Abstract: Certain aspects relate to systems and apparatuses with shielded wrists, and methods of actuating instruments with wrists. In one aspect, an instrument includes a shaft, an end effector, and a wrist connecting the shaft to the end effector. For example, the wrist may include a proximal clevis, a distal clevis, and an intermediary frame positioned between the proximal clevis and the distal clevis.

Abstract: A system, device, and method is provided that improves the point collection process during bone registration for computer-assisted surgical procedures. A user is guided in the point collection process by projecting a set of points directly on the bone with a tracked digitizer probe following a rough registration of the bone. The system, device, and method therefore negates the need for the user to constantly look-up on an instructional display monitor and make the complicated mappings between the displayed instructions on the monitor and the actual bone.

Abstract: A system and method for using a remote control to control an electrosurgical instrument, where the remote control includes at least one momentum sensor. As the surgeon rotates their hand mimicking movements of a handheld electrosurgical instrument, the movements are translated and sent to the remote controlled (RC) electrosurgical instrument. The surgeon uses an augmented reality (AR) vision system to assist the surgeon in viewing the surgical site. Additionally, the surgeon can teach other doctors how to perform the surgery by sending haptic feedback to slave controllers. Also, the surgeon can transfer control back and forth between the master and slave controller to allow a learning surgeon to perform the surgery, but still allow the surgeon to gain control of the surgery whenever needed. Also, the surgeon could be located at a remote location and perform the surgery with the assistance of the AR vision system.

Abstract: A robotic surgical system includes a robotic surgical assembly and a control assembly. The robotic surgical assembly includes a robotic actuation assembly, a processing device, and a first communication device. The robotic actuation assembly includes a robotic arm. The processing device is configured to instruct the robotic actuation assembly to perform a task based on a set of instructions. The first communication device is operable to transfer the set of instructions to the processing device. The control assembly includes a second communication device and a user input device. The second communication device is operable to communicate the set of instructions to the first communication device. The user input device assembly is configured to generate the set of instructions and send the set of instruction to the second communication device. At least a portion of the instructions are based on positioning of the user input device within three-dimensional space.

Abstract: A method for remote control of an electrosurgical device over a network is provided. The method including transmitting an activation request from a remote device to an electrosurgical device over a network, activating the electrosurgical device to output electrosurgical energy in response to receiving the activation request, starting a timer in response to receiving the activation request, and deactivating the electrosurgical device in response to at least one of the timer exceeding a predetermined time value or receiving a deactivation request from the remote device.

Abstract: An apparatus includes a housing, a cable guide, a first cable, and a second cable. The housing is coupled to a shaft of a medical instrument. The cable guide is coupled to the housing, and defines a shaft opening into a passageway defined by the shaft. A first guide groove and a second guide groove are defined by the cable guide, with each of the first guide groove and the second guide groove being splayed outward from the shaft opening. The first cable is routed within the first guide groove and through the shaft opening, and is configured to slide within the first guide groove. The second cable is routed within the second guide groove and through the shaft opening, and is configured to slide within the second guide groove.

Abstract: An adjustable bone implant having a body configured to be secured to a first bone surface; an anchoring member configured to be secured to a second bone surface held at a raised position offset from the first bone surface, and a spacing member connecting the anchoring member to the body in an adjustable manner, to selectively space the anchoring member from the body, where the spacing member is located subcutaneously, where the spacing member is configured to receive an input via a transcutaneoustransmission from an external tool, and where the spacing member is configured to lower the first bone surface from a raised position upon receipt of the input and secure the first bone surface at the lowered position.

Abstract: A hand-held electromechanical surgical device configured to selectively connect with a surgical accessory, is provided and includes a handle assembly having a power pack with a core assembly. The core assembly includes a plurality of motors, with each motor having a rotatable drive shaft extending therefrom, wherein each drive shaft is parallel to one another; a processor connected to and configured to control each motor; and a battery electrically connected to the processor and each motor. The power pack includes an inner housing encasing at least the plurality of motors, the processor, and the battery. The handle assembly includes an outer shell housing configured to selectively encase substantially the entire power pack therein, wherein a rotation from each rotatable drive shaft of each motor is transmitted through the inner housing and the outer shell housing.

Abstract: A spinal implant package includes a sleeve defining a cavity extending through an end surface of the sleeve. A cap defines an aperture extending through an end surface of the cap. First portions of the end surfaces are joined to define a hinge. The end surface of the sleeve includes a second portion defining a first lip. The end surface of the cap includes a second portion defining a second lip. The package is movable between a closed configuration in which the first lip is adjacent the second lip and a portion of the spinal implant is enclosed within the cavity and the aperture, and an open configuration in which the first lip is spaced farther apart from the second lip and the portion of the spinal implant is positioned outside of the aperture while remaining positioned inside of the cavity.

Abstract: The present disclosure relates generally to the field of medical devices and establishing access to a target within the body, such as placing an access needle into a renal capsule into the human body. In particular, the present disclosure relates to devices and methods for performing a percutaneous nephrolithotomy (PCNL) procedure accurately and efficiently while minimizing exposure of the medical professional to harmful radiation.

Abstract: Provided is a medical observation device which includes a detection unit configured to detect a pressing operation based on an operation signal according to the pressing operation which is output from an external operation device equipped with a switch pressed by a mouth, and a processing unit configured to perform a process corresponding to the detected pressing operation. The process corresponding to the pressing operation includes some or all of a process related to an imaging operation of an imaging device, a process related to a display of a medical captured image which is captured in the imaging device, and an identification process of identifying a user's input indicating the process related to the imaging operation or the process related to the display of the medical captured image.

Abstract: The invention discloses an object developing and calibrating method in a surgical environment. The method mainly includes the steps of: using at least one infrared LED (IR-LED) and at least one infrared sensor (IR-Sensor) on a surgical eyeglass, to have a surgical environment image; and retaining image signals within a first wavelength range and removing image signals not in the first wavelength range in the surgical environment image. The method helps the surgeon see only the object images on the surgical eyeglass without the interference of non-surgical environmental imaging noises.

Abstract: A spinal marking system includes a marker having a threaded member and a flexible member connected to the threaded member. The flexible member has a length longer than that of the threaded member. The system also includes a navigation tool having a shaft configured to connect to the threaded member. The navigation tool also includes a navigation array connected to the shaft. The navigation array having a plurality of fiducials that are configured to communicate with a robotic system.

Abstract: A hospital bed includes a bed portion, a frame supporting the bed portion, and a seating system connected to the frame and including a seat component. The seating system is moveable between a stored state in which the seat component is at least parrtially located within an expanse of the frame, and a seating position in which the seat component is spaced apart from the frame for seating on the seat component. The seating system may include a rotating joint and a lateral bar that extends from the joint to a seat support so the seat component can be rotated away from the frame, in either a single pivot configuration, or double pivot configuration with multiple lateral bar segments and rotating joints. The seating system may include a flip seat design in which a seat component is moved out of the stored state and rotated to the seating position.

Abstract: An apparatus includes a first guide and a second guide. The first guide includes an arcuate horizontal body portion. A rear surface of the horizontal body portion is configured to closely mate with a front-facing bone structure of an alveolar arch of a patient. The second guide includes a body and a coupling member. The body defines a passageway that is configured to receive a bone reducing instrument. The coupling member is configured to mate with the horizontal body portion of the first guide. The body and the coupling member are configured to position the passageway along a second horizontal plane that is parallel with the first horizontal plane. The coupling member is configured to enable the second guide to relative to the first guide along the second horizontal plane and thereby guide the bone reducing instrument along the second horizontal plane.

Abstract: A bone foundation guide system having a bone foundation guide with a foundation guide body forming an open surgical space connecting a top of the bone foundation guide body with a bottom of the bone foundation guide body, the bottom contoured to removably affix the bone foundation guide body to the bone of a dental implant surgical site, the body further contoured to guide the cutting of bone from a dental implant surgical site and supporting a dental implant surgical guide; the dental implant surgical guide contoured to removably mate to the bone foundation guide body; wherein a combination of the bone foundation guide and the dental implant surgical guide forms a double open-ended placement channel that passes through a plurality of guiding cylinders held in tandem alignment to aid in the placement of a dental implant that is anchored in a site remote from the mouth.

Abstract: A jaw support is provided that includes a chest engaging member provided to rest on an upper area of the chest of a user below the jaw, a jaw support member connected to the chest engaging member and a neck support extending around a rear side of the neck of the user. The chest engaging member and the jaw support member comprise U-shaped first and second elongate members, respectively. The jaw support member is pivotable between a first position, in which it is adjacent the chest engaging portion, and a second position, in which it moves away from the chest engaging member to support the chin. The first and second elongate members each comprise flat elongate members having corresponding shapes.

Abstract: A method includes receiving first intraoral scan data comprising a first depiction of a dental site comprising a preparation tooth; generating a virtual three-dimensional (3D) model of the dental site using the first intraoral scan data; processing at least one of the first intraoral scan data or data from the virtual 3D model to identify a margin line of the preparation tooth, wherein at least a portion of the margin line is unclear; outputting instructions to generate second intraoral scan data of the dental site depicting the portion of the margin line that is unclear; receiving the second intraoral scan data; and updating the virtual 3D model of the dental site using the second intraoral scan data, wherein the portion of the margin line that was unclear in the virtual 3D model is replaced with information from the second intraoral scan data.

Abstract: A device for detaching a tooth root. The device comprises: a lead screw having a threaded point for screwing into the tooth root, and a threaded shaft; a pivoting member including a bore through which the lead screw passes, the lead screw being retractable through the bore by rotational engagement of a threaded member with the threaded shaft of the lead screw; and a platform for supporting the pivoting member such that the lead screw is able to pivot relative to the platform, The lead screw includes a locking surface for preventing rotation of the lead screw during rotational engagement of the threaded member with the threaded shaft.

Abstract: Orthodontic systems and related methods are disclosed for designing and providing improved or more effective tooth moving systems for eliciting a desired tooth movement and/or repositioning teeth into a desired arrangement. Methods and orthodontic systems include the generation of an overcorrection in the tooth-receiving cavities of an appliance worn in the dentition. The overcorrection may provide an improved and more accurately applied force or moment applied to a tooth. The overcorrected force or moment can move a tooth closer to a desired position than if not overcorrected as sufficient force can still applied to the tooth as it gets closer to the desired position. The overcorrected force or moment may also better target the root of the tooth where the biological response to tooth movement occurs. The overcorrection may be calculated in various ways as described herein.

Abstract: An orthodontic retainer is configured for application to a lingual surface of a patient's teeth. The retainer is custom designed to exactly match the shape of the lingual side of the patient's teeth and is formed from a plurality of tooth-adhering portions connected by elongated connection portions. The tooth-adhering portions each have a generally flat top edge and a generally curved bottom edge. The connection portions are located at a position below the top edge and above the bottom edge of the tooth-adhering portions. The retainer is formed as a single piece by milling, injection molding or 3D printing.

Abstract: An orthodontic retainer is configured for application to a lingual surface of a patient's teeth. The retainer is custom designed to exactly match the shape of the lingual side of the patient's teeth and is formed from a plurality of tooth-adhering portions connected by elongated connection portions. The tooth-adhering portions each have a generally flat top edge and a generally curved bottom edge. The connection portions are located at a position below the top edge and above the bottom edge of the tooth-adhering portions. The retainer is formed as a single piece by milling, injection molding or 3D printing.

Abstract: An apparatus includes a dental prosthetic, a metallic insert, and a plastic cap member. The insert is configured to be bonded in an interior of the dental prosthetic. The insert defines a passageway. The of the insert is configured to receive a screw. The cap member is configured to be interposed between the insert and the interior of the dental prosthetic.

Abstract: Prosthetic dental device comprising a first axial-symmetric intraosseus component, or implant (11) and a second component, or abutment (12) configured to be connected on one side to the first intraosseus component (11) and to support, on another side, a prosthetic dental component.

Abstract: Exemplary method and/or apparatus embodiments for intraoral imaging modify the gums of a patient with indicia, spaced apart over a region of interest. Optical images for surface contour, spanning the region of interest, are acquired, with reflectance images of the region of interest that include the indicia. Exemplary method and/or apparatus embodiments form patch mesh images from the surface contour images, wherein each patch mesh image characterizes the surface contour of a partial portion of the region of interest. The patch mesh images are combined to form a mesh representative of the region of interest according to the plurality of reflectance images of the indicia. The mesh representative of the region of interest can be displayed, stored, or transmitted.

Abstract: Systems and methods for orthognathic surgical planning are described herein. An example computer-implemented method can include generating a composite three-dimensional (3D) model of a subject's skull, defining a global reference frame for the composite 3D model, performing a cephalometric analysis on the composite 3D model to quantify at least one geometric property of the subject's skull, performing a virtual osteotomy to separate the composite 3D model into a plurality of segments, performing a surgical simulation using the osteotomized segments, and designing a surgical splint or template for the subject.

Abstract: A radiation curable composition including at least one radiation hardenable component, a photo-initiator, and a filler material having a population of particulates in an amount greater than or equal to 50% by weight of the printable composition. The population of particulates exhibits a median diameter (D50) of greater than or equal to 0.3 micrometer on a volume-average basis as determined using the Particle Size Test Method, and the radiation curable composition exhibits a viscosity of less than or equal to 150 Pa s when measured using the Viscosity Test Method. A method, apparatus, and systems for producing composite articles by selectively exposing a portion of the radiation curable composition to a source of actinic radiation to at least partially cure the exposed portion of the radiation curable composition, thereby forming a hardened layer, preferably by an additive manufacturing process such as stereophotolithography, are also described. The composite articles may include composite dental restorations.

Abstract: A dental blank for the manufacture of a dental restoration. The dental blank comprises a dental block and an insert with an opening facing toward an outer surface of the dental blank. The insert comprises at least one positioning element for the positioning of an abutment.

Abstract: A dental multi-colored milling blank having at least two layers (16), a transition zone, where material from both layers is present. In the transition zone, a transition geometry exists that extends three-dimensionally. The transition geometry comprises round surfaces facing towards both directions of extension of the layers.

Abstract: A dental cleaning tool includes a handle defining a longitudinal axis. The handle has a first end and an opposing second end. The handle includes a first arm and a second arm defining a storage gap therebetween. The dental cleaning tool also includes a first cleaning instrument attached to the first end of the handle and a second cleaning instrument at the second end of the handle. The second cleaning instrument is positionable relative to the handle between a stowed position in which the second cleaning instrument is positioned in the storage gap between the first and second arms and an operable position in which the second cleaning instrument extends beyond the second end of the handle.

Abstract: A dental prophylactic treatment device having: a prophylactic contra-angle handpiece having a handle part extending along a longitudinal axis, a head part adjoining the handle part, a tool holder rotatably disposed in the head part and extending along an axis of rotation, wherein the longitudinal axis of the handle part and the axis of rotation of the head part are disposed at an angle to one another, and a dental tool having a tool shaft and a prophylactic treatment section, wherein the tool shaft extends from a handpiece end of the dental tool over a length up to the prophylactic treatment section, wherein at least a section of the tool shaft is detachably received in the tool holder, so that the dental tool together with the tool holder can be rotated about the axis of rotation, and wherein the length of the tool shaft is a maximum of 10.0 mm.

Abstract: An oral irrigator including a handle, a tip removably attached to the handle, and a pump at least partially received within the handle and in fluid communication with the tip. The tip including a first end, a second end, and a bore, through which fluid flows, extending from the first end to the second end. The tip further including an annular flange disposed between the first end and the second end, and a ring abutted against the flange.

Abstract: The present invention relates to a combination of a flexible container of the type with a brush and a tube enclosing a homogeneous suspension composed of an aqueous phase and of an oily phase which has at least one active principle, characterized in that the container has an applicator consisting of friction members suitable for applying said suspension at the outlet of an orifice onto a zone of the body of a subject to be treated, said suspension having a suitable viscosity allowing it to be distributed homogeneously via said members of said applicator.

Abstract: An incontinence treatment device has first and second anchor assemblies. At least one of the first anchor assembly and the second anchor assembly is adjustable along the device and has a collar disposed over a body with a strand coupled to the device and located between the body and the collar.

Abstract: An incontinence clamp is provided. The incontinence clamp includes an upper clamp arm and a lower clamp arm. Each of the upper and lower clamp arms include a first end, a second end, an inner surface and an outer surface. The inner surfaces face each other. A hinge pivotally connects the first ends of the upper and lower clamp arms together. An upper guide is coupled to the inner surface of the upper clamp arm and a lower guide is coupled to the inner surface of the lower clamp arm. A connector releasably connects the second ends of the upper clamp arm and the lower clamp arm together.

Abstract: Devices and methods for inserting an implant into skin or other tissue of a patient can include an insertion device that can enclose and support a hyaluronic thread as it is injected into a patient's skin or other tissue. The device can include a cover member, a non-tubular support member, and the thread. The cover member can have a proximal portion, a closed distal portion, and an inner cavity extending from the proximal portion toward the closed distal portion. The thread can be positioned along a longitudinal length of support member, between the support member and the cover member. The non-tubular support member can extend within the inner cavity of the cover member. The cover member can be moveable relative to the support member to expose the thread.

Abstract: Described is a pelvic implant comprising a biodegradable conductive mesh. The mesh can include biodegradable and electrically conductive polymer and can be stimulated with a current to generate an electric field to promote an improved tissue response following placement of the implant. The invention also describes methods and systems including the pelvic implant comprising a biodegradable conductive mesh for the treatment of pelvic floor conditions. Implants of the invention provide benefits relating to improved tissue integration into the mesh, resulting in pelvic tissue reconstruction. Tissue reconstruction and elimination of the mesh materials can lead to a better clinical outcome for the patient.

Abstract: A spinal implant package includes a tray having a body including spaced apart first and second cavities. The body includes a third cavity between the first and second cavities. The tray includes a first connecting feature that is movable relative to the body. A lid is coupled to the tray by a hinge. The lid includes a second connecting feature that is movable between a first position in which a bottom surface of the second connecting feature directly engages a top surface of the first connecting feature and a second position in which a top surface of the second connecting feature directly engages a bottom surface of the first connecting feature to provisionally fix the lid to the tray.

Abstract: A vascular filter system comprises a vascular filter (1), a clamp device (50), and a delivery catheter (51). The filter (1) comprises filter elements (6). When used without the clamp device (50), the filter elements (6) move from a closed state to an open state upon elapse of a predetermined period of time. In the closed state the filter elements (6) capture thrombus passing through the inferior vena cava (2). The delivery catheter (51) is employed to deliver the clamp device (50) to the filter (1) after the filter (1) has been deployed in the inferior vena cava (2). The clamp device (50) engages with the filter elements (6) of the filter (1) to clamp the filter (1) in the closed state beyond elapse of the predetermined period of time. Because of the presence of the clamp device (50), the filter elements (6) are no longer free to move from the closed state to the open state upon elapse of the predetermined period of time.

Abstract: An embolic protection device comprises a tubular filter body attached to a sheath. The tubular filter body has an open upstream end and a generally closed downstream end for capturing emboli. A self-opening passage through the emboli capture end of the tubular filter body allows multiple catheters to be advanced from the sheath or otherwise into the filter body simultaneously or sequentially. The sheath is attached to a peripheral support structure near the emboli capture end of the filter body to facilitate deployment and retrieval of the filter body through a restraining delivery catheter.

Abstract: Disclosed are engineered tissues and organs comprising one or more layers of muscle, the engineered tissue or organ consisting essentially of cellular material, provided that the engineered tissue or organ is implantable in a vertebrate subject and not a vascular tube.

Abstract: A multi-laminar electrospun nanofiber scaffold for use in repairing a defect in a tissue substrate is provided. The scaffold includes a first layer formed by a first plurality of electrospun polymeric fibers, and a second layer formed by a second plurality of electrospun polymeric fibers. The second layer is combined with the first layer. A first portion of the scaffold includes a higher density of fibers than a second portion of the scaffold, and the first portion has a higher tensile strength than the second portion. The scaffold is configured to degrade via hydrolysis after at least one of a predetermined time or an environmental condition. The scaffold is configured to be applied to the tissue substrate containing the defect, and is sufficiently flexible to facilitate application of the scaffold to uneven surfaces of the tissue substrate, and to enable movement of the scaffold by the tissue substrate.

Abstract: An implantable restriction device includes a plurality of beads, a plurality of links joining the beads together, and a parking feature. Each bead in the plurality of beads includes a housing, a passageway extending through the housing, and at least one magnet disposed around the passageway. The plurality of links are slidably disposed in corresponding passageways of the beads such that the plurality of beads can transition between a constricted configuration and an expanded configuration. The parking feature can consistently position the at least one link relative to the housing in the contracted configuration.

Abstract: A bone implant includes at least one spiral and at least one pillar. The spiral surrounds an accommodating space. The pillar is disposed in the accommodating space and connected to the spiral. The pillar has at least one notch.

Abstract: A method of tissue repair using a surgical assembly that includes the steps of assembling an implant and a driver, capturing tissue with the implant, installing the implant with the captured tissue in a socket or tunnel, advancing a tapered section of a set screw in the implant, thereby expanding the implant and fixing the implant with the captured tissue in the socket or tunnel, and releasing the driver from engagement with the set screw as the distal end of the set screw reaches the implant's closed end. A surgical assembly that includes an expandable implant having a hole with an entrance at a rear end of the implant and a closed end; a set screw, an implant insertion section, a driver engagement section, and a tapered section, where the implant insertion section is received in the hole of the implant, and a driver that is engaged with the set screw.

Abstract: Lens support structure for supporting an intraocular lens (IOL) is provided, the lens support structure being configured and operable to be securely implanted in a lens capsule of a human eye and hold the IOL in one of a plurality of positions, the support structure comprising a repositioning assembly configured and operable to be activated remotely by a remote energy source and controllably displace the IOL in at least one of directions along and around an optical axis of the IOL, thereby enabling moving the IOL between the plurality of positions. Lens control system is also provided, the control system comprising the lens support structure and a source energy for activating parts thereof. Intraocular lens system is also provided, the system comprising the lens support structure and a lens integrated therein.

Abstract: An IOL injector including a plunger having a spring-assisted IOL delivery mechanism is described.

Abstract: An IOL injector having a lever-driven plunger mechanism is described.

Abstract: Systems, methods, and devices for inserting an intraocular lens (IOL) assembly into an eye may be provided. A device for delivery of the IOL into the eye may include a nozzle; a bay adjacent to the nozzle, wherein the bay is configured to contain the lens component and comprises a recess in a shape of a haptic extension; and a cam-actuated mechanism comprising a slider configured to move in a direction toward the nozzle; a side arm moveably disposed within the bay, wherein the side arm is positioned at an end of the slider, the end of the slider comprising a groove aligned with the side arm, wherein the groove extends from an outer edge of the slider into an interior portion of the slider, wherein the groove is angled to receive the side arm as the slider moves.

Abstract: An IOL injector having an automatic plunger advancement driver is described. In addition, an IOL injector having a spring-assisted driving mechanism and a spring damping mechanism is described.