Abstract: The present disclosure relates to an apparatus and method for discriminating biological tissue, and a surgical apparatus using the same, the biological tissue discriminating method being capable of exactly discriminating the biological tissue by measuring an impedance value per frequency, teaching the measured impedance value per frequency in a single classifier according to learning algorithms that are different from one another having the measured impedance value per frequency as an input variable to discriminate the biological tissue, and re-teaching the biological tissue discriminated from each single classifier in a meta classifier to finally discriminate the biological tissue.

Abstract: Treatment systems, methods, and apparatuses for treating acne, hyperhidrosis, and other skin conditions are described. Aspects of the technology can include cooling a surface of a patient's skin and detecting changes in the tissue. The tissue can be cooled a sufficient length of time and to a temperature low enough to affect glands or other targeted structures in the skin.

Abstract: A method for performing a medical procedure in an intestine of a patient is provided. The method comprises providing a system comprising: a catheter for insertion into the intestine, the catheter comprising: an elongate shaft comprising a distal portion; and a functional assembly positioned on the shaft distal portion and comprising at least one treatment element. The catheter is introduced into the patient, and target tissue is treated with the at least one treatment element. The target tissue comprises mucosal tissue of the small intestine, and the medical procedure can be configured to treat at least one of non-alcoholic fatty liver disease (NAFLD) or non-alcoholic steatohepatitis (NASH).

Abstract: A device and method for creating an arteriovenous (AV) fistula includes a proximal base having a distal diagonal end surface and a distal tip connected to the proximal base and movable relative to the proximal base. The distal tip has a proximal diagonal end surface. A heating assembly, including an energized heating element, is disposed one of the distal diagonal end surface and the proximal diagonal end surface. A passive heating assembly is disposed on the mating diagonal end surface. The distal diagonal end surface and the proximal diagonal end surface are adapted to contact opposing sides of a tissue portion to create a fistula. The angle of the proximal diagonal end surface matches the angle of the distal diagonal end surface, so that the two surfaces match one another during deployment.

Abstract: An argon beam coagulation probe for a robotic surgery system having a body with an argon gas entry port and an argon gas exit port and a pedestal interconnected to the underside of body that includes a pair of opposing arcuate channels that positioned equidistantly about the body. As a result, the argon gas jet exit port will be aligned equidistantly between the two fingers of a robotic arm and the body will be aligned in the same direction as the yaw axis of the robotic arm, so that argon gas will be expelled in the same direction that the fingers are pointing. A surgeon manipulating the robotic arms from the master control can thus easily align the probe based on the positioning of the robotic fingers and will still have the entire range of pitch, yaw, and roll movement of the robotic system.

Abstract: The present disclosure relates to planar transformers including a plurality of circuit layers that are configured to reduce termination losses on at least one of the plurality of circuit layers. The plurality of circuit layers are stacked together in a first direction and include at least first and second circuit layers. The first and second circuit layers each include an electrically conductive trace forming at least one winding having a first termination portion and a second termination portion that are separated by a gap. The gaps of the first and second circuit layers are offset relative to each other in a second direction different from the first direction. The plurality of circuit layers may further include a third circuit layer, which includes an electrically conductive trace having a grounded portion that is disposed adjacent to at least one of the gaps of the first and second circuit layers.

Abstract: A handpiece is a surgical treatment instrument to treat a living tissue using electric energy and includes a probe configured to extend in a longitudinal direction from a proximal end portion to a distal end portion, and enabled to apply the electric energy to the living tissue and a shaft rod member configured to be disposed inside the probe, a portion of the shaft rod member closest to the probe being located away from the probe by a distance at which a discharge occurs at a voltage lower than a voltage at which a spark discharge occurs between the probe and the shaft rod member and higher than a voltage at which an arc discharge occurs between the probe and the shaft rod member.

Abstract: An electrocautery device includes two wearable cauterizers, each wearable cauterizer comprising a front bridge structure positioned above a knuckle on a top side of a hand, a back bridge structure positioned below the knuckle on the top side of the hand, at least one connecting member disposed between the front bridge structure and the back bridge structure, a cutting electrode disposed between the front bridge structure and the back bridge structure, and an insulator disposed between the cutting electrode and a finger, and a power unit.

Abstract: Methods and devices for treating nasal airways are provided. Such devices and methods may improve airflow through an internal and/or external nasal valve, and comprise the use of mechanical re-shaping, energy application and other treatments to modify the shape, structure, and/or air flow characteristics of an internal nasal valve, an external nasal valve or other nasal airways.

Abstract: An electrosurgical pencil with integrated tweezers includes-an elongated housing having an open distal end and an actuator operatively associated therewith. First and second jaw members extend distally through the open distal end of the elongated housing and are transitionable between a closed position and an open position upon actuation of an actuator. One or both of the jaw members is configured to treat tissue with monopolar energy and both jaw members are configured to treat tissue with bipolar energy. One or more switches is operably coupled to a controller disposed in the housing and configured to activate the first and second jaw members to treat tissue with monopolar and bipolar energy.

Abstract: Embodiments of medical treatment including skin treatment using electrical energy, especially with the primary purpose for skin treatment for aesthetics are described generally herein. Other embodiments may be described and claimed.

Abstract: A method and apparatus for treatment of heart failure, hypertension and renal failure by stimulating the renal nerve. The goal of therapy is to reduce sympathetic activity of the renal nerve. Therapy is accomplished by at least partially blocking the nerve with drug infusion or electrostimulation. Apparatus can be permanently implanted or catheter based.

Abstract: A method and apparatus for treatment of heart failure, hypertension and renal failure by stimulating the renal nerve. The goal of therapy is to reduce sympathetic activity of the renal nerve. Therapy is accomplished by at least partially blocking the nerve with drug infusion or electrostimulation. Apparatus can be permanently implanted or catheter based.

Abstract: The invention relates to an electrosurgical instrument for introducing a guide sleeve into a bodily lumen, in particular into a vascular system of the human lung. The invention also relates to a method for the ablation of human body tissue using high frequency voltage. The invention further relates to a use of an electrosurgical instrument for introducing into a bodily lumen. The electrosurgical instrument, according to the invention, for introducing into a bodily lumen, comprises a first applicator having at least one first electrode, and a second applicator having at least one second electrode, wherein the first applicator and the second applicator are designed in such a way that they can be positioned independently of one another in the bodily lumen.

Abstract: This disclosure provides design, material, manufacturing method, and use alternatives for medical devices. An example medical device includes a scaffold including a central member and a plurality of extension members extending away from the central member. The central member includes a plurality of discrete attachment locations corresponding to each of the plurality of extension members and each of the plurality of extension members is pivotably coupled to the central member at a corresponding discrete attachment location. The medical device also includes a covering substantially surrounding the scaffold and an electrode located at a distal end of each of the plurality of extension members. Each electrode extends through at least a portion of the covering.

Abstract: A method and apparatus that utilizes a force-time integral for real time estimation of steam pop in catheter-based ablation systems. The apparatus measures the force exerted by a contact ablation probe on a target tissue and an energization parameter delivered to the ablation probe. The exerted force and energization parameter can be utilized to provide an estimation of the probability of steam pop. In one embodiment, the force and energization metrics can be used as feedback to establish a desired contact force and energization level combination to prevent steam popping.

Abstract: An injectate delivery device for expanding tissue is provided. The injectate delivery device comprises: at least one fluid delivery tube comprising a proximal end, a distal end and a lumen therebetween; at least one fluid delivery element in fluid communication with the at least one fluid delivery tube lumen; a radially expanding element comprising the at least one fluid delivery element; a supply of vacuum constructed and arranged to cause tissue to tend toward the at least one fluid delivery element; and at least one control constructed and arranged to perform a function. The at least one control can be constructed and arranged to expand the radially expandable element and activate the supply of vacuum. Systems and method of injectate delivery are also provided.

Abstract: Microwave catheter apparatuses, systems, and methods for achieving renal neuromodulation by intravascular access are disclosed herein. One aspect of the present application, for example, is directed to apparatuses, systems, and methods that incorporate a catheter treatment device comprising an elongated shaft. The elongated shaft is sized and configured to deliver a microwave transmission element to a renal artery via an intravascular path. Renal neuromodulation may be achieved via dielectric heating in the presence of microwave irradiation that modulates neural fibers that contribute to renal function or alters vascular structures that feed or perfuse the neural fibers.

Abstract: Embodiments of the invention are directed to a laser ablation system. In one embodiment, the laser ablation system comprises a shaft, a balloon, a laser fiber and a viewing fiber. The shaft has a proximal end and a distal end. The balloon is attached to the distal end of the shaft, a portion of which is within the balloon. The laser fiber has a distal end comprising a light dispenser that is configured to deliver laser light through the balloon. The viewing fiber is configured to image an interior balloon. In accordance with another embodiment, the laser ablation system comprises a shaft, a balloon and a laser fiber. The shaft has a proximal end and a distal end. The balloon is attached to the distal end of the shaft, which is within the balloon. The balloon includes an inflated state, in which the balloon is shaped to conform to a cavity of a patient. The laser fiber has a distal end comprising light dispenser that is configured to deliver laser light through the balloon.

Abstract: A number of improvements are provided relating to computer aided surgery. The improvement relates to both the methods used during computer aided surgery and the devices used during such procedures. Some of the improvement relate to controlling the selection of which data to display during a procedure and/or how the data is displayed to aid the surgeon. Other improvements relate to the structure of the tools used during a procedure and how the tools can be controlled automatically to improve the efficiency of the procedure. Still other improvements relate to methods of providing feedback during a procedure to improve either the efficiency or quality, or both, for a procedure.

Abstract: A method of controlling a surgical intervention to a bone (31) comprises: obtaining a three-dimensional image or multiplanar reconstruction of the bone (31), defining a position and an axis of intervention on the three-dimensional image or multi-planar reconstruction of the bone (31), and controlling the orientation of an intervention instrument (1) equipped with an orientation sensor (2) during the surgical intervention by evaluating a signal provided by the orientation sensor (2). The method further comprises referencing the intervention instrument (1) with respect to the bone (31) before the surgical intervention by arranging the intervention instrument (1) along an anatomic landmark (32) being an edge of the bone (31) and rotating the orientation sensor (2) into a predefined position, or by arranging the intervention instrument (1) essentially perpendicular to an anatomic landmark (32) being an essentially flat surface of the bone (31) and rotating the orientation sensor (2) into a predefined position.

Abstract: A system for measuring a length variation between body portions in computer-assisted surgery between a preoperative condition and intra- or post-operative condition comprises a a rangefinder configured to measure its distance to at least one reference landmark on at least a first body portion of a patient from a known position relative to a second body portion. A support includes joint(s) allowing one or more rotational degree of freedom of movement of the rangefinder to point to the at least one reference landmark. An inertial sensor unit is connected to the rangefinder to produce orientation data for the rangefinder.

Abstract: The subject matter includes a system and method for providing graphical feedback visualizing forces within a joint through a range of motion of the joint. The method can comprise receiving position data, receiving force data, and generating a graphical representation based on the position data and the force data. The receiving position data can include data for at least one bone of a joint while the at least one bone is moved through a range of motion (ROM). The receiving force data can occur concurrently to receiving the position data and using one or more processors, the force data can be collected from at least one force sensor embedded within a trial prosthesis in the joint. The graphical representation can illustrate changes in the force data versus locations of the bone as it moved through the ROM.

Abstract: A system for generating a PSI jig model for implant revision comprises a reference anchor surface identifying module configured to identify at least one reference anchor surface from at least one patient specific image of a bone and of an implanted implant, the reference anchor surface configured to receive a guide reference(s). An implant abutment surface determining module determines an implant abutment surface from the patient specific bone image.

Abstract: Systems and methods are disclosed for evaluating cardiovascular treatment options for a patient. One method includes creating a three-dimensional model representing a portion of the patient's heart based on patient-specific data regarding a geometry of the patient's heart or vasculature; and for a plurality of treatment options for the patient's heart or vasculature, modifying at least one of the three-dimensional model and a reduced order model based on the three-dimensional model. The method also includes determining, for each of the plurality of treatment options, a value of a blood flow characteristic, by solving at least one of the modified three-dimensional model and the modified reduced order model; and identifying one of the plurality of treatment options that solves a function of at least one of: the determined blood flow characteristics of the patient's heart or vasculature, and one or more costs of each of the plurality of treatment options.

Abstract: This system comprises means (9) for determining a position of a first portion of a medical instrument in the body of a subject at a determination time, and means (11) for displaying an image of the first portion in the determined position. The determination means (9) comprise an imaging module (15) that is capable of acquiring, at an acquisition time that precedes said determination time, a position of the first portion, a detection module (17) for detecting a movement of a second portion of the medical instrument between said acquisition and determination times, and a determination module (19) for determining the position of the first portion (3d) at said determination time, from said position of the first portion at said acquisition time and from said movement of the second portion.

Abstract: A registration fixture for use with a surgical navigation system for registration of a medical image or images to a three-dimensional tracking space that includes a first ring having at least one tracking marker, a second ring coupled to the first ring having at least one tracking marker and wherein the first ring and the second ring are spaced apart from one another and further include optical markers.

Abstract: A robot system includes a robot linkage (202) having one or more arms connected by two joints (220, 222). The joints each including a joint axis of rotation (206 or 208) and a light source (128) aligned with the respective joint axis. The light sources are configured to direct light along the respective joint axis such that light from the light sources intersects at a position along an instrument (204) being held in an operational position by the robot linkage to define a remote center of motion (RCM) for the robot linkage.

Abstract: A medical support arm apparatus including: an arm unit including a plurality of links joined to each other by one or a plurality of a joint unit; and a driving control unit that drives the arm unit by controlling driving of the joint unit. If a malfunction is detected in at least one of the joint unit, the driving control unit controls the driving of the joint unit in a state in which a certain restriction is imposed on motion of the arm unit, and drives the arm unit to avoid the malfunction.

Abstract: A robotically-controlled drive unit includes a torque sensing mechanism to measure the torque applied to a rotatable body that is configured to tension an actuation tendon to operate robotic surgical tools and catheters. The drive unit includes a motor unit that generates an output torque in response to a robotic control signal. A beam element generates a reactive torque in response to the output torque generated by the rotor, and a force sensor detects the reactive torque and communicates the magnitude of the reactive torque to a robotic controller. The drive unit may further include a mechanism to perform bi-directional torque sensing, examples of which include additional force sensors and compression springs.

Abstract: A surgical tool configured for operation in connection with a robotic system. The surgical tool includes a shaft and an end effector extending distally from the shaft. The end effector comprises a first jaw member and a second jaw member movable relative to the first jaw member from a closed position to an open position in response to at least one axial motion. In addition, the surgical tool includes a motor configured to generate at least one rotational motion and a motion conversion assembly operably coupled to the motor and the second jaw member, wherein the motion conversion assembly is configured to convert the at least one rotational motion to the at least one axial motion.

Abstract: A surgical tool configured for operation in connection with a robotic system. The surgical tool includes a shaft and an end effector extending distally from the shaft. The end effector comprises a first jaw member and a second jaw member movable relative to the first jaw member from a closed position to an open position in response to at least one axial motion. In addition, the surgical tool includes a motor configured to generate at least one rotational motion and a motion conversion assembly operably coupled to the motor and the second jaw member, wherein the motion conversion assembly is configured to convert the at least one rotational motion to the at least one axial motion.

Abstract: A surgical tool configured for operation in connection with a robotic system. The surgical tool includes a shaft and an end effector extending distally from the shaft. The end effector comprises a first jaw member and a second jaw member movable relative to the first jaw member from a closed position to an open position in response to at least one axial motion. In addition, the surgical tool includes a motor configured to generate at least one rotational motion and a motion conversion assembly operably coupled to the motor and the second jaw member, wherein the motion conversion assembly is configured to convert the at least one rotational motion to the at least one axial motion.

Abstract: A surgical tool configured for operation in connection with a robotic system. The surgical tool includes a shaft and an end effector extending distally from the shaft. The end effector comprises a first jaw member and a second jaw member movable relative to the first jaw member from a closed position to an open position in response to at least one axial motion. In addition, the surgical tool includes a motor configured to generate at least one rotational motion and a motion conversion assembly operably coupled to the motor and the second jaw member, wherein the motion conversion assembly is configured to convert the at least one rotational motion to the at least one axial motion.

Abstract: [Object] To enable further improvement in user convenience. [Solution] Provided is a robot arm apparatus including: an arm unit made up of a plurality of links joined to each other by one or a plurality of a joint unit, the arm unit being connectable to an imaging unit; and a drive control unit that controls driving of the arm unit by causing each joint unit to be driven cooperatively. The drive control unit uses relative position information of a reference position with respect to the arm unit, the relative position information being based on a state of the arm unit and distance information about a distance between the imaging unit and the reference position, to control the driving of the arm unit in a manner that the reference position is positioned on an optical axis of the imaging unit.

Abstract: Various exemplary drive apparatuses and associated methods are disclosed for driving an elongated member, e.g., a guidewire or catheter. An exemplary drive apparatus for driving an elongated member may include a rotational component configured to apply a torque to the elongated member, where the rotational component is positioned a first distance away from an insertion site along the elongated member. The drive apparatus may further include a rotational support configured to apply an assistance torque to the elongated member. The rotational support may be positioned a second distance from the rotational component along the elongated member that is larger than the first distance.

Abstract: An end effector of a surgical tool includes a first jaw and a second jaw rotated by a driving pulley. A first driven pulley is attached to the first jaw and a second driven pulley is attached to the second jaw. A first end portion of a first cable is connected to a first radial side of the first driven pulley, a second end portion of the first cable is connected to a second radial side of the second driven pulley, and an intermediate portion of the first cable is connected to the driving pulley. A first end portion of a second cable is connected to a first radial side of the second driven pulley, a second end portion of the second cable is connected to a second radial side of the first driven pulley, and an intermediate portion of the second cable is connected to the driving pulley.

Abstract: Described herein are various method of using a direct drive system to perform procedures at a distance. One exemplary method include tying a knot or suturing at a distance with a first and second end effector. The direct drive system can enable sufficient end effector dexterity, including the ability to control various degrees of freedom of end effector movement, and allow a user to perform complicated task at a distance. In one aspect the direct drive system includes flexible tools that permit access to surgical site via a natural orifice.

Abstract: A treatment device includes a narrow main unit, an end effector, a rolling joint provided between the end effector and the main unit, a driven joint that is provided at the end effector or between the end effector and the rolling joint and that rotates together with the rolling joint about a longitudinal axis, power transmission members that extend parallel to each other from the driven joint to the main unit, position maintaining portions that maintains the power transmission members at two positions located between the driven joint and the main unit and separated from each other by a certain distance in a direction of the longitudinal axis, and a shaft member disposed along the longitudinal axis between the two positions. The position maintaining portion maintains the power transmission members at predetermined relative positions separated from each other by the certain distance in a circumferential direction of the shaft member.

Abstract: A cover for an articulation joint that is supported in an elongate shaft assembly of a surgical instrument that is operably coupled to a surgical end effector that includes at least one end effector conductor therein. The cover includes at least one electrically conductive pathway that extends from the distal end of the cover to form an electrically conductive pathway from the end effector conductor to a shaft conductor on the elongate shaft assembly while facilitating operation of the articulation joint. Various conductor arrangements facilitating the passage of electrical current between an end effector to a control system across the articulation joint are also disclosed.

Abstract: A package for an object such as a preferably-sterile medical component, includes: a support element provided with elements for coupling the object; a stopper that can be coupled to the support element in such a manner as to define a first chamber for containing the object, and such that a grip portion of the support element projects from the stopper; and a cover that can be coupled to the stopper in such a manner as to define a second chamber inside which the grip portion of the support element extends, and such that a portion of the stopper coupled to the support element projects from the cover.

Abstract: A trajectory guide for introducing an instrument into a human or animal subject is described. A guide stem can be removed in sections without disturbing the aligned instrument. An access port portion of the trajectory guide can be left in place, without disturbing trajectory alignment, and can allow overlying skin to be sutured closed. The access port can provide infusate delivery, such as using an injection port, catheter or the like. A fiducial marker arrangement can provide easy and accurate trajectory alignment, for use with the present trajectory guide, another trajectory guide, or without any trajectory guide.

Abstract: A system for visualizing an anatomical target includes an imaging device (105) configured to collect real-time images of an anatomical target. A three-dimensional model (136) is generated from pre- or intra-operative images and includes images of structures below a surface of the anatomical target not visible in the images from the scope. An image processing module (148) is configured to generate an overlay (107) registered to the real-time images and to indicate the structures below the surface and a depth of the structures below the surface. A display device (118) is configured to concurrently display the real-time images and the overlay.

Abstract: A head-worn image display apparatus that comprises a non-immersive image display assembly that receives images from a stereoscopic video camera module. The image display assembly comprises a miniature display component for generating the images for display. The image display assembly may work by an optical relay system. The head-worn image display apparatus could be used in a variety of different settings. One particular application is for performing medical procedures such as microsurgery. The stereoscopic video camera module may have optical magnification capability (e.g. such as in a surgical microscope) to provide a magnified view of the surgical field.

Abstract: Provided herein are systems and methods comprising localization agents. For example, provided herein are systems and methods for the placement of localization devices within biological systems and the detection of such localization devices for targeted surgeries or other medical procedures. For example, provided herein are systems comprising one or more miniature detectable devices that are placed into a target location and activated by remote introduction of a magnetic field.

Abstract: The invention relates to a tracking reference, comprising: a reference array (1) featuring a positionally fixed arrangement of at least two tracking markers (3); and an interface (4A) for detachably coupling the reference array (1) to a base member (2), wherein the interface (4A) comprises at least one supporting surface (5) for contacting the base member (2), wherein the interface (4A) comprises magnetic means (6) which generate a force at the reference array, wherein the force (F) is directed away from the supporting surface (5).

Abstract: Apparatus, consisting of an envelope transparent to X-rays, and a fluid transparent to X-rays and contained within the envelope. Multiple charged particles, opaque to X-rays, are suspended within the fluid. There are at least two electrodes on opposite sides of the envelope, that are configured to apply a field to the multiple particles, so that, absent the field, the particles disperse throughout the fluid.

Abstract: Apparatus, systems, and methods are provided for localizing lesions within a patient's body, e.g., within a breast. The system may include one or more markers implantable within or around the target tissue region, and a probe for transmitting and receiving electromagnetic signals to detect the one or more markers. During use, the marker(s) are into a target tissue region, and the probe is placed against the patient's skin to detect and localize the marker(s). A tissue specimen, including the lesion and the marker(s), is then removed from the target tissue region based at least in part on the localization information from the probe.

Abstract: An electrocautery device includes two wearable cauterizers, each wearable cauterizer comprising a front bridge structure positioned above a knuckle on a top side of a hand, a back bridge structure positioned below the knuckle on the top side of the hand, at least one connecting member disposed between the front bridge structure and the back bridge structure, a cutting electrode disposed between the front bridge structure and the back bridge structure, and an insulator disposed between the cutting electrode and a finger, and a power unit.

Abstract: A connecting device for coupling a rinsing system to a channel of a surgical instrument to be cleaned, including: a connecting element; a supply-side coupling apparatus having a holding channel to receive the connecting element extending within the holding channel in a longitudinal axial direction in a connected state, and which is provided at the end of a connecting channel that communicates with the channel, wherein the holding channel is connected to the rinsing system for feeding a rinsing liquid to the channel, wherein the coupling apparatus comprises a sealing element; and means for hydraulically and/or pneumatically actuating the sealing element; wherein the sealing element is elastic; and the sealing element reduces a cross-section of the holding channel in a region of the sealing element by means of an expansion transverse to the longitudinal axial direction) to provide a liquid-tight connection of the connecting element to the coupling apparatus.