Abstract: A laser system suitable for a treatment of a cartilage tissue in a joint includes a laser source; a feedback controller, configured to regulate a dosimetry of the laser source to produce spatially and/or temporally modulated laser light; a first optical delivery element, configured to guide the spatially and/or temporally modulated laser light to an area in the joint to irradiate a first part of the area; and a detecting element, configured to detect one or more physical, chemical, mechanical and/or structural characteristics in the area in a real-time; wherein the feedback controller is configured to regulate in a real-time the dosimetry of the laser source based on the real-time detected information pertaining to the one or more physical, chemical, mechanical and/or structural characteristics in the area for a controlled activation of a stem cell outside of the first part of the area to form a hyaline cartilage tissue.

Abstract: A magnetic resonance guided laser ablation treatment system, including: an optical fiber cooling assembly (400), accommodating and cooling an ablation optical fiber (5); a laser ablation apparatus (200), including a laser generator and a cooling device; a stereotactic driving system (300), accommodating and controlling the position and angle of rotation of the ablation optical fiber (5); and a workstation (100), configured to control the movement of a stereotactic driving system, and generate and display ablation information of the target region during the workflow of the magnetic resonance guided laser ablation treatment system by using the magnetic resonance temperature imaging technology.

Abstract: A lithotripsy device includes an elongate body comprising a distal tip portion having an end surface that forms a non-zero angle with a longitudinal axis of the elongate body, a balloon circumferentially around a portion of the elongate body enclosing the end surface of the tip portion defining an interior configured to receive a fluid, and at least one emitter positioned at the end surface of the tip portion of the elongate body. The at least one emitter is configured to generate pressure waves in the fluid propagating through the balloon to disintegrate a calcified lesion. A method of using a lithotripsy device is also provided.

Abstract: Systems, methods and instrumentalities are described herein for automatically devising and executing a surgical plan associated with a patient in a medical environment, e.g., under the supervision of a medical professional. The surgical plan may be devised based on images of the medical environment captured by one or more sensing devices. A processing device may determine, based on all or a first subset of the images, a patient model that may indicate a location and a shape of an anatomical structure of the patient and determine, based on all or a second subset of the images, an environment model that may indicate a three-dimensional (3D) spatial layout of the medical environment. The surgical plan may be devised based on the patient model and the environment model, and may indicate at least a movement path of a medical device towards the anatomical structure of the patient.

Abstract: Systems and methods are provided for determining an implantation curve or path, along which an implant such as a nail or a screw may be inserted and implanted into a bone, and/or to determine an entry point, which is the point at which the surgeon opens the bone for inserting the implant. According to the invention, a 2D X-ray image is received, which X-ray image shows a surgical region of interest. In that X-ray image, a first point associated with a structure of interest as well as an implantation path within the bone for an implant intended to be implanted may be determined. An entry point for an insertion of the implant into the bone is located on the implantation path. It is noted that the first point may not be the entry point.

Abstract: A system may comprise a processor and a memory having computer readable instructions stored thereon. The computer readable instructions, when executed by the processor, cause the system to record shape data for an instrument during an image capture period of an imaging system and receive image data from the imaging system corresponding to the image capture period. A portion of the image data corresponds to the instrument. The computer readable instructions further cause the system to identify a target in the image data, segment the portion of the image data, register the image data to the shape data by comparing the shape data to the portion of the image data corresponding to the instrument, and update a location of the target from a pre-operative location to an intra-operative location based upon the image data.

Abstract: A medical system comprises a display system, an elongate device, an imaging probe configured to extend within the elongate device, and a control system communicatively coupled to the display system. The control system is configured to display a graphical user interface via the display system. The graphical user interface includes a virtual navigation view and a fluoroscopic view. The control system is further configured to: display an image of the elongate device in the virtual navigation view; determine a position of an imaging probe marker in the virtual navigation view based on a position of the imaging probe displayed in the fluoroscopic view; determine a plane of orientation of the imaging probe marker in the virtual navigation view based on an orientation of the imaging probe displayed in the fluoroscopic view; and determine an orientation indicator for the imaging probe marker in the virtual navigation view.

Abstract: An apparatus, system, and method are disclosed for remediating a condition present in a patient. In some implementations, the apparatus may include a body and a trajectory port that extends through the body. The trajectory port guides a tool to form a bone tunnel in a bone of a patient. The trajectory port is defined at least partially on a bone model of at least a portion of bone of the patient. The apparatus may include a bone engagement feature that extends from the body, the bone engagement feature configured to engage at least a portion of the bone such that the bone engagement feature positions the bone tunnel guide in a position that corresponds to a modeled position of a bone tunnel guide model engaging a bone model.

Abstract: Various embodiments of a system and associated method for determining a volume of surgical freedom using a plurality of three-dimensional extrema points along a surgical corridor in relation to a structure of interest are disclosed herein.

Abstract: A spine measurement system comprises an optical measurement probe, one or more targets, a fluoroscope, and a remote station. A-P and lateral images of the spine are taken using the fluoroscope and provided to the remote station. The remote station includes computer vision that can identify endplates and pedicle screws in the spine. The computer vision in the remote station is further used to identify vertebra and bone landmarks of the spine. The remote station can generate quantitative measurement data such as Cobb angles and axial rotation of the spine from the fluoroscope images that correspond to the spine deformity. The optical measurement probe can send images of the spine with pedicle screw extenders extending from the pedicle screws to the remote station. The remotes station using computer vision can provide spine metrics in real-time by tracking position of the pedicle screw extenders.

Abstract: Systems, methods, and devices are disclosed comprising a neuromonitoring probe, a navigation array attached to the probe, a tracking system to detect and track elements of the navigation array, and a controller having at least one processor configured to receive neuromonitoring data from the probe, receive probe positional data from the tracking system to determine a three-dimensional position and orientation of the probe, correlate the neuromonitoring data to the positional data to determine neuromapping data indicating a nerve position in the patient, and overlay a representation of the neuromapping data over three-dimensional position and orientation of the patient to establish a boundary around the nerve. The boundary may be a visual boundary on a display or a physical boundary in a computer-assisted surgical system.

Abstract: A bone clamp including two or more clamping members configured to clampingly receive a bone therebetween. The bone clamp further includes a basis supporting at least two of the clamping members at a first distance to each other. At least one of the at least two clamping members has a body and is rotatably supported by the basis. The at least one rotatably supported clamping member has a bone engaging structure extending helically along at least a part of a length of its body. The bone engaging structure is configured to engage a side surface of the bone upon rotation of the at least one rotatably supported clamping member. Depending on the direction of the rotation, the rotatably supported clamping member advances along the side surface of the bone either in a downward direction for mounting the bone clamp or in an upward direction for dismounting the bone clamp.

Abstract: A locator system having a flexible elongate delivery device, such as a flexible guidewire, advanced to a target site separately from the beacon element of the system. The beacon element may be configured to not extend beyond the perimeter of a housing on which the beacon element is mounted, thereby reducing the overall cross-sectional profile of the beacon portion of the system. The beacon element may be mounted with respect to the housing to be imaged in a direction transverse to the longitudinal axis of the system. The beacon element may include one or more LED's or other element imageable from a location separate from the target site.

Abstract: A tip of a vascular catheter is detected in a sequence of vessel image frames obtained using x-rays. Within the vessel image frames, a proximal point corresponding to a vessel ostium is determined. The sequence of vessel image frames are cropped to an image area surrounding the proximal point to generate a cropped sequence of cropped vessel image frames. Within cropped vessel image frames not indicative of a contrast medium, the tip of the vascular catheter is detected, and the detected tip of the vascular catheter is tracked.

Abstract: In one embodiment, a catheter alignment system includes a catheter to be inserted into a body part, and including catheter electrodes to contact tissue at respective locations within the body part, a display, and processing circuitry to receive signals provided by the catheter, assess respective levels of contact of ones of the catheter electrodes with the tissue of the body part responsively to the received signals, find a direction in which the catheter should be moved to improve at least one of the respective levels of contact of at least one of the catheter electrodes responsively to the respective levels of contact of the ones of the catheter electrodes, and render to the display a representation of the catheter responsively to the received signals, and a direction indicator indicating the direction in which the catheter should be moved responsively to the found direction.

Abstract: A surgical tool tracking array can include a first marker holder, a second marker holder, and a tool holder. The first marker holder is configured to couple a first marker to the surgical tracking array in a first plane. The second marker holder is configured to couple a second marker to the surgical tool tracking array in a second plane that is independent and substantially parallel to the first plane. The tool holder is configured to couple a portion of a surgical tool to the surgical tool tracking array in a third plane that is independent from the first plane and the second plane.

Abstract: A catheter navigation system may be configured to produce a plurality of location signal sets indicating a three-dimensional location of a portion of a catheter in a bodily cavity and a plurality of contact signal sets indicating degrees of detected-transducer-to-tissue contact within the bodily cavity. The catheter navigation system may be configured to, based on the location signal sets and the contact signal sets progressively visually represent in a progressively enlarging manner at least a portion of an envelope representing an interior volume of the bodily cavity, concurrently with a visual representation of transducer graphical elements representing transducers that produce the location signal sets, the contact signal sets, or both, of the portion of the catheter. The visual representation of the at least the portion of the envelope, the transducer graphical elements, or both, may respectively visually represent historical and/or presently detected degrees of transducer-to-tissue contact.

Abstract: A catheter navigation system may be configured to produce a plurality of location signal sets indicating a three-dimensional location of a portion of a catheter in a bodily cavity and a plurality of contact signal sets indicating degrees of detected-transducer-to-tissue contact within the bodily cavity. The catheter navigation system may be configured to, based on the location signal sets and the contact signal sets progressively visually represent in a progressively enlarging manner at least a portion of an envelope representing an interior volume of the bodily cavity, concurrently with a visual representation of transducer graphical elements representing transducers that produce the location signal sets, the contact signal sets, or both, of the portion of the catheter. The visual representation of the at least the portion of the envelope, the transducer graphical elements, or both, may respectively visually represent historical and/or presently detected degrees of transducer-to-tissue contact.

Abstract: A catheter navigation system may be configured to produce a plurality of location signal sets indicating a three-dimensional location of a portion of a catheter in a bodily cavity and a plurality of contact signal sets indicating degrees of detected-transducer-to-tissue contact within the bodily cavity. The catheter navigation system may be configured to, based on the location signal sets and the contact signal sets progressively visually represent in a progressively enlarging manner at least a portion of an envelope representing an interior volume of the bodily cavity, concurrently with a visual representation of transducer graphical elements representing transducers that produce the location signal sets, the contact signal sets, or both, of the portion of the catheter. The visual representation of the at least the portion of the envelope, the transducer graphical elements, or both, may respectively visually represent historical and/or presently detected degrees of transducer-to-tissue contact.

Abstract: A method for a robotic surgical system includes displaying a graphical user interface on a display to a user, wherein the graphical user interface includes a plurality of reconfigurable display panels, receiving a user input at one or more user input devices, wherein the user input indicates a selection of at least one software application relating to the robotic surgical system, and rendering content from the at least one selected software application among the plurality of reconfigurable display panels.

Abstract: A robotized surgery system comprises at least one robot arm which acts under the control of a control console intended for the surgeon. The console comprises an eye tracking system for detecting the direction of the surgeon's gaze and for entering commands depending on the directions of the gaze detected. The console comprises advantageously a screen with at least one zone for viewing the operating field and, among the commands which can be performed depending on the gaze directions.

Abstract: A remote surgery support system according to one or more embodiments may include: a doctor-side operating device in a first facility to operate manipulator arms in the first facility; a mentor-side operating device in a second facility to operate the manipulator arms via an external network; and one or more controllers. The doctor-side operating device includes a first display to display an endoscopic image and a first voice communication device. The mentor-side operating device includes: a second display to display the endoscopic image; a second voice communication device; a touch panel display to display the endoscopic image and receive an instruction input for generating an annotation image; and a third voice communication device. The one or more controllers is configured to display on the first display the annotation image based on the instruction input received by the touch panel display with the annotation image superimposed with the endoscopic image.

Abstract: An operation device according to this disclosure includes a control device configures to execute following control that keep an angle formed by a second link part and a first link part at a predetermined angle, and a rotation amount of a following link part about a following rotation axis in a case in which an absolute value of a moving speed of a wrist part is smaller than a predetermined threshold(s) is smaller than in a case in which the absolute value is not smaller than the predetermined threshold(s).

Abstract: Methods and systems for insertion of an instrument into a body cavity of an animal for performing a surgical procedure using a processor circuit controlled robotic surgery system are disclosed. In some embodiments, a method involves receiving body cavity image data representing an interior view of the body cavity captured by a camera inserted into the body cavity, determining, by the processor circuit, instrument parameters associated with physical extents of the instrument to be inserted, determining, by the processor circuit, an instrument envelope identifying a region through which the instrument is capable of moving in the body cavity, and generating, by the processor circuit, display signals operable to display a composite view of the interior of the body cavity on a display, the composite view being based on the body cavity image data and including an envelope overlay image generated to represent the instrument envelope.

Abstract: A surgical robotic system is disclosed to include an operating table, a plurality of robotic arms and surgical instruments, a user console, and a control tower. The plurality of robotic arms are mounted on the operating table and can be stowed folded under the table for storage. The user console has one or more user interface devices, which function as master devices to control the plurality of surgical instruments.

Abstract: A flexible tube includes a first connecting portion and a second connecting section. The second connecting section and the first connecting section are integrally connected to each other. The first connecting section has a first end surface, and the second connecting section has a second end surface, wherein there is an acute angle between the first end surface and the second end surface.

Abstract: Embodiments of the present disclosure provide improved methods and apparatus for coupling a probe to an instrument device manipulator (e.g., robotic arm). In some embodiments, a probe, which may be carried by a handpiece, is configured to couple to the end of a device manipulator of a robotic arm. A transmission can be provided that is configured to couple to the probe and also couple to the instrument device manipulator. The transmission can be configured to receive motion input from the instrument device manipulator and transfer the motion input into motion of the probe. The transmission can provide improved movement of the probe. By decreasing the number of components on the handpiece and probe, the handpiece and probe can be provided as a sterile, single use consumable device and the transmission can be reused.

Abstract: A drape interface structure including a frame defining an opening, a membrane spanning the opening of the frame, and a drive transfer element attached to the membrane and adapted to convey motion through the membrane. The membrane is of a material that can deform to form a plastically deformed region in the membrane in response to an initial movement of the drive transfer element relative to the frame, such that subsequent movements of the drive transfer element in the membrane have reduced resistance from the membrane.

Abstract: A sterile sheath configured to enshroud a non-sterile medical device. Certain non-sterile medical equipment, e.g., consoles, computing devices, etc. are not easily sterilizable without damaging the device itself. As such, these non-sterile medical devices remain outside of the sterile field. Engaging sterile medical devices that are within the sterile field with these non-sterile medical devices can compromise the sterility of the sterile field. Disclosed herein is a sheath configured to enshroud a portion of the non-sterile medical device. Further the sheath can include an access port to allow one or more sterile medical devices to engage the non-sterile medical device disposed within the sheath.

Abstract: A packaging system comprises a sterilized medical device. An elongated flexible tubular sleeve insertably receives the sterilized medical device. A peel-open pouch sealably contains the sterilized medical device and elongated flexible tubular sleeve. In an embodiment of the invention, a tubular sleeve card is coupled to a proximal end of the flexible tubular sleeve, the tubular sleeve card surrounding at least a portion of a proximal end of the sterilized medical device.

Abstract: A protective assembly for medical devices that includes a case having a case base and a case lid, at least one case hinge joins the case base to the case lid, a mounting system contained within the case base. The mounting system further including an enclosure attachment system movably attached to a hardware attachment system by a front rotating pin connector and at least one lockable hardware attachment support.

Abstract: A restoration device for foreskin is disclosed. The device includes a base, an outer sleeve, and a compression sleeve. The base defines a glans cone designed to receive a user glans, in use. The outer sleeve includes an inner portion that matingly couples with the base and a sleeve outer ring designed to press on a user foreskin, in use. The compression sleeve is designed to wrap around an outer surface of the sleeve outer ring, in use.

Abstract: A drape interface structure including a rigid frame defining an opening, a membrane spanning the opening of the frame, and a drive transfer element attached to the membrane and adapted to convey motion through the membrane. The membrane includes a first region of a first elastic deformability and a second region of a second elastic deformability different from the first elastic deformability.

Abstract: A surgical barrier material comprising a water-soluble polysaccharide, glycerol, and water, wherein the water-soluble polysaccharide by weight and glycerol by volume are present at a ratio of about 1:0.8 to 1:1.2, and wherein water is present at 8-20 wt %, wherein the water-soluble polysaccharide may be, for example, a cellulose, such as methyl cellulose, carboxymethylcellulose or a salt thereof (CMC), hyaluronic acid (HA) or a combination thereof and may have a molecular weight of 30,000 g/mol to 500,000 g/mol. The surgical barrier material is solid and flexible, typically possessing an elastic modulus of 0.5-2 MPa and penetration resistance of at least 1 Newton, and substantially dissolves within 72, 48, 24, 12, 6, 3, or 2 hours from the time it is placed at a surgical site. Also described herein is a method of preventing injury to tissue in a patient during a surgical procedure by using the described surgical barrier material as a protective barrier during the surgical procedure.

Abstract: A system for facilitating a medical procedure includes an access device that is configured to provide distance information regarding anatomical structures as the access device is driven to a target anatomical site. For instance, the access device can have either or both of a camera and neuromonitoring electrodes. The camera can send real-time images of the anatomical structures as the access device is driven toward the target anatomical site. The electrodes can emit an electrical current to identify a distance from nerve structure. A visual display can include the anatomical structure identified to the operator to assist in guiding the access device to the target anatomical site.

Abstract: A system to localize a micro-device inside a target body part, including: a micro-device remotely steered and controlled from outside the target body part, a control unit including a memory for storing one ultrasound image of the target body part, one probe being brought in contact with a securing body part of the patient, and at least one tracker connected to the micro-device. The probe and the tracker communicate with ultrasounds, the control unit being thus able to localize, in real time, the tracker within an internal referential defined with regards to the probe, and the control unit displays, on a screen, the ultrasound image and displays, in real time, the localization of the micro-device on the ultrasound image.

Abstract: Apparatus and methods are described which guide a surgeon in performing a reconstructive or cosmetic procedure. The apparatus and methods utilize three-dimensional presentations of the target surgical site incorporating one or more virtual surgical guides which help attain proper alignment and orientation of the post-surgical outcome.

Abstract: Disclosed are medical systems, devices, and methods that support landmarking of a medical device pathway within a patient. A landmarking device that is placed on the patient and coupled with a system module, includes magnetic elements and/or a shape sensing optical fiber to enable determining a position and shape of a landmarking pathway by logic of the system module. A medical device correspondingly includes magnetic elements and/or a shape sensing optical fiber that enable determining an actual pathway of the medical device by logic of the system module during insertion of the medical device. An image of the landmarking pathway combined with an image of the actual pathway are depicted on a display. The logic compares the actual pathway with the landmarking pathway and provides an alert accordingly.

Abstract: A method of automatically producing or reproducing a customized AGP (Anterior Guidance Package) equipped splint for a patient with or without a severe malocclusion is provided. The method of automatically producing or reproducing an AGP equipped splint according to current invention comprises of combining Virtual Articulation, CAD (Computer Aided Design)-CAM (Computer Aided Manufacturing) method with AGP and special retentive piece technology. The method of the current invention enables a patient with or without a severe malocclusion to receive his/her customized AGP equipped splint or a replacement thereof automatically without visiting the dentist again and again.

Abstract: A system and method and system for providing preoperative patient intraoral scanning for diagnosis and preparation of a treatment plan utilizing the proposed system in advance of the crown surgery and intraoperative patient intraoral scanning for system assessment and verification for the method of treatment. More specifically, the proposed invention proposes a method and system of patient intraoral scanning to identify the best prefabricated crown for use for the patient and develop a plan for intraoral surface treatment for the identified prefabricated crown and automated crown inventory management.

Abstract: The present invention relates to a system for displaying orthodontic information of an oral cavity and, more specifically, to a system for displaying orthodontic information of an oral cavity, the system being capable of displaying changes in the positions of teeth to be corrected and also displaying a tooth extraction state, by using oral cavity scan data obtained by scanning the shape of a patient's oral cavity for orthodontic treatment. The system for displaying orthodontic information of an oral shape, according to the present invention, enables movements of teeth for the patient's orthodontic treatment to be easily displayed or enables teeth to be extracted to be easily displayed, and enables the shape of the oral cavity after orthodontic treatment and tooth extraction are finished, to be visually displayed in an easy and quick manner, thereby facilitating the establishment of a plan for orthodontic treatment.

Abstract: A method for generating optimal arch forms for a patient's dental arch is presented. The method comprises: receiving first positional digital data for one or more teeth from a reconstructed 3D digital volume of the patient dental arch; (b) generating second positional digital data for the one or more teeth according to a desired dental arch form for the patient; (c) calculating a first displacement data for one or more teeth according to the first positional and second positional digital data; (d) detecting teeth collision values based on the first displacement data; (e) calculating a second displacement data for one or more teeth based on the detected teeth collision values; and (f) reporting a combination of the first displacement data and second displacement data for repositioning one tooth or more teeth of the dental arch.

Abstract: The present disclosure relates to an orthodontic plan display system and, more particularly, to an orthodontic plan display system for displaying changes in the position of teeth which are to receive orthodontic treatment, by using oral scan data obtained by scanning a shape of an oral cavity of a patient for orthodontic treatment. The orthodontic plan display system of the present invention has an effect of being conveniently used for orthodontic treatment by establishing an orthodontic plan for a process of fixing some teeth for orthodontic treatment of a patient and carrying out orthodontic treatment only for the remaining teeth, thereby making it possible to visually check the process.

Abstract: Systems and methods for rapidly and reliably determining an arch width of a patient's dental arch. A three-dimensional (3D) model of a patient's teeth, including a target tooth, can be received. Dental features from the 3D model may be extracted. The dental features may include a point of intersection between an occlusal surface of a tooth and a long axis of the tooth. An arch width between the target tooth and an opposing tooth may be determined based on the extracted dental features.

Abstract: Structured surfaces are described. In one embodiment, the structured surface comprises a plurality of structures having a complement cumulative slope magnitude distribution (Fcc) such that at least 30, 40, 50, 60, 70, 80 or 90% of structures have a slope greater than 10 degrees; and less than 80% of the structures have a slope greater than 35 degrees. In other embodiments, the structures comprise peaks and valleys defined by a Cartesian coordinate system such that the peaks and valleys have a width and length in the x-y plane and a height in the z-direction and at least a portion of the peaks and/or valleys vary in height in the y direction and/or the x-direction by at least 10% of the average height. Articles and methods are also described.

Abstract: Methods and systems are provided for diagnosing and generating a treatment plan for temporomandibular joint dysfunction where a polymeric shell appliance is utilized to generate one or more activation forces that facilitate tooth movement. The polymeric shell appliances may comprise one or more tooth receiving cavities, in which each of the plurality of tooth receiving cavities is shaped and arranged to provide a counter moment of each of the plurality of teeth.

Abstract: Attachments of the present disclosure combines the optimal practices of the traditional bracket-wire system and more recent resilient appliance (e.g., CTAs and polymeric bands) systems. The attachments include prescribed in/outs, torques and angulations designed utilizing the straight wire methodology for determining the bonding location on a particular tooth of the dental arch. A marriage of bracket prescription with attachment placement can help the treating professional to better visualize the treatment outcome with the tray or band on the patient.

Abstract: A dental implant assembly may be provided with a spacer removably attachable to a dental implant, a cap removably attachable to the spacer, and a surgical barrier that may be at least partially disposed between the cap and the spacer. The spacer may include a first end configured to engage with the dental implant and a second end configured to engage with the cap. The second end may further include a tool connection region. The surgical barrier may include an outer membrane and an inner mesh enclosed within the outer membrane. A cap head may be provided with a lower surface configured to engage with the surgical barrier. A cap body may be provided with a threaded profile engageable with a threaded connection of the second end of the spacer. At least part of the surgical barrier may be sandwiched between the spacer and the lower surface of the cap.

Abstract: Lithium silicate materials are described which can be easily processed by machining to dental products without undue wear of the tools.

Abstract: A handle of an oral irrigator is provided. The handle may include a handle housing with a first segment and a second segment configured to couple together and define a cavity there between, a first set of interior walls extending from the first segment, and a second set of interior walls extending from the second segment. A wall of the first set of interior walls and a wall of the second set of interior walls may limit movement of an oral irrigator component at least partially disposed in the cavity.