Abstract: Medical systems and methods for making and using medical systems are disclosed. Example medical systems may include an atherectomy system configured to engage and remove plaque from walls in vessels of a vascular system. The atherectomy system may include a drive shaft, a rotational tip coupled to an end of the drive shaft, a drive mechanism coupled to the drive shaft to rotate the rotational tip, a control unit configured to control operation of the drive mechanism, and a knob assembly configured to facilitate longitudinal movement of the drive shaft, the rotational tip, and/or the drive mechanism. In some cases, the knob assembly may be configured to initiate adjustment of a mode of the drive mechanism in response to actuation of an actuator in the knob assembly.

Abstract: A treatment method and medical device are disclosed for cutting a substance inside a body lumen. The medical device includes a drive shaft that is rotatable; a cutting unit configured to be rotatably connected to a distal side of the drive shaft; a filter device configured to be inserted in a contracted state, the filter device having an elongated shaft, which interlocks with a filter portion of the filter device; a distal tube, the distal tube being on a distal side of the cutting unit and configured to receive the elongated shaft of the filter device; and a housing on a proximal portion of the drive shaft, the housing including a first drive gear connected to the drive shaft, a second drive gear connected to a motor and meshing with the first drive gear, and a first partition wall arranged between the motor and the second drive gear.

Abstract: A puncture needle includes a shaft part, a needle tip part disposed at a tip of the shaft part, and a plurality of processed parts that are arranged on an outer peripheral part of the shaft part along a length direction of the shaft part and form a geometric progression with a geometric ratio of 2 in which arrangement intervals gradually decrease toward the needle tip part, in which a distance between a reference point which is located on a needle tip part side from a first processed part closest to the needle tip part among the plurality of processed parts and is located at a predetermined distance from the needle tip part and the first processed part is equal to an arrangement interval between the first processed part and a second processed part which is second closest to the needle tip part.

Abstract: Disclosed herein are push activated intraosseous (IO) access devices, and methods thereof. Embodiments include replaceable and rechargeable or non-rechargeable battery packs, or spring driven devices. Intraosseous access devices often require training to ensure correct placement of the access device. Users must coordinate the opposing actions of pulling proximally on a trigger, while applying sufficient distal drive force to penetrate the bone. Devices disclosed herein include an intuitive operation with a unidirectional activation and drive force application. Further the trigger is both activated and deactivated automatically to prevent premature activation and prevent “backwalling”. The device includes various indicators to further guide a user in placing the device correctly, with little or no training. Devices further include replaceable battery packs to ensure a full charge is available when the device is used, and to provide a multi-use device that requires less storage.

Abstract: An implant removal device includes a body, a first arm, a second arm, an actuation interface, and an extraction member. The first arm is supported at the body and configured to move relative to the body between a retracted position and a skin gripping position. The second arm is supported at the body and configured to move relative to the body between the retracted position and the skin gripping position. The actuation interface is supported at the body. The actuation interface is configured to receive a first actuation input thereat to cause at least one of the first arm and the second arm to move from the skin gripping position to the retracted position. The extraction member is supported at the body and located between the first arm and the second arm.

Abstract: A bone fixation system is provided for use in the spine between vertebrae. The system comprises a first fastener configured to anchor into a first vertebrae, a second fastener configured to anchor into a second vertebrae, and a set screw to retain the second fastener to the first fastener. The first fastener includes a shaft extending along a longitudinal axis and a head. The shaft includes a first cylindrical body. The head of the first fastener includes a second cylindrical body defining a passageway having an interior surface. The passageway defines a longitudinal axis that is different than the longitudinal axis of the shaft. The first cylindrical body of the shaft and the second cylindrical body of the head are angled relative to each other. The second fastener includes a shaft and a head. The head of the second fastener is configured to engage the interior surface of the passageway of the head of the first fastener.

Abstract: An insert for convertibly anchoring an artificial ligament tether in a tulip of a spinal fixation construct. A prior art tulip has a socket with opposite end openings and configured in size and shape to receive a spinal longitudinal support rod. A tulip also has a clamping screw threadedly engaged to the tulip to clamp a support rod in the socket. The invention is an insert body having an exterior configured to conformingly seat against a surface of the tulip socket and also having a passageway extending entirely through the insert body in a direction to extend between the end openings of the tulip. A surgeon inserts a tether through the passageway and rotates the clamping screw to translate the clamping screw against the insert body. Rotation of the clamping screw clamps the tether to the insert body and clamps the insert body to the tulip.

Abstract: A method for surgically preparing a spinal fixation construct that includes a first support rod and a tulip with a socket shaped to receive a second support rod. A tether anchor is installed in the tulip socket and a tether is fixed to the tether anchor and to a vertebra. In a subsequent revision surgery, the tether and the tether anchor are removed. Then a second support rod is installed in the socket of the tulip. Preferably, before installing the tether anchor, a first end of a rod-to-rod connector is connected to the first support rod. The second, opposite end of the rod-to-rod connector has the tulip socket formed on it to which the tether anchor is initially installed. In the subsequent revision surgery, after removal of the tether anchor, the second support rod is installed in the socket of the tulip on the rod-to-rod connector.

Abstract: Spinal curvature modulation systems, methods and related devices and instrumentation are disclosed, which include a flexible tether, a tether tensioning unit and bone anchors for the flexible tether that allow the tether to be secured across multiple vertebrae in a region of treatment. When the flexible tether is attached to multiple vertebrae, it can be used to correct spinal deformities. Tension in the flexible tether is adjustable transcutaneously without invasive surgical procedures by use of remotely driven actuators, such as a magnet-driven motor, or by a small tool insertable through a small incision. Disclosed systems and methods thus allow for multiple adjustments of tether tension, and spinal curvature, over time without repeated, highly invasive, spinal surgeries.

Abstract: Orthopedic fixation devices and methods of installing the same. The orthopedic fixation device may include a coupling element and a bone fastener, whereby the bone fastener can be loaded into the coupling element through the bottom of a bore in the coupling element.

Abstract: A multi-link bone fixation assembly and method having interconnected longitudinal linking members, end caps and locknuts, and possibly transverse linking members, all disposed on implanted bone fasteners, the assembly providing a rigid, fixed ladder or frame to preclude relative movement between vertebrae or bone. At least two of the end caps and both ends of at least one of the transverse linking members are slotted such that, in the event a previously implanted assembly needs to be lengthened, additional bone fasteners are implanted, and the end caps and/or transverse linking members are removed from the assembly in a direction perpendicular to the axis of the bone fastener by loosening rather than removing the locknuts from the bone fasteners. The new longitudinal linking members are then inserted onto the bone fasteners in a direction perpendicular to the axis and the locknuts are tightened to secure the now-extended assembly.

Abstract: A plurality of individual tools is provided where each tool is uniquely configured to perform a step or a portion of a step in a novel procedure associated with the implantation of a stabilizing device (e.g., an interspinous spacer) for stabilizing at least one spinal motion segment. The tools are usable individually, or more preferably as a tooling system in which the tools are collectively employed to implant an interspinous spacer, generally in a minimally invasive manner. For example, each of the tools is arranged with coordinated markings and/or other features to ensure consistent depths of insertion, proper orientation of the tools with respect to each other or an anatomical feature of the patient, and precise delivery of the spacer to maintain safe positioning throughout the implantation procedure.

Abstract: A system comprising surgical instruments of different types. Each surgical instrument includes a body member and a leg having a first end integrated with and a leg portion extending from the body member. The instrument includes a head cavity formed in a free end of the leg. The cavity holds a head. A channel is formed along a portion of a longitudinal length of the leg. The instrument includes an elongated rocker assembly pivotally coupled within the channel, with a spring actuation tab in proximity to the body member. The instrument includes a collar slidably coupled around the body member and having a first position located between the body member and the actuation tab such that a portion of the collar is under the actuation tab to limit pivotal motion of the rocker assembly and a second position of the collar has a clearance from under the actuation tab.

Abstract: A surgical instrument includes a body member and a leg having a first end integrated with and extending from the body member. A head cavity is in the leg portion to hold a head. A channel is formed along a longitudinal length of the leg. An elongated rocker assembly includes an elongated lever arm coupled within the channel about a fulcrum and a spring actuation. A projection of the arm projects in a direction of the head cavity. A rocker slide lock has a collar slidably coupled around the body member and having a first position located between the body member and the actuation tab, such that a portion of the collar is under the actuation tab to limit pivotal motion of the rocker assembly, and a second position having a clearance from under the actuation tab.

Abstract: A method includes providing first and second instruments. First and second fasteners are attached with vertebrae. First fasteners are connected with first and second constructs. Second fasteners are connected with a third and fourth constructs. The first construct is connected with a body of the first instrument and the second construct is connected with another body of the first instrument. The third construct is connected with a body of the second instrument and the fourth construct is connected with another body of the second instrument. Joints of the instruments are tightened. At least one of the instruments is selectively distracted. At least one of the instruments is selectively compressed. The spinal constructs are removed from the fasteners. The first fasteners are connected with a first spinal rod. The second fasteners are connected with a second spinal rod. In some embodiments, spinal constructs, implants, systems and kits are disclosed.

Abstract: A universal surgical instrument includes an elongated member having a first end and a second end, the second end having flexible prongs with a head cavity to hold therebetween a polyaxial head. The universal surgical instrument includes a cuff member at the first end to interface with interchangeable surgical instruments. The universal surgical instrument includes an I-shaped clamp coupled to the elongated member and being configured to unlock and separate the flexible prongs to expand the head cavity for placement of the polyaxial head therein and to lock the head cavity in response to application of a force to slide the I-shaped claim along the elongated member to a locked position. A system of surgical instruments include the universal instrument and interchangeable surgical instruments that can be interchanged in the cuff member of the universal instrument.

Abstract: An orthopedic locking screw is configured to be retained inside a bore of an orthopedic implant. The orthopedic locking screw includes a shaft extending axially, a casing secured around an outer surface of the shaft, a deformable thread disposed along an outer surface of the casing, and a forward external thread disposed on the shaft. The forward external thread has a pitch that is different from a pitch of the deformable thread of the casing. Further, an orthopedic locking screw is provided, wherein projections and the casing are alternately arranged on the outer surface of the shaft. Methods of securing an orthopedic screw in a bore of an orthopedic implant are also provided.

Abstract: The cannulated compression device creates fixation and compression across its tang housing, thus stabilizing and closing a bone fracture during placement. After insertion of the cannulated compression device, tangs are extended outward from the tang housing, locking the tang housing with respect to both rotational and axial movement. A compression nut is then threaded onto the proximal end of the tang housing. The nut has two sets of threads: a first set of threads interfaces with the tang housing, a second set of threads interfaces with the bone. By using different pitches, the amount of linear movement for the first set of threads and second set of threads is different.

Abstract: An intramedullary nail assembly includes a body and an inlay. The body has an outer surface and an opposing inner surface. The outer surface extends from a leading end of the body to a trailing end of the body. The inner surface defines a cannulation that extends into the trailing end towards the leading end. The body comprises a leading body portion that defines the leading end, and a trailing body portion that defines the trailing end. The inlay is positionable within the cannulation of at least one of the leading body portion and the trailing body portion. The inlay includes an engagement member configured to engage the body to removably lock the inlay within the cannulation of the body.

Abstract: A bone fixation system includes an intramedullary rod, a cage that is configured to receive the intramedullary rod at least partially therethrough, and at least one fixator configured to connect the intramedullary rod to the cage. A method for repairing a bone defect in a patient using the bone fixation system includes implanting the cage into the bone defect, inserting at least a portion of the intramedullary rod into the cage, and securing the cage to the intramedullary rod using the fixator.

Abstract: A bone repair system, kit and method for percutaneous repair of a bone segment containing a first bone segment and a second bone segment in a patient, each bone segment having a drill hole. The system comprises a longitudinal member configured to contact the first bone segment and the second bone segment and having at least one opening and cleats on the side adapted to contact the first bone segment and the second bone segment; a first fastener assembly configured to be disposed through the opening of the longitudinal member to hold the longitudinal member in place through the opening and the hole in the first bone segment; and a second fastener assembly configured to be disposed through the opening of the longitudinal member to hold the longitudinal member in place through the opening and the hole in the second bone segment.

Abstract: The disclosure provides a fixation device for internal fixation of an osteotomy below the tibial tuberosity. The fixation plate including a top-end portion including three pinholes, three screw holes, and a first Combi hole; a bottom-end portion including a second Combi hole, two screw holes, and one pinhole; and a connection portion connecting the top-end portion to the bottom-end portion. The top-end portion is capable of fixating the portion of the tibia above a cut of the osteotomy, and the bottom-end portion is capable of fixating the portion of the tibia below the cut.

Abstract: An orthopaedic bone stabilisation device includes an elongate and integrally formed body having a length extending between proximal and distal ends. The elongate body includes a first threaded section having a head at the proximal end, the head configured to interface with a driver, the threaded section having external threads extending along a length of the first threaded section. The first threaded section extends between the proximal end and a first location of the elongate body. The first threaded section tapers from the proximal end to the first location such that the outer thread diameter of the first section gradually decreases from the proximal end to the first location of the elongate body. The device further includes a second threaded section having external threads, a length, and a substantially uniform thread diameter, and extends between the distal end of the elongate body and a second location of the elongate body.

Abstract: A fastener includes an elongate fastener body defining a longitudinal axis substantially central thereto. The fastener body has a continuous outer fastener shell laterally surrounding the longitudinal axis. The fastener shell longitudinally separates a fastener head end and a fastener tip end. A tool-engaging feature is provided on the fastener head end. A plurality of teeth are located on the fastener shell and extend substantially laterally outward from the longitudinally axis. The fastener shell is comprised of at least one undulate face and at least one substantially flat face. The plurality of teeth are located only on the undulate faces. Each tooth is longitudinally separated from adjacent teeth along an undulate face. A method of installing the fastener into a receiving structure is also described.

Abstract: A screwdriver includes a body extending longitudinally from a proximal end to a distal end. The distal end includes a distal screw engaging tip. The screwdriver also includes a slot extending through a width of the screw engaging tip and extending proximally a distance into the body. The slot permits opposed portions of the screw engaging tip to spread apart from one another into a locking configuration in which the opposed portions apply a radially outward force against an interior surface of a recess in a head of a screw into which the screw engaging tip has been inserted to releasably lock the screw engaging tip within the recess.

Abstract: An improved method of fusing the sacroiliac joint and tools for accomplishing the same is disclosed. In one embodiment, the present invention is a method that uses an intra-articular joint fusion device for connecting the sacrum and ilium that includes creating a first incision in the patient's skin proximal to the patient's sacroiliac joint, inserting a surgical channel tool into the incision from the patient's posterior, creating a void in the sacroiliac joint, inserting a fusion implant into the void, the fusion implant having at least one fixation element for engagement with bone tissue in the articular surfaces of the sacrum and the ilium, and driving the fusion implant into the void such that the at least one fixation element engages with bone tissue in an articular surface of at least one of the sacrum and ilium, and the fusion implant fixes relative positions of the sacrum and ilium.

Abstract: A modular system for treating a bone includes a main body including a channel extending therethrough. A distal end includes a driving feature sized and shaped to engage a corresponding driving structure of one of first and second bone screws. The system also includes an inner shaft sized and shaped to be inserted into the channel and including a distal end including a retaining feature for engaging a corresponding retaining structure extending within a recess at a proximal end of the first screw. Furthermore, the system includes an outer shaft extending longitudinally and including a channel extending therethrough. The channel of the outer shaft is sized and shaped to slidably receive the main body therein and including a retaining feature extending along a distal end thereof. The retaining feature of the outer shaft engages a retaining structure extending along an exterior surface of the second screw.

Abstract: An intraoperative monitoring module (IMM) for assessing strength of screw attachments to bone and detecting breaches includes a torque sensor on a rotatable tool receptacle and a variable-output current source. The IMM provides concurrent monitoring of rotational torque applied to a screw and stimulus current passing through the screw into bone for evoked electromyography. A motor housing configured to drive in rotation a tool receptacle on the IMM, a screw driver modified for carrying the stimulus current, and a screw attached to the screw driver are optionally included. Cooperative anti-rotation features on the motor housing and IMM support accurate torque measurements and prevent the outer housing of the IMM from rotating with the tool receptacle while a screw is being driven. The motor housing optionally provides electrical power to the IMM.

Abstract: A bone screw removal device includes a shaft extending longitudinally from a proximal end to a distal removal tip. The removal tip includes a first portion at a distal-most end of the removal tip, a second portion extending proximally from the first portion and a third portion extending proximally from the second portion. The first portion is sized and shaped to be received within a retaining recess of a bone screw to clear away tissue growth as the first portion is inserted through a driving recess of a bone screw and into the retaining recess. The second portion is configured to be received within a driving recess. The third portion is configured to clear away tissue growth over a proximal end of the bone screw as the first and second portions are inserted into the retaining recess and the driving recess, respectively.

Abstract: A quick connect is disclosed for a medical device. The quick connect includes a housing, a slide lock mounted within the housing, and a locking assembly mounted within the housing. The slide lock is for receiving a cooperating connection adapter. The locking assembly includes a substantially annular member having a superiorly facing sloped recess. The substantially annular member is movable along a longitudinal axis of the housing upon rotation of the substantially annular member.

Abstract: Embodiments of the present invention relate to cryogenic systems and methods useful to cool objects, including living tissue, to freezing or cryogenic temperatures by placing the object in thermal communication with sub-cooled supercritical nitrogen.

Abstract: Methods and devices for treating nasal airways are provided. Such devices and methods may improve airflow through an internal and/or external nasal valve, and comprise the use of mechanical re-shaping, energy application and other treatments to modify the shape, structure, and/or air flow characteristics of an internal nasal valve, an external nasal valve or other nasal airways.

Abstract: The present invention is a cold solution for reducing adipose tissue or fat. Delivering the cold solution to a region of lipid-rich tissue induces the natural cell death of adipocytes and thereby reduces the tissue. Following cell death, localized panniculitis or inflammation of the tissue leads to further reduction as adipocytes are removed as a result of phagocytosis. The cold solution does not have ice particles. One or more additives, including salt, sugar, thickeners, freezing point depressants, surfactants, and excipients can be added to the cold solution to facilitate/enhance fat reduction. Fat reduction by cold solution injection can be used to improve one's appearance or to treat a weight-related disorder, such as obesity.

Abstract: The present disclosure relates to electrosurgical systems and methods for controlling electrical treatment energy in connection with electrical arcs. A method in accordance with the present disclosure includes providing electrical treatment energy to an instrument based on an indicated electrical energy level, accessing voltage signal values over time relating to voltage of the electrical treatment energy and/or current signal values over time relating to current of the electrical treatment energy, determining whether an arc generated by the instrument is an arc to be maintained or an arc to be extinguished based on a threshold value and at least one of the voltage signal values or the current signal values, and controlling the electrical treatment energy based on determining that the arc is an arc to be extinguished.

Abstract: Methods and devices for issuing ablation therapy using a cardiac signal as a trigger for therapy delivery. The cardiac signal itself may be analyzed before and/or between pulsed electrical field outputs to determine when, relative to fiducials within the cardiac signal, the output can safely be delivered. In some examples, the timing of therapy delivery is tailored to the patient's current cardiac state, such as the cardiac rate. In other examples, triggering signals can be analyzed to ensure that the trigger itself is appropriately detected.

Abstract: An operation device for operating a tool of a surgical instrument. The operation device has an operation element that is pivotably supported between an initial position and a working position. The operation element is movably coupled with the tool by means of a coupling device comprising a coupling link or consisting of a coupling link. The coupling link is elastically deformable and effectuates a resetting torque due to the elastic deformation in case the operation element is deflected out of the initial position, wherein the resetting torque urges the operation element back in the initial position.

Abstract: An end effector assembly includes a pair of opposing jaw members, one or both of the jaw members having a support base and an electrical jaw lead adapted to operably connect to an electrosurgical generator. A sealing plate is operably coupled to the support base and includes: an upper plate having an outer peripheral edge that extends therefrom and that defines a cavity configured to receive a lower plate; and a series of grooves defined within the upper plate and projecting therethrough to expose the lower plate. One or both of the upper plate or the lower plate is operably coupled to the electrical lead.

Abstract: A method of manufacturing a two-part sealing plate of a jaw member of an end effector assembly includes: fabricating a series of grooves through an upper plate of a two-part sealing plate of a jaw member; securing a lower plate to a non-tissue engaging side of the upper plate such that an upper surface of the lower plate defines a corresponding bottom surface of at least one of the series of grooves; and securing the seal plate to a support base of the jaw member.

Abstract: A control device includes: a power source configured to supply a high frequency power to a treatment instrument configured to treat a living tissue; a detecting circuit configured to sequentially detect a phase difference between a voltage and a current of the high frequency power supplied to the treatment instrument; and a processor configured to control operation of the power source, the processor being configured to sequentially calculate a variation of the phase difference detected by the detecting circuit, compare the calculated variation of the phase difference with a first threshold set for a variation of a phase difference, and perform reduction processing to reduce output of the high frequency power to be supplied to the treatment instrument when it is determined that the calculated variation of the phase difference is equal to or smaller than the first threshold.

Abstract: A bipolar electrosurgical pleura sealing device includes an electrosurgical probe assembly having a coaxial arrangement that includes an inner stylet, a first intermediate cannula, a second intermediate cannula, and an outer cannula, having appropriate insulation. A first mesh electrode connects to and extends between a distal end portion of the inner stylet and a distal end of the first intermediate cannula, and is movable between a first extended position and a first retracted position by an axial movement of the inner stylet and/or the first intermediate cannula. A second mesh electrode connects to and extends between a distal end of the second intermediate cannula and a distal end of the outer cannula, and is movable between a second extended position and a second retracted position by an axial movement of the second intermediate cannula and/or the outer cannula.

Abstract: The present disclosure provides a system for ablation of uterine fibroid(s), said system comprising: an ultrasound scanner configured to perform a volume scan of a uterus of a patient; a display coupled with the ultrasound scanner, configured for displaying image and alphanumeric characters; a device comprising an electrode for ablating the uterine fibroid; a controllable energy source coupled with the electrode and configured to supply energy to the electrode.

Abstract: A medical probe includes a shaft and an expandable flexible distal-end assembly. The shaft is configured for insertion into a cavity of organ of a patient. The expandable flexible distal-end assembly, which is fitted at a distal-end of the shaft, includes a flat flexible backing sheet, including irrigation channels, and two flexible substrates having respective arrays of electrodes disposed thereon, the substrates attached one on either side of the backing sheet.

Abstract: An apparatus includes a catheter shaft assembly and an end effector positioned at a distal end of the catheter shaft assembly. The end effector includes a balloon, one or more electrodes on the balloon, and a tip assembly at a distal end of the balloon. The balloon defines an interior configured to receive a fluid to inflate the balloon. The balloon is sized and configured to fit within a cardiovascular anatomical structure. The tip assembly includes a pressure relief valve that is configured to transition between a sealing state and a pressure-relieving state. In the sealing state, the pressure relief valve is configured to prevent fluid from leaking out from the interior of the balloon via the pressure relief valve. In the pressure-relieving state, the pressure relief valve is configured to provide a path for fluid to leak from the interior of the balloon via the pressure relief valve.

Abstract: A catheter tip is disclosed comprising a tip electrode comprising a ledge feature, and a center cavity and a manifold assembly comprising a fluid lumen manifold and a stop tube. The stop tube can be coupled to the fluid lumen manifold and configured to abut the ledge feature such that a distal end of the fluid lumen manifold extends a pre-determined distance into the center cavity of the tip electrode. The fluid lumen manifold can comprise a plurality of sideholes which can be sized and configured to distribute an irrigant to the tip electrode. The catheter tip can comprise a flexible tip electrode.

Abstract: Intra-cardiac voltage data display systems display a plurality of data sets derived at least from intra-cardiac voltage data sampled by an electrode. In some embodiments, at least some of the data sets are derived from a portion of the intra-cardiac voltage data that excludes an excludable portion of the intra-cardiac voltage data having a relationship with an occurrence of a particular cardiac event to facilitate identification of the existence of a transmural lesion in tissue adjacent the electrode. In some embodiments, the particular cardiac event is the occurrence of an R wave in the cardiac cycle, and the excludable portion is a V wave in the cardiac cycle.

Abstract: A method, consisting of modeling physical parameters representative of a probe in proximity to body tissue during an ablation procedure performed by the probe. The method also includes measuring a subgroup of the physical parameters during a non-ablation stage of the ablation procedure so as to generate measured non-ablative values of the subgroup, and measuring the subgroup of the physical parameters during an ablation stage of the ablation procedure so as to generate measured ablative values of the subgroup. In response to the modeling, the method includes generating calculated non-ablative values of the subgroup for the non-ablation stage, and generating calculated ablative values of the subgroup for the ablation stage. The method compares the measured non-ablative values with the calculated non-ablative values, and compares the measured ablative values with the calculated ablative values, so as generate optimal values of the physical parameters.

Abstract: According to an aspect, there is provided a handheld device (2) for applying energy pulses to skin (17) of a subject to perform a treatment operation as the handheld device is moved across the skin, the handheld device comprising: an aperture (6) that is to be placed adjacent to the skin; at least one energy source (8) for generating an energy pulse and for providing the energy pulse through the aperture to perform the treatment operation on 5 skin adjacent the aperture, wherein the at least one energy source has a minimum pulse repetition period following the generation of an energy pulse before a subsequent energy pulse can be generated; a first skin property sensor (14) for measuring a skin property and for outputting a first measurement signal representing measurements of the skin property at a first sensing position (24), wherein the skin property is a property that changes in response to the application of an energy pulse to the skin, and wherein the first sensing position is in front of the aperture re

Abstract: The present invention relates to a method of ablating a vein in a subject. The method comprises introducing an ablation member into the vein, wherein the ablation member has an external diameter of less than 5 French Gauge (FG); and emitting thermal energy with a power output of less than 5.5 Watts from the ablation member to thereby ablate the vein.

Abstract: An apparatus includes a processor and a non-transitory memory. The processor is configured to receive pre-operative patient specific data. The pre-operative patient specific data is inputted to a first machine learning model to determine a first predicted post-operative joint performance data output including first predicted post-operative outcome metrics. A reconstruction plan of the joint of the patient is generated based on a medical image of the joint, and at least one arthroplasty surgical parameter obtained from the user. The at least one arthroplasty surgical parameter is inputted into a second machine learning model to determine a second predicted post-operative joint performance data output including second predicted post-operative outcome metrics.

Abstract: A computer-assisted and automatic identification of possible cranial positions for any kind of implant is presented. In this method, skull data of the individual patient's skull are used as well as statistical skull data which include so-called skull avoidance zones. Further, a digital template of the implant is used to find these possible positions. The implant may be e.g. an IPG and/or the screws of a fixation frame, but these are only embodiments of implants and other implants may be used with the present invention as well. The computer-implemented medical method of the present invention removes the uncertainty whether a given patient can safely receive an implant, like for example a cranial IPG, which was previously only possible on the basis of human judgement. Furthermore, the present invention removes the uncertainty whether a given patient can be safely fixated in a stereotactic frame or a Mayfield head clamp.