Abstract: An ultrasonic surgical device is disclosed including a surgical tool including a proximal transducer mounting portion defining a surface, a distal end effector end, and a waveguide disposed therebetween, the waveguide extending along a longitudinal axis. The ultrasonic surgical device further includes a transducer is in mechanical communication with the surface of the transducer mounting portion. The transducer is configured to operate in a D31 mode with respect to the longitudinal axis of the waveguide. Upon activation by an electrical signal having a predetermined frequency component, the transducer is configured to induce a standing wave in the surgical tool to cause the end effector to vibrate, the standing wave having a wavelength proportional to the predetermined frequency component of the electrical signal.

Abstract: A torque wrench for an ultrasonic scalpel, the torque wrench comprising a torque wrench body and a wrench rotor. The torque wrench body comprises a circular-hole-shaped torque hole, with a torque clamping catch being provided in the torque hole, and the wrench rotor being disposed in the torque hole. The wrench rotor comprises a scalpel head clamping hole, a rotor clamping catch located outside the wrench rotor, and a scalpel head clamping slot located inside the scalpel head clamping hole, wherein a wrench part, which is disposed on a scalpel head of the ultrasonic scalpel that is fitted with the torque wrench of the ultrasonic scalpel, is clamped into the scalpel head clamping slot via the scalpel head clamping hole, the rotor clamping catch is fitted with the torque clamping catch.

Abstract: Methods and systems for separating an object, such as a lead, from formed tissue are provided. Specifically, a tissue slitting apparatus is configured to engage formed tissue at a slitting engagement point. While the object is subjected to a first traction force, the tissue slitting apparatus is caused to move further into the engaged tissue and slit the tissue past the point of engagement. The slitting apparatus causes the tissue to separate along an axial direction of the length of the formed tissue and releases at least some of the force containing the object. The slitting apparatus is supported by a distal end support device configured to lock onto the lead. While supported, a slitting element of the apparatus places fibers of the formed tissue under tension and performs a lifting cut operation. The methods and systems are well suited for use in cardiac pacing or defibrillator lead explant procedures.

Abstract: In accordance with an aspect of the present disclosure, a tissue extraction device may include a bag having an interior and a plurality of cutters elements extending along an interior surface of the bag. The cutters can be offset to facilitate collapsing of the bag prior to introducing the bag into a patient.

Abstract: A coring device, for forming an opening in a tissue wall, includes a body having a proximal end, a distal end and an internal housing, a coring head having a transection blade and being movable between a rest position and an actuated position, an actuation mechanism for moving the head between the positions and having an actuation rod, at one end of which the head is placed, a lumen extending through at least the proximal end of the body, actuation rod and coring head in order to allow passage of a flexible guide element, and the distal end of the body forms a support for a surgical tool configured to receive a hollow surgical tool with a positive fit and to support this tool to permit linear guiding of the surgical tool during the movement of the latter toward the outside of the coring device.

Abstract: A medical device is disclosed that can help prevent a guide wire from coming into contact with a rotating body in the middle of performing a treatment and achieves improvement in the efficiency of cutting an object by the rotating body. The medical device has a sheath that is insertable into a body lumen, a rotatable hollow rotating body that is disposed to protrude toward a distal side of the sheath, and guide wire lumens into which a guide wire w is insertable in parallel with the sheath. A distal surface of the rotating body has corrugated portions.

Abstract: A light transmissible end cap comprising a lens and bayonet that can be attached to a handle is disclosed. The lens and the bayonet are light transmissible. The end cap can be attached to a handle of any shape, reversibly or non-reversibly, to create a light transmissible scalpel handle that can transmit, amplify, diverge and/or converge light from a light source disposed within the handle through the end cap, the lens and the bayonet. A universal blade fitting may be attached to the bayonet. The handle may be a surgical handle.

Abstract: A surgical access device includes a cannula and a housing coupled to the cannula. A cannula lumen and a housing interior communicate to define a working channel that extends along a central axis of the device between proximal and distal device ends. A needle entrance port is arranged on a side portion of the housing and opens to the working channel. A needle exit port is arranged distally of the needle entrance port on a side portion of the cannula, and communicates with the needle entrance port to define a suture path extending through the surgical access device at an oblique angle relative to the central axis. The needle ports are configured to guide a suture passer device distally through the surgical access device and first and second tissues of different thicknesses, while maintaining the same tissue bite distance in each of the first and second tissues.

Abstract: An access needle includes a hollow shaft having a lumen sized and shaped to slidably receive a guidewire therein and having a distal end including an angled surface extending proximally and transversely from a sharpened distal-most tip of the shaft to a beveled smoothed area of the shaft proximal and transverse to the sharpened tip. The beveled smoothed area is positioned to slidably engage a guidewire extended distally out the distal end of the needle so that, as the guidewire is retracted proximally into the needle, the beveled smoothed area slidably engages the guidewire to minimize abrasion to the guidewire.

Abstract: A surgical access device is disclosed and includes a housing, a cannula, a guide, and an expandable member. The cannula extends distally from the housing and defines a longitudinal axis. A wall of the cannula includes a first slot defined therein. The guide is engagable with the housing and defines a first channel. The first channel is disposed at a non-parallel angle relative to the longitudinal axis. The expandable member is disposed adjacent a distal portion of the cannula and is transitionable between a collapsed configuration and an expanded configuration. A first surgical instrument is insertable through the first channel of the guide and through the first slot of the cannula.

Abstract: The present disclosure provides for systems, methods, and devices for facilitating conception. According to the present disclosure, a conception facilitating device may comprise at least one frame and at least one base. In some embodiments, the at least one frame may be configured to at least partially surround the at least one base. In some aspects, the conception facilitating device may be configured to be insertable into a vaginal canal. The conception facilitating device may be comfortably inserted into a vaginal canal for a period of time, which may increase the possibility of conception.

Abstract: A spinal distraction system, according to one aspect, includes an adjustable spinal distraction rod comprising first and second members, the adjustable spinal distraction rod configured for non-invasive elongation of the first and second members. The system includes an anchor rod configured for mounting to a bone of a subject, the anchor rod having one or more spring-biased tabs disposed at one end thereof, and a connector having first end and a second end, the first end having a receiving cup configured for detachable mounting on the anchor rod, wherein the one or more spring-biased tabs are configured to engage with an inner surface of the receiving cup, the connector having a second end operatively coupled to an end of a first member and wherein the second member is configured for mounting to a second bone of a subject.

Abstract: A receiver assembly for capturing an elongate rod in a receiver of a bone anchor includes the receiver, a first threaded closure, and a second threaded closure. The receiver includes an upper portion that defines a first channel, interior surfaces that have helically wound thread, and a lower pressure insert that can be positioned within the first channel and has upright arms. Each of the first threaded closure and the second threaded closure have a cylindrical body with an external surface having continuous helically wound thread that can rotatably mate with the helically wound receiver thread. The first threaded closure and the second threaded closure are interchangeable for different locking configurations in the receiver assembly. The first threaded closure has a downward protrusion that can compressively engage the elongate rod. The second threaded closure has a bottom surface that can compressively engage the upright arms of the lower pressure insert.

Abstract: A coupling assembly for coupling a rod to a bone anchoring element, including a receiving part having first and second ends, a recess at the first end for the rod, and an accommodation space for a head of the bone anchoring element, the accommodation space having an opening at the second end to permit insertion of the head into the receiving part, a retainer element configured to be arranged at least partially in the accommodation space and to hold at least part of the head, and a spring element configured to be arranged at least partially in the accommodation space and to be compressed in an axial direction. The retainer element and the spring element are separate parts. When the retainer element and the spring element are in the accommodation space of the receiving part in a first position, the spring element extends into the recess of the receiving part.

Abstract: A pivotal bone anchor assembly includes a receiver with a base defining an internal cavity with a seating surface adjacent a bottom opening and an upper portion defining a channel configured to receive an elongate rod. The assembly also includes an anchor member having a proximal end portion with a partial spherical or spheroid shaped head to establish pivotable motion between the anchor member and the receiver, and a planar top surface surrounding an internal drive socket. The assembly further includes an insert positionable within the channel to transfer a downwardly-directed force onto the proximal end portion to lock a position of the anchor member relative to the receiver, with the planar top surface remaining spaced apart from the insert so as to not directly receive the downwardly-directed force therefrom. A method of use is disclosed.

Abstract: A tulip rasp comprising a body, a handle adjacent a proximal end of the body, a head adjacent a distal end of the body, the head having at least one extension, each of which has a cutting edge, and a receiving space defined by the at least one extension.

Abstract: An orthopedic intramedullary sleeve apparatus for internal bone fixation for bone fracture treatment of a patient. The apparatus may comprise a multilayer sleeve component comprising one or more access valves disposed on a surface of the sleeve. Each access valve may comprise one or more resealable ports for injecting polymers or monomers or resins or any curable types of cement. The sleeve component may be positioned inside the intramedullary cavity in a minimally invasive way and removed from the intramedullary cavity.

Abstract: An augmented spanning fixation bone plate assembly combines an augmentation fixation bone plate with a spanning fixation bone plate. The augmentation fixation bone plate may be detachably attachable to the spanning fixation bone plate and may be slidably engaged with the spanning fixation bone plate to allow the augmentation fixation bone plate to be positioned for augmented fixation, wherein one or more separate bones are fixed with respect to the spanning fixation bone plate. An augmentation fixation bone plate may have one or more wings that extend laterally from the spanning fixation bone plate. An augmentation fixation bone plate may have two wings that extend in opposing lateral directions from the spanning fixation bone. A wing has a fastener aperture that may be slotted and may have an insert to enable directional fixation, wherein the fastener extends in an offset angle.

Abstract: A tool adapted for use with a bone plate assembly includes a driver with an engagement portion configured to engage a locking element, and a tubular holder. The driver may be configured to extend with the engagement portion through the tubular holder, and may be axially movable and rotatable within the holder. The holder may have a radial slot adapted for insertion of the locking element. The holder may include a portion with an internal thread for cooperation with an external thread of the locking element. The locking element may be used with a polyaxial bone anchor.

Abstract: A system for fixating a bone includes a buckle having a plurality of lock bars and a hook. A cord may connect the hook with an opposite end of the buckle and around a bone. The buckle may include lock bars on the opposite end of the buckle to receive the cord and allow a frictional resistance to a loosening of the cord around the bone to facilitate a reduction of a fracture of the bone.

Abstract: A bone fastener includes a head, and a screw portion extends from the head. The screw portion includes a shaft and a thread extending along and about the shaft. The thread has a height extending from a root to a tip thereof. The thread also has first and second portions disposed between the root and the tip. The second portion has a porous structure configured to promote bone ingrowth and has a porosity greater than that of the first portion.

Abstract: A screw insertion system has a screw having a threaded shaft and a head. The head has a conically tapered outer surface, the taper increasing in distance from a central longitudinal axis of the screw from a free end of the head towards a larger diameter adjacent the connection between the head and the threaded shaft. The conically tapered head outer surface has preferably two helically extending partially rounded threads. The head has a drive element for engaging a driver. A tubular screw holder has an outer surface and internal bore extending between a leading end and a trailing end for receiving the screw. The leading end having a conically tapered inner threaded portion for engaging the conically tapered outer thread of the screw head. The tubular screw holder outer surface having a diameter less than or equal to the maximum diameter of the conically tapered head.

Abstract: The present disclosure includes fixation devices, such as an orthopedic screw or implant, that comprises one or more porous elements or fenestrations to aid in osteo-integration of the fixation device. The fixation device may be additively manufactured using biocompatible materials such that the solid and porous aspects of the screw are fused together into a single construct. In yet another aspect, the fixation device comprises at least a portion or section incorporating a porous structure, which enables bony ingrowth through the porous section/portion of the screw, and thereby facilitates biocompatibility and improve mechanical characteristics. Methods for using the fixation device are also described herein.

Abstract: A photocurable device injection system for creating in situ polymerization via light or free-radical to enable fractured bone fixation. The system comprises a photosensitive polymeric resin sensitive to light, temperature, oxygen, enzymes, or a combination thereof. The photosensitive polymeric resin may be configured to cure at room temperature or physiological temperature with a light source. The photosensitive polymeric resin may be configured to depolymerize with ultrasonication, sonication, or a combination thereof. The system further comprises an implantable 3-dimensional biocompatible pouch comprising an optical light guide. The system further comprises one or more micro-sized ultrasonication probes configured to contact a three-dimensional pouch by one or more openings. The one or more probes may be configured to enable polymer outflow.

Abstract: An electrically driven orthopedic impactor may include an adapter for interfacing between the orthopedic impactor and a surgical implement. The adapter may have a first surface that transmits a forward impact energy and a second surface that transmits a reverse impact energy. The adapter can connect to the surgical implement and to the orthopedic impactor without the use of external tools. The adapter may connect to the orthopedic impactor via a pushing motion and may disconnect from the orthopedic impactor via a reciprocal sleeve. A sensor can communicate a spatial orientation of the adapter with respect to at least one reference point that is not located on the adapter or the orthopedic impactor. A communication device may transmit information to the orthopedic impactor related to frequency or impact energy settings based on a type of surgical implement attached to the adapter.

Abstract: A cryoablation catheter, including a first capsule body, a core tube and a heat insulation part, wherein the first capsule body is mounted at a front end of the core tube, and has a front end area adapted for fitting to myocardial tissue during a cryoablation process and a rear end area exposed to blood; the core tube has a first looping path provided therein which is adapted for a first fluid with low temperature to be filled into or flow out of the first capsule body; the heat insulation part is at least partially fitting to the rear end area, and is adapted for reducing heat exchange efficiency between the first fluid and the blood in an atrium. The cryoablation operating apparatus and the cryoablation equipment thereof can effectively reduce the heat exchange between the cryoablation catheter and the blood during a cryoablation process.

Abstract: A treatment system that includes a pair of jaws and a heater resistor provided on one jaw of the pair of jaws that generates heat by energization. The system also includes a heating device that controls a current to set a resistance value of the heater resistor to a target resistance value. The heating device includes a double bridge circuit allowing current to flow between the heating device and the heater resister when detecting, by the detection resister, a difference between the resistance value of the heater resistor and the predetermined target resistance value. The heating device including a power supply voltage generator that generates a power supply voltage to be applied to the heater resistor and the double bridge circuit, a controller that modulates the generated power supply voltage, and a heater resistance detector that detects an AC component from the current flowing through the detection resistor.

Abstract: Described herein are methods and systems of performing immunotherapy on a subject and/or determining if a subject will be responsive to ablation immunotherapy.

Abstract: A surgical end effector assembly includes first and second jaw members configured to grasp tissue. Each of the first and second jaw members includes a proximal flange portion and a distal body portion. The proximal flange portions are pivotably coupled to one another to move the distal body portions between a spaced-apart position and an approximated position.

Abstract: Apparatus for tissue treatment includes a central blunt urethra fixator, which may serve as a return electrode. An array of electrodes is positioned circumferentially about the central blunt urethra fixator and distanced radially from the central blunt urethra fixator. At least one of the electrodes is an active electrode. The central blunt urethra fixator and electrodes protrude from a housing. A main unit includes an RF generator, a controller unit, a power supply and a user interface. The main unit delivers RF energy between the return electrode and a conductive tip of the active electrode to create collagen contraction in a vicinity of the active electrode.

Abstract: A tool assembly for use with an electrosurgical device for cutting tissue includes a base portion, a return lead, an electrical insulator, a center pin, and an active lead. The center pin extends from the base portion and through a lumen of the electrical insulator. The active lead is securely fixed to the base portion and extends between the base portion and a distal portion of the center pin such that a portion of the active lead extends around the distal portion of the center pin and first and second segments of the active lead are spaced apart from the return lead. Upon activation, electrosurgical energy is transmitted from the active lead through tissue to the return lead to cut tissue in contact with the active lead.

Abstract: An ablation catheter configured to ablate tissue in a lung of a patient including: a flexible shaft that advances endobronchially into an airway of the lung and has an outer diameter of 2.0 mm or less; an ablation electrode attached to a distal portion of the flexible shaft and to deliver radiofrequency (RF) electrical current to the tissue and conductively connectable to an RF electrical energy source external to the patient; wherein an outer diameter of an assembly of the flexible shaft and the ablation electrode is no greater than 2.0 mm; a liquid outlet on the distal portion and configured to be in fluid communication with a source of hypertonic saline solution; and a first occluder attached to the flexible shaft proximal to the ablation electrode and proximal to the liquid outlet, wherein the first occluder is configured to expand to occlude the airway.

Abstract: A catheter with a variable circular loop responsive to a contraction wire for coiling is supported by a member having a tapered distal section that transitions from a circular cross-section to a generally rectangular cross-section while maintaining a uniform cross-sectional area along the entire tapered length for improved coiling characteristics. A radially constrictive sleeve prevents separation of the contraction wire from the support member to minimize misshaping of the loop during contraction.

Abstract: An ophthalmologic information processing apparatus according to the embodiments includes a search unit, a correction unit, and a display control unit. The search unit is configured to search for filter information for correcting an aberration in complex OCT data of a subject's eye so that a quality of the complex OCT data becomes a predetermined level. The correction unit is configured to correct the aberration in the complex OCT data based on the filter information searched by the search unit. The display control unit is configured to display, on a display means, aberration information on a pupil surface of the subject's eye corresponding to the filter information searched by the search unit.

Abstract: A head-mountable display (HMD) system includes at least one detector to detect a gaze direction of an eye of a user wearing the HMD, receiving circuitry to receive a user input from the user indicating a type of eye condition for the eye of the user associated with at least partial vision loss for a region of vision, a display unit to display one or more images to the user, and a processor to generate the one or more images for display to the user by the display unit in dependence upon the type of eye condition and an output of the at least one detector indicative of the detected gaze direction of the eye.

Abstract: A computer-implemented method, a computer program, a system and a method for analyzing a time-velocity curve and calculating based on the time-velocity curve ophthalmic parameters.

Abstract: Embodiments relate to an optical trial frame that includes: left and right frames extending in the left and right directions respectively; a bridge located between and connected to the left and right frames such that the left and right frames can move relative to each other along a longitudinal axis of the bridge; left and right temples connected to the respective left and right frames; left and right lens holders rotatably coupled to the left and right frames respectively and configured to receive and retain lenses in use; and, capacitive sensing means configured to detect and measure at least one of: a lateral position of one of the frames; and, a rotational position of one of the lens holders.

Abstract: A slit lamp microscope of some embodiment examples includes an illumination system, first photographing system, first movement mechanism, and controller. The illumination system includes a slit forming unit that forms a slit for generating slit light and projects the slit light onto an anterior segment of a subject's eye from a first direction. The first photographing system photographs the anterior segment onto which the slit light is being projected, from a second direction different from the first direction. The first movement mechanism moves a movable portion that includes at least the slit forming unit. The controller performs a first control for the first movement mechanism to move the movable portion and a second control for the first photographing system to photograph the anterior segment a plurality of times in parallel with each other.

Abstract: A method of performing an eye examination test for examining eyes of a user, said method using a computing device as well as an input tool, wherein said computing device comprises a screen and comprises a camera unit arranged for capturing images, said method comprising the steps of capturing, by said camera unit of said computing device, at least one image of a human face of said user facing said screen, detecting, by said computing device, in said at least one captured image, both pupils of said human face, determining, by said computing device, a distance of said user to said screen based on a predetermined distance between pupils of a user, a distance between said detected pupils in said at least one captured image, and a focal length of said camera unit corresponding to said at least one captured image, and performing, by said computing device in combination with said input tool, said eye examination test using said determined distance.

Abstract: A surgical planning and assessment system is disclosed. The system may include a computing system having a processor, a data store, and a patient specific planning and analysis module. The system may be configured to store a patient specific target plan including a digital representation of a spinal rod having a target geometry and transform the digital representation into a curved line. The system may generate a spline data set comprising a plurality of spline segments that are sequentially linked to one another. The system may adjust, iteratively, each spline segment until the plurality of spline segments approximate the curved line. The system may generate a digital file comprising drawings for manufacturing a spinal rod based on the plurality of spline segments. In various embodiments, each spline segment may be defined by a corresponding arc or a corresponding line extending between a corresponding starting point and a corresponding ending point.

Abstract: A multi-modal visualization system (MMVS) is provided, which may be used to analyze and visualize bioimaging data, objects, and pointers, such as neuroimaging data, surgical tools, and pointing rods. MMVS can integrate multiple bioimaging modalities to visualize a plurality of bioimaging datasets simultaneously, such as anatomical bioimaging data and functional bioimaging data.

Abstract: The present disclosure is related to systems and methods for position determination. The method includes obtaining, via a plurality of sensors, real-time target magnetic field information of a target subject. The plurality of sensors may be configured on the target subject. The target subject may be located in a reference magnetic field in a medical system. The method includes determining real-time target position information of the target subject based on the real-time target magnetic field information of the target subject and magnetic field distribution information of the reference magnetic field in the medical system.

Abstract: A system and method provide for image-guided implant placement as a function of at least one intraoperative image during a surgical procedure. At least one computing device is configured by executing code stored in non-transitory processor readable media to process at least one preoperative image to assess axial rotation and/or sagittal pelvic inclination. Further, as a function of a plurality of identified anatomical landmarks in the at least one preoperative image, at least one of distances, angles, and areas is measured. Thereafter, as a function of calculations associated with the at least one of distances, angles, and areas, axial rotation associated with at least one image is measured. Thereafter, at least one value associated with placement of an implant during the surgical procedure is adjusted and information associated therewith is provided via a graphical user interface.

Abstract: A surgical needle comprising: (a) a sensor; (b) a distal tip with the sensor being located at the distal tip; (c) a needle advancing mechanism that is adjustable to change an insertion depth; and (d) a control unit in communication with the needle advancing mechanism; wherein the sensor provides a signal to the control unit regarding a thickness of a feature of interest and the control unit controls the insertion depth based upon the signal from the sensor so that the insertion depth into the feature of interest is varied or the control unit prevents the needle advancing mechanism from activating.

Abstract: Systems, methods and apparatus are disclosed for improving medical procedures and medical procedure management, and, more particularly, for tracking medical instruments throughout a procedure and assisting medical personnel throughout the procedure or at least at the conclusion of the procedure. In one form, an apparatus for tracking medical instruments throughout a procedure is disclosed having a single camera for tracking movement and/or detecting position of a plurality of medical instruments during a medical procedure as at least one of the plurality of medical instruments is moved between multiple zones at least including a first prep zone and a second procedure zone. The apparatus having a controller connected to and collecting images from the camera, and a display in electrical communication with the controller and/or the camera for displaying medical instrument data pertaining to the movement and/or position of the plurality of medical instruments.

Abstract: Provided in accordance with the present disclosure are systems, methods, and computer readable media for providing guidance for positioning a body and a surgical robot. An exemplary system includes an image capture device configured to capture an image of a surgical training environment and generate image data of the surgical training environment, a head-mounted display, and a computing device configured to receive a surgical training parameter, receive the image data of the surgical training environment, detect a pose of the table and the surgical robot, generate a virtual training environment based on the surgical training environment, determine a pose of a user relative to the surgical training environment, generate guidance for positioning a body on the table or the surgical robot about the body, based on the surgical training parameter and the determined pose of the user, and cause the head-mounted display to display the generated guidance.

Abstract: Systems and methods for dynamic adjustments based on load inputs for robotic systems are provided. In one aspect, a robotic system includes a first robotic arm having at least one joint, a set of one or more processors, and at least one computer-readable memory in communication with the set of one or more processors and having stored thereon computer-executable instructions. The computer executable instructions cause the one or more processors to determine a first external load threshold for the at least one joint based on a maximum safe load capability of the first robotic arm, and adjust the first external load threshold during a medical procedure.

Abstract: Example embodiments relate to surgical systems and methods. The system includes an arm assembly and end-effector assembly. The arm assembly includes a first drive portion and wrist drive portion. The end-effector assembly is securable to and removable from the arm assembly. The end-effector assembly includes an instrument assembly and wrist assembly. The instrument assembly includes a first instrument, first instrument driven portion, and first instrument insulative portion. The first instrument driven portion is configured to move the first instrument relative to a first axis when the first instrument driven portion is driven by the first drive portion. The wrist assembly includes a wrist driven portion. The wrist driven portion is configured to move the first instrument relative to a second axis when the wrist driven portion is driven by the wrist drive portion. The end-effector assembly is secured to and removable from the arm assembly via a wrist connector portion.

Abstract: Systems, methods, and devices are disclosed for surgical instruments, systems, and methods for preventing skiving of a drilling instrument during a robotic or robot-assisted surgery are disclosed. In one embodiment, a scan of a patient's anatomy can be performed to produce a model of the bone to be drilled into and analysis of the surface can determine if the curvature is such that, if a target trajectory for a bore were followed, skiving of the drilling instrument is likely. If so, an alternate anti-skiving trajectory can be determined. The anti-skiving trajectory of a bore differs from the target trajectory by at least one of entry point, diameter, axis, or depth.

Abstract: Computerized system and method of manufacturing an articulated surgical device. Surgical device pathway data (often from medical scans), target and entry point location data, and design parameters in computer memory are used to automatically design, and subsequently manufacture the customized device. The device typically comprises a plurality of units, which may have varying lengths and widths, connected to other units by at least one moveable joint. The device is configured to accommodate multiple pull cables, often running from the distal to the proximal end. These cables enable an operator, often using a proximal control device, to precisely control the orientation of the distal end as the device traverses a patient's body pathways. The distal end of the device may have an effector unit configured to perform a medical task. Design and manufacture are facilitated by use of AI computerized design methods and computer controlled (CNC, laser cutting, 3D printing) methods.