Abstract: The invention refers to an implant device, in particular to a pubic symphysis implant device, and to an implant system comprising two such implant devices. The implant device of the invention comprises a bent body comprising a curved middle portion and two lateral arms extending away from the middle portion and being mutually joined by the middle portion, and at least one guiding element defining at least one guiding path along which a tensioning element can be guided. The invention further refers to method of fixating together a first bone or bone part and a second bone or bone part, for example for re-joining a disjoined pubic symphysis, using such an implant system, in particular by placing each of the two implant devices on corresponding bones or bone parts and by pulling the two implant devices towards each other by tensioning a tensioning element guided along the at least one guiding path of each of the two implant devices.

Abstract: A bone cement extractor for extracting cement from a bone cavity comprising a connection body and a segmented assembly. The connection body has a quick connect for connecting to a working tool. The segmented assembly is attachable to a distal end of the connection body and includes an inner segment having a proximal end and a distal end, the proximal end connectable to the distal end of the connection body, and an outer segment having a proximal end and a distal end, the outer segment slidably connectable to the inner segment.

Abstract: An expandable laminoplasty device has a superior plate, an inferior plate, threaded or racked gear post having external threads or gear teeth, the post affixed to one of the superior plate or the inferior plate, and a gear nut or pinion gear, the gear has internal threads or external gear teeth configured to engage external threads or gear teeth of the post. The gear is held in one of the superior plate or inferior plate not affixed to the post and wherein the superior plate or inferior plate not affixed to the post has an end with a slot or channel to receive the post and a side opening to receive and hold the gear.

Abstract: There is disclosed an orthopaedic impactor, comprising: a strike assembly arranged to impart a force to an object; and a winding arranged to receive a current and thereby generate a magnetic field. The winding is arranged to interact with the strike assembly so that, in use, a magnetic field generated by the winding causes the strike assembly to move so as to impart the force to the object.

Abstract: Neuromodulation of nasal nerves to treat diseases is described where one example of a method for treating dysfunctions or diseases in a patient may generally include introducing a treatment device into a nasal cavity of a patient. The distal end of the treatment device may be navigated into proximity of nerve fibers passing through at least one of an anterior ethmoid foramen, a posterior ethmoid foramen, or a sphenopalatine foramen. The distal end may then be actuated to ablate all or substantially all of the nerve fibers such that the dysfunction or disease is mitigated.

Abstract: According to some embodiments, a method of treating a subject having diabetes or symptoms associated with diabetes is provided. The method includes delivering a neuromodulation catheter within a vessel (e.g., hepatic artery) having surrounding nerves that innervate the liver (e.g., sympathetic nerves of the hepatic plexus). The method may also include modulating (e.g., disrupting, ablating, stimulating) the nerves by mechanical compression, energy delivery, or fluid delivery.

Abstract: A supply apparatus for an electrosurgical system as well as an electrosurgical system having a supply apparatus. In addition to a generator, the supply apparatus has a measurement signal source that is able to provide a measurement signal (XM) in form of an alternating voltage and/or an alternating current. An impedance parameter (P) resulting from the measurement signal (XM) can be evaluated. A switch device of supply apparatus can be switched between multiple switch conditions (C1-C5). In the different switch conditions (C1-C5) different evaluation functions can be realized by means of the evaluation unit (50). The measurement signal source can apply a measurement signal to a treatment current path (B) at a working connection of supply apparatus as well as to a neutral current path (N) between neutral connections of supply apparatus. In doing so, by means of the measurement signal (XM), treated tissue can be analyzed as well as a contact between neutral electrode and the patient can be checked or monitored.

Abstract: Systems and methods for enhancing surgical outcomes by providing generators having optimal RF output for sealing, fusing and/or cutting tissue or vessels under all dynamic conditions are described. Examples of dynamic conditions may include varying tissue impedance load due to electrosurgical operations or tissue affects, any operational conditions and commands determined by the surgeon, surgical procedure and/or device script. This is achieved by implementing a digital closed-loop control system within the electrosurgical generator to regulate voltage, current, and power of the RF output. The digital closed-loop control system may include an RF amplifier for generating RF energy, a feedback system for constantly monitoring the electrical characteristics, e.g.

Abstract: Method and system of control of conductive fluid during coagulation using radio frequency energy. At least one example is of sealing blood vessels, the method comprising: applying, by an electrosurgical controller, radio frequency (RF) energy between two electrodes of a coagulation wand, the two electrodes abutting tissue at a surgical site, and the RF energy at a coagulation energy; supplying, by the electrosurgical controller, a flow of conductive fluid to the surgical site; measuring, by the electrosurgical controller, a value indicative of impedance of tissue and conductive fluid between the two electrodes; and decreasing, by the electrosurgical controller, the flow of conductive fluid as the value indicative of impedance decreases.

Abstract: An electrosurgical wand for treating tissue at a target site within or on a patient's body is described, having an elongate shaft with a handle and a distal end portion. The distal end portion has an active electrode, an insulative spacer body and a return electrode; the active electrode supported by the insulative spacer body and spaced away from the return electrode. The active electrode has both lateral and medial edge surfaces. The insulative spacer body has an aspiration cavity fluidly connected with an aspiration lumen, and at least one tapered aperture extending beyond at least one of the electrode medial edge surfaces and directed to the aspiration cavity.

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: A method for treating an infection using irreversible electroporation is presented. The method includes providing an ablation device that has at least one electrode and inserting the ablation device into a target tissue of a patient. The tissue at least partially surrounds the implanted medical device. The outer surface of the medical device is at least partially covered by infectious cells. The method also involves positioning at least one electrode in or near the implanted medical device and delivering electrical pulses to or near the implanted medical device sufficient to irreversibly electroporate the infectious cells.

Abstract: The invention generally relates to systems and methods for improving sleep by treating at least one of rhinitis, congestion, and/or rhinorrhea to thereby reduce or eliminate symptoms associated therewith, including, but not limited to, nasal congestion, coughing, sneezing, and nasal or throat irritation and itching.

Abstract: An apparatus includes a body, a catheter, and an end effector. The catheter extends distally from the body and includes a lumen. The end effector includes at least one electrode. The end effector further includes at least one port in fluid communication with the lumen of the catheter such that the lumen is operable to communicate the fluid from a fluid source to the at least one port. The end effector further includes at least one flexible sleeve positioned over the at least one port, the at least one flexible sleeve being configured to transition between a closed state in which the at least one flexible sleeve prevents the fluid from exiting the at least one port, and an open state in which the at least one flexible sleeve permits the fluid to exit the at least one port.

Abstract: A method, consisting of registering a multiplicity of locations of ablated sites of an organ of a human subject. The method includes manipulating a catheter having a plurality of electrodes in proximity to the organ, the electrodes being configured to further ablate selected sites of the organ. The method further includes rendering on a display an organ icon showing the organ and the multiplicity of the locations of the ablated sites, and a catheter icon showing the plurality of electrodes, and providing an indication on the display of a quality of alignment between the plurality of electrodes and the multiplicity of the locations of the ablated sites.

Abstract: A medical device and a method for forming a shunt configured to effectively cauterize a biological tissue having a variation in thickness. The medical device includes an expansion body, an elongated shaft portion to which the proximal end of the expansion body is fixed, a plurality of energy transfer elements disposed along the expansion body, and a pulling shaft are included, and the expansion body, which has a recess that defines a reception space, is configured such that an easy-to-deform portion that is disposed on the expansion body and is easily deformable is deformed to enlarge the reception space at the position corresponding to the easy-to-deform portion in the circumferential direction when a force in the axial direction of the expansion body is received.

Abstract: A method for ablating tissue by applying at least one pulse train of pulsed-field energy. The method includes delivering a pulse train of energy having a predetermined frequency to cardiac tissue, the pulse train including at least 60 pulses, an inter-phase delay between Ops and 5 ?s, an inter-pulse delay of at least 5 ?s, and a pulse width of 5 ?s.

Abstract: An electrode apparatus for nerve denervation or modulation includes a main body including a shaft; an electrode unit formed to be drawn out from one end of the shaft and configured to denervate or modulate at least part of nerves on a tube in the body; an electrode guide including a plurality of joint units and a wire connecting the plurality of joint units to each other and configured to guide the electrode unit; and a driving unit located inside the main body and configured to drive the joint units and the wire to protrude from the one end of the shaft. The driving unit drives the joint units in conjunction with the wire to have different displacements.

Abstract: A flexible instrument comprises an antenna having a distal tip portion, a proximal base, and an antenna body therebetween. The antenna body comprises a patterned cylindrical structure having a proximal end coupled to the proximal base and a distal end coupled to the distal tip portion. The flexible instrument is configured to generate a radiation pattern from the antenna to ablate tissue.

Abstract: A hair removal device that performs hair removal treatment using light emitted from a light source, the hair removal device including: a light source unit including the light source; an irradiation position control mechanism configured to guide the light emitted from the light source unit to an irradiation scheduled position; an imaging unit configured to be able to image a predetermined region including the light emitted toward the irradiation scheduled position; and an irradiation position deviation amount detection unit configured to detect an irradiation position deviation amount between the irradiation scheduled position and a real irradiation position of the light, the hair removal device being configured to correct a guide position of the light by the irradiation position control mechanism by using the irradiation position deviation amount detected by the irradiation position deviation amount detection unit.

Abstract: Medical systems are described, including a medical system that includes a sheath with at least one lumen configured to be coupled to a suction source, an irrigation device that includes at least one irrigation lumen configured to be coupled to an irrigation source, and a medical device that includes a handle and a shaft. The shaft may include a working channel with a distal opening, one or more illumination devices, and one or more visualization devices. The medical device may be configured to be positioned within the sheath during delivery of the sheath to a treatment site and during an application of energy to break up one or more objects to form one or more particles or dust. The irrigation device may be configured to be positioned within the sheath and deliver irrigation fluid while suction is applied to the treatment site.

Abstract: Disclosed is a system to plan and position an implant in a subject. The planned position may be based upon various features and structures identified in a group of subjects for a current subject. The implant may then be positioned in a selected position including a relative position and orientation of one or more electrodes on the implant which may be identified as an optimal position for the selected current subject.

Abstract: Disclosed is a system to plan and position an implant in a subject. The planned position may be based upon various features and structures identified in a group of subjects for a current subject. The implant may then be positioned in a selected position including a relative position and orientation of one or more electrodes on the implant which may be identified as an optimal position for the selected current subject.

Abstract: Systems, methods, and devices are disclosed for robotic surgical systems including a non-contact marking device, comprising a body sized and shaped to be at least partially inserted into a guide slot of a scalpel guide; a shoulder extending outwardly from the body configured to limit a distance the body may be at least partially inserted into the guide slot of the scalpel guide; and a marking device configured to emit a light, the marking device configured to project light from a bottom face of the body such that the light projected by the marking device is coaxially aligned with a longitudinal axis of a tool guide of a surgical system when the non-contact marking device is at least partially inserted in the guide slot of the scalpel guide while the scalpel guide is inserted in the tool guide of the surgical system.

Abstract: The present invention relates to an apparatus for simulating medical procedure performing cervical artificial disc surgery and a method thereof, for simulating the movement of the cervical artificial disc, when estimating a plurality of landmarks for a cervical artificial disc to be operated, generating an available space into which the cervical artificial disc is to be inserted by using the estimated landmarks, designing the cervical artificial disc model in the generated available space, and applying the designed cervical artificial disc model to a corresponding disc, prior to performing medical procedure of the cervical artificial disc surgery.

Abstract: Certain embodiments include a method for assisting a clinician in performing a medical procedure on a patient using augmented reality guidance. The method can include obtaining a three-dimensional model of an anatomic part of the patient. The method can also include aligning the three-dimensional model with data to form augmented reality guidance for the medical procedure. In addition, the method can include presenting the augmented reality guidance to the clinician during the medical procedure using an augmented reality three-dimensional display.

Abstract: Systems and methods for reviewing and analyzing proposed patient-specific surgical plans are described herein. In some embodiments, a surgical plan review program provides a user-friendly interface for a surgeon to review various aspects of a proposed surgical plan. The program enables the surgeon to approve the surgical plan and/or provide feedback on the surgical plan to prompt revisions to the surgical plan.

Abstract: A method and process for providing three dimensional (3-D) virtual image of a patient in metaverse or 3-D hologram for surgical or other procedures, wherein the avatar of a medical practitioner, imitating the actions of the practitioner performing the procedure, can visually identify the organs and the location of the instruments in real-time inside patient. The image data stream generated in real time can be saved in a data base for later re-creation of the image. The re-creation of the image with spatial coordination and updating in time is usable as a review and a teaching/training tool. The implemented Metaverse provides all details collected and combined from the multiple imaging systems. It is usable as a diagnostic tool, a practice tool a teaching tool and real time direction and feedback tool by the medical community for procedures. The real-time image in Metaverse provides critical visual capabilities during procedures.

Abstract: Systems and methods for providing assistance to a surgeon during an implant surgery are disclosed. A method includes defining areas of interest in diagnostic data of a patient and defining a screw bone type based on the surgeon's input. Post defining the areas of interest, salient points are determined for the areas of interest. Successively, an XZ angle, an XY angle, and a position entry point for a screw are determined based on the salient points of the areas of interest. Successively, a maximum screw diameter and a length of the screw are determined based on the salient points. Thereafter, the screw is identified and suggested to the surgeon for usage during the implant surgery.

Abstract: Methods, apparatuses, and systems for performing robotic joint arthroscopic surgery are disclosed. The disclosed systems use a surgical robot to perform robotic joint arthroscopic surgery for soft tissue. The disclosed systems enable a surgeon or physician to perform a virtual surgical procedure in a virtual environment, storing robotic movements, workflow objects, user inputs, or a description of tools used. The surgical robot filters the stored data to determine a surgical workflow from the stored data. The surgical robot displays information describing a surgical step in the surgical workflow, enabling the surgeon or physician to optionally adjust the surgical workflow. The surgical robot stores the optional adjustments and performs the surgical procedure on a patient by executing surgical actions of the surgical workflow.

Abstract: A method and process for providing three dimensional (3-D) virtual image of a patient in metaverse for surgical or other procedures, wherein the avatar of a medical practitioner, imitating the actions of the practitioner performing the procedure, can visually identify the organs and the location of the instruments in real-time inside patient. Such an image reconstruction with spatial coordination provides a usable metaverse implementation with the medical professional's persona as avatar, usable as a training and supportive tool in medical applications. It is a very valuable, especially for the medical and surgical community. The implemented Metaverse provides all details collected and combined from the multiple imaging systems. It is usable as a diagnostic tool, a practice tool a teaching tool and real time direction and feedback tool by the medical community for procedures. The real-time image implemented as Metaverse provides critical visual capabilities during procedures.

Abstract: A first ultrasonic beacon transmission includes a first pilot signal and a first encoded information signal. An apparatus may detect the first pilot signal and decode, based on the first pilot signal, the first encoded information signal to identify a medical system associated with the first ultrasonic beacon transmission. Based on the first encoded information signal, the apparatus may enter into a first pairing state in which the apparatus is communicatively paired with the medical system. While the apparatus is operating in the first pairing state and within a threshold time of entering the first pairing state, the apparatus may detect a second pilot signal included in a second ultrasonic beacon transmission, which also includes a second encoded information signal. Based on the detection of the second pilot signal within the threshold time, the apparatus may continue operating in the first pairing state without decoding the second encoded information signal.

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

Abstract: A multi-function mobile probe comprising a power supply configured to power components of the mobile probe, the components including a beacon configured to transmit a signal when the mobile probe is powered by the power supply, the beacon including an antenna configured to transmit the signal from the mobile probe, and an inertial measurement unit configured to detect information about a position of the mobile probe, the mobile probe configured to transmit the information, and a switch configured to interrupt the signal when activated, wherein the location of the mobile probe is determined based on the signal interruption and the information.

Abstract: A registration fixture for use with a surgical navigation system for registration of medical images to a three-dimensional tracking space includes a base frame adapted to be mounted over a flat panel detector of an x-ray medical imaging device, and a side frame having optical tracking markers mounted to the base frame. The base frame includes a first set of radiopaque markers embedded therein in a first predetermined pattern and arranged on a plane, and a second set of radiopaque markers embedded therein in a second predetermined pattern also arranged on another plane, which is spaced from the first set of radiopaque markers. The side frame has a plurality of optical tracking markers and is configured to detachably mount to the base frame.

Abstract: A processing device includes: a processor configured to acquire a distance from a reference position on a movement path of an endoscope to a distal end of the endoscope that is moved along the movement path, and determine an insertion state of the endoscope into a subject based on a captured image captured by the endoscope and the distance.

Abstract: Systems and methods are provided for positioning an intravascular device. A sensing device includes a plurality of nodes disposed on a distal portion of the sensing device. The distal portion of the sensing device is inserted into a circumflex artery. A plurality of node locations of the plurality of nodes are determined in a coordinate system when the distal portion of the sensing device is inserted into the circumflex artery. A projected plane of a mitral annulus is determined in the coordinate system based on the plurality of node locations. A projected deployment point for the intravascular device is determined in the coordinate system based on the plurality of node locations.

Abstract: Certain embodiments provide a method of performing ophthalmic surgical procedures. The method includes ingesting and preparing pre-operative data and intra-operative data associated with a patient's eye for further processing. In certain embodiments, the method further includes integrating the pre-operative data and intra-operative data to generate context sensitive data for further processing. The method also includes classifying and annotating the pre-operative data, the intra-operative data, and the context sensitive data. The method also includes extracting one or more actionable inferences from the pre-operative data, the intra-operative data, context sensitive data, and the classified and annotated data. The method further includes triggering, based on the one or more actionable inferences, one or more actions on an imaging system or a surgical system.

Abstract: A method for assisting an orthopedic surgery, the method including the steps of: capturing a sequence of images such that a field of view captures images of a plurality of screw extenders, each screw extender holding a pedicle screw, the plurality of screw extenders arranged at a surgical incision of an orthopedic surgery, displaying images of the captured images to provide for a live video feed, detecting the plurality of screw extenders based on the captured sequence of images, first calculating an orientation and position of the detected plurality of screw extenders, second calculating a 3D position of a screw head of each pedicle screw based on the orientation and the position, and projecting and displaying each calculated 3D position of the plurality of screw heads with a graphical element on the display device at a location that corresponds to the location of the screw head projected to a currently displayed image of the live video feed.

Abstract: Systems and methods for performing a surgical procedure to form a custom shaped cavity in an anatomical element are provided. A surgical tool may be oriented by a robotic arm in one direction along a first trajectory to remove a first portion of the anatomical element. The surgical tool may be oriented in at least one direction along a second trajectory to remove a second portion of the anatomical element to form a custom shaped cavity in the anatomical element.

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

Abstract: Systems and methods for performing concomitant medical procedures are disclosed. In one aspect, the method involves controlling a first robotic arm to insert a first medical instrument through a first opening of a patient and controlling a second robotic arm to insert a second medical instrument through a second opening of the patient. The first robotic arm and the second robotic arm are part of a first platform and the first opening and the second opening are positioned at two different anatomical regions of the patient.

Abstract: An apparatus includes a cart having a vertical adjustment element configured to adjust a distance between the platform and a ground supporting the cart, the cart defining a surface for supporting an arm of the patient. The apparatus includes a manipulation device including a plurality of motors each configured to operably couple to a different one of a needle, a catheter, and a guidewire to selectively advance one or more of the needle, the catheter, and the guidewire, and a robotic arm having a first end mounted to the cart and a second end coupled to the manipulation device, the robotic arm having a plurality of segments joined together via a plurality of joints such that the robotic arm can be moved to position the needle, the catheter, and the guidewire for insertion into a target vessel in the arm.

Abstract: An instrument driving and transmission mechanism for a surgical robot and an instrument driving and assembly mechanism for the surgical robot are provided. The instrument driving and transmission mechanism includes an instrument drive, a sterile adapter, and a surgical instrument. Adapter transmission members of the sterile adapter and drive transmission members of the instrument drive mesh with each other by means of several teeth that are evenly spaced on surfaces of the adapter transmission members and the drive transmission members, and the adapter transmission members of the sterile adapter cooperate with instrument transmission members of the surgical instrument by means of transmission bosses.

Abstract: A medical system includes a mobile cart configured to support one or more medical instruments; an illumination source mounted on the mobile cart, the illumination source configured to direct light in a direction of a path of the mobile cart during movement relative to a ground surface; and a control system operably coupled to the illumination source and the mobile cart. The control system is configured to in response to the illuminating, storing a threshold height in a memory; and automatically control the movement of the cart based on the threshold height.

Abstract: Systems, devices and methods are provided in which an instrument can translate along an insertion axis. Rather than relying primarily on a robotic arm for instrument insertion, the instruments described herein have novel instrument based insertion architectures that allow portions of the instruments themselves to translate along an insertion axis. For example, an instrument can comprise a shaft, an end effector on a distal end of the shaft, and a handle coupled to the shaft. The architecture of the instrument allows the shaft to translate relative to the handle along an axis of insertion. The translation of the shaft does not interfere with other functions of the instrument, such as end effector actuation.

Abstract: Systems and methods for setting an implant are provided. A robotic arm may automatically orient a screw head to a predetermined orientation relative to a pedicle screw. The screw head may be pivotably coupled to the pedicle screw. The robotic arm may lock the screw head in the predetermined position.

Abstract: A surgical robotic system includes a surgical instrument and a robotic arm having an instrument drive unit configured to couple to and to actuate the surgical instrument. The system also includes a controller configured to: access usage data pertaining the surgical instrument; select an instrument operational mode for the surgical instrument based the usage data, the instrument operational mode being one of a surgical mode or a training mode; and enable use of the surgical instrument based on the selected instrument operational mode.

Abstract: The present disclosure relates to a surgical robot and a method of controlling the surgical robot. The method may include obtaining pose information of an end tool and providing first feedback information to an operator based on the pose information.

Abstract: Implementations relate to detecting user touch on a controller handle. In some implementations, a non-controlling mode of a control system is activated, and in the non-controlling mode, one or more actuators are controlled to cause a vibration to be provided on a handle of a controller. The vibration is sensed with one or more sensors, and a difference in the vibration is determined to have occurred relative to a reference vibration using the one or more sensors, where the difference satisfies one or more predetermined thresholds. A controlling mode of the system is activated in response to determining the difference in the vibration, and the vibration is modified on the handle in response to detecting the change in the vibration.