Abstract: A needle-mounted balloon system can include a cannula and a stylet. The cannula may include a handle and an outer sheath, and the outer sheath may be configured to retract and expose at least a portion of an expandable member. The stylet may include a stylet needle and a sharp distal tip portion. The stylet needle may be used to insert the system into a body structure, after which the stylet may be disengaged from the cannula. The expandable member may then be exposed and inflated to create a space in the body structure. Filler material may be injected through the cannula to the open space in an effort to stabilize an injured or otherwise destabilized portion of the body structure.

Abstract: Implementations described herein include a hone cement mixing and delivery device including a cylindrical container defines a chamber and has an injection passage disposed at the distal end thereof. A plug can be removably disposable in the injection passage. The mixing screw is rotatably disposable in the chamber and has a screw thread extending along an outer surface of the mixing screw as well as a return passage extending through the mixing screw from the proximal end to the distal end thereof. In a mixing mode of the device, a mixing rod engages and rotates the mixing screw about the longitudinal axis of the cylindrical container causing material disposed in the chamber to be moved distally and return to the proximal end of the chamber through the return passage of the mixing screw. In an injection mode of the device, the plug can be removed from the injection passage and an injection rod occludes the return passage of the mixing screw.

Abstract: Methods for temporarily fixing an orientation of a bone or bones. Methods of correcting a bunion deformity. Bone positioning devices. Methods of using a bone positioning device. Bone preparation guides. Methods of using a bone preparation guide.

Abstract: Medical instruments and systems for applying energy to tissue, and more particularly relates to a system for ablating, sealing, coagulating, shrinking or creating lesions in tissue by means of contacting a targeted tissue in a patient with a vapor phase media wherein a subsequent vapor-to-liquid phase change of the media applies thermal energy to the tissue to cause an intended therapeutic effect. Devices and methods for generating a flow of high-quality vapor and monitoring the vapor flow for various parameters with one or more sensors.

Abstract: A smoke evacuation device is disclosed for use with a handheld surgical instrument, which includes an elongated tubular body having opposed proximal and distal end portions, wherein the proximal end portion of the tubular body is adapted and configured for communicating with a source of suction and the distal end portion of the tubular body is adapted and configured to intake smoke generated at a surgical site, and attachment means for attaching the tubular body to the handheld surgical instrument.

Abstract: An adapter for an electrosurgical instrument includes a socket and a stabilizer extending from the socket. The socket includes a mounting surface having a geometry arranged and disposed to accept a distal end of the electrosurgical instrument, and at least one retaining surface, which arranged and disposed to interact with a conformation of the electrosurgical instrument when the socket is mounted onto the electrosurgical instrument such that the socket mounts non-rotatably.

Abstract: A vapor delivery needle is provided that may include any of a number of features. One feature of the energy delivery probe is that it can apply condensable vapor energy to tissue, such as a prostrate, to shrink, damage, denaturate the prostate. In some embodiments, the vapor delivery needle can be advanced a predetermined distance into the prostate with a solenoid actuation mechanism. Methods associated with use of the energy delivery probe are also covered.

Abstract: An apparatus (10) serves for attachment of a light receiving device (24) for light analysis on an instrument (11) or an instrument component (12) during surgery by the surgery user of a surgical instrument (11) or their assistant. The apparatus (10) is preferably configured to releasably attach the light receiving device (24) on the instrument (11) or the instrument component (12). The apparatus (10) can comprise a light receiving device (24) and an electrode (15) fixed relative thereto. The electrode (15) can alternatively also be part of the instrument (11). The apparatus (10) can be releasably attachable to the instrument (11) or the instrument component (12) and can form an adapter for attachment of the light receiving device (24) on the instrument (11) or the instrument component (12) or can also be configured as part of the instrument (10).

Abstract: A resecting probe includes a shaft assembly having an outer sleeve and an inner sleeve. The outer sleeve has an axial bore and an outer window in a distal side thereof, and the inner sleeve has an axial extraction channel and inner window in a distal side thereof. The inner sleeve is rotationally disposed in the axial bore of the outer sleeve to allow the inner sleeve window to be rotated in and out of alignment with the outer sleeve window, and the shaft assembly forms a flow aperture in a distal portion when the inner cutting window and the outer cutting window are out of alignment. An electrode is carried on the inner sleeve, and a motor drive is coupled to rotate the inner sleeve relative to the outer sleeve.

Abstract: A fluid source on a carrier is configured to rotate relative to a probe to direct a fluid stream from the source toward an opening of an evacuation lumen. This may help to remove material that may collect near the opening, such as blood clots and tissue. Also, directing the fluid stream toward the evacuation lumen can draw flowable material from the surgical site toward the evacuation lumen to improve removal of material from the surgical site.

Abstract: A surgical instrument includes first and second shaft members defining proximal and distal end portions and including handles at the proximal end portions thereof. A pivot member couples the distal end portions with a gap defined therebetween proximally of the pivot member. First and second jaw members extend distally from the shaft members, distally of the pivot member. A lockout bar is movable between an unlocked position, withdrawn from the gap, and a locked position, disposed within the gap. The handles are pivotable between spaced-apart and approximated positions to pivot the jaw members between open and closed positions. The handles are yawable between the approximated position and a yawed position to yaw the jaw members between the closed position and a cutting position. The gap provides clearance to permit yawing such that, when the lockout bar is disposed in the locked position, yawing of the handles is inhibited.

Abstract: A surgical clamp including a pair of jaws, which may be used to ablate or create lesions in tissue. In an exemplary embodiment, the jaws are movable between an articulated position in which the jaws are separated and not parallel to one another, an opened position in which the jaws are separated and substantially parallel to one another, and a closed position in which the jaws are adjacent and substantially parallel to one another.

Abstract: An irrigated needle electrode ablation catheter has a distal tip section with a tip electrode, a needle electrode assembly longitudinal movable relative to the catheter, and a needle centering insert in a channel in the tip electrode. The assembly has a proximal tubing and a distal needle electrode, and the insert supports the needle electrode in the channel at a predetermined separation distance from the tip electrode while enabling irrigation to flow circumferentially around the needle electrode through the channel and exit at the distal end of the tip electrode. The catheter also provides a first dedicated fluid pathway through the assembly and exits at the distal end of the needle electrode, and a second dedicated fluid pathway to supply fluid to the channel in the tip electrode, wherein the second pathway is defined by a guide tube and directed by a plunger member.

Abstract: A pulsed field ablation (PFA) system includes a composite electrode, a body-surface electrode, a PFA generator, and a processor. The composite electrode is coupled to a distal end of a catheter configured for insertion into an organ of a patient. The body-surface electrode is configured to be attached to a skin of the patient. The PFA generator is configured to be electrically connected to the composite electrode of the catheter and to the body-surface electrode, and to generate Direct-Current (DC) PFA pulses. The processor is configured to control the PFA generator to apply the DC PFA pulses between the composite electrode and the body-surface electrode while the composite electrode is placed in contact with target tissue of the organ and the body-surface electrode is in contact with the skin of the patient.

Abstract: A catheter and associated positioning system can include sensors and software to ascertain the extent of expansion of an expandable distal member of the catheter. Sensors on the distal member can be configured so that the system is able to determine a longitudinal dimension and a radial dimension of the distal-end assembly and determine extent of expansion of the distal member based on those metrics. At least the longitudinal dimension can be derived from advanced current localization (ACL) techniques utilizing an electrode at a distal end of the expandable distal member.

Abstract: An instrument includes a probe hose in the center of which a conductor is provided for electrical supply of an electrode. Concentrically around the conductor multiple gas-guiding lumens are arranged that are isolated from one another by separation walls. The separation walls support a center section that is centrally arranged and accommodates the conductor. With this probe design particularly flexible and particularly slim probes can be created that have a particularly high dielectric strength.

Abstract: Systems, devices and methods treat target tissue to provide a therapeutic benefit to the patient. A tissue treatment device comprises a tissue treatment element constructed and arranged to treat target tissue, such as duodenal mucosa and/or submucosal tissue. Patients treated can safely eliminate or reduce their daily insulin intake.

Abstract: Apparatus and methods are provided to concentrate energy delivery in non-superficial target tissue within a trigone region of a human bladder wall to modulate bladder function.

Abstract: The invention relates to a modular electrosurgical system for using electromagnetic (EM) radiation, such as radio frequency (RF) or microwave EM radiation, to treat biological tissue. In one example, control of the modules is centralised in a remote computing device which can communicate wirelessly with the modules of the system. In one example, different optional modules may be combined together with core modules to provide the system with different electrosurgical capabilities.

Abstract: In one aspect, devices for light treatment of skin are described herein. A device described herein, in some embodiments, comprises an interior compartment having a proximal end and a distal end, and an optical aperture disposed at the distal end. The device also comprises a laser or BBL source that produces a laser or BBL beam. The laser or BBL beam has a first optical path within the interior compartment, between the proximal end and the distal end. Additionally, the first optical path exits the interior compartment through the optical aperture. The device further comprises a camera that receives light from the aperture. The light received from the aperture has a second optical path within the interior compartment. Further, a selectively reflective optical element is disposed in the first and second optical paths. The selectively reflective optical element generally transmits the laser or BBL beam but generally reflects at least a portion of the light from the aperture toward the camera.

Abstract: An exemplary system (100) determines an insertion trajectory that a surgical instrument is predicted to follow when inserted into a surgical space. The system provides, for display by a display device, an image that depicts a portion of the surgical space captured by the imaging device and at least a portion of a representation of the insertion trajectory in the surgical space.

Abstract: A method and system for performing hip arthroplasty include analyzing images of a patient's hip joint in a plurality of positions to identify preoperative hip geometry. A statistical patient model predicts prosthetic hip implant performance based on the preoperative knee geometry and given prosthetic knee implant implantation parameters for a plurality of selected patient activities, each having a predefined motion profile to calculate an optimized surgical plan for performing the procedure using a computer assisted surgical system, which may use fiducial markers affixed to patient tissue. Hip geometry can be determined by angles between landmarks in the images, including sacral tilt, pelvic incidence, pelvic femoral angle, and ante-inclination angle in x-ray images. Implant performance criteria can include, for example, edge loading and range of motion of implant components.

Abstract: A method and system for improving spinal alignment parameters of a subject, by planning the shape of an intervertebral rod for attaching to previously implanted hardware whose positions and orientations are known from intraoperative images. Once the planned shape of the rod has been prepared, determining if, when attached to the inserted hardware, a spine configuration is achieved having acceptable values of selected spinal alignment parameters. If not, the shape of the rod is amended iteratively, until the selected spinal alignment parameters have acceptable values with attachability to the implanted hardware. If, after a predetermined number of iterations, the amended shape of the rod still does not achieve acceptable values of spinal alignment parameters, while maintaining attachability to the implanted hardware, performing a spinal manipulation procedure on at least one vertebra of the spine to increase the attachability of the rod to the implanted hardware.

Abstract: A surgical guide includes a metal guide and a plastic reference formed by additive manufacturing. The metal guide is configured to engage a bone surface of a first body area. The metal guide includes a main plate and an arm. The main plate has an inner surface customized and shaped to the bone surface. The main plate defines mounting guides for securing the main plate to the bone surface and defines a machining guide for drilling or cutting through the bone surface. The arm is formed to the main plate at a proximal end and extends to a distal end. The plastic reference has a reference surface customized and shaped to a surface of a second body area that is physically separated from the first body area.

Abstract: Robotic systems and methods for robotic arthroplasty. The robotic system includes a machining station and a guidance station. The guidance station tracks movement of various objects in the operating room, such as a surgical tool, a humerus of a patient, and a scapula of the patient. The guidance station tracks these objects for purposes of controlling movement of the surgical tool relative to virtual cutting boundaries or other virtual objects associated with the humerus and scapula to facilitate preparation of bone to receive a shoulder implant system. In some versions, planning for placement of a stemless implant component is based on a future location of a stemmed shoulder implant to be placed in the humerus during a revision surgery.

Abstract: A surgical operation monitoring method applied to a surgical operation monitoring system comprises: acquiring a position of a surgical site of a surgical object at a first moment; under the condition that the position of the surgical site at the first moment exceeds a moving range of an actuating end of a mechanical arm, determining an allowable moving range of the surgical site at the first moment; and under the condition that the allowable moving range of the surgical site at the first moment and a moving range of the actuating end of the mechanical arm have an overlapping range, controlling a driver to drive a support body to move so that the support body drives the surgical site to move into the overlapping range.

Abstract: Disclosed are a fast planning system and method applicable to ablation therapy. The system comprises an input device, a calculation device and an output device, the calculation device obtains a boundary of the tumor and an actual position of an ablation probe relative to a tumor through the input device, the quantitative relationship between the ablation range and the ablation parameters of the ablation probe, and maximum ablation range parameters of the ablation probe. The system obtains the ablation parameters of the ablation probe by means of the calculation device based on the obtained information, outputs the ablation parameters by means of the output device, and obtains a revised planning suggestion.

Abstract: An augmented reality system and method for assisting surgical staff during an arthroplasty procedure includes a camera system configured to capture images of a surgical scene and a processor configured to determine from the images location and orientation information about one or more patient anatomical features and to maintain a three-dimensional model of these anatomical features within the surgical scene. The system models the field-of-view of augmented reality headsets worn by surgical staff, and maps this to the anatomical model, allowing the system to overlay relevant information to the user about particular anatomical features in the surgical plan.

Abstract: Systems and methods for visualization of a surgical site are disclosed. An imaging device provides image data of the surgical site. A computing device detects, in the image data, at least one obstruction. The computing device filters the image data to remove the at least one obstruction by being configured to alter pixels related to the at least one obstruction based on at least one of (i) one or more buffered frames and (ii) one or more pixels adjacent to the pixels related to the at least one obstruction. The computing device generates an output from the filtered image data. A display device presents the output for visualization of the surgical site.

Abstract: A method for actuating an X-ray device during robot-assisted navigation of at least two objects introduced into a body, such as a hollow organ, of a patient by at least one robotic system, includes providing a first selection criterion for selecting one of the objects, and providing a second selection criterion for selecting one of the objects. One of the at least two objects is selected based on the first selection criterion and the second selection criterion, and recording parameters of the X-ray device are automatically set, such that the selected object in an X-ray image to be recorded is highlighted compared to the at least one other object. The selected object may be highlighted with respect to image quality, image flavor, positioning on the X-ray image, and/or a collimator setting of a collimator of the X-ray device. An X-ray image is recorded with the set recording parameters.

Abstract: A method and device for determining a radius of a spherically shaped surface portion of a tip of an instrument. A first pose of a first tracker and a second pose of a second tracker may be determined while the spherically shaped surface portion is in abutment with a calibration structure. A reference position of a first reference point relative to the second tracker may be determined when the first tracker is in the first pose and the second tracker is in the second pose based on the first pose, the second pose, and a first predetermined relationship. A third pose of the first tracker and a fourth pose of the second tracker may be determined. The radius of the spherically shaped surface portion may be determined based on the third pose, a second predetermined relationship, a reference position, the fourth pose, and an opening angle.

Abstract: Advances in endoscope inspection systems to provide for evidence of the cleanliness of critical portions of the instrument's interior. Utilizing borescope sensing technology, the precise location of the borescope within the endoscope can be repeatedly established is in order to establish the healthy condition of the endoscope. Light intensity of cleaning paraphernalia may be adjusted to prevent endoscope damage.

Abstract: A holographic augmented reality visualization and guidance system for performing a medical procedure includes an augmented reality system for displaying operating information to a user. The operating information can include preoperative data, intraoperative data, and fused data of an anatomical structure. A computer system is in communication with the augmented reality system and is configured to selectively generate the fused data by merging the preoperative data and the intraoperative data, identify deformation of the anatomical structure via differences between the preoperative data and the intraoperative data, transmit the operating information to the augmented reality system, and compensate for the deformation of the anatomical structure according to the deformation engine in real-time.

Abstract: There is provided herein a system and a method for an insertion device positioning guidance system comprising: an electromagnetic field generator configured to generate an electromagnetic field covering a treatment area; a reference sensor configured to be positioned, within the treatment area, on the subject's torso, the reference sensor is configured to define a reference coordinate system representing the position and orientation of the subject's torso relative to the field generator; a registration sensor configured to mark at least a first and a second anatomic locations relative to the reference coordinate system; and a processor configured to operate the field generator, read signals obtained from the reference sensor and the registration sensor, calculate a position and orientation thereof relative to the field generator, generate a 3D anatomic map representing the torso of the subject and the first and second anatomic locations, the processor is further configured to facilitate visualization on the 3

Abstract: There is provided herein a guidance system for positioning an insertion device comprising: an electromagnetic field generator configured to generate an electromagnetic field covering a treatment area, an insertion device comprising an electromagnetic sensor, the electromagnetic sensor configured to receive signals indicative of the electromagnetic field, and a processing circuitry configured to: load an X-ray, CT, ultrasound or MRI image of the subject's chest, mark a location of a first and a second anatomic landmarks on the subject's torso using a registration sensor and obtaining a subject coordinate system based thereon, identify the location of the first and the second anatomic landmarks on the loaded X-ray, CT, ultrasound or MRI image of the subject's chest; aligning the subject coordinate system with the loaded X-ray, CT, ultrasound or MRI image, and display, on the image, a path of the insertion device insertion with respect to the first and the second anatomic locations; wherein the path is generated

Abstract: Provided are systems and methods for weight-based registration of location sensors. In one aspect, a system includes an instrument and a processor configured to provide a first set of commands to drive the instrument along a first branch of the luminal network, the first branch being outside a path to a target within a model. The processor is also configured to track a set of one or more registration parameters during the driving of the instrument along the first branch and determine that the set of registration parameters satisfy a registration criterion. The processor is further configured to determine a registration between a location sensor coordinate system and a model coordinate system based on location data received from a set of location sensors during the driving of the instrument along the first branch and a second branch.

Abstract: Airway management methods, devices, assemblies and systems. Methods, devices, assemblies and systems may include robotic movement and control of an intubation tube introducer or guide, and may include utilizing image data from one or more image sensors. The methods, devices, assemblies and systems may optionally be used in endotracheal intubation procedures.

Abstract: A surgical system includes at least one input coupler configured to receive an input, an end effector assembly, and an actuation assembly operably coupled between the at least one input coupler and the end effector assembly such that, in response receipt of the input by the at least one input coupler, the end effector assembly is manipulated. The system further includes a storage device storing setting information and adjustment information. The setting information enables determination of a first input to the at least one input coupler to achieve a desired manipulation of the end effector assembly. The adjustment information enables adjustment of the setting information for determination of a second input, different from the first input, to the at least one input coupler to achieve the desired manipulation of the end effector assembly.

Abstract: Systems and methods for automated docking include a linkage, a docking arm located near a distal end of the linkage, a docking support mechanism, and one or more processors. The one or more processors are configured to detect a docking port using the docking support mechanism and actuate the linkage based on the detection to align the docking arm with the docking port, move the docking arm toward the docking port, and dock the docking arm to the docking port. In some embodiments, to actuate the linkage based on the detection, the one or more processors are configured to align the docking arm with an alignment point of the docking port, align an alignment axis of the docking arm with an alignment axis of the docking port, rotationally align the docking arm with the docking port, and reduce a relative distance between the docking arm and the docking port.

Abstract: Devices, systems, and methods for automatically exchanging a first end-effector on a robot arm with a second end-effector housed in a docking station. The first end-effector has a clamp that either engages or disengages the robot arm based upon an application of force of the robot arm onto the end-effector. The clamp has a spring loaded clip that disengages the first end-effector to allow the robot arm to move away from the released first end-effector. The robot arm is configured to automatically move to a port of a docking station housing the desired second end-effector using magnetic coils on the robot arm and the docking station to guide the robot arm.

Abstract: Systems and methods are described herein wherein a localizer is configured to detect a position of a first object and a vision device is configured to generate a depth map of surfaces near the first object. A virtual model corresponding to the first object is accessed, and a positional relationship between the localizer and the vision device in a common coordinate system is identified. An expected depth map of the vision device is then generated based on the detected position of the first object, the virtual model, and the positional relationship. A portion of the actual depth map that fails to match the expected depth map is identified, and a second object is recognize based on the identified portion.

Abstract: A surgical system includes a drive unit on a support. The drive unit includes motors or other actuators and a plurality of output elements arranged such that operation of each drive unit linearly translates a corresponding one of the output elements. A surgical device has an input subsystem carried at the proximal end of the shaft. The input subsystem includes linearly translatable input elements or pistons. The input and output elements are positioned such that operation of an actuator linearly translates an output element, causing linear translation of a corresponding input element. The input elements deliver linear motion to a rotary conversion system which converts the linear motion to rotary motion and delivers the rotary motion to a shaft of the surgical device, causing axial rolling of the surgical device or its distal end effector. A sterile drape is positionable between the input elements and the output elements.

Abstract: A body mountable robot may include a set of stages disposed in a parallel configuration. The body mountable robot may include a set of actuating joints, wherein an actuating joint, of the set of actuating joints, is configured to rotate with respect to a corresponding stage of the set of stages. The body mountable robot may include at least one actuator, wherein the at least one actuator is configured to actuate at least one actuating joint of the set of actuating joints. The body mountable robot may include a set of scissor mechanisms, wherein a scissor mechanism, of the set of scissor mechanisms, that is coupled to the actuating joint, is supported by the corresponding stage, and wherein the scissor mechanism is configured to translate with respect to the corresponding stage.

Abstract: Techniques for active and semi-active damping include a system including a base, a first linkage, a second linkage, and a processor. A proximal end of the first linkage is coupled to the base. The first linkage is configured to support a first instrument. The first linkage includes a first link, a second link, and a first damper coupling the second link to the first link. A proximal end of the second linkage is coupled to the base. The second linkage is configured to support a second instrument. The second linkage incudes a third link, a fourth link, and a second damper coupling the fourth link to the third link. The processor is configured to detect a movement or vibration of the first linkage caused by motion of the second linkage and control the second linkage to mitigate the detected movement or vibration of the first linkage.

Abstract: A robotic surgical system configured to control movement of a first instrument and a second instrument, each of which is on a robotic manipulator. In described modes of operation, movement of the first instrument is surgeon controlled based on surgeon input to the robotic system. Movement of the second instrument is also surgeon controlled, but its motion is defined by the chosen mode of operation which sets the amplitude and direction of the second instrument's motion relative to the actual or instructed motion of the first instrument. In this way, two instruments are simultaneously moved based on input from a single surgeon input device.

Abstract: A robotic surgical system in which the system applies a scaling factor between user input from a user input device and corresponding movements of the robotic manipulator. Scaling factors may be applied or adjusted based on detected conditions such as the type of instrument being manipulated, detected distance between multiple instruments being manipulated, user biometric parameters.

Abstract: A robotic surgical system in which the system applies a scaling factor between user input from a user input device and corresponding movements of the robotic manipulator. Scaling factors may be applied or adjusted based on detected conditions such as the type of instrument being manipulated, detected distance between multiple instruments being manipulated, user biometric parameters.

Abstract: Systems and methods for multi-modal sensing of three-dimensional position information of the surface of an object are disclosed. In particular, multiple visualization modalities are each used to collect distinctive positional information of a surface of an object. Each of the computed positional information is combined using weighting factors to compute a final, weighted three-dimensional position. In various embodiments, a first depth may be recorded using fiducial markers, a second depth may be recorded using a structured light pattern, and a third depth may be recorded using a light-field camera. Weighting factors may be applied to each of the recorded depths and a final, weighted depth may be computed.

Abstract: A test device and method for testing and/or calibrating an analysis device for analyzing light appearances created by an RF surgical instrument. The test device has a test object configured for creation of a plasma test light appearance, the light of which can be received by a light receiving unit.

Abstract: An adaptor according one or more embodiments may include a base body and an arm engagement part including an engagement portion to be engaged with the robot arm at an engagement position and a contact portion with which a release tool comes in contact. The arm engagement part may be configured such that the contact portion comes in contact with the release tool when the release tool is inserted through the tool insertion hole, a part of the arm engagement part is moved into an escape space in the base body when the contact portion is moved in a direction orthogonal to an insertion direction of the release tool, and the engagement portion of the arm engagement part is moved, when the release tool is further inserted, from the engagement position to the disengagement position, which disengages the engagement portion of the arm engagement part from the robot arm.