Abstract: A surgery assistive system includes an instrument having a tool and a manipulator connected to the tool, a spatial sensor system for detecting spatial information of the tool, and a computer system for manipulating a kinematic state of the manipulator. A method for obtaining surface information by the surgery assistive system includes the steps of: defining a target region and a plurality of reference points on a virtual anatomical model of a subject; prompting a user to generate sampling information by using the instrument to sample a plurality of sampling points on the subject corresponding to the reference points; and designating the sampling information as surface information of the sampling points. Each piece of the sampling information includes a coordinate of one of the sampling points, an angle of a contact of the tool at the sampling point, and parameters associated with the contact.

Abstract: A method and an assembly for securing a crimped medical device over a deflated balloon of a balloon catheter is provided. The medical device is positioned in its expanded state over the deflated balloon of the balloon catheter, and is then crimped over the deflated balloon. First and second eyelets of first and second strings, respectively, are then threaded through first and second rings, respectively, that are provided on the medical device. Next, a locking wire is advanced through a lumen defined between the sheath and the catheter body to exit the distal end of the sheath, and then advanced through the first and second eyelets and into the distal tip of the balloon catheter. The sheath is then advanced over the crimped medical device to the distal tip to completely cover the crimped medical device.

Abstract: The present invention provides a guidewire adjuster and a delivery-system control handle provided with the guidewire adjuster. The guidewire adjuster includes a support mechanism which has a lumen for a guidewire to extend therethrough; and a driving mechanism for driving the guidewire to move back and forth in the lumen. The guidewire adjuster is able to drive the guidewire to move with respect to a sheath of the delivery system. The support mechanism is connected to the control handle of the delivery system and forms a lumen for accommodating the guidewire. A proximal end of the sheath together with the stent can be driven to move upwardly, due to the relative movement between the guidewire and the sheath of the delivery system. Therefore, the position of the stent can be adjusted by advancing the guidewire forward when the stent has been deployed at a lower position than expected.

Abstract: Methods, devices, and systems are described herein for applying energy to tissue for ablation of tissue while allowing the tissue to be resorbed within the body. Such methods, devices, and systems control application of energy to maintain a temperature of target tissue above an ablation temperature, being dependent upon the activation time, and below a transformation temperature, also being dependent upon the activation time, where the transformation prevents or hinders resorption of the treated tissue by the body.

Abstract: An instrument and method for tissue thermotherapy including an inductive heating means to generate a vapor phase media that is used for interstitial, intraluminal, intracavity or topical tissue treatment. In one method, the vapor phase media is propagated from a probe outlet to provide a controlled vapor-to-liquid phase change in an interface with tissue to thereby apply ablative thermal energy delivery.

Abstract: A medical introducer includes an elongated tubular member having a proximal end, a distal portion, and a central lumen extending from the proximal end to a distal port in the distal portion. A frame structure is coupled to the distal portion of the elongated tubular member, where frame structure supports the distal portion of the elongated tubular member in a tapered shape and alternatively in a non-tapered shape. The elongated tubular member may include a rigid outer tube and a rigid inner tube carried in an interior lumen of the outer tube. The distal portion is typically a reinforced elastomeric tubular extension of the outer tube, and the reinforced elastomeric tubular extension may have a conical shape.

Abstract: A neutron capture therapy system, including a beam shaping assembly and a vacuum tube. The beam shaping assembly includes a beam entrance, an accommodating cavity accommodating the vacuum tube, a moderator adjacent to an end of the accommodating cavity, a reflector surrounding the moderator, a radiation shield disposed in the beam shaping assembly, and a beam exit. A target is disposed at an end of the vacuum tube, nuclear reactions occur between the target and a charged particle beam entering through the beam entrance to generate neutrons. The moderator moderates the neutrons, the reflector guides deflected neutrons back to the moderator. The moderator at least includes two cylindrical moderating members with different outer diameters respectively, the moderator has a first end close to the beam entrance and a second end close to the beam exit, and the target is accommodated between the first end and the second end.

Abstract: The present disclosure relates to an end effector instrument. The end effector instrument may include an end effector device. The end effector device may include a clip and a resilient portion including a connecting hole and a limiting convex. The end effector instrument may further include a delivery device including a sheath and a shaft. The sheath may include a passage that accommodates the shaft. A distal end of the shaft may include a connecting end. The sheath may include a limiting concave. The connecting end may extend into or exit from the connecting hole when the sheath is set outside the resilient portion: when the connecting end extends into the connecting hole, the resilient portion may expand outward, and the limiting convex may extend into the limiting concave; when the connecting end exits from the connecting hole, the resilient portion may rebound, and the limiting convex may exit from the limiting concave.

Abstract: Disclosed in the present invention are a stent apparatus having a self-pleated skirt, a processing method therefor, a skirt pleating method, and a cardiac valve. The stent apparatus comprises a stent, and is further provided with a flexible skirt. The skirt comprises: an unfolded state, where the skirt extends axially and surrounds the periphery of the stent before release; and a stacked state, where the skirt is driven by deformation during release of the stent, and gathers and is stacked along an axial direction of the released stent to form an annular perivalvular leakage blocking part. The stent apparatus is further provided with a pull-wire which is merely threaded on the skirt, and the pull-wire may react to the radial deformation during the release of the stent to drive the skirt to enter the stacked state.

Abstract: Methods, systems and devices for applying energy to tissue, and more particularly relates to a system for ablating or modifying structures in a body with systems and methods that generate a flow of vapor at a controlled flow rate for applying energy to the body structure.

Abstract: An imaging and resecting device includes a handle coupled to an elongated shaft extending about a longitudinal axis and having an interior passageway extending therethrough. A resecting component shaft extends through the interior passageway to a working end carrying an RF electrode, and a sensor sleeve at having an insulative layer extends through the interior passageway and is coupled to a distal image sensor formed from an sensor chip and a lens having an optical axis and a field of view. The image sensor is sized to fit within an open distal end of the interior passageway, and at least one co-axial sensor cable carried in an interior lumen of the sensor sleeve, each sensor cable having a shielding layer and coupled to the image sensor. The sensor sleeve is configured to shield the image sensor and each sensor cable from electrical interference caused by the RF electrode during use.

Abstract: The invention relates to a recalibration device (1) used during the acquisition of images of an anatomical area of a patient during robot-assisted surgery, including a body (3) made of radxoliacent material, which comprises fiducial markers (9) made of radiopaque material, said body (3) having a bearing surface (7) intended to be manually placed on a surface of said anatomical area of the patient. According to the invention, said fiducial markers (9) are arranged in a specific geometrical pattern enabling a certain detection of the positioning and orientation of the recalibration device (1) in a three-dimensional digital model built from the images derived from the acquisition of the anatomical area.

Abstract: A wound closure device for closing a surgical wound in a tissue, wherein the wound closure device includes a first jaw, a second jaw and a handle. The first jaw is arranged for receiving a first cartridge including a plurality of slots for holding wound closers and wherein the second jaw is provided with a plurality of tracks. The plurality of tracks guide a respective one of the male ends and a respective one of the female ends towards each other and to an interlocked state where the respective one of the male ends and the respective one of the female ends are interlocked with each other.

Abstract: A neutron capture therapy system and a target for a particle beam generating device, which may improve the heat dissipation performance of the target, reduce blistering and extend the service life of the target. The neutron capture therapy system includes a neutron generating device and a beam shaping assembly. The neutron generating device includes an accelerator and a target, and a charged particle beam generated by acceleration of the accelerator interacts with the target to generate a neutron beam. The target includes an acting layer, a backing layer and a heat dissipating layer, the acting layer interacts with the charged particle beam to generate the neutron beam, the base layer supports the action layer, and the heat dissipating layer includes a tubular member composed of tubes arranged side by side.

Abstract: Provided are tissue repair and sealing devices, and methods for the use of tissue repair and sealing devices, for use in both minimally invasive surgical (MIS) procedures and open, non-MIS procedures to rapidly repair tissue fenestrations and create a pressure-resistant, watertight seal in a tissue barrier. Tissue repair and sealing devices disclosed herein comprise an integrated graft and deployable clasp assembly and an applicator assembly having a clasp retain and release member that is slidably connected to a folded, deployable clasp. The applicator assembly places a graft on a tissue inner surface and a deployable clasp on a tissue outer surface to secure the graft to the tissue inner surface to, thereby, repair a tissue fenestration and create a watertight barrier.

Abstract: The present invention discloses a core assembly, a sheath assembly, a sheath, a sheath processing method and an interventional instrument delivery system and method. A core assembly for delivering an interventional instrument according to the present invention comprises a core tube, a locking member fixed at a distal end of the core tube for connecting the interventional instrument, and a bendable adjustable tube mounted around an outer periphery of the core tube, wherein the distal ends of the bendable adjustable tube and the core tube are fixedly connected to each other, and the proximal ends can slide relative to each other.

Abstract: The present invention relates to a system for renal puncturing assistance in percutaneous nephrolithotomy (PCNL) surgery. The system includes a robotic device having an end effect or including an image acquisition unit, needle holding mechanism and a guide wire mechanism. The needle holding mechanism accommodates a puncture needle with corresponding guide wire provided by the guide wire mechanism. The system includes a computing unit operatively coupled to the image acquisition unit. The system has an AR engine that augments the pre-operative CT scan data of the patient with real time intra-operative images acquired using the image acquisition unit during the PCNL surgery, and is used along with an artificial intelligence engine for any or a combination of: identifying kidney and rib position of the patient, predicting an optimal puncture path for the PCNL surgery, and predicting an entry point on the marker patch for the PCNL surgery.

Abstract: A distal end structure of a sheath for delivering an interventional instrument includes a tubular body section which has opposite distal and proximal sides. A plurality of elastic expansion pieces is arranged circumferentially at the distal side of the body section at intervals. Each expansion piece assumes a converged configuration extending in an axial direction of the body section and a flared configuration away from each other. A connecting strip is provided between two adjacent expansion pieces, and two ends of the connecting strip are respectively connected to expansion pieces at respective sides at connection positions adjacent to distal ends of the expansion pieces. In the converged configuration of each expansion piece, a middle portion of the connecting strip is folded and received in a region between two adjacent expansion pieces; and in the flared configuration of each expansion piece, the middle portion of the connecting strip is unfolded.

Abstract: An instrument and method for applying thermal energy to targeted tissue. An instrument and method for tissue thermotherapy. In one embodiment, a method includes providing a vapor source comprising a pump configured for providing a flow of liquid media from a liquid media source into a vaporization chamber having a heating mechanism, actuating the pump to provide the liquid into the vaporization chamber, applying energy from the heating mechanism to convert a substantially water liquid media into a minimum water vapor level for causing an intended effect in tissue. For examples such levels can comprise at least 60% water vapor, at least 70% water vapor, at least 80% water vapor or at least 90% water vapor for causing an intended effect in tissue.

Abstract: A neutron capture therapy system, including a beam shaping assembly, and a vacuum tube and at least one cooling device. The beam shaping assembly includes a beam inlet, an accommodating cavity accommodating the vacuum tube, a moderator adjacent to an end portion of the accommodation cavity, a reflector surrounding the moderator, and a radiation shield and a beam outlet arranged in the beam shaping assembly. An end portion of the vacuum tube is provided with a target. The cooling device undergoes a nuclear reaction with a charged particle beam incident from the beam inlet to produce neutrons. The moderator decelerates the neutrons produced by the target to an epithermal neutron energy region. The reflector leads deviating neutrons back to the moderator. At least one accommodating pipeline accommodating the cooling device is arranged in the beam shaping assembly. A filler is filled between the cooling device and the accommodating pipeline.