Abstract: A magnetic tracking device includes a sensor configured to generate a sensor electromotive force (EMF). The device includes a mechanism configured to select between a first operating mode in which the sensor generates the sensor EMF when receiving the magnetic field and a second operating mode in which the sensor generates a reduced amount of the sensor EMF when receiving the magnetic field. An interconnecting circuit generates a parasitic EMF in each of the first operating mode and the second operating mode. The interconnecting circuit connects to a processing device which receives a first measurement for the first operating mode, the first measurement representing the sensor EMF and the parasitic EMF, receives a second measurement for the second operating mode, the second measurement representing the parasitic EMF, compares the first measurement and the second measurement, and determines an approximate value of the sensor EMF.

Abstract: A method of assessment of microcirculation oscillations comprises illumination of a selected location on non-hairy skin of a human subject in a resting steady condition without any blockage or stimulation of the blood flow with exciting light capable of inducing skin NADH fluorescence signal for a period of time; simultaneously with said illumination detecting, measuring and recording as a function of time the induced NADH fluorescence signal emitted from the said selected location to obtain the time course of the NADH fluorescence signal intensity in the said period of time; and computer implemented steps of: fitting of a baseline about which the NADH fluorescence signal oscillates to the said time course of the NADH fluorescence signal; and determination of a mean squared error of the deviation of the NADH fluorescence signal from the fitted baseline as a parameter of oscillatory function of the skin microcirculation.

Abstract: Systems and methods for electromagnetic field generator alignment are disclosed. In one aspect, the system includes an electromagnetic (EM) sensor configured to generate, when positioned in a working volume of the EM field, one or more EM sensor signals based on detection of the EM field, the EM sensor configured for placement on a patient. The system may also include a processor and a memory storing computer-executable instructions to cause the processor to: determine a position of the EM sensor with respect to the field generator based on the one or more EM sensor signals, encode a representation of the position of the EM sensor with respect to the working volume of the EM field, and provide the encoded representation of the position to a display configured to render encoded data.

Abstract: A medical instrument assembly including a handle assembly having a first handle portion and a second handle portion proximate the second end, wherein the second handle portion is slidably engaged with the first handle portion. A first localization element is attached to the first handle portion and a second localization element is attached to the second handle portion. A medical instrument is mechanically coupled to the second handle portion and a translation of the second handle portion with respect to the first handle portion causes a coincident and coextensive translation of the medical instrument. The amount of translation of the medical instrument is adapted to be determined by calculating the distance between the first localization element and the second localization element. The first and second localization elements may be electromagnetic sensors which positions may be determined by a navigation system.

Abstract: A catheter system for accessing the central venous system through an occlusion in the neck region.

Abstract: A system for providing intraoperative feedback to a user during the course of surgery. A core imaging unit provides low-coherence optical radiation coupled to a sampling device and generates optical coherence tomography (OCT) data based on combining scattered light received from the sampling device together with a reference signal. The sampling device is adapted to receive the low-coherence optical radiation from the core imaging unit and to illuminate the tissue, and to collect light scattered by the tissue and to return said light to the core imaging unit. A core software unit receives the OCT data from the core imaging unit provides real-time feedback, such as an image, to the user via an indicator.

Abstract: An ultrasound diagnostic apparatus includes an ultrasound probe, a reference image holding unit that holds an ultrasound image acquired by fixing the position of the ultrasound probe as a reference image, a movement vector calculation unit that calculates a movement vector between two ultrasound images, a movement vector integration unit that integrates the movement vectors from the time when the reference image is held until the current time, a deformed image generation unit that generates a deformed image in which the reference image is moved and changed on the basis of an integration result, a tomographic plane determination unit that compares the deformed image with the current ultrasound image, to determine whether or not tomographic planes of the reference image and the current ultrasound image are the same as each other, and a determination result notification unit that notifies a user of a determination result.

Abstract: Apparatus and methods are provided for mapping and displaying three dimensional surgical pathways within imaging of cranial structures derived from voxels of a cranial scan. Entry voxel and target voxel are selected as pathway endpoints. A series of respective neighbor voxels are mapped between the entry voxel and the target voxel to define a pathway. For each voxel Vxi,yi,zi in the series, an immediately succeeding voxel of voxel Vxi,yi,zi is selected from among the group of neighbor voxel of voxel Vxi,yi,zi which excludes neighbor voxels of the immediately preceding voxel of voxel Vxi,yi,zi. The selection is made by comparing selection weights determined based on relative distances with respect to the endpoint voxels and relative distance from voxels within a predetermined distance that represent at least a threshold density. The voxels of the pathway are then selectively highlighted in a displayed view to provide a visualization of the 3D surgical pathway.

Abstract: In one embodiment, a system includes a catheter including an insertion tube and a first position sensor, a pusher including a second position sensor, and an expandable assembly including flexible strips disposed circumferentially around a distal portion of the pusher, with first ends of the strips connected to the distal end of the insertion tube and second ends of the strips connected to the distal portion of the pusher, the flexible strips bowing radially outward when the pusher is retracted, processing circuitry to receive a respective position signal from the first and second position sensors, compute location and orientation coordinates for the position sensors subject to a constraint that the position sensors are coaxial and have a same orientation, compute a distance between the computed location coordinates of the position sensors, and find position coordinates of the flexible strips responsively to at least the computed distance.

Abstract: A surgical locator circuit identifies a surgical target such as a kidney stone by disposing an emitter such as a magnetic source behind or adjacent the surgical target, and employing the circuit to identify an axis to the emitter, thus defining an axis or path to the surgical target. An array of sensors arranged in an equidistant, coplanar arrangement each senses a signal indicative of a distance to the emitter. A magneto resistor sensor generates a variable resistance is responsive to the distance to a magnetic coil emitting a magnetic field. An equal signal from each of the coplanar sensors indicates positioning on an axis passing through a point central to the sensors and orthogonal to the plane. A fixed element and signal conditioner augments and normalizes the signal received from each of the sensors to accommodate subtle differences in magneto resistive response among the plurality of sensors.

Abstract: Disclosed are methods and devices for detecting retained surgical items or other objects having a magnetic signature within a corpus of a patient. The device can comprise a handle, a shaft extending from the handle, and a distal sensing portion positioned distally of the shaft. The distal sensing portion can comprise one or more gradiometers comprising a plurality of magnetometers. The device can further comprise one or more output components configured to generate a user output to alert a user of a detected object.

Abstract: Methods and systems for in vivo classification of tissue are disclosed. The tissue is irradiated with light from multiple light sources and light scattered and fluoresced from the tissue is received. Distinct emissions of the sample are identified from the received light. An excitation-emission matrix is generated (1002). On-diagonal and off-diagonal components of the excitation-emission matrix are identified (1004, 1006, 1008). Spectroscopic measures are derived from the excitation-emission matrix (1014), and are compared to a database of known spectra (1016) permitting the tissue to be classified as benign or malignant (1018). An optical biopsy needle or an optical probe may be used to contemporaneously classify and sample tissue for pathological confirmation of diagnosis.

Abstract: A system for electromagnetic navigation in dental implant placement may include an electromagnetic tracking system that may be configured to track positions and orientations of a plurality of electromagnetic sensors. An exemplary electromagnetic tracking system may include a field generator that may be attached to a dental unit utilizing a positioning arm. An exemplary system may further include a control unit that may be coupled to the electromagnetic tracking system and the positioning arm. The control unit may be configured to receive the tracked positions of the plurality of the electromagnetic sensors from the electromagnetic tracking system and to adjust at least a position or an angular orientation of the field generator to maintain the plurality of the electromagnetic sensors within a volume of interest within the tracking volume.

Abstract: During both invasive and non-invasive treatments and therapies, health professionals need to accurately locate areas of interest. Inaccuracies may mean that not all the area is treated, or the treatment is incomplete. Electro-magnetic and RFID (Radio-Frequency Identification) markers have been developed, but these are bulky and prone to failure. For example, any inaccuracy may result in an incomplete resection or removal of the lesion, requiring additional treatments.

Abstract: Estimation of vibration amplitude of intra-capillary micro-bubbles driven to vibrate with an incident ultrasound wave with amplitude and frequency to adjust the drive amplitude of the incident wave to obtain specified vibration amplitude of extra-capillary tissue. Estimation uses transmission of M groups of pulse complexes having low frequency pulse (LF) at bubble drive frequency, and high frequency (HF) pulse with angular frequency ?H>˜5?L, and pulse duration shorter than ?/4?L along HF beam. The phase between HF and LF pulses is ?Ltm for each group, where tm varies between the groups. Within each group, LF pulse varies between pulse complexes in amplitude and/or, where the LF pulse can be zero for a pulse complex, and LF pulse is different from zero for pulse complex within each group. HF receive signals are processed to obtain a parameter relating to bubble vibration amplitude when the HF pulse hits bubble.

Abstract: An ultrasound diagnostic apparatus including an ultrasound probe which outputs transmission ultrasound corresponding to a drive signal, which receives reflected ultrasound from the subject and which outputs a received signal according to the reflected ultrasound; a drive signal outputter which outputs the drive signal to the ultrasound probe; a hardware processor which controls the drive signal outputter to output a first drive signal having a first drive waveform and a second drive signal having a second drive waveform that is different from the first drive waveform; a received signal generator which generates a first received signal based on the reflected ultrasound corresponding to the transmission ultrasound that is output based on the first drive signal and a second received signal based on the reflected ultrasound corresponding to the transmission ultrasound that is output based on the second drive signal; and an extractor which extracts by arithmetic of the first received signal and the second received

Abstract: Disclosed is a localizer system. The localizer system may be incorporated into a navigation system for tracking a tracking device. Generally, the localizer may include a transmitting coil array and a field shaping assembly.

Abstract: An optoacoustic imaging system includes an ultrasound transducer array, first and second light sources and a switching power supply that generates power for the light sources. The switching power supply includes an input for impeding its switching operation. A data acquisition unit samples the ultrasound transducer array for a first predetermined period of time after a pulse of light from the first light source and for a second predetermined period of time after a pulse of light from the second light source and stores the sampled data. A master processor utilizes the input to impede operation of the switching operation of the switching power supply during the first predetermined period of time after a pulse of light from the first light source, and during the second predetermined period of time after a pulse of light from the second light source.

Abstract: Catheterization of the heart is carried out using a framework formed by a plurality of electrically conducting wire loops. The wire loops are modeled as polygons, each subdivided into a plurality of triangles. The wire loops are exposed to magnetic fluxes at respective frequencies, and signals read from the loops. Theoretical magnetic fluxes in the polygons are computed as sums of theoretical magnetic fluxes in the triangles thereof, The location and orientation of the framework in the heart is determined by relating the computed theoretical magnetic fluxes to the signals.

Abstract: An optoacoustic system and method for providing enhanced laser safety includes a laser light source, a control and processing system, a laser override, and an array of optoacoustic transducers. The laser light source is capable of generating a laser light pulse upon receiving a laser light source trigger. The control and processing system is configured to generate a laser light source trigger, to receive and process ultrasound data, and to control operation of the optoacoustic system. The control and processing system determines whether received ultrasound data reflects acoustic coupling between the transducer array and the volume. The laser override is configured to automatically prevent the generation of a laser light pulse if received ultrasound data does not reflect acoustic coupling between the optoacoustic transducer array and the volume.