Abstract: An implant comprises a unitary body including an intramedullary portion connected to an extramedullary portion. The unitary body is configured to attach a first bone section to a second bone section. The intramedullary portion has a first longitudinal axis, and is configured for insertion into the first bone section. The intramedullary portion includes at least one first fastener aperture having an aperture axis oriented obliquely relative to the first longitudinal axis. The extramedullary portion is configured to abut a surface of the second bone section and includes at least one second fastener aperture disposed to transversely receive a bone fastener inserted in the second bone section. The extramedullary portion has a second longitudinal axis offset from, the first longitudinal axis.

Abstract: Securing plate assemblies, systems, and methods thereof. A hinge plate assembly includes a first body portion having a groove extending into the first body and a second body portion having a tongue extending outwardly therefrom and inserted into the groove. A securing member secures the tongue in the groove.

Abstract: The present disclosure provides a bioabsorbable composite screw and methods of use. The bioabsorbable composite screw includes an elongated body having a proximal end and a distal end. The elongated body includes an outer surface provided with a plurality of threads defined by a plurality of crests and a plurality of roots. The bioabsorbable composite screw also includes a drive socket positioned at the proximal end of the elongated body. The bioabsorbable composite screw including both the elongated body and the drive socket is made from a polymer including poly-lactic acid and either magnesium phosphate or potassium phosphate.

Abstract: Surgical instruments and methods for implanted bone anchor assemblies into bone are disclosed herein. In one exemplary embodiment, an instrument is provided having an anchor drive assembly and a stylet assembly. The anchor drive assembly can have a first handle and an elongate shaft having a distal tip configured to couple to a bone anchor assembly. The stylet assembly can have a second handle and a stylet extending through the elongate shaft. The instrument can have a disengaged position and an engaged position such that rotation of the first handle is effective to drive the bone anchor assembly into bone only when the instrument is in the engaged position, and rotation of the second handle is effective to cause axial translation of the stylet relative to the elongate shaft.

Abstract: A system for monitoring electrical activity at an ablation site where the system includes an ablation device having an elongate, flexible shaft and a distal treatment section for delivering ablation energy to target tissue, a first electrode mounted on the distal treatment section, a second electrode mounted on the distal treatment section where the second electrode is spaced from the first electrode a distance (D1), a plurality of conducting elements extending along the distal treatment section and being connected to the first electrode and the second electrode, the plurality of conducting elements for connecting the first electrode and the second electrode to an electrophysiological recording system, a processing device programmed to receive the electrical information from the ablation site from the first electrode and the second electrode, and an electrophysiological recording system.

Abstract: A method for cryogenically treating tissue. A connection is detected between a probe having a disposable secure processor (DSP) to a handpiece having a master control unit (MCU) and a handpiece secure processor (HSP), the probe having at least one cryogenic treatment applicator. The probe is fluidly coupled to a closed coolant supply system within the handpiece via the connection. An authentication process is initiated between the DSP and the HSP using the MCU. As a result of the authentication process, one of at least two predetermined results is determined, the at least two predetermined results being that the probe is authorized and non-authorized.

Abstract: Treatment systems, methods, and apparatuses for improving the appearance of skin or other target regions are described as well as for providing for other treatments. Aspects of the technology are directed to improving the appearance of skin by tightening the skin, improving skin tone or texture, eliminating or reducing wrinkles, increasing skin smoothness, or improving the appearance of cellulite. Treatments can include cooling a surface of a patient's skin and detecting at least one freeze event in the cooled skin. The treatment system can continue cooling the patient's skin after the freeze event(s) are detected so to maintain at least a partially frozen state of the tissue for a period of time.

Abstract: The present disclosure provides a plasma catheter including a tubular member; a conductive cylindrical member; a first electrode; and a second electrode. The tubular member defines a longitudinal lumen therethrough and has a proximal portion and a distal portion. The conductive cylindrical member is disposed at the distal portion of the tubular member. The first electrode is embedded in a first side of the tubular member and coupled to the conductive cylindrical member. The second electrode is embedded in a second side of the tubular member diametrically opposed to the first side. The second electrode is offset from the tubular member and aligned with a center axis defined by the conductive cylindrical member.

Abstract: The disclosed systems and methods relate to detecting coupling or uncoupling of an external cable from an output port of an electrosurgical generator when a cable detection switch is unavailable or inoperable. The electrosurgical generator includes internal cabling having a first end portion connected to the output port and a second end portion. The disclosed technology includes supplying power from the electrosurgical generator, measuring current and voltage at the second end portion of the internal cabling within the electrosurgical generator, accessing one or more parameters associated with internal cable compensation corresponding to the internal cabling within the electrosurgical generator, and determining coupling or uncoupling of an external cable from the output port based on the measured current, the measured voltage, and the one or more parameters associated with internal cable compensation.

Abstract: According to some embodiments, a method of confirming successful ablation of targeted cardiac tissue of a subject using a high-resolution mapping electrode comprises pacing said cardiac tissue at a predetermined pacing level to increase the heart rate of the subject from a baseline level to an elevated level, the predetermined pacing level being greater than a pre-ablation pacing threshold level but lower than a post-ablation pacing threshold level, delivering ablative energy to the ablation electrode, detecting the heart rate of the subject, wherein the heart rate detected by the high-resolution mapping electrode is at the elevated level before the post-ablation pacing threshold level is achieved, and wherein the heart rate detected by the high-resolution mapping electrode drops below the elevated level once ablation achieves its therapeutic goal or target, and terminating the delivery of ablative energy to the ablation electrode after the heart rate drops below the elevated level.

Abstract: An electrosurgical instrument includes a handle assembly and an actuator operably coupled to the handle assembly movable between un-actuated and actuated positions. An elongated tube assembly extends distally from the handle assembly. An electrode is adapted to connect to a source of energy and is operably supported at a distal end portion of the elongated tube assembly. The electrode is operably coupled to the actuator and movable from a retracted position, wherein the electrode is disposed within the elongated tube assembly, to a deployed position, wherein the electrode extends distally from the elongated tube assembly in response to actuation of the actuator. An electrical switch is electrically coupled to the electrode such that movement of the actuator through an initial stage of actuation activates the electrical switch to energize the electrode as the electrode moves towards the deployed position but before the electrode extends from the elongated tube assembly.

Abstract: Unintended current flow or plasma discharge has been observed in known illuminated electrosurgical devices having a metallic tubular heat sink surrounding a conductive electrode and an illumination element, and having a distal outer edge that abuts against the light emitting element. An insulating, shielding or other isolating element that prevents or discourages unintended plasma formation between the distal outer edge and nearby patient tissue can reduce the potential for tissue damage to a patient or injury to a surgeon.

Abstract: A surgical instrument comprising an end effector is disclosed. The end effector comprises a surgical dissector. The surgical dissector can apply mechanical and/or electrosurgical energy to treated tissue.

Abstract: A surgical instrument comprising a jaw assembly is disclosed. The surgical instrument further comprises a motor-driven drive system configured to open the jaw assembly. The surgical instrument also comprises a control system configured to control the drive system and, also, control a power supply system configured to supply electrical power to electrodes defined in the outer surface, or outer surfaces, of the jaw assembly. In use, the surgical instrument can be used to apply mechanical energy and electrical energy to the tissue of a patient at the same time, or at different times. In certain embodiments, the user controls when the mechanical and electrical energies are applied. In some embodiments, the control system controls when the mechanical and electrical energies are applied.

Abstract: A surgical instrument comprising a jaw assembly is disclosed. The surgical instrument further comprises a motor-driven drive system configured to manipulate the jaw assembly. The surgical instrument also comprises a control system configured to control the drive system and, also, control a power supply system configured to supply electrical power to electrodes defined in the jaw assembly. In use, the surgical instrument can be used to apply mechanical energy and electrical energy to the tissue of a patient at the same time, or at different times. In certain embodiments, the user controls when the mechanical and electrical energies are applied. In some embodiments, the control system controls when the mechanical and electrical energies are applied.

Abstract: A bipolar-microscissor forceps assembly includes a forceps having a first forceps arm having a first forceps distal tip and a first forceps proximal end and a second forceps arm having a second forceps distal tip and a second forceps proximal end. The second forceps proximal end is connected to the first forceps proximal end. A microscissors is disposed between the first forceps arm and the second forceps arm. A kit with a plurality of microscissors releasably connected to the forceps is also provided.

Abstract: Methods and devices for allowing articulation of an end effector on a surgical instrument are provided. In one embodiment, a surgical device can include a flexible neck portion having an end effector coupled to a distal end thereof. The flexible neck portion is configured to bend to as to allow the end effector to articulate. The flexible neck portion can include a monolithic flexible outer shell defining an inner lumen extending therethrough. At least one flexible divider can be disposed within the inner lumen such that it separates the outer shell into elongate pathways configured to receive articulation members extending through the shaft assembly and the flexible neck and coupled to the end effector to cause articulating movement thereof.

Abstract: A surgical system includes a stylus having a proximal end portion and distal end portion configured to penetrate lung tissue. The stylus may be movable between a first configuration and a second configuration within lung tissue. The surgical system may include a surgical instrument configured to treat lung tissue, a sealant configured to seal lung tissue, and an introducer configured for insertion into lung tissue. The introducer may have a proximal end portion and a distal end portion and may define a lumen therethrough configured to separately receive the stylus, the surgical instrument, and the sealant.

Abstract: A surgical instrument includes an elongate body configured to be inserted through the nasal cavity of a patient, and a plurality of electrodes spaced circumferentially about an exterior of the elongate body. The electrodes may be arranged at a distal end of the elongate body, and are configured to deliver bipolar RF energy to tissue for sealing the tissue. The elongate body may be in the form of a shaft having a lumen configured to draw fluid proximally through the surgical instrument with suction.

Abstract: Medical catheterization is carried out by introducing a catheter into a heart, sliding the catheter through a sheath that encloses a multi-electrode probe into a chamber of the heart. The sheath is retracted to expose the probe. As the sheath is retracted the exposed probe expands into a spiral configuration, and the electrodes contact the endocardial surface of the chamber at multiple contact points.

Abstract: Described herein is a method and system for gap detection in ablation lines. Microelectrodes are implemented at a distal tip of a catheter to provide localized gap detection along an ablation line. A pacing protocol is used to sequence through each of the microelectrode pairs for a tissue location. If living tissue is present, the pacing signal travels through the living tissue to pulse the heart. An operator will see a capture signal and know that there is a gap in the ablation line. The ablation electrode is then used to ablate the tissue in the gap. Pacing and ablation are therefore performed at the same place without the need to switch between instruments and/or catheters. In an implementation, a force sensor can automate the pacing protocol by determining which microelectrode pair is contacting the tissue. Moreover, signaling between microelectrode pairs can determine contact between the catheter and the tissue.

Abstract: Various aspects of the present disclosure are directed toward apparatuses, systems, and methods for assessing electroporation therapy applied to a tissue region of a patient. In certain instances, the apparatuses, systems, and methods may include one or more sensors configured to sense an application of electroporation energy by an electroporation device to determine a location of the electroporation device within the patient.

Abstract: A modular multi-electrode structure for use with an electrophysiology device includes a plurality of interconnected, non-conductive, tubular substrates. Each non-conductive, tubular substrate includes an outer surface and a conductor disposed on the outer surface, as well as at least one signal conductor extending along a length of the interconnected plurality of non-conductive tubular substrates. The conductor disposed on the outer surface of each non-conductive tubular substrate is in electrical communication with the at least one signal conductor. In some embodiments, the plurality of non-conductive tubular substrates includes a plurality of non-conductive polymeric substrates. In alternative embodiments, the plurality of non-conductive tubular substrates includes a plurality of non-conductive, unitary molded cylinders.

Abstract: A radiation applicator with a dielectric body (2) surrounding the antenna. The dielectric body (2) is comprised of three sections (3, 4 and 5) with different dielectric constants to provide broad-band matching of the applicator to surrounding material. Washers (10) and (11) are mounted on the antenna to act as reflectors.

Abstract: An electrosurgical waveform having both radiofrequency (RF) energy and microwave energy components that is arranged to perform efficient haemostasis in biological tissue. The waveform comprises a first portion primarily of RF electromagnetic energy, and a second portion primarily of microwave electromagnetic energy that follows the first portion. The second portion further comprises a plurality of RF pulses, wherein the first portion transitions to the second portion when either a duration of the first portion meets or exceeds a predetermined duration threshold, or an impedance determined during the first portion meets or exceeds a predetermined threshold. The waveform is arranged to deliver energy rapidly so that haemostasis can occur in a short time frame in a situation where the maximum available power is limited, or to avoid undesirable thermal damage to the biological tissue.

Abstract: Apparatus for delivering in vivo hyperthermia treatments to a subject and methods of performing such treatments are provided. The apparatus comprises an imaging device, such as an MRI scanner, a microwave applicator, and a controller to target particular tissues within the subjects body for hyperthermia treatment. The microwave applicator emits microwave energy toward the target tissue and the imaging device provides real-time feedback as to the position of the applicator relative to the target tissues and thermometry data so as to permit real-time adjustment of the applicators operating parameters.

Abstract: A microwave ablation system includes a microwave ablation antenna assembly, a generator, a first fluid supply source, and a second fluid supply source. The microwave ablation antenna assembly includes a fluid port for receiving fluid. The generator is coupled to the microwave ablation antenna assembly. The first fluid supply source is configured to be selectively in fluid communication with the fluid port to supply a first fluid to the microwave ablation antenna assembly. The second fluid supply source is configured to be selectively in fluid communication with the fluid port to supply a second fluid to the microwave ablation antenna assembly.

Abstract: In one aspect, methods of laser treatment of skin are described herein. In some embodiments, such a method comprises forming at least one fractional column or region of tissue in skin of a patient, wherein the fractional column has a structure along a z-direction orthogonal to an exterior surface of the skin, and wherein the structure of the fractional column varies along the z-direction in one or more ways. For instance, the structure of the fractional column can vary along the z-direction in one or more of the following ways: angular orientation relative to the exterior surface of the skin; ablated channel width or diameter; coagulation zone thickness; coagulation zone offset in an x-direction or a y-direction perpendicular to the z-direction; coagulation zone intensity; and thermal insult. Moreover, in some cases, the fractional column is defined by a plurality of segments that differ in a manner described above.

Abstract: Image-guided therapy of a tissue can utilize magnetic resonance imaging (MRI) or another medical imaging device to guide an instrument within the tissue. A workstation can actuate movement of the instrument, and can actuate energy emission and/or cooling of the instrument to effect treatment to the tissue. The workstation and/or an operator of the workstation can be located outside a vicinity of an MRI device or other medical imaging device, and drive means for positioning the instrument can be located within the vicinity of the MRI device or the other medical imaging device. The instrument can be an MRI compatible laser probe that provides thermal therapy to, e.g., a tissue in a brain of a patient.

Abstract: There is provided herein a catheter for resecting an undesired tissue from a body of a subject, the catheter comprising a tip section in a shape of a cylinder or a cylinder's sector having a central longitudinal axis, the tip section comprising: a central longitudinal lumen; a first set of optical fibers configured to transmit laser radiation outside a distal extremity of the tip section, in a direction parallel to the central longitudinal axis; a second set of optical fibers configured to transmit laser radiation, transversely to the central longitudinal axis; wherein the first set of optical fibers and the second set of optical fibers are selectively operable to resect and/or ablate the undesired tissue.

Abstract: A method for treating pelvic pain and or chronic prostatitis, and or overactive bladder symptoms. Energy, preferably in the form of infrared or near infrared wavelength light may be applied across the vaginal tissue or rectal tissue to treat pelvic pain and or chronic prostatitis. This method of energy application may cause local heating, alteration of cellular respiration, and alterations of local blood flow resulting in decreased muscle spasm, and or decreased pain, and or decreased overactive bladder symptoms. The method of the present invention may effectively treat chronic pelvic pain and or the symptoms of chronic prostatitis. The method of the invention may combine massaging of tissue with irradiation of same.

Abstract: A system and method utilizing a camera device containing an inertial measuring unit or similar orientation mechanism to calibrate alignment of the camera device according to a primary image such as an image displayed on an imaging screen, and then utilizing this calibration data to guide the system or user in acquiring a spatially aligned digital image using the camera device. Steps include recording the spatial orientation of the camera in at least two spatial dimensions when aligned with the primary image and guiding the camera into relative alignment with the imaging screen when taking a picture.

Abstract: A medical instrument includes a shaft, one or more position sensors, a connector and interrogation circuitry. The shaft is configured for insertion into a body of a patient. The one or more position sensors are fitted at a distal end of the shaft. The connector is configured to receive a mating connector. The interrogation circuitry is configured to detect whether the mating connector is connected to the connector, and, if not connected, to prevent tracking a position of the distal end in the body using the one or more position sensors.

Abstract: A method for updating a patient registration during a surgical procedure is disclosed. The surgical procedure uses an optical navigation system for optically tracking a patient reference object in a real world space and includes intra-operatively acquiring a first set of image data depicting a region of interest on the patient while the first registration is intact. The region of interest includes at least one anatomical landmark. The method includes: detecting that the first registration has been lost; obtaining a second set of image data depicting the region of interest; identifying a transform based on the first set of image data and the second set of image data; and applying the identified transform to data points of the first registration to obtain data points for the updated patient registration.

Abstract: An image guide includes a member having a first surface and a second surface. The member defines a plane. The member is oriented relative to a sensor to communicate a signal representative of a position of a surgical instrument. At least one marker is connectable with the member and extends relative to the plane from the first surface and the second surface for detectable alignment with the sensor. In some embodiments, surgical systems, surgical instruments, implants and methods are disclosed.

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: A method for adjusting the operation of a clip applier using machine learning in a surgical suite is disclosed. The method comprises gathering data during surgical procedures, wherein the surgical procedures include the use of a clip applier comprising a crimping drive configured to be mechanically advanced through a crimping stroke. The method further comprises analyzing the gathered data to determine an appropriate operational adjustment of the clip applier and adjusting the operation of the clip applier to improve the operation of the clip applier.

Abstract: A method for adjusting the operation of a surgical instrument using machine learning in a surgical suite is disclosed. The method comprises the steps of gathering data during surgical procedures, wherein the surgical procedures include the use of a surgical instrument, analyzing the gathered data to determine an appropriate operational adjustment of the surgical instrument, and adjusting the operation of the surgical instrument to improve the operation of the surgical instrument.

Abstract: A method for downloading data from a surgical hub to a surgical instrument is disclosed. The method comprises assembling a first shaft assembly to a handle and downloading a first set of operational data from the surgical hub to the handle once the first shaft assembly is attached to the handle. The method further comprises assembling a second shaft assembly to the handle and downloading a second set of operational data from the surgical hub to the handle once the second shaft assembly is attached to the handle, wherein the second set of operational data is different than the first set of operational data.

Abstract: A method for adjusting the operation of a surgical instrument using machine learning in a surgical suite is disclosed. The method comprises the steps of gathering data during surgical procedures, wherein the surgical procedures include the use of a surgical instrument, analyzing the gathered data to determine an appropriate operational adjustment of the surgical instrument, and adjusting the operation of the surgical instrument to improve the operation of the surgical instrument.

Abstract: A method for producing a surgical instrument is disclosed. The method comprises obtaining a handle, wherein the handle comprises a distal end comprising a shaft interface surface and a first set of magnetic elements. The method further comprises obtaining a shaft, wherein the shaft comprises a proximal end comprising a handle interface surface, a second set of magnetic elements, and a third set of magnetic elements. The method further comprises attaching the shaft to the handle, wherein the shaft interface surface is configured to engage the shaft at the handle interface surface, wherein an attractive magnetic force is configured to pull the handle towards the shaft when the first set of magnetic elements interact with the second magnetic elements, and wherein a repulsive magnetic force is configured to repel the handle from the shaft when the first set of magnetic elements interacts with the third set of magnetic elements.

Abstract: A method for adjusting the operation of a surgical suturing instrument using machine learning in a surgical suite is disclosed. The method comprises gathering data during surgical procedures, wherein the surgical procedures include the use of a surgical suturing instrument comprising a suturing needle configured to be mechanically advanced through a suturing stroke, analyzing the gathered data to determine an appropriate operational adjustment of the surgical suturing instrument, and adjusting the operation of the surgical suturing instrument to improve the operation of the surgical suturing instrument.

Abstract: The robotic device for positioning a surgical instrument relative to the body of a patient includes a first robotic arm with a device for rigidly connecting to at least one surgical instrument, a device for anatomical realignment of the first arm by realigning an image that is of an area of the anatomy of the patient, and a device for compensating the movements of the first arm on the basis of detected movements. One version of the device includes at least one second robotic arm having sensors for detecting inner movements of the anatomical area, and a device for controlling the positioning of the first arm relative to sensed inner movements and to the outer movements induced in the second arm.

Abstract: A remotely operated orthopedic surgical robot system for performing a fracture reduction operation using a visual-servo control method is provided. The system includes the surgical image acquisition equipment, the fracture reduction robot and the remote operation workstation. The fracture reduction robot has a plurality of types. The remote operation workstation includes a graphical user interface for doctors to examine the fracture reduction path planning result made by an artificial intelligence algorithm and to manually perform the path planning The remote operation workstation calculates the robot control quantity using the visual servo control method according to the path planning result and sends it to the robot.

Abstract: Methods and systems are provided of operating a dual console robotic surgical system. The method includes receiving an input from a first console of the dual console robotic surgical system via a first input handle to move a robotic arm of the robotic surgical system. In response to receiving the input from the first input handle, the robotic arm is moved. Additionally, substantially simultaneously with the moving of the first input handle, an output is provided to thereby move a second input handle of a second console of the dual console robotic surgical system in substantially the same motion as the first input handle.

Abstract: A surgical tool includes a drive housing, an elongate shaft that extends from the drive housing, and a plurality of drive cables extending within the elongate shaft between the drive housing and the end effector. A cable tensioner includes an inner hub and a cable guide assembly, and the cable guide assembly includes a central body arranged on the inner hub, and a plurality of cable guides arranged on the inner hub and engageable with the plurality of drive cables. Each cable guide is arranged to engage a corresponding one of the plurality of drive cables, and one or more biasing devices are engageable with the central body to bias the plurality of cable guides into constant engagement with the plurality of drive cables and thereby maintain constant tension in the plurality of drive cables.

Abstract: A surgical tool includes a drive housing that houses drive cable capstans operatively coupled to corresponding drive inputs, an elongate shaft that extends from the drive housing, and an end effector operatively coupled to a distal end of the elongate shaft. A plurality of drive cables extend between the drive housing and the end effector, and each drive cable is associated with a corresponding one of drive cable capstans. A manual release assembly is coupled to the drive housing and includes a release lever that is manually movable between a stowed position, where the drive cable capstans are operatively coupled to the drive inputs, to an actuated position, where the drive cable capstans are disengaged from the plurality of drive inputs. Moving the release lever to the actuated position also rotates the drive cable capstans to manually articulate the end effector.

Abstract: A surgical tool includes a drive housing having an input shaft and a drive cable capstan arranged therein. The input shaft includes a drive gear and the drive cable capstan including a driven gear intermeshed with the drive gear such that rotation of the input shaft rotates the drive cable capstan. An elongate shaft extends from the drive housing, and an end effector is operatively coupled to a distal end of the elongate shaft. A drive cable is received within a pulley track defined on the drive cable capstan and extends only partially around a circumference of the drive cable capstan. The drive cable is fed directly into the elongate shaft from the pulley track and extends to the end effector.

Abstract: A surgical tool includes a drive housing having an input shaft arranged therein for rotation, an elongate shaft that extends from the drive housing, and an end effector operatively coupled to a distal end of the elongate shaft. A cable band is coupled to the input shaft and operatively couples the input shaft to a drive cable that extends to the end effector. Rotation of the input drive correspondingly moves the cable band and thereby controls longitudinal movement of the drive cable to articulate the end effector.

Abstract: A surgical tool includes a drive housing having an input shaft and a drive cable capstan arranged within the drive housing. The input shaft includes a drive gear and the drive cable capstan includes a driven gear intermeshed with the drive gear such that rotation of the input shaft rotates the drive cable capstan. An elongate shaft extends from the drive housing, and an end effector is operatively coupled to a distal end of the elongate shaft. A drive cable is coupled to the drive cable capstan and extends to the end effector. A spring assembly includes a winder drum and a constant force spring extending between the winder drum and the input shaft. The constant force spring provides a constant torque force that resists rotation of the input shaft and thereby prevents the drive cable from slackening.