Abstract: A surgical treatment apparatus comprises an elongate support, an elongate tube, and a movable endoscope having a stiff distal portion, in which the stiff distal portion of the endoscope is configured to move one or more components of the apparatus when the support remains substantially fixed. The support may comprise a plurality of spaced apart aspiration openings near the distal end in order to facilitate alignment with the treatment site. In many embodiments, an image guided treatment apparatus is configured for use with an imaging device. In many embodiments, a target resection profile is provided. The target resection profile and one or more tissue structures are displayed on an image, and the target resection profile displayed on the image is adjusted with user input.

Abstract: A user interface presents a 3D view of the tissue and treatment plan. The 3D view comprises a plurality of transverse images arranged along a one or more longitudinal images. The user adjusts the treatment profile with input to the user interface, and an updated treatment profile is shown on the other views. The user to one or more of zoom, pan, or rotate the 3D view with the treatment profile overlaid on the 3D view, and the treatment profile moves with the 3D view to maintain registration with the 3D view. In some embodiments, a 3D treatment plan is generated in accordance with a plurality of angles between a treatment probe and the one or more tissue structures. An AI algorithm can be used to identify tissue structures and plan the treatment angles and energy delivery in accordance with the tissue structures, which can provide a more customized treatment.

Abstract: Implementations of the present disclosure generally relate to medical aspiration devices and their methods of use. In some cases, the devices are configured to create a vacuum to capture and/or immobilize a solid deposit at a location internal to a subject. Such configurations may be useful, for example, for removing intact kidney stones small enough to pass through the ureter. In some cases, the devices further include an ablation instrument. Such devices may be useful, for example, for ablating larger solid deposits into a plurality of smaller particles at a location internal to the subject (e.g., ablating kidney stones that are too large to pass through the ureter). In some cases, the vacuum created by the devices is used to remove the plurality of smaller particles from the location internal to the subject.

Abstract: Implementations of the present disclosure generally relate to medical aspiration devices and their methods of use. In some cases, the devices are configured to create a vacuum to capture and/or immobilize a solid deposit at a location internal to a subject. Such configurations may be useful, for example, for removing intact kidney stones small enough to pass through the ureter. In some cases, the devices further include an ablation instrument. Such devices may be useful, for example, for ablating larger solid deposits into a plurality of smaller particles at a location internal to the subject (e.g., ablating kidney stones that are too large to pass through the ureter). In some cases, the vacuum created by the devices is used to remove the plurality of smaller particles from the location internal to the subject.

Abstract: A surgical treatment apparatus comprises an elongate support, an elongate tube, and a movable endoscope having a stiff distal portion, in which the stiff distal portion of the endoscope is configured to move one or more components of the apparatus when the support remains substantially fixed. The support may comprise a plurality of spaced apart aspiration openings near the distal end in order to facilitate alignment with the treatment site. In many embodiments, an image guided treatment apparatus is configured for use with an imaging device. In many embodiments, a target resection profile is provided. The target resection profile and one or more tissue structures are displayed on an image, and the target resection profile displayed on the image is adjusted with user input.

Abstract: A diagnostic image to detect cancer is fused with an intraoperative image from an imaging probe such as an ultrasound probe to generate fused image, and the fused image is used to plan a treatment with an energy source. The imaging probe may comprise a transrectal ultrasound (TRUS) probe and the treatment probe may comprise a rotating and translating energy source such as a water jet. The diagnostic and intraoperative images may each comprise three dimensional (3D) images. In some embodiments, the fused image comprise 3D image and two dimensional image slices of the fused 3D image are used for treatment planning. In some embodiments, the patient is treated with an offset configuration, in which the treatment probe and imaging probe are offset relative to each other with respect to a midline of the patient, which can facilitate imaging and provide treatment to different tissue regions.

Abstract: A user interface for a surgical system is configured to proceed through a plurality of modes and display a current mode among the plurality of modes. Each of the plurality of modes is associated with one or more sub-modes, and the user interface is configured to proceed through the plurality of modes and the plurality of sub-modes in sequence. The user interface is configured to automatically generate an image from an image source for each of the modes and sub-modes and overlay one or more markers on the image along with instructions to the user. The user interface is configured to provide a control panel comprising plurality of frequently used user inputs below a centerline of a display for ergonomics, and to highlight a current mode of the sequence on a display relative to the other modes to show progression through the sequence of modes.

Abstract: A user interface for a surgical system is configured to proceed through a plurality of modes and display a current mode among the plurality of modes. Each of the plurality of modes is associated with one or more sub-modes, and the user interface is configured to proceed through the plurality of modes and the plurality of sub-modes in sequence. The user interface is configured to automatically generate an image from an image source for each of the modes and sub-modes and overlay one or more markers on the image along with instructions to the user. The user interface is configured to provide a control panel comprising plurality of frequently used user inputs below a centerline of a display for ergonomics, and to highlight a current mode of the sequence on a display relative to the other modes to show progression through the sequence of modes.

Abstract: A user interface comprising a touch screen display can be placed above a patient. An arm allows a user to place the user interface above the patient and provide inputs related to treatment. The arm is configured to place the display above the patient in relation to a probe inserted into the patient and view an image shown on the display, which can facilitate movement of the probes in response to the image shown on the display. The probe is located below the display, and the user is able to reach and adjust the probes while viewing images on the display. The user interface is configured with an image display area and a control panel, in which the control panel is located below the image display area, which allows the user to readily provide inputs to user interface while viewing the display and manipulating the one or more probes.

Abstract: A system for determining a position or an orientation of a probe across a drape may include a fiducial assembly that may be coupled to the probe though a drape. The fiducial assembly may include a base, a coupling attached to the base which may be configured to couple the fiducial assembly to the probe across the drape, and one or more fiducials attached to the base. Coupling the fiducials to the probe across the drape can allow sterile fiducials to be coupled to a non-sterile probe to determine the position and orientation of the probe based on images from the of the fiducials on a sterile side of the drape. In some embodiments, the fiducial is aligned with respect to an elongate axis of the probe with a predetermined offset and orientation with respect to the elongate axis of the probe.

Abstract: Systems, methods, and apparatuses detect tissue strain associated with tissue resistance and shearing and provide feedback such as real time feedback during insertion of a probe, which can decrease potential tissue damage associated with insertion of a probe. In some embodiments, a method may include generating one or more digital images of a tissue, determining a strain imparted on the tissue based on the one or more digital images, and providing feedback based on the detected strain. The feedback may be one or more of audible, visual, or haptic feedback. The feedback may be provided when the determined strain is above a threshold. The strain may be determined through the use of an artificial intelligence or machine learning classifier.

Abstract: A surgical treatment apparatus comprises an elongate support, an elongate tube, and a movable endoscope having a stiff distal portion, in which the stiff distal portion of the endoscope is configured to move one or more components of the apparatus when the support remains substantially fixed. The support may comprise a plurality of spaced apart aspiration openings near the distal end in order to facilitate alignment with the treatment site. In many embodiments, an image guided treatment apparatus is configured for use with an imaging device. In many embodiments, a target resection profile is provided. The target resection profile and one or more tissue structures are displayed on an image, and the target resection profile displayed on the image is adjusted with user input.

Abstract: An energy source is offset from an elongate probe axis with an extension. The amount of offset of the energy source can be controlled by varying an amount of offset of the extension. The energy source rotated and translated at the offset distance to resect tissue. In some embodiments, the probe is configured to receive a second treatment probe comprising a second energy source, in which the second energy source is rotated and translated relative to the first treatment probe, which can improve positional accuracy and stability. The energy source and the extension can be coupled to a linkage to offset the energy source, and to translate and rotate the energy source with varying amounts of offset. The linkage can be coupled to a processor and one or more of the energy source moved in accordance with a treatment profile.

Abstract: An energy source is offset from an elongate probe axis with an extension. The amount of offset of the energy source can be controlled by varying an amount of offset of the extension. The energy source rotated and translated at the offset distance to resect tissue. In some embodiments, the probe is configured to receive a second treatment probe comprising a second energy source, in which the second energy source is rotated and translated relative to the first treatment probe, which can improve positional accuracy and stability. The energy source and the extension can be coupled to a linkage to offset the energy source, and to translate and rotate the energy source with varying amounts of offset. The linkage can be coupled to a processor and one or more of the energy source moved in accordance with a treatment profile.

Abstract: A surgical device for cutting a lens within a capsular bag of an eye. Related methods, systems, and devices are also provided.

Abstract: A user interface presents a 3D view of the tissue and treatment plan. The 3D view comprises a plurality of transverse images arranged along a one or more longitudinal images. The user adjusts the treatment profile with input to the user interface, and an updated treatment profile is shown on the other views. The user to one or more of zoom, pan, or rotate the 3D view with the treatment profile overlaid on the 3D view, and the treatment profile moves with the 3D view to maintain registration with the 3D view. In some embodiments, a 3D treatment plan is generated in accordance with a plurality of angles between a treatment probe and the one or more tissue structures. An AI algorithm can be used to identify tissue structures and plan the treatment angles and energy delivery in accordance with the tissue structures, which can provide a more customized treatment.

Abstract: A user interface presents a 3D view of the tissue and treatment plan. The 3D view comprises a plurality of transverse images arranged along a one or more longitudinal images. The user adjusts the treatment profile with input to the user interface, and an updated treatment profile is shown on the other views. The user to one or more of zoom, pan, or rotate the 3D view with the treatment profile overlaid on the 3D view, and the treatment profile moves with the 3D view to maintain registration with the 3D view. In some embodiments, a 3D treatment plan is generated in accordance with a plurality of angles between a treatment probe and the one or more tissue structures. An AI algorithm can be used to identify tissue structures and plan the treatment angles and energy delivery in accordance with the tissue structures, which can provide a more customized treatment.

Abstract: A probe configured to deliver energy to a first tissue is placed in the first tissue, and an imaging device is configured to image a second tissue with the probe placed in the first tissue. Image data from the second tissue is processed to evaluate the effect of the energy source on the second tissue. In some embodiments, the image data from the second tissue is used to adjust the energy to the first tissue, for example by increasing or decreasing the energy to the second tissue. In some embodiments, image data from the first tissue or the second tissue or force sensor data from the probe is used to evaluate placement of the probe in the first tissue, and the placement of the probe in the first tissue adjusted to decrease tissue alterations of the second tissue related to probe placement in the first tissue.

Abstract: A system for determining a position or an orientation of a probe across a drape may include a fiducial assembly that may be coupled to the probe though a drape. The fiducial assembly may include a base, a coupling attached to the base which may be configured to couple the fiducial assembly to the probe across the drape, and one or more fiducials attached to the base. Coupling the fiducials to the probe across the drape can allow sterile fiducials to be coupled to a non-sterile probe to determine the position and orientation of the probe based on images from the of the fiducials on a sterile side of the drape. In some embodiments, the fiducial is aligned with respect to an elongate axis of the probe with a predetermined offset and orientation with respect to the elongate axis of the probe.

Abstract: Disclosed herein are improved methods and apparatuses for providing hemostasis within a cavity defined by an internal surface of a bleeding tissue space. A catheter comprising a proximal end and a distal end may be advanced into the cavity through a proximal opening of the tissue space into the cavity. A distal balloon coupled to the catheter may be expanded, and the catheter tensioned to apply pressure to the internal surface of the tissue space to inhibit bleeding of the tissue space.