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06th week of 2014 patent applcation highlights part 62
Patent application numberTitlePublished
20140039509Method and apparatus to remove cast from an individual - A method for installing a fiberglass cast on and removing the cast from an individual includes an open ended pliable thin-walled polymer guide track and cutting tool designed to track along said guide track to cut the cast and to prevent, while a cast is being removed, injury to the individual.2014-02-06
20140039510TPS TOOLS AND METHODS FOR THE SURGICAL PLACEMENT OF INTRAOCULAR IMPLANTS - Provided herein are alignment systems, computer-implemented systems and methods utilizing the same for planning an optimal surgical implantation of asymmetric optics into one or both eyes of a patient and/or correcting astigmatism thereof. The methods generally comprise obtaining reference data comprising the surgical procedure plan, the reference image and the corneal topographic measurements for the patient's eye, determining an optimal placement angle of an optical zone on the cornea from the reference data and placing the asymmetric optic into the eye to match the determined optimal placement angle. Particularly, software is configured to determine the rotational difference between a reference image and a live image of the patient's eye to determine a corrected axis angle for optimal placement angle which is superimposed over a display of the live image. Also provided are non-transitory computer-readable medium and computer program products embodied with software for planning the surgical implantation.2014-02-06
20140039511APPARATUS AND METHOD FOR HEART VALVE REPAIR - A device for transcatheter gathering of tissue of a heart valve leaflet may include an elongated tube extending in a longitudinal direction and a capture tool moveable in the elongated tube between a retracted position and an extended position. The elongated tube may have at least one slot extending generally in the longitudinal direction from a distal end of the elongated tube. The at least one slot may have an open end at the distal end of the elongated tube and a closed end remote therefrom. The capture tool may be operable to gather tissue of the heart valve leaflet into the at least one slot. The gathered tissue may have a pleated configuration.2014-02-06
20140039512Laparoscopic Gallbladder Extraction Device - A surgical instrument for removing a gallbladder is provided. The surgical instrument includes a handle assembly, an elongated body portion extending distally from the handle assembly, and a capture portion operably mounted on a distal end of the elongated body portion. The capture portion defines a tissue receiving opening when in an open configuration and is configured for receipt through an incision when in the capture portion is in a closed configuration. The capture portion includes at least one sharpened member for cutting tissue received within the tissue receiving opening as the capture portion moves from the open configuration to the closed configuration. Also provided is a method of removing a gallbladder using a surgical instrument.2014-02-06
20140039513LOW PROFILE ELECTRODES FOR AN ANGIOPLASTY SHOCK WAVE CATHETER - Described herein are low-profile electrodes for use with an angioplasty shockwave catheter. A low-profile electrode assembly may have an inner electrode, an insulating layer disposed over the inner electrode such that an opening in the insulating layer is aligned with the inner electrode, and an outer electrode sheath disposed over the insulating layer such that an opening in the outer electrode sheath is coaxially aligned with the opening in the insulating layer. This layered configuration allows for the generation of shockwaves that propagate outward from the side of the catheter. In some variations, the electrode assembly has a second inner electrode, and the insulating layer and outer electrode may each have a second opening that are coaxially aligned with the second inner electrode. An angioplasty shockwave catheter may have a plurality of such low-profile electrode assemblies along its length to break up calcified plaques along a length of a vessel.2014-02-06
20140039514SHOCK WAVE VALVULOPLASTY DEVICE WITH MOVEABLE SHOCK WAVE GENERATOR - A valvuloplasty system comprises a balloon adapted to be placed adjacent leaflets of a valve. The balloon is inflatable with a liquid. The system further includes a shock wave generator within the balloon that produces shock waves that propagate through the liquid for impinging upon the valve. The shock wave generator is moveable within the balloon to vary shock wave impingement on the valve.2014-02-06
20140039515Single Site Robotic Device and Related Systems and Methods - The embodiments disclosed herein relate to various medical device components, including components that can be incorporated into robotic and/or in vivo medical devices. Certain embodiments include various medical devices for in vivo medical procedures.2014-02-06
20140039516Precision External Control of Interventional Medical Procedures - A method and apparatus providing precision external control of interventional medical procedures is presented. The apparatus includes a fixed frame, the fixed frame attachable to a patient and to a secure structure. The apparatus also includes a precision actuator in mechanical communication with the fixed frame, the actuator directing motion of a wire within a catheter or a catheter within the patient. Additionally the apparatus includes a control device in electrical communication with the actuator, wherein the control device controls the actuator.2014-02-06
20140039517Navigation System for use with a Surgical Manipulator Operable in Manual or Semi-Autonomous Modes - A navigation system for use with a surgical manipulator operable in manual or semi-autonomous modes. The navigation system includes a tracker for attaching to the patient and a localizer to receive signals from the tracker or transmit signals to the tracker. The navigation system includes a navigation processor that runs a plurality of software modules.2014-02-06
20140039518COMPOUND ANGLE LAPAROSCOPIC METHODS AND DEVICES - Methods and devices are provided for performing minimally invasive surgical procedures. In one embodiment, a surgical device is provided that include an elongate shaft having a distal portion configured to be movable between a first configuration in which the distal portion of the shaft is substantially straight or linear and a second configuration in which the distal portion of the shaft is articulated at a compound angle. The shaft's distal portion can include two articulation joints to facilitate formation of the compound angle.2014-02-06
20140039519SURGICAL INSTRUMENT DEVICE - A surgical instrument device includes a surgical instrument portion which is used in a surgical operation, a slave arm which holds the surgical instrument, a driving rod which is formed in a shaft shape, of which one end portion in the axial direction is connected to the surgical instrument and the other end portion in the axial direction is supported by the slave arm, and which transmits a force between the surgical instrument and the slave arm, a distance change detecting unit which detects a change in distance between two points in the axial direction of the driving rod based on a distance when no load is applied to the surgical instrument, and a force calculating unit which calculates a force applied from the surgical instrument or the slave arm to the driving rod based on the change in distance detected by the distance change detecting unit.2014-02-06
20140039520METHOD AND APPARATUS FOR COMPUTER AIDED SURGERY - A number of improvements are provided relating to computer aided surgery. The improvement relates to both the methods used during computer aided surgery and the devices used during such procedures. Some of the improvement relate to controlling the selection of which data to display during a procedure and/or how the data is displayed to aid the surgeon. Other improvements relate to the structure of the tools used during a procedure and how the tools can be controlled automatically to improve the efficiency of the procedure. Still other improvements relate to methods of providing feedback during a procedure to improve either the efficiency or quality, or both, for a procedure.2014-02-06
20140039521METHOD FOR GRAPHICALLY PROVIDING CONTINUOUS CHANGE OF STATE DIRECTIONS TO A USER OF A MEDICAL ROBOTIC SYSTEM - Continuous change of state directions are graphically provided on a display screen to assist a user in performing necessary action(s) for transitioning between operating modes in a medical robotic system or performing corrective action. A graphical representation of a target state of an element of the medical robotic system is displayed on a display screen viewable by the user. Current states of the element and indications directing the user to manipulate the element towards the target state are continuously determined and graphical representations of the continuously determined current states and indications are displayed on the display screen along with that of the target state.2014-02-06
20140039522STEERING MECHANISM - A hand-holdable steering mechanism is used as part of a medical device such as a catheter or an endoscope to allow movement of a steerable distal portion of the catheter or endoscope. The mechanism can include a housing, a first actuator, and a second actuator. The first actuator is configured to move the steerable portion along a first plane when the first actuator is moved between first and second positions. The second actuator is configured to move the steerable portion along a second plane different than the first plane when the second actuator is moved between first and second positions.2014-02-06
20140039523METHOD AND APPARATUS FOR SKIN RESURFACING - Exemplary embodiments of method and apparatus are provided for resurfacing of skin that includes formation of a plurality of small holes, e.g., having widths less than about 1 mm or 0.5 mm, using a mechanical apparatus, thus avoiding generation of thermal damage as occurs with conventional laser resurfacing procedures and devices. The holes formed can be well-tolerated by the skin, and can exhibit shorter healing times and less swelling than conventional resurfacing procedures. The apparatus includes one or more needles adapted to remove a small portion of tissue when inserted into and withdrawn from the skin. The fractional surface coverage of the holes can be between about 0.1 and 0.7, or between about 0.2 and 0.5. The exemplary method and apparatus can produce cosmetic effects such as increases in collagen content, epidermal thickness, and dermal/epidermal junction undulations in the skin.2014-02-06
20140039524SURGICAL CLIP APPLICATOR - A surgical clip applicator for U-shaped or V-shaped clips having two legs connected to each other by a connecting region is provided. In order to enable application and secure closure of the clips with a reduced expenditure of force, the applicator, which has a handle, an adjoining shaft and at the free end of the shaft an applying tool, which is actuatable with the handle and has two tool jaws which are transferable from an open, idle position to a closed position when actuated, is configured with receiving areas for the clip to be applied. These receiving areas each have an abutment surface for one of the legs, which extends at least over part of the length of the legs, and a recess in which the connecting region of the legs of the clip is arranged when the tool jaws are in the closed position.2014-02-06
20140039525LOADING A TISSUE CLOSURE DEVICE ONTO A DELIVERY DEVICE - A compression tool is configured to compress one or more components of a delivery device, such as a closure element and one or more flanges of a pusher tube. The compression tool includes clamping means configured to close or release with rotation of actuating means (e.g., rotating means). In a closed position, the clamping means can sufficiently compress the one or more components of the delivery device so that a technician can easily position a garage tube about the compressed delivery device components. The assembled delivery device (or assembled garage tube) can then be removed from the compression tool upon reverse rotation of the actuating means, and subsequent opening of the clamping means.2014-02-06
20140039526SURGICAL CLIP APPLIER - Surgical clip appliers are provided and include a housing; at least one handle pivotably connected to the housing; a channel assembly extending distally from the housing; a clip carrier disposed within the channel assembly and defining a channel and a plurality of windows therein; and a plurality of clips slidably disposed within the channel of the clip carrier. The surgical clip appliers further include a drive channel reciprocally disposed within at least one of the housing and the channel assembly; a wedge plate reciprocally disposed within the channel assembly; a pusher bar reciprocally positioned within the housing and the channel assembly; and a motion multiplier system having a plurality of linkage members configured to distally move the pusher bar by an incremental amount upon an initial actuation of the handles, and configured to proximally move the pusher bar and the wedge plate subsequent to the initial actuation of the handles.2014-02-06
20140039527SUTURE DELIVERY TOOLS FOR ENDOSCOPIC AND ROBOT-ASSISTED SURGERY AND METHODS - A suture delivery tool releasably secures a self-retaining suture to permit delivery of the self-retaining suture to a surgical site in a patient through an access port. Suture delivery tools are disclosed suitable for manual operation and operation using robotically-assisted surgical systems. In some embodiments, a suture spool is part of a cartridge which is releasably attached to the suture delivery tool. Cartridges is, in some embodiments, replaced after deployment of the self-retaining suture and different cartridges having different self-retaining suture are, in some embodiments, selected and attached to the suture delivery tool as required for a procedure.2014-02-06
20140039528METHOD AND DEVICE FOR SUTURE REMOVAL - A method for manipulating a suture is provided. The method includes providing support to tissue using a snare of a suture manipulation device and ensnaring, using the snare and without moving the snare, a portion of the suture when the portion of the suture passes through the tissue and is released by a needle. The method further includes securing, while removing the support to the tissue, the portion of the suture with the snare. The method further still includes removing the snare with the portion of the suture from the tissue.2014-02-06
20140039529METHOD AND DEVICE FOR SUTURE REMOVAL - A suture manipulation device with a snare is provided. The snare includes a receiving end adapted to provide support to tissue and to ensnare a portion of suture passed through the tissue and the receiving end. The receiving end further adapted to secure the portion of the suture while removing the support of the tissue. The receiving end still further adapted to remove the portion of the suture.2014-02-06
20140039530METHOD AND DEVICE FOR SUTURE REMOVAL - A method for manipulating a suture is provided. The method includes protracting a snare from a body of a suture manipulation device through an opening in the body. The snare includes, at a distal end, a hook. The method further includes ensnaring a portion of the suture passed through tissue with the snare and securing the portion of the suture. The method further still further includes retracting the hook into a slot located distally in the body to prevent the snare from retracting into the body through the opening in the body.2014-02-06
20140039531FLEXIBLE NOSECONE FOR PERCUTANEOUS DEVICE - A for gathering tissue of a heart valve leaflet may include an outer tube extending in an elongation direction and having an open distal end, a capture tool movable in the outer tube between a contained position and a use position, a tissue securing component disposed at the open distal end of the outer tube, a nosecone removably assembled over the open distal end of the outer tube in a protective condition, and an actuation member joined to a central portion of the nosecone and extending into a lumen of the outer tube. The capture tool may be operable to capture tissue of the heart valve leaflet. The nosecone may have a central portion that extends across the open distal end of the outer tube and a peripheral portion surrounding the central portion and overlying an outer surface of the outer tube adjacent the open distal end.2014-02-06
20140039532MEDICAL DEVICE INCLUDING STRUCTURE FOR CROSSING AN OCCLUSION IN A VESSEL - An medical device, such as a guidewire, catheter, or the like, that includes an elongated tubular member that includes a plurality of angled slots defined in at least a distal section thereof. The plurality of angled slots can form a generally spiral shaped pattern about the longitudinal axis of the tubular member, and can be useful, for example, in aiding a user of the device in crossing an occlusion in a vessel of a patient. In some embodiments, the distal section of the tubular member may have an outer diameter that is greater than the outer diameter of a proximal section of the tubular member. In some embodiments, a proximal section of the tubular member may include a plurality of slots defined therein, for example, that may be configured to increase the lateral flexibility of the tubular member.2014-02-06
20140039533SURGICAL INSTRUMENT AND METHOD OF USE FOR RELEASING SOFT TISSUE - A surgical instrument for use in releasing soft tissue within the human body. The surgical instrument has a handle with proximal and distal ends with a tube connected to the distal end. The surgical instrument also includes a blade member that slidingly engages the tube moving along the length of the tube to cut soft tissue. Further included in the surgical instrument is a guard member that is attached to the blade member. The guard member has a hood portion and a capture portion. The hood portion is connected to the blade member with the distally positioned capture portion acting to displace surrounding tissue while capturing certain soft tissue structures resulting in the blade member being in operative position to cut and release the soft tissue. A surgical instrument kit including a plurality of modular surgical instruments and method for releasing soft tissue using the surgical instrument are also disclosed.2014-02-06
20140039534DEPTH CONTROLLED JAMSHIDI NEEDLE - A precision depth guided instrument, such as a Jamshidi needle, is provided for use in various surgeries related to the vertebrae. The instrument includes an outer cannula, an inner cannula and a stylet. After the cortical bone of a vertebra is penetrated by the outer cannula of the instrument, the depth of penetration of the inner cannula is adjusted by rotation of the inner cannula. The inner cannula is then moved further into the vertebrae, and a stop mounted on the outer cannula controls the depth of penetration of the inner cannula. The correct depth of penetration is determined by radiography prior to the procedure.2014-02-06
20140039535DEVICE FOR IMPLANTATION OF MEDICAL DEVICES - An apparatus for implanting a medical device is provided that can be severed by electrolysis from a delivery member positioned in a patient. The apparatus can include an electrolytically detachable component that interconnects the medical device and the delivery member. The detachable component can have at least one corrodible first portion being adapted to serve as an anode in electrolytic corrosion. The at least one first portion can define a body having an outer surface and at least one surface structure extending inwardly from the outer surface into the body. The first portion can be electrolytically corrodible when in contact with a body fluid such that the medical device may be severed by electrolysis.2014-02-06
20140039536SPACE-FILLING DEVICE - A medical device includes a balloon member, a port that couples a compartment interior of the balloon member to a region exterior of the balloon member, and a tubular member that defines a lumen. A distal end of the tubular member is attached to an internal surface of the balloon member within the compartment so that a portion of the internal surface of the balloon member provides a seal at a distal end of the lumen. The tubular member passes through the port, and the proximal end of the tubular member is configured to remain exterior of the compartment. A delivery of a sufficient amount of a filling material into the lumen of the tubular member causes a length of the tubular member to pass through the port and into the balloon compartment.2014-02-06
20140039537VESSEL FLOW CONTROL DEVICES AND METHODS - Systems and methods for treating an afflicted vessel and/or vessel associated with an afflicted tissue of a mammalian patient are presented herein. In particular, devices for the control of flow rate and/or pressure within a vessel of a mammalian patient, and methods of treating an afflicted vessel and/or a vessel associated with an afflicted tissue using the devices are presented herein.2014-02-06
20140039538METHODS AND DEVICES FOR CONTROLLING BLOOD PERFUSION PRESSURE ALONG WITH REGIONAL MILD HYPOTHERMIA - Methods and devices for controlling blood perfusion pressure along with regional mild hypothermia. In at least one embodiment of a device for controlling blood perfusion pressure within a vessel of the present disclosure, the device comprises an elongated body having a lumen, a proximal end configured for placement in a first area having a first blood pressure, and a distal end configured for placement in a second area having a second blood pressure, a partial occluder positioned within the lumen of the elongated body between the proximal end and the distal end, the partial occluder configured so not to fully occlude a blood vessel and to equalize the first blood pressure at the first area with the second blood pressure at the second area, and a regional hypothermia system operably coupled thereto, the regional hypothermia system operable to reduce and/or regulate a temperature of a bodily fluid flowing therethrough.2014-02-06
20140039539NOSE TENSIONER AND OPENER AND NOSE TIP LIFTER FOR THE TREATMENT OF OBSTRUCTIVE SLEEP APNOEA, SNORING AND RESPIRATORY OBSTRUCTION - The invention relates to a device for external use on the nose with a special and innovative action mechanism, with hooks that are inserted into the nostrils and apply a vigorous mechanical action, tensioning the (nostril dilator) nose muscle, the (nostril opening) nose wing and upper lip elevator muscles, and the nose wing greater cartilage (greater alar cartilage), this tension applied to the three structures widely opening the nostrils, tensioning and lifting the nose tip and cancelling the action of the nasal septum depressor muscle. The correct position is maintained by pulling the upper end of the device vertically, towards the root of the nose, and attaching it to the ridge of the nose with adhesive tape, thus stopping obstructive sleep apnea, snoring, nose, soft palate and uvula obstructions. The apparatus is formed in a single rigid piece (2014-02-06
20140039540MEDICAL DEVICES INCLUDING BLOOD CLOT REMOVING MEDICAL DEVICES, AND METHODS OF USING SAME - Medical devices and methods for removing blood clots or debris are disclosed. In an embodiment, a blood clot removing device includes a sheath having a size for inserting the sheath into a blood vessel and having a flexible end portion. An actuator is coupled to a dilator and configured to expand the flexible end portion of the sheath. A wire is moveable within an inner passageway of the sheath. An inflatable balloon is coupled to the wire and is configured such that when the balloon is inflated, a blood clot can be captured within the expanded flexible end portion of the sheath and removed from the blood vessel.2014-02-06
20140039541DOUBLE ENDED INTRAVASCULAR MEDICAL DEVICE - An intravascular medical device including an elongated member configured to be advanced along a vascular path of a patient, the elongated member having opposite first and second ends, the first end and second ends both being adapted for intravascular insertion, and the first end having a different structure than the second end. The elongated member has sufficient flexibility to be advanced through a human vasculature. Preferably, the first and second ends are adapted to have different operating characteristics. Depending on the operating characteristics needed for a particular procedure, a physician can insert either the first end portion or the second end portion of the elongated member into the patient's vasculature.2014-02-06
20140039542Systems, Devices, And Methods for Delivering A Lumen Occlusion Device Using Distal And/Or Proximal Control - A delivery apparatus for a lumen occlusion device includes a pusher configured for releasably coupling with and pushing and pulling a proximal end of the occlusion device in a distal or proximal direction and a distal control wire capable of releasably coupling with the distal end and the proximal end of the occlusion device. The control wire may be configured for moving the distal end of the occlusion device in both proximal and distal directions allowing precise simultaneous control of both proximal and distal ends of the occlusion device. Control of both ends provides for placing the occlusion device in tension during delivery through a delivery catheter, thereby reducing delivery forces, achieving greater compaction of the occlusion device in the lumen, and precisely locating both distal and proximal ends of the occlusion device within the lumen.2014-02-06
20140039543DEVICE FOR CLOSING OPENINGS OR CAVITIES IN BLOOD VESSELS - The device for closing openings or cavities in blood vessels, e.g. in veins or in the heart, said device comprises a closing body comprising an outer side having a partial region arranged for blood flow therealong at least in a part of said partial region thereof when said closing body is in its state of use for closing said opening or cavity. Furthermore, the device comprises at least one layer (2014-02-06
20140039544Method and Assembly for Distal Embolic Protection - Methods and assemblies are described for capturing embolic material in a blood vessel or other body cavity during cardiovascular or valve replacement and repair surgery, wherein access is provided through the apical area of the patient's heart. The distal embolic protection assembly generally comprises a sleeve having a lumen, an actuating member having proximal and distal ends, wherein the actuating member is movably disposed within the lumen, and a filter assembly coupled to the distal end of the actuating member. The filter assembly generally comprises a porous bag having an open proximal end, a collapsible and expandable frame that is coupled to the open proximal end of the porous bag, and at least one support spine disposed at least a part of the longitudinal axis of the porous bag. The porous bag is configured such that it permits blood to perfuse freely through while capturing embolic material and other debris.2014-02-06
20140039545ACCESS CLOSURE CONFIGURATION - One embodiment is directed to a device for forming a tract, comprising an anchor assembly wherein at least a distal tip of the flexible distal portion is configured to be placed within a lumen of a blood vessel through a first passage created across the wall with a sharpened member at a first angle relative to a lumen longitudinal axis defined by the lumen of the blood vessel in the region adjacent the first passage; and wherein upon applying a force to the anchor assembly to position an adjacent portion of the blood vessel wall into a desired contact configuration relative to the anchor assembly, the needle is operatively coupled to the anchor assembly such that it may be advanced across the wall of the blood vessel and into contact with a saddle-shaped needle receiving structure, thereby creating an expandable tract between overlapping tissue portions of the vessel wall.2014-02-06
20140039546ACCESS CLOSURE CONFIGURATION - A method may comprise creating a first passage across a wall with a sharpened member at a first angle relative to a lumen; advancing an anchor assembly through the first passage such that a distal portion of the anchor assembly is placed within the blood vessel; applying a force to the anchor assembly to position an adjacent portion of the blood vessel wall into a desired contact configuration relative to the anchor assembly; and while maintaining the desired contact configuration, advancing a needle through a portion of the anchor assembly and through a portion of the wall of the blood vessel to form an expandable tract between overlapping tissue portions of the vessel wall, wherein a portion of the anchor assembly comprises a saddle-shaped needle receiving structure configured to receive and support the needle after it has been advanced across the portion of the wall to create the expandable tract.2014-02-06
20140039547TISSUE PUNCTURE CLOSURE DEVICE WITH LIMITED FORCE AUTO COMPACTION - A closure device (2014-02-06
20140039548TISSUE CLOSURE DEVICE AND METHOD - A device that, when implanted in the heart, closes the wound and complies with wall motion (i.e., expands and contracts with the myocardium).2014-02-06
20140039549TISSUE CLOSURE DEVICE AND METHOD OF DELIVER AND USES THEREOF - The present invention relates generally to a tissue closure device and in particular to a tissue closure device having a plurality of configurations providing for delivery and use in minimally invasive procedures. A tissue closure device (2014-02-06
20140039550STAPLE FOR USE IN SURGICAL PROCEDURES - A staple is provided having a backspan and a first and second legs extending distally from the backspan. Each of the first and second legs includes a bend dividing each leg into a traversing leg portion and a substantially linear clenching leg portion. A staple plate is positionable over the first and second legs between the backspan and the first and second clenching leg portions. An anvil assembly has first and second movable members which move toward to one another to engage outer surfaces of the first and second clenching leg portions. There is further disclosed a method of forming the staple through tissue.2014-02-06
20140039551Suture Anchor Device and Methods of Use - Suture anchor devices, methods, and systems allow a surgeon to link multiple suture anchors together with a common suture. A structure in each of the suture anchors is provided for threading a common suture or other threadlike member through multiple suture anchors in different suturing configurations. The suture anchor device allows a suture end to be loaded into the suture anchor after deployment of the anchor into bone.2014-02-06
20140039552SOFT TISSUE FIXATION DEVICES AND METHODS - Filamentary fixation devices may be used in a variety of surgical procedures to secure soft tissue to bone. The present invention provides various devices, systems, kits and instrumentation for performing such surgical procedures including preparation of soft tissue and bone, preparation and manipulation of such filamentary fixation devices, and insertion and utilization of the fixation devices within a patient's anatomy. In one embodiment, a method for securing soft tissue to bone, the method includes accessing the soft tissue and the bone, passing a filament through the soft tissue, preparing a bore hole in the bone, loading the filament into a filamentary fixation device, implanting the filamentary fixation device, with the filament, into the bore hole, and tensioning the filament so that the filamentary fixation device and filament are secured within the bore hole.2014-02-06
20140039553Hygenic Pacifier Apparatus and Method - A hygienic pacifier is set forth. The pacifier includes a base section having a nipple extending therefrom. The base section has a cross-sectional thickness. A substantially spherical recoil shield section is integrally formed with the base section. The shield section forms a wall having a cross-sectional thickness that is thinner in cross section than the cross-sectional thickness of the base section. The wall has recoil properties due to the spherical geometry of the shied section. The wall forms a shield around the nipple when recoiled.2014-02-06
20140039554APPARATUS FOR FIXING A CERVICAL SPINE HAVING SELF TENSION PART - An apparatus for fixing a cervical spine having a self tension part used in orthopedic surgery or neurosurgery when executing an anterior fixation operation on cervical spines is disclosed, including: an extension groove formed through a plate between the insertion holes and the center of the plate; a channel groove formed with stepped surfaces at both sides at the boundary of the insertion holes and the extension groove; a guide that is connected to the channel groove, rotates left/rightward in the channel groove and locks the screw to be inserted into the insertion holes; and a tension part that gives a pushing force the guide to be pushed toward the center of the plate and allows the guide to be rotated in the channel groove.2014-02-06
20140039555LONGITUDINAL CONNECTING MEMBER WITH SLEEVED TENSIONED CORDS - A dynamic fixation medical implant having at least two bone anchors includes a longitudinal connecting member assembly having rigid sleeves for attachment to the bone anchors, at least one spacer engaging the bone anchors and the sleeves, and in some embodiments, an end elastic bumper. A flexible cord is initially slidingly received within the rigid sleeves, the spacer and the bumper. The spacer may include an optional inelastic inner liner, with at least one of the sleeves having an extension slidingly receivable within the liner. Some sleeves include apertures for receiving a closure top portion for locking the cord against the sleeve, or alternatively receiving a closure top that does not extend into the aperture, the slip or grip option provided by the aperture in each sleeve resulting in an overall connector with variable segmental stiffness.2014-02-06
20140039556SPINE DEROTATION SYSTEM - A spine derotation system includes bone fixation elements, fixture members, clamps and stabilizers. The clamps can collectively lock together multiple proximal ends of bone fixation elements extending from one lateral side of the spine. The stabilizers may include clamp stabilizers that are configured to couple together two or more clamps to each other so as to facilitate derotation and alignment of multiple vertebrae of a patient's spine. The stabilizers may also include fixture stabilizers that are configured to couple together two fixture members on the same vertebra to facilitate derotation.2014-02-06
20140039557SYSTEM AND METHOD OF MANIPULATING SPINAL CONSTRUCTS - Systems of manipulating (e.g., compressing or distracting) a spinal construct are provided herein. In general, the system can include a surgical sleeve extending from a vertebra and a fulcrum movably coupled to some component of the system thereby allowing the fulcrum to be positioned at various location along the length of the sleeve. As indicated, the fulcrum can be movably coupled to virtually any component of the system. For example, the fulcrum can be movably coupled to the surgical sleeve, to a manipulation device sized and configured to receive the surgical sleeve, to a driver configured to apply a manipulation force, etc. Additionally, methods for manipulating a spinal construct are also provided herein.2014-02-06
20140039558SURGICAL TETHER APPARATUS AND METHODS OF USE - Methods and apparatus for controlling flexion in a spinal segment of a patient include performing a spinal fusion procedure on a pair of adjacent vertebrae in the spinal segment and implanting a constraint device into the patient. Adjusting length or tension in the constraint device allows the constraint device to provide a force a force resistant to flexion of the spinal segment undergoing fusion. The constraint device also modulates loads borne by the spinal segment undergoing fusion or tissue adjacent thereto.2014-02-06
20140039559SYSTEM AND METHOD FOR CORRECTION OF A SPINAL DISORDER - A surgical system and method for fusionless correction of a spine disorder are provided. The method comprising the steps of: providing access to a spine; providing a longitudinal element extending between a first end including a first fixation element and a second end including a second fixation element; engaging the first fixation element with a first costovertebral surface and engaging the second fixation element with a second costovertebral surface such that the longitudinal element is disposed in a costotransverse orientation along a selected section of the spine; and preventing growth of the selected section of the spine with the longitudinal element.2014-02-06
20140039560Bone Plate with Pre-assembled Drill Guide Tips - Removable drill guide tips are pre-assembled into threaded holes of a bone plate. The tips may be used with an extension to together function as a conventional drill guide. After drilling, the extension or another tool is used to remove the tips from the plate. According to another use, the tip is used as a guide for a drill bit without any additional extension and then removed with a tool.2014-02-06
20140039561BONE FIXATION DEVICE AND METHOD - In a method and system for corrective surgery of a bone, a bone is cut into a first bone segment and a second bone segment. A plate is positioned over the first bone segment and the second bone segment such that at least one member of the plate is positioned to engage the second bone segment. The at least one member of the plate is inserted into the second bone segment. At least one bone screw is screwed into the first bone segment through at least one compression slot of the plate causing an application of compressive force to secure the first bone segment and the second bone segment to form a corrective construct. The at least one member is positioned at an angle or an offset from the second plate segment2014-02-06
20140039562RESORBABLE AND RADIOPAQUE DEVICE FOR BONE FIXATION - An osteosynthesis device that is both resorbable and radiopaque, produced using gradually degrading materials, includes at least one plate and a set of screws made of resorbable material, in which the plate consists of a composite mixture including i) a resorbable polymer or copolymer compound and ii) an inorganic filler that consists of at least one resorbable ceramic. The screws can be made of resorbable polymer, or of a composite mixture with at least one resorbable ceramic. The device is totally resorbable and radiopaque, and it offers a high level of safety, ensuring a strong and durable fixation of the screws to the plate and in the bone during the entire period needed for bone uniting.2014-02-06
20140039563ANGULATED LOCKING PLATE AND SCREW - An improved fixation plate using at least a double helix screw as disclosed. The double helix screw may include alternate embodiments comprising three, four, or more threads. The helix thread screw intertwines with double helix thread in the screw hole of the fixation plate providing enhanced fixation to a fractured bone.2014-02-06
20140039564BONE PLATE ASSEMBLY WITH BONE SCREW RETENTION FEATURES - A bone plate assembly is disclosed which includes at least one plate segment having at least one aperture extending therethrough for receiving a head portion of a bone screw, and a structure supported by the plate segment and intersecting the aperture for retaining the head portion of the bone screw with respect to the plate segment.2014-02-06
20140039565SYSTEMS AND METHODS FOR INJECTING FLUID INTO BONE AND FOR INSERTING BONE SCREWS AND BONE SCREWS FOR SAME - Systems and methods for the insertion of bone screws and for fluid injection using bone screws are described. A bone screw used for fluid injection includes a screw body with a central passage extending at least partially into the screw body and defining an inlet end which includes an opening configured to matingly receive therein an injector tip of a fluid injector. The screw body includes a number of fluid flow passages extending through the screw body wall such as to direct fluid in an outward direction from within the central passage, through the screw body, and into the tissue site surrounding the screw. Another bone screw which is inserted using a guide wire includes a cannulated passage having a non-circular cross-section configured to rotationally interconnect the guide wire such that relative axial rotation between the guide wire and the bone screw is prevented.2014-02-06
20140039566Orthopedic Fixation Pin with Bioresorbable Layer - An orthopedic pin is used in a fixation device for treating fractures. The device has a body with holes to accept the pins. The pins have a layer of bioresorbable material thereon. Engagement between the pins and the body is initially through the bioresorbable material, which engagement rigidly fixes the relative angular orientation between the pins and the body when the device is applied to a bone. As the bioresorbable material is resorbed, the angular relation between the pins and the body is no longer rigidly fixed, thereby effecting a transformation from rigid osteosynthesis to flexible osteosynthesis to allow micromotion between the bone fragments which promotes healing.2014-02-06
20140039567SURGICAL APPARATUS - The present invention relates to a surgical apparatus for the implantation of a spinal column stabilization system generally, and more specifically to a surgical apparatus for the implantation of a spinal column stabilization system, which spinal column stabilization system comprises at least two bone screws which are respectively anchorable in a vertebra of a spinal column and which respectively comprise at least one first connecting element seating, and at least one connecting element which corresponds to the first connecting element seating and is insertable and fixable therein, wherein the apparatus comprises at least one multi-function sleeve having a proximal and a distal end, which multi-function sleeve defines a longitudinal axis and comprises a connecting element coupling device, a spreading-device coupling device and a holding instrument coupling device.2014-02-06
20140039568DETECTION OF STRONG STATIC MAGNETIC FIELDS AND MRI EXAMINATION SAFEKEEPING FOR AN IMPLANTABLE CARDIAC PROSTHESIS - An implantable medical device detects a strong static magnetic field associated with an MRI imaging instrument and operates in a safekeeping operating mode. The device includes an electronic circuit for the detection/stimulation of a cardiac activity, a weak field sensor detecting the presence of a first magnetic field of a permanent magnet being located in proximity to the device, a strong field sensor detecting the presence of a second magnetic field of an MRI imaging instrument during the course of an MRI examination.2014-02-06
20140039569ACTIVE IMPLANTABLE MEDICAL DEVICE HAVING ANTITACHYCARDIA ATRIAL AND ANTIBRADYCARDIA VENTRICULAR PACING - An implantable medical device includes a mechanical activity sensor configured to sense movements produced by contractions of a ventricular cavity and output a mechanical activity signal representative of the contractions. The implantable medical device also includes one or more circuits configured to detect a plurality of spontaneous ventricular depolarizations based on electrical potentials representative of the spontaneous ventricular depolarizations, calculate an escape interval, and provide an antibradycardia ventricular pacing therapy in an absence of a detected spontaneous ventricular event after the escape interval. The circuits calculate the escape interval by calculating a first escape interval based on successive detected spontaneous ventricular depolarizations and a second escape interval based on the mechanical activity signal from the mechanical activity sensor, and selecting one of the first escape interval and the second escape interval, wherein the second escape interval is selected in response to a delivery of an antitachycardia atrial pacing therapy.2014-02-06
20140039570BIOSTIMULATOR CIRCUIT WITH FLYING CELL - A leadless cardiac pacemaker is provided which can include any number of features. In one embodiment, the pacemaker can include a tip electrode, pacing electronics disposed on a p-type substrate in an electronics housing, the pacing electronics being electrically connected to the tip electrode, an energy source disposed in a cell housing, the energy source comprising a negative terminal electrically connected to the cell housing and a positive terminal electrically connected to the pacing electronics, wherein the pacing electronics are configured to drive the tip electrode negative with respect to the cell housing during a stimulation pulse. The pacemaker advantageously allows p-type pacing electronics to drive a tip electrode negative with respect to the can electrode when the can electrode is directly connected to a negative terminal of the cell. Methods of use are also provided.2014-02-06
20140039571METHOD AND DEVICE TO RESTORE AND/OR IMPROVE NERVOUS SYSTEM FUNCTIONS BY MODIFYING SPECIFIC NERVOUS SYSTEM PATHWAYS - The present invention provides methods, devices, and systems for restoring or improving nervous system function of a subject. Provided is a method involving: (i) providing an operant conditioning protocol effective to produce targeted neural plasticity (TNP) in a primary targeted central nervous system (CNS) pathway of a subject; and (ii) administering the operant conditioning protocol to the subject to elicit TNP in the primary targeted CNS pathway and to elicit generalized neural plasticity (GNP) in one or more other CNS pathway. The elicitation of the GNP in the one or more other CNS pathway serves to restore or improve a nervous system function of the subject. Provided is a device comprising a nerve stimulation-electromyographic recording component and a controller for operating the nerve stimulation-electromyographic recording component in accordance with an operant conditioning protocol.2014-02-06
20140039572SYSTEM AND METHOD FOR TREATING DEPRESSION AND EPILEPSY - A method for treating a patient suffering from epilepsy and/or depression includes applying electrical stimulation energy to a first cervical segment and/or a second cervical segment of a spinal cord of the patient, thereby treating the epilepsy and/or depression. The electrical stimulation energy may be epidurally applied to the first cervical segment and/or the second cervical segment of the spinal cord of the patient by an electrode implanted within an epidural space of the patient adjacent to the first or second cervical segment of the spinal cord. The electrode may be implanted adjacent to the first cervical vertebra and/or the second cervical vertebra of the patient. Applying the electrical stimulation energy may include applying electrical activation energy to activate afferent pathways that feed collateral nerve fibers into a trigeminocervical complex of the patient. The applied electrical stimulation energy may have a frequency in the range of 40-50 Hz.2014-02-06
20140039573NEUROMUSCULAR STIMULATOR WITH BATTERY MONITORING, EXTERNAL DATA ADAPTER, AND SIMPLIFIED USER INTERFACE - A portable electronic neuromuscular stimulator monitors its battery and estimates battery end of life from the number of charging cycles and usage history. The stimulator can also be used with an external adapter to retrieve internally stored data regarding usage. A simplified user interface allows the user to input a level of pain both before and after treatment.2014-02-06
20140039574SYSTEM AND METHOD FOR MUSCLE RECONDITIONING AND NEURAL REHABILITATION - A method for treating a patient requiring conditioning of one or more muscle groups comprises applying electrical stimulation to a ventral epidural space of the patient, thereby activating the muscles. The method includes conveying the stimulation energy to one or more motor efferents associated with the muscles through respective one or more electrodes implanted within the ventral epidural space, and thus activating the muscles.2014-02-06
20140039575SYSTEM AND METHOD FOR POST-STROKE NEURAL REHABILITATION - A method for treating a patient suffering from loss of muscle control and/or function in a body region after a stroke includes epidurally applying electrical stimulation to a spinocerebellar tract of the patient (e.g., at or above the vertebral level of the spinal cord where the sensory and motor mapping for the body region are located), thereby increasing cortical excitability and facilitating the patient regaining muscle control and/or function in the body region. The method may include using cortical mapping to determine a cortical region having a residual motor response in or near the body region, implanting an electrode in a lateral epidural space, and applying the electrical stimulation in a manner that causes excitability in the cortical region having the residual motor response, wherein the stimulation is applied by the implanted electrode. The method may include exercising the body region while simultaneously applying the electrical stimulation.2014-02-06
20140039576Automatic Sound Optimizer - Disclosed herein are systems and methods that help to optimize the sound quality produced when a sound processing mode is enabled in an audio device, such as a hearing prosthesis. When the sound processing mode is enabled, a sound processor in the audio device will create a candidate transformed signal based on a default set of parameters associated with the sound processing mode (i.e. a candidate signal processing function). Further, the sound processor will create a reference transformed signal based on the same enabled sound processing mode, but with a varied set of parameters (i.e. a modified signal processing function). The sound processor will then compare the candidate transformed signal to the reference transformed signal to determine which signal has a higher quality. The device then creates an output based on the higher quality signal.2014-02-06
20140039577TECHNIQUES AND METHODS FOR STORING AND TRANSFERRING REGISTRATION, ATLAS, AND LEAD INFORMATION BETWEEN MEDICAL DEVICES - A neurostimulator system includes a portable component configured for storing patient-specific data, and an external control device configured for obtaining the patient-specific data from the portable component. The portable component is an implantable neurostimulator, a patient's remote controller, and/or an external charger. The patient-specific data is imaging-related data. A method of storing data in a neurostimulation system includes generating patient-specific data, and storing the patient-specific data in at least one of the portable components. A method for programming the implantable neurostimulator includes receiving the patient-specific data from the portable component, simulating a volume of tissue activation for each of one or more candidate stimulation parameters, wherein the simulation is based at least in part on the patient-specific data, selecting at least one of the candidate stimulation parameters, and programming the implantable neurostimulator with the selected stimulation parameters.2014-02-06
20140039578IMPLANTABLE MICROSTIMULATORS AND METHODS FOR UNIDIRECTIONAL PROPAGATION OF ACTION POTENTIALS - Miniature implantable stimulators (i.e., microstimulators) are capable of producing unidirectionally propagating action potentials (UPAPs). The methods and configurations described may, for instance, arrest action potentials traveling in one direction, arrest action potentials of small diameters nerve fibers, arrest action potentials of large diameter nerve fibers. These methods and systems may limit side effects of bidirectional and/or less targeted stimulation.2014-02-06
20140039579Method for Controlling Energy Delivery as a Function of Degree of Coupling - A method for delivering energy as a function of degree coupling may utilize an external unit configured for location external to a body of a subject and at least one processor associated with the implant unit and configured for electrical communication with a power source. The method may determine a degree of coupling between the primary antenna and a secondary antenna associated with the implant unit, and regulate delivery of power to the implant unit based on the degree of coupling between the primary antenna and the secondary antenna.2014-02-06
20140039580Electrode Paddle for Neurostimulation - An implantable electrode paddle for use in a neurostimulation system may include a dorsally-projecting lead that allows all of the edges of the electrode paddle to be situated near a vertebral body for stimulation of neural structures. Embodiments may include one or more flanges for cooperating with a vertebral body and thereby stabilizing the electrode paddle. Embodiments of the present invention may also include features to allow an electrode paddle to be divided during surgery. Embodiments of the present invention may also include an electrode paddle having a plurality of paddle sections, wherein at least one of the paddle sections comprises a plurality of asymmetrically configured contacts. Embodiments of the invention include a method of assembling a neurostimulation system and a method of implanting an implantable system in a body, wherein the implantable system includes an electrode paddle that may be divided into a plurality of paddle sections.2014-02-06
20140039581LOW LEVEL LASER THERAPY FOR ALZHEIMER'S DISEASE - Methods and systems are provided for delivering visible or infrared biostimulatory energy to bone marrow to subjects having or developing Alzheimer's disease. The radiation is delivered to sites remote from the brain at a dose sufficient to cause stimulated mesenchymal stem cells to appear in the brain and degrade β-amyloid. The energy may be coherent light and can be administered transcutaneously, subcutaneously, or via an intramedullary probe.2014-02-06
20140039582APPARATUS AND METHOD FOR USING ULTRAVIOLET LIGHT WITH PULSATILE LAVAGE - An illumination device comprises a housing, a power supply and at least one light source powered by the power supply. The at least one light source is adapted to emit radiation from the housing at one or more therapeutic wavelengths. The illumination device is positioned in proximity to an area for applying radiation to the area for a time and intensity sufficient to have a bacteriocidal effect.2014-02-06
20140039583Heat Therapy Apparatus - Flexible, form fitting, uniquely shaped, body part bandages incorporate flexible carbon fiber blood flow stimulation planar emitters to provide therapeutic blood flow stimulation. Emitters are electrically powered and radiate pulsed electro magnetic energy at an ideal wavelength--typically in the 0.8 micron to 15 micron range--and frequency--typically in the 0.5 Mhz to 5 MHz range or 20 Hz to 200 Hz range--to stimulate circulation in sub dermal tissue. The carbon fiber emitters provide the means to maximize and control surface coverage and through their planar design also provide very uniform energy emissions over the entire applied surface area. Blood flow stimulation therapy body bandages are uniquely fashioned and shaped to form fit each body part and constructed such that they can then be incorporated in flexible and elastic materials such as neoprene and may include VELCRO hook and loop fasteners, buttons, straps, laces and the like.2014-02-06
20140039584PORTABLE SELF CONTAINED CHEMICALLY ACTIVATED COOLING THERAPY BLANKET - A cooling device includes a tube having an interior formed by a first and second film welded together. The tube has a peelable heat seal connecting a portion of the first film with a portion of the second film. The peelable heat seal divides the interior into a first chamber and a second chamber separated from the first chamber. The interior of the first chamber includes one or more materials which have an endothermic heat of solution in water. The interior of the second chamber contains water. The peelable heat seal has an adhesive force that is overcome by an application of an external force to one of the chambers allowing the material in the first chamber and the water in the second chamber to mix.2014-02-06
20140039585COLD THERAPY DEVICE WITH INDIVIDUAL COMPARTMENTS - A cold therapy apparatus, a cold therapy system and a method of using a cold therapy apparatus, including a method for lowering the body temperatures in a subject.2014-02-06
20140039586SYSTEMS AND METHODS FOR MAKING AND USING A MULTI-LEAD INTRODUCER FOR USE WITH ELECTRICAL STIMULATION SYSTEMS - A multi-lead introducer for facilitating implantation of stimulation leads includes a needle assembly for concurrently implanting multiple leads into a patient. The needle assembly includes a first needle with a first needle lumen configured to receive a first lead. A first sharpened tip is disposed along a first end of the first needle for piercing patient tissue. A second needle defines a second needle lumen configured to receive a second lead. A second sharpened tip is disposed along a first end of the second needle for piercing patient tissue. A hub is coupled to second ends of both the first needle and the second needle. The hub defines a hub lumen that is in communication with both the first needle lumen and the second needle lumen. The hub lumen is configured to concurrently receive both the first lead and the second lead.2014-02-06
20140039587LEADS WITH ELECTRODE CARRIER FOR SEGMENTED ELECTRODES AND METHODS OF MAKING AND USING - A stimulation lead includes a lead body having a longitudinal length, a distal portion, and a proximal portion; terminals disposed along the proximal portion of the lead body; an electrode carrier coupled to, or disposed along, the distal portion of the lead body; segmented electrodes disposed along the electrode carrier; and conductors extending along the lead body and coupling the segmented electrodes to the terminals. The electrode carrier includes a lattice region defining segmented electrode receiving openings. Each of the segmented electrodes extends around no more than 75% of a circumference of the lead and is disposed in a different one of the segmented electrode receiving openings of the electrode carrier.2014-02-06
20140039588Package for an Implantable Neural Stimulation Device - An implantable device, including a first electrically non-conductive substrate; a plurality of electrically conductive vias through the first electrically non-conductive substrate; a flip-chip multiplexer circuit attached to the electrically non-conductive substrate using conductive bumps and electrically connected to at least a subset of the plurality of electrically conductive vias; a flip-chip driver circuit attached to the flip-chip multiplexer circuit using conductive bumps; a second electrically non-conductive substrate attached to the flip-chip driver circuit using conductive bumps; discrete passives attached to the second electrically non-conductive substrate; and a cover bonded to the first electrically non-conductive substrate, the cover, the first electrically non-conductive substrate and the electrically conductive vias forming a hermetic package.2014-02-06
20140039589METHOD FOR MANUFACTURING AN IMPLANTABLE ELECTRONIC DEVICE - A method of manufacturing an implantable electronic device, including: providing a silicon wafer; building a plurality of layers coupled to the wafer including an oxide layer coupled to the silicon wafer; a first reactive parylene layer coupled to the oxide layer, an electrode layer coupled to the first reactive parylene layer, and a second reactive parylene layer, coupled to the electrode layer, that chemically bonds to the first reactive polymer layer, and a second polymer layer coupled to the second reactive parylene layer; coating the plurality of layers with an encapsulation, and modifying the encapsulation and at least one of the plurality of layers to expose an electrode site in the electrode layer.2014-02-06
20140039590METHODS FOR MAKING LEADS WITH SEGMENTED ELECTRODES FOR ELECTRICAL STIMULATION SYSTEMS - One embodiment is a stimulation lead including a lead body comprising a longitudinal surface, a distal end, and a proximal end; and multiple electrodes disposed along the longitudinal surface of the lead body near the distal end of the lead body. The multiple electrodes include multiple segmented electrodes. At least a first portion of the lead body, proximal to the electrodes, is transparent or translucent and at least a second portion of the lead body, separating two or more of the segmented electrodes, is opaque so that the segmented electrodes separated by the second portion of the lead body are visually distinct. Alternatively or additionally, the stimulation lead can include an indicator ring, a stripe, a groove, or a marking aligned with one or more of the segmented electrodes.2014-02-06
20140039591CARDIAC STIMULATION SYSTEM - Some embodiments of pacing systems employ wireless electrode assemblies to provide pacing therapy. The wireless electrode assemblies may wirelessly receive energy via an inductive coupling so as to provide electrical stimulation to the surrounding heart tissue. In certain embodiments, the wireless electrode assembly may include one or more biased tines that shift from a first position to a second position to secure the wireless electrode assembly into the inner wall of the heart chamber.2014-02-06
20140039592LEAD SHAPED FOR STIMULATION AT THE BASE LEFT VENTRICLE - Disclosed herein are a variety of implantable medical leads for coupling to an implantable pulse generator and targeted stimulation of the lateral and posterior basal left ventricular region of a patient heart. As one example, the lead may include a tubular body including proximal section, an intermediate section and a distal section. The intermediate section biases into a generally S-shaped or sinusoidal-shaped configuration when the intermediate section is in a free or non-restricted state. The proximal section proximally extends from the intermediate section to a proximal end configured to electrically couple to the implantable pulse generator. The distal section biases into a generally straight linear shaped configuration when the distal section is in a free or non-restricted state.2014-02-06
20140039593EXTERNAL DEFIBRILLATOR - A variety of arrangements and methods relating to a defibrillator are described. In one aspect of the invention, a defibrillator includes two paddles that each include a defibrillator electrode covered in a protective housing. The two paddles are sealed together using a releasable seal to form a paddle module such that the housings of the paddles form the exterior of the paddle module. An electrical system including at least a battery and a capacitor is electrically coupled with the paddles. The battery is arranged to charge the capacitor. The capacitor is arranged to apply a voltage at the defibrillator electrodes, which generates an electrical shock for arresting a cardiac arrhythmia.2014-02-06
20140039594EXTERNAL DEFIBRILLATOR - A variety of arrangements and methods relating to a defibrillator are described. In one aspect of the invention, a defibrillator includes two paddles that each include a defibrillator electrode covered in a protective housing. The two paddles are sealed together using a releasable seal to form a paddle module such that the housings of the paddles form the exterior of the paddle module. An electrical system including at least a battery and a capacitor is electrically coupled with the paddles. The battery is arranged to charge the capacitor. The capacitor is arranged to apply a voltage at the defibrillator electrodes, which generates an electrical shock for arresting a cardiac arrhythmia.2014-02-06
20140039595BANDAGE AND ELECTRODE SYSTEM - The invention relates to a bandage (2014-02-06
20140039596BALLOON CATHETER FOR MULTIPLE ADJUSTABLE STENT DEPLOYMENT - A catheter configured to carry one or more stents and having an inflatable balloon for expanding a stent surrounding the balloon. The catheter is characterized in having a positioner for moving the one or more stents relative to the balloon from a first position in which the stent does not surround the balloon to a second position in which the stent surrounds the balloon. Also disclosed is a method for deploying a stent at a desired location in the vascular system.2014-02-06
20140039597DEVICE AND METHOD FOR AORTIC BRANCHED VESSEL REPAIR - An aortic graft assembly includes a tubular component that defines a wall aperture having a proximal end that extends perpendicular to a major longitudinal axis of the tubular aortic component, and a tunnel graft connected to the wall of the tubular aortic component and extending from the wall aperture toward a proximal end of the tubular aortic component. The method for delivery of the aortic graft assembly includes delivering the aortic graft assembly through the wall aperture and into interferring relation with the tunnel graft.2014-02-06
20140039598BLOOD LOSS CONTROL SYSTEM - Generally described here are systems and methods for controlling bleeding. The systems generally comprise a blood control catheter having an expandable member, an intra-vessel support delivery device, and an intra-vessel support releasably attached to the intra-vessel support delivery device. The system may also include a guidewire. In some variations, the guidewire may be moveable between a tracking configuration and a delivery configuration.2014-02-06
20140039599MEDICAL INSTRUMENT, RING PROSTHESIS, STENT AND STENTED VALVE - The medical instrument includes: a first rod; a second rod which extends along the first rod; a longitudinal centre line defined by the rods; and a manipulator. The manipulator includes a plurality of fingers, each with a first finger end and a second finger end. The second finger ends are free ends. The first finger ends are supported on the second rod in such a way that the fingers are operable, by moving the second rod in relation to the first rod, in order to be displaced from a first position to a second position. The distance from the free ends of the fingers to the longitudinal centre line in the first position is different compared with the second position. A stent, a ring prosthesis and a prosthesis device are also described.2014-02-06
20140039600STENT FABRICATION VIA TUBULAR CASTING PROCESSES - Tubular casting processes, such as dip-coating, may be used to form substrates from polymeric solutions which may be used to fabricate implantable devices such as stents. The polymeric substrates may have multiple layers which retain the inherent properties of their starting materials and which are sufficiently ductile to prevent brittle fracture. Parameters such as the number of times the mandrel is immersed, the duration of time of each immersion within the solution, as well as the delay time between each immersion or the drying or curing time between dips and withdrawal rates of the mandrel from the solution may each be controlled to result in the desired mechanical characteristics. Additional post-processing may also be utilized to further increase strength of the substrate or to alter its shape.2014-02-06
20140039601STENT AND STENT-GRAFT DESIGNS - The present embodiments provide stents and stent-grafts for use in medical procedures. In one embodiment, a stent comprises a series of proximal apices, a series of distal apices, and at least one imaging element. A first suture bore is disposed in a surface of the stent at a location distal to the imaging element, and is adapted to receive a suture for coupling a portion of the stent to a graft material. A distal region of the stent, including the series of distal apices and the first suture bore, overlaps with the graft material, while a proximal region of the stent, including the series of proximal apices and at least one barb, is disposed proximally beyond the graft material. In an alternative embodiment, a stent-graft comprises a graft, a first stent and a second stent, in which a series of proximal apices of the first stent are each disposed distal to the proximal end of the graft, and a series of proximal apices of the second stent are each disposed proximally beyond the proximal end of the graft.2014-02-06
20140039602BARBED ANCHORS FOR ATTACHMENT TO ENDOLUMINAL PROSTHESIS - An endoluminal prosthesis that includes a support structure having a plurality of struts and an anchor that is attachable to the support structure. The anchor includes an anchor body and one or more barbs extending outwardly from the anchor body. The anchor body includes a cannula having a first end, a second end, and a middle section. The middle section includes a plurality of open portions arranged in a plurality of arrays around the anchor body.2014-02-06
20140039603BIOABSORBABLE SCAFFOLDS MADE FROM COMPOSITES - Bioabsorbable scaffolds made at least in part of a poly(L-lactide)-based composite are disclosed. The composite includes poly(4-hydroxybutyrate) or poly(L-lactide)-b-polycaprolactone block copolymer, which increases the fracture toughness or fracture resistance of the scaffold. The composite can further include bioceramic particles, L-lactide monomer, or both dispersed throughout the composite. The bioceramic particles improve the radial strength and stiffness of the scaffold. The L-lactide monomer is used to control the absorption rate of the scaffold.2014-02-06
20140039604CRUSH RECOVERABLE POLYMER SCAFFOLDS - A medical device includes a polymer scaffold crimped to a catheter having an expansion balloon. The scaffold, after being deployed by the balloon, provides a crush recovery of about 90% after the diameter of the scaffold has been pinched or crushed by 50%. The scaffold has a pattern including an asymmetric closed cell connecting links connecting the closed cells.2014-02-06
20140039605STENT - A stent for insertion in a fluid conduit of a human or animal body includes a hollow structure having generally circumferentially extending parts which have opposite end portions in the longitudinal direction. The circumferential parts are joined to a longitudinally adjacent circumferential parts along the length of the hollow structure wherein the end portions of adjacent circumferential parts are not in parallel planes and/or the end portions of the same part are not in parallel planes. Also, the non-parallel end portions are arranged along the length of the hollow structure such that a flow lumen defined by the hollow structure, and imposed on the flow lumen by the hollow structure when in the fluid conduit, follows a non-planar curve.2014-02-06
20140039606MEDICAL DEVICE - A method for treating a bifurcation or trifurcation aneurysm (2014-02-06
20140039607MITRAL VALVE LEAFLET CLIP - A device for gathering tissue of a heart valve leaflet may include an outer tube extending in an elongation direction and having an open distal end, a capture tool movable in the outer tube between a contained position and a use position, and a tissue securing component disposed at a distal end of the outer tube and adapted to be applied to captured tissue of the heart valve leaflet to hold the captured tissue in a gathered configuration. The outer tube may have an inner surface and a lumen extending therethrough. The capture tool may be operable to capture tissue of the heart valve leaflet and to draw the captured tissue into the outer tube in the gathered configuration. The tissue securing component may be a suture having a looped portion. At least part of the looped portion may extend through a lumen of at least one support tube.2014-02-06
20140039608APPARATUS AND METHOD FOR HEART VALVE REPAIR - A device for gathering tissue of a heart valve leaflet may include an outer tube extending in an elongated direction, a capture tool moveable in the outer tube between a contained position and a use position, and a tissue securing component disposed at a distal end of the outer tube and adapted to be applied to tissue captured by the capture tool and to hold the captured tissue in a gathered configuration. The capture tool may include two grasping members that are moveable relative to one another in the elongated direction. Each grasping member may have a proximal portion and a plurality of fingers or barbs. The grasping members may be operable to capture tissue of the heart valve leaflet therebetween and to draw the captured tissue into the outer tube in the gathered configuration.2014-02-06
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