Abstract:
Lung volume reduction is performed in a minimally invasive manner by isolating a lung tissue segment, optionally reducing gas flow obstructions within the segment, and aspirating the segment to cause the segment to at least partially collapse. Further optionally, external pressure may be applied on the segment to assist in complete collapse. Reduction of gas flow obstructions may be achieved in a variety of ways, including over inflation of the lung, introduction of mucolytic or dilation agents, application of vibrational energy, induction of absorption atelectasis, or the like. Optionally, diagnostic procedures on the isolated lung segment may be performed, typically using the same isolation/access catheter.
Abstract:
The lateral flow between adjacent lung segments is occluded by blocking collateral flow channels with particles. A gas flow is established from one lung segment through the flow channels in an intermediate fibrous septum, and out through the adjacent lung segment. Particles entrained in the gas flow become lodged in the collateral flow channels to eventually block flow.
Abstract:
A support can be configured for placement in the middle ear to couple a transducer to the round window, such that the transducer can be removed from the round window without damaging the round window. The support can be configured to couple the transducer to the sound window such that the support can be removed from the round window. The support may be configured to decouple the transducer from the round window such that the transducer can be removed from the middle ear of the user, for example when the support is affixed to the middle ear. Removal of the transducer from the middle ear without damaging the round window can allow safe removal of the transducer, for example when the patient wishes to receive MRI imaging.
Abstract:
Minimally invasive methods, systems and devices are provided for qualitatively and quantitatively assessing collateral ventilation in the lungs. In particular, collateral ventilation of a target compartment within a lung of a patient is assessed by advancement of a catheter through the tracheobronchial tree to a feeding bronchus of the target compartment. The feeding bronchus is occluded by the catheter and a variety of measurements are taken with the use of the catheter in a manner which is of low risk to the patient. Examples of such measurements include but are not limited to flow rate, volume and pressure. These measurements are used to determine the presence of collateral ventilation and to quantify such collateral ventilation.
Abstract:
A hearing aid device for placement in an ear of a user includes an elongate support and a transducer. The elongate support has a proximal portion and a distal end, and the transducer is attached to the elongate support near the distal end. The support is adapted to position the transducer near an eardrum while the proximal portion is placed at the location near an ear canal opening. The elongate support is sized to minimize contact with the ear between the proximal portion and distal end. The elongate support permits sound waves to travel along the ear canal. In some embodiments, a microphone is positioned in the ear canal along the support, for example inside the support, to provide directionally dependent sound localization cues, and the transducer on the distal end of the elongate support comprises a coil assembly coupled to a magnet positioned on the tympanic membrane.
Abstract:
Methods and systems are provided for detecting movement of the breathing tube in a surrounding airway of a patient. The breathing tube includes an optical fiber or camera system for producing a video image of the airway from the distal end of the breathing tube. By obtaining a baseline image and comparing said baseline image with successive images, the position of the breathing tube can be automatically monitored and a signal provided when the image differs from the baseline by more than a threshold value.
Abstract:
Lung volume reduction is performed in a minimally invasive manner by isolating a lung tissue segment, optionally reducing gas flow obstructions within the segment, and aspirating the segment to cause the segment to at least partially collapse. Further optionally, external pressure may be applied on the segment to assist in complete collapse. Reduction of gas flow obstructions may be achieved in a variety of ways, including over inflation of the lung, introduction of mucolytic or dilation agents, application of vibrational energy, induction of absorption atelectasis, or the like. Optionally, diagnostic procedures on the isolated lung segment may be performed, typically using the same isolation/access catheter.
Abstract:
This relates to devices and methods for improving hearing, particularly in the field of hearing aids. The described output actuator is a component of a class of hearing devices known as surgically implantable hearing aids. This relates to both fully implanted and partially implanted hearing aids. More particularly, methods and devices disclosed herein provide an actuator for directly driving the inner-ear fluid, or the middle-ear bones referred to as the ossicular chain, resulting in the sensation of hearing.
Abstract:
A method is provided for ligating a segment of a biological vessel having a proximal end and a distal end. According to the method, the distal end of the vessel segment to be ligated is accessed; an inner fluid delivery catheter is attached to the distal end of the vessel segment; fluid is infused into the biological vessel; the vessel segment is advanced within a lumen of an outer catheter, the outer catheter including a cautery-sectioning system; tributaries extending from the vessel segment are cauterized and sectioned with the cautery-sectioning system as the vessel segment is advanced within the outer catheter; and the vessel segment proximal end is ligated.
Abstract:
A surgical probe, and procedure using the same, enabling a surgeon to cut body tissue by delivering energy, such as a laser beam, to the body tissue and without removing the instrument to cauterize the body tissue by direct application of electric current. The surgical probe includes an elongated member having a fiber optic positioned on a longitudinal axis of the elongated member and pair of elongated electrodes that span an entire length of the elongated member. The elongated electrodes slide lengthwise in a direction parallel to the longitudinal axis. During cutting procedures, the distal ends of the electrodes are in a retracted position not beyond the distal end of the elongated member, and during cauterization procedures, the distal ends of the electrodes are in an extended position beyond the distal end of the elongated member. In a preferred embodiment, the distal ends of the electrodes are pre-bent so as to converge toward each other as they are extended beyond the distal end of the elongated member.