Abstract: Embodiments disclosed herein are directed to an access system including a flexible needle configured to negotiate a non-linear pathway to access a subcutaneous port. Optionally, the access system can include a needle guide to facilitate alignment of the needle with the subcutaneous port. The needle can be configured to be flexible enough to have some bending, or deflection capability but also possess sufficient columnar strength to prevent buckling when piercing the skin and entering the port. The flexible needle can be deflected from a central axis to overcome any misalignment with the receiving cup and/or conduit of the port. Once within the port conduit the needle can negotiate the non-linear, or tortuous port conduit pathway, and stream-line the insertion procedure.

Abstract: Embodiments disclosed herein are directed to a stabilization device (100) configured to engage a subcutaneous medical device, or port (40). The device can include a guide cylinder (120) that aligns with a receiving cup (46) of the port when the port is engaged with a bottom surface (116) of the stabilization device. The guide cylinder can be rotatable between a first position and a second position. The guide cylinder can further include a needle channel (122) extending therethrough. An axis of the needle channel can be offset from the central axis of the guide cylinder. As such rotating the guide cylinder between the first position and the second position can align the needle channel with a different insertion site. The needle channel can align with the receiving cup of the port in both the first position and the second position. Accessing the receiving cup through different insertion sites can mitigate the formation of scar tissue.

Abstract: Disclosed herein are systems and methods for providing targeted temperature management (TTM) therapy to a patient. The TTM system can include multiple embodiments of a thermal pad including embodiments that are convertible from a first patient contact area to a second patient contact area. Embodiments of thermal pads can include pads that are expandable, extendable, and/or comprise attachable or removable portions. The TTM system can include embodiments where a second thermal pad is coupled to a first thermal pad.

Abstract: A surgical instrument for use with a robotic manipulator includes an end effector assembly having one or two end effector members, each having a distal treatment end, a proximal end, and a tendon pass-through. Tendons that provide both mechanical actuation and electrical conduction to the end effector members are positioned in the pass-throughs.

Abstract: An electrosurgical instrument having jaws is energized and actuated using a length of cable. The cable is formed of a conductive inner portion coated with a dielectric polymer. The cable extends through a pass-through in a portion of the jaw and is crimped to create a mechanical and electrical connection between the conductive inner portion and the conductive jaw material.

Abstract: A surgical instrument for use with a robotic manipulator includes an end effector assembly having one or two end effector members, each having a distal treatment end, a proximal end, and a tendon pass-through. Each end effector member is sandwiched between a corresponding pair of pulley members that, when assembled define an annular tendon pathway that is between the pulley members and that is aligned with the pass-through. For each end effector member, a tendon having a distal loop portion ends through the tendon pass-through, with its legs passing proximally from the pass-through, extending in opposite directions around the tendon pathway and proximally through the instrument's shaft.

Abstract: A user interface for a surgical robotic system includes a plurality of handles, each removably attachable to a user interface assembly by a quick release connector. The selection of handles can include handles of varying size, degree of complexity, handles adapted for laparoscopic motion, handles adapted for true cartesian motion or handles customized to surgeon anthropometric data, etc.

Abstract: A user interface for a surgical robotic system includes a plurality of handles, each removably attachable to a user interface assembly by a quick release connector. The selection of handles can include handles of varying size, degree of complexity, handles adapted for laparoscopic motion, handles adapted for true cartesian motion or handles customized to surgeon anthropometric data, etc.

Abstract: A surgical instrument for use with a mechanized surgical system that includes a roll drive unit operable by a motor. The instrument includes an elongate shaft having a longitudinal axis, and an end effector and handle on the shaft. The handle includes an actuator manually operable by a user to mechanically actuate the end effector. The shaft includes a roll joint positioned between proximal and distal shaft portions, such that the distal shaft portion is longitudinally rotatable relative to the proximal shaft portion at the roll joint. The instrument further includes a drive segment on the distal shaft portion, the drive segment including first features rotationally engageable with second features of the roll drive unit such that operation of the motor causes the distal shaft portion to axially roll relative to the proximal shaft portion.

Abstract: A medical pad for exchanging thermal energy between a targeted temperature management (TTM) fluid and a patient is disclosed. The pad can include a fluid containing layer and a fluid conduit attached therewith via rotatable joint where the joint is configured to facilitate rotation of the fluid conduit with respect to the pad. A method of manufacturing the pad can include coupling a first member of the rotatable joint to a fluid delivery line, coupling the second member to the fluid containing layer, and inserting the first member within an opening of the second member to facilitate a snap-fit retention mechanism between first member and the second member. A method of using the pad can include rotating the fluid delivery line relative to the thermal pad via the rotatable joint when initially applying the pad to the patient or when adjusting an orientation of the pad on the patient.

Abstract: A surgical instrument for use with a robotic manipulator includes an end effector assembly having one or two end effector members, each having a distal treatment end, a proximal end, and a tendon pass-through. Tendons that provide both mechanical actuation and electrical conduction to the end effector members are positioned in the pass-throughs.

Abstract: A motorized surgical system includes at least one support positionable within a sterile field in proximity to a patient positioned on a surgical table. An instrument driver is carried by the support and includes a steerable distal end positionable in a body cavity. A user input device is carried by the support and is configured to generate movement signals in response to manual manipulation of a portion of the user input device by a user. One or more steering motors are operably coupled to the instrument driver and are operable to deflect the steerable distal end of the instrument driver in response to the movement signals.

Abstract: A surgical instrument for use with a robotic manipulator includes an end effector assembly having one or two end effector members, each having a distal treatment end, a proximal end, and a tendon pass-through. Each end effector member is sandwiched between a corresponding pair of pulley members that, when assembled define an annular tendon pathway that is between the pulley members and that is aligned with the pass-through. For each end effector member, a tendon having a distal loop portion ends through the tendon pass-through, with its legs passing proximally from the pass-through, extending in opposite directions around the tendon pathway and proximally through the instrument's shaft.

Abstract: In a surgical system in which surgical instruments are manipulated using robotic arms that move in response to user input from a plurality of input devices. Images capturing an instrument positioned within view of a camera are received. At least one characteristic of the surgical instrument is determined by the system based on the image data. The system automatically assigns the surgical instrument to a user input device, or controls movement of the robotic manipulator carrying the instrument, based on the at least one characteristic. The surgical instrument is then robotically maneuvered by the corresponding robotic arm based on user input to the user input device.

Abstract: An electrosurgical instrument having jaws is energized and actuated using a length of cable. The cable is formed of a conductive inner portion coated with a dielectric polymer. The cable extends through a pass-through in a portion of the jaw and is crimped to create a mechanical and electrical connection between the conductive inner portion and the conductive jaw material.

Abstract: A user interface for a surgical robotic system includes a plurality of handles, each removably attachable to a user interface assembly by a quick release connector. The selection of handles can include handles of varying size, degree of complexity, handles adapted for laparoscopic motion, handles adapted for true cartesian motion or handles customized to surgeon anthropometric data, etc.

Abstract: A motorized surgical system includes at least one support positionable within a sterile field in proximity to a patient positioned on a surgical table. An instrument driver is carried by the support and includes a steerable distal end positionable in a body cavity. A user input device is carried by the support and is configured to generate movement signals in response to manual manipulation of a portion of the user input device by a user. One or more steering motors are operably coupled to the instrument driver and are operable to deflect the steerable distal end of the instrument driver in response to the movement signals.

Abstract: The present invention provides a device, a system, and a method for application of fluids.

Abstract: A systems and method for coupling electrical energy to the medical instruments includes a tubular socket having a conductive region and a lumen for receiving a segment of a medical instrument. An energy source is electrically coupled to a conductor in contact with an outer surface of the tubular socket, such that the conductor and the conductive portion of the tubular socket conduct energy to the instrument. The segment of the medical is instrument is rotationally engageable with the tubular socket such that axially rolling of the tubular socket causes axial rolling of a portion of the instrument shaft.

Abstract: A surgical system includes an instrument driver having a distal end positionable in a body cavity and a user input device. The instrument driver and user input device are positioned to removably receive distal and proximal portions, respectively, of a surgical instrument. The user input device is configured to generate movement signals in response to manual manipulation of the proximal portion of the surgical instrument. At least one motor operable to actuate the instrument driver in response to the movement signals and to thereby change position of the distal portion of the surgical instrument within the body cavity.