Surgical instrument for progressively stapling and incising tissue

An instrument including a clamping jaw with an anvil defining an elongated slot and staple forming cups on opposing sides of the elongated slot. A housing rotatably mounts on the anvil and a pusher rotatably mounts within the housing. A handle actuates the clamping jaw from the open to the intermediate position by rotating the housing towards the clamping jaw. To move from the intermediate position to the closed position, the pusher rotates towards the anvil. A staple cartridge, disposed in the housing, includes a staple track for retaining two rows of staples on opposing sides of the elongated slot. Two staple drivers align with the distal most staples. The drivers slidably mount in the staple cartridge and couple to the pusher such that each staple driver forces a staple into the forming cups and, in turn, staples the body tissue as the pusher rotates from the intermediate to closed position. A knife rotatably mounts on the staple cartridge and couples to the pusher such that the knife passes into the elongated slot and, in turn, cuts the body tissue as the pusher rotates from the intermediate to closed position.

SURGICAL BUTTRESS ASSEMBLIES AND METHODS OF USES THEREOF

A surgical buttress-dispensing assembly configured for releasably engaging a surgical stapling device. The surgical buttress-dispensing assembly comprises an one-piece cartridge for receiving and engaging therein an elongate buttress strip, and a carrier configured to slidingly receive, engage, and discharge the cartridge. The cartridge comprises a cylindrical end portion from which extends a pair of opposed elongate semi-circular sleeves. The cylindrical end portion is configured to slidingly received therethrough the closed closed jaws of a surgical stapler. The semi-circular sleeves are configured such that each sleeve slidingly communicates and cooperates with one of the stapler's jaws. The elongate edges of the sleeves are configured to engage and retain therewith the elongate edges of a surgical buttress strip. The carrier is engaged with a cartridge having a buttress strip installed onto the opposed sleeves, and is manipulated to slide and mount the cartridge onto the jaws of a surgical stapler.

System and method for advancing, orienting, and immobilizing on internal body tissue a catheter or other therapeutic device

This invention provides a system and method that allows a therapeutic device, such as an atrial fibrillation microwave ablation catheter or ablation tip to be guided to a remote location within a body cavity and then accurately immobilized on the tissue, including that of a moving organ, such as the heart. In various embodiments, the system and method also enables accurate movement and steering along the tissue, while in engagement therewith. Such movement and engagement entails the use of vacuum or microneedle structures on at least two interconnected and articulated immobilizers that selectively engage to and release from the tissue to allow a crawling or traversing walking across the organ as the therapeutic catheter/tool tip applies treatment (AGE devices). In further embodiments that lack a movement capability (AID devices), the immobilizers allow a predetermined position for the introduced device to be maintained against the tissue while a treatment is applied to the location adjacent thereto. In the exemplary AID devices, variety of steering mechanisms and mechanisms for exposing and anchoring a catheter against the underlying tissue can be employed. In the exemplary AGE devices, a variety of articulation and steering mechanisms, including those based upon pneumatic/hydraulic bellows, lead screws and electromagnetic actuators can be employed.

Tool with articulation lock

The invention provides surgical or diagnostic tools and associated methods that offer user control for operating remotely within regions of the body. These tools include a proximally-located actuator for the operation of a distal end effector, as well as proximally-located actuators for articulational and rotational movements of the end effector. Control mechanisms and methods refine operator control of end effector actuation and of these articulational and rotational movements. An articulation lock allows the fixing and releasing of both neutral and articulated configurations of the tool and of consequent placement of the end effector. The tool may also include other features. A multi-state ratchet for end effector actuation provides enablement-disablement options with tactile feedback. A force limiter mechanism protects the end effector and manipulated objects from the harm of potentially excessive force applied by the operator. A rotation lock provides for enablement and disablement of rotatability of the end effector.

Security systems for protecting an asset

Security systems for protecting assets are described, including password-based security systems that can provide different levels of access responsive to entry of a primary or secondary password. In some versions, user-configurable security rules can provide customized responses to entry of primary or secondary passwords, including feigned or limited access, security alerts, etc. Passwords comprising overt and covert components can be used to provide enhanced security and improved user control over system response. Improved security systems involving transactions between multiple parties are also considered, with options for user-customized security rules including primary and secondary passwords, and reverse challenge and response methods. Systems for Limited Use Credentials are also disclosed to reduce the risk of identity theft.

System and method for walking an implantable medical device from a sleep state

A system and method for waking up an implantable medical device (“IMD”) from a sleep state in which power consumption by the IMD is essentially zero. The IMD may be adapted to perform one or more designated measurement and/or therapeutic functions. In one embodiment, the IMD includes a wake-up sensor that is adapted to sense the presence or absence of a wake-up field generated by another IMD or an external device. The wake-up field may, in some embodiments, be an electromagnetic field, a magnetic field, or a physiologically sub-threshold excitation current (i.e., E-field). Upon sensing by the wake-up sensor of the wake-up field, other components of the IMD, which may include a controller, a sensing and/or therapy module, and/or a communications module, are awakened to perform one or more designated functions.

Flexible instrument

A medical instrument assembly and robotic medical system are provided. The medical instrument assembly comprises an outer probe having an elongated shaft, an inner probe having an elongated shaft, coaxially disposed within the outer probe shaft, and a driver interface module having a plurality of actuating elements configured to be driven by a drive unit to independently effect movement of each of the outer and inner probes within at least one degree-of-freedom. The robotic medical system may comprise the driver interface module, a user interface configured for generating at least one command, a drive unit coupled to the actuating elements, and an electric controller configured, in response to the command(s), for directing the drive unit to drive the actuating elements to independently effect movement of each of the outer and inner probes to the degree(s)-of-freedom.

Method and apparatus for annotating media streams

In one embodiment, the invention is a method and apparatus for annotating media streams. One embodiment of a method for facilitating creation of an annotated media stream by a user includes receiving the media stream from the user, mapping at least one item of supplemental content to at least a portion of the media stream to produce the annotated media stream, and storing the annotated media stream. In another embodiment, a method for distributing an annotated media stream provided by a user includes receiving the annotated media stream from the user, where the annotated media stream includes at least one item of supplemental content mapped to at least a portion of a media stream to produce the annotated media stream, storing the annotated media stream, receiving a request from a viewer to view the annotated media stream, and distributing the annotated media stream to the viewer. In another embodiment, a method for distributing an annotated media stream provided by a user includes distributing the annotated media stream to a viewer, where the annotated media stream includes at least one item of supplemental content mapped to at least a portion of a media stream to produce the annotated media stream, and collecting a commission when the annotated media stream is viewed by the viewer. In one embodiment, the collecting requires further action on a part of the viewer (such as selection of a hyperlink contained in the at least one item of supplemental content or consummation of a commercial transaction).

Signal processing apparatus

The present disclosure describes a method and an apparatus for analyzing measured signals using various processing techniques. In certain embodiments, the measured signals are physiological signals. In certain embodiments, the measurements relate to blood constituent measurements including blood oxygen saturation.

Precise selection techniques for multi-touch screens

A unique system and method is provided that facilitates pixel-accurate targeting with respect to multi-touch sensitive displays when selecting or viewing content with a cursor. In particular, the system and method can track dual inputs from a primary finger and a secondary finger, for example. The primary finger can control movement of the cursor while the secondary finger can adjust a control-display ratio of the screen. As a result, cursor steering and selection of an assistance mode can be performed at about the same time or concurrently. In addition, the system and method can stabilize a cursor position at a top middle point of a user's finger in order to mitigate clicking errors when making a selection.