Abstract: One aspect of the present disclosure is a medical treatment tool including a first arm having a first end and a second end and a second arm having a first end and a second end, wherein the first end of the first arm and the first end of the second arm are coupled such that a distance between the second end of the first arm and the second end of the second arm is adjustable. Each of the first arm and the second arm comprises: a conductor extending from the first end to the second end and exposed at the second end; a support containing a composite material made of a resin and a reinforcing material as a main component and extending along the conductor; and a cover covering the conductor and the support.

Abstract: According to some embodiments, a medical instrument comprises an elongate body having a proximal end and a distal end and a pair of electrodes or electrode portions (for example, a split-tip electrode assembly). Systems and methods are described herein that perform contact sensing and/or ablation confirmation based on electrical measurements obtained while energy of different frequencies are applied to the pair of electrodes or electrode portions. The contact sensing systems and methods may calibrate network parameter measurements to compensate for a hardware unit in a network parameter measurement circuit or to account for differences in cables, instrumentation or hardware used.

Abstract: A surgical instrument comprises a handle assembly including an actuator mounted for manipulation through an actuation stroke. An elongate shaft extends distally from the handle assembly and defines a longitudinal axis. A reciprocating member extends at least partially through the elongate shaft, and is mounted for longitudinal motion through the elongate shaft in response to manipulation of the actuator through the actuation stroke. A drive mechanism includes a first rotating component coupled to the actuator about a first circumference to induce rotational motion in the first rotating component. A second rotating component is coupled to the first rotating component such that rotational motion in the first rotating component induces rotational motion in the second rotating component. The second rotating component is coupled to the reciprocating member about a second circumference such that rotational motion of the second rotating component induces longitudinal motion in the reciprocating member.

Abstract: A method and apparatus for treating tissue are disclosed, including intra-operative mapping of a probe ablation zone. The method uses a system that maps the proximal and distal margins of the probe ablation zone using tools that access the ablation target. In some embodiments, the tools comprise a bone drill, and an introducer assembly, including a cannula and a stylet. The tools have features or markings that cooperate to indicate which probe to use to achieve the desired ablation. The method further facilitates planning probe placement for delivering energy to treat (ablate) a desired ablation volume of a target tissue by using a system that maps both the target tissue and possible probe ablation zones.

Abstract: A tissue sensing device for use with an electrosurgical knife is proposed which comprises a proximal end portion, a distal end portion and a grip portion there between. The proximal end portion is configured for attachment to a housing of the electrosurgical knife. The distal end portion is configured for movably supporting a blade of the knife. A distal end of an optical fiber is arranged at the distal end portion of the device and a proximal end of the optical fiber is connectable to an optical console, so that optical measurements can be performed at the distal end portion.

Abstract: An electrosurgical probe for ablating tissue includes an elongated shaft having an axis and a distal end. An electrically insulating housing at the distal end of the shaft has a window, and an interior channel in the shaft extends through the housing to the window. The window faces laterally relative to the axis, and a moveable member with a blade-like electrode edge is disposed within the window. A motor drives the energized electrode edge axially in the window to ablate tissue.

Abstract: The invention generally relates to systems and methods for therapeutically modulating nerves in or associated with a nasal region of a patient for the treatment of a rhinosinusitis condition.

Abstract: A method for use with an intra-body probe, a distal end of which includes an ablation electrode and a temperature sensor, is described. While (i) the ablation electrode is driving an ablating current into tissue of a subject, and (ii) fluid is passed from the distal end of the intra-body probe at a fluid-flow rate, a processor receives a temperature sensed by the temperature sensor. The processor estimates a temperature of the tissue, based at least on the sensed temperature and at least one parameter selected from the group consisting of: the fluid-flow rate, and a parameter of the ablating current. The processor generates an output in response to the estimated temperature. Other embodiments are also described.

Abstract: Disclosed herein are systems and methods for locating and identifying nerves innervating the wall of arteries such as the renal artery. The present invention identifies areas on vessel walls that are innervated with nerves; provides indication on whether energy is delivered accurately to a targeted nerve; and provides immediate post-procedural assessment of the effect of energy delivered to the nerve. The methods includes evaluating a change in physiological parameters after energy is delivered to an arterial wall; and determining the type of nerve that the energy was directed to (sympathetic or parasympathetic or none) based on the evaluated results. The system includes at least a device for delivering energy to the wall of blood vessel; sensors for detecting physiological signals from a subject; and indicators to display results obtained using said method. Also provided are catheters for performing the mapping and ablating functions.

Abstract: The present invention relates to comprehensive systems, devices and methods for delivering energy to tissue for a wide variety of applications, including medical procedures (e.g., tissue ablation, resection, cautery, vascular thrombosis, treatment of cardiac arrhythmias and dysrhythmias, electrosurgery, tissue harvest, etc.). In certain embodiments, systems, devices, and methods are provided for treating a tissue region (e.g., a tumor) through application of energy.

Abstract: The present invention relates to comprehensive systems, devices and methods for delivering energy to tissue for a wide variety of applications, including medical procedures (e.g., tissue ablation, resection, cautery, vascular thrombosis, treatment of cardiac arrhythmias and dysrhythmias, electrosurgery, tissue harvest, etc.). In certain embodiments, systems, devices, and methods are provided for treating a tissue region (e.g., a tumor) through application of energy.

Abstract: A catheter for debulking of an undesired deposit from an inner surface of at least one of a blood vessel wall and a stent located in a blood vessel, the catheter having a tip section comprising: circumferentially-directed laser optics; and a circular-action cutter, wherein said circumferentially-directed laser optics is configured to transmit laser radiation for modifying an area of the undesired deposit thereby preparing said area for penetration of said cutter, wherein said cutter is configured to cut through said modified area and thereby debulk at least a part of the undesired deposit. In addition, a catheter for pacemaker and ICD (Implantable Cardioverter Defibrillator) lead extraction is disclosed.

Abstract: A system for creating at least one model of a bone and implanted implant comprises a processing unit; and a non-transitory computer-readable memory communicatively coupled to the processing unit and comprising computer-readable program instructions executable by the processing unit for: obtaining at least one image of at least part of a bone and of an implanted implant on the bone, the at least one image being patient specific, obtaining a virtual model of the implanted implant using an identity of the implanted implant, overlaying the virtual model of the implanted implant on the at least one image to determine a relative orientation of the implanted implant relative to the bone in the at least one image, and generating and outputting a current bone and implant model using the at least one image, the virtual model of the implanted implant and the overlaying.

Abstract: Systems and methods are provided for identifying a suitable surgical location and/or trajectory for proceeding with a surgical procedure based on local polarization-sensitive optical coherence tomography imaging (PS-OCT). PS-OCT images are obtained of a tissue region and are processed to provide a spatial map of anisotropic structure within the tissue region. The anisotropic structure is processed to determine one or more suitable surgical locations and/or trajectories for avoiding or reducing damage to local anisotropic tissue structure identified within the tissue region. The spatial map of the anisotropic structure is registered with pre-operative volumetric image data identifying anisotropic tissue structure within a second tissue region that is larger than the tissue region imaged by PS-OCT.

Abstract: A system for surgical planning and assessment of spinal deformity correction is provided that has a spinal imaging system and a control unit. The spinal imaging system is configured to collect at least one digitized position of one or more vertebral bodies of a subject. The control unit is configured to receive the at least one digitized position, and calculate, based on the at least one digitized position, an optimized posture for the subject. The control unit is configured to receive one or more simulated spinal correction inputs, and based on the inputs and optimized posture, predict an optimal simulated postoperative surgical correction.

Abstract: An interventional tool stepper (30) employing a frame (31), a carriage (33), an optional gear assembly (32), and an optional grid template(34). The frame (31) is structurally configured to be positioned relative to an anatomical region for holding an interventional tool (40) relative to the anatomical region. The carriage (33) is structurally configured to hold the interventional tool (40) relative to the anatomical region. The gear assembly (32) is structurally configured to translate and/or rotate the carriage (33) relative to the frame (31). The grid template (34) is structurally configured to guide one or more additional interventional tools (41) relative to the anatomical region. The frame (31), the carriage (33), the optional gear assembly (32) and the optional grid template (34) have an electromagnetic-compatible material composition for minimizing any distortion by the interventional tool stepper (30) of an electromagnetic field.

Abstract: Various cranial surgery OSS registration device embodiments of the present disclosure encompass a cranial surgery facial mask (128), a mask optical shape sensor (126b) having a mask registration shape extending internally within the cranial surgery facial mask (128) and/or externally traversing the cranial surgery facial mask (128), a cranial surgery tool (101), and a tool optical shape sensor (126d) having a tool registration shape extending internally within the cranial surgery tool (101) and/or externally traversing the cranial surgery tool (101). The mask registration shape of the mask optical shape sensor (126b) and the tool registration shape of the tool optical shape sensor (126d) interactively define a spatial registration of the cranial surgery facial mask (128) and the cranial surgery facial mask (128) and the cranial surgery tool (101) to a cranial image.

Abstract: Provided are systems and methods for registration of location sensors. In one aspect, a system includes an instrument and a processor configured to provide a first set of commands to drive the instrument along a first branch of the luminal network, the first branch being outside a path to a target within a model. The processor is also configured to track a set of one or more registration parameters during the driving of the instrument along the first branch and determine that the set of registration parameters satisfy a registration criterion. The processor is further configured to determine a registration between a location sensor coordinate system and a model coordinate system based on location data received from a set of location sensors during the driving of the instrument along the first branch and a second branch.

Abstract: Video editing software tools platform utilizing a video display to provide access to specific video editing software tools, such as video oriented applications or widgets, that can assist those in a video broadcasting team, such as a camera operator or video editor, with a video broadcast feed. Various video editing software tools can provide features and functions that can add visual context to video data presented in the image stream from the video camera and provide archived information pertaining to the same. Various embodiments relate to systems and methods for simultaneously switching input image streams to output devices, while providing optional image processing functions on the image streams. Certain embodiments may enable multiple users/viewers to collaboratively control such systems and methods.

Abstract: A surgical apparatus system for minimally invasive surgery (MIS) which includes a wrist assembly. The wrist assembly includes a first jaw, a first actuation hub, and a cable redirecting hub operably coupled to the first actuation hub, a second jaw, a second actuation hub, a housing for the first and second jaws, a first cable, a second cable, a third cable, rotational position sensors, and a control system. The first and second jaws of the wrist assembly are movably opposed, and the cables are configured such that applying tensions upon them cables produces rotation about a jaw axis. The wrist assembly may further include a hinge-rotary assembly to configured to provide rotation about a pitch axis and/or a roll axis. The wrist assembly may further include a fourth cable configured such that applying tensions upon the fourth cable and the opposing cable produces rotation about a pitch axis.

Abstract: An electrosurgical instrument for use in a robotic surgical system includes an electrosurgical end effector, a housing configured to be operably coupled to an instrument drive unit, a shaft extending distally from the housing, and a wrist assembly coupled to a distal end portion of the shaft. The wrist assembly includes a first pivot member and a second pivot member having a proximal end portion movably coupled to the first pivot member, and a distal end portion configured to be coupled to the end effector. The first pivot member has a pair of first and second distally-extending arms each defining a first groove configured to receive and guide a cable.

Abstract: A robotic surgery system includes an orienting platform, a support linkage movably supporting the orienting platform, a plurality of surgical instrument manipulators, and a plurality of set-up linkages. Each of the manipulators includes an instrument holder and is operable to rotate the instrument holder around a remote center of manipulation (RC). At least one of the manipulators includes a reorientation mechanism that when actuated moves the attached manipulator through a motion that maintains the associated RC in a fixed position.

Abstract: A steerable instrument (100) controllable by a robotic arm (200), having a proximal end (20) and a distal (40) end comprising: a cylindrical shaft (130), a cylindrical bendable proximal part (120) and a cylindrical bendable distal part (140), a connector (110) configured for dismountable attachment to the robotic arm (200), attached in fixed rotational relation to the bendable proximal part (120), an end effector (150) attached in fixed rotational relation to the bendable distal part (140), the steerable instrument (100) configured such that: the bendable distal part (140) bends responsive to bending of the bendable proximal part (120), and the end effector (150) is rotatable when the bendable distal part (140) is in a bent position by a complementary rotation of the connector (110), the shaft (130) is pivotable around a fulcrum zone (134) on the shaft (130) and changes direction responsive to a complementary movement of the connector (110), thereby providing control of the shaft (130) direction, bending of t

Abstract: A Robotic control system has a wand, which emits multiple narrow beams of light, which fall on a light sensor array, or with a camera, a surface, defining the wand's changing position and attitude which a computer uses to direct relative motion of robotic tools or remote processes, such as those that are controlled by a mouse, but in three dimensions and motion compensation means and means for reducing latency.

Abstract: Integrated table motion includes a device including a control unit and an arm having one or more joints and a distal portion. The control unit is configured to receive a table movement request from a separate table, determine whether to allow the table movement request based on one or more of whether a type of movement in the table movement request is permitted, whether one or more instruments mounted to the device are within a field of view of an imaging device, or whether one or more instruments mounted to the device are withdrawn into respective cannulas, allow the table to perform the table movement request based on the determining; track movement of the table while the table performs the table movement request; and maintain, using the joint(s) and based on the tracked movement of the table, a position and/or an orientation of the distal portion relative to the table.

Abstract: Provided is a robotic system that includes a surgical instrument with a wrist including an elongate shaft extending between a proximal end and a distal end, a wrist extending from the distal end of the elongate shaft, and an end effector extending from the wrist. The end effector may include a first jaw and a second jaw, the first and second jaw being moveable between an open position in which ends of the jaws are separated from each other, and a closed position in which the ends of the jaws are closer to each other as compared to the open position. The surgical instrument may also include at least one rotary cutter extending from the wrist and positioned at least partially within a recess formed in a face of the first jaw.

Abstract: Methods, systems, and computer-readable media for detecting image degradation during a surgical procedure are provided. A method includes receiving images of a surgical instrument; obtaining baseline images of an edge of the surgical instrument; comparing a characteristic of the images of the surgical instrument to a characteristic of the baseline images of the edge of the surgical instrument, the images of the surgical instrument being received subsequent to obtaining the baseline images of the edge of the surgical instrument and being received while the surgical instrument is disposed at a surgical site in a patient; determining whether the images of the surgical instrument are degraded, based on the comparing of the characteristic of the images of the surgical instrument and the characteristic of the baseline images of the surgical instrument; and generating an image degradation notification, in response to a determination that the images of the surgical instrument are degraded.

Abstract: Provided are a bending structure and a flexible tube for a medical manipulator, which comprise a main body that is composed of the wave washers stacked in an axial direction and kept a stacked state, the main body being bendable according to the expansion and contraction in the axial direction. Accordingly, linearity of load characteristics based on load and a bending angle is made high to make it possible to obtain the flexible tube having superior load bearing and bendability while conducting size reduction.

Abstract: A manipulator system includes a manipulator configured for guiding an instrument. The system furthermore includes a controller configured to actuate the manipulator such that the instrument is pressed with a pressing force against a human body. A force reduction input device is provided separately from the manipulator and is operable by an operator to reduce the pressing force.

Abstract: A control system for regulating operative control of a surgical instrument by a remote surgeon input device. The surgical instrument is supported by an articulated robot arm, and comprises an end effector connected to a shaft by an articulated coupling. The remote surgeon input device is capable of operatively controlling the surgical instrument by controlling articulation of the end effector, and controlling articulation of the robot arm and coupling. On receiving a request to engage operative control of the surgical instrument by the surgeon input device, the control system initially engages operative control of articulation of the robot arm and coupling by the surgeon input device, whilst maintaining disengagement of operative control of articulation of the end effector by the surgeon input device. Subsequently, the control system engages operative control of articulation of the end effector by the surgeon input device following a manipulation of the surgeon input device.

Abstract: Embodiments described herein provide various examples of a machine-learning-based visual-haptic system for constructing visual-haptic models for various interactions between surgical tools and tissues. In one aspect, a process for constructing a visual-haptic model is disclosed. This process can begin by receiving a set of training videos. The process then processes each training video in the set of training videos to extract one or more video segments that depict a target tool-tissue interaction from the training video, wherein the target tool-tissue interaction involves exerting a force by one or more surgical tools on a tissue. Next, for each video segment in the set of video segments, the process annotates each video image in the video segment with a set of force levels predefined for the target tool-tissue interaction. The process subsequently trains a machine-learning model using the annotated video images to obtain a trained machine-learning model for the target tool-tissue interaction.

Abstract: Provided herein are methods for treating nephrolithiasis and protecting the urothelium and inner lining of the kidney from thermal damage during lithotripsy by use of a thermosensitive bio-adhesive hydrogel. The described method dramatically improved the efficiency and effectiveness of stone clearance compared to conventional techniques while providing protection to the urothelium from potentially damaging temperature spikes.

Abstract: Hollow vector support multifunctional protection devices and systems for minimally invasive surgery are disclosed. In an embodiment, a hollow vector support multifunctional protection device includes a protective head, a pitching mechanism for the protective head, an inner cylinder, an axial movement mechanism for the inner cylinder, and a shell. The protective head includes a flap ring, a plurality of first rotating shafts, a plurality of flaps uniformly arranged on the flap ring through the first rotating shafts, and a torsion spring arranged on the first rotating shafts. The torsion spring is configured to provide a force for opening the plurality of flaps along the first rotating shafts, and the first rotating shafts are provided with limiting structures configured to limit a maximum opening degree of the flaps.

Abstract: The embodiments of the present invention provide a system and method for light and shadow guided needle positioning. DICOM images of a patient are captured for identifying a point of insertion of a needle on the patient's body and a target point inside the patient's body. Needle coordinates are computed based on the captured DICOM images to position the mechanical arms. Light is projected at a particular angle on the needle to form shadows of the needle. Laser light beams are projected to form cross hair at the point of insertion. Images or videos of the point of insertion, shadow of the needle and the cross hair are captured and displayed on a monitoring unit. A virtual circle is projected on the displayed image and is aligned with the point of insertion, shadow of the needle and cross hair in order to insert the needle precisely.

Abstract: A wearable body composition analyzer according to various embodiments of the present disclosure may include an induction part for inducing secretion of bodily liquid while being in contact with a body part, a collection part that collects the bodily liquid secreted, a sensor part that detects a body composition from the bodily liquid collected, and a wearable part to which the induction part and the collection part is detachably attached, wherein the wearable part may be worn on a body. The above-described wearable body composition analyzer may be implemented variously according to embodiments.

Abstract: A dental implement is disclosed that includes a proximal end portion; a distal end portion that includes a cutting head defining at least one cutting surface; and a guide body that is positioned proximally of the cutting head. The guide body defines at least one flute that extends in generally parallel relation to a longitudinal axis of the dental implement and is configured to direct irrigation fluid to a surgical site within a patient.

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

Abstract: Systems, methods, and devices for producing appliances for expansion of the arch of a patient are provided. An arch expanding appliance comprises a force generating portion to apply an arch expansion force and a retention portion to hold the force generating portion on the teeth. The retention portion comprises a flexible portion and a stiff portion. The force generating portion applies a force to move teeth associated with the flexible portion, while the stiff portion resists movement of its associated teeth. The orthodontic appliances can be designed according to the specifications provided herein and manufactured using direct fabrication methods.

Abstract: The invention is directed to a composition that safely removes a cured dental cement or resin from metal brackets, metal braces, and enamel surfaces of teeth. It contains eugenol, isoeugenol, methyl-eugenol or an isomer thereof. A method for removing orthodontic fixtures adhered with a dental cement or resin to the enamel surfaces of teeth from these surfaces by contacting the dental cement or resin with a composition containing eugenol.

Abstract: Methods and apparatus for producing controlled tooth-moving forces are provided. An orthodontic appliance includes one or more occlusal surface features that modify bite forces between opposing teeth during intercuspation to aid in realignment of the teeth. The interception bite forces can be applied between appliance shells on opposing arches, or between an appliance shell and an opposing tooth. These modified bite forces can be used to supply or augment tooth-moving forces, and the tooth moving forces can produce moments to urge rotational movement of a tooth. Also described herein are orthodontic appliances having an occlusal outer surface contours that are distinct from the occlusal inner surface contour within the dental appliance and may be configured to selectively intercuspate.

Abstract: A dental appliance for positioning a patient's teeth includes a removable orthodontic tooth positioning appliance having teeth receiving cavities shaped to directly receive at least some of the patient's teeth and apply a resilient positioning force to the patient's teeth. The appliance includes a hard polymer layer having a hard polymer layer elastic modulus disposed between a first soft polymer layer having a first soft polymer layer elastic modulus and a second soft polymer layer having a second soft polymer layer elastic modulus. The hard polymer layer elastic modulus is greater than each of the first soft polymer layer elastic modulus and the second soft polymer layer elastic modulus. At least one of the first soft polymer layer and the second soft polymer layer has a flexural modulus of greater than about 35,000 psi.

Abstract: Methods for designing and fabrication of a series of apparatuses for expanding a patient's palate (“palatal expanders”). In particular, described herein are methods and apparatuses for forming palatal expanders, including rapid palatal expanders, as well as series of palatal expanders formed as described herein and apparatuses for designing and fabricating them.

Abstract: Apparatus and method for installing a multi-tooth dental prosthesis in one session are shown and described. A first tool attaches to the jawbone, and serves as a foundation for subsequently used guides. Existing teeth and dental fixtures are removed, and the bone tissue is removed to accommodate the prosthesis. Subsequently, a drill guide is used to drill implant holes. An abutment guide is then used to place abutments. Copings are then installed. Next, the prosthesis may be installed and cemented to the copings. A resinous filler material may be applied to fill gaps and holes in and between the copings and the prosthesis, and is sanded smooth.

Abstract: Described herein are systems and methods for extracting a broken fragment of a dental abutment screw from a dental implant. One such system includes an extractor tool having a tubular outer body and a conductor positioned within the tubular outer body, and an applicator that receives and end of the extractor tool and also includes a heating element that converts electrical energy into heat that is conducted to the extractor tool to melt a thermoplastic adhesive in a cavity at the distal end of the extractor tool, such that the melted thermoplastic adhesive can conform to and engage with a broken fragment of a dental abutment screw within a dental implant when the adhesive cools. The extractor tool can then be rotated to unscrew the broken fragment from the dental implant.

Abstract: The dental bridge fitting system is a medical device. The dental bridge fitting system is configured for use in measuring the oral surface contours of a patient. The measurements taken by the dental bridge fitting system allow for the fabrication of a dental prosthetic device, such as a bridge, that fits flush on the oral surface that was measured by the dental bridge fitting system. The dental bridge fitting system comprises a mouthpiece, a plurality of capture devices, an image processor, and a master processor. The mouthpiece contains the plurality of capture devices. The plurality of capture devices, the image processor, and the master processor are electrically interconnected.

Abstract: The invention describes a computer-implemented method and an optimized implant site simulation system which performs a simulation of a damaged oral cavity of a patient and defines an implant site adapted to receive a dental implant to repair the damage observed. The invention further describes the optimized implant site simulated (SI) and a dental implant (ID) couplable to the optimized implant site (SI) simulated. The invention further describes a computer program to perform the steps of the method and an optimized implant site (SI) simulation system.

Abstract: What is described is a milling blank having a continuous shade gradient for production of an indirect dental restoration, composed of resin or a resin-based composite. What is also described is a method of producing such a milling blank by mixing two differently coloured pastes with continuous variation of the mixing ratio of the two pastes during the dispensing operation.

Abstract: An interdental cleaner has a rod-shaped support, which is made of plastic and, in one end region thereof, is provided with a cleaning part made of a flexible plastic, and a handle part made of plastic. The support, at a support end facing the handle part, is integrally connected to the handle part in a connection region via a web. The connection region is configured as a joint, and the web is provided at least partially with a sheath made of a flexible plastic. Provision is made here that the web has at least one protruding web rib, and/or that at least one rib is formed on the outer face of the sheath.

Abstract: An automated, hands-free dental floss dispenser is provided herein. Particularly, the dispenser includes a housing and an activation sensor, such as an infrared, motion, or other sensor for detecting the presence of a hand or other object within a dental floss dispensing region and for activating the dispenser. The dispenser further includes a feeding assembly disposed at least partially within the housing, and a dispensing assembly for receiving an amount of dental floss from the feeding assembly. Specifically, the feeding assembly includes a removable and/or replaceable cartridge which at least temporarily retains the dental floss. The dispensing assembly includes a spindle and a spindle activation assembly, wherein the dental floss is fed from the feed assembly to the spindle for dispensing.

Abstract: A tooth flossing assembly for simultaneously flossing an entire row of teeth includes a mouthpiece that is curved along a longitudinal axis to conform to the curvature of a row of a user's teeth. The mouthpiece has a plurality of engagement points positioned thereon. The engagement points are spaced apart from each other and are distributed along the mouthpiece at locations corresponding to the locations between each tooth in the row of the user's teeth. A plurality of flossing units is provided and each of the flossing units is removably coupled between a respective pair of the engagement points. Each of the flossing units includes a string that slides between a respective pair of the user's teeth when the user pushed up or bites down on the mouthpiece. In this way the plurality of flossing units can simultaneously floss the entire row of teeth.