Abstract: A method of generating a 3D ultrasound image includes acquiring a 3D volumetric data set corresponding to a 3D imaging volume of an ultrasound probe in a 3D detection volume; acquiring a position of the ultrasound probe with respect to the 3D detection volume; acquiring a position of an interventional medical device with respect to the 3D detection volume; determining a position of the interventional medical device relative to the 3D imaging volume of the ultrasound probe; determining an interventional medical device-aligned plane that intersects with a longitudinal axis of the interventional medical device; extracting a texture slice from the 3D imaging volume for a corresponding interventional medical device-aligned plane positional and rotational orientation; mapping the texture slice onto the interventional medical device-aligned plane; and rendering the interventional medical device-aligned plane as a 3D ultrasound image and displaying the rendered 3D ultrasound image on a display screen.

Abstract: There is provided a tissue elasticity measurement device 100 and a measurement method that allow for quantitative evaluation of biological changes related to tissue elasticity such as liver fibrosis. The tissue elasticity measurement device 100 has a supersonic wave measuring instrument 100a that measures a pulse waveform corresponding to a blood flow velocity by a pulse wave Doppler method, and an information processor 100b that calculates a deviation index value corresponding to a coefficient of variation from a pulse waveform obtained by the supersonic wave measuring instrument 100a.

Abstract: An ultrasound signal processor uses an excitation generator to cause displacement of a membrane or surface while a series of ultrasound pulses are applied to the membrane or surface. Phase differences between a transmitted signal and received signal are examined to determine the movement of the membrane or surface in response to the applied excitation. An examination of the phase response of the membrane or surface provides a determination as to whether the fluid type behind the membrane or surface is one of: no fluid, serum fluid, or purulent fluid.

Abstract: In a method, system and computer program product for retrospective image clip saving for ultrasound imagery, the method includes first repeatedly acquiring different ultrasound image clips of a single view of a target feature through an ultrasound imaging probe of an ultrasound imaging system. Thereafter, each of the acquired different ultrasound image clips may be stored in a buffer of the ultrasound imaging system and a value assigned to each of the image clips according to a measured characteristic. A save-best-clip mode of the ultrasound imaging system is then activated and, in response to the activation, each of the acquired different ultrasound image clips are compared in the buffer based upon respective measured characteristics, at least one of the clips demonstrating an optimal value for the measured characteristic is identified and the identified clip or clips saved in memory of the ultrasound imaging system in correspondence with the single view.

Abstract: Ultrasound imaging systems and methods for generated clutter-reduced images are provided. For example, an ultrasound imaging system can include an array of acoustic elements in communication with a processor. The processor is configured to activate the array to perform a scan sequence to obtain a plurality of signals, identify off-axis signals from the plurality of signals by comparing the right subaperture and the left subaperture, and create a clutter-reduced image based on the comparison. Because off-axis signals are more likely to create image clutter, reducing the influence of off-axis signals on the image can therefore improve the quality of the image. Accordingly, embodiments of the present disclosure provide systems, methods, and devices for generating ultrasound images that have reduced or minimized clutter, even for images obtained using arrays that do not satisfy the Nyquist criterion.

Abstract: Provided are a failure diagnosis system of an ultrasonic endoscope apparatus, a failure diagnosis method of the ultrasonic endoscope apparatus, and a non-transitory computer readable recording medium storing a failure diagnosis program of the ultrasonic endoscope apparatus capable of performing failure diagnosis of the ultrasonic endoscope apparatus with high accuracy. The system controller acquires a reception signal of an ultrasonic vibrator in a state where ultrasonic waves are not transmitted from the ultrasonic vibrator of an ultrasonic endoscope, and performs failure diagnosis of an ultrasonic endoscope apparatus including the ultrasonic endoscope on the basis of the reception signal.

Abstract: Provided are a failure prediction system of an ultrasonic endoscope apparatus, a failure prediction method of the ultrasonic endoscope apparatus, and a non-transitory computer readable recording medium storing a failure prediction program of the ultrasonic endoscope apparatus capable of predicting a failure occurrence timing in the ultrasonic endoscope apparatus. A system controller includes an abnormality detection unit that acquires a reception signal of an ultrasonic vibrator of an ultrasonic endoscope and detects an abnormality of an ultrasonic endoscope apparatus including the ultrasonic endoscope, a storage control unit that stores information on the abnormality detected by the abnormality detection unit in association with time information, and a failure prediction unit that predicts a failure timing of the ultrasonic endoscope apparatus on the basis of the plurality of pieces of abnormality information stored by the storage control unit and time information corresponding the information.

Abstract: A cell collection apparatus for collecting and isolating a sample having a sample collection section with a reservoir barrel, a fitting slidably movable within the reservoir barrel, and a proximal attachment, the proximal attachment located on the distal side of the fitting; a detachable section having a plunger, the plunger detachably connected to the proximal attachment by a distal attachment; and whereby after detachment of the detachable section, the sample collection section is centrifuged to separate the sample into its components.

Abstract: Methods and devices for performing minimally invasive procedures useful for Fallopian tube diagnostics are disclosed. In at least one embodiment, the proximal os of the Fallopian tube is accessed via an intrauterine approach; an introducer catheter is advanced to cannulate and form a fluid tight seal with the proximal os of the Fallopian tube; a second catheter inside the introducer catheter is provided to track the length of the Fallopian tube and out into the abdominal cavity; a balloon at the end of the second catheter is inflated and the second catheter is retracted until the balloon seals the distal os of the Fallopian tube; irrigation is performed substantially over the length of the Fallopian tube; and the irrigation fluid is recovered for cytology or cell analysis.

Abstract: A system and method for confirming placement of a biopsy tool in a target including a navigation component to track the position of a catheter navigated into a luminal network, and a catheter configured to receive a biopsy tool. The system and method receive a first plurality of fluoroscopic images, generate a first fluoroscopic three-dimensional reconstruction from the plurality of fluoroscopic images, and present a first slice of the 3D reconstruction depicting the catheter in relation to a target visible in the slice of the 3D reconstruction.

Abstract: Methods and devices for performing minimally invasive procedures useful for Fallopian tube diagnostics are disclosed. In at least one embodiment, the proximal os of the Fallopian tube is accessed via an intrauterine approach; an introducer catheter is advanced to cannulate and form a fluid tight seal with the proximal os of the Fallopian tube; a second catheter inside the introducer catheter is provided to track the length of the Fallopian tube and out into the abdominal cavity; a balloon at the end of the second catheter is inflated and the second catheter is retracted until the balloon seals the distal os of the Fallopian tube; irrigation is performed substantially over the length of the Fallopian tube; and the irrigation fluid is recovered for cytology or cell analysis.

Abstract: An electromechanical surgical system is disclosed including a hand-held surgical instrument, an end effector configured to perform at least one function, and a shaft assembly arranged for selectively interconnecting the end effector and the surgical instrument. The shaft assembly includes a linkage having a proximal housing and a distal housing at least partially received within the proximal housing. The distal housing is rotatable relative to the proximal housing and configured to selectively interconnect the end effector to the shaft assembly. The shaft assembly further includes a wire extending through the linkage having a central portion disposed within an annular groove defined between the proximal and distal housings. The central portion of the wire is annularly wound within the annular groove to define a coil. The coil is configured to at least one of radially expand and contract upon rotation of the distal housing relative to the proximal housing.

Abstract: A surgical tool for use in the treatment of anal fistulas includes an elongate, flexible probe having a channel running there through; a seton attached to a proximal end of the probe; and a wire located within the channel, and movable along the channel; wherein: the probe has a first stiffness and the wire has a second stiffness, the first stiffness being less than the second stiffness.

Abstract: Aspects of the present invention provide apparatuses and methods for closing an apical hole in a heart of a subject, including a hole-closure device that includes a tissue-attachment portion configured to attach to cardiac tissue around the apical hole, and a collapsible portion coupled to the tissue-attachment portion and configured to close the hole by collapsing inwardly inside the apical hole.

Abstract: The present disclosure relates to a vascular closure device adapted for use in closing a puncture in a blood vessel after e.g. a percutaneous interventional procedure. The disclosure also relates to a method for vascular closure using such a vascular closure device.

Abstract: A tissue specimen retrieval device includes an end effector assembly including first and second arms including respective first and second proximal segments and respective first and second distal segments. The first and second distal segments each include first and second end portions. First and second joints operable couple the first and second end portions of the first and second distal segments, respectively. A third joint operably couples the first proximal and first distal segments and a fourth joint operably couples the second proximal and distal segments. The first and second distal segments are movable relative to one another about the first and second joints. The first and second distal segments are movable relative to the first and second proximal segments about the third and fourth joints.

Abstract: An assembly for mixing and dispensing a multi-component fluid includes a sheath having first and second fluid chambers, a chamber coupler, and a flexible tip. The chamber coupler forms first and second fluid channels. Additionally, the flexible tip forms a mixing chamber with a variable mixing volume and an outlet. The flexible tip is coupled to the chamber coupler near a distal end of the sheath. In the presence of an activation force, the flexible tip is forced out of the sheath and positioned in a dispensing state with a maximum mixing volume. In the absence of the activation force, the flexible tip is housed within the sheath and positioned in a non-dispensing state with a minimum mixing volume such that the outlet is substantially closed.

Abstract: A method can include engaging the pericardium of a patient at two engagement positions of the pericardium. The method can further include moving the two engagement positions of the pericardium away from each other to tension a portion of the pericardium. The method can further include advancing an access device through the tensioned portion of the pericardium to introduce the access device into the pericardial space of the patient. Other and further methods are also disclosed.

Abstract: A device for treating heart failure in a patient. The device comprising a body, at least one passage through the body, at least one one way valve in the passage and a mounting means adapted for mounting the body in an opening provided in the patient's atrial septum. In use, the device is oriented such that, when the patient's left atrial pressure exceeds the patient's right atrial pressure by a predetermined amount, the one way valve(s) opens to allow blood flow through the passage(s) from the left atrium to the right atrium to thereby reduce the left atrial pressure.

Abstract: A surgical retractor assembly is provided that can assume both open and closed positions, and is easily convertible from one position to the other. The retractor assembly involves an arcuate frame member that can be engaged to an arcuate connector, which together form a generally circular or elliptical retractor frame assembly. The frame member has a groove for the insertion of one or more mobile carriages that hold retractor blade posts and allow the posts to move in multiple directions. The carriages may be locked to prevent movement in one or more directions, as well.

Abstract: In one embodiment, an assembly includes a retractor (30, 730, 930) and at least one cylindrical rod (102, 402, 502, 702, 802, 902) attached to the retractor. The rod has a fixed length portion (108, 406, 508, 708, 808, 908) and a spring portion (104, 404, 504, 718, 832, 905). The spring portion of the rod has a longitudinal dimension that changes as a function of loading on the rod. When the rod is in contact with a solid surface such as a bone, it maintains contact with such surface even while changing shape due to loading on the rod. When the assembly includes multiple rods attached to the retractor, both spring-based rods and other types of rods may be used in combination.

Abstract: This application describes a surgical retractor and related methods for providing access to a surgical target site for the purpose performing minimally invasive spinal fusion across one or more segments of the spinal column.

Abstract: A retraction device, e.g., a programmable stiffness state tissue displacement device, for providing increased visibility during an operation is provided. The device includes one or more strips of compliant jammable layer components connected in parallel, and encapsulated within a flexible envelope such that each of the one or more strips of compliant jammable layer components are pneumatically connected. The device further includes a negative pressure pump coupled to the flexible envelope, such that the application of negative pressure to the flexible envelope by the negative pressure pump causes the one or more strips of compliant jammable layer components to jam and thereby transition the retraction device from a malleable state to a rigid state.

Abstract: Some devices for atraumatic retraction of tissue include a transcatheter deployable mesh hammock that is well-suited for laparoscopic, endoscopic, and robotic surgeries. Methods for atraumatic retraction of tissue include wrapping a mesh material around the tissue in a cradle-like fashion. In some embodiments, magnetic coupling of the proximal and distal ends of the mesh material can provide tissue containment and retractor securement to facilitate tissue retraction.

Abstract: A suture anchor assembly includes an eyelet of a pound-in tip formed through both of a distal portion and a proximal portion of the tip. An anchor body of the assembly is configured to be inserted over the proximal portion of the tip such that it partially occludes the tip eyelet, allowing for a shorter overall total length of the anchor assembly.

Abstract: Procedures may be performed on the heart after the installation of a mitral valve fixation device. In order to prepare the heart for such procedures, the fixation device may be removed or disabled in minimally invasive ways (e.g., through an endovascular procedure), without requiring open access to the heart. The fixation device may be partitioned so that one portion may remain attached to each leaflet of the mitral valve. In another example, the leaflets may be cut along the edges of the distal element(s) of the fixation device, so as to cut the fixation device from the leaflet(s). Systems and devices for performing such procedures endovascularly are disclosed. Fixation devices with improved access to a release harness are also disclosed.

Abstract: According to an aspect of the present disclosure, an end effector for use with a surgical device is provided. The end effector includes a driver, a clip assembly, a needle assembly, and biasing element. The clip assembly is disposed in mechanical cooperation with the driver. Rotation of the driver results in longitudinal translation of the clip assembly. The needle assembly is selectively engaged with the clip assembly. The biasing element is disposed in mechanical cooperation with the needle assembly and is configured to bias the needle assembly proximally.

Abstract: A dural repair device operable with a single hand. The device comprises a handle and an outer arm having an end opening and a mechanism for holding a needle within the outer arm. The device also comprises an inner arm including a heel, a platform, an end opening, and a mechanism for catching a needle. The handle is activatable such that the inner and outer arms couple, the needle is caught by the mechanism for catching a needle within the inner arm, and when the inner and outer arms are uncoupled, the needle is transferred from the outer arm to the inner arm.

Abstract: A staple cartridge assembly for use with a surgical stapler. The assembly has a cartridge body having a support portion with a plurality of staple cavities with openings. There is also a plurality of staples, wherein at least a portion of each the staple is removably stored within a staple cavity. Each the staple is movable between an unfired position and a fired position, and is deformable between an unfired configuration and a fired configuration. The assembly also includes a compressible tissue thickness compensator configured to be captured within the staples. The compressible tissue thickness compensator at least partially covers the staple cavity openings. The compressed tissue thickness compensator is configured to assume different compressed heights within different the staples. The compressible tissue thickness compensator comprising a lyophilized foam having an anti-microbial agent embedded therein.

Abstract: A loading unit of a powered surgical stapling instrument includes anvil and cartridge assemblies. The anvil assembly includes a first tissue contacting surface, and the cartridge assembly includes a second tissue contacting surface, a first plurality of staples, a second plurality of staples, and a plurality of pushers. The second tissue contacting surface defines a knife channel partitioning the second tissue contacting surface into first and second portions. Each of the first and second portions includes an inner tissue contacting surface and an outer tissue contacting surface. The inner tissue contacting surface defines a first row of retention slots. The inner tissue contacting surface and the first tissue contacting surface define a first tissue gap. The outer tissue contacting surface defines a second row of retention slots. The outer tissue contacting surface and the first tissue contacting surface define a second tissue gap larger than the first tissue gap.

Abstract: A joint assembly of an adapter defines a first longitudinal axis and includes first and second hinges, first and second rings, a joint cover, and a biasing mechanism. The joint cover has first and second cover portions. The first ring is pivotally coupled to the first hinge and the first cover portion is pivotally coupled to the first hinge to define a first joint center. The second ring is pivotally coupled to the second cover portion and the second hinge is pivotally coupled to the second ring to define a second joint center that is spaced from the first joint center. The first and second joint centers define a cover axis of the joint cover. The biasing mechanism is engaged with the first ring and the joint cover to bias the joint cover towards an aligned configuration in which the cover axis is aligned with the first longitudinal axis.

Abstract: A loading unit for engagement with a surgical instrument, and including single and double retention slots. At least one single retention cavity includes a first retention guiding surface configured to engage a first pusher guiding surface of a single pusher retained therein, a second retention guiding surface configured to engage a second pusher guiding surface of a single pusher retained therein, a third retention guiding surface configured to engage a third pusher guiding surface of a single pusher retained therein, and a fourth retention guiding surface configured to engage a fourth pusher guiding surface a the single pusher retained therein. At least one double retention cavity includes a first retention guiding surface configured to engage a first pusher guiding surface of a double pusher retained therein, and a second retention guiding surface configured to engage a second pusher guiding surface of a double pusher retained therein.

Abstract: A surgical stapling device includes an anvil assembly, a staple cartridge, and an outer tube having a proximal body portion and a distal channel portion. A distal end of the proximal body portion defines a pair of cutouts. The anvil assembly includes an anvil body having a pair of pivot members which are supported within the cutouts. The cutouts are dimensioned to allow movement of the pivot members within the cutouts to allow the tissue contact surface of the anvil body to move in relation to the tissue contact surface of the staple cartridge from a “parked position” in which the tissue contact surfaces are in juxtaposed engagement to a “clamped position” in which the tissue contact surfaces defining a tissue gap.

Abstract: A surgical fastener deployment system may include a plurality of coil fasteners having a head and coil body. In some embodiments, the head is comprised of a bioabsorbable polymer. In one embodiment, the coil body may be comprised of a shell and a core and one of the shell and the core may be comprised of one of a magnesium alloy or a bioabsorbable polymer, and the other of the shell and core is formed of the other of the magnesium alloy and the bioabsorbable polymer. The coil body may also include an internal channel which may have a support coil disposed within.

Abstract: Devices, tools, systems, kits and methods for closing a tissue opening non-invasively are presented. The devices include a tissue closure device that reliably induces eversion of tissue edges that define a tissue opening.

Abstract: A surgical stapler is provided having a pair of jaws including a staple containing cartridge and an anvil. Buttress material is releasable affixed to the staple containing cartridge and the anvil. One of the jaws includes a pair of longitudinal projections at a first end of the jaw and configured to frictionally engage corresponding slots in a first end the buttress material. One of the jaws includes a post at a second end of the jaw. The buttress material includes a hole in a second end of the buttress material for receipt of the post.

Abstract: A system for endoscopically forming an anastomosis between two naturally adjacent points in the digestive tract. The system utilizes elongate magnetic devices that, when connected across a tissue boundary, necrose tissue until an anastomosis forms and the devices are passed naturally. Despite the elongate shape of the devices, the resulting anastomosis is substantially round. As such, round anastomoses can be formed having increased diameters merely by increasing the lengths of the devices, obviating the need for wider endoscopes.

Abstract: A surgical device includes a handle assembly having a controller and a motor. The surgical device also includes an adapter assembly having: a tubular housing having a proximal end portion configured to couple to the handle assembly and a distal end portion; and an actuation assembly configured to couple to the motor. The surgical further includes a reload configured to couple to the distal end portion of the adapter assembly; and an anvil assembly including an anvil head pivotally coupled to an anvil shaft, the anvil assembly configured to couple to the actuation assembly and the reload. The controller of the surgical device is configured to control the motor to actuate the actuation assembly to move the anvil assembly in a distal direction for a distance based on a dimension of one of the reload or the anvil head, thereby pivoting the anvil head relative to the anvil shaft while maintaining engagement of the anvil assembly to the reload.

Abstract: A surgical device includes a handle assembly having a controller and an adapter assembly including a tubular housing having a proximal end portion configured to couple to the handle assembly and a distal end portion. The adapter assembly also includes a load sensing assembly disposed with the tubular housing. The load sensing assembly is configured to measure a load exerted on the tubular housing and includes: a sensor body having a pocket defined therein; a load sensor circuit disposed within the pocket and coupled to the sensor body; and a signal processing circuit disposed within the pocket and electrically coupled to the load sensor circuit. The load sensing assembly further includes a cover disposed over the pocket and enclosing the load sensor circuit and the signal processing circuit therein, the cover being coupled to the sensor body thereby forming a first hermetic seal therebetween.

Abstract: A clip is provided that can be used for ligating tissue, such as vessels, other tubular ducts, and the like. The clip has opposed first and second leg members having proximal and distal ends. The proximal end of each leg member is connected by an apex. The clip has a compliant portion formed on the inner surface of at least one of the first and second leg members. The compliant portion can fill gaps left by springback of the clip after formation.

Abstract: A rectal band ligation device and a method of operating the band ligation device. In one embodiment, the band ligation device includes: (1) a handle having a trigger associated therewith, (2) an extension tube extending from the handle and terminating in a head, (3) at least two openings in the head, (4) hollow pistons located in the openings and configured to move relative thereto between an extended position in which ends of the pistons are exposed through the openings and a retracted position, gaps between corresponding openings and hollow pistons being less than cross-sectional widths of elastic members stretched around the ends and (5) an actuating rod coupling the trigger and the pistons and configured to cause the pistons to move from the extended position to the retracted position.

Abstract: An endovascular device providing several elements to help mechanically break up and/or lyse a clot inside vessels and/or remove a clot via aspiration, irrigation, maceration and/or rotation, without a filter. According to some embodiments, the devices are adapted to irrigate a blood vessel during thrombectomy; to macerate an obstruction during thrombectomy, to block blood flow in a blood vessel during aspiration of a thrombus.

Abstract: A system for occluding a physical anomaly. One embodiment comprises a shape memory material body wherein the shape memory material body fits within the physical anomaly occluding the physical anomaly. The shape memory material body has a primary shape for occluding the physical anomaly and a secondary shape for being positioned in the physical anomaly.

Abstract: The device includes a net portion for occluding an aneurysm neck and an adhesive to secure the net portion. The device can further include a channel orifice opening in the net portion, and an agent channel for delivering a rapid-curing agent through the orifice into the aneurysm. Devices can be delivered through a catheter to the aneurysm, the net can expand to occlude the aneurysm neck, the net can be adhered to the aneurysm neck. In devices including a channel orifice and agent channel, the rapid-curing agent can be injected into the aneurysm. During injection of the rapid-curing agent, the net portion can create a barrier to inhibit the rapid-curing agent from exiting the aneurysm. After injection of the coagulation agent, portions of the treatment device, excluding the net portion, can be extracted from the patient.

Abstract: A mouthpiece includes a buccal retention feature that produces frictional attachment to the lateral buccal portions (inner cheeks) of the individual user. The mouthpiece includes a U-shaped body sized and shaped to conform to the outer face of the dental arch. The retention feature includes bulbous protrusions that project laterally outward from the body to engage the cheek. The mouthpiece, and particularly the buccal retention feature, has a width that is large enough to prevent dislodgment or removal of the device from the mouth, taking advantage of the decrease in the intercommissural distance as the mouth is opened to attempt to remove the device. The device further includes a duct portion extending forward, outside the mouth, from the body, to permit normal respiration through the duct portion. The duct portion can be configured to connect to other devices, including but not limited to, devices for rebreathing, suctioning, feeding or delivering medicaments.

Abstract: An esophageal device is used to recognize, diagnose, characterize, or relieve an impact of an abnormal or defective UES anatomy, physiology, or functionality. In one implementation, the esophageal device measures a UES response to esophageal fluid infusion to detect or characterize an abnormality or defective UES anatomy, physiology, or functionality. An Upper Esophageal Sphincter compression device is used to increase intra-luminal pressure within the Upper Esophageal Sphincter of a patient in order relieve an impact of an abnormal or defective UES anatomy, physiology, or functionality.

Abstract: A surgical blade having an attachment base positioned at a proximal end and a wedge-shaped blade. The wedge-shaped blade includes a cutting tip having a first plurality of cutting teeth, which define a cutting edge along the distal end for starting an osteotomy. The wedge-shaped blade includes a second plurality of teeth positioned along rows. Each row is positioned at offset planes from adjacent rows along the wedge-shaped blade.

Abstract: An apparatus including a frame, where the frame includes a user handle, a motor receiving area, and a first aperture through the frame into the motor receiving area, where the motor receiving area is configured to removably receive a cannulated motor assembly therein; and a first seal located proximate the first aperture through the frame, where the first seal is configured to form a seal between the cannulated motor assembly and the frame when the cannulated motor assembly is in the motor receiving area.

Abstract: The present invention relates to a multi-tool or multi-purpose device comprising a counter sink and a depth gauge. In one aspect, the invention provides a method of determining the necessary length of a screw to be implanted into bone. Also provided herein are sterile kits comprising single-use instrumentation for use in orthopedic procedures.

Abstract: An oscillating decorticating burr assembly for decortication of the articular surfaces of joints of the human body is disclosed. The oscillating decorticating burr assembly comprises a burr, a burr-support post, and a handle. Power is imparted to the assembly by way of a user input on the handle causing oscillation of the burr.