Abstract: A method to stop bleeding at a puncture site of an artery on a wrist of a patient comprises wrapping a flexible band of a hemostatic device around the wrist of the patient, wherein the hemostatic device also includes a curved plate, a balloon and a marker used to position the balloon at the puncture site, and wherein the flexible band, the curved plate and the balloon are substantially transparent. The wrapping of the flexible band around the wrist of the patient involves wrapping the flexible band around the wrist of the patient while the balloon is in an uninflated state. The wrapping can also take place while an introducer sheath is in place at the puncture site. The method also involves using the marker to position balloon relative to the puncture site such that the balloon overlies the puncture site, introducing a fluid into the balloon and inflating the balloon, and maintaining inflation of the balloon and compression against the puncture site.

Abstract: An item of graduated compression hosiery additionally comprises a compression panel adapted to provide targeted compression of one or more of the sites for perforating vein communication between the superficial and deeper vein systems in the lower leg.

Abstract: Methods and devices are provided for providing access through tissue to a surgical site. A surgical access device can be configured to be positioned in tissue to provide access through a working channel of the access device to a body cavity underlying the tissue. The access device can include a sealing element positioned at least partially within the working channel. The sealing element can be formed of a puncturable self-sealing material such as a gel and/or a foam configured to provide a channel seal that seals the working channel when no instrument is inserted through the sealing element and configured to provide an instrument seal that provides a seal around one or more surgical instruments inserted through the sealing element.

Abstract: A system includes a sensor, a controller and an actuator. The sensor is configured to provide a signal corresponding to pressure in a vascular system. The controller is configured to receive the signal and generate an output. The actuator is coupled to the controller and configured to modulate an element of the vascular system based on the pressure.

Abstract: Provided are a skin patch sheet including a carrier sheet, an adhesive patch and a release liner laminated in this order, in which (a) the adhesive patch includes two layers, namely, a backing and an adhesive layer having the same shape; (b) the carrier sheet is adjacent to the backing of the adhesive patch; (c) the skin patch sheet includes a grip section and a body section; (d) in the body section or the body section and grip section, the area of the release liner is larger than the area of the adhesive patch; (e) the boundary between the grip section and the body section is a slit line formed by a slit; and (f) the slit extends from the side of the release liner, penetrating into the adhesive patch, up to a depth in the range of greater than or equal to 20% and less than 50% of the thickness on the adhesive patch side of the carrier sheet; a skin patch sheet in which plural sheets of adhesive patches on which carrier sheets are laminated are formed in a parallel arrangement on a release liner; use of the s

Abstract: A pain controlling device includes a pair of housings, each having a jaw at one end and a handle at the other end. The jaws, which are held together a resilient coupling connecting the housings, may be separated by squeezing the handles together. Each of the housings includes a source of mechanical vibration that can be turned on to control pain in an extremity that is clamped between the jaws, such as in a finger from which a blood sample is to be taken.

Abstract: A device to compress the limb of a living being includes a user interface, a programmable logic controller, a power source, a source of fluidic pressure, valves with ports in fluidic connection with the source of fluidic pressure, other valves, and a first and second inflatable bladders, wherein the programmable logic controller is programmed to cause the repeating sequence of inflating the first inflatable bladder by manipulating the ports of the valves, after a first preset period of time, deflating the first inflatable bladder and allowing the pressure within the first inflatable bladder to inflate partially the second inflatable bladder by manipulating the ports of the valves. The source of fluidic pressure can be a self-contained pump, a connection to fluidic pressure in a health care facility, or a pressurized canister. The power source can be a battery. The device may extend the life of the power source.

Abstract: An ABPI measurement system includes two cuffs for each ankle and two cuffs for each arm of a patient. Each cuff has chambers. The four cuffs are applied to each limb (or finger or toe), each chamber is inflated simultaneously to a pressure until a Pneumo Arterial Plethysmography (PAPG) signal related to the arterial flow in the limb is detected at the chambers. The chambers are then simultaneously inflated until the PAPG signals are extinguished in each limb, the inflation of chambers continuing for 10 mmHg to 20 mmHg above that pressure. The chambers are then deflated and the pressure at which the PAPG signal returns in the first chamber is recorded for each limb and this value of the pressure is used to calculate the ABPI. The ABPI is displayed or sent to a remote site.

Abstract: In various embodiments of the invention, an electro-vacuum pump can be used either as a stand alone unit to create, monitor and control a vacuum or to maintain, assist or as a back up for a hand operated pump in a variety of surgical procedures. The vacuum pump is controlled by a processor and is automatically activated when the vacuum is below a pre-selected parameter or a parameter selected on the fly by the surgeon. Visual or audio feedback is used to allow the surgeon increased control of the vacuum device while carrying out the surgical procedure.

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: I, Regina D'Andrea, hereby submit this application to patent the Bilateral Wound Compress. A bilateral wound compress is designed to apply constant pressure to a wound. The Bilateral Wound Compress consists of two blocks screwed together with the wounded body part in between.

Abstract: Devices, bandages, kits and methods are described that can control or regulate the mechanical environment of a wound to ameliorate scar and/or keloid formation. The mechanical environment of a wound includes stress, strain, and any combination of stress and strain. The control of a wound's mechanical environment can be active, passive, dynamic, or static. The devices are configured to be removably secured to a skin surface in proximity to the wound site and shield the wound from endogenous and/or exogenous stress.

Abstract: A device and a method are disclosed for positioning a body part (16) on an analytical device (14) for body fluids includes a flexible compression element (24) for pressing against the body part (16) while increasing the pressure and a rigid support part (26) to hold the compression element (24) on a housing (12) of the analytical device (14). The compression element (24) has an engaging member (34) for the body part (16) which can be pressed into the housing (12) such that a withdrawal region (56) of the body part (16) is exposed in the interior (18) of the housing (12) in order to remove liquid.

Abstract: An apparatus is disclosed including but not limited to a group of force resistive objects for concurrently applying pressure to different positions on at least one of a plurality of human tissues; and a connective member for fixedly interconnecting the plurality of force resistive objects. A method for using the apparatus is also disclosed.

Abstract: A sphygmomanometer cuff is provided for measuring the blood pressure over a blood vessel. The sphygmomanometer cuff has at least one inflatable cuff part (3), which can be filled with a fluid for exerting pressure on the blood vessel, wherein the inflatable cuff part (3) has different widths at at least two points (I, II) along its longitudinal direction.

Abstract: Devices and methods are disclosed for achieving hemostasis in patients who have received skin-penetrating wounds to the body in regions such as the shoulder, pelvis, neck, or groin, where standard bandages are difficult to apply and where large blood vessels exist which can hemorrhage severely. Such haemostatic packing devices and methods are especially useful in the emergency, trauma surgery, or military setting. The devices utilize packing pillows that are held in place by rigid structures that can cause the packing pillows to be brought into the wounds and be held in place while the packing pillows are inflated to fill the wounds, prevent bleeding, and tamponade hemorrhaging large blood vessels exposed therein.

Abstract: Wound closure apparatus is provided including a body having an elongated, lowermost force-transmitting surface operable to be placed in a proximal, external, wound-closing position on a patient, together with a force-exerting assembly coupled with the body and operable to exert a downwardly directed force serving to generate wound-closing pressure against the patient's tissue. The force-transmitting surface is preferably three-dimensionally asymmetric so that forces of different magnitude are exerted at different locations along the length of the surface. The apparatus is especially designed for the closure of wounds attendant to endovascular interventions, e.g., a femoral artery puncture wound incident to percutaneous cardiac intervention (PCI), and is capable of quickly effecting wound closure with a time-to-ambulation (TTA) of approximately 60 minutes, and with a very low complication rate.

Abstract: A radial artery compression device configured to be secured to a wrist or other portion of a patient to provide adjustable and consistent compression pressure in the area of a radial artery access site or other physiological portion of a patient to achieve hemostasis either during or after a medical procedure such as a percutaneous coronary procedure. The radial artery compression device includes a rotatable member and a compression pad adapted such that rotation of the rotatable member does not affect the rotational orientation of the compression pad. According to one embodiment of the present invention, a single rotation of the rotatable member results in complete extension or retraction of the radial artery compression device. According to another embodiment of the present invention, the rotation of the rotatable member results in a compounding of the extension or retraction of the compression pad relative to the body of the radial artery compression device.

Abstract: A tourniquet assembly includes a strap and a windlass crank attached to a windlass cord that forms a loop that is slidably engaged with anchors that are attached to the main strap. During use, the crank is rotated, causing the windlass cord to twist. This effectively shortens the length of the windlass cord which also pulls the anchors inwardly, thereby causing a similar shortening of the main strap between the anchors and enabling the strap to be used for use as a tourniquet.

Abstract: A retractor for use in laparoscopic procedures includes an upper retractor ring, a lower retractor ring, and a retractor sheath extending between the upper retractor ring and the lower retractor ring to form a tubular passageway through which instruments or a medical practitioner's hands may pass during a medical procedure. The retractor sheath includes an elliptical passageway extending between lower retractor ring and the upper retractor ring.

Abstract: A procedure and a medical kit for removing a ring from a swollen finger are described. The kit includes a panel set, a compression tape, and a compression tape puller. The panel set encircles the swollen finger with a cylindrical assembly that decreases in diameter when wrapped by said compression tape, forcing excess fluid from said swollen finger back into the hand. Swelling is thereby reduced allowing for removal of the ring.

Abstract: The nosebleed treatment apparatus features a pair of pliable mirror image nose pads comprising a first nose pad and a second nose pad. A gel pack is disposed within each nose pad. Each gel pack has a first side spaced apart from a second side. The first side is adjacent to an inner surface of the medial pad section. The second side is disposed within the lateral pad section. A smooth shouldered reinforcement member is disposed atop each nose pad. A U-shaped oblong tensing member connects the first nose pad to the second nose pad at each reinforcement member. The apparatus can be placed in a freezer or cooler for extended cool retention within the gel packs when removed. Upon removal, the apparatus is placed on a bleeding nose and remains until removed, so that a patient need not hold it in place.

Abstract: A surgical apparatus and method for triangulation is disclosed which includes a housing, a rod extending through the housing and a plate attached to a distal end of the rod. The housing is adapted for sealed insertion into an incision in tissue and defines a longitudinal axis. The plate is rotatable about the longitudinal axis upon rotation of the rod and includes a plurality of slots dimensioned for the reception of surgical objects therethrough. Each of the slots is adapted to transition a surgical object between a first position and a second position upon rotation of the plate. The plate is movable relative to the housing along the longitudinal axis upon actuation of the rod in an axial direction and the plate may also be removably attachable to a distal end of the housing.

Abstract: Wound closure apparatus is provided including a body having an elongated, lowermost force-transmitting surface operable to be placed in a proximal, external, wound-closing position on a patient, together with a force-exerting assembly coupled with the body and operable to exert a downwardly directed force serving to generate wound-closing pressure against the patient's tissue. The force-transmitting surface is preferably three-dimensionally asymmetric so that forces of different magnitude are exerted at different locations along the length of the surface. The apparatus is especially designed for the closure of wounds attendant to endovascular interventions, e.g., a femoral artery puncture wound incident to percutaneous cardiac intervention (PCI), and is capable of quickly effecting wound closure with a time-to-ambulation (TTA) of approximately 60 minutes, and with a very low complication rate.

Abstract: A chiller is coupled to a plurality of cuffs suitable for application to extremities of a human subject, each cuff having an outer support belt with an adjustable diameter and an inner bladder having an inlet port and an outlet port. The bladder has one surface constrained by the support belt and an opposite surface for application of pressure and cooling to an enclosed human extremity. The plurality of cuffs are connected to the cooler with a series of outlet ports and inlet ports such that the chiller causes the cuffs to be pressurized with a coolant which provides vascular restriction and cooling to increase the formation of human growth hormone.

Abstract: Devices, kits and methods described herein may be for wound healing, including but not limited to the treatment, amelioration, or prevention of scars and/or keloids. The packaging, manipulation elements, applicator and/or tensioning device maybe used to apply and/or maintain a strain in an elastic dressing.

Abstract: The methods, procedures, kits, and devices described herein assist with the healing process of tissue that was previously or simultaneously treated for a therapeutic or cosmetic effect. The methods, procedures, kits, and devices described herein can also provide temporary simulated results of a cosmetic procedure to allow for visual assessment to select the type of procedure or for treatment planning in advance of the surgical procedure.

Abstract: A femoral compression device (11) for compressing a femoral artery (12) of a patient, having a base plate (13) provided with two opposing extensions, each of the two opposing extensions having a member for affixing a belt (14), which is adapted to be arranged around a patient's body, an inflatable air cushion (15), provided with a back plate (19), for compressive bearing against a puncture site, and a pump (16) connected to the inflatable air cushion for inflation of the air cushion. The femoral compression device further comprises a spacer (18) having a height and being adapted to be mounted between the inflatable air cushion and the base plate.

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: A first embodiment can be a device comprising a means to reduce SLOSH energy absorption in a fluid containing organism by reducing the flow of one or more outflow vessels of the cranium by compressing said vessels.

Abstract: A compression stocking includes a foot portion that is adapted to matingly removably receive at least a portion of a foot. A closable and openable leg portion extends upwardly from a top of the foot portion, is adapted to removably receive at least a portion of a corresponding leg, and defines adjoining edges of the leg portion. A fastening device extends a length of the leg portion and is adapted to fasten the adjoining edges to and unfasten the adjoining edges from each other and, in turn, close and open the leg portion. In this way, the compression stocking can secure and apply continuous pressure to the foot and leg.

Abstract: A method of treating a body limb by applying pressure to the limb using a flexible sheet having a plurality of successively connected inflatable chambers.

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 blepharoplasty device includes a handle member, an elongate, curved first jaw member coupled to the handle member and having a first tissue contacting surface, and an elongate, curved second jaw member coupled to the handle member and having a second tissue contacting surface. The first and second jaw members are moveable relative to one another between a closed position and an open position to capture eyelid tissue and facilitate the cutting and subsequent reattachment of the eyelid tissue.

Abstract: A compression apparatus having a tension device configured to be secured relative to a work area. A compression member is adjustably coupled to the tension device. The compression member having a contact surface configured to apply pressure relative to an anatomical location.

Abstract: A plurality of structures that resiliently attract one another are provided for implanting in a patient around a body tissue structure of the patient. For example, the body tissue structure may be the esophagus, and the plurality of structures may be implanted in an annulus around the outside of the esophagus, the annulus being substantially coaxial with the esophagus. The attraction may be between annularly adjacent ones of the structures in the annulus, and it may be provided, for example, by magnets or springs. The array of structures is preferably self-limiting with respect to the smallest area that it can encompass, and this smallest area is preferably large enough to prevent the apparatus from applying excessive pressure to tissue passing through that area.

Abstract: The present invention relates to a wrinkle-removing apparatus. When the wrinkle removing apparatus of the present invention adopting a vacuum suction system is tightly applied to the shallow wrinkles on a forehead or to deep wrinkles, a vacuum is created by means of the elasticity of the wrinkle-removing apparatus, in order to strongly suck and pull wrinkles outwardly from the skin. Repeated use of the apparatus with the above-described condition enables a substance such as subcutaneous fat or collagen to replace the wrinkles at the back surface of the wrinkled skin when wrinkles are pulled outwardly from the skin, and finally, skin wrinkles are removed even when the apparatus is no longer used.

Abstract: Devices, methods for treatment of obesity, as well as instruments and tools used in placing, adjusting and maintaining devices for treatment of obesity. Various embodiments of devices that are implanted extra-gastrically are provided. Various embodiments of devices that are implanted intra-gastrically are provided. Methods include laparoscopic, percutaneous and/or trans-oral methods. Alternatively, devices describe can generally also be implanted by open surgical procedures.

Abstract: Devices, bandages, kits and methods are described that can control or regulate the mechanical environment of a wound to ameliorate scar and/or keloid formation. The mechanical environment of a wound includes stress, strain, and any combination of stress and strain. The control of a wound's mechanical environment can be active, passive, dynamic, or static. The devices are configured to be removably secured to a skin surface in proximity to the wound site and shield the wound from endogenous and/or exogenous stress.

Abstract: The vein holder has an upright wall forming a central opening. The central opening is large enough to allow easy access by a needle. A bottom flange extends outwardly from the wall and rests against the patient's skin. It is the bottom surface of the flange 14 which holds the skin tight to prevent movement of the vein relative to the skin. In addition, pressure applied by the vein holder closes the vein at an end away from the syringe opening.

Abstract: Disrupting tissue and devices and systems for disrupting tissue. The disclosure describes ways to deliver moieties to a target tissue, where the target tissue in general is not at the point of introduction, in such a way that minimal damage is produced in the tissue at the point of introduction. In some embodiments this is accomplished by jetting fluid at high velocity into the target tissue. The disclosure further describes novel agents deliverable in such systems for use in remodeling tissues. Some of these agents comprise a liquid while others do not. Additionally, although not specifically described in detail much of the disclosure may additionally be used in the delivery of therapeutic drugs.

Abstract: A clamp apparatus is particularly configured for controlling bleeding by applying localized pressure to a wound site without strangulating the body member. A restraint supports the body member and inhibits bending thereof. A clear pressure pad having a protuberance is applied to the wound site. The protuberance may include a magnifying lens to magnify the wound site. Slots may be formed in the protuberance and a backing and aligned to receive a needle so that the transparent, magnifying pressure pad may be applied to a patient while undergoing an injective procedure, e.g., angiography. A pressure source provides force to the pressure pad. Strangulation is either prevented by wrapping an inflatable pressure cuff around the restraint or facilitated by wrapping the cuff directly around the body member without a restraint. An inflatable pressure pad is also provided to be applied to a wound site without a restraint.

Abstract: Devices, bandages, kits and methods are described that can control or regulate the mechanical environment of a wound to ameliorate scar and/or keloid formation. The mechanical environment of a wound includes stress, strain, and any combination of stress and strain. The control of a wound's mechanical environment can be active, passive, dynamic, or static. The devices are configured to be removably secured to a skin surface in proximity to the wound site and shield the wound from endogenous and/or exogenous stress.

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: An integrated wound dressing system and method including a bandage and a self-contained receptacle that stores treatment material for the care and treatment of wounds. The treatment material is easily accessible and can be removed from the receptacle through an exit. The treatment material can then be used to control bleeding and/or clean the wound before dressing. The bandage may include a layer of plastic that acts as an occlusion barrier to reduce heat loss and maintain moisture levels at the wound site. The occlusion barrier also acts to prevent the passage of air into or out of the wound site. The bandage also includes fasteners that act to prevent unintentional unraveling and to secure the bandage during final packaging. These fasteners help facilitate the wrapping of amputations, stumps, and extremities. The integrated wound dressing system provides an all-in-one system for treating and dressing wounds and reduces the time required to do so.

Abstract: A compression garment for providing compression therapy to a body part. The garment includes a flexible wrap and a bladder held by the wrap for compressing the body part. The garment also includes a fastener for holding the wrap on the body part in a self-retaining configuration. A grip is provided to facilitate tightening of the wrap on the body part. In one embodiment, the grip comprises an opening in the wrap sized and shaped for receiving a finger of a user.

Abstract: The subject invention includes devices for providing therapeutic pressure to a treatment site. The devices include a bladder portion and a dressing portion. The bladder portion has opposed upper and lower exterior walls sealed to one another along common peripheral edges thereof to form an interior pressure chamber therebetween, without a lip or flange extending around the perimeter of the peripheral edge. The dressing portion is integrated with the bladder portion or detachably provided so that none of the bladder material comes into contact with the patient's skin at the treatment site. The interior pressure chamber of the bladder portion may have a number of configurations and serves as a bolster for the dressing portion, used to aid in the healing process of the wound.

Abstract: The present invention provides a portable device for enhancing circulation in a limb comprising at least one strap for encircling the limb, a motor and a mechanism driven by said motor for intermittently actuating a first transition from a relaxed state to a strained state of the strap and a second transition from the strained state to the relaxed state. The mechanism includes at least one energy storing element operatively disposed between the motor and the strap and at least one energy releasing mechanism coupling between the energy storing element and the strap. The energy releasing mechanism enables fast release of energy stored in said storing element and the use of the energy so released to effectuate at least one abrupt transition between said relaxed and strained states.

Abstract: A novel method for soft tissue characterization includes obtaining a sequence of surface stress patterns as a function of an increasing compression force when a probe is pressed against the tissue over the location of the lesion of interest. A number of elasticity features are then calculated to characterize the tissue and the lesion located therein including strain hardening, loading curve average slope, lesion peak signal under a predetermined load, tissue heterogeneity, lesion shape and lesion mobility. At least three elasticity features are provided as an input to a statistical Bayesian classifier trained on a clinical database to calculate the probability of the lesion being benign or malignant. Additional patient-related parameters may be further provided as inputs to the classifier to increase the accuracy of differentiation between benign and malignant lesions.

Abstract: A compression garment having first and second sections includes a stay up device for supporting the compression garment in position on the body. The stay up device is constructed to operatively engage a portion of the body to positively locate the stay up device, and thereby the garment relative to the body.