Methods and devices for repair or replacement of heart valves or adjacent tissue without the need for full cardiopulmonary support

Methods and systems for endovascular, endocardiac, or endoluminal approaches to a patient's heart to perform surgical procedures that may be performed or used without requiring extracorporeal cardiopulmonary bypass. Furthermore, these procedures can be performed through a relatively small number of small incisions. These procedures may illustratively include heart valve implantation, heart valve repair, resection of a diseased heart valve, replacement of a heart valve, repair of a ventricular aneurysm, repair of an arrhythmia, repair of an aortic dissection, etc. Such minimally invasive procedures are preferably performed transapically (i.e., through the heart muscle at its left or right ventricular apex).

Medical device with articulating shaft

A medical device includes an articulating shaft with a pair of slat assemblies. By moving an articulator, the slat assemblies are configured to concurrently push while the other pulls in order to bend the articulating shaft. The articulating shaft includes a series of alternating pins and pivot members. Each pin defines an aperture that collectively forms a passageway for receiving an actuator or a tube. The pair of slat assemblies extend generally parallel to each other on opposite sides of the pins. A method for articulating a shaft of a medical device is also provided.

Offset remote center manipulator for robotic surgery

Medical, surgical, and/or robotic devices and systems often including offset remote center parallelogram manipulator linkage assemblies which constrains a position of a surgical instrument during minimally invasive robotic surgery are disclosed. The improved remote center manipulator linkage assembly advantageously enhances the range of instrument motion while at the same time reduces the overall complexity, size, and physical weight of the robotic surgical system.

Control console to which powered surgical handpieces are connected, the console configured to simultaneously energize more than one and less than all of the handpieces

A surgical tool system including plural powered surgical handpieces. The handpieces are removably connected to a single control console. The control console has a power supply. A controller internal to the control console simultaneously supplies power to the plural handpieces. In the event the handpieces collectively draw more power than the power supply can provide, the control console temporarily stops the application of power to one of the handpieces.

Prioritized content download for an entertainment device

Priority-based content retrieval mechanisms for digital entertainment devices are provided. In various embodiments, the download prioritizations may be interrupt-based, sequence-based, or a combination of the two. In interrupt-based prioritizations, a higher priority download request will interrupt a lower-priority download that is already in progress. In sequence-based prioritizations, a plurality of file download requests may be ordered in a download queue depending on the priority of the request, with higher priority requests being positioned towards the top of the queue and lower priority requests being positioned towards the bottom of the queue.

Guidewire for crossing occlusions or stenoses

A deflectable and torqueable hollow guidewire device is disclosed for removing occlusive material and passing through occlusions, stenosis, thrombus, plaque, calcified material, and other materials in a body lumen, such as a coronary artery. The hollow guidewire generally comprises an elongate, tubular guidewire body that has an axial lumen. A mechanically moving core element is positioned at or near a distal end of the tubular guidewire body and extends through the axial lumen. Actuation of the core element (e.g., oscillation, reciprocation, and/or rotation) creates a passage through the occlusive or stenotic material in the body lumen.

Method and system for interactive conversational dialogue for cognitively overloaded device users

A system and method to interactively converse with a cognitively overloaded user of a device, includes maintaining a knowledge base of information regarding the device and a domain, organizing the information in at least one of a relational manner and an ontological manner, receiving speech from the user, converting the speech into a word sequence, recognizing a partial proper name in the word sequence, identifying meaning structures from the word sequence using a model of the domain information, adjusting a boundary of the partial proper names to enhance an accuracy of the meaning structures, interpreting the meaning structures in a context of the conversation with the cognitively overloaded user using the knowledge base, selecting a content for a response to the cognitively overloaded user, generating the response based on the selected content, the context of the conversation, and grammatical rules, and synthesizing speech wave forms for the response.

Telecommunications network for remote patient monitoring

A communications network for providing continuous patient monitoring to provide critical care services from a remote location. A plurality of patient monitoring stations with associated patient monitoring instrumentation is connected over a communications network to a command center to which data flows continuously for analysis. A standardized series of guideline algorithms for treating a variety of critical care conditions are prompted to provide critical care by caregivers who monitor the progress of individual patients at remote patient monitoring stations. A smart alert system that can be flexibly set from the command center provides for patient-specific rules to be established to alert the caregivers to potential patient problems so that intervention can occur in a timely fashion. A data storage/data warehouse function analyzes individual patient information from a plurality of command centers and provides updated algorithms and critical care support to the remote command centers.

Method and apparatus for recognition and real time protection from view of sensitive terms in documents

A process for automatically selecting sensitive information in any form of document being displayed and/or generated on a computer to select sensitive information for protection by encryption, redaction or removal of only the sensitive text. Selection is done by using pattern recognition rules, dictionaries of sensitive terms and/or manual selection of text. The sensitive text is automatically protected on the fly in the same manner as a spell checker works so that the sensitive information immediately is removed and replaced with the encrypted or redacted version or a space and a pointer to where the decryption key or the original of the redacted or removed text is stored. Other embodiments require manual approval of automatically selected text prior to protection. For encryption embodiments, the keys used to encrypt the sensitive information in each document are stored in a table or database, preferably on a secure key server so that they do not reside on the computer on which the partially redacted document is stored. Embodiments to protect the body of emails and attachments in either the email client or web mail environment are also disclosed.

Wristed robotic surgical tool for pluggable end-effectors

In one embodiment of the invention, a replaceable electrosurgical end effector cartridge is provided to couple to a mechanical wrist of a surgical instrument for a robotic surgical system. The replaceable electrosurgical end effector cartridge includes two pluggable end effectors and a pair of spring latches. The two end effectors are moveable end effectors having a jaw portion, an off-center portion, and a base portion in one embodiment. The replaceable electrosurgical end effector cartridge may further include a fastener to rotatably couple the end effectors together.