Abstract: In a method for recording a PET image data set, an overall recording area is moved continuously through the FOV at a constant movement speed, an attenuation map of the overall recording area being used to reconstruct the PET image data record from the PET raw data. The magnetic resonance data of a slice of the patient currently located within the FOV and movement status information relating to a cyclical movement of the patient are recorded simultaneously with recording the PET raw data. A movement status class is assigned to the PET raw data and the magnetic resonance data in each case. Using the magnetic resonance data assigned to the different movement status classes, attenuation maps of the patient are determined for the different movement status classes and applied to the PET raw data assigned to the corresponding movement status class to reconstruct the PET image data set.

Abstract: A radiographic imaging system includes an irradiating apparatus, a first clock, a radiographic imaging apparatus, a second clock and a hardware processor. The irradiating apparatus generates radiation. The first clock keeps time and works with the irradiating apparatus. The radiographic imaging apparatus generates image data based on received radiation. The second clock keeps time and works with the radiographic imaging apparatus. The hardware processor (i) obtains a clock value of the first clock at a predetermined time point and a clock value of the second clock at the predetermined time point respectively as first clock information and second clock information, (ii) makes a determination as to whether a specific condition is met based on the obtained first clock information and the obtained second clock information, and (iii) in response to the specific condition being met, performs a specific output.

Abstract: Provided is a technique capable of preventing a deterioration of a frame rate or a temporal resolution and estimating a blood flow velocity in a wide velocity range. A method is based on an unequal interval transmission method, and calculates a blood flow velocity by using a temporally adjacent received signal set and a temporally discontinuous received signal set, among a plurality of received signals obtained via a plurality of times of transmission in one transmission direction. When a number of the adjacent received signal set and a number of the temporally discontinuous received signal set are the same, an expansion of the velocity range similar to an unequal interval transmission in related art can be realized and the frame rate can be improved.

Abstract: Aspects of the technology described herein relate to ultrasound imaging of lungs. An ultrasound device may be configured with a set of parameter values associated with a shallow lung imaging mode. A selection of a change in imaging depth may be received. If the selected imaging depth is greater than or equal to a threshold imaging depth, the ultrasound device may be configured with a set of parameter values associated with a deep lung imaging mode. The set of parameter values associated with the shallow lung imaging mode may be optimized for imaging lung sliding and the set of parameter values associated with the deep lung imaging mode may be optimized for imaging A lines and B lines.

Abstract: A Ring-Arrayed Forward-viewing (RAF) ultrasound imaging and administration device combines an ultrasonic (US) US imager including a plurality of single element transducers arranged in a circular frame to define a ring array, and an instrument posture tracking circuit coupled to the ring array for performing RF (radio frequency) data acquisition with the plurality of ring-arrayed transducers. A needle holster is concentrically disposed in the ring array and is adapted to receive and direct an insertion instrument such as a needle, probe or extraction tool along an axis defined by a center of the ring array directed by the concentric needle holster. The tracking circuit includes a processor having instructions for instrument posture tracking and US imaging.

Abstract: Provided is a non-invasive system and method of determining pennation angle and/or fascicle length based on image processing. An ultrasound scan image is processed to facilitate distinguishing of muscle fiber and tendon. The processed ultrasound scan image is then analyzed. The pennation angle and/or fascicle length is determined based on the analysis. An example method includes receiving an ultrasound scan image of at least a portion of a skin layer as disposed above one or more additional tissue layers, the image provided by a plurality of pixels. The method continues by introducing noise into the pixels of the image and thresholding the pixels of the image to provide a binary image having a plurality of structural elements of different sizes. The method continues with morphing the structural elements of the binary image to remove small structural elements and connect large structural elements.

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

Abstract: A system for reviewing results of ultrasound examinations provides enhanced control over reviewed images. A review and imaging system receives additional data comprising one or more of additional ultrasound images generated using parameter settings different from those selected by and sonographer and earlier stage ultrasound data. An ultrasound machine may be configured to acquire and make the additional data available to the review and imaging system. The review and imaging system may provide a wide range of control options for obtaining optimized display of images based on the additional data.

Abstract: A gripping apparatus includes: a temperature adjusting device held in a substrate wherein the substrate defines an open region; a phase change material held within the open region and thermally coupled with the temperature adjusting device such that a temperature change in the temperature adjusting device causes a temperature change in the phase change material; and a controller connected to the temperature adjusting device and configured to send a signal to the temperature adjusting device to change its temperature and thereby change the temperature of the phase change material that is thermally coupled with the temperature adjusting device. The phase change material is either in a solid state and configured to grip a stick or in a liquid state and the phase change material and configured to loosen its grip on the stick such that the stick is capable of moving through the phase change material.

Abstract: An imaging device (100) is disclosed comprising an ultrasound transducer array (101, 120, 130) having a plurality of ultrasound transducer elements defining an ultrasound emitting surface of the ultrasound transducer array; and an acoustic window (220) on the ultrasound emitting surface, said acoustic window comprising: a first layer (221) of a hydrocarbon elastomer contacting the ultrasound emitting surface, said first layer further containing an antioxidant; and a second layer (223) of a further hydrocarbon elastomer on the first layer, said second layer having a greater Shore A hardness than the first layer. Also disclosed are an ultrasound imaging system (10) comprising such an imaging device, such as catheter (100), and a method (300) of forming an acoustic window (220) on an ultrasound transducer array (101, 120, 130) for such a device (100).

Abstract: Provided are a wireless ultrasound probe and an ultrasound imaging apparatus connected with the wireless ultrasound probe. The wireless ultrasound probe includes: a battery; and a charging terminal connector that is coupled to a power supply terminal of the ultrasound imaging apparatus and receives power from the power supply terminal to charge the battery, wherein the charging terminal connector has a unique shape configured to be physically coupled to the power supply terminal.

Abstract: An ultrasound probe contains an array transducer coupled to a digital microbeamformer. The digital microbeamformer is capable of producing delayed echo signals which are a delayed by a fraction of a clock cycle of received digital echo signals. The fractional delay is produced by an FIR filter which conserves power by weighting digital echo signals without the use of digital multipliers.

Abstract: Various methods and systems are provided for a medical imaging system. In one embodiment, a method includes acquiring a series of medical images of a lung, identifying a pleural line in each medical image of the series, evaluating the pleural line for irregularities in each medical image of the series, and outputting an annotated version of each medical image of the series, the annotated version including visual markers for healthy pleura and irregular pleura. In this way, an operator of the medical imaging system may be alerted to pleural irregularities during a scan.

Abstract: Color Doppler imaging with line artifact reduction is provided in multi-beam scanning. Doppler estimates representing the same spatial location but calculated from spatially distinctive transmit beam groups are combined through weighted linear interpolation. Methods of calculating the linear interpolation weights are provided based on geometric relationships and optimization functions. Complete overlapping and superposition among receive beams in the interpolation region are not required. Partial interpolation among the receive beams, where only the estimates of the outer receive scan lines may overlap and be interpolated while estimates for scan lines closer to the transmit scan line are not interpolated, allowing for more rapid frame rate.

Abstract: An ultrasound imaging system comprises a display for displaying a received ultrasound image. A user interface is provided for receiving user commands for controlling the ultrasound imaging process, and it receives a user input which identifies a point or region of the displayed ultrasound image. An image depth is determined which is associated with the identified point or region and the imaging process is controlled to tailor the imaging to the identified point or region.

Abstract: A system for creating customized learning content for ultrasound simulators using materials from an existing library of curated content including images, volumetric data sets, and metadata, or otherwise acquired, overcoming numerous challenges to ultrasound education and training, including the ability to seamlessly create real-patient based ultrasound training curriculum, the creation of an expansive library that that represents multiple pathologic conditions, and the dissemination of training content to multiple users in an asynchronous manner.

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

Abstract: Physiological parameters such as respiratory rate and/or heart rate variability can be measured over time for a user and correlated to physiological and/or hormonal cycles such as the menstrual cycle. By determining the phase of such a cycle in this manner, an automatic coach for the user can recommend phase-specific adjustments to activities such as sleep and exercise.

Abstract: The present invention provides a sampling capsule and a sampling capsule system. The sampling capsule includes an enclosure, a partition wall arranged in the enclosure, and a sample chamber enclosed by the partition wall and the enclosure at a first side of the partition wall. The sampling capsule further includes an inner sample inlet on the partition wall, an outer sample inlet, a sampling tube and a switch assembly. The outer sample inlet is on the enclosure at a second side of the partition wall. The sampling tube connects the outer sample inlet and the inner sample inlet, and the switch assembly clamps or unclamps a portion of the sampling tube. When sampling is needed, the switch assembly unclamps the sampling tube to sample liquid. When sampling ends, the switch assembly tightly clamps the sampling tube to prevent sample liquid leak or contamination.

Abstract: A medical system includes a control system and an instrument manipulator. The instrument manipulator is configured to receive an instrument and includes a first drive output and a first actuating element configured to drive movement of the first drive output. The first drive output is configured to drive a first input coupling of the instrument. The control system is configured to receive an indication that the first input coupling of the instrument is positioned adjacent to the first drive output of the manipulator, in response to receiving the indication, command the first actuating element to cause movement of the first drive output, receive a feedback associated with a force experienced by the first actuating element during the movement of the first drive output, determine an instruction signal for the first actuating element based on the feedback, and transmit the instruction signal to the first actuating element.

Abstract: An insertable catheter device includes a shaft including a proximal end and a distal end, an expandable balloon, and an actuator configured to expand and retract the expandable balloon. The actuator includes a fluid conduit that extends through the shaft and is coupled with the expandable balloon to enable inflation and retraction of the expandable balloon via injection or withdrawal of a fluid to or from the expandable balloon via the fluid conduit. The expandable balloon is displaceably retractable into the shaft and extendable from the shaft. A fluid pump is coupled with the fluid conduit to pump the fluid through the fluid conduit. A patch is positioned to be displaced by the expandable balloon when the expandable balloon is inflated, and the expandable balloon is displaceably retractable into the shaft and displaceably extendable from the shaft.

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

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

Abstract: In one aspect, a surgical retractor having sliders configured to have tissue engaging members connected thereto and slider drives including operating members. The operating members are rotatable to cause the slider drives to shift the sliders relative to one another. The surgical retractor includes a coupler having a coupling configuration wherein the coupler connects the slider drives and rotation of one of the operating members causes movement of the sliders. The coupler also has a decoupling configuration wherein the coupler disconnects the slider drives and rotation of the one operating member causes movement of fewer sliders than the sliders that are moved with the coupler in the coupling configuration. The retractor has an actuator connected to the coupler and movable between a dependent slider movement position and an independent slider movement position to shift the coupler between the coupling configuration and the decoupling configuration.

Abstract: A surgical retractor for positioning within an incision within a body of a patient is described. The surgical retractor comprises a flexible air-impermeable bag surrounding an interior region and extending from a first end through a central region to a second end. The surgical retractor includes a first port in the central region, the flexible air-impermeable bag surrounding a first channel that extends from the first port towards the first end, a second port in the central region, the flexible air-impermeable bag surrounding a second channel that extends from the second port toward the second end, and a plurality of beads substantially filling the interior region of the flexible air-impermeable bag. The flexible air-impermeable bag is configured to rigidify in response to air being evacuated from the interior region to position and hold intra-incision contents within a surgical working space in a patient.

Abstract: A technique for correcting a bone deformity, such as a bunion, may be performed using an instrument that defines a spacer body connected to a fulcrum. The spacer body portion of the instrument can be inserted into a joint space between opposed bone ends. The fulcrum body can be inserted between adjacent metatarsals. An angle set between the spacer body and fulcrum body can help properly position both features within different joint spaces for ensuring that subsequent steps of the surgical procedure are properly performed and instrumentation is appropriately aligned.

Abstract: An all-suture anchor for generating bone compression and increasing interference fixation. The all-suture anchor includes a fibrous construct which is movable between a pre-deployment configuration and a deployed configuration. The fibrous construct has a first density. The all-suture anchor also includes a monofilament woven through the fibrous construct. The monofilament has a second density, which is different than the first density. The contrasting densities (i.e., irregularities) aids in the “locking” ability of the all-suture anchor by greater purchase in hard and soft bone. The all-suture anchor can have a variety of textures, barbs, and rigidities that aid in creating irregularities within the bone surface for more secure fixation.

Abstract: An automatic needle mover for moving a medical threaded needle includes: two shafts extending in the same direction and slidable relative to each other along a longitudinal direction; a needle-holding portion provided on one end side of the second shaft; a needle-receiving portion provided on one end side of the first shaft; and a handle serving as a control portion for controlling the sliding of the two shafts. The needle-holding portion has a first claw portion protruding in a direction intersecting the longitudinal direction of the shafts. The needle-receiving portion has a second claw portion protruding in a direction intersecting the longitudinal direction of the shafts. As a result of the sliding of the two shafts, the needle-holding portion and the needle-receiving portion become close to each other and a straight needle held by the needle-holding portion can be press-fitted into the needle-receiving portion.

Abstract: A suture according to an embodiment of the present disclosure includes a first barb portion, a second barb portion, and a center portion which connects the first barb portion and the second barb portion to each other. Each of end portions of the first barb portion and the second barb portion may be formed so as to face the center portion, and a hole portion including a plurality of holes may be formed in at least one of the first barb portion, the second barb portion, and the center portion. The suture may show an excellent recovery and a lifting effect to be semi-permanently maintained and may have an excellent strength.

Abstract: A patient's stomach may be secured to the patient's diaphragm. A method to accomplish this includes visualizing a wall of a patient's stomach adjacent the patient's diaphragm from within the patient's stomach, inserting a fastener deployment apparatus down the patient's esophagus and into the mammalian's stomach, and fastening the patient's stomach to the patient's diaphragm with the fastener deployment apparatus and from within the stomach. The procedure may be employed to advantage to treat a hiatal hernia, for example, either alone or in conjunction with the restoration of the patient's gastroesophageal flap valve.

Abstract: A surgical instrument comprising an end effector, an articulation system, a firing system, a closure system, a lock system, and a control unit is disclosed. The end effector comprises a pair of movable jaws. The articulation system articulates the end effector when the articulation system is in an active state. The closure system is actuatable to move the pair of jaws. The lock system prevents the closure system from actuating when the lock system is in a locked state. The control unit controls the supply of power from a power source to the articulation system, the firing system, and the lock system. The control unit transitions the lock system to the locked state and prevents the supply of power from the power source to the firing system when the articulation system is in the active state.

Abstract: A modular surgical instrument system that comprises modular components and a control circuit electrically couplable to the modular components. The modular components comprise a shaft and a handle assembly. The handle assembly comprises a disposable outer housing. The disposable outer housing is movable between an open configuration and a closed configuration. The handle assembly further comprises a control inner core receivable inside the disposable outer housing in the open configuration. The disposable outer housing is configured to isolate the control inner core in the closed configuration. The modular components further comprise a loading unit releasably couplable to the shaft and a staple cartridge releasably couplable to an end effector. The loading unit comprises the end effector.

Abstract: Compressible adjuncts for use with a staple cartridge are provided. In one exemplary embodiment, the compressible adjunct includes a non-fibrous adjunct material formed of at least one fused bioabsorbable polymer. The adjunct material is configured to be releasably retained on a staple cartridge and is configured to be delivered to tissue by deployment of staples in the cartridge The adjunct material includes a lattice macrostructure having at least one drug contained therein. The lattice macrostructure is formed of a plurality of unit cells, in which each unit cell is configured to eject a predetermined amount of drug from the adjunct material and the predetermined amount of the drug being a function of a compression profile of the respective unit cell.

Abstract: A surgical stapler body, a cartridge, a surgical stapler and a control method for the surgical stapler. The surgical stapler body includes an identification part capable of identifying information in a storage part that is connected to the cartridge assembly and capable of storing information of the cartridge assembly, the surgical stapler body further comprises a control unit capable of analyzing information stored in the storage part and sending an instruction, a power part capable of providing a power source for the surgical stapler body, and a driving part capable of driving the cartridge assembly to be closed. On the one hand, it is ensured that the driving part can drive the firing rod to move stably, so as to avoid a large vibration caused by manually operating the firing rod to influence the stitching, and reduce medical risk of human misoperation.

Abstract: A surgical stapling instrument includes an end effector, an adapter assembly, and a rotation lockout assembly. The end effector includes a staple cartridge assembly and an anvil assembly that are coupled to a proximal housing and movably positioned relative to one another. The staple cartridge assembly has a drive beam and a sled. The sled carries a knife that is rotatably supported on the sled. The drive beam is configured to move the knife relative to the drive beam. The adapter assembly has an elongated shaft that extends distally to an articulating assembly. The articulating assembly includes distal and proximal joint members coupled by a pin to articulate the end effector. The rotation lockout assembly prevents rotation of the end effector during a firing of the surgical stapling instrument.

Abstract: A surgical stapling apparatus includes a buttress retention assembly. The buttress retention assembly includes a sleeve configured to be detachably coupled with a first jaw member of a tool assembly of the surgical stapling apparatus, and a buttress material. The sleeve includes a proximal hook extending transversely outward from a lateral side of the sleeve, and a mouth including a hook configured to be received in a knife slot of the first jaw member. The mouth includes an inner surface having an inwardly extending boss. The buttress material includes a tab extending transversely outward from a lateral side thereof. The tab defines a proximal slot configured to receive the proximal hook of the sleeve. At least a portion of the distal end portion extends through the mouth of the sleeve. The distal end portion defines a distal slot dimensioned to receive the boss of the sleeve.

Abstract: A surgical fastener is provided for various surgical fastening applications, including attaching an implantable prosthesis, such as a soft tissue repair fabric, to tissue and/or muscle. The surgical fastener may include a coil body and a separate head that is attached to the coil body. The head may include an internal thread that is threadably attached to the coil body. The head may also be further secured to the coil body with a compression fit therebetween. A locking feature may prevent back-out of the coil body from the head. The surgical fastener may be assembled by threading the coil body through the head.

Abstract: A reusable surgical device includes a housing or body that supports one or more thermal energy storage members that retain or store heat during a cleaning and sterilization process. The stored heat functions to evaporate water that remains within the body or housing of the surgical device after the cleaning and sterilization process is completed to minimize any likelihood of infection of a patient or damage to electronics within the surgical device that may result or occur due to the presence of the water within the surgical device.

Abstract: A trans-anastomotic insertion device includes a body having a distal portion, a proximal portion, and a central portion. The distal portion has a blunt distal end, a width that decreases from its distal end to its proximal end, and longitudinal ribs that provide rigidity to the distal portion. The central portion has a circular configuration and includes a proximally facing surface that includes protrusions that are positioned to be received within staple pockets of a reload assembly of a stapling device. The proximal portion includes a central post that includes splines that are received between splines on a shell housing of a stapling device. The configuration of the insertion device provides added strength to the insertion device to resist high torsional forces that may be applied to the insertion device during insertion of a surgical device through an incision into a body cavity.

Abstract: An assembly for restoring a gastroesophageal flap valve includes a restoration device substantially free for rotation. The assembly comprises an elongated member configured to be fed through a throat, down an adjoining esophagus and into an associated stomach. The elongated member has a distal end. The assembly further comprises a gastroesophageal flap valve restoration device carried on the distal end of the elongated member for placement in the stomach, and an invaginator carried by the elongated member. The invaginator is configured to grip the esophagus and the elongated member and invaginator are coupled for restricted relative axial movement and substantially free relative rotational movement.

Abstract: Apparatus and methods are provided for closing a tubular structure within a patient's body. The apparatus includes a needle including a proximal end including a hub, a distal end including a sharpened distal tip, a lumen having an oblong cross-section extending proximally from the distal end, and defining a longitudinal axis between the proximal and distal ends, and a clip deliverable from the lumen. The clip is compressible between a relaxed state in which a plurality of tines of the clip are shaped to engage and close a tubular structure within a patient's body, and a stressed state in which the tines are compressed to allow the clip to be loaded into the. The apparatus may also include a pusher member for deploying the clip from the distal tip of the needle such that the tines engage and close a tubular structure through which the tubular member is directed.

Abstract: Inflatable compression devices are disclosed. In some embodiments the devices provide compression to the torso of a patient, including at a pocket configured to receive a pacing device. In some embodiments at least one securing strap is displaceable with respect to a compression member. In some embodiments a compression member is displaceable relative to at least one securing strap.

Abstract: A method for forming and abrading an implant void in a sacroiliac joint (“SI Joint”) without the use of a rotary cutting instrument. The method incorporates a multimodal abrading device having abrading surfaces on opposing sides and an open tip comprising a cutting edge. The method includes the step of using the abrading head to cut bone tissue from the SI Joint at an insertion point while simultaneously using the abrading surfaces to decorticate the cortical bone at the insertion point.

Abstract: The present invention relates to a laser assisted surgical resection alignment guide for performing joint resection surgery. The present invention includes a base plate containing a switch which activates orthogonal laser assemblies when the laser assisted surgical resection alignment guide is inserted into a surgical block. The orthogonal laser assemblies each project beams which are each refracted by lenses to project two laser lines onto a human who has been prepared for surgery.

Abstract: Self-rolling mechanical apparatuses for removing material from a body lumen include a tractor tube portion that rolls and inverts over itself in a continuous motion, tractor-like, to draw material into the tractor tube, wherein the tractor tube rolls over itself without requiring any additional internal support at the distal-facing region of the tractor tube.

Abstract: Disclosed is an implant intended to be introduced into a human or animal body cavity, and includes two walls intended to grip between them a biological protuberance present in the cavity in order to attach the implant to the biological protuberance. Each wall includes a structural element having corrugations such that the structural element is folded up on itself several times, enabling the wall to be folded up before the introduction of the implant, then deployed inside the cavity.

Abstract: A surgical device may include a disposable needle assembly, a reusable handle assembly, and a retractable slide. The handle assembly may include a ratchet mechanism, a locking mechanism, an arming mechanism, and a cage. A method for inserting and releasing the disposable needle assembly from the reusable handle assembly is also disclosed herein.

Abstract: A force transmission mechanism includes a force adjuster that receives a driving force and that is configured to change a force transmission efficiency, and also includes a driving member that is configured to connect an end effector and the force adjuster via a joint section and transmit the driving force. The force adjuster converts the driving force into a linear force via a rotational force, and increases the conversion efficiency from the driving force to the linear force such that an amount of increase in the force transmission efficiency increases with increasing displacement amount of the driving member when the driving member is displaced in accordance with flexing or curving of the joint section.

Abstract: A surgical instrument includes a shaft and a pair of jaw members disposed on the shaft and extending from an at least partially spherical element. The jaw members are moveable in pitch and yaw relative to the center of the sphere in response to actuation forces applied to a proximal drive mechanism of the instrument. The surgical instrument may include a manually operated handle for manual input of actuation forces by a user, or it may be removably mounted to a drive component of a robotic system such that its proximal drive mechanism is operatively engaged with actuators that generate mechanical output that is transferred to the proximal drive mechanism.

Abstract: A surgical instrument includes a handle with a main body having a central axis, a lever pivotable around a pivot axis fixed with respect to the main body. The lever includes a finger abutment section including a lower finger rest contacting the ventral sides of a user's first and second fingers during pivoting movement of the finger abutment section towards the central axis, and an upper finger rest contacting the dorsal sides of both the fingers during pivoting movement of the finger abutment section away from the central axis; and a septum fixed to lower and upper finger rests and extending therebetween forming a separate first and second finger receiving portion for respectively receiving a first and a second fingers. The lever pivots around the pivot axis such that during pivoting of the lever, the septum central plane remains substantially coplanar with a plane parallel to the central axis.