85 results about "Tissue compression" patented technology

Various forms of surgical instruments are disclosed. In various embodiments, the instrument includes a cartridge supporting assembly for operably supporting a staple cartridge therein. The cartridge supporting assembly may be responsive to firing and retraction motions applied thereto from a firing assembly. An anvil may be operably coupled to an anvil closure assembly. The anvil closure assembly may be constructed to selectively move the anvil in a proximal direction toward the cartridge supporting assembly to enable a portion of tissue to be clamped between a cartridge supported by the cartridge supporting assembly and the anvil under a predetermined amount of compression. The device may further include a compression limiting assembly that interacts with the anvil closure assembly to prevent further travel of the anvil in the proximal direction toward the cartridge supporting assembly when the predetermined amount of compression has been attained.

The present disclosure relates to surgical fastener applying apparatus, and the application of variable compression to tissue. More specifically, the presently disclosed surgical fastener applying apparatus act to limit the flow of blood through tissue immediately adjacent a cut-line formed therein to effectuate hemostasis, while maximizing the flow of blood through tissue more removed from the cut-line to limit unnecessary necrosis. In one embodiment, a surgical fastener applying apparatus is disclosed having a tool assembly coupled to a distal end thereof with first and second jaws respectively including an anvil and a surgical fastener cartridge. The surgical fastener cartridge includes, among other things, a hemostasis member that is configured to apply at least two different compressive forces to tissue clamped between the first and second jaws of the tool assembly.

The present disclosure relates to surgical fastener applying apparatus, and the application of variable compression to tissue. More specifically, the presently disclosed surgical fastener applying apparatus including a first jaw having proximal and distal ends and including an anvil member, the anvil member extending along a longitudinal axis and including a tissue contacting surface and a second jaw having proximal and distal ends movably coupled to the first jaw, the second jaw including a cartridge member and a channel. The surgical fastener applying apparatus further includes a pair of elastic members positioned between the cartridge member and the channel of the second jaw, the pair of elastic members configured and dimensioned to apply and maintain constant compressive forces to tissue regardless of tissue thickness.

A surgical stapling apparatus includes a staple cartridge and an anvil member. The staple cartridge includes a plurality of surgical fasteners disposed in rows of retention slots. The staple cartridge may have an annular or linear configuration of retention slots. The tissue contacting surface of the staple cartridge may be tapered or stepped. The anvil member has a tissue contacting surface that includes a number of pockets arranged for substantially aligning with the retention slots. In addition, the tissue contacting surface of the anvil member may complement the tissue contacting surface of the staple cartridge.

A surgical instrument is provided including an end effector configured to clamp, staple or cut tissue tissue, a motor configured to drive the end effector and a control system. The control system is configured to receive information about at least one tissue property and select a tissue management mode based on the at least one tissue property. The control system controls the motor based on the selected tissue management mode.

The present disclosure relates to surgical fastener applying apparatus and the application of variable compression to tissue. More specifically, the presently disclosed surgical fastener applying apparatus act to limit the flow of blood through tissue immediately adjacent a cut-line formed therein to effectuate hemostasis, while maximizing the flow of blood through tissue more removed from the cut-line to limit unnecessary necrosis. In one embodiment, a surgical fastener applying apparatus is disclosed having a tool assembly coupled to a distal end thereof with first and second jaws respectively including an anvil and a surgical fastener cartridge. The surgical fastener cartridge includes, among other things, angled pushers that engage surgical fasteners of varying lengths.

A method for determining an optimal compression of tissue to apply a surgical element has the steps of applying a load to the tissue. The method has the step of determining a reactive load applied by the tissue in response to the load. The method also has the step of determining the reactive load per unit time for a predetermined time period and determining a slope of the reactive load per unit time. The method further has the steps of evaluating the slope relative to a predetermined threshold, and signaling when the slope exceeds the predetermined threshold.

The present disclosure relates to surgical fastener applying apparatus and the application of variable compression to tissue. More specifically, the presently disclosed surgical fastener applying apparatus act to limit the flow of blood through tissue immediately adjacent a cut-line formed therein to effectuate hemostasis, while maximizing the flow of blood through tissue more removed from the cut-line to limit unnecessary necrosis. In one embodiment, a surgical fastener applying apparatus is disclosed having a tool assembly coupled to a distal end thereof with first and second jaws respectively including an anvil and a surgical fastener cartridge. The surgical fastener cartridge includes, among other things, angled pushers that engage surgical fasteners of varying lengths.

The present disclosure relates to surgical fastener applying apparatus, and the application of variable compression to tissue. More specifically, the presently disclosed surgical fastener applying apparatus including a first jaw having proximal and distal ends and including an anvil member, the anvil member extending along a longitudinal axis and including a tissue contacting surface and a second jaw having proximal and distal ends movably coupled to the first jaw, the second jaw including a cartridge member and a channel. The surgical fastener applying apparatus further includes a pair of elastic members positioned between the cartridge member and the channel of the second jaw, the pair of elastic members configured and dimensioned to apply and maintain constant compressive forces to tissue regardless of tissue thickness.

A method for effecting a tissue-compressing surgery at a user-selected compression force provides an electrical switch having switching states changed solely by mechanical movements. The switch is mechanically coupled with an adjustable biasing device retaining the switch in one state until a force greater than the bias device is imparted to the switch. The switch is in line with a tissue-compressing device to place a proportional amount of compression force on the switch as imparted upon the tissue. The biasing device is set to a desired state-changing tissue compression force so that the switch changes its state when the force on the switch is at least the desired force. Tissue compresses until a force imparted on the switch at least equals the desired state-changing tissue compression force and, at such time, the switching state changes and, thereafter, a surgical procedure is carried out on the compressed tissue.

A method for applying and maintaining optimal tissue compression with a staple includes piercing tissue with deformable distal ends of staple legs, each distal end defining a stapling point shaped to pierce material, the two staple legs coupled to each other at base ends thereof by a bridge and together forming a substantially U-shaped staple body. The two staple legs enter the tissue until the tissue applies a compressive force to a compression device disposed at least partly between the two staple legs. The compression device has a compression surface movably disposed between the two staple legs and a compression resistor that is connected to the bridge and to the compression surface and operable to resist movement of the compression surface towards the bridge with a force. The two staple legs are deformed to maintain the compressive force between the tissue and the compression device.

A surgical instrument for being endoscopically or laparoscopically inserted into a surgical site for simultaneous stapling and severing of tissue includes an elongate channel that is configured to operably support a staple cartridge therein. An anvil is operably coupled to the elongate channel and is selectively movable between open and closed positions. A closure tube assembly interfaces with the anvil to selectively apply a closing force thereto in response to a closing motion applied to the closure tube assembly. At least one force limiting member interacts with the closure tube assembly to limit an amount of the closing force applied to the anvil by the closure tube assembly in response to a resistive force experienced by the anvil when clamping tissue between the anvil and the elongate channel. The force limiting member may comprise one or more spring sections in the closure tube assembly or at least one leaf spring in the distal end of the closure tube assembly. Other embodiments may include steps formed in a ramp portion of the anvil for engaging the distal end of the closure tube assembly.

The present disclosure relates to surgical fastener applying apparatus, and the application of variable compression to tissue. More specifically, the presently disclosed surgical fastener applying apparatus act to limit the flow of blood through tissue immediately adjacent a cut-line formed therein to effectuate hemostasis, while maximizing the flow of blood through tissue more removed from the cut-line to limit unnecessary necrosis. In one embodiment, a surgical fastener applying apparatus is disclosed having a tool assembly coupled to a distal end thereof with first and second jaws respectively including an anvil and a surgical fastener cartridge. The surgical fastener cartridge includes, among other things, a hemostasis member that is configured to apply at least two different compressive forces to tissue clamped between the first and second jaws of the tool assembly.

Various forms of surgical instruments are disclosed. In various embodiments, the instrument includes a cartridge supporting assembly for operably supporting a staple cartridge therein. The cartridge supporting assembly may be responsive to firing and retraction motions applied thereto from a firing assembly. An anvil may be operably coupled to an anvil closure assembly. The anvil closure assembly may be constructed to selectively move the anvil in a proximal direction toward the cartridge supporting assembly to enable a portion of tissue to be clamped between a cartridge supported by the cartridge supporting assembly and the anvil under a predetermined amount of compression. The device may further include a compression limiting assembly that interacts with the anvil closure assembly to prevent further travel of the anvil in the proximal direction toward the cartridge supporting assembly when the predetermined amount of compression has been attained.

A surgical instrument is provided including an end effector configured to clamp, staple or cut tissue, a motor configured to drive the end effector and a control system. The control system is configured to receive information about at least one tissue property and select a tissue management mode based on the at least one tissue property. The control system controls the motor based on the selected tissue management mode.

An electrode catheter is introduced into a hollow anatomical structure, such as a vein, and is positioned at a treatment site within the structure. Tumescent fluid is injected into the tissue surrounding the treatment site to produce tumescence of the surrounding tissue which then compresses the vein. The solution may include an anesthetic, and may further include a vasoconstrictive drug that shrinks blood vessels. The tumescent swelling in the surrounding tissue causes the hollow anatomical structure to become compressed, thereby exsanguinating the treatment site. Energy is applied by an electrode catheter in apposition with the vein wall to create a heating effect. The heating effect causes the hollow anatomical structure to become molded and durably assume the compressed dimensions caused by the tumescent technique. The electrode catheter can be moved within the structure so as to apply energy to a large section of the hollow anatomic structure. In a further aspect, the location of the electrodes is determined by impedance monitoring. Also, temperature sensors at the treatment site are averaged to determine the site temperature.

A method for suture lacing includes providing a suture with a needle attached thereto, inserting the needle and suture into an organ through a passageway, throwing a single stitch through a first tissue member, throwing a single stitch through an opposed and spaced apart second tissue member, repeating the preceding step at least once, bringing the first and second tissue members in contact by tensioning the suture, whereby suture drag is minimized during the tensioning and even tissue compression substantially achieved, and securing the suture.

A method for determining an optimal compression of tissue to apply a surgical element has the steps of applying a load to the tissue. The method has the step of determining a reactive load applied by the tissue in response to the load. The method also has the step of determining the reactive load per unit time for a predetermined time period and determining a slope of the reactive load per unit time. The method further has the steps of evaluating the slope relative to a predetermined threshold, and signaling when the slope exceeds the predetermined threshold.

Suture passer systems for tissue suspension and tissue compression, and more particularly for tongue suspension, are described. The system can include at least a first elongate tubular body or shaft, a needle having a lateral bias carried by the elongate body, and a retrieval element operably connected to the elongate tubular body. The needle can have a substantially straight configuration when located within the elongate tubular body, and be configured to exit an opening at or near a distal end of the elongate tubular body and assume a laterally biased or curved shape to form a path through tissue. The needle is configured to carry a suture. The retrieval element can be configured to retrieve the suture carried by the needle after the needle has formed a curved or otherwise angled path through tissue. The system can also include one or more bone anchors to secure the suture loops. Methods of placing one or more suture loops into tissue, such as the base of the tongue, are also described.

The present disclosure describes interventional devices, systems, and methods for closing a regurgitant gap in a cardiac valve. Interventional devices are configured to be deployed between two previously placed implants or between a previously placed implant and a valve commissure. The interventional devices compress captured leaflet tissue and / or apply a tensioning force along the line of coaptation to assist in closing the gap and reducing regurgitant flow through the gap.

A compression clip system where compression is used to close a tissue opening, reduce the volume of an organ, ligate dilated blood vessels or compress tissue adjacent to various other types of lesions to induce healing. Compression prevents bleeding and the leakage of body fluids into a body cavity. The opening may be surgery induced as in gastrectomies or formed naturally such as peptic ulcers and hemorrhoids. The system may include a compression clip, a suitable clip applier, a grasper assembly and an endoscope all brought to the compression site via a multi-lumen sleeve.

Numerical image processing of two or more medical images to provide grayscale registration thereof is described, the numerical image processing algorithms being based at least in part on a model of medical image acquisition. The grayscale registered temporal images may then be displayed for visual comparison by a clinician and / or further processed by a computer-aided diagnosis (CAD) system for detection of medical abnormalities therein. A parametric method includes spatially registering two images and performing gray scale registration of the images. A parametric transform model, e.g., analog to analog, digital to digital, analog to digital, or digital to analog model, is selected based on the image acquisition method(s) of the images, i.e., digital or analog / film. Gray scale registration involves generating a joint pixel value histogram from the two images, statistically fitting parameters of the transform model to the joint histogram, generating a lookup table, and using the lookup table to transform and register pixel values of one image to the pixel values of the other image. The models take into account the most relevant image acquisition parameters that influence pixel value differences between images, e.g., tissue compression, incident radiation intensity, exposure time, film and digitizer characteristic curves for analog image, and digital detector response for digital image. The method facilitates temporal comparisons of medical images such as mammograms and / or comparisons of analog with digital images.

A surgical stapling apparatus includes a staple cartridge and an anvil member. The staple cartridge includes a plurality of surgical fasteners disposed in rows of retention slots. The staple cartridge may have an annular or linear configuration of retention slots. The tissue contacting surface of the staple cartridge may be tapered or stepped. The anvil member has a tissue contacting surface that includes a number of pockets arranged for substantially aligning with the retention slots. In addition, the tissue contacting surface of the anvil member may complement the tissue contacting surface of the staple cartridge.

A computational efficient algorithm for compression analysis of free-hand static elasticity imaging performed using medical diagnostic ultrasound imaging equipment offers tissue compression quality and quantity feedback to the operator. The algorithm includes a criterion for automatic selection of the most advantageous pre- and post- compression frame pairs delivering elasticity images of optimal dynamic ranges (DR) and signal-to-noise ratios (SNR). The use of the algorithm in real time eases operator training and reduces significantly the amount of artifact in the elasticity images while lowering the computational burden.

A medical device is arranged to provide adjustable, user-controlled, perpendicular compression to soft tissues. In a preferred embodiment, the pressure is adjusted by means of a threaded bolt or threaded bolt assembly incorporated into the design of a threaded mounting plate.

A computational efficient algorithm for compression analysis of free-hand static elasticity imaging performed using medical diagnostic ultrasound imaging equipment offers tissue compression quality and quantity feedback to the operator. The algorithm includes a criterion for automatic selection of the most advantageous pre- and post-compression frame pairs delivering elasticity images of optimal dynamic ranges (DR) and signal-to-noise ratios (SNR). The use of the algorithm in real time eases operator training and reduces significantly the amount of artifact in the elasticity images while lowering the computational burden.

A medical device is arranged to provide adjustable, user-controlled, perpendicular compression to soft tissues. In a preferred embodiment, the pressure is adjusted by a threaded bolt or threaded bolt assembly incorporated into the design of a threaded mounting plate.

An apparatus for disposition on appendage, such as an arm or leg, is capable of encircling and applying opposing forces selectively thereto. A C-shaped component receives one side of the appendage, a second C-shaped component receives the other side of the appendage, and a tensioning system draws the two components together for selective application of pressure to the appendage. Outriggers and pressure applicators may be used to apply pressure to extended areas of the appendage that otherwise would not be engaged by the C-shaped components. Side-to-side tissue compression thereby is provided for deflection of muscle forces, functional shortening of muscle length, and the maintenance of neurovascular channels. Circumferential forces may be minimized based on semirigid characteristics of the components. Elbow and shoulder braces apply side-to-side tissue compression to arms.