Abstract: Systems and methods for receiving data characterizing a plurality of images of a surgical region that includes a first target tissue. The plurality of images include a plurality images associated with visible light images, a plurality of images associated with a first wavelength and a plurality of images associated with the second wavelength that is different from the first wavelength. The method also includes generating a first scene by at least overlaying a first set of images of the plurality of images. The first set of images are temporally contiguous and include a first image associated with the first wavelength, a second image associated with visible light, and a third image associated with the second wavelength. The image further includes generating a second scene by at least overlaying a second set of images of the plurality of images. The second set of images are temporally contiguous.

Abstract: An ultrasound probe for percutaneous insertion into an incision and related methods are disclosed herein, e.g., for imaging neural structures at a surgical site of a patient. An exemplary ultrasound probe can be a portable ultrasound probe configured to be passed percutaneously into an incision and can have an imaging region extending distally from a distal tip of the probe. In one embodiment the ultrasound probe can be a navigated portable ultrasound probe. The ultrasound probe can be connected to a computing station and configured to transmit images to the computing station for processing. In another embodiment, an ultrasound probe can be part of a network of sensors, including at least one external sensor, where the network of sensors is configured to transmit images to the computing station for processing. The computing station can process and display images to visualize and/or highlight neurological structures in an imaged region.

Abstract: An ultrasound probe for percutaneous insertion into an incision and related methods are disclosed herein, e.g., for imaging neural structures at a surgical site of a patient. An exemplary ultrasound probe can be a portable ultrasound probe configured to be passed percutaneously into an incision and can have an imaging region extending distally from a distal tip of the probe. In one embodiment the ultrasound probe can be a navigated portable ultrasound probe. The ultrasound probe can be connected to a computing station and configured to transmit images to the computing station for processing. In another embodiment, an ultrasound probe can be part of a network of sensors, including at least one external sensor, where the network of sensors is configured to transmit images to the computing station for processing. The computing station can process and display images to visualize and/or highlight neurological structures in an imaged region.

Abstract: Systems and methods for deep tissue visualization using ultrasound and stereo imaging are provided. Various aspects of the present disclosure provide intraoperative identification of sub-tissue surface critical structures (e.g., identification of ureters, nerves, and/or vessels). For example, various surgical visualization systems disclosed herein can enable the visualization of one or more portions of critical structures below the surface of the tissue in an anatomical field in real-time. Such surgical visualization systems can augment the clinician's endoscopic view of an anatomical field with a virtual, real-time depiction of the critical structure as a visible image overlay on the surface of visible tissue in the field of view of the clinician.

Abstract: Systems and methods for receiving data characterizing a plurality of images of a surgical region that includes a first target tissue. The plurality of images include a plurality images associated with visible light images, a plurality of images associated with a first wavelength and a plurality of images associated with the second wavelength that is different from the first wavelength. The method also includes generating a first scene by at least overlaying a first set of images of the plurality of images. The first set of images are temporally contiguous and include a first image associated with the first wavelength, a second image associated with visible light, and a third image associated with the second wavelength. The image further includes generating a second scene by at least overlaying a second set of images of the plurality of images. The second set of images are temporally contiguous.

Abstract: A system may be configured to facilitate a medical procedure. Some embodiments may: acquire a scan corresponding to a region of interest (ROI); capture an image of a patient in real-time; identify, via a trained machine learning (ML) model using the acquired scan and the captured image, a Kambin's triangle; and overlay, on the captured image, a representation of the identified Kambin's triangle.

Abstract: A system may be provided which comprises an illumination source adapted to simultaneously illuminate a surgical site with spectral light comprising a first wavelength of light and a second wavelength of light, a first set of sensors comprising sensors adapted to detect visible light, and a second set of sensors comprising sensors adapted to detect the first wavelength of light; and sensors adapted to detect the second wavelength of light. In such a case, the system may also comprise a display coupled to a processor configured to display an enhanced image of the surgical site comprising a visible light image from data detected by the first set of sensors and an overlay identifying a target structure based on light detected by the second set of sensors while the surgical site is illuminated by spectral light comprising the first and second wavelengths of light.

Abstract: A method of operating a surgical visualization system includes illuminating an anatomical field of a patient using a waveform transmitted by an emitter. The method also includes capturing an image of the anatomical field based on the waveform using a receiver. The emitter and the receiver are configured for multispectral imaging or hyperspectral imaging. The method also includes determining an adjustment to at one operating parameter of the surgical visualization system based on at least one environmental scene parameter. The method also includes automatically implementing the adjustment to the at least one operating parameter to aid in identification of at least one anatomical structure in the anatomical field.

Abstract: A method which may effectively provide an endoscope or other surgical instrument with a synthetic multi-camera array may comprise capturing using one or more cameras located at a distal tip of the surgical instrument, a set of images comprising first and second images. For each image in such set of images, that image may be captured by a corresponding camera from the one or more cameras, may be captured when the distal dip of the instrument is located at a corresponding point in space. Such a method may also comprise generating a three dimensional image based on compositing representations of a structure in the first and second image after applying a non-rigid transformation to one or more of those representations.

Abstract: A sensing device for detecting an artificially induced neuromuscular response within a limb of a subject includes a carrier material and a plurality of mechanical sensors. The carrier material is operative to be secured around a portion of the limb, and each of the plurality of mechanical sensors are coupled with the carrier material. Each mechanical sensor is positioned on the carrier material such that it is operative to monitor a mechanical response of a different muscle group of the limb. Each mechanical sensor then generates a respective mechanomyography output signal corresponding to the monitored mechanical response of its adjacent muscle group.

Abstract: A sensing device for detecting an artificially induced neuromuscular response within a limb of a subject includes a carrier material and a plurality of mechanical sensors. The carrier material is operative to be secured around a portion of the limb, and each of the plurality of mechanical sensors are coupled with the carrier material. Each mechanical sensor is positioned on the carrier material such that it is operative to monitor a mechanical response of a different muscle group of the limb. Each mechanical sensor then generates a respective mechanomyography output signal corresponding to the monitored mechanical response of its adjacent muscle group. These signals may then be communicated outbound from the device via communication circuitry provided on the device.

Abstract: A neural monitoring system for detecting an artificially-induced mechanical muscle response to a stimulus provided within an intracorporeal treatment area includes a mechanical sensor, a stimulator, and a processor. The processor is configured to provide a periodic stimulus via the stimulator, and monitor the output from the mechanical sensor in an expected response window that follows one stimulus, yet concludes before the application of the next, subsequent stimulus to determine if the stimulus induced a response of the muscle.

Abstract: An ultrasound probe for percutaneous insertion into an incision and related methods are disclosed herein, e.g., for imaging neural structures at a surgical site of a patient. An exemplary ultrasound probe can be a portable ultrasound probe configured to be passed percutaneously into an incision and can have an imaging region extending distally from a distal tip of the probe. In one embodiment the ultrasound probe can be a navigated portable ultrasound probe. The ultrasound probe can be connected to a computing station and configured to transmit images to the computing station for processing. In another embodiment, an ultrasound probe can be part of a network of sensors, including at least one external sensor, where the network of sensors is configured to transmit images to the computing station for processing. The computing station can process and display images to visualize and/or highlight neurological structures in an imaged region.

Abstract: A sensing device for detecting an artificially induced neuromuscular response within a limb of a subject includes a carrier material and a plurality of mechanical sensors. The carrier material is operative to be secured around a portion of the limb, and each of the plurality of mechanical sensors are coupled with the carrier material. Each mechanical sensor is positioned on the carrier material such that it is operative to monitor a mechanical response of a different muscle group of the limb. Each mechanical sensor then generates a respective mechanomyography output signal corresponding to the monitored mechanical response of its adjacent muscle group. These signals may then be communicated outbound from the device via communication circuitry provided on the device.

Abstract: A sensing device for detecting an artificially induced neuromuscular response within a limb of a subject includes a plurality of mechanical sensors, wireless communication circuitry, and a processor in electrical communication with each of the plurality of mechanical sensors and wireless communication circuitry. Each sensor is operative to monitor a mechanical response of a different muscle group of the limb and generate a mechanomyography (MMG) output signal corresponding to the monitored motion. The processor receives and buffers a portion of each MMG output signal, determines if the MMG output signal from any one or more of the plurality of mechanical sensors is representative of an artificially induced neuromuscular response, and transmits one or more of the buffered MMG output signals to a host system only if the output signal from one or more of the sensors is determined to be representative of an artificially induced neuromuscular response.

Abstract: A neural monitoring system for detecting an artificially-induced mechanical muscle response to a stimulus provided within an intracorporeal treatment area includes a mechanical sensor, a stimulator, and a processor. The processor is configured to provide a periodic stimulus via the stimulator, and monitor the output from the mechanical sensor in an expected response window that follows one stimulus, yet concludes before the application of the next, subsequent stimulus to determine if the stimulus induced a response of the muscle.

Abstract: Various embodiments of a neural monitoring device and related methods are disclosed herein. An exemplary neural monitoring device can be used during various surgical procedures to assess neural activity, status, health, etc. in order to anticipate and prevent nerve damage due to neural ischemia and other neural conditions. In some embodiments, a neural monitoring device can be configured to monitor neural activity, status, health, etc. of nerves encountered during a spinal surgical procedure. Embodiments of the neural monitoring device can also be used in non-spinal surgical procedures that can risk neural damage.