4363results about "Pivots" patented technology

A surgical stapling and severing instrument particularly suited to endoscopic use includes a proximal portion that is manipulated external to a patient to position an attached elongate shaft and end effector to a desired surgical site inside of the patient. An articulation joint pivotally attaches the end effector to the elongate shaft to give further clinical flexibility in reaching tissue at a desired angle. A closure tube assembly includes a single pivoting portion that overrides the articulation joint in order to distally translate to the end effector to close, yet pass over an articulated shaft by having a multiple pivot frame ground encompassed therein to accommodate the longitudinal change in closure sleeve pivot. Thereby, additional clinical flexibility in positioning the end effector is achieved without losing the ability for separate closure and firing motions transferred by the shaft.

A rotating surgical stapler having a proximal end and a distal end includes a handle at the proximal end and an end effector at the distal end for selective rotation to improve access to tissue requiring treatment and ease of use of the present linear surgical stapler. A support shaft connects the handle to the end effector and includes a longitudinal axis. The end effector is coupled to the support shaft for rotation about a longitudinal axis of the stapler.

An articulating surgical stapler having a proximal end and a distal end includes a handle at the proximal end and an end effector at the distal end for selective articulation to improve access to tissue requiring treatment and ease of use of the present linear surgical stapler. A support shaft connects the handle to the end effector. An articulation mechanism is positioned between the support shaft and the end effector permitting selective movement of the end effector relative to the support shaft.

A roll joint utilizes at least one tendon guide surface to guide actuator tendons for distal roll off and on their respective drums on a central shaft of the roll joint. The tendon guide surface turns the actuator tendon in an axial direction in a more compact space than might be required for a pair of pulleys, while using fewer parts with larger features more easily formed on a small scale.

A joint assembly of an adapter defines a first longitudinal axis and includes first and second hinges, first and second rings, a joint cover, and a biasing mechanism. The joint cover has first and second cover portions. The first ring is pivotally coupled to the first hinge and the first cover portion is pivotally coupled to the first hinge to define a first joint center. The second ring is pivotally coupled to the second cover portion and the second hinge is pivotally coupled to the second ring to define a second joint center that is spaced from the first joint center. The first and second joint centers define a cover axis of the joint cover. The biasing mechanism is engaged with the first ring and the joint cover to bias the joint cover towards an aligned configuration in which the cover axis is aligned with the first longitudinal axis.

A flexible spinal fixation device having a flexible metallic connection unit for non-rigid stabilization of the spinal column. In one embodiment, the fixation device includes at least two securing members configured to be inserted into respective adjacent spinal pedicles, each securing member each including a coupling assembly. The fixation device further includes a flexible metal connection unit configured to be received and secured within the coupling assemblies of each securing member so as to flexibly stabilize the affected area of the spine.

Floor panels ( 1, 1 ') are provided with a mechanical locking system including a flexible locking element 15 in a locking groove 14 which during a horizontal motion is displaced vertically.

An omni-positional hoist ring assembly including a bushing element that includes a sleeve with an axial length, a proximal end and a distal end. A load bearing flange is radially disposed about the proximal end of the sleeve. The sleeve has an internal thread extending at least part way of the axial length of the sleeve. A mounting screw element has a major axis, a head, and a shank disposed generally co-axially around the major axis. The shank includes a threaded shank portion and a bearing portion. The bearing portion is a generally cylindrical axially extending portion of the shank that has a diameter approximately equal to the minor diameter of the thread in the threaded shank portion. A thrust washer element is provided between the head and the distal end of the sleeve. A body element receives the in-turned opposed ends of the legs of a lifting loop element in sockets. The lifting loop is free to pivot. The body element is free to rotate about the sleeve, so the lifting loop will self align with a load that is applied to it from any direction within a hemisphere centered on the major axis of the mounting screw element. The elements of the hoist rig assembly are assembled by aligning them and inserting the mounting screw element into the sleeve and threadably advancing it until the bearing is aligned with the internal thread so further rotation of the mounting screw element does not threadably advance the mounting screw element relative to the sleeve.

A stent is constructed using interconnected links having micro-mechanical latching mechanisms. The micro-mechanical latching elements allow relative rotational movement of interconnected links in one rotational direction but restrict relative rotational movement of the two links in the opposite direction. The micro-mechanical latch surface features are formed using microelectronic mechanical systems (MEMS) manufacturing methods. The male surface of the latching components contains an array of ridges or protrusions, and the receiving surface contains a matching array of recesses. The array of ridges or protrusions and the corresponding recesses have uniformly dissimilar slopes that result in a substantially greater frictional force in one direction than in the opposite direction. The separation distance between the two surfaces is such that the male latch surface is engaged with the receiving surface recesses in the low stress “locked” state, preventing motion in the undesired direction. Each male ridge or protrusion can be underlined by a void that promotes elastic deflection when sliding in the desired direction and recovery into the ‘locked’ state when aligned with the recesses.

A protective mechanism for use when gripping a medical device to a rack is provided. A related system and method are also provided. The protective mechanism includes a guide member, a connector, an actuation member configured to have a first end portion and a second end portion. The first end portion of the actuation member is pivotally coupled to the guide member. The cover member is pivotally coupled to the guide member and is configured to interact with the actuation member so as to pivot to uncover the connector when the actuation member pivots in a first direction and to pivot to cover the connector when the actuation member pivots in a second direction.

A rotating surgical stapler having a proximal end and a distal end includes a handle at the proximal end and an end effector at the distal end for selective rotation to improve access to tissue requiring treatment and ease of use of the present linear surgical stapler. A support shaft connects the handle to the end effector and includes a longitudinal axis. The end effector is coupled to the support shaft for rotation about a longitudinal axis of the stapler.

This invention provides a support device that allows the adjustable, yet rigid placement of a probe or other medical instrument against a region of interest / treatment on a patient. The system and method of rigid fixation, positioning, and adjustment contemplated herein is useful for a broad array of medical procedures including, but not limited to, ultrasound-guided anesthetic delivery. In an exemplary embodiment of the present invention, a flexible armature is attached to a rigid stand placed upon the floor, or attached to another stable surface such as a bed rail, wall, ceiling or piece of equipment. A joint connects the armature to an instrument holder able to accommodate and rigidly attach an ultrasound sensing probe or other medical device. The medical device then remains rigidly attached to the described invention during the procedure. Furthermore, this set position is resistant to minor patient motion or other disturbances. If required, small alterations can be made by the operator during the procedure with minimal effort. Such adjustment may be desirable, for example, if access to a new anatomical structure is needed. In this manner, the primary operator is able to maintain a ‘hands-free’ approach.

A mounting unit (11) for a attaching a working unit such as a video projector to a mounting surface which can be horizontal or vertical or at some angle intermediate the horizontal and the vertical comprising: an anchorage (12) whereby the unit can be attached to the mounting surface; a beam (13); a carrier (18) comprising in combination a holding plate (19) and a mounting plate; the carrier being adapted to provide for the attachment of a working unit to the mounting plate; a first pivot (20a) whereby a first end of the beam is pivotably attached to the anchorage to enable the beam to pivot about a first axis (a1); a second pivot whereby the other end of the beam to the first end is pivotably attached to the holding plate to enable the holding plate to pivot about a second axis (a2) parallel to the first axis; a third pivot (24) whereby the holding plate can pivot about a third axis perpendicular to the second axis; a fourth pivot (23) whereby the holding plate can pivot about a fourth axis (a4) perpendicular to the second and third axes; the carrier including mechanism whereby the mounting plate can be rotated about an fifth axis parallel to the holding plate.

A positional arm device is a series of multiple rods connected to each other by a spherical housing and ball joint with a spring-loaded locking piston providing a multiple position holding device serving as an anchor to hold tools in a certain position, and also as a connector between two object where a certain secure fixed position between the two objects is desired. The arm device has a spherical terminal rod, a plurality of intermediate rods and a terminal housing rod connected together by a spherical housing adjustably positioned and locked by a spring-loaded piston shaft engaging a sphere end retained within the housing, the piston shaft lockingly engaging one of a multiplicity of grooved indentations on the surface of the sphere end.

An interface apparatus includes a base element, an interface element, and an attachment mechanism for attaching the interface element to the base element. The attachment mechanism is pivotable within a plurality of degrees of freedom. The interface element is an extensible member which is, in two of its embodiments, pivotally mounted so as to be rotatably adjustable about a pivot point with respect to a primary member. The primary member may be a base member or another display member. These members may be computer keyboards or displays, such as liquid crystal displays (LCDs), audio speakers, or the like such as are used in desk top or lap top computers and terminals.

An articulating surgical stapler having a proximal end and a distal end includes a handle at the proximal end and an end effector at the distal end for selective articulation to improve access to tissue requiring treatment and ease of use of the present linear surgical stapler. A support shaft connects the handle to the end effector. An articulation mechanism is positioned between the support shaft and the end effector permitting selective movement of the end effector relative to the support shaft.

A surgical stapling and severing instrument particularly suited to endoscopic use includes a proximal portion that is manipulated external to a patient to position an attached elongate shaft and end effector to a desired surgical site inside of the patient. An articulation joint pivotally attaches the end effector to the elongate shaft to give further clinical flexibility in reaching tissue at a desired angle. A closure tube assembly includes a single pivoting portion that overrides the articulation joint in order to distally translate to the end effector to close, yet pass over an articulated shaft by having a multiple pivot frame ground encompassed therein to accommodate the longitudinal change in closure sleeve pivot. Thereby, additional clinical flexibility in positioning the end effector is achieved without losing the ability for separate closure and firing motions transferred by the shaft.

There are provided an artificial joint device that can realize an artificial limb enabling twisting motion without a drive source, and when with the drive source, reduce the size and costs of the device, and a parallel linkage that can realize the device. The linkage connects a foot portion and a mounting plate spaced from each other. A fixed link has one end fixed to the plate, and the other end connected to the foot portion via a ball joint, making the angle of the fixed link relative to the foot portion changeable in any direction. Expansible links extend between the foot portion and the plate in an expansible / contractible manner and each have opposite ends connected to the plate and the foot portion via respective upper and lower ball joints, making respective angles thereof relative to the foot portion and the plate changeable in any direction.

A mounting assembly for use with a mounting surface includes an arm, a pin, a pair of clamping blocks and a fastener. The arm has a cylindrical bore at one end. The pin extends through the bore. Each block of the pair of clamping blocks includes a central opening and is circumferentially discontinuous about the central opening. Each clamping block further includes a slot defined by portions of the block. The slot is dimensioned to allow the pin to pass through the slot when the block is in an unclamped position and to tightly grip the pin when the block is in a clamped position. The fasteners extend across the slots and are configured to engage the mounting surface to mount the blocks to the mounting surface.

A device for a ball-and-socket-type connection of two members includes a first member having a head and a second member having a cavity that receives the head. The cross-sectional surface of the cavity is tapered at the lower end of the second member as a result of a constriction. The head and / or cavity is configured spherically with a center of articulation (Z). The ball-and-socket-type connection between the two members can be detachably fixed by a clamping element that can be connected to the second member. The head has a recess in which the front end of the clamping element can rest. The recess and / or the front end has an at least partially spherical surface with a centre (C). In the clamped position of the device, the center of articulation (Z) and the centre (C) are identical.

A protective mechanism for use when gripping a medical device to a rack is provided. A related system and method are also provided. The protective mechanism includes a guide member, a connector, an actuation member configured to have a first end portion and a second end portion. The first end portion of the actuation member is pivotally coupled to the guide member. The cover member is pivotally coupled to the guide member and is configured to interact with the actuation member so as to pivot to uncover the connector when the actuation member pivots in a first direction and to pivot to cover the connector when the actuation member pivots in a second direction.

An endoscope assembly consisting of an endoscope 622, a light source, 626 and a camera 552 with display 558. The endoscope contains a memory 670 with data that describes the endoscope and its operating characteristics. When the light source is connected to the endoscope with a fiber optic cable 628, the data in the memory are read into a control processor 538a internal to the light source. The control processor, based on the endoscope data configures the light source so that it emits an appropriate amount of light for that endoscope. The light source also sends a control unit 556 of the camera data indicating the type of endoscope to which the camera is attached. Based on this endoscope type data, the control unit processes the image signals generated by the camera head in an appropriate form for the attached endoscope so as to produce appropriate signals for presenting an image on the display.

A changing table for a playard includes a front and rear rails, and a pair of side rails connected to each other to form a platform substantially rectangular or elliptical in shape. A first pivot joint with a button mounted at the exterior is provided at one end of one of the pair of side rails. One end of the rear rail is attached to a second pivot joint which corresponds to the first pivot joint in structure. The first and second pivot joints may be coupled to each other to define a space therein to receive a toothed disc and a compression spring. By means of the cooperation between the pivot joints, toothed disc and compression spring, the first pivot joint moved by the side rail is rotatable within a predetermined angular range and may be locked at a predetermined angle. By such arrangement, the user can readily actuate the button of the first pivot joint to swing the side rail attached to the first pivot joint, to thereby conveniently fold and / or unfold the changing table.

A quasi-kinematic coupling for mating components (mechanical parts, surfaces, assemblies and the like) employing mating sets of surface of revolution, (conical) grooves and cooperative surface of revolution (spherical / conical) protrusions for establishing six lines (not just prior points) of contact at the kinematic interfaces, and with elastic compliance therebetween and preferably with relief features to define the effective orientation as a clamping force seats the protrusions in the grooves and seals the component mating surfaces into contact.

Method for making diamond bearings and diamond bearing components. Some methods include sintering diamond feedstock and a substrate under high pressure and high temperature to create a sintered polycrystalline diamond compact with a non-planar bearing and articulation surface. Various machining, grinding and polishing methods for finishing the compact are provided.

An instrument for establishing orientation of a pelvic prosthesis comprises a tri-pod having an angularly adjustable guide rod on it. The tips of the legs define a plane, and the guide rod is set by the surgeon to a defined orientation with respect to this plane on the basis of preoperative studies. In use, two of the legs of the instrument are positioned by the surgeon at defined anatomical locations on the pelvis (e.g., a point in the region of the posterior / inferior acetabulum and a point on the anterior superior iliac spine). The third leg then lands on the pelvis at a point determined by the position of the first two points, as well as by the separations between the third leg and the other two legs. The separations are adjustable, but are preferably fixed percentages of the separation between the first and second legs. The position of the guide rod then defines with respect to the actual pelvis the direction for insertion of a prosthesis.

A surgical system having a cassette latching mechanism having two pivoting latching rails. The rails are connected to a rotating latching wheel by spring-loaded latching arms. The latching wheel is connected to a motor by a latching pushbar. The cassette is pressed into the rails which initiates the rotation of the rails, which close onto the cassette. The motor next rotates the latching wheel, producing cam-like movement of the latching arms and thereby further pivoting the latching rails to the fully closed and locked position.

A bearing, a composite structure, an implant and a method for producing a bearing with a micro-rough bearing surface are proposed. An improvement in the bearing properties—minimization of particle formation and reduction of friction—and a universally usable composite structure are achieved by the surface of the bearing or of the composite structure being roughened by etching and possibly provided with a coating, preferably consisting of plastic.