Abstract: An ultrasound apparatus includes a touch screen configured to display, on an ultrasound image, a touch recognition region of an object used as a measurement mark; and a controller configured to move the object and the touch recognition region, in response to an input for touching and dragging the touch recognition region, to detect, from a portion of the ultrasound image which corresponds to the touch recognition region, a line formed by connecting points at which a brightness variation of a pixel is greater than a threshold value, and to move the object to a position of the detected line by using coordinates of the detected line.

Abstract: An ultrasound diagnostic apparatus includes a transmitter, a receiver and a hardware processor. The transmitter outputs a drive signal for a C-mode image to an ultrasound probe. The receiver obtains a reception signal from the probe. The processor sets at least one mask in a frame of packet data of the reception signal; calculates a covariance matrix from a plurality of packet data included in the mask; calculates an eigenvector for the mask from the covariance matrix; calculates a first filter coefficient for the packet data by using the eigenvector and a gain matrix; performs interpolation on the first filter coefficient to calculate a second filter coefficient for packet data of each position in the frame; filters the packet data of the position by using the second filter coefficient; and generates C-mode image data from the filtered packet data.

Abstract: An ultrasound diagnostic device including: a transmitter which outputs a driving signal for a C-mode image to an ultrasound probe sending and receiving ultrasound; a receiver which obtains a reception signal from the ultrasound probe; and a controller which: calculates an inner product value of packet data of the reception signal and a first orthonormal basis for each degree; sets a conversion function to convert the inner product value into a removal rate to remove a clutter component; converts the calculated inner product value into the removal rate for each degree by using the set conversion function; and generates image data from which a signal component of the C-mode image is removed according to the removal rate for each degree.

Abstract: Sparkle in color flow imaging is detected. Color flow data is estimated with different pulse repetition frequency (PRF). By correlating the color flow data estimated with different PRFs, sparkle is identified. Color flow images may be filtered to reduce motion while maintaining the sparkle region (e.g., kidney stone imaging) or reduce the sparkle region while maintaining motion (e.g., remove sparkle as system noise).

Abstract: Methods and systems for suppressing clutter effects in ultrasonic imaging systems are presented. Two or more receive beams with different and distinct beam patterns are employed for each reception boresight and each reception phase center. The clutter suppression processing is applied to the beamformed data, and is based on computing one or more features for each range-gate. These features may include variability features, providing an estimate of the variability of the signal received by the different elements of the transducer array for the range-gate, and/or derivative/slope features that are an estimation of a function of spatial derivatives of the signal received by the different elements of the transducer array for the range-gate.

Abstract: A transmit signal generator is provided. The transmit signal generator has an n?1 bit comparator having a first set of n?1 input lines and a second set of n?1 input lines and an output line, the n?1 bit comparator operable to compare signals of the first set of n?1 input lines and signals of the second set of n?1 input lines and provide the output of the n?1 bit comparator based on the comparison, and an n-bit binary counter having a clock signal input line, a reset signal input line, a clock enable line connected to the output line of the n?1 bit comparator, and n output lines. One of the n output lines provides a sequence of pulse as an output of the transmit signal generator.

Abstract: A method and means to utilize machine learning to train a device to generate a confidence level indicator (CLI). The device is a CAD system that has been initially trained using initial machine learning to recommend classifications for image features presented to the device. Probabilistic classification is utilized to incorporate intermediate values given by a human operator to better indicate a level of confidence of the CAD system's recommendations as to what classes should be associated with certain image features.

Abstract: A system for asservation of at least one hair including a hair root and a hair shaft are disclosed. In some embodiments, the system includes transport and/or storage containers, or cultivation containers. Also disclosed are methods for transporting and/or storing hair, for culturing keratinocytes from hair, and for generating induced pluripotent stem cells from keratinocytes.

Abstract: A biopsy device includes a hydraulic drive assembly, a drive mechanism, and a biopsy member. The hydraulic drive assembly includes a chamber housing that defines a proximal chamber, a distal chamber, and a transition chamber that collectively form a continuous passage in the chamber housing. The proximal chamber has a first transverse area and the distal chamber has a second transverse area, with the first transverse area being larger than the second transverse area. A drive piston is located in the proximal chamber and a driven piston is located in the distal chamber. A hydraulic fluid fills a cavity between the drive piston and the driven piston to establish a hydraulic connection between the drive piston and the driven piston. The drive mechanism is connected to the drive piston to move the drive piston in the proximal cylinder. The biopsy member is connected to the driven piston.

Abstract: Methods, apparatuses and systems for collecting cells from a body lumen are described. The system may include a cell collection device and a capsule configured to releasably retain the cell collection device. The cell collection device may comprise a plurality of distinct regions, each region comprising one or more material properties. In some instances, at least one material property of at least one distinct region differs from at least one material property of at least one other distinct region. The distinct regions may comprise different materials or may comprise the same material where at least one of the distinct regions is mechanically or chemically altered to yield the at least one differing material property.

Abstract: The present disclosure relates to the field of endoscopy. Specifically, the present disclosure relates to systems and methods for real-time visualization and sampling of target tissue within body passages. In particular, the present disclosure relates to a system that provides real-time visualization of eccentric pulmonary nodules, and which allows the location/orientation of a biopsy needle to be determined prior to its first actuation.

Abstract: A device for occluding a vasculature of a patient including a micrograft having an absorbent polymeric structure with a lumen of transporting blood. The micrograft has a series of peaks and valleys formed by crimping. The occluding device is sufficiently small and flexible to be tracked on a guidewire and/or pushed through a microcatheter to a site within the vasculature of the patient. Delivery systems for delivering the micrografts are also disclosed.

Abstract: A retractor system for use in medical procedures is connectable to a head fixation device. The retractor system includes a support assembly and an accessory that is mountable thereto. The support assembly is coupled with the head fixation device such that a position of the support assembly is adjustable relative to the head fixation device. The support assembly includes an upright support and a rod having a non-circular profile. The support assembly and rod are selectively and adjustably coupled to one another via a coupling assembly. The coupling assembly includes a pair of resilient members having contacting and non-contacting surfaces within bores of the resilient members. The accessory and rod are selectively and adjustably coupled to one another via another coupling assembly that comprises locking features operable to selectively engage and disengage the accessory with the rod.

Abstract: An all-suture suture anchor system includes an all-suture anchor, an inserter, and a specially designed drill. The drill is used to enlarge the hole and create a pocket under the bone surface from the pre-drilled hole. The created pocket is intended to accommodate the expansion of the anchor when deployed into the bone, generating a true mechanical interference under the bone surface. The anchor is loaded on the inserter and placed at full length vertically inside the drilled hole. While holding the inserter on top of the drilled hole, so that a feature on the inserter keeps the anchor to a desired depth below the bone surface, tension is applied to the suture limb that is connected to the bottom end of the anchor. This tensioning step causes the length of the anchor to contract vertically and the anchor is simultaneously expanded circumferentially to fill the pocket previously created by the drill.

Abstract: A suture manipulating instrument for passing and retrieving suture through a tissue includes a handle mechanism, an elongate shaft extending from the handle, and a working distal end. The working distal end includes a needle body, a lumen defined by the needle body, a tissue penetrating distal tip, and a lateral slot. A preformed inner member is movably disposed within the lumen of the needle. The handle mechanism is used to extend the wire from the lateral slot of the needle, and to retract the wire into the lateral slot, allowing the working end of the instrument to grasp and manipulate suture by pinning and/or trapping the suture against the needle. In embodiments the inner member is further retracted within the needle lumen, drawing a length of suture into the needle lumen. The suture is subsequently ejected from the needle lumen to form a suture loop.

Abstract: An endoscopic stitching device includes an actuation shaft, a tool assembly, and a drive assembly. The tool assembly includes a suture needle and a pair of jaws transitionable between open and closed positions. Each jaw includes a needle engaging blade slidably supported thereon. Each needle engaging blade is transitionable between an extended position in which the needle engaging blade engages the suture needle and a retracted position in which the needle engaging blade is disengaged from the suture needle. The drive assembly includes first, second, and third electrical actuators. The first actuator is operatively coupled with the actuation shaft to cause axial displacement of the actuation shaft. The axial displacement of the actuation shaft causes opening and closing of the pair of jaws. The second and third actuators are operatively coupled with the needle engaging blades to provide axial displacement of the needle engaging blades.

Abstract: A self-locking adjustable loop construction and a method of forming the construction are disclosed. The construction can include a flexible member having a first end, a second end and a first portion therebetween. The first end can be passed back through the first portion at a first point such that the first end passes through the first portion from a first side of the flexible member to a second opposite side of the flexible member. The first end can be passed through the first portion at a second point spaced apart from the first point such that the first end passes through the first portion from the second side to the first side so as to place the second end outside of the first portion.

Abstract: A surgical apparatus comprises a surgical staple for treating tissues of a patient in a surgical procedure. The surgical staple is deformable from a first configuration (e.g., an un-deployed configuration) to a second configuration (e.g., a deployed configuration) in accordance with embodiments of the present invention. The surgical staple includes a first leg and a second leg, wherein said surgical staple substantially resembles a V-shape or a suture needle in the first configuration and substantially forms a D-shape in the second configuration in accordance with embodiments of the present invention.

Abstract: An end effector for use by a surgeon to staple an anatomical structure of a patient during a minimally invasive procedure, the anatomical structure having a first side and a second side, the end effector including an anvil that includes a first end, a second end, and a face, and a cartridge that is configured to house a plurality of staples and that includes a first end, a second end, and a face, and an engagement element that movably couples the first end of the anvil to the first end of the cartridge, and a knife, the knife having a first flange, a second flange, and a web including a cutting edge, and where the second end of the anvil is movably coupled to the second end of the cartridge, each of the anvil and the cartridge is insertable through a trocar, and the end effector is remotely operable from outside the patient.

Abstract: A surgical stapler system may include a surgical instrument comprising an end effector configured to receive a removable staple cartridge, and an actuation mechanism operably coupled to actuate the end effector to perform a stapling procedure. The surgical stapler system also may include a drive system operably coupled to transmit an actuation force to the actuation mechanism and a controller operably coupled to the drive system. The controller may be configured to measure an actuation force transmitted by the drive system to the actuation mechanism, and control continued transmission of the actuation force based on a comparison of the measured actuation force to a range defined from a minimum threshold actuation force to a maximum threshold actuation force.

Abstract: A surgical end effector that includes a channel that is configured to operably support a surgical staple cartridge therein and an anvil that is movable between an open position and a closed position. A rotary driven firing member is configured to move axially between a starting position and an ending position. The rotary driven firing member includes at least one anvil engagement member that is configured to engage the anvil and at least one channel engagement member that is configured to engage the channel. The anvil engagement members may differ in size and length from the channel engagement members. The channel engagement members may have different channel engagement surfaces thereon that are formed at angles relative to each other.

Abstract: An end effector is disclosed comprising a cartridge channel, a staple cartridge positionable in the cartridge channel, and a firing assembly configured to lock itself if the staple cartridge is not positioned in the cartridge channel. Moreover, the firing assembly is configured to lock itself if the staple cartridge has been at least partially spent.

Abstract: The present disclosure provides a wound closure device including: (a) a first opposing member and a second opposing member disposed on opposing sides of a central axis, each resiliently moveable between a closed position and open position relative to each other, each of the opposing members having a distal edge; (b) skin penetrating means for anchoring the device; (c) a pressure bar along each distal edge; (d) releasable locking means for biasing or maintaining the device in the closed position; and optionally (e) an accessory component.

Abstract: A tissue gripping device is formed from a shape-memory material, and has a base section, a first arm, and a second arm disposed opposite the first arm, each arm having a first end coupled to the base section and a free end extending from the base section. The arms of the tissue gripping device are configured to resiliently flex toward a relaxed configuration in a distal direction as the tissue gripping device is moved from a pre-deployed configuration toward a deployed configuration. The tissue gripping device is usable in a method for gripping tissue. The method includes positioning the tissue gripping device near target tissue and moving the tissue gripping device from a pre-deployed configuration toward a deployed configuration in order to grip the target tissue.

Abstract: Methods and devices for increasing oxygenation levels in the blood supply and thereby treating the condition of hypoxemia. Multiple approaches such as pressure reduction in the pulmonary circulatory system, reducing triggering mechanisms in the main pulmonary artery and restricting flow in the pulmonary circulatory system are disclosed. Interventions associated with those approaches can including shunting, restrictors, compliance devices, pharmacologic substances, etc.

Abstract: A surgical stapling instrument is disclosed. The surgical stapling instrument includes an anvil configured to clamp a tissue, a circular stapling head assembly comprising a first row of staples and a second row of staples, a first staple driver configured to drive the first row of staples, a second staple driver configured to drive the second row of staples, wherein the first and second staple drivers are independently actuatable. A motor is coupled to the anvil. The motor is configured to move the anvil between a first position and a second position. A control circuit coupled to the motor. The control circuit is configured to set a stroke length for the first and second staple drivers to a first length, detect a malformed staple in the first row of staples, and set the stroke length for the second staple driver to a second length.

Abstract: A surgical instrument includes a body, a shaft assembly, a stapling head assembly, and a drive assembly. The shaft assembly includes an actuator. The stapling head assembly is operable to drive an annularly arranged array of staples into tissue in response to translation of the actuator along a first axis relative to the body. The drive assembly is operable to translate the actuator along the first axis. The drive assembly comprises first and second rotary members. The first rotary member is rotatable about a second axis. The second axis is non-parallel with the first axis. The second rotary member is rotatable about a third axis. The third axis is non-parallel with the first axis and non-parallel with the second axis. The first rotary member is operable to drive the second rotary member to rotate about the third axis to thereby drive the actuator along the first axis.

Abstract: A circular stapler and a staple head assembly thereof are disclosed. The staple head assembly comprises a staple barrel assembly and an anvil assembly. The anvil assembly includes an anvil ring and an anvil shaft which are fixedly connected to each other, where the anvil shaft is capable of sliding along the longitudinal direction in an expansion-stopping tube. The staple barrel assembly includes a staple barrel, a staple pusher piece arranged within the staple barrel and a staple cartridge fixed at a distal end of the staple barrel.

Abstract: An example occlusive implant is disclosed. The example occlusive implant includes an expandable framework configured to shift between a collapsed configuration and an expanded configuration, an occlusive member disposed along at least a portion of the expandable framework and a sealing member disposed along the occlusive member, wherein the occlusive member includes at least a first cellular tissue growth pathway.

Abstract: The disclosure relates to a fibula bone material removal and transfer template including a center part with a central body each end of which has a separating tool guide portion, at least one of the bone separating tool guide portions being mounted such that it can be moved away from and pushed towards the center part.

Abstract: Embodiments of a device for forming incisions and extracting osseous tissue are disclosed. The device includes a body defining a channel. A blade is oriented in linear sliding engagement within the channel of the body. The device includes a stopping mechanism for restricting movement of the blade relative to the body. The device is engageable to an apparatus. The apparatus includes a fixed portion that defines a first end and a second end. A clamp is oriented along the fixed portion of the apparatus adjacent the device. The clamp and the device are collectively configured to remove bone tissue from a patient.

Abstract: A drill guide to facilitate drilling a hole into a bone and inserting an anchor. The drill guide includes a handle extending to a proximal end and a guide shaft extending from the handle to a distal end. A recess extends into the handle at the proximal end. The drill guide also includes a channel extending through the recess and into the guide shaft and a contact surface extending from the recess. The contact surface may be a proximal surface on a ring extending circumferentially within the recess. The contact surface may alternatively be a proximal surface on a protrusion extending from and within the recess. For example, the protrusion is a triangular protrusion extending along the recess toward the channel. The contact surface allows for the use of inserters of varying sizes within the channel of the drill guide.

Abstract: Surgical drill guides having a guide shaft and a set of distal guide teeth extending from the guide shaft. The guide shaft has proximal and distal portions having two distinct inner and outer diameters, with a tapered zone extending between the two portions. Wall thickness is maintained or increased from the proximal portion to the distal portion of the shaft, reinforcing the rigidity of both the shaft and the distal guide teeth.

Abstract: A percutaneous thrombus extraction device for removing a thrombus from within a blood vessel includes a flexible outer sheath defining a first passage between a proximal end and a distal end. An inner sheath is movably positionable within the first passage. The inner sheath defines a second passage between a proximal end and a distal end. The inner sheath is moveable in a radial direction between a collapsed configuration and an expanded configuration along a length of the inner sheath defined between the proximal end and the distal end. A catheter is movably positionable within the second passage, and has an expandable body at a distal end portion of the catheter. The expandable body is movable between a collapsed configuration and an expanded configuration.

Abstract: A reentry catheter having a catheter body having a lumen extending axially through a length of the catheter body, a distal port in communication with the lumen, and a flexible distal tip positioned at a distal end of the catheter body. The distal tip can have a first planar surface and a second planar surface that are angled to form a tapered portion in the distal tip. A thickness of the tapered portion in a first direction can decrease along the length of the tapered portion and can be less than a width of the tapered portion in a second direction at every point along the length of the tapered portion such that the tapered portion of the tip is more flexible when bent in the first direction than in the second direction, the second direction being normal to the first direction.

Abstract: A medical device comprises a catheter and an aspiration pump. The catheter has a hybrid reinforcement to improve performance characteristics. The aspiration pump is cycled to improve aspiration efficacy.

Abstract: Disclosed herein is a fecalith treatment system for the removal of an impacted fecalith from a formed diverticula. The fecalith treatment system having an endoscopic device having a steerable line configured to be introduced into a patient via the endoscopic device; and an articulable fecalith treatment device coupled to a distal end of a treatment conduit that is configured to be received therein the steerable line to be delivered to an operative position within the patient. Subsequently, the fecalith treatment device is configured to allow for the removal of the impacted fecalith without damaging the underlying diverticula tissue.

Abstract: A medical device to be inserted into a blood vessel for effectively removing an object flowing in a biological lumen while reducing the burden on the living body includes an elongated shaft portion, and an expansion portion which is an elastically deformable cylindrical body having a plurality of gaps and in which a proximal portion or a distal portion of the cylindrical body is interlocked with the shaft portion. The expansion portion has a ring-shaped or annular bent portion which protrudes toward a proximal side position radially outside the expansion portion in a bent state of being bent along an axial direction, and an axial length of a second portion from the bent portion to a proximal end of the expansion portion is shorter than an axial length of a first portion from the bent portion to the distal end of the expansion portion.

Abstract: The present invention relates to a reflector for an acoustic shock or pressure wave head, wherein the reflector comprises an acoustically reflective surface formed by a body of rotation, said body of rotation being formed by rotation of an elliptical segment about a rotation axis which extends through a focal point of the ellipse and encloses an angle ? between 0.1° and 30° with the main axis of the ellipse.

Abstract: Certain embodiments provide a surgical instrument comprising surgical instrument comprising an device having a functional end and a main handle comprising a distal end coupled to the device. The surgical instrument further comprises an actuation handle insert comprising a number of first rolling components and an actuation tube coupled to the actuation handle insert, wherein the functional end of the device at least partially extends outside of the actuation tube when the device is deactivated. The surgical instrument further comprises levers comprising second rolling components. The surgical instrument further comprises a plurality of rolling elements, wherein each of the rolling elements is placed between one of the second rolling components and one of the first rolling components and pressing one or more of the levers pushes the actuation handle insert forward relative to the device, causing the actuation tube to transition the device from the deactivated state to an activated state.

Abstract: Devices and methods for performing subcutaneous surgery in a minimally invasive manner are provided. The methods include application of reduced air pressure in a recessed area of a handpiece placed over a section of skin and drawing the section of skin and subcutaneous tissue into the recessed area. In a subsequent step a tool is inserted through a tool conduit in the handpiece and through the skin into the subcutaneous tissue, enabling the performance of the desired surgery. Common surgical procedures include dissection and ablation. The devices and methods can be directed at the treatment of skin conditions like atrophic scars, wrinkles, or other cosmetic issues, at treatments like or promoting wound healing or preventing hyperhidrosis, or can be used for creating space for various implants.

Abstract: A surgical device controllable by a surgical robotic system is provided. The surgical device includes a housing capable of being coupled to the surgical robotic system, a drive system at least partially mounted in the housing; and a shaft rotatably coupled to the drive system at a first end of the shaft. The surgical device further includes a tissue-removal assembly coupled to the second end of the shaft. The tissue-removal assembly includes a first cutting member having a plurality of rotatable blades. The first cutting member is coupled to a second end of the shaft. The tissue-removal assembly further includes a second cutting member, one or more support elements slidably or fixedly coupled to the second cutting member, and one or more extendable elements slidably or fixedly coupled to the second cutting member.

Abstract: An endoscopic surgical device comprising a slotted clear cannula, a blade and a case, wherein the cannula is attached to the case, and wherein the blade is enclosed in the case and is slidable into the cannula is disclosed. The blade is enclosed within the case and cannula, and has a horizontally-oriented pushing component and a vertically-oriented cutting component that protrudes through the slot of the cannula. A method for a performing an operative procedure on a target tissue in a subject using the endoscopic surgical device is also described.

Abstract: A surgical instrument assembly has (i) a surgical instrument including a handpiece and a probe or horn attached to the handpiece, (ii) a source of ultrasonic vibratory energy operatively connected to the probe or horn, (iii) a source of electrical current operatively connected to deliver electrical current to organic tissues of a patient at a surgical site contacted by a distal end of the probe or horn, and (iv) a sensor of electrical potential disposable in contact with the patient at a desired distance from the surgical site. The sensor is operatively connected to the source of ultrasonic vibratory energy to automatically attenuate an output thereof in response to a detected potential of a predetermined magnitude.

Abstract: A vacuum aspiration control system for use with a vacuum source and an aspiration catheter includes a connecting tube configured to connect the vacuum source with a lumen of an aspiration catheter. An on-off valve is operatively coupled to the connecting tube, and a sensing unit is configured to detect flow within the connecting tube and provide a signal representative of flow. A controller receives the signal to decide whether to open or close the valve. The controller may automatically close the valve to stop flow when flow through the connecting tube is unrestricted, or according to a predetermined timing sequence. The controller can further periodically open a closed valve to determine whether flow has entered an acceptable range. The controller can still further engage pulsed aspiration with a pressure manipulation assembly when flow is restricted or occluded.

Abstract: Disclosed is a skin treatment device, including: a support main body; a rotating part mounted on one surface of the support main body to be rotatable about a rotating shaft; a plurality of elastic parts which have one ends fixed to the support main body and inserted into the rotating part and are disposed to correspond to a rotation direction of the rotating part, and a needle holder coupled to tip ends of the elastic parts. When the rotating part rotates, the plurality of elastic parts are bent in the rotation direction so that relative positions of tip ends of the elastic parts vary.

Abstract: An endoscopic treatment tool comprises an elongated sheath and an elongated portion configured to be inserted in the elongated sheath and capable of being movable back and forth in directions. A loop portion is disposed on a distal end of the elongated portion and is constructed of a wire folded to form into a loop. The loop portion includes a first bent portion, a pair of second bent portions, a pair of third bent portions, and a fourth bent portion all of which are integrally formed from a distal end toward a proximal end of the loop portion. A first length that represents a length from the first bent portion to the fourth bent portion in the directions along the longitudinal axis ranges from one and half times to two times a first width that represents a maximum dimension of the loop portion in directions perpendicular to the longitudinal axis.

Abstract: A treatment method and medical device are disclosed for cutting a substance inside a body lumen. The medical device for cutting substances inside a body lumen including a rotatable tubular drive shaft; an expanding part connected to a distal side of the drive shaft; a cutting part covering the expanding part; and an elongated tube extending through the drive shaft and connected to the expanding part, wherein a distal end of the expanding part is placed distal to a distal end of the cutting part.

Abstract: Medical devices and methods for using medical devices are disclosed. A rotational atherectomy device may include an elongate drive coil having a proximal end region and a distal end region, the elongate drive coil having a coil winding extending in a first helical direction, the elongate drive coil having a coil pitch. A tubular member is welded to the distal end region of the elongate drive coil via one or more helical welds that extend helically at least part way around the tubular member and a cutting member welded to the tubular member.

Abstract: Versatile tissue collection devices that can provide reduced crossing profiles, fluid pressure release, and/or easy cleaning or removal. In particular, devices having tissue collection devices with multiple configurations to facilitate navigation through narrow vessel cross-sections while also providing adequate tissue storage capacity. Additionally, the devices may include detachable components that allow easy removal, cleaning, and replacement during a procedure. Furthermore, venting elements and sections may be included to relieve fluid buildup in storage reservoirs.