A system for noise and vibration management of a smoke evacuation system includes a pump that compresses air and produces a pressure differential within an airflow path. The pump may be a sealed, positive displacement pump. The system includes vibration absorption mechanisms disposed between inner and outer housings, as well as on the outside surface of the outer housing. Methods of controlling and regulating a motor of the system to preserve the lifespan of the motor and maintain consistent airflow rates throughout the smoke evacuation system include varying a supply of electrical current to the motor so that it can operate at variable performance levels. Orifices are opened and closed in order to relieve resistance pressures within the airflow path due to clogging and blockages.
F04C 18/02 - Rotary-piston pumps specially adapted for elastic fluids of arcuate-engagement type, i.e. with circular translatory movement of co-operating members, each member having the same number of teeth or tooth-equivalents
F04C 28/08 - Control of, monitoring of, or safety arrangements for, pumps or pumping installations specially adapted for elastic fluids characterised by varying the rotational speed
F04C 29/00 - Component parts, details, or accessories, of pumps or pumping installations specially adapted for elastic fluids, not provided for in groups
F04C 18/12 - Rotary-piston pumps specially adapted for elastic fluids of intermeshing-engagement type, i.e. with engagement of co-operating members similar to that of toothed gearing of other than internal-axis type
A61M 1/00 - Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
A self-limiting electrosurgical return electrode for use with electrosurgical procedures is disclosed. The return electrode includes a conductive element and pads disposed on opposing sides of the conductive element. The conductive element, optionally in combination with the pads, is configured to limit the density of electrical current that passes from a patient to the return electrode. The conductive element and the pads can cooperate to define two separate working surfaces on opposing sides of the return electrode. The return electrode can also be safely used with patients of substantially any size and without requiring adjustments to the power settings of an electrosurgical generator.
A61B 18/12 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
A61B 18/16 - Indifferent or passive electrodes for grounding
The General Hospital Corporation d/b/a Massachusetts General Hospital (USA)
Inventor
Kaplan, Lee M.
Hatoum, Ida
Harris, Jason L.
Abstract
Methods and compositions are generally provided for treating metabolic disorders, e.g., obesity. One aspect discloses methods and compositions for obtaining a biological sample from the subject, evaluating the sample for the presence or absence of a genetic indicator, wherein the genetic indicator is selected from a single nucleotide polymorphism and a level of gene expression, and performing a first metabolic procedure if the genetic indicator is present, or performing an alternative second metabolic procedure if the genetic indicator is absent. One aspect discloses methods and compositions for obtaining a sample including deoxyribonucleic acids (DNA) from the subject, evaluating the DNA for an absence or presence of one or more genetic indicators and performing a first metabolic procedure or an alternative second metabolic procedure based on the absence or presence of the genetic indicator(s). Other aspects are also disclosed.
C12Q 1/6883 - Nucleic acid products used in the analysis of nucleic acids, e.g. primers or probes for diseases caused by alterations of genetic material
A smoke evacuation device that evacuates smoke from a surgical site and filters the smoke from the air. The smoke evacuation device can include a fluid trap for removing moisture from the smoke. The smoke evacuation device can also include a filter with a compression mechanism for compressing a filter medium. The smoke evacuation device can also include features for controlling flow parameters, noise, and vibrations of the device. A remote activation device can also be used to activate the smoke evacuation device upon detection of certain system parameters.
A system for stimulating the release of satiety hormone in a subject comprises a stimulus device which is implantable in the subject and adapted to apply an electrical stimulus to a tissue of a gastrointestinal system of said subject, and a detection device which is implantable in the subject and adapted to continuously monitoring at least one of a mechanical characteristic and an electrical characteristic of the subject to detect an ingestion of food by said subject, wherein the detection device cooperates with the stimulus device such that the stimulus device applies said electrical stimulus in response to a detected ingestion of food.
An electrosurgical system comprises a return electrode that includes a conductive element and a return conductor that forms a capacitive electrical connection with the conductive element. The conductive element is completely encompassed by one or more pads so that the conductive element is not exposed and so that the return electrode does not include an externally exposed electrical connection.
A61B 18/16 - Indifferent or passive electrodes for grounding
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
9.
ELECTRICAL RETURN CONNECTIONS FOR ELECTROSURGICAL SYSTEMS
An electrosurgical system comprises a return electrode that includes a conductive element and a return conductor that forms a capacitive electrical connection with the conductive element. The conductive element is completely encompassed by one or more pads so that the conductive element is not exposed and so that the return electrode does not include an externally exposed electrical connection.
A61B 18/16 - Indifferent or passive electrodes for grounding
A61B 18/12 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
10.
WEARABLE RETURN ELECTRODES FOR ELECTROSURGICAL SYSTEMS
A wearable electrosurgical return electrode includes an outer pad, an inner pad, and a conductive element disposed between the outer pad and the inner pad. The return electrode is formed as a flexible sheath and configured to be worn over at least a portion of a body during use.
A61B 18/16 - Indifferent or passive electrodes for grounding
A61B 18/12 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
11.
WEARABLE RETURN ELECTRODES FOR ELECTROSURGICAL SYSTEMS
A wearable electrosurgical return electrode includes an outer pad, an inner pad, and a conductive element disposed between the outer pad and the inner pad. The return electrode is formed as a flexible sheath and configured to be worn over at least a portion of a body during use.
An electrosurgical system comprises a return electrode that includes a conductive element disposed between two pads. The conductive element comprises a flexible, conductive fabric material and an electrical bus bar disposed along an edge of the fabric. The return electrode, including the conductive element, is transparent to RF waves and other wavelengths used in medical imaging systems.
A61B 18/16 - Indifferent or passive electrodes for grounding
A61B 18/12 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
An electrosurgical system comprises a return electrode that includes a conductive element disposed between two pads. The conductive element comprises a flexible, conductive fabric material and an electrical bus bar disposed along an edge of the fabric. The return electrode, including the conductive element, is transparent to RF waves and other wavelengths used in medical imaging systems.
A surgical fastener applier having a handle and a fastener housing extending from the handle. The housing contains at least one anvil movable within the staple housing, the anvil has a proximal position and a distal position. When in the distal position a distal end of the anvil extends distal to the distal end of the staple housing. The housing contains a plurality of surgical fasteners each of which in the shape of a loop. At least one of the fasteners is placed around a portion of the anvil when in the distal position. The applier has a first mechanism for moving the anvil distally after a fastener has been deployed, and a second mechanism for moving the anvil distally after a fastener has been deployed. The second means is independent of the first means.
A fluid trap for minimizing the escape of contaminated fluids from the fluid trap when an orientation of the fluid trap changes during removal or transport includes a front cover, a rear cover coupled to the front cover, and an interior chamber defined by the front and rear covers. The front cover defines an inlet port extending a first distance into an interior chamber of the fluid trap. The rear cover defines an exhaust port extending a second distance away from the rear cover of the fluid trap and positioned above the inlet port when the fluid trap is in an upright position. The interior chamber has a maximum fluid volume defined as the lesser of a fluid reservoir volume, a front cover volume, and a rear cover volume.
B01D 46/00 - Filters or filtering processes specially modified for separating dispersed particles from gases or vapours
A61B 18/00 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
A61B 18/12 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
F24F 8/10 - Treatment, e.g. purification, of air supplied to human living or working spaces otherwise than by heating, cooling, humidifying or drying by separation, e.g. by filtering
A61B 17/00 - Surgical instruments, devices or methods, e.g. tourniquets
A filter connection for a smoke evacuation device includes a filter canister assembly and a socket. The filter canister assembly has a cross-sectional shape with only one line of symmetry that corresponds to a cross-sectional shape of the socket so that the filter canister can only be inserted into the socket in one orientation. One or more key notches on the filter canister may also ensure that the filter is properly installed. A seal creates an airtight boundary between the filter canister and a recess of the socket so that a sealed path in communication with the smoke evacuation device is established before the filter canister is fully inserted into the socket. An electronic connection is made between the filter canister and the socket after the airtight boundary is created.
B01D 46/00 - Filters or filtering processes specially modified for separating dispersed particles from gases or vapours
H01R 13/00 - ELECTRICALLY-CONDUCTIVE CONNECTIONS; STRUCTURAL ASSOCIATIONS OF A PLURALITY OF MUTUALLY-INSULATED ELECTRICAL CONNECTING ELEMENTS; COUPLING DEVICES; CURRENT COLLECTORS - Details of coupling devices of the kinds covered by groups or
B01D 46/24 - Particle separators, e.g. dust precipitators, using rigid hollow filter bodies
F24F 8/10 - Treatment, e.g. purification, of air supplied to human living or working spaces otherwise than by heating, cooling, humidifying or drying by separation, e.g. by filtering
A61B 18/00 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
A61B 18/12 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
A method of adjusting a switch of a device, which comprises using a biasing force-adjusting element, adjusting a magnitude of a biasing force imparted to a switching element of the switch by a biasing element disposed about the switching element, wherein the switching element is movably disposed within an interior cavity of a hollow body of the switch and the biasing force places the switching element in one of a first position and a second position. The first position corresponds to a first electrical state and the second position corresponds to a second electrical state.
H01H 9/06 - Casing of switch constituted by a handle serving a purpose other than the actuation of the switch, e.g. by the handle of a vacuum cleaner
A61B 17/00 - Surgical instruments, devices or methods, e.g. tourniquets
H01H 11/00 - Apparatus or processes specially adapted for the manufacture of electric switches
H01H 13/18 - Operating parts, e.g. push-button adapted for actuation at a limit or other predetermined position in the path of a body, the relative movement of switch and body being primarily for a purpose other than the actuation of the switch, e.g. door switch, limit switch, floor-levelling swi
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
An instrument includes a body having an interior conduit and a conductor extending within the interior conduit. A shaft extends distally out of the body and is movable between a retracted position and an extended position. A sliding conductor extends within the shaft and a contact portion of the sliding conductor extends between the conductor of the body and an exterior portion of the shaft. An end portion of the contact portion is at least partially disposed within an opening of the shaft. A locking mechanism that selectively secures the shaft in the retracted and extended positions includes a locking nut that is selectively movable between a locked position and an unlocked position and compression flanges with contact pads that flex toward the shaft when the locking nut is in a locked position to secure the shaft in the extended or retracted positions.
A universal fluid system connector creates an airtight seal between a variety of smoke evacuation system receptacles and various hoses. The universal connector includes a body and a seal having a plurality of radially extending flexible fins. A plurality of fins on the seal are disposed along the length of the body with the outer edges of the fins forming a frustoconical shape. The fins also include one or more flexion zones of various stiffness and one or more flexible fin extensions. The fins deform against the inner wall of a receptacle and form an airtight friction fit between the universal connector and the receptacle, regardless of the taper angle, size, threads, or other features of the receptacle.
F16L 21/04 - Joints with sleeve or socket with elastic sealing rings between pipe and sleeve or between pipe and socket, e.g. with rolling or other prefabricated profiled rings in which sealing rings are compressed by axially-movable members
F16L 17/025 - Joints with packing adapted to sealing by fluid pressure with sealing rings arranged between outer surface of pipe and inner surface of sleeve or socket the sealing rings having radially directed ribs
A universal fluid system connector creates an airtight seal between a variety of smoke evacuation system receptacles and various hoses. The universal connector includes a body, a seal having a plurality of radially extending flexible fins, and a swivel. A plurality of fins on the seal are disposed along the length of the body with the outer edges of the fins forming a frustoconical shape. The fins also include one or more flexion zones of various stiffness and one or more flexible fin extensions. The fins deform against the inner wall of a receptacle and form an airtight friction fit between the universal connector and the receptacle, regardless of the taper angle, size, threads, or other features of the receptacle. The swivel facilitates rotational movement between the universal fluid system connector and an associated hose.
A61B 18/00 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A universal fluid system connector creates an airtight seal between a variety of smoke evacuation system receptacles and various hoses. The universal connector includes a body and a seal having a plurality of radially extending flexible fins. A plurality of fins on the seal are disposed along the length of the body with the outer edges of the fins forming a frustoconical shape. The fins also include one or more flexion zones of various stiffness and one or more flexible fin extensions. The fins deform against the inner wall of a receptacle and form an airtight friction fit between the universal connector and the receptacle, regardless of the taper angle, size, threads, or other features of the receptacle.
F16L 37/04 - Couplings of the quick-acting type in which the connection is maintained only by friction of the parts being joined with an elastic outer part pressing against an inner part by reason of its elasticity
A61B 18/00 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
B08B 15/04 - Preventing escape of dirt or fumes from the area where they are produced; Collecting or removing dirt or fumes from that area from a small area, e.g. a tool
F16L 37/60 - Couplings of the quick-acting type with plug and fixed wall housing
An electrosurgical return electrode configured for operable association with a transponder detection unit. The return electrode includes a conductive element having an aperture array configured to allow passage of a magnetic, electric, or electromagnetic interrogation signal from the transponder detection unit through the conductive element and through the return electrode. The return electrode is positionable over a transponder detection unit such that the return electrode may be placed upon the transponder detection unit and a patient may be positioned upon the return electrode. The return electrode enables the detection of a transponder located on, within, and/or near the patient without the need for repositioning the patient relative to the return electrode and without the need for positioning an ancillary transponder reader or transmitter above the patient.
A61B 18/16 - Indifferent or passive electrodes for grounding
G06K 7/08 - Methods or arrangements for sensing record carriers by means detecting the change of an electrostatic or magnetic field, e.g. by detecting change of capacitance between electrodes
H01Q 21/06 - Arrays of individually energised antenna units similarly polarised and spaced apart
H01Q 7/00 - Loop antennas with a substantially uniform current distribution around the loop and having a directional radiation pattern in a plane perpendicular to the plane of the loop
H01Q 1/22 - Supports; Mounting means by structural association with other equipment or articles
Embodiments of the present invention relate to the field of pressurized fluid delivery devices for use in medical procedures. In particular, a fluid delivery pump comprises at least one compressive member configured to apply a force to a fluid reservoir. The at least one compressive member is associated with a flexible envelope, such that the flexible envelope may move the compressive member. The flexible envelope may be substantially air-tight so that it may be pressurized. When a negative pressure is created inside the flexible envelope, the flexible envelope may change volume, applying a force to the at least one compressive member. The at least one compressive member may then apply a force to the fluid reservoir and the fluid is forced out of the reservoir.
A61M 1/00 - Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
A61M 5/145 - Pressure infusion, e.g. using pumps using pressurised reservoirs, e.g. by means of pistons
Devices and methods are provided for forming and securing a tissue plication. More particularly, the devices and methods of the present invention can be used to create multiple tissue folds on an anterior and posterior wall of a stomach cavity to reduce the volume thereof. In one aspect, a method of gastric volume reduction is disclosed that includes advancing a tissue acquisition and fixation device endoscopically into a stomach, manipulating the device to form a first fold of tissue on an interior surface of an anterior wall of the stomach, and manipulating the device to form a second fold of tissue on an interior surface of a posterior wall of the stomach, where the second fold is not attached to the first fold.
A61B 17/072 - Surgical staplers for applying a row of staples in a single action
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A radio frequency (RF) current sensor for remotely activating a smoke evacuation device in an electrosurgical system includes a sensor body with a cable interfacing sidewall and a retaining member. The cable interfacing sidewall and the retaining member define a retention pocket for receiving a cable communicating RF current. The RF current sensor additionally includes a sensor element for detecting RF current in the cable and a sensor cable in electrical communication with the sensor element. The RF current sensor can operate in at least two modes, depending on whether the cable communicates RF current to a monopolar or bipolar electrosurgical instrument, but regardless of the operation mode, the sensor cable can communicate an activation signal and a current signal derived from the detected RF current to the smoke evacuation device, which activates or adjusts the period of time and/or the smoke evacuation flow rate of a vacuum source.
A filter includes (i) a filter body, (ii) a front cap associated with a first end of the filter body and coupled to and receiving smoke from a vacuum hose, (iii) a back cap associated with a second end of the filter body and having a filter exhaust sized and shaped to associate with and communicate suction from a smoke evacuation system, (iv) a compressed carbon reservoir disposed within the filter body between the front cap and the back cap, and (v) a flexible porous barrier disposed on at least a first side of the compressed carbon reservoir. The compressed carbon reservoir is under a compressive bias by the flexible porous barrier that transitions from a flexed state to a partially relaxed state in response to the compressed carbon reservoir reducing in volume.
A filter connection for a smoke evacuation device includes a filter canister assembly and a socket. The filter canister assembly has a cross-sectional shape with only one line of symmetry that corresponds to a cross-sectional shape of the socket so that the filter canister can only be inserted into the socket in one orientation. One or more key notches on the filter canister may also ensure that the filter is properly installed. A seal creates an airtight boundary between the filter canister and a recess of the socket so that a sealed path in communication with the smoke evacuation device is established before the filter canister is fully inserted into the socket. An electronic connection is made between the filter canister and the socket after the airtight boundary is created.
A61B 18/00 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
A61M 1/00 - Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
B01D 29/00 - Filters with filtering elements stationary during filtration, e.g. pressure or suction filters, not covered by groups ; Filtering elements therefor
A fluid trap for minimizing the escape of contaminated fluids from the fluid trap when an orientation of the fluid trap changes during removal or transport includes a front cover, a rear cover coupled to the front cover, and an interior chamber defined by the front and rear covers. The front cover defines an inlet port extending a first distance into an interior chamber of the fluid trap. The rear cover defines an exhaust port extending a second distance away from the rear cover of the fluid trap and positioned above the inlet port when the fluid trap is in an upright position. The interior chamber has a maximum fluid volume defined as the lesser of a fluid reservoir volume, a front cover volume, and a rear cover volume.
A smoke evacuation device includes one or more cooling mechanisms and an exhaust mechanism to reduce velocity and noise of filtered air exiting the smoke evacuation system. The cooling mechanism includes ventilation openings and/or a rotary mechanism disposed within the system to circulate air and cool by convective heat transfer. A pressure relief mechanism is also provided at the inlet or outlet of the system or the pump within the system. The pressure relief mechanism is configured to reduce pressures due to abnormal flows within the smoke evacuation system.
F04B 39/00 - Component parts, details, or accessories, of pumps or pumping systems specially adapted for elastic fluids, not otherwise provided for in, or of interest apart from, groups
F04B 39/06 - Cooling; Heating; Prevention of freezing
F04B 49/22 - Control of, or safety measures for, machines, pumps, or pumping installations, not otherwise provided for in, or of interest apart from, groups by means of valves
36.
NOISE AND VIBRATION MANAGEMENT FOR SMOKE EVACUATION SYSTEM
A system for noise and vibration management of a smoke evacuation system includes a pump that compresses air and produces a pressure differential within an airflow path. The pump may be a sealed, positive displacement pump. The system includes vibration absorption mechanisms disposed between inner and outer housings, as well as on the outside surface of the outer housing. Methods of controlling and regulating a motor of the system to preserve the lifespan of the motor and maintain consistent airflow rates throughout the smoke evacuation system include varying a supply of electrical current to the motor so that it can operate at variable performance levels. Orifices are opened and closed in order to relieve resistance pressures within the airflow path due to clogging and blockages.
F04B 39/00 - Component parts, details, or accessories, of pumps or pumping systems specially adapted for elastic fluids, not otherwise provided for in, or of interest apart from, groups
A smoke evacuation device includes one or more cooling mechanisms and an exhaust mechanism to reduce velocity and noise of filtered air exiting the smoke evacuation system. The cooling mechanism includes ventilation openings and/or a rotary mechanism disposed within the system to circulate air and cool by convective heat transfer. A pressure relief mechanism is also provided at the inlet or outlet of the system or the pump within the system. The pressure relief mechanism is configured to reduce pressures due to abnormal flows within the smoke evacuation system.
B01D 46/00 - Filters or filtering processes specially modified for separating dispersed particles from gases or vapours
B01D 46/42 - Auxiliary equipment or operation thereof
F04B 53/00 - Component parts, details or accessories not provided for in, or of interest apart from, groups or
F04F 5/16 - Jet pumps, i.e. devices in which fluid flow is induced by pressure drop caused by velocity of another fluid flow the inducing fluid being elastic fluid displacing elastic fluids
F04B 49/22 - Control of, or safety measures for, machines, pumps, or pumping installations, not otherwise provided for in, or of interest apart from, groups by means of valves
F04B 39/00 - Component parts, details, or accessories, of pumps or pumping systems specially adapted for elastic fluids, not otherwise provided for in, or of interest apart from, groups
A61B 18/12 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
A61B 18/00 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
A filter connection for a smoke evacuation device includes a filter canister assembly and a socket. The filter canister assembly has a cross-sectional shape with only one line of symmetry that corresponds to a cross-sectional shape of the socket so that the filter canister can only be inserted into the socket in one orientation. One or more key notches on the filter canister may also ensure that the filter is properly installed. A seal creates an airtight boundary between the filter canister and a recess of the socket so that a sealed path in communication with the smoke evacuation device is established before the filter canister is fully inserted into the socket. An electronic connection is made between the filter canister and the socket after the airtight boundary is created.
B01D 46/00 - Filters or filtering processes specially modified for separating dispersed particles from gases or vapours
B01D 46/24 - Particle separators, e.g. dust precipitators, using rigid hollow filter bodies
H01R 13/00 - ELECTRICALLY-CONDUCTIVE CONNECTIONS; STRUCTURAL ASSOCIATIONS OF A PLURALITY OF MUTUALLY-INSULATED ELECTRICAL CONNECTING ELEMENTS; COUPLING DEVICES; CURRENT COLLECTORS - Details of coupling devices of the kinds covered by groups or
F24F 3/16 - Air-conditioning systems in which conditioned primary air is supplied from one or more central stations to distributing units in the rooms or spaces where it may receive secondary treatment; Apparatus specially designed for such systems characterised by the treatment of the air otherwise than by heating and cooling by ozonisation
A61B 18/00 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
A61B 18/12 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
A radio frequency (RF) current sensor for remotely activating a smoke evacuation device in an electrosurgical system includes a sensor body with a cable interfacing sidewall and a retaining member. The cable interfacing sidewall and the retaining member define a retention pocket for receiving a cable communicating RF current. The RF current sensor additionally includes a sensor element for detecting RF current in the cable and a sensor cable in electrical communication with the sensor element. The RF current sensor can operate in at least two modes, depending on whether the cable communicates RF current to a monopolar or bipolar electrosurgical instrument, but regardless of the operation mode, the sensor cable can communicate an activation signal and a current signal derived from the detected RF current to the smoke evacuation device, which activates or adjusts the period of time and/or the smoke evacuation flow rate of a vacuum source.
A61B 18/16 - Indifferent or passive electrodes for grounding
A61B 18/12 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
A filter includes (i) a filter body, (ii) a front cap associated with a first end of the filter body and coupled to and receiving smoke from a vacuum hose, (iii) a back cap associated with a second end of the filter body and having a filter exhaust sized and shaped to associate with and communicate suction from a smoke evacuation system, (iv) a compressed carbon reservoir disposed within the filter body between the front cap and the back cap, and (v) a flexible porous barrier disposed on at least a first side of the compressed carbon reservoir. The compressed carbon reservoir is under a compressive bias by the flexible porous barrier that transitions from a flexed state to a partially relaxed state in response to the compressed carbon reservoir reducing in volume.
B01D 53/04 - Separation of gases or vapours; Recovering vapours of volatile solvents from gases; Chemical or biological purification of waste gases, e.g. engine exhaust gases, smoke, fumes, flue gases or aerosols by adsorption, e.g. preparative gas chromatography with stationary adsorbents
A61B 18/00 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
B01D 46/00 - Filters or filtering processes specially modified for separating dispersed particles from gases or vapours
A61B 18/12 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
A fluid trap for minimizing the escape of contaminated fluids from the fluid trap when an orientation of the fluid trap changes during removal or transport includes a front cover, a rear cover coupled to the front cover, and an interior chamber defined by the front and rear covers. The front cover defines an inlet port extending a first distance into an interior chamber of the fluid trap. The rear cover defines an exhaust port extending a second distance away from the rear cover of the fluid trap and positioned above the inlet port when the fluid trap is in an upright position. The interior chamber has a maximum fluid volume defined as the lesser of a fluid reservoir volume, a front cover volume, and a rear cover volume.
A61B 18/12 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
B01D 46/00 - Filters or filtering processes specially modified for separating dispersed particles from gases or vapours
F24F 3/16 - Air-conditioning systems in which conditioned primary air is supplied from one or more central stations to distributing units in the rooms or spaces where it may receive secondary treatment; Apparatus specially designed for such systems characterised by the treatment of the air otherwise than by heating and cooling by ozonisation
A61B 18/00 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
A61B 17/00 - Surgical instruments, devices or methods, e.g. tourniquets
42.
Noise and vibration management for smoke evacuation system
A system for noise and vibration management of a smoke evacuation system includes a pump that compresses air and produces a pressure differential within an airflow path. The pump may be a sealed, positive displacement pump. The system includes vibration absorption mechanisms disposed between inner and outer housings, as well as on the outside surface of the outer housing. Methods of controlling and regulating a motor of the system to preserve the lifespan of the motor and maintain consistent airflow rates throughout the smoke evacuation system include varying a supply of electrical current to the motor so that it can operate at variable performance levels. Orifices are opened and closed in order to relieve resistance pressures within the airflow path due to clogging and blockages.
F04C 18/02 - Rotary-piston pumps specially adapted for elastic fluids of arcuate-engagement type, i.e. with circular translatory movement of co-operating members, each member having the same number of teeth or tooth-equivalents
F04C 28/08 - Control of, monitoring of, or safety arrangements for, pumps or pumping installations specially adapted for elastic fluids characterised by varying the rotational speed
F04C 29/00 - Component parts, details, or accessories, of pumps or pumping installations specially adapted for elastic fluids, not provided for in groups
F04C 18/12 - Rotary-piston pumps specially adapted for elastic fluids of intermeshing-engagement type, i.e. with engagement of co-operating members similar to that of toothed gearing of other than internal-axis type
A61M 1/00 - Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
A61B 18/12 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
A61B 18/00 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
A61B 18/16 - Indifferent or passive electrodes for grounding
A smoke evacuation device that evacuates smoke from a surgical site and filters the smoke from the air. The smoke evacuation device can include a fluid trap for removing moisture from the smoke. The smoke evacuation device can also include a filter with a compression mechanism for compressing a filter medium. The smoke evacuation device can also include features for controlling flow parameters, noise, and vibrations of the device. A remote activation device can also be used to activate the smoke evacuation device upon detection of certain system parameters.
A61M 1/00 - Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
A61M 27/00 - Drainage appliances for wounds, or the like
A61F 13/00 - Bandages or dressings; Absorbent pads
A61K 9/22 - Sustained or differential release type
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A61B 18/00 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
An apparatus comprises a sleeve, a seal, and an anchor assembly. The sleeve is flexible and non-permeable and is configured to fit in a duodenum. The seal is positioned at the proximal end of the sleeve and is configured to seal the proximal end of the sleeve against the stomach mucosa, the pylorus, or the duodenum mucosa. The anchor assembly comprises a pair of atraumatic anchor ends and a resilient member positioned between the anchor ends. At least a portion of the resilient member extends along at least a portion of the length of the sleeve. The resilient member is configured to bias the anchor ends generally toward each other, to thereby substantially anchor the sleeve in the duodenum. The sleeve is configured to prevent chyme from contacting the mucosa of the duodenum; and to prevent enzymes excreted in the duodenum from mixing with chyme in the duodenum.
Various systems and methods for predicting metabolic and bariatric surgery outcomes are provided. The systems and methods can also provide predictions for non-surgical metabolic and bariatric treatments. In general, a user can receive predictive outcomes of multiple bariatric procedures that could be performed on a patient. In one embodiment, a user can electronically access a metabolic and bariatric surgery outcome prediction system, e.g., using one or more web pages. The system can provide predictive outcomes of one or more different bariatric surgeries for the patient based on data gathered from the user and on historical data regarding outcomes of the different bariatric surgeries. The system can additionally provide predictive outcomes for not having any treatment and/or a comparison of the predictive outcomes of the one or more different bariatric surgeries to the predictive outcomes for not having any treatment.
G16H 50/20 - ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for computer-aided diagnosis, e.g. based on medical expert systems
A system for stimulating the release of satiety hormone in a subject comprises a stimulus device which is implantable in the subject and adapted to apply an electrical stimulus to a tissue of a gastrointestinal system of said subject, and a detection device which is implantable in the subject and adapted to continuously monitoring at least one of a mechanical characteristic and an electrical characteristic of the subject to detect an ingestion of food by said subject, wherein the detection device cooperates with the stimulus device such that the stimulus device applies said electrical stimulus in response to a detected ingestion of food.
A method of creating a switch, comprising disposing a switching element movably within an interior cavity of the switch to define switch-making and switch-breaking positions along a switching axis of the switching element, disposing a biasing element about the switching element to impart a biasing force to the switching element to place the switching element in one of the switch-making and switch-breaking positions until an external force imparted to the switching element exceeds the biasing force to cause the switching element to change to the other position, disposing a biasing force-adjusting element in cooperative engagement with the biasing element such that a magnitude of the biasing force is adjustable, and coupling a conductive contact to the switching element to define 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.
H01H 13/18 - Operating parts, e.g. push-button adapted for actuation at a limit or other predetermined position in the path of a body, the relative movement of switch and body being primarily for a purpose other than the actuation of the switch, e.g. door switch, limit switch, floor-levelling swi
A61B 17/00 - Surgical instruments, devices or methods, e.g. tourniquets
H01H 11/00 - Apparatus or processes specially adapted for the manufacture of electric switches
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
Embodiments are directed to various monopolar and bipolar electrosurgical scissor instruments. A monopolar electrosurgical scissor instrument includes one scissor blade that has an electrically conductive tapered edge, where the tapered edge is insufficiently sharp to shear or otherwise mechanically cut tissue. The scissors also include another electrically insulated scissor blade movably mounted to the first scissor blade. The second scissor blade includes a flat contact surface that is aligned with the tapered edge of the first scissor blade. The scissors further include a scissor body that includes a conductor that transfers electrical energy from an energy source to the tapered edge of the first electrically conductive scissor blade to electrically cut interlaying tissue located between the first electrically conductive scissor blade and the second electrically insulated scissor blade.
A61B 10/02 - Instruments for taking cell samples or for biopsy
A61B 18/08 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by means of electrically-heated probes
A61B 18/00 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
49.
Method and apparatus for joining hollow organ sections in anastomosis
An apparatus is operable to provide an anastomosis coupling two hollow organs, such as a duodenum and ileum. The apparatus includes a first component that is inserted through an enterotomy in a first hollow organ and a second component that is inserted through an enterotomy in a second hollow organ. The first and second components are brought together to o align the enterotomies and compress apposed layers of tissue adjacent to the enterotomies. The compressed tissue eventually necroses and the apparatus may be removed or simply pass through the hollow organ. Each component may include a set of pivoting links and a resilient member that is configured to both bias the links to an expanded configuration and grip the tissue adjacent to the enterotomy. The components may include magnets that secure the positioning of the components relative to each other and provide a compressive force on the apposed tissue.
A61B 17/11 - Surgical instruments, devices or methods, e.g. tourniquets for closing wounds, or holding wounds closed, e.g. surgical staples; Accessories for use therewith for performing anastomosis; Buttons for anastomosis
A61B 17/00 - Surgical instruments, devices or methods, e.g. tourniquets
Embodiments of the present invention relate to the field of pressurized fluid delivery devices for use in medical procedures. In particular, a fluid delivery pump comprises at least one compressive member configured to apply a force to a fluid reservoir. The at least one compressive member is associated with a flexible envelope, such that the flexible envelope may move the compressive member. The flexible envelope may be substantially air-tight so that it may be pressurized. When a negative pressure is created inside the flexible envelope, the flexible envelope may change volume, applying a force to the at least one compressive member. The at least one compressive member may then apply a force to the fluid reservoir and the fluid is forced out of the reservoir.
A61M 1/00 - Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
A self-limiting electrosurgical return electrode for use with electrosurgical procedures is disclosed. The return electrode includes a conductive element and pads disposed on opposing sides of the conductive element. The conductive element, optionally in combination with the pads, is configured to limit the density of electrical current that passes from a patient to the return electrode. The conductive element and the pads can cooperate to define two separate working surfaces on opposing sides of the return electrode. The return electrode can also be safely used with patients of substantially any size and without requiring adjustments to the power settings of an electrosurgical generator.
A61B 18/16 - Indifferent or passive electrodes for grounding
A61B 18/12 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
Embodiments of the present invention relate to the field of pressurized fluid delivery devices for use in medical procedures. In particular, a fluid delivery pump comprises at least one compressive member configured to apply a force to a fluid reservoir. The at least one compressive member is associated with a flexible envelope, such that the flexible envelope may move the compressive member. The flexible envelope may be substantially air-tight so that it may be pressurized. When a negative pressure is created inside the flexible envelope, the flexible envelope may change volume, applying a force to the at least one compressive member. The at least one compressive member may then apply a force to the fluid reservoir and the fluid is forced out of the reservoir.
A61M 1/00 - Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
Extension attachments selectively couple to any of a variety of hand held instruments. The extension attachments may include smoke evacuation shafts and electrosurgical electrodes. The extension attachments may extend the functional capabilities of the hand held instruments, such as electrosurgical and smoke capture capabilities.
A61B 18/12 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
An instrument includes a body having an interior conduit. A shaft extends distally out of the body and is movable between a retracted position and an extended position. A locking mechanism that selectively secures the shaft in the retracted and extended positions includes grooves in the body and a locking nut having pins that travel through the grooves to move the locking nut between a locked position and an unlocked position. The locking mechanism also includes compression flanges that flex towards and apply pressure/friction to the shaft when the locking nut is in the locked position and release/reduce the pressure/friction from the shaft when the locking nut is in the unlocked position. The compression flanges restrict the movement of the shaft when the compression flanges are flexed towards, and apply pressure to the shaft.
A61B 17/00 - Surgical instruments, devices or methods, e.g. tourniquets
A61B 18/00 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A61B 18/12 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
A61B 18/16 - Indifferent or passive electrodes for grounding
Extension attachments selectively couple to any of a variety of hand held instruments. The extension attachments may include smoke evacuation shafts and electrosurgical electrodes. The extension attachments may extend the functional capabilities of the hand held instruments, such as electrosurgical and smoke capture capabilities.
A61B 18/18 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
An instrument includes a body having an interior conduit. A shaft extends distally out of the body and is movable between a retracted position and an extended position. A locking mechanism that selectively secures the shaft in the retracted and extended positions includes grooves in the body and a locking nut having pins that travel through the grooves to move the locking nut between a locked position and an unlocked position. The locking mechanism also includes compression flanges that flex towards and apply pressure/friction to the shaft when the locking nut is in the locked position and release/reduce the pressure/friction from the shaft when the locking nut is in the unlocked position. The compression flanges restrict the movement of the shaft when the compression flanges are flexed towards, and apply pressure to the shaft.
A61B 18/12 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
An electrical instrument includes a proximal section, a distal section, and a flex circuit. The distal section is coupled to the proximal section at a swivel interface to enable rotational independence of the distal section relative to the proximal section. The flex circuit spans the swivel interface between the proximal section and the distal section and provides electrical communication between the proximal section and the distal section even when one of the proximal section and the distal section is rotated relative to the other.
A61B 18/18 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
58.
Clip applier adapted for use with a surgical robot
A clip applier adapted for use with a surgical robot is disclosed. The clip applier comprises a shaft having clips stored therein and jaws adapted for receiving a clip from the shaft. The shaft is in mechanical communication with a robotic mounting portion. The robotic mounting portion contains a gear drive assembly for rotating the shaft, feeding clips into the jaws and forming clips in the jaws.
A61B 17/10 - Surgical instruments, devices or methods, e.g. tourniquets for closing wounds, or holding wounds closed, e.g. surgical staples; Accessories for use therewith for applying or removing wound clamps; Wound clamp magazines
A61B 17/128 - Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord for applying or removing clamps or clips
A method of creating a switch, comprising disposing a switching element movably within an interior cavity of the switch to define first and second positions along a switching axis of the switching element, disposing a biasing element about the switching element to impart a biasing force to the switching element to place the switching element in one of the first and second positions until an external force imparted to the switching element exceeds the biasing force to cause the switching element to move to the other position, disposing a biasing force-adjusting element in cooperative engagement with the biasing element such that a magnitude of the biasing force is adjustable, and coupling a conductive contact to the switching element to define a first switching state when the switching element is in the first position and a second switching state when the switching element is in the second position.
H01H 13/18 - Operating parts, e.g. push-button adapted for actuation at a limit or other predetermined position in the path of a body, the relative movement of switch and body being primarily for a purpose other than the actuation of the switch, e.g. door switch, limit switch, floor-levelling swi
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
60.
Devices and methods for the treatment of metabolic disorders
A system for stimulating the release of satiety hormone in a subject comprises a stimulus device which is implantable in the subject and adapted to apply an electrical stimulus to a tissue of a gastrointestinal system of said subject, and a detection device which is implantable in the subject and adapted to continuously monitoring at least one of a mechanical characteristic and an electrical characteristic of the subject to detect an ingestion of food by said subject, wherein the detection device cooperates with the stimulus device such that the stimulus device applies said electrical stimulus in response to a detected ingestion of food.
The General Hospital Corporation General Hospital (USA)
Inventor
Kaplan, Lee M.
Hatoum, Ida
Harris, Jason L.
Abstract
Methods and compositions are generally provided for treating metabolic disorders, e.g., obesity. One aspect discloses methods and compositions for obtaining a biological sample from the subject, evaluating the sample for the presence or absence of a genetic indicator, wherein the genetic indicator is selected from a single nucleotide polymorphism and a level of gene expression, and performing a first metabolic procedure if the genetic indicator is present, or performing an alternative second metabolic procedure if the genetic indicator is absent. One aspect discloses methods and compositions for obtaining a sample including deoxyribonucleic acids (DNA) from the subject, evaluating the DNA for an absence or presence of one or more genetic indicators and performing a first metabolic procedure or an alternative second metabolic procedure based on the absence or presence of the genetic indicator(s). Other aspects are also disclosed.
C12Q 1/6883 - Nucleic acid products used in the analysis of nucleic acids, e.g. primers or probes for diseases caused by alterations of genetic material
An electrosurgical return electrode configured for operable association with a transponder detection unit. The return electrode includes a conductive element having an aperture array configured to allow passage of a magnetic, electric, or electromagnetic interrogation signal from the transponder detection unit through the conductive element and through the return electrode. The return electrode is positionable over a transponder detection unit such that the return electrode may be placed upon the transponder detection unit and a patient may be positioned upon the return electrode. The return electrode enables the detection of a transponder located on, within, and/or near the patient without the need for repositioning the patient relative to the return electrode and without the need for positioning an ancillary transponder reader or transmitter above the patient.
G06K 7/08 - Methods or arrangements for sensing record carriers by means detecting the change of an electrostatic or magnetic field, e.g. by detecting change of capacitance between electrodes
H01Q 1/22 - Supports; Mounting means by structural association with other equipment or articles
H01Q 7/00 - Loop antennas with a substantially uniform current distribution around the loop and having a directional radiation pattern in a plane perpendicular to the plane of the loop
H01Q 21/06 - Arrays of individually energised antenna units similarly polarised and spaced apart
Cable connection systems allow for an electrosurgical return electrode to be simultaneously connected to multiple ESUs. The cable connection systems can include individual return cables for simultaneous connection to each of the ESUs. The cable connection system can also include a junction that joins, connects, or associates the return cables in a manner that allows for the multiple ESU cables to be electrically connected to the return electrode at a single connection point on the return electrode.
H01R 13/52 - Dustproof, splashproof, drip-proof, waterproof, or flameproof cases
A61B 18/16 - Indifferent or passive electrodes for grounding
A61B 18/12 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
H01R 13/516 - Means for holding or embracing insulating body, e.g. casing
A61B 18/00 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
64.
HAND-HELD INSTRUMENT WITH AN EXTENDABLE PART AND WITH A NEGATIVE PRESSURE SOURCE
An electrosurgical instrument (104) has dual zone smoke evacuation for providing efficient capture and evacuation of smoke generated during an electrosurgical procedure. A hand piece (114) with a proximal and a distal end is coupled to a front piece having a distal opening leading into an interior conduit. An extendable section is at least partially disposed within the interior conduit and extends distally out of the distal opening of the front piece. The extendable section is selectively translatable within the interior conduit. A negative pressure source enables the capture and evacuation of smoke through both the extendable section and the interior conduit.
An electrosurgical return electrode configured for operable association with a transponder detection unit. The return electrode includes a conductive element having an aperture array configured to allow passage of a magnetic, electric, or electromagnetic interrogation signal from the transponder detection unit through the conductive element and through the return electrode. The return electrode is positionable over a transponder detection unit such that the return electrode may be placed upon the transponder detection unit and a patient may be positioned upon the return electrode. The return electrode enables the detection of a transponder located on, within, and/or near the patient without the need for repositioning the patient relative to the return electrode and without the need for positioning an ancillary transponder reader or transmitter above the patient.
A61B 18/16 - Indifferent or passive electrodes for grounding
H01Q 7/00 - Loop antennas with a substantially uniform current distribution around the loop and having a directional radiation pattern in a plane perpendicular to the plane of the loop
H01Q 21/06 - Arrays of individually energised antenna units similarly polarised and spaced apart
66.
CABLE CONNECTION SYSTEMS FOR ELECTROSURGICAL SYSTEMS
Cable connection systems allow for an electrosurgical return electrode to be simultaneously connected to multiple ESUs. The cable connection systems can include individual return cables for simultaneous connection to each of the ESUs. The cable connection system can also include a junction that joins, connects, or associates the return cables in a manner that allows for the multiple ESU cables to be electrically connected to the return electrode at a single connection point on the return electrode.
A61B 18/16 - Indifferent or passive electrodes for grounding
A61B 18/00 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
A61B 18/12 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
An electrosurgical instrument has dual zone smoke evacuation for providing efficient capture and evacuation of smoke generated during an electrosurgical procedure. A hand piece with a proximal and a distal end is coupled to a front piece having a distal opening leading into an interior conduit. An extendable section is at least partially disposed within the interior conduit and extends distally out of the distal opening of the front piece. The extendable section is selectively translatable within the interior conduit. A negative pressure source enables the capture and evacuation of smoke through both the extendable section and the interior conduit.
A hand-held instrument has a distal section and a proximal section joined by an attachment piece. The attachment piece enables the distal section to be swiveled/rotated independent of the proximal section. A tip, such as an electrode tip, is coupled to the distal end of the distal section and rotates with the distal section, enabling a user to adjust the rotational orientation of the tip during use.
Various systems and methods for predicting metabolic and bariatric surgery outcomes are provided. The systems and methods can also provide predictions for non-surgical metabolic and bariatric treatments. In general, a user can receive predictive outcomes of multiple bariatric procedures that could be performed on a patient. In one embodiment, a user can electronically access a metabolic and bariatric surgery outcome prediction system, e.g., using one or more web pages. The system can provide predictive outcomes of one or more different bariatric surgeries for the patient based on data gathered from the user and on historical data regarding outcomes of the different bariatric surgeries. The system can additionally provide predictive outcomes for not having any treatment and/or a comparison of the predictive outcomes of the one or more different bariatric surgeries to the predictive outcomes for not having any treatment.
G16H 50/20 - ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for computer-aided diagnosis, e.g. based on medical expert systems
G06F 19/00 - Digital computing or data processing equipment or methods, specially adapted for specific applications (specially adapted for specific functions G06F 17/00;data processing systems or methods specially adapted for administrative, commercial, financial, managerial, supervisory or forecasting purposes G06Q;healthcare informatics G16H)
A surgical fastener applier having a handle and a fastener housing extending from the handle. The housing contains at least one anvil movable within the staple housing, the anvil has a proximal position and a distal position. When in the distal position a distal end of the anvil extends distal to the distal end of the staple housing. The housing contains a plurality of surgical fasteners each of which in the shape of a loop. At least one of the fasteners is placed around a portion of the anvil when in the distal position. The applier has a first mechanism for moving the anvil distally after a fastener has been deployed, and a second mechanism for moving the anvil distally after a fastener has been deployed. The second means is independent of the first means.
Methods and devices are provided for performing various procedures using interchangeable end effectors. In general, the methods and devices allow a surgeon to remotely and selectively attach various interchangeable surgical end effectors to a shaft located within a patient's body, thus allowing the surgeon to perform various procedures without the need to remove the shaft from the patient's body. In an exemplary embodiment, multiple end effectors can be introduced into a body cavity. The end effectors can be disassociated or separate from one another such that they float within the body cavity. A distal end of a shaft can be positioned within the body cavity and it can be used to selectively engage one of the end effectors. In particular, the device can be configured to allow each end effector to be remotely attached and detached from the distal end of the shaft.
Methods and devices are provided for activating brown adipose tissue (BAT). Generally, the methods and devices can activate BAT to increase thermogenesis, e.g., increase heat production in the patient, which over time can lead to weight loss. In one embodiment, a medical device is provided that activates BAT by electrically stimulating nerves that activate the BAT and/or electrically stimulating brown adipocytes directly, thereby increasing thermogenesis in the BAT and inducing weight loss through energy expenditure.
A switch comprising an interior cavity and a switching element movably disposed within the interior cavity to define a first position and a second position, the second position being different from the first position. A biasing element imparts a biasing force to the switching element to place the switching element in either the first or the second position until an external force imparted to the switching element exceeds the biasing force, thereby causing the switching element to move to the other one of the first or the second position. A biasing force-adjusting element is cooperatively engaged with the biasing element, wherein a magnitude of the biasing force is adjustable using the biasing force-adjusting element. An electrically-conductive contact, coupled to the switching element, defines a first switching state when the switching element is in the first position and a second switching state when the switching element is in the second position.
Methods and devices are provided for activating brown adipose tissue with targeted substance delivery. Generally, the methods and devices can activate BAT to increase thermogenesis, e.g., increase heat production in the patient, which over time can lead to weight loss and/or improved metabolic function. In one embodiment, a chemical configured to stimulate nerves that activate the BAT and/or to stimulate brown adipocytes directly can be delivered to a patient, thereby increasing thermogenesis in the BAT and inducing weight loss and/or improved metabolic function through energy expenditure. The chemical can be delivered to the patient locally and/or systemically to stimulate the nerves and/or the brown adipocytes.
A61M 5/00 - Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm rests
A switch comprising a switching element, a hollow body defining an interior cavity in which the switching element is movably disposed along a longitudinal device axis to define a first and second positions along the longitudinal device axis, the second position being different from the first position, a biasing element imparting an adjustable biasing force to the switching element to place the switching element in one of the first position and the second position until an external force imparted to the switching element along the longitudinal device axis exceeds the biasing force thereby causing the switching element to move to the other one of the first position and the second position, and an electrically-conductive contact coupled to the switching element and defining a first switching state when the switching element is in the first position and a second switching state when the switching element is in the second position.
H01H 35/14 - Switches operated by change of acceleration, e.g. by shock or vibration, inertia switch
H01H 13/18 - Operating parts, e.g. push-button adapted for actuation at a limit or other predetermined position in the path of a body, the relative movement of switch and body being primarily for a purpose other than the actuation of the switch, e.g. door switch, limit switch, floor-levelling swi
A61B 17/00 - Surgical instruments, devices or methods, e.g. tourniquets
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
77.
Methods for partial diversion of the intestinal tract
Devices and methods are used to modify a metabolic pathway of a digestive system by creating a pathway within the intestinal tract through an anastomosis between a proximal location within the intestinal tract and a distal location within the intestinal tract. In some examples, the small intestine has a first initial length and the created pathway defines a second length of the intestinal tract that is approximately ten to seventy percent of the first initial length of the small intestine.
A61B 17/11 - Surgical instruments, devices or methods, e.g. tourniquets for closing wounds, or holding wounds closed, e.g. surgical staples; Accessories for use therewith for performing anastomosis; Buttons for anastomosis
A61B 17/00 - Surgical instruments, devices or methods, e.g. tourniquets
A portable, battery powered electrosurgical wave generator is usable in performing electrically driven medical procedures. The wave generator can be small and lightweight to enable a user to carry and use the wave generator in non-operating room type settings. The wave generator can include a control unit that generates output signals in each of a cutting mode, coagulation mode, and a bipolar mode. The control unit can use a single circuit structure to generate the output signals for the cutting, coagulation, and bipolar modes. The output signals can be generated solely from a voltage produced by an incorporated battery within the generator.
A61B 18/12 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
A61B 18/16 - Indifferent or passive electrodes for grounding
A61B 18/00 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
A61B 17/00 - Surgical instruments, devices or methods, e.g. tourniquets
A61B 90/53 - Supports for surgical instruments, e.g. articulated arms connected to the surgeon's body, e.g. by a belt
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A portable, battery powered electrosurgical wave generator is usable in performing electrically driven medical procedures. The wave generator can be small and lightweight to enable a user to carry and use the wave generator in non-operating room type settings. The wave generator can include a control unit that generates output signals in each of a cutting mode, coagulation mode, and a bipolar mode. The control unit can use a single circuit structure to generate the output signals for the cutting, coagulation, and bipolar modes. The output signals can be generated solely from a voltage produced by an incorporated battery within the generator.
Electrosurgical products, namely, electrosurgical pencils,
electrosurgical electrodes and cautery tips, and kits
consisting primarily of electrosurgical pencils, electrodes
and cables for electrosurgical use.
Methods and therapeutics are provided for treating metabolic disorders by increasing activation of brown adipose tissue. Generally, the methods and therapeutics can increase activation of brown adipose tissue to increase energy expenditure and induce weight loss. In one embodiment, a method for increasing activation of brown adipose tissue includes modifying brown adipocytes to express a gene that activates brown adipocytes, such as uncoupling protein 1. In another embodiment, a method for increasing brown adipose tissue activation includes increasing the number of brown adipocytes. This can be accomplished by inducing proliferation of adipocytes in vivo or expanding adipocytes ex vivo, transplanting adipocytes into brown adipose tissue depots or elsewhere and inducing differentiation of adipocyte progenitor cells, such as MSCs, adipocyte progenitor cells, pre-adipocytes and adipocyte precursor cells.
A61K 48/00 - Medicinal preparations containing genetic material which is inserted into cells of the living body to treat genetic diseases; Gene therapy
C07K 14/47 - Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from humans from vertebrates from mammals
C12N 15/85 - Vectors or expression systems specially adapted for eukaryotic hosts for animal cells
A duodenal sleeve assembly comprises a sleeve, an expandable sealing member, a tether, and an expandable anchor. The sleeve is secured to the sealing member. The tether couples the anchor with the sealing member. A deployment instrument comprises a shaft assembly, a first retention member, and a second retention member. The first retention member selectively secures the sealing member to the shaft assembly. The second retention member selectively secures the anchor to the shaft assembly. When the first retention member is released, the sealing member expands outwardly to seal the proximal end of the sleeve against the mucosa of the patient's duodenum. When the second retention member is released, the anchor expands outwardly within the stomach to anchor the sleeve assembly relative to the stomach. The tether traverses the pylorus. The sleeve isolates chyme from enzymes in the duodenum; and the mucosa of the duodenum from nutrients in the chyme.
A system for stimulating the release of satiety hormone in a subject comprises a stimulus device which is implantable in the subject and adapted to apply an electrical stimulus to a tissue of a gastrointestinal system of said subject, and a detection device which is implantable in the subject and adapted to continuously monitoring at least one of a mechanical characteristic and an electrical characteristic of the subject to detect an ingestion of food by said subject, wherein the detection device cooperates with the stimulus device such that the stimulus device applies said electrical stimulus in response to a detected ingestion of food.
An electrosurgical electrode comprises an elongated body having a cross-sectional area and longitudinal side edges forming longitudinal cutting edges adapted for electrosurgical dissection along a plane. The body has a configuration, wherein: the thickness of the side edge is less than or equal to 0.01", forming only one cutting edge, and the cross-sectional area-to-number of cutting edges ratio is less than or equal to 0.000150 in2 per cutting edge; or the thickness of a first side edge is greater than 0.01" and the thickness of a second side edge is less than or equal to 0.01", and the cross-sectional area-to-number of cutting edges ratio is less than or equal to 0.001 in2 per cutting edge.
A61B 18/18 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
2 per cutting edge; or the thickness of a first side edge is greater than 0.01″ and the thickness of a second side edge is less than or equal to 0.01″, and the cross-sectional area-to-number of cutting edges ratio is less than or equal to 0.001 per cutting edge.
Devices and methods for applying energy to tissue are provided. In one exemplary embodiment, a surgical device includes a monopolar end effector, a cannulated, insulated outer sheath, a translating nozzle coupled to the proximal end of the sheath, and a handle portion coupled to a proximal end of the end effector. Various translating means, such as switches, thumbwheels, rings, and buttons, are associated with the handle portion, and are effective to advance the outer sheath to cover a distal end of the end effector and retract the outer sheath to expose the distal end of the end effector. The translating means are configured in a manner that allows a user to operate the translating means without having to adjust a location of the user's hand on the device. A variety of translating means are provided for, as are methods for cutting, coagulating, irrigating, and suctioning tissue.
A61M 1/00 - Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
A61B 17/00 - Surgical instruments, devices or methods, e.g. tourniquets
A61B 18/00 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
A61B 18/12 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
The present disclosure is directed toward a staple drive assembly for use in a staple cartridge. The staple drive assembly may also be used in a disposable loading unit and/or any other suitable device and can be configured to deploy numerous types of staples and/or fasteners. The staple drive assembly includes an actuation sled and at least one staple driver. The staple cartridge includes a tissue contacting and/or supporting surface having a number of staple cavities wherein each staple cavity is adapted for releasably receiving a staple. The staple cartridge may include a guide channel/knife slot extending from a proximal portion to a distal portion along its longitudinal axis. The tissue contacting portion of the cartridge includes three tissue contacting surfaces which are stepped. The staple drivers may be staggered and may be independent. The height of the staples may vary. The staple drivers may comprise staple retaining features.
An apparatus comprises a body, a shaft, an end effector and a sensor. The shaft extends distally from the body. The end effector is configured to receive energy from an energy source. The end effector comprises a first jaw and a second jaw. The second jaw is pivotable relative to the first jaw to transition the end effector from an open configuration to a closed configuration. In the closed configuration, the first jaw and second jaw define a closure gap. The sensor is operable to detect when the end effector is in the closed configuration. The sensor is also in communication with the energy source, such that the sensor is operable to communicate a signal to the energy source when the sensor detects the end effector in the closed configuration.
Staple cartridge assemblies are disclosed herein which are an improvement over previous staple cartridge assemblies. Certain embodiments utilize tri-staple drivers which simultaneously eject three staples from a staple cartridge.
Methods and devices are provided for controlling movement of a distal end of a surgical instrument. In general, the methods and devices can allow for controlling movement of surgical tools, and in particular for causing mimicked motion between an external control unit and a surgical tool positioned within a patient's body. In one embodiment, a surgical system is provided having a master assembly including an input tool and a slave assembly including a surgical instrument. The master assembly and the slave assembly can be configured to be electronically coupled together such that movement of the master assembly can be electronically communicated to the slave assembly to cause mimicked movement of the slave assembly.
Devices and methods are provided for forming and securing a tissue plication. More particularly, the devices and methods of the present invention can be used to create multiple tissue folds on an anterior and posterior wall of a stomach cavity to reduce the volume thereof. In one aspect, a method of gastric volume reduction is disclosed that includes advancing a tissue acquisition and fixation device endoscopically into a stomach, manipulating the device to form a first fold of tissue on an interior surface of an anterior wall of the stomach, and manipulating the device to form a second fold of tissue on an interior surface of a posterior wall of the stomach, where the second fold is not attached to the first fold.
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A61B 17/00 - Surgical instruments, devices or methods, e.g. tourniquets
Electrosurgical instruments and associated methods are disclosed herein. Embodiments of the electrosurgical instruments can include an elongate shaft (30) that can articulate an end effector (40) relative to the elongate shaft, with the end effector including opposed jaws (42, 44) and positioned at a distal end of the elongate shaft. In addition, electrosurgical instruments are provided that include a cutting feature or knife that is coupled to the end effector and can axially translate relative to the elongate shaft. Furthermore, the knife can be rotated relative to the elongate shaft, which can cause simultaneous rotation of the end effector. Electrosurgical instruments are also provided that include an end effector including opposed jaws that are configured to rotate relative to the elongate shaft and grasp objects (i.e., via opening and closing the opposed jaws). Electrical energy can also be passed through the electrosurgical instrument for performing electrosurgical procedures.
Methods and devices are provided for preventing surgical devices used in laparoscopic procedures including opposed jaws and an overload mechanism from overloading the opposed jaws of the device. In one embodiment a surgical device, includes a handle and an elongate shaft extending distally therefrom with opposed jaws coupled to a distal end thereof. The surgical device can include a trigger pivotally movable about a first pivot axis during a first range of motion from an open position toward a closed position, to cause the opposed jaws of the end effector to move from an open position to a partially closed position. The trigger can further be pivotally movable about a second pivot axis during a second range of motion from the partially closed position to the fully closed position, without causing corresponding movement of the opposed jaws from the open position to the closed position.
Surgical devices are provided having power-assisted or fully powered jaw closure. The devices herein generally include a handle portion, an elongate shaft, and an effector having first and second jaws configured to engage tissue. A motor and one or more compression springs can be operatively coupled, and activation of the motor can compress the spring(s) to reduce the amount of user supplied force to compress tissue between the jaws. In some embodiments, the devices can be configured to regulate an amount of compression applied by the jaws prior to, during, and/or after cutting of the tissue to promote hemostasis. For example, the devices can include sensors, processors, and/or other components that analyze data indicative of tissue type and tissue load. Based on this feedback, the device can automatically adjust the amount of compression or energy applied to the tissue to seal the tissue.
Surgical instruments and methods for controlling temperature are described herein and can have particular utility when sealing tissue. In one embodiment, an end effector can include first and second jaw members configured to clamp tissue therebetween, and an electrode having a single continuous conductive surface that is coupled to the first jaw member. The end effector can also include a plurality of electrical insulators of varying thermal conductivity disposed between the electrode and the first jaw member coupled thereto. The electrode can be divided into a plurality of thermal zones by at least one opening formed therein and the plurality of electrical insulators can be arranged such that at least a first thermal zone contacts an electrical insulator having a first thermal conductivity and at least a second thermal zone contacts an electrical insulator having a second thermal conductivity that is higher than the first thermal conductivity.
