Tusker Medical, Inc.

Intuitive Surgical Operations, Inc.

Acclarent, Inc.

Han Sen Medical, Inc.

Ethicon, Gmbh

Amo Manufacturing Usa, LLC

Mathew D Clopp

Bernard H Andreas

Scott J Baron

John A Barton

Rohit Kulbhushan Girotra

Thomas Daniel Gross

Jeffrey Allen Walker

Yves Lacroix

Daniel T Wallace

Robert G Younge

Alex S Goldenberg

Gregory J Stahler

T Daniel Gross

Greg Liu

David B Camarillo

Gene Reis

Nga K Van

Toby St John King

Bryan Dale Knodel

John H Morriss

Theodore W Rogers

Hung V Ha

Dimitri A Chernyak

Mahyar Zardoshti Kermani

Frederick L Estera

Amir Feriani

Viraj Ajit Patwardhan

Keith Holliday

Rumen Deyanov

Jonathan D Halderman

Joël Fontannaz

Emmanuel Gremion

Derek C Liou

Lukas Glutz

Anqi Fan

Quentin F Polosky

Christopher Coyne

Dean A Mansour

John E Sell

Ketan P Muni

Arkady Kokish

Julia D Vrany

Lawrence D Wasicek

Howard L Levine

Julie D Vrany

Diana C W Friedman

Rohit Girotra

Bryan Knodel

Thomas D Gross

Joel Fontannaz

Toby StJohn King

Christopher W Coyne

An image capturing device comprises a first elongated body portion formed of a first material and a second elongated body portion coupled to a proximal end of the first body portion. The second body portion is formed of a second material having a greater heat conductivity than the first material. The device further comprises an imaging window coupled to a distal end of the first body portion, a first housing within the first body portion, an image sensor mounted to the first housing, and an image processor mounted to the first housing and coupled to receive electrical signals from the image sensor. The device further comprises a second housing within the first body portion. The second housing is coupled to the first housing and to the window such that heat generated by the image sensor and image processor is transmitted through the second housing to the window.

Image capture device with reduced fogging

An exemplary system includes a memory storing instructions and a processor communicatively coupled to the memory. The processor is configured to execute the instructions to receive, from a sensor of a surgical instrument, environmental condition information associated with the surgical instrument and detected by the sensor while the surgical instrument is disconnected from an external power source, the surgical instrument including circuitry configured to be powered and operate only while the surgical instrument is connected to the external power source, determine, based on the environmental condition information, an operational condition of the surgical instrument, and provide a notification indicating the determined operational condition of the surgical instrument.

Surgical instruments and systems and methods for determining condition information thereof

An image capturing device comprises an elongated body, an imaging window coupled to a distal end of the elongated body, and a heat source within the elongated body. The heat source is configured to apply heat to the imaging window to remove condensation from or prevent condensation from forming on the imaging window.

An image capture device includes a plurality of stacked ceramic circuit boards, an image sensor, signal conditioning electronics, and a connector. Each ceramic circuit board is parallel and directly coupled to at least one other circuit board. The image sensor is mounted to a first ceramic circuit board. The signal conditioning electronics are mounted to one or more of the stacked ceramic circuit boards and are coupled to receive electrical signals generated by the image sensor. The image capture device is enclosed by a shaft and the stacked ceramic circuit boards are stacked along a length of the shaft. The connector is mounted to a second ceramic circuit board that is on an opposite side of the plurality of stacked ceramic circuit boards from the first ceramic circuit board. The connector is mounted to a side of the second ceramic circuit board facing away from the first ceramic circuit board.

Compact binocular image capture device

An instrument comprises a shaft assembly, a handpiece body, and a drive assembly. The shaft assembly comprises a plurality of coaxially arranged shafts and a tympanostomy tube. The shaft assembly further includes a flexible section. The shaft assembly extends distally from the handpiece body. The drive assembly is operable to drive the shafts of the shaft assembly in a predetermined sequence to deploy the tympanostomy tube. One or more of the shafts are configured to translate along the flexible section of the shaft assembly as a part of the predetermined sequence to deploy the tympanostomy tube.

Tympanostomy tube delivery device with rotatable flexible shaft

A surgical apparatus comprises a body, a shaft assembly, a rotation input assembly, and an end effector. The shaft assembly defines a longitudinal axis and a first fluid passageway. The rotation input assembly is operable to rotate the shaft assembly about the longitudinal axis. The rotation input assembly defines a second fluid passageway. The second fluid passageway is in fluid communication with the first fluid passageway. The end effector is located at a distal end of the shaft assembly. The end effector comprises an ultrasonic blade. The end effector is in fluid communication with the first fluid passageway such that the end effector is configured to receive fluid communicated through the first and second fluid passageways.

Features for communication of fluid through shaft assembly of ultrasonic surgical instrument

A tympanostomy tube delivery device comprises a shaft assembly, a pressure equalization tube, and a sensor. The shaft assembly comprises a cannula and a pusher operable to translate relative to the cannula. The pressure equalization tube is positioned within the shaft assembly. The pusher is operable to drive the pressure equalization tube out of the shaft assembly. The sensor is operable to detect a physical parameter associated with engagement between the distal end of the shaft assembly and a tympanic membrane. A controller may activate a feedback device to inform an operator that the distal end of the shaft assembly has achieved suitable apposition with the tympanic membrane, based on information from the sensor.

Features to improve and sense tympanic membrane apposition by tympanostomy tube delivery instrument

Systems, apparatus, and methods described herein relate to a tympanic membrane pressure equalization tube. The tympanic membrane pressure equalization tube can include a tubular body defining a lumen and having a proximal end and a distal end, where the tubular body is configured to be deployed in a tympanic membrane; and a fluid transport element disposed within the lumen and extending at least a length of the tubular body. The tubular body can be configured to transition from a first state in which the tubular body can be disposed within an introducer and a second state in which the tubular body can be retained in an incision formed the tympanic membrane after deployment, and the fluid transport element can enable transport of a fluid across the tympanic membrane.

Tympanic membrane pressure equalization tube

An apparatus includes a navigational guidewire and a connector assembly. The navigational guidewire includes a sensing element, an outer member, and a conductor. The sensing element is configured to respond to positioning within an electromagnetic field. The conductor is in communication with the sensing element. The connector assembly is configured to couple the navigational guidewire with a navigation system. The connector assembly includes a body and a ferrule. The ferrule is coupled with the body. The navigational guidewire is coupled with the ferrule. The ferrule is rotatable relative to the body to thereby enable rotation of the navigational guidewire relative to the body.

System and method for navigation of surgical instruments

An instrument comprises a handpiece, a boss member, a cylindraceous cam body, a linearly movable member, a cam follower, and a braking member. The cam body is rotatably supported in the handpiece and includes an exterior cam feature. The cam follower couples the linearly movable member with the cam feature of the cam body. The cam feature and the cam follower cooperatively drive the linearly movable member linearly in response to rotation of the cam body within the handpiece. The braking member extends about at least a portion of the exterior of the cam body and is positioned to progressively engage the boss member as the cam body rotates within the handpiece. The braking member and the boss member thus cooperate to provide gradual braking of the cam body. The instrument is operable to deploy a pressure equalization tube in the tympanic membrane of a patient.

Tympanostomy tube delivery device with elastomeric brake

A tympanostomy tube delivery device comprises a drive assembly and a force limiting shaft assembly. The shaft assembly comprises a cannula and a piercer operable to translate relative to the cannula so as to pierce the tympanic membrane of a patient. The piercer is mechanically coupled with the drive assembly such that actuation of the drive assembly causes translation of the piercer relative to the cannula. The piercer is mechanically coupled with the drive assembly by a clutch. The clutch is resiliently biased to couple the piercer with the drive assembly. The clutch is configured to uncouple the piercer from the drive assembly in response to a threshold force being imposed upon the piercer so as to inhibit translation of piercer relative to the cannula.

Tympanostomy tube delivery device with cutter force clutch

A tympanostomy tube delivery device comprises a body, a cannula extending distally from the body, and a cylindraceous member disposed within the cannula. The cylindraceous member comprises a tubular portion and a plurality of leaves positioned at the distal end of the tubular portion. The leaves are movable between a collapsed position and an expanded position. The cylindraceous member is slidable relative to the cannula to selectively expose the leaves relative to the open distal end of the cannula. A first leaf of the plurality of leaves has a sharp distal point configured to pierce a tympanic membrane and a longitudinally extending sharp edge. The cylindraceous member may be used to create and dilate a myringotomy incision in a tympanic membrane. The tympanostomy tube delivery device may then be used to deploy a tympanostomy tube through the myringotomy incision.

Tympanostomy tube delivery device with cutting dilator

Systems and methods are provided for automatically forming an incision in a tympanic membrane of an ear and placing a tympanic membrane pressure equalization tube into the incision. The systems include a housing with a shaft extending therefrom. A mechanism is disposed within the housing. A distal end of the shaft is placed against a tympanic membrane, and the mechanism is triggered to causes the tympanic membrane to be automatically incised and dilated and a tympanic membrane pressure equalization tube to be placed in the dilated incision.

Tympanic membrane pressure equalization tube delivery system

An apparatus comprises a housing having a first melting temperature and a fiber bundle extending through the housing. The fiber bundle comprises a plurality of fibers having a second melting temperature. An end of each of the plurality of fibers extends past an edge of the housing. The apparatus further comprises a first seal between the plurality of fibers themselves and a second seal between the plurality of fibers and an inner surface of the housing. The seals each comprise a glass material having a third melting temperature lower than the first two melting temperatures. The second seal is configured to be formed as a result of the fiber bundle being inserted into the housing. The glass material coats a tip of each of the plurality of fibers and at least a portion of a side of each of the plurality of fibers near an end of the fiber bundle.

Sealing a fiber bundle end with glass fritting

Growing community of inventors

San Mateo, CA, United States of America

Mathew D Clopp