Patents Issued in July 1, 2021
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Publication number: 20210196371Abstract: An electrical apparatus includes a spiral electrode and an interface circuit. The spiral electrode is disposed on a distal end of a probe for insertion into a body of a patient. The interface circuit is configured to (a) transfer a radiofrequency (RF) ablation signal to the electrode for ablating tissue in the body, (b) output a voltage that develops across the electrode in response to an external magnetic field, for measuring a position of the distal end in the body, and (c) transfer electrical current through the electrode for measuring a resistivity that is indicative of tissue temperature in a vicinity of the electrode.Type: ApplicationFiled: December 30, 2019Publication date: July 1, 2021Inventors: Assaf Govari, Yehuda Algawi, Andres Claudio Altmann
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Publication number: 20210196372Abstract: A medical probe includes a shaft and a frame. The shaft is configured for insertion into an organ of a patient. The frame is coupled to a distal end of the shaft, and includes (i) a plurality of electrodes disposed on an outer surface of the frame and configured to apply irreversible electroporation (IRE) to tissue by applying voltage pulses, and (ii) one or more irrigation channels, configured to flow irrigation fluid in a vicinity of the electrodes.Type: ApplicationFiled: December 31, 2019Publication date: July 1, 2021Inventors: Andres Claudio Altmann, Assaf Govari
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Publication number: 20210196373Abstract: The application relates to a reaming type non-implanted atrial shunt device comprising a catheter component (2), a radio frequency component (1) disposed on an end of the catheter component (2) extending into a human body, and a radio frequency ablation instrument (4) disposed on the other end of the catheter component (2) and connected with the radio frequency component (1), wherein after the radio frequency component (1) extends into a puncture hole, the radio frequency ablation instrument (4) releases a radio frequency energy, and the radio frequency component (1) ablates a wall of the puncture hole. The radio frequency component (1) is delivered to the position of the puncture hole. When the radio frequency ablation instrument (4) releases energy, the radio frequency component (1) causes the hole wall tissue to generate heat and ablate the atrial septum at a target position to form a hole with fixed size, thereby achieving the purpose of creating a hole.Type: ApplicationFiled: December 30, 2019Publication date: July 1, 2021Inventors: Tao HE, Yishou DING, Xibo ZHANG, Xiangyi LI, Jie CAI, Liyun LIU, Ping HE, Hao CHEN, Yuxin ZHANG, Zhongjie PU
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Publication number: 20210196374Abstract: Provided are a radio frequency ablation catheter, a control method and a control apparatus therefor, a radio frequency ablation system for lungs, a control method and a control apparatus therefor, and a computer-readable storage medium. The radio frequency ablation catheter includes an electrode. A heat exchange medium flow channel is provided inside the electrode. A dispersing device is provided on the electrode. A dispersing hole communicating with the heat exchange medium flow channel is provided at the dispersing device. A heat exchange medium output from the heat exchange medium flow channel is distributed by and flows out of the dispersing device. The electrode allows physiological saline to be perfused into a tissue ablated, thereby improving the electrical and thermal conductivity of the tissue ablated, maintaining balance of the impedance, maintaining the impedance in a relatively stable state, and enabling continuous output of radio frequency energy.Type: ApplicationFiled: March 15, 2021Publication date: July 1, 2021Applicant: HANGZHOU BRONCUS MEDICAL CO., LTD.Inventors: Hong XU, Huazhen ZHOU, Liming WANG, Song JIANG, Chenhui SU
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Publication number: 20210196375Abstract: A sub-microsecond pulsed electric field generator is disclosed. The field generator includes a controller, which generates a power supply control signal and generates a pulse generator control signal, and a power supply, which receives the power supply control signal and generates one or more power voltages based on the received power supply control signal. The field generator also includes a pulse generator which receives the power voltages and the pulse generator control signal, and generates one or more pulses based on the power voltages and based on the pulse generator control signal. In some embodiments, the controller receives feedback signals representing a value of a characteristic of or a result of the pulses and generates at least one of the power supply control signal and the pulse generator control signal based on the received feedback signals.Type: ApplicationFiled: March 9, 2021Publication date: July 1, 2021Applicant: Pulse Biosciences, Inc.Inventors: Shu Xiao, Brian G. Athos, Mark P. Kreis, David J. Danitz, Darrin R. Uecker
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Publication number: 20210196376Abstract: An electrosurgical instrument for delivering both microwave and radiofrequency (RF) energy in which a pair of longitudinally spaced electrodes are combined with an intermediate tuning element to enable both effective bipolar RF ablation and/or coagulation and microwave ablation with a field shape that is constrained around the instrument tip. The instrument comprises a radiating tip disposed at a distal end of a coaxial cable. The tip has a distal electrode and a proximal electrode disposed on a surface of a dielectric body and physically separated by an intermediate portion of the dielectric body. A tuning element is mounted in the intermediate portion.Type: ApplicationFiled: May 24, 2019Publication date: July 1, 2021Inventors: Christopher Paul HANCOCK, Patrick BURN, Pallav SHAH
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Publication number: 20210196377Abstract: An electrode structure for a distal tip of an electrosurgical instrument that enables efficient delivery of radiofrequency (RF) energy in a forward (distal) direction and uniform delivery of microwave energy for ablation in a region surrounding the distal tip. The instrument comprises a tip body having a first electrode and a second electrode, where the second electrode is spaced from the first electrode exposed dielectric material. The first electrode is connected through the tip body to an inner conductor of a coaxial feed. The second electrode is electrically connected to the outer conductor of the coaxial feed by a field-shaping conductive structure formed in or on the tip body. The field-shaping conductive structure is configured to shape a radiation profile of microwave energy emitted from the tip body.Type: ApplicationFiled: May 24, 2019Publication date: July 1, 2021Inventors: Christopher Paul HANCOCK, Patrick BURN, Pallav SHAH
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Publication number: 20210196378Abstract: The invention relates to a catheter ablation device for delivery of energy to a selected region of tissue, the device having an antenna portion including a radiating antenna electrically connectable via an electrical feedline to a source of energy, the antenna configured to generate an electromagnetic field able to ablate tissue in said selected region of tissue, the device including a thermocouple having a hot junction formed by electrical connection between a thermocouple conductor and a conducting part of the electrical feedline. This avoids the need for a dedicated thermocouple conductor pair, as the second conductor of the thermocouple is provided by the feedline used to supply the ablation energy to the device antenna.Type: ApplicationFiled: February 9, 2021Publication date: July 1, 2021Applicants: The University of Sydney, Western Sydney Local Health DistrictInventors: Pierre Qian, Michael Anthony Barry
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Publication number: 20210196379Abstract: A surgical laser delivery systems utilizes a standoff catheter to prevent contact and/or maintain a predetermined spacing between the laser delivery fiber or fiber assembly and the target. The standoff catheter includes multiple side-firing ports. The side-firing ports may include openings of the same or different dimensions, at least one diffuser, and/or at least one lens, to permit the operator to control the degree of vaporization/coagulation and/or vary lasing parameters without having to withdraw the optical fiber from the patient, by rotating or linearly moving the laser or laser assembly with respect the standoff catheter. The side-firing ports may also include an opening at the front of the stand-off catheter to enable use with a forward-firing laser fiber or fiber assembly.Type: ApplicationFiled: December 28, 2020Publication date: July 1, 2021Inventors: JOE DENTON BROWN, DANIEL MALPHURS
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Publication number: 20210196380Abstract: A light treatment system includes: a probe configured to be inserted into a bladder, the probe including an optical fiber, and a diffuser that is provided at a distal end of the optical fiber, the diffuser being configured to emit the light from a surface of the cylindrical shape in a diffused manner; a balloon catheter into which the probe is inserted, the balloon catheter being configured to be inserted into the bladder, the balloon catheter including a distal end portion that is to be spherically dilated in the bladder; and a liquid that includes light scattering particles and fills inside of the distal end portion when the distal end portion has been dilated, the liquid having an equivalent scattering coefficient ??s equal to or larger than 5/R, where R is a maximum radius of the distal end portion that has been dilated.Type: ApplicationFiled: February 23, 2021Publication date: July 1, 2021Applicant: OLYMPUS CORPORATIONInventor: Toshiaki SUZUKI
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Publication number: 20210196381Abstract: A surgical system for use in a surgical procedure is disclosed. The surgical system includes a surgical visualization system and a control circuit. The configured to propose a portion of an organ to resect based on visualization data from the surgical visualization system, determine a first value of a non-visualization parameter of the organ prior to resection of the portion, and determine a second value of the non-visualization parameter of the organ after resection of the portion. Resection of the portion is configured to yield an estimated capacity reduction of the organ.Type: ApplicationFiled: December 30, 2019Publication date: July 1, 2021Inventors: Chad E. Eckert, Frederick E. Shelton, IV, Jason L. Harris
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Publication number: 20210196382Abstract: A surgical system for use with a surgical instrument in a surgical procedure performed on an anatomical organ is disclosed. The surgical system comprises at least one imaging device and a control circuit configured to identify anatomical structures relevant to the surgical procedure from visualization data from the at least one imaging device, propose a surgical resection path for removing a portion of the anatomical organ by the surgical instrument, and present parameters of the surgical instrument in accordance with the surgical resection path. The surgical resection path is determined based on the anatomical structures.Type: ApplicationFiled: December 30, 2019Publication date: July 1, 2021Inventors: Daniel J. Mumaw, Jason L. Harris, Frederick E. Shelton, IV
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Publication number: 20210196383Abstract: A surgical system for use in a surgical procedure is disclosed. The surgical system includes a surgical instrument including an end effector configured to treat tissue at a surgical field during the surgical procedure, a surgical visualization system configured to track the surgical instrument in the surgical field, and a control circuit configured to derive a first data set from the surgical visualization system indicative of a visual aspect of the surgical instrument relative to the surgical field, derive a second data set from the surgical instrument indicative of a functional aspect of the surgical instrument, and correlate the first data set with the second data set.Type: ApplicationFiled: December 30, 2019Publication date: July 1, 2021Inventors: Frederick E. Shelton, IV, Jason L. Harris, Chad E. Eckert, Sarah A. Worthington
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Publication number: 20210196384Abstract: Various systems and methods of controlling a surgical visualization system and controlling devices according to the displayed point of view of the surgical visualization system are disclosed. The visualization system can allow users to change, update, or manipulate the displayed visualization utilizing overlapping or multiple images. Further, the controls and/or display screens of surgical instruments coupled to the visualization system can be adjusted to correspond to the orientation of the surgical instrument as visualized by the visualization system.Type: ApplicationFiled: December 30, 2019Publication date: July 1, 2021Inventors: Frederick E. Shelton, IV, Jason L. Harris
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Publication number: 20210196385Abstract: A surgical system for use in a surgical procedure is disclosed. The surgical system includes at least one imaging device and a control circuit configured to identify an anatomical organ targeted by the surgical procedure, generate a virtual three-dimensional (3D) construct of at least a portion of the anatomical organ based on visualization data from the at least one imaging device, identify anatomical structures relevant to the surgical procedure from the visualization data from the at least one imaging device, couple the anatomical structures to the virtual 3D construct, and overlay onto the virtual 3D construct a layout plan of the surgical procedure determined based on the anatomical structures.Type: ApplicationFiled: December 30, 2019Publication date: July 1, 2021Inventors: Frederick E. Shelton, IV, Jason L. Harris, Kevin M. Fiebig, Daniel J. Mumaw
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Publication number: 20210196386Abstract: Various surgical systems configured to analyze surgical procedure trends are disclosed. The surgical systems can further be configured to provide recommendations and/or adjust control algorithms executed by the surgical systems according to the identified trends. The identified trends can be utilized to determine a baseline or recommended action to be performed at a decision point in a surgical procedure. The surgical systems can be configured to provide preoperative, intraoperative, or postoperative feedback to users based on their decisions at the decision points relative to the determined baseline or recommended actions.Type: ApplicationFiled: December 30, 2019Publication date: July 1, 2021Inventors: Frederick E. Shelton, IV, Jason L. Harris
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Publication number: 20210196387Abstract: Disclosed herein is a system for an interventional procedure using medical images. The system includes: a master device configured to perform control so that a medical tool of a robot arm follows intervention trajectories; an image processing device configured to register plan images, in which a surgical plan including the intervention trajectories of the medical tool is set up, and preoperative (pre-op) images acquired at a surgical site before surgery so that the surgical plan is transferred to the pre-op images and register the pre-op images and intraoperative (intra-op) images acquired at the surgical site during the surgery; and a user interface device configured to visualize the predicted arrival location of the tip of the medical tool for a target point when the robot arm operates according to the surgical plan by using the pre-op images and the intra-op images in conjunction with the image processing device.Type: ApplicationFiled: December 31, 2020Publication date: July 1, 2021Inventors: Hyun Gi SEO, Donghoon YU, Jaeyoun YI, Byeong Soo KIM, Hyunwoo KIM, Ji Min KIM
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Publication number: 20210196388Abstract: A stem portion is formed such that when implanted in a scapula the stem portion includes three cross-sections parallel to a medial lateral plane. The middle cross-section has a length in the medial-lateral direction which is shorter than the lengths of the other two cross-sections in the medial lateral direction.Type: ApplicationFiled: January 19, 2021Publication date: July 1, 2021Inventors: Joseph P. Iannotti, Kimerly A. Powell, Gerald R. Williams
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Publication number: 20210196389Abstract: A system and a method for determining a target point for a needle biopsy may be provided. The method may include obtaining a first localization image and a second localization image regarding a region of interest (ROI) of a subject. The method may include labelling a plurality of pairs of markers for the ROI on the first localization image and the second localization image. The method may include determining a space position of each of the plurality of pairs of markers. The method may include generating visualized data regarding the ROI based on the space positions of the plurality of pairs of markers, and determining the target point for the needle biopsy based on the visualized data.Type: ApplicationFiled: February 10, 2021Publication date: July 1, 2021Applicant: SHANGHAI UNITED IMAGING HEALTHCARE CO., LTD.Inventors: Xingyue YI, Dongwei CHU, Qifei SUN
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Publication number: 20210196390Abstract: A system and method utilizing a camera device containing an inertial measuring unit or similar orientation mechanism to calibrate alignment of the camera device according to a primary image such as an image displayed on an imaging screen, and then utilizing this calibration data to guide the system or user in acquiring a spatially aligned digital image using the camera device. Steps include recording the spatial orientation of the camera in at least two spatial dimensions when aligned with the primary image and guiding the camera into relative alignment with the imaging screen when taking a picture.Type: ApplicationFiled: February 17, 2021Publication date: July 1, 2021Inventors: Noah D. Wollowick, Andrew J Cooper, Cameron Albert
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Publication number: 20210196391Abstract: Systems and methods are disclosed for to determining a blood supply and blood demand. One method includes receiving a patient-specific model of vessel geometry of at least a portion of a coronary artery, wherein the model is based on patient-specific image data of at least a portion of a patient's heart having myocardium; determining a coronary blood supply based on the patient-specific model; determining at least a portion of the myocardium corresponding to the coronary artery; determining a myocardial blood demand based on either a mass or a volume of the portion of the myocardium, or based on perfusion imaging of the portion of the myocardium; and determining a relationship between the coronary blood supply and the myocardial blood demand.Type: ApplicationFiled: March 10, 2021Publication date: July 1, 2021Inventors: Charles A. TAYLOR, Hyun Jin KIM, Sophie KHEM, Sethuraman SANKARAN, David SPAIN, Nan XIAO
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Publication number: 20210196392Abstract: A method for implementing a dynamic three-dimensional lung map view for navigating a probe inside a patient's lungs includes loading a navigation plan into a navigation system, the navigation plan including a planned pathway shown in a 3D model generated from a plurality of CT images, inserting the probe into a patient's airways, registering a sensed location of the probe with the planned pathway, selecting a target in the navigation plan, presenting a view of the 3D model showing the planned pathway and indicating the sensed location of the probe, navigating the probe through the airways of the patient's lungs toward the target, iteratively adjusting the presented view of the 3D model showing the planned pathway based on the sensed location of the probe, and updating the presented view by removing at least a part of an object forming part of the 3D model.Type: ApplicationFiled: March 11, 2021Publication date: July 1, 2021Inventors: Oren P. Weingarten, Ron Barak
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Publication number: 20210196393Abstract: A method for implementing a dynamic three-dimensional lung map view for navigating a probe inside a patient's lungs includes loading a navigation plan into a navigation system, the navigation plan including a planned pathway shown in a 3D model generated from a plurality of CT images, inserting the probe into a patient's airways, registering a sensed location of the probe with the planned pathway, selecting a target in the navigation plan, presenting a view of the 3D model showing the planned pathway and indicating the sensed location of the probe, navigating the probe through the airways of the patient's lungs toward the target, iteratively adjusting the presented view of the 3D model showing the planned pathway based on the sensed location of the probe, and updating the presented view by removing at least a part of an object forming part of the 3D model.Type: ApplicationFiled: March 11, 2021Publication date: July 1, 2021Inventors: Oren P. Weingarten, Ron Barak
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Publication number: 20210196394Abstract: A medical tool for use with an electromagnetic navigation system includes a catheter configured to be navigated within patient anatomy and at least one electromagnetic sensor, disposed at the catheter, configured to generate electrical signals indicative of a location of the catheter in response to receiving at least one magnetic field. The medical tool also includes a sheath configured to receive the catheter, a first electromagnetic sensor and a second electromagnetic sensor, disposed at a first region of the sheath, each configured to generate electrical signals indicative of a location of the sheath in response to receiving the at least one magnetic field and a third electromagnetic sensor, disposed at a second region of the sheath spaced from the first region, configured to generate electrical signals indicative of a location of the sheath in response to receiving the at least one magnetic field.Type: ApplicationFiled: December 27, 2019Publication date: July 1, 2021Applicant: BIOSENSE WEBSTER (ISRAEL) LTD.Inventors: Assaf GOVARI, Christopher Thomas BEECKLER, Kevin Justin HERRERA
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Publication number: 20210196395Abstract: Methods and apparatus are provided for mapping and displaying a three dimensional (3D) surgical pathway. Entry and target voxels are selected along with a semi-target voxel therebetween. Where voxels representing bone are between the entry and target voxels, the semi-target voxel is selected such that voxels representing bone are not within a shortest line between it and the entry voxel. A series of voxels through the semi-target voxel define the pathway. For each voxel V in the series between the semi-target voxel and one of the endpoint voxels, the immediately succeeding voxel of voxel V is selected from among the group of neighbor voxels of voxel V by comparing selection weights of each voxel determined a selected basis including relative distances with respect to the endpoint voxel and the semi-target voxel. The pathway voxels are selectively highlighted in a displayed view to provide a visualization of the 3D surgical pathway.Type: ApplicationFiled: December 31, 2019Publication date: July 1, 2021Applicant: Biosense Webster (Israel) Ltd.Inventors: Yair Palti, Remi Bettan, Vadim Gliner, Uri Avni
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Publication number: 20210196396Abstract: A method of operating a surgical microscope includes receiving an instruction to move the camera relative to the object, operating a zoom lens to zoom out and displaying images obtained by processing images recorded by the camera such that centers of the displayed images correspond to a target position within the recorded images and such that the magnification of the object displayed in the images is the initial magnification, wherein the target position is displaced within the recorded images relative to the first position, and operating actuators to move the camera.Type: ApplicationFiled: December 31, 2019Publication date: July 1, 2021Inventors: Fang You, David Dobbelstein, Stefan Saur
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Publication number: 20210196397Abstract: The present disclosure provides a surgical robot including a control system, a force identification system, a robotic arm system and a navigation system, the robotic arm system including a robotic arm, a robotic arm terminal detachably connected to a trackable element. The navigation system acquires and provides a registration point of interest on an object to the robotic arm system. The robotic arm system controls movements of the robotic arm to drive the trackable element to move to the registration point of interest. The force identification system detects and provides a force applied to the robotic arm terminal to the control system. The control system determines whether the trackable element has moved to the registration point of interest on the object. The present disclosure also provides a method for bone registration of the surgical robot.Type: ApplicationFiled: April 7, 2020Publication date: July 1, 2021Inventors: Weili PENG, Zhou JIANG, Feng SUN, Chao HE, Tao LI
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Publication number: 20210196398Abstract: Methods of positioning a surgical instrument can involve advancing a first medical instrument to a treatment site of a patient, the first medical instrument comprising a camera, recording a target position associated with a target anatomical feature at the treatment site, generating a first image of the treatment site using the camera of the first medical instrument, identifying the target anatomical feature in the first image using a pretrained neural network, and adjusting the target position based at least in part on a position of the identified target anatomical feature in the first image.Type: ApplicationFiled: December 14, 2020Publication date: July 1, 2021Inventors: Menglong YE, Yanwei WANG, Elif AYVALI, David Paul NOONAN
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Publication number: 20210196399Abstract: Techniques for aligning a medical instrument for percutaneous access to a location within the human anatomy can include determining an orientation of the medical instrument, determining a target location within the human anatomy, and determining a plane that includes the target location. Further, the techniques can include determining a projected position of the medical instrument on the plane and generating interface data indicating a distance between the projected position and the target location on the plane.Type: ApplicationFiled: December 22, 2020Publication date: July 1, 2021Inventors: Elif AYVALI, Bulat IBRAGIMOV, Sarah PLEWE, Janet Zhen BONE, Miroslav DRAHOS, Yuriy MALININ
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Publication number: 20210196400Abstract: According to some implementations, a n medical interventional imaging device for monitoring an interventional procedure is described. The medical interventional imaging device includes a temporary data buffer configured to temporarily store medical interventional fluoroscopic image data, a signal processor configured to detect if an abnormal state occurs during an intervention and to record an instant at which the abnormal state has occurred, and a permanent data storage configured to permanently store at least a part of the medical interventional fluoroscopic image data stored temporarily before and/or at the recorded instant if the abnormal state is detected.Type: ApplicationFiled: February 19, 2021Publication date: July 1, 2021Inventors: Pascal Yves Francois CATHIER, Raoul FLORENT, Olivier Pierre NEMPONT, Guillaume Julien Joseph PIZAINE
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Publication number: 20210196401Abstract: A surgical instrument and method of tracking the surgical instrument includes a shaft, a cutting member, and navigation system. The shaft has a shaft lumen, a shaft window, and a shaft edge. The cutting member is disposed within the shaft lumen and is configured to cyclically move from a first position to a second position relative to the shaft. The cutting member includes a cutting window opening, a cutting edge, and a suction lumen to cut the tissue portion with the cutting member in the first position. The navigation system includes a navigation sensor positioned on at least one of the shaft or the cutting member that is configured to be tracked within a patient for identifying a positional movement of the shaft or the cutting member within the patient.Type: ApplicationFiled: February 23, 2021Publication date: July 1, 2021Inventors: Fatemeh Akbarian, Itzhak Fang, Azhang Hamlekhan, Jetmir Palushi, Ehsan Shameli, David A. Smith, JR.
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Publication number: 20210196402Abstract: The present disclosure is related to a system. The system may include a medical device, a medical device, a storage device, a processing device, and an interaction device. The medical device may be configured to perform a medical procedure on a subject or a portion thereof. The storage device may be configured to store subject procedure information relating to the medical procedure on the subject. The processing device may be configured to communicate with the medical device, the storage device, and the interaction device. The interaction device may be configured to communicate to the subject at least a portion of the subject procedure information during the medical procedure.Type: ApplicationFiled: March 2, 2021Publication date: July 1, 2021Applicant: SHANGHAI UNITED IMAGING HEALTHCARE CO., LTD.Inventors: Hui YIN, Yecheng HAN, Yong E, Wanli TENG, Yajun LIU, Wei TIAN
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Publication number: 20210196403Abstract: A method and system for computer assisted orthopedic feedback of at least one surgical object relative a pre-operative plan are disclosed. The pre-operative plan includes a virtual object, which is the virtual representation of the surgical object, and a virtual structure, which is the virtual representation of the patient structure.Type: ApplicationFiled: March 15, 2021Publication date: July 1, 2021Inventor: Matts Andersson
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Publication number: 20210196404Abstract: An implementation method for operating a surgical instrument using smart surgical glasses for a surgeon to perform an operation on an surgical site with at least one surgical instrument mainly comprises the steps of: the surgeon wearing a smart surgical glasses; using the sensors to sense the position of the surgical instrument held by the surgeon and the position of the surgical site; displaying a picture on a display of the smart surgical glasses, the picture comprising a plurality of sub-blocks; combining the medical image block, the instrument block and the surgical site block to form a mixed reality image; displaying an image of the surgical planning block in the mixed reality image; and the surgeon operating the surgical instrument according to the image of the surgical planning block.Type: ApplicationFiled: December 30, 2019Publication date: July 1, 2021Inventor: Min-Liang Wang
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Publication number: 20210196405Abstract: Apparatus and methods are provided for mapping and displaying three dimensional surgical pathways within imaging of cranial structures derived from voxels of a cranial scan. Entry voxel and target voxel are selected as pathway endpoints. A series of respective neighbor voxels are mapped between the entry voxel and the target voxel to define a pathway. For each voxel Vxi,yi,zi in the series, an immediately succeeding voxel of voxel Vxi,yi,zi is selected from among the group of neighbor voxel of voxel Vxi,yi,zi which excludes neighbor voxels of the immediately preceding voxel of voxel Vxi,yi,zi . The selection is made by comparing selection weights determined based on relative distances with respect to the endpoint voxels and relative distance from voxels within a predetermined distance that represent at least a threshold density. The voxels of the pathway are then selectively highlighted in a displayed view to provide a visualization of the 3D surgical pathway.Type: ApplicationFiled: December 31, 2019Publication date: July 1, 2021Applicant: Biosense Webster (Israel) Ltd.Inventors: Yair Palti, Remi Bettan, Vadim Gliner, Uri Avni
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Publication number: 20210196406Abstract: Described are methods and systems for operating devices in an operating room (OR), according to some embodiments. An OR hub can provide an operations user interface (UI) that is provisioned by a hub software developer to enable authorized users to access permitted software functions run by the system software on the OR hub to operate one or more medical devices in the OR. The operations UI can be configured to prevent an interaction of the one or more medical devices and the OR hub with a user until that user is authenticated through the operations U. In some embodiments, the operations UI of the OR hub implements role-based security in which the operations UI provides an authenticated user with different sets of permitted software and/or security functions based on a type of credential possessed by the authenticated user.Type: ApplicationFiled: December 30, 2020Publication date: July 1, 2021Applicant: Stryker CorporationInventors: Amit A. MAHADIK, Ramanan PARAMASIVAN, Suraj BHAT, Afshin JILA, Manoj AGGARWAL, Sourabh CHOUDHARY
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Publication number: 20210196407Abstract: A control console for control of a medical surgical device comprising at least one surgical mechanical arm, which control console comprising: a control console base; at least one user support coupled to said control console base; a processor configured to receive data regarding a selected surgical configuration of said at least one surgical mechanical arm and at least one camera; an input arm support coupled to said control console base; at least one input arm comprising a plurality of sections sequentially coupled by joints, coupled to and extending from said input arm support where a direction of extension of said input arm, with respect to said at least one user support is adjustable to match an input arm configuration to said selected surgical configuration, a camera view of said at least one surgical mechanical arm thereby corresponding to a user view of said input arm.Type: ApplicationFiled: March 11, 2021Publication date: July 1, 2021Applicant: Memic Innovative Surgery Ltd.Inventors: Dvir COHEN, Yaron LEVINSON
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Publication number: 20210196408Abstract: An instrument support apparatus for use in a robotic surgery system is disclosed. The apparatus includes a housing, and a mounting interface disposed on the housing, the mounting interface being operably configured to receive and support a proximal end of an elongate shaft of a surgical instrument, the instrument including a tool disposed at a distal end of the elongate shaft. The apparatus also includes an automated drive coupled to the proximal end of the instrument and controlled by the robotic surgery system to cause movement of the proximal end for extending or retracting the instrument to position the tool within a surgical operating site. The apparatus further includes a manual actuator disposed on an accessible location on the housing and configured to be rotated by an operator to cause a manual retraction of the instrument in the event of a failure of the automated drive.Type: ApplicationFiled: December 31, 2019Publication date: July 1, 2021Inventors: Daniel Hoffman, Tyler Michael, Abraham Shipley
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Publication number: 20210196409Abstract: Provided is a system comprising a tool (50) and a stator unit (500). The tool (50) comprises an instrument (100, 102) having a proximal end (20) and a distal (40) end, an end effector (300) at the distal end (40) actuated by torque, and a rotor unit (400) body (410) having at least two cammed surfaces to provide the torque. The stator unit (500) comprises a plurality of stator pushers (530-Ua, 530-Va, 530-Wa, 530-Ub, 530-Vb, 530-Wb, 530-Uc, 530-Vc, 530-Wc) configured for movement in a direction radial to a centre of rotation (405) of the body (410) of the rotor unit (400) and for the application of the radial force, whereby movement of the stator pushers induces rotation of the body (410) around the axis of rotation (210).Type: ApplicationFiled: May 27, 2019Publication date: July 1, 2021Applicant: Steerable Instruments NVInventors: Bart Blanckaert, Cyriel Mabilde, Frank Dewaele
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Publication number: 20210196410Abstract: Specimen collectors configured for use with robotic medical systems are described herein. A robotic medical system can include a medical instrument that can be inserted into a patient to capture a specimen. A robotic manipulator can be engaged with the medical instrument and configured to operate the medical instrument. A sterile barrier can be used to separate a sterile field containing the medical instrument from a non-sterile field containing the robotic manipulator. A specimen collector can include a receptacle portion in the sterile field and configured to receive the specimen when the distal end of the medical instrument is withdrawn from the patient and a connector coupled to the receptacle portion and configured to attach to the robotic medical system. The robotic system can deposit the specimen in the receptacle portion.Type: ApplicationFiled: December 22, 2020Publication date: July 1, 2021Inventors: Jason J. Hsu, Janet Zhen Bone, Rachel Leigh Chok, Jeffrey William Draper
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Publication number: 20210196411Abstract: A robotic surgical system includes a robotic surgical assembly and a control assembly. The robotic surgical assembly includes a robotic actuation assembly, a processing device, and a first communication device. The robotic actuation assembly includes a robotic arm. The processing device is configured to instruct the robotic actuation assembly to perform a task based on a set of instructions. The first communication device is operable to transfer the set of instructions to the processing device. The control assembly includes a second communication device and a user input device. The second communication device is operable to communicate the set of instructions to the first communication device. The user input device assembly is configured to generate the set of instructions and send the set of instruction to the second communication device. At least a portion of the instructions are based on positioning of the user input device within three-dimensional space.Type: ApplicationFiled: January 7, 2021Publication date: July 1, 2021Inventors: Omar J. Vakharia, James G. Lee, Matthew S. Corbin, Mark D. Overmyer, Cory G. Kimball
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Publication number: 20210196412Abstract: Robotic Angioplasty and Endoluminar Surgery System to separate patient and operator by remotely moving guides and catheters during operations, composed of three or more elements, of which at least one disposable (nose), available in different versions, like for independent advancements and retractions of a balloon catheter (or stent) and relative guide and to their common axial rotation, or for moving a guide with a moving core or a catheter. The nose should be inserted into a non-sterile Slave placed near the patient, covered with sterile drapes, and with a combination of toothed wheels it translates all into three rotations controlled by three independent motors, possibly measuring the torque applied by the motors. By replacing the three angular gauges to the motors, a Master is obtained, controlled by a doctor by moving non-sterile tubes.Type: ApplicationFiled: October 26, 2018Publication date: July 1, 2021Inventors: Guido DANIELI, Ciro INDOLFI, Salvatore DE ROSA, Domenico BATTAGLIA, Giovanni DE GAETANO, Gionata FRAGOMENI, Pasquale Francesco GRECO, Gabriele LAROCCA, Michele PERRELLI
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Publication number: 20210196413Abstract: A surgical instrument includes a surgical effector having a wrist configured to manipulate objects at a surgical site, one or more robotically operable input controllers configured to open and close the wrist of the surgical effector, and a manual actuator configured to open and close the wrist of the surgical effector.Type: ApplicationFiled: December 22, 2020Publication date: July 1, 2021Inventor: Shinnosuke Inoue
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Publication number: 20210196414Abstract: A surgical module is supported by manipulators that are removably attached to the surgical module. The surgical module may enable operation of surgical tools by providing an integration between actuating mechanisms of the manipulators and actuating mechanisms of the surgical tools. Alternatively or additionally, the surgical module may enable operation of the surgical tools by providing physical access for deploying surgical tools that are operatively connected to the manipulators.Type: ApplicationFiled: March 11, 2021Publication date: July 1, 2021Inventors: David J. Rosa, Gary S. Guthart, Simon P. DiMaio
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Publication number: 20210196415Abstract: Certain aspects relate to systems and techniques for robotic medical instrument system. The medical system can include an elongated shaft configured for insertion into a patient. The system can also include a pull wire extending along the elongated shaft. The pull wire can be actuatable to articulate the elongated shaft. The medical system can include a dynamic pulley coupled to the pull wire, the dynamic pulley configured to collapse during rotation in a first direction and to expand during rotation in a second direction opposite the first direction.Type: ApplicationFiled: December 22, 2020Publication date: July 1, 2021Inventors: Andre J. Castillo, Akira Bryan Ueda
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Publication number: 20210196416Abstract: A surgical instrument according to an embodiment may include a first pulley and a second pulley. A shaft-side pulley, which is provided at a position closest to the shaft among a plurality of pulleys including the first pulley and the second pulley, has a groove width greater than groove widths of the other pulleys.Type: ApplicationFiled: February 18, 2021Publication date: July 1, 2021Applicant: MEDICAROID CORPORATIONInventors: Shota BETSUGI, Yu USUKI
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Publication number: 20210196417Abstract: A master controller assembly for a robotic surgery system has a slave robot assembly having a slave surgical grip device providing a grip degree-of-freedom of motion lying in a predefined slave grip plane and a control unit. The master controller assembly has a portable hand-held master input tool operatively connected to the slave robot assembly. The master input tool has a master tool body having a manipulandum surface, to be hand-held by the surgeon's fingers. The master input tool is mechanically unconstrained from the slave robot assembly and has a grip command detector device having an operative portion. The operative portion is manually operable by radially directed pressure action exerted at an operative surface. A sensing assembly detects the radially directed pressure action so that the radially directed pressure action exerted at the operative surface determines a paired slave grip motion action of the surgical slave grip device.Type: ApplicationFiled: May 17, 2019Publication date: July 1, 2021Inventors: Massimiliano SIMI, Giuseppe Maria PRISCO
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Publication number: 20210196418Abstract: A glove with thinner and thicker parts is disclosed. The thinner parts, in one version of the glove, cover all of a thumb and index finger and a distal phalanx of a middle and ring finger. The rest of the glove, in such an embodiment, is thicker. The thicker parts can include the palm and dorsal side of the hand. The thinner region palmar side of the distal phalanx of the middle and ring finger include, in embodiments of the disclosed technology, a pad with a peelable cover which reveals a local anesthetic and disinfectant. Such pads can further be used/attached with a version of the glove with only thinner material throughout. In this manner, one can grasp with greater dexterity with the thinner regions of the glove compared to the thicker regions and also use a disinfectant followed by an anesthetic. The glove further has, covering a minority of a dorsal side of the glove, a removable and reattachable dorsal peelable pad.Type: ApplicationFiled: August 28, 2020Publication date: July 1, 2021Inventor: Henny Avitan
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Publication number: 20210196419Abstract: A system for reducing glove waste comprising a glove dispensing box having an enclosure formed by a top portion, a bottom portion, a first rectangular side portion, a second rectangular side portion, a first rectangular end portion, and a second rectangular end portion, the top portion having an opening though which a glove can be pulled; a flexible sheet adhered to the glove dispensing box, wherein the flexible sheet is connected adjacent to the opening, the flexible sheet having a nonlinear, elongated slit dimensioned to permit passage of a single glove therethrough and to inhibit the passage of multiple gloves with a single manual pull; and an antimicrobial material disposed to inhibit microbial growth proximate to the slit. Also disclosed herein are accompanying methods and devices for reducing glove waste and contamination.Type: ApplicationFiled: March 13, 2021Publication date: July 1, 2021Inventor: Ellen Quintana
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Publication number: 20210196420Abstract: A sterile adapter for coupling a surgical instrument and a surgical instrument manipulator includes a bottom component and a coupling component. The bottom component includes a bottom component opening with a bottom lip having a locking mechanism. The coupling component is rotatably coupled to the bottom component. The coupling component includes an engagement feature that engages the surgical instrument manipulator. The coupling component further includes a locking mechanism opening that engages the locking mechanism when the engagement feature has not engaged the surgical instrument manipulator. The coupling component may include a retention tab that is aligned with the keyway to insert the coupling component into the bottom component opening and then misaligned with the keyway to retain the coupling component in the bottom component opening. A ramp may be provided on a leading edge of a pocket to facilitate engaging the coupling component with the surgical instrument manipulator.Type: ApplicationFiled: January 4, 2021Publication date: July 1, 2021Applicant: INTUITIVE SURGICAL OPERATIONS, INC.Inventors: Gregory W. DACHS, II, Bruce Michael SCHENA, Amir CHAGHAJERDI, Niels SMABY