摘要:
A joint distraction device that is wearable by a patient and user-friendly and associated methods of joint distraction. Such devices can include first and second anchors that secure portions of the patient's body proximal and distal of the joint, the anchors each being attached to a beam and a distance between first and second anchors being adjustable so as to hold the joint being investigated in distraction. For distraction of a wrist joint, the first anchor can be a finger clamp and the second anchor can be an arm sleeve. The finger clamp can include multiple finger traps. The distance between anchors can be adjusted by an adjuster, by extending the beam or by moving an anchor incrementally along the beam. Advantageously, the device is fully wearable by the patient without being attached to external components, thereby improving patient comfort, portability and ease of use.
摘要:
An intervention guidance device (10) includes a main body portion (100) and a guidance portion (200). The guidance portion (200) has a contracted configuration and an expanded configuration. In the expanded configuration, the guidance portion (200) has a central area (201) and a closed outer edge (202). In the contracted configuration, the outer edge (202) is farther away from the main body portion (100) than the central area (201), and the guidance portion (200) is restorable from the contracted configuration to the expanded configuration. In the intervention guidance device (10), the radial dimension of the guidance portion (200) is larger than the distance between the chordae tendineae, so that an effective access path that does not cross the chordae tendineae can be established, the subsequent implantation of a heart valve prosthesis does not pass through the chordae tendineae, and the success rate of a heart valve prosthesis implantation surgery can be improved.
摘要:
An instrument for therapeutically cytotoxically ablating parathyroidal tissue is disclosed. A substance delivery device with which a quantity of an activator substance that is less than a cytotoxic ablation quantity threshold of a parathyroid gland can be percutaneously introduced into parathyroidal tissue is provided. The activator substance, when introduced, is not activated. An energy source device that includes a selector with which a quantity of an energy that is less than a cytotoxic ablation energy threshold of the parathyroid gland can be selected and an energy production device operable to apply the energy to the activator substance is provided. The activator substance, when introduced, and the energy indicated, when applied to the introduced activator substance, are in combination capable of cytotoxically ablating the parathyroid tissue and transforming the parathyroid gland from overproduction to non-overproduction of the parathyroid hormone in a manner that maintains non-parathyroidal tissue functions and is non-lethal.
摘要:
Improved tissue fasteners are disclosed that can be inserted into (and optionally through) tissue structures underlying a tissue surface for affixing overlapping tissues and tissue planes together, and the like. In some embodiments, an elongate anvil body may protrude distally and/or laterally from a fastener support disposed along the base. The anvil body may have a sharpened end and be configured to penetrate into the tissue, with the elongate anvil body optionally having a bend from a more distal orientation adjacent the clip support to a more lateral orientation adjacent the sharpened end during at least a portion of the deployment. The first leg can be driven through a desired location on the surface of the first tissue and against a receptacle of the anvil body so as to deform the fastener and affix it to the first tissue.
摘要:
Some embodiments of the invention include a cannulated bone screw including a screw shaft with screw thread, a proximal end, a distal end, and a channel extending through the screw shaft. Some embodiments include an inlet port coupled to the channel and extending through the distal end, and an outlet port coupled to the channel by a curved or angled channel region. In some embodiments, the outlet port extends through the screw shaft and exits a side that is substantially parallel to the shaft longitudinal axis. In some embodiments, the cannulated bone screw can form part of a therapy delivery device. In some embodiments, the outlet port extends through a portion of the screw shaft and exits at the distal end. In some embodiments, the valve includes a plunger with a plunger rod within the screw shaft, and a valve seat for control of fluid flow out of the screw.
摘要:
A device for attaching, relocating or reinforcing tissue includes a first tissue anchoring portion having a support plate and a plurality of barbs extending from the support plate for engaging tissue at a first location, a second tissue anchoring portion having a support plate and a plurality of barbs extending from the support plate for engaging tissue at a second location which is different from the first location, and a connection element, such as a suture or a mesh structure, interposed between and interconnecting the first tissue anchoring portion and the second tissue anchoring portion. The support plate of at least one of the first tissue anchoring portion and the second tissue anchoring portion may have longitudinally axially formed therethrough a bore for receiving the connecting element so that the surgeon may pull on the end of the connecting element to adjust the distance between the first tissue anchoring portion and the second tissue anchoring portion.
摘要:
The apparatus of one embodiment of the present invention is comprised of a flexible sheath instrument, a flexible guide instrument, and a tool. The flexible sheath instrument comprises a first instrument base removably coupleable to an instrument driver and defines a sheath instrument working lumen. The flexible guide instrument comprises a second instrument base removably coupleable to the instrument driver and is threaded through the sheath instrument working lumen. The guide instrument also defines a guide instrument working lumen. The tool is threaded through the guide instrument working lumen. For this embodiment of the apparatus, the sheath instrument and guide instrument are independently controllable relative to each other.
摘要:
The apparatus of one embodiment of the present invention is comprised of a flexible sheath instrument, a flexible guide instrument, and a tool. The flexible sheath instrument comprises a first instrument base removably coupleable to an instrument driver and defines a sheath instrument working lumen. The flexible guide instrument comprises a second instrument base removably coupleable to the instrument driver and is threaded through the sheath instrument working lumen. The guide instrument also defines a guide instrument working lumen. The tool is threaded through the guide instrument working lumen. For this embodiment of the apparatus, the sheath instrument and guide instrument are independently controllable relative to each other.
摘要:
The apparatus of one embodiment of the present invention is comprised of a flexible sheath instrument, a flexible guide instrument, and a tool. The flexible sheath instrument comprises a first instrument base removably coupleable to an instrument driver and defines a sheath instrument working lumen. The flexible guide instrument comprises a second instrument base removably coupleable to the instrument driver and is threaded through the sheath instrument working lumen. The guide instrument also defines a guide instrument working lumen. The tool is threaded through the guide instrument working lumen. For this embodiment of the apparatus, the sheath instrument and guide instrument are independently controllable relative to each other.
摘要:
The apparatus of one embodiment of the present invention is comprised of a flexible sheath instrument, a flexible guide instrument, and a tool. The flexible sheath instrument comprises a first instrument base removably coupleable to an instrument driver and defines a sheath instrument working lumen. The flexible guide instrument comprises a second instrument base removably coupleable to the instrument driver and is threaded through the sheath instrument working lumen. The guide instrument also defines a guide instrument working lumen. The tool is threaded through the guide instrument working lumen. For this embodiment of the apparatus, the sheath instrument and guide instrument are independently controllable relative to each other.