48th week of 2014 patent applcation highlights part 56 |
Patent application number | Title | Published |
20140350537 | CRYOGENIC SYSTEM AND METHODS - Embodiments of the present invention relate to cryogenic systems and methods useful to cool objects, including living tissue, to freezing or cryogenic temperatures by placing the object in thermal communication with sub-cooled supercritical nitrogen. | 2014-11-27 |
20140350538 | COIL-INTEGRATED PAD ASSEMBLY AND AN ELECTROMAGNETIC HYPERTHERMIA SYSTEM INCLUDING THE SAME - A coil-integrated pad assembly for inductively heating a hyperthermia needle device includes a barrier pad and an electromagnetic unit. The barrier pad is adapted to be inserted into a patient's body and to be placed between the hyperthermia needle device and a non-target tissue of the patient's body when the hyperthermia needle device penetrates a target tissue. The electromagnetic unit has a coil that is at least partially disposed in the barrier pad and that is electrifiable to generate a magnetic field sufficient to inductively heat the hyperthermia needle device. | 2014-11-27 |
20140350539 | THERAPEUTIC APPARATUS FOR SONICATING A MOVING TARGET - A therapeutic apparatus ( | 2014-11-27 |
20140350540 | HIGH-FREQUENCY ELECTROSURGICAL TREATMENT INSTRUMENT FOR OPERATIONS AND HIGH-FREQUENCY ELECTROSURGICAL SYSTEM FOR OPERATIONS - A high-frequency electrosurgical treatment instrument for operations, includes a pair of forceps pieces, an insulating member, a transmission member, a manipulation rod member, a distal end cover member, a shaft member and a manipulation portion. The instrument, includes a flow channel portion formed between the manipulation rod member and the shaft member, the flow channel portion being disposed along a longitudinal direction of the manipulation rod member to allow liquid to flow; a groove portion that communicates with the flow channel portion to allow the liquid to flow from the flow channel portion; and an opening portion that communicates with the groove portion to supply the liquid near the proximal end portions of the pair of forceps pieces. | 2014-11-27 |
20140350541 | CONTROL AND DELIVERY OF ELECTRIC FIELDS VIA AN ELECTRODE ARRAY - A method of controlling electric fields created by a plurality of electrodes. The method includes repetitively applying multiple sets of voltages to at least some of a plurality of electrodes over a treatment period to achieve and maintain a target temperature, the at least some of the electrodes being treatment electrodes. The sets of voltages may be in patterns such that a unique current pattern between electrodes is created for each set of voltages, resulting in temperature averaging. The voltage at each electrode may be determined based on a temperature of an adjacent electrode. The voltage at each electrode may also or alternatively be determined based on an estimated voltage at the electrode. | 2014-11-27 |
20140350542 | METHODS AND SYSTEMS FOR USE IN CONTROLLING TISSUE ABLATION VOLUME BY TEMPERATURE MONITORING - This invention relates to medical methods, instruments and systems for creating a controlled lesion using temperature to control the growth of the lesion. The treatment can be used in any tissue area and is particularly useful in or around a vertebral body. The features relating to the methods and devices described herein can be applied in any region of soft or hard tissue including bone or hard tissue. | 2014-11-27 |
20140350543 | IMPEDANCE COMPUTATION FOR ABLATION THERAPY - This disclosure describes impedance computation techniques that may reduce the effect of crosstalk, thus generating more accurate impedance measurements. In particular, an ablation system models the electrical interaction among the active electrodes and a common return electrode using a star-configuration resistor model. The ablation system computes one or more parameters of the star-configuration resistor model and adjusts the therapy based on at least the computed parameters of the star-configuration resistor model. | 2014-11-27 |
20140350544 | REMOVABLE INK FOR SURGICAL INSTRUMENT - The present disclosure relates to an apparatus and method for preventing reuse of a surgical instrument. The single-use surgical instrument includes a housing, an electrical connector and a treatment component. Indicia may be printed on the housing, the electrical connector and/or the treatment component. A removable ink is applied to any portion of the surgical instrument in the form of indicia that is readable by a scanning device. The removable ink includes a protein-based composition that is reactivateable with a sterilization solution having an enzyme-based composition such that upon sterilization, the removable ink reacts with the sterilizing solution and becomes unreadable by the scanning device. | 2014-11-27 |
20140350545 | INDUCTIVE POWERED SURGICAL DEVICE WITH WIRELESS CONTROL - A system and method for wirelessly powering an electrosurgical device using a generator to generate a radio frequency (RF) energy field. A switch on the electrosurgical device sends a wireless signal to the generator, where the generator allows a current to pass through an inductive coil to generate the RF energy field. The RF energy field induces a current to flow across an inductive coil within the electrosurgical device. The current flow is then processed through a RF conditioning circuit and outputted to the end effector assembly of the device. | 2014-11-27 |
20140350546 | SYSTEM AND METHOD FOR RETURN ELECTRODE MONITORING - A system for determining probability of tissue damage includes a plurality of return electrodes adhered to a patient and adapted to couple to an electrosurgical generator configured to generate an electrosurgical current. The system also includes a current monitor and a switching component connected in series with each of the plurality of the return electrodes. The current monitor is configured to measure the electrosurgical current passing therethrough. The system further includes a processor coupled to each of the current monitors and the switching components. The processor is configured to determine the balance of a current load among the plurality of the return electrodes and configured to control each of the switching components to adjust the current passing through each of the return electrodes to balance the current load. | 2014-11-27 |
20140350547 | CATHETER WITH OMNI-DIRECTIONAL OPTICAL LESION EVALUATION - A catheter is adapted to ablate tissue and provide lesion qualitative information on a real time basis, having an ablation tip section with a generally omni-directional light diffusion chamber with one openings to allow light energy in the chamber to radiate the tissue and return to the chamber. The chamber is irrigated at a positive pressure differential to continuously flush the opening with fluid. The light energy returning to the chamber from the tissue conveys a tissue parameter, including without limitation, lesion formation, depth of penetration of lesion, cross-sectional area of lesion, formation of char during ablation, recognition of char during ablation, recognition of char from non-charred tissue, formation of coagulum around the ablation site, differentiation of coagulated from non-coagulated blood, differentiation of ablated from healthy tissue, tissue proximity, and recognition of steam formation in the tissue for prevention of steam pop. | 2014-11-27 |
20140350548 | Coagulation Device Comprising an Energy Control | 2014-11-27 |
20140350549 | TFT COAGULATION SAFEGUARD - A medical TFT instrument of the bipolar design includes at least two electrodes held by electrode carriers movable relative to each other which can be charged with HF current via a respective feed line. A safety switch mechanism arranged in the area of the electrode carriers and interconnected in at least one of the feed lines is additionally provided which, upon transfer of at least one of the electrode carriers into the out-of-function/situation, is brought into an OFF or disconnect position, whereby a HF current supply to the electrode associated with this feed line is disconnected. | 2014-11-27 |
20140350550 | CONFIGURABLE CONTROL HANDLE FOR CATHETERS AND OTHER SURGICAL TOOL - A control handle for a surgical tool, e.g., an irrigated ablation catheter for use with a fluid side arm, has a housing defining an interior cavity and having a port through which the component can extend into the interior cavity. The housing has a detachable plug covering at least a portion of the port and being at least partially surrounded by a recessed groove to facilitate detachment of the plug from the housing. The recessed groove may be formed on an outer surface of the housing and there may be a second recessed groove on an inner surface of the housing generally tracing the first groove. The plug may also include a hinge to allow the plug to be arranged at an angled position relative to the housing without being fully detached from the housing. | 2014-11-27 |
20140350551 | ELECTRODE ASSEMBLY FOR CATHETER SYSTEM - In an electrode assembly for a catheter system, a plurality of struts each extend from a proximal end to a distal end of the electrode assembly. Each strut spirals about the longitudinal axis of the electrode assembly and has a corresponding electrode disposed thereon. The electrode assembly is configurable between a collapsed configuration and an expanded configuration, with the electrodes being transversely spaced from the longitudinal axis of the electrode assembly a greater distance in the expanded configuration than in the collapsed configuration. In the expanded configuration the electrodes are transversely equally spaced from the longitudinal axis of the electrode assembly. In other aspects, at least one asymmetric element is provided on the electrode assembly to facilitate symmetric expansion about the longitudinal axis of the assembly. In another aspect, the electrode assembly is a single coil that winds about the longitudinal axis of the assembly. | 2014-11-27 |
20140350552 | CATHETER WITH MULTIPLE ELECTRODE ASSEMBLIES FOR USE AT OR NEAR TUBULAR REGIONS OF THE HEART - A catheter with ablation and potential sensing capabilities is adapted for outer circumferential contact with an opening of a tubular region and inner circumferential contact within the tubular region. The catheter has a proximal electrode assembly and a distal electrode assembly for ablation of an ostium and potential sensing inside the pulmonary vein so that it is possible to obtain ECG signals inside a pulmonary vein when ablating around the ostium. The distal electrode assembly has an elongated member defining a longitudinal axis and a plurality of spines surrounding the member and converging at their proximal and distal ends, where each spine has at least one electrode and a curvature so that the spine bows radially outwardly from the member. The proximal electrode assembly has a proximal electrode assembly has an elongated member configured with a generally radial portion and a generally circular portion generally transverse to the catheter axis, where the generally circular portion comprising a plurality of electrodes. The control handle advantageously allows a user to manipulate a tensile member for changing the curvature of the spine. | 2014-11-27 |
20140350553 | RENAL ARTERY ABLATION CATHETER AND SYSTEM - Provided is a catheter ( | 2014-11-27 |
20140350554 | CAPSULOTOMY DEVICE - A surgical device and procedure for accessing tissue to perform microsurgery, including a capsulotomy of a lens capsule of an eye. The device includes a handpiece with a tip for insertion into an incision. A sliding element is disposed within the handpiece and a suction cup is mounted to the sliding element. The sliding element can be translated to move the suction cup into and out of the handpiece. A compression mechanism associated with the suction cup and the handpiece compresses the suction cup for deployment through the tip of the handpiece. The suction cup can expand inside the anterior chamber into a cutting position. A cutting element mounted to the suction cup is used to cut a portion and to remove the portion. The cutting element may be mounted to a cutting element support structure in a way that prevents heating of the device. | 2014-11-27 |
20140350555 | SUCTION COAGULATOR - An electrosurgical suction coagulator includes a housing having proximal and distal ends and an elongated tube-like shaft extending longitudinally from the distal end of the housing. The elongated tube-like shaft includes a tube-like dielectric sheath, a tube-like conductor, and an external insulator. The tube-like conductor is disposed coaxially through the tube-like dielectric sheath. The distal end of the tube-like conductor protrudes at least partially from the distal end of the tube-like dielectric sheath. The external insulator is disposed coaxially around the tube-like dielectric sheath. The external insulator extends from about the proximal end of the dielectric sheath to about the distal end of the dielectric sheath. | 2014-11-27 |
20140350556 | BIFURCATED SHAFT FOR SURGICAL INSTRUMENT - A surgical instrument includes a shaft having a proximal end and a bifurcated distal end defining a first shaft portion and a second shaft portion. An end effector assembly is disposed at the distal end of the shaft and includes first and second jaw members. One (or both) of the jaw members is moveable relative to the other between an open position and a closed position for grasping tissue therebetween. Each of the jaw members defines an opposed jaw surface and is independently coupled to one of the first and second shaft portions. The first and second shaft portions are configured to flex relative to one another during movement of the jaw members to the closed position to grasp tissue therebetween such that the opposed jaw surfaces of the jaw members are disposed in substantially parallel orientation relative to one another when grasping tissue therebetween. | 2014-11-27 |
20140350557 | EXTERNAL FIXATOR SYSTEM - An external fixator system comprising at least two fixation plates which are arranged at a distance to each another, at least one adjustable length strut having a first end region and a second end region which are in connection with the fixation plates and at least one actuation unit to adjust the length of the strut in order to adjust the distance and/or orientation between the fixation plates. The actuation unit is in a fixed connection with at least one of the fixation plates as well as with at least one of the end regions of the respective strut in order to connect the strut with the fixation plate. The actuation unit comprises a feedback unit which provides the user with a feedback concerning the degree of the actuation. | 2014-11-27 |
20140350558 | EXTERNAL FIXATION - External fixation systems, and methods for immobilizing joints or fractured bones. An external fixation system may include one or more clamp assemblies connected to one or more rod assemblies at polyaxial joints. Each rod assembly may be length adjustable, and may include a one-way locking mechanism to provisionally lock the length of the rod assembly, and additional locking mechanisms to permanently lock the length of the rod assembly. The system may be deployed pre-assembled as a unit to immobilize a joint or fracture. Another external fixation system further includes a spanning member extending transverse to the rod assemblies. Two or more external fixation systems may be deployed in a stacked configuration on one set of bone pins to immobilize two joints and/or fractures. The systems may be provided in kits including guiding instrumentation, bone pins and pin clamping assemblies for connecting the bone pins to the external fixation systems. | 2014-11-27 |
20140350559 | ORTHOPEDIC IMPLANT AUGMENTS - Systems, methods, and devices are described for providing orthopedic implant augments having fastener locking mechanisms. The augments include a surface for mating with an implant component and a surface for interfacing with a patient's bone. The fastener locking mechanisms are aligned such that the augment may be locked in a variety of orientations while maintaining close contact with both an implant and a patient's bone. The alignment of the locking mechanisms provides variability and adjustability to the augment to address a variety of bone anatomies and requirements. | 2014-11-27 |
20140350560 | INTERVERTEBRAL DISC REPLACEMENT AND ASSOCIATED INSTRUMENTATION - An endplate for an intervertebral prosthesis includes an inner domed region and a peripheral rim wherein the inner domed region has a non-circular plan and has an area that is at least 50% of the area of the endplate. A surgical instrument for milling a recess in a vertebral endplate includes a cutting tool having a drive shaft with a positioning collar, a guard frame, and a pair of guide plates attached to the guard frame and spaced to confine the positioning collar and having guide slots for the drive shaft. | 2014-11-27 |
20140350561 | BONE IMPLANTS AND CUTTING APPARATUSES AND METHODS - Reamer sleeves, reamer assemblies, and methods of assembling the reamer assemblies are disclosed. The reamer sleeves include a base portion with a top surface and a bottom surface and a securement mechanism extending away from the top surface of the base portion. The securement mechanism includes an opening, at least one engagement member adjacent the opening, and at least one engagement protrusion extending away from the engagement member into the opening. The opening extends through the securement mechanism to the bottom surface of the base portion. The bone reamer assembly including a reamer and a reamer sleeve removably coupled to the reamer. The reamer including a shaft with a first and second end, a cutting member coupled to the second end of the shaft, and a groove near the second end of the shaft. A method of assembling a hard tissue reamer assembly is also disclosed. | 2014-11-27 |
20140350562 | SURGICAL AIMER - The present disclosure relates to a surgical aimer including a shaft having a proximal portion and a distal portion and a handle coupled to the proximal portion of the shaft. The handle includes a mechanism for coupling the shaft to the handle and releasing the shaft from the handle. | 2014-11-27 |
20140350563 | Intragastric Balloon Retrieval Mechanisms - A mechanism for removing a fluid-filled object from a patient. The apparatus includes a deflation tube with a puncture member at one end of the tube for piercing a hole in the object wall. The apparatus includes a retrieval mechanism slidable within the deflation tube lumen. The retrieval mechanism includes an expansion element that is expandable when positioned within the object from a first configuration with a dimension less than that of the deflation tube lumen to a second or deployed configuration with a dimension that is greater than an outer dimension of the puncture member. The expansion element contacts an inner surface of the inflatable object as the deflation tube and retrieval mechanism are withdrawn from the body cavity. The expansion element may be a T-bar, a foldable anchor, an inflatable member, or another expandable form. | 2014-11-27 |
20140350564 | EXPANDABLE SUPPORT STRUCTURE AND OPERATIVE ELEMENT FOR DELIVERY THROUGH A WORKING CHANNEL - Methods, systems, and devices for providing treatment to a target site are described. The system may include a guide assembly, an expandable support device coupled with the distal end of the guide assembly, and an operative member disposed on the expandable support device. The expandable support device may be configured to transition between a collapsed and expanded configuration. The expandable support device may be supported by one or more flexible supports aligned in parallel with an axis about which the expandable support device collapses and/or multiple splines arranged in a pattern configured to promote transitioning of the expandable support device between an expanded and collapsed configuration. The guide assembly may be configured to provide torque to the expandable support device. The operative member can include multiple electrodes arranged in parallel to the axis about which the expandable support device collapses. | 2014-11-27 |
20140350565 | APPARATUS AND METHODS FOR DELIVERING DEVICES FOR REDUCING LEFT ATRIAL PRESSURE - A device for regulating blood pressure between a patient's left atrium and right atrium, and apparatus for delivery the device, are provided. The delivery apparatus may include one or more latching legs, a release ring, a pull chord, and a catheter wherein the latching legs are configured to engage the device for delivery. The inventive devices may reduce left atrial pressure and left ventricular end diastolic pressure, and may increase cardiac output, increase ejection fraction, relieve pulmonary congestion, and lower pulmonary artery pressure, among other benefits. The inventive devices may be used, for example, to treat subjects having heart failure, pulmonary congestion, or myocardial infarction, among other pathologies. | 2014-11-27 |
20140350566 | Device Combination for Connecting Hollow Organs (Anastomosis) - The invention relates to a surgical device ( | 2014-11-27 |
20140350567 | SELECTIVE TISSUE REMOVAL TOOL FOR USE IN MEDICAL APPLICATIONS AND METHODS FOR MAKING AND USING - The present disclosure relates generally to the field of tissue removal and more particularly to methods and devices for use in medical applications involving selective tissue removal. One exemplary method includes the steps of providing a tissue cutting instrument capable of distinguishing between target tissue to be removed and non-target tissue, urging the instrument against the target tissue and the non-target tissue, and allowing the instrument to cut the target tissue while automatically avoiding cutting of non-target tissue. Various tools for carrying out this method are also described. | 2014-11-27 |
20140350568 | GUIDE WIRE FOR USE WITH CARDIOVASCULAR LESIONS - A guide wire includes elements in a telescoping arrangement which impart stiffness to the guide wire for maneuverability in the tortious cardiac vessels. This arrangement also creates engagements between an inner shaft and the tip, that when released, result in a tip which can move outward with forces sufficient to penetrate a lesion in the coronary vessels. | 2014-11-27 |
20140350569 | MINIMALLY INVASIVE SURGICAL INSTRUMENT IMPLEMENTING A MOTOR - The present invention relates to a minimally invasive surgical instrument implementing a motor. According to one embodiment of the present invention, a minimally invasive surgical instrument comprises a shaft, an end effector connected to one end of the shaft, and a handle unit connected to the other end of the shaft. The handle unit includes a pair of linearly moving members, at least one rotating member for moving the pair of linear moving members away from each other in opposite directions, and a driving element for driving said at least one rotating member. The pair of linearly moving members operates the end effector in the pitch direction or in the yaw direction. | 2014-11-27 |
20140350570 | SURGICAL INSTRUMENT - Provided are surgical instruments, and more particularly, surgical instruments that may be manually operated to perform laparoscopic operations or various surgical operations. | 2014-11-27 |
20140350571 | ROBOTIC-ASSISTED DEVICE FOR POSITIONING A SURGICAL INSTRUMENT RELATIVE TO THE BODY OF A PATIENT - The robotic device for positioning a surgical instrument relative to the body of a patient includes a first robotic arm with a device for rigidly connecting to at least one surgical instrument, a device for anatomical realignment of the first arm by realigning an image that is of an area of the anatomy of the patient, and a device for compensating the movements of the first arm on the basis of detected movements. One version of the device includes at least one second robotic arm having sensors for detecting inner movements of the anatomical area, and a device for controlling the positioning of the first arm relative to sensed inner movements and to the outer movements induced in the second arm. | 2014-11-27 |
20140350572 | POSITIONING AND ORIENTATION OF SURGICAL TOOLS DURING PATIENT SPECIFIC PORT PLACEMENT - A positioning apparatus includes a first portion ( | 2014-11-27 |
20140350573 | FRICTION COMPENSATION IN A MINIMALLY INVASIVE SURGICAL APPARATUS - Devices, systems, and methods for compensate for friction within powered automatic systems, particularly for telesurgery and other telepresence applications. Dynamic friction compensation may comprise applying a continuous load in the direction of movement of a joint, and static friction compensation may comprise applying alternating loads in positive and negative joint actuation directions whenever the joint velocity reading falls within a low velocity range. | 2014-11-27 |
20140350574 | Methods, Systems, and Devices for Surgical Access and Procedures - The embodiments disclosed herein relate to various medical device components, including components that can be incorporated into robotic and/or in vivo medical devices. Certain embodiments include various actuation system embodiments, including fluid actuation systems, drive train actuation systems, and motorless actuation systems. Additional embodiments include a reversibly lockable tube that can provide access for a medical device to a patient's cavity and further provides a reversible rigidity or stability during operation of the device. Further embodiments include various operational components for medical devices, including medical device arm mechanisms that have both axial and rotational movement while maintaining a relatively compact structure. medical device winch components, medical device biopsy/stapler/clamp mechanisms, and medical device adjustable focus mechanisms. | 2014-11-27 |
20140350575 | HAIR REMOVAL SHEET - An apparatus for facilitating removal of wax from a subject in conjunction with a waxing process includes a contact member for positioning against soft wax applied to the skin of a subject. The contact member includes a main body segment defining a general longitudinal axis, and a tab segment coterminous with the main body segment. The main body segment has an outer periphery. At least the main body segment may comprise an absorbable material, e.g., a non-woven fabric or woven fabric such as muslin cloth, which is dimensioned and adapted to at least partially absorb the soft wax during hardening of the wax. The tab segment may define an outer periphery having a path deviating from a path defined by the outer periphery of the main body segment to present the tab segment for engagement by the user, to thereby facilitate removal of the contact member subsequent to hardening of the wax. | 2014-11-27 |
20140350576 | Apparatus and method for fascial closure device for laparoscopic trocar port site and surgery - A suture placement device is inserted into an endoscopic trocar port site. A pivot bar with a pair of receptor ports is moved from a folded to an extended position below the fascia. The trocar port is removed over the device as the pivot bar is pulled upward against the fascia. A pair of stylet guides are deployed from two sides of the device housing, and intercept the receptor ports, thereby creating a suture path through the first guide, through a channel in the pivot bar between the receptor ports, and through the second guide. A stylet is directed through the suture path to pull a suture through the path. The guides are refracted, the pivot bar is folded, the device is removed, and the suture is tied. A stylet guide may have a partially deployed position to accurately inject an anesthetic at a desired intra-muscular layer. | 2014-11-27 |
20140350577 | KNIT WITH ZONES WITHOUT BARBS, METHOD OF MAKING SAME AND PROSTHESES OBTAINED THEREFROM - The present invention relates to an openwork prosthetic knit ( | 2014-11-27 |
20140350578 | BARBED PROSTHETIC KNIT AND HERNIA REPAIR MESH MADE THEREFROM AS WELL AS PROCESS FOR MAKING SAID PROSTHETIC KNIT - The present invention relates to a prosthetic knit based on at least a first yarn of biocompatible polymer material defining first and second opposite and openwork faces, and on at least a second biocompatible and heat-fusible monofilament yarn, forming barbs that protrude outwards from at least said first face and are obtained by melting loops generated by said second yarn, the chart followed for the knitting of said first and second yarns on a warp knitting machine having three guide bars B | 2014-11-27 |
20140350579 | MEDICAL DEVICE FOR THE RECONSTRUCTION OF PARASTOMAL HERNIAS AND/OR FOR THE PREVENTION OF THEIR DEVELOPMENT; AS WELL AS A PROCEDURE FOR THE APPLICATION OF THE DEVICE - The invention relates to a medical device for the reconstruction of parastomal hernias and/or for the prevention of their development, which has sheets ( | 2014-11-27 |
20140350580 | HERNIA REPAIR DEVICE WITH CORE AND ADVANCED PRE-PERITONEAL DISK DEPLOYMENT - An implant to repair a hole in a muscle wall includes a flat mesh with a central resilient core which deforms to place the core in a hole in a muscle wall and then resiliently expands when released to urge against the perimeter of the hole, dynamically “riding” in the hole as the hole perimeter expands and contracts. Straps on the mesh are tunneled through tissue in the muscle wall containing the hole to hold the mesh with core in place. | 2014-11-27 |
20140350581 | TISSUE FASTNER PRODUCTION METHOD AND TISSUE FASTENER - A tissue fastener production method of clamping two living tissues together by bringing the two living tissues into close contact includes the following steps: fixing one end of a wire material made of a metal to a shaft body, and winding the wire material around an outer periphery of the shaft body while twisting the wire material round an axis of the wire material, thereby forming a coil on which a predetermined force is exerted in the winding direction; heat treating the wire material to impart superelasticity thereto; and deforming the wire material to which the superelasticity is imparted in a range in which the wire material is elastically deformable, and reversing the winding direction of the coil in a direction reverse to the winding direction of the coil wound in the step of forming the coil so as to obtain an initial tension corresponding to the predetermined force. | 2014-11-27 |
20140350582 | DEVICES, SYSTEMS AND METHODS FOR AN OSCILLATING CROWN DRIVE FOR ROTATIONAL ATHERECTOMY - The present invention is directed in various methods, devices and systems relating to rotational atherectomy. More specifically, an oscillating driver is connected to a drive shaft, or torque transfer tube, with abrasive element mounted thereon. The result provides a rotational working diameter for the rotating abrasive element that is larger than its resting diameter. Generally, the preferred abrasive element is concentric in profile and/or with center of mass collinear with the drive shaft's rotational axis. However, eccentric abrasive elements, both in terms of offsetting center of mass and/or geometric eccentricity may also be employed. | 2014-11-27 |
20140350583 | PNEUMATIC PRESSURE OUTPUT CONTROL BY DRIVE VALVE DUTY CYCLE CALIBRATION - In various embodiments, a surgical console may include a pneumatic valve to drive a pneumatic tool coupled to the surgical console. The console may further include a controller operable to control and adjust the valve open/close cycle times according to a valve duty cycle. The valve may switch between ports (valve open time for a first port and valve close time for a second port) such that a total valve time may approximately equal the valve open time plus the valve close time. The valve duty cycle may indicate a percentage of the total valve time for the controller to signal the valve to open and may include an adjustment that corresponds to a signal timing of the open and/or closed valve positions that will result in open and closed operating pressures above a predetermined threshold. | 2014-11-27 |
20140350584 | TISSUE AND BONE GRAFT REMOVAL DEVICE - The present invention discloses a rongeur type bone and cartilage removal device incorporating first and second pivotally secured handles, the first handle terminating at a forward end in a first jaw exhibiting a plurality of extending teeth, with second handle terminating in a second jaw opposing the first jaw and exhibiting a continuous blade edge against which the teeth seats during pivotal motion of the jaws. | 2014-11-27 |
20140350585 | Cartilage Repair System WIth Flexible Trephine - A system for repairing cartilage includes a trephine having a passage extending along a longitudinal axis of the trephine. The trephine has a distal end and a proximal end. The distal end includes a cutting member operable to cut a cartilage plug from a donor site. The passage is operable to receive the cartilage plug. Also, the trephine is flexible to selectively move between a first position in which the longitudinal axis is substantially linear and a second position in which the longitudinal axis is nonlinear. Moreover, the system includes a guide tool that is removably coupled to the trephine. The guide tool is operable to selectively move the trephine between the first and second positions. In addition, the system includes an ejector tool that ejects the cartilage plug from the passage toward a defect site. | 2014-11-27 |
20140350586 | LANCET HAVING ADJUSTABLE PENETRATION DEPTH - Lancet device including a first housing. A first guide wall is disposed within the first housing. The first guide wall includes an opening. A cap removably mounted to the first housing. A needle holding member for holding a lancet. At least a portion of the needle holding member being able to move within the opening. A first spring for biasing the needle holding member toward an extended position. The first spring surrounding a portion of the needle holding member and being disposed between the first guide wall and a shoulder of the needle holding member. A movable trigger having a first position and a second position. A movable second housing including a proximal end, a distal end and a second guide wall arranged at the proximal end. The second guide wall including an opening. A portion of the needle holding member being able to move within the opening of the second guide wall. The second housing being configured to move the needle holding member to the retracted position when the second housing is moved away from the first housing. The proximal end of the second housing being configured to move axially within the distal end of the first housing. A second spring for biasing the second housing towards the first housing. The second spring surrounding a portion of the needle holding member and being disposed between the second guide wall and another shoulder of the needle holding member. At least a portion of the needle holding member is always retained within the first housing. | 2014-11-27 |
20140350587 | FIDUCIAL DEPLOYMENT NEEDLE SYSTEM - Embodiments include a fiducial deployment system. A fiducial may include dimples to enhance echogenicity and/or to provide for engagement with a delivery cannula or stylet. The needle system may be configured to deliver a plurality of fiducials to a target location in serial fashion, one at a time, when the fiducials are coaxially disposed around a central deployment member that may be embodied as a delivery cannula or stylet. In certain embodiments, echogenic placement of fiducials may present certain advantages. An elongate structure may be included that is configured to distally advance fiducials along the deployment member. | 2014-11-27 |
20140350588 | OBSTRUCTION DEVICE - An obstruction device ( | 2014-11-27 |
20140350589 | Method and Device for the Intermittent Occlusion of the Coronary Sinus - In a method for intermittently occluding the coronary sinus, in which the coronary sinus is occluded using an occlusion device, the fluid pressure in the occluded coronary sinus is continuously measured and stored, the fluid pressure curve is determined as a function of time, and the occlusion of the coronary sinus is triggered and/or released as a function of at least one characteristic value derived from the measured pressure values. The pressure increase and/or pressure decrease per time unit each occurring at a heart beat are used as characteristic values. | 2014-11-27 |
20140350590 | ELONGATED EXPANDABLE MEMBER FOR OCCLUDING VARICOSE VEINS - Assemblies, kits, and methods for occluding a vascular vessel, such as a varicose vein, are disclosed. An assembly can include a removable inner member, a removable outer member, and an elongated expandable member positioned in a compressed form between portions of the inner and outer members. To facilitate their removal, one or both of the inner and outer members can include a handle coupled to a proximal end. The elongated expandable member can include a gelatin material or a collagen material that is configured, when wetted, to expand from a compressed first diametrical size to a second larger diametrical size within a time period of 5 minutes or less. At the second larger diametrical size, the gelatin or collagen material can occlude a vascular vessel for a period of at least 20 days without degrading. | 2014-11-27 |
20140350591 | STENT AND OTHER OBJECT REMOVAL FROM A BODY - This disclosure contains methods, devices, and systems for object removal from a body, including removal of a stent from a body. Some methods of the present disclosure include inflating a balloon on a catheter, engaging a stent with a socket defined by a surface of the balloon, the surface inwardly sloped toward a lumen of the catheter, and retracting a portion of the stent through the socket and into the lumen. The present disclosure also includes methods for making a catheter, including forming a balloon, inverting a portion of the balloon, and attaching the balloon to a catheter such that a surface of the balloon defines a socket that is inwardly sloped toward a lumen of the catheter. | 2014-11-27 |
20140350592 | SYSTEM AND METHOD FOR DELIVERING A LEFT ATRIAL APPENDAGE CONTAINMENT DEVICE - A device for containing emboli within a left atrial appendage of a patient includes a frame that is expandable from a reduced cross section to an enlarged cross section and a slider assembly. There is provided in accordance with various embodiments of the present invention methods of preventing retention anchors from projecting outside of the native diameter of the frame, thus facilitating recapture of the device. | 2014-11-27 |
20140350593 | RETRIEVAL SNARE DEVICE AND METHOD - The present invention relates generally to devices and methods for retrieving or manipulating objects within a lumen. More specifically, embodiments of the invention relate to devices and methods for retrieving or manipulating medical devices from a body lumen. One embodiment of the present invention provides a novel and improved retrieval snare and method of fabricating and using the same. The snare includes a snare wire, having a distal end and a proximal end, for use in the human anatomy, such as but not limited to blood vessels, pulmonary airways, reproductive anatomy, gastrointestinal anatomy, and organs such as the kidneys or lungs. The device enables a user to capture a foreign object located within the human anatomy, grasp said object in a controlled manner, and retrieve and remove said object from the human anatomy. | 2014-11-27 |
20140350594 | METHOD AND DEVICE FOR REDUCING AND PREVENTING SNORING AND SLEEP APNEA - A method and device of reducing and preventing snoring and sleep apnea is disclosed. The device includes a belt of sufficient length to wrap around a person's torso and of sufficient width to overlap the person's abdomen and a fastening and tightening mechanism, such as a strap and buckle, attached to the belt configured and arranged to tighten the belt. The belt is positioned around a person's abdomen. The belt is then tightened with the fastening and tightening mechanism, sufficiently to apply pressure to the person's abdomen, applying specific pressure beneath a person's diaphragm. The fastening and tightening mechanism is then fastened to prevent loosening of the belt. | 2014-11-27 |
20140350595 | INTRAORAL ACUPRESSURE APPARATUS - An intraoral acupressure apparatus and method of treating a user are disclosed. The apparatus may include a base shaped to conform to a palate of a user, the base configured to be removably held adjacent to the palate in a predetermined position relative to acupressure points located on the user's palate. The apparatus may additionally include one or more projections extending out from the base and configured to contact one or more acupressure points of the user's palate when the apparatus is removably held in the predetermined position. The base may be configured to be removably held in the predetermined position without wire hooks or clasps. | 2014-11-27 |
20140350596 | RESILIENT BAND MEDICAL DEVICE - A medical device includes a one-piece resiliently biased band of base material having opposite first and second side surfaces and an adhesive material for temporarily adhesively securing the band to a user's skin. The band can include a longitudinal axis and a lateral axis that intersects the longitudinal axis. Moreover, the band can include first and second lateral portions disposed on opposite sides of the lateral axis. The lateral portions are mirror images of each other such that the band is symmetrical relative to the lateral axis. Each of the lateral portions include a central portion and first and second extending portions spaced apart from each other on opposite sides of the longitudinal axis of the band and extending away from the central portion. Each of the extending portions further includes a perimeter edge defining a portion of a perimeter edge of the medical device. | 2014-11-27 |
20140350597 | SURGICAL HAND GRIP AND A SURGICAL TUBULAR SHAFT INSTRUMENT WITH A SURGICAL HAND GRIP - A surgical hand grip for a surgical tubular shaft instrument is provided. The hand grip includes a coupling device for coupling to a tubular shaft tool having a tubular shaft and a force transmission element movable back and forth relative thereto. The coupling device has a coupling element for coupling to the force transmission element and a connecting element for connecting to the tubular shaft. A gripping device is connected to the coupling element and is transferable from a non-actuating disposition into at least one actuating disposition and vice versa thereby changing the mutual relative spacing between the coupling element and the connecting element. The hand grip has a guiding device with a guiding body for guiding the coupling element during the transfer from the non-actuating position into the at least one actuating position along a grip axis independently of the disposition of the gripping device during the transfer. | 2014-11-27 |
20140350598 | SOFT TISSUE FIXATION DEVICES AND METHODS - Filamentary fixation devices may be used in a variety of surgical procedures to secure soft tissue to bone. The present invention provides various devices, systems, kits and instrumentation for performing such surgical procedures including preparation of soft tissue and bone, preparation and manipulation of such filamentary fixation devices, and insertion and utilization of the fixation devices within a patient's anatomy. In one embodiment, a method for securing soft tissue to bone, the method includes accessing the soft tissue and the bone, passing a filament through the soft tissue, preparing a bore hole in the bone, loading the filament into a filamentary fixation device, implanting the filamentary fixation device, with the filament, into the bore hole, and tensioning the filament so that the filamentary fixation device and filament are secured within the bore hole. | 2014-11-27 |
20140350599 | CLOSURE DEVICE AND METHOD FOR TISSUE REPAIR - A method of closing a tissue wound includes providing a wound closure device having a first anchor, a second anchor, and a flexible member movably attached to the second anchor, positioning the first anchor against tissue, passing the flexible member across the wound, positioning the second anchor against tissue, and pulling on a free end of the flexible member to shorten a length of the flexible member between the first and second anchors, thereby closing the wound. A wound closure device includes a first anchor, a second anchor; and a flexible member connecting the first anchor to the second anchor, the flexible member being movably attached to the second anchor, such that pulling on a free end of the flexible member shortens a length of the flexible member between the first and second anchors. | 2014-11-27 |
20140350600 | SUTURE MANAGEMENT SYSTEM - Assemblies, devices and methods are provided for suture management associated with surgical procedures for anchoring suture to bone. Suture elements mounted to suture anchors are terminated in suture loops or tags, and associated stop members that in combination with visual coding provide suture identification, prevent accidental unmounting of suture from suture anchors, and reduce the number of suture legs requiring active management during complex arthroscopic repairs. The present invention also provides exemplary drivers that can be used with the various methods and devices disclosed herein, or with other methods and devices known in the art. | 2014-11-27 |
20140350601 | ANTERIOR CERVICAL PLATE - An anterior cervical plate system is provided. The cervical plate includes a retention ring with a deflectable flange that is upwardly spaced from the top surface of the ring and configured to prevent an inserted bone fastener from backing out of the plate. The plate includes a locking pin having a camming surface and a blocking surface. When the camming surface is moved into position adjacent to the flange, the flange is free to flex out of the way of a bone screw being inserted into or removed from the plate. When the blocking surface is positioned adjacent to the flange, outward deflection of the flange is prevented to retain the bone screw inside the plate. The locking pin is rotated through a camming surface to bring a blocking surface against the flange deflecting the flange onto the head of the bone screw. | 2014-11-27 |
20140350602 | SYSTEM AND METHOD FOR SPINAL CORRECTION - Methods of correcting a spinal deformity, including securing a first rod on a first side of a spine, securing an anchor on a second side of a spine, securing a lateral coupling between the rod and the anchor, translating and/or derotating the spine and securing a second rod on a second side of the spine to provide secondary stabilization to the spine. | 2014-11-27 |
20140350603 | Polyaxial Bone Screw with Lateral Connector - A polyaxial screw body includes a side wall defining a lumen having a first end and a second end. An opening disposed at the first end of the lumen, includes an interior surface disposed in the side wall thereabout. The interior surface is adapted to accommodate a head portion of a pedicle screw. A transverse channel extends from a first aperture through the side wall to a second aperture and is adapted to accommodate a portion of a fixation rod therebetween. A lateral connector extending integrally from the side wall. | 2014-11-27 |
20140350604 | Systems and Methods for Manipulating and/or Installing Title of Invention a Pedical Screw - A spinal screw assembly adapted to be secured to a vertebrae for providing securement across at least two vertebrae. The assembly includes a pedicle screw having a substantially spherical head portion, a threaded shaft portion, and an engagement surface in the head portion for driving said screw into the vertebrae, and a body member comprising a tower portion having an open top, a break-away section for manipulation of the screw upon implantation into the vertebrae, a base body at a proximal region of the body member and a break zone which acts as a transition between the base body and the tower portion. A resealably securable setscrew within the body member secures and fully contains the rod within said assembly. The break-away section remains completely outside a wound and is removed or broken off once the screw has been fully assembled inside the vertebrae. | 2014-11-27 |
20140350605 | SPINAL IMPLANT LOCKING MEMBER WITH IMPROVED GUIDANCE, TACTILE AND VISUAL FEEDBACK - An implant having a receiver that is adapted to receive a polyaxial screw in the bore and either an internal or external cap. The cap can be an external or internal cap and the implant further has at least one locking aid in the form of at least one of a tactile feedback, a visual feedback or an enhanced fixation between the cap and a rod that is received in the receiver. | 2014-11-27 |
20140350606 | ANCHORING ELEMENT AND STABILIZATION DEVICE FOR THE DYNAMIC STABILIZATION OF VERTEBRAE OR BONES USING SUCH ANCHORING ELEMENTS - An anchoring element for a stabilization device for bones or vertebrae, with which a bone or vertebra can be connected to a rod-shaped element is described. By providing for at least one degree of rotational freedom between the rod and an anchoring element that is firmly connected to the bone or vertebra, the transfer of torque (M) onto the anchoring element and can be prevented as well as loosening or even separation of the bone anchoring element from the bone or vertebra. Moreover, the invention provides a stabilization device, in which such bone anchoring elements are used. | 2014-11-27 |
20140350607 | LOCKING ASSEMBLY FOR A POLYAXIAL BONE ANCHORING DEVICE - A locking assembly for securing a rod in a polyaxial bone anchoring device includes a first locking element having a first end, a second end, an outer surface with an external advancement structure, an inner wall, an internal advancement structure on the inner wall, and an engagement portion for a tool, and a second locking element having a first end configured to be oriented towards the first end of the first locking element, an opposite second end, an outer surface with an external advancement structure configured to cooperate with the internal advancement structure of the first locking element, and a portion at the second end having a width greater than a greatest width of the external advancement structure of the second locking element, wherein the second locking element is configured to move axially relative to the bone anchoring device at a speed different than the first locking element. | 2014-11-27 |
20140350608 | Bioactive Fusion Device - In a first broad aspect, there is provided herein a bioactive device and system for fusion between two bones, two parts of a bony joint, or a bony defect, such as of the spine. The fusion device includes a screw having a head and a threaded shaft. The fusion device also includes a bone dowel having an internal bore of which at least a distal portion is threaded to engage the threads of the screw shaft. The bone dowel is made of a bone-like, biocompatible, or allograft material to provide a layer of bone-like, biocompatible, or allograft material between the screw and the spinal bone. The device is generally coaxial and is further described in the drawings and description herein. | 2014-11-27 |
20140350609 | METHOD AND SYSTEM FOR TRANS-LAMINA SPINAL FIXATION - A method of providing spinal stabilization is provided herein. More specifically, the method includes positioning a plurality of fixation assemblies within a plurality of vertebrae in a trans-lamina orientation wherein each fixation assembly includes a proximal portion configured to securely receive a stabilization element (e.g., a stabilization rod). The proximal portions of the various fixation assemblies can be aligned so as to secure at least one stabilization element in a desired position (e.g., along and above a midline of the patient's spine, adjacent and parallel to the midline). A system for providing spinal stabilization is also provided which utilizes trans-lamina delivery and positioning of fixation assemblies within target vertebrae thereby providing stronger fixation and a significant reduction in associated tissue damage. | 2014-11-27 |
20140350610 | CROSS PIN FIXATOR FOR BONE FRAGMENTS AND USE THEREOF - The present application relates to a cross pin fixator device comprising a plate member with spherical cavities that are open to the front and to the back of the plate, collapsible pin holder members having a central channel for insertion of a bone pin, the collapsible pin holder member being press-fit into the spherical cavities, and bone pins individually inserted into the central channel of a pin holder. The application also relates to a method for treating a fracture of the proximal humerus using the proximal humerus cross pin fixator and to a kit for treating a fracture of a bone. | 2014-11-27 |
20140350611 | METHODS AND SYSTEMS FOR MATERIAL FIXATION - A soft tissue fixation system, most typically applicable to orthopedic joint repairs, such as anterior cruciate ligament (ACL) knee repair procedures, comprises an implant which is placeable in a tunnel disposed in a portion of bone, wherein the tunnel is defined by walls comprised of bone. A first member is deployable outwardly to engage the tunnel walls for anchoring the implant in place in the tunnel, and a second member is deployable outwardly to engage tissue material to be fixed within the tunnel. The second member also functions to move the tissue material outwardly into contact with the tunnel walls to promote tendon-bone fixation. Extra graft length is eliminated by compression of the tendon against the bone at the aperture of the femoral tunnel, which more closely replicates the native ACL and increases graft stiffness. The inventive device provides high fixation of tendon to bone and active tendon-bone compression. Graft strength has been found to be greater than 1,000 N (Newtons), which is desirable for ACL reconstruction systems. | 2014-11-27 |
20140350612 | SURGICAL DEVICE FOR CORRECTING DEFORMATIONS IN THE SPINAL COLUMN - The device includes tubular elements capable of being temporarily fastened at the level of pedicle screw heads arranged to be connected by an implantable curved rod, and at least one rod intended to be movably inserted into slots of each tubular element, to align them for the correction of the spinal column by translation, tilting, and rotation of the vertebrae in the three planes of space. Each tubular element is configured in such a way that it can be coupled with the outside of the pedicle screw heads. The rod forms an alignment and handling rod, being capable of acting, as it moves, on rings for simultaneously displacing the curved rod. Each ring is assembled with the ability to slide along the tubular element, and to be height-adjustable to compensate for dimensional deviations between the alignment and handling rod and the curved rod. | 2014-11-27 |
20140350613 | Device For Use In Surgical Treatment Of Funnel Chest And Method Of Treatment | 2014-11-27 |
20140350614 | PATIENT-MATCHED APPARATUS AND METHODS FOR PERFORMING SURGICAL PROCEDURES - A system and method for developing customized apparatus for use in one or more surgical procedures is disclosed. The system and method incorporates a patient's unique anatomical features or morphology. According to a preferred embodiment, the customized apparatus comprises a plurality of complementary surfaces. Thus, each apparatus may be matched and oriented around the patient's own anatomy, and may further provide any desired axial alignments or insertional trajectories. In an alternate embodiment, the apparatus may further be aligned and/or matched with at least one other apparatus used during the surgical procedure. | 2014-11-27 |
20140350615 | Osteotomy Protective Cover - A cover for use in protecting a resected surface of a long bone for use in joint arthroplasty is provided. The cover includes a generally planar portion having opposed generally parallel first and second surfaces defining a periphery extending from the first surface and the second surface. The cover also includes a lip extending from the first surface at the periphery of the planar portion in a direction not planar with the generally planar portion. | 2014-11-27 |
20140350616 | Microperfusive Electrical Stimulation - A method of treating a patient in cardiac arrest (e.g., in fibrillation, electrochemical dissociation, or asystole), the method comprising delivering an agent for enhancement of cardiac function to the coronary arteries of the patient; and microperfusing the patient's cardiac tissue by electromagnetically stimulating the cardiac issue at an energy level below a threshold sufficient to defibrillate the heart. | 2014-11-27 |
20140350617 | DEFIBRILLATOR WITH PROTOCOL FOR SELECTIVELY INTERRUPTING CPR - An automated external defibrillator (AED) ( | 2014-11-27 |
20140350618 | VECTOR SWITCHING IN AN IMPLANTABLE CARDIAC STIMULUS SYSTEM - The implantable cardiac treatment system of the present invention is capable of choosing the most appropriate electrode vector to sense within a particular patient. In certain embodiments, the implantable cardiac treatment system determines the most appropriate electrode vector for continuous sensing based on which electrode vector results in the greatest signal amplitude, or some other useful metric such as signal-to-noise ratio (SNR). The electrode vector possessing the highest quality as measured using the metric is then set as the default electrode vector for sensing. Additionally, in certain embodiments of the present invention, a next alternative electrode vector is selected based on being generally orthogonal to the default electrode vector. In yet other embodiments of the present invention, the next alternative electrode vector is selected based on possessing the next highest quality metric after the default electrode vector. In some embodiments, if analysis of the default vector is ambiguous, the next alternative electrode vector is analyzed to reduce ambiguity. | 2014-11-27 |
20140350619 | SYSTEM AND METHOD FOR DETECTION ENHANCEMENT PROGRAMMING - A system and method of enabling detection enhancements selected from a plurality of detection enhancements. In a system having a plurality of clinical rhythms, including a first clinical rhythm, where each of the detection enhancements is associated with the clinical rhythms, the first clinical rhythm is selected. The first clinical rhythm is associated with first and second detection enhancements. When the first clinical rhythm is selected, parameters of the first and second detection enhancements are set automatically. A determination is made as to whether changes are to be made to the parameters. If so, one or more of the parameters are modified under user control. | 2014-11-27 |
20140350620 | IDENTIFY INSULATION BREACH USING ELECTROGRAMS - An implantable medical device capable of sensing cardiac signals and delivering cardiac electrical stimulation therapies is enabled to detect a short circuit event. A signal is sensed by a sensing module coupled to electrodes. A controller detects a short circuit event in response to a slope of the sensed signal exceeding a short circuit threshold. | 2014-11-27 |
20140350621 | IDENTIFY INSULATION BREACH USING ELECTROGRAMS - An implantable medical device capable of sensing cardiac signals and delivering cardiac electrical stimulation therapies is enabled to detect a short circuit of a medical electrical lead. A physiological signal correlated to a motion of a patient is sensed via a physiological sensor. If a lead monitoring condition is met based on the physiological signal, a cardiac signal is acquired and analyzed to detect an abnormality. The short circuit of the medical electrical lead is detected in response to detecting the abnormality. | 2014-11-27 |
20140350622 | Microperfusive Electrical Stimulation - A method of treating a patient in cardiac arrest (e.g., in fibrillation, electrochemical dissociation, or asystole), the method comprising delivering an agent for enhancement of cardiac function to the coronary arteries of the patient; and microperfusing the patient's cardiac tissue by electromagnetically stimulating the cardiac issue at an energy level below a threshold sufficient to defibrillate the heart. | 2014-11-27 |
20140350623 | SYSTEM AND METHOD FOR CONTROLLING ELECTRICAL STIMULATION BASED ON LOWEST OPERABLE VOLTAGE MULTIPLIER FOR USE WITH IMPLANTABLE MEDICAL DEVICE - Techniques are provided for use with implantable devices equipped with programmable voltage multipliers (including voltage dividers.) Candidate pulse widths are determined for selected voltage multipliers and stimulation vectors. Each candidate pulse width corresponds to a lowest pulse energy sufficient to achieve capture within the tissues of the patient (subject to a safety margin) using the selected vector and using the corresponding voltage multiplier. As such, a candidate pulse width represents a preferred or optimal pulse width, at least insofar as energy consumption is concerned. However, depending upon the capabilities of the device, the candidate pulse width might not be achievable. Accordingly, for each programmable vector, the system determines a lowest “operable” voltage multiplier sufficient to generate a pulse at a candidate pulse width subject to the capabilities of the device. The system then determines the corresponding current drain, and the vector achieving the lowest current drain at the lowest operable voltage multiplier is selected for the delivery of stimulation. | 2014-11-27 |
20140350624 | SYSTEM AND METHOD FOR STIMULATING THE HEART VIA THE VAGUS NERVE - A rules engine acquires sensor data from sensors applied to the heart to determine the presence of a rapid heartbeat. The rules engine applies rules to the sensor data to determine whether to deliver an electrical waveform to a vagus nerve. The rules engine further determines whether an electrical waveform should be applied to the heart and, if so, the type of electrical waveform. | 2014-11-27 |
20140350625 | SYSTEM AND METHOD FOR STIMULATING THE HEART USING SUB-THRESHOLD BIPHASIC STIMULATION - A rules engine acquires sensor data from sensors applied to the heart and determines whether an electrical waveform should be applied to the heart and, if so, the type of electrical waveform. A multiphase cardiac stimulus generator generates waveforms in response to the rules engine. The electrical waveform is applied to one or more electrodes implanted in or on the heart. | 2014-11-27 |
20140350626 | SYSTEM AND METHOD FOR STIMULATING THE HEART VIA STORAGE OF MULTI-WAVEFORMS IN A CARDIAC STIMULATION DEVICE - A rules engine acquires sensor data from sensors applied to the heart and determines whether an electrical waveform should be applied to the heart and, if so, the type of electrical waveform. A multi-phase cardiac stimulus generator generates waveforms in response to the rules engine from waveform data stored in a memory. The electrical waveform is applied to one or more electrodes implanted in or on the heart. | 2014-11-27 |
20140350627 | SYSTEM AND METHOD FOR CONDITIONING THE HEART USING SUB-THRESHOLD ANODAL STIMULATION - A rules engine acquires sensor data from sensors applied to the heart and determines whether an electrical waveform should be applied to the heart and, if so, the type of electrical waveform. A multi-phase cardiac stimulus generator generates waveforms in response to the rules engine. The electrical waveform is applied to one or more electrodes implanted in or on the heart. | 2014-11-27 |
20140350628 | SYSTEM AND METHOD FOR TRIGGERING CONDITIONING OF THE HEART USING THE INTRINSIC HEARTBEAT - A rules engine acquires sensor data from sensors applied to the heart and detects an intrinsic beat of the heart. The rules engine determines whether an electrical waveform should be applied to the heart and, if so, the type of electrical waveform. | 2014-11-27 |
20140350629 | SYSTEM AND METHOD FOR STIMULATING THE HEART IN COMBINATION WITH CARDIAC RHYTHM MANAGEMENT PHARMACEUTICALS - Sensors are applied to the heart and sensor data is supplied to a rules engine. The rules engine applies rules that reflect a CRM pharmaceutical regime of the patient to the sensor data to determine whether an electrical waveform should be applied to the heart. When electrical stimulation is warranted, the drug “awareness” rules are used by the rules engine to instruct a multi-phase cardiac stimulus generator to generate an electrical waveform that improves the performance of the drugs administered to the patient, allow the patient to be administered a lower dose of a particular drug, and/or reduce or eliminate side effects from the drugs. | 2014-11-27 |
20140350630 | SYSTEM AND METHOD FOR EVALUATING DIASTOLIC FUNCTION BASED ON CARDIOGENIC IMPEDANCE USING AN IMPLANTABLE MEDICAL DEVICE - Diastolic function is monitored within a patient based on dynamic cardiogenic impedance as measured by a pacemaker or other implantable medical device. In one example, the device uses ventricular cardiogenic impedance values to detect E-wave parameters representative of passive filling of the ventricles. Atrial cardiogenic impedance values are used to detect A-wave parameters representative of active filling of the ventricles. Diastolic function is then assessed or evaluated based on the E-wave and A-wave parameters. Various functions of the implantable device are then controlled based on the assessment of diastolic function, such as by adjusting atrioventricular delay parameters to improve diastolic function. In some examples, the detection of E- and A-wave parameters is achieved by aligning impedance signals to atrial activation, and separately to ventricular activation, during asynchronous VOO pacing or while artificially inducing a 2:1 block. | 2014-11-27 |
20140350631 | SENSING VECTOR SELECTION IN A CARDIAC STIMULUS DEVICE WITH POSTURAL ASSESSMENT - Methods, implantable medical devices and systems configured to perform analysis of captured signals from implanted electrodes to identify cardiac arrhythmias. In an illustrative embodiment, signals captured from two or more sensing vectors are analyzed, where the signals are captured with a patient in at least first and second body positions. Analysis is performed to identify primary or default sensing vectors and/or templates for event detection. | 2014-11-27 |
20140350632 | NEURAL MODULATION DEVICES AND METHODS - A system for designing a therapy or for treating a gastrointestinal disorder or a condition associated with excess weight in a subject comprising at least one electrode configured to be implanted within a body of the patient and placed at a vagus nerve, the electrode also configured to apply therapy to the vagus nerve upon application of a therapy cycle to the electrode; an implantable neuroregulator for placement in the body of the patient beneath the skin layer, the implantable neuroregulator being configured to generate a therapy cycle, wherein the therapy cycle comprises an on time during which an electrical signal is delivered, the electrical signal comprising: a) a set of pulses applied at a first selected frequency of about 150-10,000 Hz, wherein each pulse of the set of pulses has a pulse width of at least 0.01 milliseconds and less than the period of the first selected frequency. | 2014-11-27 |
20140350633 | SYSTEMS AND METHODS THAT PROVIDE ELECTRICAL STIMULATION TO A NERVE TO REDUCE A REFLEX THAT AFFECTS A BODILY FUNCTION - One aspect of the present disclosure relates to a system for electrical stimulation. A waveform generator can be configured to generate an electrical waveform. An electrode can be electrically coupled to the waveform generator and configured to deliver the electrical waveform to a nerve to reduce at least one reflex that affects a bodily function. | 2014-11-27 |
20140350634 | DEVICES, SYSTEMS AND METHODS FOR DEEP BRAIN STIMULATION PARAMETERS - Devices, systems and methods for increasing the efficacy and/or efficiency of deep brain stimulation (DBS) using parameters of stimulation that are custom tailored to a unique set of one or more symptoms and/or to a specific patient is shown and described herein. Also disclosed are devices, systems and methods for recording pertinent neural activity during non-regular patterns of stimulation and processing techniques for these recorded signals and stimulation parameter optimization based on these neural recordings may be used to tune computational models of the stimulation patterns to reproduce the observed neural activity. | 2014-11-27 |
20140350635 | DEEP BRAIN STIMULATOR AND METHOD OF USE - A neurostimulation system is shown and described. The neurostimulation system may include a stimulation device implantable into a patient, a lead operatively coupled with the stimulation device, a first power cell providing power to the stimulation device where the first power cell is charged by an externally applied AC (High HF) magnetic field. | 2014-11-27 |
20140350636 | PERIPHERAL NERVE FIELD STIMULATION CONTROL - Peripheral nerve field stimulation (PNFS) may be controlled based on detected physiological effects of the PNFS, which may be an efferent response to the PNFS. In some examples, a closed-loop therapy system may include a sensing module that senses a physiological parameter of the patient, which may be indicative of the patient's response to the PNFS. Based on a signal generated by the sensing module, the PNFS may be activated, deactivated or modified. Example physiological parameters of the patient include heart rate, respiratory rate, electrodermal activity, muscle activity, blood flow rate, sweat gland activity, pilomotor reflex, or thermal activity of the patient's body. In some examples, a patient pain state may be detected based on a signal generated by the sensing module, and therapy may be controlled based on the detection of the pain state. | 2014-11-27 |