Abstract: A medical device that includes a hand piece; a beam fiber; and a beam disperser located at a distal end of the beam fiber through which beam energy is dispersed. The beam disperser includes one face, or a plurality of substantially planar faces through which the beam energy is dispersed.

Abstract: A catheter system for treating a treatment site within or adjacent to a vessel wall within a body of a patient includes an energy source, a balloon, and an energy guide. The energy source generates energy. The balloon includes a balloon wall that defines a balloon interior. The balloon is configured to retain a balloon fluid within the balloon interior. The balloon is selectively inflatable with the balloon fluid to expand to an inflated state, wherein when the balloon is in the inflated state the balloon wall is configured to be positioned substantially adjacent to the treatment site. The balloon further includes a balloon central axis that extends through a geometric center of the balloon when the balloon is in the inflated state. The energy guide selectively receives energy from the energy source and guides the energy from the energy source into the balloon interior. The energy guide including a guide distal end that is positioned on the balloon central axis when the balloon is in the inflated state.

Abstract: Systems for enabling delivery of very high peak power laser pulses through optical fibers for use in ablation procedures preferably in contact mode. Such lasers advantageously emit at 355 nm wavelength. Other systems enable selective removal of undesired tissue within a blood vessel, while minimizing the risk of damaging the blood vessel itself, based on the use of the ablative properties of short laser pulses of 320 to 400 nm laser wavelength, with selected parameters of the mechanical walls of the tubes constituting the catheter, of the laser fluence and of the force that is applied by the catheter on the tissues. Additionally, a novel method of calibrating such catheters is disclosed, which also enables real time monitoring of the ablation process. Additionally, novel methods of protecting the fibers exit facets are disclosed.

Abstract: An augmented reality method for an endoscope includes constructing a first virtual three-dimensional model by using the volume image; setting a reference frame of a position tracking device as a global reference frame; obtaining a second virtual three-dimensional model of the subject by using laser scanning; calculating a first transformation between the first virtual three-dimensional model and the second virtual three-dimensional model by the iterative closest point algorithm, and applying the first transformation to the first virtual three-dimensional model to generate a third virtual three-dimensional model; tracking the first tracker by the position tracking device to provide an endoscopic virtual position; imaging a virtual image corresponding to an endoscopic image imaged by the endoscope based on the endoscopic virtual position and the third virtual three-dimensional model, and superimposing the endoscopic image with the virtual image to display a superimposed image.

Abstract: A surgical assistance system includes a processing unit; and a non-transitory computer-readable memory communicatively coupled to the processing unit and comprising computer-readable program instructions executable by the processing unit for: obtaining a video feed of a surgical procedure and monitoring the surgical procedure from the video feed; detecting, from an image processing of the video feed, a condition requiring a deviation from the surgical procedure, the deviation being defined as being outside of a standard surgical flow; and outputting a recommendation of deviation by intra-operatively providing the recommendation to an operator of the surgical procedure.

Abstract: A system and method for Brugada syndrome epicardial ablation comprising preparing an endocardial duration map; preparing a baseline epicardial duration map comprising at least one or more areas of delimination; and when some of the areas of delimination are greater than 200 ms, performing epicardial ablation of the areas of delimination greater than 200 ms. The method may further comprise preparing an updated epicardial duration map after performing epicardial ablation, and determining whether or not a BrS pattern appears in the updated epicardial duration map; and when the BrS pattern appears, performing epicardial ablation. The method may further comprise preparing an updated epicardial duration map after performing epicardial ablation, and determining whether or not an abnormal EGM exists in the updated epicardial duration map; and when the abnormal EGM exists, performing epicardial ablation.

Abstract: Examples of an orthopedic surgical device for use in operating on a target bone and methods for operating a system for use in orthopedic surgery on a bone are generally described herein. An orthopedic surgical device can include an primary positioning block, and a secondary positioning component removably coupled to the primary positioning block. The secondary positioning component can be configured to: engage a prepared engagement feature machined into the target bone, and guide the primary positioning block to a predetermined position on a target bone. The orthopedic surgical device can include a first cutting block configured to: removably couple to the primary positioning block, and guide a cutting tool to cut the target bone.

Abstract: Systems and methods for intraoperative implant fit analysis and longevity prediction for a prosthetic implant to be integrated with the physiological tissue of a patient, the method comprising the steps of: collection of data via a plurality of sensors situated in proximity to the tissue and implant and a plurality of data sources; determining tissue and implant state and morphology based on the collected data; generating compatibility information between the tissue and implant based on the determined tissue and implant state and morphology; processing compatibility information into a form adapted for evaluation against a pre-determined comparator; generating a means of predicting postoperative implant performance and longevity utilising the historical dataset of comparison information and postoperative results; and generating and providing corrective information for alteration of the tissue state and morphology for improved postoperative implant performance and longevity.

Abstract: A robotic system for treating the skin of a patient has a robotic arm with several degrees of freedom supporting a navigation unit at an end distal to its base. The navigation unit holds a medical instrument, such as a scalpel, a microneedle tool, a plasma skin treatment device, or other medical instrument. The navigation unit has sensors that sense the distance and angle of attitude of the tool relative to the patient. A control system provides for a programmed movement of the medical instrument through a series of movements on or near the skin of the patient. Relying on the sensors in the navigational unit, the control system navigation maintains the medical instrument at a predetermined operating distance from and at a predetermined angle to the skin of the patient as the instrument is moved through the procedure, whether controlled robotically and autonomously or manually.

Abstract: An assembly including a surgical instrument having a working end extending along an axis. A tracker device has an axisymmetric body or a quasi-axisymmetric body, the tracker device being mounted on the surgical instrument such that an axis of axisymmetry of the axisymmetric body or the quasi-axisymmetric body is collinear with the axis of the surgical instrument. A position of the surgical instrument is tracked as a function of a tracking of the axisymmetric body or quasi-axisymmetric body. A computer-assisted surgery system for tracking surgical instruments during surgery is provided.

Abstract: There is described a system for tracking at least one tool relative to a bone in computer-assisted surgery.

Abstract: Medical-technical instrumentation and a medical-technical method that utilize a planning data set created for a surgeon on the basis of an actual state data set of a bone that is considered to be defective. The planning data set can be used intraoperatively for improving the surgery outcome.

Abstract: A process for confirming registration of bones involved in a joint replacement procedure is provided that includes a three dimensional (3-D) models of the bones being generated. The bones are tracked with a tracking device attached to each of the bones to allow 6-degrees of freedom (DOF) tracking during the joint replacement procedure. The 3-D models to the bones are registered and the bones having the tracking device are moved. A corresponding motion in the 3-D models with the moving of the bones is then observed. The registration of the 3-D models to the bone when the observations of the 3-D models move in correspondence with the actual bones is then confirmed or an alarm when an algorithm detects the 3-D bone models move unexpectedly during the movement of the bones. A system for confirming registration of bones involved in the joint replacement procedure is also provided.

Abstract: A method of operating a robotic surgical system includes monitoring a force applied at a surgical instrument attached to a robotic arm, comparing the force to a force threshold for a surgical procedure, providing a signal in response to the force being outside the force threshold, monitoring, using a reference array attached to a patient, a bone movement caused while the surgical instrument interacts with the patient, and adjusting control of the robotic arm based on the bone movement.

Abstract: This document describes devices used during surgical procedures for the treatment of heart conditions. For example, this document describes technology to monitor the operations of a heart-lung machine and then shows associated read outs on a head-worn display in order to provide an augmented-reality presentation. For example, various sensors on and around a heart-lung machine, patient, and/or extracorporeal circuit can monitor the operations of the procedure using the heart-lung machine.

Abstract: A system includes a treatment device configured to be manipulated by a user while the user performs a treatment plan and a patient interface associated with the treatment device. The system also includes a computing device configured to: receive treatment data pertaining to the user who uses the treatment device to perform the treatment plan; write to an associated memory, for access at a computing device of a healthcare provider, treatment information; communicate with an interface, at the computing device of the healthcare provider; and modify at least one of the at least one aspect and any other aspect of the treatment plan in response to receiving treatment plan input including at least one modification to the at least one of the at least one aspect and any other aspect of the treatment plan.

Abstract: Transducer-based systems can be configured to display a graphical representation of a transducer-based device, the graphical representation including graphical elements corresponding to transducers of the transducer-based device, and also including between graphical elements respectively associated with a set of the transducers and respectively associated with a region of space between the transducers of the transducer-based device. Selection of graphical elements and/or between graphical elements can cause activation of the set of transducers associated with the selected elements. Selection of a plurality of graphical elements and/or between graphical elements can cause visual display of a corresponding activation path in the graphical representation. Visual characteristics of graphical elements and between graphical elements can change based on an activation-status of the corresponding transducers.

Abstract: An actuation mechanism for actuating an electromechanical end effector includes a housing, and a shaft assembly extending distally from the housing. The shaft assembly includes a shaft, a longitudinal knife bar, a first hub, and a second hub. The shaft is axially movable relative to the housing and configured to be coupled to the electromechanical end effector. Rotation of a first screw of the housing moves the first hub to effect longitudinal movement of the shaft. The longitudinal knife bar is axially movable relative to the shaft and configured to be coupled to a knife blade of the electromechanical end effector. Rotation of a second screw of the housing moves the second hub to effect axial movement of the longitudinal knife bar.

Abstract: A method of generating resection data for use in planning an arthroplasty procedure on a patient bone covered at least partially in cartilage includes receiving a three-dimensional patient bone model comprising a bone model surface, and correlated with a position and orientation of the patient bone via a navigation system. The method further includes identifying a target region on the bone model surface of the model for intra-operative registration, and receiving location data for a first plurality of points based on the intra-operative registration of the cartilage on the patient bone in locations corresponding to points within the target region on the bone model surface. The method further includes determining resection depth based at least in part on the location data for the first plurality of points; and generating resection data using the resection depth, the resection data configured to be utilized by the navigation system during the arthroplasty procedure.

Abstract: A rotary actuator includes: a housing including an interior space in which a vane is disposed; and a cover that is attached to the housing and covers the interior space. An annular seal groove having a triangular cross-sectional shape is formed between the housing and the cover in a manner to surround the interior space, and an outer sealing member is inserted in the seal groove.

Abstract: A surgical robotic system has a tool drive coupled to a distal end of a robotic arm that has a plurality of actuators. The tool drive has a docking interface to receive a trocar. The system also includes one or more sensors that are operable to visually sense a surface feature of the trocar. One or more processors determine a position and orientation of the trocar, based on the visually sensed surface feature. In response, the processor controls the actuators to orient the docking interface to the determined orientation of the trocar and to guide the robotic arm toward the determined position of the trocar. Other aspects are also described and claimed.

Abstract: A 2D image-guided surgical robot system for drilling operations includes surgical image acquisition equipment, robot positioning and drilling equipment, and a remote operation workstation. To perform a drilling operation, images of the surgery area are acquired with the image acquisition equipment and are registered to the robot, and a distortion correction is performed. A drilling path is assigned by a doctor through the GUI of the remote operation workstation, and the remote operation workstation calculates the robot motion quantity using a position-based method and moves the robot accordingly. Based on the relative position of the surgical tool and drilling path in the images, the remote operation workstation calculates a motion quantity using image feedback and controls the robot to make further fine adjustments to the drilling path. The robot then performs the drilling operation with an electric drill or holds a drill guide for doctors to perform the drilling manually.

Abstract: A computer-assisted system comprises a manipulator configured to support a tool, a lockable joint, and a controller. The manipulator extends distally from a base and comprises a distal portion. The lockable joint is coupled to the base and located proximally relative to the base. The controller is operably coupled to a powered joint. The powered joint is located distally relative to the base. The controller is configured to perform operations. The operations comprise: driving the powered joint to move the distal portion while the lockable joint is locked, and driving the powered joint to move the base while the lockable joint is unlocked and a position of the distal portion is externally maintained. A method includes processes for operating a computer-assisted system. A method includes determining a desired motion envelope for a tool supported by a manipulator, and positioning a base of the manipulator based on the desired motion envelope.

Abstract: Methods and apparatuses for applying tensile force to one or more tissue regions within a body. Illustratively, an implant ball including a spherical side wall is received within a tubular organ, and tensile sutures extend through the implant ball for applying a tensile force to facilitate elongation of the tubular organ.

Abstract: A system for interconnecting bones includes an implantable member configured to be mechanically coupled to a first bone, configured to be mechanically coupled to a second bone, configured to provide substantially no resistance to compression of the implantable member, configured to support a tensile load within a predetermined range of tensile loads extending from a first load to a second load, configured to have a predetermined elasticity within the range of tensile loads, configured to have a first characteristic at the first load, and configured to have a second characteristic at the second load. The system also includes a means for measuring the first characteristic and the second characteristic. And the system includes a means for calculating a tension between the first bone and the second bone based on the first characteristic and the second characteristic.

Abstract: An example system includes an ultrasound probe device configured to provide a real-time ultrasound image and having a marker for visualization; an augmented reality (AR) device having a camera configured to provide a camera video output signal and a display configured to render an AR image from an AR video input signal; and a processor configured to: receive the camera video output signal and to extract localization information from the camera video output signal corresponding to the marker; receive the real-time ultrasound image; and combine the camera video output signal and the real-time ultrasound image to provide the AR video input signal.

Abstract: A surgical imaging system is described. The system includes first and second optical assemblies. Each optical assembly defines a respective optical axis, and each includes a respective set of one or more optics for adjusting field-of-view (FOV) and focus and a respective camera for capturing an image. The system includes a controller for controlling the optical assemblies and for switching the surgical imaging system between a coupled configuration and an uncoupled configuration. In the coupled configuration, the first optical assemblies are controlled to adjust the respective sets of optics and/or the respective optical axes in dependence on each other. In the uncoupled configuration, the optical assemblies are controlled to adjust the respective sets of optics, and the respective optical axes independently of each other.

Abstract: Certain embodiments provide a pneumatic dual port connector (PDPC) configured to be coupled to an interface component of a surgical console. The PDPC comprises a shaft, having a first connector channel having a first distal end and a first proximal end, a second connector channel having a second distal end and a second proximal end, and one or more first features configured to couple the PDPC to the interface component.

Abstract: Apparatus, systems, and methods are provided for localization of a region within a patient's body using markers implanted within the region. In an exemplary embodiment, a probe includes a distal end for placement against a surface of the region; one or more antennas for transmitting electromagnetic signals into and receiving reflected signals from the region; a light source for delivering light pulses into the region whereupon the markers modulate reflected signals. A processor of the probe processes the modulated reflected signals at one or more of the surface locations to determine marker locations within the region to obtain a reference frame, determine distance values corresponding to distances from the respective markers to the distal end at each of the surface locations, and determine coordinates of the surface locations relative to the reference frame to generate a three dimensional model of the body region.

Abstract: Disclosed adjustable retaining arm systems can include a multi-segmented, articulable arm that holds one or more interchangeable tools and can be made relaxed to set a desired position and made rigid to fix the desired position by adjusting tension in a cable running through the arm. The arm can quickly attach and detach from a support structure. The support structure include a cable tensioning system, sensors, control system, power system, etc. A user input device, such as a foot pedal or button on the arm, can be used by a surgeon to change the arm between relaxed and rigid states. The arm and attachable tools can be detachable, disposable and/or sterilizable, while other system components can remain mounted in a fixed location as the arm is removed and replaced. The arm can hold multiple tools in any desired orientation around subject work location.

Abstract: System, methods and apparatus related to surgical articles used during surgery. The system, methods and apparatus may include features such as an element/substrate added to surgical articles which enables the recognition by human visualization of the surgical articles when left inside patient bodies when viewed with medical imaging technologies. The element/substrate may include a plurality of three dimensional objects. Alternatively, the element/substrate may comprise a ribbon of radiopaque material having cut-puts or other radiolucent regions which provide image artifacts observable under fluoroscopic imaging.

Abstract: Disclosed is an assembly and method for fabricating a dental prosthesis, such as composite veneer directly in a mouth. The assembly includes a base that can be worn in a mouth, the base configured to fit around a base line. The base forms an enclosed body around teeth to be treated. The assembly further comprises a handle configured to secure to the base. The handle comprises an orienting arm that carrier a shell attach to its tip. The base and the handle are configured such as when the handle is secured to the base, the shell is placed over the tooth in a predetermined position.

Abstract: A method is provided for shaping a custom anterior dental restoration from a preform, wherein the preform comprises a preform body and a preform stem. A method is further disclosed for generating one or more nesting positions for the restoration design within the geometry of the preform body relative to the position of the preform stem. A method is further disclosed for generating machining instructions based on the selected nesting position to optimize machining for chair-side applications.

Abstract: Disclosed are devices, systems and methods for monitoring usage of an elastic component of an orthodontic article. In some aspects, an apparatus for monitoring elastics usage with an orthodontic article includes a sensor to detect a physical parameter associated with an elastic component when the elastic component is coupled to the orthodontic article, wherein the sensor is attachable to the orthodontic article or to the elastic article and operable to transduce the detected physical parameter into an electrical signal; a data processing unit, comprising a processor and a memory, in communication with the sensor to receive the electrical signal from the sensor and to process the electrical signal as data to be stored or transmitted by the apparatus; and a power source to supply power to the sensor and to the data processing unit.

Abstract: An orthodontic dentistry for use in holistic treatment of patients with anomalies of the dentoalveolar system using orthodontic micro-implant. The source data includes a computer tomogram, cast teeth models, jaw model, and size of the micro-implants to be installed. Using cast teeth models, plaster dental models are casted and scanned to obtain a 3D printed model of the patient's jaw. Then, the computer tomogram and 3D model of the patient's jaw are combined. Based on the anatomy and shape of the palatal mucosa, the entry points of the micro-implants into the mucosa is selected on a 3D model of the patient's jaw. The position of the micro-implants at these selected points is plotted, taking into account their inclination and depth of insertion. The correctness of the selected position of the micro-implants is checked using the computer tomogram. By the data obtained, a caliper is modeled for inserting micro-implants for the subsequent installation of an orthodontic apparatus.

Abstract: Systems and methods for fabricating indirect bonding trays are disclosed. Digital models of a patient's teeth can be created with digital brackets positioned on the digital model of a patient's teeth. Digital models of indirect bonding trays can be created to retain and transfer the brackets. The indirect bonding trays can be 3-D printed with wells that the functional brackets can be placed into and thereafter transferred to the patient. The 3-D printed indirect bonding tray can comprise two resins, with one resin forming the tray and another resin forming a functional feature.

Abstract: The present disclosure provides methods, devices, and systems for the creation of attachments for use with dental appliances and changeable shaped attachments. For instance, an attachment template tray for creating and placing attachments used in moving teeth of a patient can include an attachment template tray body having a first surface shaped to conform to the contours of exterior surfaces of teeth of a patient and including a portion of the first surface that provides a cavity to form the exterior surfaces of an attachment that is to be attached to the exterior surface of one of the teeth and an integrated light source, power source, and actuation mechanism on the body of the attachment template tray, wherein the power source provides power to the light source when the actuation mechanism is actuated.

Abstract: Orthodontic brackets are disclosed. An orthodontic bracket is formed such that the body and mesh portions are formed integrally in one piece, and the tooth-side mounting surface includes bonding elements that have an undercut angle to the mounting surface. The bonding elements can further include geometry to facilitate the spreading of bonding material. In some aspects, the bracket can also comprise elements for wire-mounting and aligner tray interaction. A system and methods of treatment are further disclosed. The bracket can be customized for an individual patient.

Abstract: A set of components for dental prosthetic restoration includes a ceramic dental implant having an internal connecting receiving space. An internally threaded insert is added into the internal connecting receiving space of the dental implant, and rotatably indexed. It is held by a fixing part forming an axial abutment opposing an extraction of the internally threaded insert out of the inner connection receiving space.

Abstract: A drill-less dental implant to be implanted in a jaw bone comprises a screw thread comprising a core having a surface and a sharp tip and a spiral protrusion extending from the surface, wherein when the screw thread is rotationally screwed into the jaw bone, the sharp tip linearly penetrates the jaw bone, and a prosthesis support is attached to an upper edge of the screw thread and configured to support a dental prosthesis. A method of implanting the drill-less dental implant without drilling prior to the implantation is also provided.

Abstract: The BLAST Protocol is a tissue-sparing, tissue-integration, dental implant preparation, placement and maintenance protocol including use of a laser such as a free-running pulsed laser to irradiate the implant site before implant placement, irradiate the implant or implant fixture before implant placement, and irradiate the surgical site once the implant is placed.

Abstract: Apparatuses (e.g., systems, devices, etc.) and method for scanning both a subject's face as well as the subject's intra oral cavity to provide two-dimensional (2D) and/or three dimensional (3D) data that may be subsequently used in prosthodontic and orthodontic procedures, including smile planning (e.g., designing or modifying a subject's overall smile or facial aesthetics).

Abstract: Methods and apparatuses for generating a model of a subject's teeth. Described herein are intraoral scanning methods and apparatuses for generating a three-dimensional model of a subject's intraoral region (e.g., teeth) including both surface features and internal features. These methods and apparatuses may be used for identifying and evaluating lesions, caries and cracks in the teeth. Any of these methods and apparatuses may use minimum scattering coefficients and/or segmentation to form a volumetric model of the teeth.

Abstract: The present invention provides a denture block capable of integrally and simply manufacturing a denture by using a CAD/CAM system. A denture is manufactured by cutting using a CAD/CAM system in a state in which the ridge portion 1b is gripped, has: an upper part which is a white part 2 to correspond to a tooth part of the denture; and a lower part which is a gingival color part 3 to correspond to a denture plate of the denture, wherein the white part 2 and the gingival color part 3 are integrally formed by being brought into close contact with each other with no gaps therebetween including the inside thereof, and a plurality of convex portions 4 and concave portions 5 are formed on an upper surface 3a which is the boundary surface of the gingival color part 3 with the white part 2.

Abstract: The present invention relates to a missing tooth supplementing dental prosthesis that may provide the best wearing comfort regardless of the condition of a user's gums as the height of an end of a missing tooth supplementing member is adjusted according to the condition of the user's gums. The present disclosure proposes a missing tooth supplementing dental prosthesis including: a prosthetic body configured to be detachably worn in the oral cavity of a user who has at least one missing tooth, and provided with a fastening portion that is formed in a portion corresponding to a missing tooth; and a missing tooth supplementing member configured to be height-adjustably coupled to the fastening portion of the prosthetic body, to be height-adjusted according to the condition of the user's gums, and to supplement the missing tooth as an embodiment.

Abstract: A circular floss, including a circular main body to be inserted through a contact point between teeth to extract at least one food particle therein, and at least one holding surface disposed on at least a portion of the circular main body to facilitate gripping thereof.

Abstract: A handle for an electrically operated personal-care implement includes a metal tube housing having a metal wall with an opening and an inner surface, the inner surface defining an inner cavity of the housing for accommodating an energy source, and a switch assembly for activating the energy source. The switch assembly, including a hard switch component and a soft switch component, is arranged in the opening and seals the opening from the inner surface of the wall. The hard switch component comprises a frame having a recess and attached to the inner surface of the metal wall thereby surrounding the opening and providing an undercut between the recess and the inner surface. The undercut is open to the opening, and the soft switch component is positioned in the undercut to at least partially cover the opening.

Abstract: An incontinence prevention device to be inserted in a vagina, the incontinence prevention device including a bulbous member to contact at least a portion of a bladder to prevent a urinary leak from the bladder, a curved ridge circumferentially disposed around a bottom portion of the bulbous member to contact an interior surface of the vagina, such that the bulbous member is prevented from movement after insertion, and a base member disposed at a base of the bulbous member to facilitate extracting the bulbous member from the vagina.

Abstract: Absorbable composite medical devices such as surgical meshes and braided sutures, which display two or more absorption/biodegradation and breaking strength retention profiles and exhibit unique properties in different clinical settings, are made using combinations of at least two types of yarns having distinctly different physicochemical and biological properties and incorporate in the subject construct special designs to provide a range of unique properties as clinically useful implants.

Abstract: A hernia repair device, comprising: an inflatable balloon having an inflation tube, the inflation tube having a proximal end attached to said balloon and a distal end adapted to be extracted from the body, separately from the balloon, via an opening which is smaller than a laparoscopic opening; and a mesh removably attached to said balloon, wherein the inflation tube passes through the mesh.