Patents Issued in September 2, 2021
  • Publication number: 20210267659
    Abstract: A generator is configured to output two or more waveforms at different frequencies. In particular, the generator is configured to provide an ultrasonic waveform, which may be suitable for driving a transducer of an ultrasonic surgical instrument, and electrosurgical radiofrequency energy, which may be suitable for electrosurgical instruments.
    Type: Application
    Filed: May 17, 2021
    Publication date: September 2, 2021
    Inventors: Steven C. Rupp, Robert B. Smith, Daniel A. Friedrichs
  • Publication number: 20210267660
    Abstract: An electrosurgical device is provided. The electrosurgical device can include an elongated member configured to be attached to an elongated shaft of an endoscope, the elongated member including a distal portion that, when axially extended beyond a distal end of the shaft, bends toward a longitudinal axis of the shaft. The electrosurgical device can include an electrode exposed at the distal portion of the elongated member. The electrosurgical device can include an electrical interconnect coupling the electrode to an electrosurgical energy connection at a proximal portion of the elongated member.
    Type: Application
    Filed: February 26, 2021
    Publication date: September 2, 2021
    Inventors: Joey Magno, Joel Andrew Willhite
  • Publication number: 20210267661
    Abstract: Methods for treating anxiety disorders and for reducing a risk associated with developing an anxiety disorder in patients via therapeutic renal neuromodulation and associated systems are disclosed herein. Sympathetic nerve activity can contribute to several cellular and physiological conditions associated with anxiety disorders as well as an increased risk of developing an anxiety disorder. One aspect of the present technology is directed to methods for improving a patient's calculated risk score corresponding to an anxiety disorder status in the patient. Other aspects are directed to reducing a likelihood of developing an anxiety disorder in patients presenting one or more anxiety disorder risk factors. Renal sympathetic nerve activity can be attenuated to improve a patient's anxiety disorder status or risk of developing an anxiety disorder. The attenuation can be achieved, for example, using an intravascularly positioned catheter carrying a therapeutic assembly configured to use, e.g.
    Type: Application
    Filed: May 19, 2021
    Publication date: September 2, 2021
    Inventors: Gabriel Lazarus, Douglas A. Hettrick
  • Publication number: 20210267662
    Abstract: An electrosurgical pencil for use in performing surgery on a surgical site includes a main body forming a handle grippable by user and having open front and rear ends. The pencil has a vent tube open at its forward end, and slidably mounted in the body. The tube is adjustable independently from a retracted position to various extended positions. An elongate electrode is mounted in the tube and independently slidable therein. The electrode is adjustable manually in its longitudinal direction from a retracted position to extended positions. A first conducting strip can be mounted in the vent rube in contact with the electrode. A second conducting strip can be mounted in the main body and is in sliding contact with the first strip in order to provide power to the electrode.
    Type: Application
    Filed: May 11, 2021
    Publication date: September 2, 2021
    Inventor: Leonard Ineson
  • Publication number: 20210267663
    Abstract: An electrosurgical system includes an end effector assembly and an electrosurgical generator. The end effector assembly includes first and second jaw members, one or both of which is movable relative to the other for grasping tissue between tissue-contacting surfaces thereof. One or both of the jaw members includes a sensor configured to sense at least one property associated with the grasped tissue. The electrosurgical generator includes a controller and an energy output configured to supply electrosurgical energy to the tissue-contacting surface of one or both of the jaw members for conduction through the grasped tissue to seal the grasped tissue. The controller is configured to receive the at least one sensed property, determine at least one condition of collagen within the grasped tissue based upon the at least one sensed property, and control the energy output based upon the determined at least one condition of the collagen within the grasped tissue.
    Type: Application
    Filed: February 22, 2021
    Publication date: September 2, 2021
    Inventors: Amanda H. Lennartz, Daniel A. Joseph, Jennifer R. McHenry, Cornelia F. Twomey, Erin E. Wehrly, Pierre Gherardi, Tracy J. Pheneger, Tyler J. Bagrosky, Robert H. Wham, Jing Zhao
  • Publication number: 20210267664
    Abstract: An electrosurgical system includes an end effector assembly, a display, and a controller. The end effector assembly includes first and second jaw members each defining a tissue-treating surface. At least one of the first or second jaw members is movable relative to the other between a spaced-apart position and an approximated position for grasping tissue between the tissue-treating surfaces thereof. At least one of the first or second jaw members includes a sensor. The controller is configured to receive sensor data from the sensor, generate a tissue indication based upon the sensor data, and output the tissue indication to the display. The display is configured to display the tissue indication. The tissue indication indicates a location along the first jaw member at which tissue is grasped between the tissue-treating surfaces of the first and second jaw members.
    Type: Application
    Filed: February 26, 2021
    Publication date: September 2, 2021
    Inventors: Amanda H. Lennartz, Daniel A. Joseph, Jennifer R. Mchenry, Cornelia F. Twomey, Erin E. Wehrly, Pierre Gherardi, David M. Garrison, Tyler J. Bagrosky, Jing Zhao
  • Publication number: 20210267665
    Abstract: A system for the manufacture of an end effector assembly which is configured for use with an electrosurgical instrument configured for performing an electrosurgical procedure is provided. The system includes a photolithography module that is configured to etch one or more pockets on a seal surface of the seal plate. A vacuum module is configured to raise, transfer and lower a spacer from a location remote from the pocket(s) on the seal plate to the pocket on the seal plate(s). An adhesive dispensing module is configured to dispense an adhesive into the pocket on the seal plate. An optical module is configured to monitor a volume of the adhesive dispensed within the pocket and monitor placement of the spacer within the pocket.
    Type: Application
    Filed: May 13, 2021
    Publication date: September 2, 2021
    Inventors: Kim V. Brandt, Allan G. Aquino
  • Publication number: 20210267666
    Abstract: A forceps-type electrosurgical device is disclosed comprising, a fixed elongate body and a pair of moveable tips, arranged for engaging tissue in use, and extending from a forward end of the body. The tips are relatively moveable between a first position in which the tips are spaced apart and a second position in which the tips are brought together. The body further comprising an actuation member moveable relative to the body and connected to the tips such that a user may move the actuation member to result in movement of the tips between the first and second positions. The device may further comprise a suction port proximal to the tips.
    Type: Application
    Filed: May 14, 2021
    Publication date: September 2, 2021
    Inventor: Gerard Brooke
  • Publication number: 20210267667
    Abstract: A surgical instrument is provided and includes a housing having a shaft. An end effector assembly operatively connects to the shaft and has a pair of first and second jaw members. A jaw insert is operably associated with the first and second jaw members. The jaw insert includes one or more cam slots defined therein configured to receive a cam pin that upon movement thereof rotates the first and second jaw members from an open position to a clamping position and an opening defined therein configured to securely house a pivot pin that provides a point of pivot for the first and second jaw members. The jaw insert is manufactured from an insulative medium to dielectrically isolate the first and second jaw members.
    Type: Application
    Filed: May 17, 2021
    Publication date: September 2, 2021
    Inventors: Duane E. Kerr, Glenn A. Horner
  • Publication number: 20210267668
    Abstract: A surgical instrument includes a housing, a shaft extending distally from the housing, an end effector assembly disposed at a distal end of the shaft, a knife slidably disposed within the shaft, a movable handle operably coupled to the housing, a trigger operably coupled to the housing, a drive assembly operably coupled between the movable handle and the end effector assembly such that movement of the movable handle manipulates the end effector assembly, and a linkage operably coupled between the trigger and the knife such that movement of the trigger deploys the knife. In an initial position of the movable handle, a portion of a drive housing of the drive assembly intersects a path of movement of the linkage to inhibit movement of the linkage, thereby inhibiting actuation of the trigger.
    Type: Application
    Filed: May 17, 2021
    Publication date: September 2, 2021
    Inventors: James D. Allen, IV, Victor K. Appel, Craig V. Krastins, Jessica E.C. Olson, Stephen J. Stamm, Purvishkumar H. Soni, Ross Tichota
  • Publication number: 20210267669
    Abstract: In a method for treating gastroesophageal reflux disease, an insertion portion of an endoscope is inserted from a cardia into a stomach. A distal end portion can be bent to position a cardiac region and a cautery unit in a field of view of an observation mechanism. The cautery unit can be brought into contact with a first region of a stomach wall around the cardia to cauterize the first region without removing a mucosal layer thereof while the cautery unit and a proximal portion of the insertion portion proximal of the bend are separated from each other by a predetermined distance or more. A position of the cautery unit with respect to the stomach wall can be changed while the separation state is maintained to bring the cautery unit into contact with and cauterize a second region of the stomach wall without removing a mucosal layer thereof.
    Type: Application
    Filed: February 28, 2020
    Publication date: September 2, 2021
    Applicant: OLYMPUS CORPORATION
    Inventors: Nobuko MATSUO, Keiichi SATO, Yoshisane NAKAMURA
  • Publication number: 20210267670
    Abstract: An ablation catheter comprises an elongated catheter body; at least one ablation element disposed in a distal portion which is adjacent the distal end of the catheter body; an illumination optical element disposed in the distal portion, the illumination optical element being light-transmissive to emit light from the illumination optical element to the targeted tissue region; and a collection optical element disposed in the distal portion, the collection optical element being light-transmissive to collect one or more of returned, backscattered or newly excited light from the targeted tissue region. The illumination or excitation optical element and the collection optical element are axially spaced from one another and axially optically isolated from one another within the distal portion to substantially prevent light from traveling between the illumination optical element and the collection optical element along a path within the distal portion.
    Type: Application
    Filed: February 26, 2021
    Publication date: September 2, 2021
    Inventors: John W. Sliwa, Stephen A. Morse, Zhenyi Ma
  • Publication number: 20210267671
    Abstract: Electrode assemblies include segmented electrodes disposed on a catheter. The segmented electrodes can be constructed at the tip of the catheter. Tip electrodes can be constructed from an electrically insulative substrate comprising an inner lumen, an external tip surface, and a plurality of channels extending from the inner lumen to the external tip surface, a plurality of segmented electrodes, and a plurality of spot electrodes. Each of the plurality of segmented electrodes and each of the plurality of spot electrodes can be laterally separated from each other by an electrically non-conductive substrate portion and each of the spot electrodes and each of the segmented electrodes can be electrically coupled to at least one wire or conductor trace.
    Type: Application
    Filed: March 12, 2021
    Publication date: September 2, 2021
    Inventors: John W. Sliwa, Zhenyi Ma, Stephen A. Morse, John A. Hauck, Don Curtis Deno
  • Publication number: 20210267672
    Abstract: An electrode assembly includes an electrode pair including a first electrode and a second electrode configured to be selectively energized for delivery of electroporation therapy. The electrode assembly also includes an expandable isolation member disposed axially between the first electrode and the second electrode. One of the first electrode and the second electrode is positioned proximally of a proximal end of the expandable isolation member and the other of the first electrode and the second electrode is positioned distal to a distal end of the expandable isolation member. The expandable isolation member is configurable between a collapsed configuration and an expanded configuration. The expandable isolation member includes a circumferential sealing surface configured for sealing engagement with tissue of a patient such that the expandable isolation member inhibits fluid and electrical communication between the first electrode and the second electrode when engaged with the tissue.
    Type: Application
    Filed: December 22, 2020
    Publication date: September 2, 2021
    Inventors: Troy Tegg, Salo Arias
  • Publication number: 20210267673
    Abstract: A catheter US transducer container and method of manufacture thereof including a housing, one or more cooling channels oriented longitudinally along a longitudinal axis of the container, a sealing cooling channel cover, one or more PE elements positioned on a floor of the cooling channel, the cooling channel having a trapezoid cross section at any point along the PE element.
    Type: Application
    Filed: August 22, 2019
    Publication date: September 2, 2021
    Inventors: Ran Sela, Yuri Megel, Shimon Eckhouse
  • Publication number: 20210267674
    Abstract: Provided herein are methods, systems, and devices for increasing heat shock protein expression and treating conditions for which increased heat shock protein expression is expected to be beneficial using thermal ablation.
    Type: Application
    Filed: May 3, 2021
    Publication date: September 2, 2021
    Inventors: Ayala Hezi-Yamit, Susan Edwards, Carol Sullivan
  • Publication number: 20210267675
    Abstract: Described here are devices, systems, and methods for forming a fistula between two blood vessels. The systems may comprise a first catheter including a housing and an electrode having a proximal end and a distal end. The proximal end is fixed relative to the housing and the distal end is longitudinally slidable within the housing.
    Type: Application
    Filed: May 4, 2021
    Publication date: September 2, 2021
    Inventors: Thomas D. Pate, Dana R. Mester, William E. Cohn, Philip M. Tetzlaff
  • Publication number: 20210267676
    Abstract: A modular multi-electrode structure for use with an electrophysiology device includes a plurality of interconnected, non-conductive, tubular substrates. Each non-conductive, tubular substrate includes an outer surface and a conductor disposed on the outer surface, as well as at least one signal conductor extending along a length of the interconnected plurality of non-conductive tubular substrates. The conductor disposed on the outer surface of each non-conductive tubular substrate is in electrical communication with the at least one signal conductor. In some embodiments, the plurality of non-conductive tubular substrates includes a plurality of non-conductive polymeric substrates. In alternative embodiments, the plurality of non-conductive tubular substrates includes a plurality of non-conductive, unitary molded cylinders.
    Type: Application
    Filed: May 11, 2021
    Publication date: September 2, 2021
    Inventors: Andrew R. Oliverius, Timothy S. Marass, Therese C. Gilbert, Nicholas Strom, Gregory K. Olson
  • Publication number: 20210267677
    Abstract: A method and system for mapping tissue and producing lesions for the treatment of cardiac arrhythmias in a non-thermal and optimal manner, minimizing the amount of energy required to selectively stun or ablate the target tissues. Energy may be delivered only at the moment(s) of best device position and proximity of an electrode to target tissue, and only during a time in the cardiac cycle determined to be optimal for reversible or irreversible effects. A method may include determining timing of the cardiac cycle and an optimal time within the cardiac cycle for energy delivery, evaluating proximity between at least one energy delivery electrode and the target tissue, and delivering pulsed field energy from the at least one energy delivery electrode to the target tissue when, during the optimal time for energy delivery, the at least one energy delivery electrode is in close proximity with the target tissue.
    Type: Application
    Filed: May 17, 2021
    Publication date: September 2, 2021
    Inventors: Mark T. STEWART, Catherine R. CONDIE, Jay L. KELLEY
  • Publication number: 20210267678
    Abstract: A treatment system includes a magnetic sensor configured to detect a biomagnetic field generated by a living body to be treated, a catheter configured to be inserted into the living body, an image information processor programmed to generate a combined image including a first image expressing a strength of the biomagnetic field and a second image expressing a position of the catheter, by using biomagnetic field information output from the magnetic sensor and position information of the catheter inserted into the living body, and a display configured to display the combined image.
    Type: Application
    Filed: May 17, 2021
    Publication date: September 2, 2021
    Applicant: ASAHI INTECC CO., LTD.
    Inventor: Fumiyoshi OSHIMA
  • Publication number: 20210267679
    Abstract: Apparatus and methods are described including a catheter ultrasound transducer that includes one or more piezoelectric elements configured to ablate tissue of an ostium of a blood vessel by applying ultrasound energy to tissue of the ostium. An expandable positioner is configured to envelope at least a portion of the catheter ultrasound transducer and to position the catheter ultrasound transducer in the ostium of the blood vessel by contacting a wall of the blood vessel. A system processor in communication with the one or more piezoelectric elements is configured to regulate a parameter of the ultrasound energy emitted from the one or more piezoelectric elements based on impedance measurement between one or more electrodes located on the expandable positioner and one or more electrodes located on the catheter ultrasound transducer. Other applications are also described.
    Type: Application
    Filed: May 20, 2021
    Publication date: September 2, 2021
    Inventors: Ran Sela, Yuri Megel, Shimon Eckhouse
  • Publication number: 20210267680
    Abstract: Apparatus and methods are described including positioning an ultrasound transducer at a blood vessel ostium, rotating the transducer about its axis and scanning tissue of the blood vessel ostium, recording one or more baseline returned signals from the tissue, and creating a baseline image of the blood vessel ostium based on at least one of the returned signals. Tissue of the blood vessel ostium is ablated in consecutive segments by rotating the transducer segmentally until full rotation is completed. The returned signals of the ablated segments are recorded in real-time and a real-time image is created based on the one or more returned signals. Ablation is terminated after changes in the real-time returned signals and/or real-time image with respect to the baseline returned signals and/or baseline image indicate an achieved predetermined level of ablation lesion formation. Other applications are also described.
    Type: Application
    Filed: May 20, 2021
    Publication date: September 2, 2021
    Inventors: Ran Sela, Yuri Megel, Shimon Eckhouse
  • Publication number: 20210267681
    Abstract: An electrosurgical instrument for delivering microwave energy to biological tissue, in which a pair of conductive tuning elements are mounted in a radiating instrument tip to shape a microwave radiation profile of the instrument so that the radiation profile is constrained around the instrument tip. Such tuning elements may result in a radiation profile that is substantially spherical around the instrument tip, providing a well-defined ablation volume. The tuning elements act to improve the efficiency with which microwave energy can be delivered into target tissue.
    Type: Application
    Filed: July 27, 2019
    Publication date: September 2, 2021
    Inventors: Christopher Paul HANCOCK, Patrick BURN, Pallav SHAH
  • Publication number: 20210267682
    Abstract: Microwave catheter apparatuses, systems, and methods for achieving renal neuromodulation by intravascular access are disclosed herein. One aspect of the present application, for example, is directed to apparatuses, systems, and methods that incorporate a catheter treatment device comprising an elongated shaft. The elongated shaft is sized and configured to deliver a microwave transmission element to a renal artery via an intravascular path. Renal neuromodulation may be achieved via dielectric heating in the presence of microwave irradiation that modulates neural fibers that contribute to renal function or alters vascular structures that feed or perfuse the neural fibers.
    Type: Application
    Filed: May 19, 2021
    Publication date: September 2, 2021
    Inventors: Karun D. Naga, Roman Turovskiy, Denise Zarins, Mark Gelfand, Arye Rosen
  • Publication number: 20210267683
    Abstract: In some embodiments, an apparatus comprises a stationary frame and a thermal ring. The thermal ring may be rotatably coupled to the stationary frame and disposed relative to the stationary frame such that the thermal ring and the stationary frame define an enclosure. The thermal ring may include a thermally-conductive substrate configured to be in thermal contact with a heat-generating component. Heat from the heat-generating component may be transferred to the stationary frame via the enclosure.
    Type: Application
    Filed: May 6, 2021
    Publication date: September 2, 2021
    Inventor: Christopher Eric BROWN
  • Publication number: 20210267684
    Abstract: The present disclosure discloses an electro-optic Q-switching double-frequency double-pulse laser lithotripsy system. The system includes a total reflection mirror, an electro-optic Q-switching assembly, a drive circuit, a controller, a pump source, a gain medium, an output mirror, a first focusing mirror, a frequency doubling crystal, a second focusing mirror, a coupling lens and an output optical fiber; the electro-optic Q-switching assembly and the gain medium are located between the total reflection mirror and the output mirror; and the controller controls the pump source to work, and controls a voltage of the electro-optic Q-switching assembly by controlling the drive circuit, so that the system outputs a double-frequency laser beam with a pulse width of 1-1.5 ?s or 200-300 ?s.
    Type: Application
    Filed: April 26, 2019
    Publication date: September 2, 2021
    Inventors: Jinbo DU, Jianhua SHAO, Jiazuo DONG, Lingtian DIAO
  • Publication number: 20210267685
    Abstract: A catheter system for treating a vascular lesion within or adjacent to the vessel wall or heart valve includes a balloon and a fluid circulator. The balloon includes a balloon wall that defines a balloon interior. The balloon is configured to retain a catheter fluid within the balloon interior. The fluid circulator is coupled in fluid communication to the balloon interior. The fluid circulator is configured to selectively circulate the catheter fluid out of and back into the balloon interior during use of the catheter system. The fluid circulator is configured so that a temperature of the catheter fluid within the balloon interior is maintained within a predetermined temperature range. Additionally, the fluid circulator can be configured so that a pressure of the catheter fluid within the balloon interior is maintained within a predetermined pressure range. Further, a filtration system can be coupled in fluid communication with the fluid circulator to remove microparticles from the catheter fluid.
    Type: Application
    Filed: February 17, 2021
    Publication date: September 2, 2021
    Inventors: Eric A. Schultheis, Christopher A. Cook
  • Publication number: 20210267686
    Abstract: A method treating a root canal in a tooth by introducing into the pulp chamber of a tooth and pulsing a laser light into the fluid reservoir so as to disintegrate pulp within the root canal without generation of any significant heat in said liquid fluid so as to avoid elevating the temperature of any of the dentin, tooth, or other adjacent tissue more than about 5° C.
    Type: Application
    Filed: May 11, 2021
    Publication date: September 2, 2021
    Inventors: Enrico E. DiVito, Douglas L. Glover, Kemmons A. Tubbs, Mark P. Colonna
  • Publication number: 20210267687
    Abstract: A method for evaluating placement of a prosthetic device. The method comprises designating a position in a depiction of an anatomical region that includes a first structure in which the device is to be placed, the depiction showing the first structure and/or a blood pool volume of a second structure, and wherein the designated position corresponds to a position in the first structure at which the device may be placed. The method further comprises defining a plane and offsetting a representation thereof to a point in the depiction(s) at which the device would intersect the blood pool volume if placed at the designated position. The method comprises manipulating the orientation and/or position of the offset representation and determining a cross-sectional area of the blood pool volume along the manipulated representation for evaluating obstruction through the second structure if the device was placed at a corresponding position in the first structure.
    Type: Application
    Filed: November 9, 2018
    Publication date: September 2, 2021
    Inventors: Dee Dee Wang, Eric Myers, William O'Neill, Marianne L. Rollet
  • Publication number: 20210267688
    Abstract: Systems and methods for devising and/or simulating surgical augmentation procedures including combinations of implants and secondary materials are disclosed herein. An exemplary method includes receiving parameters for a pre-operative state of an implantation site, receiving parameters for a post-operative state of the implantation site, automatically generating a hybrid strategy for achieving the post-operative state from the preoperative state, wherein the hybrid strategy includes a proposed implant volume and a proposed volume of a secondary material, and generating a simulation of the post-operative state of the implantation site using the proposed implant volume and the proposed volume of the secondary material.
    Type: Application
    Filed: June 21, 2019
    Publication date: September 2, 2021
    Applicant: Establishment Labs S.A.
    Inventors: Juan José CHACÓN QUIRÓS, Marcos SFORZA, Rafael G. CORRALES, Raghu RAGHAVAN, Roberto DE MEZERVILLE, Rudy A. MAZZOCCHI, Martin BRADY, Gerardo MORA, Gerson RODRIGUEZ
  • Publication number: 20210267689
    Abstract: Sensors may be attached to a patient's skin near a joint. An image of the joint and sensors may be captured and a bone centerline may be determined based on the image. A first set of measurements, which may include varus and valgus information, may be captured at the sensors, and may be captured while the patient is in a first position. The first set of measurements may then be transmitted to a handheld device. A second set of measurements corresponding to a second positon of the patient may be captured at the sensors. The second set of measurements may also include varus and valgus information and may also be transmitted to the handheld device. A difference between the first set of measurements and the second set of measurements, including the difference between the varus and valgus measurements, may be determined.
    Type: Application
    Filed: July 18, 2019
    Publication date: September 2, 2021
    Applicant: Strive Orthopedics, Inc.
    Inventor: Padraic Obma
  • Publication number: 20210267690
    Abstract: Embodiments include a system for determining cardiovascular information for a patient. The system may include at least one computer system configured to receive patient-specific data regarding a geometry of the patient's heart, and create a three-dimensional model representing at least a portion of the patient's heart based on the patient-specific data. The at least one computer system may be further configured to create a physics-based model relating to a blood flow characteristic of the patient's heart and determine a fractional flow reserve within the patient's heart based on the three-dimensional model and the physics-based model.
    Type: Application
    Filed: May 17, 2021
    Publication date: September 2, 2021
    Inventor: Charles A. TAYLOR
  • Publication number: 20210267691
    Abstract: Devices and methods for performing a surgical step or surgical procedure with visual guidance using an optical head mounted display are disclosed.
    Type: Application
    Filed: May 18, 2021
    Publication date: September 2, 2021
    Inventor: Philipp K. Lang
  • Publication number: 20210267692
    Abstract: A method of performing robotic surgery includes determining a distance between a first surgical instrument and a second surgical instrument in a surgical operative site, comparing the determined distance between the first and second surgical instruments with a threshold distance, generating an alert based on the comparison between the determined distance and the threshold distance, displaying a visual representation of the surgical operative site on a display, and displaying the alert overlaid on the displayed visual representation of the surgical operative site and in proximity to a visual representation of the first and/or second surgical instruments on the display.
    Type: Application
    Filed: February 5, 2021
    Publication date: September 2, 2021
    Inventors: Amanda H. Lennartz, Kenlyn S. Bonn, Tyler J. Bagrosky, Dustin O. Slater, Michael B. Lyons, Justin Rogers, James R. Fagan, Anjali Dhiman, Steven P. Buysse, Rayne Robertson, Keith W. Malang, Matthew Savary, Joshua R. Snow, Jason M. Mucilli, Dylan R. Kingsley, Christopher V. Rainieri, Alexandre Linhares Vieira, Kent L. Howe
  • Publication number: 20210267693
    Abstract: A system and method for obtaining an OIS coordinate frame comprising an electronic control unit configured to determine a local 3D electric field loop, create a zero mean version of E(t) over a depolarization interval, compute an ? value at each of a plurality of time intervals, compute an initial estimate of ? from a cross product of E and the ? value for each of the plurality of time intervals, average the initial estimate of ? from each of the plurality of time for a best estimate of ?, determine a plurality of â(?) values and using the corresponding {circumflex over (n)}(?) values, compute a composite match score, and choose at least one best value for â and a best value for {circumflex over (n)}.
    Type: Application
    Filed: March 12, 2021
    Publication date: September 2, 2021
    Inventors: D. Curtis Deno, Ram K. Balachandran, Stéphane Massé
  • Publication number: 20210267694
    Abstract: A method of estimating a location of a catheter in a heart chamber with respect to a model is provided. The model is generated based on readings received from the catheter. The method, in some embodiments, includes receiving readings from the catheter when the catheter is in the location to be estimated; and estimating the location based on the location readings received together with a completeness indicator, indicative of a completeness of the model. Examples of completeness indicators include elapsed time and variance in the model data.
    Type: Application
    Filed: July 4, 2019
    Publication date: September 2, 2021
    Applicant: Navix International Limited
    Inventor: Eli DICHTERMAN
  • Publication number: 20210267695
    Abstract: A system comprises a tool and a catheter sized to receive the tool. The system also comprises a processor and a memory having computer readable instructions stored thereon. The computer readable instructions, when executed by the processor, cause the system to receive, via an image sensor of the tool, a plurality of images from within a lumen of the catheter. Each image comprises a plurality of pixels. For each image, a subset of the plurality of pixels associated with a viewable feature is identified. For each image, a likely orientation for the viewable feature is determined based on the identified subset of the plurality of pixels. A composite orientation for the viewable feature is determined based on a combination of the likely orientations of the viewable feature for each image. A rotational offset of the tool relative to the catheter is determined based on the determined composite orientation.
    Type: Application
    Filed: July 10, 2019
    Publication date: September 2, 2021
    Inventors: Andrew J. HAZELTON, Teresa G. GADDA, Changmeng LIU
  • Publication number: 20210267696
    Abstract: Certain implementations of the disclosed technology may include active marker devices, retrofits, systems, and methods for determining the position of interventional devices under MRI. A marker device is provided that utilizes an optical fiber, an acousto-optical sensor region that includes an electro-mechanical conversion assembly, and one or more antenna(e). The one or more antennae are configured to receive MRI radio-frequency (RF) electromagnetic energy and produce a corresponding electrical signal corresponding to the position. The acousto-optical sensor region may include a resonator and may be modulated by acoustic waves generated responsive to the electrical signal received from the one or more antennae. The acousto-optical sensor region may be interrogated by light via the optical fiber to determine the position of the device for providing an active marker in the MRI image.
    Type: Application
    Filed: July 9, 2019
    Publication date: September 2, 2021
    Inventors: Fahrettin Levent Degertekin, Ozgur Kocaturk, Yusuf S. Yaras
  • Publication number: 20210267697
    Abstract: Examples of systems and methods for performing an orthopedic knee arthroplasty surgery with a robotic arm are generally described herein. A method may include awakening, using a robotic controller, a robotic arm from a parked mode to a surgical procedure mode. Moving, using the robotic controller, the robotic arm to a specified position to aid in the surgical procedure. The method may further include initiating, using the robotic controller, the surgical procedure by activating the robotic arm. In some examples, the robotic arm may be connected to a robotic base located between a first leg support configured to support a first leg of the patient during the surgical procedure and a second leg support configured to support a second leg of the patient during the surgical procedure.
    Type: Application
    Filed: May 19, 2021
    Publication date: September 2, 2021
    Inventor: Harlan Levine
  • Publication number: 20210267698
    Abstract: A surgical navigation system includes: a 3D display system with a see-through visor; a tracking system comprising means for real-time tracking of: a surgeon's head, the see-through visor, a patient anatomy and a surgical instrument to provide current position and orientation data; a source of an operative plan, a patient anatomy data and a virtual surgical instrument model; a surgical navigation image generator configured to generate a surgical navigation image with a three-dimensional image representing simultaneously a virtual image of the surgical instrument corresponding to the current position and orientation of the surgical instrument and a virtual image of the surgical instrument indicating the suggested positions and orientation of the surgical instrument according to the operative plan data based on the current relative position and orientation of the surgeon's head, the see-through visor, the patient anatomy and the surgical instrument; wherein the 3D display system is configured to show the surgica
    Type: Application
    Filed: January 8, 2021
    Publication date: September 2, 2021
    Applicant: HOLO SURGICAL INC.
    Inventors: Kris B. SIEMIONOW, Cristian J. LUCIANO
  • Publication number: 20210267699
    Abstract: Techniques for limiting motion of a first structure include a manipulator supported by the first structure, a second structure supporting the first structure, and a processor. The processor is configured to, in response to entering a first mode, determine, relative to the first structure, a first position of a reference location on entry into the first mode, the reference location being associated with a link of the manipulator; and while in the first mode: detect a manual movement of the reference location to a second position relative to the first structure, wherein a difference between the first and second positions comprises a displacement having first and second components in respective different first and second directions; and, in response, command the second structure to move relative to the reference location in the first direction so as to reduce the first component while not changing the second component.
    Type: Application
    Filed: May 14, 2021
    Publication date: September 2, 2021
    Inventors: Paul G. GRIFFITHS, Paul W. MOHR, Nitish SWARUP, Michael COSTA, David Q. LARKIN, Thomas G. Cooper
  • Publication number: 20210267700
    Abstract: A robotic system comprises two robots and a control unit. Each robot has a base and an arm extending from the base to an attachment for an instrument. Each arm comprises a plurality of joints whereby the configuration of the arm can be altered. Each robot comprises a driver for each joint configured to drive the joint to move, and position and torque sensors. The control unit controls the drivers in dependence on inputs from the sensors.
    Type: Application
    Filed: June 27, 2019
    Publication date: September 2, 2021
    Inventor: Luke David Ronald Hares
  • Publication number: 20210267701
    Abstract: A surgical instrument includes: an adjustable end effector; an elongated instrument shaft defining an internal bore; and a drive assembly including a housing coupled to an end of the instrument shaft and an input device configured to facilitate controlled adjustment of the end effector via a drive cable extending along the bore of the instrument shaft. The input device includes: a drive shaft attached to a first portion of the drive cable, the drive shaft including an upstanding stem portion having a radially tapered outer surface; and a capstan attached to a second portion of the drive cable, the capstan defining an internal bore sized to receive the stem portion of the drive shaft, at least a lower portion of the internal bore having a radially tapered inner surface. The capstan and drive shaft are configured to transition from a disengaged state to an engaged state.
    Type: Application
    Filed: May 17, 2021
    Publication date: September 2, 2021
    Inventors: Grant M. Kadokura, William A. McDonald, II
  • Publication number: 20210267702
    Abstract: The disclosure provides a surgical apparatus comprising: a steerable member that is bendable and comprises a plurality of bending segments with channels therein; and a plurality of bending actuation wires that are arranged to pass through the steerable member and cause the steerable member to bend, the steerable member comprising at least one outwardly opening lumen through which the bending actuation wires pass.
    Type: Application
    Filed: May 20, 2021
    Publication date: September 2, 2021
    Inventors: Daniel H. KIM, Dong Suk SHIN, Taeho JANG, Yong Man PARK, Jeihan LEE, Hongmin KIM, Kihoon NAM, Seokyung HAN
  • Publication number: 20210267703
    Abstract: A surgical drape for a patient side cart of a teleoperated surgical system may comprise a body sized and shaped to cover at least a portion of an arm or main column of the patient side cart, and an attachment device feature connected to the body, the attachment device feature being configured to install the surgical drape to the arm or main column so as to cover at least a portion of the arm or main column with the surgical drape. In an installed position of the surgical drape on the arm or the main column, the attachment device feature is positioned at a location in sensing proximity of a sensor of the patient side cart.
    Type: Application
    Filed: February 18, 2021
    Publication date: September 2, 2021
    Applicant: INTUITIVE SURGICAL OPERATIONS, INC.
    Inventors: Roman L. DEVENGENZO, Michael L. HANUSCHIK, Gerard J. LABONVILLE, Paul W. MOHR, Tyler J. MORRISSETTE, Joseph P. ORBAN, III
  • Publication number: 20210267704
    Abstract: A apparatus to cover a lighting apparatus is provided. The apparatus includes a flexible material couplable to a lighting apparatus. A portion of the flexible material to cover a light-emitting surface of the lighting apparatus is transparent.
    Type: Application
    Filed: June 17, 2019
    Publication date: September 2, 2021
    Inventors: James Todd Walker, Kevin Cyrus Parvaresh, Ian Michael Foran
  • Publication number: 20210267705
    Abstract: Provided herein is a system and method for mitigating premature light deactivation of light deactivated adhesive drapes. One aspect provides a system comprising a drape, a photosensitive adhesive layer, a release agent, and an optical fiber mesh layer configured as a light pipe, where the system is adapted to be coupled to a tissue site and released therefrom upon or after exposure to an external stimulus such as certain wavelengths of light. Another aspect includes a pipe light pipe, as an alternative to the optical fiber mesh layer. The systems may have a removable blocking layer to prevent the photosensitive adhesive from being exposed to deactivation wavelengths prematurely. Another aspect provides a method for application and removal of a drape using the light pipe to transport or route light to the drape to deactivate the photosensitive adhesive layer and promote easy, clean, and less painful removal of the drape.
    Type: Application
    Filed: July 18, 2019
    Publication date: September 2, 2021
    Inventors: Timothy Mark ROBINSON, Christopher Brian LOCKE, Justin Alexander LONG, Ashwatha PRICE
  • Publication number: 20210267706
    Abstract: A surgical drape includes a seal connectable with a selected surface of a body to define a sterile region that includes access to at least two surgical approaches. A sleeve is connected with the seal and a draping is disposed with the body. The sleeve defines a cavity in communication with the region. Surgical instruments, systems and methods are disclosed.
    Type: Application
    Filed: May 5, 2021
    Publication date: September 2, 2021
    Applicant: WARSAW ORTHOPEDIC INC.
    Inventors: Thomas V. McGahan, Roy K. Lim
  • Publication number: 20210267707
    Abstract: Disclosed herein are mobile battery powered medical carts, methods of operating these carts to increase efficiency of health-care operations, and methods of accurately calculating remaining battery runtime for these carts. A mobile battery powered medical cart may comprise a wheeled base portion having a sliding battery power bay, an upper workstation area having a monitor, a computer, and a printer, and at least one adjustable height column coupling the wheeled base portion to the upper workstation area. The carts may include a glass overlay display positioned on a top surface of the upper workstation area and having anti-bacterial and chemical resistant properties. The glass overlay display may be configured to provide medical employees with haptic feedback on remaining battery runtime, calculated via a custom algorithm for increased accuracy.
    Type: Application
    Filed: July 9, 2019
    Publication date: September 2, 2021
    Applicant: Green Cubes Technology, LLC
    Inventors: Goo SUNG, Mohammed ALOBAIDI, Calvin TING
  • Publication number: 20210267708
    Abstract: The present disclosure provides advantageous post and partition assembly that is configured and adapted to promote modularity and withstand the harsh environment of central sterile processing processes. Modular post assembly may be removed and relocated on tray without additional fasteners or components. Tray and bracket assembly may further provide identification features to correctly associate cataloged reusable medical devices to identified trays.
    Type: Application
    Filed: May 18, 2021
    Publication date: September 2, 2021
    Applicant: K1 Medical Technologies, LLC
    Inventors: Walter J. Oko, Scott E. Cohen