Abstract: The invention relates to an auxiliary instrument for insertion into vessels or lumens with small inner diameters. The auxiliary instrument has a proximal end and a distal end and has at least one localization element whose position and orientation can be determined with an electromagnetic position detection system. The localization element is located directly adjacent to or at least close to the distal end of the auxiliary instrument and is configured to capture an alternating electromagnetic field. A distal end region of the auxiliary instrument extends from the distal end of the auxiliary instrument to a proximal end of the localization element such that the localization element is located within the distal end region. In that part of the distal end region in which the localization element is located, the auxiliary instrument has a low bending stiffness of less than 10 Nmm2, at least in sections.

Abstract: The invention relates to a medical instrument identification setup, comprising a sensor carrier, configured to be removably arranged in a lumen of a medical instrument. The sensor carrier has at least two localizers, the localizers each being configured for providing a sensor signal representing position and orientation of the respective localizer. The medical instrument identification setup further comprises a position detection system that is configured for determining position and orientation of the at least two localizers in a position detection system's coordinate system from received sensor signals. The medical instrument identification setup has a calibration device and a calibration unit, the calibration device being configured such that its position and orientation in the position detection system's coordinate system can be determined by the position detection system.

Abstract: The invention relates to a method for automatically registering an object, the method comprising the steps of providing a preoperatively obtained model of the object, providing at least one marker carrier having a plurality of fluoroscopically detectable makers and at least one marker localization element fixed on it, wherein the at least one marker localization element being configured to provide a sensor signal representing position and orientation of the marker localization element in an electromagnetic field, and relative distance and orientation between at least one marker localization element and at least one marker of the plurality of markers are known, arranging the at least one marker carrier on an outer surface of the object, generating at least one fluoroscopic image of at least one marker carrier arranged on the outer surface together with at least one segment of the object in such a way that at least two markers of at least one marker carrier are visible in the generated fluoroscopic image tog

Abstract: The invention relates to a registration method for determining position and orientation of an object in relation to a position detection system, wherein the method comprises the steps of capturing an image of a surface of an object with an image sensor unit comprising at least one motion sensor and/or at least one position sensor, determining a capturing position of the image sensor unit in a coordinate system of the position detection system by processing motion sensor signals provided by said motion sensor and/or position signals provided by said position sensor, photogrammetrically generating a surface model of the object from the captured image, and transforming the photogrammetrically generated surface model into the coordinate system of a position detection system.

Abstract: The invention relates to a registration method for determining position and orientation of an object in relation to a position detection system, wherein the method comprises the steps of capturing an image of a surface of an object with an image sensor unit comprising at least one motion sensor and/or at least one position sensor, determining a capturing position of the image sensor unit in a coordinate system of the position detection system by processing motion sensor signals provided by said motion sensor and/or position signals provided by said position sensor, photogrammetrically generating a surface model of the object from the captured image, and transforming the photogrammetrically generated surface model into the coordinate system of a position detection system.

Abstract: The invention relates to a navigation unit that is configured for assisting a surgeon in navigating a medical instrument equipped with a localizer. The navigation unit comprises a housing, at least one localizer input port, a position detection unit, a state determination unit, a control unit and at least one operating state indicating light element. The at least one localizer input port is integrated in one of the housing walls to be accessible from outside the housing. The at least one localizer input port configured for receiving a localizer signal provided by a localizer operatively connected to the localizer input port. The at least one operating state indicating light element is connected to the control unit and integrated in one of the housing walls such that light emitted from the operating state indicating light element is visible from outside the housing. The housing accommodates at least the position detection unit, the state determination unit and the control unit.

Abstract: The invention relates to a surgical kit, for performing minimally invasive spine surgery. The surgical kit comprises a position detection system, configured for detecting position and orientation of localizers from received sensor signals in the position detection system's coordinate system. The surgical kit also comprises a sensor carrier, configured to be removably arranged in a lumen of a medical instrument, the sensor carrier having at least two localizers, the localizers each being configured for providing a sensor signal representing position and orientation of the respective localizer. Furthermore, the surgical kit comprises a plurality of medical instruments having a lumen in which the sensor carrier can be removably arranged for connecting the respective medical instrument to the position detection system.

Abstract: The invention relates to an auxiliary instrument for insertion into vessels or lumens with small inner diameters. The auxiliary instrument has a proximal end and a distal end and has at least one localization element whose position and orientation can be determined with an electromagnetic position detection system. The localization element is located directly adjacent to or at least close to the distal end of the auxiliary instrument and is configured to capture an alternating electromagnetic field. A distal end region of the auxiliary instrument extends from the distal end of the auxiliary instrument to a proximal end of the localization element such that the localization element is located within the distal end region. In that part of the distal end region in which the localization element is located, the auxiliary instrument has a low bending stiffness of less than 10 Nmm2, at least in sections.

Abstract: The invention related to a balloon dilation device having a distal end and a proximal end. The balloon dilation device comprises a handle, a shaft, an inflatable balloon and at least one sensor coil. The handle extends from the proximal end of the balloon dilation device towards the distal end of the balloon dilation device. The shaft extends from the distal end of the balloon dilation device towards the proximal end of the balloon dilation device, said shaft having an inflation lumen. The inflatable balloon is fixedly arranged at the shaft. The balloon is fluidly connected to the inflation lumen such that the balloon can be inflated and deflated by feeding a fluid through the inflation lumen into the balloon. The at least one sensor coil is arranged at the shaft. The at least one sensor coil is configured for capturing an electromagnetic field and for providing a sensor coil signal representing position and orientation of the sensor coil.

Abstract: The invention relates to a registration method for determining position and orientation of an object in relation to a position detection system, wherein the method comprises the steps of capturing an image of a surface of an object with an image sensor unit comprising at least one motion sensor and/or at least one position sensor, determining a capturing position of the image sensor unit in a coordinate system of the position detection system by processing motion sensor signals provided by said motion sensor and/or position signals provided by said position sensor, photogrammetrically generating a surface model of the object from the captured image, and transforming the photogrammetrically generated surface model into the coordinate system of a position detection system.

Abstract: The invention concerns a flexible application device (1) for the high-frequency therapy of biological tissue or hollow organs, including a tubular high-frequency catheter (5) with a flexible shaft tube (6) having at least one lumen passing therethrough, a head electrode (2) arranged at the distal end of the high-frequency catheter (5), an electric line (9) with a connection (20) for a high-frequency generator (11), and a connecting element (8) arranged at the proximal end of the shaft tube (6) between the shaft tube and the line (9).

Abstract: The invention concerns a flexible application device including a tubular high-frequency catheter with a flexible shaft tube having at least one lumen passing therethrough, a head electrode arranged at the distal end of the catheter, an electric line with a connection for a generator ,and a connecting element arranged at the proximal end of the shaft tube between the shaft tube and the line. An electrically conducting traction element extends in the lumen between the head electrode and the connecting element and is fixedly connected to the head electrode on the one hand and the connecting element on the other hand in such a way and which is of such a tensile strength that all external forces which occur during a treatment and which act on the catheter can be transmitted to the connecting element by way of the head electrode and the traction element.

Abstract: A high frequency current application apparatus for thermal sclerosing of body tissue, comprising a high frequency generator connected to at least two electrodes, one of which is to be introduced into body tissue. The apparatus includes a measuring and calculating device adapted to ascertain impedance (or ohmic resistance) between the two electrodes between which a respective therapeutic high frequency current flows. A control device is connected to the measuring and calculating device for varying the output power. During high frequency current application the measuring and calculating device forms the first derivative with respect of time of the impedance. The control device reduces output power when that derivative exceeds a positive threshold characteristic of a threat of tissue desiccation and restores output power to the original power when the first derivative exceeds in positive values a negative threshold characteristic of adequate rehydration of body tissue.

Abstract: An electrode array is used for the thermal schlerosing of body tissue. The electrode array has at least three active electrodes that, during use, are placed in electrical-conducting connection with body tissue. A high frequency generator is electrically connected for selective application of current to the active electrodes for producing a high frequency voltage. A measuring device measures impedance of the tissue between the active electrodes. In addition, a selector device selects a sub-array including at least two active electrodes from the electrode array, the selecting being effected on the basis of the measured impedance. Further, a control device is configured such that a high frequency voltage is respectively applied between the active electrodes of the selected sub-array in such a way that a high frequency current flows between the selected active electrodes through the body tissue.

Abstract: The invention concerns a bipolar coagulation probe (10) having an electrode tip (14) which has an end face (16) in which a pole (17) of a first electrode (18) and a pole (19) of a second electrode (20) are integrated. In accordance with the invention the bipolar coagulation probe (10) includes a temperature control unit (26) with a temperature control medium for temperature control of the end face (16).

Abstract: The invention concerns a surgical probe having electrodes for use in tissue ablation or coagulation. The probe has hollow spaces therein for delivering a cooling fluid to the probe. The probe has a handle and shaft and two axially-spaced electrodes on the surface of the shaft, separated from each other by an insulator.

Abstract: The invention concerns a bipolar coagulation probe (10) having an electrode tip (14) which has an end face (16) in which a pole (17) of a first electrode (18) and a pole (19) of a second electrode (20) are integrated. In accordance with the invention the bipolar coagulation probe (10) includes a temperature control unit (26) with a temperature control medium for temperature control of the end face (16).

Abstract: The disclosure provides a probe arrangement having a distal probe tip and a proximal hand portion for the electrothermal coagulation of tissue. The probe arrangement has at least a first and a second electrode in the region of the distal probe tip. An inner conductor of the probe arrangement extends from the distal probe tip to the proximal hand portion and contacts the first electrode in the distal probe tip. An outer conductor of the probe arrangement extends from the distal probe tip to the proximal hand portion and serves to electrically contact the second electrode in the distal probe tip. The inner and outer conductors of the probe arrangement are electrically insulated from each other. Furthermore the inner conductor is selected in such a way that the flexural stiffness of the probe arrangement is increased between the probe tip and the hand portion.

Abstract: The invention concerns an application device for electrosurgical cutting and coagulation of body tissue, wherein the instrument is in the form of a gripping instrument having two gripping arms which are movable relative to each other and which each have at their distal end at least two respective electrodes, namely at least one coagulation electrode and at least one cutting electrode.