Abstract: A junctional tourniquet apparatus and related methods of use. An exemplary tourniquet has an inverted cone shape, wherein a narrower end has a mushroom shaped base that is pressed against a compression target and a broader end has a plurality of pass-through slots for straps. Another exemplary tourniquet has a broad plate component and a handle component. The handle component has a mushroom shaped base on a first end and a handle on a second end. The handle component passes through the center of the plate component with threads that allow the handle component to compress a target by twisting the handle.

Abstract: A pad is provided having a body for providing a gas seal over a surgical site, a port extending between a first surface of the body and a second surface of the body and sized accept a surgical instrument, and a lumen situated along the body and having a first opening and a second opening, the second opening aligned with the surgical site for communicating a fluid flow to the surgical site.

Abstract: A hemostatic device includes a flexible band allowed to be wrapped around a wrist in which a radial artery and an ulnar artery run, a hook and loop fastener that secures the band in a state of being wrapped around the wrist, an inflatable portion connected to the band and allowed to press a puncture site of the radial artery by being inflated in response to injection of a fluid, and a pressing member disposed at a different position from a position of the inflatable portion in a longitudinal direction of the band and allowed to press the ulnar artery. Further, a length of the pressing member along the longitudinal direction of the band is shorter than a width of the pressing member along a direction orthogonal to the longitudinal direction of the band.

Abstract: A dilator assembly includes a blade, a tubular member defining a passage extending along a longitudinal axis, a guide needle received within the passage, a first link having a first end pivotally coupled to the tubular member and a second end pivotally coupled to the blade, and a second link having a first end pivotally coupled to the tubular member and a second end pivotally coupled to the blade.

Abstract: A medical bandaging and tourniquet system for use in dressing puncture wounds is provided. The medical bandaging and tourniquet system includes a primary dressing, a secondary dressing, a band, a tightening buckle, a retaining clip, and a tightening rod. The primary dressing serves as a main wrapping bandage that mounts the secondary dressing and tourniquet components together. The secondary dressing removably attaches to the primary dressing and serves as a bandage that can be installed onto minor wounds. The band connects to the primary dressing, serving as an elastic tourniquet band. The tightening buckle and the retaining clip are connected to the primary dressing. The tightening rod is positioned between the tightening buckle and the retaining clip. The primary dressing straps tightly along a wound though the tightening buckle. The strap is further compressed by turning the tightening rod. The tightening rod can then be secured to the retaining clip.

Abstract: The disclosure provides neck collar devices and systems for the mitigation and prevention of traumatic brain injury, including concussion. Specifically disclosed are adjustable collars and systems, and collars having certain pressure sensing devices.

Abstract: A securing device (10) for securing a first object (320) relative to a second object (322) includes a device body (12) having a cross-sectional area, and which is formed from a material so that the device body (12) exhibits elongation of between six hundred percent and eight hundred percent. A ratio of the elongation (in percent) to the cross-sectional area (in square millimeters) is between approximately 5:1 and 10:1. The device body (12) is also formed from the material so that the device body (12) exhibits a tensile strength of between four thousand five hundred kPa and nine thousand three hundred kPa. A ratio of the tensile strength (in kPa) to the cross-sectional area (in square millimeters) is between approximately 50:1 and 85:1. The material that forms the device body (12) has an average kinetic coefficient of friction of between approximately 1.35 and 1.60 relative to itself. The material that forms the device body (12) can include thermoplastic elastomers, and can further include styrene.

Abstract: A foot wrap (10) has a generally non-stretchable, flexible binding (11), a generally stretchable panel (12) coupled to the binding, an expandable, rotatable bladder (14), and a support pad (16) coupled to the binding opposite the bladder (14). The binding has a central portion (19) straddled by a first wing (21), a second wing (22), and an elastic heel band (23). The bladder measures approximately 3 inches by 3 inches and is designed to increase in height approximately 1½ to 1¾ inches with its inflation.

Abstract: A dermatological skin treatment device is provided. The device comprises a handpiece and a cutting tool, wherein the tool is inserted through the conduit and percutaneously inserted into a tissue disposed within a recessed area of the handpiece. The device and method cut the fibrous structures under the skin that cause cellulite at an angle substantially parallel to the surface of the skin and replace these structures with a non-cellulite forming structure by deploying a highly fibrous mesh through a single needle hole to create a highly fibrous layer directly or through wound healing processes.

Abstract: An adhesive for securing a nipple shield to a breast. The breast adhesive includes a flexible member, having a front side and a rear side, wherein the rear side can secure to both a breast and a nipple shield simultaneously. The flexible member includes U-shape with a first end and a second end disposed opposite one another, such that the first end and the second end are symmetrical about a vertical axis. An outer perimeter of the flexible member includes a plurality of curved flanges therealong that adhere to a user's breast. In operation, an inner perimeter of the flexible member is positioned interior to an outer perimeter of the nipple shield and the outer perimeter of the flexible member is to be positioned exterior to the outer perimeter of the nipple shield. In this way, the nipple shield is secured to a mother while breastfeeding.

Abstract: Tissue compression devices having pressure indicators and methods of using the same. The tissue compression devices provide feedback to a user with respect to the pressure being applied to selected tissue at a selected location such as a radial artery to assist the user in applying the desired amount of pressure to the tissue (such as the pressure needed to achieve hemostasis at an access site). The pressure indication may be provided by a ring indicator that moves between two configurations (e.g., a concave configuration and a convex configuration), a bellow chamber in a housing, a bladder located below a bladder window, etc.

Abstract: A surgical retractor for abdominoplasty is disclosed. The retractor has a blade which has a pair of wings disposed below a spine which form a surgical window. The pair of wings form a substantially bell curve shape below the spine of the blade. The pair of wings have outer edges which are curved, and which allow the surgical retractor to be rocked by a user to adjust the surgical window. The retractor has a handle which has a grip portion substantially parallel to the spine of the blade and which provides a more ergonomic grip and greater control.

Abstract: An apparatus for applying point-pressure to a wound site that helps occlude open blood vessels includes a pressure applicator, a mounting plate, articulating strap attachment points, and counter-pressure cavities. The articulating strap attachment points attach to straps around a patient's body so that the apparatus is stabilized over a patient's wound. Moreover, the counter-pressure cavities permit a user to apply leverage caused by counter-force mechanism (while also applying a downward force on the pressure applicator). These features enable a user to quickly and easily apply point pressure to a wound site.

Abstract: A hemostatic device including a band that is wrapped around a limb of a living body at a site of the living body where bleeding is to be stopped and an inflatable portion which is inflated by injection of gas to cause the inflatable portion to press the site where bleeding is to be stopped. The hemostatic device includes an injection part that injects gas into the interior of the inflatable portion. The injection part includes a hole penetrating the injection part and communicating the housing space with outside environment. The hemostatic device includes a first support plate and a second support plate positioned adjacent one another along the longitudinal direction of the band. The second support plate is movably connected to the first support plate. The inflatable portion is on the first support plate and the injection part is on the second support plate.

Abstract: A compression foot garment is integrally knit of a body yarn, and adapted for wear on a foot of a user. The foot garment incorporates first and second high compression zones, and a compression release zone between the high compression zones. The first high compression zone is adapted for applying substantially circumferential compression to the foot below the plantar fascia between the calcaneus and metatarso-phalangeal joints and generally around the midfoot. The second high compression zone is adapted for applying substantially circumferential compression to the foot above the calcaneus and generally around an ankle of the user. The first and second high compression zones may comprise elastic yarns integrated with the body yarn. The compression release zone is adapted for applying reduced compression to the foot in an area between the first and second high compression zones.

Abstract: A cuff-pressure control device includes a pump supplying gas into the cuff, a connection path connecting the pump and the cuff, an exhaust valve exhausting gas in the cuff through the connection path, a pressure sensor measuring an internal pressure of the connection path, and a controller controlling the internal pressure of the cuff according to a measured value of the internal pressure of the connection path measured with the pressure sensor. The controller includes an obstruction detection unit that obtains, from the measured value of the pressure sensor, a pressure change amount from a time point when the pump is stopped while the internal pressure of the connection path is being increased by the pump to a time point after a predetermined time elapses and that detects the obstruction of the connection tube when the pressure change amount is less than or equal to a predetermined threshold value.

Abstract: A hemostatic device is provided to stop bleeding at a puncture site on the wrist of a patient, the device comprising a transparent flexible band to be wrapped at the site where the bleeding is to be stopped, a curved frame having an inner peripheral side and possessing a first curved portion in its first half and a second curved portion in its second half, a first balloon provided on the inner peripheral side in the first half of the curved frame and a second balloon provided on the inner peripheral side in the second half of the curved frame. The bleeding from a first artery is stopped by compressing the first artery at the puncture site using inflation of the first balloon and the blood flow in the first artery is increased by compression of a second artery using inflation of the second balloon.

Abstract: Some embodiments of the present invention disclose a method to reduce the intracranial cerebral blood pressure in a newborn, comprising: mounting an inflating cuff in at least one extremity of said newborn; monitoring the blood pressure in said newborn; if blood pressure rises above a predetermined value, then: inflating said inflating cuff to a predetermined level; wherein said inflating cuff further comprises blocking venous blood flow in said extremity by means of said inflating cuff and lowering cardiac output and systemic blood pressure.

Abstract: A radial compression band is configured to provide hemostatic compression to an arterial access site on the arm of a wearer. The radial compression band includes an elongated arm band that presents an arm opening sized to receive the arm. The arm band presents proximal and distal margins, with the arm opening being defined between the margins.

Abstract: A transparent pressure dressing device enables hemostasis of blood in a perforation of a blood vessel. The transparent pressure dressing device includes a rectangular plate shaped artificial hand component and one or more adhesive fins. The artificial hand component includes a protuberance section positioned proximal to a distal edge of the artificial hand component, and the adhesive fins extend from an upper surface of the artificial hand component. The protuberance section of the artificial hand component is gradually pressed against the perforation on the blood vessel to enable hemostasis of the blood, and the adhesive fins are configured to adhere to a body surface of a user proximal to the perforation on the blood vessel.

Abstract: A hemostatic device is provided to stop bleeding at a puncture site on the wrist of a patient, the device comprising a transparent flexible band to be wrapped at the site where the bleeding is to be stopped, a curved frame having an inner peripheral side and possessing a first curved portion in its first half and a second curved portion in its second half, a first balloon provided on the inner peripheral side in the first half of the curved frame and a second balloon provided on the inner peripheral side in the second half of the curved frame. The bleeding from a first artery is stopped by compressing the first artery at the puncture site using inflation of the first balloon and the blood flow in the first artery is increased by compression of a second artery using inflation of the second balloon.

Abstract: A hemostatic device is provided to stop bleeding at a puncture site on the wrist of a patient, the device comprising a transparent flexible band to be wrapped at the site where the bleeding is to be stopped, a curved frame having an inner peripheral side and possessing a first curved portion in its first half and a second curved portion in its second half, a first balloon provided on the inner peripheral side in the first half of the curved frame and a second balloon provided on the inner peripheral side in the second half of the curved frame. The bleeding from a first artery is stopped by compressing the first artery at the puncture site using inflation of the first balloon and the blood flow in the first artery is increased by compression of a second artery using inflation of the second balloon.

Abstract: A pipe coupler includes a first jaw member, a first jaw extension, a second jaw member defining an open channel, a mounting board, a ratchet, and a first biasing member. The first and second jaw members are hinged to each other. The mounting board extends outwardly from the open channel of the second jaw member. The first jaw extension extends from the first jaw member, and is configured to extend into the open channel. The first jaw extension has a plurality of rack teeth. The ratchet is rotatably mounted on the mounting board, and has a plurality of ratchet teeth configured to mesh with the rack teeth. The first jaw extension is permitted to drive the ratchet to rotate unidirectionally against a first biasing force of the first biasing member.

Abstract: A vascular compression apparatus and method for applying pressure onto an area of a patient generally including a blood vessel and a wound site, such as a blood vessel puncture, after a cannulated procedure for the purpose of controlling bleeding and achieving hemostasis. The vascular compression apparatus includes a handle, a shaft and a pad. The shaft extends generally downward from the center of the bottom side of the handle. The pad is connected generally off-center of its top side to the bottom end of the shaft. The bottom side of the pad is convex to allow the vascular compression device to be rocked back and forth. In use, the pad is generally placed proximal to the catheter insertion site and over the blood vessel containing the catheter. The device is rocked proximally to control blood flow while removing the catheter. After the catheter is removed from the puncture site, the device is rocked distally to the puncture site, where pressure is applied until hemostasis is achieved.

Abstract: An applicator device, system and method for use with an exsanguination tourniquet are disclosed. The applicator device includes a body with a proximal end and a distal end, a first opening at the proximal end, and a conduit connecting the proximal end and the distal end. The system includes the applicator device and an exsanguination device. The method of applying an exsanguination tourniquet over a patient's limb, includes selecting an applicator device and correspondingly sized exsanguination tourniquet, placing the exsanguination tourniquet over the applicator device, placing the applicator device over the patient's limb, and rolling the exsanguination tourniquet over the applicator device and a portion of the patient's limb from the distal end of the limb.

Abstract: A hemostatic device is provided to stop bleeding at a puncture site on the wrist of a patient, the device comprising a transparent flexible band to be wrapped at the site where the bleeding is to be stopped, a curved frame having an inner peripheral side and possessing a first curved portion in its first half and a second curved portion in its second half, a first balloon provided on the inner peripheral side in the first half of the curved frame and a second balloon provided on the inner peripheral side in the second half of the curved frame. The bleeding from a first artery is stopped by compressing the first artery at the puncture site using inflation of the first balloon and the blood flow in the first artery is increased by compression of a second artery using inflation of the second balloon.

Abstract: Various devices are provided for allowing multiple surgical instruments to be inserted through a single surgical access device at variable angles of insertion, allowing for ease of manipulation within a patient's body while maintaining insufflation. Safety shields and release mechanisms are also provided for use with various surgical access devices.

Abstract: Various devices are provided for allowing multiple surgical instruments to be inserted through a single surgical access device at variable angles of insertion, allowing for ease of manipulation within a patient's body while maintaining insufflation. Safety shields and release mechanisms are also provided for use with various surgical access devices.

Abstract: The present invention is a tourniquet comprising: a strap; a pelvic pad included in the strap having a pocket defined in the pelvic pad for receiving a semi-rigid stiffening member; base plates slidably attached to the strap allowing the base plates to be positioned along the strap; a threaded shaft received in each of the base plates; a pressure pad removable attached to a distal end of each of the shafts; a handle attached to a proximal end of each of the shafts having openings defined in each end of the handle; and, a rotational arresting strap attached to each base plate having a securing tab that can be received in one of the handle openings thereby preventing the shaft from rotating when the securing tab is received in sand handle opening.

Abstract: The present invention relates to an active positioning device for a surgical instrument arranged on a robot arm, comprising a carrier plate (3, 33), which can be connected with a robot arm (1, 31), a port mechanism (4, 34), which is arranged on carrier plate (3, 33) and intended as entry point into the interior of a body, at least one guide device (6, 36, 59) for insertion of a surgical instrument (8, 38, 61) into the body, whereby the shaft of surgical (8, 38, 61) instrument extends through guide device (6, 36, 59) and whereby guide device (6, 36, 59) is variably connected to port mechanism (4, 34) via a compensating element (5, 35) and an adjustment device (9, 10, 11, 12, 13, 14, 39, 40, 41, 42, 43, 44, 62, 63, 64, 65, 66, 67) for guide device (6, 36, 59) opposite port mechanism (4, 34), which is arranged on carrier plate (3, 33) and/or port mechanism (4, 34) on the one hand and guide device (6, 36, 59) on the other hand, in such a way that the shaft of surgical instrument (8, 38, 61) is movable both in x-d

Abstract: An apparatus for cleansing wounds, in which wound exudate is removed from a wound bed and selectively cleansed and returned to the wound. The cleansing means removes materials deleterious to wound healing, and the cleansed fluid, still containing materials that are beneficial in promoting wound healing, is returned to the wound bed. The associated wound dressing and cleansing means are conformable to the wound, and may have irrigant fluid circulated from a reservoir by a device for moving fluid through a flow path which passes through the dressing and a means for fluid cleansing and back to the dressing.

Abstract: The invention provides methods for reducing traumatic injury through the use of ischemic conditioning.

Abstract: A retention system includes a base supporting a wing spar and a post extending through the base from a first side of the base to a second side of the base. The post inserts through an aperture in the spar. A stop is selectively securable to the post over the second side of the base. A locking member engages the post on the first side of the base. The locking member is configured to selectively move the post from an unlocked position to a locked position in which the post is withdrawn toward the first side relative to the unlocked position. A biasing member encircles the post and is positioned between the stop and the second side. When the locking member is in a closed position the biasing member expands to engage the aperture and resist movement of the wing spar. A plurality of cradles may support the wing.

Abstract: A robotic tool holder, including a housing, configured to be gripped by a human hand, and a wireless transmitter, located within the housing. The holder further includes a plurality of individual controls attached to the housing, the controls being configured, in a first mode of operation of the robotic tool holder, to activate respective motions of a first surgical tool physically attached to the housing in response to manipulation of the controls by the human hand, and in a second mode of operation of the robotic tool holder, to activate via the wireless transmitter respective motions of a second surgical tool remote from and disconnected from the housing in response to the manipulation.

Abstract: A device is provided that aids in the medical compression process. One example of such a device is a medical compression device that can be added to medical machinery, such as the Hologic® Multicare Prone Biopsy table or a Hologic® upright biopsy table/system. The device can be configured to be placed into and partially through an “operating window” of a compression paddle component used in the biopsy table. The device advantageously does not require modification of the biopsy table or modification of the compression paddle/guide for use.

Abstract: The invention protects an intraosseous infusion system from being bumped or displaced. The device is a strap and an implement that holds the intraosseous infusion system. The implement is comprised of two pieces. A U shaped piece that has an opening that holds the intraosseous infusion device. The second piece when snapped into place encircles the intraosseous infusion device to securely hold the intraosseous infusion device in place. To use the invention, the invention is place over the intraosseous infusion device placed in the patient's leg and the strap is tightened around the patient's leg. Then the second piece is pushed around the intraosseous infusion device to hold it securely in place.

Abstract: A tourniquet cuff has minimal flow restrictions within its pneumatic passageway under normal operating conditions, has a substantially reduced likelihood of partial or complete obstructions or interruptions of the pneumatic passageway under foreseeable operating conditions, can indicate exposure of the cuff to external agents that are capable of affecting the integrity of the pneumatic passageway before use, and can be manufactured economically.

Abstract: A method is disclosed for preparing a soft tissue site, and augmenting the soft tissue site, such as the breast(s), scar, depression, or other defect, of a subject through use of devices that exert a distractive force on the breast(s) and grafting of autologous fat tissue such as domes with sealing rims for surrounding each of the soft tissue site and a regulated pump. The method for preparing the soft tissue site, and enhancing fat graft results, entails application of the distracting force to the targeted soft tissue site at least intermittently for some period of time and preferably several weeks prior to the graft procedure. A related aspect of the invention includes following the preparation steps by transfer of fat from other areas of the subject to the subject's soft tissue site, and then reapplication of the distractive force to the soft tissue site that received the autologous fat graft.

Abstract: A pair of soft tissue instruments which provide a combination edge profile allowing a single tool to break up fibrous adhesions and massage damaged tissues in order to restore healthy function to muscles, tendons, ligaments and nerves that have been affected by inflammation, injuries or various traumas. The combination edge profile is formed by a double wide radius following the full thickness of the tool similarly as a spherically blunted tangent ogive, including a nose radius covering around 90 degrees of the curved edge; the double specific radius sharpness angle varying from 1 degree near the full tool thickness of the instrument up to around 50 degrees as an average, but reaching around 90 degrees just when it reaches the much smaller tip edge radius.

Abstract: A device worn by a patient for maintaining pressure at appropriate points on a patient's abdomen for treating gastroesophageal reflux and heartburn. The pressure is applied by the utilization of two protrusions. The position of both of the protrusions can be adjusted laterally relative to one another to ensure that pressure is applied to the correct position on the patient's body. Alternatively, the protrusions can be inflated to a particular level, allowing the protrusions to apply pressure to the body.

Abstract: Methods, devices and systems are described for treating venous insufficiency in which the vein is compressed at least partially along a treatment zone. A system can be provided including an injection device, such as a glue gun, that is operably connected to a delivery catheter that can be advanced across a treatment zone in the vein. The delivery catheter can be used to deliver one, two, or more boluses of media (e.g., cyanoacrylate) to occlude the vein along different spaced-apart sections of the treatment zone. External compression can also be applied to the vein by a compression element, such as a hand or multifunctional ultrasound transducer, to occlude portions of the vein along the treatment zone prior to or during the introduction of the boluses of media.

Abstract: A first embodiment can be a method to reduce SLOSH energy absorption within an organism by reducing the inelastic collisions. A fluid containing organism can utilize an embodiment of the method wherein one or more of reversibly increasing pressure within the organs or cells, reversibly increasing the volume within the organs or cells, reversibly altering vascular, molecular, or cell wall stiffness, or reversibly altering vascular, molecular, or cell wall configuration within said organism may reduce these collisions.

Abstract: Methods for ischemic conditioning treatments of a chronic medical condition are provided. Baseline disease-related parameters of a patient with a chronic medical condition are measured. Ischemia is induced in the patient by occluding and releasing arterial flow in one or more extremities of the patient. Post-ischemia parameters in the patient are measured. The baseline and post-ischemia parameters are compared to provide an assessment of an ischemic conditioning treatment of a chronic medical condition. The repeated, scheduled delivery of ischemic conditioning provides a beneficial, therapeutic effect on the chronic medical condition. Also provided is a device for pulse oximetry during periods of absent or low pulsatile blood flow including an artificial pulse generator as well as the use of said device in assessment of ischemic conditioning.

Abstract: We disclose methods and medical device systems for selectively recruiting a nerve fiber type within a cranial nerve, a peripheral nerve or a spinal root. Such a method may comprise applying a first pressure, a heating, and/or a cooling to a second location of the nerve, the pressure, heating, or cooling sufficient to substantially block at least one of activation or conduction in at least one fiber population through the second location of the nerve for a blocking time period; and applying an electrical signal to a first location during the blocking time period.

Abstract: A system and method for inducing physiological effects of ischemic conditioning and physiological effects of shear stress in a subject's body that mimic the effect of exercise on the subject. The disclosure includes a first device configured to cause ischemia, a second device configured to mechanically generate arterial shear stress, and a third device configured to monitor one or more of markers of ischemia or hemodynamic parameters and further including a microcontroller and actuators to cause the ischemia for a preset duration and then stop the ischemia for a preset duration, and to repeat the ischemia and reflow periods according to a preset program, simultaneously cause the second device to mechanically generate arterial shear stress according to a preset program of mechanical pulse amplitude, duration, and frequency; and to concurrently monitor hemodynamic parameters or markers of ischemia.

Abstract: A device is provided for mounting on a wearer to effect weight loss in the wearer. A central body is connected to a belt for mounting the central body on the abdomen of the wearer and a support structure is provided for stabilizing a position of the central body in relation to the body of the wearer.

Abstract: Dorsal forearm plate having a three-dimensional concave shape adapted to the shape of the dorsal forearm such that the dorsal forearm may rest on the forearm plate, the dorsal forearm plate has an essentially rectangular extension having opposing long sides and opposing short sides and has a substantially rigid unitary body adapted to underlie the posterior of the patient's hand, wrist and forearm, the plate is provided with two attachment bands, a distal and a proximal attachment band, adapted to attach the plate at the dorsal forearm of a patient.

Abstract: Methods and devices for providing improved ultrasound visibility of medical devices intended for intravascular use are described. The inclusion of gas/solid boundary regions within a medical devices improves the resolution of the device under ultrasound visualization. Gas/solid boundary regions may be provided through the use of embedded gas-filled microlumens, microwells, or enclosed pockets within the medical device.

Abstract: Disclosed are neuromuscular release (including myofascial trigger point) therapy devices, systems, kits and methods. The therapy tool comprises a body, wherein the body includes an outer surface, an inner surface, a tip defined at the upper-most portion of the body, a base, a stop surface defined in the body outer surface, a pocket defined by the inner surface and extending from the base upwards in the direction of the tip, and a recessed groove defined in the inner surface and extending upwards from the base and having a groove diameter and depth. The body can be generally bell-shaped with the base having a larger diameter than the tip. The system can further include a riser, either disk or wedge shaped, and a rocker base. The system components are configured to stack and nest into a compact assembly for easy carrying as a kit.

Abstract: A seal anchor member defines a housing defining a longitudinal axis, the housing having leading and trailing ends, and including a plurality of lumens extending between the leading and trailing ends, each lumen being adapted for substantially sealed reception of an object therein and defining a longitudinal axis, wherein at least two of the lumens define longitudinal axes that are non-parallel to facilitate angled, at-rest placement of multiple instruments within the seal anchor member.