System and method for traversing an arterial occlusion

A system for traversing an arterial occlusion in an artery includes a housing sized to fit in a palm of a user, an elongate drive tube configured to be rotated by the housing, the drive tube including an axially extending passage, a cylindrical member, configured to be rotationally coupled to the drive tube, such that a distal tip of the cylindrical member may be delivered to a location adjacent the arterial occlusion when the cylindrical member is coupled to the drive tube, and wherein grasping and activating the housing such that the drive tube is rotated, thereby causes the distal tip of the cylindrical member to be rotated, the rotation of the distal tip including at least a component of linear oscillation.

METHOD AND APPARATUS FOR MANIPULATING A SURGICAL GUIDEWIRE

A method and apparatus for manipulating a surgical guidewire. The apparatus comprises a chuck for selectively coupling motive force to a surgical guidewire and an actuator, coupled to the chuck, for imparting an axial motive force to the chuck. Embodiments of the invention further comprise a method of using the apparatus. 120-. (canceled)21. An apparatus for manipulating a guidewire for use in an endovascular procedure comprising:a housing sized to fit in a palm of a user;an axle carried by the housing, the axle including an axially extending passage which is configured to allow a guidewire to be placed therethrough;a chuck coupled to the axle, the chuck selectively lockable to the guidewire;an actuator coupled to the chuck, the actuator configured to impart rotary motive force to the chuck;a switch for controlling the actuator, the switch operable by the user while the user holds the housing; andwherein the chuck is configured to simultaneously impart a linear movement and a rotary movement to the guidewire when the chuck is locked to the guidewire.22. The apparatus of claim 21 , wherein the switch is coupled to an exterior of the housing.23. The apparatus of claim 21 , wherein the chuck further comprises:a coupler configured to receive the motive force from the actuator; anda hub coupled to the coupler.24. The apparatus of claim 23 , wherein the coupler includes a window.25. The apparatus of claim 24 , wherein the chuck further comprises:a wedge positioned within the window of the coupler and retained in the window by the hub, the wedge having an angled surface that interacts with the hub to move the wedge between a guidewire locked position and a guidewire unlocked position.26. The apparatus of claim 23 , wherein the hub comprises a dimpled surface for interacting with a protrusion claim 23 , wherein the actuator imparts rotary motive force to the hub claim 23 , and wherein the dimpled surface interacting with the protrusion produces linear motive force.27. The ...

Method and device for utilization of a stethoscope as a neurological diagnostic tool and percussion tool

A tool for neurological and diagnostic testing comprises the combination of a stethoscope with a reflex hammer. When mounted on the stethoscope head the reflex hammer extends beyond the head, without interfering with the normal use of the stethoscope. A handle, which may or may not be joined to the reflex hammer, is positioned on the flexible stethoscope tubing and provides a gripping surface for using the tool for neurological testing. One embodiment has an opening between the reflex hammer body and the handle enabling the user to grasp and rotate the stethoscope head. The reflex hammer, which can be made from one or more members, is adaptable for use with binaural and electronic stethoscopes. A detent on the handle provides an ergonomic grip, or a place for inclusion of indicia.

SYSTEM AND METHOD FOR TRAVERSING AN ARTERIAL OCCLUSION

A system for traversing an arterial occlusion in an artery includes a housing sized to fit in a palm of a user, an elongate drive tube configured to be rotated by the housing, the drive tube including an axially extending passage, a cylindrical member, configured to be rotationally coupled to the drive tube, such that a distal tip of the cylindrical member may be delivered to a location adjacent the arterial occlusion when the cylindrical member is coupled to the drive tube, and wherein grasping and activating the housing such that the drive tube is rotated, thereby causes the distal tip of the cylindrical member to be rotated, the rotation of the distal tip including at least a component of linear oscillation. 1providing a housing sized to fit in a palm of a user; a manipulation member, moveably coupled to the housing, and', 'an elongate drive tube rotationally disposed within the housing and configured to be rotated by thumb-activated movement of the manipulation member with respect to the housing, the drive tube having a first end and a second end and including a passage extending axially from the first end to the second end; and, 'providing a rotary actuator comprisingrotationally coupling a cylindrical member to the drive tube, the cylindrical member having a distal tip that is configured to be delivered to a location adjacent an arterial occlusion when the cylindrical member is coupled to the drive tube, such that thumb-activated movement of the manipulation member causes rotation of the cylindrical member and an accompanying variable axial impact of the distal tip of the cylindrical member.. A method for configuring a system for traversing an arterial occlusion in an artery comprising: This application is a continuation of U.S. patent application Ser. No. 14/806,473, filed on Jul. 22, 2015, and incorporated in its entirety by reference herein for all purposes, which is a division of U.S. patent application Ser. No. 14/559,874, filed on Dec. 3, 2014, and ...

Guidewire manipulation device

One preferred embodiment includes a guidewire manipulation device for manipulating a guidewire during a procedure. Preferably, the guidewire manipulation device includes a powered motor that drives a tandem roller assembly. The guidewire is passed through a hole positioned lengthwise through the device where the roller assembly engages the guidewire's outer surface. The interface of the manipulation device includes a power button that directs the internal roller assembly to roll the guidewire in a desired rotational direction. Additional interface controls are also preferable to provide a different roll patterns, depending upon surgeon preference and guidewire placement efficiency.

Method and apparatus for manipulating a surgical guidewire

A method and apparatus for manipulating a surgical guidewire. The apparatus comprises a chuck for selectively coupling motive force to a surgical guidewire and an actuator, coupled to the chuck, for imparting an axial motive force to the chuck. Embodiments of the invention further comprise a method of using the apparatus.

Guidewire manipulation device

A guidewire manipulation device includes a housing sized to be supported by a hand of a user, the housing having a distal end and a proximal end; a rotation member rotationally disposed within the housing; a locking assembly coupled to the rotation member, the locking assembly configured to selectively transfer rotational movement of the rotation member to rotational movement of a guidewire; a handle coupled to the housing and configured to be operable by the hand of the user; and a drive system coupled to the handle, the drive system configured to apply alternating clockwise motion and counter-clockwise motion to the guidewire by causing the rotation member to rotate.

GUIDEWIRE MANIPULATION DEVICE

One preferred embodiment includes a guidewire manipulation device for manipulating a guidewire during a procedure. Preferably, the guidewire manipulation device includes a powered motor that drives a tandem roller assembly. The guidewire is passed through a hole positioned lengthwise through the device where the roller assembly engages the guidewire's outer surface. The interface of the manipulation device includes a power button that directs the internal roller assembly to roll the guidewire in a desired rotational direction. Additional interface controls are also preferable to provide a different roll patterns, depending upon surgeon preference and guidewire placement efficiency.

Method and device for utilization of a stethoscope as a neurological diagnostic tool and percussion tool

A tool for neurological and diagnostic testing comprises the combination of a stethoscope with a reflex hammer including a light. When mounted on the stethoscope head the reflex hammer extends beyond the head, without interfering with the normal use of the stethoscope. A handle, which may or may not be joined to the reflex hammer, is positioned on the flexible stethoscope tubing and provides a gripping surface for using the tool for neurological testing. One embodiment includes a light within the reflex hammer, so that a light is available for testing responses to light at the same time as checking other responses. The reflex hammer and light combination is adaptable for use with binaural and electronic stethoscopes, thus providing a convenient set of instruments within a single device. A detent on the handle provides an ergonomic grip, or a place for inclusion of indicia.

SYSTEM AND METHOD FOR TRAVERSING AN ARTERIAL OCCLUSION

A system for traversing an arterial occlusion in an artery includes a housing sized to fit in a palm of a user, an elongate drive tube configured to be rotated by the housing, the drive tube including an axially extending passage, a cylindrical member, configured to be rotationally coupled to the drive tube, such that a distal tip of the cylindrical member may be delivered to a location adjacent the arterial occlusion when the cylindrical member is coupled to the drive tube, and wherein grasping and activating the housing such that the drive tube is rotated, thereby causes the distal tip of the cylindrical member to be rotated, the rotation of the distal tip including at least a component of linear oscillation. 1a chuck for selectively coupling motive force to a surgical guidewire; andan actuator, coupled to the chuck, for imparting an axial and rotary motive force to the chuck.. Apparatus for manipulating a surgical guidewire used in surgery comprising: This application is a continuation of U.S. patent application Ser. No. 15/368,517, filed Dec. 2, 2016, and incorporated in its entirety by reference herein for all purposes, which is a continuation of U.S. patent application Ser. No. 14/806,473, filed on Jul. 22, 2015, and incorporated in its entirety by reference herein for all purposes, which is a division of U.S. patent application Ser. No. 14/559,874, filed on Dec. 3, 2014, and incorporated in its entirety by reference herein for all purposes, which is a continuation of U.S. patent application Ser. No. 12/658,629, filed on Feb. 9, 2010 and incorporated in its entirety by reference herein for all purposes, which claims the benefit of priority to U.S. Provisional Appl. No. 61/151,388, filed on Feb. 10, 2009, which is incorporated in its entirety by reference herein for all purposes.Embodiments of the present invention generally relate to surgical guidewire utilization in surgical procedures and, more particularly, to a method and apparatus for manipulating a ...

Guidewire Manipulation Device

One preferred embodiment includes a guidewire manipulation device for manipulating a guidewire during a procedure. Preferably, the guidewire manipulation device includes a powered motor that drives a tandem roller assembly. The guidewire is passed through a hole positioned lengthwise through the device where the roller assembly engages the guidewire's outer surface. The interface of the manipulation device includes a power button that directs the internal roller assembly to roll the guidewire in a desired rotational direction. Additional interface controls are also preferable to provide a different roll patterns, depending upon surgeon preference and guidewire placement efficiency.

System and method for traversing an arterial occlusion

A system for traversing an arterial occlusion in an artery includes a housing sized to fit in a palm of a user, an elongate drive tube configured to be rotated by the housing, the drive tube including an axially extending passage, a cylindrical member, configured to be rotationally coupled to the drive tube, such that a distal tip of the cylindrical member may be delivered to a location adjacent the arterial occlusion when the cylindrical member is coupled to the drive tube, and wherein grasping and activating the housing such that the drive tube is rotated, thereby causes the distal tip of the cylindrical member to be rotated, the rotation of the distal tip including at least a component of linear oscillation.

Method and apparatus for manipulating a surgical guidewire

A method and apparatus for manipulating a surgical guidewire. The apparatus comprises a chuck for selectively coupling motive force to a surgical guidewire and an actuator, coupled to the chuck, for imparting an axial motive force to the chuck. Embodiments of the invention further comprise a method of using the apparatus.

VIRTUAL CONSULTATION METHODS

A virtual consultation panel, and methods for operating the virtual consultation panel, are disclosed. The virtual consultation panel includes a display panel large enough to display a life-sized or nearly life-sized view of a remote patient, in a live video feed captured by the patient's own device. The patient's device can be a smart phone, a tablet, a desktop computer, or any other device with a camera and communications circuitry for providing images from the camera to the virtual consultation panel. The virtual consultation panel allows a practitioner such as a surgeon to accurately examine the physical features of the patient using the live video feed. In some circumstances, the patient's device can provide absolute-scale information to be used in generating the life-sized or nearly life-sized view of the remote patient.

VIRTUAL CONSULTATION SYSTEMS

A virtual consultation panel is disclosed. The virtual consultation panel may include processing circuitry, a camera, communications circuitry, and a display panel large enough to display a life-sized or nearly life-sized view of a remote patient, in a live video feed captured by the patient's own device. The patient's device can be a smart phone, a tablet, a desktop computer, or any other device with a camera and communications circuitry for providing images from the camera to the virtual consultation panel. The virtual consultation panel allows a practitioner such as a surgeon to accurately examine the physical features of the patient using the live video feed. In some circumstances, the patient's device can provide absolute scale information to be used in generating the life-sized or nearly life-sized view of the remote patient.

Method and apparatus for manipulating a surgical guidewire

A method and apparatus for manipulating a surgical guidewire. The apparatus comprises a chuck for selectively coupling motive force to a surgical guidewire and an actuator, coupled to the chuck, for imparting an axial motive force to the chuck. Embodiments of the invention further comprise a method of using the apparatus.

Laser Nil Liposuction System and Method

A minimally invasive fat cell removal system and method is provided using a numbing component, a laser component, and a NIL component. A cannula and fiber of the laser component are insertable into a body of a patient at a biopsy punch to liquefy a fat cell via a tumescent fluid and/or a laser. A NIL cannula of the NIL component is insertable into the body to remove the fat cell via suction and/or nutation. An anesthetic device of the numbing component may reduce sensation of the body where the cannula is insertable. The fat cell may be harvested and implanted at another location of the body. 1. A minimally invasive fat cell removal system comprising: a cannula, and', 'a fiber to transmit a laser; and, 'a laser component to condition a fat cell for removal, the laser component further comprising a NIL cannula, and', 'a suction;, 'a nutational infrasonic liposculpture (“NIL”) component to remove the fat cell, the NIL component further comprisingwherein the cannula and the fiber of the laser component are insertable into a body of a patient at a biopsy punch;wherein the laser is transmittable by the fiber to heat the fat cell to induce an at least partial liquefaction of the fat cell;wherein the NIL cannula of the NIL component is insertable into the body of the patient at the biopsy punch;wherein the fat cell that is at least partially liquefied is removable from the body via the NIL cannula.2. The system of claim 1 , further comprising an anesthetic device to provide reduced sensation of the body at a location claim 1 , wherein the cannula is insertable at the location claim 1 , the anesthetic device being comprised of a numbing component.3. The system of claim 2 , wherein the anesthetic device provides the reduced sensation via jet injection.4. The system of claim 1 , wherein the fiber is at least partially enclosed by the cannula and wherein the fiber is insertable into the body via the cannula.5. The system of claim 1 , wherein a tumescent fluid is injectable via ...

LASER NIL LIPOSUCTION SYSTEM AND METHOD

A minimally invasive fat cell removal system and method is provided using a numbing component, a laser component, and a NIL component. A cannula and fiber of the laser component are insertable into a body of a patient at a biopsy punch to liquefy a fat cell via a tumescent fluid and/or a laser. A NIL cannula of the NIL component is insertable into the body to remove the fat cell via suction and/or nutation. An anesthetic device of the numbing component may reduce sensation of the body where the cannula is insertable. The fat cell may be harvested and implanted at another location of the body. 1. A system for performing a liposuction procedure without a needle , without a scalpel , and without stitches , the system comprising:a biopsy punch configured to create one biopsy punch opening in skin of a patient at a location;a tumescent cannula for injecting a tumescent fluid into a body of the patient, wherein the tumescent cannula is insertable into the body of the patient through the one biopsy punch opening;a nutational infrasonic liposculpture (NIL) component, the NIL component further comprising a source of nutational motion and a source of suction; andat least one NIL cannula,wherein the NIL component is attached to the at least one NIL cannula and wherein the at least one NIL cannula is insertable into the body of the patient through the one biopsy punch opening,wherein the source of suction creates a suction through the at least one NIL cannula when the NIL cannula is inserted into the body through the one biopsy punch opening and performing a nutational movement within the body,and wherein each of the tumescent cannula and the at least one NIL cannula pass through the same one biopsy punch opening.2. The system of claim 1 , further comprising a jet injector to propel an anesthetic into the skin of the patient at the location.3. The system of claim 1 , wherein the NIL component includes an output through which a fat cell removed from the body of the patient ...

GUIDEWIRE MANIPULATION DEVICE

A guidewire manipulation device includes a housing sized to be supported by a hand of a user, the housing having a distal end and a proximal end; a rotation member rotationally disposed within the housing; a locking assembly coupled to the rotation member, the locking assembly configured to selectively transfer rotational movement of the rotation member to rotational movement of a guidewire; a handle coupled to the housing and configured to be operable by the hand of the user; and a drive system coupled to the handle, the drive system configured to apply alternating clockwise motion and counter-clockwise motion to the guidewire by causing the rotation member to rotate. 120-. (canceled)21. A guidewire manipulation device comprising:a housing sized to be supported by a hand of a user, the housing having a distal end and a proximal end;a rotation member rotationally disposed within the housing;a locking assembly coupled to the rotation member, the locking assembly configured to selectively transfer rotational movement of the rotation member to rotational movement of a guidewire;a handle coupled to the housing and configured to be operable by the hand of the user; anda drive system coupled to the handle, the drive system configured to apply alternating clockwise motion and counter-clockwise motion to the guidewire by causing the rotation member to rotate.22. The guidewire manipulation device of claim 21 , wherein the handle is configured to be depressed by the user such that the handle moves in a first direction in relation to the housing.23. The guidewire manipulation device of claim 22 , wherein movement of the handle in the first direction causes rotation of the rotation member in a first rotational direction.24. The guidewire manipulation device of claim 23 , wherein the handle is configured to be released by the user such that the handle moves in a second direction in relation to the housing claim 23 , the second direction different from the first direction.25. The ...

SYSTEM AND METHOD FOR TRAVERSING AN ARTERIAL OCCLUSION

A system for traversing an arterial occlusion in an artery includes a housing sized to fit in a palm of a user, an elongate drive tube configured to be rotated by the housing, the drive tube including an axially extending passage, a cylindrical member, configured to be rotationally coupled to the drive tube, such that a distal tip of the cylindrical member may be delivered to a location adjacent the arterial occlusion when the cylindrical member is coupled to the drive tube, and wherein grasping and activating the housing such that the drive tube is rotated, thereby causes the distal tip of the cylindrical member to be rotated, the rotation of the distal tip including at least a component of linear oscillation. 1. A system for traversing an arterial occlusion in an artery comprising:a housing sized to fit in a palm of a user;an elongate drive tube configured to be rotated by the housing, the drive tube including an axially extending passage;a cylindrical member, configured to be rotationally coupled to the drive tube, such that a distal tip of the cylindrical member may be delivered to a location adjacent the arterial occlusion when the cylindrical member is coupled to the drive tube; andwherein grasping and activating the housing such that the drive tube is rotated, thereby causes the distal tip of the cylindrical member to be rotated, the rotation of the distal tip including at least a component of linear oscillation.2. The system of claim 1 , wherein the linear oscillation is between 0.5 mm and 5 mm.3. The system of claim 2 , wherein the linear oscillation is about 1 mm.4. The system of claim 1 , wherein the linear oscillation comprises a jack-hammer type motion.5. The system of claim 1 , wherein the cylindrical member comprises a standard guidewire.6. The system of claim 1 , further comprising a switch coupled to an exterior of the housing claim 1 , the switch configured to control the rotation of the drive tube.7. The system of claim 6 , wherein the switch is ...

Guidewire manipulation device

One preferred embodiment includes a guidewire manipulation device for manipulating a guidewire during a procedure. Preferably, the guidewire manipulation device includes a powered motor that drives a tandem roller assembly. The guidewire is passed through a hole positioned lengthwise through the device where the roller assembly engages the guidewire's outer surface. The interface of the manipulation device includes a power button that directs the internal roller assembly to roll the guidewire in a desired rotational direction. Additional interface controls are also preferable to provide a different roll patterns, depending upon surgeon preference and guidewire placement efficiency.

LASER NIL LIPOSUCTION SYSTEM AND METHOD

A minimally invasive fat cell removal system and method is provided using a numbing component, a laser component, and a NIL component. A cannula and fiber of the laser component are insertable into a body of a patient at a biopsy punch to liquefy a fat cell via a tumescent fluid and/or a laser. A NIL cannula of the NIL component is insertable into the body to remove the fat cell via suction and/or nutation. An anesthetic device of the numbing component may reduce sensation of the body where the cannula is insertable. The fat cell may be harvested and implanted at another location of the body. 120-. (canceled)21. A system , comprising:a biopsy punch configured to create one biopsy punch opening in skin of a patient at a location;a tumescent cannula for injecting a tumescent fluid into a body of the patient, wherein the tumescent cannula comprises an attachable garden spray cannula, wherein the tumescent cannula is insertable into the body of the patient through the one biopsy punch opening;a nutational infrasonic liposculpture (“NIL”) component, the NIL component further comprising a source of nutational motion and a source of suction; andat least one NIL cannula,wherein the NIL component is attached to the at least one NIL cannula and wherein the at least one NIL cannula is insertable into the body of the patient through the one biopsy punch opening,wherein the source of suction creates a suction through the at least one NIL cannula when the NIL cannula is inserted into the body through the one biopsy punch opening and performing a nutational movement within the body,and wherein each of the tumescent cannula and the NIL cannula pass through the same one biopsy punch opening.22. The system of claim 21 , further comprising a jet injector to propel an anesthetic into the skin of the patient at the location.23. The system of claim 21 , further comprising a laser component comprising a fiber configured to be insertable into the body of the patient through the one biopsy ...

Method and apparatus for manipulating a surgical guidewire

A method and apparatus for manipulating a surgical guidewire. The apparatus comprises a chuck for selectively coupling motive force to a surgical guidewire and an actuator, coupled to the chuck, for imparting an axial motive force to the chuck. Embodiments of the invention further comprise a method of using the apparatus.

Laser nil liposuction system and method

A minimally invasive fat cell removal system and method is provided using a numbing component, a laser component, and a NIL component. A cannula and fiber of the laser component are insertable into a body of a patient at a biopsy punch to liquefy a fat cell via a tumescent fluid and/or a laser. A NIL cannula of the NIL component is insertable into the body to remove the fat cell via suction and/or nutation. An anesthetic device of the numbing component may reduce sensation of the body where the cannula is insertable. The fat cell may be harvested and implanted at another location of the body.

Method and apparatus for manipulating a surgical guidewire

Guidewire manipulation device

One preferred embodiment includes a guidewire manipulation device for manipulating a guidewire during a procedure. Preferably, the guidewire manipulation device includes a powered motor that drives a tandem roller assembly. The guidewire is passed through a hole positioned lengthwise through the device where the roller assembly engages the guidewire's outer surface. The interface of the manipulation device includes a power button that directs the internal roller assembly to roll the guidewire in a desired rotational direction. Additional interface controls are also preferable to provide a different roll patterns, depending upon surgeon preference and guidewire placement efficiency.

Helium plasma nutational infrasonic liposculpture system and method

A minimally invasive body sculpting system and method is provided using a numbing component, a helium plasma component, and an NIL component. An NIL cannula of the NIL component is insertable into the body to remove the fat cell via nutational movement thereof and suction there through. Skin tightening is achieved through the subcutaneous exposure of the skin to helium plasma.

Helium plasma nutational infrasonic liposculpture system and method

A minimally invasive body sculpting system and method is provided using a numbing component, a helium plasma component, and an NIL component. An NIL cannula of the NIL component is insertable into the body to remove the fat cell via nutational movement thereof and suction there through. Skin tightening is achieved through the subcutaneous exposure of the skin to helium plasma.

System and method for traversing an arterial occlusion

A system for traversing an arterial occlusion in an artery includes a housing sized to fit in a palm of a user, an elongate drive tube configured to be rotated by the housing, the drive tube including an axially extending passage, a cylindrical member, configured to be rotationally coupled to the drive tube, such that a distal tip of the cylindrical member may be delivered to a location adjacent the arterial occlusion when the cylindrical member is coupled to the drive tube, and wherein grasping and activating the housing such that the drive tube is rotated, thereby causes the distal tip of the cylindrical member to be rotated, the rotation of the distal tip including at least a component of linear oscillation.

Laser NIL liposuction system and method

A minimally invasive fat cell removal system and method is provided using a numbing component, a laser component, and a NIL component. A cannula and fiber of the laser component are insertable into a body of a patient at a biopsy punch to liquefy a fat cell via a tumescent fluid and/or a laser. A NIL cannula of the NIL component is insertable into the body to remove the fat cell via suction and/or nutation. An anesthetic device of the numbing component may reduce sensation of the body where the cannula is insertable. The fat cell may be harvested and implanted at another location of the body.