Abstract: Adaptive control of operating room systems is performed based upon monitored data associated with the operating room. Monitoring systems may collect data regarding the patient being treated in the operating room, the healthcare professionals participating in the surgical procedure, and/or the environment in the operating room. The collected data, referred to as monitored data, may be communicated to a surgical computing system. The surgical computing system may evaluate received monitored data in view of the surgical tasks that are ongoing in the operating room. The surgical computing system may determine, based upon the monitored data, parameters for controlling various systems associated with the operating room, and may communicate the parameters to the operating room systems.

Abstract: A computing system may determine a virtual boundary of a restricted access area in an operating room (OR). The computing system may identify a health care professional (HCP) in the OR and monitor a movement of the HCP. The computing system may determine an access authorization of the HCP. The computing system may determine whether the HCP is in a proximity to the virtual boundary area. If the computing system determines that the HCP is in a proximity to the virtual boundary area and the HCP is unauthorized to enter the virtual boundary area, the computing system may send a notification to the HCP. The notification may indicate that the HCP is unauthorized to enter the virtual boundary area. If the computing system determines that the HCP is authorized to enter the virtual boundary area, the computing system may allow the HCP to enter the virtual boundary area.

Abstract: Systems, methods, and instrumentalities are disclosed for monitoring healthcare professionals (HCPs) in a surgical procedure and providing parameters associated with improving wear on HCPs. The parameters may be associated with recommendations, adjustments, and/or feedback for ergonomic positioning. Surgeon motion, posture, and surgical access may be monitored to create recommendations to improve wear on HCPs. Motions and postures of HCPs may be analyzed by a computing system. The computing system may perform an analysis of motions and postures of HCPs throughout a surgical procedure in an operating room (OR), for example, to identify improvements for posture, weightlifting, standing, and the like. The computing system may determine ergonomic adjustment parameter(s) associated with ergonomic positioning within the OR based on the monitored data. The parameters may include instrument mix selection, trocar location, OR table setup, and/or patient positioning.

Abstract: A computing system may identify a surgical instrument for a surgical procedure in an operating room (OR). The computing system may detect a control input by a health care professional (HCP) to control the surgical instrument. The computing system may determine the HCP's access control level associated with the surgical instrument. The computing system may determine whether the HCP has an authorization to control the surgical instrument. If the computing system determines that HCP is unauthorized to control the surgical instrument based on the access control level associated with the HCP, the computing system may block the control input by the HCP. If the computing system determines that the HCP is authorized to control the surgical instrument based on the access control level associated with the HCP, the computing system may effectuate the control input by the HCP to control the surgical instrument.

Abstract: A surgical computing system and/or a surgical instrument may monitor data associated with movement of a healthcare professional (HCP) in an operating room. The surgical computing system may determine procedure data associated with a surgical procedure plan in the operating room. The surgical computing system may determine, based on the monitored data and/or the procedure data, positioning parameters associated with a system in the operating room (OR). The surgical computing system may determine positioning parameters, such as adjusted OR layout, surgical instrument mix, and/or access to the surgical site, to improve efficiency and outcome success for surgical procedures. The surgical computing system may communicate the positioning parameters, for example, to systems associated with the operating room.

Abstract: A surgical computing system may obtain monitored data associated with healthcare professionals (HCPs), surgical instruments and/or environments in one or more operating rooms (ORs). the surgical computing system may utilize the monitored data to enable aggregated efficiency analysis for multiple ORs, establishing and maintaining virtual boundaries in ORs, control access verification of hcps, adaptively controlling or systems, improving movement or motion efficiency for surgical procedures, and/or performing ergonomic monitoring and analysis for ORs. For example, procedure data associated with a surgical procedure plan in the operating room may be determined, and a surgical instrument anticipated for future use may be identified. The surgical computing system may determine, based on the monitored data associated with the instruments, the readiness of the identified surgical instrument anticipated for future use.

Abstract: A computing system may obtain and aggregate surgical monitoring data associated with multiple surgical procedures in multiple operating rooms (ORs), and the surgical monitoring data may be obtained via the surgical hubs in the ORs. Surgical resource utilization adjustments may be generated based on the aggregated surgical resource monitoring data, and an output may be generated based on the determined surgical resource utilization adjustment. The aggregated data may be used to generate resource allocation adjustments for the ORs. Resource allocation adjustments may include healthcare professional (HCP) assignment adjustments, surgery scheduling adjustments, surgical instrument allocation adjustments, OR layout adjustments, and/or medical facility layout adjustment(s), etc.

Abstract: Systems, methods, and instrumentalities for simulating a surgical task may be provided. In examples, a request for a simulation of the surgical task may be received. For example, the surgical task may comprise a medical procedure and a medical procedure context. Surgical event data associated with the surgical task may be received, for example, responsive to a database query. For example, the surgical event data may comprise historical data associated with the medical procedure and/or context data associated with the medical procedure context. One or more simulation parameter values may be generated, for example, based on the surgical event data. The simulation may be executed based on the simulation parameter values.

Abstract: An interactive and dynamic surgical simulation system may be used in the context of a computer-implemented interactive surgical system. The surgical simulation system may provide coordinated surgical imagining. A processor may be configured to execute a simulation of a surgical procedure. The surgical procedure may be simulated in a simulated surgical environment. The processor may generate a first visual representation and a second visual representation. The first visual representation may be of a first portion of the simulated surgical environment. The second visual representation may also be of the first portion of the simulated surgical environment. The processor may coordinate generation of the first visual representation and the second visual representation such that the first visual representation and the second visual representation correspond to a common event in the surgical procedure.

Abstract: Systems, methods, and instrumentalities for simulating a surgical setup may be provided. In examples, a plurality of simulations of a surgical procedure may be executed. Each simulation may simulate activity in a surgical operating room with a respective one of a plurality of surgical setups. In examples, each surgical setup may comprise a respective surgical equipment setup and/or a respective surgical staff setup. A plurality of performance scores may be generated. In examples, each of the plurality of performance scores may correspond to a respective surgical setup. Each of the plurality of performance scores may be based on a performance of the respective surgical setup in simulation. A first surgical setup from the plurality of surgical setups may be determined, for example, based on the plurality of performance scores. The first surgical setup may be outputted.

Abstract: Systems, methods, and instrumentalities for managing surgical consequences in a simulated surgical task may be provided. A simulation environment to simulate a surgical task defined by a set of environmental parameters may be received. Surgical interaction data may be received. In examples, the surgical interaction data may comprise an indication of a triggering event and/or an indication of consequence environmental parameters. The surgical interaction data may be associated with a surgical task. The consequence environmental parameters may be associated with the triggering event. User interaction data may be received. The user interaction data may be based on a user action within the simulation environment and may be associated with a surgical task. On a condition that the received user interaction data matches the triggering event, the simulation environment may be modified, for example, based on the consequence environmental parameters.

Abstract: An interactive and dynamic surgical simulation system may be used in the context of a computer-implemented interactive surgical system. An operating-room-based surgical data system may aggregate surgical activity data that is indicative of a performance of a live surgical procedure. The surgical simulation device may receive the surgical activity data from the operating-room-based surgical data system. And the surgical simulation device may simulate a surgical task based on surgical activity data. The surgical activity data may be structured by a procedure plan data structure. The procedure plan data structure may be common to the operating-room-based surgical data system and the surgical simulation device. The procedure plan data structure may be configured to covey information indicative of equipment, technique, and surgical steps in a structured format such that the equipment, technique, and surgical steps of the live surgical procedure are reflected in the simulated surgical procedure.

Abstract: A computing device may be configured to obtain first data associated with a first simulated surgical procedure and second data associated with a second simulated surgical procedure. The first data and the second data may be associated with a surgical task of the surgical procedure. The computing device may be configured to generate aggregation data from the first data and the second data. The computing device may be configured to determine from the aggregation data a first causal relation between a first surgical choice of the first data and a surgical aspect of the first data and a second causal relation between a second surgical choice of the first data and a corresponding surgical aspect of the second data. The computing device may be configured to display the first causal relation with the first data and the second causal relation with the second data.

Abstract: A computing device for generating a surgical procedure plan via surgical simulation may include a processor. The processor may be configured to obtain an indication of a surgical task. The surgical task may be associated with a surgical step of the surgical procedure plan. The processor may be configured to obtain a surgical choice and a corresponding predicted surgical outcome. The surgical choice and the corresponding predicted surgical outcome may be associated with the surgical task. The processor may be configured to generate a visualization of the surgical choice and the corresponding predicted surgical outcome in a simulated environment. The processor may be configured to obtain an indication of the surgical choice being selected. The processor may be configured to store the surgical choice in the surgical procedure plan.

Abstract: An exemplary ultrasound biopsy device includes a probe and a holster. The probe is insertable into the holster to form a completed assembly. To assemble the probe to the holster, the probe is initially slid laterally onto the holster and then slid forward to latch the probe into engagement with the holster. The holster is coupled to a vacuum control module by one or more conduits and a power cable. The conduits and/or power cable may be retracted into the vacuum control module. The probe of the biopsy device includes a blade assembly at the distal end. The blade assembly comprises a blade that snaps onto a nosecone via a pair of resilient notched ends. A frictional fitting needle cover can be inserted over the needle and blade assembly to protect the user from the sharp blade.

Abstract: A sphincter sizing instrument includes a body that defines a lumen and a shaft that longitudinally translates through the lumen relative to the body. The body includes opposing proximal and distal ends. The distal end includes a first magnetic coupling feature and a first mechanical coupling feature. The shaft includes opposing proximal and distal ends and a coupler coupled with the distal end. The coupler includes a second magnetic coupling feature and a second mechanical coupling feature. The second magnetic coupling feature is configured to attract and couple with the first magnetic coupling feature to form a magnetic connection. The second mechanical coupling feature is configured to couple with the first mechanical coupling feature to form a mechanical connection.

Abstract: Apparatuses, systems, and methods for displaying a cooperative overlays based on interacting instruments are disclosed herein. In one aspect, a method for displaying cooperative overlays includes communicatively coupling a first augmented reality display device to a surgical hub; generating, by the first augmented reality display device, a first intraoperative display of a surgical field; displaying, by the first intraoperative display, a first data overlay based on operation of a first surgical instrument; interacting the first surgical instrument with a second surgical instrument; and displaying, by the first intraoperative display, an indicator of the interaction based on the interaction between the first and second surgical instruments.

Abstract: An augmented reality display system used during a surgical procedure is disclosed. The system includes an imaging device to capture a real image of a surgical area during the surgical procedure. An augmented reality display presents functional overlay data associated with critical operations of a surgical instrument being actively visualized and interactions of the surgical instrument with tissue in the surgical area. The functional data is overlaid onto the real image of the surgical area. The functional data overlay is a combination of aspects of the critical operations of the surgical instrument and the interaction of the surgical instrument with the tissue in the surgical area. A processor receives functional data from the surgical instrument, determines the overlaid data related to the functional aspect of the surgical instrument, and combines the aspect of the tissue in the surgical area with the functional data received from the surgical instrument.

Abstract: A surgical visualization system is disclosed including an imaging device, a display configured to show a livestream of a surgical field of a surgical procedure, and a control module configured to detect surgical data, assign display priority values to the surgical data, determine a display arrangement of the surgical data based on the display priority values, and present the surgical data on the display in accordance with the display arrangement. The livestream is captured by the imaging device.

Abstract: A method for presenting surgical data onto a livestream of a surgical field on a display during a surgical procedure is disclosed. The method includes detecting, by a control module, surgical data, assigning, by the control module, display priority values to the surgical data, determining, by the control module, a display arrangement of the surgical data on the display based on the display priority values, and presenting onto the livestream visual representations of the surgical data in accordance with the display arrangement.