Abstract: A surgical instrument includes a first actuation assembly coupled to a first component and movable from a first position to a second position to actuate the first component. A biasing member coupled to the first actuation assembly is configured to bias the first actuation assembly towards the first position. A second actuation assembly is coupled to a second component and is selectively actuatable to actuate the second component. The second actuation assembly is coupled to the first actuation assembly such that actuation of the second actuation assembly effects movement of the first actuating assembly from the first position towards the second position. A linkage assembly is configured to reduce the bias applied to the first actuation assembly when the second actuation assembly effects movement of the first actuation assembly.

Abstract: A surgical instrument includes an elongated shaft supporting an end effector assembly, a sheath slidably disposed about the elongated shaft and the end effector assembly, and a housing disposed at a proximal end portion of the elongated shaft. Inflow, outflow, and common tubes extend into the housing. A manifold is disposed within the housing and defines an inflow port fluidly coupled to the inflow tube, and outflow port fluidly coupled to the outflow tube, and a common tube port fluidly coupled to the common tube. First and second valve assemblies are disposed within the housing and operably coupled to the manifold. The first valve assembly is configured to selectively control a flow of fluid from the inflow tube to the interior of the sheath, and the second valve assembly is configured to selectively control a flow of fluid from the interior of the sheath to the outflow tube.

Abstract: A method comprising sealing a vessel residing within tissue between jaws of forceps by sensing an amount of tissue held within the forceps, the sensing by passing electrical current through the tissue by way of the forceps. The method comprises heating the tissue using electrical current, the heating such that impedance of the tissue changes at a first predetermined rate, the first predetermined rate selected based on the sensing. The method comprises desiccating the tissue using electrical current, such that the impedance of the tissue changes at a second predetermined rate different than the first predetermined rate. The method comprises ceasing application of the electrical current to the tissue when impedance of the tissue reaches a predetermined value. Sensing the amount of tissue held within the forceps comprises varying electrical current flowing through the tissue through the forceps such that impedance of the tissue changes at a third predetermined rate.

Abstract: A surgical instrument includes an end effector assembly having first and second jaw members at least one of which is movable relative to the other between a spaced-apart position and an approximated position for grasping tissue therebetween. A sheath is movable relative to the end effector assembly between a retracted position, wherein the sheath is positioned proximally of the first and second jaw members, and an extended position, wherein the sheath is disposed about the first and second jaw members. The sheath is configured to fluidly couple to a source of at least one of suction or irrigation to provide at least one of suction or irrigation at a surgical site.

Abstract: An end effector assembly includes a base portion including a pivot assembly. A first portion of the pivot assembly is pivotally coupled to the distal end portion of the elongated shaft. A second portion of the pivot assembly is pivotally coupled to a distal portion of the push rod. The push rod moves the second portion of the pivot assembly between a proximal position and a distal position. An electrode substantially covers a distal surface of the base portion. The electrode receives electrosurgical energy from the electrosurgical generator and transmits the electrosurgical energy to treat tissue.

Abstract: A method of ablating a target body tissue, such as uterine endometrial lining tissue, includes applying an agent comprising HAuCl4 to the target body tissue, wherein the HAuCl4 has a molecular size greater than 50 microns.

Abstract: The invention generally relates to systems and methods for treating at least one of rhinitis, congestion, and/or rhinorrhea via thrombus formation.

Abstract: An apparatus (150) for ablating a tumor in a lung including: an elongate shaft (149); an obturator (152) positioned at a distal region of the elongate shaft, a suction lumen (166) extending through the elongate shaft and exiting the shaft distal to the obturator, wherein the suction lumen is configured to remove air or fluid from the portion of the lung, an ablation catheter delivery lumen (153) extending through the elongate shaft and exiting the shaft distal to the obturator, and an ablation catheter (155, 154) comprising an RF electrode (156, 157).

Abstract: An apparatus includes a fluid bag support coupling, a signal generating assembly, and a signal output driver circuit. The fluid bag support coupling is configured to support a fluid source. The signal generating assembly is configured to generate a signal in response to an amount of fluid within the fluid source. The signal output driver circuit is in electrical communication with the signal generating assembly. The signal output driver circuit is configured to transmit the signal from the signal generating assembly to a working element configured to perform a task. The signal is configured to inhibit the working element from performing the task when the amount of fluid within the fluid source reaches a predetermined threshold amount.

Abstract: An example medical device is disclosed. The medical device includes a catheter shaft including a distal end portion, wherein the distal end portion includes an ablation assembly. The ablation assembly includes an expandable frame including a base, an end region and a plurality of struts extending between the base and the end region, the struts defining a plurality of apertures along the frame. The ablation assembly also includes an electrical circuit coupled to an inner surface of the second end region of the frame, the electrical circuit including a plurality of ablation electrodes coupled thereto. Further, the expandable frame is designed to shift from a delivery configuration in which the ablation electrodes face inward from the inner surface of the expandable frame to an expanded configuration in which the ablation electrodes face away from the base of the expandable frame.

Abstract: The present disclosure provides methods and systems for limiting arcing during an electroporation procedure. A method includes delivering a calibration shock using a catheter, measuring a current delivered during the calibration shock and a voltage delivered during the calibration shock, calculating, using a processing device, a calibration shock impedance based on the delivered current and the delivered voltage, calculating, using the processing device, a bridge impedance based on the calibration shock impedance and a target impedance, wherein the bridge impedance is a difference between the calibration shock impedance and the target impedance, adding an impedance in series with the catheter, the impedance being greater than or equal to the bridge impedance, and delivering a therapeutic shock using the catheter in series with the added impedance.

Abstract: Methods, systems and devices for treating a patient include providing a tissue treatment element constructed and arranged to deliver energy to tissue and treating tissue of the gastrointestinal tract by causing the tissue treatment element to deliver energy to an energy delivery zone. Treatment results in a reduction in the luminal surface area of at least a portion of the gastrointestinal tract. In particular embodiments, the methods, systems and devices are used to treat diabetes.

Abstract: Microwave antennas and devices incorporating such antennas usable for performing procedures on or within a patient's body using a shaped microwave field.

Abstract: The invention relates to a device (17) for treatment of body tissue, in particular for the permanent occlusion of varicose veins, preferably in the lower limbs, of varicocele and/or of vascular malformations and/or for the use in aesthetic surgeries, preferably laser assisted lipolysis, and/or for tumor treatment by means of laser induced thermotherapy and/or photodynamic therapy, by means of a light diffuser (13) circumferentially and endoluminally irradiating said tissue by laser light energy, said diffuser (13) being connected at its proximal end to a source (10) of laser light energy via a flexible wave guide (12) comprising a fiber optic core (1) covered by an optical cladding (2) having a refractive index smaller than that of the core (1), wherein in the cladding (2) and/or in the core (1) imperfections (18) are provided, designed as recesses and adapted to direct the light, preferably to refract and/or reflect the light propagating within the core (1) and/or its optical cladding (2) in generally radial

Abstract: A catheter system includes a catheter having an elongate shaft, a balloon and a light guide. The balloon expands from a collapsed configuration to a first expanded configuration. The light guide is disposed along the elongate shaft and is in optical communication with a light source and a balloon fluid. A first portion of the light guide extends into a recess defined by the elongate shaft. A protection structure is disposed within the recess and is in contact with the first portion of the light guide. The light source provides pulses of light to the balloon fluid, thereby initiating plasma formation and rapid bubble formation within the balloon, thereby imparting pressure waves upon a treatment site. The protection structure can provide structural protection from the pressure waves to the first portion of the light guide.

Abstract: An implant surface mapping and unwrapping method provided by the present invention selects or defines a mesh implant geometry, and places and rotates it in a specific spatial position according to a mesh. Vertex space coordinates, which are interpolated in medical images such as computed tomography, magnetic resonance imaging, or ultrasound to calculate the gray scale values of these spatial coordinate points, and map them on the surface of the implant. In addition, the implant is irregular. The surface can be further unwrapped through the planar image to help understand its contact with the anatomy. If the medical image is pre-converted to other anatomical, physiological, pathological, and functional parameters, the mapping and unwrapping results will also be displayed with these parameters. Learn more about the relationship between implants and these parameters.

Abstract: Systems are provided for generating data representing electromagnetic states of a heart for medical, scientific, research, and/or engineering purposes. The systems generate the data based on source configurations such as dimensions of, and scar or fibrosis or pro-arrhythmic substrate location within, a heart and a computational model of the electromagnetic output of the heart. The systems may dynamically generate the source configurations to provide representative source configurations that may be found in a population. For each source configuration of the electromagnetic source, the systems run a simulation of the functioning of the heart to generate modeled electromagnetic output (e.g., an electromagnetic mesh for each simulation step with a voltage at each point of the electromagnetic mesh) for that source configuration.

Abstract: A method and system are provided to determine an optimal placement with respect to position and orientation for one or more bones in a workspace of a robot to improve robotic cutting and maximize the robot workspace during a robotic surgical procedure. The method is additionally useful to aid a user in positioning and orienting the bones in the operating room at the determined position and orientation.

Abstract: Some embodiments provide systems, assemblies, and methods of analyzing patient anatomy, including providing an analysis of a patient's spine, and also analyzing the biomechanical effects of implants. In some embodiments, the systems, assemblies, and/or methods can include obtaining initial patient data, acquiring spinal alignment and contour information, acquiring flexibility and/or biomechanical information, registering patient anatomical landmarks of interest relative to fiducial markers, analyzing databases of measurements and patient data to predict postoperative patient outcomes. Further, in some embodiments, the systems, assemblies, and/or methods can assess localized anatomical features of the patient, and obtain anatomical region data. In some embodiments, the systems, assemblies, and/or methods can also analyze the localized anatomy and therapeutic device location and contouring.

Abstract: A computer-implemented method for creating an activity-optimized cutting guides for surgical procedures includes receiving one or more pre-operative images depicting one or more anatomical joints of a patient, and creating a three-dimensional anatomical model of the one or more anatomical joints based on the one or more pre-operative images. One or more patient-specific anatomical measurements are determined based on the three-dimensional anatomical model. A statistical model of joint performance is applied to the patient-specific anatomical measurements to identify one or more cut angles for performing a surgical procedure. A patient-specific cutting guide is created that comprises one or more apertures positioned based on the one or more cut angles.

Abstract: The systems and method described herein can generate guidance images that can indicate the real-time position of a medical device within an anatomical target. For example, the images can be high-resolution, 3D holographic renderings of a catheter (an example medical device) within a patient's heart (an example anatomical target). The guidance system can generate images that include computer generated (CG) images or models of the medical device and target anatomy. The guidance system can generate the CG images of the target anatomy from pre-operative images of a first modality, such as CT images or MR images. The guidance system can determine real-time placement position of the medical device from an intra-operative image of a second modality, such as fluoroscopic images.

Abstract: One variation of a method includes: accessing a virtual patient model defining a target resected contour of a hard tissue of interest; after resection of the hard tissue of interest during a surgical operation, accessing an optical scan recorded by an optical sensor facing a surgical field occupied by a patient, detecting a set of features representing the patient in the optical scan, registering the virtual patient model to the hard tissue of interest in the surgical field based on the set of features, and detecting an actual resected contour of the hard tissue of interest in the optical scan; and calculating a spatial difference between the actual resected contour of the hard tissue of interest and the target resected contour of the hard tissue of interest represented in the virtual patient model registered to the hard tissue of interest in the surgical field.

Abstract: Apparatus and methods are described including acquiring 3D image data of a targeted skeletal portion within a body of a subject, and a 2D radiographic image of the targeted skeletal portion. A machine-learning engine is used to generate machine-learning data based on (i) the 3D image data of the targeted skeletal portion, (ii) a database of 2D projection images generated from the 3D image data, and (iii) respective values of one or more viewing parameters corresponding to each 2D projection image. A computer processor receives the machine-learning data, receives the 2D radiographic image of the targeted skeletal portion, and registers the 2D radiographic image to the 3D image data by using the machine-learning data to find a 2D projection from the 3D image data that matches the 2D radiographic image of the targeted skeletal portion. Other applications are also described.

Abstract: Surgical instrument calibration methods, systems, and devices are provided that allow a virtual representation of a surgical instrument to be modified to adjust for any variations in a distal tip of a surgical instrument. For example, an instrument calibration system is provided that can have a surgical instrument, a calibration instrument, and a monitoring system. The surgical instrument can have a distal tip and an orientation element thereon, and the calibration instrument can have a pivot point thereon and a calibration reference element attached thereto. The monitoring system can be configured to record movement of the surgical instrument with respect to the calibration instrument when the tip of the surgical instrument is inserted into the pivot point of the calibration instrument, and to calculate a deviation of the tip of the surgical instrument from a predefined ideal tip based on the recorded movement.

Abstract: A surgical visualization system is disclosed including an imaging device including an imaging lens, a lens cleaning system, a user interface, and a control circuit. The control circuit is configured to monitor a parameter indicative of lens transparency of the imaging lens and present, through the user interface, a lens transparency level based on the parameter.

Abstract: A surgical system that includes a surgical instrument, a display device, and a controller. The surgical instrument is configured for insertion at least partially into an internal body cavity of a patient, the surgical instrument having an adjustable setting. The controller is in communication with the surgical instrument and the display device. The controller includes a memory storing the adjustable setting of the surgical instrument and a processor. The processor reads from memory the adjustable setting of the surgical instrument and generates a virtual button corresponding to the adjustable setting of the surgical instrument. The generated virtual button is displayed and selectable by a user to implement a corresponding setting on the surgical instrument.

Abstract: A method of using a surgical modular robotic assembly including an interchangeable motor pack, a hand-held surgical instrument, and a robotic surgical instrument is disclosed. The method includes releasably attaching an interface portion of the interchangeable motor pack to the hand-held surgical instrument, causing the interchangeable motor pack to drive a first surgical tool of the hand-held surgical instrument, stopping the interchangeable motor pack from driving the first surgical tool, disconnecting the interface portion from the hand-held surgical instrument, and releasably attaching the interface portion of the interchangeable motor pack to the robotic surgical instrument.

Abstract: A robotic surgical system includes a first automated surgical system with a first user control console; a first robotic actuator; and a first surgical system controller comprising a first processor and a first memory component configured to store a first set of processor instructions and a first set of processor data. The robotic surgical system further includes a first surgical system communication interface; and a second automated surgical system that has a second user control console; a second robotic actuator; a second surgical system controller comprising a second processor and a second memory component configured to store a second set of processor instructions and a second set of processor data; and a second surgical system communication interface in data communication with the first surgical system communication interface. The second automated surgical system is controllable through the first user control console.

Abstract: A system for controlling a robotic arm is disclosed. The system includes a robotic arm including a surgical tool, a tool driver, and at least two sensors disposed on the robotic arm to redundantly monitor a status of the robotic arm and to verify an operational parameter of the surgical robotic tool. A central control circuit is configured to measure a first physical property of the robotic arm based on readings from the first sensor, measure a second physical property of the robotic arm based on readings from the second sensor, and determine a status of the robotic arm based on the first and second measurements of the first and second physical properties of the robotic arm.

Abstract: Various connection detection assemblies for a robotic surgical assembly are disclosed. The robotic surgical assembly can include a carriage, a carriage housing releasably connectable to the carriage, a motor housing configured to house a motor pack for driving the surgical instrument, wherein the motor housing is releasable connectable to the carriage housing, and an interface module configured to releasably secure the robotic surgical assembly to the surgical instrument. The robotic surgical assembly can also include a series of interconnections defined by mating portions of the carriage, the carriage housing, the motor housing, and the interface module. A control circuit configured to detect a fully engaged configuration of the mating portions based on the interconnections.

Abstract: A surgical instrument drive system is configured to actuate functions of a surgical end effector. The surgical instrument drive system includes a first rotary input drive gear configured to be driven by a corresponding first rotary output drive gear of a surgical robot interface; a second rotary input drive gear configured to be driven by a corresponding second rotary output drive gear of a surgical robot interface; and a shifter.

Abstract: An adapter module is configured to be coupled to a robotic arm of a robotic surgical system and a surgical instrument. The adapter module has a first interface configured to engage a second interface of the surgical instrument to removably secure the surgical instrument thereto. The adapter module further includes a sensor configured to detect whether the second interface is fully engaged with the first interface, and a control circuit coupled to the sensor. The control circuit is configured to monitor the sensor to determine an engagement status of the surgical instrument, and prevent activation of a component of the robotic surgical system in a disengaged status.

Abstract: A control system for a surgical instrument for use with a surgical system. The surgical system comprises a first device and a second device, which can include a surgical hub, a visualization system, or a robotic system. The control system comprises an RFID scanner and a control circuit coupled to the RFID scanner. The control circuit is configured to receive data from RFID tags associated with the devices, determine a communication protocol for communicating with the devices, and accordingly cause the surgical instrument to utilize the determined communication protocol to establish a communication link between the surgical instrument and the devices.

Abstract: A control system for a surgical instrument. The control system comprises an RFID scanner and a control circuit coupled to the RFID scanner. The control circuit is configured to receive data from RFID tags associated with devices and/or users, determine a type of the surgical instrument being utilized or surgical procedure being performed according to the received data, and determine an operational setting for the surgical instrument or another device within the surgical system, which may be tailored according to the particular user identity scanned by the RFID scanner.

Abstract: Systems and methods relating to medical technology are disclosed. For example, a medical robotic system can include first and second robotic arms. An introducer can be coupled to the first robotic arm. The introducer can include a first opening, a second opening, and a channel connecting the first opening and the second opening. A flexible elongate medical tool can be coupled to the second robotic arm. The second robotic arm can be configured to drive the flexible elongate medical tool through the introducer coupled to the first robotic arm and into a patient.

Abstract: The various inventions relate to robotic surgical devices, consoles for operating such surgical devices, operating theaters in which the various devices can be used, insertion systems for inserting and using the surgical devices, and related methods.

Abstract: Various exemplary drive apparatuses and associated methods are disclosed for driving an elongated member, e.g., a catheter, sheath, or guidewire. An exemplary drive apparatus may include a first component and a moveable component, each configured to selectively grip the elongated member. In some examples, the first and moveable components may each include a gripping device. The moveable component may be configured to selectively move axially and rotationally with respect to a support surface to effect axial movement and rotation movement, respectively, of the elongated member with respect to the support surface within a range of motion of the moveable component. The moveable component may be configured to move the elongated member across a predetermined movement having a magnitude greater than the range of motion.

Abstract: A system for controlling a first robotic arm relative to a second robotic arm is disclosed. The system includes a two robotic arms each including a surgical tool and a tool driver. A central control circuit is configured to communicate with the robotic arms to determine a position of the robotic arms and modify a control algorithm for one of the robotic arms based on the relative position of the other robotic arm.

Abstract: Various cooling systems are disclosed for a robotic surgical system that comprises a robotic arm and an end effector movable by the robotic arm. A cooling assembly can comprise a first enclosure within a sterile environment and a second enclosure external to the sterile environment. The first enclosure can be fluidically isolated from the sterile environment. The first enclosure can comprises or house a motor configured to actuate the end effector in the sterile environment. The first enclosure and the second enclosure can be thermally and fluidically coupled to transfer thermal energy from the motor housed within the first enclosure.

Abstract: A surgical access system is disclosed including a first robotic arm, a second robotic arm, and a surgical access device. The surgical access device includes an atraumatic outer housing defining an outer perimeter, a first access port including a first seal, a second access port including a second seal, a first docking portion, and a second docking portion. The first access port is configured to receive a first surgical tool and the second access port is configured to receive a second surgical tool. The first robotic arm is configured to be releasably coupled to the first docking portion to define a first remote center for the first surgical tool at the first access port and the second robotic arm is configured to be releasably coupled to the second docking portion to define a second remote center for the second surgical tool at the second access port.

Abstract: A robotic surgical system for treating a patient comprises a first robotic arm configured to remotely control a surgical instrument that is positionable within a cavity of the patient; a second robotic arm configured to remotely control a device that is passable through an orifice of the patient; and a control circuit communicatively couplable to the first and second robotic arm. The first and second robotic are each attached to a surgical platform. The control circuit is configured to determine a position of the arms; cause each of the first and second robotic arm to change their respective position and orientation based on an adjustment of a platform position of the surgical platform; and control the first robotic arm and the second robotic arm to cooperatively interact to perform a surgical operation.

Abstract: A surgical simulation device includes a support structure and animal tissue carried in a tray. A simulated human skeleton is carried by the support structure above the animal tissue and includes simulated human skin. A camera images the animal tissue and an image processor receives images of markers positioned on the ribs and animal tissue and forms a three-dimensional wireframe image. An operating table is adjacent a local robotic surgery station as part of a robotic surgery station and includes at least one patient support configured to support the patient during robotic surgery. At least one patient force/torque sensor is coupled to the at least one patient support and configured to sense at least one of force and torque experienced by the patient during robotic surgery.

Abstract: Certain aspects relate to systems and techniques for alignment and docking of robotic arm of a robotic system for surgery. In one aspect, the system includes a robotic arm, a drive mechanism attached to the robotic arm, and a cannula. The system may further include a first sensor coupled to either the robotic arm or the drive mechanism configured to direct automatic movement of the robotic arm towards the cannula, and a second sensor, that is different than the first sensor, coupled to either the robotic arm or the drive mechanism configured to direct manual movement of the robotic arm towards the cannula.

Abstract: Provided are systems and techniques for a medical procedure. For example, the system may include one or more robotic arms, an imaging device, a master controller, a viewer configured to render one or more digital images based on image data from the imaging device, at least one computer-readable memory having stored thereon executable instructions, and one or more processors. The one or more processors may be configured to execute the instructions to cause the system to: in a first mode of operation, cause movement of at least one of the robotic arms; and in a second mode of operation, cause the viewer to display an interactive menu and a graphical overlay on the one or more digital images.

Abstract: A system for wireless transfer of power from a robotic arm to a surgical instrument assembly of a surgical robotic system includes a wireless power transmission coil on a robotic arm. A surgical instrument assembly is removably attachable to the robotic arm and includes a surgical instrument shaft and end effector, and a motor operable to actuate or articulate the end effector of the surgical instrument. A wireless power receive coil on the surgical instrument assembly is in electrical communication with the motor.

Abstract: A surgical instrument assembly includes an attachment interface defining an inner cavity; a surgical tool comprising a shaft configured to be inserted into and operably attached to said attachment interface; and a seal positioned within said inner cavity, wherein said seal is configured to compress against said shaft as said surgical tool is inserted into and attached to said attachment interface to prevent the passage of debris from the external environment into said attachment interface as said surgical tool is attached to said attachment interface.

Abstract: Certain aspects relate to medical instruments including wrists with hybrid redirect surfaces. Such medical instruments can include, for example, a shaft with a wrist positioned at a distal end. The wrist can include a proximal clevis connected to the shaft and a distal clevis pivotally connected to the proximal clevis. The wrist can also include a static redirect surface, such as a face of a clevis, and a dynamic redirect surface, such as a pulley. The instrument can include an end effector connected to the distal clevis. A plurality of pull wires can extend through the shaft and the wrist and engage with and actuate the wrist and the end effector. A first pull wire segment of the plurality of pull wires can engage the static redirect surface, and a second pull wire segment of the plurality of pull wires can engage the dynamic redirect surface.

Abstract: Certain aspects relate to medical instruments including wrists with hybrid redirect surfaces. Such medical instruments can include, for example, a shaft with a wrist positioned at a distal end. The wrist can include a proximal clevis connected to the shaft and a distal clevis pivotally connected to the proximal clevis. The wrist can also include a static redirect surface, such as a face of a clevis, and a dynamic redirect surface, such as a pulley. The instrument can include an end effector connected to the distal clevis. A plurality of pull wires can extend through the shaft and the wrist and engage with and actuate the wrist and the end effector. A first pull wire segment of the plurality of pull wires can engage the static redirect surface, and a second pull wire segment of the plurality of pull wires can engage the dynamic redirect surface.

Abstract: A detachable motor pack, for use with multiple electrical surgical instruments, includes a housing; a plurality of motors retained within the housing; a controller configured to control one or more operations of the plurality of motors; a first interface portion, wherein the first interface portion is configured to releasably attach to a hand-held surgical instrument and to a robotic surgical instrument; and a second interface portion, wherein the second interface portion is configured to releasably attach to a first surgical tool of the hand-held surgical instrument and to a second surgical tool of the robotic surgical instrument.

Abstract: [Object] To provide a tactile presentation apparatus that makes it possible to reduce a noise to be transmitted to a force sensor. [Solution] A tactile presentation apparatus including: an operation unit operated by a user; a vibration unit that presents a vibration of an operation target of the operation unit; a contact unit that transmits the vibration by the vibration unit to the user; and an installation unit coupled to the operation unit, over the contact unit provided via an elastic body.