Abstract: Disclosed is a system for assisting in guiding and performing a procedure on a subject. The subject may be any appropriate subject such as inanimate object and/or an animate object. The guide and system may include various manipulable or movable members, such as robotic systems, and may be registered to selected coordinate systems.

Abstract: An apparatus for visualizing a movable radiation source, the apparatus comprising: a radiation angular position sensor arranged for generating an angular position, with respect to a sensor axis, of a radiation source emitting radiations in front of said radiation angular position sensor; a camera having a camera axis distinct from the sensor axis; a light diverter arranged in front of said radiation angular position sensor for diverting toward the camera, light originally emitted in front of said radiation angular position sensor toward the radiation angular position sensor, the light diverter being arranged to not change the direction of radiations emitted in front of said radiation angular position sensor; and a composite image generator arranged for adding to a camera image captured by the camera a radiation source marker at a position derived from said angular position and automatically scaled to the camera image size and resolution.

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 remote control apparatus according to one or more embodiments includes a manipulator that supports surgical equipment; a display configured to display an image captured by an endoscopy; a display supporting arm that includes a joint and a locking mechanism and supports the display, the locking mechanism is configured to lock the joint; an operation handle that allows an operator to operate the manipulator; and an unlocking mechanism configured, in response to an operation by the operator, to unlock the locked joint of the display supporting arm.

Abstract: A system for holding and controlling medical instruments during procedures includes an end effector configured to hold a medical instrument and a rotational and translational (RT) mechanism configured to rotate and translate the medical instrument along an insertion axis. The system further includes a platform coupled to the RT mechanism and a pair of parallel five-bar planar linkages configured to translate, pitch, and yaw the platform with respect to a principal axis that is parallel to the insertion axis.

Abstract: Disclosed is a system for assisting in guiding and performing a procedure on a subject. The subject may be any appropriate subject such as inanimate object and/or an animate object. The guide and system may include various manipulable or movable members, such as robotic systems, and may be registered to selected coordinate systems.

Abstract: A robot includes an arm having a plurality of links, drives for moving the links, a control device for actuating the drives, and a process head connected to the arm. The control device is configured to operate the drives in a force- and/or torque-controlled manner such that the process head or a first element extending from the arm touches a surface having a structure and/or having at least one characterizing feature, and is moved along the surface with simultaneous elongation or simultaneous tightening of the surface. The process head has a radiation-emitting radiation source, and the wavelength and/or intensity of the radiation can be adjusted based on the structure and/or the at least one characterizing feature.

Abstract: A computer-assisted medical system includes manipulators, a user input system, a user output system comprising a display device, and a controller configured to execute instructions to perform operations. The operations include, in a pairing mode and in response to a first set of signals generated by the user input system, causing a virtual selector shown on the display device to move relative to an imagery shown on the display device. The operations further include, in the pairing mode, associating a first manipulator with a portion of the user input system based on movement of the virtual selector relative to a represented location of the first instrument, and, in a following mode, controlling motion of the first instrument in accordance to a second set of signals generated by the user input system in response to operation of the portion of the user input system by a user.

Abstract: A surgical system includes a surgical instrument that is sensitive to backlash that would adversely affect the transmission of controlled torque and position to the surgical instrument. The surgical instrument is coupled to motors in a surgical instrument manipulator assembly via a mechanical interface. The combination of the mechanical interface and surgical instrument manipulator assembly have low backlash, e.g., less than 0.7 degrees. The backlash is controlled in the surgical instrument manipulator assembly. From the drive output disk in the surgical instrument manipulator assembly to the driven disk of the surgical instrument, the mechanical interface has zero backlash for torque levels used in surgical procedures.

Abstract: A surgical robotic arm drape for enveloping a portion of a robotic arm, the drape comprising: an exterior sheet defining an elongate cavity for housing a portion of a robotic arm; and a duct defined at least in part by material integral with the exterior sheet, the duct defining a fluid path along the longitudinal extent of the cavity to channel fluid to or from a robotic arm housed within the cavity.

Abstract: The various embodiments disclosed herein relate to improved robotic surgical systems, including robotic surgical devices having improved arm components and/or biometric sensors, contact detection systems for robotic surgical devices, gross positioning systems and devices for use in robotic surgical systems, and improved external controllers and consoles.

Abstract: One example method for comprehensively recording and reporting messages generated within a robotic surgical system includes capturing and storing network data on an internal network of the robotic surgical system. The method further includes subscribing to and receiving published messages from processes of interest executing on one or more task devices of the robotic surgical system. The received published messages each is associated with a priority. The method further involves sending at least a portion of the published messages according to the respective message priorities to a server device for analysis. Based on the analysis result, the method involves causing the surgical robotic system to be modified to improve its performance.

Abstract: Certain aspects relate to systems and techniques for a bipolar medical instrument. In one aspect, the medical instrument includes a first end effector, a first set of one or more distal pulleys coupled to the first end effector, and a wrist configured to house the first set of distal pulleys. The medical instrument also includes a plurality of cables extending through the wrist and a first insulating member formed between the first end effector and the first set of one or more distal pulleys.

Abstract: A robotic surgical system comprising a surgical instrument comprising an end effector comprising (i) a blade, (ii) a first jaw member including a first electrode, and (iii) a second jaw member including a second electrode. The robotic surgical system may also comprise a motor and a control circuit configured to: (i) produce control signals comprising a first control signal and a second control signal, (ii) deliver an electrosurgical energy signal to the first electrode and the second electrode via the first control signal, (iii) deliver a drive signal to the motor via the second control signal (iv) receive at least one feedback signal, (v) determine a rate of change based on a first feedback signal of the at least one feedback signal, and (vi) maintain the rate of change at a predetermined rate or within a predetermined range.

Abstract: The present invention teaches a robotically-assisted surgical system, method and apparatus capable of achieving access to areas of the brain both within and outside a direct line of sight. This is achieved through a relatively small skull access port that is of lesser invasion than some achieved in the prior art. A console spaced from a surgical patient is adapted to comfortably accommodate a surgeon, in a manner to achieve minimal stress during lengthy surgical procedures. Robotics interconnect the surgeon and surgical tools to be used, said tools being capable of entering and operating through a relatively small (20 mm) port in the patient's skull. Camera means comprising part of said surgical tools being interconnected to a monitor viewable by the surgeon. Means are provided which are controllable by the surgeon for gaining access to and manipulating portions of the patient's brain both within a direct line of sight and outside of said direct line of sight.

Abstract: Provided is an instrument for surgery and, more specifically, to an instrument for surgery which can be manually operated in order to be used for laparoscopic surgery or various types of surgery.

Abstract: A haptic feedback method comprises providing a teleoperational control system including a first operational mode for operating a teleoperational instrument in response to movement of a control device in a first degree of freedom and a second operational mode for controlling a graphical user interface. The method also includes engaging the second operational mode of the teleoperational control system. While in the second operational mode, the method includes tracking movement of the control device of in a second degree of freedom, different from the first degree of freedom. While in the second operational mode and responsive to the movement of the control device in the second degree of freedom, the method includes applying, by a teleoperational control system, a first haptic force to the control device.

Abstract: A medical device includes an instrument sterile adapter (ISA) that includes a first plate and a second plate. The first plate includes a mounting surface and a plurality of landing pads. The mounting surface provides a first datum plane for mounting the ISA on a carriage that includes actuators. The plurality of landing pads extend through the second plate and provide a second datum plane for a surgical instrument coupled to the ISA such that the first datum plane and the second datum plane are parallel surfaces separated by a fixed distance. The medical device may include a plastic sheet having opposing first and second sides with the first plate located on the first side and the second plate located on the second side. The instrument sterile drape may include a pouch shaped to fit around the carriage with the ISA capturing the pouch between the top and bottom plates.

Abstract: A medical kit 100 includes a drape 1323. A plurality of pockets (1302,1303,1304,1305, 1306,1307) are disposed along a bottom edge of the drape 1323 in a linear, side-by-side arrangement. A plurality of medical implements (1310,1311,1312,1313,1314,1315) are stowed in the plurality of pockets on a one-to-one basis. Medical indicia (1316,1317,1318,1319,1320,1321) is disposed along each pocket. The medical indicia can include comprising one or more educational prompts that instruct medical personnel how to use a particular medical implement disposed in a pocket to complete a central catheter dressing change.

Abstract: Surgical trays, tools and methods for use in hip replacement surgery wherein the hip replacement prosthesis is a reverse hip prosthesis. The trial components, specialized tools and methods of the invention enable a surgeon to identify the optimum components of the reverse hip prosthesis for implantation in a patient based on the sizes and angles best adapted to the patent's anatomy.

Abstract: A surgical instrument includes a body, an ultrasonic transducer assembly, and a transducer lock having a lock member configured to move between unlocked and locked positions. The transducer assembly is rotatably mounted along a longitudinal axis within the body such that the transducer assembly is configured to selectively rotate about the longitudinal axis. With the lock member in the unlocked position, the transducer assembly is configured to be selectively rotated about the longitudinal axis relative to the body. With the lock member in the locked position, the transducer lock is configured to seize the transducer assembly and inhibit rotation relative to the housing for coupling with an acoustic waveguide. The surgical instrument may also include an integral torque wrench for coupling the acoustic waveguide with a predetermined torque and an integral torque indictor for signaling to a user that the acoustic waveguide is coupled with the predetermined torque.

Abstract: A head fixation device includes an assembly with two or more contact features. The assembly includes an arm that is non-curved in some versions. In some versions, the arm of the assembly defines a degree of curvature that is less than 40 degrees, and more preferably less than 30 degrees. In at least some versions, the assembly provides that at least two of the two or more contact features define a contact angle with the skull of about 90 degrees when contacting a generally or substantially planar portion or region of the skull.

Abstract: Medical software tools platforms utilize a surgical display to provide access to specific medical software tools, such as medically-oriented applications or widgets, that can assist surgeons or surgical team in performing various procedures. In particular, an endoscopic camera may register the momentary rise in the optical signature reflected from a tissue surface and in turn transmit it to a medical image processing system which can also receive patient heart rate data and display relevant anomalies. Changes in various spectral components and the speed at which they change in relation to a source of stimulus (heartbeat, breathing, light source modulation, etc.) may indicate the arrival of blood, contrast agents or oxygen absorption. Combinations of these may indicate various states of differing disease or margins of tumors, and so forth. Also, changes in temperatures, physical dimensions, pressures, photoacoustic pressures and the rate of change may indicate tissue anomalies in comparison to historic values.

Abstract: Medical software tools platforms utilize a surgical display to provide access to specific medical software tools, such as medically-oriented applications or widgets, that can assist surgeons or surgical team in performing various procedures. In particular, an endoscopic camera may register the momentary rise in the optical signature reflected from a tissue surface and in turn transmit it to a medical image processing system which can also receive patient heart rate data and display relevant anomalies. Changes in various spectral components and the speed at which they change in relation to a source of stimulus (heartbeat, breathing, light source modulation, etc.) may indicate the arrival of blood, contrast agents or oxygen absorption. Combinations of these may indicate various states of differing disease or margins of tumors, and so forth. Also, changes in temperatures, physical dimensions, pressures, photoacoustic pressures and the rate of change may indicate tissue anomalies in comparison to historic values.

Abstract: A method for imaging involves scanning an anatomical object within a patient and capturing reflected IR light with a plurality of cameras that are separate from the scanner. The IR images captured by the IR cameras are associated together to create an integrated image based on parallax between the IR cameras and the scanner. The integrated image is associated with a separate or optical light image of the anatomical object to generate an intra-operative 3D image that can be created in real-time. Systems for effectuating such imaging may include multiple surgical instruments supporting various cameras positioned to capture different fields of view and to increase parallax.

Abstract: Embodiments of an apparatus include a needle cartridge configured to attach to and interface with an actuating device. The needle cartridge includes a housing, a needle group assembly, and a fluid port. The housing forms a cavity and includes a first aperture and a second aperture opposite the first aperture. The needle group assembly includes a needle and a needle holder. The needle group assembly is configured to move in a reciprocating motion relative to the housing along an axis from the first aperture to the second aperture. During the reciprocating motion, the needle fully retracts into the cavity through the first aperture. The fluid port is integrated with the housing and includes a hollow projection forming a conduit and extending away from the housing. The fluid port includes a third aperture, wherein the fluid port is configured to interface with a fluid delivery system.

Abstract: A device for clearing obstructions from a medical tube includes a housing defining an interior, an exterior, and a port providing fluid communication therebetween. The device further includes an elongated guide wire residing at least partially within the housing, and first and second rollers defining a nip therebetween that are located within the housing. A guide wire extends through the nip and is drivable for advancement and retraction thereof through the port via rotation of the rollers.

Abstract: A surgical device including a handle assembly, an elongated portion, at least one window, an end effector, and a shroud is disclosed. The at least one window extends through an outer wall of the elongated portion and is configured to allow fluid to travel therethrough from an interior portion of the elongated portion to ambient air. The end effector is configured to selectively engage a distal portion of the elongated portion. The shroud is affixed to the end effector and extends proximally therefrom. The shroud is configured to cover the at least one window when the end effector is engaged with the elongated portion.

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 system for dental implant restoration is provided. It includes universal aligning adaptors and prosthetic components having co-operable indices, which together form a translational, integrating system which aligns, synchronizes, and references the prosthetic components about an implant's central axis of rotation. Rotation of an adaptor about a prosthetic component, with its reference point becoming aligned to a predetermined reference point on the prosthetic component, followed by the rotation of the adaptor/prosthetic component assembly about the implant, situates the prosthetic component in a predetermined position such that all other prosthetic components become synchronized to the adaptor's reference point. The prosthetic component is mechanical for clinical or lab bench use, or is virtual for restoration design in a software program, prior to milling prosthetic abutments or devices.

Abstract: Methods and dental prosthetics for providing soft tissue adhesion to a temporary healing abutment, or other dental prosthetic (e.g., temporary or permanent). Existing prosthetics generally do not provide any significant adhesion of the soft tissue surrounding the prosthetic, to the outer surface of the prosthetic itself. Because of the presence of gaps between such structures, or simple non-adhesion even where the structures may touch (but be free and unattached relative to one another), there is a tendency for pathogenic microbes to enter into such space between the structures, and for the soft gingival tissue to recede, particularly in patients with “thin” type periodontal tissue. The present disclosure provides materials and/or surface treatment (e.g., texturing) that ensures good bonding between the prosthetic and the soft tissue, reducing risk of infection, and reducing undesirable gingival recession surrounding the prosthetic anchored on a dental implant.

Abstract: A dental prosthesis formed of a composition comprising a polymeric material, the prosthesis comprising one or more locating formations adapted to receive a dental implant fixture or dental abutment, the or each locating formation comprising a recess comprising a first recess portion formed in the polymeric material of the prosthesis, and a second recess portion provided in a sleeve located in the prosthesis.

Abstract: A dental implant evaluation unit is disclosed and described. The dental implant evaluation includes a body portion having threads that mimic the general thread pattern of an actual dental implant, without attempting to copy any of the osseointegrative features of the actual implant. A threaded collar is associated with the body portion, and, in certain embodiments, a safety flange is screwed to the threaded collar. The safety flange prevents the dental implant evaluation unit from infiltrating the sinus of a patient when testing the fit of a maxillary implant. The dental implant evaluation unit can be used by a dentist to evaluate the proper size and fit for an actual dental implant by installing the dental implant evaluation unit, and imaging the same, prior to installing the actual dental implant.

Abstract: A dental abutment core with a prosthetic connection, a pillar and a shoulder located between the prosthetic connection and the pillar. The pillar has anti-rotational elements for preventing a custom body from rotating with respect to the dental abutment core. The pillar has a first portion adjacent to the shoulder, a second portion adjacent to the first portion, and a third portion farthest from the shoulder. A cross section of at least part of the first portion is circular and has an outer diameter which is lower than a cross section dimension of the second portion. The anti-rotational elements are located in the third portion. A method for manufacturing a dental abutment with such dental abutment core is also described.

Abstract: A method and system are provided for providing patient data useful for dental procedures, including scanning a dental structure of a patient when coupled to a geometric structure to provide a virtual model representative of the coupling and the dental structure, and relating the virtual model to a body reference of the patient.

Abstract: A blank for producing dental prostheses by particularly material-removing processing comprises a tooth element and a jaw element. These elements are preferably differently colored layers of a blank produced from the same material. In order to cover a dividing line between the differently colored regions, a gum element is arranged especially in a recess of the finished dental prosthesis.

Abstract: Bone-secured dental arch veneers and methods for fabricating and utilizing the same. The dental arch veneers include a veneer assembly having one or more tooth veneers and a support structure configured to support the tooth veneer(s). The dental arch veneers also include a coupling structure configured to interconnect the veneer assembly to a bone mount that is anchored along a user's maxilla or mandible. The coupling structure also is configured to permit the veneer assembly to be selectively and repeatedly interconnected with and disconnected from the bone mount. The methods include determining a target region within the user's mouth, obtaining a representation of the target region, manipulating the representation to create a desired arrangement of the user's teeth within the target region, determining anchoring positions proximate the target region for anchoring the bone mount, and forming the dental arch veneer based on the anchoring positions and the desired arrangement.

Abstract: The present invention involves a cleaning sleeve for cleaning the oral cavity, suitable to be applied over a finger or a tool to clean the inside of the oral cavity. The cleaning sleeve has a flat-layered structure comprising a sleeve portion formed by laminated sheet-like fabrics and a grip portion formed by a single-layer sheet-like fabric, wherein the sleeve portion comprises a working layer and a sleeve layer; the working layer and the sleeve layer form a head at the top, of the cleaning sleeve; and the grip portion is integrally extended from the Working layer. The cleaning sleeve is formed by ultrasonically bonding the two sides of a piece of folded degradable nonwoven fabric.

Abstract: A visual tooth cleaning, grinding and polishing instrument includes a host, an oral observation instrument and a cleaning and polishing tool. The host can drive the cleaning and polishing tool and supply a power source and a control system for an illuminating system, an observation system and the oral observation instrument. A picture shot by a camera of the observation system can be transmitted to a display of the observation system in time, so as to achieve the purposes of cleaning the teeth while observing a process of cleaning the dental calculus, dental plaque and pigmentation on the surface of the teeth with the cleaning and polishing tool and the cleaning effect instantly on a mobile phone, thereby effectively cleaning, grinding and polishing the teeth. A flusher or an electric toothbrush head or other interdental cleaning tools may also be mounted on the host or the oral observation instrument.

Abstract: An occlusion system implantable in a human or animal body, including a fluidic circuit which includes an inflatable occlusive sleeve, a reservoir with variable volume filled with a fluid. The reservoir includes a fixed portion and a movable portion, an actuator mechanically coupled with the movable portion of the reservoir to linearly displace the movable portion relative to the fixed portion for adjusting the volume of the reservoir. The actuator and the reservoir are laid out in a sealed casing containing a gas. A sensor mechanically bound to the actuator and/or to the movable portion, measures a traction and/or compressive force of the movable portion of the reservoir. Also included is a device for measuring the fluid pressure in the fluidic circuit.

Abstract: According to an aspect, a medical device includes an elongate member, a first arm extending from the elongate member, a second arm extending from the elongate member, the second arm being configured to move with respect to the first arm, and a needle coupled to the elongate member, the needle being configured to move with respect to the elongate member.

Abstract: The invention discloses an implant. The implant may include a first flap and a second flap. The first flap may further include a first portion, a second portion and a transition region. The first portion may be configured to be attached proximate a sacrum. The second portion may be configured to be attached to an anterior vaginal wall. The transition region lies between the first portion and the second portion. The second flap may be fabricated such that a portion of the second flap is configured to be attached to a posterior vaginal wall. The implant may be configured such that a value corresponding to a biomechanical parameter defining a biomechanical attribute of the portion of the first flap attaching to the anterior wall is different from a value of the biomechanical parameter defining the biomechanical attribute of the portion of the second flap attaching to the posterior wall.

Abstract: A surgical implant (20) comprises a flexible, areal basic structure (22) having a first face and a second face and being provided with pores (26) extending from the first face to the second face. A barrier layer (24) having a first face and a second face is placed, with its second face, at the first face of the basic structure (2) and attached to the basic structure (22). The barrier layer (24) is deformed into at least part of the pores (26) where it forms, in a respective pore (10), a barrier region (28).

Abstract: A repair prosthetic for repairing a hernia is disclosed. In some embodiments, the repair prosthetic includes a patch body, a frame that assists in spreading the patch body from a reduced configuration to an expanded configuration, and a plurality of tethers attached to the patch body at locations between the frame and a periphery of the patch body. In various embodiments, the tethers can be tensioned to mitigate curling or creasing in the patch body to flatten the patch to facilitate attachment to tissue.

Abstract: The present invention relates to a prosthesis (1) for hernia repair comprising a reinforcement layer (2), a first barrier layer (3) of anti-adhesion material covering at least a part of a surface of the reinforcement layer, and a second barrier layer of anti-adhesion material covering a remaining part of the surface of the reinforcement layer, the second barrier layer being formed of one or more flap member(s) (4).

Abstract: In a method of creating a modified tissue graft, at least one exterior surface of a graft is modified by compressing, cutting and/or removing one or more portions thereof, such as to create designed surface features which cause the tissue graft to have characteristics for a specific anatomical area. The modified tissue graft may comprise a medicated graft, such as by associating medicants with the surface features, or by associating a second graft or layer with a modified base tissue graft layer, where medicants are associated with the second graft or layer. The tissue graft may be modified by pressing a specially configured template or die, such as having blades thereon, into the tissue graft, such as to create a pattern of partial depth cuts.

Abstract: Aspects of the disclosure are directed to methods and/or apparatuses involving the deployment and coupling of catheters. As may be implemented in accordance with one or more embodiments, each of first and second catheters extend from a proximal end to a distal end and has a magnet. The catheters may be deployed, and the distal ends of the respective catheters can be aligned and connected via magnetic coupling of the magnets to one another. A shaft structure is configured and arranged to extend within the first catheter and into the second catheter, through the connected distal ends of the respective catheters.

Abstract: The present disclosure is directed to an Inferior Vena Cava (IVC) filter apparatus and related methods. The IVC filter apparatus comprises a body having a proximal hook thereon. A plurality of filter legs extends away from the proximal hook. A distal hook is position interior to at least a portion of the plurality of legs.

Abstract: Some embodiments of the present disclosure are directed generally to systems and methods for delivering an implant to a body vessel of a patient. Such disclosed implants may be a monofilament implant, and disclosed systems for implanting the implant may be automatic. Some embodiments may enable retraction of said implant back into the delivery system following partial exteriorization of the implant from the delivery system. Some embodiments may be configured for retraction of said implant from the patient's body following complete exteriorization of the implant from the delivery system. Some of the embodiments are directed at delivering a monofilament implant for preventing embolic stroke. Other embodiments are directed at preventing pulmonary embolism, occluding a body vessel such as the left atrial appendage, occluding a body passageway such as a patent foramen ovalae, stenting a body vessel, or releasing a local therapeutic agent such as a drug or ionizing radiation.

Abstract: Systems and methods can remove material of interest, including blood clots, from a body region, including but not limited to the circulatory system for the treatment of pulmonary embolism (PE), deep vein thrombosis (DVT), cerebrovascular embolism, and other vascular occlusions.