Abstract: An X-ray fluoroscopic imaging apparatus which can accurately perform enhancement processing of a device and can also reduce a burden on an operator is provided. An exclusion region E is set so as to surround an obstacle on an X-ray image generated by an image generation unit. A marker extraction unit extracts a marker from a region except for an exclusion region in the X-ray image. An integration unit superimposes a predetermined number of X-ray images on the basis of the position of the marker to generate an integrated image. In this case, detecting obstacle as a marker can be avoided, so the integrated image becomes an image with a stent suitably highlighted. Even in cases where it is difficult to set the region-of-interest so that an obstacle falls out of the range, such as a case in which an obstacle overlaps or is in proximity to a stent, it is easy to set the exclusion region so that the marker is out of range and the obstacle falls within the range.

Abstract: An apparatus includes a cylindraceous sleeve body, a navigation sensor, and an interface feature. The cylindraceous sleeve body includes an open proximal end, an open distal end, and a lumen extending from the open proximal end to the open distal end. The lumen is sized and configured to receive a shaft of a medical instrument. The navigation sensor is positioned at the open distal end of the cylindraceous sleeve body. The interface feature is configured to couple the navigation sensor with an image guidance system. The navigation sensor is configured to cooperate with an image guidance system to provide feedback indicating a position of the navigation sensor in three-dimensional space.

Abstract: An apparatus includes an elongate body and a sensor. The elongate body has a proximal end and a distal end. The distal end is sized and configured to fit through a naturally occurring orifice of a human body. The sensor is positioned at the distal end of the elongate body. The sensor includes an electrically conductive coil. The coil extends along a longitudinal axis. The coil has a distal terminal winding and a proximal terminal winding. The distal terminal winding extends along a plane that is obliquely oriented relative to the longitudinal axis. The proximal terminal winding extends along a plane that is obliquely oriented relative to the longitudinal axis.

Abstract: System and method for tracking and control in medical procedures. The system including a device that deploys fluorescent material on at least one of an organ under surgery and a surgical tool, a visual light source, a fluorescent light source corresponding to an excitation wavelength of the fluorescent material, an image acquisition and control element that controls the visual light source and the fluorescent light source, and captures and digitizes at least one of resulting visual images and fluorescent images, and an image-based, tracking module that applies image processing to the visual and fluorescent images, the image processing detecting fluorescent markers on at least one of the organ and the surgical tool.

Abstract: A method of using a robotic guidance system for performing surgery on a spine is provided. The method includes utilizing a computerized tomographic scan image of a location on a spinal column of a patient, such that the computerized tomographic scan image is connected to a computer and visible on a monitor connected to the computer. The method also includes attaching a coupling component to the spinal column of the patient, coupling a marker to the coupling component, and imaging, with a fluoroscope, the view of the spinal column of the patient, wherein the fluoroscope image is transmitted to the computer and visible on the monitor and the at marker is clearly visible in the fluoroscope image.

Abstract: A hand controller for enabling a user to perform an activity and method for controlling a robotic arm is provided. The hand controller includes a bar with a grip and a plurality of motors to provide a force feedback to the user in response to the movement of the plurality of mechanical arms. The method involves receiving input corresponding to the manipulation of a bar and providing a force feedback in response to the movement of the plurality of mechanical arms.

Abstract: Some embodiments are directed to a surgical robotic system for use in a surgical procedure, including a surgical arm having a movable arm part for mounting of a surgical instrument having at least one degree-of-freedom to enable longitudinal movement of the surgical instrument towards a surgical target. Some other embodiments are directed to a human machine interface for receiving positioning commands from a human operator for controlling the longitudinal movement of the surgical instrument, and an actuator configured for actuating the movable arm part to effect the longitudinal movement of the surgical instrument, and controlled by a processor in accordance with the positioning commands and a virtual bound. The virtual bound establishes a transition in the control of the longitudinal movement of the surgical instrument in a direction towards the surgical target. The virtual bound is determined, during use of the surgical robotic system, based on the positioning commands.

Abstract: A method is provided for intra-surgical use of a surgical patient health record in a teleoperated surgical system that includes a surgical instrument and a surgical instrument actuator, comprising: receiving user input commands to control movement of a robotic surgical instrument; tracking robotic surgical instrument actuator state in response to the user input commands; and transitioning robotic surgical instrument actuator state to a safety mode in response to the robotic surgical instrument transitioning to a prescribed actuator state.

Abstract: A teleoperated surgical system is provided comprising: a first robotic surgical instrument; an image capture; a user display; a user input command device coupled to receive user input commands to control movement of the first robotic surgical instrument; and a movement controller coupled to scale a rate of movement of the first robotic surgical instrument, based at least in part upon a surgical skill level at using the first robotic surgical instrument of the user providing the received user input commands, from a rate of movement indicated by the user input commands received at the user input command device.

Abstract: A surgical manipulator assembly comprises a manipulator movably supporting a tool holder and an indicator section operably coupled to the manipulator for indicating state or identity information. The indicator section includes a multiple-color light emitting diode (LED) and a first fastener for operably coupling a second fastener of a sterile drape used to substantially cover the surgical manipulator assembly.

Abstract: A tool comprises a distal portion and a proximal portion spaced apart by a shaft along a longitudinal axis. The distal portion includes a distal link and the proximal portion including a proximal link. The distal link and proximal link form a pair of links. The tool also comprises a set of tension load bearing members connecting the proximal link and the distal link and terminating at the links of the pair to transfer movement therebetween. The tool also comprises an articulation lock positioned between the distal portion and the proximal portion and configured to allow through passage of the set of tension load bearing. The articulation lock is adjustable between an unlocked configuration in which the proximal and distal links are moveable and a locked configuration in which an effective length of the shaft is increased, creating a force to impede movement of the proximal and distal links.

Abstract: A telesurgical manipulator comprises an instrument holder adapted to releasably mount a surgical instrument and an instrument interface included on the instrument holder. The instrument interface is operably couplable to the surgical instrument via a sterile adaptor that secures a sterile drape to the instrument interface. The sterile drape permits communication between the surgical instrument and the instrument holder while maintaining a sterile barrier therebetween. The telesurgical manipulator also includes a communication device disposed on the instrument holder that wirelessly communicates with the surgical instrument, with the sterile drape disposed therebetween, and that wirelessly provides power to the surgical instrument, with the sterile drape disposed therebetween.

Abstract: A surgical drape includes a seal connectable with a selected surface of a body disposed with a surgical table. A draping is connected with the seal and a track of the surgical table. The draping is movable relative to the seal to define a sterile region about the body. Surgical instruments, systems and methods are disclosed.

Abstract: A surgical drape includes at least one deployment member connected with draping movable between a non-deployed orientation and a deployed orientation to define a sterile region about a body disposed with a surgical table. The draping includes a first draping and a second draping. A sleeve includes a seal connectable with a selected surface of the body. The sleeve is connectable between the first draping and the second draping to define a sterile passageway including the selected surface. Surgical instruments, systems and methods are disclosed.

Abstract: A disposable placemat system is provided. The disposable placemat system includes a sheet of a first material having a front surface and a back surface opposite to the front surface. The disposable placemat system includes a sheet of a second material attached to the sheet of the first material at the front surface. The first material is liquid impermeable and different from the second material. The second material is absorbent and configured to absorb a fluid used in conjunction with a medical procedure utilizing acoustic energy to monitor a subject.

Abstract: The disclosure relates to an ingress-egress apparatus for protection of a surgical work site during removal of a surgical implant therefrom. The apparatus includes an inverted frustum surface having a sidewall defining: a bottom open area at a base portion of the frustum surface sidewall, and an opposing top open area at a top portion of the frustum surface sidewall. The top open area has a larger area than the bottom open area. The apparatus includes an ingress port located at the base portion of the frustum surface sidewall and an egress port located at the base portion of the frustum surface sidewall. During surgical removal of the surgical implant using a surgical burr, the apparatus can be used to irrigate the work site, thereby cooling it and protecting it from damage, and further removing metal implant particles generated during burring.

Abstract: The invention relates to a method and device for maintaining a separately-determined trajectory and securing an electrode or other such placed object through a bone, such as a skull, while also covering the aperture. The device includes a base and an engaging-disengaging butterfly with inner sleeve for temporary engagement of the base and sliding screwdriver for engaging the base or butterfly inner sleeve, depending upon desired function. The base's lower portion engages via threads the bone, while maintaining previously determined trajectory; the upper portion engages the butterfly to continue to maintain previously determined trajectory electrode trajectory; a feature grasps a passing electrode in a given position; the electrode grasp from the butterfly can be then released, the base screwed in to final position, and the butterfly disengaged by unscrewing it from the base.

Abstract: A cup impactor assembly comprises a shaft. A cup coupler is at a cup end of the shaft and is releasably connecting a cup in fixed relation. A handle is at an impacting end of the shaft. A visual guide is mounted to at least one of the shaft and the handle, the visual guide producing visual guidance for pointing at at least two landmarks of the pelvis or fixed relative to the pelvis, based on a pre-planned patient-specific relation between the at least two landmarks and a desired acetabular cup orientation relative to the landmarks. A method for orienting an acetabular cup prior to impacting in an acetabulum of a pelvis is also provided.

Abstract: An example illuminated microsurgical instrument comprises a handpiece, a tubular member connected to the handpiece to perform a medical procedure at an interventional site, a sheath member surrounding a portion of the tubular member and extending toward the distal tip of the tubular member, and an optical fiber positioned within the sheath member and connected to the sheath member, wherein a distal tip of the optical fiber is recessed within the sheath member and directed toward the distal tip of the tubular member. The sheath member and distal tip of the optical fiber may be movable between a proximal position at a first distance from the distal tip of the tubular member and a distal position at a second distance from the distal tip of the tubular member, wherein the second distance is shorter than the first distance. Movement of the sheath member moves the distal tip of the optical fiber to generate a wider illumination or a narrower illumination on the site being visualized.

Abstract: A surgical lighting apparatus for illuminating a surgical environment includes a lighthead and a control unit. The control unit is configured to receive data from sensors positioned in one or more light emitting modules and identify, from the received data, an obstruction inhibiting delivery of a predetermined amount of light from one or more of light emitting elements of moveable light emitting modules to corresponding areas of a surgical site. The lighthead is configured to illuminate the surgical site. The lighthead includes a plurality of the light emitting modules and the sensors. Each of the light emitting modules includes a plurality of the light emitting elements positioned on a front side thereof. Each of the light emitting elements is configured to emit the predetermined amount of light from the light emitting modules to illuminate one of the corresponding areas of the surgical site.

Abstract: A spatially sensitive augmented reality system for providing resuscitative feedback in a mixed reality environment to an acute care provider during occurrence of a cardiac event in a patient includes a wearable augmented reality device having at least one three-dimensional sensor, a visual display for viewing by the acute care provider, and at least one processor. The at least one processor is configured to receive and process three-dimensional information of a scene of the cardiac event; produce a three-dimensional representation of a field of view of the acute care provider based on the processed three-dimensional information; identify one or more physical objects associated with the cardiac event in the three-dimensional representation; generate at least one virtual three-dimensional object within the three-dimensional representation; and generate an image of the virtual three-dimensional object within the three-dimensional representation on the visual display.

Abstract: A biopsy site marker configured to expand upon deployment into a biopsy cavity, and visible under several different imaging modalities, comprises a superabsorbent hydrogel component and a radiopaque element. The hydrogel is in a compressed, dehydrated state prior to deployment to facilitate placement of the marker within the biopsy site, and thereafter expands upon deployment in the biopsy site. Such expansion limits migration of the site marker.

Abstract: An ultrasonic system includes an ultrasound transducer housing, an ultrasonic catheter, and a transducer mechanism. The ultrasound transducer housing contains a transducer horn configured to be connected to a signal generator. The ultrasonic catheter includes an ultrasound transmission member having a proximal end and disposed in the lumen, a sonic connector that connects the proximal end of the ultrasound transmission member with the transducer horn, a control ring, and a nesting piece configured to selectively receive the sonic connector. The control ring is operatively coupled to the nesting piece to move the nesting piece. The transducer mechanism is configured to move from a first position to a second position, and wherein the transducer mechanism is configured such that movement of the transducer mechanism from the first position to the second position engages the control ring on the catheter to move the nesting piece.

Abstract: A medical device inspection scope may include a cylindrical outer layer having a diameter of less than 2 millimeters or even less than 1 millimeter, a cylindrical inner layer disposed concentrically within the outer layer, a circumferential space between the outer layer and the inner layer, and an inner lumen formed by the inner layer. The scope also includes multiple light transmitting fibers disposed in the circumferential space and a camera module disposed in the inner lumen. The light fibers may be designed to transmit illumination light and ultraviolet light. The scope may also optionally include a stiffening member.

Abstract: In accordance with at least one exemplary embodiment, a surgical instrument comprises a shaft comprising a distal end, a proximal end, and a wall extending from the distal end to the proximal end, the wall surrounding an interior of the shaft. A transmission housing is located at the proximal end of the shaft and the shaft is rotatably coupled to the transmission housing. An actuator in the transmission housing is operably coupled to actuate rotation of the shaft. A port in the transmission housing is configured to be fluidically coupled to a fluid supply. A manifold in the transmission housing comprises an inlet and an outlet, the inlet being in fluid communication with the port, the outlet being in fluid communication with the interior of the shaft at the proximal end of the shaft.

Abstract: A method of preparing a surgical site includes the steps of: disposing a preparation material with a selected surface of a patient body, the selected surface includes a sterile region having a boundary; engaging a first applicator with the selected surface and moving the first applicator along a path from a first incision site of the selected surface to the boundary; engaging a second surgical applicator with the selected surface and moving the second applicator along a path from a second incision site of the selected surface to the boundary, the path of the first applicator intersecting the path of the second applicator. In some embodiments, surgical systems and surgical instruments are disclosed.

Abstract: A surgical sterilization system includes a surgical table and a sterilization member disposable with the surgical table and including a dispenser configured for alignment with a selected surface of a body disposed with the surgical table. The surface and the dispenser are relatively movable. In some embodiments, surgical instruments and methods are disclosed.

Abstract: Methods of manufacturing dental prosthesis/implants each to replace a non-functional natural tooth positioned in a jawbone of a specific pre-identified patient are provided. An example method includes the steps of receiving imaging data such as x-ray image data and surface scan data of a dental anatomy and/or a physical impression of the dental anatomy of a specific preidentified patient. The steps can also include forming a three-dimensional virtual model of at least portions of a non-functional natural tooth positioned in the jawbone of the specific pre-identified patient based on the imaging and surface scan data, virtually designing a dental implant based upon the virtual model, exporting the data describing the designed dental implant to a manufacturing machine, and custom manufacturing the dental implant for the specific patient.

Abstract: An apparatus for endodontic treatment, comprising: a nozzle connected to a fluid source comprising: a tip small enough to be inserted into a pulp chamber of a tooth; an inner geometry which forms a flow parameters including non-axial flow direction of nozzle fluid flowing through the inner geometry such that discharge fluid discharged from the inner geometry increase rotation of root canal fluid within a root canal sufficiently to remove tissue from the root canal.

Abstract: Method and system for establishing an initial position of a tooth, determining a target position of the tooth in a treatment plan, calculating a movement vector associated with the tooth movement from the initial position to the target position, determining a plurality of components corresponding to the movement vector, and determining a corresponding one or more positions of a respective one or more attachment devices relative to a surface plane of the tooth such that the one or more attachment devices engages with a dental appliance are provided.

Abstract: An invisible plastic teeth brace for orthodontics is disclosed herein. It mainly comprises a first side wall, a second side wall opposite to the first side wall, a dental crown upper wall for connecting upper edges of the first side wall and the second side wall, and an orthodontic groove jointly defined by the first side wall, the second side wall and the dental crown upper wall. At least one of the dental crown upper wall, a first part connecting the dental crown upper wall to the first side wall, and a second part connecting the dental crown upper wall to the second side wall has at least one hole or has a thickness less than a thickness of the first side wall and the second side wall.

Abstract: Provided herein are crosslinked polymers useful in orthodontic appliances and light polymerizable liquid compositions and formulations useful for making crosslinked polymers. Also provided are methods of making an orthodontic appliance comprising a cross-linked polymer formed by a direct fabrication technique.

Abstract: A method for producing a shape memory band of an orthodontic appliance. The shape memory band is one piece, has a cross section that can vary according to the longitudinal position of said cross section, and includes a bonding zone configured so as to exhibit a shape substantially identical to that of a tooth. The method includes: determining an orthodontic treatment suitable for treating the teeth, determining a set of forces to be exerted locally on the teeth in order to obtain the orthodontic treatment and the shape of the surface of the teeth to which bonding zones of the shape memory band are to be bonded, and producing the shape memory band. The local cross section of the shape memory band is determined according to the forces and in such a way as to define bonding zones substantially identical to the surfaces of the teeth.

Abstract: A series of appliances including a first shell and a second shell can be designed to incrementally implement a treatment plan. The first and second shells can have cavities designed to receive teeth of a jaw. A first number of bite adjustment structures can be formed of a same material as the first shell, extending therefrom and designed to interface with teeth of a second jaw. The first number of bite adjustment structures can have a first shape and location specific to a first stage of the treatment plan. A second number of bite adjustment structures can be formed of a same material as the second shell, extending therefrom and designed to interface with teeth of the second jaw. The second number of bite adjustment structures can have a second shape and location, different than the first shape and location, specific to a second stage of the treatment plan.

Abstract: A series of appliances including a first shell and a second shell can be designed to incrementally implement a treatment plan. The first and second shells can have cavities designed to receive teeth of a jaw. A first number of bite adjustment structures can be formed of a same material as the first shell, extending therefrom and designed to interface with teeth of a second jaw. The first number of bite adjustment structures can have a first shape and location specific to a first stage of the treatment plan. A second number of bite adjustment structures can be formed of a same material as the second shell, extending therefrom and designed to interface with teeth of the second jaw. The second number of bite adjustment structures can have a second shape and location, different than the first shape and location, specific to a second stage of the treatment plan.

Abstract: A dental restoration cementing device for cementing a dental restoration is disclosed having a closable axial passage to a base having a hollow interior which is open into an occlusal direction. The device includes a preferably elastic body portion dimensioned to tightly fit into the hollow interior of the base via the passage of the dental restoration. The device further includes a hollow cementing portion extending from the body portion. The cementing portion has a lateral opening which is located outside the base when the body portion is fitted into the hollow interior of the base such that a pathway is formed from the interior of the cementing portion through the lateral opening into a gap between the dental restoration and the base. The dental restoration cementing device allows for precisely, quickly and cost efficiently cementing the dental restoration to the base.

Abstract: The present invention provides a handling tool (60, 160) for a dental component (20, 40) having a distal end (69, 169), a proximal end (68, 168) and a longitudinal axis L. Further, the handling tool (60, 160) comprises a grip (63, 163) at the proximal end, a shaft (65, 165) located distally of the grip (63, 163) with an engagement section (61, 161) for engaging an engagement feature (32, 132) of a fastening element (30, 130) and a retaining section (62, 162) for retaining the dental component (20, 40) to be fastened by the fastening element (30, 130). The retaining section of the handling tool is configured to allow for a rotation relative to the dental component.

Abstract: A 3D virtual model of an intra oral cavity in which at least a part of a finish line of a preparation is obscured is manipulated in virtual space by means of a computer or the like to create, recreate or reconstruct finish line data and other geometrical corresponding to the obscured part. Trimmed virtual models, and trimmed physical models, can then be created utilizing data thus created. The virtual models and/or the physical models may be used in the design and manufacture of copings or of prostheses.

Abstract: An intraoral scanner and computing system for capturing images and generating three-dimensional models. The intraoral scanner includes a handle, a mouthpiece extending from the handle, a flood illuminator projecting light from the mouthpiece, a structured light projector projecting a light pattern from the mouthpiece, and stereo camera capturing images through the mouthpiece. An optimal image of each of different materials within the captured images are combined to create a high dynamic range image. The structured light pattern in the high dynamic range image is used to determine three-dimensional measurements and create a three-dimensional model.

Abstract: The invention relates to a measuring system for measuring an implant-implant situation for planning an implant-supported tooth replacement part supported on at least two implants, comprising a scanning template and the at least two set implants. The scanning template has cut-outs for the individual implants, wherein first markings are arranged on surface regions around the cut-outs.

Abstract: Computer-implemented methods for generating a 3D dental prosthesis model are disclosed herein. The methods comprise training a deep neural network to generate a first 3D dental prosthesis model using a training data set; receiving a patient scan data representing at least a portion of a patient's dentition; and generating, using the trained deep neural network, the first 3D dental prosthesis model based on the received patient scan data.

Abstract: A custom oral device is provided that fits on the maxillary or mandibular arch of a wearer. The oral device comprises a tray that corresponds with the shape and size of a wearer's oral anatomy. A soft liner is disposed within an occlusal channel of the tray having an upper surface that comprises an impression having features that correspond to at least a portion of the wearer's dentition and in which the wearer's teeth align. An apparatus and a method for making the custom oral device are provided.

Abstract: A reinforcement structure for a crown and root tooth restoration includes: a plurality of reinforcement pins having diameters ranging from 0.1 mm to 0.5 mm, an etching canal facilitating access to an infected apex, in the crown and root restoration, a joining element configured to group the plurality of reinforcement pins together so as to form a bundle of pins, the joining element partially covering the length of the reinforcement pins.

Abstract: Apparatus and methods for endodontic treatment of teeth provide effective cleaning of organic material (such as pulp and diseased tissue) from the root canal system. In an embodiment, a compressor system generates high pressure liquid (e.g., water) that flows through an orifice to produce a high-velocity collimated jet of liquid. The high-velocity jet is directed toward a surface of a tooth, for example, an exposed dentinal surface, and impingement of the jet onto the surface generates an acoustic wave that propagates throughout the tooth. The acoustic wave effectively detaches organic material from dentinal surfaces and tubules. The detached organic material is flushed from the root canal system by the liquid jet and/or by additional irrigation.

Abstract: The invention relates to a device for cleaning teeth of a human or animal user with a mouthpiece to be placed in the user's mouth, having a support with cleaning elements arranged thereon, which cleaning elements are arranged on the support for simultaneous engagement with substantially all of the teeth of an upper jaw and/or a lower jaw of the user, and with an electric drive unit fastened detachably to the mouthpiece with at least one vibration element to execute a vibrating motion, wherein the cleaning elements are arranged on the support for simultaneous engagement with substantially all of the teeth of the upper jaw and the lower jaw of the user, and that a detachable magnetic connection is provided for the detachable fastening of the drive unit to the mouthpiece.

Abstract: A method for biasing sex selection, the method comprising the introduction into a uterus of a subject a volume of micro-particle conjugates (10), wherein the micro-particle conjugates are proportioned so as to approximate the size and shape of spermatozoa and thereby be carried by peristaltic waves through the uterus and fallopian tubes to the infundibulum, at which point any spermatozoa present or arriving thereafter undergo capacitation and expose antigens that may be bound by anti-male antibodies (14) provided in the micro-particle conjugates (10), the binding of the exposed antigens on the spermatozoa by the anti-male antibodies resulting in their inability to penetrate the Zona Pellucida of an egg and effect fertilisation.

Abstract: The present disclosure, in certain embodiments, relates to a flexible and non-absorbent vaginal insert device that is easier to insert and remove and is for use in improving and preventing symptoms associated with pelvic organ prolapse and urinary and/or fecal incontinence when the device is inserted. In certain embodiments, the device has an optionally cone-shaped upper portion that provides pelvic organ support and a removal portion or stem that facilitates insertion and removal of the device.

Abstract: The present invention relates to a resorbable polymeric mesh implant, that is intended to be used in the reconstruction of soft tissue defects. The mesh implant has at least a first and a second material, wherein the second material is substantially degraded at a later point in time than the first material following the time of implantation. The mesh implant is adapted to have a predetermined modulus of elasticity that gradually is decreased until the mesh implant is completely degraded and subsequently resorbed. Due to the gradual decrease in the modulus of elasticity of the inventive mesh implant, the regenerating tissue may gradually take over the load applied to the tissue defect area. Interstices between individual filaments of multifilaments create a capillary effect for cells within the body.

Abstract: Methods for delivering a sheet-like implant to a target site including a means of deploying and orienting the sheet-like implant within the body.

Abstract: A device having a structured coating for adhering to rough, in particular biological, surfaces, includes a carrier layer, wherein a plurality of protrusions is arranged on the carrier layer, which protrusions each comprise at least a shaft having an end face pointing away from the surface, and wherein a further layer is arranged at least on the end face, wherein the layer has a different modulus of elasticity than the protrusion in question. The further layer can also fill the intermediate spaces between the protrusions such that an internal structured coating is produced.