An illumination device (1) comprises: input terminals (2) for coupling to AC mains;a LED string (10) connected in series with the input terminals;a rectifier (30), having input terminals connected in series with the LED string;a controllable voltage source (40), having input terminals coupled to the rectifier output terminals;a series arrangement of at least one auxiliary LED (51) and a second ballast resistor (52) connected to the output terminals of the controllable voltage source. The voltage source comprises: a series arrangement of an adjustable first resistor (46) and a second resistor (47) connected in parallel to the input terminals;a tuneable Zener diode (49) connected in parallel to the output terminals, having a control input terminal (48) connected to the node between the two resistors; wherein positive output terminal is connected to positive input terminal and negative output terminal is connected to negative input terminal.

A microscope includes a light source including an LED device having a light radiating surface and a light directing element including a larger coupling-out surface. The light directing element is disposed so as to couple in light radiated by the light source and couple out the radiated light from the coupling-out surface. The light directing element is disposed so that the light is radiated out in an angular range of ±10° to ±50° and illuminates an area at 5 meters in an angular range of at least ±5° with intensity fluctuations of less than 50%. A condenser is disposed between the coupling-out surface of the light directing element and the object to be viewed. The condenser has an aperture with an aperture dimension and is disposed such that the aperture is irradiated completely with the light coupled out from the coupling-out surface.

Illuminating arrangement for a microscope (200) having a first LED (10) for providing light with a first intensity spectrum (K1) with at least two intensity maxima and an intensity minimum located between the intensity maxima, and at least one further LED (20) for providing light with a further intensity spectrum (K2) respectively, each further intensity spectrum (K2) having an intensity maximum in the region of the intensity minimum of the first intensity spectrum (K1), and a device (30) for merging the light of the first LED (10) and the light of the at least one further LED (20), by means of which illuminating light can be produced with a combined intensity spectrum (K3) composed of light with the first intensity spectrum and light with each of the further intensity spectra.

An optoelectronic module 1 having at least a first 2A and a second 2B radiation-emitting source and a first optical element 5 including a cavity 10 wherein the surface 5A of the cavity 10 is able to reflect the radiation 3A, 3B of the at least two radiation sources. An outlet 15 in the optical element 5 is provided for coupling radiation out of the cavity 10, wherein the radiation emitted by the radiation sources 2A, 2B is reflected by the surface 5A of the cavity resulting in a mixing of the radiation.

A lid for a beverage container or travel mug is provided that has one or more visual indicators to identify the location of the pour spout opening of the container or mug in low light conditions.

An ambient lighting jig assembly generally includes a support assembly, a trim panel, an insert panel, and a light source. The support assembly defines an inner support cavity. The trim panel is configured to be coupled to the support assembly and at least partly defines a jig opening. The insert panel is configured to be rotatably coupled to the support assembly within the jig opening and has a reflective surface. The light source is configured to emit a light stream. Further, the light source is configured to be rotatably coupled to the support assembly within the inner support cavity at a plurality of angular positions so that the light stream is projected onto the reflective surface for use in determining an optimal angle for the insert panel and the light source.

An LED assembly that includes optics and optical arrangements for light emitting diodes (LEDs). In some embodiments, a reflector is provided within a void between the lens and the LED. This reflector can reflect light emitted by the LED in a non-preferred direction back toward the preferred direction. In other embodiments, an optical element is formed or otherwise provided in the lens cavity and shaped so that, when the lens is positioned above the LED, the refractor bends the emitted light in a preferred direction. In some embodiments, both a reflector and optical element are provided in the LED assembly to control the directionality of the emitted light. Such embodiments of the invention can be used to increase the efficiency of an LED by ensuring that generated light is being directed to the target area of choice.

An illumination apparatus, a method of manufacture of the same and a heat sink apparatus for use in said illumination apparatus in which an array of optical elements directs light from an array of light emitting elements through a heat dissipating structure to achieve a thin and efficient light source that provides directional illumination with efficient dissipation of generated heat into the illuminated environment.

A light source device includes a circuit board having a light-emitting element mounted on a one surface; a support body positioned on the other surface side of the circuit board for supporting the circuit board; a rivet having a head portion, which is positioned on a side of the one surface of the circuit board and cannot be inserted into a first through hole provided on the circuit board and the support body, and a shaft portion having a tip side stopped and held on the support body in a penetration via the first through hole; and a reflection sheet arranged on the one surface of the circuit board for reflecting light. The light source device provides a second through hole having a diameter larger or smaller than the diameter of the head portion at the position corresponding to the head portion on the reflection sheet.

A lamp includes an outer shell having heat conductivity, a base provided in the outer shell, and a cover provided in the outer shell. The outer shell has a light source support, and a heat radiating surface exposed to the outside of the outer shell. The light source support is formed integral with the heat radiating surface. A light source is supported on the light source support. The light source is heated during lighting, and thermally connected to the light source support. The light source is covered with the cover.

An interior lamp includes a design portion and a function portion. A circuit board is attached to the function portion. A light source is mounted on the circuit board. Terminals are mounted on a side portion of the circuit board. A connector is disposed on a side portion of the function portion. Connector terminals are provided on the connector. A switch has a switch knob and a switch body. The switch knob is attached to a side portion of the design portion. The switch body is attached to the side portion of the function portion. The switch knob and the switch body are operated in an interlocked manner to perform electrical connection between the terminals and the connector terminals selectively so as to perform a tuning on or off of the light source.

A lamp holder for holding a source of LED light includes a lamp holding component that is sized and arranged to securely receive the source of LED light. Keyed openings, engageable with fasteners associated with the mounting surface, are used to releasably attached the lamp holding component to the mounting surface and to urge the source of LED light against the mounting surface once the lamp holding component is attached thereto. Electrical contacts carried by the lamp holding component, provided to engage corresponding electrical contacts of the source of LED light, are also arranged to urge the source of LED light against the mounting surface when the lamp holding component is attached to the mounting surface. The lamp holding component also includes resiliently mounted holding elements for releasably holding the source of LED light in an accessible location.

A light projector has a light emitting device having a light emitting surface, an optical fiber having an incident end-face to which light emitted from the light emitting surface enters, and a lens arranged between the light emitting surface of the light emitting device and the incident end-face of the optical fiber. The light emitting device, the optical fiber and the lens are arranged on one optical axis. The optical fiber includes a core region as a region including a single core of uniform refractive index or a region collectively encompassing a plurality of cores having uniform refractive index. The lens converts diffused light emitted from the light emitting surface to diffused light that widens more moderately.

There is provided an inclination sensor device. The inclination sensor device includes: a substrate which mounts an inclination sensor configured to calculate an inclination angle of a vehicle; a case which accommodates the substrate; a first positioning mechanism which positions the substrate relative to the case in a first direction that is substantially parallel to a first main surface of the substrate; and a second positioning mechanism which positions the substrate relative to the case in a second direction that is substantially perpendicular to the first main surface of the substrate.

The present invention is to provide an image source unit for improving use efficiency of the image light and also provide an image display unit comprising the image source unit. The image source unit 4 comprising: an image light source 5; and an optical sheet 10 laminated on the image light source, the optical sheet comprising: a base material layer 11; and an optical functional layer 12 formed on the image light source side surface of the base material layer, the optical functional layer comprising: light-transmissive portions 13 arranged parallel along the sheet face; and light-absorbing portion(s) 14 arranged between the light-transmissive portions, the image light source side face of the light-transmissive portion having protrusions 17 each having a curved or polygonal line so that the protrusions project towards the image light source side in cross section in the sheet-thickness direction.

An emergency system for a vehicle integrates many disparate equipment into single housing, including the power supply for the equipment. In one embodiment of the invention, the emergency system is a light bar. The light bar houses a power source comprising solar cell panels, a Lithium-Ion battery pack and a connection to an external supply such as the vehicle's electrical power. Energy for operating the light bar is provided by one or more of the power sources, depending on operating conditions of the light bar and each of the power sources.

A method and apparatus for treating ocular disorders such as blepharitis, meibomitis, and dry eye syndrome. The method includes using an electromechanical device to move a swab relative to the eye to create cyclical movement that impacts debris present at the eyelid margin and effectively removes the debris from the eye to encourage healing and prevent further digression of the health of the eye. The apparatus is an electromechanical device that includes a mechanical drive unit operatively connected to a swab to create a precise relative movement of the swab to the eye to remove debris present therein.

The invention comprises a method for treating a prostate to alleviate prostate cancer, benign prostatic hyperplasia (BPH), and other conditions. The method involves inserting a tool to create a small self-sealing puncture site through tissue to gain access to a portion of a prostate, inserting a probe though the puncture site into the prostate, activating the probe to treat the prostate, withdrawing the probe and inspecting a surgical site for a flow of urine or semen to determine whether a sufficient amount of prostate tissue has been treated, and inspecting for hemostasis. The method may also include delivering a luminally protective sheath before inserting any instruments, using a template to guide insertion of the probe, and delivery of tamponading balloons to assist with attainment of hemostasis after the coring procedure.

An ultrasonic surgical instrument comprises a reusable housing including an internal transducer and an internal end effector rotation assembly. An exemplary rotation assembly is a ratchet and pawl assembly, which allows the transducer to rotate in a first direction but not in a second, opposite direction. The end effector, including an integral torque wrench, is attached to the transducer to form a single unit that is rotatable relative to the housing. The transducer attaches to a stationary cable via slip rings. The cable communicates with a generator, which provides electrical power to the transducer. The transducer converts the electrical power into ultrasonic vibrational energy, which is transmitted to the end effector.

An instrument for delivering a suture transfascially may include a handle, a shaft extending from the handle, and at least one needle that is moveable to an extended position beyond the end of the shaft. A suture may be delivered transfascially with the instrument. The instrument may include a suture catch associated with each needle for retaining and releasing a suture segment. A shield may be provided to shield the sharp end of each needle when it is moved to the extended position. A method of delivering a transfascial suture may include inserting an instrument into an abdominal cavity and deploying, from within the abdominal cavity, each needle through a soft tissue repair patch and then through at least part of the abdominal wall. A suture or suture segment may be advanced across the fascia with the at least one needle.

A dermatological skin treatment device is provided. The device comprises a handpiece and a cutting tool, wherein the tool is inserted through the conduit and percutaneously inserted into a tissue disposed within a recessed area of the handpiece. The device and method cut the fibrous structures under the skin that cause cellulite at an angle substantially parallel to the surface of the skin and replace these structures with a non-cellulite forming structure by deploying a highly fibrous mesh through a single needle hole to create a highly fibrous layer directly or through wound healing processes. A tool is provided to aspirate excess fluid and tissue from the treatment area.

A surgical device mitigates over-puncture with a bias spring that biases a leading, cutting edge in the opposite direction of the anticipated over-puncture. An associated locking mechanism is configured to release the force of the bias spring in a direction counter to the direction of insertion when the tension force of tissue against the cutting edge is released. Thus, when an opening in the tissue forms, the tension is released and the cutting edge can move opposite to the direction of insertion of the surgical device at the same time that an applied force drives the instrument in the direction of insertion. In this manner, the spring and locking mechanism cooperate to move the cutting edge opposite to the direction of insertion as soon as an incision is made.

A multi-layer occluder for treating a target site within the body is provided. The occluder may include first and second layers. For example, the first layer may include braided strands of metallic material, and the second layer may include braided strands of polymeric material. At least one of the first or second layers may be configured to facilitate thrombosis.

A system for treating heart disease, such as pulmonary hypertension or right heart failure, including an implantable component and external components for monitoring the implantable component is provided. The implantable component may include a compliant member, e.g., balloon, coupled to a reservoir via a conduit. Preferably, the compliant member is adapted to be implanted in a pulmonary artery and the reservoir is adapted to be implanted subcutaneously. The external components may include a clinical controller component, monitoring software configured to run a clinician's computer, a patient monitoring device, and a mobile application configured to run on a patient's mobile device.

Braid-balls suitable for aneurysm occlusion and/or parent vessel occlusion/sacrifice (e.g., in treating neurovascular defects) are disclosed. Especially for aneurysm treatment, but also for either one of the aforementioned treatments, the form of the ball is very important. In particular, the density of the device is paramount in applications where braid itself is intended to moderate or stop blood flow—allowing thrombosis within a volume formed by the ball.

The present invention provides a method of deploying a medical filter within a channel in a patient's body and filter systems which can be used in such a method. Such a filter may include a radially expandable body 52 having an opening 56 in a proximal length thereof. In one method, the filter is urged along a length of the channel with the filter body in a radially reduced configuration. This body is expanded to substantially fill the lumen of the vessel and orient the opening in the body proximally. Body fluid is permitted to enter the filter body through the proximally oriented opening and pass distally through the distal length of the body so that the distal length of the body filters from the body fluid particulate material entrained therein. The proximal length of the body can be drawn into the retrieval catheter, thereby effectively closing the proximally oriented opening within the catheter to retain the particulate material within the enclosure. In a preferred embodiment, the filter body 52 is formed of a porous, resilient fabric having pores therein and the proximal opening 56 is at least five times the size of such pores.

A combined multi-lumen central access catheter and an embolic filter, further comprising an imaging modality to facilitate intravascular imaging of the filter.

A combined multi-lumen central access catheter and an embolic filter, further comprising an imaging modality to facilitate intravascular imaging of the filter.

Disclosed is a method and apparatus for regulating tourniquet cuff pressure based on a personalized tourniquet pressure (PTP) to facilitate safe performance of a surgical procedure. The apparatus includes a dual-purpose tourniquet cuff adapted to encircle a region of a patient limb to provide both a sensor during a pre-surgical time period and an effector during a surgical time period. An effector module communicates pneumatically with an inflatable bladder of the cuff for maintaining pressure in the bladder near a PTP during the surgical time period to safely stop penetration of arterial blood past the cuff. A pulsation sensor that communicates pneumatically with the inflatable bladder during the pre-surgical time period senses and characterizes pressure pulsations that are indicative of penetration of arterial blood into the region of the limb encircled by the cuff. A PTP estimator is responsive to the pulsation sensor for producing an estimate of the PTP, such that the estimate of the PTP is a function of the sensed pulsations.

A forceps includes first and second jaw members and at least one handle movable between an open position and a closed position for moving the jaw members between a spaced-apart position and an approximated position. A ratchet mechanism includes first and second ratchet components configured to engage one another upon movement of the at least one handle to the closed position to retain the jaw members in the approximated position. A knife is selectively movable between a retracted position and an extended position, wherein the knife extends between the jaw members to cut tissue therebetween. A safety mechanism is configured to inhibit extension of the knife when the jaw members are disposed in the spaced-apart position. Movement of the ratchet components into engagement with one another to retain the jaw members in the approximated position disengages the safety mechanism, thereby permitting extension of the knife.

A forceps includes first and second shaft members each having a jaw member disposed at a distal end thereof. One (or both) of the first and second jaw members is moveable relative to the other between a spaced-apart position and an approximated position for grasping tissue therebetween. The first jaw member includes a jaw frame fixedly engaged to the first shaft member and a disposable jaw housing releasably engageable with the jaw frame. The disposable jaw housing includes a knife assembly disposed therein. The knife assembly includes a knife blade biased toward an initial position, wherein the knife blade is disposed within the jaw housing. The knife blade is moveable between the initial position and an extended position, wherein the knife blade extends at least partially from the jaw housing to cut tissue grasped between the first and second jaw members.

A system for occluding a physical anomaly. One embodiment comprises a shape memory material body wherein the shape memory material body fits within the physical anomaly occluding the physical anomaly. The shape memory material body has a primary shape for occluding the physical anomaly and a secondary shape for being positioned in the physical anomaly.

A biodegradable device for maintaining the alignment of the edges of a trocar defect, consisting of two bases joined by a connector, a first base to be positioned below the defect and a second base above. The first base has a threaded hole from its upper surface but not through the lower surface. The connector attached to the bases such that there is a hole aligned with the threaded hole in the first base allowing a device to mate with the threads in the first base. The second base has a hole aligned with the hole in the connector and wide enough to allow a device to mate with the threads in the first base. The device is arranged so the distance between the lower surface of the second base and upper surface of the first base holds but does not compress the fascia around the trocar defect.

Apparatus for sealing a puncture communicating with a blood vessel includes a porous carrier formed from lyophilized hydrogel or other material. The plug may include at least first and second hydrogel precursors and a pH adjusting agent carried by the porous carrier in an unreactive state prior to exposure to an aqueous physiological environment. Once exposed to bodily fluids, the carrier expands as the lyophilized material hydrates to enhance and facilitate rapid hemostasis of the puncture. When the plug is placed into the puncture, the natural wetting of the plug by bodily fluids (e.g., blood) causes the first and second precursors to react and cross-link into an adhesive or “sticky” hydrogel that aids in retaining the plug in place within the puncture.

A dissecting tip is provided for use with a surgical stapler or instrument. In one embodiment, the dissecting tip is secured to the end effector of the surgical instrument, e.g., to the cartridge assembly. The dissecting tip extends distally from the end effector and is configured to dissect or separate target tissue from certain tissue, e.g., adherent, connective, joined or other tissue.

Methods and devices for ophthalmic tissue closure and fixation of ophthalmic prostheses are provided. In accordance with some embodiments, devices for both grasping and clipping a plurality of ocular tissue and ocular prostheses are provided. Various device embodiments are provided for both malleable clips and delivery of normally closed clips (i.e. shape memory). The device may accommodate a plurality of clips which include, but are not limited to: malleable metals, absorbable, shape memory, drug-eluting, and adhesive dispensing. The clips may be pigmented to match the colors of associated tissue (cornea, iris, conjunctiva, sclera, retina) to serve to camouflage fixation clips for healing duration or permanently. According to one aspect, shallow angle access to anatomy may be provided by specialized angulation of device shaft and closure jaws that are intended to access the eye through a small self-healing cornea incision and/or any ocular tissue.

An internal tissue puncture closure method and apparatus. The method and apparatus provide a folded sealing plug that provides more surface area than conventional plugs to more fully cover and seal an external situs of an internal tissue puncture. The folded sealing plug may have a weave pattern that tends to cause the sealing plug to corkscrew into the internal tissue puncture as it is compressed toward an anchor placed inside of the tissue puncture.

A suture anchor comprising a one piece blank folded to form a body. The body has a floor, a first sidewall extending from one end of the floor and a second sidewall extending from an opposite end of the floor. A recess is defined by the floor, first sidewall and second sidewall. A crossbar extends inwardly from the second sidewall across the recess such that a free end of the crossbar is normally disposed distally of a transverse edge of the body. The crossbar is flexible such that when a distally directed force is applied, the free end of the crossbar is positionable in the recess. The free end of the crossbar is engageable with the transverse edge to limit the proximal motion of the crossbar from a proximally directed force.

A device for deploying a tissue fixation apparatus of the type including first and second tissue anchors coupled together by an adjustable suture assembly. The device comprises a handle mechanism and a needle cartridge assembly releasably coupled to the handle mechanism. The needle cartridge assembly includes a needle cannula with a side opening through which a tissue anchor can be loaded into an internal chamber of the needle cannula. A push rod is disposed in the needle cannula and is operable between an extended position in which the push rod prevents the tissue anchor from entering the chamber through the side opening, and a retracted configuration in which the tissue anchor can be pushed into the chamber under the action of a resilient band positioned over the side opening.

Embodiments of the invention relate generally to tissue anchors and methods of delivering same to the intervertebral disc or other sites within the body. In some embodiments, the anchors provide pull-out resistance, stability and/or maximize contact with tissue involving a minimum amount of penetration. In some embodiments, delivery methods are minimally invasive and include linear, lateral, and off-angle implantation or driving of anchors along, against or within tissue surfaces.

Devices, systems and methods for dynamically stabilizing the spine are provided. The devices include an expandable spacer having an undeployed configuration and a deployed configuration, wherein the spacer has axial and radial dimensions for positioning between the spinous processes of adjacent vertebrae. The systems include one or more spacers and a mechanical actuation means for delivering and deploying the spacer. The methods involve the implantation of one or more spacers within the interspinous space.

The sacral-iliac joint between an iliac and a sacrum is fused either by the creation of a lateral insertion path laterally through the ilium, through the sacral-iliac joint, and into the sacrum, or by the creation of a postero-lateral insertion path entering from a posterior iliac spine of an ilium, angling through the sacral-iliac joint, and terminating in the sacral alae. A bone fixation implant is inserted through the insertion path and anchored in the interior region of the sacrum or sacral alea to fixate the sacral-iliac joint.

The present invention is directed to implantable devices for stabilizing or fusing bone structures within the spine. More specifically, the present invention is a spinal plate assembly that includes an automatic mechanism for blocking the pathway of a bone fastener once inserted to prevent unwanted backwards migration of the bone screw.

A variable angle locking washer comprising a body having an outer surface circumferentially disposed between a top surface and a bottom surface, a central bore extending between the top and bottom surfaces, the central bore having a threaded portion and an unthreaded portion, and a plurality of radial slots peripherally positioned along the body, each slot defining a channel that extends between the outer surface of the body and the central bore.

A medical device for blood flow restoration and/or for use as an implantable member in a human vessel includes a self-expanding member, a guidewire, and a connection mechanism. The self-expanding member includes a plurality of cells and filaments having specific ranges of thicknesses, widths, and heights. The self-expanding member can take on a volume-reduced coiled form with overlapped edges, and can generate optimal radial forces against a vessel wall and/or thrombus when deployed and expanded.

An elongate inserter has a distal end releasably connected to an expandable interbody fusion device and a proximal end including a trigger actuator. The interbody fusion device comprises a superior endplate and an inferior endplate that are movable in an expansion direction relative to each other in the intradiscal space. The inserter includes a lifting platform and an elevator that define cooperatively engaging ramps and ramps surfaces that upon operation of the trigger actuator cause the superior and inferior endplates to move relatively away from each other. A driver is supported by the inserter for pushing an insert into the expanded device between the superior and inferior endplates.

An intervertebral fusion cage that is adapted to contain an inserter within its inner volume during insertion of the cage.

Various embodiments of intervertebral implants, anchoring devices for intervertebral implants, and implantation instrumentation are provided, along with various embodiments of methods for using one or more of the devices. Some embodiments of an anchoring device have a body comprising at least one curve and a rigid plate elongated along a longitudinal axis so that its front end enters at least one vertebra while its rear end remains in the passage of an implant. In some embodiments, the plate comprises at least one longitudinal slot separating at least one posterior portion of the plate into two branches, with at least one branch comprising at least one withdrawal stop configured to retain the device in the implant.

Various high-strength microwave antenna assemblies are described herein. The microwave antenna has a radiating portion connected by a feedline to a power generating source, e.g., a generator. The antenna is a dipole antenna with the distal end of the radiating portion being tapered and terminating at a tip to allow for direct insertion into tissue. Antenna rigidity comes from placing distal and proximal radiating portions in a pre-stressed state, assembling them via threaded or overlapping joints, or fixedly attaching an inner conductor to the distal portion. The inner conductor is affixed to the distal portion by, e.g., welding, brazing, soldering, or by adhesives. A junction member made from a hard dielectric material, e.g., ceramic, can be placed between the two portions and can have uniform or non-uniform shapes to accommodate varying antenna designs. Electrical chokes may also be used to contain returning currents to the distal end of the antenna.

A medical device used in a medical robotic system has a conduit and an orientable tip. An optical fiber coupled to a laser source and/or a catheter coupled to one or more biomaterial sources extends through the conduit and tip so that the tip of the medical device may be robotically directed towards a target tissue for laser and/or biomaterial application as part of a medical procedure performed at a surgical site within a patient. A protective sheath covers the fiber as it extends through the conduit and tip. A first coupler adjustably secures at least the sheath to the medical device and a second coupler adjustably secures the fiber to at least the sheath. A similar dual coupler mechanism may be used to secure the sheathed catheter to the medical device.