dimensional region including the imaging region. The alignment unit decides the position of the volume data. The decision unit decides the position of the medical tool with respect to the volume data based on the position of the medical tool and the position of the volume data. The data generation unit generates support volume data by adding support information indicating the position of the medical tool to the volume data.

Abstract: A vein harvesting assembly for harvesting a vein in a body comprises: a dissecting member, with the dissecting member being insertable into the body and moved along a vein to dissect tissue surrounding the vein. A covering member possesses a proximal end portion and a distal end portion, with the covering member possessing a covered space extending from the proximal end portion to the distal end portion, and the covering member being mountable on and movable along the dissecting member when the dissecting member is positioned in a living body. A cutting member is comprised of an elongated member and a blade member so that rotation of the elongated member results in turning of the cutting member to cut tissue surrounding the vein. The cutting member is insertable into the space in the covering member and is movable in a distal direction along the space.

Abstract: A medical device may include a tool body and a handle. The handle may include a first body having a first coupling feature extending axially along the first body and a second body including a second coupling feature positioned within the first coupling feature. In a first orientation, the first body and second body may be rotatable and axially translatable relative to each other as a function of the first and second coupling features.

Abstract: A disclosed medical device may have a sling, a first needle coupled to a first end of the sling and a second needle coupled to the second end of the sling. The first needle may be coupled via a first suture having one point of attachment on the sling, and the second needle may be coupled via a second suture having two points of attachment on the sling. The sling may be used in laparoscopic surgeries and is intended to, if desired, be left in place during the procedure. The sling is further configured to allow a surgeon to visualize the full and proper surgical field by holding and retaining at least one organ.

Abstract: A method for treating spinal nerve compression includes sequential dilation to position an instrument cannula along a patient's spine. Instruments can be delivered through the instrument cannula to remove targeted tissue for a decompression procedure. One of the instruments can be a reamer instrument configured to abrade, cut, or otherwise affect tissue along the patient's spine.

Abstract: A surgical tissue connector system for moving a first internal body tissue to a position away from a second internal body tissue and then holding the first internal body tissue in the position. Tissue connectors are secured to cords such that the length of cord between the tissue connectors can be easily adjusted in a laparoscopic work space.

Abstract: A method for repairing a cartilage defect according to an exemplary aspect of the present disclosure includes, among other things, preparing a cartilage defect for implantation of a cartilage graft and attaching the cartilage graft to bone using at least one knotless suture anchor.

Abstract: A method for repairing a cartilage defect according to an exemplary aspect of the present disclosure includes, among other things, preparing a cartilage defect for implantation of a cartilage graft and attaching the cartilage graft via a transosseus tunnel.

Abstract: A suture anchor assembly and a method of tissue repair using the assembly. The assembly includes a soft suture anchor formed of a flexible tubular sheath with opposing open ends which receives a suture strand from a suture construct. The suture strand has a tensioning free end and an opposite tissue-fixation end. A tissue-fixation device, such as a disk, is coupled to the tissue-fixation end of the suture strand. The suture strand has uni-directional barbs which allow one-way tensioning, to provide secure fixation of soft tissue to bone as the strand is pulled through the sheath of the soft anchor.

Abstract: Systems, devices, and methods are provided for securing soft tissue to bone, for securing one or more objects using a surgical filament, and for drawing two or more tissues together so they can be secured in a desired location. One exemplary embodiment of a surgical repair construct that is configured to atraumatically pass through soft tissue to secure tissue in a knotless manner includes a snare linkage, a collapsible loop, and a flexible suture pin. The snare linkage can include a collapsible snare for receiving the collapsible loop, and in use the snare can be collapsed around the collapsible loop and advanced distally towards the bone until the snare is proximate to the tissue, while the collapsible loop can be collapsed distally towards the bone to bring the tissue into proximity with the bone. Other exemplary systems, devices, and methods for use with soft tissue repair are also provided.

Abstract: Described herein suture passer apparatus (devices and systems) that may be used to suture tissue within a narrow, confined space. In particular, described herein are suture passers having an elongate body and a bent lower jaw member that houses a tissue penetrator that is adapted to extend laterally through the bend region, and then be laterally deflected from the lower jaw member to a second jaw (e.g. bendable or pivoting) upper member.

Abstract: Suture passers and methods of use. Described herein are suture passers preloaded with suture, including cartridges that couple to a suture passer to form a loaded suture passer; the suture passer may be operated to pass one or more lengths of suture without having to be manually reloaded. In particular, described herein are preloaded and automatically reloading apparatuses typically.

Abstract: A minimally invasive surgical suturing device has a shaft; a needle slideably coupled to the shaft and having a ferrule engaging end; and a guide tip having a ferrule receiving aperture and moveably coupled to the shaft for selectable movement between a retracted position and an enabled position. In a related method, a distal shaft end, having a guide tip in a retracted position, is passed through a minimally invasive entry point and into a body cavity. The guide tip having a ferrule receiving aperture is actuated into an enabled position such that an insertion profile of the guide tip and shaft in the enabled position is larger than an access dimension of the minimally invasive entry point. A needle, slideably coupled to the shaft and having a ferrule engaging end, is advanced on a path substantially parallel to the shaft, toward and in alignment with the ferrule receiving aperture.

Abstract: The present invention relates to a needle instrument for an eye-bag relocating operation. The needle instrument includes a body unit having a rectangular cross-section and grabbed by a needle holder during the operation; a needle unit having one needle side and the other needle side on both sides of the body unit to be tapered and having round tips, wherein one needle side is formed to be duller than the other needle side; and a thread pressing and coupling unit provided on one end of the body unit and formed at a position that corresponds to ? to ? of an entire length from an end of the needle instrument and is spaced apart from the end of the body unit by 0.5 to 1 mm.

Abstract: A dry sliding low friction suture having an undulated surface is provided. The suture includes: a first end; and a second end braided with the first end to form the suture having an undulated surface having high portions and low portions, and wherein the first end and the second end are of different Denier thereby causing the first and second end to have different diameters which forms the high portion and low portions when all of the ends are braided together.

Abstract: A deployment device and an associated surgical fastener as well as their methods of use are disclosed. In one embodiment, the deployment device includes a restraining mechanism constructed and arranged to temporarily limiting movement of a surgical fastener back span. The surgical fastener includes two legs extending in a distal direction from opposing ends of the back span. The legs are in a first closed position with a first shape. The deployment device also includes a spreader configured and arranged to engage the legs of the surgical fastener in the first closed position. When the spreader is moved in a distal direction relative to the back span, the spreader spreads the legs of the surgical fastener from the first closed position to a second open position as the back span is limited from distally moving by the restraining mechanism.

Abstract: A surgical staple includes a body having a first leg, a second leg, and a backspan. The first and second legs each have a first end portion and a second end portion. The backspan has a first portion, a second portion, and a third portion. The first portion of the backspan includes a looped member having a first end portion and a second end portion. The second portion of the backspan extends between the first end portion of the first leg and the first end portion of the looped member. The third portion of the backspan extends between the first end portion of the second leg and the second end portion of the looped member. The second portion of the backspan and the third portion of the backspan are in lateral contact.

Abstract: A surgical instrument including a housing, an endoscopic portion, a shaft portion and an end effector is disclosed. The endoscopic portion extends distally from the housing and defines a longitudinal axis. The shaft portion is selectively connectable to a distal end of the endoscopic portion. The end effector is selectively connectable to a distal end of the shaft portion.

Abstract: Endoscopic surgery clips are dispensed out of an endoscopic catheter that has restriction provisions that cooperate with spring-biased jaw-clenching provision(s) that are provided to the clips. The cooperation between the restrictions of the catheter and spring-biased jaw-clenching provisions of the clips cooperate to facilitate reversal of the lead clip to-be-ejected, prior anytime before full ejection past the dispensing end of the endoscopic catheter, and at least partially reversed back into the lumen therefor in the endoscopic catheter.

Abstract: A surgical instrument comprising an end effector, which comprises a sensor configured to measure a parameter associated with a tissue grasped between the first jaw member and the second jaw member of the end effector. The surgical instrument further comprises a firing member to effect motion at the end effector, which is driven by a motor. Instructions stored in the memory of the surgical instrument cause the motor to driven the firing member at a firing rate that is a function of a measurement of the parameter. The parameter can, for example, include a thickness of the tissue grasped by the end effector.

Abstract: A compressible adjunct is used with a surgical instrument including a staple cartridge deck. The compressible adjunct includes a first biocompatible material, a second biocompatible material with a lower melting temperature than the first biocompatible material, and a body including a face positionable against a length of the staple cartridge deck. The face includes a plurality of attachment regions spaced apart from one another, wherein the plurality of attachment regions include the second biocompatible material, wherein the face is selectively attachable to the staple cartridge deck at said plurality of attachment regions, and a plurality of non-attachment regions extending between the plurality of attachment regions, wherein the second biocompatible material is selectively disposed outside said non-attachment regions.

Abstract: A surgical instrument that includes an elongate shaft that has an end effector coupled thereto for selective articulation relative to the shaft. At least one articulation link operably interfaces with a source of articulation motions and is coupled to the end effector for applying articulation motions thereto. An articulation lock member corresponds to each articulation link and is configured to laterally move into locking engagement with the corresponding articulation link from an unlocked position that is laterally adjacent to the corresponding articulation link. An actuation system operably interfaces with each of the articulation lock members to selectively laterally move each articulation lock member from the unlocked position into locking engagement with the corresponding articulation link.

Abstract: A surgical stapling device that comprises an end effector that is configured to receive various control motions from a robotic system.

Abstract: Devices and methods for clamping tissue and/or moving two tissue structures together by moving two plates or arm together. The pressure or force applied to the tissue may be used to bring the tissue together, to seal an opening or to cut through and remove a portion of the tissue. In one procedure disclosed, a clip applier may be used to apply one or more clips to the left atrial appendage of the heart to prevent clots from the left atrial appendage from embolizing and causing harm to the patient, such as a stroke.

Abstract: A leaflet clip has an elongated member including a proximal end portion and a distal end portion, and first and second clipping arms movable between an open position and a closed position. The clipping arms include respective proximal end portions coupled to the proximal end portion of the elongated member, and respective distal end portions extending distally and radially outward relative to the elongated member. The leaflet clip further includes a tubular member coaxially disposed about the elongated member. Axial motion of the tubular member with respect to the elongated member or axial motion of the elongated member with respect to the tubular member causes corresponding movement of the clipping arms between the open and closed positions.

Abstract: A device for management of an open abdomen includes a belt having first and second end portions. The belt is positionable to extend partially around a patient's torso in a taut configuration with the end portions positioned on opposed sides of an incision in the patient's abdomen. A first connector is at the first end portion and a second connector is at the second end portion. The connectors are positionable adjacent each other on the opposed sides of the incision. At least one cinching device is connected to and extends between the connectors. The cinching device is positionable to extend over the incision when the connectors are positioned adjacent each other on opposed sides of the incision. The cinching device is adjustable to cinch the end portions towards each other to hold the incision in an at least partially closed position.

Abstract: A prosthesis fastener applier includes a handle, a plurality of input controls, and a fastener delivery shaft. The handle contains a motor and a control circuit. The input controls are connected to the handle and communicatively connected to the control circuit. The fastener delivery shaft includes a fastener cartridge and a driver shaft. The fastener cartridge includes a plurality of internal threads configured to receive a plurality of helical fasteners in stacked relationship. The driver shaft is operatively connected to the motor, disposed within the fastener cartridge, and configured to pass through respective inner diameters of the helical fasteners. The control circuit is configured to control the motor in response to signals from one or more of the input controls to rotate the driver shaft to cause one or more of the helical fasteners to be advanced axially relative to the fastener cartridge.

Abstract: A surgical instrument is disclosed which comprises a staple firing system and a tissue cutting system. The surgical instrument is configured to permit a surgeon to elect whether to actuate the tissue cutting system after the staple firing system has been actuated.

Abstract: An apparatus for irrigating the vas deferens in connection with a vasectomy reversal is described. The apparatus comprises a fluid delivery device having a first portion that connects to the vas deferens, the fluid delivery device connecting such that a catheter tip inserts into the vas deferens and is held in stable position relative thereto and such that fluid enters the vas deferens through the catheter tip.

Abstract: An adapter assembly for connecting a loading unit to a handle assembly is provided. The adapter assembly includes a sleeve, a removable trocar assembly releasably securable with the sleeve, and a locking assembly configured to releasably secure the trocar assembly within the sleeve. The locking assembly includes first and second button members and corresponding first and second locking members for releasably securing the trocar assembly.

Abstract: A sled for use with an anvil assembly delivery system is provided which includes a body defining a concavity dimensioned to receive an anvil head of an anvil assembly and a recess dimensioned to receive a center rod of the anvil assembly. The body has a smooth outer profile to facilitate atraumatic trans-oral insertion of the anvil assembly to a surgical site. The body further defines a first suture channel on each side of the recess to facilitate securement of the body to the anvil assembly.

Abstract: An embolic coil delivery system includes a catheter and an embolic coil disposed within the catheter, the embolic coil including a coil wire and a fiber bundle. A method of producing an embolic coil delivery system includes: advancing a delivery sheath over a distal end of an embolic coil while applying tension to the embolic coil via a retaining device that is attached to the distal end of the embolic coil.

Abstract: An implantable expandable device includes an occluding surface oriented substantially in a transverse plane. The occluding surface is bounded by a lateral occluding surface edge and a medial occluding surface edge. The occluding surface has an occluding surface body located transversely between the lateral and medial occluding surface edges. A supporting structure is located entirely inferiorly to the occluding surface. The supporting surface includes a plurality of struts extending substantially in the superior-inferior direction. At least a first one of the struts is a full-height strut and spans substantially a full superior-inferior height of the device. At least a second one of the struts is a reduced-height strut and spans substantially less than a full superior-inferior height of the device. The occluding surface substantially occludes a transverse cross-section of the false lumen to substantially block bloodflow in the superior-inferior direction within the false lumen.

Abstract: A clip device of the present invention includes: a restraining tube having an insertion passage; first and second arm parts that are inserted into the insertion passage to protrude from a distal end of the restraining tube; an operation wire that is connected to the first arm part and retreats the first arm part with respect to the restraining tube; and a movement adjustment mechanism that retreats the second arm part along with the retreat of the first arm part when the operation wire is operated for retreat by a predetermined amount.

Abstract: A hemostatic device has a flexible band that can be wrapped around a hemostasis-requiring site of a limb, a securing portion that secures the band in a state where the band is wrapped around the limb, and an inflation portion that interlocks with the band, and that inflates when a fluid is injected. The inflation portion has a plurality of convex portions in a width direction orthogonal to a longitudinal direction of the band when the inflation portion inflates.

Abstract: A surgical blade and method for performing a one-pass wedge osteotomy. The blade includes a body portion, having a cutting tip on a first end for initially cutting into the bone; a cutting slope comprising multiple rows of cutting teeth at multiple planes to resect bone as it enters, leaving a wedge osteotomy; a shaft of a predetermined length and width for supporting the cutting slope; and a saw attachment base on a second end of the blade for engaging a base of a saw to cause the blade to oscillate and perform the wedge osteotomy.

Abstract: A hand-held spring-driven impact device (e.g., spring tool) configured with removable and replaceable tips. The spring tool may include a helical spring that is coupled to a first anvil at one end and a second anvil at the other end. The spring tool may include a locking mechanism on the first anvil and/or the second anvil. The locking mechanism may be configured to securely fasten a tip to the spring tool. The tip may include a single-sided tip or a double-sided tip. The spring tool may include an ergonomically curved gripping surface and/or a friction component to assist in holding the spring tool. In some examples, the spring tool may include a ball bearing situated between the first anvil and the second anvil to transfer impact force when applied at an angle. Additionally, the spring tool may include a cover to protect the spring during use.

Abstract: A flexible bone tool including a plurality of links pivotly coupled to each other and collectively define a substantially tubular, bendable body coupled (a) at a proximal end to a holding portion and (b) at a distal end to a bone tissue removing element. The plurality of links includes one or more proximal links having an engaging portion, a wall of which comprising a first aperture and one or more distal links comprising a receiving portion, a wall of which comprising one or more second apertures, the receiving portion being sized and fitted to receive the engaging portion such that the first and second apertures are aligned and at least one pin sized and fitted to be received by the aligned first and second apertures and pivotly couple said proximal and distal links.

Abstract: A distal femoral joint replacement system includes a femoral component having condylar articular surfaces, a stem extending from the femoral component, and a void filler for filling a bone void within a femur. The void filler includes a body and a plurality of legs extending from the body. The body has a sidewall defining an opening for receipt of the stem which extends along a length of the body and extends through the sidewall so as to form a side-slot in the sidewall that extends along an entire length of the sidewall. The plurality of legs each have a first end connected to the body and a second end remote from the body. The legs each have an outer surface that tapers between the first and second ends and is configured to register with a corresponding inner surface of a bone void when implanted in an end of the femur.

Abstract: An accessory is provided for use in the conduct of patella reconstruction surgery. The accessory comprises an elongate datum limb for abutment in use with the superior pole of a patella preferably through the skin. An elongate guide limb for abutment by a side edge of a patella extends transversely relative to the datum limb has guide holes passing through it or an insert carried by it at positions selected to direct a drill or other surgical tool at an edge of the patella to enable holes or tunnels to be formed in the patella at required positions for the attachment or reception of reconstructive ligaments to the patella. Attachment limbs enable the accessory to be secured in an operative position relative to a patella. There may be slots formed by anchor bars integral with the guide limb and attachment limb to strap the accessory to a patient's knee.

Abstract: Devices and techniques for adjusting an alignment for a first metatarsal may include making a plurality of cuts along the length of the first metatarsal. In different applications of the technique, a plurality of transverse cuts may or may not be made intersecting the longitudinal cuts. In either case, the cuts can separate the first metatarsal into two individual portions and release a removable wedge of bone. The different portions of the metatarsal can be moved relative to each other to adjust an anatomical alignment of one portion relative to another portion, for example in multiple planes. After suitably adjusting the alignment of the different bone portions, the portions can be fixed together.

Abstract: The disclosure provides plaque treatment catheter assemblies for the treatment of arterial plaques and removal of clots. One assembly includes a second catheter tube movable within a first catheter tube, and an expansion member movable within the second tube. The second catheter tube has one or more distally-disposed and outwardly-expandable plaque treatment portion(s). Another assembly includes a catheter tube and at least one channel(s) within the catheter. The channel includes an elongate member with a distally-disposed plaque scoring or clot retrieval member. Optionally, the assembly includes an expandable member that can cause movement of the scoring member.