| Covidien LP Patent applications |
| Patent application number | Title | Published |
|---|
| 20160114115 | VENTILATION TRIGGERING - The systems and methods provide for novel a triggering mode that allows the patient to trigger or initiate the delivery of a breath during ventilation on a ventilator. Further, the systems and methods provide for triggering ventilation utilizing a statistical trigger mode. Additionally, the systems and methods provide for analyzing and/or displaying information related to a potential change in a triggering threshold for a currently utilized breath type. | 04-28-2016 |
| 20160106938 | LEAK DETERMINATION IN A BREATHING ASSISTANCE SYSTEM - Systems and methods for estimating a leak flow in a breathing assistance system including a ventilation device connected to a patient are provided. Data of a flow waveform indicating the flow of gas between the ventilation device and the patient is accessed. A specific portion of the flow waveform is identified, and a linear regression of the identified portion of the flow waveform is performed to determine an estimated leak flow in the breathing assistance system. | 04-21-2016 |
| 20160106418 | SURGICAL INSTRUMENT WITH LOCKOUT MECHANISM - A surgical instrument comprising a handle assembly, an elongated portion, a head portion, an approximation mechanism, and a lockout mechanism is disclosed. The handle assembly comprises a movable handle and a stationary handle. The elongated portion extends distally from the handle assembly and defines a longitudinal axis. The head portion is disposed adjacent a distal portion of the elongated portion, and comprises a first jaw member and a second jaw member. The approximation mechanism comprises a drive member disposed in mechanical cooperation with the first jaw member and is configured to longitudinally move the first jaw member in relation to the second jaw member. The lockout mechanism is configured to selectively permit actuation of the movable handle to eject fasteners from the second jaw member. The lockout mechanism comprises a pin extending from the movable handle and is slidingly engaged with a slot in the drive member. | 04-21-2016 |
| 20160095551 | METHOD OF ATTACHING A DISPOSABLE SHEATH - A pressure sensor and pressure-sensing catheter in which a deformable pressure sensing membrane is separated from an inner metalized surface on a rigid support by an air gap. An input allows a voltage to be applied to an electrode on the sensing membrane and an output allows reading of the signal modulation from the support surface. An outer sleeve overlays the membrane and a wire bus transmits the signals to a terminal connector. The catheter may include a vented air gap, a multiplexing wire bus, and an internal cable to maintain tension. | 04-07-2016 |
| 20160058969 | EXHALATION VALVE ASSEMBLY WITH INTEGRAL FLOW SENSOR - An exhalation valve assembly that controls the pressure of exhaled gas in a ventilation system is described. The exhalation valve assembly includes an actuator module that may be fixed to the ventilation system and a valve module, removable for cleaning or disposal, through which the exhaled gas flows and that controls the pressure and release of the exhaled gas to the environment. Other components may also be incorporated into the assembly including a filter module, a flow meter and a condensate trap. | 03-03-2016 |
| 20160045694 | METHODS AND SYSTEMS FOR BREATH DELIVERY SYNCHRONIZATION - Systems and methods for triggering inspiration and/or cycling exhalation with a ventilator are described herein. In particular, systems and methods for synchronizing ventilator breath delivery with patient breath demand utilizing a digital sample counting trigger mode are described herein. The digital sample counting triggering mode characterizes digital samples taken from a measured or estimated parameter during the patient inhalation/exhalation period to synchronize breath delivery with patient breath demand. | 02-18-2016 |
| 20160005224 | UNIFIED COORDINATE SYSTEM FOR MULTIPLE CT SCANS OF PATIENT LUNGS - A CT alignment system includes a central processing unit (CPU) that processes a plurality of CT images. The CPU determines a location of a main carina from the plurality of CT images and sets the main carina as a point of origin. An x-coordinate, a y-coordinate, and a z-coordinate is calculated for each pixel in each CT image among the plurality of CT images based on the point of origin. A 3D model is rendered from the plurality of CT images and the x-coordinate, the y-coordinate, and the z-coordinate for each pixel in each CT image is associated with a corresponding voxel in the 3D model. The x-coordinate, the y-coordinate, and the z-coordinate for each corresponding voxel in the 3D model is stored as voxel position data. A graphics processing unit (GPU) renders a three dimensional (3D) model based on the plurality of CT images and the voxel position data which is displayed on a display. | 01-07-2016 |
| 20150351769 | SURGICAL STAPLING APPARATUS WITH REUSABLE COMPONENTS - A surgical stapling apparatus includes a handle, an elongated body, a firing assembly, and a stapling assembly. The body extends from the handle and includes an engagement member rotatably supported on to a distal portion of the body. The engagement member defines an engagement slot and is axially movable about the body from a retracted position to an advanced position. The firing assembly includes a trigger, firing link, and pusher link. The pusher link is movably supported for distal translation through the body in response to actuation of the trigger. The stapling assembly houses a plurality of surgical staples and includes an outer shell having an engagement tab. The engagement member is rotatable relative to the body and the stapling assembly to releasably position the engagement tab within the engagement slot, thereby securing the stapling assembly at the distal end of the body. | 12-10-2015 |
| 20150343160 | VENTILATION VITALITY RING - A system and method for displaying the status of a patient on ventilation is disclosed including a ventilator system configured to provide mechanical ventilation to a patient and a display device operatively associated with the ventilator system. The display device is configured to display a user interface including a pictogram having patient status information related to the ventilator system. The pictogram includes a central section configured to display patient status information relating to an overall status of the patient and at least one group section configured to display patient status information relating to a particular category of ventilatory status parameters. | 12-03-2015 |
| 20150328062 | HYDROPHILIC MEDICAL DEVICES - A medical device including a plasma-treated porous substrate that is functionalized to provide a hydrophilic surface, and a process for preparing such a medical device, are disclosed. The method includes plasma treating at least a portion of a surface of a porous substrate with a gas species selected from oxygen, nitrogen, argon, and combination thereof. The gas species is configured to functionalize the surface of the medical device and form a hydrophilic surface. | 11-19-2015 |
| 20150327862 | IN-SITU LOADED TRI-STAPLE EGIA - A stapling device is described which includes a tool assembly having an anvil assembly and a cartridge assembly movably supported in relation to the anvil assembly. The cartridge assembly includes a cartridge body defining a tissue contact surface and a plurality of retention slots which open onto the tissue contact surface. The cartridge body defines a plurality of recesses wherein each of the recesses is associated with one of the plurality of retention slots. A staple magazine is positioned within each of the recesses, and includes a plurality of staples. At least one biasing member is supported adjacent each of the recesses and is positioned to urge the staple magazine towards a respective one of the retention slots. A plurality of pushers is movably supported within the cartridge body between a lower position and a raised position. Each of the plurality of pushers is positioned to engage and eject at least one of the staples of the staple magazine from the retention slots. The at least one biasing member is positioned to obstruct movement of the pusher from the lower position to the raised position after the plurality of staples of the staple magazine have been ejected from a respective one of the retention slots. | 11-19-2015 |
| 20150327850 | ADAPTOR FOR SURGICAL INSTRUMENT FOR CONVERTING ROTARY INPUT TO LINEAR OUTPUT - An adaptor for a powered surgical instrument includes a casing, a cam drum, a first linear driver, and a second linear driver. The cam drum defines and is translatable along a longitudinal axis of the adaptor between a retracted position and an advanced position. The cam drum is being supported for rotation about the longitudinal axis. The cam drum defines first and second radial cam grooves about an outer surface thereof. The first cam groove defines a first profile and the second cam groove defines a second profile. The first linear driver includes a first cam follower disposed in the first cam groove and the second linear driver includes a second cam follower disposed in the second cam groove. The first and second linear drivers are supported for movement between advanced and retracted positions in response to rotation of the cam drum. | 11-19-2015 |
| 20150320423 | EJECTING ASSEMBLY FOR A SURGICAL STAPLER - An end effector includes first and second jaws, a drive screw, a lead screw nut, and a drive beam. The drive screw is disposed within the first jaw. The lead screw nut defines a threaded bore that receives the drive screw. The lead screw nut is advanced along the drive screw as the drive screw is rotated in a first direction and is retracted along the drive screw as the drive screw rotates in a second direction. The drive beam is releasably coupled to the lead screw nut when the lead screw nut is in a retracted position. As the lead screw nut is advanced the drive beam is pulled by the lead screw nut. The drive beam is decoupled from the lead screw nut as the lead screw nut is advanced such that the lead screw nut is advanced relative to the drive beam. | 11-12-2015 |
| 20150320420 | INTERLOCK ASSEMBLIES FOR REPLACEABLE LOADING UNIT - Interlock assemblies for attaching a loading unit to a surgical stapling instrument are provided. The interlock assemblies are formed on a proximal end of a shell member and on a distal end of an adapter assembly. The interlock assemblies may include a collar member for selectively securing the shell member to the adapter assembly. The collar member may be mounted on the shell member or on the adapter assembly. | 11-12-2015 |
| 20150314092 | TRACHEAL TUBE WITH CONTROLLED-PRESSURE CUFF - The present disclosure describes systems and methods that utilize a tracheal tube system with a piezoelectric cuff inflation system. The piezoelectric cuff inflator system may include an inlet, and outlet, and a piezoelectric element. In use the piezoelectric cuff inflator system may actuate the piezoelectric element to move a fluid from the inlet through the outlet suitable for inflating one or more cuffs included in the tracheal tube system. A circuitry may provide a frequency signal suitable for delivering a constant pressure to the cuff via the piezoelectric cuff inflation system. | 11-05-2015 |
| 20150314089 | SYSTEMS AND METHODS FOR TRIGGERING AND CYCLING A VENTILATOR BASED ON RECONSTRUCTED PATIENT EFFORT SIGNAL - Various embodiments of the present disclosure provide systems, methods and devices for respiratory support. As one example, a method for respiratory support is described that includes providing a measured pressure, and calculating a net flow based on at least one measured inlet flow and measured outlet flow. A relationship between a first value related to the measured pressure, a second value related to the measured net flow and a third value related to patient effort is used to provide a prediction of patient effort. An interim value is updated based at least in part on the prediction of the patient effort, and used to help compute a patient effort. A ventilation cycle is initiated using the computed patient effort. | 11-05-2015 |
| 20150313665 | WAKE-UP SYSTEM AND METHOD FOR POWERED SURGICAL INSTRUMENTS - The present disclosure is directed to an electromechanical surgical system having an end effector and an adapter assembly for selectively interconnecting the end effector and a hand-held surgical instrument. A one-wire bidirectional serial communications interface or bus extends through the end effector, the adapter assembly, and the hand-held surgical instrument. The hand-held surgical instrument includes a master circuit coupled to the bus and configured to identify or control the adapter assembly or the end effector. A power source is couplable to the bus and configured to provide power to the adapter assembly or the end effector. A first switch connects the master circuit to the bus and a second switch connects the power source to the bus. A processor controls operation of the hand-held surgical instrument. The controller has a wake-up pin connected to the bus and is configured to receive a presence pulse from the adapter or end effector. | 11-05-2015 |
| 20150307255 | Electrode Pad Packaging Systems and Methods - An electrode pad packaging system including an electrode pouch, an electrode pad (e.g., a defibrillation electrode pad) and a sacrificial source of moisture (e.g., a gel or a solid hydrogel) is disclosed. The electrode pad and the sacrificial source of moisture are each disposed at least partially within the electrode pouch. A method of packaging an electrode pad is also disclosed. The method includes providing an electrode pouch, an electrode pad (e.g., a defibrillation electrode pad), and a sacrificial source of moisture configured to be placed at least partially within the electrode pouch. In an embodiment, the sacrificial source of moisture is configured to diffuse within the electrode pouch to help prevent conductive gel disposed on the electrode pad from becoming too dry. | 10-29-2015 |
| 20150306302 | SPLIT-TIP CATHETER - A catheter includes an elongate shaft having proximal and distal end portions defining a longitudinal axis, and first and second tip segments. The elongate shaft and the first and second tip segments define respective first and second lumens. Each tip segment includes a proximal portion fixed relative to the distal end of the elongate shaft, and a distal portion. Each tip segment defines a side opening in fluid communication with a respective one of the first and second lumens. Each tip segment is movable between a straight configuration in which each respective tip segment is substantially parallel to the longitudinal axis, and a curved configuration in which each tip segment has a concave portion with respect to the longitudinal axis. The side openings face each other along the concave portions. | 10-29-2015 |
| 20150305809 | MICROWAVE ANTENNA PROBE HAVING A DEPLOYABLE GROUND PLANE - A surgical ablation system employing an ablation probe having a deployable ground plane is disclosed. The disclosed system includes a source of ablation energy and a source of electrosurgical energy, and a switching assembly configured to select between ablation and electrosurgical modes. The probe includes a cannula having a shaft slidably disposed therein. The shaft includes a deployable ground plane electrode assembly and a needle electrode disposed at distal end of the shaft. As the shaft is extended distally from the cannula, the ground plane electrode unfolds, and the needle electrode is exposed. Electrosurgical energy is applied to tissue via the needle electrode to facilitate the insertion thereof into tissue. Ablation energy is applied to tissue via the needle electrode to achieve the desired surgical outcome. The shaft, ground plane electrode and needle electrode are retracted into the cannula, and withdrawn from the surgical site. | 10-29-2015 |
| 20150305743 | SURGICAL STAPLING APPARATUS AND METHODS OF ADHERING A SURGICAL BUTTRESS THERETO - A surgical stapling apparatus includes a tool assembly, at least one surgical buttress, and a resilient, porous material. The tool assembly includes a cartridge assembly and an anvil assembly pivotably coupled to the cartridge assembly. The cartridge assembly includes a first tissue facing surface defining staple retaining slots. The anvil assembly includes a second tissue facing surface defining staple pockets for forming staples expelled from the staple retaining slots of the cartridge assembly. The at least one surgical buttress is releasably disposed on at least one of the first and second tissue facing surfaces. The resilient, porous material is releasably disposable between the first and second tissue facing surfaces and in contact with the at least one surgical buttress. The resilient, porous material is configured to expel a liquid therefrom upon compression thereof by an approximation of the cartridge assembly and the anvil assembly. | 10-29-2015 |
| 20150305742 | ANVIL ASSEMBLY DELIVERY SYSTEM - A sled for use with an anvil assembly delivery system is provided which includes a body defining a concavity dimensioned to receive an anvil head of an anvil assembly and a recess dimensioned to receive a center rod of the anvil assembly. The body has a smooth outer profile to facilitate atraumatic trans-oral insertion of the anvil assembly to a surgical site. The body further defines a first suture channel on each side of the recess to facilitate securement of the body to the anvil assembly. | 10-29-2015 |
| 20150297250 | SYSTEMS AND METHODS FOR CATHETER ADVANCEMENT - A system can comprise a catheter and a device having an elongate member and an expandable member. The expandable member can be coupled to the elongate member. The elongate member can extend through the catheter. The expandable member can be positioned with a proximal member end proximal to a distal catheter end, a distal member end positioned distal to the distal catheter end, and at least a portion of the expandable member between the distal catheter end and the distal member end in an expanded state in which a maximum transverse dimension of the expandable member is larger than a maximum transverse dimension of the distal member end. The catheter can be advanced in a patient's body with the expandable structure, in the expanded state, at the distal end of the catheter. | 10-22-2015 |
| 20150297240 | EMBOLIC MEDICAL DEVICES - An occlusive device for occluding a target area can include an elongate member having opposing first and second side edges extending longitudinally along the member and a member width. The member can have a collapsed configuration in which the first and second side edges are curled toward each other about a longitudinal axis of the member. Further the member can have an expanded configuration in which the member form a series of loops and the first and second side edges uncurl to be spaced apart from each other. | 10-22-2015 |
| 20150297216 | STAPLING DEVICE WITH FEATURES TO PREVENT INADVERTENT FIRING OF STAPLES - A surgical device includes a handle assembly, an elongated body, and a tool assembly. The handle assembly includes an actuation assembly operatively associated with an actuation shaft to advance the actuation shaft and configured to prevent advancement of the actuation shaft when the actuation shaft is in a fully retracted position and a moveable handle is in a non-compressed position and/or to prevent advancement of the actuation shaft when a grasping pawl is extended within a grasping slot of the actuation shaft. The actuation shaft including a vertical pawl locking surface near a distal end configured to engage a locking notch of a vertical pawl. The actuation assembly including a grasping pawl having a radial detent configured to engage a proximal surface of a grasping slot of the actuation shaft when the grasping pawl is positioned within the grasping slot. | 10-22-2015 |
| 20150297199 | ADAPTER ASSEMBLY WITH GIMBAL FOR INTERCONNECTING ELECTROMECHANICAL SURGICAL DEVICES AND SURGICAL LOADING UNITS, AND SURGICAL SYSTEMS THEREOF - The present disclosure relates to adapter assemblies for use with and to electrically and mechanically interconnect electromechanical surgical devices and surgical loading units, and to surgical systems including hand held electromechanical surgical devices and adapter assemblies for connecting surgical loading units to the hand held electromechanical surgical devices. | 10-22-2015 |
| 20150273130 | CATHETER POSITIONING - A medical catheter includes an elongate member and an insert. The elongate member has proximal and distal end portions and defines a longitudinal axis through the proximal and distal end portions. The elongate member includes a wall at least partially defining a longitudinal lumen and defining a side opening extending radially from an outer surface of the wall to the longitudinal lumen. The insert is at least partially disposed within the side opening and at least partially defines an insert passage in fluid communication with the longitudinal lumen. The elongate member includes a first material defining the side opening and the insert includes a second material different from the first material. | 10-01-2015 |
| 20150272576 | SURGICAL STAPLING APPARATUS WITH FIRING LOCKOUT MECHANISM - A surgical stapling apparatus is provided which includes a first jaw supporting an anvil assembly and a second jaw supporting a cartridge assembly. The cartridge assembly supports a firing lockout assembly which includes a latch member having a blocking member. The latch member is movable between a first position and a second position. In the first position, the blocking member of the latch member is aligned with the stop surface of the drive member to prevent advancement of the drive member within the tool assembly and in the second position, the blocking member is misaligned with the stop surface of the drive member to permit advancement of the drive member within the tool assembly. A biasing member is positioned to urge the latch member towards the first position. In the retracted position of the drive member, the latch member is in the first position. | 10-01-2015 |
| 20150230793 | SMALL DIAMETER ENDOSCOPIC STAPLER - A surgical stapler is described herein which includes a shaft portion and a tool assembly supported on a distal end of the shaft portion. The too assembly includes an anvil and a cartridge body which rotatably supports a plurality of staples within notches. At least one firing cam is provided to sequentially to engage and rotate each of the staples to fire the staples from the cartridge body. In embodiments, the cartridge body includes two spaced legs which support two linear rows of staples. Each of the spaced legs of the cartridge body is supported within one of a first and a second cartridge channel. The cartridge channels are fixed to opposite sides of a pivot member which is pivotally supported at a distal end of the shaft portion between the shaft portion and the tool assembly such that translation of the first and second cartridge channels in opposite directions effects articulation of the tool assembly in relation to the shaft portion. | 08-20-2015 |
| 20150224272 | VENTILATOR-INITIATED PROMPT REGARDING HIGH-DELIVERED TIDAL VOLUME - This disclosure describes systems and methods for monitoring and evaluating ventilatory data to provide useful notifications and/or recommendations. Indeed, many clinicians may not easily identify or recognize data patterns and correlations indicative of certain patient conditions or the effectiveness of ventilatory treatment. Further, clinicians may not readily determine appropriate adjustments that may address certain patient conditions or the effectiveness of ventilatory treatment. Specifically, clinicians may not readily detect or recognize the occurrence of high-delivered V | 08-13-2015 |
| 20150216698 | GASTRIC CALIBRATION TUBE - A gastric calibration tube includes a flexible elongate member, a pushing member, and a balloon member. The flexible elongate member has a proximal end portion, a distal end portion, and an outer surface that extends between the proximal and distal end portions. The outer surface defines a side opening. The flexible elongate member defines a lumen that is in communication with the side opening. The pushing member has a proximal portion and a distal portion. The distal portion is advanceable through the lumen of the flexible elongate member and out of the side opening of the flexible elongate member. The balloon member is secured to one or both of the flexible elongate member and the pushing member. The balloon member is inflatable to fix the gastric calibration tube within a patient's stomach. | 08-06-2015 |
| 20150216650 | THROMBECTOMY CATHETER SYSTEM WITH REFERENCE MEMBER - A surgical apparatus includes an elongate outer sheath dimensioned for positioning within a body lumen of a patient, a reference member and a removal device. The reference member is adapted for longitudinal movement relative to the elongate outer sheath between a first position at least partially disposed within a longitudinal lumen of the outer sheath and a second position at least partially exposed from the longitudinal lumen. The reference member is adapted to expand when in the second position to generally conform to an internal dimension of the body lumen. The reference member includes a radiopaque material for visualizing the reference member to assist in determining physical characteristics of the body lumen when in the second position. The removal device is adapted for longitudinal movement relative to the reference member, and is configured for disrupting at least a portion of the occlusion within the body lumen. | 08-06-2015 |
| 20150216554 | TISSUE-REMOVING CATHETER INCLUDING ANGULAR DISPLACEMENT SENSOR - A tissue-removing catheter for removing tissue from a body lumen includes a tissue-removing element. The tissue-removing element may be coupled to a first longitudinal portion of the catheter body. An angular-displacement sensor may be coupled to the catheter body for detecting an angular displacement of at least the first longitudinal portion of the catheter body relative to the rotational axis when the first longitudinal body portion is rotated about the rotational axis. The tissue-removing element may be rotatable about a rotational axis to adjust an angular tissue-removing position of the tissue-removing element relative to the body lumen when the catheter body is inserted in the body lumen. An angular-displacement sensor may be generally adjacent the tissue-removing element for detecting an angular displacement of the tissue-removing element relative to the body lumen when the tissue-removing element is rotated about the rotational axis. | 08-06-2015 |
| 20150216553 | TISSUE-REMOVING CATHETER WITH IMPROVED ANGULAR TISSUE-REMOVING POSITIONING WITHIN BODY LUMEN - A tissue-removing catheter for removing tissue from a body lumen includes a tissue-removing element. The tissue-removing element may be coupled to a first longitudinal body portion of the catheter body. The first longitudinal body portion may be rotatable along its length and relative to a second longitudinal body portion to adjust the angular position of the first longitudinal body portion relative to the second longitudinal body portion. An angular-positioning mechanism may be operatively connected to the tissue-removing element for rotating the tissue-removing element relative to the second longitudinal body portion about a rotational axis to adjust an angular tissue-removing position of the tissue-removing element, relative to the longitudinal axis of the body lumen, from a first angular tissue-removing position to a second angular tissue-removing position offset from the first angular tissue-removing position. | 08-06-2015 |
| 20150216528 | INTRODUCER ASSEMBLY FOR A SURGICAL FASTENER APPLYING APPARATUS - An introducer assembly can be releasably coupled to a surgical instrument and includes a collar, a tip, and an elongated body portion disposed between the collar and the tip. The tip may be configured to releasably engage a dissecting device. | 08-06-2015 |
| 20150216525 | AUTHENTICATION SYSTEM FOR REUSABLE SURGICAL INSTRUMENTS - An authentication system for use in a surgical stapling device includes an authentication board assembly disposed at a proximal end of a loading unit and having a contact assembly, and an adapter board assembly disposed at a distal end of an adapter assembly. When the loading unit is engaged with the adapter assembly, the authentication board engages the adapter board assembly. | 08-06-2015 |
| 20150209037 | SURGICAL APPARATUS - A surgical stapling apparatus is provided. The surgical stapling apparatus includes an actuating device including an elongated shaft. A tool assembly is disposed on a distal end of the shaft. The tool assembly includes a first jaw member supporting a cartridge assembly having a plurality of surgical fasteners, and a second jaw member supporting an anvil. The first jaw member is movable in relation to the second jaw member between a spaced position and an approximated position. One of the first and second jaw members includes a cantilever at a proximal end thereof. A firing cam bar assembly is slidably disposed within the tool assembly and includes a cam surface configured to engage the cantilever to move the first and second jaw member towards the approximated position and a distal end configured to deploy the plurality of surgical fasteners from the cartridge assembly. | 07-30-2015 |
| 20150209030 | SURGICAL APPARATUS - A surgical stapling apparatus is provided. The surgical stapling apparatus includes an actuating device including an elongated shaft. A tool assembly is disposed on a distal end of the shaft. The tool assembly includes a first jaw member supporting a cartridge assembly having a plurality of surgical fasteners, and a second jaw member supporting an anvil. The first jaw member is movable in relation to the second jaw member between a spaced position and an approximated position. One of the first and second jaw members includes a cantilever at a proximal end thereof. A firing cam bar assembly is slidably disposed within the tool assembly and includes a cam surface configured to engage the cantilever to move the first and second jaw member towards the approximated position and a distal end configured to deploy the plurality of surgical fasteners from the cartridge assembly. | 07-30-2015 |
| 20150208924 | PHOTOACOUSTIC SENSORS WITH DIFFUSING ELEMENTS FOR PATIENT MONITORING - Various methods and systems for photoacoustic patient monitoring are provided. A photoacoustic system includes a sensor having a body and one or more light emitting components disposed in the body that emit one or more wavelengths of light. A light guide receives the one or more wavelengths of light and guides the one or more wavelengths of light into an interrogation region of a patient. A wide angle diffusing element is disposed on a tip of the light guide and has a diffusing angle of greater than or equal to 80 degrees. The wide angle diffusing element diffuses the one or more wavelengths of light when the sensor is opposed by air. One or more acoustic detectors are disposed in the body and detect acoustic energy generated by the interrogation region of the patient in response to the emitted light when the sensor is opposed by the patient. | 07-30-2015 |
| 20150202394 | VENTILATOR-INITIATED PROMPT OR SETTING REGARDING DETECTION OF ASYNCHRONY DURING VENTILATION - This disclosure describes systems and methods for monitoring and evaluating ventilatory parameters, analyzing those parameters and providing useful notifications and recommendations to clinicians. That is, modern ventilators monitor, evaluate, and graphically represent multiple ventilatory parameters. However, many clinicians may not easily recognize data patterns and correlations indicative of certain patient conditions, changes in patient condition, and/or effectiveness of ventilatory treatment. Further, clinicians may not readily determine appropriate ventilatory adjustments that may address certain patient conditions and/or the effectiveness of ventilatory treatment. Specifically, clinicians may not readily detect or recognize the presence of asynchrony during ventilation. According to embodiments, a ventilator may be configured to monitor and evaluate diverse ventilatory parameters to detect asynchrony and may issue notifications and recommendations suitable for a patient to the clinician when asynchrony is implicated. The suitable notifications and recommendations may further be provided in a hierarchical format. | 07-23-2015 |
| 20150202326 | MULTI-ENCAPSULATED FORMULATIONS MADE WITH OXIDIZED CELLULOSE - A microsphere and method for forming the same are disclosed. The microsphere includes modified cellulose and at least one of a visualization agent, a magnetic material, or a radioactive material. | 07-23-2015 |
| 20150201930 | APPARATUS FOR ENDOSCOPIC PROCEDURES - A surgical stapling apparatus includes a handle assembly, a shaft assembly extending distally from the handle assembly, and an end effector selectively detachable from the shaft assembly. The end effector includes a first jaw member and a second jaw member. The first jaw member supports a lever that is pivotally movable relative to the first jaw member between an extended position and a retracted position. The lever is in contact with a leaf spring to spring bias the lever to the extended position. The second jaw member supports a drive beam that is selectively engagable with the lever to facilitate a pivotal movement of the second jaw member relative to the first jaw member between an unapproximated state and an approximated state. | 07-23-2015 |
| 20150190615 | CATHETER SYSTEM - A catheter system includes an elongate catheter having a lumen extending at least partially therethrough, and a leading catheter end segment, a guidewire positionable within the lumen of the catheter, and fastening structure supported adjacent the leading catheter end segment. The guidewire and the catheter are adapted for relative movement. The fastening structure is dimensioned to selectively engage the guidewire to secure the guidewire with respect to the leading catheter end segment such that movement of the guidewire causes deflection of the leading end segment with respect to the longitudinal axis. | 07-09-2015 |
| 20150190133 | SHIPPING MEMBER FOR LOADING UNIT - A shipping member for selective attachment to a replaceable loading unit is provided. The shipping member includes an annular extension configured for selective engagement with a loading unit and configured to prevent movement of a knife assembly of the loading unit. The shipping member further includes first and second legs configured to prevent movement of a staple pusher assembly. The shipping member also includes a staple retaining surface configured to retain staples within a staple cartridge of the loading unit. | 07-09-2015 |
| 20150157437 | HERNIA REPAIR DEVICE AND METHOD - A hernia repair device includes a mesh configured to extend across a tissue defect and a plurality of filaments coupled to the mesh. The filaments are coupled to the mesh in proximity of an outer periphery thereof and extend from a central portion of the mesh. Each filament includes a plurality of barbs disposed along at least a portion of the length thereof. Each filament further includes a needle disposed at a free end thereof. | 06-11-2015 |
| 20150157269 | CAPACITANCE ENHANCED PHYSIOLOGICAL MEASUREMENTS - Systems, methods, apparatuses, and software for measuring and determining physiological parameters of a patient are presented. In one example, a physiological measurement system includes a physiological sensor system configured to detect a physiological signal representative of one or more physiological parameters associated with a patient. The measurement system also includes a capacitance system configured to apply one or more electric field signals to the patient and determine a capacitance signal. The measurement system also includes a processing system configured to reduce a noise level in the physiological signal based on at least the capacitance signal. | 06-11-2015 |
| 20150150590 | MATERIAL REMOVAL DEVICE AND METHOD OF USE - An atherectomy catheter having an inner drive shaft which rotates a distal rotary tissue borer with a helical cutting surface which enables the catheter to cut through and cross a CTO. Additionally, the atherectomy catheter has a distal cutting element rotated by an outer drive shaft configured to cut material from the wall of a vessel at a treatment site as the catheter is pushed distally through the treatment site. The atherectomy catheter includes a collection chamber positioned proximally of the cutting element and rotary tissue borer. The atherectomy catheter may include means to direct material cut from the treatment site into the collection chamber, means to break down larger portions of material that may block or clog the collection chamber and means of transporting the material collected from the treatment site to a proximal opening in the atherectomy catheter. | 06-04-2015 |
| 20150133957 | MEDICAL DEVICE ADAPTER WITH WRIST MECHANISM - A surgical device adapter for coupling an end effector to a surgical device is disclosed. The surgical device adapter includes: a proximal joint housing including a proximal end and a distal end, the proximal joint housing couplable at the proximal end thereof to the surgical device; a middle joint housing having a proximal end and a distal end, the middle joint housing pivotally coupled at the proximal end thereof to the distal end of the proximal joint housing, the middle joint housing pivotable about a first pivot axis defined between the proximal joint housing and the middle joint housing; and a distal joint housing having a proximal end and a distal end, the distal join housing pivotally coupled at the proximal end thereof to the distal end of the middle joint housing, the distal joint housing coupleable at the distal end thereof to the end effector and pivotable about a second pivot axis defined between the middle joint housing and the distal joint housing, the second pivot axis being transverse to the first pivot axis. | 05-14-2015 |
| 20150133857 | STEERABLE GASTRIC CALIBRATION TUBE - A gastric calibration tube includes an elongate member and an adjusting member. The elongate member has a length and includes a first segment and a second segment that extend along the length. The second segment includes a first side and a second side. The first and second sides are selectively movable in opposite lengthwise directions. The adjusting member is secured to one of the sides of the second segment and movable with the second segment relative to the first segment to steer the elongate member. | 05-14-2015 |
| 20150129636 | ANVIL ASSEMBLY AND DELIVERY SYSTEM - An anvil assembly suitable for trans-oral delivery includes an anvil head configured to receive a guide suture that is severed during a stapling procedure. An anvil delivery assembly includes the anvil assembly and a suture guide assembly secured to the anvil assembly. | 05-14-2015 |
| 20150129635 | ANVIL ASSEMBLY WITH FRANGIBLE RETAINING MEMBER - An anvil assembly includes a retaining member having a body portion and a frangible portion connected to the body portion, where the frangible portion is positioned to engage a backup member and separates from the body portion during movement of the backup member from a first, proximal position to a second, distal position. The retaining member keeps the backup plate in the proximal position prior to firing of the stapling assembly, and upon separation of the frangible portion allows the backup plate to move to the distal position during firing of the stapling assembly. Proximal force on the backup plate after firing of the stapling assembly is avoided, thereby helping to ensure titling of the anvil assembly. | 05-14-2015 |
| 20150126935 | TROCAR ASSEMBLY - A surgical system comprising a cannula assembly and an obturator assembly for penetrating tissue is disclosed. A cover of the cannula assembly is mounted to a cannula housing and has a cover aperture therethrough. The cover has a trailing end face defining a predetermined geometrical configuration, at least a portion of the trailing end face is obliquely arranged relative to a longitudinal axis and terminates in, and leads toward the cover aperture to facilitate guiding of the surgical object through the cover aperture. The obturator assembly includes an obturator housing and an obturator member. The obturator housing has a housing base defining a leading end face, which defines a predetermined geometrical configuration corresponding to the predetermined geometrical configuration of the trailing end face of the cover to mate therewith upon assembly of the obturator assembly with the cannula assembly. | 05-07-2015 |
| 20150119871 | RESONANT INVERTER WITH A COMMON MODE CHOKE - The present disclosure is directed to an electrosurgical generator including a tank configured to output energy and an H-bridge configured to drive the tank. The generator also includes a choke. The choke impedes a common mode current generated by the H-bridge and provides a leakage inductance for the tank. | 04-30-2015 |
| 20150115015 | CIRCULAR SURGICAL STAPLING DEVICE INCLUDING BUTTRESS MATERIAL - A buttress material and mounting structure assembly is provided for use with a circular surgical stapling device. The assembly comprises a ring-like mounting structure sized to have an outer diameter that frictionally engages a radial inner surface of a staple cartridge assembly, wherein the mounting structure is disposed within the radial inner surface of the staple cartridge assembly; an annular buttress material overlaying a tissue facing surface of the staple cartridge assembly, the annular buttress material defining an outer radial terminal edge extending radially beyond a pair of annular arrays of staple receiving slots, and a radial inner terminal edge extending across the mounting structure; and at least one suture securing the buttress material to the mounting structure. | 04-30-2015 |
| 20150112376 | MECHANICAL THROMBECTOMY WITH PROXIMAL OCCLUSION - The medical device can comprise a manipulation member, a mechanical thrombectomy apparatus attached to a distal end of the manipulation member, and flow-restricting apparatus attached to the manipulation member to a location proximal to the mechanical thrombectomy apparatus. A method, for retrieving thrombus from a blood vessel, can comprise advancing a single elongate delivery member carrying a mechanical thrombectomy apparatus and a flow-restricting apparatus through a catheter to the blood vessel, expanding the thrombectomy apparatus and capturing the thrombus with the thrombectomy device, expanding the flow-restricting apparatus to at least partially occlude blood flow toward the thrombus, retracting at least a portion of the thrombectomy apparatus into the flow-restricting apparatus, and retracting the flow-restricting apparatus and the thrombectomy apparatus into the retrieval catheter. | 04-23-2015 |
| 20150108201 | CHIP ASSEMBLY FOR SURGICAL INSTRUMENTS - A surgical stapling device is provided. The surgical stapling device includes a handle assembly, an adapter assembly removably and selectively attachable to the handle assembly, and a loading unit removably and selectively attachable to the adapter assembly. The adapter assembly extends from the handle assembly for transmitting actuating forces from the handle assembly to the loading unit. The adapter assembly includes a connector assembly. The loading unit includes a shell member and a housing extending from an inner surface of the shell member. The surgical stapling device further includes a chip assembly disposed within the housing and moveable relative to the shell member to facilitate connection with the connector assembly of the adapter assembly. | 04-23-2015 |
| 20150108198 | SURGICAL INSTRUMENT, LOADING UNIT AND FASTENERS FOR USE THEREWITH - A surgical instrument is disclosed. The instrument includes a handle assembly, an endoscopic portion, a pair of jaw members, and a plurality of staples. The endoscopic portion defines a longitudinal axis. The pair of jaw members is disposed adjacent a distal end of the endoscopic portion and extends generally distally therefrom. Each of the jaw members is longitudinally curved with respect to the longitudinal axis. At least one of the jaw members is movable with respect to the other between an open position and an approximated position for engaging body tissue therebetween. The plurality of staples is disposed at least partially within a second jaw member. Each of the staples includes a pair of legs depending from a backspan. Each leg includes a staple tip defining a first angle α1 between about 25° and about 35°. | 04-23-2015 |
| 20150107584 | METHODS AND SYSTEMS FOR LEAK ESTIMATION - The systems and methods include providing, displaying, and/or utilizing leak estimation during ventilation of a patient with a ventilator. The systems and methods include providing, displaying, and/or utilizing internal leak estimation, total leak estimation, and/or external leak estimation during ventilation of a patient with a ventilator. | 04-23-2015 |
| 20150105852 | Vascular Stent - A medical stent includes a stent body defining a longitudinal axis and opposed longitudinal ends, and being adapted to expand from an initial condition to an expanded condition. The stent body includes a plurality of longitudinal cells. The longitudinal cells include opposed end cells and at least one intermediate cell disposed between the end cells. Each longitudinal cell has first and second structural members extending in an undulating pattern about the longitudinal axis. Intermediate connectors interconnect the first and second structural members of the at least one intermediate cell and end connectors interconnecting the first and second structural members of at least one end cell. The number of end connectors is greater than the number of intermediate connectors, and may double the number of end connectors. | 04-16-2015 |
| 20150105636 | SYSTEM AND METHOD FOR EMERGENCY RESUSCITATION - According to various embodiments, a regional oximetry sensor may include a light emitting element configured to emit light, a light detector configured to receive the light and generate a signal based on the received light. The regional oximetry sensor, itself or in conjunction with a monitor, may enable communicating adjustments in the administration of CPR to a patient based on one or more characteristics (e.g., pulse amplitude or pulse rate) of the signal generated by the regional oximetry sensor. | 04-16-2015 |
| 20150100917 | DISPLAY OF RESPIRATORY DATA ON A VENTILATOR GRAPHICAL USER INTERFACE - This disclosure describes improved systems and methods for displaying respiratory data to a clinician in a ventilatory system. Specifically, embodiments enable a clinician to visualize data from a variety of historical graphical representations associated with a selected historical time. That is, a cursor or other visual indicator may be provided that identifies the selected historical time on each of a plurality of historical graphical representations of respiratory data. Further, specific data values associated with the historical time and corresponding to a data point on each of the plurality of historical graphical representations may be highlighted for optimal display and comparison. | 04-09-2015 |
| 20150100113 | STENTS TWISTED PRIOR TO DEPLOYMENT AND UNTWISTED DURING DEPLOYMENT - Stents can become twisted during deployment within tortuous vessels such that proper expansion against the vessel wall is inhibited. Stents can be twisted prior to deployment in a direction opposite the direction of twisting during deployment to facilitate full expansion of the stent against the vessel wall along the stent's entire length. | 04-09-2015 |
| 20150099952 | APPARATUS, SYSTEMS, AND METHODS FOR CARDIOPULMONARY MONITORING - Systems, methods, and computer executable instructions for monitoring a patient's cardiopulmonary status and/or providing feedback-based control regarding the same. Such methods include, and such systems are configured for, determining a cardiopulmonary status based upon measured data, e.g., from a plurality of sensors, comparing the determined cardiopulmonary status with input data, e.g., input data indicating a target cardiopulmonary status, and providing a result signal based upon the comparison. The result signal may include a display signal for displaying an indication of the result of the comparison, an audio alert signal for audibly provided an indication of the result of the comparison, and/or a control signal for controlling an exercise apparatus in accordance with the result of the comparison. | 04-09-2015 |
| 20150094752 | SYSTEMS AND METHODS FOR POSITIONING AND COMPACTING A BODILY IMPLANT - Bodily implants that can be compacted in a distal-to-proximal direction, and which facilitate repositioning of the implant after compaction. The implants include at least one pull string for expanding the implant in a radial direction while compacting the implant in the longitudinal direction. Where multiple pull strings are provided, they can be secured to the implant at spaced locations along the implant length, and pulled successively to compact the implant in a distal-to-proximal direction. A guide member may also be provided to receive the pull strings and facilitate longitudinal compaction. | 04-02-2015 |
| 20150094713 | SYSTEMS AND METHODS FOR ELECTRICAL COUPLING IN A MEDICAL DEVICE - Systems and methods for preventing contamination of a sterile field during a treatment procedure. In some embodiments, a treatment apparatus is configured to occupy the sterile field, and a power cable is configured to remain outside the sterile field. The treatment apparatus is connectable to the power cable via an attraction, such as a magnetic attraction, between the treatment apparatus and the power cable, so that an operator within the sterile field need not touch the power cable in order to couple the treatment apparatus to the power cable. Instead, the operator need only grasp the sterile treatment apparatus and bring it in close proximity to the power cable. The attraction then causes the treatment apparatus to couple with the power cable. In this manner, the treatment apparatus can be coupled to the power cable by a single operator without contaminating the sterile field. | 04-02-2015 |
| 20150094703 | ELECTROSURGICAL MEDICAL DEVICE WITH POWER MODULATION - An electrosurgical ablation device provides pulse width modulated DC power to a heating segment in a catheter for use in providing treatment. In some embodiments the DC power to be modulated is sourced from an AC/DC power converter coupled to a source of AC power. In some embodiments the DC power to be modulated is sourced from a battery. In some embodiments the device switchably selects for modulation DC power sourced from either the AC/DC power converter or the battery, for example based on availability of power from the AC/DC power converter. | 04-02-2015 |
| 20150094670 | MULTIPLE LUMEN CATHETERS - A catheter includes an elongate body having a proximal portion and a distal portion, and a tip having a proximal portion coupled to a distal portion of the elongate body along a longitudinal axis of the elongate body. The elongate body and tip together define a first lumen and a second lumen. The elongate body further defines a third lumen extending distally to a body opening defined by the elongate body and in fluid communication with the third lumen. A cross-sectional area, orthogonal to the longitudinal axis, of at least one of the first and second lumens increases from a point proximal to the body opening to a point distal to the body opening. | 04-02-2015 |
| 20150094629 | COMPRESSION GARMENT CONTROLLING - A controller assembly for delivering pressurized fluid to a compression treatment device includes a first pump assembly including a first pump unit and a first electrical contact. The first pump assembly defines a first pneumatic passage configured for fluid communication with the pump unit. A second pump assembly includes a second pump unit and a second electrical contact. The second pump assembly defines a second pneumatic passage fluidly communicable with the second pump unit. The first pump assembly defines a receptacle into which the second pump assembly is slidingly receivable. The sliding reception of the second pump assembly into the first pump assembly establishes fluid communication between the first and second pneumatic passages and establishes electrical communication between the first and second electrical contacts. | 04-02-2015 |
| 20150094628 | COMPRESSION GARMENT VENTILATION - A compression garment includes fluid-impermeable bladder layers defining an inflatable bladder. A ventilator is at least partially disposed on an inward side of the inflatable bladder. The ventilator at least partially defines at least one passage between the wearer's skin and the inward side of the bladder and in fluid communication with atmospheric air at a location outside of the compression garment when the compression garment is worn on the wearer's body part. The ventilator is flexible to collapse the at least one passage under the force of inflation of the bladder and to resiliently expand the at least one passage upon deflation of the bladder. The collapse of the at least one passage expels air from the at least one passage to the atmospheric air and the expansion of the at least one passage draws the atmospheric air into the at least one passage. | 04-02-2015 |
| 20150090849 | MEDICAL DEVICE SUPPORTING APPARATUS - A medical device support apparatus for use in a medical environment to releasably secure a medical device to a support structure, the medical device support apparatus having a base member configured to releasably mount the medical device support apparatus on the support structure; and a medical device mounting assembly including a base attachment portion and a device attachment portion connected to the base attachment portion, and further including a connection mechanism mounting the base attachment portion on the base member for rotation about a roll axis relative to the base member whereby the medical device mounting assembly can hold the medical device at different selected angles about the roll axis with respect to the base member, the device attachment portion being constructed for translational, sliding reception of the medical device into mounting engagement with the device attachment portion. | 04-02-2015 |
| 20150090265 | LEAK DETERMINATION IN A BREATHING ASSISTANCE SYSTEM - Systems and methods for estimating a leak flow in a breathing assistance system including a ventilation device connected to a patient are provided. Data of a flow waveform indicating the flow of gas between the ventilation device and the patient is accessed. A specific portion of the flow waveform is identified, and a linear regression of the identified portion of the flow waveform is performed to determine an estimated leak flow in the breathing assistance system. | 04-02-2015 |
| 20150090264 | METHODS AND SYSTEMS FOR PROPORTIONAL ASSIST VENTILATION - The systems and methods include providing a negative proportional assist breath type, a time adjusted negative proportional assist breath type, or a time adjusted proportional assist breath type during ventilation of a patient with a ventilator. | 04-02-2015 |
| 20150090258 | VENTILATOR-INITIATED PROMPT OR SETTING REGARDING DETECTION OF ASYNCHRONY DURING VENTILATION - Systems and methods are provided for monitoring and evaluating diverse ventilatory parameters to detect an asynchrony and may issue notifications and recommendations suitable for a patient to the clinician when asynchrony, such as an ineffective effort and an auto-trigger, is implicated. The suitable notifications and recommendations may further be provided in a hierarchical format such that the clinician may selectively access summarized and/or detailed information regarding the presence of asynchrony. In more automated systems, recommendations may be automatically implemented. | 04-02-2015 |
| 20150088128 | ELECTRODE FOR USE IN A BIPOLAR ELECTROSURGICAL INSTRUMENT - A end-effector assembly includes opposing first and second jaw assemblies, at least one of the first and second assemblies movable relative to the other from a first position wherein the jaw assemblies are disposed in spaced relation relative to one another to at least a second position closer to one another wherein the jaw assemblies cooperate to grasp tissue therebetween. The first jaw assembly includes a first housing and a first electrically-conductive tissue-engaging structure associated with at least a portion of the first housing. The second jaw assembly includes a second housing and a second electrically-conductive tissue-engaging structure associated with at least a portion of the second housing. The end-effector assembly includes a dissector electrode coupled along at least a portion of a lateral side portion of either one of the first housing or the second housing. The dissector electrode is electrically-isolated from the first and second electrically-conductive tissue-engaging structures. | 03-26-2015 |
| 20150088122 | DEVICES, SYSTEMS, AND METHODS FOR GRASPING, TREATING, AND DIVIDING TISSUE - A surgical system includes an end effector assembly, a motor assembly, an energy source, and a controller. The controller activates the motor assembly, once it is determined that tissue is present between jaw members of the end effector assembly, to move the jaw members from a spaced-apart position to an approximated position to grasp tissue. The controller further activates the energy source, once tissue is grasped between the jaw members, to supply energy to the jaw members to seal tissue grasped between the jaw members. The controller further activates the motor assembly, once it is determined that tissue sealing is complete, to move the jaw members from the approximated position to the spaced-apart position to release sealed tissue. The system may further be configured to cut tissue once it is determined that tissue sealing is complete but before moving the jaw members to the spaced-apart position. | 03-26-2015 |
| 20150088115 | SURGICAL INSTRUMENTS, SYSTEMS, AND METHODS INCORPORATING WIRELESS BI-DIRECTIONAL COMMUNICATION - A surgical system and method is provided generally including a portable surgical instrument, a battery assembly, and a battery charger. The battery assembly is removably coupled to the portable surgical instrument and is configured to wirelessly transfer electrical power to the portable surgical instrument. The battery assembly is also removably couplable to the battery charger and is configured to wirelessly transfer electrical power to the battery charger and wirelessly receive electrical power from the battery charger. The portable surgical instrument and the battery charger are configured for simultaneous bi-directional communication of data with the battery assembly via the transferred or received electrical power. | 03-26-2015 |
| 20150088060 | COMPUTER CONTROLLED STEERABLE TIP GUIDE CATHETER - A catheter system is provided. The system includes a catheter having an elongated flexible body and one or more electroactive polymer actuators disposed along the elongated flexible body. The electroactive polymer actuators are adapted to cause a change in configuration of the elongated flexible body. The system also includes a controller adapted to transmit the control signal to the electroactive polymer actuators. The controller includes a memory storing a plurality of control signals corresponding to a plurality of predetermined configurations of the catheter and a user-interface coupled to the memory. The user-interface is configured to select one or more configurations from the plurality of predetermined configurations in response to user input. | 03-26-2015 |
| 20150082928 | MULTI-FUNCTION SURGICAL INSTRUMENTS - A surgical instrument including housing having a shaft extending distally therefrom, an outer sleeve disposed about the shaft and selectively translatable relative to the shaft, a first drive shaft disposed within the shaft and translatable relative to the shaft independently of the outer sleeve, a second drive shaft disposed within the first drive shaft and coupled to the outer sleeve to translate in conjunction with the outer sleeve, and a rotatable nose wheel. The rotatable nose wheel is mounted about a distal end of the housing and is rotatably coupled to each of the outer sleeve, the shaft, the first drive shaft, and the second drive shaft such that rotation of the rotatable nose wheel effects corresponding rotation of the outer sleeve, the shaft, the first drive shaft, and the second drive shaft in conjunction with one another and relative to the housing. | 03-26-2015 |
| 20150081003 | COATED MEDICAL DEVICES AND METHODS OF MAKING AND USING SAME - Coating methods and related devices are provided. Such devices can include stents. For example, the device can comprise a sidewall and a plurality of pores in the sidewall that are sized to inhibit flow of blood through the sidewall into an aneurysm to a degree sufficient to lead to thrombosis and healing of the aneurysm when the tubular member is positioned in a blood vessel and adjacent to the aneurysm. The device can also comprise an anti-thrombogenic coating distributed over at least a portion of the device such that the pores are substantially free of webs formed by the coating. | 03-19-2015 |
| 20150080937 | ENDOVASCULAR DEVICE ENGAGEMENT - A medical device, configured to perform an endovascular therapy, e.g., thrombectomy, can comprise an elongate manipulation member and an intervention member. The intervention member can comprise a proximal end portion and a mesh. The proximal end portion can be coupled with the distal end portion of the elongate manipulation member. The mesh can have a plurality of cells and, be compressible to a collapsed configuration for delivery to an endovascular treatment site through a catheter, and be self-expandable from the collapsed configuration to an expanded configuration. At least a portion of the mesh, from a first location to a second location along the mesh, can be configured such that an amount of cell deformation in response to longitudinally directed tensile forces decreases by less than 5% or increases in a distal direction along the portion of the mesh. | 03-19-2015 |
| 20150080880 | ELECTROSURGICAL INSTRUMENT WITH END-EFFECTOR ASSEMBLY INCLUDING ELECTRICALLY-CONDUCTIVE, TISSUE-ENGAGING SURFACES AND SWITCHABLE BIPOLAR ELECTRODES - An electrosurgical instrument includes a housing, an elongated shaft, and an end-effector assembly. The proximal end of the shaft is operably associated with the housing. The end-effector assembly is operably coupled to the distal end of the shaft and includes first and second jaw members. Each of the first and second jaw members includes a sealing plate and a bipolar electrode. Either one or both of the first and second jaw members is movable from a position in spaced relation relative to the other jaw member to at least one subsequent position wherein the sealing plates cooperate to grasp tissue therebetween. The electrosurgical instrument includes a semiconductor switch operably coupled to at least one of the sealing plates and at least one of the bipolar electrodes. The semiconductor switch is configured to enable user selection between energizing the at least one sealing plate or the at least one bipolar electrode. | 03-19-2015 |
| 20150080797 | DEVICE FOR CHECKING INDWELLING SITE - A device for checking indwelling site capable of checking the indwelling site of a medical tube through multiple checking operations by simple techniques using a single device is disclosed. The device for checking indwelling site is provided with a barrel, a first plunger having a torso member and a hole formed communicating between the inner cavity of the torso member and the inner cavity of the barrel and disposed capable of pushing into or pulling out while keeping the barrel airtight, a second plunger having a second tip member and disposed capable of pushing into or pulling out while keeping the torso member airtight, a space formed between an inner wall and the tip face of the first tip member and designed to suck the gas fraction of the fluid sucked into the barrel into the torso member, and a detecting member arranged inside the torso member on the tip side of the second tip member and designed to react with carbon dioxide sucked in through the space by discoloring. | 03-19-2015 |
| 20150073458 | ULTRASONIC SURGICAL INSTRUMENT WITH COOLING SYSTEM - A method of treating tissue includes ultrasonically treating tissue by oscillating a blade of an ultrasonic surgical instrument in contact with tissue and activating a fluid control system to pump cooling fluid through a blade conduit of the blade to cool the blade. | 03-12-2015 |
| 20150073457 | ULTRASONIC SURGICAL INSTRUMENT WITH COOLING SYSTEM - An ultrasonic surgical instrument includes a cooling system having a blade conduit disposed within the blade and a cooling fluid. The cooling fluid configured to absorb heat from the blade as the cooling fluid flows through the blade conduit. A surgical system having an ultrasonic surgical instrument and a cooling system is also disclosed. The cooling system can include a fluid control system that automatically pumps a cooling fluid through a blade conduit disposed within the blade of the surgical instrument based on feedback received from sensors. | 03-12-2015 |
| 20150073353 | SEALED SELF-ACTIVATING INJECTION DEVICE FOR DELIVERY OF MEDICINE FROM A PREFILLED CARTRIDGE OR VIAL - The disclosed embodiment relates to an injection device that is a single patient use, disposable device containing a needle and a cartridge containing a drug or pharmaceutical product. The device is initially provided in a pre-armed configuration wherein the needle sheath maintains cantilever locking tabs on the housing in a position to the maintain the needle in a position separated from the septum of a cartridge. To arm the device, the practitioner removes the needle sheath and pushes down the plunger assembly. The cantilever locking tabs flex outwardly thereby allowing the cartridge-to-housing interface and the cartridge to move forward whereby the butt end of the needle punctures the septum of the cartridge. Additionally, the cantilever locking tabs form a stop configuration with the housing of the device. The disclosed embodiment is particularly adaptable to dental anesthetic applications, as well as other medical and veterinary applications. | 03-12-2015 |
| 20150070187 | Wireless Relay Module For Remote Monitoring Systems - Systems and methods for communication include one or more wireless relay devices having a first receiver capable of wirelessly receiving medical device data over a wireless relay network from at least one network device, a first transmitter capable of wirelessly transmitting data over an internet-accessible wireless communications network and a second transmitter capable of wirelessly transmitting medical device data to a second medical device or a wireless relay module over the wireless relay network. Patient identification information can be obtained and/or communicated. | 03-12-2015 |
| 20150069108 | ANVIL ASSEMBLY WITH SLIDING SLEEVE - An anvil assembly is provided. The anvil assembly includes an anvil center rod, a head assembly pivotally secured to the anvil center rod assembly from an operative position to a tilted position, and a sleeve slidably disposed about the anvil center rod. The sleeve is associated with the head assembly such that movement of the head assembly from the operative position towards the tilted position effects proximal movement of the sleeve about the anvil center rod. | 03-12-2015 |
| 20150066131 | DELIVERY OF MEDICAL DEVICES - A stent delivery system can include a core member, a stent, and a stent engagement member. The engagement member can be positioned along a distal segment of the core member and be coupled to the core member. The engagement member can have an outer surface. The stent can extending along the core member distal segment such that the outer surface of the engagement member engages an inner surface of the stent along at least a portion of only a distal half of the stent for transmitting an axial force from the core member to only the stent distal half of the stent. | 03-05-2015 |
| 20150066130 | DELIVERY OF MEDICAL DEVICES - A stent delivery system can include a core member, an introducer sheath, and a microcatheter. The core member can have a first section and a second section distal to the first section. The second section can have a bending stiffness per unit length that is less than a bending stiffness per unit length of the first section. The introducer sheath can have a lumen configured to receive the core member therethrough. The introducer sheath can have a length of at least about 80 cm. The microcatheter can have a lumen and a proximal end configured to interface with a distal end of the introducer sheath for delivering the core member into the microcatheter lumen. | 03-05-2015 |
| 20150066129 | DELIVERY OF MEDICAL DEVICES - A stent delivery system can include a core member, a stent engagement member, and a stent. The core member can have a distal segment. The stent engagement member can have a generally tubular body positioned about the core member distal segment and can be rotatably coupled to the core member. The engagement member can include an inner layer that has a first durometer and an outer layer that has a second durometer less than the first durometer. The stent can extend along the core member distal segment such that an inner surface of the stent is engaged by the engagement member outer layer for facilitating rotation of the stent relative to the core member. | 03-05-2015 |
| 20150066128 | DELIVERY OF MEDICAL DEVICES - A stent delivery system can include a core member and a stent. The stent can be carried by an intermediate portion of the core member. The core member can have an elongate, spiral-cut tube extending proximally of the intermediate portion. The core member can have one or more flex zones having different bending stiffnesses. | 03-05-2015 |
| 20150066127 | DELIVERY OF MEDICAL DEVICES - A stent delivery system can include an elongate core member sized for insertion into a blood vessel. The core member can be configured to advance a stent toward a treatment location in the blood vessel. The core member can include a longitudinally extending tube having a helical cut extending along the tube. The helical cut can have an axial length of at least 50 cm and be continuous along the axial length. | 03-05-2015 |
| 20150066027 | SWITCH ASSEMBLIES FOR MULTI-FUNCTION SURGICAL INSTRUMENTS AND SURGICAL INSTRUMENTS INCORPORATING THE SAME - A method includes providing a bipolar energy source, a monopolar energy source, a bipolar assembly, and a monopolar assembly. The method further includes moving the monopolar assembly to a retracted position. Moving the monopolar assembly to the retracted position couples the bipolar energy source to the bipolar assembly and decouples the monopolar energy source from the monopolar assembly. The method further includes moving the monopolar assembly to a deployed position. Moving the monopolar assembly to the deployed position decouples the bipolar energy source from the bipolar assembly and couples the monopolar energy source to the monopolar assembly. | 03-05-2015 |
| 20150066026 | SWITCH ASSEMBLIES FOR MULTI-FUNCTION, ENERGY-BASED SURGICAL INSTRUMENTS - A surgical instrument includes an end effector assembly having jaw members movable to grasp tissue therebetween. One or both jaw members is adapted to connect to a source of energy for treating tissue grasped and one or both of the jaw members is adapted to connect to a source of energy for electrically cutting tissue. A first switch assembly is selectively activatable for supplying energy to treat tissue. A second switch is selectively activatable for supplying energy to electrically cut tissue. The tactile feel and range of motion during actuation of the second switch assembly mimics the tactile feel and range of motion of activation of a mechanical actuator that advances a cutting blade between the jaw members to mechanically cut tissue. | 03-05-2015 |
| 20150066009 | SWITCH ASSEMBLIES FOR MULTI-FUNCTION SURGICAL INSTRUMENTS AND SURGICAL INSTRUMENTS INCORPORATING THE SAME - A surgical instrument includes an end effector assembly and a switch assembly. The end effector assembly includes a monopolar assembly and a bipolar assembly. The switch assembly includes first and second bipolar inputs, first and second bipolar outputs, a monopolar input, and a monopolar output. The switch assembly is transitionable between a first condition, wherein the first and second bipolar inputs are coupled to the first and second bipolar outputs, respectively, for supplying energy to the bipolar assembly, and a second condition, wherein the monopolar input and the monopolar output are coupled to one another for supplying energy to the monopolar assembly. | 03-05-2015 |
| 20150065964 | DRUG-DELIVERY CANNULA ASSEMBLY - A drug-delivery cannula assembly includes a cannula housing adapted for receiving at least one obturator shaft of an obturator assembly therethrough, one or more cannulae, and a supply line coupled to the cannula housing. The cannula housing is adapted for receiving one or more obturator shafts of an obturator assembly therethrough. The one or more cannulae define a longitudinal axis and a passageway aligned with the longitudinal axis. The one or more cannulae each include a proximal end coupled to the cannula housing. The cannula housing is configured to fluidly-couple the one or more cannulae to a source of a drug delivery supply for supplying drugs via the supply line to the one or more cannulae. | 03-05-2015 |
| 20150065956 | SYSTEMS AND METHODS FOR MONITORING AN INJECTION PROCEDURE - An indicator dilution system includes a catheter configured to deliver an indicator to a patient, an injection device configured to deliver the indicator to the catheter, and a connector coupling the injection device to the catheter. The system also includes one or more sensors configured to acquire measurements from components of the system, which may be used to determine the start and end time of the injection of the indicator to the patient. For example, the one or more sensors may be configured to acquire signals relating to a state of the connector, which may be used to determine whether the connector is in an open state to enable flow of the indicator or in a closed state to reduce flow of the indicator. | 03-05-2015 |
| 20150065944 | DRUG-DELIVERY DEVICE FOR USE WITH ABLATION DEVICE - A drug-delivery device includes a body configured for attachment to a handle of an ablation device, a shaft portion defining a passageway therein, and a delivery lumen to provide for drug delivery to tissue. The body includes a proximal portion, a distal portion, and a contoured portion disposed therebetween. The contoured portion is configured for engagement with a contoured portion of the handle of the ablation device. The shaft portion includes a proximal end and a distal end. The proximal end of the shaft engages with an opening defined in the distal end of the body. The passageway of the shaft portion is configured to receive the delivery lumen slideably moveably therein. The delivery lumen includes a proximal portion and a distal portion. The drug-delivery device also includes a knob member coupled to the proximal portion of the delivery lumen. | 03-05-2015 |
| 20150060525 | ANASTOMOTIC DEVICE - Illustrated and described is an anastomotic device for forming anastomoses, in particular of intestine anastomoses, with an introducer sheath for insertion into a body lumen, wherein a thrust bearing part is provided for the head section and within the head section an extendable and retractable knife and a retaining pin are arranged. According to the invention at least the actuating part and the head section of inter-connected fluid supply channel and at the head section at least one fluid outlet connected with the fluid supply channel are provided for producing a fluidic connection between the actuating part and the head section while inserting the head section into the body lumen and/or when pushing the introducer sheath into the body lumen, in which the fluidic connection is configured for discharging an inflation liquid into the body lumen. | 03-05-2015 |
| 20150060517 | SURGICAL STAPLING APPARATUS - A surgical apparatus is provided. The surgical apparatus includes an actuator device including a body portion defining a longitudinal axis and a first articulating link. The first articulating link includes a mechanical interface and is movable between a non-articulated position and at least one articulated position. A reload is releasably coupled to a distal end of the body portion. The reload including a second articulating link configured to engage the first articulating link when the reload is coupled to the actuator device. The reload including a tool assembly which is pivotable from a first a position aligned with the longitudinal axis of the body portion to at least one position misaligned with the longitudinal axis of the body portion. The first articulation link and the mechanical interface prevent the reload from being disengaged from the actuator device when the first articulating link is in the at least one articulated position. | 03-05-2015 |
| 20150060516 | Hand Held Electromechanical Surgical Handle Assembly for Use with Surgical End Effectors, And Methods of Use - The present disclosure relates to hand held electromechanical powered surgical handle assemblies for use with surgical end effectors capable of clamping, cutting and/or stapling tissue and methods of use thereof. The surgical device includes a handle assembly and a drive unit assembly removably and selectively connectable to a selected first connecting feature and second connecting feature of the handle assembly. The drive unit assembly includes a motor and a drive shaft driven by the motor. | 03-05-2015 |
| 20150057554 | SYSTEMS AND METHODS FOR MONITORING BLOOD PRESSURE - Various methods and systems for blood pressure monitoring are provided. A device for monitoring blood pressure may include a memory storing instructions for receiving one or more signals representative of one or more patient parameters, wherein at least one of the one or more signals comprises a plethysmography signal. The memory also stores instructions for determining a change in a pulse shape metric of the plethysmography signal and determining a change in a blood pressure signal over a period of time based on the one or more signals. The memory also stores instructions for determining a confidence level of the blood pressure signal based at least in part on a correlation between the change in the blood pressure signal and the change in the pulse shape metric over the period of time. The device also includes a processor configured to execute the instructions. | 02-26-2015 |
| 20150053747 | EEA ABDOMINAL ACCESS DEVICE - A surgical system is disclosed, and includes a surgical fastening apparatus and an access device. The access device defines an internal lumen configured to receive the surgical fastening apparatus. The access device also includes a proximal portion and a distal portion being more flexible than the proximal portion. The access device is reconfigurable between a first condition and a different, second condition in which the distal portion of the access device is configured to fold radially inwardly and proximally upon movement of the surgical fastening apparatus therewith. | 02-26-2015 |
| 20150051640 | SURGICAL INSTRUMENT - A surgical instrument is provided. The surgical instrument includes a housing. A movable handle is coupled to the housing and is configured to approximate a pair of jaw members toward and away from one another. A latch mechanism operably couples to the movable handle and includes one or more mechanical interfaces configured to selectively engage a corresponding mechanical interface disposed within the housing to lock and unlock the jaw members in an approximated configuration. When the movable handle is in a jammed position, the mechanical interface(s) of the latch mechanism is/are configured to deform and separate from the corresponding mechanical interface disposed within the housing when the movable handle is moved from the jammed position. | 02-19-2015 |
| 20150051631 | Expandable Balloon Desufflation Assembly - A balloon dissector includes a cannula, an expandable bladder, and a cord. The cannula defines a lumen between proximal and distal ends. The expandable bladder is configured to expand when fluid is injected into the lumen and includes an inner surface, a proximal base, and a retainer. The proximal base is selectively coupleable to the distal end of the cannula in a sealing relationship. The retainer is positioned on the inner surface of the expandable bladder. The cord includes a first end, a second end, and a central portion. The one end of the cord extends from the proximal end of the cannula. The cord extends through the lumen of the cannula and through the retainer of the bladder returning into the lumen. The cord configured to draw the expandable bladder into the lumen after the expandable bladder is expanded. | 02-19-2015 |
| 20150051599 | LIMITED-USE MEDICAL DEVICE - A forceps comprises a reusable portion and a disposable portion configured to operably engage the reusable portion, the disposable portion including at least one limited-use feature, wherein upon disengagement of the disposable portion from the reusable portion, the at least one limited-use feature is transitioned from a first state, permitting engagement of the disposable portion with the reusable portion, to a second state, wherein the limited-use feature inhibits reengagement of the disposable portion with the reusable portion. | 02-19-2015 |
| 20150051598 | SURGICAL FORCEPS INCLUDING THERMAL SPREAD CONTROL - A surgical instrument includes one or more electrically-conductive plates adapted to connect to a source of energy for supplying energy to tissue to treat tissue, a temperature sensing element, and a thermal spread control assembly coupled to the temperature sensing element. The thermal spread control assembly is configured to determine a flow rate of heat energy across the temperature sensing element and to control the energy applied to the electrically-conductive plate and/or control active cooling of the temperature sensing element in accordance with the determined flow rate of heat energy. | 02-19-2015 |
| 20150051473 | SYSTEMS AND METHODS FOR PHOTOACOUSTIC SPECTROSCOPY - A photoacoustic sensor system includes a photoacoustic sensor assembly having a light emitting component configured to emit one or more wavelengths of light into a region of a patient's tissue and an acoustic detector configured to detect acoustic energy generated within the region of the patient's tissue in response to the emitted light. The photoacoustic sensor assembly is configured to generate a signal that enables a monitor to determine a potion of the sensor assembly relative to the patient's tissue. | 02-19-2015 |
| 20150048140 | CHIP ASSEMBLY FOR REUSABLE SURGICAL INSTRUMENTS - A surgical instrument system is disclosed, the system including a first component and a second component, the first component being a reload assembly and the second component being selected from a group consisting of a handle assembly and an adapter assembly, the surgical instrument system including at least one chip assembly having a housing assembly on the first component, the housing assembly containing a chip, and a plug assembly on the second component, the chip having data for, and being configured to, prevent use of the reload assembly if the reload assembly is unauthorized. | 02-19-2015 |
| 20150048139 | CHIP ASSEMBLY FOR REUSABLE SURGICAL INSTRUMENTS - A chip assembly for use in a surgical stapler is provided. The chip assembly includes a housing assembly and a plug assembly. The housing assembly includes a base member, seal member, and a circuit board assembly. The base member defines a cavity for receipt of the circuit board assembly and the seal member is configured to be received about an open end of the base member. The plug assembly is configured to selectively engage the open end of the base member. The plug assembly includes a plug member and first and second contact members extending from the plug member. The first and second contact members are configured to be received within the cavity defined by the base member and engage the circuit board assembly when the plug assembly engages the housing assembly. | 02-19-2015 |
| 20150045871 | MEDICAL DEVICE DELIVERY CONTROL MECHANISM - Apparatuses and methods for controlling a medical device delivery assembly are provided. The apparatus can comprise a first engagement device and a coupling mechanism. The first engagement device can be used to engage a first component. The coupling mechanism can have a port and at least one wing. The at least one wing can be disposed adjacent to the port and be configured to facilitate interconnection of the first engagement device with the coupling mechanism. | 02-12-2015 |
| 20150045687 | DETECTION OF EXPIRATORY AIRFLOW LIMITATION IN VENTILATED PATIENT - This disclosure describes systems and methods for monitoring and evaluating data associated with ventilatory parameters to detect expiratory airflow limitation in a ventilated patient. For example, a ventilator may monitor flow and/or pressure during ventilation of the patient. Based on the flow and/or pressure measurements, or ventilatory data derived therefrom, the ventilator may calculate expiratory resistance. Moreover, the ventilator may trend expiratory resistance over time to produce an expiratory resistance waveform. In embodiments, the ventilator may calculate the slope of the expiratory resistance waveform during an initial part of exhalation. If the slope of the expiratory resistance waveform during the initial part of exhalation breaches a defined slope threshold, the ventilator may determine that the patient exhibits expiratory airflow limitation. | 02-12-2015 |
| 20150038995 | DEVICES, SYSTEMS, AND METHODS FOR WOUND CLOSURE - A wound closure device includes outer and inner members. The inner member is configured for receipt of a suture passer and is pivotably coupled to the outer member. The inner member is pivotable relative to the outer member between a first position, wherein the inner member is coaxially disposed relative to the outer member, a second position, wherein the distal end of the inner member extends outwardly from the outer member in a first direction and the proximal end of the inner member extends outwardly from the outer member in a second, opposite direction, and a third position, wherein the distal end of the inner member extends outwardly from the outer member in the second direction and the proximal end of the inner member extends outwardly from the outer member in the first direction. | 02-05-2015 |
| 20150034089 | SPEAKING VALVE SYSTEM WITH CUFF DEFLATION - A tracheal tube system includes a conduit and an inflatable cuff disposed on the conduit that seals a patient's airway. The tracheal tube system also includes an inflation line disposed along a portion of a length of the conduit and terminating in an opening within the inflatable cuff. The tracheal tube system further includes a speaking valve disposed at a proximal end of the conduit and in fluid communication with the inflatable cuff. The speaking valve is fluidly coupled to the inflatable cuff via a one-way valve such that fluid from the cuff flows into the speaking valve when the one-way valve is open. | 02-05-2015 |
| 20150032198 | METHODS AND APPARATUS FOR LUMINAL STENTING - A stent delivery assembly and methods of use are provided. The assembly can comprise a catheter, a cover member, a core member, a stent, and a stent retention mechanism. The stent can extend within the cover member lumen and have a section extending at least partially between an inner layer of the cover member and the core member. The stent retention mechanism can be coupled to the core member and comprise an outer surface that is configured to exert a radially outward force against the stent for axially restraining the stent relative to the core member when the stent is in contact with the inner layer of the cover member. | 01-29-2015 |
| 20150032144 | VASCULAR DEVICES AND METHODS WITH DISTAL PROTECTION - A device for treating a thrombus in a blood vessel includes a treatment section and a filter section. The treatment section can be generally cylindrical and comprise a plurality of individual filaments and individual cells, as well as a first edge and a second edge along a longitudinal axis of the device. A varying degree of overlap of the first edge and the second edge may be provided as the device transitions from a volume-reduced form to an expanded form. The filter section can be generally conical and accommodate the variable degree of overlap by providing a first section, distal to the treatment section, that has a variable degree of overlap with a non-continuous, interrupted surface. A second section, distal to the first section, has a continuous surface for providing effective filtering of debris and emboli dislodged from the thrombus during action upon the thrombus by the treatment section. | 01-29-2015 |
| 20150032130 | EXPANDING ABSORBABLE TACK - A surgical fastener is disclosed, and includes a head section and a tissue snaring section. The head section includes an engagement member pivotably disposed on an outer surface of the head section. The tissue snaring section defines a longitudinal axis and extends away from the head section. At least one helical thread defined along an outer surface of the tissue snaring section. The tissue snaring section is configured to rotate about the longitudinal axis in a first radial direction, and the engagement member is configured pivot outwardly from the head section in the first radial direction. | 01-29-2015 |
| 20150032106 | VESSEL CORSET FOR USE WITH ELECTROSURGICAL FORCEPS - A system for treating tissue is provided. The system includes a forceps having opposing jaw members at a distal end thereof configured to treat tissue. A corset is configured to be wrapped around tissue and stretched to reduce an overall cross section of tissue and allow the jaw members to grasp the tissue for surgical treatment thereof | 01-29-2015 |
| 20150032100 | SYSTEMS AND METHODS FOR OPERATING AN ELECTROSURGICAL GENERATOR - The systems and methods according to embodiments of the present disclosure provide optimal tissue effect during an electrosurgical procedure. A system and method for controlling an electrosurgical generator is provided including sensing an impedance of target tissue; generating electrosurgical energy in a first phase at a first power level until the sensed impedance of the target tissue is greater than a first threshold impedance; generating a plurality of pulses of electrosurgical energy in a second phase at a second power level, each pulse being generated until the sensed impedance of the target tissue is greater than a second threshold impedance set for that pulse; and generating at least one high-voltage pulse in a third phase at a third power level for a predetermined duration to divide the target tissue. | 01-29-2015 |
| 20150032099 | SYSTEMS AND METHODS FOR MEASURING TISSUE IMPEDANCE THROUGH AN ELECTROSURGICAL CABLE - The electrosurgical systems and methods of the present disclosure include a tissue resistance measurement system that compensates for capacitive parasitics in a cable connecting an electrosurgical generator to and electrosurgical cable to estimate the real resistance of a tissue load. The electrosurgical generator includes an output stage coupled to an electrical energy source and generates electrosurgical energy. The electrosurgical generator includes a plurality of sensors sensing a voltage and current of the electrosurgical energy and a controller controlling the output stage. The controller includes a calculator that calculates a real part of an impedance based on the sensed voltage and current, an estimator that estimates a resistance of the tissue using a solution to a quadratic equation that is a function of the real part of the impedance, and a control signal generator configured to generate a control signal for the output stage based on the resistance of the tissue. | 01-29-2015 |
| 20150032098 | SYSTEMS AND METHODS FOR MEASURING TISSUE IMPEDANCE THROUGH AN ELECTROSURGICAL CABLE - The electrosurgical systems and methods of the present disclosure include a tissue resistance measurement system that compensates for capacitive parasitics in a cable connecting an electrosurgical generator to and electrosurgical cable to estimate the real resistance of a tissue load. The electrosurgical generator includes an output stage coupled to an electrical energy source and generates electrosurgical energy. The electrosurgical generator includes a plurality of sensors sensing a voltage and current of the electrosurgical energy and a controller controlling the output stage. The controller includes a calculator that calculates a real part of an impedance based on the sensed voltage and current, an estimator that estimates a resistance of the tissue using a solution to a quadratic equation that is a function of the real part of the impedance, and a control signal generator configured to generate a control signal for the output stage based on the resistance of the tissue. | 01-29-2015 |
| 20150032096 | SYSTEMS AND METHODS FOR GENERATING ELECTROSURGICAL ENERGY USING A MULTISTAGE POWER CONVERTER - The electrosurgical systems and methods according to the present disclosure use a multi-stage power converter for generating electrosurgical energy. The electrosurgical systems include an electrosurgical generator having a power converter coupled to an electrical energy source and configured to generate electrosurgical energy. The power converter includes a boost converter configured to convert a first direct current from the electrical energy source to a second direct current, and a phase-shifted pulse width modulation (PS-PWM) resonant inverter configured to invert the second direct current to an alternating current. The electrosurgical generator also includes a plurality of sensors configured to sense a voltage and a current of the generated electrosurgical energy and a controller coupled to the power converter and the plurality of sensors. The controller includes a signal processor configured to determine tissue impedance based on the sensed voltage and current, and an output controller configured to select one of a plurality of output characteristics based on the determined tissue impedance, and to generate control signals to control the boost converter and the PS-PWM resonant inverter, according to the selected output characteristic. | 01-29-2015 |
| 20150032046 | ENERGY-BASED TREATMENT METHODS FOR REFRACTORY GOUT - A method of performing a medical procedure is disclosed. The method includes: positioning an energy delivery device configured to deliver energy adjacent uric acid (UA) crystals having a resonance frequency; applying energy to tissue through the energy delivery device at a predetermined frequency thereby resonating the UA crystals; debulking at least a portion of the UA crystals; and removing at least a portion of the debulked UA crystals. | 01-29-2015 |
| 20150031971 | METHODS AND SYSTEMS FOR USING AN ESTIMATE SIGNAL TO IMPROVE SIGNAL RESOLUTION IN A PHYSIOLOGICAL MONITOR - A physiological monitoring system may receive a sensor signal from a physiological sensor. The system may generate an estimate of the sensor signal based on, for example, prior received signals. The estimate signal may be subtracted from the sensor signal using a transimpedance amplifier to generate a difference signal. A gain and/or offset may be applied to the difference signal by the amplifier. The amplified difference signal may be digitized and combined with the estimate signal to generate a high resolution digital representation of the sensor signal. Physiological information such as blood oxygen saturation, pulse rate, respiration rate, respiration effort, blood pressure, hemoglobin concentration, any other suitable physiological parameters, or any combination thereof, may be determined using the digitized sensor signal. In some embodiments, the use of the signal estimate and the amplified difference signal in processing physiological parameters may provide high resolution without high power and/or processing requirements. | 01-29-2015 |
| 20150031970 | SYSTEMS AND METHODS FOR MONITORING OXYGEN SATURATION DURING EXERCISE - Various systems and methods for monitoring oxygen saturation are provided. A monitoring system may include a sensor configured to obtain a physiological signal and a monitor configured to obtain the signal from the sensor and to determine a baseline oxygen saturation from the physiological signal and to generate one or more zones based at least in part on the baseline oxygen saturation. Each zone may include a different range of percentages of oxygen saturation and at least one of the zones corresponds to an anaerobic exercise condition. | 01-29-2015 |
| 20150031958 | SURGICAL SEAL ASSEMBLY WITH UPPER LIP SEAL - A surgical access device is presented including a seal assembly having an upper housing member and a lower housing member configured to form a housing, the housing defining a central longitudinal axis and having a longitudinal passage for receiving at least one surgical object therethrough. The surgical access device further includes a seal disposed within the seal assembly, the seal movably arranged within the housing. The seal may include an elastomeric seal member having an opening for receiving and sealing with an instrument inserted therethrough, the elastomeric seal member arranged between an upper seal holder and a lower seal holder. The upper seal holder may be a cup-shaped seal having an upper lip that engages at least a portion of the upper housing member to secure the seal within the seal assembly. | 01-29-2015 |
| 20150025556 | INCISIONAL HERNIA CUT LINE METHOD AND DEVICE - A method for making a non-linear incision includes forming a non-linear incision in tissue to improve post-operative adhesion of the incised tissue. In one aspect, a method for making a non-linear incision in tissue includes providing a surgical device including a housing and an end effector. The end effector is secured to the housing and includes a pair of jaws operable coupled to the housing. The jaws are disposed in substantial registration. The jaws may be oriented in substantially vertical registration or oriented in substantially horizontal registration. The method may include forming a non-linear incision in tissue with movement of tone or both of the jaws between approximated and unapproximated configurations. The movement may be horizontal or vertical. | 01-22-2015 |
| 20150025528 | SURGICAL FORCEPS FOR TREATING AND CUTTING TISSUE - An end effector assembly includes a first jaw member defining a wedge configuration having first and second planar surfaces angled inwardly to an apex, and a second jaw member defining a nest configuration having a cut-out defined by third and fourth planar surfaces angled inwardly to a trough. The jaw members are movable between spaced-apart position and approximated positions. In the approximated position, the first and third and second and fourth planar surfaces are disposed in parallel orientation relative to one another imparting a first grasping pressure to tissue disposed therebetween, while the apex is received within the trough imparting a second grasping pressure to tissue disposed therebetween. The jaw members are adapted to connect to a source of energy for conducting energy between the parallel planar surfaces to create a pair of tissue seals, and between the apex and trough to cut tissue between the tissue seals. | 01-22-2015 |
| 20150025523 | ELECTROSURGICAL GENERATOR WITH CONTINUOUSLY AND ARBITRARILY VARIABLE CREST FACTOR - An electrosurgical generator is provided. The electrosurgical generator includes: a non-resonant radio frequency output stage configured to output a substantially square electrosurgical waveform; and a controller coupled to the non-resonant radio frequency output stage, the controller configured to adjust a crest factor of the substantially square electrosurgical waveform on a cycle-by-cycle basis. | 01-22-2015 |
| 20150025522 | LIMITED-USE SURGICAL DEVICES - A system includes an energy source and a surgical device. The energy source has a receptacle configured to delivery energy to the surgical device through a receptacle. The surgical device is configured to deliver the energy to tissue. The surgical device includes a plug selectively engagable to the receptacle to couple the surgical device to the energy source. The plug includes a prong configured to mechanically transition from a condition permitting engagement of the plug and the receptacle to another condition inhibiting engagement of the plug with the receptacle upon reaching a predetermined usage threshold. | 01-22-2015 |
| 20150025521 | ELECTROSURGICAL GENERATORS - An electrosurgical generator is provided. The electrosurgical generator includes at least one converter configured to output a DC waveform and a nonlinear carrier control current. At least one boost inverter is coupled to the at least one converter and is configured to convert the DC waveform to generate at least one electrosurgical waveform. At least one inductor is connected in series with the at least one converter and at least one boost inverter and is configured to output an inductor current. A controller is coupled to the at least one converter and the at least one boost inverter and is configured to maintain the inductor current at a predetermined value by controlling a pulse duration of a duty cycle of the at least one converter based on a comparison of inductor current and the nonlinear control current. | 01-22-2015 |
| 20150025477 | SURGICAL SEAL ASSEMBLY INCLUDING CENTERING MECHANISM - A seal assembly for a surgical access assembly includes a housing defining a center, first and second ring members, an inner seal member, and first and second centering mechanisms. The first ring member is disposed within the housing and includes the inner seal member coupled thereto and extending radially inwardly therefrom. The second ring member is disposed within the housing annularly about the first ring member. The inner seal member is configured to sealingly receive a surgical instrument inserted through the housing. The first centering mechanism is configured to bias the first ring member towards a concentric orientation relative to the second ring member. The second centering mechanism is concentrically disposed about the first centering mechanism and is configured to bias the second ring member towards a concentric orientation relative to the center of the housing. | 01-22-2015 |
| 20150018931 | STENT GRAFT ASSEMBLY AND METHOD - A graft device can include a graft component and an expandable component that has a longitudinal axis and a coupling portion. The coupling portion has a surface extending radially relative to the longitudinal axis. The graft component also has a portion that is coupled to the surface of the expandable component for securing the graft component relative to the expandable component. For example, the graft component portion can be frictionally engaged between the surface and a member positioned against the expandable component. | 01-15-2015 |
| 20150018858 | METHODS AND DEVICES FOR CUTTING TISSUE - A catheter is provided, which includes a cutting element having one or more raised elements. The cutting element has a cup-shaped surface at the distal end that may be smooth and continuous except for the raised elements. | 01-15-2015 |
| 20150018816 | ELECTRODE ASSEMBLY FOR USE WITH SURGICAL INSTRUMENTS - A system for treating tissue is provided. The system includes a source of electrosurgical energy and one or more microcontrollers. A surgical instrument is electrically coupled to the source of electrosurgical energy and includes an end effector including a pair of first and second jaw members. An electrode assembly includes first and second electrodes that are configured to selectively couple to the first and second jaw members, respectively, for treating. One or both of the first and second electrodes includes one or more pressure sensors configured to communicate a pressure between the first and second jaw members to the microcontroller as the first and second jaw members grasp tissue. One or both of the first and second electrodes includes one or more position sensors configured to provide position information to the microcontroller as the first and second electrodes grasp tissue. | 01-15-2015 |
| 20150010227 | Region-Growing Algorithm - A region growing algorithm for controlling leakage is presented including a processor configured to select a starting point for segmentation of data, initiate a propagation process by designating adjacent voxels around the starting point, determine whether any new voxels are segmented, count and analyze the segmented new voxels to determine leakage levels, and identify and record segmented new voxels from a previous iteration when the leakage levels exceed a predetermined threshold. The processor is further configured to perform labeling of the segmented new voxels of the previous iteration, select the segmented new voxels from the previous iteration when the leakage levels fall below the predetermined threshold, and create a voxel list based on acceptable segmented voxels found in the previous iteration. | 01-08-2015 |
| 20140376269 | DEAD-TIME OPTIMIZATION OF RESONANT INVERTERS - The present disclosure is directed to an electrosurgical generator including a resonant inverter having an H-bridge and a tank. A sensor array measures at least one property of the tank. A pulse width modulation (PWM) controller outputs a first PWM timing signal and a second PWM timing signal to the H-bridge. The PWM controller controls a dead-time between the first PWM timing signal and the second PWM timing signal based on the at least one property measured by the sensor array. | 12-25-2014 |
| 20140373652 | ADAPTER DIRECT DRIVE WITH MANUAL RETRACTION, LOCKOUT AND CONNECTION MECHANISMS - A surgical device adapter for coupling an end effector to a handle assembly is disclosed. The surgical device adapter includes: a housing; a drive mechanism disposed within the housing and couplable to the handle assembly and the end effector; and a drive coupling assembly coupled to the surgical device adapter and selectively couplable to the handle assembly, the drive coupling assembly including a retraction assembly selectively couplable to the drive mechanism such that rotation of the drive coupling assembly about a longitudinal axis defined by the surgical device adapter and relative to the housing actuates the drive mechanism. | 12-25-2014 |
| 20140371839 | MEDICAL IMPLANT HAVING A CURLABLE MATRIX STRUCTURE AND METHOD OF USE - A medical having a proximal and a distal end, that is preformed to assume a superimposed structure at an implantation site but can be made to take on a volume-reduced form making it possible to introduce it by means of a micro-catheter and a guide wire arranged at the proximal end, with the implant in its superimposed structure assuming the form of a longltudlnally open tube and having a mesh structure of intercormected strings or filaments. The implant has a tapering structure at its proximal end where the strings or filaments converge at a connection point. | 12-18-2014 |
| 20140371767 | ADHESIVE BARBED FILAMENT - The present disclosure provides filaments and/or surgical sutures which include an inner core, an outer sheath and a plurality of barbs on a surface thereof. The filaments and/or surgical sutures further include at least one adhesive precursor material which transitions from a non-adherent material to an adhesive material to attach a portion of the filament and/or suture to the surrounding area, such as tissue and/or other portions of the filament. | 12-18-2014 |
| 20140371760 | Specimen Retrieval Device Including an Integrated Sliding Grasper - A specimen retrieval device is provided. The specimen retrieval device includes a housing including an outer shaft extending distally therefrom. An inner shaft is disposed within the outer shaft and includes at least one tissue engaging device configured to engage tissue and at least one spring. A pouch is coupled to the inner shaft and the at least one spring. The pouch includes an open proximal end and a closed distal end and is movable from a first configuration for deployment from the outer shaft to a second configuration for receiving tissue therein. The at least one tissue engaging device is positionable within the pouch and movable along the inner shaft for engaging tissue and pulling the tissue within the pouch. | 12-18-2014 |
| 20140371759 | Specimen Retrieval Device Including a Reusable Shaft With Interchangeable Pouch - A specimen retrieval device is provided. The specimen retrieval device includes a housing that includes an outer shaft extending distally therefrom. An inner shaft is disposed within the outer shaft and includes a spring including two or more members. One or both of the members includes a support member interface member. A pouch is releasably couplable to the members and includes a cinch having a proximal end that is passable through the outer shaft for grasping by a user. The pouch includes a pair of openings that lead to a sleeve that is provided on the pouch. Each of the openings is configured to receive a respective one of the members so as to allow the support member interface member on the member(s) to engage a corresponding pocket on the pouch. | 12-18-2014 |
| 20140371700 | Absorbent Articles Having Pockets and Related Methods Therefor - The present disclosure provides articles having an absorbent core. The absorbent core has a plurality of segmented volumes possessing an absorbent material therein. Suitable articles which may be formed with this absorbent core include, for example, diapers such as infant diapers, juvenile diapers and training pants, feminine hygiene products such as menstrual pads, adult incontinence products such as adult briefs, protective underwear, pads and bladder control pads, pet training pads, and other disposable products utilized to absorb fluids. | 12-18-2014 |
| 20140371521 | IMPLANTABLE SLINGS - The present disclosure describes implantable slings suitable for use in a variety of medical applications, the implantable slings include at least one a biocompatible support member having a first surface and a second surface, the first and second surfaces including a first end, a second end, and a central region positioned therebetween, a first set of fixation elements positioned on the first end of the first surface, a second set of fixation elements positioned on the second end of the first surface, and a spacer positioned on the central region of the first surface for contacting a tissue in need of support. | 12-18-2014 |
| 20140367446 | METHOD OF EMERGENCY RETRACTION FOR ELECTRO-MECHANICAL SURGICAL DEVICES AND SYSTEMS - The present disclosure relates to an electromechanical surgical system and methods for use thereof including a surgical instrument having a controller, and an end effector selectively and removably connectable to the surgical instrument, wherein the controller enters an emergency retraction mode when at least one input element of the surgical system is incapable of providing control signals to the controller to operate a motor, wherein the emergency retraction mode activates the motor to withdraw a drive assembly from any advanced position thereof. | 12-18-2014 |
| 20140367445 | EMERGENCY RETRACTION FOR ELECTRO-MECHANICAL SURGICAL DEVICES AND SYSTEMS - The present disclosure relates to an electromechanical surgical system including a surgical instrument having a controller, and an end effector selectively and removably connectable to the surgical instrument, wherein the controller is configured to enter an emergency retraction mode when at least one input element of the surgical system is incapable of providing control signals to the controller to operate a motor, wherein the emergency retraction mode activates the motor to withdraw a drive assembly from any advanced position thereof. | 12-18-2014 |
| 20140366879 | USE OF MULTIPLE SPONTANEOUS BREATH TYPES TO PROMOTE PATIENT VENTILATOR SYNCHRONY - The present disclosure combines the advantages of a hybrid mode of ventilation with an automatic determination of an appropriate spontaneous breath type in response to one or more patient based criteria. Specifically, when the ventilator is delivering a spontaneous breath type, a determination may be made as to whether predetermined ventilatory criteria have been met. Based on the determination the ventilator may deliver one of any number of spontaneous breath types. | 12-18-2014 |
| 20140364892 | Restricted Expansion Dissector - A surgical apparatus is disclosed that is configured and dimensioned to create an internal surgical worksite. The surgical apparatus includes a dissection element that is repositionable between an unexpanded condition, wherein the dissection element defines a first outer transverse cross-sectional dimension, and an expanded condition, wherein the dissection element defines a second, larger outer transverse cross-sectional dimension. The surgical apparatus further includes a restrictor that is in contact with the dissection element in order to restrict expansion of the dissection element in at least one direction. | 12-11-2014 |
| 20140360497 | METHODS AND SYSTEMS FOR TRIGGERING WITH UNKNOWN BASE FLOW - This disclosure describes systems and methods for providing novel back-up ventilation that allows the patient to trigger or initiate the delivery of breath. Further, this disclosure describes systems and methods for triggering ventilation when base flow is unknown or undeterminable by the ventilator. | 12-11-2014 |
| 20140358138 | GAIN COMPENSATION FOR A FULL BRIDGE INVERTER - An electrosurgical generator and related systems and methods using a gain-compensated full bridge topology. Gain nonlinearity is corrected by applying impedance and phase correction factors to a control loop to achieve a linear gain structure. In embodiments, gain compensation is performed by comparing an RF setpoint signal with a calculated output signal to generate a first error signal. An impedance correction factor is applied to the first error signal to generate a second error signal. The second error signal is processed by a proportional-integral-derivative controller to generate a phase control signal. A phase control correction factor is applied to the phase control signal to generate a corrected pulse width modulation driving signal, which is used to generate PWM driving signals for a full-bridge inverter. One or more sensors provide feedback for comparison with the RF setpoint. | 12-04-2014 |
| 20140358129 | ADAPTER LOAD BUTTON DECOUPLED FROM LOADING UNIT SENSOR - A surgical device is provided. The surgical device includes: a jaw assembly comprising a first jaw and a second jaw moveable relative to the first jaw and an elongated body removably coupled to a proximal end of the jaw assembly. The elongated body includes an actuation bar movable upon engagement of the jaw assembly with the elongated body to secure the jaw assembly thereto; a release button coupled to the actuation bar such that the release button is movable by the actuation bar upon engagement of the jaw assembly with the elongated body and the release button is configured to move the actuation bar to allow for removal of the jaw assembly from the elongated body; and a lockout button in mechanical cooperation with the release button, the lockout button configured to prevent actuation of the release button. | 12-04-2014 |
| 20140353869 | END EFFECTOR ASSEMBLIES AND METHODS OF MANUFACTURING END EFFECTOR ASSEMBLIES FOR TREATING AND/OR CUTTING TISSUE - A method of manufacturing an end effector assembly including first and second energizable portions configured to supply energy to tissue is provided. The method includes forming a substrate including first and second portions interconnected by a connector portion. The substrate is formed as a single integrated component. The method further includes engaging the substrate with an insulative member, and removing the connector portion of the substrate to electrically insulate the first and second portions from one another. | 12-04-2014 |
| 20140353188 | TRANSPORTATION INTEGRITY DEVICE FOR MEDICAL INSTRUMENTS - Packaging for a medical device includes a housing having an exterior surface and an interior surface including a compartment defined therein configured to contain a medical device. A carrier strip is secured to the exterior surface and/or the interior surface of the housing and includes one or more reactive portions disposed thereon. The reactive portion is configured to transition from a first visible state to a second visible state upon being subject to a defined parameter, temperature, radiation, sunlight, UV, microwave, etc. | 12-04-2014 |
| 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. | 11-27-2014 |
| 20140345616 | SYSTEMS AND METHODS FOR DETERMINING PATIENT EFFORT AND/OR RESPIRATORY PARAMETERS IN A VENTILATION SYSTEM - Various embodiments of the present disclosure provide systems, methods and devices for respiratory support. As one example, a method for respiratory support is described that includes measuring a pressure, providing a measured pressure, measuring an inlet flow and an outlet flow, and providing a measured net flow. A relationship between a first value related to the measured pressure, a second value related to the measured net flow and a third value related to patient effort is used to provide a prediction of patient effort. An interim value is updated based at least in part on the prediction of the patient effort. | 11-27-2014 |
| 20140343513 | Safety Needle Assembly - A safety needle assembly is disclosed which includes a a needle assembly and a needle guard. The needle guard is supported about a needle of the needle assembly and is positioned to engage an enlarged diameter portion of the needle during withdrawal of the needle guard from the needle to effect an inversion of the needle guard about a sharpened tip of the needle. | 11-20-2014 |
| 20140343090 | LOCAL DELIVERY OF WATER-SOLUBLE OR WATER-INSOLUBLE THERAPEUTIC AGENTS TO THE SURFACE OF BODY LUMENS - A method and device for local delivery of a water-insoluble therapeutic agent to the tissue of a normal or diseased body lumen is disclosed. An expandable structure of a medical disposable device, such as a balloon of a balloon catheter, is coated with a non-durable coating which comprises poly(HEMA) complexed with iodine and has a substantially water-insoluble therapeutic agent dispersed therein. The medical disposable device is inserted into a body lumen, and expanded to contact the non-durable coating against the body lumen and deliver the substantially water-insoluble therapeutic agent to the body lumen tissue. | 11-20-2014 |
| 20140336636 | FLEXIBLE CIRCUIT 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. | 11-13-2014 |
| 20140336635 | SURGICAL FORCEPS - A surgical forceps includes a first shaft member including a proximal portion having a handle at a proximal end thereof and a distal portion having a jaw member at a distal end thereof. The proximal and distal portions are pivotable between an aligned position and an angled position. A second shaft member includes a jaw member at a distal end thereof and a handle at a proximal end thereof. The shaft members are pivotable relative to one another between a spaced-apart position and an approximated position for moving the jaw members relative to one another between an open position and a closed position to grasp tissue therebetween. The proximal portion of the first shaft member is pivoted relative to the distal portion of the first shaft member from the aligned position to the angled position upon movement of the first and second shaft members towards the spaced-apart position. | 11-13-2014 |
| 20140336585 | FISTULA CATHETER - A fistula catheter in which an intracorporeal fixing part comprises an inner balloon and an outer balloon is disclosed, whereby it is possible to prevent removal from the fistula by means of the inner balloon, even if the outer balloon deflates. | 11-13-2014 |
| 20140330308 | ENDOSCOPIC SURGICAL FORCEPS - A surgical instrument includes an end effector assembly, first and second handles, and a drive assembly. The handles are pivotable relative to one another between a spaced-apart position and an approximated position. The drive assembly includes a drive bar and a biasing member. The drive bar is coupled to the end effector assembly such that translation of the drive bar effects movement of the end effector assembly between first and second positions. First and second ends of the biasing member are coupled to the respective first and second handles. An intermediate portion of the biasing member is coupled to the drive bar such that movement of the handles from the spaced-apart to the approximated position displaces the intermediate portion and urges the drive bar to translate relative to the end effector assembly to effect movement of the end effector assembly between the first and second positions. | 11-06-2014 |
| 20140330293 | Medical Suturing Instrument - A medical suturing implement which greatly improves manipulability and operability is provided. In a suturing implement, the movement of an operating part is transferred with a time differential to a loop forming part and suture thread by a loop feeding/returning mechanism and a suture thread feeding mechanism, and after the loop is fed out from the tip end of a loop introduction needle, the suture thread is fed out from the tip end of a suture thread introduction needle. | 11-06-2014 |
| 20140325859 | TISSUE CALIPER - A tissue caliper is provided. The tissue caliper includes a housing assembly including a tubular body, an activation assembly operably received within the housing assembly, and a caliper assembly operably connected to the activation assembly. The activation assembly includes a magnetic spring for effecting the opening and closing of the caliper assembly. Also provided is a kit for measuring tissue thickness. | 11-06-2014 |
| 20140325814 | METHOD FOR SEALING A REUSABLE ELECTRICAL SURGICAL INSTRUMENT - A method for sealing surgical instruments, particularly reusable electric surgical instruments sterilized using an autoclave process, is disclosed. The method having the steps of providing at least two body shells having a runner system on the mating surfaces, aligning the body shells, securing the body shells in position relative to each other, inserting an injection device into the runner system, injecting an elastomer material from the injection device into the runner system, removing the injection device from the runner system, and curing the elastomer material. The elastomer material seals the housing chamber of the instrument. The elastomer material may bond the body shells together. | 11-06-2014 |
| 20140323876 | SYSTEMS AND METHODS FOR DETERMINING FLUID RESPONSIVENESS IN THE PRESENCE OF GAIN CHANGES AND BASELINE CHANGES - Methods and systems are provided for determining fluid responsiveness based on physiological signals. The system may detect gain changes or excessive baseline modulations. In some embodiments, based on the detected gain changes or excessive baseline modulations, the system may ignore portions of physiological signals and determine a parameter indicative of fluid responsiveness based on a plurality of amplitudes determined from other portions of the physiological signals. In some embodiments, based on the detected gain changes or excessive baseline modulations, the system may determine fluid responsiveness, or refrain from determining fluid responsiveness. | 10-30-2014 |
| 20140323874 | SYSTEMS AND METHODS FOR DETERMINING FLUID RESPONSIVENESS - Provided are systems and methods for processing a physiological signal in order to determine fluid responsiveness of a subject. In some embodiments, a respiration rate of the subject is received or determined, the signal is filtered based on the respiration rate to generate a filtered signal, and the filtered signal is processed to determine fluid responsiveness. In some embodiments, regular respiration is detected and fluid responsiveness is determined when regular respiration is detected. In some embodiments, the respiration of a subject is controlled, and fluid responsiveness is determined during controlled respiration. | 10-30-2014 |
| 20140323846 | SYSTEM AND METHOD FOR DETERMINING HEMODYNAMIC STATUS THROUGH A BLOOD PRESSURE RELATED INDEX - A system for determining a hemodynamic status of an individual may include a photoplethysmography (PPG) sub-system configured to detect a PPG signal and a response triggering module configured to analyze the PPG signal and output one or more response triggers based on a changing feature of the PPG signal within a time window. Each of the one or more response triggers may relate to an instruction to initiate detection of at least one physiological characteristic of the individual. A blood pressure (BP) variability index determination module is configured to determine a BP variability index related to a hemodynamic status of the individual based on a frequency or pattern of the one or more response triggers. | 10-30-2014 |
| 20140323824 | SYSTEMS AND METHODS FOR DETERMINING FLUID RESPONSIVENESS - Provided are systems and methods for processing a physiological signal in order to determine fluid responsiveness of a subject. In some embodiments, a respiration rate of the subject is received or determined, the signal is filtered based on the respiration rate to generate a filtered signal, and the filtered signal is processed to determine fluid responsiveness. In some embodiments, regular respiration is detected and fluid responsiveness is determined when regular respiration is detected. In some embodiments, the respiration of a subject is controlled, and fluid responsiveness is determined during controlled respiration. | 10-30-2014 |
| 20140323822 | SYSTEM AND METHOD FOR GENERATING AN ADJUSTED FLUID RESPONSIVENESS METRIC - The present invention relates to physiological signal processing, and in particular to methods and systems for processing physiological signals to predict a fluid responsiveness of a patient. A medical monitor for monitoring a patient includes an input receiving a photoplethysmograph (PPG) signal representing light absorption by a patient's tissue. The monitor also includes a perfusion status indicator indicating a perfusion status of the PPG signal, and a fluid responsiveness predictor (FRP) calculator programmed to calculate an FRP value based on a respiratory variation of the PPG signal. The FRP calculator applies a correction factor based on the perfusion status indicator. | 10-30-2014 |
| 20140323808 | OBTURATOR FEATURES FOR MATING WITH CANNULA TUBE - A surgical assembly includes a cannula and an obturator. The cannula has open proximal and distal ends defining a lumen therebetween. The lumen defines an inner surface of the cannula having a mating structure. The obturator is generally tubular and has an outer surface including a corresponding mating structure. The respective mating structures of the obturator and the cannula engage each other so as prevent relative rotation of the obturator and cannula, and to prevent inadvertent disconnection of an upper valve housing attached to the cannula. | 10-30-2014 |
| 20140319197 | DISSECTING TIP FOR SURGICAL STAPLER - The present disclosure relates to a dissecting tip for use in a surgical stapler or instrument. | 10-30-2014 |
| 20140317899 | STORAGE AND DISPENSING SYSTEM FOR REUSABLE SYRINGE - A storage and dispensing container includes a base having an open end and a receptacle. A first divider is secured in the receptacle. A second divider is pivotally secured to the first divider, and defines a first compartment with the first divider. The first compartment has a size that is selectively adjustable by pivoting the second divider relative to the first divider. | 10-30-2014 |
| 20140316508 | IMPLANT DELIVERY SYSTEM WITH MARKER INTERLOCK - An implant delivery system is disclosed. The delivery system includes an elongated member having an implant mounting location. A self-expandable implant is mounted at the implant mounting location. The implant is held in a compressed orientation by a retractable sheath. An interlock structure prevents the implant from deploying prematurely as the sheath is retracted. The interlock structure includes radio-opaque markers that identify the position of the implant. | 10-23-2014 |
| 20140316459 | Surgical Stapling Device - A surgical stapling device for applying an array of surgical staples to tissue is provided. The stapling device includes an approximation mechanism for moving a cartridge assembly and an anvil assembly between spaced and approximated positions and a firing mechanism for ejecting the array of staples from the cartridge assembly. A single trigger is operable to effect approximation and firing of the device. The device also includes an alignment pin assembly which can be selectively manually or automatically advanced. The anvil assembly includes a stiffener plate which allows the device to have a reduced head portion profile. | 10-23-2014 |
| 20140316454 | STENTS HAVING RADIOPAQUE MESH - A stent including a mesh made of strands. The mesh has at least one radiopaque strand and at least one non-radiopaque strand, and the at least one radiopaque strand and the at least one non-radiopaque strand each have different diameters. Each strand has an index of wire stiffness EI, where EI is the mathematical product of the Young's modulus (E) and the second moment of area (I). The EI of all strands in the mesh is no more than five times the EI of the strand having the smallest EI of any of the strands. | 10-23-2014 |
| 20140316432 | Constant Value Gap Stabilizer for Articulating Links - A surgical instrument is adapted and configured for use in a minimally invasive surgical procedure. The surgical instrument includes at least one pair of segments including a plurality of articulating links having gaps therebetween. At least one gap stabilizer stabilizes the articulating links and facilitates maintaining equally sized gaps between the articulating links during bending of the surgical instrument. | 10-23-2014 |
| 20140316382 | CATHETER AND CONNECTOR FOR USE WITH SAME - A catheter is provided that includes an elongated body extending from a proximal end to a distal end. The body defines at least one lumen. A tip has a proximal end that is disposed in abutting relation with the distal end of the body such that the body is fixed with the tip. The tip defines a lateral opening that is defined by a wall including an external radius disposed in transition with an outer surface of the tip and an internal radius disposed in transition with an inner surface of the tip. The external radius has a non-perpendicular profile with the outer surface of the tip. | 10-23-2014 |
| 20140316287 | System and method for displaying fluid responsivenss predictors - Embodiments provide systems and methods for displaying a fluid responsiveness predictor (FRP) based on an analysis a physiological signal detected by a physiological sensor applied to a patient. A method may include detecting the signal of the patient with the physiological sensor, determining an FRP with a FRP determination module, wherein the determining operation comprises analyzing at least one characteristic of the physiological signal over time to determine the FRP, receiving a report request to report the FRP at a requested time through a user interface, generating a reported FRP in relation to the requested time using the FRP determination module, and displaying the reported FRP on a display. The displaying operation may include displaying the FRP using at least one graphic representation. | 10-23-2014 |
| 20140316286 | SYSTEM AND METHOD FOR DETERMINING RESPIRATORY PARAMETERS FROM BLOOD FLOW SIGNALS - A system for determining one or more respiratory parameters of an individual may include a blood flow detection device configured to detect a blood flow signal of the individual, a blood flow determination module configured to form a blood flow waveform based on the blood flow signal, and a respiratory parameter analysis module configured to analyze the blood flow waveform and determine the respiratory parameter(s) from an analysis of the blood flow waveform. | 10-23-2014 |
| 20140316278 | SYSTEM AND METHOD FOR SCALING A FLUID RESPONSIVENESS METRIC - The present invention relates to physiological signal processing, and in particular to methods and systems for processing physiological signals to predict a fluid responsiveness of a patient. A medical monitor for monitoring a patient may include an input receiving a photoplethysmograph (PPG) signal representing light absorption by a patient's tissue, and a fluid responsiveness predictor (FRP) calculator programmed to calculate an FRP metric. The monitor also may include a memory storing a relationship between the FRP metric and a pulse pressure variation (PPV) metric. The FRP metric is calculated based on a respiratory variation of the PPG signal and based on the relationship. | 10-23-2014 |
| 20140312050 | MEDICAL ELECTRODE DISPENSERS - A medical dispenser for storing and dispensing electrodes includes a housing having a front member and a back member, at least one electrode strip disposed between the front member and the back member of the housing and an actuator mounted to the front member of the housing and adapted to engage the at least one electrode strip. The electrode strip includes a strip member and a plurality of electrodes mounted to the strip member. The actuator is movable relative to the front member such that movement of the actuator results in corresponding movement of the at least one electrode strip to dispense an electrode from the housing. The actuator may be adapted to engage an electrode of the at least one electrode strip. In one embodiment, the actuator is adapted to engage a male terminal of the electrode. | 10-23-2014 |
| 20140309626 | SYSTEM AND METHOD HAVING AN ELECTROMAGNETIC MANIPULATOR WITH A UV TACKING MECHANISM - A surgical instrument is provided including a handle portion and a body portion extending distally from the handle portion and defining a longitudinal axis. The surgical instrument also includes an end effector assembly disposed at a distal end of the body portion, the end effector assembly including an electromagnetic manipulator in cooperation with an ultraviolet (UV) light source for performing tacking of an implant. In an alternative embodiment, the end effector assembly includes an electromagnetic manipulator in cooperation with at least one tack for performing tacking of an implant. The implant may be a mesh having a ferromagnetic coating activated by the electromagnetic manipulator. The tissue may have a UV coating activated by UV light applied by the UV light source. | 10-16-2014 |
| 20140309618 | Safety Device Actuation System - The present disclosure relates to a safety needle assembly that includes a syringe and a safety mechanism. The safety mechanism includes a housing defining an internal cavity, a shield member at least partially disposed within the internal cavity, and first and second locking members that are configured to selectively engage and maintain the shield member in one or more predetermined positions. The locking members are movable between a locked position, in which the locking members are in engagement with the shield member to substantially prevent axial movement thereof, and a release position, in which the locking members are disengaged from the shield member to permit axial movement thereof. The first and second locking members each include biasing members. The biasing member of the each locking member is positioned to cooperate with the other locking member to normally bias the locking members towards the locked position. | 10-16-2014 |
| 20140309514 | ECG Electrode Connector - Disclosed is an ECG electrode lead wire connector which provides improved electrical and mechanical coupling of the ECG electrode press stud to the lead wire and is suitable for use during imaging procedures such as, without limitation, CT scans or MRI. The connector assembly includes a housing having. An engagement member is pivotably disposed within the housing to retain the connector on an ECG electrode fixed to a patient's body, an arcuate stiffener is deposed between the engagement member and a pivot member and a radiolucent resilient member configured to bias the engagement member. | 10-16-2014 |
| 20140309507 | REDUCING NUISANCE ALARMS - Embodiments disclosed herein may describe systems and methods for reducing nuisance alarms using probability and/or accuracy of a measured physiological parameter, such as the pulse rate or SpO2 measurement generated by a pulse oximeter. Embodiments may include methods for adjusting a predetermined alarm threshold based on the probability distribution of the estimated pulse rate and/or oxygen saturation of a patient's blood. | 10-16-2014 |
| 20140303668 | Apparatus for Endoscopic Procedures - A surgical device includes a jaw assembly, an articulating assembly and a drive shaft. The jaw assembly includes first and second jaws. The articulating assembly is removably coupled to a proximal end of the jaw assembly and includes a distal joint member, a proximal joint member, and a pivot pin. The pivot pin is fixedly coupled to the distal joint member and is rotatably coupled to the proximal joint member. The jaw assembly and the distal joint member together define a first longitudinal axis. The proximal joint member defines a second longitudinal axis. The drive shaft includes a gear element that is meshingly engaged with a pivoting gear element that is fixedly coupled to the pivot pin. Longitudinal movement of the first drive shaft pivots the jaw assembly relative to the proximal joint member about a pivot axis defined by the pivot pin. | 10-09-2014 |
| 20140303609 | Surgical Device for Pediatric Surgery - A surgical device is provided for use in pediatric surgery and includes a dissection blade moveably mounted in a sheath of the surgical device. The surgical device includes an electrical connection for supply cauterizing current to the blade. A handle assembly is provided and includes an advancement mechanism for incrementally advancing the blade out of the sheath and a lever to release the blade from the advancement mechanism. A lock member is provided to maintain the blade in an extended condition. | 10-09-2014 |
| 20140296902 | EXPANDABLE SUPPORT STRUCTURE 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. | 10-02-2014 |
| 20140296886 | DEVICE AND METHOD FOR DEPLOYING AND ATTACHING AN IMPLANT TO A BIOLOGICAL TISSUE - This present invention generally relates to devices and methods for repairing an aperture in a biological tissue. In certain embodiments, the invention provides a system for closing an aperture in a biological tissue including a handle, an elongate shaft connected to the handle, and a deployment scaffold connected to the shaft, in which the scaffold is configured to releasably retain a surgical implant and the scaffold is configured to deploy and attach the surgical implant to the biological tissue. | 10-02-2014 |
| 20140296848 | OPERATIVE ELEMENT SUPPORT STRUCTURE WITH SLOTTED TUBULAR BASE - Systems, methods, and devices are provided that include a releasable mount device that may be utilized to couple an operative element, such as an ablation device, with a therapeutic or diagnostic device, such as an endoscope. The releasable mount device may include a tubular base. The tubular base may include a slot extending in a longitudinal direction between a distal end and a proximal end of the tubular base. The tubular base may be configured to radially expand whereby a slot width of the slot may increase from a first width to a second width in order to clamp the tubular base onto the therapeutic or diagnostic device. The tubular base may be configured without a slot, in some cases, with a diameter larger than the therapeutic or diagnostic device. The tubular base may include one or more gripping members. The releasable mount device may include a support member configured to couple with the operative element. | 10-02-2014 |
| 20140296846 | EXPANDABLE SUPPORT STRUCTURE 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. | 10-02-2014 |
| 20140296826 | PREPARATION PATCH AND SAFETY SYRINGE SYSTEM - A safety syringe system including a safety syringe and an injection site preparation patch adapted for use with the safety syringe. The safety syringe includes a syringe body and a safety shield slidably disposed about the syringe body. The injection site preparation patch has a tissue-facing side and a syringe-facing side, and may include a substrate, a syringe adhesive layer adapted to adhere to a distal flange of the safety shield, a hydrogel layer adapted to adhere to tissue, and removable release liners disposed on either side. The patch may include a medicament, anesthetic, or a thermal compound. Adhesion between the patch and the flange is less than adhesion between the patch and tissue, so that the patch adheres to the shield with sufficient strength to enable the shield to slide over the needle upon withdrawal, but with insufficient strength to cause the patch to pull away from a patient's skin. | 10-02-2014 |
| 20140296683 | SKIN PREPARATION DEVICE AND BIOPOTENTIAL SENSOR - The skin preparation device and sensor of the present invention include an array of rigid tines. The tines serve to “self-prepare” the skin at each electrode site. These tines, when pressed against the skin, penetrate the stratum corneum, thereby reducing skin impedance and improving signal quality. A self-prepping device of the present invention is an optimized array of short non-conductive rigid tines in which the individual tines are created in a geometry that allows for a sharp point at the tip when molding, machining or etching is used as a method of fabrication. This non-conductive array with rigid penetrating structures may, therefore, be used in combination with a conductive medium, preferably an ionic conductive gel. In penetrating the stratum corneum, micro-conduits are created in the layers of the skin enabling the conductive medium to reach the low impedance layers and to transmit bioelectrical signals from the skin to the electrode surface. Such a self-prepping device can be readily mass produced using molding methods or possibly other manufacturing methods, thereby providing for a low cost means of achieving improved performance of the biopotential sensor. Additionally this invention includes the integration of this self-prepping device into a biopotential sensor comprising an array of one or more electrodes. | 10-02-2014 |
| 20140296629 | OPERATIVE ELEMENT SUPPORT STRUCTURE WITH CLOSED TUBULAR BASE - Systems, methods, and devices are provided that include a releasable mount device that may be utilized to couple an operative element, such as an ablation device, with a therapeutic or diagnostic device, such as an endoscope. The releasable mount device may include a tubular base. The tubular base may include a slot extending in a longitudinal direction between a distal end and a proximal end of the tubular base. The tubular base may be configured to radially expand whereby a slot width of the slot may increase from a first width to a second width in order to clamp the tubular base onto the therapeutic or diagnostic device. The tubular base may be configured without a slot, in some cases, with a diameter larger than the therapeutic or diagnostic device. The tubular base may include one or more gripping members. The releasable mount device may include a support member configured to couple with the operative element. | 10-02-2014 |
| 20140291985 | SNAP CONNECTION FOR TWO TUBES - A medical tube assembly is disclosed, and includes a first tube portion defining a longitudinal axis, a second tube portion, and a coupling member. The coupling member is configured to couple the first tube portion and the second tube portion. The coupling member is configured to circumferentially engage the second tube portion and has a protrusion configured to engage a portion of the first tube portion. The second tube portion is configured to transition the coupling member from a resting condition to a coupling condition. The coupling member is configured to engage the first tube portion in the coupling condition. | 10-02-2014 |
| 20140290657 | METHOD FOR VENTILATION - The disclosure describes a method for automatically initiating ventilation, controlling ventilation, transitioning a ventilator to subject controlled ventilation, and weaning a subject from ventilation. The disclosure describes that the method for automatically initiating ventilation includes inputting a physical characteristic of the subject into a ventilator. The physical characteristic may be ideal body weight, height, or age. Based on the inputted physical characteristic, one or more ventilation parameters are calculated. The disclosure describes initiating ventilation based on the calculated parameters. During ventilation at least one physiological parameter of the subject is monitored. At least one ventilation parameter may be adjusted based on the monitoring of the physiological parameters and the inputted physical characteristic. | 10-02-2014 |
| 20140284372 | MICRO SURGICAL INSTRUMENT AND LOADING UNIT FOR USE THEREWITH - A loading unit configured for engagement with a surgical instrument is disclosed. The loading unit comprises a proximal body portion and a tool assembly. The proximal body portion defines a longitudinal axis. The tool assembly is disposed in mechanical cooperation with the proximal body portion and includes a cartridge assembly and an anvil assembly. At least one of the cartridge assembly and the anvil assembly is movable with respect to the other between an open position and an approximated position to engage tissue therebetween. The cartridge assembly is configured to house a plurality of fasteners therein. The diameter of the tool assembly is less than or equal to about 8 mm. | 09-25-2014 |
| 20140281961 | PATHWAY PLANNING SYSTEM AND METHOD - A system and method for planning a pathway through an anatomical luminal network of a patient including memory storing a computer program that is configured to analyze and manipulate CT images, a processor configured to execute the computer program and a display device configured to display a user interface of the computer program. The user interface includes an airway finder window displaying a CT image including a target. The CT image is rotatable about a pre-defined axis of rotation to assist a user in identifying an airway of the anatomical luminal network. | 09-18-2014 |
| 20140278388 | SYSTEMS AND METHODS FOR IDENTIFYING PATIENT DISTRESS BASED ON A SOUND SIGNAL - A sound signal from a patient may include information that may be used to determine multiple patient parameters. A patient monitor may determine respiration information such as respiration rate from the sound signal, for example based on modulations of the sound signal due to patient breathing. The patient monitor may also determine indications of patient distress based on a trained classifier, speech commands, or sound patterns. | 09-18-2014 |
| 20140277400 | COATED MEDICAL DEVICES AND METHODS OF MAKING AND USING SAME - Coating methods and related devices are provided. Such devices can include stents. For example, the device can comprise a sidewall and a plurality of pores in the sidewall that are sized to inhibit flow of blood through the sidewall into an aneurysm to a degree sufficient to lead to thrombosis and healing of the aneurysm when the tubular member is positioned in a blood vessel and adjacent to the aneurysm. The device can also comprise an anti-thrombogenic coating distributed over at least a portion of the device such that the pores are substantially free of webs formed by the coating. | 09-18-2014 |
