Abstract: A system and method for navigating to a target site in a patient is provided. The system includes an extended working channel and a tool usable with an electromagnetic navigation system. In particular, the extended working channel and the tool contain an electromagnetic sensor configured to provide location information within a patient of the extended working channel and the tool to the electromagnetic navigation system. The distance from the tool and the target site can then be determined and displayed to a clinician on a display device.

Abstract: A system for monitoring an approach to a target includes a luminal device including a distal portion, a sensor coupled to the distal portion of the luminal device, and a surgical instrument including one or more indicators having a detectable property located along at least a portion of the surgical instrument. The luminal device is configured to be inserted into a patient, and the distal portion of the luminal device is configured to be guided proximate a target. The sensor is configured to sense the detectable property of the one or more indicators. The surgical instrument is configured to be guided through the luminal device.

Abstract: Disclosed are systems and methods for mapping a patient's lymphatic system. An exemplary method includes generating a three-dimensional (3D) model of a bronchial network in the patient's chest, generating a lymphatic tree map by fitting a model lymph node map to the 3D model, receiving locations of a plurality of identified lymph nodes, updating the positions of lymph nodes on the lymphatic tree map, and displaying the updated lymphatic tree map.

Abstract: Disclosed are systems, devices, and methods for performing treatment along a lumen network, an exemplary method comprising receiving image data of a patient's lungs, mapping one or more luminal networks inside the patient's lungs based on the received image data, identifying a treatment target in the image data, determining a luminal pathway to the treatment target via at least one of the luminal networks, configuring treatment parameters for treatment of the treatment target and at least one of the luminal networks, navigating a tool inside at least one of the luminal networks to the treatment target, treating the treatment target with a primary treatment modality, and treating the luminal pathway of at least one of the luminal networks leading to or from the treatment target with a secondary treatment modality.

Abstract: Provided in accordance with the present disclosure are systems, devices, and methods useable in training for bronchoscopy and thoracic procedures. An exemplary system includes a housing unit configured to simulate the chest cavity of a patient, at least one simulated lung located within the housing unit, the at least one simulated lung including a plurality of airways, and an exterior of the at least one simulated lung being substantially sealed from the atmosphere by the housing unit, a respiratory controller configured to control inspiration and expiration of air into and out of the plurality of airways of the at least one simulated lung, and a fluid controller configured to control administration of fluids to the at least one simulated lung.

Abstract: Disclosed are systems, devices, and methods for using sensor sleeves with surgical tools. In an aspect of the present disclosure, a sensor sleeve includes a tubular body defining a central longitudinal axis and having a lumen defined therethrough, the tubular body being configured to receive a tool, a plurality sensors attached to the tubular body, a cabling extending distally from the tubular body, and an interface connector coupled to the cabling and configured to interface with a navigation system.

Abstract: Provided are systems, devices, and methods of planning a medical procedure. An exemplary method includes receiving image data of a patient's chest, identifying the patient's lungs in the image data, determining locations of fissures of the patient's lungs in the image data, generating a three-dimensional (3D) model of the patient's lungs based on the image data, the 3D model showing the fissures of the patient's lungs, displaying a view of the 3D model including the fissures of the patient's lungs for viewing by a clinician, receiving input from the clinician regarding a plan for the medical procedure, and displaying the plan for the medical procedure.

Abstract: Devices, systems and methods are provided for treating conditions of the heart, particularly the occurrence of arrhythmias. The devices, systems and methods deliver therapeutic energy to portions the heart to provide tissue modification, such as to the entrances to the pulmonary veins in the treatment of atrial fibrillation. Generally, the tissue modification systems include a specialized catheter, a high voltage waveform generator and at least one distinct energy delivery algorithm. Other embodiments include conventional ablation catheters and system components to enable use with a high voltage waveform generator. Example catheter designs include a variety of delivery types including focal delivery, “one-shot” delivery and various possible combinations. In some embodiments, energy is delivered in a monopolar fashion. However, it may be appreciated that a variety of other embodiments are also provided.

Abstract: A medical device and methods for altering lung volume are disclosed. The medical device includes a coil formed of a biodegradable material including a first bioabsorbable material that is configured to deactivate a portion of a lung as the coil degrades. The method includes positioning a first coil adjacent a first target within a patient and permitting the first coil to degenerate such that a first bioabsorbable material deactivates a first portion of a lung. The first coil is formed of a biodegradable material and includes the first bioabsorbable material.

Abstract: A system and method for navigating to a target site in a patient is provided. The system includes an extended working channel and a tool usable with an electromagnetic navigation system. In particular, the extended working channel and the tool contain an electromagnetic sensor configured to provide location information within a patient of the extended working channel and the tool to the electromagnetic navigation system. The distance from the tool and the target site can then be determined and displayed to a clinician on a display device.

Abstract: Disclosed are systems, devices, and methods for performing treatment along a lumen network, an exemplary method comprising receiving image data of a patient's lungs, mapping one or more luminal networks inside the patient's lungs based on the received image data, identifying a treatment target in the image data, determining a luminal pathway to the treatment target via at least one of the luminal networks, configuring treatment parameters for treatment of the treatment target and at least one of the luminal networks, navigating a tool inside at least one of the luminal networks to the treatment target, treating the treatment target with a primary treatment modality, and treating the luminal pathway of at least one of the luminal networks leading to or from the treatment target with a secondary treatment modality.

Abstract: A system for monitoring an approach to a target includes a luminal device including a distal portion, a sensor coupled to the distal portion of the luminal device, and a surgical instrument including one or more indicators having a detectable property located along at least a portion of the surgical instrument. The luminal device is configured to be inserted into a patient, and the distal portion of the luminal device is configured to be guided proximate a target. The sensor is configured to sense the detectable property of the one or more indicators. The surgical instrument is configured to be guided through the luminal device.

Abstract: Disclosed are systems, devices, and methods for performing treatment along a lumen network, an exemplary method comprising receiving image data of a patient's lungs, mapping one or more luminal networks inside the patient's lungs based on the received image data, identifying a treatment target in the image data, determining a luminal pathway to the treatment target via at least one of the luminal networks, configuring treatment parameters for treatment of the treatment target and at least one of the luminal networks, navigating a tool inside at least one of the luminal networks to the treatment target, treating the treatment target with a primary treatment modality, and treating the luminal pathway of at least one of the luminal networks leading to or from the treatment target with a secondary treatment modality.

Abstract: A system for visualizing movement of structures within a patient's chest is described herein. The system includes an electromagnetic tracking system, a computing device and a display. The computing device includes a processor configured generate a 3D model of an interior of the patient, obtain positions of EM sensors for the 3D model, determine positions of the EM sensors at intervals during the respiratory cycle, determine positions of the EM sensors at maximum tidal volume and minimum tidal volume, determine differences between the positions of the EM sensors at maximum tidal volume and for the 3D model, generate a 3D model at maximum tidal volume based on the differences between the positions of the EM sensors at maximum tidal volume and for the 3D model, and store in memory the 3D model at maximum tidal volume.

Abstract: Apparatuses, systems and methods are provided for treating pulmonary tissues via delivery of energy, generally characterized by high voltage pulses, to target tissue using a pulmonary tissue modification system (e.g., an energy delivery catheter system). Example pulmonary tissues include, without limitation, those within the respiratory tract, particularly the epithelium (the goblet cells, ciliated pseudostratified columnar epithelial cells, and basal cells), lamina propria, submucosa, submucosal glands, basement membrane, smooth muscle, cartilage, nerves, pathogens resident near or within the tissue, or a combination of any of these. The systems may be used to treat pathogens, such as bacteria and viruses, particularly coronaviruses.

Abstract: Provided in accordance with aspects of the present disclosure is a coupling device configured to receive first and second devices. The coupling device may define a first passageway having an inner surface with a first coefficient of friction and defining a first axis. The coupling device may define a second passageway having an inner surface with a second coefficient of friction and defining a second axis, wherein at least a portion of the second axis is at an angle relative to the first axis.

Abstract: Provided in accordance with the present disclosure is a diagnostic and a therapeutic bronchoscopy system for localized delivery of medication within the lungs. Specifically, systems and methods are disclosed for creating a functional and anatomical map of the lungs, diagnosing a condition within the lungs, generating a treatment plan for a target site within the lungs, navigating to the target site, administering a treatment directly to the target site for immediate absorption within the target site, and assessing the efficacy of the treatment.

Abstract: Disclosed are systems, devices and methods for providing proximity awareness to an anatomical feature while navigating inside a patient's chest, an exemplary method including receiving image data of the patient's chest, generating a three-dimensional (3D) model of the patient's chest based on the received image data, determining a location of the anatomical feature based on the received image data and the generated 3D model, tracking a position of an electromagnetic sensor included in a tool, iteratively determining a position of the tool inside the patient's chest based on the tracked position of the electromagnetic sensor, and indicating a proximity of the tool relative to the anatomical feature, based on the determined position of the tool inside the patient's chest.

Abstract: A system for visualizing movement of structures within a patient's chest is described herein. The system includes an electromagnetic tracking system, a computing device and a display. The computing device includes a processor configured generate a 3D model of an interior of the patient, obtain positions of EM sensors for the 3D model, determine positions of the EM sensors at intervals during the respiratory cycle, determine positions of the EM sensors at maximum tidal volume and minimum tidal volume, determine differences between the positions of the EM sensors at maximum tidal volume and for the 3D model, generate a 3D model at maximum tidal volume based on the differences between the positions of the EM sensors at maximum tidal volume and for the 3D model, and store in memory the 3D model at maximum tidal volume.

Abstract: A system and method for enhancing diagnosis and treatment including an extended working channel defining an elongated passageway and adapted to extend through the bronchoscope and into a luminal network, an opening operably associated with the extended working channel and in fluid communication with the luminal network, and a medical instrument configured for insertion through the extended working channel, wherein during operation, apposition of tissue on the extended working channel or medical instrument isolates at least a portion of a luminal network in which the extended working channel is inserted.