2977 results about "Open type" patented technology

A surgical sealing device (405), suitable for use during a surgical procedure such as a laparoscopic procedure or a hand-assisted laparoscopic procedure, comprises a first sealing member (5) and a second sealing member (6). A thin slit is defined between the sealing members (5, 6). In a closed configuration, the first sealing member (5) overlaps the distal end opening of a passageway (2) through the second sealing member (6) to prevent leakage of insufflation gases out of an abdomen (4). In an open configuration, the first sealing member (5) is retracted to reveal the distal end opening of the passageway (2) and thus facilitate passage of an object, such as a surgeon's hand or forearm (3), into the abdomen (4). The device (405) comprises a planar support element (406) fixedly attached to the proximal exterior surface (408) of the first sealing member (5). The first sealing member (5) is fixedly attached to the second sealing member (6) at an attached region (409), with a detached region (407) remaining detached from the second sealing member (6). The support element (406) acts as a stiffening element to increase the stiffness of the detached region (407) of the first sealing member (5) to minimise the deformation of the detached region (407) of the first sealing member (5) when the surgeon's hand/forearm (3) is pushed through the passageway (2). It is thus easier for the surgeon to retract the first sealing member (5) laterally to reveal the distal end opening of the passageway (2) by pushing the hand/forearm (3) through the passageway (2) and easier for the surgeon to pass the hand/forearm (3) through the device (405) and gain access to the abdomen (4).

Devices, systems and methods support tissue in a body organ for the purpose of restoring or maintaining native function of the organ. The devices, systems, and methods do not require invasive, open surgical approaches to be implemented, but, instead, lend themselves to catheter-based, intra-vascular and/or percutaneous techniques.

Devices for efficient severing or cutting of a material or substance such as soft tissue suitable for use in open surgical and/or minimally invasive procedures are disclosed. A cutting assembly generally includes a first and second cutting blades each having an inner surface and at least one set of cutting teeth, the first inner surface being in contact with the second inner surface so that the sets of cutting teeth of the first and second cutting blades are aligned with and configured to cooperate with each other when at least one of the cutting blades moves, e.g., rotates and/or oscillates, relative to the other. A tissue cutting device generally includes a probe and the cutting assembly configured to be in a storage configuration or in a cutting configuration. The cutting assembly may provide a coagulation mechanism.

Either an endoscopic or open bipolar forceps includes a flexible, generally tubular insulating boot for insulating patient tissue, while not impeding motion of the jaw members. The jaw members are movable from an open to a closed position and the jaw members are connected to a source of electrosurgical energy such that the jaw members are capable of conducting energy through tissue held therebetween to effect a tissue seal. A knife assembly may be included that allows a user to selectively divide tissue upon actuation thereof. The insulating boot may be made from a viscoelastic, elastomeric or flexible material suitable for use with a sterilization process including ethylene oxide.

Bone screw assemblies include longitudinal connecting members that provide for dynamic stabilization, some including non-uniform portions that are configured to flex, contract or expand. Composite longitudinal connecting members include longitudinal segments made from different materials having different flexibilities. Polyaxial bone screw assemblies include change-out receivers for cooperating with replacement longitudinal connecting members having a different flexibility. Bone screw shanks for cooperating with one or more open receivers include treatment or coating to provide biologically active interface with bone.

A system is provided for joining two tubular structures by a surgical stapling procedure. The system includes a series of sizers, a specifically designed graft, a loading unit, a wand, a surgical loop and a stapling instrument. The sizers are for determining the diameter of a target aorta and the availability of a sufficient transected aortic length to perform a stapling procedure. The loading unit holds the graft in position in the body and deploys a circumferential line of staples through the graft and an overlapping end of the aorta. The graft may include a side port by which the loading unit holds the graft during the stapling procedure, and which may be closed once the stapling procedure has been completed. The wand may be used to introduce the loading unit and graft into the body, to position them within the transected aorta, and to hold them in place during the application of the surgical loop. The surgical loop may include a band formed from a flexible material and having a width greater than its thickness so as to facilitate the formation of an annular loop. With the surgical loop holding the aorta and graft in relative overlapping positions, the wand may be removed from the loading unit and the stapling instrument may be assembled thereto. The stapling instrument includes a plurality of anvils which may be closed to form a circle overlying the aorta, and a trigger mechanism for firing the staples. When fired, the staples are deployed radially outward through the graft and aorta, whereupon their free ends are bent inwardly by staple returns on the anvils. As a result, a plurality of staples may be simultaneously deployed quickly and accurately in a circumferential pattern so as to join together two tubular structures. The system may be used in either an open surgical procedure or laparascopically.

A device for occluding a hollow anatomical structure includes a clamp having at least first and second clamping portions adapted to be placed on opposite sides of the anatomical structure. At least one of the first and second clamping portions is movable toward the other from an open position to a clamping or closed position to occlude the anatomical structure. The clamp has an annular shape configured to surround the hollow anatomical structure in the open position and a flattened shape in the clamping position configured to occlude the hollow interior of the anatomical structure. The clamp is preferably covered with fabric to promote tissue ingrowth. A clamp delivery and actuation device is provided for allowing the clamp to be applied in either an open surgical procedure or a minimally invasive procedure.

In one form of the present invention, there is provided an apparatus for forming a wedge-like opening in a bone for an open wedge osteotomy, the apparatus comprising: targeting apparatus for identifying a cutting plane through the bone and a boundary line for terminating a cut made along the cutting plane, wherein the boundary line is located within the bone; and an apex pin for disposition along the boundary line for providing (i) a positive stop at the boundary line for limiting cutting along the cutting plane, and (ii) a cylindrical opening extending along the boundary line so as to minimize the occurrence of stress risers within the bone when the bone on either side of the cut is moved apart so as to form the wedge-like opening in the bone. In another form of the present invention, there is provided a method for forming a wedge-like opening in a bone for an open wedge osteotomy, the method comprising: positioning targeting apparatus relative to the bone, so as to identify a cutting plane through the bone and a boundary line for terminating a cut made along the cutting plane, wherein the boundary line is located within the bone; and positioning an apex pin along the boundary line so as to provide (i) a positive stop at the boundary line for limiting cutting along the cutting plane, and (ii) a cylindrical opening extending along the boundary line so as to minimize the occurrence of stress risers within the bone when the bone on either side of the cut is moved apart so as to form the wedge-like opening in the bone; cutting the bone along the cutting plane, with the cut terminating at the boundary line; and moving the bone on either side of the cut apart so as to form the wedge-like opening in the bone.

A medical imaging system provides simultaneous rendering of visible light and fluorescent images. The system may employ dyes in a small-molecule form that remains in a subject's blood stream for several minutes, allowing real-time imaging of the subject's circulatory system superimposed upon a conventional, visible light image of the subject. The system may also employ dyes or other fluorescent substances associated with antibodies, antibody fragments, or ligands that accumulate within a region of diagnostic significance. In one embodiment, the system provides an excitation light source to excite the fluorescent substance and a visible light source for general illumination within the same optical guide that is used to capture images. In another embodiment, the system is configured for use in open surgical procedures by providing an operating area that is closed to ambient light. More broadly, the systems described herein may be used in imaging applications where a visible light image may be usefully supplemented by an image formed from fluorescent emissions from a fluorescent substance that marks areas of functional interest.

In one form of the present invention, there is provided an osteotomy implant for supporting an open wedge osteotomy, the osteotomy implant comprising: a first graft containment arm for disposition along one side of the open wedge osteotomy; a second graft containment arm for disposition along a second, opposite side of the open wedge osteotomy; and a base component for disposition along the mouth of the open wedge osteotomy, the base component being configured to selectively connect the first graft containment arm and the second graft containment arm to one another so as to form a generally wedge-shaped structure, wherein the base component constitutes the thicker end of the wedge. In another form of the present invention, there is provided a method for conducting an open wedge osteotomy, comprising: forming a wedge-like opening in the bone; positioning a first graft containment arm along one side of the wedge-like opening, and positioning a second graft containment arm along a second, opposite side of the wedge-like opening; and positioning a base component along the mouth of the wedge-like opening, the base component being selectively connected to the first graft containment arm and the second graft containment arm so as to form a generally wedge-shaped structure, wherein the base component constitutes the thicker end of the wedge.

A multifunctional telescopic monopolar/bipolar electrosurgery pencil is disclosed for use with an electrosurgery unit (ESU). The monopolar/bipolar electrosurgery pencil includes a bipolar electrode having an insulator sandwiched between an active electrode and a return electrode wherein the bipolar electrode is connected to a handpiece capable of alternately effectuating cutting and coagulation with the bipolar electrode. The monopolar/bipolar electrosurgery pencil is capable of functioning as both a monopolar and bipolar device and can be used for open and closed laparoscopic and endoscopic procedures. Telescopic means for adjusting the length of the bipolar electrode is also provided as are means for smoke evacuation and suction/irrigation. The multifunctional telescopic monopolar/bipolar device can also be adapted for use with an ESU argon beam coagulator.

Apparatus and method for using radio frequency coil systems for magnetic resonance imaging within an open architecture apparatus is provided. The MRI coil system includes a support structure with an open architecture in which secondary support structures, compression systems and plates containing RF coil systems may be introduced. These structures and RF coils can be moved relative to the patient, or removed entirely from the system. In one embodiment the system consists of a tabletop coil system, while another embodiment consists of a dedicated stretcher design.

An apparatus suitable for filtering emboli in an open surgical procedure. The apparatus comprises an elongated member having a distal region and a support hoop attached to the distal region. A blood permeable sac is affixed to the support hoop so that the support hoop forms a distally-facing mouth of the blood permeable sac. A guidewire is slideably attached to the elongated member. A delivery sheath is provided having a cavity for accepting the elongated member, support hoop and blood permeable sac, and a lumen extending through the cavity to permit the guidewire to pass therethrough. Methods of use are also described.

Hardware assisted transactional memory system with open nested transactions. Some embodiments described herein implement a system whereby hardware acceleration of transactions can be accomplished by implementing open nested transaction in hardware which respect software locks such that a top level transaction can be implemented in software, and thus not be limited by hardware constraints typical when using hardware transactional memory systems.

Disclosed are mechanisms for efficiently and accurately calculating critical area. In general terms, a method of determining a critical area for a semiconductor design layout is disclosed. The critical area is utilizable to predict yield of a semiconductor device fabricated from such layout. A semiconductor design layout having a plurality of features is first provided. The features have a plurality of polygon shapes which include nonrectangular polygon shapes. Each feature shape has at least one attribute or artifact, such as a vertex or edge. A probability of fail function is calculated based on at least a distance between two feature shape attributes or artifacts. By way of example implementations, a distance between two neighboring feature edges (or vertices) or a distance between two feature edges (or vertices) of the same feature is first determined and then used to calculate the probability of fail function. In a specific aspect, the distances are first used to determine midlines between neighboring features or midlines within a same feature shape, and the midlines are then used to determine the probability of fail function. A critical area of the design layout is then determined based on the determined probability of fail function. In specific implementations, the defect type is a short type defect or an open type defect. In a preferred implementation, the features may have any suitable polygonal shape, as is typical in a design layout.

A single use lancet assembly having a housing, with an open interior and a piercing aperture defined therein, a lancet, with a body and a piercing tip positioned in the open interior of the housing and movable between a cocked orientation and a piercing orientation, a driving assembly structured to move the lancet into the piercing orientation, and a single use trigger assembly structured to actuate an actuating mechanism thereby allowing the lancet to move, at least temporarily, from its cocked orientation to its piercing orientation. The single use trigger assembly is structured such that it may not be positioned to actuate the actuating mechanism more than one time, thereby preventing inadvertent or intentional re-use of a contaminated piercing tip.

An exhaust mixer assembly having a twisted mixer and an open centerbody is provided. The open centerbody is centrally disposed within the twisted mixer and helps to provide efficient cooling of exhaust air from gas turbine engines. A method for cooling exhaust air from a gas turbine engine using the exhaust mixer assembly of the invention is also provided.

A workflow system that automates work processes. The workflow system uses an open architecture to support multiple platforms and includes Application Programming Interfaces (APIs) enabling applications to communicate with a workflow engine. The workflow system supports Relational DataBase Management System (RDBMS) databases and allows routing of any kind of work (forms, images, executables). In addition, its flexible architecture is designed to facilitate changes to a workflow dynamically and to support integration with an existing infrastructure.

The workflow system links software components to enable participants to work on shared data and ensures that business processes follows predetermined rules. Each task in the process is regulated such that the appropriate people have access to the appropriate data and are instructed to perform the task at the appropriate time.

A developer can use a workflow system provided client to get an application up and running relatively quickly. The workflow system provides adapters which enables quick deployment and element flexibility. Adapters have a fixed interface which allows the Document Management System ((DMS)), Directory Services (DS) and DataBase system (DB) to be changed independent of the application in contrast to other workflow systems which tie the application directly to the (DMS), DS, and DB. The adapters allow developers to attach clients of varying types and magnitude and allows developers to mix and match application elements to better serve their application. Thus, the workflow system is not tied to any proprietary (DMS), DS, or DB.

An endovenous valve transfer stent (10) has an elongated tubular open-work body (12) having a network of longitudinally extending ribs (13) interconnected by laterally extending zigzag struts (14). The struts define a plurality of barbs (15, 17) in opposing longitudinal directions. The body (12) has a first end and a second end, and includes a longitudinal cut through the struts (14) from the first end to the second end. A seam (19) is defined between adjacent cut ends of each strut. The body (12) is adapted, in use, to vary in its diameter to receive a donor valve containing vein segment (20) longitudinally therethrough.