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Небесная энциклопедия

Космические корабли и станции, автоматические КА и методы их проектирования, бортовые комплексы управления, системы и средства жизнеобеспечения, особенности технологии производства ракетно-космических систем

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Мониторинг СМИ

Мониторинг СМИ и социальных сетей. Сканирование интернета, новостных сайтов, специализированных контентных площадок на базе мессенджеров. Гибкие настройки фильтров и первоначальных источников.

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Форма поиска

Поддерживает ввод нескольких поисковых фраз (по одной на строку). При поиске обеспечивает поддержку морфологии русского и английского языка
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Применить Всего найдено 28125. Отображено 100.
19-01-2012 дата публикации

Surgical instruments with electrodes

Номер: US20120012636A1
Автор: Andrew T. Beckman, Bradley E. White, Foster B. Stulen, Jason L. Harris, Jeffrey S. Swayze, Paul Guerra, Prasanna Malaviya
Принадлежит: Ethicon Endo Surgery Inc

A surgical stapling assembly is configured to be used to form a tissue seal having an arcuate portion. The surgical stapling assembly comprises an end-effector extending from the distal end of the shaft. The end-effector comprises a first portion and a second portion. The first portion comprises a first face at least partially surrounding the aperture, a staple cavity defined in the first face, a staple removably positioned within the staple cavity, and a first electrode positioned one of on and proximate to the first face. The second portion comprises a second face, an anvil pocket defined in the second face, and a second electrode positioned one of on and proximate to the second face, and a second electrode. The first electrode and the second electrode each comprise an arcuate portion. The first electrode has a different polarity than the second electrode.

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Номер записи: 1
19-01-2012 дата публикации

Method for transurethral delivery of thermal therapy to tissue

Номер: US20120016273A1
Автор: Chris J. Diederich
Принадлежит: UNIVERSITY OF CALIFORNIA

An apparatus for applying thermal energy to a prostate gland, comprising a support tube having a longitudinal passageway, a power lead channeled through the longitudinal central passageway and an ultrasound crystal disposed around at least part of the support tube. The ultrasound crystal is coupled to the power lead which provides the power to energize the ultrasound crystal and generate ultrasound energy providing thermal therapy to the prostate gland. The ultrasound crystal further includes inactivated portions for reducing ultrasound energy directed to the rectal wall of the patient. A sealant is disposed in contact with the ultrasound crystal allowing vibration necessary for efficient ultrasound energy radiation for the thermal therapy of the prostate gland.

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Номер записи: 2
19-01-2012 дата публикации

Surgical fastening devices comprising rivets

Номер: US20120016413A1
Автор: Gavin M. Monson, John V. Hunt, Omar J. Vakharia, Richard W. Timm, Robert J. Laird, Suzanne E. Thompson
Принадлежит: Ethicon Endo Surgery Inc

An end-effector assembly is configured to be attached to a surgical instrument. The end-effector assembly comprises a first jaw comprising an electrode, a second jaw comprising a rivet cavity, and a rivet. At least one of the first jaw and the second jaw is movable relative to the other jaw. At least a portion of the rivet is removably positioned within the rivet cavity. The rivet comprises a tissue-engaging portion, an elongate portion extending from the tissue-engaging portion, and a meltable portion. The end-effector assembly comprises a driver configured to move the rivet between a first position in which the rivet is stored at least partially within the rivet cavity and a second position in which the rivet is at least partially deployed from the rivet cavity. The meltable portion of the rivet is positioned against or adjacent to the electrode when the rivet is in the second position.

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Номер записи: 3
26-01-2012 дата публикации

Expanding parallel jaw device for use with an electromechanical driver device

Номер: US20120018488A1
Автор: Michael P. Whitman
Принадлежит: TYCO HEALTHCARE GROUP LP

A cutting and stapling device for use as an attachment to an electromechanical device driver comprises an upper jaw and a lower jaw which separate and close against one another in a continuously parallel alignment. The upper jaw includes a series of staple guides corresponding to one or more staples in a removable staple tray disposed within a lower jaw, whereby a blade and wedge having a threaded bore travel upon a matching threaded shaft in a channel disposed in the lower jaw below the staple tray, such that rotation of the threaded shaft causes movement of the wedge through the channel while a sloped surface of the wedge contacts the staples to push the staples against the staples guides, closing the staples.

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Номер записи: 4
26-01-2012 дата публикации

Device, apparatus, and method of adipose tissue treatment

Номер: US20120022504A1
Автор: Boris Vaynberg, Haim Epshtein, James Bartholomeusz
Принадлежит: SYNERON MEDICAL LTD

A method and apparatus for adipose tissue treatment whereby two types of electromagnetic radiation are applied to the volume of tissue to be treated, One type of the electromagnetic radiations being RF and the second type of electromagnetic radiation being visible or infrared radiation.

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Номер записи: 5
02-02-2012 дата публикации

Medical product, in particular for management of tissue repair

Номер: US20120027804A1
Автор: Erich Odermatt, Lutz Funk, Marta Casanovas Albalate, Volker Friedrich
Принадлежит: Aesculap AG

A medical product includes at least one elongate body including cells and a method for manufacturing the medical product.

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Номер записи: 6
02-02-2012 дата публикации

Surgical circular stapler with tissue retention arrangements

Номер: US20120029547A1
Автор: Frederick E. Shelton, IV, John W. Willis
Принадлежит: Ethicon Endo Surgery Inc

Surgical instruments and procedures for performing a circular anastomosis of a tubular organ. The surgical instruments may include selectively deployable tissue acquisition members configured to puncture through a portion of the tubular organ and position the portion of the organ adjacent to a fastener face of a staple cartridge supported in the instrument. At least one cutting member may be radially deployed and rotated to sever the positioned portion of organ from a distal portion of the organ. An anvil may be employed to draw another portion of the organ adjacent to the portion of organ positioned adjacent to the fastener face of the staple cartridge. The staples may then be deployed through the adjacent portions of organ and an annular knife may be advanced through the adjacent organ portions to complete the anastomosis.

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Номер записи: 7
02-02-2012 дата публикации

Expandable bioabsorbable plug apparatus and method

Номер: US20120029555A1
Автор: Aaron M. Fortson, Jill A. McCoy, John M. Ziobro, Kelly J. McCrystle, Laveille Kao Voss
Принадлежит: Abbott Cardiovascular Systems Inc

An apparatus for occluding a venous or arterial puncture site is disclosed including a plug insertable within, or adjacent to, a puncture site in a wall of a body lumen. An insert is forced into an aperture within the plug to cause expansion thereof. The insert may be drawn into the aperture by applying tension to a line passing therethrough and secured to the insert. Barbs may secure to the plug to engage the wall of the body lumen or adjacent tissue tract. Elongate members passing through the wall of the plug may be forced outwardly into the wall of the body lumen or adjacent tissue as the insert is forced into the aperture.

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Номер записи: 8
16-02-2012 дата публикации

Catheter with thin film pressure sensing distal tip

Номер: US20120041295A1
Автор: Jeffrey W. Schultz
Принадлежит: Biosense Webster Inc

A mapping and ablation catheter has contact force sensing capabilities at a distal end. In one embodiment, the catheter includes a catheter body, a deflectable section, and a tip distal tip section which has a tip electrode with a thin-film pressure sensor that is adapted to detect a force vector applied to the tip electrode. The thin-film pressure sensor includes two opposing flexible and thin support members containing a pressure-sensitive material therebetween whose resistivity changes as a result of pressure and is detected by trace electrode intersections supported on interfacing surfaces of the flexible and thin support members. Used with a stop member having a conforming shape against which the thin-film pressure sensor abuts when a force vector is applied to the tip electrode, the pressure sensor can have a 2-D, radially-symmetrical shape, e.g., a disc or ring configuration, or a 3-D, radially-symmetrical shape, e.g., a conical configuration.

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Номер записи: 9
08-03-2012 дата публикации

Method and system for ultrasound treatment with a multi-directional transducer

Номер: US20120059288A1
Автор: Michael H. Slayton, Peter G. Barthe
Принадлежит: Guided Therapy Systems LLC

A method and system for ultrasound treatment utilizing a multi-directional transducer to facilitate treatment, such as therapy and/or imaging or other tissue parameter monitoring, in two or more directions. In accordance with an exemplary embodiment, a multi-directional transducer comprises at least two transduction elements configured to provide for ultrasound energy, such as radiation, acoustical energy, heat energy, imaging, positional information and/or tissue parameter monitoring signals in two or more directions. The transduction elements can comprise various materials for providing ultrasound energy or radiation, such as piezoelectric materials, with and without matching layers. In addition, the transduction elements can be configured for substantially uniform, focused and/or defocused radiation patterns, as well as for single, multiple-element and/or multiple-element array configurations. In addition, an exemplary multi-directional transducer can comprise multiple elements, either side by side, stacked or in an array.

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Номер записи: 10
08-03-2012 дата публикации

Composite internal fixators

Номер: US20120059376A1
Автор: Darin S. Gerlach, Darren James Wilson, Gene Edward Austin, Henry B. Faber, James K. Rains, John NMI Rose, Joseph Michael Ferrante, Mark S. Gosney, Nathaniel Kelley Grusin, Sied W. Janna
Принадлежит: Smith and Nephew Inc

A multi-layer, fiber-reinforced composite orthopaedic fixation device having a design selected based on a desired characteristic of the orthopaedic fixation device. The design may be selected according to a model of the device, the model defining design constraints, and the design may comprise a pattern of the fiber angle for each layer. The selection of a design may be analyzed using finite element analysis to determine whether the design will comprise the desired characteristic.

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Номер записи: 11
08-03-2012 дата публикации

Efficient Sculpting System

Номер: US20120059378A1
Автор: James David Farrell
Принадлежит: Individual

A system and method to optimize the material removal rate of a tool in a safe and geometrically precise manner, to facilitate the application of smooth contact forces and to sense tool contact forces for rapidly providing power regulation safeguards against tool inadvertently intruding into forbidden regions, for verifying and correlating physically extracted material against the virtual model, and for detecting and mitigating drill walking.

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Номер записи: 12
08-03-2012 дата публикации

Biological tissue connection and repair devices and methods of using same

Номер: US20120059399A1
Автор: Ahmet Hoke, Hai-quan Mao
Принадлежит: JOHNS HOPKINS UNIVERSITY

The instant invention provides compositions and methods for promoting the repair and/or growth of biological tissue, e.g., tubular biological tissue such as nerves. Specifically, the instant invention provides tissue connection devices and tissue repair devices and methods for using these devices.

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Номер записи: 13
22-03-2012 дата публикации

Method for inserting an artificial implant between two adjacent vertebrae along a coronal plane

Номер: US20120071984A1
Автор: Gary Karlin Michelson
Принадлежит: WARSAW ORTHOPEDIC INC

A method for inserting an artificial implant between two adjacent vertebrae along a corona plane,

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Номер записи: 14
29-03-2012 дата публикации

Remotely imageable marker system and polysaccharide marker for use in same

Номер: US20120078092A1
Автор: Michael L. Jones, Paul Lubock
Принадлежит: SenoRx Inc

A remotely imageable marker system includes a tubular delivery member having an inner lumen and a plurality of marker members. Each marker member of the plurality of marker members comprises a bioabsorbable polysaccharide in sufficient amount to exhibit hemostatic properties and a binder. The plurality of marker members is disposed within the inner lumen of the tubular delivery member.

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Номер записи: 15
29-03-2012 дата публикации

Medical apparatus system having optical fiber load sensing capability

Номер: US20120078138A1
Автор: Daniele Inaudi, Giovanni Leo, Nicolas Aeby
Принадлежит: Endosense SARL

Apparatus is provided for diagnosing or treating an organ or vessel, wherein a device having at least two optical fiber sensors disposed in a distal extremity thereof is coupled to processing logic programmed to compute a multi-dimensional force vector responsive to detected changes in the optical characteristics of the optical fiber sensors arising from deflection of the distal extremity resulting from contact with the tissue of the wall of the organ or vessel. The force vector may be used to facilitate manipulation of the catheter either directly or automatically using a robotic system.

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Номер записи: 16
29-03-2012 дата публикации

Intervertebral insert system

Номер: US20120078315A1
Автор: Patrick J. Sweeney
Принадлежит: Spinal Generations LLC

A system for delivering fluid to a space between two vertebrae is provided. The system includes a tool and an insert configured to be implanted in the space between two vertebrae. The tool includes a proximal end, a distal end and a structure at the distal end configured to be coupled to the insert. The tool further includes a first opening located near the proximal end of the tool, a second opening located near the distal end of the tool, and a passage extending between the first opening and the second opening. The first opening, the passage and the second opening provide a fluid delivery path from the proximal end to the exterior of the tool near the distal end. The second opening is positioned relative to the structure such that fluid is permitted to be delivered from the tool directly into the space between the two vertebrae.

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Номер записи: 17
05-04-2012 дата публикации

Fastener system comprising a retention matrix

Номер: US20120080333A1
Автор: Chad P. Boudreaux, Charles J. Scheib, Christopher J. Schall, Dean B. Bruewer, Douglas J. Siebenaler, James A. Woodard, Jr., Jeffrey S. Swayze, Jerome R. Morgan, John N. Ouwerkerk, Richard F. Schwemberger, Robert J. Simms
Принадлежит: Ethicon Endo Surgery Inc

A surgical fastener system can comprise a plurality of fasteners which can be connected to one another by a retention matrix which is assembled to the fasteners in order to capture tissue therebetween. In various embodiments, each fastener can comprise a base and the distance in which the retention matrix is seated relative to the fastener bases can be selectively determined by a surgeon in order to apply a desired pressure to the tissue. In certain embodiments, each fastener can further comprise a fastener leg and the retention matrix can comprise a first layer configured to engage the fastener legs. The retention matrix can further comprise a second layer mounted to the first layer which can comprise one or more encapsulations containing a medicine therein. The encapsulations can be aligned with retention apertures in the retention matrix such that they can be punctured by the fastener legs.

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Номер записи: 18
05-04-2012 дата публикации

Compressible fastener cartridge

Номер: US20120080335A1
Автор: Charles J. Scheib, Frederick E. Shelton, IV, Jeffrey S. Swayze, Jerome R. Morgan, Steven G. Hall
Принадлежит: Ethicon Endo Surgery Inc

A fastener cartridge can comprise a compressible, collapsible, and/or crushable cartridge body and fasteners embedded within the cartridge body which can be utilized to fasten tissue. In use, the fastener cartridge can be positioned in a first jaw of a surgical fastening device, wherein the first jaw can be positioned opposite a second jaw, or anvil. The anvil can be engaged with the fastener cartridge to compress, collapse, and/or crush the cartridge body and deform, or otherwise deploy, the fasteners contained therein. As the fasteners are deformed or deployed, the fasteners can capture at least a portion of the cartridge body therein along with at least a portion of the tissue being fastened. In various embodiments, the cartridge body can comprise a plurality of layers wherein at least one of the layers can be detached from the other layers and removed from the surgical site.

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Номер записи: 19
05-04-2012 дата публикации

Tissue thickness compensator comprising portions having different properties

Номер: US20120080337A1
Автор: Chester O. Baxter, III, Frederick E. Shelton, IV, Sora Rhee, Taylor W. Aronhalt
Принадлежит: Ethicon Endo Surgery Inc

A fastener cartridge can comprise a support portion, a tissue thickness compensator positioned relative to the support portion, and a plurality of fasteners positioned within the support portion and/or the tissue thickness compensator which can be utilized to fasten tissue. In use, the fastener cartridge can be positioned in a first jaw of a surgical fastening device, wherein a second jaw, or anvil, can be positioned opposite the first jaw. To deploy the fasteners, a staple-deploying member is advanced through the fastener cartridge to move the fasteners toward the anvil. As the fasteners are deployed, the fasteners can capture at least a portion of the tissue thickness compensator therein along with at least a portion of the tissue being fastened.

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Номер записи: 20
05-04-2012 дата публикации

Compressible staple cartridge assembly

Номер: US20120080338A1
Автор: Chester O. Baxter, III, Frederick E. Shelton, IV, Joseph E. Young, Taylor W. Aronhalt
Принадлежит: Ethicon Endo Surgery Inc

A fastener cartridge can comprise a support portion, a tissue thickness compensator positioned relative to the support portion, and a plurality of fasteners positioned within the support portion and/or the tissue thickness compensator which can be utilized to fasten tissue. In use, the fastener cartridge can be positioned in a first jaw of a surgical fastening device, wherein a second jaw, or anvil, can be positioned opposite the first jaw. To deploy the fasteners, a staple-deploying member is advanced through the fastener cartridge to move the fasteners toward the anvil. As the fasteners are deployed, the fasteners can capture at least a portion of the tissue thickness compensator therein along with at least a portion of the tissue being fastened.

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Номер записи: 21
05-04-2012 дата публикации

Implantable fastener cartridge having a non-uniform arrangement

Номер: US20120080481A1
Автор: Frederick E. Shelton, IV, Tamara Widenhouse
Принадлежит: Ethicon Endo Surgery Inc

A fastener cartridge can comprise a compressible, collapsible, and/or crushable cartridge body and fasteners embedded within the cartridge body which can be utilized to fasten tissue. In use, the fastener cartridge can be positioned in a first jaw of a surgical fastening device, wherein the first jaw can be positioned opposite a second jaw, or anvil. The anvil can be engaged with the fastener cartridge to compress, collapse, and/or crush the cartridge body and deform, or otherwise deploy, the fasteners contained therein. As the fasteners are deformed or deployed, the fasteners can capture at least a portion of the cartridge body therein along with at least a portion of the tissue being fastened. In various embodiments, the cartridge body can comprise a thickness which is not uniform thereacross. In at least one embodiment, the fasteners can comprise different unformed heights and/or different formed heights.

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Номер записи: 22
05-04-2012 дата публикации

Surgical stapler with floating anvil

Номер: US20120080493A1
Автор: Chester O. Baxter, III, Frederick E. Shelton, IV, Joseph E. Young, Taylor W. Aronhalt
Принадлежит: Ethicon Endo Surgery Inc

A surgical instrument can include an anvil and, in addition, a staple cartridge support configured to support a staple cartridge. In various embodiments, the jaw can be moved toward the staple cartridge to deform staples contained within the staple cartridge. The anvil can be configured to be translated and/or rotated as the anvil is moved toward the staple cartridge. In certain embodiments, the anvil can be configured to float and adjust such that the anvil is moved downwardly in a level manner.

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Номер записи: 23
05-04-2012 дата публикации

Mechanical method and apparatus for sequential tissue fastening

Номер: US20120083831A1
Автор: James A. Peterson
Принадлежит: Incisive Surgical Inc

A mechanical system for rotatably, sequentially securing opposing sides of a tissue wound with a fastener. An applicator apparatus is capable of imparting rotatable motion to a falcate tissue penetrator that sequentially pierces and carries a fastener into a first side and a second side of the tissue wound. The first side and second side of tissue can be simultaneously captured and positioned with respect to a tissue definition member or alternatively, the first tissue side and second tissue side can be individually, sequentially captured and positioned relative to the tissue definition member. The applicator apparatus can comprise a single fastener for small tissue wounds or resections or alternatively, the applicator can comprise a plurality of staged fasteners for use in closing a larger wounds or wounds with increased tension.

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Номер записи: 24
05-04-2012 дата публикации

Staple cartridge comprising a releasable portion

Номер: US20120083833A1
Автор: Chester O. Baxter, III, Frederick E. Shelton, IV, Jerome R. Morgan, Joseph E. Young, Taylor W. Aronhalt
Принадлежит: Ethicon Endo Surgery Inc

A fastener cartridge can comprise a support portion, a tissue thickness compensator positioned relative to the support portion, and a plurality of fasteners positioned within the support portion and/or the tissue thickness compensator which can be utilized to fasten tissue. In use, the fastener cartridge can be positioned in a first jaw of a surgical fastening device, wherein a second jaw, or anvil, can be positioned opposite the first jaw. To deploy the fasteners, a staple-deploying member is advanced through the fastener cartridge to move the fasteners toward the anvil. As the fasteners are deployed, the fasteners can capture at least a portion of the tissue thickness compensator therein along with at least a portion of the tissue being fastened.

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Номер записи: 25
19-04-2012 дата публикации

Method for providing surgical access

Номер: US20120095504A1
Автор: John F. Shanley, Stephen H. Diaz
Принадлежит: ENTOURAGE MEDICAL TECHNOLOGIES Inc

One embodiment is directed to a method for providing surgical access across a wall of a tissue structure, comprising: measuring a thickness of the wall of the tissue structure at a targeted entry location; and providing a helical needle having a helical needle pitch selected to pull an intercoupled suture member across the wall with a distal portion of the needle such that a deployed suture pattern is formed, the deployed suture pattern being characterized in that it is substantially helical and represents a number of helical loops substantially encapsulated by the wall of the tissue structure that is greater than about one helical loop, and is less than about three helical loops.

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Номер записи: 26
26-04-2012 дата публикации

Surgical instrument with magnetic clamping force

Номер: US20120101488A1
Автор: David A. Witt, Jeffrey L. Aldridge, Mary E. Mootoo, Raymond M. Banks, Timothy G. Dietz, Zhifan F. Huang
Принадлежит: Ethicon Endo Surgery Inc

A surgical instrument comprising an end effector, the end effector comprising first and second opposing jaw members, wherein at least one of the first and second jaw members are moveable such that the first and second jaw members are transitionable between open and closed positions. The first jaw member may comprise a permanent magnet. The second jaw member may also comprise a magnet (e.g., permanent or soft). The magnetic motive force between the magnets of the first and second jaw members may attract each other to thereby reduce the external force required to transition the first and second jaw members to the closed position. In addition, the magnets may be configured to repeal each other to thereby aid in opening the jaw members.

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Номер записи: 27
26-04-2012 дата публикации

Ergonomic handpiece for laparoscopic and open surgery

Номер: US20120101495A1
Автор: Christopher John Leaver, Michael John Radley Young, Nicholas Charles Wright, Peter James Manley
Принадлежит: SRA Developments Ltd

A surgical tool having an elongate shaft, with a directional operative element at its distal end, is provided with a mechanism to rotate the shaft and the operative element about a longitudinal axis shaft. This allows the operative element to be aligned with an element of tissue without excessive hand movement by the user. In a preferred version, the mechanism is electrically powered and is regulated to produce smooth, controlled, accurate motion between selected rotational positions. The mechanism may include a linear magnetic motor drive to move a drive element longitudinally along the tool. This drive element is engaged with a helical formation on a drive shaft, such that longitudinal motion of the drive element is converted to rotational motion of the drive shaft, and of the shaft and operative element, to which the shaft is mounted.

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Номер записи: 28
03-05-2012 дата публикации

Hair removal by photothermolysis

Номер: US20120109114A1
Автор: Amir Waldman, Gabi Lavi
Принадлежит: Home Skinovations Ltd

Apparatus for photothermolysis including a removable and disposable cartridge mounted in a hand-held housing, the cartridge including a light source connectable to a power supply external to the cartridge, a reflector arranged with respect to the light source to direct light emanating from the light source towards skin via an opening formed in the cartridge to cause removal of hair on the skin by photothermolysis, and a spectral filter for filtering the light before the light exits the opening.

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Номер записи: 29
03-05-2012 дата публикации

Reactance changes to identify and evaluate cryo ablation lesions

Номер: US20120109115A1
Автор: Catherine R. Condie, Kathryn Elaine Kasischke, Marshall L. Sherman
Принадлежит: MEDTRONIC ABLATION FRONTIERS LLC

A method of assessing lesion quality of an ablated tissue region comprising ablating at least a portion of the tissue region. The reactance of the ablated tissue region is measured. The lesion quality of the ablated tissue region is determined based on the measured reactance.

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Номер записи: 30
10-05-2012 дата публикации

Surgical instrument with modular end effector and detection feature

Номер: US20120116266A1
Автор: Gavin M. Monson, Kevin L. Houser
Принадлежит: Ethicon Endo Surgery Inc

An apparatus comprises a handle assembly, a first transmission assembly, and a second transmission assembly. The first transmission assembly is in selective communication with the handle assembly and is operable to deliver energy to a surgical site. The second transmission assembly is in selective communication with the handle assembly and is operable to deliver energy to a surgical site. The first transmission assembly and the second transmission assembly are operable in different modalities, such as ultrasonic and RF electrosurgical modalities, using the same handle assembly.

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Номер записи: 31
10-05-2012 дата публикации

Medical device usage data processing

Номер: US20120116367A1
Автор: Aron O. Zingman, Ashvani K. Madan, Donna L. Korvick, Foster B. Stulen, John W. Willis, Kevin L. Houser, Timothy G. Dietz
Принадлежит: Ethicon Endo Surgery Inc

A surgical instrument includes a handle assembly having a lower portion with a hingedly attached end piece. When open, the end piece allows for receipt of a data card in a lower portion aperture. When closed, the end piece covers the aperture. In another version, the aperture is configured to receive a data card and battery pack assembly. Information is readable from and to the data card to measure a number of minutes the instrument was used during a procedure. Such information is communicated via wired or wireless communication to another device to determine a payment for the number of minutes used. Minutes are buyable from the device and writable onto the data card prior to insertion of the card into the instrument. In another version, a testing sequence is used in saline or via a tissue proxy to test the functionality of an instrument prior to a procedure.

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Номер записи: 32
10-05-2012 дата публикации

Surgical instrument with charging station and wireless communication

Номер: US20120116381A1
Автор: Daniel W. Price, Gavin M. Monson, Hitesh Jain, Kevin L. Houser
Принадлежит: Ethicon Endo Surgery Inc

An apparatus comprises an electrically power surgical instrument having a handle assembly. The apparatus also comprises a communication device positioned within the handle assembly. The communication device is operable to communicate with at least a portion of the electrically powered surgical instrument. The apparatus further comprises an external device in wireless communication with the communication device. The external device is operable to receive information from the communication device and the external device is operable to provide an output viewable to the user.

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Номер записи: 33
31-05-2012 дата публикации

Method and apparatus for treatment of adipose tissue

Номер: US20120136282A1
Автор: Avner Rosenberg, Michael Kreindel, Shimon Eckhouse
Принадлежит: SYNERON MEDICAL LTD

The invention provides methods and apparatuses for the treatment of adipose tissue. The methods comprise application of ultrasound energy to a region of adipose tissue, and the apparatuses comprise at least one source of ultrasound energy configured to direct ultrasound energy through a skin surface into the subcutaneous adipose tissue. In one embodiment, a pressure gradient is created in the region generating relative movement between fat cell constituents having different densities. In another embodiment, a protrusion of skin and underlying adipose tissue containing is formed and ultrasound energy is radiated into the adipose tissue in the protrusion. In another embodiment, an RF electric field is generated inside a region of adipose tissue together with the ultrasound energy.

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Номер записи: 34
07-06-2012 дата публикации

Magnesium-Based Absorbable Implants

Номер: US20120143227A1
Автор: Ioannis Pandelidis, Mark Steckel
Принадлежит: Zorion Medical Inc

A bioabsorbable implant including an elongated metallic element comprising an alloy of more than about 70% by weight magnesium and about 2-20% by weight lithium, substantially free of rare earth metals. An implantable tissue filler includes a particulate material suspended in a carrier, comprising more than about 70% by weight magnesium and about 2-20% by weight lithium, substantially free of rare earth metals. A bioabsorbable implant includes an elongated metallic element having a core and at least two layers of alternating compositions of magnesium, iron, and alloys thereof. A bioabsorbable implant includes at least three wires including magnesium and defining a cylindrical sheath surrounding at least one core wire including iron. A bioabsorbable implant includes a plurality of intertwined magnesium alloy wires defining a strand, with an Fe-rich layer formed by vapor, chemical and/or electro-deposition defined on a surface of at least one of the wires.

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Номер записи: 35
21-06-2012 дата публикации

System for controlling tissue ablation using temperature sensors

Номер: US20120157890A1
Автор: Andres Claudio Altmann, Assaf Govari, Yaron Ephrath
Принадлежит: Biosense Webster Israel Ltd

Body tissue ablation is carried out by inserting a probe into a body of a living subject, urging the probe into contact with a tissue in the body, generating energy at a power output level, and transmitting the generated energy into the tissue via the probe. While transmitting the generated energy the ablation is further carried out by determining a measured temperature of the tissue and a measured power level of the transmitted energy, and controlling the power output level responsively to a function of the measured temperature and the measured power level. Related apparatus for carrying out the ablation is also described.

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Номер записи: 36
21-06-2012 дата публикации

Devices, systems and methods for tissue repair

Номер: US20120158020A1
Автор: Heber Crockett, James G. Whayne, John Wright, Kevin L. Ohashi, Sidney Fleischman
Принадлежит: Bay Innovation Group LLC

Devices, systems and methods are disclosed for repairing soft tissue. The surgical system allows for the creation of tissue repair by grasping, aligning and sewing or fixing tissue. For example, this system may be used for clipping together excessive capsular tissue and reducing the overall capsular volume. The deployment device includes a central grasping mechanism and an outer clip delivery system. The clip embodiments may be single or multi-component (penetration and locking base components) that penetrate tissue layers and deploy or lock to clip the tissue together. An example of the system is used to reduce the joint capsule tissue laxity and reduces the potential for subluxation or dislocation of the joint by either restricting inferior laxity (anterior or posterior) and resolving or eliminating pathologic anterior or posterior translation.

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Номер записи: 37
28-06-2012 дата публикации

Telemetric orthopaedic implant

Номер: US20120163683A1
Автор: Darren James Wilson, Ian Mccarthy, Stephen James Guy Taylor
Принадлежит: Smith and Nephew PLC

The invention relates generally to orthopaedic implants, and more particularly to orthopaedic implants having data acquisition capabilities and their use in monitoring and diagnosing fracture healing. RSA is also disclosed as a method for measuring inter-fragmentary movement in long bone fractures in order to confirm whether the fracture is reduced and for detecting changes in stiffness of the healing callus.

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Номер записи: 38
05-07-2012 дата публикации

Mr imaging guided theraphy

Номер: US20120172708A1
Автор: Ajay Anand, Balasundara Iyyavu Raju, Gösta Jakob Ehnholm
Принадлежит: KONINKLIJKE PHILIPS ELECTRONICS NV

The invention relates to a therapeutic system which comprises an ultrasound therapy unit ( 1, 518 ) arranged to insonify at least a portion of a body ( 2, 508 ) of a patient with high intensity ultrasound and a MR imaging unit ( 3, 500 ) arranged to acquire MR signals from the portion of the body ( 2, 508 ) and to reconstruct a thermographic MR image from the MR signals. It is an object of the invention to enable MR guided high intensity focused ultrasound (HIFU) treatment, in which temperature values within critical anatomic regions containing fat can be monitored. The invention proposes that the therapeutic system further comprises an ultrasound diagnostic unit ( 5, 518 ) which is arranged to acquire ultrasound signals from the portion of the body ( 2, 508 ) and to derive at least one local temperature value from the ultrasound signals.

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Номер записи: 39
26-07-2012 дата публикации

System and method for endoluminal and translumenal therapy

Номер: US20120191079A1
Автор: David C. Lundmark, Farzad Soleimani, Frederic H. Moll
Принадлежит: Hansen Medical Inc

A system for conducting a denervation of the neural plexus adjacent the renal artery of a patient comprises a first elongate member operatively coupled to a testing element, a second elongate member having a distal portion coupled to an ablative element, and a controller configured to: activate an ablative element to selectively denervate a portion of the neural plexus which is positioned adjacent the ablative element; monitor a level of a compound in blood sampled from the testing element of the first elongate member; and modulate the activation of the ablative element based at least in part upon the level of renin monitored using the testing element.

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Номер записи: 40
26-07-2012 дата публикации

Apparatus and Methods for Determining a Subject's Response to Catheter-Based Ablation Therapy Based on Spectral Mapping During Sinus Rhythm

Номер: US20120191087A1
Автор: Enrique Indalecio Pachón Mateos, José Carlos Pachón Mateos
Принадлежит: St Jude Medical Atrial Fibrillation Division Inc

Apparatus for curative ablation are provided to achieve the inactivation or destruction of fibrillar myocardium of the so-called AF nests. In addition, fibrillar myocardium may be identified and mapped by spectral analysis and phase study of the tissue during sinus rhythm. The procedure may be performed by transseptal puncture using only one catheter for ablation and mapping. The methods may be used to localize the application targets even during an arrhythmia.

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Номер записи: 41
26-07-2012 дата публикации

Volumetric grafts for treatment of fistulae and related methods and systems

Номер: US20120191216A1
Автор: Clay D. Fette, F. Joseph Obermiller, Matthew R. Graham, Michael C. Hiles
Принадлежит: Cook Biotech Inc

Described are devices, methods, and systems useful in the treatment of fistulae, and in certain embodiments those having openings extending into the alimentary canal, such as anorectal fistulae. Illustratively, an anorectal fistula can be treated by placing a volumetric construct within the primary opening of the fistula. In certain embodiments, the volumetric construct can include a rolled remodelable material processed to form a substantially unitary body. Advantageous such remodelable materials can include collagenous extracellular matrix materials, such as small intestine submucosa.

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Номер записи: 42
02-08-2012 дата публикации

Method and apparatus for anastomosis

Номер: US20120197274A1
Автор: Joseph P. Orban, III
Принадлежит: TYCO HEALTHCARE GROUP LP

Apparatus and methods for performing a surgical anastomotic procedure are disclosed herein. Apparatus according to the present disclosure include at least one fastener including a first fastener portion having an anchoring leg portion, a second fastener portion including an anchoring leg portion, wherein the first and second fastener portions are operatively associated with one another to selectively fix the position of the first fastener portion relative to the second fastener portion.

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Номер записи: 43
02-08-2012 дата публикации

Stretch resistant therapeutic device

Номер: US20120197286A1
Автор: Eric Leopold, Peter Wilson, Rupesh K. Desai
Принадлежит: Micrus Corp

A vasoocclusive coil is reinforced with a stretch resistant member to improve safety during retraction of the coil. The stretch resistant member is fixedly attached at one end to the vasoocclusive coil, and the other end of the stretch resistant member is detachably mounted to an elongated pusher member to allow for placement and release of the vasoocclusive coil within the patient's vasculature.

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Номер записи: 44
09-08-2012 дата публикации

Robotically-controlled surgical instrument with force-feedback capabilities

Номер: US20120199630A1
Автор: Frederick E. Shelton, IV
Принадлежит: Ethicon Endo Surgery Inc

A surgical instrument. Various embodiments of the surgical instrument include an end effector that has a moveable cutting implement. A main drive shaft assembly operably interfaces with the end effector for transmitting an actuation motion to the movable cutting implement therein. A gear drive train is connected to the main drive shaft assembly. The gear drive train is actuated by a motor that is configured to receive control signals from a robotic system. Various embodiments include a sensor arrangement that operably interfaces the end effector to communicate forces experienced by the end effector to the robotic system.

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Номер записи: 45
09-08-2012 дата публикации

Ultrasound power supply for an ultrasound transducer

Номер: US20120203098A1
Автор: Balasundara Iyyavu Raju, Shiwei Zhou, Shunmugavelu Sokka
Принадлежит: KONINKLIJKE PHILIPS ELECTRONICS NV

An ultrasound power supply ( 100 ) adapted for supplying electrical power for driving an ultrasound transducer ( 202, 702 ) in contact with a subject ( 208 ), wherein the ultrasound power supply comprises:—a communications interface ( 102 ) adapted for receiving a first temperature measurement of a first volume ( 211, 318 ) of the subject and a second temperature measurement of a second volume ( 214, 320 ) of the subject;—a controller ( 108 ) adapted for modulating the output of electrical power for driving the ultrasound transducer such that via ultrasonic heating by the ultrasound transducer: a. the first temperature measurement is maintained above a first predetermined threshold, b. the first temperature measurement is maintained below a second predetermined threshold, and c. the second temperature measurement is maintained below a third predetermined threshold; and wherein the first predetermined threshold is above the third predetermined threshold.

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Номер записи: 46
09-08-2012 дата публикации

Systems, assemblies, and methods for treating a bronchial tree

Номер: US20120203216A1
Автор: Martin L. Mayse, Steven C. Dimmer
Принадлежит: Innovative Pulmonary Solutions Inc

Systems, assemblies, and methods to treat pulmonary diseases are used to decrease nervous system input to distal regions of the bronchial tree within the lungs. Treatment systems damage nerve tissue to temporarily or permanently decrease nervous system input. The treatment systems are capable of heating nerve tissue, cooling the nerve tissue, delivering a flowable substance that cause trauma to the nerve tissue, puncturing the nerve tissue, tearing the nerve tissue, cutting the nerve tissue, applying pressure to the nerve tissue, applying ultrasound to the nerve tissue, applying ionizing radiation to the nerve tissue, disrupting cell membranes of nerve tissue with electrical energy, or delivering long acting nerve blocking chemicals to the nerve tissue.

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Номер записи: 47
09-08-2012 дата публикации

Bone Stabilization Device

Номер: US20120203229A1
Автор: Andreas Appenzeller, Daniel Fluri
Принадлежит: Synthes USA LLC

A bone plate for the stabilization of bones includes upper and lower surfaces extending along a central longitudinal axis. The lower surface is configured to contact a target portion of bone when in an operative configuration a through opening extending through the plate from the upper surface to the lower surface. The through opening is sized and shaped to receive a stabilization plate. The through opening has an elongated curved shape selected to conform to a cross-sectional shape of a proximal portion of the stabilization plate.

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Номер записи: 48
16-08-2012 дата публикации

Methods and Systems for Detecting Clamping or Firing Failure

Номер: US20120205419A1
Автор: David Robinson, David Weir, Kevin Durant, Patrick Flanagan
Принадлежит: Intuitive Surgical Operations Inc

Systems and methods are provided for detecting failure in clamping of a material and/or firing of a staple into a clamped material and indicating such failure to a user on a user interface. The system and methods are particularly suited for use with end effectors having closing and/or firing mechanisms coupled to an actuator. By monitoring a driving parameter of an actuator that effects the clamping and/or firing, the systems and methods provide an indication of failure in response to the monitored drive parameter. In some embodiments, an indication of failure is output when the monitored drive parameter is outside an acceptable range of desired driving parameters during clamping and/or firing. The disclosed systems and methods are particularly beneficial when used for minimally invasive surgery.

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Номер записи: 49
16-08-2012 дата публикации

Spinal Stabilization Device

Номер: US20120209330A1
Автор: Brian Scott Bowman, Jason Yim, Tae-Ahn Jahng
Принадлежит: Brian Scott Bowman, Jason Yim, Tae-Ahn Jahng

A flexible connection unit for use in a spinal fixation device, including: a longitudinal member having first end portion, a second end portion and a flexible member interposed between the first end portion and the second end portion, at least one of the first end portion and the second end portion configured to be coupled to a first bone securing member; and a spacer located between the first and second end portions, wherein at least a portion of the flexible member passes through an axial channel of the spacer and wherein the spacer comprises a resilient element configured to be coupled to a second bone securing member.

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Номер записи: 50
23-08-2012 дата публикации

Method and apparatus for performing an osteotomy in bone

Номер: US20120215225A1
Автор: Bjorn N. Rindal, J. Michael Egan, Kelly Ammann, Marc J. Philippon, Marc Prisant
Принадлежит: Individual

A method and apparatus for forming an osteotomy in bone. The osteotomy opening is formed in a bone with a keyhole. A similarly configured implant is inserted into the opening with a key configured to engage the keyhole to provide stability and support to the osteotomy opening.

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Номер записи: 51
30-08-2012 дата публикации

System and method for sealing access

Номер: US20120221043A1
Автор: Eric Berens
Принадлежит: Individual

The present invention relates to an apparatus and a method for sealing a puncture in a tubular tissue structure or the wall of a body cavity. More specifically, the present invention is directed to an apparatus and method for sealing a puncture site in the wall of a tubular tissue structure, or in the wall of a body cavity with a stabilizer used to stabilize the material used to seal the puncture site as the material is positioned. The material is inserted into the puncture site as a ribbon or sheet on an introducer element such as a needle, a cannula, a guide wire, an introducer element adapted for dialysis, an introducer element adapted for catheterization, a trocar, or any other introducer element used to access the lumen of a tubular tissue structure or used to access a body cavity.

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Номер записи: 52
13-09-2012 дата публикации

Vascular hole closure delivery device

Номер: US20120232583A1
Автор: James S. Tarmin, Stephan A. DeFonzo, Thanu Anidharan
Принадлежит: Rex Medical LP

A surgical delivery instrument for delivering a vascular hole closure device having a hole covering member. The delivery instrument comprises a housing, a plunger and an advancer movable within the housing, the advancer having a first portion and a distal portion hingedly connected to the first portion and forming a casing for supporting the hole covering member. Distal movement of the advancer pivots the casing from an angled position to a more linear position to change the orientation of the covering member from a transverse position to a more aligned position. The plunger is advanceable to advance the covering member into the vessel.

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Номер записи: 53
20-09-2012 дата публикации

Surgical fastener instruments

Номер: US20120234899A1
Автор: Charles J. Scheib, Jeevan M. Shankarsetty
Принадлежит: Ethicon Endo Surgery Inc

Surgical instruments and cartridges for cutting and fastening tissues and organs such as vessels are disclosed. In various non-limiting forms, the surgical instrument includes a first jaw that operably supports a substantially flexible elongated tissue closure assembly therein. A second jaw is movably supported relative to the first jaw and is selectively movable between open and closed positions in response to opening and closing motions applied thereto. A closure retraction assembly is configured to selectively apply cinching motions to the substantially flexible elongated tissue closure assembly.

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Номер записи: 54
20-09-2012 дата публикации

Systems for delivering bone fill material

Номер: US20120239049A1
Автор: Csaba Truckai, John H. Shadduck
Принадлежит: Dfine Inc

The present invention relates in certain embodiments to medical devices, systems and methods for use in osteoplasty procedures, such as vertebral compression fractures. One system for delivering a bone fill material to a bone includes an elongated introducer configured for insertion into a bone and having a channel sized to allow a flow of bone fill material therethrough. The introducer has at least one outlet opening in communication with the channel for delivering the bone fill material into the bone. A thermal energy emitter is coupled to the introducer and configured to apply thermal energy to the bone fill material flowing through the introducer. A hydraulic pressure source is operatively coupled to the introducer and configured to apply a force on the bone fill material to provide a pressurized flow of bone fill material through the introducer.

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Номер записи: 55
27-09-2012 дата публикации

Tissue thickness compensator comprising structure to produce a resilient load

Номер: US20120241501A1
Автор: Charles J. Scheib, Christopher W. Widenhouse, Frederick E. Shelton, IV, Jeffrey S. Swayze, Tamara Widenhouse, Taylor W. Aronhalt
Принадлежит: Ethicon Endo Surgery Inc

A fastener cartridge assembly for an end effector of a surgical instrument can comprise a cartridge body, a deformable tube, and a fastener moveable between an initial position and a fired position. The deformable tube can be longitudinally positioned along a length of the cartridge body. When the fastener is moved to the fired position, the fastener can compress a portion of the deformable tube. The deformable tube can comprise a resilient material such that deformation of the deformable tube generates a restoring force. The deformable tube can comprise a lattice of strands woven together to form a tube wall. Further, the deformable tube can be bioabsorbable and can hold a therapeutic agent. The fastener cartridge assembly can comprise multiple, substantially parallel deformable tubes positioned side-by-side and/or within each other.

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Номер записи: 56
27-09-2012 дата публикации

Anchor delivery system with replaceable cartridge

Номер: US20120245600A1
Автор: Andrew L. Johnston, Floria Cheng, Joseph Catanese, III, Joshua Makower, Matthew Mclean, Michael Gearhart, Michael Wei, Mitchell C. Barham, Theodore C. Lamson
Принадлежит: Neotract Inc

A system and associated method for manipulating tissues and anatomical or other structures in medical applications for the purpose of treating diseases or disorders or other purposes. In one aspect, the system includes a delivery device configured to deploy and implant anchor devices for such purposes.

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Номер записи: 57
04-10-2012 дата публикации

Method and apparatus for the treatment of tissue

Номер: US20120253392A1
Автор: Bradley J. Wessman, Brian L. Dukart, Ishmael Bentley, Joseph C. Cauthen, III, Lawrence W. Wales, Matthew M. Burns, Rodney L. Houfburg
Принадлежит: Anulex Technologies Inc

This disclosure presents methods and devices for treating a defect in soft tissue of a patient. The methods and devices can employ fixation delivery apparatuses and fixation apparatuses positioned, at least in part, in or on the soft tissue to be repaired. In some aspects, these techniques include the use of this includes a fixation apparatus that includes at least one bone anchor connected to at least one tissue anchor by a shortenable elongate member.

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Номер записи: 58
18-10-2012 дата публикации

Device for hair grown stimulation

Номер: US20120265274A1
Автор: Eduardo Antonio Gómez De Diego
Принадлежит: Individual

The present invention relates to a device for stimulating hair growth comprising an outer casing ( 1 ) with a first hold end ( 2 ) of the device, a second stimulating end ( 3 ) and start-up means ( 6 ). At the second stimulating end ( 3 ) are located at least one laser lighting element ( 4 ) and at least one LED lighting element ( 5 ). Said laser lighting elements ( 4 ) emit a wavelength between 600 and 900 nm, and LED lighting elements ( 5 ) a wavelength between 400 and 600 nm. Thus, through laser lighting elements ( 4 ) is achieved stimulating the hair regeneration

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Номер записи: 59
25-10-2012 дата публикации

Apparatus and Method for Ablating Tissue

Номер: US20120271334A1
Автор: Benjamin Pless, David A. Gallup, Jack E. Ulstad, Jr., John E. Crowe, Jonathan L. Podmore, Matthias Vaska, Roxanne L. Richman, Scott C. Anderson, Timothy Ciciarelli
Принадлежит: Individual

A control system alters one or more characteristics of an ablating element to ablate tissue. In one aspect, the control system delivers energy nearer to the surface of the tissue by changing the frequency or power. In another aspect, the ablating element delivers focused ultrasound which is focused in at least one dimension. The ablating device may also have a number of ablating elements with different characteristics such as focal length.

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Номер записи: 60
01-11-2012 дата публикации

Biodegradable Drug Eluting stent Pattern

Номер: US20120277844A1
Автор: Tim Wu
Принадлежит: Individual

In embodiment, pattern for polymeric radially expandable implantable medical devices such as stents for implantation into a bodily lumen are disclosed.

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Номер записи: 61
08-11-2012 дата публикации

Biopsy device with manifold alignment feature and tissue sensor

Номер: US20120283563A1
Автор: Daniel J. Mumaw, Emmanuel V. Tanghal, Harold W. Craig, Kathryn M. Dodd, Kyle P. Moore, Lois L. Kohnhorst, Patrick A. Mescher, Trevor W. V. Speeg
Принадлежит: Devicor Medical Products Inc

A biopsy system includes a needle, a cutter movable relative to the needle to sever a tissue sample, a processing module, a tissue sensor, and an indicator. The tissue sensor is operable to sense a tissue sample severed by the cutter. The processing module is operable to drive the indicator based on information from the tissue sensor. The indicator may include an audible indicator and/or a visual indicator. The indication provided by the indicator may vary based on sensed qualities of the tissue sample. The indicator may be integrated into a biopsy instrument or may be provided as part of a remote unit. The biopsy system may also include a multi-chamber tissue sample holder. A graphical user interface may indicate which chambers of the tissue sample holder are occupied by tissue samples.

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Номер записи: 62
15-11-2012 дата публикации

Adjustable Suture Lock Loop

Номер: US20120290006A1
Автор: Jeffrey Gelfand, Robert S. Collins, Steve SANTANGELO
Принадлежит: Suspension Orthopaedic Solutions LLC

The present disclosure relates to an adjustable suture lock loop for use in soft tissue repair and, more particularly, an adjustable suture lock loop constructed from a suture material having a lumen and one or more anchors. The adjustable suture lock loop can include a strand of braided suture material having a first end and a second end, and a lumen; and one or more anchors, wherein each anchor has two or more holes disposed therethrough that are large enough to permit the suture to pass therethrough; and both ends of the suture material pass through the lumen of a first section of the suture material, and wherein the first end of the suture material is free, while the second end is secured to form a loop.

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Номер записи: 63
22-11-2012 дата публикации

Optical devices and methods for selective and conventional photocoagulation of the retinal pigment epithelium

Номер: US20120296320A1
Автор: Charles P. Lin, Clemens Alt
Принадлежит: General Hospital Corp

The present invention provides devices and methods for applying radiation to the retina of a patient. In one embodiment, an apparatus includes a radiation source for generating a radiation beam suitable for absorption by retinal pigment epithelial cells. One or more optical components are included to direct the beam onto the retina. A scanner is optically coupled to the radiation source to control movement of the beam in two dimensions to allow a scan over the retina. A controller applies control signals to the scanner to adjust beam movement to illuminate a plurality of retinal locations in a temporal sequence according to a predefined pattern. The device can be operated in one mode to effect selective targeting of retinal pigment epithelial cells, or in another mode to effect thermal photocoagulation of the retina.

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Номер записи: 64
06-12-2012 дата публикации

Surgical instrument with control for detected fault condition

Номер: US20120310221A1
Автор: Gabriel F. Brisson, Kevin Durant, Scott E. Manzo, William A. Burbank
Принадлежит: Intuitive Surgical Operations Inc

A method and system of controlling a surgical instrument including an end effector are provided. The method includes detecting a first signal indicating that an end effector component of a surgical instrument is positioned between a first position and a second position, and automatically controlling operation of the end effector component after a second signal is not received within a predetermined time period after detecting the first signal. The second signal indicates that the end effector component is in one of the first position or the second position. The system includes a surgical instrument and a controller to implement the method.

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Номер записи: 65
13-12-2012 дата публикации

Ultrasonic handpiece

Номер: US20120316472A1
Автор: Frank Anthony CRANDALL, Justin Beyers, Matthew Cremens, Peter M. Bonutti
Принадлежит: P Tech LLC

An ultrasonic handpiece includes a horn and a transducer system. The transducer system is configured to detect a first pressure applied to at least a first portion of the transducer system, transmit a signal associated with the first pressure, and generate ultrasonic vibratory energy. The first pressure is associated with a second pressure applied to the horn.

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Номер записи: 66
13-12-2012 дата публикации

Methods and systems for controlling an ultrasonic handpiece based on sensed pressure

Номер: US20120316473A1
Автор: Justin Beyers, Matthew Cremens, Peter M. Bonutti
Принадлежит: P Tech LLC

A system includes a handpiece configured to generate vibratory energy, and a generator coupled to the handpiece. The generator includes a processing device and a memory device having encoded thereon computer-readable instructions that are executable by the processing device to perform functions including receiving a pressure signal from the handpiece. The pressure signal is indicative of a pressure between the handpiece and a surgical implement. The functions further include determining the pressure between the handpiece and the surgical implement, comparing the pressure to a predetermined pressure range, and transmitting a control signal to the handpiece when the pressure is within the predetermined pressure range.

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Номер записи: 67
13-12-2012 дата публикации

Treatment of Cellulite and Adipose Tissue with Mid-Infrared Radiation

Номер: US20120316548A1
Автор: David J. Fullmer, David R. Hennings
Принадлежит: CoolTouch Inc

A method and apparatus that will alter the fibrous strands in the fatty layers of the skin to reduce the appearance of cellulite and adipose tissue. Electromagnetic energy is used to selectively shrink or alternatively photoacoustically ablate the collagen in the constricting bands of connective tissue that causes the dimpled appearance of cellulite and adipose tissue while avoiding damage to the surrounding fatty cells.

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Номер записи: 68
27-12-2012 дата публикации

Medical treatment apparatus and control method of medical treatment device

Номер: US20120330310A1
Автор: Tomoyuki Takashino
Принадлежит: OLYMPUS MEDICAL SYSTEMS CORP

A medical treatment device to treat body tissues for conjugation, includes at least a pair of holding members configured to hold the body tissues, an energy output portion provided in at least one of the holding members and connected to an energy source to form a joined portion by supplying energy to the body tissues held by the pair of holding members and joining the body tissues, and a conjugation coating portion to a region from a neighborhood of a joined portion to coat joined surfaces with a substance capable of preventing fluid from invading during or after the body tissues being joined by adding the energy to the body tissues.

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Номер записи: 69
17-01-2013 дата публикации

Rotational atherectomy device with electric motor

Номер: US20130018399A1
Автор: Cassandra Ann Piippo Svendsen, Charles A. Plowe, Jody Lee Rivers, Michael John Eng, Scott M. Hanson, Walter John Dobrovolny
Принадлежит: Cardiovascular Systems Inc

An atherectomy device is disclosed, which is rotationally driven by an electric motor. In some designs, the device includes features unavailable on gas turbine-driven systems, such as the storing in memory of low/medium/high preset rotation speeds for particular models of handle, calculations of the amount of saline left in the IV and associated warnings when it gets sufficiently low, and automatic adjustment of the IV pump rate to a predetermined or calculated level when the rotational speed of the motor is changed. The electric motor has far more rotational inertia than a comparable gas turbine, so the system includes a control mechanism that helps prevent damage from excessive torque being applied to the distal end of the drive shaft. When an obstruction at the distal end is detected, by a drop in the motor rotational speed, the motor is released and is allowed to spin freely as a flywheel. The freely-spinning motor allows the large angular momentum of the system to dissipate rapidly and safely, without excessive torque to the drive shaft.

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Номер записи: 70
24-01-2013 дата публикации

Thermally mediated tissue molding

Номер: US20130023856A1
Автор: David R. Hennings, Edward M. Zimmerman, Michael A. Zaro
Принадлежит: CoolTouch Inc

A method and device to modify tissue in a manner such that it will take on a permanent new shape. Subdermal tissue is heated to approx 60° C. at which point it becomes pliable and moldable and will take on a permanent new shape if allowed to cool and heal in a new position.

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Номер записи: 71
24-01-2013 дата публикации

Tissue-identifying surgical instrument

Номер: US20130023910A1
Автор: Clifford T. Solomon, Theodore C. Solomon
Принадлежит: Individual

The tissue-identifying surgical instrument includes a surgical instrument having a handle and an integral probe operatively connected to the handle. The probe senses a tissue of interest to identify the type of tissue, e.g., nerve, muscle, vein or other. The interior of the handle includes a control assembly connected to a power source for operation of the tissue identification function. The control assembly displays and wirelessly transmits tissue identification data to a monitoring workstation to inform the surgeon of the type of tissue contacted by the probe.

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Номер записи: 72
31-01-2013 дата публикации

Force Switch

Номер: US20130026014A1
Автор: Kevin W. Smith
Принадлежит: Ethicon Endo Surgery Inc

A switch of a device having a longitudinal axis, and comprising a switching element parallel to the longitudinal axis of the device, a hollow body defining an interior cavity in which the switching element is movably disposed to define a switch-making position at a first longitudinal position and a switch-breaking position at a second longitudinal position, a biasing element imparting a variable longitudinal bias to the switching element to place the switching element in one of the switch-making position and the switch-breaking position until an external force imparted to the switching element exceeds the longitudinal bias causing the switching element to move to the other of the switch-making position and the switch-breaking position, and an electrically-conductive contact coupled to the switching element and defining a switch-making state when the switching element is in the switch-making position and a switch-breaking state when the switching element is in the switch-breaking position.

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Номер записи: 73
31-01-2013 дата публикации

Handholdable laser device featuring flexible connection between a laser and a printed circuit board

Номер: US20130030505A1
Автор: Thomas Gerard Parent
Принадлежит: Conopco Inc

A laser device for treating skin is provided which includes a handholdable housing; a laser member arranged within the housing emitting an output beam; a printed circuit board mounted on a support block within the housing; and a flexible electrically conductive connector having forward and rear ends, the forward end electrically communicating with the laser member, the rear end electrically communicating with the printed circuit board and an area between the ends allowing the connector to bend through an angle range of 0 to 360°.

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Номер записи: 74
07-02-2013 дата публикации

Composite plug for arteriotomy closure and method of use

Номер: US20130035719A1
Автор: James G. Hansen, Jason P. Hill, Susan M. Shoemaker
Принадлежит: Boston Scientific Scimed Inc

A composite plug for arteriotomy closure, a method of manufacturing a composite plug for arteriotomy closure, and a method for the use of a composite plug for arteriotomy closure may include an elongate core member, and one or more layers disposed at least in part about the core member, where the composite plug has been partially compacted in a radial direction. The composite plug may include an outer member at least partially surrounding the core member.

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Номер записи: 75
14-02-2013 дата публикации

Interlocking Buttress Material Retention System

Номер: US20130037600A1
Автор: Megan L. (Prommersberger) Stopek
Принадлежит: COVIDIEN LP

A surgical stapler is provided having a pair of jaws including a staple containing cartridge and an anvil. Buttress material is releasable affixed to the staple containing cartridge and the anvil. One of the jaws includes a pair of longitudinal projections at a first end of the jaw and configured to frictionally engage corresponding slots in a first end the buttress material. One of the jaws includes a post at a second end of the jaw. The buttress material includes a hole in a second end of the buttress material for receipt of the post.

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Номер записи: 76
28-02-2013 дата публикации

Access and tissue modification systems and methods

Номер: US20130053851A1
Автор: Amie R. Borgstrom, Gregory B. Arcenio, Gregory P. Schmitz, Jefferey Bleam, Jeffery L. Bleich, Michael P. Wallace, Ronald Leguidleguid, Roy Leguidleguid, Winnie Chung
Принадлежит: Individual

Described herein are methods and systems for precisely placing and/or manipulating devices within the body by first positioning a guidewire or pullwire. The device to be positioned within the body is coupled to the proximal end of the guidewire, and the device is pulled into the body by pulling on the distal end of the guidewire that extends from the body. The device may be bimanually manipulated by pulling the guidewire distally, and an attachment to a device that extends proximally, allowing control of both the proximal and the distal ends. In this manner devices (and particularly implants such as innerspinous distracters, stimulating leads, and disc slings) may be positioned and/or manipulated within the body. Guidewire exchange systems, devices and methods are also described. A guidewire may be exchanged between different surgical devices and may be releaseably or permanently coupled.

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Номер записи: 77
07-03-2013 дата публикации

Vacuum delivery extractor

Номер: US20130060259A1
Автор: Gadi Porat
Принадлежит: ASSOCIATION FOR PUBLIC HEALTH

A delivery extractor for use with a suction source and at least one monitor in vacuum assisted deliveries. The extractor comprises a cup-shaped element and a tubular stem joined to the cup-shaped element and in pneumatic communication with the suction source. The extractor also includes at least one noninvasive sensor positioned on a sensor support so as to continuously contact the scalp of a fetus when the head of the fetus is positioned in the cup-shaped element. The sensor support is depressible within the cup-shaped element. The at least one sensor is in communication with the monitor(s) which monitors at least one physiological indicator of the well-being of the fetus during its transit through the birth canal. In other cases, the aforementioned noninvasive sensor(s) detects direct waves while other noninvasive sensors positioned on the rim of the cup-shaped element detect surface waves related to the same phenomenon.

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Номер записи: 78
14-03-2013 дата публикации

Light therapy platform system

Номер: US20130066404A1
Автор: Alistair Bramley, Allen Zadeh, Charles Peter Althoff, Daniel Joseph Shuter, David SHUTER, Eric Freitag, Jay Tapper, Lawrence A. Blaustein, Zbigniew Paul Lorenc
Принадлежит: Individual

Phototherapy systems comprising a therapeutic lamp platform for radiant lamps such as LEDs disposed in an assembly comprising a first wall to which the lamps are affixed thereto and a second wall, closer to the patient, spaced from the first wall wherein the lamps are recessed relative thereto. The second wall comprises a reflective surface facing towards a patient and a plurality of light apertures substantially aligned with the LEDs on the first wall for communicating lamp radiation from the lamps to a user. The lamps and associated circuitry are disposed between the first and second wall so that the reflective surface is relatively smooth and seamless towards the patient. The walls have a malleable rigidity for flexible adjustability relative to the user. The device is mounted to the user with a frame comprising an eyeglass frame or goggles including lenses for shielding the user's eyes from lamp radiation.

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Номер записи: 79
28-03-2013 дата публикации

Apparatus And Methods For Determining A Property Of A Tissue

Номер: US20130079852A1
Автор: Karl-Goran Tranberg, Pär H. Henriksson
Принадлежит: Individual

An apparatus for determining a thermal property of tissue includes a base unit with one or more energy source and at least two, preferably detachable, leads. The distal end of each lead, which is introduced into the tissue to be treated, has at least two longitudinally spaced temperature measuring elements to measure surrounding tissue temperature and at least two longitudinally spaced electrode surfaces for applying current to the tissue. Each distal end is also provided with an element which uses energy emitted by the sources of energy to heat up the surrounding tissue. The base unit has computing elements, current generating elements for generating an alternating current, and conductance determining elements for determining the tissue conductance between pairs of electrode surfaces based on the alternating current applied by the current generating elements to the tissue. Methods for using the device and leads for use in the device are also described.

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Номер записи: 80
11-04-2013 дата публикации

Method and apparatus for regional and whole body temperature modification

Номер: US20130090709A1
Автор: Alex T. Roth, Nicole Denise Bloom, Timothy R. Machold, Wade A. Keller
Принадлежит: Zoll Circulation Inc

Methods and apparatuses for temperature modification of a patient, or selected regions thereof, including an induced state of hypothermia. The temperature modification is accomplished using an in-dwelling heat exchange catheter within which a fluid heat exchange medium circulates. A heat exchange cassette of any one of several disclosed variations is attached to the circulatory conduits of the catheter, the heat exchange cassette being sized to engage a cavity within one of various described re-usable control units. The control units include a heater/cooler device, a user input device, and a processor connected to receive input from various sensors around the body and the system. The heater/cooler device may be thermoelectric to enable both heating and 15 ″ cooling based on polarity. A temperature control scheme for ramping the body temperature up or down without overshoot is provided. The disposable heat exchange cassettes may include an integral pump head that engages with a pump drive mechanism within the re-usable control unit. More than one control unit may be provided to receive the same heat exchange cassette so that, for example, a large capacity control unit can be used initially, and a smaller, battery-powered unit can be substituted once the patient reaches the desired target temperature.

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Номер записи: 81
18-04-2013 дата публикации

Modeling positions of implanted devices in a patient

Номер: US20130096642A1
Автор: Brett Wingeier
Принадлежит: Nevro Corp

Technology is disclosed for modeling positions of implanted devices in a patient. In various embodiments, the technology can construct a forward model that predicts an electrical impedance between electrical contacts; detects an actual electrical impedance between electrical contacts; computes a fitness value based on a comparison between the detected electrical impedance and the predicted electrical impedance; varies at least one parameter of the forward model until the computed fitness value is a maximum fitness value; and displays at a display device a estimated position of the first lead and/or second leads.

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Номер записи: 82
25-04-2013 дата публикации

Reflectance-facilitated ultrasound treatment and monitoring

Номер: US20130103028A1
Автор: Liat Tsoref, Michael Kardosh, Yossi Gross
Принадлежит: Liat Tsoref, Michael Kardosh, Yossi Gross

Apparatus comprising an ultrasound ablation system ( 10 ), which comprises a reflection-facilitation element ( 12 ), configured to be placed at an extramyocardial site of a subject, and to provide an extramyocardial reflective region; and an ultra-sound tool ( 20 ), which comprises at least one ultrasound transducer ( 40 ) configured to be positioned within a heart chamber of the subject. The ultrasound transducer ( 40 ) is configured to ablate myocardial tissue by applying ultrasound energy to the myocardial tissue such that at least a portion of the transmitted energy is reflected by the reflective region onto the myocardial tissue. Other embodiments are also described.

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Номер записи: 83
02-05-2013 дата публикации

Shaped Conforming Medical Balloons

Номер: US20130109906A1
Автор: Tamsen Valoir
Принадлежит: RadiaDyne LLC

A shaped medical balloon is provided that has a conforming shape, yet is inexpensive to manufacture.

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Номер записи: 84
09-05-2013 дата публикации

Surgical instrument having force feedback capabilities.

Номер: US20130116668A1
Автор: Frederick E. Shelton, IV, Jerome J. Morgan, Mark D. Overmyer, Richard L. Leimbach
Принадлежит: Ethicon Endo Surgery Inc

A surgical instrument. The surgical instrument has a force delivery system which communicates a changing force to a user of the surgical instrument when a limit of a surgical function is reached. A sensor senses position of a moving element to communicate a signal to the force delivery system. In various embodiments, the system generates a vibratory force to signal the user.

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Номер записи: 85
16-05-2013 дата публикации

Distance Estimation Between a Fiber End and a Tissue Using Numerical Aperture Modulation

Номер: US20130123769A1
Автор: Arkady Khatchaturov, Igal Koifman, Uri Voitsechov
Принадлежит: LUMENIS LTD

A system and method of estimating a distance between the distal end of an optical fiber and treated tissue, to improve treatment efficiency, is provided herein. The estimation is achieved by modulating the numerical aperture of a light beam transmitted through the fiber to receive reflections from the tissue and distinguish them from other reflections in the fiber, and further by calculating the distance by comparing reflection intensities of beams having different numerical aperture values that illuminate the tissue over a very short period, so that tissue and environment conditions do not change much. Distance estimation may be carried out by modulating the treatment beam itself, or by a light beam transmitted between pulses of a pulsed

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Номер записи: 86
23-05-2013 дата публикации

Catheter-based annuloplasty using ventricularly positioned catheter

Номер: US20130131791A1
Автор: Edwin J. Hlavka, Jonathan L. Podmore, Paul A. Spence
Принадлежит: Mitralign Inc

The present invention relates to a minimally invasive method of performing annuloplasty. According to one aspect of the present invention, a method for performing annuloplasty includes accessing a left ventricle of a heart to provide a discrete plication element to the left ventricle, and engaging the plication element to tissue near a mitral valve of the heart. Engaging the plication element includes causing the plication element to gather a portion of the tissue to create a plication. In one embodiment, accessing the left ventricle of the heart to provide the plication element includes accessing the left ventricle of the heart using a catheter arrangement.

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Номер записи: 87
13-06-2013 дата публикации

System and Methods For Performing Surgical Procedures and Assessments

Номер: US20130150679A1
Автор: Allen Farquhar, Eric Finley, James Gharib, Jeffrey J. Blewett, Norbert F. Kaula, Scot Martinelli
Принадлежит: Nuvasive Inc

The present invention involves systems and related methods for performing surgical procedures and assessments, including the use of neurophysiology-based monitoring to: (a) determine nerve proximity and nerve direction to surgical instruments employed in accessing a surgical target site; (b) assess the pathology (health or status) of a nerve or nerve root before, during, or after a surgical procedure; and/or (c) assess pedicle integrity before, during or after pedicle screw placement, all in an automated, easy to use, and easy to interpret fashion so as to provide a surgeon-driven system.

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Номер записи: 88
27-06-2013 дата публикации

Systems and methods for making and using medical ablation systems having mapping catheters with improved anchoring ability

Номер: US20130165759A1
Автор: David McGee, Isaac Kim, Josef V. Koblish
Принадлежит: Boston Scientific Scimed Inc

A mapping catheter includes an elongated body for inserting into patient vasculature. A distal end of the elongated body includes a distal portion that includes a plurality of electrodes, a proximal portion disposed proximal to the distal portion, and a reduced-dimension portion disposed between the proximal and distal portions. The distal end is formed, at least in part, from a memory shape material that bends into a preformed shape upon release from a confined space. The preformed shape includes a first loop formed, at least in part, by the distal portion. The first loop is transverse to a longitudinal axis of the proximal portion. The reduced-dimension portion is configured and arranged to bend such that the reduced-dimension section advances distally through the first loop when the first loop is held in a fixed position and a force is applied distally along the longitudinal axis of the proximal portion.

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Номер записи: 89
27-06-2013 дата публикации

Impedance responsive ablation rf driving for moderating return electrode temperature

Номер: US20130165919A1
Автор: Gordon Epstein
Принадлежит: Halt Medical Inc

The inventive method for ablating a tissue mass associated with a human or animal patient being treated comprises positioning an ablating electrode in a tissue mass to be ablated. A plurality of return electrodes are positioned on the patient. Electrical energy is applied between the return electrodes and the ablating electrode. The temperature of the return electrodes is measured to generate a temperature measurement signal which is used to control ablation current through the return electrodes.

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Номер записи: 90
27-06-2013 дата публикации

Hand activated surgical instrument

Номер: US20130165929A1
Автор: Francis S. Proch, Kenneth S. Kramer, Stephanie J. Muir, Sudeep N. Dutta
Принадлежит: Ethicon Endo Surgery Inc

An electronic circuit assembly for use with a hand-held surgical instrument including a housing that accepts a detachable handpiece for providing ultrasonic energy, a first and second user-controlled power activation member for controlling the level of ultrasonic energy, a handpiece connector configured to electrically connect the handpiece to the electronic circuit assembly. The handpiece connector allows the handpiece to rotate about a longitudinal axis of the housing and maintain continuous electrical contact between the handpiece and the electronic circuit assembly.

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Номер записи: 91
04-07-2013 дата публикации

Neural Monitor-Based Dynamic Haptics

Номер: US20130172902A1
Автор: Chris Alan LIGHTCAP, Hyosig Kang
Принадлежит: Mako Surgical Corp

A computer-assisted surgery system may have a robotic arm including a surgical tool and a processor communicatively connected to the robotic arm. The processor may be configured to receive, from a neural monitor, a signal indicative of a distance between the surgical tool and a portion of a patient's anatomy including nervous tissue. The processor may be further configured to generate a command for altering a degree to which the robotic arm resists movement based on the signal received from the neural monitor; and send the command to the robotic arm.

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Номер записи: 92
04-07-2013 дата публикации

System and method for correction of a spinal disorder

Номер: US20130172940A1
Автор: David Skaggs
Принадлежит: WARSAW ORTHOPEDIC INC

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.

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Номер записи: 93
04-07-2013 дата публикации

Heating system for patient thermal management

Номер: US20130172964A1
Автор: Forrest S. Seitz, Gary N. Mills, Mel Campf, Russell B. Todd
Принадлежит: Individual

An electrifiable heating blanket for patients, particularly including small animals, undergoing surgery. Heating of the blanket is varied in accordance with patient body temperature changes. Control of the heating is provided by a control unit made accessible to a care giver (surgeon or assistant), and blanket temperature is varied by increasing/decreasing electrical current flow to the blanket via the control unit. A primary conductor path is provided from the electrical source to a base control unit and from the base control unit to the blanket covering the patient. The invention provides a secondary conductor path from a position along the primary conductor path and independently extended to a position of convenience to the surgeon or assistant. An electronic break out feature is provided at the point of diversion enabling electronics push button control from the hand control.

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Номер записи: 94
11-07-2013 дата публикации

Composite interference screws and drivers

Номер: US20130178901A1
Автор: Mark Edwin Housman, Matthew Edwin Koski, Tatsuya Arai
Принадлежит: Individual

The present disclosure relates to an anchor. The anchor includes a suture bridge having a proximal end and distal end. The distal end of the suture bridge has a thickness greater than a thickness of the proximal end of the suture bridge. At least two ribs extend from the proximal end of the suture bridge to a proximal end of the anchor. At least one open helical coil wraps around the at least two ribs and extends, substantially, from the proximal end of the suture bridge to the proximal end of the anchor. The at least one open helical coil defines an internal volume communicating with a region exterior to the anchor through apertures between turns of the at least one open helical coil. The at least two ribs are engagable with a grooved shaft of a driver.

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Номер записи: 95
11-07-2013 дата публикации

Disposable skin care device

Номер: US20130178919A1
Автор: Andrew Mcneill
Принадлежит: Ambicare Health Ltd

There is herein described a disposable skin care device. More particularly, there is described a disposable skin care device capable of forming part of a light emitting medical apparatus.

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Номер записи: 96
18-07-2013 дата публикации

End effector for use with a surgical fastening instrument

Номер: US20130181030A1
Автор: Christopher J. Hess, Frederick E. Shelton, IV, II William B. Weisenburgh, James W. Voegele, Jerome R. Morgan, Joshua R. Uth
Принадлежит: Ethicon Endo Surgery Inc

A surgical staple including a crown and a deformable member extending from the crown, the deformable member having a notch configured to cause the deformable member to bend at the notch when the staple is deformed from a first shape into a second shape. The crown of the surgical staple, in various embodiments, further includes a forming surface, or anvil, which is configured to deform the deformable member and/or guide a distal end of the deformable member when the distal end contacts the crown.

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Номер записи: 97
25-07-2013 дата публикации

Expandable devices, rail systems, and motorized devices

Номер: US20130190775A1
Автор: George Piligian, Hoo Tee Ong
Принадлежит: IND PLATFORMS LLC

Provided herein are expandable devices, rail systems, and motorized devices. In one embodiment, an expandable device comprises an expandable sac having a tool housed therein. The expandable device is optionally configured for operation while inside a body cavity. The expandable device optionally comprises at least one rail in the sac, and at least one railed device coupled to the rail for movement there on. Movement of the railed device on the rail is provided by, for example, a motor such as an electromagnetic motor or an inch-worm type motor. Expandable devices can be used, for example, to perform minimally invasive medical procedures requiring access to a body cavity. Expandable devices can also be used, for example, to provide safe and stable transport of instruments to the body cavity.

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Номер записи: 98
25-07-2013 дата публикации

Occluding Device

Номер: US20130190799A1
Автор: Christopher J. Clark
Принадлежит: Boston Scientific Scimed Inc

Techniques are described for occluding the ostium of an appendage. In one example, an implantable medical device for insertion in a left atrial appendage of a patient includes a center hub having a longitudinal axis and a first side and a second side, a plurality of compression springs, each of the plurality of compression springs extending radially from the center hub, and a cover disposed about the compression springs and engaged to center hub on both the first side and the second side.

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Номер записи: 99
25-07-2013 дата публикации

Closure device

Номер: US20130190810A1
Автор: Ian J. Clark, Kelly J. McCrystle, Laveille K. Voss, Ni Ding, Wouter E. Roorda
Принадлежит: Abbott Vascular Inc

A device for closing an opening in a wall of a body lumen includes a closure element with a first flange and a second flange. Both the first flange and the second flange may have a delivery cross-sectional dimension and a deployed cross-sectional dimension. The device for closing an opening further includes a first coupler element disposed on the first flange and a second coupler element disposed on the second flange, the first and second coupler elements cooperating to couple the first flange to the second flange.

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Номер записи: 100