Abstract: A fluid management system includes a pump configured to pump fluid through the system at a fluid flow rate. The system includes a processor including a user interface, the user interface allowing a user to input a set of system operating parameters, the processor being configured to control the pump to maintain a target fluid flow rate based on the set of system operating parameters. The system further includes a scope device coupled to the pump to deliver fluid to a target surgical site, the scope device including an elongated shaft extending from a distal end thereof, the elongated shaft including at least one sensor, the sensor transmitting sensor data relating to target surgical site to the processor. The processor automatically signals to the pump to adjust the fluid flow rate based on the sensor data.

Abstract: A fluid management system includes a pump configured to pump fluid through the system at a fluid flow rate. The system includes a processor including a user interface, the user interface allowing a user to input a set of system operating parameters, the processor being configured to control the pump to maintain a target fluid flow rate based on the set of system operating parameters. The system further includes a scope device coupled to the pump to deliver the fluid to a target surgical site, the scope device including an elongated shaft extending from a distal end thereof, the elongated shaft including at least one sensor, the at least one sensor transmitting sensor data relating to the target surgical site to the processor. The processor automatically signals to the pump to adjust the fluid flow rate based on the sensor data.

Abstract: Computer systems and computer-implemented analysis methods may be used for assistance in planning and/or performing a medical procedure, such as percutaneous nephrolithotomy or percutaneous nephrolithotripsy. The method may include receiving one or more radiographic images of an anatomical structure of a patient, generating a display of the radiographic image(s), generating at least one request for user input to identify features of the anatomical structure, receiving user input identifying the features of the anatomical structure, identifying at least one access plan based on the received user input, and generating a display of the identified access plan(s) associated with the radiographic image(s). The method may include generating a patient template that indicates an insertion site according to the identified access plan(s).

Abstract: Computer systems and computer-implemented analysis methods may be used for assistance in planning and/or performing a medical procedure, such as percutaneous nephrolithotomy or percutaneous nephrolithotripsy. The method may include receiving one or more radiographic images of an anatomical structure of a patient, generating a display of the radiographic image(s), generating at least one request for user input to identify features of the anatomical structure, receiving user input identifying the features of the anatomical structure, identifying at least one access plan based on the received user input, and generating a display of the identified access plan(s) associated with the radiographic image(s). The method may include generating a patient template that indicates an insertion site according to the identified access plan(s).

Abstract: A guidance device is disclosed. The device may comprise a tracking pad with a guiding opening and a plurality of sensors operable with at least one beacon on a needle to track the disposition of the needle at least when a distal end of the needle is inserted into the guiding opening. Related systems and methods are also disclosed.

Abstract: A guidance method comprising: placing a tracking pad adjacent a body, the tracking pad including a guiding opening and a plurality of sensors, locating a distal end of a needle inside of the guiding opening at an insertion point adjacent the body, the needle including at least one beacon, operating the plurality of sensors with the at least one beacon to track an actual disposition of the needle, establishing a target disposition for the needle, moving the needle in a direction of movement to synchronize the actual disposition with the target disposition, and inserting the distal end of the needle into the body along an insertion axis.

Abstract: Devices for guiding an instrument into a body of a patient, at a targeted point of entry and along an insertion path at a targeted insertion angle, are described herein, such as a guide for an access needle in a PCNL procedure for accessing the kidney to remove kidney stones. The devices include base component aligned with a point of entry, and a guide assembly which cooperates with the base component to allow an instrument to be aligned and fixed at various circumferential and vertical angles. The devices and methods allow a medical professional to accurately and stably guide an instrument at a targeted point and angle and to a desired depth, while minimizing the exposure to radiation used to image the insertion path.

Abstract: Computer systems and computer-implemented analysis methods may be used for assistance in planning and/or performing a medical procedure, such as percutaneous nephrolithotomy or percutaneous nephrolithotripsy. The method may include receiving one or more radiographic images of an anatomical structure of a patient, generating a display of the radiographic image(s), generating at least one request for user input to identify features of the anatomical structure, receiving user input identifying the features of the anatomical structure, identifying at least one access plan based on the received user input, and generating a display of the identified access plan(s) associated with the radiographic image(s). The method may include generating a patient template that indicates an insertion site according to the identified access plan(s).

Abstract: Devices for guiding an instrument into a body of a patient, at a targeted point of entry and along an insertion path at a targeted insertion angle, are described herein, such as a guide for an access needle in a PCNL procedure for accessing the kidney to remove kidney stones, the devices comprising a base component, a guide assembly, and optionally an insertion mechanism. The base component is aligned in use with the point of entry and the guide assembly cooperates with the base component to allow for the instrument to be aligned and fixed at any circumferential angle around an axis perpendicular to the point of entry and at any vertical angle ranging from 0 to 45 degrees away from the axis in a direction toward the body. The optional mechanism allows for mechanical insertion once the instrument is aligned and fixed.

Abstract: Computer systems and computer-implemented analysis methods may be used for assistance in planning and/or performing a medical procedure, such as percutaneous nephrolithotomy or percutaneous nephrolithotripsy. The method may include receiving one or more radiographic images of an anatomical structure of a patient, generating a display of the radiographic image(s), generating at least one request for user input to identify features of the anatomical structure, receiving user input identifying the features of the anatomical structure, identifying at least one access plan based on the received user input, and generating a display of the identified access plan(s) associated with the radiographic image(s). The method may include generating a patient template that indicates an insertion site according to the identified access plan(s).

Abstract: A method for identifying material to be removed from a patient may use an imaging device, a display, a control unit, and an insertion device. The method may include obtaining a first set of image data from the imaging device, sending the first set of image data to the control unit from the imaging device, and analyzing the first set of image data based on at least one of a darkness, a contrast, or a saturation. The method may include generating a coded image identifying the material to be removed from the patient to be displayed on the display. The method may further include displaying the coded image on a first screen of the display, and indicating the material to be removed with the insertion device based on the displayed coded image.

Abstract: A device or scope device is disclosed. The device may comprise: a handle body extending along an axis between first end and a second end; an actuator at the first end of the handle body; a catheter at the second end of the handle body; and a processing unit communicable with a plurality of devices to: switch-in the actuator for control of one device of the plurality of devices; configure, with the actuator, a setting of the one device, control, with the actuator, the one device based on the setting, and switch-in the actuator for control of another one of the plurality of devices. Related devices and methods also are disclosed.

Abstract: A method for identifying material to be removed from a patient may use an imaging device, a display, a control unit, and an insertion device. The method may include obtaining a first set of image data from the imaging device, sending the first set of image data to the control unit from the imaging device, and analyzing the first set of image data based on at least one of a darkness, a contrast, or a saturation. The method may include generating a coded image identifying the material to be removed from the patient to be displayed on the display. The method may further include displaying the coded image on a first screen of the display, and indicating the material to be removed with the insertion device based on the displayed coded image.

Abstract: A device or scope device is disclosed. The device may comprise: a handle body extending along an axis between first end and a second end; an actuator at the first end of the handle body; a catheter at the second end of the handle body; and a processing unit communicable with a plurality of devices to: switch-in the actuator for control of one device of the plurality of devices; configure, with the actuator, a setting of the one device, control, with the actuator, the one device based on the setting, and switch-in the actuator for control of another one of the plurality of devices. Related devices and methods also are disclosed.

Abstract: Guidance systems and associated methods are disclosed. One method comprises: receiving macroscan data prior to an operation; defining a body information model from the macroscan data; positioning a navigation component in the body during the operation; generating microscan data with the navigation component; correlating a location in the macroscan data with a location in the microscan data in the body information model; and/or modifying the body information model by combining an image in the microscan data with an image in the macroscan data.

Abstract: Guidance systems and associated methods are disclosed. One method comprises: receiving macroscan data prior to an operation; defining a body information model from the macroscan data; positioning a navigation component in the body during the operation; generating microscan data with the navigation component; correlating a location in the macroscan data with a location in the microscan data in the body information model; and/or modifying the body information model by combining an image in the microscan data with an image in the macroscan data.

Abstract: A guidance device is disclosed. The device may comprise a tracking pad with a guiding opening and a plurality of sensors operable with at least one beacon on a needle to track the disposition of the needle at least when a distal end of the needle is inserted into the guiding opening. Related systems and methods are also disclosed.

Abstract: A percutaneous nephrolithotomy (PCNL) needle may include a cannula including a shaft and a cannula hub coupled to a proximal end of the cannula shaft. A depth guide may be disposed on an outer surface of the cannula shaft. A stylet may be disposable within the cannula lumen and may include a tapered point at a distal end of the stylet and a stylet hub coupled to a proximal end of the stylet that is configured to be releasably securable to the cannula hub. An adjustable depth stop may be releasably securable to the cannula shaft at a desired position relative to the depth guide, the adjustable depth guide capable of being manipulated between an adjustment configuration in which the adjustable depth guide is moveable relative to the cannula shaft and a secured configuration in which the adjustable depth guide is secured relative to the cannula shaft.

Abstract: A guidance device is disclosed. The device may comprise a tracking pad with a guiding opening and a plurality of sensors operable with at least one beacon on a needle to track the disposition of the needle at least when a distal end of the needle is inserted into the guiding opening. Related systems and methods are also disclosed.

Abstract: A device or scope device is disclosed. The device may comprise: a handle body extending along an axis between first end and a second end; an actuator at the first end of the handle body; a catheter at the second end of the handle body; and a processing unit communicable with a plurality of devices to: switch-in the actuator for control of one device of the plurality of devices; configure, with the actuator, a setting of the one device, control, with the actuator, the one device based on the setting, and switch-in the actuator for control of another one of the plurality of devices. Related devices and methods also are disclosed.