Abstract: According to an embodiment, X-ray CT apparatus includes X-ray generator includes X-ray tube, high-voltage generator, detector, controller and circuitry. High-voltage generator generates tube voltage to be applied to X-ray tube. Detector detects X-rays irradiated from X-ray tube and transmitted through a subject. Controller controls high-voltage generator to scan the subject with first radiation dose and with second radiation dose lower than first radiation dose. Circuitry generates first image based on projection data acquired by scan at first radiation dose, generates second image based on projection data acquired by scan at second radiation dose, and displays first image and second image in common window.

Abstract: Systems and methods for x-ray imaging a patient's breast in combinations of dual-energy, single-energy, mammography and tomosynthesis modes that facilitate screening for and diagnosis of breast abnormalities, particularly breast abnormalities characterized by abnormal vascularity.

Abstract: According to embodiment, an X-ray computed tomography apparatus includes an X-ray tube, an X-ray detector including a scintillator generating scintillation light upon incidence of X-ray photons and a photodetection element, a peak value detector detecting peak values corresponding to X-ray photons based on an output signal from the element, processing circuitry determining an attenuation characteristic of the light by each X-ray photon and an output decreased characteristic of the element, based on the values and time when each peak value was detected, correcting the detected values according to the characteristics, a counter counting the X-ray photons corresponding to the respective corrected peak values, wherein the processing circuitry reconstructs a medical image based on an output from the counter.

Abstract: Disclosed are a body motion display device and a body motion display method which efficiently performs operation for confirming the presence or absence of body motion included in a radiographic image. An index value calculation unit calculates an index value representing body motion based on the ratio between contrast of a high-frequency component and contrast of a low-frequency component in a radiographic image at an analysis point set by an analysis point setting unit. A display control unit selectively displays, on a display unit, at least one of a plurality of kinds of body motion information based on index values at a plurality of analysis points.

Abstract: Disclosed are a radiographic imaging device and a radiographic imaging method which appropriately set an irradiation condition of radiation according to the presence or absence of an implant in a breast. An implant information acquisition unit 80 acquires implant information representing whether or not an implant is included in a breast M as a subject. An irradiation condition setting unit 82 sets, based on the implant information, a first irradiation condition C1 for irradiating the breast M with radiation when an implant is present and a second irradiation condition C2 for irradiating the breast M with radiation when an implant is absent. A radiation source drive control unit 70 drives an X-ray source 50 under the irradiation condition set by the irradiation condition setting unit 82 to irradiate the breast M with radiation.

Abstract: An automatic X-ray exposure parameter control system and method for a medical equipment are disclosed. The automatic X-ray exposure parameter control system applies a first image pixel depth signal and a second image pixel depth signal of a target human body acquired by a depth camera to compute a thickness difference. An X-ray energy computation and conversion unit then searches a corresponding exposure parameter value corresponding to the thickness difference and supplies an exposure parameter. Then, a processor unit generates an X-ray energy control signal to control an X-ray energy generation unit to select and output one of a plurality of exposure parameters to the X-ray source generator to allow the X-ray source generator to generate an X-ray beam to the target human body.

Abstract: A medical imaging system is provided. Imaging detector columns are installed in a gantry to receive imaging information about a subject. Imaging detector columns can extend and retract radially as well as be rotated orbitally around the gantry. The system can automatically adjust setup configuration and an imaging operation based on subject shape estimation information.

Abstract: An automatic selected human portion identification and adjustment device for medical treatment equipment is disclosed, in which an automatic selected human portion identification and adjustment device is included in the medical treatment equipment. The automatic selected human portion identification and adjustment device includes a depth camera, an image characteristic identification unit, and an X-ray detector position adjustment mechanism. The image characteristic identification unit performs image characteristic comparison between an instant image pixel depth signal with a predetermined image pixel depth signal for identification and generates, in response thereto, an X-ray detector position adjustment signal. Then, the X-ray detector position adjustment mechanism drives the X-ray detector to move in order to adjust the X-ray detector to correspond to the predetermined human body portion of a target human body.

Abstract: A movable radiographing apparatus has a wireless communication function and includes a radiation generating unit including a radiation source, an arm portion configured to support the radiation generating unit, a support pillar configured to support the arm portion, and a moving unit configured to support the support pillar and including a GUI to be operated by the user. The movable radiographing apparatus further includes a connector unit to and from which an external antenna for wireless communication is attachable and detachable, wherein the connector unit is provided on at least one of the radiation generating unit, the arm portion, the support pillar, and the moving unit.

Abstract: An equivalent phantom is used for an X-ray Talbot imaging apparatus which includes an X-ray source, a plurality of gratings and an X-ray detector. The apparatus captures at least a Moire image from which a differential phase image of an object is generated. The equivalent phantom includes a first substance having a first refractive index and a second substance having a second refractive index. A ratio of the first refractive index to the second refractive index is equal to a ratio of a refractive index of a soft tissue to a refractive index of a surrounding tissue. At least a part of a shape of one of the first and second substances is equal to a shape of a corresponding portion of the soft tissue.

Abstract: A method for quantifying an amount of fat contained in a liver or other tissue of a subject in vivo includes varying the temperature of a target area in a subject, imaging thermal strain of the target area using an ultrasound scanner, and quantifying the amount of fat in the targeted area based on the thermal strain imaging. In some embodiments, the thermal strain imaging is performed using high-resolution, phase-sensitive speckle tracking to differentiate between fat-based tissue and water-based tissue.

Abstract: The disclosed technology relates to endovascular occlusion devices and methods of use. In one embodiment, an endovascular occlusion device includes an occlusion balloon, a catheter for delivering the occlusion balloon to a target area of a subject, one or more pressure sensors coupled to the occlusion balloon and configured to sense a pressure associated with inflation of the occlusion balloon at the target area, and a tracking indicator disposed near the occlusion balloon and configured to indicate, to a non-fluoroscopic detection system, a location of the occlusion balloon relative to the target area.

Abstract: A method of navigating and positioning an endovascular device in a vasculature is disclosed. Initially, a system including an endovascular device and at least one transducer is inserted into the lumen of a patient. An acoustic signal is then transmitted within the lumen. A reflected signal is pre-processed to extract one or more acoustic features. The one or more acoustic features are processed using a computer readable set of rules to produce an output related to guidance of the instrument within a blood vessel or a position of the instrument within the blood vessel.

Abstract: Various methods for automatically processing an ultrasound image for echocardiography are disclosed in which the regions of interest in the ultrasound image are identified by determining velocity vectors for tissue movement in the image. A novel construction of ultrasound probe is also disclosed.

Abstract: Disclosed herein is an ultrasonic diagnostic apparatus including: an ultrasonic probe including an ultrasonic transducer array; and an ultrasonic diagnostic apparatus main body comprising a transceiver configured to transmit and receive ultrasonic waves via the ultrasonic transducer array, an image processor configured to generate an ultrasonic image of an object based on an ultrasonic echo signal acquired via the transceiver, a communication unit configured to wirelessly communicate with a docking station, and a charge unit configured to charge power which is received wirelessly from the docking station via the communication unit, in a charge battery. Therefore, it is possible to efficiently supply power to the ultrasonic diagnostic apparatus main body regardless of time and place, and to improve mobility and portability of the ultrasonic diagnostic apparatus main body.

Abstract: An ultrasonic diagnostic device includes transmission circuitry, reception circuitry, and signal processing circuitry. The transmission circuitry causes an ultrasonic probe including a plurality of elements to transmit plane waves at a plurality of different deflection angles. The reception circuitry generates reception signal groups based on reflection waves that the individual elements included in the probe receive in response to the transmission of the plane waves.

Abstract: An ultrasound probe and corresponding method of obtaining motion related data for the ultrasound probe. The probe including a housing, a transducer located inside said housing having transducer elements in a predetermined configuration that generates ultrasound, transmits the generated ultrasound towards an object, and receives echoes that have been reflected from the object, a motion sensing device having a fixed position with respect to said housing and including a sensor configured to generate a movement signal indicative of at least one type of movement of the ultrasound probe, and processing circuitry configured to generate images from the echoes received by the transducer and to correct the generated images by image correlation based on the generated movement signal.

Abstract: A biopsy device includes a body, a needle, a hollow cutter, and a tissue sample holder. The needle extends distally from the body and includes a lateral aperture. The cutter is movable relative to the needle to sever a tissue sample and defines a cutter lumen. The tissue sample holder includes a manifold and an outer cover. The manifold includes a plurality of passages and an indexing portion. Each passage of the plurality of passages is configured to selectively index relative to a proximal end of the hollow cutter. The outer cover includes a resilient member. The resilient member is configured to engage with the indexing portion of the manifold to selectively index a passage of the plurality of passages with the distal end of the hollow cutter.

Abstract: A vessel access and closure assist system is used for accessing a vessel to perform a vascular intervention. The system facilitates the delivery of a vessel closure device onto a blood vessel for closing an opening in the wall of the blood vessel. The vessel access and closure assist system includes a procedural introducer sheath that directly couples to a vessel closure device delivery sheath such that the procedural introducer sheath does not have to be exchanged with the vessel closure device delivery sheath.

Abstract: A self-closing device for implantation within a patient's body includes base material including an inner surface area for securing the base material to a tissue structure, and a plurality of support elements surrounding or embedded in the base material. The support elements are separable laterally within a plane of the base material to accommodate creating an opening through the base material for receiving one or more instruments through the base material, and biased to return laterally towards a relaxed state for self-closing the opening after removing the one or more instruments. The device may be provided as a patch or integrally attached to a tubular graft or in various shapes.

Abstract: An electromechanical surgical device includes a motor system configured to drive drive-shafts and a steering cable arrangement. A control system may be provided for controlling the motor system. A remote control unit may also be provided for controlling the motor system via the control system. Optical or Hall-effect devices, may be provided for determining the position of the elements of the surgical instrument based on the detected rotation of the drive-shafts. A memory unit stores a plurality of operating programs or algorithms, each corresponding to a type of surgical instrument attachable to the electro-mechanical surgical device. The control system reads or selects from the plurality of operating programs or algorithms, the operating program or algorithm corresponding to the type of surgical instrument attached to the electromechanical surgical device.

Abstract: A spray assembly for dispensing a mixture is provided. The spray assembly includes a connector configured for operable engagement with a first and second source of component and a source of pressurized fluid, and a tip operably connected to the connector. The tip includes an opening and defines a mixing chamber between the connector and the opening of the tip, and an insert member configured to be received in the mixing chamber. The insert member includes a plurality of radially extending slots on at least one end of the insert. The plurality of radially extending slots is configured to mix the first and second components prior to the mixture exiting the opening in the tip.

Abstract: The invention relates to a sternum spreader comprising two sternum blades, which are arranged in such a way that they can be moved in relation to each other, and each of which has a contact surface, wherein the sternum spreader comprises an elongated variable-length element with end faces, on which the sternum blades are disposed.

Abstract: A surgical apparatus includes a seal anchor member. The seal anchor member includes a first end, a second end, at least one longitudinal port extending between the two ends, and a seal assembly disposed within the at least one longitudinal port. The seal assembly can be positioned at any location along the length of the at least one longitudinal port. The seal assembly comprises a seal housing which is dimensioned to receive a surgical instrument inserted into the at least one longitudinal port and form a substantially fluid-tight seal therewith. The seal housing may comprise a pivotable member to pivot the surgical instrument inserted therein. The at least one longitudinal port may define two gradually enlarging openings to facilitate the maneuverability of the surgical instrument inserted therein. The at least one longitudinal port may comprise a protective sleeve to protect it from accidental penetration by the surgical instrument.

Abstract: Techniques and reconstruction systems for knotless tissue fixation using a driver with a cannulated interference device or fixation device preloaded on the shaft of the driver. An eyelet, adjustable in size, is formed of a loading suture provided at the distal end of the driver shaft. A working suture attached to the tissue to be fixed is passed through the eyelet. The size of the eyelet is adjusted by the user once the working suture is passed through the eyelet, to capture the working suture with the eyelet. The cannulated interference device is then advanced down the shaft to secure the working suture in a bone socket.

Abstract: An adaptor for a powered surgical instrument includes a casing, a cam drum, a first linear driver, and a second linear driver. The cam drum defines and is translatable along a longitudinal axis of the adaptor between a retracted position and an advanced position. The cam drum is being supported for rotation about the longitudinal axis. The cam drum defines first and second radial cam grooves about an outer surface thereof. The first cam groove defines a first profile and the second cam groove defines a second profile. The first linear driver includes a first cam follower disposed in the first cam groove and the second linear driver includes a second cam follower disposed in the second cam groove. The first and second linear drivers are supported for movement between advanced and retracted positions in response to rotation of the cam drum.

Abstract: A surgical stapling apparatus for progressively stapling and forming an incision in body tissue is provided. The apparatus includes a body portion and a tool assembly supported on the body portion. The apparatus further includes an input cam member slidable within the body portion, a drum member rotatably supported within the body portion, and an output cam member slidable within the body portion. The drum member is coupled to the input cam member such that linear movement of the input cam member effects rotatable movement of the drum member. The output cam member is coupled to the drum member such that rotatable movement of the drum member effects linear movement of the output cam member. Linear movement of the input cam member effects movement of an anvil in relation to a cartridge between unclamped and clamped positions.

Abstract: A tool comprises an articulation mechanism comprising a pair of links. The pair of links include a proximal link on a proximal portion of the tool and a distal link on a distal portion of the tool. Movement of the proximal link causes corresponding relative movement of the distal link. The tool further includes an end effector coupled to the distal link, an elongated shaft extending along a longitudinal axis between the proximal and distal links, and a rotating member operably coupled to the shaft. The tool further includes an articulation lock adjustable between a locked configuration in which the proximal link, the distal link, and the end effector are held la a fixed orientation with respect to the shaft while the rotating member is operable to rotate the shaft about the longitudinal axis and an unlocked configuration in which the end effector is movable with respect to the shaft.

Abstract: Circular stapling instruments and anvil assemblies. The anvil assemblies may have collapsible anvil support members that may be inserted through an opening in a patient and then expanded to be attached to an anvil plate assembly that has a staple-forming surface thereon. The anvil support member is attachable to the anvil plate assembly in such a way that when the anvil assembly is coupled to the stapling head of a circular stapler, the staple-forming surface is in substantial registry with the staples supported in the stapling head. A variety of different anvil support members and anvil plate assemblies are disclosed.

Abstract: A method and device for controlling the compression of tissue include clamping tissue between a first clamping member and a second clamping member by driving at least one of the clamping members with an electric motor toward a predetermined tissue gap between the clamping members and, during the clamping, monitoring a parameter of the electric motor indicative of a clamping force exerted to the tissue by the clamping members. The method and device include, during the clamping, controlling the electric motor, based on the monitored parameter, to limit the clamping force to a predetermined maximum limit.

Abstract: A surgical fastener applying apparatus for applying fasteners to body tissue. The apparatus includes a cartridge receiving half-section defining an elongated channel member configured to releasably receive a stationary housing of a firing assembly. The stationary housing is dimensioned to releasably receive a single use loading unit therein, and includes a lockout structure that prevents insertion of the single use loading unit into the stationary housing after the stationary housing is mounted to the cartridge receiving half-section.

Abstract: A surgical stapling device an elongated body portion having proximal and distal portions, and a head portion positioned adjacent the distal portion of the elongated body portion. The head portion includes a shell assembly and an anvil assembly movable relative to the shell assembly between un-approximated and approximated positions. The anvil assembly includes a center rod and an anvil head connected to the center rod. The center rod includes at least one aperture extending transversely therethrough and configured and dimensioned to receive a flexible member such that the flexible member extends transversely through the center rod.

Abstract: A surgical instrument including a handle assembly, a first endoscopic portion, a motor, and a first end effector is disclosed. The first endoscopic portion is selectively connectable to a distal portion of the handle assembly and defines a longitudinal axis. The first endoscopic portion includes a housing adjacent its proximal portion and includes an actuation member. The motor is disposed in mechanical cooperation with the housing of the first endoscopic portion and is operatively connected to the actuation member for moving the actuation member substantially along the longitudinal axis. The first end effector is selectively connectable to a distal portion of the first endoscopic portion and is configured to perform a first stapling function.

Abstract: Apparatus and methods for forming pilot holes in bone and deploying a staple therein for fixing a sheet-like implant to the bone. A pilot hole forming trocar assembly including a trocar and a position retention sleeve can be included. The trocar can be releasably coupled to the position retention sleeve and slide in keyed arrangement within the sleeve when uncoupled. The trocar can include a distal portion having a retractable blade and a pair of pilot hole forming spikes extending distally from the trocar shaft. Once the pilot holes are formed, the position retention sleeve maintains the position relative to the pilot holes while the trocar is removed and a staple delivery device can be inserted in the lumen of the position retention sleeve to deploy a staple in the pilot holes.

Abstract: A surgical fastener assembly for attaching a prosthesis to soft tissue is provided. The surgical fastener assembly includes a continuous helical coil having a distal end and a proximal end. The helical coil is fabricated from an implantable metal. The surgical fastener assembly further includes a cap secured to the proximal end of the helical coil. The cap is fabricated from an implantable polymer.

Abstract: Disclosed is a locking needle to be used with a Furlow insertion tool during penile prosthesis. The invention also provides methods of using the locking needle for the implantation of a penile prosthesis cylinder.

Abstract: A polyamide suture includes an elongate core formed of multiple twisted and heat set filaments formed of a first polyamide material and a sheath formed of a second polyamide material surrounding the core along its length, the second polyamide material having dispersed therein non-absorbable radiopaque nanoparticles comprising 15-25% by weight of the second polyamide material. The melting point of the first polyamide material is at least 30° C. greater than the melting point of the second polyamide material. The core may also include or be formed of previously extruded bundles of first polyamide filaments overcoated with a second polyamide sheath. The suture is made by coextruding the core and a molten organic material formed of the second polyamide material and dispersed radiopaque nanoparticles. Desirably, the first polyamide material is Polyamide 66 and the second polyamide material is Polyamide 6.

Abstract: A stapling device is described which includes a tool assembly having an anvil assembly and a cartridge assembly movably supported in relation to the anvil assembly. The cartridge assembly includes a cartridge body defining a tissue contact surface and a plurality of retention slots which open onto the tissue contact surface. The cartridge body defines a plurality of recesses wherein each of the recesses is associated with one of the plurality of retention slots. A staple magazine is positioned within each of the recesses, and includes a plurality of staples. At least one biasing member is supported adjacent each of the recesses and is positioned to urge the staple magazine towards a respective one of the retention slots. A plurality of pushers is movably supported within the cartridge body between a lower position and a raised position. Each of the plurality of pushers is positioned to engage and eject at least one of the staples of the staple magazine from the retention slots.

Abstract: A tissue closure device includes a first clip including a first longitudinal element extending along a longitudinal axis from a proximal end to a distal end and a first pair of arms extending laterally from the first longitudinal element, the first pair of arms movable between an open configuration in which free ends of the first pair of arms are separated from one another and a closed configuration in which the free ends of the first pair of arms extend toward one another, the first pair of arms being biased toward the closed configuration, and a sliding element extending from a proximal end to a distal end and longitudinally movable relative to the first clip so that when a portion of the sliding element is received between the first pair of arms, the first pair of arms is moved from the biased closed configuration to the open configuration.

Abstract: An apparatus for joining two hollow organ sections includes a staple cartridge component, an anvil component, a knife member, a buttress mount and a buttress member. The staple cartridge component includes a plurality of surgical staples in an annular array. The anvil component is movable relative to the staple cartridge component between spaced apart and approximated positions to adjustably clamp tissue. The knife member is movable relative to the staple cartridge component. The buttress mount is concentrically disposed at least partially within the lumen of the knife member. The buttress mount includes a plurality of spokes radially extending outward and a plurality of legs detachably secured with an inner wall of the knife member. The buttress member is secured with the plurality of spokes of the buttress mount. The buttress member is concentrically aligned with the plurality of surgical staples.

Abstract: Systems of releasably connecting staple line buttress material to the jaws of a surgical stapling instrument are provided. The systems include retainers configured to engage the buttress material and releasably retain the buttress material on the jaws of the surgical stapling instrument prior to stapling tissue. In certain embodiments, the retainers remain with the jaws of the instrument after stapling of tissue. In alternative embodiments, the retainers remain with the buttress material after being stapled to tissue.

Abstract: A treatment device (500) is provided including a shaft (507), an expandable member, a first elongated control member (508) and a second elongated control member (502). The expandable member can further include at least a first controllable portion (504) and a second controllable portion (503), where the expandable member, including the first controllable portion and the second controllable portion, is configured to transition between at least a partially retracted configuration and an expanded configuration under control of at least the first elongated control member (508). Further still, the first controllable portion can be configured to transition between at least a partially retracted configuration and an expanded configuration, while the second controllable portion (503) is configured to remain substantially unchanged, under control of at least the second elongated control member (502).

Abstract: The present technology is directed generally to devices, systems, and methods for enclosing anatomical openings. In several embodiments, an aneurysm device is endovascularly deliverable to a site proximate to an arterial aneurysm. The aneurysm device comprises a closure structure having a distal-facing aspect configured to at least partially occlude the aneurysm and a proximal-facing aspect configured to arch over lumina of an artery. The device further includes a supplemental stabilizer connected to the closure structure and configured to reside in the artery and press outward against a luminal wall thereof. In some embodiments, the device can also include a barrier spanning at least a portion of the distal-facing aspect of the closure structure and configured to further occlude a neck of the aneurysm. In further embodiments, the closure structure can be configured to restrict and/or divert flow to or from the aneurysm.

Abstract: A vaso-occlusive device, delivery system and method of delivery to a selected site of the vessel in a manner allowing the vaso-occlusive device to substantially assumes a diameter of an inner surface of the vessel or aneurism sac at the site of the embolization procedure. The vaso-occlusive device or embolic coil has specific properties of wanting to float and conform to the diameter of the aneurysm sac thereby enabling retractability and rapid disconnect detachment for such embolic coil, and a predetermined shape requiring fewer embolic coils per embolization procedure advantageously improving patient risk, and the cost and time of the procedure. A method for deploying the embolic coil with such specific properties to the site of an aneurysm using a delivery system configured for deploying the embolic coil features inserting, and/or reconnecting for positioning and reinserting the embolic coil.

Abstract: A vessel closure system (1) that can be affixed in a spatially defined position for closing open blood vessels has a closure element (2) and at least one pressure body (3), wherein the holding bands (4) are made from a material having elastic properties. The at least one pressure body (3) is designed, when placed on an opened vessel of a patient, to apply an increased pressure, in relation to other regions of the vessel, to a puncture site in the vessel.

Abstract: Systems and methods for applying targeted force to a radial access puncture site to provide hemostasis and close the puncture site. The system may include a cuff for placement over a wrist, a fluid source from which an inflation fluid may be delivered into an inflatable balloon associated with the cuff during use, and an inflatable balloon attached to the cuff. The balloon is disposed over the puncture site and inflated during use. The system may include one or more features configured to focus or target the applied force to the puncture site. For example, the balloon may include varying wall thickness, with a thinner-walled portion that applies a focused pressure to the puncture site, two balloons where one applies focused force, or an outer sheath with a hole placed over the balloon so that a portion of the balloon protrudes through the hole and applies focused force.

Abstract: Methods, systems, and devices for applying targeted force to a radial access puncture site to aid in arresting bleeding at the puncture site. Such a device may include a cuff (e.g., band) for placement over a wrist of a patient, and an inflatable balloon attached to the cuff and disposed over the puncture site during use, such that the inflatable balloon applies pressure to the site during use. The device includes targeting indicia disposed on (i) the inflatable balloon, and/or (ii) an optional rigid or semi-rigid member (e.g., as a backing layer for the balloon). The targeting indicia identifies that portion of the balloon to be positioned on the puncture site so that the inflated balloon applies pressure to the site during use. An associated system may include a cuff device, and a fluid source from which an inflation fluid may be delivered into the inflatable balloon during use.

Abstract: A method of performing an orthopedic procedure in a sacroiliac region. At least a portion of an undercutting system is inserted at least partially into an aperture in at least one of an ilium and a sacrum. The undercutting system includes an insertion apparatus, a probe assembly and a cutting assembly. The probe assembly is moved with respect to the insertion apparatus from a retracted position to an extended position so that at least a portion of the probe assembly is between the ilium and the sacrum. The probe assembly is manipulated between the ilium and the sacrum. The cutting assembly is moved with respect to the insertion apparatus from a refracted position to an extended position so that at least a portion of the probe assembly is between the ilium and the sacrum. The cutting assembly is manipulated between the ilium and the sacrum to cut tissue between the ilium and the sacrum.

Abstract: Oscillating rasps for the surgical preparation of the bone prior to the implantation of a glenoid or acetabular component with complex geometry are disclosed. Surgical methods for the use of such oscillating rasps are also disclosed.

Abstract: A Pedicle Drill Guide is a radiolucent device which allows preliminary positioning of a needle/trochar near the pedicle in the AP view and adjusting the final position of the lateral view without changing the initial position of the AP position. This guide allows simultaneous alignment of both AP and Lateral views for ultimate ideal or perfect pathway for the pedicle cannulization.