Abstract: In one aspect, a cannulation site selection apparatus includes a flexible member, a first marking on the flexible member, and an array of cannulation site selection markings on the flexible member, wherein the array of cannulation site selection markings is positioned at a set distance from the first marking, and wherein the cannulation site selection markings are spaced at set distances from one another.

Abstract: The invention is directed to a bladeless trocar obturator to separate or divaricate body tissue during insertion through a body wall. In one aspect, the obturator of the invention comprises a shaft extending along an axis between a proximal end and a distal end; and a bladeless tip disposed at the distal end of the shaft and having a generally tapered configuration with an outer surface, the outer surface extending distally to a blunt point with a pair of side sections having a common shape and being separated by at least one intermediate section, wherein each of the side sections extends from the blunt point radially outwardly with progressive positions proximally along the axis, and the shaft is sized and configured to receive an optical instrument having a distal end to receive an image of the body tissue. With this aspect, the tapered configuration facilitates separation of different layers of the body tissue and provides proper alignment of the tip between the layers.

Abstract: A guard for providing a cut-resistant pathway through a body orifice or incision to circumferentially protect tissue at the margin is provided. The guard is made of flexible, cut-resistant mesh material having a plurality of interwoven thermosetting filaments. The guard has a central lumen and at least one flared end. The flared end, which serves to anchor the guard in the body opening, is deformable into a reduced configuration to facilitate its insertion and removal. The layer of mesh stretches laterally to increase the diameter of the central lumen. The flexibility and expandability of the guard allows the guard to conform to body openings of different sizes. The guard may include a drawstring to cinch the flared distal end from the proximal end. The guard is thermoset with the flared distal end that is biased to spring back to its normal, undeformed configuration when released from a deformed configuration.

Abstract: A radial sealing assembly comprises an upper pressing plate, a protection sheet, a positioning plate, a funnel-shaped sealing ring, a lower pressing plate and a corrugated sealing ring. The upper pressing plate is provided with at least two convex connecting hooks for connection with the positioning plate; the lower pressing plate is provided with at least two connecting slots for connection with the positioning plate; the positioning plate is provided with at least two connecting slots for connection with the upper pressing plate and at least two convex connecting hooks for connection with the lower pressing plate; and both the upper pressing plate and the lower pressing plate are connected to the positioning plate by adopting concave-convex engagement structures.

Abstract: A bone marrow access device includes a cannula and a sharp stylet removably positioned in the cannula. The cannula defines a distal opening at a distal tip and a side aperture in a side of the cannula, proximally from the distal opening. The stylet has a sharp distal tip and extends beyond the distal opening. A plug is receivable in the cannula distal to the side aperture to seal the distal opening when the stylet is removed. A method of accessing bone includes inserting the cannula and sharp stylet positioned in the cannula into bone; removing the sharp stylet from the cannula; pushing a plug through the cannula and distal to the side aperture to seal the distal opening of the cannula; and accessing the bone through the side aperture. Accessing the bone can include aspirating bone marrow, injecting a substance, or inserting an instrument into the bone.

Abstract: An orthopedic clamp for affixing at least two fixation members relative to each other is disclosed. The clamp includes a first clamp comprising first outer and inner jaws that define first clamping surfaces that form a first recess, and a second clamp comprising second outer and inner jaws that define second clamping surfaces that form a second recess. The clamps also include a post extending from the second outer jaw and through the second inner jaw, the first inner jaw and the first outer jaw. The post defines a clamping axis, and the second recess defines an axis that intersects the clamping axis. The clamp further includes a clamping nut threadably coupled to the post configured to exert a clamping force to the first and second clamps to fix at least one of a first fixation member within the first recess and a second fixation member within the second recess.

Abstract: The present invention discloses a spinal surgical instrument and a method of guiding thereof. The spinal surgical instrument is operated with a precedent device. The precedent device includes at least one guiding unit. The spinal surgical instrument includes an operating element, an extending element, a handling element and a guide element. One end of the extending element connects to the operating element. The other end of the extending element connects to the handling element. The guide element is disposed on the extending element and includes at least one guide hole. The operating element is guided to the precedent device by the passing of the guide hole along the guiding unit.

Abstract: Methods and devices are disclosed for treating the vertebral column. An implant for treating the spine is provided comprising at least two articulations between the spacer and the bone facing surface of the fixation plate. Another implant for treating the spine is also provided, comprising two or more fixation plates attached to a spacer with two or more articulations, wherein the fixation plates are independently movable.

Abstract: Devices and methods for treating degenerative conditions of the spine or for alleviating pain or discomfort associated with the spinal column are disclosed. In particular, laminoplasty fixation devices and methods are disclosed. Also disclosed, is a vertebral implant comprising a first bone engaging portion configured for securing to a first cut portion of a vertebra and a second bone engaging portion configured for securing to a second cut portion of the vertebra. A body portion is provided for associating the first and second bone engaging portions at a preselected spacing from each other, wherein the implant is adjustable to select said spacing.

Abstract: A spinal joint distraction system for treating a facet joint including articular surfaces having a contour is disclosed and may include a delivery device including a generally tubular structure adapted to engage a facet joint, an implant adapted to be delivered through the delivery device and into the facet joint, the implant comprising two members arranged in opposed position, and an implant distractor comprising a generally elongate member adapted to advance between the two members of the implant causing separation of the members and distraction of the facet joint, wherein the implant is adapted to conform to the shape of the implant distractor and/or the articular surfaces of the facet upon being delivered to the facet joint. Several embodiments of a system, several embodiments of an implant, and several methods are disclosed including a method for interbody fusion.

Abstract: Bone anchor assemblies and related instrumentation are disclosed herein. In some embodiments, a modular bone anchor assembly allows for a bone anchor to be driven into bone and a head or receiver member to be attached thereto at some later point in time. The bone anchor can have a smaller footprint than the complete assembly, which can improve visualization and anatomical spatial awareness during insertion of the bone anchor and during other surgical steps performed prior to attaching the head or receiver member to the bone anchor. A variety of modular head types are disclosed, as are various instruments for driving a bone anchor, attaching a head to a bone anchor, removing a head from a bone anchor, and making a unilateral attachment to a head of a bone anchor assembly. Drive interfaces for driving a bone anchor are disclosed, as are features that allow a bone anchor to act as a fixation point for soft tissue retraction, disc space distraction, derotation, and the like.

Abstract: An instrument for holding and inserting a bone anchor into a bone is provided, where the bone anchor includes a shank for anchoring in the bone and a head. The instrument includes a holding member for holding the head of the bone anchor and has a plurality of arms configured to at least partially encompass the head, where the arms include an inner surface forming a seat for the head. The instrument also includes a drive shaft for engaging the head of the bone anchor and defining a longitudinal axis of the instrument. The instrument further includes a displacement member configured to act on the holding member. The holding member can assume a first configuration in which it is configured to permit the head to enter the seat and a second configuration in which it is configured to hold the head in the seat.

Abstract: A system for percutaneous spinal fusion may include two spaced apart blades connected together by a coupling such that the blades define a percutaneous pathway from a skin incision to an implanted pedicle fastener. The coupling may be c-shaped and may have at least one flexible tab for engaging one or more holes along the length of the blades. If one of the blades becomes disconnected from the pedicle fastener, a supplemental access device may be provided comprising a tubular body having a channel therein for receiving the other of the blades. If both of the blades become disconnected, a supplemental access device may be provided comprising a gripping member received within a locking member. The gripping member may have two legs engageable with the pedicle fastener, and the locking member may move along the gripping member to prevent the legs from disengaging the pedicle fastener.

Abstract: Intramedullary fixation device, having an intramedullary rod (2) which is provided for insertion thereof into a bone (1) and consists of a central screw (4) having a first free end comprising a stopper (7) and a second free end with a pre-tensioning nut (8), an alternating series of expanders (3) and bolts (5) being arranged in between, the bolt surfaces in contact with the expanders (3) having a wedge shape. The bolts (5) or expanders (3) may have no, or one or more variations in the dimensions of the different geometric parameters, in accordance with the adjacent expanders, along the length of the implant, and the central screw (4) may have a variable cross section. The device may have different additional components, such as an osteotomic base (9) for fixation of the musculature. The device promotes maximum nailing limited between these elements and produces a controlled peripheral radial deformation.

Abstract: An implantable compensating sleeve is applied between an oblong implant section of a first implant, and a second implant that encloses the oblong implant section of said first implant. The compensating sleeve has a sheath having a sheath body and a passage, running from the proximal to the distal end of the sheath body, for receiving said oblong implant section of the first implant. The sheath body is divided, by slits which cut into the sheath body in the longitudinal direction and originate alternately from the distal and from the proximal edge of the sheath body, into meander-like segments each comprising two longitudinal arms. The sheath body is radially expandable in at least one subsection. On the inner surface of the sheath body facing the passage, at least one bulge extends in the longitudinal direction of a meander-like segment, forming an inner profile that protrudes into the passage.

Abstract: An osteotomy wedge according to an exemplary aspect of the present disclosure includes, among other things, an asymmetrical body that includes a perimeter established by a continuous, smooth surface. Further, the perimeter includes a concave surface.

Abstract: A laminar fixation system includes a laminar fixation implant and a laminar fixation implant tensioning tool for use with laminar fixation tape for retaining a spine rod relative to a vertebra of the spine. The laminar fixation implant has a hook at one end thereof that defines an arcuate pocket for holding a spine rod, a threaded angled bore with a set screw that contacts and fixes a spine rod received in the arcuate pocket, a passage extending through the hook for receiving laminar fixation tape, and a fixation plate disposed in a sidewall of the arcuate pocket of the hook and abutting the passage, whereby pressure exerted on the fixation plate by the spine rod presses against and fixes the laminar fixation tape in the passage relative to the laminar fixation implant.

Abstract: A pedicle screw of the type used in spinal fixation surgery has integral structure for anchoring artificial ligament tape. A tape-receiving passageway is formed through the tulip assembly of the pedicle screw. The passageway has open ends and is configured to receive an artificial ligament tape threaded through the passageway. An opening is formed in the tulip assembly, transversely intersecting the passageway and opening to the exterior of the tulip assembly. A clamping member is movable along the opening into clamping engagement against a segment of the artificial ligament tape that is threaded through the passageway.

Abstract: A system for delivering bone cement into a bone is provided. The system can include a hydraulic system actuatable to deliver a bone cement mixture from a bone cement container, through a cannula and into a bone. The hydraulic system can have more than one pressure relief mechanism for decreasing pressure in the hydraulic system to cease delivery (e.g., substantially instantaneously) of the bone cement into the bone.

Abstract: A system for repairing separated body tissues includes a tensioning device comprising two proximal handles for grasping, a pair of movable distal tensioning tips, a pivot between the proximal handle and distal tensioning tips, and suture holding clamps proximal to the tensioning tips. The tensioning device is used in conjunction with a buckle with lock bars and a tensioning tab for securing and tensioning suture. The tensioning tab is provided to secure the lock bar in its first position until tension on the suture exceeds a predetermined level.

Abstract: Surgical instruments and methods for delivering bone anchor assemblies into bone are disclosed herein. Use of these anchors or instruments can eliminate one or more of the steps in a conventional bone anchor installation procedure, improving surgical efficiency and safety. In general, a surgical instrument can include a handle assembly having an elongate shaft extending distally therefrom. The handle assembly can be configured to axially translate a stylet extending therethrough relative to a bone anchor assembly coupled to the elongate shaft, and it can be configured to move the stylet proximally in response to distal advancement of a bone anchor assembly into bone. The surgical instruments can include various mechanisms for adjusting the position of the stylet.

Abstract: Methods and apparatuses are provided for neutral drive feedback loop compensation of detected electrosurgical unit signals. An apparatus includes an electrosurgery unit (ESU) signal detection circuit, a compensation switch, and an ESU filter switch. Both switches activate based on an output of the ESU signal detection circuit. A neutral drive feedback loop circuit is configured to compensate for a phase change characteristic of an ESU filter circuit.

Abstract: A method includes receiving locations of multiple ablation sites formed on a surface of a heart. Distances are measured among at least some of the ablation sites based on the locations. One or more gaps between the ablation sites, which meet an alerting criterion, are identified. The identified gaps are indicated to an operator.

Abstract: An electrosurgical system includes an electrosurgical generator and an instrument coupled to the electrosurgical generator. The electrosurgical generator includes an output stage configured to generate the electrosurgical energy at a plurality of radio frequencies, a plurality of sensors configured to sense a voltage waveform and a current waveform of the electrosurgical energy, and a controller coupled to the output stage and the plurality of sensors. The instrument supplies the electrosurgical energy to the tissue. The controller of the electrosurgical generator is further configured to calculate at least one parasitic parameter based on the electrosurgical energy at the plurality of frequencies and control the output stage based on the at least one parasitic parameter.

Abstract: The invention relates to a guide assembly for an instrument comprising two legs, in particular forceps, the guide assembly comprising first and second guide elements, wherein the guide elements each comprise a base body, provision being made in each case on the outer side of the base body for an arrangement for snapping into place in an opening on an inner side of the legs of the instrument, provision being made on the inner side of the base body in the case of the first guide element for a protrusion and in the case of the second guide element for a recess, which is complementary to the protrusion, and provision being made in each case for a hollow on the outer side of the base body of the first as well as the second guide elements.

Abstract: An endoscopic bipolar forceps includes an elongated shaft having opposing jaw members at a distal end thereof. The jaw members are movable relative to one another from a first position wherein the jaw members are disposed in spaced relation relative to one another to a second position wherein the jaw members cooperate to grasp tissue therebetween. The forceps also includes a source of electrical energy connected to each jaw member such that the jaw members are capable of conducting energy through tissue held therebetween to effect a seal. A generally tube-like cutter is included which is slidably engaged about the elongated shaft and which is selectively movable about the elongated shaft to engage and cut tissue on at least one side of the jaw members while the tissue is engaged between jaw members.

Abstract: An arrangement where surgical instrument having shaft with end effector mounted thereon is provided with rotation wheel to allow user to rotate shaft during use into desired angular position. To allow compact and reliable mechanism the rotation wheel, outer edge of which is generally accessible at external surface of instrument, has internal space around axis of wheel within which is provided part of actuation mechanism for end effector. To allow rotation of actuation mechanism with end effector, part of actuation mechanism located within wheel rotationally mutually engages with inner surface of internal space within wheel, wherein rotation of wheel by user causes actuation mechanism to rotate, which in turn rotates shaft wherein end effector is mounted. Providing benefits allowing otherwise redundant space within rotation wheel to accommodate part of actuation mechanism for end effector, improving compactness of device, whilst still allowing rotation of end-effector and its corresponding actuation mechanism.

Abstract: A surgical device for operating on tissue comprises an end effector, a disposable shaft assembly, and an interface assembly. The shaft assembly comprises an articulation section operable to provide deflection of the end effector relative to the longitudinal axis of the shaft. The interface assembly comprises a plurality of pivotable base sections. The interface assembly comprises a plurality of drive components associated with drive shafts driven by an external system and each drive component is associated with a section of the base. The drive components are operable to cause rotation of one or both of the shaft or end effector and movement of components of the end effector. The drive components are further operable to cause articulation of the articulation section. The base sections are pivotable toward each other to couple with the shaft assembly or away from each other to disengage the shaft assembly.

Abstract: A medical device includes an elongated sleeve having a longitudinal axis, a proximal end and a distal end. A cutting member extends distally from the distal end of the elongated sleeve, and has sharp cutting edges. The cutting head is formed from a wear-resistant ceramic material, and a motor coupled to the proximal end of elongated sleeve rotate the cutting member. The cutter is engaged against bone and rotated to cut bone tissue without leaving any foreign particles in the site.

Abstract: A catheter has a balloon electrode assembly with at least one compliant balloon member and at least one electrode carried on an outer surface of the balloon member for accomplishing circumferential sensing or ablation in a tubular region of the heart, including a pulmonary vein or ostium. The catheter may also include an electrode assembly with a tip and/or ring electrode distal of the balloon electrode assembly adapted for focal contact.

Abstract: A multimodal medical device for the diagnosis and/or thermal treatment of a disease includes an instrument for performing thermal therapy; and an imaging system having multiple tomographic imaging modes, including optical coherence tomography (OCT), ultrasound imaging, photoacoustic (PA) imaging, fluorescence imaging and/or thermal imaging to provide guidance for accurate diagnosis and treatment of the disease.

Abstract: An ablation catheter comprises an elongate catheter body and a branch electrode element. The elongate catheter body has a central axis, a distal end, and a proximal end. The elongate catheter body is configured to be steered within a heart chamber. The branch electrode element has a base end and a working end or tip. The base end is secured to the elongate catheter body at a location spaced proximally of the distal end and an effector on the working end. The branch electrode element is configured to evert when the distal end of the elongate catheter body is in a pulmonary vein ostium or os so that the effector can be selectively engaged against locations surrounding the pulmonary vein os which differ in radial direction and distance. One or more of linear or curved ablation patterns are generated on tissue adjacent the pulmonary vein os with the effector.

Abstract: A surgical snare comprising a means of delivering thermal plasma on to biological tissue encircled by the snare. The snare may be “cold” snare, i.e. formed from insulating material, or active, i.e. connected to receive RF and/or microwave energy to be radiated into the area encircled by the snare. The surgical snare may thus deliver into biological tissue encircled by a retractable loop any one of (i) a plasma to perform surface coagulation, (ii) a non-ionising microwave field (in the absence of plasma) to perform coagulation at a deeper level, and (iii) an RF field to assist with cutting.

Abstract: Disclosed is a high power VCSEL laser treatment device with a skin cooling function, comprising VCSEL array packaged on a laser heat sink, an optical transmission device arranged in front of light-exiting faces of the VCSEL array and a high-heat conductivity optical window sheet adhered to the light-exiting port end of the optical transmission device. An integrally molded cooling conduction metal piece is arranged on the outer sides of the laser heat sink, the optical transmission device, and the high-heat-conductivity optical window sheet. In addition, one or more semiconductor chilling plates are arranged between the cooling conduction metal piece and the laser heat sink. In the above-mentioned high power VCSEL semiconductor laser treatment device, the semiconductor chilling plates and the VCSEL array share the heat sink, so that the inner structure is simplified.

Abstract: The invention provides a method and apparatus for stimulating cellulite reduction using a femtosecond diode laser irradiation system. The system comprises a femtosecond diode laser capable of generating laser light that has a wavelength of 1000 nm-10,000 nm, a power level of 300 mw-5 W, and a pulse duration of less than 1 picosecond. A light-emitting device is coupled to the diode laser by means of flexible waveguide and is held over the skin. The device may be a handheld wand or an area pad comprising a plurality of light-emitting lenses on a surface of the pad. Laser setting controls are set to achieve a depth of photon absorption into the skin to reach subcutaneous adipose tissue.

Abstract: A surgical laser tool for performing a laser procedure at a treatment site is provided. The surgical laser tool includes a laser source, a fiber catheter, and an analytical device. The laser source is configured to generate laser energy. The fiber catheter is configured to (i) acquire optical feedback from the treatment site and (ii) deliver the laser energy to the treatment site. The analytical device is configured to analyze reflected light from the treatment site in order to allow a physician to perform a diagnosis on the treatment site.

Abstract: Various methods, systems, and devices for treating tissue ablation are disclosed. Some embodiments disclosed herein pertain to methods of treating tumors, systems used for irradiating tissue and tumors with electromagnetic radiation, components and devices of that system, and kits for providing systems used for irradiating tissue and tumors with electromagnetic radiation. In some embodiments, the system provides sub-ablative infrared radiation that is absorbed by nanoparticles. In some embodiments, the nanoparticles absorb the radiation converting it into heat energy. In some embodiments, though the infrared radiation itself may be sub-ablative, the heat energy generated by the nanoparticles is sufficient to cause thermal coagulation, hyperthermia, and/or tissue ablation.

Abstract: A method and system for performing a biopsy guided by a 3D image of the object obtained from digital tomosynthesis is performed. The method includes applying a compression paddle to an object; performing a tomosynthesis scan; reconstructing at least a portion of the scan; locating a lesion using a displayed or reprojected marker to determine a location of the lesion; correlating the location of the lesion in the scan to a marker on the compression paddle or tool holder; and proposing a needle entry point of a biopsy tool based off of the correlation so that a needle or penetration device will effectively reach the lesion or target if it is inserted at the proposed entry point. A system for performing a biopsy is further disclosed.

Abstract: Embodiments include methods, systems, and computer program products for treating skin lesions. Aspects include receiving an indication that a patient is oriented. Aspects also include acquiring data concerning an area of the patient, the area including a skin lesion. Aspects also include analyzing the data to distinguish between an affected region and an unaffected region of the area of the patient. Aspects also include excising the affected area.

Abstract: A method including generating a 3-D model of an unstenosed geometry of a blood vessel responsive to a 3-D model of an actual geometry of the blood vessel, establishing a parametric description of a stent that is expanded from a collapsed configuration to a final configuration that apposes the unstenosed geometry, developing a design for the stent by varying parameters of the parametric description responsive to a design heuristic that includes risk of stent strut breakage during a plastic deformation between the collapsed configuration and the final configuration, embodying the stent according to the design for the stent, inserting the stent into a blood vessel in its collapsed configuration, maneuvering the stent through the blood vessel to a stenosis, and expanding the stent to its final configuration.

Abstract: A method including generating a 3-D model of an unstenosed geometry of a blood vessel responsive to a 3-D model of an actual geometry of the blood vessel, establishing a parametric description of a stent that is expanded from a collapsed configuration to a final configuration that apposes the unstenosed geometry, developing a design for the stent by varying parameters of the parametric description responsive to a design heuristic that includes risk of stent strut breakage during a plastic deformation between the collapsed configuration and the final configuration, embodying the stent according to the design for the stent, inserting the stent into a blood vessel in its collapsed configuration, maneuvering the stent through the blood vessel to a stenosis, and expanding the stent to its final configuration.

Abstract: A method for implanting a spinal plate includes the steps of displaying information about target vertebrae on which the implantation is to be performed and inserting a spacing device between two adjacent vertebrae to achieve a desired relationship there between. The method further includes planning placement of the spinal plate to achieve a desired relationship between the two adjacent vertebrae and defining a virtual cutting boundary on a virtual representation of each of the first and the second vertebrae according to the planned placement of the spinal plate. The method further includes tracking the vertebrae using a tracking array and tracking a position of a cutting tool held by a force feedback device as the tool is manipulated to form a sculpted cavity independently on each vertebrae for receiving the spinal plate, and providing force feedback to the user indicative of interaction between the tool and the virtual cutting boundary.

Abstract: An instrument tracking device for cooperating with an instrument during a surgical procedure where the instrument has an elongated body extending along a first longitudinal axis and including a working member at a distal tip includes a body having a distal end and a proximal end. An opening can be formed through the body along a second longitudinal axis. The opening can define a passthrough in the body from the distal end to the proximal end. A first tracking coil can be disposed in the body and can define a first tracking coil axis that is substantially coaxial with the second longitudinal axis of the body. A connection mechanism cooperates between the elongated housing and the body that secures the body to the elongated housing of the instrument upon passing at least a portion of the elongated housing through the passthrough of the body in an assembled position.

Abstract: A medical system comprises a catheter having a first section, a second section and a main lumen extending through the first and second sections. The system also includes an imaging probe sized to extend through the main lumen of the catheter. The system also includes a first electromagnetic sensor extending along a longitudinal sensor axis at a proximal end of the first section and a second electromagnetic sensor extending along the longitudinal sensor axis at a distal end of the first section. The first section between the proximal and distal ends flexibly couples the first and second electromagnetic sensors so that the first electromagnetic sensor is movable with respect to the second electromagnetic sensor. The system also includes a third electromagnetic sensor positioned on the imaging probe and a fiber shape sensor system that extends through the first section between the proximal and distal ends and along the first electromagnetic sensor and the second electromagnetic sensor.

Abstract: A surgical system includes a detector, comprising an array of pixels configured to detect light reflected by a surgical instrument and generate a first signal comprising a first dataset representative of a visible image of the surgical instrument. The surgical system also includes a processor configured to receive the first signal, generate a modified image of the surgical instrument that includes a control panel. The control panel includes one or more control elements representative of one or more operating parameters of the surgical instrument. The processor is further configured to receive an input to the control panel from a user, the input being effective to change one of the operating parameters. The processor is also configured to generate a command signal based on the input to change the one of the operating parameters.

Abstract: A system and method are provided for determining one or more characteristics of a device. The system and method comprises initiating an algorithm to correct for shift and drift of a reference catheter (203), determining an initial shape and position of a portion of the reference catheter at time 0 when the algorithm is initiated (201), determining a current shape and position of the portion of the reference catheter at time t after the algorithm has been initiated (205), calculating a closest fit of the current shape and position of the portion of the reference catheter to the initial shape and position of the portion of the reference catheter by iteratively adjusting a set of solution parameters (209), and determining a minimal error solution parameter (211).

Abstract: A user system for a robotic surgical system, the user system including a handheld groundless user interface device configured to control the robotic surgical system, and a user console. The user console includes a seat and a first adjustable, ergonomic arm support linkage coupled to the seat, in which the first arm support linkage is movable between a folded storage configuration and at least one unfolded use configuration corresponding to at least one of a user characteristic and a surgical task characteristic. The at least one unfolded use configuration may be pre-stored in a database.

Abstract: A user console for controlling a remote surgical robotic instrument may include an adjustable ergonomic seat assembly comprising a seat pan, where the seat assembly is configurable between a seated configuration and an elevated configuration, and where the seat pan has a higher anteverted position in the elevated configuration than in the seated configuration. The user console may further include a display configured to receive real time surgical information, and one or more controls for remotely controlling the robotic instrument. The display and/or the one or more controls may have multiple positions and change position automatically according to a seating profile associated with at least one user.

Abstract: A mapping image display control device includes a lung region extraction unit 11 that extracts a lung region included in a three-dimensional image, a bronchus region extraction unit 12 that extracts a bronchus region included in the lung region, a branching position information acquisition unit 13 that acquires information about a branching position of the bronchus region, a reaching position information estimation unit 14 that estimates reaching position information about a position at which an extended line of a branch included in the bronchus region reaches a surface of the lung region on the basis of the information about the branching position, and a display control unit 15 that generates a mapping image in which the reaching position information is mapped to the surface of the lung region and that causes a display apparatus 3 to display the mapping image.

Abstract: Methods and devices are provided for supporting an elongate shaft on a surgical tool during robotic surgery. For example, a tool holder is provided with an elongate carrier arm configured to couple to a distal end of a surgical robotic arm. The tool holder has a housing that is removably mounted on the carrier arm and that is configured to be positioned adjacent to a tissue surface without extending into tissue. The tool holder thus simulates a trocar. The housing has an opening formed therethrough for receiving an elongate shaft of a surgical tool, and the opening has an inner diameter that is configured to dynamically adjust in size to adapt to and resist movement of elongate shafts of varying diameters inserted therethrough.