Abstract: A flexible drive shaft assembly is provided for an intravascular medical device, for example and without limitation, a blood pump, a rotational atherectomy device, or a rotational thrombectomy device. The blood pump embodiment provides an electric motor and a rotational impeller, with a rotational drive shaft disposed therebetween and configured to rotationally drive the impeller. The drive shaft is moved from an undeformed length to a deformed length when connected between the electric motor and the rotational impeller to provide a biasing force on the rotational impeller in the proximal direction to maintain the impeller in a desired axial or linear location. In other embodiments, drive shaft comprises a proximal section with a length and a spring constant and a distal section of relatively longer length and a relatively higher spring constant. In other embodiments, hypotube(s) and/or support mandrel(s) may be provided.

Abstract: Versatile tissue collection devices that can provide reduced crossing profiles, fluid pressure release, and/or easy cleaning or removal. In particular, devices having tissue collection devices with multiple configurations to facilitate navigation through narrow vessel cross-sections while also providing adequate tissue storage capacity. Additionally, the devices may include detachable components that allow easy removal, cleaning, and replacement during a procedure. Furthermore, venting elements and sections may be included to relieve fluid buildup in storage reservoirs.

Abstract: A cutting tool for the vertical incision of tendons comprising a shaft extending along a longitudinal axis, having a distal end and a proximal end, and a cutting head, located close to said distal end, having a plurality of blades. The cutting head lies on a plane parallel to the longitudinal axis of the shaft and is connected to the latter by a coupling inclined with respect to the longitudinal axis by an angle from 10° to 20°, preferably of 15°.

Abstract: Systems and methods for treating cellulite including an apparatus that applies or a method involving separating septa to eliminate or reduce the appearance of cellulite. In one approach, an interventional tool is placed between tissue layers to engage and treat septa connecting tissue layers between which fat deposits are contained.

Abstract: A device comprising a scalpet assembly including a first investing plate and a scalpet array. The scalpet array includes scalpets rotatably coupled to the first investing plate. Each scalpet includes a first thread on a portion of an outside surface, and a distal end configured as a cylindrical scalpel. The device includes a second investing plate comprising apertures corresponding to the scalpet array. Each aperture includes a second thread configured to receive the first thread. The corresponding scalpet is configured to rotate relative to the second thread and move along an axis of the scalpet relative to the second investing plate.

Abstract: The present invention relates to surgical devices, particularly to a circumcision equipment, enable the circumcision equipment to be suitable for different surgery objects and environments.

Abstract: A puncture needle includes a shaft part, a needle tip part disposed at a tip of the shaft part, and a plurality of processed parts that are arranged on an outer peripheral part of the shaft part along a length direction of the shaft part and form a geometric progression with a geometric ratio of 2 in which arrangement intervals gradually decrease toward the needle tip part, in which a distance between a reference point which is located on a needle tip part side from a first processed part closest to the needle tip part among the plurality of processed parts and is located at a predetermined distance from the needle tip part and the first processed part is equal to an arrangement interval between the first processed part and a second processed part which is second closest to the needle tip part.

Abstract: A depth limiter that is configured to couple with a cannula tube of a trocar. The depth limiter includes a body having first and second body portions coupled together and pivotable between open and clamped configurations. The body includes first and second inner surfaces presented by the first and second body portions. In the clamped configuration the first and second inner surfaces form a first cross dimension sized to restrict axial movement of the depth limiter relative to the cannula tube. In the open configuration the first and second inner surfaces form a second cross dimension sized to permit axial movement of the depth limiter relative to the cannula tube. The depth limiter includes first and second locking members, one of which is resiliently biased to engage the other. The locking members are configured to engage each other to lock the body portions in the clamped configuration.

Abstract: A surgical access device includes an obturator head, an elongated shaft extending distally from the obturator head along a longitudinal axis, and an obturator tip. The obturator tip includes a reusable portion and a replaceable tip. The reusable portion is attached to a distal portion of the elongated shaft such that the reusable portion is configured to be sterilized with the elongated shaft. The replaceable tip includes a tapered distal tip and a proximal coupling body. The tapered distal tip is configured to facilitate insertion of the surgical access device through a body wall of the patient. The proximal coupling body is configured to selectively couple with the reusable portion. The replaceable tip, in its entirety, is movable relative to the reusable portion along a mating path in order to couple the proximal coupling body with the reusable portion. The mating path extends laterally relative to the longitudinal axis.

Abstract: An implant removal device for removal of ruptured silicone breast implants includes a hollow container having a middle portion disposed between a first end and a second end. The device also has a connector port coupled to the second end that is coupled to a suction device during use. The device also includes a nozzle coupled to the first end that is configured for placement against an incision of a patient for removing a ruptured breast implant from the patient. The positioning of the nozzle on said first end is offset from a longitudinal axis that extends in a direction parallel to the length of the middle portion and within the middle portion. The nozzle opening may include gripping portions for aiding in gripping the implant shell during the removal process.

Abstract: The present invention comprises methods and devices for providing contrast medium for sonography of structures such as ducts and cavities. The invention provides for creation of detectable acoustic variations between two generated phases of a gas and a liquid to make a contrast medium. Sonography is the primary means of imaging but other conventional detection means may also be employed with the present invention.

Abstract: A percutaneous targeting device comprises a body holding an extension. The body has a target guide holding a target pin which may be a K-wire. The extension has two guide sleeves, holding a guide wire. All wires are held in a common plane. The guide wires serve as a guide for cannulated fixation screws. The extension is movable against the body to adjust the angle between the target pin and the guide wires.

Abstract: Embodiments herein are generally directed to fastener or fixation members, such as bone screws, for use in orthopedic stabilization assemblies. Some embodiments herein are directed to a spinal stabilization system or a method of installation of a spinal stabilization system that can include a spinal stabilization anchor including a compressible head, a distal collar separated from the head by a channel, and an elongate, longitudinally-curved shank extending therefrom. The shank further can include at least one friction member.

Abstract: A crosslink mechanism features a locking clip with interlocking teeth. When being deployed, the surgeon will compress the spring loaded clips, freeing rotation on both sides of the mechanism. Once clipped onto the sequential reducers, the surgeon releases the clips allowing the spring to lock the teeth and therefore lock rotational freedom out of the mechanism.

Abstract: The present invention generally relates to bone implants. More specifically, the present invention relates to bone implants used for the fixation or fusion of the sacroiliac joint and/or the spine. For example, a system for fusing or stabilizing a plurality of bones is provided. The system includes an implant structure having stem portion and a head portion, the stem portion having a rectilinear cross sectional area. A tulip or saddle structure can be attached to the head portion, and a rod can be secured within the tulip or saddle structure.

Abstract: The invention provides a reduction and fixation device for fracture correction, and relates to the technical field of orthopedic medical devices. The reduction and fixation device for fracture correction comprises: an aiming frame body including a fixation plate, a first rectangular frame, a support plate and a second rectangular frame, wherein two first sliding frames are slidingly arranged in the first rectangular frame, a first screw sleeve is arranged in the first sliding frame, upper and lower sides of the first screw sleeve are rotationally connected to an inner wall of the first sliding frame through a first rotating shaft, a second sliding frame is slidingly arranged in the second rectangular frame, a second screw sleeve is arranged in the second sliding frame, and front and rear sides of the second screw sleeve are rotationally connected to an inner wall of the second sliding frame through a second rotating shaft.

Abstract: Two implant devices cooperate to form a single reinforcement device for minimizing the risk of future hip fractures in the vulnerable as being at significant risk for hip fracture. The two implant devices are sequentially inserted through the same incision and each has a respective head portion, a respectively upwardly or downwardly curved intermediate portion preferably having a generally constant rectangular cross section, and a tapered tail portion, with the head portion of the first implant device having a suitably shaped and positioned opening adapted to receive the constant cross section portion of the second device, and with an enlarged head portion of the second implant device adapted to maintain the second device at a desired orientation relative to the first device and to constrain the second device from excessive insertion relative to the first device after the two devices have been sequentially inserted through the single incision.

Abstract: An apparatus for stabilization of a bone fracture site, including a wire that is configured to be positioned through corresponding holes of a first bone and an adjacent second bone; and a tension washer coupled to a first end of the wire, the tension washer rotatable about the first end of the wire, wherein the wire is configured to be positioned through the corresponding holes of the first and the second bone, the tension washer is configured to be positioned proximate a first surface of the second bone, wherein the tension washer includes a first surface having a length longer than a diameter of the corresponding holes of the first and the second bones, wherein the tension washer is configured to rotate such that the first surface of the tension washer abuts the first surface of the second bone.

Abstract: A compression screw for applying compression at a bone joint. The compression screw includes an axial screw body extending from a distal end to a proximal end with the distal end including a series of bone engaging threads configured to be self-drilling and self-tapping and the proximal end including a head which defines a radially extending shoulder. At least one proximal rotary cutting structure is defined proximally of the bone engaging threads. The at least one proximal rotary cutting structure is configured to be self-drilling such that a proximal portion of the axial screw body cuts into and advances within a bone of the bone joint as the axial screw body is advanced. A method of inserting the compression screw is also provided.

Abstract: A compression screw for applying compression at a bone joint. The compression screw includes an axial screw body extending from a distal end to a proximal end with the distal end including a series of bone engaging threads configured to be self-drilling and self-tapping and the proximal end including a head which defines a radially extending shoulder. At least one proximal rotary cutting structure is defined proximally of the bone engaging threads. The at least one proximal rotary cutting structure is configured to be self-drilling such that a proximal portion of the axial screw body cuts into and advances within a bone of the bone joint as the axial screw body is advanced. A method of inserting the compression screw is also provided.

Abstract: The present invention concerns to a method, a percutaneous access path providing device and a kit of instruments for the treatment of fractured vertebrae, in particular for treating spinal compression fractures in humans. In particular the invention concerns to a percutaneous access path providing device comprising a vertebra access cannula and a vertebra introducer stylet, wherein the vertebra introducer stylet has a tip.

Abstract: A device for correcting a placement of a guide wire in a bone includes a body extending from a proximal end to a distal end; a central channel extending through the body from the proximal end to the distal end along a central axis, the central channel sized and shaped to receive a guide wire slidably therein; and a first correction channel extending through the body from the proximal end to the distal end. The first correction channel is sized and shaped to receive a guide wire therein at an angle relative to the central axis of the central axis of the central channel.

Abstract: An endoscopy device is configured with a flexible cannula or tube for nasal insertion and has multiple parallel and adjacent lumens that provide sub-chambers configured to provide means to diagnose and treat Barrett's esophagus, such as by spray cryo-therapy with no further insertion of tubes. The lumens are configured to impart a small diameter with sufficient flexibility for nasal insertion into a patient's esophagus and accommodate a means any treatment modality. In the case of cryo-therapy, a lumen provides gas pressure relief, and is along the tube, with separate lumens for the delivery of a liquid freezing agent and an imaging means, which includes a source of illumination. Outer lumens may support guide wires used to steer the tube tip and aim the camera to determine the where to immobilize tip before the start of the treatment and/or to correct strictures formed in prior procedures.

Abstract: An intravascular catheter for peri-vascular and/or peri-urethral tissue ablation includes multiple needles advanced through supported guide tubes which expand with open ends around a central axis to engage the interior surface of the wall of the renal artery or other vessel of a human body allowing the injection an ablative fluid for ablating tissue, and/or nerve fibers in the outer layer or deep to the outer layer of the vessel, or in prostatic tissue. The system also includes means to limit and/or adjust the depth of penetration of the ablative fluid into and beyond the tissue of the vessel wall. The preferred embodiment of the catheter includes structures which provide radial and lateral support to the guide tubes so that the guide tubes open uniformly and maintain their position against the interior surface of the vessel wall as the sharpened injection needles are advanced to penetrate into the vessel wall.

Abstract: The disclosure includes a controller and a sheath having an open proximal sheath end coupled to the controller, an open distal sheath end configured for insertion into a vascular system of a patient, and a working lumen extending through the sheath. The system may include a wire extending from the controller through the working lumen, the wire having a distal wire end configured to mechanically treat a vessel wall of a treatment segment, a length of the distal wire end defining a length of the treatment segment. The working lumen may be configured to slidably receive the wire and allow for a passage of a fluid about the wire therethrough to chemically treat the treatment segment. When the system receives a first input the distal wire end may mechanically treat the vessel wall. When the system receives a second input and/or a third input, the system may deliver the fluid.

Abstract: A device includes an electrically conductive or electrically semiconductive material and a biocompatible porous scaffold around the electrically conductive or electrically semiconductive material. The biocompatible porous scaffold includes a biocompatible polymer and pores configured to capture metastatic cells.

Abstract: A modular energy system is disclosed including a header module including an enclosure and a display including a coupler. The enclosure defines a recess. The recess includes a first guidewall and a second guidewall. The coupler is removably positionable in the recess. The coupler includes a first sidewall and a second sidewall. The first guidewall is configured to guide the first sidewall as the coupler moves through the recess. The second guidewall is configured to guide the second sidewall as the coupler moves through the recess.

Abstract: An elongated medical sheath is configured to be movable and positionable proximate to a biological feature of a patient. An expandable-and-collapsible support structure is configured to be selectively movable, at least in part, between an interior of the elongated medical sheath and an exterior of the elongated medical sheath. An energy-emitting assembly is supported by the expandable-and-collapsible support structure.

Abstract: An interface joint with one or both of a needle actuation mechanism or an integrated shaft rotation mechanism. The interface joint comprises a flexible shaft between a housing and an electrosurgical instrument, e.g. for conveying power and/or fluid therebetween. The needle actuation mechanism comprises an actuation rod extending out of the housing and an actuator movably mounted on the housing. The shaft rotation mechanism comprises a rotation actuator rotatably mounted on the housing and operably coupled to the flexible shaft. Providing an integrated shaft rotation mechanism may obviate the need for a separate torque transmission unit. The improved needle actuation mechanism may use a pivoting connection to enable longer needle extension distances to be achieved for a given actuation distance.

Abstract: The present invention discloses access devices and methods to create an access channel for introduction of one or more working devices into an anatomical region. The access channel is created using a visualization modality that is later removed before inserting one or more working devices through the access channel. This allows the methods and devices of the present invention to be used even in small sized natural or surgically created insertion tracts leading to the anatomical region. The access channel can be made of a device such as a sheath, a guidewire, and an elongate device comprising a lumen. Examples of visualization modalities are endoscopes and body insertable ultrasound imaging devices. The working devices can be used to perform a variety of diagnostic, therapeutic, or preventive procedures. Endometrial ablation devices and procedures have been used as an example to describe various aspects of the present invention.

Abstract: A laser or ultrasonic instrument is used to remove tissue during a surgery, such as to form one or more pilot holes in a vertebra or a window in bone. Where a laser is used, interrogative laser pulses can be used to obtain information, such as detecting depth or tissue type.

Abstract: An ophthalmologic information processing apparatus corrects an image of a subject's eye formed by arranging a plurality of A-scan images acquired by scanning inside the subject's eye with measurement light deflected around a scan center position. The ophthalmologic information processing apparatus includes a specifying unit and a transforming unit. The specifying unit is configured to specify a transformation position along a traveling direction of the measurement light passing through the scan center position, the transformation position corresponding to a pixel position in the image. The transforming unit is configured to transform the pixel position into the transformation position.

Abstract: In an ophthalmology system, an right-eye imaged image is displayed on a display section for presentation to an observer through an optical unit and a reflection member. A left-eye imaged image is also displayed on a display section for presentation to an observer through an optical unit and a reflection member. A separation between the left and right imaged images is made wider than a spacing between the left and right optical units. This enables image presentation with the optical axes for the observer viewing the images intersecting in front so as to cause a convergence angle to arise.

Abstract: Optical sensors, systems and methods of use thereof are provided. Aspects of the subject systems include a sensor having a sensing surface and a configuration that directs a first optical signal to interact with the sensing surface at a first incident angle, and directs a second optical signal to interact with the sensing surface at a second incident angle. The subject sensors, systems and methods find use, e.g., in the diagnosis of dry eye disease.

Abstract: An exemplary OCT apparatus includes a scanner, controller, phase information generator, phase information processor. The scanner applies an OCT scan to an object using an optical scanner. The controller controls the scanner to perform a first scan that scans a cross section of the object in a first scan direction and a second scan that scans a cross section of the object in a second scan direction opposite to the first scan direction. The phase information generator generates first phase information based on first acquisition data acquired by the first scan and second phase information based on second acquisition data acquired by the second scan. The phase information processor generates composite phase information based on the first phase information and the second phase information.

Abstract: Systems and methods are disclosed herein for adjusting flash intensity based on retinal pigmentation. In an embodiment, a processor determines a retinal pigmentation of a retina of an eye positioned at an imaging device. The processor commands the imaging device to adjust an intensity of a flash component from a first intensity to a second intensity based on the retinal pigmentation. The processor commands the imaging device to capture an image that is lit by the flash component at the second intensity, and receives the image from the imaging device.

Abstract: A system includes glasses for executing a process to correct the alignment of an eye if a misalignment condition is detected. The glasses include lens that change opacity as instructed by a processor. The system determines that an eye is not aligned correctly based on data captured by one or more sensors in the glasses. Data is captured periodically and compared to a baseline set of data. If a deviation is detected, then the appropriate lens is turned “ON” to shade the aligned eye, thereby forcing the misaligned eye to properly align itself.

Abstract: An alignment means of a measurement instrument includes a housing an optical component having a principal axis in a direction parallel to a desired alignment; a first light source positioned at a first distance S1 from the optical component and at a first height h1 from the principle axis; a second light source positioned at a second distance S2 from the optical component and at a second height h2 from the principle axis; and an angle barrier means arranged between the optical component, and the first and second light sources. The housing, the optical component, and the angle barrier means are arranged to block visibility of the first light source along the principal axis at a distance superior to d1?; and block visibility of the second light source along the principal axis at a distance smaller than d2, wherein d2 is smaller than d1?.

Abstract: The invention relates to a navigation assistance system for assisting in navigating an interventional instrument within a subject. An implanted object opening model (21) and a vessel opening model (27) are generated based on a provided interventional image data set, wherein the models define a respective position, shape and dimension in a frame of reference. These models and a position, which is also provided in the frame of reference, and optionally also a shape (25) of the interventional instrument are used for generating a graphical representation showing the implanted object opening model, the vessel opening model and the provided position and optionally shape of the interventional instrument, thereby providing guidance for a physician, which allows the physician to relatively easily navigate the interventional instrument such that it is moved through the opening of the implanted object and through the opening of the vessel.

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: A tracker for a surgical navigation system, a tracker system, and a surgical navigation system are provided. The tracker comprises a carrier and an electrical circuit disposed on the carrier. The electrical circuit comprises at least one infrared light emitting diode, IR-LED, and a battery or a wireless power reception device configured to receive power wirelessly, wherein the battery or the wireless power reception device is configured to provide power to operate the at least one IR-LED. The electrical circuit is configured to limit a current for at least one of the at least one IR-LED to not exceed 15 mA.

Abstract: Methods and systems for performing a preliminary registration is provided. Image data corresponding to an image depicting a tracking device and an anatomical element may be received. Robot positional data corresponding to a position of a robot may also be received. The robot and the anatomical element may be located in a common three-dimensional coordinate system based on the image data and the positional data to yield a preliminary registration. A suggested robot position may be determined based on the preliminary registration and a dimensional reach of a robot arm of the robot.

Abstract: A system for differential recording connectable to an electrical lead with at least two electrodes, including: the lead having a distal end; at least one amplifier electrically connectable to the at least two electrodes, wherein the at least one amplifier subtracts a signal recorded by one of the at least two electrodes, from a signal recorded by the other one of the at least two electrodes to generate a differential signal; a memory configured for storing said differential signal and reference indications of electrical signals associated with neural tissue; a processing circuitry for detection of an anatomical position, wherein the processing circuitry calculates an anatomical position of the electrical lead based on processing of the differential signal and the reference indications of electrical signals associated with the neural tissue.

Abstract: A computer-implemented method for checking the correct alignment of a hip prosthesis, includes: detecting a 3D model of the pelvic bone of a patient in a preoperative phase, detecting at least one 2D image of the pelvic bone in post-implant situation, selecting an image of the 3D model according to a first inclination thereof and detecting a reference element on said selected image of the 3D model, identifying a plurality of reference points on the 2D image, superimposing the 2D image on said selected image of the 3D model, checking the correct superimposition and correspondence of the reference points of the 2D image with the reference element with said image of the 3D model, and detecting possible differences in the positioning of the pelvic bone in post-implant configuration with respect to the preoperative situation.

Abstract: Apparatus and methods are described including tracking a tool portion and a patient marker from a first line of sight, using a first tracking device disposed upon a first head-mounted device that includes a display. The tool portion and the patient marker are tracked from a second line of sight, using a second tracking device. When a portion of the patient marker and the tool portion are both within the first line of sight, an augmented reality image is generated upon the first display based upon data received from the first tracking device and without using data from the second tracking device. When at least the patient marker portion and the tool portion are not both within the first line of sight, a virtual image of the tool and anatomy of the patient is generated using data received from the second tracking device. Other applications are also described.

Abstract: Embodiments of the present disclosure provide a surgical robot system may include an end-effector element configured for controlled movement and positioning and tracking of surgical instruments and objects relative to an image of a patient's anatomical structure. In some embodiments the end-effector may be tracked by surgical robot system and displayed to a user. In some embodiments the end-effector element may be configured to restrict the movement of an instrument assembly in a guide tube. In some embodiments, the end-effector may contain structures to allow for magnetic coupling to a robot arm and/or wireless powering of the end-effector element. In some embodiments, tracking of a target anatomical structure and objects, both in a navigation space and an image space, may be provided by a dynamic reference base located at a position away from the target anatomical structure.

Abstract: Co-manipulation robotic systems are described herein that may be used for assisting with laparoscopic surgical procedures. The co-manipulation robotic systems allow a surgeon to use commercially-available surgical tools while providing benefits associated with surgical robotics. Advantageously, the surgical tools may be seamlessly coupled to the robot arms using a disposable coupler while the reusable portions of the robot arm remain in a sterile drape. Further, the co-manipulation robotic system may operate in multiple modes to enhance usability and safety, while allowing the surgeon to position the instrument directly with the instrument handle and further maintain the desired position of the instrument using the robot arm.

Abstract: Systems and methods are provided for autonomous robotic surgery which is preferably integrated with autonomous-assisted intraoperative real-time single modality and/or multi-modality fusion imaging/electrophysiological diagnostics. The robotic surgery systems and methods can be integrated with autonomous-assisted intraoperative body/limb positioning, and integrated with autonomous-assisted land and unmanned aerial vehicular patient transportation.

Abstract: Disclosed is an in-vivo micro-robot for nerve stretching, comprising a channel, and a movable part and a fixed part located at the channel. The movable part is disposed to be movable along the channel, the movable part sleeves the fixed part and is used for driving the fixed part to move along the channel, and the fixed part is connected to a nerve to be stretched. The in-vivo micro-robot is embedded into a patient's body through surgery, so that the extension of the nerve is accelerated and is regular and quantitative, thereby effectively solving the problems of small probability of nerve self-repair and long recovery period in traditional nerve bridging surgery.

Abstract: A system and method of controlling an end effector includes a drive unit having a first actuator and a second actuator, a moveable platform drivably coupled to the first actuator, first and second engagement members drivably coupled to the second actuator; and a control unit. The control unit is configured to actuate the first actuator to drive the platform, detect engagement of the first engagement member with a third engagement member of an instrument, detect engagement of the second engagement member with a fourth engagement member of the instrument, and actuate the second actuator to drive the first and second engagement members. Movement of the third and engagement member causes movement of a degree of freedom of an end effector of the instrument in a first direction. Movement of the fourth engagement member causes movement of the degree of freedom in a second direction opposite the first direction.