1000 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.

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 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.

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.

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.

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.

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.

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.

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.

A system and method of objectively testing the functional capacity of a patient over a range of motion and with a limited resistance are provided. A selected number of visual indicators are applied and maintained at selected points with respect to the patient. The patient is directed through a series of exercise movements. The patient's movements are captured on a video record. This video record is digitized. The motion of the indicators is tracked in the digitized video record. A patient data set is developed including performance parameters based, at least in part, on the position and the time of each indicator during the movements. The patient data set is compared to a base data set. If the patient's performance parameters fall within certain ranges, it can be determined that the patient is or is not exerting a true effort. The functional capacity of the patient is determined based, at least in part, on the comparison of the patient data set with the base data set.

Dynamic knee balancing devices, systems and methods provide for enhanced total knee arthroplasty (“TKA”) procedures. Devices generally include a stationary femoral member for removably attaching to a distal femur and an adjustable femoral member coupled with the stationary member for adjusting ligament tension of the knee. The adjustable femoral member includes at least one positioning feature for providing positional and/or orientation information for facilitating the TKA procedure. Additionally, the adjustable femoral member is movably couplable with a tibial member engaged with the proximal tibia to allow movement of the knee through a range of motion without removing the device from the joint space. When the adjustable femoral member is adjusted, the positional feature(s) move relative to the distal femur to provide positional information.

A trial system for a prosthesis is described. The prosthesis can include an acetabular prosthesis generally for implantation in an acetabulum and the surrounding pelvis. The acetabular prosthesis includes an acetabular cup having a substantially concave inner surface and a substantially convex outer surface. One trial shell or a collection of trial shells are provided to trial a range of motion of the hip joint before implanting a shell prosthesis into the acetabular prosthesis.

A medical device includes a link assembly and an actuating member coupled to the link assembly. The actuating member is configured to actuate the link assembly. A member having a substantially planar surface is coupled to the link assembly. The link assembly is configured to move the member having a substantially planar surface through a range of motion between a first location substantially adjacent the actuating member and a second location at a distance from the actuating member. The substantially planar surface is configured to contact at least a portion of a bone structure (e.g., a vertebra) or a soft tissue area of a patient. A cannula is configured to percutaneously access the patient and the actuating member is moveably disposable within the cannula. The cannula has a cross-sectional shape with at least one substantially planar surface on an inner wall.

The description relates to surgical computer systems, including computer program products, and methods for implant planning using captured joint motion information. Data is captured representative of a range of motion of a joint associated with a particular individual, where the joint includes a first bone and a second bone. The first bone of the joint is represented and a first implant model is associated with the representation of the first bone. Based on the captured data, a relationship is determined between the first implant model and a representation of the second bone through at least a portion of the range of motion of the joint. Information is displayed representative of the determined relationship.

The present invention is directed to an 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. The spacer and a lead-in distraction guide or tissue expander can be radiolucent.

A multi-axis spinal fixation device which can use a fixed head spinal or pedicle screw in combination with a multi-axial rod assembly to achieve anatomically correct fixation of vertebrae. The orthopedic fixation can be controlled by a different combination of rod elements to provide a varied range of motion between adjacent vertebrae as well as specific flexibility between the adjacent vertebrae or levels. The surgeon can make intra-operative adjustments from rigid fixation to dynamic stabilization and where desired also provide ‘soft-stabilization’ or ‘micro motion’. The unique combination of elements can provide fixed stabilization for the purpose of fusion or dynamic stabilization without fusion.

A retractable step for use with a vehicle comprises a stepping member having a stepping deck, a first arm, a second arm, a motor and a stop. The first arm has a first end pivotally attached to the vehicle, and a second end pivotally attached to the stepping member. The second arm also has a first end pivotally attached to the vehicle, and a second end pivotally attached to the stepping member. The motor is drivingly connected to the first arm such that a rotation of the motor causes rotation of the first arm about its first end and moves the stepping member from a retracted position to an extended position, or vice versa. The stop is located within the range of motion of the second arm such that the second arm bears against the stop when the stepping member is in the extended position. The first and second arms are situated such that the first arm is loaded in compression and the second arm is loaded in tension when the stepping member is in the extended position and a load is placed upon it. In another embodiment, a retractable vehicle step assist comprises a rigid frame, a forward planar linkage pivotably connected to the frame along a forward upper connection width, and a rearward planar linkage pivotably connected to the frame along a rearward upper connection width. The retractable vehicle step further comprises a rigid step member having a stepping deck. The step member is pivotably connected to the forward planar linkage along a forward lower connection width, and is pivotably connected to the rearward planar linkage along a rearward lower connection width and on a side of the forward planar linkage opposite the stepping deck. The stepping deck is substantially wider than any of the forward upper connection width, the rearward upper connection width, the forward lower connection width, and the rearward lower connection width.

An apparatus for stabilizing vertebrae while permitting a range of motion therebetween may include first and second fasteners for engaging adjacent vertebrae and a motion preserving device that can be coupled to the first and second fasteners. The motion preserving device may include a longitudinal member that includes an array of load-bearing elements. The longitudinal member may be configured to permit the load-bearing elements to move relative to each other and/or relative to other portions of the member. In some embodiments, the longitudinal member is relatively inflexible along a longitudinal axis and relatively flexible in a direction transverse to the longitudinal axis.

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.

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 relates to one or more tibial spacer blocks used during knee arthroplasty, each configured to be temporarily positioned upon a resected proximal portion of a tibia (essentially mimicking the tibial component of the knee prosthesis), for performing a range of motion analysis and for checking flexion and extension gaps prior to cutting the distal or posterior femur. Preferably, the spacer blocks each include an attachment arrangement configured and arranged to mate with a complementary attachment arrangement of an alignment tower and/or a femoral cutting guide. The alignment tower, which is configured to be used with an alignment rod, is used for verifying the alignment of the limb's mechanical axis when the spacer block is positioned between the tibia and the femur. The femoral cutting guide is used for guiding a cutting member into proper orientation for resecting a distal or posterior portion of a femur.

Methods and devices are disclosed for manipulating alignment of the foot to treat patients with flat feet, posterior tibial tendon dysfunction and metatarsophalangeal joint dysfunction. An enlargeable implant is positioned in or about the sinus tarsi and/or first metatarsal-phalangeal joint of the foot. The implant is insertable by minimally invasive means and enlarged through a catheter or needle. Enlargement of the implant alters the range of motion in the subtalar or first metatarsal-phalangeal joint and changes the alignment of the foot or toe.

A training system and method include providing a frame, a user support portion coupled to the frame and arranged to support a user, and a user engagement portion coupled to the frame and arranged to be engaged by the body part. A force sensor is provided for sensing a user-applied force at the user engagement portion, and a position sensor is operably connected to at least one of the user support portion and the user engagement portion for sensing a relative position therebetween. A motor is coupled to at least one of the user support portion and the user engagement portion for driving a position thereof with respect to the frame over a range of motion at a preprogrammed velocity, and a controller is provided in communication with the motor, the force sensor, and the position sensor. A computer program executable by the controller generates a position-varying target force band for the user over the range of motion, and a display is provided in communication with the controller and the force and position sensors for displaying the user-applied force as a function of position in real time in comparison with the target force band.

A programmable adaptive resistance exercise system and method. New type of resistance allows a user to maximize amount of muscle growth benefit while minimizing the effort to attain that level. Resistance level may be controlled by computer based on position or any derivate thereof with respect to time. Resistance is adaptive since force level used throughout exercise range is based on current and past performance data. Level of effort and force versus time profile combinations are unlimited. Rest calculated based on the current and past performance data. May utilize hardware having a motor, an exercise interface (such as an bar or handle for example), a position sensor, digital input device to identify someone, computer configured to control the motor and exercise interface using current and past personal training data, calculate an exercise program based on preference and a time for subsequent workout, optionally alert a user when time to workout.

A device for increasing the range of motion of a patient's knee joint comprising of a longitudinal track frame, having a sitting platform at one end and a movable leg and foot platform at the other end, driven back and forth by a foot actuation mechanism in a flexion-extension motion, linearly along the longitudinal track by an electronically controlled motor in accordance with user defined settings and operable in a passive, active or resistive mode in either a supine or sitting position.