1514results about How to "Sufficient force" patented technology

A linear surgical stapler adapted for applying a plurality of surgical fasteners to body tissue includes an anvil structure and a cartridge housing containing a plurality of surgical fasteners. The cartridge housing and anvil structure are relatively movable between a first spaced apart position and a second position in close approximation with one another. A firing mechanism is associated with the cartridge housing for ejecting the surgical fasteners from the cartridge housing to be driven against the anvil structure. A lockout mechanism interacts with the cartridge housing for selective activation and deactivation. The lockout mechanism includes a swing gate tab secured to the cartridge housing at a position adjacent a lockout lever, such that firing of the linear surgical stapler rotates the swing gate tab releasing the lockout lever for preventing further firing of the used cartridge housing.

A surgical device includes a radio-frequency-signal-generation assembly including a radio-frequency-signal-generation circuit operable to generate a radio-frequency signal at an output and adapted to couple to a switch-mode power supply and a surgical handle including an end effector having at least one jaw with at least one electrical contact, the end effector including at least one signal input that electrically connects to the output to provide the radio-frequency signal at the at least one electrical contact.

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

A method for powering an electrosurgical instrument includes the steps of inserting a removable battery assembly into an electrosurgical instrument and activating the power control circuit to power the electrosurgical instrument. The removable battery assembly includes a power control circuit powered by at least one energy storage cell, a radio-frequency-signal-generation assembly communicatively coupled to the power control circuit and operable to selectively produce a radio-frequency signal, and a battery assembly / instrument interface operably coupled to the radio-frequency-signal-generation assembly. The battery assembly / instrument interface includes a first plurality of connectors removably connectable with at least one corresponding connector coupled to the electrosurgical instrument, at least one of the first plurality of connectors being operable to supply the radio-frequency signal to the electrosurgical instrument.

A cordless surgical device includes a modular battery, a radio-frequency signal generating assembly, a surgical handle and an interchangeable circuit casing. The RF signal generating assembly includes RF-signal-generating circuitry, a voltage-control circuit and an external output. The voltage circuit is configured to control an output of the RF-signal-generating circuitry. The handle is configured to support a bipolar end effector having jaws with bipolar contacts and a cutting blade disposed between the jaws. The handle includes leads operable to receive RF signals from the external output and defines an aseptically sealable battery-holding compartment configured to hold the battery. The circuit casing is configured to house the RF signal generating assembly and includes a securing connection adapted to couple the external output of the RF signal generating assembly to the leads. The external output is operable to impart RF signals to the handle when the circuit casing connects to the handle.

This invention relates to prosthetic cardiac and venous valves and a single catheter device and minimally invasive techniques for percutaneous and transluminal valvuloplasty and prosthetic valve implantation.

Systems and methods are provided for detecting misfire of a surgical staple cartridge and for indicating such misfire to a user on a user interface. An actuation force applied to a staple cartridge is measured and compared to a threshold actuation force. In response to the comparison, a controller determines if there has been a misfire of the surgical staple cartridge. A determination that misfire has occurred is made when the measured actuation force is greater than a maximum threshold force or less than a minimum threshold force, and under such circumstances, the controller terminates the staple firing sequence.

This invention relates to prosthetic cardiac and venous valves and a single catheter device and minimally invasive techniques for percutaneous and transluminal valvuloplasty and prosthetic valve implantation.

This invention relates to prosthetic cardiac and venous valves and a single catheter device and minimally invasive techniques for percutaneous and transluminal valvuloplasty and prosthetic valve implantation.

The invention, in various embodiments, is directed to a solid-state flow generator and related systems, methods and applications.

A coupling device for securing an elongate member to the spine is provided. The coupling device comprises a compressible inner member that secures an anchor member therein when the inner member is axially shifted within an outer member. Structures are provided to prevent disassembly of the anchor and coupling device prior to locking of the elongate member.

An apparatus and method for the self-administration of a plurality of doses of an intranasal liquid pharmaceutical composition, including opioid analgesics, that includes a drug delivery device containing a plurality of sealed vials, each vial containing a predetermined volume of the pharmaceutical composition, a pump assembly for conveying the liquid pharmaceutical composition from the interior of the vial and discharging it as a nasal spray in response to manual activation by the patient, and programmable means for sequentially advancing a vial to the ready position after passage of a prescribed time interval following the last activation of the delivery device.

A prosthetic spinal disc uses a stiff spring or springs for resiliency between two plates that attach to adjacent vertebrae. When the disc has multiple springs, they may be adjacent, concentric or nested. Multiple springs may be spaced around the periphery of the plates. A foil metal bellows may surround the plates to prevent material from entering or exiting the space between the plates. Alternatively, the ends of the spring(s) may be machined with spikes to engage the vertebrae directly without plates.

Devices, systems and methods for fixation of tendon to bone are described. An exemplary surgical implant is a modified bone anchor that is able to grasp the tendon and hold it firmly in a bone tunnel. Once deployed, the anchor delivers lateral compression to the tendon, providing direct tendon to bone compression to facilitate healing. The anchor has different versions which allow it to be attached to the tendon prior to insertion into the bone tunnel, or be inserted between tendon arms when the surgical procedure dictates. The resulting tendon to bone compression allows for the firm fixation in a manner markedly simpler than traditional techniques. A modification of this anchor can also allow the anchor to grasp and hold suture. This variation facilitates the technique for knotless rotator cuff repair.

A modular prosthetic valve device for implantation in a patient is disclosed. The valve device is designed as two or more modules to be delivered unassembled and combined into an assembled valve device in the body—e.g., in the body at or near the site where implantation occurs. The two or more modules may be a support structure and a valve assembly. The valve assembly may be formed from two or more valve sections. Because the valve device of the invention is deliverable as modules, it may have a smaller delivery diameter than pre-assembled percutaneous valves and permits use of a delivery device of reduced diameter. Delivering the valve device as modules increases the flexibility of the valve device during delivery, compared to percutaneous valve devices in the art. The invention further provides a system for and method of delivering such a modular valve device and assembling it in vivo. The modules of the valve device may be connected by pull wires for delivery sequentially to or near the implantation site in the body lumen, and then assembled by remote manipulation using the pull wires. The system may further include a temporary valve that may be deployed to maintain valvular function while the device modules are assembled. The temporary valve may be attached to the delivery device and deployed either before or after the support structure is expanded, or the temporary valve may be attached to the support structure and deployed when the support structure is expanded. Various locking mechanisms are provided for attaching the device modules together.

A compression connector for the end of a spiral corrugated coaxial cable is provided wherein one or more contact forces are provided between the connector and the cable by driving a coiled element of the connector into a groove within the corrugations of the cable and / or by causing an element of the compression connector to radially deform inward against the outer jacket of the cable.

Hearing systems for both hearing impaired and normal hearing subjects comprise an input transducer and a separate output transducer. The input transducer will include a light source for generating a light signal in response to either ambient sound or an external electronic sound signal. The output transducer will comprise a light-responsive transducer component which is adapted to receive light from the input transducer. The output transducer component will vibrate in response to the light input and produce vibrations in a component of a subject's hearing transduction pathway, such as the tympanic membrane, a bone in the ossicular chain, or directly on the cochlea, in order to produce neural signals representative of the original sound.

A coupling device for securing an elongate member to the spine is provided. The coupling device comprises a compressible inner member that secures an anchor member therein when the inner member is axially shifted within an outer member. The elongate member is retained within the device by an axially inserted locking member, and may be secured independently of the anchor member. The coupling device and anchor may be configured to provide increased angulation of the anchor with respect to the coupling device. For instance, anchor member may have an offset head portion in order to provide normal pivoting of the coupling device when the anchor is attached to bone at an angle.

A linear surgical stapler adapted for applying a plurality of surgical fasteners to body tissue includes an anvil structure and a cartridge housing containing a plurality of surgical fasteners. The cartridge housing and anvil structure are relatively movable between a first spaced apart position and a second position in close approximation with one another. A firing mechanism is associated with the cartridge housing for ejecting the surgical fasteners from the cartridge housing to be driven against the anvil structure. A lockout mechanism interacts with the cartridge housing for selective activation and deactivation. The lockout mechanism includes a swing gate tab secured to the cartridge housing at a position adjacent a lockout lever, such that firing of the linear surgical stapler rotates the swing gate tab releasing the lockout lever for preventing further firing of the used cartridge housing.

Apparatuses and methods are disclosed for performing a procedure on a heart valve in which a loop of material (160) is configured to contact at least a portion of the annulus or the leaflets of a valve. A plurality of anchors (16) are distributed about the loop and configured for implantation into the annulus or the leaflets in a forward direction. The anchors are configured to resist extraction in a backwards direction. A plurality of linking members (150) are affixed to the loop of material and at least a portion of each linking member passes through a slot (17) in a respective anchor so that the linking members can slide with respect to the slots. The anchors are then implanted into the annulus or the leaflets. The loop can then be used to retain a replacement valve or to cinch the annulus. A number of particularly advantageous anchor configurations are also disclosed.

An endoluminal prosthesis includes a tubular graft, an expandable annular support structure and a restraining mechanism restraining the prosthesis in a collapsed configuration in which the annular support structure is compressed to a low profile. The restraining mechanism holds the annular support structures in the collapsed configuration until the prosthesis is positioned for deployment. The restraining mechanism is then released to allow the annular support structures to expand into conforming engagement with the inner wall of a lumen in which the prosthesis is to be deployed. A feature according to the invention provides a balloon catheter onto which the prosthesis is loaded for deployment where the balloon is expanded to provide a radial force to release the restraining mechanism. Another feature provides for a restraining member that breaks upon application of the radial force to release the annular support structure from its constrained configuration. Another feature of the invention provides for independent and / or sequential release of the annular support members. Various types of annular support members attached to tubular grafts in a variety of manners may be used in accordance with the invention. The invention may be used in tubular grafts for endoluminal placement within a body lumen, including blood vessels, and for the treatment of abdominal and other aneurysms.

A spinal fixation system includes a rod and anchor devices that include a bone engaging fastener having a head defining a spherical socket. A ball insert is placed within the socket and rotated so that the ball insert is juxtaposed with the socket. The anchor device further includes a yoke defining a yoke channel for receiving the rod and a stem engaged to the ball insert captured within the socket. A sleeve disposed between the yoke channel and the fastener head supports the rod. A set screw is operable to clamp the rod against the sleeve and draw the insert into engagement within the socket. A releasable detent defined between the yoke and the fastener head is configured to releasably retain the yoke in at least one discrete position relative to the fastener. Portions of the releasable detent may also exert a frictional retention force against the fastener head.

A circuit for generating a radio-frequency signal for a surgical device is disclosed. The circuit has a voltage regulator that supplies direct current (DC) voltage, a first MOSFET, a second MOSFET, and a MOSFET driver. The MOSFET driver receives the DC voltage supplied from the voltage regulator and has a local oscillator. The local oscillator switches the first MOSFET and the second MOSFET on and off at a frequency generated by the local oscillator. The circuit further includes a transformer connected to the first and second MOSFETs, having a center tap and a main voltage applied at the center tap, and providing an alternating current (AC) output.

A practical cable made of a high strength fiber composite material is provided, which has high and stable strength, in addition, has even axial tension against bending and thus has a stable shape, and can be wound on a reel without shape deformation, and is hardly buckled when it is inserted into a hole or cylinder. The cable is formed by singly twisting a plurality of high strength fiber composite materials is used as a strand, and a plurality of the strands are twisted together at a twist angle of 2 to 12 degrees in a direction opposite to a twist direction of the strands, so that a double twist structure is made.

An improved mechanism for positioning loads of varying magnitudes, such as LCD displays, etc. The position of the load can be varied in height and angle according to the requirements of the user. The mechanism incorporates an adjustable sliding fulcrum, a support arm, a housing with four generally perpendicular channels, and a gas spring. The mechanism is initially manually adjusted for a particular load and then it automatically adjusts proportionally for the varying moments generated as the position of the load changes. The load is therefore evenly counterbalanced throughout its range of motion, and its position is maintained.

An endoluminal prosthesis is provided that includes a tubular graft and an expandable annular support structure. The annular support structure is coupled to the tubular graft so that the graft and support structure, in combination, provide columnar support while maintaining prosthesis flexibility. The prosthesis has sufficient strength and durability to withstand loads applied during deployment and sufficient flexibility to permit implant in a sealing arrangement within a tortuous body lumen. An embodiment according to the invention provides a plurality of annular structures with staggered, longitudinally overlapping apices of undulating structures. One embodiment relates to tubular grafts for endoluminal placement within a body lumen, including blood vessels, and for the treatment of abdominal and other aneurysms.

An implant is placed within Schlemm's canal of the eye and provides tension to the trabecular meshwork. The tension is continuous and increases the aqueous outflow without the necessity of administering cholinergic drugs to treat glaucoma.

An electric power tool includes a housing, a brushless motor, an output shaft, and a motor driver circuit. The housing defines an axial direction. The brushless motor is accommodated in the housing and having a drive shaft. The output shaft extends in a direction generally perpendicular to the drive shaft. The motor driver circuit is accommodated in the housing for driving the brushless motor. The housing has a cylindrical shape and has a part functioning as a grip portion.