Abstract: A flexible shaft to be received in a curved shank of a medical instrument has a hollow shaft having a wall with cuttings therein such that said hollow shaft can also transmit rotary forces in a curved state. Said hollow shaft has a proximal end for coupling to a drive mechanism of a medical instrument and a distal end on which a tool is arranged. In view of tension relief a body extending through an inside of said hollow shaft from said distal end to said proximal end is provided, said body is flexible but is axially inextensible and axially incompressible. In terms of pressure relief said distal end of said hollow shaft is provided with a limit stop which interacts with a limit stop on said medical instrument in such a way that a compression of said hollow shaft beyond a certain extend is blocked.

Abstract: A holding device for medical purposes having a carrier arm on whose distal end a medical instrument can be secured and having at least one joint for positioning the carrier arm and/or the medical instrument, where the joint can be converted between the position that releases the joint and the position that blocks the joint. The holding device provides simple operation, reliable positionability, and can be cleaned well. The joint comprises at least two joint members that enter into active connection with one another by mutually engaging catching elements, where the catching elements are positioned essentially perpendicular to the longitudinal direction of the carrier arm and are pre-tensed with respect to one another by a spring element, and that in the joint at least one hydraulically or pneumatically spreadable expansion element is positioned by which the joint can be converted into the position that releases the joint.

Abstract: Disposable loading units (DLUs) configured for mounting to a robotic arm for performing at least one surgical task are presented. Each DLU includes an attachment platform having at least one connector for engaging at least one connector on a distal end of the robotic arm for connecting the DLU to the robotic arm, a head portion connected to the attachment platform at one end and configured for housing an electro-mechanical actuation assembly therein, and at least one surgical tool member extending from the head portion and operatively associated with the electro-mechanical actuation assembly for controlling the operation and movement of the at least one surgical tool member. The at least one surgical tool member may include a cutting assembly, an aortic hole punch assembly, a lasing assembly, a coring assembly, or a vascular suturing assembly.

Abstract: A surgical navigation system is disclosed including a camera that is fixedly attached to a patient. The camera space merges with the patient space and thereby eliminates the need for a separate patient tracker. The surgical navigation system calculates the position of a surgical tool with a tracking device in view of the camera and shows on a display device the position of the surgical tool with respect to the patient superimposed and in correlation with a scan image of the patient.

Abstract: An intravascular diagnostic or therapeutic apparatus capable of removing blood in an intravascular lumen to be observed using a minimally invasive method is provided. The apparatus includes high-intensity pulsed light generating means and high-intensity pulsed light transmitting means for transmitting high-intensity pulsed light, capable of irradiating the interior of a blood vessel with high-intensity pulsed light, producing water-vapor bubbles and temporarily removing the blood in the blood vessel.

Abstract: To provide a light irradiation device capable of easily removing and reducing hair with low power light without burden on skin. The light irradiation device according to the present invention includes a light source giving pulses of light in a wavelength range from 400 to 1200 nm and a light guide distributing the pulses of light given from the light source with energy intensity of 0.2 to 10 J/cm2 at a predetermined distance from the light outgoing surface.

Abstract: Disclosed is a laser device for machining material, comprising a laser beam source which supplies pulsed laser radiation, and a variable deflection unit that introduces said laser radiation into the material at different, selectable points so as to create optical breakthroughs. The inventive laser device further comprises a pulse-selecting apparatus which modifies selected laser pulses of the pulsed laser radiation regarding at least one optical parameter in such a way that no more optical breakthroughs can be created using the modified laser pulses.

Abstract: An apparatus and corresponding method for treatment of skin conditions which includes a brushhead member which comprises a first portion which includes a plurality of rings of bristle tufts, the first portion oscillating in operation through a selected angle at a selected frequency and a second portion which also includes a plurality of rings of bristle tufts concentric with the first portion, the second portion remaining stationary in operation. At least one monochromatic light source is included, providing light directed from the brushhead in a direction substantially the same as the bristle tufts, such that the light impinges on the area of skin of the user acted on by the oscillating brushhead.

Abstract: An end effector assembly for use with a bipolar forceps includes a pair of opposing first and second jaw members at least one of which being movable relative to the other to grasp tissue therebetween. Each jaw member includes a pair of spaced apart, electrically conductive tissue sealing surfaces. Each tissue sealing surface is adapted to connect to a source of electrosurgical energy to conduct electrosurgical energy through tissue held therebetween to effect a tissue seal. The forceps also includes an insulator disposed between each pair of electrically conductive sealing surfaces and an electrically conductive cutting element disposed within each insulator and defining a geometrical configuration including a plurality of peaks having a period that is a multiple of an operating frequency of the electrosurgical energy. The cutting elements are adapted to connect to the source of electrosurgical energy to conduct electrosurgical energy through tissue held therebetween to effect a tissue cut.

Abstract: A telescopic insertion axis, a robotic surgical system including the telescopic insertion axis, and a method of instrument insertion are provided. In one embodiment, a telescopic insertion axis includes a base link operably coupled to a distal end of a manipulator arm, and a carriage link movably coupled to the base link along a lengthwise axis, the carriage link including an instrument interface.

Abstract: An apparatus and process using a high-power, short-pulsed thulium laser to output infrared laser pulses delivered through an optical fiber, for cutting and ablating biological tissue. In some embodiments, the pulse length is shortened sufficiently to keep inside the stress-confined ablation region of operation. In some embodiments, the pulse is shortened to near the stress-confined ablation region of operation, while being slightly in the thermal-constrained region of operation. In some embodiments, the laser is coupled to a small low-OH optical fiber (˜100 ?m diameter). In some embodiments, the device has a pulse duration of about 100 ns for efficient ablation; however in some embodiments, this parameter is adjustable.

Abstract: A system for treatment of a wound area of a patient including a first treatment pad comprising a plurality of Light Emitting Diodes (LEDs) for cleaning and exposing a wound area to ultraviolet light, a second treatment pad comprising removal ports for exposing the wound area to a negative pressure, and a control unit interoperably connected to the first and second treatment pads for providing a negative pressure and the ultraviolet light to the wound area.

Abstract: An optical-signal vestibular-nerve stimulation device and method that provides different nerve stimulation signals to a plurality of different vestibular nerves, including at least some of the three semicircular canal nerves and the two otolith organ nerves. In some embodiments, balance conditions of the person are sensed by the implanted device, and based on the sensed balance conditions, varying infrared (IR) nerve-stimulation signals are sent to a plurality of the different vestibular nerves.

Abstract: A catheter is adapted to ablate tissue and provide lesion qualitative information on a real time basis, having an ablation tip section with a generally omni-directional light diffusion chamber with one openings to allow light energy in the chamber to radiate the tissue and return to the chamber. The chamber is irrigated at a positive pressure differential to continuously flush the opening with fluid. The light energy returning to the chamber from the tissue conveys a tissue parameter, including without limitation, lesion formation, depth of penetration of lesion, cross-sectional area of lesion, formation of char during ablation, recognition of char during ablation, recognition of char from non-charred tissue, formation of coagulum around the ablation site, differentiation of coagulated from non-coagulated blood, differentiation of ablated from healthy tissue, tissue proximity, and recognition of steam formation in the tissue for prevention of steam pop.

Abstract: Devices and methods are described for sealing tissue such as melding the two flaps of the foramen ovale together without the need for a permanent implant or closing openings in vessels.

Abstract: Provided is a medical treatment apparatus using laser beams, which is used for treating arthritis, myositis, chronic pains and so on. A medical treatment apparatus using laser beams includes: a body; a main laser unit irradiating a main laser beam in a direction perpendicular to an area to be treated; a plurality of auxiliary laser units irradiating auxiliary laser beams to form a focus on a central axis of the main laser beam; and an angle adjustment unit adjusting a focal distance by rotating the auxiliary laser units. The medical treatment apparatus using laser beams is capable of easily varying the angle and distance of the focus of irradiated laser beams. In addition, a treatment effect can be enhanced by the laser beams having different intensities, and the absorption rates of the laser beams can be controlled based on the color of light which is separately irradiated onto the skin of an affected area.

Abstract: The present invention presents novel methods for performing noninvasive vasectomies in animals, including humans, and vasectomy clamps for use in such procedures. The invention further presents an apparatus for use in noninvasive male sterilization procedures. More specifically, the invention presents the application of lasers for noninvasive thermal coagulation and occlusion of the vas. Non-contact cooling of the tissue surface, for example, via cryogen or other cooling spray, prevents scrotal skin burns during the procedure. Both the laser radiation and cooling spray are delivered in a non-contact mode to the tissue. This procedure also preserves the surgical field-of-view, potentially allowing the urologist to visually monitor the skin surface during subsurface heating of the vas and preventing the formation of scrotal skin burns.

Abstract: The invention relates to a method for producing cuts in a transparent material, in particular in the cornea, by creating optical openings in said material by means of laser radiation that is focused in said material, whereby the focal point is displaced in order to produce the cut from a surface grid-type array of optical openings arranged in sequence. The focal point is displaced along a trajectory and optical openings along said trajectory that are adjacent are not produced immediately after one another. In addition, the surface grid-type array of optical openings is constructed from at least two sub-grids, the optical openings of which are processed sequentially grid by grid.

Abstract: A surgical instrument body has a proximal portion, a distal portion, and a joint between the proximal and distal instrument body portions. A drive element housing extends through the proximal and distal instrument body portions and through the joint. A force to actuate a component at the distal end of the instrument body is applied to the drive element. A second force in the opposite direction is applied to the drive element housing, and this second force is also applied to the component. The opposite direction forces stabilize the component so that when the distal component is actuated, the actuation does not significantly affect the joint position.

Abstract: A method for providing faster visual and functional recovery of patients following refractive surgery such as laser assisted in situ keratomileusis (LASIK) is disclosed. The method comprises providing a covering to the eye of a patient comprising an inner portion having an inner rigidity and at least one inner radius of curvature; and an outer portion having an outer rigidity and at least one outer radius of curvature; wherein the inner rigidity is greater than the outer rigidity.