Abstract: Embodiments are directed to systems and methods for tracking menstrual cycles of a user. Embodiments can include obtaining a first set of temperature data at an electronic device, and in response to the first set of temperature data satisfying a first criteria, determining a first probability that ovulation occurred during a first time period using the first set of temperature data. In response to the first probability meeting a second criteria, embodiments can include determining a second set of probabilities comprising a probability that ovulation occurred for each day of a first set of days within the first time period. An estimated ovulation date can be determined using the second set of probabilities, and an electronic device can display an output indicating the estimated ovulation date.

Abstract: A method for enabling users to input menstrual cycle data and receive customized wellness information, including streaming workouts, nutrition profiles, recipes, and physiological data such as science-based “horoscope-like” insights into the user's emotions, tailored to a user's expected physiology within a menstrual cycle phase is provided. The method includes receiving, from a device, menstrual cycle data for a user, wherein the menstrual cycle data includes one or more of a first date of the user's last menstrual cycle, a cycle length of the user's menstrual cycle and/or a length of the user's period, determining menstrual cycle phase data using the menstrual cycle data, determining feminine wellness information using the menstrual cycle phase data, wherein the feminine wellness information includes personalized interactive content, and transmitting, to the device, the menstrual cycle phase data and the feminine wellness information including the personalized interactive content.

Abstract: Apparatus and methods are described including using a sensor to monitor a sleeping subject and generate a signal in response to the monitoring. A noise control device is controlled in response to the signal.

Abstract: A bone marrow access apparatus includes a bone penetrating member having an internal channel having an opening at a proximal end and an opening at a distal end. A valve cap is engaged with the bone penetrating member, the valve cap defining an interior cavity in which part of the bone penetrating member is situated. The valve cap includes a valve having an opening having an open state in which the channel is not obstructed and a closed state to prevent flow of a material through the channel. The valve is repeatedly switchable between the open and closed states. The bone penetrating member has an upper surface and a seat which is below the upper surface, the seat being located at an interior of the bone penetrating member, and the seat being engageable with an installation or removal instrument.

Abstract: A diffuser for use with a wound retractor and configured to deliver gases includes an interface tube for connecting to a gases supply and a diffuser interface positioned at a proximal end of the interface tube, the diffuser interface configured for delivering gases received from the gases supply through the interface tube, and the diffuser interface comprising a diffusion mechanism configured to deliver gases in a diffusion direction. A wound retractor with an integrated diffuser is also disclosed. The wound retractor includes an upper ring, a lower ring, a sleeve extending between and connecting the upper ring to the lower ring, and an integrated diffuser interface having a gases inlet and a diffusion mechanism.

Abstract: A retraction device that can be used inside a patient during a surgical procedure is provided. The retraction device includes pivotally connected links and connection ends such that the ring can be flattened and introduced into a patient laparoscopically. Once introduced to a laparoscopic surgery site, the retraction device can be formed and used while within the patient. Once use is complete, the device that can be in the form of a ring can be substantially flattened and removed from the patient using the laparoscopic tool it was introduced with.

Abstract: Knotless surgical constructs and methods of tissue repairs. A surgical construct can offer both repair and shuttling capabilities to allow for a single pass to load multiple sutures at once. A surgical construct can pass or shuttle multiple repair sutures while making a single pass through or around soft tissue.

Abstract: The present invention is a surgical suturing device that assists in applying an open-looped, pre-knotted suture around a targeted area of application. The surgical suturing device contains a handle, a grasping mechanism, a clamp tube, a pusher tube, a cutter tube, and a pivot arm. A first coupler is positioned on the pivot arm. A second coupler is positioned at the end of the shaft, offset from the pivot arm. A suture knot is fitted over the second coupler, and a strand is connected to the first coupler. When activated, the pivot arm moves into a closed position, thereby encircling the suturing portion and joining the first coupler to the second coupler. Next, the suture knot is pushed forward off the second coupler and tightened up against the suturing portion. The pusher tube slides back, allowing the cutter tube to cut the excess suture cord.

Abstract: Button-suture assemblies which employ a knotted locking mechanism do not maintain tension when securing bone and tissue fragments. A knotless method and device for maintaining tension and providing precise placement of a button-suture assembly during stabilization procedures comprising a locking pin, which mates with a button creating pinch points with increased surface area through which suture can pass from a baseplate through two dedicated openings in the button, one for the first end of the suture and one for the second end of the suture while preventing tension loss during the locking step and therefore allowing for precise placement of the button-suture assembly.

Abstract: A suture package for retaining a barbed suture is provided. The suture package includes a suture retaining member including an outer wall and an inner wall. The inner wall is radially spaced from the outer wall and defines a suture retaining area therebetween. The inner wall defines a needle retaining area and includes at least one opening therein to permit reception of at least one suture therethrough. The outer wall includes a plurality of inwardly extending tabs configured to engage a cover. The suture package further includes a cover configured to be received within the outer wall of the suture retaining member and to selectively engage the inwardly extending tabs formed thereon.

Abstract: A staple cartridge assembly capable of coupling with a cartridge channel of a surgical stapler. The staple cartridge includes a staple cartridge body, a swing gate pivotably coupled with the staple cartridge body, and a bridge member extending across the central slot and located proximally relative to the swing gate. The staple cartridge body defines a central slot dimensioned to slidably receive a firing beam of the surgical stapler. The staple cartridge body includes a proximal end, a distal end, and a staple deck extending between the proximal end and the distal end. The staple deck defines staple openings. The swing gate can pivot between a first position and a second position. The swing gate extends across the central slot in the first position, while the swing gate extends alongside the central slot in the second position. The bridge member defines a closed proximal end of the central slot.

Abstract: A process and system are disclosed for downloading sensor data, stored in a memory device of a surgical cutting and fastening instrument, to an external or remote computer device. The process may involve storing data from one or more sensors of a surgical cutting and fastening instrument in a memory device of a control unit of the surgical cutting and fastening instrument during a surgical procedure involving the surgical cutting and fastening instrument. Next, after the surgical procedure, a data link between the control unit and the remote computer device is established. Then, the sensor data can be downloaded from the control unit to the remote computer device.

Abstract: The invention provides systems, devices, and methods for the delivery, deployment, and positioning of magnetic compression devices at a desired site so as to improve the accuracy of anastomoses creation between tissues, organs, or the like.

Abstract: A tissue thickness compensator may generally comprise a first layer comprising a first biocompatible material sealingly enclosed in a water impermeable material and a second layer comprising a second biocompatible material comprising at least one encapsulation, wherein the first biocompatible material expands when contacted with a fluid. The tissue thickness compensator may comprise a haemostatic agent, an anti-inflammatory agent, an antibiotic agent, anti-microbial agent, an anti-adhesion agent, an anti-coagulant agent, a medicament, and/or pharmaceutically active agent. The encapsulation may comprise a biodegradable material to degrade in vivo and/or in situ. The tissue thickness compensator may comprise a hydrogel. The reaction product may comprise a fluid-swellable composition. Articles of manufacture comprising the tissue thickness compensator and methods of making and using the tissue thickness compensator are also described.

Abstract: In certain aspects, the present disclosure provides devices for loading a surgical bolster material. In accordance with some forms, the device includes a tray defining a guide channel for receipt of a bolster material. The guide channel may be configured to align and/or direct the device onto which the bolster material is to be loaded onto the bolster material.

Abstract: A medical device forming method, an applier for manipulating clips, and a cartridge for holding clips are disclosed herein.

Abstract: Various embodiments incorporate an “end effector” in a magnetic anastomosis device system. The end effector is located between the handle of an endoscope or laparoscope and the distal end of the catheter. The end effector engages with and secures the magnetic anastomosis device assembly within a body lumen. The end effector is able to hold a magnetic device or devices with a tensile strength of 0-10 lbs. The end effector is small enough that two instruments of 1.8 mm diameter or smaller may be placed in a 3.7 mm working channel of an endoscope.

Abstract: The disclosure concerns systems for use in anastomosis of tubular biological organs within the body, particularly small tubular organs, such as blood vessels, bile duct, lymph duct, nerve ducts, epididymis, etc. The anastomosis system comprises a coupling device with a body, typically within a housing, a coupling assembly linked to the body, a plurality of suturing units within the coupling assembly, and an actuator arrangement formed within the coupling device.

Abstract: A method of operating a catheter assembly including monitoring a gap feedback signal indicative of a distance between a first tissue contact surface and a second tissue contact surface. Producing, via a user interface of the catheter assembly, a graphical depiction of the first tissue contact surface and the second tissue contact surface spaced apart from the first tissue contact surface by the distance. Producing, via the user interface of the catheter assembly, a gap distance warning when the gap feedback signal indicates that the distance is outside of a target gap range.

Abstract: Method and device to prevent leakage of an intestine during surgery. The device is a tubular straw like device formed as one piece and having a first end opening, a second end opening and a lumen extending through an entire length of the device. The device can include an enlarged diameter rim to provide a radial force against the intestine. The device is placed at an anastomotic site of two intestine portions and attached by adhesive. The device can be used to close off perforations of body lumens.

Abstract: Compression anastomosis devices having a plurality of distinct pressure profile zones on the surface of the device. The anastomosis devices may be comprised of a plurality of magnetic connecting members arranged in an annular geometry, e.g., a polygon or circle. The anastomosis device may also be a continuous, non-segmented magnet, or other compression anastomosis device. The compression anastomosis device is deployed into a body lumen, e.g., endoscopically and/or laparoscopically, at a target site. A second compression anastomosis device is placed at an adjacent target site in an adjacent lumen. The compression anastomosis devices are brought together and mate, e.g., magnetically, creating an anastomosis.

Abstract: Method and device to prevent leakage of an intestine during surgery. The device is a tubular straw like device formed as one piece and having a first end opening, a second end opening and a lumen extending through an entire length of the device. The device can include an enlarged diameter rim to provide a radial force against the intestine. The device is placed at an anastomotic site of two intestine portions and attached by adhesive. The device can be used to close off perforations of body lumens.

Abstract: An implantable rotator cuff muscle suture spacer with pressure sensing is provided, formed by a semiconductor manufacture procedure, including a base layer, made of a polymer material and having flexibility, and further including a first configuration region and a second configuration region, where the base layer is folded at imaginary fold line positions of the first configuration region and the second configuration region, so that the first configuration region is located above the second configuration region; a first electrode region, deposited on the first configuration region; a second electrode region, deposited on the second configuration region, corresponding to a position below the first electrode region, and configured to obtain a pressure sensing value; an inductance coil, deposited on the second configuration region and surrounding the second electrode region; and a capacitor layer, coated above a surface of the base layer to form a dielectric substance.

Abstract: A left atrial appendage occluder (200) comprises a sealing part (220), a fixing part (210) disposed at one side of the sealing part (220), and a connection part (230) for connecting the sealing part (220) and the fixing part (210). The radial deformation capacity of the sealing part (220) is greater than the radial deformation capacity of the fixing part (210), and/or, the axial deformation capacity of the sealing part (220) is greater than the axial deformation capacity of the fixing part (210). In the left atrial appendage occluder (200), the radial or axial deformation capacity of the sealing part (220) is configured to be greater than the radial or axial deformation capacity of the fixing part (210), thereby avoiding the situation in which the sealing part (220) is not optimally fitted with the opening of the left atrial appendage (10) when the fixing part (210) is placed inside of the left atrial appendage (10), which in turn enhances the occlusion effect.

Abstract: An implantable medical device such as but not limited to a left atrial appendage closure (LAAC) device includes an expandable frame that is movable between a collapsed configuration for delivery and an expanded configuration for deployment. The expandable frame may include a plurality of frame members that are biased into the expanded configuration. The expandable frame may include a biasing member. The LAAC device includes a membrane or covering that spans across an end of the expandable frame.

Abstract: Exemplary occlusion and molding devices and methods involve the use of an expandable balloon. Methods of sealing an aortic side branch in a patient can include advancing an occlusion device within the aorta, positioning a toroidal balloon of the occlusion device adjacent to the aortic side branch, and inflating the balloon to prevent peripheral blood flow from the aorta into the aortic side branch while a central aperture of the balloon allows descending aortic blood flow therethrough. Methods of molding a stent against an interior surface of a vessel of a patient can include advancing a molding device within the vessel, positioning a toroidal balloon of the molding device at least partially withing the stent, and inflating the balloon to exert force to the stent thus dilating the stent and molding it to the interior of the vessel while a central aperture of the balloon allows blood flow therethrough.

Abstract: Embolization devices, including devices formed of wires or filaments, including braided wires or filaments are disclosed. An example embolization device includes a plurality of wires that are braided together to form an elongated sleeve. The elongated sleeve may define an interior region. Related systems, methods of use, and methods of manufacture are also contemplated.

Abstract: Devices and methods for occluding the left atrial appendage (LAA) to prevent blood from clotting within the LAA and subsequently embolizing, particularly in patients with atrial fibrillation. A foam implant encapsulated with a tough thromboresistent membrane is placed via transvascular means into the LAA and anchored with adhesives and/or mechanical anchors. Tissue over- and in-growth are optimized to anchor the implant in place and provide a permanent occlusion.

Abstract: A hemostatic device that includes: a pressing member configured to compress the puncture site; and a first band, a second band, and a third band configured to be connected to the pressing member. The pressing member includes a pressing portion configured to compress the puncture site and a support member configured to fix the pressing portion. The support member has a first region in which the pressing portion is located, and a second region which is located outside the first region and to which the first band, the second band, and the third band are connectable. The first band and the second band have a center point in the first region when the first band and the second band slide in a state of being connected to the second region. The support member includes a projection protruding toward the pressing portion on a third band side of the first region.

Abstract: A passive end effector of a surgical system includes a base connected to a rotational disk, and a saw attachment connected to the rotational disk. The base is attached to an end effector coupler of a robot arm positioned by a surgical robot, and includes a base arm extending away from the end effector coupler. The rotational disk is rotatably connected to the base arm and rotates about a first location on the rotational disk relative to the base arm. The saw attachment is rotatably connected to the rotational disk and rotates about a second location on the rotational disk. The first location on the rotational disk is spaced apart from the second location on the rotational disk. The saw attachment is configured to connect to a surgical saw including a saw blade configured to oscillate for cutting. The saw attachment rotates about the rotational disk and the rotational disk rotates about the base arm to constrain cutting of the saw blade to a range of movement along arcuate paths within a cutting plane.

Abstract: An instrument for use in cartilage removal comprises an elongate body having a first end and a longitudinal axis having a longitudinal direction. A cartilage removal portion is coupled to the elongate body at the first end. The cartilage removal portion includes a plurality of serrated blades substantially perpendicular to the longitudinal axis and adapted for removing material while moving in the longitudinal direction. Each serrated blade has a centroid located along the longitudinal axis.

Abstract: Described herein are systems, devices, and methods for removing material from patient vasculature. In some embodiments, an aspiration device may include a sheath and a catheter slidably disposed within the sheath and defining a lumen. The catheter may include a distal end portion and an elongate portion, the distal end portion being disposable adjacent to a clot, the elongate portion being couplable to a vacuum source that is configured to apply a negative pressure to the lumen to draw the clot into the distal end portion. The distal end portion may include a plurality of sections, each of the plurality of sections having a different cut pattern.

Abstract: Systems and methods for the intravascular treatment of clot material within a blood vessel of a human patient are disclosed herein. A method in accordance with embodiments of the present technology can include, for example, engaging an interventional device of a catheter system with clot material in a blood vessel and withdrawing the interventional device and the portion of the clot material through a guide catheter. In some embodiments, the catheter system can include an attachment/valve member coupled to a proximal portion of the guide catheter, and the method can include unsealing the attachment/valve member to facilitate withdrawing the interventional device through the attachment/valve member without significant retention of clot material within the attachment/valve member. The method can further include resealing and aspirating the guide catheter before advancing another interventional device to the clot material to again engage and remove clot material from the blood vessel.

Abstract: Retrieval of material from vessel lumens can be improved by electrically enhancing attachment of the material to the removal device. The removal device can have a core assembly that includes a hypotube coupled to a first electrical terminal and a pushwire coupled to a second electrical terminal, the pushwire extending through the hypotube lumen. An insulating layer separates the hypotube and the pushwire, and an interventional element is coupled to a distal end of the pushwire. The interventional element can be disposed adjacent to a thrombus. An electrical signal is delivered to the interventional element to promote adhesion of the thrombus to the interventional element. The electrical signal can optionally be a periodic waveform, and the total energy delivered can be between 0.75-24,000 mJ and the peak current delivered via the electrical signal can be between 0.5-5 mA.

Abstract: A thrombus removal apparatus, comprising a body portion (1) and a distal portion (2).

Abstract: An embodiment relates to a product comprising an open loop polypectomy snare comprising: a) a handle; b) a tubular sheath having proximal and distal ends, said distal end defining a longitudinal axis; c) a snare wire having a first end and a second end extending from cavity of the tubular sheath and relatively movable with respect to the tubular sheath, wherein the first end is attached to the handle, d) at least two snare hemi-loops attached to the second end of the snare wire, wherein said hemi-loops configured to advance and recede inside the tubular sheath such that said hemi-loops are in close form inside the tubular sheath and when said hemi-loops advance from the tubular sheath, they open to encircle a matter of choice and join at a joint to form a close loop to resect the matter of choice; and wherein movement of said hemi-loops from the tubular sheath and/or opening and closing of said hemi-loops are controlled by the handle; wherein the polypectomy snare is configured for removal of a polyp in endos

Abstract: The present disclosure relates to non-surgical methods for delivery of an agent to the respiratory system of a subject, methods of treatment using delivery of agents to the respiratory system, devices for delivery of agents to the respiratory system, and use of such devices to deliver agents to the respiratory system. In certain embodiments, the present disclosure provides a provide a non-surgical method of delivering an agent to the respiratory system of a subject. The method comprises in vivo perturbation of the airway surface in one or more parts of the respiratory system in the subject and exposing the perturbed surface of the airway to the agent, thereby delivering the agent to the respiratory system of the subject.

Abstract: Forceps with improved actuation include a housing and a body that is longitudinally slidable relative to the housing. The body having a peripheral flange extending outward towards the housing. A trigger includes an actuation surface configured to receive a force input from a user. The trigger further including at least one arm configured to transfer the received force input to the body. To inhibit lateral splaying of the at least one arm when the trigger is actuated, the housing includes a first control surface, such as a rib proximate the arm.

Abstract: The present disclosure provides a driving handle, an apparatus and a method for recapturing an implant. The driving handle for recapturing an implant comprises: a first slider and a second slider, the first slider and the second slider being distributed in a longitudinal direction; a fixing barrel which defines a tube passage that receives the first slider and the second slider; a movable barrel which sleeves on the fixing barrel; wherein the movable barrel is configured to move spirally along the fixing barrel during at least a portion of a stroke to drive the first slider and the second slider to move synchronously and linearly along the tube passage. The present disclosure can alleviate the technical problem of difficult recapturing operation due to relatively high resistance when recapturing the implant.

Abstract: A medical device including an elongate member having a proximal end, a distal end, and a lumen extending therebetween. The medical device may further include an end-effector disposed at the distal end of the elongate member. The end-effector may include a plurality of arms pivotally connected to one another, wherein each arm includes a tissue-contacting surface, a first portion of the tissue-contacting surface including a plurality of ridges configured to grasp tissue. Further, the tissue-contacting surface may include a channel oriented substantially parallel to a longitudinal axis of the medical device.

Abstract: A tissue cutting device is disclosed that allows for in-plane rotation of a distal end to avoid gross movements during surgical procedures. In one exemplary arrangement, the tissue cutting device comprises a housing, an outer cannula, and an inner cannula. The outer cannula is mounted for rotation to the handpiece. The inner cannula is mounted within the outer cannula and mounted for rotation with the outer cannula. Both the inner and outer cannula are provided with relieving cuts that are offset from one another.

Abstract: A surgical tool that has a pair of transmissions coupled to one another to effect driving of a cutting tool in both an oscillating manner and a reciprocating manner. The transmissions are driven by a motor coupled to one of the transmissions.

Abstract: A multipurpose medical scissor assembly having a first element and a second element arranged in a scissor configuration. The first element has a first blade support section and a first shank section. The second element has a second blade support section and a second shank section. A segment that mimics the shape of the second blade support section is mounted parallel to the second blade support section. Both the segment and the second blade support section terminate with hooked ends that create a forked configuration. The first element, the second element and the parallel segment are preferably all molded of plastic. Metal blades are attached to the first blade support section and to the second blade support section to provide cutting edges.

Abstract: A device and method for treating a patient with total or near total occlusion is provided. The device can include a support catheter for an occlusion crossing procedure. The support catheter can include an elongate body that extends between a proximal end and a distal end. The elongate body can have a lumen for receiving and, in some cases, supporting a guidewire. The support catheter can include a crossing tip disposed on a distal portion of the support catheter. The crossing tip can have a ring structure fixedly attached to the elongate body. The crossing tip can comprise a plurality of teeth disposed on a distal-facing surface of the crossing tip. The plurality of teeth have rounded and smooth edges adapted for abrading the occlusion.

Abstract: Rotational atherectomy devices and systems can remove or reduce stenotic lesions in implanted grafts by rotating one or more abrasive elements within the graft. The abrasive elements can be attached to a distal portion of an elongate flexible drive shaft that extends from a handle assembly that includes a driver for rotating the drive shaft. In particular implementations, individual abrasive elements are attached to the drive shaft at differing radial angles in comparison to each other (e.g., configured in a helical array). The centers of mass of the abrasive elements can define a path that fully or partially spirals around the drive shaft.

Abstract: According to some embodiments, the present technology includes devices and systems for removing obstructive material from a blood vessel lumen. For example, the system can comprise a first elongated member, a second elongated member, and a cutting element configured to cut obstructive material at the treatment site. Rotation of the second elongated member relative to the first elongated member, or vice versa, can cause the cutting element to expand away from a longitudinal axis of the second elongated member. The system can further include an expandable positioning element configured to be intravascularly delivered to the treatment site, where the positioning element can be configured to expand into apposition with the vessel wall to position the cutting element closer to the obstructive material than before expansion of the positioning element.

Abstract: A handle apparatus comprising void regions or attachment devices that accommodate the shape of surgical devices and imaging units such that the device is held securely and mechanically fixed to the imaging unit within the handle assembly.

Abstract: A kit for disposing one or more functional additives into an anatomical cavity of a patient, and particularly into the nasopharyngeal region of a patient. The functional additives may be designed to assist the patient, the doctor or both during a surgical procedure. The kit has an apparatus with a hollow deployment tube into which the functional additive may be removably disposed upon manipulation by a doctor. The kit may comprise a plurality of mutually identical or mutually different functional additives and optionally be used with surgical tampons.

Abstract: A working channel for use in a method and system for performing percutaneous procedures extends through the patient's skin and includes a proximal end positioned outside of the patient's body having a first diameter and a distal end positioned inside the user's body and having a second diameter, wherein the second diameter is less than the first diameter.

Abstract: In accordance with at least one aspect of this disclosure, a wash nozzle structure for diverting a wash fluid to a surgical instrument during a laparoscopic procedure, can be configured to direct the wash fluid to spray along a spray axis, where the spray axis is angled relative to a plane of a lens of an imaging device of the surgical instrument.