Patents Issued in December 14, 2023
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Publication number: 20230397917Abstract: Systems and methods for ultrasonically-assisted placement of orthopedic implants is described herein. An example method may comprise delivering ultrasonic energy to a surgical instrument such as a screw driver, Jamshidi needle, awl, probe, or tap that is in contact with the bone region targeted for removal and/or being prepared for implant placement. The method may further comprise delivering the ultrasonic energy via a probe passed through a cannulated surgical instrument and/or implant. An example system may comprise an ultrasonic generator coupled to a transducer, a probe or surgical instrument coupled to the transducer, a cannulated surgical instrument that allows passage of the probe, and a computing device configured to control the ultrasonic generator and take input from the user.Type: ApplicationFiled: August 2, 2023Publication date: December 14, 2023Inventors: Angad Singh, Jay Yadav
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Publication number: 20230397918Abstract: System for connecting a connection device to a bone with a bone pin, wherein the connection device is provided with an opening for receiving the bone pin, wherein the system comprises: said connection device; a guiding tube arranged to guide the bone pin from the connection device to the bone for connecting the bone pin to the bone, wherein the inner diameter of the guiding tube corresponds to the outer diameter of the bone pin and wherein the guiding tube can be slidably received in the opening, the guiding tube being slidable with respect to the connection device along an axis parallel to a longitudinal axis of the opening; a locking device arranged to be received in the opening of the connection device and arranged to engage the bone pin for locking the bone pin with respect to the connection device, wherein the guiding tube is movable with respect to the connection device and bone pin such that the guiding tube is removable from the combination of the bone pin and the connection device and wherein theType: ApplicationFiled: August 29, 2023Publication date: December 14, 2023Inventors: Thijmen Struik, Floris Paulus Jacobus Gerardus Lafeber, Karianne Hilde Lindenhovius, Petrus Maria van Roermund, Vincent Marianus Cloostermans, Simon Carl Mastbergen
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Publication number: 20230397919Abstract: An improved catheter is provided for removing an obstruction(s) from a blood vessel, for example, for retrieving a clot/thrombus in the neurovasculature for the treatment of stroke. The catheter has a collapsed state sufficiently small and flexible for easier delivery through challenging vasculature and also has an expanded state sufficiently sized and robust for removing the obstruction. The catheter may include a self-collapsing and expanding mechanism to transition a portion of an outer tube (e.g., a braided portion) between the collapsed and expanded states. Such mechanism may include an inner actuator tube slidable over an actuation wire to collapse a distal branched section of the actuation wire, thereby collapsing the braided portion. The catheter may also include an intermediate coiled tube for reinforcing the braided portion in the expanded state.Type: ApplicationFiled: August 24, 2023Publication date: December 14, 2023Applicant: Julier Medical AGInventors: Niall BEHAN, Laurent GRANDIDIER
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Publication number: 20230397920Abstract: An obstruction removal device is described, having one or more engaging members which can engage portions of the clot. The one or more engaging members have a collapsed, delivery state, and an expanded, deployed state.Type: ApplicationFiled: July 25, 2023Publication date: December 14, 2023Applicant: MicroVention, Inc.Inventors: Heath Bowman, Jared Shimizu, Kiet Lam, Jeff Inlow
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Publication number: 20230397921Abstract: A surgical instrument has at least two individual components that are movable relative to one another, each comprising a sliding surface region, and jointly forming a sliding surface pair. The sliding surface regions abut one another in sliding surface region sections and slide on one another. Only one of the sliding surface regions of each sliding surface pair comprises a hard material surface layer which is materially bonded to the individual component in the respective sliding surface region. The sliding surfaces of the sliding surface region sections of each sliding surface pair have a distance of less than 0.05 mm and 0.025 mm from each other. In a sliding surface pair, the relative movement of the two individual components the sliding surface regions of which form this sliding surface pair takes place in mutually parallel planes of movement.Type: ApplicationFiled: October 26, 2021Publication date: December 14, 2023Applicant: G. Hipp & Sohn GmbHInventor: Kai WISSNER
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Publication number: 20230397922Abstract: An apparatus for removing a hook embedded within a tissue is presented. The hook has a barb extending from a point section of the hook. The apparatus includes a clamping device configured to secure the hook. A probe is coupled to the clamping device. The probe has a tip portion configured to fit within a space between the barb and the point section of the hook to allow the hook to be removed from the tissue.Type: ApplicationFiled: August 28, 2023Publication date: December 14, 2023Inventor: David GEARWAR
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Publication number: 20230397923Abstract: Provided herein is a catheter assembly including, in some embodiments, a core wire configured for linear actuation and a damping mechanism around the core wire. The core wire includes a proximal end with a sonic connector configured to couple to an ultrasound-producing mechanism. The core wire includes a distal end configured to modify intravascular lesions with vibrational energy from the ultrasound-producing mechanism. The damping mechanism includes a gasket system and a retainer to retain the gasket system in a damping-mechanism bore of the catheter assembly. The damping mechanism is around a proximal-end portion of the core wire, where the damping system can provide a compressive force sufficient to dampen transverse wave-producing vibrational energy in the proximal-end portion of the core wire without restricting the linear actuation of the core wire through the damping mechanism including extension and retraction of the core wire through the damping mechanism.Type: ApplicationFiled: June 8, 2023Publication date: December 14, 2023Applicant: C. R. Bard, Inc.Inventors: Peng Zheng, Aseem Singh, Deepa Pandia
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Publication number: 20230397924Abstract: An ultrasonic treatment instrument includes: a vibration transmitter including a treatment portion for treating a living tissue at a distal end of the vibration transmitter, the vibration transmitter being configured to transfer ultrasonic vibration from a proximal end of the vibration transmitter toward the treatment portion; a holder configured to open and close with respect to the treatment portion; a resin pad including a gripping surface for gripping the living tissue between the resin pad and the treatment portion; and a heat transmitter that is configured separately from the holder and extends from the holder to an inside of the resin pad.Type: ApplicationFiled: August 23, 2023Publication date: December 14, 2023Inventors: Kazuhiro MORISAKI, Ojiro Kitamura, Kazue Tanaka, Tsunetaka Akagane, Fumiya Ishikawa, Koichi Tsuruta
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Publication number: 20230397925Abstract: A catheter (10) including a shaft (14), a balloon (12) positioned at the distal end of the shaft, and at least one scoring wire (30) to score a vascular lesion. A distal end portion of the scoring wire is retractable and includes an atraumatic tip (32). The device includes an actuator (40), such as a thumb wheel (44), for advancing the at least one scoring wire to a location such that a portion thereof is alongside the balloon, thereby allowing for selective use in a scoring configuration. When the balloon expands when fluid is delivered to the balloon through the inflation lumen, this expansion pushes the scoring wire against the vascular lesion.Type: ApplicationFiled: November 6, 2020Publication date: December 14, 2023Inventor: Matt Casiraro
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Publication number: 20230397926Abstract: A catheter assembly which is combined with a radiofrequency (RF) electrosurgical instrument includes a catheter body and a vacuum source disposed at the distal end of the catheter. Multiple active electrodes are provided for transmitting electrical signals and to produce electrosurgical effects adjacent to the active electrodes for tissue cutting. At least one passive electrode is disposed at the front end of the body in closely spaced relationship relative to the active electrodes. The active electrodes and the passive electrode optimally cover a predetermined ablation area. The electrodes are spaced from inner walls of the hollow interior, and openings are provided to aspirate debris of ablation into and through the hollow interior of the body by the low-pressure zone.Type: ApplicationFiled: August 24, 2023Publication date: December 14, 2023Inventor: Pavel V. Efremkin
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Publication number: 20230397927Abstract: An ultrasonic scalpel handle, comprising a handle housing (11) and a transducer assembly (12). The transducer assembly (12) is integrally accommodated in the handle housing (11) and can rotate about its own axis. The transducer assembly (12) comprises a transducer shell (121) and a transducer (122) fixedly disposed to each other, and a conductive member (123) fixedly provided outside the transducer shell (121). The conductive member (123) has at least a conductive portion. The transducer (122) is fixedly and electrically connected to the conductive portion. An electric element (13) is further fixedly provided in the handle housing (11). In the process that the transducer assembly (12) rotates about its own axis with respect to the handle housing (11), the electric element (13) is always in contact with the conductive portion to maintain electric connection.Type: ApplicationFiled: October 22, 2021Publication date: December 14, 2023Inventor: Jun ZHANG
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Publication number: 20230397928Abstract: Arrangements of the innovation relate to a micro-coring system configured to harvest a plurality of cores, either sequentially or simultaneously. In one arrangement, the micro-coring system comprises a harvesting tool configured to harvest and transfer at least one tissue core from a donor site to a recipient site, the at least one tissue core having a diameter of between about 1.0 mm and 3.0 mm diameter. In one arrangement, the harvesting tool comprises: a coring tool configured to penetrate tissue at the donor site and capture a tissue core from the tissue, and an extractor pin disposed within an aperture extending along a longitudinal axis of the coring tool, the extractor pin configured to extract the core from the coring tool.Type: ApplicationFiled: June 1, 2023Publication date: December 14, 2023Applicant: Sperry Bio, Inc.Inventors: Anders H. Carlsson, Rodney K. Chan, Charles R. Sperry, Ayn Lavagnino, Karl Wassmann, Vincent A. Piucci, Mark Torselli, Darren Berrouard
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Publication number: 20230397929Abstract: A device for endoscopically delivering therapeutic substance includes a cannula defining at least one extrusion channel and comprises a proximal portion, a flexible distal portion having an extrusion mouth, and a substantially rigid intermediate portion between the flexible distal portion and the proximal portion. The proximal portion is configured to feed and push a therapeutic substance into the extrusion channel, so that the latter can pass through the extrusion channel flowing through the intermediate portion and through the flexible distal portion and can exit from the extrusion mouth. The device also comprises at least one actuation cable having a proximal end operable at the proximal portion and a distal end connected to the flexible distal portion at the extrusion mouth, and configured to pull the flexible distal portion with a force transversal to the extrusion channel, bringing the flexible distal portion from an undeformed conformation to a deformed conformation.Type: ApplicationFiled: October 11, 2021Publication date: December 14, 2023Applicant: SCUOLA SUPERIORE DI STUDI UNIVERSITARI E DI PERFEZIONAMENTO SANT'ANNAInventors: Leonardo RICOTTI, Lorenzo VANNOZZI, Tommaso MAZZOCCHI, Alessio SILIBERTO, Daniele GUARNERA, Francesco Roccp RESTAINO
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Publication number: 20230397930Abstract: Improved systems including rBGCs improved by means of stiffness; working zones and optimized transition zones can traverse the aortic arch into the common carotid and vertebral arteries from a radial approach including navigation of tortuous and individuated anatomical challenges. Mechanical Thrombectomy improved by balloon occlusion prevents thrombus showers and follows 10 years of interventional cardiology and diagnostic use of improved radial approach (TRA) with better systems, making trans-femoral (TFA)less safe and effective than this revised treatment paradigm, unexpectedly better than literature predicted in early parts of the decade. Likewise, carotid stenting may be performed during these intracranial arterial occlusion procedures without swapping out guide catheters as required by the prior art.Type: ApplicationFiled: March 8, 2023Publication date: December 14, 2023Applicant: Crossroads NeurovascularInventor: Mahan Ghiassi
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Publication number: 20230397931Abstract: Systems and methods for preventing the seeding of cancerous cells during morcellation of a tissue specimen inside a patient's body and removal of the tissue specimen from inside the patient through a minimally-invasive body opening to outside the patient are provided. One system includes a cut-resistant tissue guard removably insertable into a containment bag. The tissue specimen is isolated and contained within the containment bag and the guard is configured to protect the containment bag and surrounding tissue from incidental contact with sharp instrumentation used during morcellation and extraction of the tissue specimen. The guard is adjustable for easy insertion and removal and configured to securely anchor to the body opening. Protection-focused and containment-based systems for tissue removal are provided that enable minimally invasive procedures to be performed safely and efficiently.Type: ApplicationFiled: August 29, 2023Publication date: December 14, 2023Inventors: Serene Wachli, Tracy Breslin, Steven C. Kessler, Nikolai Poulsen, Nathan Collins, Alexandra Do, Eduardo Bolanos, Boun Pravong, Patrick Elliott, Matthew Wixey, Wayne Young, Jacob J. Filek, Kevin B. Castelo, Adam Hoke, Gregory K. Hofstetter, Jacqueline DeMarchi, Amy Garces, Heidi Holmes, Alexander Sheehan
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Publication number: 20230397932Abstract: A guard for providing a cut-resistant pathway through a body orifice or incision to circumferentially protect tissue at the margin is provided. The guard is made of flexible, cut-resistant mesh material having a plurality of interwoven thermosoftening filaments. The guard has a central lumen and at least one flared end. The flared end, which serves to anchor the guard in the body opening, is deformable into a reduced configuration to facilitate its insertion and removal. The layer of mesh stretches laterally to increase the diameter of the central lumen. The flexibility and expandability of the guard allows the guard to conform to body openings of different sizes. The guard may include a drawstring to cinch the flared distal end from the proximal end. The guard is thermoset with the flared distal end that is biased to spring back to its normal, undeformed configuration when released from a deformed configuration.Type: ApplicationFiled: August 30, 2023Publication date: December 14, 2023Inventors: Alexandra Do, Boun Pravong, Serene Wachli
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Publication number: 20230397933Abstract: A medical device operable to prevent reflux in the cervix is disclosed. The device comprises a shield operable to cover the external os and an arm operable to penetrate the endocervical canal with a bore extending therethrough, wherein the arm includes a sleeve containing a fluid that is operable to conform to the contours of the inner lining of the endocervical canal, thus creating a strong, more efficient fluid-tight seal between the device and the surrounding tissue.Type: ApplicationFiled: November 17, 2021Publication date: December 14, 2023Inventors: Peter T. Falkner, Kirby J. Plessala, John Krumme
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Publication number: 20230397934Abstract: An external fixation system includes first and second fixation members having first and second pluralities of mounting holes, respectively. The first and second plurality of holes are configured to receive first and second ends of a plurality of struts, each strut having a default or initial mounting position. A simulation of the correction may be performed with the struts in the default positions, but it may be determined that the correction is not achievable. Additional simulations of the correction may be performed with the ends of the struts in different mounting positions to determine if other mounting positions of the struts allow the correction to be completed. During the correction, if one of the struts reaches a maximum length, it may be disconnected and reconnected to a different mounting hole so that, after being reconnected, the strut may be further increased in length to continue the correction.Type: ApplicationFiled: August 25, 2023Publication date: December 14, 2023Applicant: Stryker European Operations Holdings LLCInventors: Adam John Edelhauser, Ashish Gangwar, Sridhar Anjanappa, Subash K. Mannanal, Patrick Valli
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Publication number: 20230397935Abstract: Disclosed herein are lock mechanisms configured for locking and unlocking rotation of a driver and a driven gear system in implantable distraction and compression systems, and implantable medical devices and implantable distraction and compression systems including such lock mechanisms. The lock mechanisms include a keeper that is configured to move from a locked position to an unlocked position in response to a rotation of the driver, wherein, in the locked position, the keeper is configured to resist rotation of the driven features and the driver under a load on the driven features, and in the unlocked position, permits rotation of the drive gear and the driver.Type: ApplicationFiled: June 13, 2022Publication date: December 14, 2023Inventor: Jorge Lopez Camacho
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Publication number: 20230397936Abstract: A cylindrical plug to close a femoral opening drilled in a femur to receive an intramedullary cutting guide, to prevent bleeding from the opening after removal of the intramedullary cutting guide from the opening.Type: ApplicationFiled: August 23, 2023Publication date: December 14, 2023Applicant: 9384-4934 QUEBEC INC.Inventor: Benoît BENOÎT
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Publication number: 20230397937Abstract: A surgical screw according to an exemplary aspect of the present disclosure includes, among other things, a shaft portion that extends between a proximal end and a distal end, the shaft portion including a first thread having a variable pitch and a head portion extending from the proximal end of the shaft portion. The head portion includes a second thread having a pitch that is equal to a pitch of at least a portion of the variable pitch.Type: ApplicationFiled: August 25, 2023Publication date: December 14, 2023Inventors: Stephanie Anne Bare, Christopher Kreulen
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Publication number: 20230397938Abstract: A method and one or more devices for a capitolunate fusion includes a cutting block for attaching to the capitate bone and for cutting the capitate and lunate bones to fit a corresponding plate. The cutting block is removed and a fusion plate is fixed to the capitate and lunate bone with the plate having a capitate section and a lunate section with the capitate section and lunate section of the plate in a generally perpendicular arrangement to allow optimal fusion of the capitate and lunate bones. Further devices include a three and four bone fusion cutting block and fusion plate.Type: ApplicationFiled: May 8, 2023Publication date: December 14, 2023Inventor: Sunjay Berdia
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Publication number: 20230397939Abstract: The invention relates to a maxilla repositioning implant (1) for three-dimensional precise alignment of a maxilla displacing portion (5) relative to a remaining maxilla portion (3) that is fixed to the skull, wherein the maxilla repositioning implant (1) comprises a base (2), which has at least one plate (7) in which screw holes (10) are provided, wherein a portion of the material of the plate (7) defines, as a rim (11), a respective screw hole (10) that is provided for receiving a bone screw (17) in order to ensure fastening, via the bone screw (17) to be inserted into the respective screw hole (10), to the remaining maxilla portion (3) that is fixed to the skull, wherein the maxilla repositioning implant (1) also comprises a connection portion (4), which is spaced apart from the base (2) by connecting bridges (6), wherein the connection portion (4) comprises at least one plate (7) in which screw holes (10) are provided, and wherein a portion of the material of this plate (7) defines, as a rim (11), a respecType: ApplicationFiled: December 13, 2021Publication date: December 14, 2023Inventors: Frank REINAUER, Lorenz GABELE
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Publication number: 20230397940Abstract: Various bone screws configured to be implanted into bone and methods of use are provided. In an exemplary embodiment, a bone screw is provided with an elongate shank having at least two threads thereon, and having a distal facing surface with at least two cutting edges. The cutting edges can be configured to cut bone as the bone screw is rotated into bone, thereby forming a path for the threads.Type: ApplicationFiled: August 25, 2023Publication date: December 14, 2023Applicant: Medos International SarlInventors: Chris Ramsay, Joseph Peterson
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Publication number: 20230397941Abstract: A method for controlling an output of an energy module of a modular energy system. The energy module can comprise a plurality of amplifiers configured to generate a drive signal at a frequency range and a plurality of ports coupled to the plurality of amplifiers. The method includes determining to which port of the plurality of ports the surgical instrument is connected, selectively coupling an amplifier of the plurality of amplifiers to the port of the plurality of ports to which the surgical instrument is connected, and controlling the amplifier to deliver the drive signal for driving the energy modality to the surgical instrument through the port.Type: ApplicationFiled: April 5, 2023Publication date: December 14, 2023Inventors: Joshua M. Henderson, Joshua P. Morgan, Eitan T. Wiener, John E. Hein, James R. Hoch, Gregory J. Bakos
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Publication number: 20230397942Abstract: Disclosed herein are system, method, and computer-readable medium aspects for improving the accuracy of an ablation model through synchronization. An aspect operates by activating a catheter energy source, acquiring a catheter energy signal from the catheter energy source, assigning an activation time stamp and deactivation time stamp to the catheter energy signal, and determining a time of ablation based on a time period between the activation time stamp and deactivation time stamp. The aspect continues to operate by acquiring an optical measurement signal from a catheter optical port, assigning an input time stamp and switching time stamp to the optical measurement signal, and processing the optical measurement signal in order to acquire a denaturation result. The aspect concludes by synchronizing the time of ablation and the denaturation result using the time stamps in order to generate a synchronized model and generating an estimated lesion depth from the synchronized model.Type: ApplicationFiled: June 5, 2023Publication date: December 14, 2023Inventors: Juan SANCHO, David HERRANZ, Christophe BAILLEUL, James GREENE
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Publication number: 20230397943Abstract: A cryogenic balloon catheter having a heating function, the cryogenic balloon catheter comprising a catheter, an external power source, wherein an outer wall of the catheter comprises an inner layer, a middle layer and an outer layer, which are sequentially arranged from inside to outside, the middle layer comprising a metal woven mesh, and the metal woven mesh, the temperature controller and the external power source forming a power supply circuit. In the cryogenic balloon catheter, the middle layer of the outer wall of the cryogenic balloon catheter is provided with the metal woven mesh having a heat conduction function, and the metal woven mesh is connected to the external power source, such that the metal woven mesh can generate heat after being powered, so as to ensure that the temperature of the outer surface of the catheter is maintained within set temperatures, thereby ensuring the cryogenic ablation effect.Type: ApplicationFiled: October 15, 2021Publication date: December 14, 2023Inventors: Jiahua XIAO, Enguang LI
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Publication number: 20230397944Abstract: A cryosurgery coolant delivery system may include a canister body defining an inner chamber, a canister head portion coupled to the canister, and a coolant contained in the inner chamber. The coolant may include a mixture of 1,1,1,2-tetrafluoroethane (HFC-134a), 2,3,3,3-tetrafluoropropene (HFO-1234yf), pentafluoroethane (HFC-125), and difluoromethane (HFC-32). In other aspects, the coolant may include a mixture of difluoromethane (HFC-32), pentafluoroethane (HFC-125), 1,1,1,2-tetrafluoroethane (HFC-134a), 2,3,3,3-Tetrafluoroprop-1-ene (HFO-1234yf), and trans-1,3,3,3-Tetrafluoroprop-1-ene.Type: ApplicationFiled: June 8, 2023Publication date: December 14, 2023Inventor: Ashley Lindsey Rains
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Publication number: 20230397945Abstract: The disclosure provides an example electrosurgical system and methods for use thereof. The electrosurgical system includes a high-frequency inverter (“HFI”) having a full bridge and a control system electrically coupled to the HFI. The control system controls output parameters including one or more of an output power Pout(t) and an output voltage or current by varying power reference Pref(t) or switch states of the HFI. The control system causes a power adaptation ?P(t) to a preset power set Pset based on receiving at least one of impedance feedback and thermal feedback according to the following relationship: Pref(t)=Pset+?P(t).Type: ApplicationFiled: June 14, 2023Publication date: December 14, 2023Applicant: THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOISInventors: Sudip Mazumder, Congbo Bao
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Publication number: 20230397946Abstract: An end effector assembly for an electrosurgical instrument includes a pair of opposing jaw members each including a jaw housing supporting an electrically conductive tissue engaging surface thereon. The jaw members are movable relative to one another to grasp tissue therebetween. A thermal cutting element is operatively associated with the electrically conductive tissue engaging surface of one jaw member and is independently activatable relative to the electrically conductive tissue engaging surfaces. The thermal cutting element is selectively moveable in a first direction relative to the electrically conductive tissue engaging surface along a transverse axis perpendicular to a longitudinal axis defined through the jaw member and is selectively moveable in a second direction along the longitudinal axis to extend relative to a distal end of the jaw member.Type: ApplicationFiled: October 5, 2021Publication date: December 14, 2023Inventors: James D. Allen, IV, William E. Robinson, Daniel A. Joseph, John A. Hammerland, III, Kenneth E. Netzel
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Publication number: 20230397947Abstract: A forceps includes an instrument housing, an elongated shaft assembly extending distally from the instrument housing, and a rotation knob assembly. The rotation knob assembly is supported in the instrument housing and includes a rotation knob and an inner housing. The rotation knob is coupled to the shaft assembly and positioned to rotate about the inner housing to rotate the elongated shaft assembly relative to the instrument housing. The inner housing is coupled to the instrument housing and supports electrical contacts configured to transmit electrical energy through the rotation knob assembly.Type: ApplicationFiled: June 16, 2023Publication date: December 14, 2023Inventors: John A. Hammerland, III, William E. Robinson, Stephen J. Stamm
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Publication number: 20230397948Abstract: A surgical instrument includes an elongate shaft having a proximal shaft portion and a malleable distal shaft portion. The elongate shaft is configured to be secured to a supporting surgical instrument. An ablation head is coupled to the malleable distal shaft portion and includes at least one electrode operable to deliver RF energy to tissue for ablating the tissue. The ablation head is sized to fit within the nasal cavity of a patient with a distal end of the supporting surgical instrument. The proximal shaft portion is configured to operatively couple with an RF energy source operable to energize the at least one electrode with RF energy. The malleable distal shaft portion is configured to bend relative to a longitudinal shaft axis defined by the proximal shaft portion for selectively orienting the ablation head relative to the longitudinal shaft axis.Type: ApplicationFiled: August 28, 2023Publication date: December 14, 2023Inventors: Ehsan Shameli, Babak Ebrahimi, Fatemeh Akbarian, William J. Kane, Athanasios Papadakis
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Publication number: 20230397949Abstract: Disclosed herein are system, method, and computer-readable medium aspects for assessing ablation lesions in realtime. An aspect operates by receiving a first optical measurement data from a first catheter optical port, assigning the first optical measurement data to a first available processing core in a processing unit in order to identify an optical property at a first location of a lesion, and generating a first graphical representation from the optical property at the first location of the lesion. After a predetermined time, the aspect continues to operate by repeating the receiving, assigning, and generating operations for a second optical measurement data using a second available processing core in order to generate a second graphical representation from the optical property at a second location of the lesion. The aspect concludes by displaying the first graphical representation and the second graphical representation on a user interface at a predefined interval.Type: ApplicationFiled: June 5, 2023Publication date: December 14, 2023Inventors: Juan SANCHO, David HERRANZ, Christophe BAILLEUL, James GREENE
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Publication number: 20230397950Abstract: A system for improving a cardiac ablation procedure includes a recommendation unit configured to provide an initial recommendation for at least one proposed ablation line for an ablation procedure on an anatomy of a patient. The system displays the at least one proposed ablation line on an anatomical map of the anatomy. The recommendation unit comprises a first and a second trained machine-learning model. Both the first and second trained machine-learning models have the same structure.Type: ApplicationFiled: June 9, 2023Publication date: December 14, 2023Inventors: Matityahu Amit, Yariv Avraham Amos, Liat Tsoref, Stanislav Goldberg
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Publication number: 20230397951Abstract: A catheter has a composite and segmented construction in a distal section that includes deflectable members and support member arranged in alternating sequence, with each support member carrying a ring electrode and the deflectable members being flexible to allow deflection of the distal section as a whole. Carried on an outer surface of the support member is a coil location sensor. The distal section is configured with a distal irrigation fluid path extending axially through the deflectable members and the support members to deliver irrigation fluid to the ring electrode and the tip electrode. A method of constructing a catheter includes building a section of the catheter from the inside out by mounting the support members on a tubing at predetermined locations and filling gaps in between with a more flexible material to form the deflectable members by extrusion segments or injection molding over assembled components internal to the catheter.Type: ApplicationFiled: August 28, 2023Publication date: December 14, 2023Inventor: Jeffrey W. Schultz
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Publication number: 20230397952Abstract: Described herein are electrical applicator devices having a funnel-shaped portion with one or more electrodes on a distal-facing end region of the funnel shape. These devices may be deployable by inverting a braided or woven body back into itself to form the funnel. These devices may be used to perform a medical procedure, such as an ablation procedure.Type: ApplicationFiled: November 22, 2021Publication date: December 14, 2023Inventors: Roman TUROVSKIY, Richard J. CONNOLLY
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Publication number: 20230397953Abstract: Systems and methods for automated operation of laser ablation system for disrupting target tissue via heat application are disclosed. The system includes a controller coupled to various devices, such as a magnetic resonance imaging device, a laser energy source, a laser fiber manipulating device, a laser fiber cooling device, and a tissue damage analysis computer system via a communication interface. The controller automatically controls various functions of the coupled devices during a laser ablation procedure while monitoring tissue temperature at a laser ablation site.Type: ApplicationFiled: June 6, 2023Publication date: December 14, 2023Inventors: Christine Drown, Rebecca Vincelette, Matthew W. Koenig
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Publication number: 20230397954Abstract: A method for improving blood flow in a patient who has undergone a first heart valve replacement procedure followed by a second heart valve replacement procedure is disclosed. The method includes positioning a second prosthetic replacement valve to replace a primary prosthetic replacement valve within the patient, providing a laser fenestration system including a laser fiber, guiding the laser fiber through the patient's circulatory system to the second prosthetic replacement valve, performing a laser ablation process using the laser fiber to remove portions of a leaflet tissue between any stent structure of the primary prosthetic replacement valve, removing the laser fiber from the patient's circulatory system, and finalizing the second prosthetic valve replacement procedure. In embodiments, the method includes removing native leaflet tissue using laser ablation. In embodiments, a fenestration system for implementing the described method is disclosed.Type: ApplicationFiled: June 13, 2023Publication date: December 14, 2023Applicant: University of DenverInventor: Ali Nejatbakhsh Azadani
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Publication number: 20230397955Abstract: A method of configuring a bone fixation system for a fracture of a human's long bone shaft, includes determining a fixator reference and a fixator dimension value. Determining the fixator reference is based on at least a bone reference, a fixator parameter, and the fixator dimension value. The fixator dimension value includes a function of a critical load value in accordance with a design formula, the design formula being based on a fracture parameter, a fixator parameter, and a body constraint value. The design formula is determined by searching a formula library. A plurality of design formulas are searchable by the fracture parameter, the fixator parameter, or the body constraint value.Type: ApplicationFiled: October 21, 2020Publication date: December 14, 2023Applicant: METICULY COMPANY LIMITEDInventors: Paphon Sa-Ngasoongsong, Nachapan Pengrung, Rahat Jarayabhand, Boonrat Lohwongwatana, Chedtha Puncreobutr, Natthaphop Lakdee, Natthaphat Viriya, Kantapat Phakdeewisetkul, Krit Rudeejaroonrung, Korakod Srikong, Techawit Hirisatja
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Publication number: 20230397956Abstract: A surgical implant planning computer is connectable to a fluoroscopy imager, a marker tracking camera, and a robot having a robot base coupled to a robot arm that is movable by motors relative to the robot base. Operations include performing a registration setup mode that determines occurrence of a first condition indicating the marker tracking camera can observe to track reflective markers that are on a fluoroscopy registration fixture of the fluoroscopy imager, and determines occurrence of a second condition indicating the marker tracking camera can observe to track dynamic reference base markers attached to the robot arm and/or an end-effector connected to the robot arm. While both of the first and second conditions occur, operations are allowed to be performed to obtain a first intra-operative fluoroscopic image of a patient along a first plane and to obtain a second intra-operative fluoroscopic image of the patient along a second plane that is orthogonal to the first plane.Type: ApplicationFiled: August 22, 2023Publication date: December 14, 2023Inventors: Neil R. Crawford, Norbert Johnson
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Publication number: 20230397957Abstract: A registration fixture for registration of a medical image to a three-dimensional tracking space, includes a base frame, an orientation plate, and a registration plate. The base frame is adapted to be mounted to an x-ray medical imaging device. The orientation plate is attached to the base frame and has a first set of radiopaque markers arranged along at least four radial lines which extend from a center location. The radial lines are angularly spaced apart about the center location. At least three of the radiopaque markers are arranged along each of the radial lines. The registration plate is attached to the base frame and spaced apart from the orientation plate. The registration plate includes a second set of radiopaque markers arranged along a circle.Type: ApplicationFiled: June 8, 2022Publication date: December 14, 2023Inventors: Neil R. Crawford, Rand Kmiec
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Publication number: 20230397958Abstract: A mechanism for generating a mapping function for mapping measurements taken at an electrode within crossing electric fields to a position or positions within a multidimensional co-ordinate system. The values for coefficients of the mapping function are generated using a first machine-learning algorithm, which receives, as input, example measurements (or responses) of the electrode and provides, as output, values for the coefficients for the mapping function. There is proposed a method and processing system for carrying out this mechanism.Type: ApplicationFiled: December 20, 2021Publication date: December 14, 2023Inventors: Rogier Rudolf WILDEBOER, Bernardus Hendrikus Wilhelmus HENDRIKS, Rik Jozef Martinus JANSSEN, Dirk SCHAEFER
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Publication number: 20230397959Abstract: A surgical system includes a sensor configured to detect a usage of a surgical object. The surgical system also includes a controller configured to assign a pre-defined order of planned steps of a surgical workflow, automatically distinguish between executed steps of the surgical workflow based on the usage of the object, based on distinguishing the executed steps of the surgical workflow, record a comparison of an actual order of executed steps of the surgical workflow with the pre-defined order of the planned steps, and generate feedback based on the comparison.Type: ApplicationFiled: August 23, 2023Publication date: December 14, 2023Applicant: MAKO Surgical Corp.Inventors: Rony Abovitz, Hyosig Kang
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Publication number: 20230397960Abstract: Surgical devices and surgical systems are disclosed. The surgical device can comprise an actuator and a control circuit configured to adjust one or more functions of the surgical device based on a signal from a situationally-aware surgical hub. A surgical system can comprise a screen and a control circuit configured to communicate a priority level of a recommendation to the clinician on the display.Type: ApplicationFiled: August 24, 2023Publication date: December 14, 2023Inventors: Frederick E. Shelton, IV, Jason L. Harris, David C. Yates
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Publication number: 20230397961Abstract: A robotic surgical system has a base and a robotic arm coupled to the base. The robotic arm has a plurality of links and joints. A tracker support assembly has an arm to support a tracker assembly for the base. An arm positioner is coupled between the base and the arm to enable movement of the arm relative to the base. The arm positioner is configured to rigidly secure the arm in response to movement of the arm to a predetermined position.Type: ApplicationFiled: May 18, 2023Publication date: December 14, 2023Applicant: MAKO Surgical Corp.Inventors: Victor Soto, Paul Shiels
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Publication number: 20230397962Abstract: Co-manipulation robotic systems are described herein that may be used for assisting with laparoscopic surgical procedures. The co-manipulation robotic systems allow a surgeon to use commercially-available surgical tools while providing benefits associated with surgical robotics. Advantageously, the surgical tools may be seamlessly coupled to the robot arms using a disposable coupler while the reusable portions of the robot arm remain in a sterile drape. Further, the co-manipulation robotic system may operate in multiple modes to enhance usability and safety, while allowing the surgeon to position the instrument directly with the instrument handle and further maintain the desired position of the instrument using the robot arm.Type: ApplicationFiled: August 25, 2023Publication date: December 14, 2023Applicant: Moon Surgical SASInventors: David Paul NOONAN, Nicolas LINARD, Ehsan BASAFA, Jeffery Byron ALVAREZ, Ritwik UMMALANENI, Jad FAYAD
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Publication number: 20230397963Abstract: A computer-assisted device includes a first repositionable arm configured to support a first end effector, a second repositionable arm configured to support a second end effector, and a control unit. The control unit configured to monitor an actual motion of at least one structure selected from the group consisting of the first repositionable arm and the first end effector; determine a deviation between the actual motion and a desired motion of the at least one structure; and in response to determining that the deviation is greater than a deviation threshold, select whether to halt motion of the first repositionable arm and the first end effector or the second repositionable arm and the second end effector based on a mode of operation of the first repositionable arm the first end effector, the second repositionable arm, or a mode of operation of the second end effector.Type: ApplicationFiled: August 28, 2023Publication date: December 14, 2023Inventors: Goran A. LYNCH, Paul G. GRIFFITHS, Michael TURNER
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Publication number: 20230397964Abstract: A system for using robotic telesurgery to implant a smart implant is disclosed. The system comprises a remote doctor module communicatively coupled with an operating room module over a cloud network. The operating room module comprises a robotic arm, a processor, and communication interface which communicates with the smart implant during the surgical procedure. The Operating Room Module testing the smart implant prior to implantation surgery; correlating data collected during the implantation surgery against past data from previous surgeries; determining whether the plurality of sensors is working properly; and transferring communication with the smart implant to a user device receive and monitor data from the plurality of sensors integrated into the smart implant to determine the smart implant is operating according as expected and to monitor the patient's condition.Type: ApplicationFiled: October 24, 2022Publication date: December 14, 2023Inventors: Jeffrey Roh, Justin Esterberg, John Cronin, Seth Cronin, Michael J. Baker
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Publication number: 20230397965Abstract: In a method of using a haptic interface for a robot-assisted surgical system, input is received in response to movement of fingers of a human hand. In response to the input, a surgical instrument on a robotic manipulator is moved or actuated. Force input is received from force sensors of the surgical system corresponding to forces against the surgical instrument. In response to the force input, fluid is caused to move into one or more bladders mounted to fingers of the human hand to provide tactile feedback to the user.Type: ApplicationFiled: August 28, 2023Publication date: December 14, 2023Inventors: Damien Brasset, Stefano Maghini, Riccardo Pozzato
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Publication number: 20230397966Abstract: A drape system may include a drape and a connector for connecting a patient tracking device across the drape. The drape may be placed over a patient undergoing a medical procedure. The connector may be defined by first and second connector bodies. The first connector body may couple to a base of the patient tracking device which, in turn, is attached to the patient. The second connector body may couple to a head of the patient tracking device. The head of the patient tracking device can carry at least one tracking marker configured to be tracked by a surgical position recognition system. The two connector bodies can connect together with the drape positioned between the two bodies.Type: ApplicationFiled: June 8, 2023Publication date: December 14, 2023Inventors: Kenneth James Klann, Daniel Robert Wald