2462 results about "Range of motion" patented technology

A bipolar electrosurgical forceps comprises an elongated tubular barrel having a proximal end, a distal end and a lumen extending between these two ends. A handle is provided at the proximal end of the barrel and includes an actuating member for opening and closing a pair of forceps jaws that are mounted at the distal end of the barrel. The forceps jaws include cam slots in a proximal head portion thereof. A coupling member extends between the actuating member on the handle and the pair of forceps jaws. The coupling member includes drive pins that cooperate with the cam slots whereby squeezing of the actuating mechanism first effects pivotal rotation of the pair of forceps jaws over a first range of motion of the actuating member and translation without rotation of the forceps jaws over a second range of motion of the actuating member.

Methods for treating tissue, and surgical assemblies and related methods are disclosed in which a single input is used to sequentially articulate two members. A surgical assembly includes an end effector, a base supporting the end effector, an input link movable relative to the base through a range of motion between a first configuration and a second configuration, and an actuation mechanism. The end effector includes a first articulated member and a second articulated member. The actuation mechanism drivingly couples the input link to the first articulated member within a first portion of the range of motion and drivingly coupling the input link with the second articulated member within a second portion of the range of motion so that a movement of the input link from the first configuration to the second configuration articulates the first articulated member and then articulates the second articulated member.

The invention relates to a surgical implant that provides an artificial diarthroidal-like joint, suitable for use in replacing any joint, but particularly suitable for use as an intervertebral disc endoprosthesis. The invention contains two rigid opposing shells, each having an outer surface adapted to engage the surfaces of the bones of a joint in such a way that the shells are immobilized by friction between their outer surfaces and the surfaces of the bone. These outer surfaces are sufficiently rough that large frictional forces strongly resist any slippage between the outer surface and the bone surfaces in the joint. They may be convex, and when inserted into a milled concavity, are immediately mechanically stable. Desirably, the outer surfaces of the shells are adapted to allow for bony ingrowth, which further stabilizes the shells in place. The inner surfaces of the shells are relatively smooth, and adapted to slide easily across a portion of the outer surface of a central body disposed between the shells. The central body has a shape that cooperates with the shape of the inner surface of the shell so as to provide a range of motion similar to that provided by a healthy joint. A flexible sheath extends between edges of the opposing shells. The inner surface of this sheath, together with the inner surfaces of the rigid shells, defines a cavity encasing the central body. At least a portion of this cavity is filled with a fluid lubricant, further decreasing the frictional force between inner surfaces of the shell and the surface of the central body.

There is disclosed a system and method for dynamic stabilization which provides for distraction of the inter-vertebral space while still allowing a patient a substantial range of motion. In one embodiment, an inter-vertebral dynamic brace is used to maintain proper distraction. The dynamic brace is designed to allow the vertebrae to which it is attached to move through their natural arc, maintaining the correct instantaneous center of rotation. An adjustable tensioning device is used to maintain the proper distraction and compression forces to restore and maintain proper kinematics, while allowing the dynamic brace to move through an arc centered with respect to the center of rotation of the portion of the spine between the vertebrae. In one embodiment, a method is provided for adjusting the dynamic brace both with respect to the center of rotation of the vertebrae in both the flexion / extension axis and in the superior / inferior axis.

A parallel mechanism is capable of positioning and orienting an end platform with up to six or more degrees of freedom. In preferred embodiments, the mechanism includes six links having a first and second ends. The first end is connected to an end platform for supporting a tool, while the second end is connected to an actuator capable of translating the second end. A rotational drive mechanism may be provided for rotating an object mounted on the end platform at varying orientations of the end platform independently of movement of the end platform as a whole. The links may be curved in order to avoid interference between adjoining links, thereby permitting an increased range of motion and improved dexterity of the mechanism.

A system and method for prosthesis fitting in joints comprising an artificial condyle and a spacer which cooperates with the condyle to form an artificial joint. The spacer embedded with at least one sensor which is responsive to a force generated between the condyle and the spacer. The artificial joint is adapted to move between a flexed position and an extended position defining a range of motion. The sensor is responsive to the force and generates an output representative of that force. The output is transmitted, either wirelessly or other, to a processor which utilizes an analysis program to display a representation of the forces applied. A practitioner utilizing the displayed analysis may intraoperatively determine the adjustments and balancing required within the artificial joint. The system may also utilize a ligament tension sensor which generates data representative of tension on a ligament of the artificial joint, and a joint angle sensor responsive to the range of motion of the artificial joint. The processor may be adapted to store the outputted sensor data to provide the practitioner with statistically relevant historical data.

A multi-panel device with a configurable interface is disclosed. In a particular embodiment, the device includes a hinge rotatably coupled to a first panel of the device via a first pin and rotatably coupled to a second panel of the device via a second pin. The first pin is engaged within a slot of the first panel to enable a lateral movement of the first panel relative to the second panel such that the first panel has a first range of motion relative to the second panel when the hinge is in an extended configuration and a second range of motion when the hinge is in a retracted configuration. The first range of motion is larger than the second range of motion.

Methods for treating tissue, and surgical assemblies and related methods are disclosed in which a single input is used to sequentially articulate two members. A surgical assembly includes an end effector, a base supporting the end effector, an input link movable relative to the base through a range of motion between a first configuration and a second configuration, and an actuation mechanism. The end effector includes a first articulated member and a second articulated member. The actuation mechanism drivingly couples the input link to the first articulated member within a first portion of the range of motion and drivingly coupling the input link with the second articulated member within a second portion of the range of motion so that a movement of the input link from the first configuration to the second configuration articulates the first articulated member and then articulates the second articulated member.

In one aspect, a stent delivery system includes a catheter having two or more pullwire lumens evenly spaced about the central axis of the catheter and thereby balanced within the catheter. Pullwires are positioned in the pullwire lumens. Proximal portions of the pullwires are attached to a connector, which is attached to a master pullwire. The connector has a given range of motion that allows the pullwires to move within the pullwire lumens, thereby ensuring full flexibility of the catheter. The pullwires assume different lengths. A pullwire positioned over the outer curve of a flexed catheter may be longer than a pullwire positioned within the inner curve of the catheter, preventing the catheter from being straightened or displaced by the action of retracting the pullwires. The catheter may serve as either an inner member on which a stent is mounted or a sheath enclosing a stent.

A device for performing a surgical procedure on a knee comprises a femoral assembly comprising a stationary femoral member attachable to the distal femur, an adjustable femoral member movably coupled with the stationary member to adjust tension in at least one ligament of or adjacent the knee and an adjustment mechanism coupled to the assembly. The adjustable member includes at least one positioning feature that moves relative to the distal femur as the adjustable member is adjusted and identifies at least one position on the distal femur. The adjustable member is movably couplable with a tibial member engaged with a proximal tibia to allow the knee to be moved through a range of motion without removing the femoral and tibial members. The mechanism includes an actuator positioned proximate a medial or lateral portion of the adjustable member. The actuator is configured to adjust an opposite portion of the adjustable member.

A method for diagnosing a joint condition includes in one embodiment: creating a 3d model of the patient specific bone; registering the patient's bone with the bone model; tracking the motion of the patient specific bone through a range of motion; selecting a database including empirical mathematical descriptions of the motion of a plurality actual bones through ranges of motion; and comparing the motion of the patient specific bone to the database.

An artificial vertebral disk replacement implant is disclosed along with its method of operation and a method of implanting. The implant has first and second plates that each mate with a vertebral body. Each plate has one side for mating with a vertebral body. The first plate has a socket on one side, and the second plate has an elongated ball on one side. The ball of the first plate and the socket of the second plate form a ball-and-socket joint when the two plates are in contact with each other. The implant achieves a range of motion equivalent to a natural range of motion.

At least one embodiment is directed to a system for measuring parameters of a skeletal system in positions of optimal alignment for implantation of an orthopedic device. The system comprises one or more position sensors (202, 204, 206, 208, 210, and 212), one or more measurement sensors (606), a processing unit (506), and a screen (502). The position and measurement sensors are in communication with the processing unit. Position and relational positioning information in conjunction with one or more parameter measurements is used to determine proper seating of an implant, device balance over a range of motion, and device stability. For example, measurement of loading over a range of motion can be used to determine the amount and type of adjustment required for an implant. The positional and measurement data is stored in a database and accessible to the processing unit (506) to aid the surgeon, hospital, and implant manufacturer.

Improved assemblies, systems, and methods provide safeguarding against tissue injury during surgical procedures and / or identify nerve damage occurring prior to surgery and / or verify range of motion or attributes of muscle contraction during reconstructive surgery. A stimulation control device may incorporate a range of low and high intensity stimulation to provide a stimulation and evaluation of both nerves and muscles. A stimulation control device is removably coupled to a surgical device or is imbedded within the medical device to provide a stimulation and treatment medical device. A disposable hand held stimulation system includes an operative element extending from the housing, the housing includes an operative element adjustment portion and a visual indication to provide feedback or status to the user.

Orthoses with microprocessor control placed around the joint of a patient are used to perform and to monitor isometric, range-of-motion, proprioception and isotonic exercises of the joint. A variety of improved hardware elements result in an orthosis that is easier to use and interacts more efficiently with the controller to allow the monitoring of a greater range of motions while holding down cost and provide suitable accurate evaluation of the exercises. Efficient ways of programming the exercises, monitoring the exercises and evaluating the exercise provide a comprehensive program for the rehabilitation of an injured or weakened joint.

A pliers for forming orthodontic wires has opposing beaks with complementary wire-forming surfaces that include interfering portions. A hinge mechanism enables the beaks to open and close by rotating about an axis, and also allows a range of axial motion between the beaks sufficient to prevent interference between the wire-forming surfaces as the beaks are closed. By preventing such interference, novel over-bending capabilities can be achieved to form useful bending of low spring rate wire. A spring, such as a Belleville washer, exerts a biasing force parallel to the hinge axis to maintain alignment of the beaks, but allows the required range of axial motion between the beaks to prevent interference.

A universal joint comprising a pair of circular waveguide ball-joints and a slip-joint allows for simultaneous 3-axis rotation and 3-dimensional translation between an antenna and a stationary source. As such, the universal joint does not have to be physically aligned with the azimuth, and elevation, rotation axis of the antenna and mounted on the gimbal support, greatly simplifying the antenna steering mechanism. The universal joint allows the antenna to be mass-balanced in relation to the azimuth and elevation axis without adding any additional counter weights, thus reducing the size and power requirements of the azimuth and elevation rotation drive systems. Additional ball-joints may be provided to increase the allowed range of motion of the antenna.

An acetabular shell liner having a variable rim surface geometry, which improves range of motion of the femoral component within the liner and decreases the incidence of dislocation and subluxation, and methods of making and using the acetabular shell liner. Prosthetic devices, more particularly hip joint prostheses, containing the acetabular shell liner having a variable rim surface geometry are also provided.

There is provided an acetabular shell liner, and particularly a constrained liner, having a variable rim surface geometry to improve the range of motion of a femoral component within the liner and decrease the incidence of dislocation and subluxation. There are also provided methods of making and using the acetabular shell liner. Prosthetic devices, and particularly hip joint prostheses, containing the acetabular shell liner having a variable rim surface geometry are also provided.

The invention relates to an artificial intervertebral disc for placement between adjacent vertebrae. The artificial intervertebral disc is preferably designed to restore disc height and natural disc curvature, allow for a natural range of motion, absorb shock and provide resistance to motion and axial compression. Furthermore, the intervertebral disc may be used in the cervical, the thoracic, or the lumbar regions of the spine. The artificial intervertebral disc may include either singularly or in combination: an interior including at least one spring member preferably incorporating a arcuate surface member, a flexible core, the flexible core preferably being a slotted core, a ring spring, a winged leaf spring, or a leaf spring, or The articulating member preferably being attached to one of the endplate by an intermediate shock absorbing element.

A trial system for an acetabular prosthesis is described. The acetabular prosthesis is generally for implantation in an acetabulum and surrounding pelvis. The acetabular prosthesis includes an acetabular cup having a substantially concave inner surface and a substantially convex outer surface. The described acetabular prosthesis is especially useful in revision hip implant procedures where significant bone tissue loss has occurred either in or around the acetabulum and / or the pelvis. A collection of trial shells are provided to trial a range of motion of the hip joint before implanting a prosthetic shell into the acetabular prosthesis.

A sensing device is attached to a living subject that includes a first sensors for distinguishing lying, sitting, and standing positions. In another embodiment, sensor data is stored in a storage device as a function of time. Multiple points or multiple intervals of the time dependent data are used to direct a feedback mechanism to provide information or instruction in response to the time dependent output indicating too little activity, too much time with a joint not being moved beyond a specified range of motion, too many motions beyond a specified range of motion, or repetitive activity that can cause repetitive stress injury.

The present invention is a interspinous process device with a deflectable spacer which can be placed between adjacent spinous processes to limit the movement of the vertebrae. The device limits the range of motion of the spinous processes.

Various methods and devices for repairing and / or restoring function to a damaged, injured, diseased, or otherwise unhealthy facet joint, lamina, posterior ligament, and / or other features of a patient's spinal column are provided. In an exemplary embodiment, the methods and devices are effective to mimic the natural function of the posterior elements, preferably without necessarily mimicking the anatomy, by allowing a high degree of flexibility between two adjacent vertebrae when the vertebrae are moved within a first range of motion, and by controlling movement of the adjacent vertebrae within a second range of motion beyond the first range of motion.

A computer workstation mounting device is provided which permits devices to be accessed by operators in a variety of positions including sitting, standing, or from a wheelchair. The invention permits said devices to be moved in a wide variety of vertical, horizontal, and rotational ranges of motion, and permits the devices to be moved clear of the work area while performing other tasks, or safely moved to a position near the ceiling for security or additional workspace conservation. The invention uses a simple, low maintenance counterweight principle for its vertical travel. It also possesses a simple tilt and swivel mechanism, swivel bracket (32), and dual parallelogram arm assembly for its horizontal and rotational ranges of motion. The invention also incorporates the counterweight principle for maintaining the data cables (14) in an organized, aesthetically pleasing manner without loops or kinks through all ranges of motion. Additionally provided is a friction lock (124) for stability of the monitor arm assembly in its vertical travel. Provision for the central processing unit (58) to be mounted atop the column (38) increases computer security.

A vertebral shock absorber in the form of an elongated compressible member having two ends, one fastened to an upper vertebra, and the other fastened to a lower vertebra. The elongated member may be fastened using pedicle screws or by way of ball-and-socket joints for enhanced range of motion. In the preferred embodiment, the elongated compressible member is constructed using telescoping sleeves to create a cavity wherein there is disposed a compressible, resilient component such as a spring, elastomeric material, liquid, gel, hydrogel, or other suitable substance. The shock absorber may be combined with an intradiscal component and / or one or more plates that extends at least partially onto a vertebral endplate to facilitate lateral application.

A trial system for an acetabular prosthesis is described. The acetabular prosthesis is generally for implantation in an acetabulum and surrounding pelvis. The acetabular prosthesis includes an acetabular cup having a substantially concave inner surface and a substantially convex outer surface. The described acetabular prosthesis is especially useful in revision hip implant procedures where significant bone tissue loss has occurred either in or around the acetabulum and / or the pelvis. A trial shell is provided to trial a range of motion of the hip joint before implanting a prosthetic shell into the acetabular prosthesis.

Systems and methods for determining placement of prosthetic components in joint including defining patient-specific frame of reference for joint, determining patient-specific postoperative range of motion of joint, evaluating patient-specific range of motion of joint, automatically planning placement of components balancing need for range of motion with prosthesis stability through bony coverage, and applying manual adjustments to the automatically planned placement of component by giving greater or lesser weight to need for range of motion or prosthesis stability through bony coverage. Apparatuses for defining center of prosthetic femoral head and axis of prosthetic femoral neck including primary cylinder, first alignment receptacle and second alignment receptacle, and a divot on exterior of primary cylinder, divot having normal parallel to longitudinal axis of second alignment receptacle and position of the divot being translated toward an opening of the first alignment receptacle on the primary cylinder. Methods for using apparatuses. Apparatus for mounting spatially tracked device to impactor for impacting prosthetic cup into reamed socket.

A medical robotic system includes an entry guide with surgical tools and a camera extending out of its distal end. To supplement the view provided by an image captured by the camera, an auxiliary view including articulatable arms of the surgical tools and / or camera is generated from sensed or otherwise determined information about their positions and orientations are displayed along with indications of range of motion limitations on a display screen from the perspective of a specified viewing point.