Abstract: In one embodiment, an access instrument for creating a surgical working portal includes a body having a first end and a body length, a first slot having a first slot length running along the length of the body from the first end, and a second slot having a second slot length running along the length of the body from the first end, wherein the first slot length and the second slot length are less than the body length.

Abstract: Devices, systems, and methods are disclosed for use in contexts such as minimally invasive surgery (MIS). A device having an ultrasound transducer and methods for using the device are disclosed. A patient's anatomy may be scanned by use of the device and various target anatomy located. Trajectory information which corresponds to a path free of the various target anatomy may be presented to an operator of the device. By scanning the tissue, identifying the anatomy, and presenting the results to the operator, unnecessary damage to elements of the patient's anatomy may be avoided or lessened.

Abstract: A device is provided having a proximal portion and a distal portion. An ultrasound transducer is disposed within the distal portion, wherein the transducer is configured to scan tissue and detect certain portions of a patent's anatomy during the scanning process.

Abstract: Aspects described herein disclose devices, systems, and methods for use in contexts such as minimally invasive surgery (MIS). Methods of use of radio frequency (RF) techniques for improved nerve detection in association with an ultrasound detection system are described. The methods include the use of RF echoes in the detection of tissue dependent features. The methods also include use of an RF classifier to reduce false positives. System dependent features are accounted for through use of a calibration spectrum or through non-parametric model estimation using machine learning.

Abstract: A system and method for determining an access trajectory to a target site to safely place a surgical access instrument (e.g., guide wire, dilator, cannula, etc.) through a tissue (e.g., muscle, fat, brain, liver, lung, etc.) without damaging nearby neurovascular structure is described herein. The trajectory determination system includes a nerve stimulation probe and a dilator guide having a plurality of guide channels and registerable to an operating table in a fixed orientation. Motor nerve stimulation (e.g., EMG, MMG) is performed with the stimulation probe positioned in each of said plurality of guide channels to generate a map of nerve locations within intervening anatomical structures (e.g., muscle, bone, etc.) between the dilator guide and the surgical target site. Available access pathways are determined based on the nerve location data and displayed on a display unit.

Abstract: In one embodiment, an access instrument for creating a surgical working portal includes a body having a first end and a body length, a first slot having a first slot length running along the length of the body from the first end, and a second slot having a second slot length running along the length of the body from the first end, wherein the first slot length and the second slot length are less than the body length.

Abstract: An intraoperative ultrasound imaging system and method capable of using ultrasound imaging to safely place a surgical access instrument (e.g. guide wire, dilator, cannula, etc.) through a tissue (e.g., muscle, fat, brain, liver, lung, etc.) without damaging nearby neurovascular structure is described herein. The intraoperative ultrasound system includes an ultrasound probe assembly configured for emitting and receiving ultrasound waves and a computer system including a processor and a display unit. Once the probe is in position, ultrasound imaging is performed wherein the computer receives RF data from the probe and causes a B-mode image of the visible anatomical structures (e.g. muscle, bone, etc.) to be displayed on the display unit.

Abstract: In one embodiment, an access instrument for creating a surgical working portal includes a body having a first end and a body length, a first slot having a first slot length running along the length of the body from the first end, and a second slot having a second slot length running along the length of the body from the first end, wherein the first slot length and the second slot length are less than the body length.

Abstract: Aspects described herein disclose devices, systems, and methods for use in contexts such as minimally invasive surgery (MIS). A device is provided herein having a proximal portion and a distal portion, and an ultrasound transducer may be disposed within the distal portion and configured to scan tissue and identify certain portions of a patent's anatomy during the scanning process. The results of the detection may be presented to an operator of the device aurally and/or visually, such as in a 3-D volumetric image. By scanning the tissue, identifying the anatomy, and presenting the results to an operator, unnecessary damage to elements of the patients anatomy may be avoided or lessened. In some aspects, multiple transducers may be positioned on the device to increase the scanning range and/or scanning accuracy of the device. The device may provide an inner channel for the passage of surgical tools while scanning tissue.

Abstract: In one embodiment, an access instrument for creating a surgical working portal includes a body having a first end and a body length, a first slot having a first slot length running along the length of the body from the first end, and a second slot having a second slot length running along the length of the body from the first end, wherein the first slot length and the second slot length are less than the body length.

Abstract: Aspects described herein disclose devices, systems, and methods for use in contexts such as minimally invasive surgery (MIS). A device is provided herein having a proximal portion and a distal portion, and an ultrasound transducer may be disposed within the distal portion and configured to scan tissue and identify certain portions of a patent's anatomy during the scanning process. The results of the detection may be presented to an operator of the device aurally and/or visually, such as in a 3-D volumetric image. By scanning the tissue, identifying the anatomy, and presenting the results to an operator, unnecessary damage to elements of the patients anatomy may be avoided or lessened. In some aspects, multiple transducers may be positioned on the device to increase the scanning range and/or scanning accuracy of the device. The device may provide an inner channel for the passage of surgical tools while scanning tissue.

Abstract: A device is provided having a proximal portion and a distal portion. An ultrasound transducer is disposed within the distal portion, wherein the transducer is configured to scan tissue and detect certain portions of a patent's anatomy during the scanning process.

Abstract: A method for identifying a target anatomy by use of a device having an ultrasound transducer. Using the ultrasound transducer, a portion of a patient's anatomy is scanned during a scanning process. A voltage trace of the patient's anatomy is determined and compared to a predetermined trace. If the voltage trace of the patient's anatomy matches the predetermined trace, a notification may be output.

Abstract: Aspects described herein disclose devices, systems, and methods for use in contexts such as minimally invasive surgery (MIS). A device is provided herein having a proximal portion and a distal portion, and an ultrasound transducer may be disposed within the distal portion and configured to scan tissue and identify certain portions of a patent's anatomy. In some aspects, different types of bones may be identified and the information used in determining a drill trajectory. Trajectory information may be presented to an operator of the device visually, such as in a 3-D volumetric image. By scanning the tissue, identifying the anatomy, and presenting the results to an operator, unnecessary damage to elements of the patients anatomy may be avoided or lessened.

Abstract: A device is provided having a proximal portion and a distal portion. An ultrasound transducer is disposed within the distal portion, wherein the transducer is configured to scan tissue and detect certain portions of a patent's anatomy during the scanning process.

Abstract: Devices and methods are provided to conduct fluid away from or deliver fluid to an area of a treatment site of a patient's body. In one example, a catheter includes a fluid exchange portion and a member attached to the fluid exchange portion for biasing fluid flow at the treatment site.

Abstract: Constrained fluid delivery devices are described that deliver fluid to an anatomical region of a mammal in a controlled release manner where the device comprises an elongate body defining a lumen throughout a portion thereof, a distal end interiorly positionable adjacent the anatomical region of the mammal and a proximal end in communication with an exterior of the mammal. The device also includes a delivery member and one or more withdrawal members. Also provided herein are methods and kits incorporating the fluid delivery device.

Abstract: Aspects described herein disclose devices, systems, and methods for use in contexts such as minimally invasive surgery (MIS). A device is provided herein having a proximal portion and a distal portion, and an ultrasound transducer may be disposed within the distal portion and configured to scan tissue and identify certain portions of a patent's anatomy during the scanning process. The results of the detection may be presented to an operator of the device aurally and/or visually, such as in a 3-D volumetric image. By scanning the tissue, identifying the anatomy, and presenting the results to an operator, unnecessary damage to elements of the patients anatomy may be avoided or lessened. In some aspects, multiple transducers may be positioned on the device to increase the scanning range and/or scanning accuracy of the device. The device may provide an inner channel for the passage of surgical tools while scanning tissue.

Abstract: Devices and methods are provided to conduct fluid away from or deliver fluid to an area of a treatment site of a patient's body. In one aspect of the invention, a catheter includes a terminal end with a fluid exchange portion. The terminal end may further include a diffuser. The terminal end may further include a barrier.