Abstract: A surgical port manipulator includes a body housing a motion source, an arm coupled to the body, a load sensor associated with the arm, and a controller in communication with the load sensor and the motion source. The arm has an end configured to rotatably couple a surgical port thereto such that the surgical port is rotatable relative to the arm in at least two degrees of freedom in response to a supply of power from the motion source. The load sensor is configured to sense a load exerted on the surgical port. The controller is configured to direct the motion source to move the surgical port in a direction in response to the load sensor sensing a threshold load oriented in the direction.

Abstract: Methods of accelerating bone cuts, and the devices used therefore, are disclosed. The methods can involve the use of robotic cutting tools.

Abstract: A bone anchoring device includes an anchoring element having a shank for anchoring in a bone and a head, a receiving part configured to pivotably receive the head, and a pressure member for exerting pressure on the head to clamp the head in the receiving part, the pressure member defining a head receiving recess for pivotably holding at least a portion of the head therein and comprising a first surface configured to restrict removal of the head from the head receiving recess. The head includes a first position indication structure configured to engage a second position indication structure of the bone anchoring device when the shank assumes a first angular position relative to the receiving part. The first and second position indication structures disengage from one another when the shank is moved out of the first angular position to a different angular position.

Abstract: A method of assembly for a bone fastener is provided. The method includes the steps of: engaging a retainer with an implant receiver in a relatively fixed position; translating the retainer relative to the implant receiver to an expandable orientation; and manually engaging a screw shaft with the retainer to connect the implant receiver with the screw shaft. Implants, systems and instruments are disclosed.

Abstract: A rib fixation plate is provided that is can have one or more locking rib hooks that can translate and rotate independently from one another. The one or more locking rib hooks translate and rotate when in an unlocked conformation and are secured from translation and rotation when in a locked conformation. The plate includes a first end and a second end opposite of the first end, the second end having a housing assembly configured to receive a rod. The rod can be secured to a vertebra with a pedicle screw.

Abstract: Surgical plating systems, devices, and related methods for stabilizing and immobilizing portions of a body for surgical procedures, e.g., spinal surgery, are disclosed herein. The plating systems can have narrow profiles that minimize trauma to the patient. An exemplary bone plating system can include a bone plate having one or more holes for receiving attachment members to couple the bone plate to a bony structure. The plating system can provide multipoint fixation to anatomical structures of the patient to prevent unwanted migration of the bone plate and/or unintentional back-out of the attachment members. In some embodiments, the attachment members can be disposed at various trajectories and angles relative to plating structures and can include a mesh construct and/or additional locking features. In some embodiments, the plating system can be introduced into the patient via an access tube to further limit the invasiveness of the procedure.

Abstract: A persuader instrument for advancing a fixation rod into a vertebral implant includes a housing and at least one arm. The at least one arm can include detents for detachable connection to the vertebral implant. The persuader instrument can also include a shaft coupled to an anchor. The anchor can include a fixation rod engagement surface. The shaft can be axially displaceable through the housing to axially displace the anchor and a rod engaged by the anchor. The persuader instrument can further include an auto-locking ratchet assembly in releasable engagement with the shaft. The auto-locking ratchet assembly can control axial displacement of the shaft through the longitudinal passage of the housing.

Abstract: A bone plate includes a plate body defining an outer surface, an opposed bone-facing surface, and a combination hole comprising a locking hole and a compression hole that intersect one another and each extending from the outer surface to the bone-facing surface. The locking hole and the compression hole extend away from each other along a longitudinal axis. The plate body further defines a locking surface that defines the locking hole, and a second surface that defines the compression hole. The locking surface further defines a plurality of columns sequentially located about a central axis of the locking hole, a plurality of recesses located, respectively, between at least some of the columns, and plate threads that traverse each of the columns. Crests of the plate threads extend linearly from a first side of each column to a second side of each column.

Abstract: Disclosed herein are a bone plating system and a method for utilizing the same. The bone plating system may include first and second bone plates in contact with respective first and second bones, a cross-connector, a cutting guide and a targeter device. The cross-connector may have a first end and an opposite second extending along a longitudinal axis from the first bone plate to the second bone plate. The cutting guide may have an elongate body placed on one of the first or second bones. The targeter device may have a drill guide to align the cross-connector with the first and second bone plates. A method for fixing the bone plating system to the first and second bone may include using the targeter device.

Abstract: A surgical screw system and device with a screw head having multiple insertion engagement features. The screw preferably a tubular body having a first end and a closed second end, wherein the head configured to engage with a diiver to advance the screw into the bone. The head of the screw has at least two different insertion features, such as a cross shaped insertion feature and a hexalobe shaped insertion. The screw can be advanced or removed via a driver that mates with the cross shaped or the hexalobe shaped insertion features.

Abstract: This invention comprises a novel approach for the refixation of a loosened implant to bone, wherein the novel approach comprises providing access to a boundary region between the implant and the bone; removing abnormal interface tissue, wear debris and/or bone cement debris from the boundary region; and inserting bone fixation material into the boundary region so that the bone fixation material engages the implant and the bone and thereby effects refixation of the loosened implant to the bone.

Abstract: A bone graft delivery kit includes a hollow tube having a proximal end and a distal end. The hollow tube is configured to convey graft material to a graft receiving area in a patient. The hollow tube can be connected to an implant. The kit further includes a plunger to facilitate moving the graft material through the hollow tube.

Abstract: A kyphoplasty system includes various instruments which can be selectively used in a surgical theater (e.g., during a surgical operation on a patient) or a surgical training environment. The kyphoplasty system can include one or more of a kyphoplasty apparatus, a prone table mat, a connector system, a bone introducer needle, and a biopsy device. The kyphoplasty system may also include a training system for use in the training environment.

Abstract: A kyphoplasty system includes various instruments which can be selectively used in a surgical theater (e.g., during a surgical operation on a patient) or a surgical training environment. The kyphoplasty system can include one or more of a kyphoplasty apparatus, a prone table mat, a connector system, a bone introducer needle, and a biopsy device. The kyphoplasty system may also include a training system for use in the training environment.

Abstract: A kyphoplasty system includes various instruments which can be selectively used in a surgical theater (e.g., during a surgical operation on a patient) or a surgical training environment. The kyphoplasty system can include one or more of a kyphoplasty apparatus, a prone table mat, a connector system, a bone introducer needle, and a biopsy device. The kyphoplasty system may also include a training system for use in the training environment.

Abstract: A kyphoplasty system includes various instruments which can be selectively used in a surgical theater (e.g., during a surgical operation on a patient) or a surgical training environment. The kyphoplasty system can include one or more of a kyphoplasty apparatus, a prone table mat, a connector system, a bone introducer needle, and a biopsy device. The kyphoplasty system may also include a training system for use in the training environment.

Abstract: This invention discloses a DBD plasma therapy device with replaceable dielectric barrier for treating different patients with different medical conditions. The plasma therapy device is equipped with a variety of dielectric barriers. The dielectric barriers may have different electrical characteristics (which are determined by their materials as well as physical dimensions and shapes) to adapt for the treatment of different types of biological tissues. The dielectric barrier of the plasma therapy device can be replaced to avoid contamination and cross-infection. As an additional feature, the plasma device further comprises an optical sensor, such as a spectroscopic sensor, for monitoring the emission spectrum of the plasma discharge. The emission spectrum can be utilized to analyze the composition of the reactive species generated by the plasma discharge and provide feedback control to the plasma therapy device.

Abstract: Embodiments of the present invention generally relate to methods, devices, and systems for reducing a pigmentation of a skin of a patient. In some embodiments, freezing of the skin may be desirable to effect the hypopigmentation of the skin of the patient. Generally, embodiments may limit supercooling (or promote freezing) of the skin of the patient during a cooling treatment. In some embodiments, coupling fluids are provided to reduce a thermal contact resistance between a cooling treatment probe and the skin of the patient to improve cooling treatment. Optionally, a fluid carrier may be provided to help retain the coupling fluid at the treatment site. In some embodiments, the coupling fluid may include ice nucleating agents to promote ice crystal formation in the coupling fluid during cooling treatment. The ice crystal formation in the coupling fluid may progress into the skin to limit supercooling of the skin during treatment.

Abstract: A method for applying cold atmospheric plasma treatment to target tissue comprising the steps of selecting through a graphical user interface a particular soft tissue sarcoma cell line associated with target tissue, retrieving, with said computing device, settings data associated with said selected soft tissue sarcoma cell line from a database of cell line data and associated settings data in a storage, and applying, with said computing device, said retrieved settings data to a cold atmospheric plasma system.

Abstract: The present invention relates to a lactoferrin-conjugated nanoparticle complex and a novel use thereof. In the nanoparticle complex according to the present invention, lactoferrin or polyethylene glycol-lactoferrin is bound to metal nanoparticles, and according to this construction, it can be confirmed that the metal nanoparticles are not only efficiently targeted to the brain tumor tissues, but also the stability of the metal nanoparticles can be maintained even in the in vivo conditions, and thus it is expected in the treatment of brain tumors to be treatable to targets by approaching more fundamentally.

Abstract: A high-frequency generator connects an electrosurgical instrument, including an electrical output connection point for an electrosurgical instrument, a power supply, which is at least indirectly connected to the output connection point, and a power controller for controlling the electrical output power output via the output connection point. The power controller is designed to begin the output of an electrical output power when an output energy balance amount is greater than an output energy limit value and to end the output of the electrical output power when the output energy balance amount falls below a minimum value.

Abstract: A cautery device for tissue-preserving cauterization of a target area has an atraumatic cauterizing tip for applying a current to the target area, the atraumatic cauterizing tip having a suction port therein and a sidewall surrounding the distal face having one or more vents therein. The cautery device also includes an opening of a suction tube that extends up into the cautery device for applying suction to the target area, and at least one actuator configured to move the atraumatic cauterizing tip in an oscillatory motion about an axis perpendicular to the longitudinal axis of the sheath concurrently with application of the current and the suction.

Abstract: An arthroscopic surgical temperature control system and method able to monitor and control the temperature within a surgical site during arthroscopic ablation procedures in order to prevent tissue damage is provided.

Abstract: An effector includes a tubular body having a proximal end and a distal end. The effector holds a plug or closure at the distal end of the tubular body; an active electrode at the distal end of the body; an insulator on the body; and one or more return electrodes on the insulator.

Abstract: A bipolar electrosurgical instrument is provided. The bipolar electrosurgical instrument includes first and second shafts each having a jaw member extending from a distal end thereof and a handle disposed at a proximal end thereof for effecting movement of the jaw members relative to one another. A first conductive lead is adapted to connect to a first electrical potential and a second conductive lead is adapted to connect to a second electrical potential. One of the first and second conductive leads extends through the pivot to connect to a respective jaw member.

Abstract: A surgical instrument includes a housing that supports an elongated shaft. A selectively movable drive rod extends through the elongated shaft and carries a cam pin in a longitudinal direction. An end effector for surgically treating tissue is supported by the elongated shaft and includes upper and lower jaw members pivotally coupled to one another about a pivot axis. The upper jaw member includes a first pair of laterally spaced flanges, and the lower jaw member includes a second pair of laterally spaced flanges defining a camming slot for engaging the cam pin. The flanges are arranged in an offset configuration where one flange of the upper jaw member is positioned on a laterally exterior side of a corresponding flange of the lower jaw member, and the other flange of the upper jaw member is positioned on a laterally interior side of the other flange of the lower jaw member.

Abstract: An end effector apparatus for a surgical instrument is disclosed including a housing having a first jaw mounted on a revolute joint and providing a first electrical conduction path between the housing and the first jaw. A second jaw is mounted on a revolute joint within the housing and is insulated from the housing, the jaws each having a manipulating portion and a lever arm. A yoke is received within the housing and mechanically coupled to the lever arms and to a control link and is moveable in response to movements of the control link to cause opening and closing of the jaws, the yoke being electrically insulated from the housing and the first jaw. A second electrical conduction path is provided between the control link and the second jaw. The electrical conduction paths facilitate conduction of an electrocauterization current through tissue grasped between the jaws.

Abstract: Embodiments of medical treatment including skin treatment using electrical energy, especially with the primary purpose for skin treatment for aesthetics are described generally herein. Other embodiments may be described and claimed.

Abstract: A surgical device having an apparatus with a generator and an instrument supplied by a generator. A sensor is part of the device that is attached to the patient, for example to an extremity thereof, during surgery to detect the movement of the patient. The sensor is connected with a control device that modifies the operation of generator and particularly switches the generator off, if the sensor detects a movement of the patient exceeding a threshold. Injuries of patient that could occur by involuntary twitches during surgery process are thus avoided.

Abstract: The present disclosure relates generally to the field of medical devices for accessing body lumens. In particular, the present disclosure relates to medical devices, systems and methods for enlarging an opening of a body lumen. In an embodiment, a device may include a flexible elongate tube. A distal end of the tube may be configured to access an opening of a body lumen. A plurality of wire lumens may extend from the distal end of the tube toward a proximal end of the tube that are radially offset from and substantially parallel with a longitudinal axis. At least a portion of the plurality of wire lumens may be exposed to an outer surface of the tube along a distal portion. A plurality of wires may each extend along a respective wire lumen. A portion of each wire may extend externally to the wire lumens exposed to the outer surface.

Abstract: Improved ablation procedures and exemplary catheters for use with such procedures are provided. In one example, high quality homogenous lesions with well-defined borders can be created by introducing into a patient body a catheter that includes an electrode that is mounted on a distal end of the catheter, positioning the electrode to be in contact with tissue to be ablated such that at least 65 percent of an exposed distal surface area of the electrode is in contact with the tissue to be ablated, and applying electrical energy to the electrode sufficient to create an ablation lesion in the tissue.

Abstract: An apparatus includes a catheter assembly having a catheter with a catheter body and an end effector connected with a distal end of the catheter. The catheter assembly optionally includes an outer sheath or introducer tool. The end effector includes a spine assembly having a plurality of spines. An electrode is associated with each spine of the spine assembly. The electrodes are longitudinally staggered along their respective spines. The spines extend outward from a longitudinal axis of the catheter body such that the spine define a circular arrangement. This arrangement with the longitudinally spaced electrodes defines a helical array such that an elongated circumferential ablation pattern is achieved.

Abstract: An apparatus includes a catheter shaft assembly and an end effector. The catheter shaft assembly includes an outer sheath with a distal end. The end effector is associated with a distal end of the catheter shaft assembly. The end effector includes a plurality of leaflets. The leaflets are configured to transition between a first configuration and a second configuration. The leaflets are configured to fit within the outer sheath in the first configuration. The leaflets are configured to expand outwardly away from the longitudinal axis in the second configuration in response to being exposed distally relative to the distal end of the outer sheath. Each leaflet includes a flexible body and a plurality of electrodes. Each flexible body defines a plurality of openings. The electrodes are positioned on the flexible body.

Abstract: Disclosed herein is an ablation system that includes a catheter electrode, a return patch electrode adapted for attachment to a patient's skin, an ablation generator electrically coupled to the catheter electrode and the return patch electrode and configured to supply ablative energy thereto, and a controller communicatively coupled to the return patch electrode and the ablation generator. The return patch electrode includes a temperature sensing circuit comprising a plurality of discrete temperature sensors arranged across the return patch electrode.

Abstract: This disclosure provides design, material, manufacturing method, and use alternatives for medical devices. An example medical device includes a scaffold including a central member and a plurality of extension members extending away from the central member. The central member includes a plurality of discrete attachment locations corresponding to each of the plurality of extension members and each of the plurality of extension members is pivotably coupled to the central member at a corresponding discrete attachment location. The medical device also includes a covering substantially surrounding the scaffold and an electrode located at a distal end of each of the plurality of extension members. Each electrode extends through at least a portion of the covering.

Abstract: The present disclosure relates to systems and methods that use computer-vision processing systems to improve patient safety during surgical procedures. Computer-vision processing systems may train machine-learning models using machine-learning techniques. The machine-learning techniques can be executed to train the machine-learning models to recognize, classify, and interpret objects within a live video feed. Certain embodiments of the present disclosure can control (or facilitate control of) surgical tools during surgical procedures using the trained machine-learning models.

Abstract: A method comprises receiving a surgical instrument into engagement with a grip actuator of a teleoperational activation system. The surgical instrument includes movable jaws, and the surgical instrument is received in a prearranged gripping configuration with the jaws gripping a surgical accessory. The method includes generating a first control signal for manipulating the surgical instrument while maintaining the surgical instrument in the prearranged gripping configuration. The method further includes generating a second control signal for manipulating the surgical instrument to move from the prearranged gripping configuration to a second configuration.

Abstract: A system for sizing an implant for a patient pre-operatively comprises a processor unit. A non-transitory computer-readable memory may be communicatively coupled to the processing unit and comprising computer-readable program instructions executable by the processing unit for obtaining at least one radiographic patient image of at least one patient bone with a scale marker relative to the bone, the scale marker having a known geometry, setting a scale of the at least one radiographic patient image using the known geometry of the scale marker, generating a three-dimensional bone model representative of the at least one patient bone using the at least one radiographic patient image and the scale, identifying an implant size and/or an implant model using implant models and dimensions of the three-dimensional bone model based on said scale, and outputting the implant size and/or the implant model for the patient.

Abstract: A computer-assisted surgery system for obtaining a distance between at least two fixed points relative to a bone comprises a first accelerometer unit located at a first fixed location on the bone, and producing first acceleration data during a movement of the bone. A second accelerometer unit is located at a second fixed location on the bone, and simultaneously producing second acceleration data during the movement. A gyroscope unit is fixed to the bone and simultaneously producing angular rates of change of said movement. A processor unit obtains the acceleration data and the angular rates of change for calculating the distance between the first fixed position and the second fixed position on the bone using a distance value of a distance vector between the accelerometer units. An interface outputs the distance between the first fixed position and the second fixed position relative to the bone. A method for calculating a distance between at least two points on a bone is provided.

Abstract: A neurosurgical robotic system for bilateral stereotaxy that integrates intraoperative MRI guidance is provided. The robotic system can be implemented in regular diagnostic MRI facilities. Navigation for bilateral brain targets can be performed independently and simultaneously. The robotic system includes a plurality of manipulators, a needle guide (31), a needle (12) disposed within the needle guide (31); and a mounting base (39) with a plurality of screw holes for bone mounting.

Abstract: A method of designing an orthopedic implant comprising: (a) iteratively evaluating possible shapes of a dynamic orthopedic implant using actual anatomical shape considerations and kinematic shape considerations; and, (b) selecting a dynamic orthopedic implant shape from one of the possible shapes, where the dynamic orthopedic implant shape selected satisfies predetermined kinematic and anatomical constraints.

Abstract: The inventive subject matter is directed to an artificial intelligence intra-operative surgical guidance system and method of use. The artificial intelligence intra-operative surgical guidance system is made of a computer executing one or more automated artificial intelligence models trained on data layer datasets collections to calculate surgical decision risks, and provide intra-operative surgical guidance; and a display configured to provide visual guidance to a user.

Abstract: Disclosed is a localizer system. The localizer system may be incorporated into a navigation system for tracking a tracking device. Generally, the localizer may include a transmitting coil array and a field shaping assembly.

Abstract: Disclosed is a method and system for performing a procedure. The system may include a navigation system to be used to at least assist in the procedure. The system may assist in delineating objects and/or determining physical characteristics of subject portions. The system may assist in performing and/or a workflow of the procedure.

Abstract: Navigation assistance systems and methods for use with a surgical instrument to assist in navigation of a surgical instrument during an operation. The system may include sensors that may observe the patient to generate positioning data regarding the relative position of the surgical instrument and the patient. The system may retrieve imaging data regarding the patient and correlate the imaging data to the positioning data. In turn, the position of the surgical instrument relative to the imaging data may be provided and used to generate navigation date (e.g., position, orientation, trajectory, or the like) regarding the surgical instrument.

Abstract: A compact medical robot provides guidance and actuation of a medical instrument with five or more degrees of freedom. The robot has a lower actuator arm movable within a lower plane. A lower gimbal mount is attached to the lower actuator arm. An upper actuator arm is movable within an upper plane and an upper gimbal mount is attached to the upper actuator arm. A guide tube is attached to the lower gimbal mount and to the upper gimbal mount. A linear actuator is attached to the guide tube to longitudinally move a medical instrument which extends through the guide tube. The linear actuator includes an actuating rod and a linear motor arranged within a main body portion of the linear actuator. An additional rotational actuator for rotating the medical instrument may be provided and firmly connected to the actuating rod.

Abstract: Described herein are systems, apparatus, and methods for precise placement and guidance of tools during a surgical procedure, particularly a spinal surgical procedure. The system features a portable robot arm with end effector for precise positioning of a surgical tool. The system requires only minimal training by surgeons/operators, is intuitive to use, and has a small footprint with significantly reduced obstruction of the operating table. The system works with existing, standard surgical tools, does not required increased surgical time or preparatory time, and safely provides the enhanced precision achievable by robotic-assisted systems.

Abstract: A system, e.g., a computer-aided medical system, includes a first link, a second link, a joint, and a dual brake assembly. The first link has a first end portion and a second end portion. The second link has a first end portion and a second end portion. The joint is connected to the second end portion of the first link and to the first end portion of the second link. The dual brake assembly is coupled to the first link and to the second link. The dual brake assembly includes a first brake and a second brake. Braking provided by the dual brake assembly reduces relative motion between the first and second links.

Abstract: A surgical mounting device may detachably couple to a patient access device to maintain alignment between a surgical instrument and the access device as instruments are interchangeably inserted and removed from the access device. The mounting device may include arms that pivot between a closed configuration in which the arms grip the access device inserted therebetween and an open configuration in which arm are spaced further apart from each other than in the closed configuration. A drive member may transition the arms to the closed configuration when the patient access device is inserted between the arms in the open configuration and pressed against the drive member.

Abstract: Systems and methods for instrument control include first and second actuators and a controller configured to command the first actuator to maintain a first degree of freedom (DOF) of an instrument at a first position; command the second actuator to maintain a second DOF of the instrument at a second position; detect, while the first actuator is maintaining the first DOF at the first position, a first manual actuation of the first actuator that exceeds a first threshold; detect, while the second actuator is maintaining the second DOF at the second position, a second manual actuation of the second actuator that does not exceed a second threshold; and in response to detecting that the first manual actuation exceeds the first threshold and the second manual actuation does not exceed the second threshold, terminate the command to the first actuator to maintain the first DOF at the first position.