Abstract: Transcranial electrostimulation systems and methods are contemplated in which a high current level, charge balanced alternating current electrical signal is generated for delivery to the occipital region of a patient's brain. By stimulating the brain with a charged balanced stimulation current with a stimulation current envelope defining one or more series of pulses at particular frequencies and durations designed to evoke metabolic response in the neurons, significant improvements in efficacy and reductions in patient discomfort may be achieved relative to earlier methods of transcranial electrical stimulation, especially those in which result in a resultant rectified direct current component being administered to the patient.

Abstract: A microcurrent treatment device includes an adaptive trigger circuit configured to dynamically determine a triggering threshold for applying a therapeutic microcurrent via a treatment electrode to a nerve node on a person's face for treatment of a sinus condition.

Abstract: A hearing device is provided. The hearing device comprises a first portion configured to be arranged at a head of a user and to provide a signal to a second portion.

Abstract: This document discusses, among other things, systems and methods for robotically assisted implantation of an implant in a patient. A system includes an external positioning unit configured to engage an elongate member of the implant, and a control console communicatively coupled to the external positioning unit. The control console may have a user interface that enables a user to input motion control instructions. The control console may generate a motion control signal, according to a specific motion control instruction, to control the external positioning unit to propel the implant into a target implant site. The system may be used to robotically control the delivery and positioning of a cochlear implant during a hearing-preservation cochlear implant surgery.

Abstract: Systems, devices, and techniques for adjusting electrical stimulation based on a posture state of a patient are described. For example, processing circuitry is configured to control delivery of a first informed stimulation pulse defined by at least a first value of an informed stimulation parameter, control delivery of a control stimulation pulse to a patient, the control stimulation pulse defined by at least a first value of a control stimulation parameter, determine a characteristic value of the ECAP signal elicited from the control stimulation pulse, receive, from a sensor, a posture state signal representing a posture state of the patient, and adjust, based on the characteristic value of the ECAP signal and the posture state signal, the first value of the informed stimulation parameter to a second value of the informed stimulation parameter.

Abstract: In some examples, a medical device is configured to deliver high dose electrical stimulation therapy to a patient by at least generating and delivering an electrical stimulation signal having a relatively high duty cycle, and a stimulation intensity less than a perception or paresthesia threshold intensity level for the patient. The pulses may each have a relatively low amplitude, but due at least in part to a relatively high number of pulses per unit of time, the electrical stimulation signal may be high enough to elicit a therapeutic response from the patient. In some examples, the plurality of pulses may have a duty cycle in a range of about 5% to about 50%. Following the generation and delivery of the plurality of pulses, one or more recharge pulses for the plurality of pulses may be delivered.

Abstract: A durable nerve cuff electrode for achieving block of an action potential in a large diameter nerve.

Abstract: Techniques are described for discriminating SVT and, in particular, rapidly conducting AF. The techniques include detecting an onset of a fast rate of ventricular events sensed from a cardiac electrical signal and detecting a pause in the fast rate of ventricular sensed events. A threshold number of ventricular event intervals required to detect a ventricular tachyarrhythmia is detected with each of the threshold number of ventricular event intervals being less than a tachyarrhythmia detection interval. Detection of the ventricular tachyarrhythmia and an electrical stimulation therapy for treating the ventricular tachyarrhythmia are withheld in response to at least the pause being detected.

Abstract: An implantable cardiac pacemaker, wherein the pacemaker is configured to apply pacing pulses to the heart of a person during operation of the pacemaker, and wherein the pacemaker comprises a motion detection system that comprises a first module and a second module. The first module is configured to continuously run during operation of the pacemaker. The second module is configured to receive a trigger signal to change from an idle state to an active state or to receive a further trigger signal to change from an active state to an idle state. An energy consumption per time unit of the second module in the active state is larger than in the idle state. When the second module is in its active state, the second module is configured to execute a rate adaptation algorithm that adapts a rate of the pacing pulses to meet a metabolic demand of the person.

Abstract: A system is provided for controlling a left univentricular (LUV) pacing therapy using an implantable medical device (IMD). The system also includes one or more processors configured to determine an atrial-ventricular (AV) conduction interval (ARRV) between the A site and a first RV sensed event at the RV site, determine an inter-ventricular (VV) conduction interval (RLV-RRV) between a paced event at the LV site and a second RV sensed event at the RV site, and set a ventricular refractory period (VRP) based on at least one of the AV conduction interval or the VV conduction interval and a predetermined offset. The one or more processors are also configured to blank signals over the RV sensing channel during the VRP.

Abstract: The present disclosure relates to a device for applying electrical stimulation to biological tissues. Specifically, the present disclosure is related to a device for applying anodal/cathodal biphasic electrical stimulation to beta cells of the pancreas. Through application of biphasic stimulation to beta cells of the pancreas, insulin secretion can be increased in an effort to overcome deficiencies associated with diabetic patients.

Abstract: A pessary for the prevention of preterm birth, and in particular two pathological conditions of pregnancy known as isthmico-cervical incontinence and cervical shortening, both of which are associated with increased risks for pregnancy loss and/or premature deliveries of babies. The pessary includes a sleeve supported within a ring by an annular member. The sleeve is intended to contact the cervix and maximize the length of the cervix while the annular member and ring contact the vagina. The pessary may be fabricated from a pliable medical-grade silicon, and the pessary may include one or more sensors to measure various patient parameters indicative of a premature cervical contraction. The sleeve may be wirelessly powered from a charging device, such as a pillow, a table-top device, or a pelvic belt.

Abstract: The present invention relates to an implantable apparatus for obtaining urinary control and emptying of the urinary bladder. The apparatus operates with a powered member (100) operating from the outside of the urinary bladder assisted by a support structure to discharge urine from the urinary bladder. A control device (200) controls the operation of the powered member. The control device further comprises a source of energy for operating the powered member and other energy consuming parts of the apparatus and a control assembly.

Abstract: An adapter to add optical stimulation to a stimulation system includes an adapter body and a connector disposed on the distal end of the adapter body. The connector includes a connector body defining a port and a connector lumen; connector contacts disposed in the connector body and arranged along the connector lumen; and a light source disposed in the connector body. The adapter also includes terminals disposed along the proximal end of the adapter body and conductors extending along the adapter body and electrically coupling the connector contacts and the light source to the terminals. The adapter may be used with an optical stylet that fits into a stimulation lead which is, in turn, coupled to the connector of the adapter. Alternatively, the adapter can include a fiber optic coupled to the light source and configured to extend into the stimulation lead.

Abstract: A method of manufacturing a filtered feedthrough assembly for use with an implantable medical device. The method may include gold brazing an insulator to a flange at first braze joint, and gold brazing a plurality of feedthrough wire to the insulator at second braze joints. The method may further include applying a first non-conductive epoxy to the first braze joint, and applying a second non-conductive epoxy to the second braze joint. The method may further include grit blasting a face of the flange, applying a conductive epoxy to the face of the flange, and attaching an EMI filter to the conductive epoxy such that it is grounded to the flange via the conductive epoxy and not via the first braze joint or the second braze joints.

Abstract: In some examples, a battery assembly for an implantable medical device. The assembly includes a housing, an electrode stack comprising a plurality of electrode plates disposed inside the housing, and an intermediate member configured to align the electrode stack at a fixed position within the housing, the intermediate member comprising a plurality of side walls, and at least one protrusion disposed on an exterior surface of the side walls, wherein the at least one protrusion is in thermal contact with an interior surface of the housing.

Abstract: Augmented, virtual, and/or mixed reality applications in optimizing a fitting process and a fit of wearables, including wearable cardioverter defibrillators, to a wearer's body.

Abstract: A cardiac medical system, such as an implantable cardioverter defibrillator (ICD) system, receives a cardiac electrical signal by and senses cardiac events when the signal crosses an R-wave sensing threshold. The system determines at least one sensed event parameter from the cardiac electrical signal for consecutive cardiac events sensed by the sensing circuit and compares the sensed event parameters to P-wave oversensing criteria. The system detects P-wave oversensing in response to the sensed event parameters meeting the P-wave oversensing criteria; and adjusts at least one of an R-wave sensing control parameter or a therapy delivery control parameter in response to detecting the P-wave oversensing.

Abstract: A wearable cardioverter defibrillator (WCD) system includes a processor, a memory, a wireless communication module (DWCM), and an NFC tag that stores information for how an accessing device may access the DWCM wirelessly. An accessing device such as a defibrillator configurator with an NFC reader may read the NFC tag of the WCD system, if it has adequate permission to do so. Upon so reading, the accessing device will know how to address the DWCM wirelessly, and thus install or update configuration data, software updates, or request memory downloads from operations. The use of the NFC tag requires close proximity, which hampers both inadvertently programming the wrong WCD system, plus a WCD system being attacked maliciously.

Abstract: An optically stimulating module to be integrated into a probe is implantable into a living being with a view to locally illuminating a region of said living being. The module includes a casing that is at least partially transparent, and a hermetic electronic unit placed in the casing. The hermetic electronic unit includes an internal volume housing two light sources, a control and processing unit, and a first photodetector. The module also includes a connecting device for connecting the module to a central control and power unit.

Abstract: Illumination devices for impinging light on tissue, for example within a body cavity of a patient, to induce various biological effects are disclosed. Biological effects may include at least one of inactivating and/or inhibiting growth of one or more pathogens, upregulating a local immune response, increasing endogenous stores of nitric oxide, releasing nitric oxide from endogenous stores, and inducing an anti-inflammatory effect. Wavelengths of light are selected based on intended biological effects for one or more of targeted tissue types and targeted pathogens. Light treatments may provide multiple pathogenic biological effects, either with light of a single wavelength or with light having multiple wavelengths. Devices for light treatments are disclosed that provide light doses for inducing biological effects on various targeted pathogens and tissues with increased efficacy and reduced cytotoxicity.

Abstract: The present disclosure is related to systems and methods for generating a radiation treatment plan for a treatment volume of a subject. The method includes retrieving a planning image of the treatment volume. The planning image may include a plurality of first voxels. The method also includes retrieving a treatment image that represents at least part of the treatment volume. The treatment image may include a plurality of second voxels. For at least one of the plurality of second voxels, the method further includes determining at least one reference voxel among the plurality of first voxels in the planning image and determining a dose value corresponding to the at least one second voxel. The method still further includes generating a radiation treatment plan based at least part on the dose value corresponding to the at least one second voxel.

Abstract: Systems and methods for the automatic generation and optimization of radiation therapy treatment plans, and systems and methods for the automatic generation and optimization of an adapted plan in an adaptive radiation therapy workflow.

Abstract: A remote diagnostic monitoring and control of physical components of a particle accelerator system has a particle emitting system located at a first physical site and includes one or more particle emitting system components to operate the particle emitting system, a particle delivery system located at the first physical site and including one or more particle delivery system components to operate the particle delivery system, a particle system gateway located at the first physical site and operatively coupled to the particle emitting system components and the particle delivery system components by a first network interface, and a diagnostic monitoring system located at a second physical site remote from the first physical site, operatively coupled to the particle system gateway by a second network interface, and operable to monitor one or more first operating states corresponding to one or more of the particle emitting system components and one or more second operating states corresponding to one or more of t

Abstract: A neutron capture therapy system is provided, which may prevent a material of a beam shaping assembly from deformation and damaged, and improve the flux and quality of neutron sources. A boron neutron capture therapy system (100) includes a neutron generating device (10) and a beam shaping assembly (20). The neutron generating device (10) includes an accelerator (11) and a target (T). A charged particle beam (P) generated by acceleration of the accelerator (11) acts with the target (T) to generate neutrons. The neutrons form a neutron beam (N). The neutron beam (N) defines a main axis (X). The beam shaping assembly (20) includes a support part (21) and a main part (23) filled within the support part (21).

Abstract: Systems, methods, and computer software are disclosed for receiving a video stream and acquiring images capturing at least a portion of a shape representative of a radiation field generated by a radiation delivery system that includes a radiation source configured to deliver the radiation beam, the acquired images extracted from the video stream.

Abstract: Disclosed is a method for detecting installation of a collimator of radiotherapy equipment. The method includes: acquiring a projection to be detected of a beam passing through the collimator and an isocentric plane of the radiotherapy equipment in sequence on a ray detector; comparing the projection to be inspected with a reference projection, and determining an installation deviation of the collimator of the radiotherapy equipment based on a deviation between the projection to be detected and the reference projection.

Abstract: A remote diagnostic control of physical components of a particle accelerator system includes presenting, by at least one processor at a first physical location, a fault control interface including at least one control affordance corresponding to a physical component associated with a particle emitting system and a particle delivery system each located at a second physical location remote from the first physical location, and at least one arrangement presentation corresponding to the physical component and at least one physical device including the physical component, the arrangement presentation including a first operating state indicator associated with the physical component and a second operating state indicator associated with the physical device, and in response to activating the control affordance, generating a device command for transmission to the physical component to modify an operating state of the physical component at one or more of the particle emitting system and the particle delivery system, m

Abstract: Systems and methods for treating cancer and for preventing metastasis using low intensity focused ultrasound in combination with an anti-cancer therapy are disclosed.

Abstract: Disclosed is a device for protecting a user from smoke or fire, including a sealed dome-like cover. An opening provided in the cover front portion enables emergency oxygen to force smoke present under the cover to be expelled by positive air pressure through a space below the waist. The dome-like cover is overlaid from above the top of the head to at least the waist of the user and connected to a source of oxygen. The device is reversible so that it can also be used as a stretcher. The materials used enable use as a thermal blanket. The device can be provided compactly folded in a bag that can provide lumbar support thereby ensuring that miners will always carry the device with them. A step of vacuum sealing for a predetermined amount of time ensures malleability of the compact device for enhanced lumbar support and device longevity.

Abstract: The present disclosure presents a patient respiratory mask that is configured to pick up patient speech from within the patient respiratory mask utilizing a microphone and to transmit that speech to a speaker or other communications device and a method of patient communication utilizing the same.

Abstract: An active force electric field anti-pathogenic fabric is used to remove pathogens from an environment surrounding the fabric. The fabric can be woven into daily clothing items, personal protective equipment, or other clothing items typically worn by a user. The fabric includes a current-carrying mesh that is coated with active materials used to remove pathogens from the air. As such, the fabric operates as an anti-pathogenic material that is used to remove harmful particles from an area surrounding a user. Accordingly, microorganisms, smoke particles, industrial pollutants, odor molecules, allergens are structurally disassociated into harmless protein fragments and natural molecules when encountering the purifying agents in the fabric.

Abstract: A safety harness assembly to improve the comfort of the user of a saddle which supports a person who is positioned in a tree. The saddle comprises a primary support, which comprises upper and lower straps secured together to form a closed loop. A panel is attached to and extends between the upper and lower straps. The closed loop includes a first lateral edge and a second lateral edge to which is secured a bridge line that in turn can be secured to a tree. A cross strap is attached to and extends between the upper and lower straps. The cross strap retains the primary support in a stowed configuration and is reversibly stretchable to position the primary support in a deployed configuration when the primary support forms a cradle for the buttocks. A secondary support retains the primary support upon the user.

Abstract: A personnel safety cable mount assembly for a floor having a frustoconical recess in the floor. In one preferred embodiment, the assembly includes a base receivable in and through an opening or recess of the floor. A pole extends vertically from the base. A connector bracket is located at a top of the pole. At least one lanyard is connected to the connector bracket with the lanyard having an extending cable adapted to attach to personnel.

Abstract: A sealable capsule configured to contain one or more fire extinguishing materials is provided. The sealable capsule can include an upper and a lower shell, an internal bladder and a mechanism for releasing the fire extinguishing materials. The upper shell can include a valve, one or more through-holes filled and sealed with a corresponding number of plugs, and one or more rods, each extending from the plug to an internal plate of the releasing mechanism. The upper shell can be configured to contain a first fire extinguishing material, and the lower shell can include a membrane configured to contain a second fire-extinguishing material. The bladder can be coupled to the internal plate and to the upper and lower shells, such that the bladder is positioned within the capsule in a first position when the capsule is prepared for use and in a second position when the capsule has been activated.

Abstract: Methods and apparatus for launch and recovery of a remote inspection device within a liquid storage tank. In one embodiment, the tank is accessed by opening an entrance hatch and then injecting a vapor suppression foam across a surface of a stored liquid mass to form a foam layer. A launching system having a remote inspection device is attached to the entrance hatch to define a launch and recovery space sealed from an external environment and isolated from the stored liquid mass in the tank via a valve and the foam layer. The launch and recovery space is purged of hazardous vapors by injection of an inert gas prior to launch and recovery of the remote inspection device. Prior to removal of the launching system, the surface of the stored liquid mass is re-coated with vapor suppression foam.

Abstract: The invention concerns a pipe arrangement comprising a protective device for protecting against environmental influences, the pipe arrangement comprising: a) a pipe joint which includes at least two pipe ends (1, 2) which are fixed together by means of a mechanical joint (3) and in which the pipe ends (1, 2) and also the mechanical joint are closed with a deformable hollow body (4), or b) a pipe (1) with a pipe opening (14), for example a leak, through which a medium which is disposed within the pipe can escape, wherein the pipe (1) is enclosed by a deformable hollow body where the pipe opening (14) is and wherein the pipe (1) is covered by the hollow body (4) in a predetermined portion on both sides of the opening (14), or c) a pipe having a pipe opening on which a sprinkler of a sprinkler installation is mounted, wherein the pipe (1) and also the sprinkler outlet is enclosed by a deformable hollow body (4) where the sprinkler is fixed to the pipe so that the hollow body (4) surrounds both the pipe end (1

Abstract: An aiming assembly including a housing and a light source. The housing is configured to be coupled to a nozzle and includes at least one mounting feature configured to retain the housing in a desired position relative to the nozzle. The light source provided at least partially within the housing and configured to selectively generate a conical light beam, and generate a light image.

Abstract: In order to attain an efficient decomposition process by water plasma, a decomposition processor includes a water plasma generator which is configured to inject water plasma, from the injection port, by arc discharge generated between negative and positive electrodes; and a supply device configured to supply a decomposition target object to a water plasma jet stream injected from the water plasma generator, wherein the decomposition target object is decomposed by the water plasma. The supply device has a nozzle for providing the decomposition target object from a tip, and the negative electrode, the injection port, the positive electrode and the nozzle are arranged in that order along the center axis line of the injection port. The tip of the nozzle is placed inside of the water plasma jet stream.

Abstract: In order to stabilize injection of water plasma, a vortex water flow generator forms a vortex water flow for passing arc discharge. The vortex water flow generator includes a cylindrical portion configured to form a vortex water flow along an inner circumference, a first middle partition and a second middle partition protruding from the inner circumference of the cylindrical portion. The first middle partition and the second middle partition respectively have an opening to include a center axis line position of the cylindrical portion. An opening of the second middle partition on the side of the positive electrode is larger than an opening of the first middle partition on the side of the negative electrode.

Abstract: The fitness device comprising dual retaining members in engagement with a tension member.

Abstract: An adjustable carriage assembly is configured to be mounted on a frame member of a weight rack and includes a moveable carriage with a plurality of rollers that engage the frame member, as well as a connection structure for connection of an articulating implement. A releasable pin is mounted on the carriage proximate to a rear of the carriage and has an arm configured for engagement to move the releasable pin. The releasable pin is moveable by axial translation between a locked position and an unlocked position to selectively engage the frame member to lock the carriage in position or permit movement of the carriage. A removable pin may be removably received through a pin hole in the carriage to extend through the passage in a direction perpendicular to a direction of axial translation of the releasable pin, to engage the frame member to prevent movement of the carriage.

Abstract: A belt squat attachment of the present disclosure includes an attachment bar for clipping into holes of a support rack at a height selected by a user. The attachment bar is bisected by and perpendicular to a T-bar, which supports weight horns that are located at the midpoint of the T-bar, allowing a felt load to be calculated as half of the loaded weight. The user clips a belt into the belt ring at the end of the T-bar and performs the belt squat exercise by lifting the attachment and any attached load from a resting position on the ground. The belt squat attachment rotates about the points of attachment between the attachment bar and the support rack during the exercise. Further, the belt squat attachment can be rotated to a storage position against a vertical support behind the support rack while remaining attached to the support rack, allowing the support rack to retain the same utility as prior to attachment of the belt squat attachment.

Abstract: An adjustable barbell system may include a base, two or more weights, a handle assembly, an additional weight, and selection assembly. The two or more weights may be supported by the base and grouped into a first set of weights associated with one end of the barbell system and a second set of weights associated with an opposing end of the barbell system. The handle assembly may be selectively fixedly joined to the first and second set of weights. The additional weight may be disposed distally of the handle assembly. The selection assembly may be secured to the additional weight. The selection assembly may include a selection member that may be linearly moveable between a selected position where the additional weight is operatively secured to the handle assembly and an unselected position where the additional weight is disengaged from the handle assembly.

Abstract: A multifunctional comprehensive training device capable of being grasped stably is provided. The multifunctional comprehensive training device capable of being grasped stably includes symmetrical front vertical pipes and symmetrical selected irons, where the front vertical pipes are provided vertically; cable mechanisms are respectively provided on the front vertical pipes; the cable mechanism includes a steel rope and a bracket; the steel rope includes a first end configured for a cable machine exercise, and a second end connected to a Smith mechanism through each of the selected irons; the Smith mechanism includes a guide post, a suspension rack, and an adjusting plate; the guide post is slidably connected to a moving rack; a barbell bar is horizontally provided at an upper end of the moving rack; the barbell bar is connected to a hook rack.

Abstract: A physical therapy device. At least one hexagon mount section is mounted onto a backing board. The hexagon mount section includes a plurality of hexagonal cutout sections. At least one peg holder is also mounted onto the backing board. A plurality of pegs is insertable into the peg holder and also into the hexagon mount sections. A board mount is also preferably connected to the backing board. Straps, strap attachment devices and bands may by draped over the board mount.

Abstract: A treadmill including a frame, a suspension connector, a flexible deck, and a belt. The suspension connector is connected to the frame. The flexible deck is connected to the suspension connector. The flexible deck includes a metal panel extending substantially an entire width and length of the flexible deck. The belt is disposed on the flexible deck.

Abstract: An exercise machine is for performing a striding exercise motion. The exercise machine has a frame; first and second pedal members; first and second foot pads on the first and second pedal members, respectively, each of the first and second foot pads being movable along an elliptical path during said striding exercise motion; and first and second rocker arms each having a first end that is pivotable with respect to the frame about a rocker arm pivot axis and further having a second end that is pivotable with respect to one of the first and second pedal members about a pedal lever hub axis. The frame has first and second frame portions. The first frame portion supports the first and second rocker arms and is pivotable about a frame pivot axis relative to the second frame portion. Pivoting the first frame portion relative to the second frame portion adjusts a position of the rocker arm pivot axis, which thereby changes a shape of the elliptical path.

Abstract: A training, rehabilitation, and recovery system comprises an exercise apparatus including a user interface member coupled to a plurality of links and joints, brakes capable of resisting movement of at least a subset of the links or joints, and sensors capable of sensing movement at the joints or the user interface member. The system also includes a processor configured to receive from the sensors positional data of the links or joints over an initial movement of the apparatus by a user, from which positional coordinates of the user interface member are calculated and a reference trajectory is established. An end space is defined based on the reference trajectory. Over a subsequent movement of the apparatus by the user, the processor receives additional positional data and determines a completion of a repetition based on the positional coordinates of the subsequent movement and the defined end space.

Abstract: A self-balancing golf club with rearward lean. The self-balancing golf putter includes a club head. The club head includes a clubface configured to make contact with a golf ball. The self-balancing golf putter also includes a shaft attached to the club head. The shaft includes a center axis, wherein the center axis converges with a balance point configured to make the club face seek square when making contact with the golf ball.