Abstract: Devices for guiding an instrument into a body of a patient, at a targeted point of entry and along an insertion path at a targeted insertion angle, are described herein, such as a guide for an access needle in a PCNL procedure for accessing the kidney to remove kidney stones, the devices comprising a base component, a guide assembly, and optionally an insertion mechanism. The base component is aligned in use with the point of entry and the guide assembly cooperates with the base component to allow for the instrument to be aligned and fixed at any circumferential angle around an axis perpendicular to the point of entry and at any vertical angle ranging from 0 to 45 degrees away from the axis in a direction toward the body. The optional mechanism allows for mechanical insertion once the instrument is aligned and fixed.

Abstract: Computer systems and computer-implemented analysis methods may be used for assistance in planning and/or performing a medical procedure, such as percutaneous nephrolithotomy or percutaneous nephrolithotripsy. The method may include receiving one or more radiographic images of an anatomical structure of a patient, generating a display of the radiographic image(s), generating at least one request for user input to identify features of the anatomical structure, receiving user input identifying the features of the anatomical structure, identifying at least one access plan based on the received user input, and generating a display of the identified access plan(s) associated with the radiographic image(s). The method may include generating a patient template that indicates an insertion site according to the identified access plan(s).

Abstract: The present disclosure relates generally to controlled extension medical stents, and more particularly to controlled extension devices positioned in the body to stent the ureter and facilitate drainage from the kidney to the bladder.

Abstract: A medical system for use in a lithotripsy procedure may include a processor configured to receive input from a first imaging device, wherein the first imaging device may be configured to send image data representative of an image captured in a lumen of a kidney, bladder, or ureter to the processor. The processor may be configured to display the image on a display device coupled to the processor, and analyze the image to sense the presence of an object within the image. If an object was sensed within the image, the processor may analyze the image to estimate a size of the object, and display the estimate on the display device.

Abstract: The present disclosure relates generally to controlled extension medical stents, and more particularly to controlled extension devices positioned in the body to stent the ureter and facilitate drainage from the kidney to the bladder.

Abstract: A device or scope device is disclosed. The device may comprise: a handle body extending along an axis between first end and a second end; an actuator at the first end of the handle body; a catheter at the second end of the handle body; and a processing unit communicable with a plurality of devices to: switch-in the actuator for control of one device of the plurality of devices; configure, with the actuator, a setting of the one device, control, with the actuator, the one device based on the setting, and switch-in the actuator for control of another one of the plurality of devices. Related devices and methods also are disclosed.

Abstract: According to an aspect, a medical device includes an elongate member having a sidewall. The sidewall defines a lumen. The lumen has a non-circular cross-sectional shape.

Abstract: Exemplary aspects of a medical instrument system are disclosed. The system may have a support frame movably coupled to a patient table, the support frame having a computer display support, and an endoscope holder, wherein the computer display support and the endoscope holder are coupled to move together as a single unit. In some aspects, the system includes a computer display device, and an endoscope, wherein the computer display device and the endoscope are coupled to the support frame to move together as a single unit, and the patient table, computer display device, and the endoscope are arranged along a common longitudinal axis.

Abstract: According to an aspect, a medical device includes an elongate member and a sleeve. The elongate member defines a lumen and has a first end portion and a second end portion. The second end portion has a first configuration and a second configuration. The second end portion has a first size when the second end portion is in its first configuration and a second size when the second end portion is in its second configuration. The first size is smaller than the second size. The second end portion is biased to its second configuration. The sleeve defines a lumen extending from a first end portion of the sleeve to a second end portion of the sleeve.

Abstract: A device or scope device is disclosed. The device may comprise: a handle body extending along an axis between first end and a second end; an actuator at the first end of the handle body; a catheter at the second end of the handle body; and a processing unit communicable with a plurality of devices to: switch-in the actuator for control of one device of the plurality of devices; configure, with the actuator, a setting of the one device, control, with the actuator, the one device based on the setting, and switch-in the actuator for control of another one of the plurality of devices. Related devices and methods also are disclosed.

Abstract: In one embodiment, a medical device includes a needle and a catch. The catch has a body portion. The body portion of the catch defines a cavity. The catch is configured to be coupled to the needle such that at least a portion of the needle is disposed within the cavity.

Abstract: According to an aspect, a medical device includes an elongate member and a sleeve. The elongate member defines a lumen and has a first end portion and a second end portion. The second end portion has a first configuration and a second configuration. The second end portion has a first size when the second end portion is in its first configuration and a second size when the second end portion is in its second configuration. The first size is smaller than the second size. The second end portion is biased to its second configuration. The sleeve defines a lumen extending from a first end portion of the sleeve to a second end portion of the sleeve.

Abstract: Guidance systems and associated methods are disclosed. One method comprises: receiving macroscan data prior to an operation; defining a body information model from the macroscan data; positioning a navigation component in the body during the operation; generating microscan data with the navigation component; correlating a location in the macroscan data with a location in the microscan data in the body information model; and/or modifying the body information model by combining an image in the microscan data with an image in the macroscan data.

Abstract: Aspects of access devices and methods are disclosed. One aspect of this disclosure is a device. The device may comprise: a needle guide body extending along a central axis between a distal end and a proximal end, a needle guide lumen extending through the distal and proximal ends of the needle guide body along the central axis, and a base monolithically attached to the needle guide body to define a non-variable patient-specific insertion path. Additional devices and methods are disclosed.

Abstract: Guidance systems and associated methods are disclosed. One method comprises: receiving macroscan data prior to an operation; defining a body information model from the macroscan data; positioning a navigation component in the body during the operation; generating microscan data with the navigation component; correlating a location in the macroscan data with a location in the microscan data in the body information model; and/or modifying the body information model by combining an image in the microscan data with an image in the macroscan data.

Abstract: A guidance device may include a base member including a hole extending therethrough. The guidance device may include a handle coupled to the base member. Additionally, a driver may be positioned within the base member and coupled to a shaft extending between the base member and the handle.

Abstract: The present disclosure relates generally to the field of medical devices and establishing access to the renal capsule. In particular, the present disclosure relates to devices and methods for performing a percutaneous nephrolithotomy (PCNL) procedure accurately and efficiently while minimizing exposure of the medical professional to harmful radiation.

Abstract: A medical system for use in a lithotripsy procedure may include a processor configured to receive input from a first imaging device, wherein the first imaging device may be configured to send image data representative of an image captured in a lumen of a kidney, bladder, or ureter to the processor. The processor may be configured to display the image on a display device coupled to the processor, and analyze the image to sense the presence of an object within the image. If an object was sensed within the image, the processor may analyze the image to estimate a size of the object, and display the estimate on the display device.

Abstract: A medical device may include a handle having an actuator, and a shaft coupled to the handle. The shaft may include a working channel. The medical device also may include a pair of friction rollers configured to be actuated by the actuator. The pair of friction rollers may be configured to receive an elongate member between one another, wherein actuation of the actuator may cause the pair of friction rollers to rotate and urge the elongate member to translate.

Abstract: A medical system for use in a lithotripsy procedure may include a processor configured to receive input from a first imaging device, wherein the first imaging device may be configured to send image data representative of an image captured in a lumen of a kidney, bladder, or ureter to the processor. The processor may be configured to display the image on a display device coupled to the processor, and analyze the image to sense the presence of an object within the image. If an object was sensed within the image, the processor may analyze the image to estimate a size of the object, and display the estimate on the display device.