Abstract: A surgical instrument includes an end effector, a handle assembly, a knife drive assembly, and a lockout assembly. The end effector includes a pair of jaws, a knife, and an RF electrode. The handle assembly includes a housing associated with the first jaw, and an arm associated with the second jaw. The arm is pivotably coupled with the housing and pivots the second jaw between the open position and the closed position. The knife drive assembly includes a trigger slidably coupled with the housing, an actuating assembly, and a return assembly. The actuation assembly converts proximal translation of the trigger into distal actuation of the knife. The return assembly automatically actuates the knife from the fired position to the pre-fired position in response to the trigger reaching a predetermined proximal position. The lockout assembly prevents activation of the electrode and distal actuation of the knife while in the locked configuration.

Abstract: An electrosurgical instrument includes an end effector assembly including first and second jaw members. At least one of the first or second jaw members is movable about a pivot relative to the other from a spaced-apart position to an approximated position to grasp tissue between first and second opposed surfaces of the first and second jaw members, respectively. The electrosurgical instrument further includes an interface configured to provide a feedback related to a size of tissue grasped by the first and second jaw members. At least one of the first or second jaw members includes a touch sensor configured to sense a touch span where the tissue touches the at least one of the first or second opposed surfaces. The end effector assembly further includes an angle sensor configured to sense an angle ? about the pivot between the first and second opposed surfaces.

Abstract: An improved drive shaft for controlling an end effector of surgical instrument having advantages over the prior art, specifically, the drive shaft includes two separate elongate elements, each including a flange at its proximal end for restricting the lateral movement of the drive shaft when installed within an outer shaft of the instrument. The dimensions of the flanges are such that they fit within the outer shaft with minimal clearance. This allows the drive shaft to be moved longitudinally within the outer shaft to actuate an end effector whilst minimizing any lateral movement. This consequently prevents the end effector from tilting as it is actuated. The drive members are arranged so that the flanges extend in opposite directions perpendicular to the length of the drive shaft. This helps to improve ease of assembly and provides space within the outer shaft for features such as connection wires and the like.

Abstract: Tissue modification instruments. In some embodiments, the instrument may comprise a shaft extending along an axis. A tissue treatment tip may be positioned at a distal end of the shaft. The tissue treatment tip may comprise one or more energy delivery elements configured to deliver tissue-modification energy. The tissue treatment tip may comprise a non-branching tip that extends away from the axis to define a tissue treatment region that is wider than a width of the shaft. The tissue treatment tip may comprise a terminal end, which may be positioned at the distal end of the instrument in some embodiments or may be positioned proximal of the distal end of the instrument.

Abstract: Methods and apparatus are provided for treating hypertension, e.g., via a pulsed electric field, via a stimulation electric field, via localized drug delivery, via high frequency ultrasound, via thermal techniques, etc. Such neuromodulation may effectuate irreversible electroporation or electrofusion, necrosis and/or inducement of apoptosis, alteration of gene expression, action potential attenuation or blockade, changes in cytokine up-regulation and other conditions in target neural fibers. In some embodiments, neuromodulation is applied to neural fibers that contribute to renal function. In some embodiments, such neuromodulation is performed in a bilateral fashion. Bilateral renal neuromodulation may provide enhanced therapeutic effect in some patients as compared to renal neuromodulation performed unilaterally, i.e., as compared to renal neuromodulation performed on neural tissue innervating a single kidney.

Abstract: The subject of this disclosure includes an ablation system for visually supporting a tissue ablation procedure, including a display comprising a user interface; and at least one processor in communication with the display, the at least one processor configured to control one or more of a plurality of electrodes of a radiofrequency balloon catheter to ablate organ tissues of one or more targeted pulmonary veins; determine a characteristic, based on ablation parameters of the radiofrequency balloon catheter, of pulmonary vein isolation (PVI) success rate; and present, on the display, visual information corresponding to each electrode for an indication, based on the characteristic, for PVI success rate.

Abstract: A method for the treatment of a patient for the purpose of lowering blood pressure and/or treating other medical conditions such as cardiac arrhythmias. A catheter having an ablation element is placed inside the body of a patient and is directed to a targeted location either on in the abdominal aorta where the right or left renal arteries branch from the aorta at or near the superior junction or ostia or on the inside of the inferior vena cava near the junction with the right renal vein or in the left renal vein at a position spatially near where the left renal artery branches from the abdominal aorta. Catheters designed for use in the method where these targeted locations are also disclosed and claimed.

Abstract: An electrosurgical instrument for delivering microwave energy having a predetermined frequency into biological tissue in contact with the instrument, wherein the instrument comprises a first coaxial transmission line having a second coaxial transmission line connected to the distal end thereof, the second coaxial transmission line having a length and a characteristic impedance that are configured to match the impedance of the first coaxial transmission line to the load impedance at the distal end of the distal coaxial transmission line when the instrument is in contact with the tissue, at the operating frequency.

Abstract: A thermal accelerant is delivered to a tissue site and localized to modulate the shape, extent or other characteristic of RF or microwave-induced hyperthermic tissue ablation. The accelerant may be provided via an image-guided hand piece or via a lumen added to a microwave antenna, and promotes faster heating, more complete ablation and/or a more extensive treatment region to reduce recurrence of treated cancers, overcoming natural limitations, variations in tissue response and drop-off or thermal loss away from the antenna. The accelerant is delivered as a viscous but heat sensitive fluid, and is fixed in place to provide regions of preferential absorption or heating. Shorter exposure times to heat the far field may allow survival of vulnerable tissue such as vessels, and multiple antennae may be used for effective treatment of irregular or large tumors.

Abstract: Articles of manufacture, including terminations of or attachments to optical fibers are configured to substantially prevent axial emission and redirect radially most if not all light emanating from optical fibers. In that, a termination may include a fiber cap of a unitary construction of a tube and an optical element disposed to face a sealed end of the tube and dividing a hollow of the tube and having a conical surface, or an optical element dividing the hollow and complemented by a cone. An example of termination includes an optical fiber element having an up-tapered end with a maximum taper-diameter exceeding the core-diameter and ending at a conical element with an apex angle from about 70° to about 100°. Articles of manufacture additionally including mounting contraptions cooperating such terminations with cannulae to form an attachment to a laser system. Methods for transmitting light through such articles of manufacture.

Abstract: A catheter system for treating a vascular lesion within or adjacent to a vessel wall within a body of a patient includes a single light source that generates light energy, a first light guide and a second light guide, and a multiplexer. The first light guide and the second light guide are each configured to selectively receive light energy from the light source. The multiplexer receives the light energy from the light source in the form of a source beam and selectively directs the light energy from the light source in the form of individual guide beams to each of the first light guide and the second light guide.

Abstract: According to an aspect, a preoperative planning method for a high-tibial knee osteotomy procedure is provided. The method includes: a) constructing a 3D model of a patient's bones; b) analyzing the 3D model to select a desired correction angle to apply to the patient's tibia bone to adjust a mechanical axis thereof; c) determining surgical steps required to apply the desired correction angle to the patient's tibia bone; d) designing a patient-specific guide to guide generic surgical tools in performing the surgical steps, the patient-specific guide being designed to conform to the anatomy of the patient's bones based on the 3D model; and e) manufacturing the patient-specific guide designed in step d). A corresponding kit, system and computer readable medium for performing the method are also provided.

Abstract: Systems and methods for planning delivery of an object via a catheter, such as transseptal delivery of a prosthetic mitral valve to a patient's heart are disclosed.

Abstract: The present disclosure relates generally to medical imaging and, more particularly to systems, methods, and devices for planning and carrying out minimally invasive procedures using external devices for needle guidance and the display and manipulation of the image set when planning and performing the procedure.

Abstract: The present invention relates to guidance during examinations or interventional procedures. In order to facilitate information provision in a medical environment such as an operation room or cathlab, an augmented reality display device (10) for medical equipment is provided that comprises a data input unit (12), a processing unit (20) and a display unit (22). The data input unit is configured to receive displayed operation parameters (14) of at least one medical appliance. The data input unit is also configured to receive relative location information (16) of at least one medical appliance in relation to the display unit and a viewing direction information (18) of the user. The processing unit is configured to detect if at least one of the medical appliances is in the user's field of view based on the relative location information and the viewing direction information. The processing unit is further configured to generate display data based on the operation parameters of the detected medical appliance.

Abstract: A method of pre-operatively developing a reverse shoulder arthroplasty plan can include receiving an image of a patient shoulder comprising a humerus and a glenoid. The image can be segmented to develop a 3D shoulder model. Virtual surgery can be performed on the 3D shoulder model to generate a modified shoulder model. The virtual surgery can include resecting and reaming a virtual humerus of the 3D shoulder model, and reaming a virtual glenoid of the 3D shoulder model. Selection of a humeral implant and selection of a glenoid implant can be received. A virtual representation of the humeral implant can be implanted on the virtual humerus and a virtual representation of the glenoid implant on the virtual glenoid to virtually update the modified shoulder model. A range of motion of the patient shoulder can be determined and a reverse shoulder arthroplasty can be finalized based on the range of motion.

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

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

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

Abstract: A system includes a processor and a display. The processor is configured to: (a) receive, from a camera inserted into an eye of a patient, at least an optical image of at least a region-of-interest (ROI) of the eye, (b) receive, from a position tracking system (PTS), a position signal indicative of a position of a medical instrument treating the eye, (c) register the optical image and the PTS in a common coordinate system, and (d) estimate the position of the medical instrument in the optical image. The display is configured to visualize at least the ROI and the medical instrument.

Abstract: A system includes a processor and a display. The processor is configured to: (a) receive an optical image of an organ of a patient, (b) receive an anatomical image of the organ, (c) receive, from a position tracking system (PTS), a position signal indicative of a position of a medical instrument treating the organ, (d) register the optical image and the anatomical image in a common coordinate system, and (e) estimate the position of the medical instrument in at least one of the optical image and the anatomical image. The display is configured to visualize the medical instrument overlaid on at least one of the optical image and the anatomical image.

Abstract: A location pad includes two or more field-generators, and a frame. The field-generators are configured to generate respective magnetic fields at least in a region-of-interest (ROI) of a patient organ, for measuring a position of a medical instrument in the ROI. The frame is coupled with tissue that is at least partially surrounding the organ and is configured to fix the two or more field-generators at respective positions surrounding the ROI.

Abstract: A location pad includes two or more field-generators, one or more tracking elements, and a frame. The field-generators are configured to generate respective magnetic fields at least in a region-of-interest (ROI) of an organ of a patient, for measuring a position of a medical instrument in the ROI. The one or more tracking elements are for registering the location pad with the organ. The frame is coupled with tissue that is at least partially surrounding the organ, and the frame is configured to fix (i) the two or more field-generators at respective positions surrounding at least a portion of the ROI, and (ii) the one or more tracking elements at one or more respective predefined positions on the frame.

Abstract: A computer-implemented method is for creation of a control signal with regard to controlling a movement of a medical object, the creation of the control signal being dependent on a current movement state of an examination object. In an embodiment, the method includes receiving, via a processor, a movement model of at least one part of the examination object, the movement model including at least one target movement state; detecting, via a sensor, a current movement state of the examination object; comparing, via the processor, whether the current movement state at least approximately corresponds to the at least one target movement state; determining, via the processor, the control signal as a function of the movement model and of the current movement state, depending on a result of the comparing; and provisioning the control signal.

Abstract: A medical device may include a tubular body defining a central longitudinal axis and a lumen, the tubular body including an annular wall having an inner circumferential surface and an outer circumferential surface. The medical device may include a multi-core fiber extending along at least a portion of the length of the tubular body and at least partially disposed in the annular wall thereof. The medical device may include a plurality of single-core fibers extending along at least a portion of the length of the tubular body and defining a central longitudinal axis that is nonparallel to the central longitudinal axis of the tubular body. A medical device may include a multi-core fiber disposed on a top surface of a first layer and extending along at least a portion of the length of the first layer; and a second layer deposited or printed on the first layer.

Abstract: Methods, non-transitory computer readable media, surgical tracking devices, and systems that facilitate improved tracking in surgical environments are disclosed. With this technology, a fiber optic shape sensing (FOSS) device is rigidly attached to patient anatomy and/or surgical instrument(s) to facilitate location and/or flexibility tracking. The data provided by the FOSS device can be analyzed and registered to preoperative or intraoperative 3D anatomy model(s). The FOSS device can be attached to a surgical instrument to provide intraoperative guidance, used to locate a hollow needle for tracking bones in a minimally invasive manner, and/or used to detect bending in an instrument such as an arthroscope or tissue removing burr shaft, for example. The tracked location and/or flexibility data provided by the FOSS device can also be used to automatically control the location and/or operation of a surgical instrument during a surgical proceeding to facilitate improved surgical accuracy and patient outcomes.

Abstract: A system and method for tracking position and orientation of a surgical tool during a surgical procedure and providing feedback to a user are described. For example the system includes a surgical tool configured to perform at least a portion of the surgical procedure, a tracking system configured to monitor and record position information related to the surgical tool, a processing system, and a display. The processing system can be configured to receive the position information, determine optimal position information for the surgical tool during the surgical procedure, compare the received position information against the optimal position information to determine a conformance level for the user, and generate a user performance record. The display can be configured to receive and display the user performance record.

Abstract: Disclosed is a computer-implemented method of determining control data for increasing the braking force exerted by a braking mechanism of a mechatronic articulable arm on at least one or all joints connecting the arm elements of the mechatronic articulable arm to a level of braking force which is higher than the level required for locking the joint or joints, respectively. The control data is determined in dependence on both the relative position between the mechatronic articulable arm and an anatomical body part of patient, and a locking state of the mechatronic articulable arm.

Abstract: A robotic surgical system can include an end effector coupled to a robotic arm. A reamer operable to ream bone can be coupled to the end effector (e.g., via a retainer). The reamer can include a primary driveshaft and a cutting head. The primary driveshaft can be rotatable about a first axis of rotation and the cutting head can be rotatable about a second axis of rotation, for example parallel to and offset from the first axis of rotation.

Abstract: A surgical robot includes a first indicator configured to indicate a state of a system, and a plurality of second indicators configured to individually indicate states of a plurality of arms, and the state of the system includes a state of the surgical robot excluding the states of the plurality of arms and a state of a doctor-side operation device.

Abstract: The various inventions relate to robotic surgical devices, consoles for operating such surgical devices, operating theaters in which the various devices can be used, insertion systems for inserting and using the surgical devices, and related methods. A positionable camera is disposed therein, and the system is configured to execute a tracking and positioning algorithm to re-position and re-orient the camera tip.

Abstract: For control about a remote center of motion (RCM) of a surgical robotic system, possible configurations of a robotic manipulator are searched to find the configuration providing a greatest overlap of the workspace of the surgical instrument with the target anatomy. The force at the RCM may be measured, such as with one or more sensors on the cannula or in an adaptor connecting the robotic manipulator to the cannula. The measured force is used to determine a change in the RCM to minimize the force exerted on the patient at the RCM. Given this change, the configuration of the robotic manipulator may be dynamically updated. Various aspects of this RCM control may be used alone or in combination, such as to optimize the alignment of workspace to the target anatomy, to minimize force at the RCM, and/or to dynamically control the robotic manipulator configuration based on workspace alignment and force measurement.

Abstract: A surgical robot includes an arm configured to allow a medical device to be attached thereto, and an operation unit supported by the arm. The operation unit includes a joystick configured to operate movement of the medical device by the arm.

Abstract: Surgical robot systems for remote manipulation having robotic telemanipulators are provided. The surgical robot systems are well adapted for use by the surgeon, seamlessly integratable into the operation room, allow for a surgeon to work between the robot and the patient throughout a surgery in a sterile manner, are relatively low cost, and/or permit integrated laparoscopy. The system preferably includes a master console having a plurality of master links interconnected by a plurality of master joints, and a handle coupled to the master console for operating the telemanipulator. The system further includes a slave console operatively coupled to the master console and having a plurality of slave links interconnected by a plurality of slave joints that move responsive to movement at the master console to permit an end-effector to perform surgery.

Abstract: Surgical instruments for use in a surgical robot are provided herein. The instruments are preferably part of a translational instrument interface and are removably coupled to the surgical robot. In one aspect, the translational instrument interface has a slave hub mounted on a distal end of the slave unit, a sterile shield insertable within the slave hub, and an instrument having an end-effector for contacting tissue insertable within the sterile shield. The instrument may be disposable after a single use. The handle of the surgical robot is preferably coupled to the translational instrument interface such that actuation at the handle causes movement of the end-effector for performing surgery.

Abstract: In a surgical robot, a pivot position teaching button is pressed with a tip end of a medical device moved to a position corresponding to an insertion position of a trocar inserted into a body surface of a patient such that a pivot position is stored in a storage.

Abstract: In a surgical robot, an operation unit includes an enable switch and an operation tool configured to control a moving direction of an arm, and the enable switch and the operation tool are arranged apart from each other within a range operable by fingers of one hand of an operator in the operation unit.

Abstract: The protective envelope for a robotic module for driving a flexible elongate medical element, intended to form a barrier between the robotic driving module and the flexible elongate medical element, includes: —a mechanism for attachment to the robotic module, and —a guide track for the flexible elongate medical element including a longitudinal axis and a main portion having a free surface of concave shape, the main portion including a longitudinal groove for receiving the flexible elongate medical element, extending along the longitudinal axis and hollowed out in the free surface having a concave shape.

Abstract: A draping apparatus for providing a medical procedure barrier. The draping apparatus comprises a generally transparent medical draping structure for use during diagnostic, therapeutic, and surgical procedures performed on a patient. The draping structure is supported by a support structure that is removably attachable to a bed. An access component comprises a pair of long armed procedure gloves affixed to the draping structure that allows a medical provider to insert their hands into the gloves to provide assistance to the patient without exposure to aerosol contaminants. The invention enables medical procedures, such as positive pressure ventilation and endotracheal intubation, to be performed from behind the protective draping apparatus. The invention also allows for quick and easy disposal, with minimal need for cleaning.

Abstract: A medical isolation device for use by a medical professional to safely create a barrier between the medical professional and an ill patient in need of treatment, such as intubation. The medical isolation device has a body, a drape, a porthole, and a porthole cover. The medical isolation device may also have ports, such as suction and oxygen ports. The body and the drape form the medical isolation device that may be placed over the head and neck of a patient. The body extends between a base edge and a front side edge, formed among a first side edge, a second side edge, a top side edge, and a back side edge.

Abstract: Embodiments herein describe tools and instruments for holding, transferring, delivering, deploying an implantable device and methods and means of aseptically storing and shipping the implantable device including but not limited to a device case for protecting, housing and filling the device, a surgical sizer for preparing the implantable site, a deployer for transferring the implantable device from the device case and delivering or deploying the implantable device at the prepared implantable site.

Abstract: To provide a packaged medical device which is hard to cause a variation in the fixed states of the medical devices. Specifically, provided is a packaged medical device comprising a container having an opening portion, a medical device housed inside the container, and a gas impermeable film sealing the opening portion by heat-sealing, in which the inside of the container is set to a negative pressure to the atmospheric pressure and the medical device is pressed by the gas impermeable film.

Abstract: A spinal disorder diagnosis and treatment planning system is provided. The diagnosis and treatment planning system includes a mixed reality holographic display including at least one processor, at least one camera, at least one sensor, and being configured to acquire data points corresponding to a surface of a body adjacent to vertebral tissue. A computer database is configured to transmit imaging of the body including the vertebral tissue to the mixed reality holographic display. The mixed reality holographic display is configured to display a first holographic image of the vertebral tissue superimposed with a body image including the surface. Methods are also disclosed.

Abstract: An adhesive examination marker includes a base film having a front surface and a rear surface facing away from the front surface, a pressure-sensitive adhesive layer disposed on the rear surface of the base film, and a support attached to the front surface of the base film and having a shape along at least a part of a periphery of the base film as viewed perpendicular to the front surface of the base film, the support including a band-like portion that connects two points on the periphery of the base film which face each other across a central portion of the base film.

Abstract: An isolation barrier and method of using it. The isolation barrier includes a mask with a face opening and at least one access opening in front of the subject's nose and/or mouth and an enclosure having a first enclosure opening attached around the access opening, a second enclosure opening, and flexible material extending from the first enclosure opening to the second enclosure opening and defining an enclosure interior, the flexible material comprising at least one area through which the enclosure interior can be viewed, the mask and enclosure interior defining a medical procedure field extending from the subject's nose and mouth to the second enclosure opening when the isolation barrier is in place on the subject's face.

Abstract: A patient barrier device includes a shield that defines a protective volume subjacent the shield and a patient's face. The patient barrier device further includes a fluid port in fluid communication with the protective volume. The patient barrier device further includes a mounting feature connected to the shield for supporting the shield relative to the patient's face. A system includes a patient barrier device having a shield that defines a protective volume subjacent the shield and the patient's face. The system further includes a pump coupled with the patient barrier device. A method includes positioning a patient barrier device over a face of a patient, the patient barrier device having a shield defining a protective volume over the face of the patient. The method further includes drawing air from the protective volume while the face of the patient is in the protective volume.

Abstract: A joint clamp for a surgical retractor system includes clamps, a cam bolt, and a cam lever. The cam bolt passes through the clamps. A cam lever comprising a cam head pivotally attached an upper portion the cam bolt to permit rotation about a pivot axis that is perpendicular to a longitudinal axis of the cam bolt. The cam head includes an outer surface that results in a distance between the pivot axis and an upper surface of the clamps being greater when the cam lever is rotated about the pivot axis to a clamping position than when the cam lever is rotated about the pivot axis to a non-clamping position. The clamping force may be calibrated or set via a cam bolt having an adjustable length and/or via a setting screw.

Abstract: A minimally invasive device for cleaning surgical instruments includes a rod having first and second ends. A first sponge assembly is fitted about the first end of the rod, the first sponge assembly including a first conical trailing surface, a first cleaning surface and a first leading surface. A first sheath extends over a portion of the first conical trailing surface and terminates on the first conical trailing surface. A second sponge assembly fits about the second end of the rod, the second sponge assembly including a second conical trailing surface, a second cleaning surface and a second leading surface. A second sheath extends over a portion of the second conical trailing surface and terminates on the second conical trailing surface.

Abstract: A medical device component is provided. The medical device component may include a body having a first surface being at least partially formed from a markable material having a first color, the markable material having a characteristic that an area exposed to laser irradiation of a predetermined wavelength of ultraviolet light changes to a second color different from the first color; a film covering at least a portion of the first surface of the body, the film having a transmittance at the predetermined wavelength of ultraviolet light of at least 5%; and a visible mark on the markable material at the first surface of the body covered by the film. The visible mark may include one or more areas of the markable material at the first surface having the second color. Methods of manufacturing the medical device component are also provided.

Abstract: The present invention relates to a fixing piece firing device for a dental membrane, the device being capable of firing the fixing piece to fix the dental membrane that covers a graft site after bone graft during implant surgery, and of facilitating access into an oral cavity due to a tip part with a curved front end, thus enabling a quick and easy procedure without using a typical dental drill.