Abstract: A system including catheter endoscope for deployment in the bladder of a patient to provide a visual display of the bladder's mucosal surface is disclosed. The catheter endoscope is an elongated member having an image acquisition component and an expandable positioning component. The catheter is deployed such that the expandable positioning component is in the bladder adjacent the bladder's neck with the image acquisition component held away from any portion of the mucosal surface. The image acquisition component is arranged to acquire a panoramic image of a sector of the mucosal surface of the bladder from the neck of the bladder to the mucosal surface of the bladder opposite the neck of the bladder and to be rotated about the axis along which the catheter is inserted to acquire an image of the entire mucosal surface of the bladder which is displayed on a monitor forming a portion of the system.

Abstract: A device for use in an image-guided procedure on a patient is disclosed. The device includes an EM sensor assembly, a frame assembly (e.g., a base portion from which a plurality of legs project upward to a common point) and a plurality of attachment members. Each attachment member is arranged to be releasably (e.g., adhesively) secured to the skin of a patient and to be coupled to the frame assembly to secure the frame assembly on the skin of the patient. The EM sensor assembly is arranged to be releasably secured to the frame assembly (e.g., pivotably snap-fit into a socket in the frame assembly). The device additionally includes plural visualizable elements (e.g., metal balls) that are adapted to be readily imaged to establish imaging reference points and a plurality of asymmetrically disposed apertures to enable tattooing indicia on the skin of the patient through the apertures.

Abstract: A system including catheter endoscope for deployment in the bladder of a patient to provide a visual display of the bladder's mucosal surface is disclosed. The catheter endoscope is an elongated member having an image acquisition component and an expandable positioning component. The catheter is deployed such that the expandable positioning component is in the bladder adjacent the bladder's neck with the image acquisition component held away from any portion of the mucosal surface. The image acquisition component is arranged to acquire a panoramic image of a sector of the mucosal surface of the bladder from the neck of the bladder to the mucosal surface of the bladder opposite the neck of the bladder and to be rotated about the axis along which the catheter is inserted to acquire an image of the entire mucosal surface of the bladder which is displayed on a monitor forming a portion of the system.

Abstract: A centering device for use with an ultrasound probe and the combination of that device and the probe is disclosed. The probe has a distal portion in which an ultrasound emitter is located. The emitter is arranged to be rotated about the central longitudinal axis of the probe without rotating the probe itself to provide ultrasound images of a patient extending 360 degrees about that axis. The centering device includes an inner sheath and an outer sheath surrounding the inner sheath to form a space therebetween. The space is inflatable by a liquid to expand to form a cylindrical annularly shaped chamber surrounding the distal portion of the probe, thereby centering the distal portion of the probe within the patient.

Abstract: A device for positioning and immobilizing the head of patient on a treatment table is disclosed. The device comprises a bridge member, a longitudinal arm, and two transverse arms. The bridge member is releasably mounted on the treatment table. The longitudinal arm is pivotably coupled to the upper portion of the bridge member and is arranged to be pivoted from one side of the bridge member to the other side of it, and vice versa, above the patient's head. The transverse arms are releasably secured to the longitudinal arm and are positionable along a portion of the length of the longitudinal arm. Each transverse arm is rotatable about its longitudinal axis and mounts an anatomy engagement component, e.g., a nasion pad or a bite tray, thereon which can be moved into engagement with the patient's head.

Abstract: An indicator guide and method of use is provided for use with an instrument arranged to be guided to a target site within the body of the patient by an electronic tracking system. A sensor is coupled to at least one of the instrument and indicator guide provides a signal to the tracking system which determines the position and orientation of the instrument with respect to the target site and provides output signals indicative thereof. The indicator guide includes a display responsive to the output signals for providing a visual indication of the path the instrument should take to reach the target site and for providing a perceptible indication of the distance to the target site. The display is located on or immediately adjacent the instrument and within the surgical field, whereupon the user can readily see the display while directly viewing and moving the instrument along that path.

Abstract: A system for positioning a patient on a treatment couchtop for SBRT is provided. The system includes a patient support panel and at least one positioning/fixation component for releasable mounting on the patient support panel at a desired position to immobilize a portion of the patient's body. The patient support panel includes a pair of longitudinally extending side rails having a series of longitudinally spaced indexing apertures for receipt of a locking bar for mounting a positioning/fixation component thereon at a discrete index position. The at least one positioning component includes a pair of clamping mechanisms for releasably securing that component to the side rails at any longitudinal position along the side rails.

Abstract: A ureteral stent is designed to be placed within a patient's ureter to facilitate drainage from the patient's kidneys to the bladder. An elongated portion of the stent includes a length sufficient to extend substantially within the ureter from the kidney to the bladder, and the elongated portion defines a lumen extending therethrough. A retention portion extends from one end of the elongated portion and retains the position of the ureteral stent when placed substantially within the kidney. The retention portion includes an interior space that is in communication with the lumen within the elongated portion and has at least one opening for urine drainage. A flared portion extending from the other end of the elongated portion is positioned within the patient's bladder. The flared portion curves outward and includes an elastic member that maintains the shape of the flared portion when positioned within the bladder.

Abstract: A ureteral stent for assisting the movement of urine along a patient's ureter and into the patient's bladder. The stent includes an elongated tubular segment extending toward the bladder from a kidney end region for placement in the renal cavity to a bladder end region. A central lumen connects at least one opening at the first end region to at least one opening in the bladder end region. Thin flexible tail(s) are attached to the bladder end region of the tubular segment at a point outside the bladder so as to receive urine from the opening in the bladder end region of the tubular segment and to transport urine from there across the ureter/bladder junction and into the bladder.

Abstract: A system including a support panel and a fixation device for use in radiation therapy is disclosed. The support panel comprises a generally planar member that is arranged to be disposed adjacent an apparatus for producing a radiation beam to support a portion of the patient to which the radiation beam will be directed. The fixation device is arranged to be releasably secured to the support panel to hold the portion of the patient's body at a desired position. The fixation device includes attachment components which enable the releasable securement of the fixation device to the support panel without creating any attenuation discontinuities of a radiation beam passing therethrough.

Abstract: A device for positioning and immobilizing the head of patient on a treatment table is disclosed. The device comprises a bridge member, a longitudinal arm, and two transverse arms. The bridge member is releasably mounted on the treatment table. The longitudinal arm is pivotably coupled to the upper portion of the bridge member and is arranged to be pivoted from one side of the bridge member to the other side of it, and vice versa, above the patient's head. The transverse arms are releasably secured to the longitudinal arm and are positionable along a portion of the length of the longitudinal arm. Each transverse arm is rotatable about its longitudinal axis and mounts an anatomy engagement component, e.g., a nasion pad or a bite tray, thereon which can be moved into engagement with the patient's head.

Abstract: An EMT system for use in ultrasound and other imaging modality guided medical procedures. The system includes a tool set of various components to which EM sensors can be releasably secured. Thus, the sensors can be reused, notwithstanding the disposal of other components of the tool set. Various components of the tool set include keying elements to facilitate their registration to the anatomy of the patient undergoing the procedure via the EM sensors.

Abstract: A device and system for medical instrument navigation is provided including a handle, a stylet having a distal end, a proximal end and an axially disposed aperture, the proximal end affixed to the handle. A navigation sensor capable of registering positional information is disposed adjacent to the handle for tracking the location of the handle. A pair of thin fibers forming an optic cable is disposed in the aperture, wherein the optic cable measures deflection and the location and direction of the distal end of the stylet relative to the electromagnetic sensor. An interrogator is coupled to the optic cable. The navigation sensor reports its position in space while the interrogator reports the amount and direction of the deflection of the distal end of the stylet in relation to the navigation sensor. A processor analyzes data to determine the location of the distal end of the stylet in space.

Abstract: A system for positioning a laparoscopic device includes a curvilinear articulating arm and a holder. The holder has at least two rotational regions and a clamping portion for receiving the laparoscopic device, and the holder is coupled to the curvilinear articulating arm. The at least two rotational regions are permitted to articulate. In addition, a method of positioning a laparoscopic device in a skin port of a mammal includes: securing the laparoscopic device to a holder having at least two rotational joints; coupling the holder to a curvilinear articulating arm; disposing the laparoscopic device partially within the skin port; positioning the laparoscopic device by selectively articulating the curvilinear articulating arm and selectively rotating portions of the holder with respect to one another.

Abstract: An EMT system for use in ultrasound and other imaging modality guided medical procedures. The system includes a tool set of various components to which EM sensors can be releasably secured. Thus, the sensors can be reused, notwithstanding the disposal of other components of the tool set. Various components of the tool set include keying elements to facilitate their registration to the anatomy of the patient undergoing the procedure via the EM sensors.

Abstract: A ureteral stent for assisting the movement of urine along a patient's ureter and into the patient's bladder. The stent includes an elongated tubular segment extending toward the bladder from a kidney end region for placement in the renal cavity to a bladder end region. A central lumen connects at least one opening at the first end region to at least one opening in the bladder end region. Thin flexible tail(s) are attached to the bladder end region of the tubular segment at a point outside the bladder so as to receive urine from the opening in the bladder end region of the tubular segment and to transport urine from there across the ureter/bladder junction and into the bladder. The tails include an elongated external urine-transport surface sized and configured to transport urine along the ureter. The urine transporting surface(s) are sized and configured to extend along at least part of the ureter, across the ureter/bladder junction, and from there into the bladder.

Abstract: A system for positioning a patient on a treatment couchtop for SBRT is provided. The system includes a patient support panel and at least one positioning/fixation component for releasable mounting on the patient support panel at a desired position to immobilize a portion of the patient's body. The patient support panel includes a pair of longitudinally extending side rails having a series of longitudinally spaced indexing apertures for receipt of a locking bar for mounting a positioning/fixation component thereon at a discrete index position. The at least one positioning component includes a pair of clamping mechanisms for releasably securing that component to the side rails at any longitudinal position along the side rails.

Abstract: A laparoscopic instrument holder for positioning a laparoscopic device includes a central portion having a first member operatively associated with a second member, the members selectively movable with respect to one another along a central axis, with the central portion having a proximal end defined by the first member and a distal end defined by the second member. The holder also includes at least three proximal rotational joints coupled to the first member proximate the proximal end, at least two distal rotational joints coupled to the second member proximate the distal end, a first ball and socket joint coupled to a distal rotational joint, and a second ball and socket joint coupled to the first ball and socket joint. In addition, the holder includes a clamp configured and dimensioned for retaining a laparoscopic device, with the clamp coupled to the second ball and socket joint, and a coupling portion proximate a first of the proximal rotational joints.

Abstract: A device in the form of an elongated articulating arm having a base for mounting it on or at the MRI apparatus. The free end of the arm is arranged to releasably mount any type of device, e.g., a clamp, a bracket, a biopsy needle guide, etc. The arm includes a plurality of interconnected segments each of which is arranged to pivot about a respective axis perpendicular to the longitudinal axis of the arm, but restricted from twisting about the longitudinal axis. A flexible elongated adjustable tensioning member in the form of plural sections of a cord extend through respective ones of plural flexible sheaths within the arm between the base and the distal end portion to enable the arm to be moved or bent into a desired shape when tension is released and then held in that shape when tension is applied.

Abstract: A patient transfer system including a patient support panel, a first base member mounted on a first support structure, e.g., a gurney, and a second base member mounted on a second support structure, e.g., a patient treatment table. The patient support panel has a pair of longitudinally extending side rails. Each base member has at least one clamp arranged to engage a rail of the patient support panel to hold it in place thereon. The clamps are releasable to enable the patient support panel to be slid off of one base member and onto the other base member. If the support structures are spaced apart at least one bridging member is provided to bridge the gap therebetween and allow the patient support member to be slid thereacross.