Abstract: The present invention provides a surgical access port, a positioning system for determining the three-dimensional pose of the surgical access port, and a laser cutting surgical system capable of aligning the laser beam based on the three-dimensional pose of the surgical access port. In particular, the invention is suited for robot-assisted surgical interventions.

Abstract: A method for determining parameters for operating a light source within a photo-thermal targeted treatment system for targeting a chromophore embedded in a medium includes: 1) administering a laser pulse at a preset power level below known pain and damage thresholds to a location to be treated; 2) measuring a skin surface temperature at the location; 3) correlation fitting a relationship between the light source parameters and the skin surface temperature at the location; 4) defining a safe operating range for the light source parameters to avoid pain and thermal damage at the location; 5) maintaining the skin surface temperature below the known pain and damage threshold and increasing the peak temperature and of the thermal gradient depth; and 6) administering a higher-level laser pulse to raise the temperature of the targeted chromophore to its required damage temperature.

Abstract: An optical fiber having a distal end extending from a distal end of an endoscope can direct light to and from a target. An interferometer can receive first light pulses from a first frequency comb having a first repetition rate, form reference arm light pulses and measurement arm light pulses from the first light pulses, direct the measurement arm light pulses to and from the target via the optical fiber to form return light pulses, and interfere the return light pulses with the reference arm light pulses to form interferometer output pulses. A beamsplitter can interfere the interferometer output pulses with second light pulses from a second frequency comb having a second repetition rate to form system output pulses. Processor circuitry can determine, from a time duration between consecutive system output pulses, a spacing between the optical fiber and the target, and can take an action in response.

Abstract: A device includes a catheter section comprising a flexible joint region disposed between a distal end and a proximal end. The device includes a laser fiber disposed within the catheter section. The laser fiber emits laser light at a fiber distal end. The device includes a wire comprising a distal end coupled to the catheter section. The wire is configured to move the distal end of the catheter section from a first position to a second position about the flexible joint region.

Abstract: Apparatus, systems and methods for fracturing calcium in an artery of a patient. Certain embodiments include a diode laser light source and an optical fiber. In particular embodiments, the optical fiber comprises a polymer or glass optical core, a cladding surrounding the polymer or glass optical core. The optical fiber can comprise one or more emission elements configured to emit electromagnetic energy from the laser light source. The electromagnetic energy can be transmitted through a fluid in the expandable member to fracture the calcium.

Abstract: A controller (122) includes a memory (12220) that stores instructions and a processor (12210) that executes the instructions. When executed, the instructions cause the controller (122) to implement a process that includes obtaining (S405) pre-operative imagery of the tissue in a first modality, registering (S425) the pre-operative imagery of the tissue in the first modality with a set of sensors (195-199) adhered to the tissue, and receiving (S435), from the set of sensors (195-199), sets of electronic signals for positions of the set of sensors (195-199). The process also includes computing (S440) geometry of the positions of the set of sensors (195-199) for each set of the sets of electronic signals and computing (S450) movement of the set of sensors (195-199) based on changes in the geometry of the positions of the set of sensors (195-199) between sets of electronic signals from the set of sensors (195-199).

Abstract: Methods, apparatuses, and systems for determining a surgical plan for an arthroplasty procedure using constraint modeling are disclosed. For example, a method for determining a surgical plan may include determining a constraint model associated with an anatomical model the constraint model configured to indicate at least one valid configuration of an implant model in association with the anatomical model, receiving placement input indicating placement of the implant in association with the anatomical model, and performing, based on the placement input, a violation process based on a violation event responsive to the placement input violating the constraint model, or a placement process positioning the implant according to the placement input. Other embodiments are described.

Abstract: Methods of orthopedic fixation and imagery analysis are provided. Images of first and second bone segments attached to a fixation apparatus are captured. Fixator elements identified in the images can be used to obtain imaging scene parameters. Bone elements identified in the images can be used with the imaging scene parameters to reconstruct a three dimensional representation of positions and/or orientations of the first and second bone segments with respect to the fixation apparatus.

Abstract: The present invention relates to computer-implemented method of predicting a deformation of at least one part of a patient body, a corresponding computer program, a program storage medium with such a program, as well as a medical system. The method comprises the steps of providing a computer simulatable biomechanical model of the at least one part of a patient body (step S1); carrying out S>1 forward simulations of the biomechanical model thereby calculating S resulting deformation vectors (step S2); calculating an approximated biomechanical model based on the S resulting deformation vectors (step S3); acquiring pre-operative data (step S4); optimizing, in a calculative manner, a deformation predicted by the approximated biomechanical model, which results in an optimized, predicted deformation vector (step S5); and deforming the pre-operative data by applying the optimized, predicted deformation vector to the pre-operative patient data (step S6).

Abstract: A heart valve model includes a parametric leaflet model representing geometries of a heart valve constructed based on at least one landmark point associated with the heart valve. The heart valve model includes a ray casted anatomical structure constructed based on an automatic aortic root reconstruction algorithm to extract a shape of an aorta. The heart valve also includes an additional anatomical structure, wherein the parametric leaflet model, the ray casted anatomical structure, and the additional anatomical structure are combined to obtain the heart valve model.

Abstract: A model of an in vivo heart valve device implanted in a patient is generated by providing a known model of a pre-implantation heart valve device, performing an imaging scan on the patient having an implanted heart valve device to obtain at least one patient specific landmark, deforming the known model to fit the at least one patient specific landmark to obtain a constructed patient-specific valve model, and simulating a valve leaflet and skirt for the constructed patient-specific valve model by finite element analysis. The constructed patient-specific valve model accurately represents geometries of the implanted heart valve device in its current in vivo form with an error less than 0.5 mm.

Abstract: Various embodiments of the present disclosure encompass an optical shape sensing registration system employing an optical shape sensing guidewire (30) translatable within an over-the-wire device (40), and further employing an optical shape sensing registration controller (20) for controlling an autonomous device registration of an over-the-wire device (40). In operation, the optical shape sensing registration controller (20) automatically detects one or more sensing features of the optical shape sensing guidewire (30) (e.g., shape, curvature, temperature, vibration, strain, etc.) from an optical shape sensing of a translation of the optical shape sensing guidewire (30) within the over-the-wire device (40), and then automatically determines one or more registration characteristics of the over-the-wire device (40) (e.g., a device type, a length, a diameter, a color, a hub type, treatment device(s), anatomical image(s), anatomical model(s), anatomical location(s), procedure type etc.

Abstract: A surgical navigation method utilizing a computer system. The method includes the steps of: (a) fixing a camera relative to a surgical site on a patient such that the camera does not move relative to the surgical site; (b) restraining the body portion of the patient which includes the surgical site relative to an operating table supporting the patient, such that the body portion does not move relative to the operating table; and (c) detecting with the camera the position of a medical instrument having a tracker array.

Abstract: This system for training an operation determination model for a medical instrument control device generates training data by means of a reinforcement learning model, and, using the training data, can train an operation determination model configured to output information associated with operational commands for a driving unit that transports medical instruments.

Abstract: The subject of this invention is a surgical instrument positioning system using a three-dimensional dual fiducial-sensor trackable device and a method of intra-operative use of the three-dimensional dual fiducial-sensor trackable device for joint replacement, spine, hip, trauma fracture reduction, and implant placement/alignment. The surgical instrument positioning system provides real time position of a surgical device with reference to the three-dimensional dual fiducial-sensor trackable device using a fluoroscopic image. The three-dimensional dual trackable device is enabled to receive at least one of K-wire, guide wire, fixation rod, drill bit, screw, and surgical device.

Abstract: Systems and methods are provided for semi-automated, portable, ultrasound guided cannulation. The systems and methods provide for image analysis to provide for identification of anatomical landmarks from image data. The image analysis provides for guidance for insertion of a cannulation system into an airway of a subject which may be accomplished by a non-expert based upon the guidance provided. The system further enables a single person to perform the cannulation rather than the typical 2 or more people. The guidance may include an indicator or a mechanical guide to guide a user for inserting the cannulation system into a subject to penetrate the airway of interest.

Abstract: Devices, systems, methods, and computer program products for performing medical procedures are disclosed herein. In some embodiments, a system for performing a medical procedure includes a medical instrument configured to be inserted within an anatomic region and including an image capture device. The system can receive a three-dimensional (3D) model of the anatomic region, the 3D model including a model landmark corresponding to an anatomic landmark in the anatomic region. The system can obtain, via the image capture device, a plurality of images of the anatomic landmark, at least some of the images representing different views of the anatomic landmark. Based on the images, the system can determine a set of transformation parameters for aligning the anatomic landmark with the model landmark. The system can use the set of transformation parameters as a seed for registering the 3D model to the anatomic region.

Abstract: A surgical navigation tracker assembly including a rotational adapter for removably attaching a tracker to a surgical instrument assembly including a surgical handpiece. The adapter may be coupled to an end effector of the surgical instrument and configured to allow the end effector to actuate relative to the adapter. The end effector may comprise a stop, the adapter configured to abut the stop when coupled to the end effector. The adapter may comprise a mount for releasably securing the tracker to the adapter. The adapter may also comprise a biasing element, and the biasing element may comprise an abutment interface configured to engage either of the surgical handpiece or the stop when the end effector is coupled to the surgical handpiece. The biasing element is configured to limit rotation of the adapter relative to the surgical handpiece when the abutment interface is engaged with the surgical handpiece or the stop.

Abstract: Embodiments of the present disclosure may include a method for planning and performing an interventional procedure on a patient, the method including steps of providing an augmented reality system, a tracked instrument, a first image acquisition system, a second image acquisition system, and a computer system with a processor and a memory, the tracked instrument having a plurality of sensors to provide a tracked instrument dataset, the first image acquisition system, and the computer system in communication with the augmented reality system, the tracked instrument, the first image acquisition system, and the second image acquisition system. Embodiments may also include acquiring, by the first image acquisition system, the first holographic image dataset from the patient. Embodiments may also include acquiring, by the second image acquisition system, the second holographic image dataset from the patient.

Abstract: Devices, systems, and methods for computer-assisted navigation and/or robot-assisted surgery. Navigable instrumentation, which are capable of being navigated by a surgeon using the surgical robot system, allow for the navigated movement of instruments or other surgical devices. The instruments may be suitable for procedures involving navigated and/or robotic total knee arthroplasty, for example.

Abstract: A medical device includes an extracorporeal unit including a power transmitting unit that transmits electric power from outside of a living body into the living body in a non-contact manner, and a medical instrument embedded in the living body. The medical instrument includes a power receiving unit that receives the electric power transmitted from the power transmitting unit, a soft portion through which an injection needle is inserted, and a plurality of light emitting units that are provided along an outer edge of the soft portion and are each configured to emit light using the electric power received by the power receiving unit. A light amount adjusting unit that adjusts a light amount of a light-irradiated region including one or more light-irradiated portions to be projected on a body surface from the plurality of light emitting units.

Abstract: Computer device (33) for determining an appropriate positioning of an instrumentation on a target bone area (200) according to a relative positioning (42) of said instrumentation to said target bone area defined by a surgical planning (32), said device comprising—an interface for receiving from a 3D camera (31) a depth map (41) of a captured scene (310) comprising at least said target bone area; —computing means for determining a position element of said target bone area from said depth map; determining a second positioned shape (442) of said target bone area according to said relative positioning (42), and determining data (43) representative of said appropriate positioning on the base of said second positioned shape (442) and said position element; —a human-machine interface for providing said data.

Abstract: Systems, methods, and devices for determining a tool pose are provided. A tracking device mounted to a tool may comprise a plurality of faces and a plurality of markers defining a plurality of sets of markers. Each set of markers may comprise one or more markers of the plurality of markers and each set of markers may be disposed on a corresponding face. Information about a set of markers of the plurality of markers may be received. A face of the plurality of faces having the set of markers disposed thereon may be determined. A pose of the tool based on the information and the determined face may be determined.

Abstract: Methods, non-transitory computer readable media, surgical tracking devices, and systems that facilitate improved tracking in surgical environments are disclosed. With this technology, a fiber optic shape sensing (FOSS) device is rigidly attached to patient anatomy and/or surgical instrument(s) to facilitate location and/or flexibility tracking. The data provided by the FOSS device can be analyzed and registered to preoperative or intraoperative 3D anatomy model(s). The FOSS device can be attached to a surgical instrument to provide intraoperative guidance, used to locate a hollow needle for tracking bones in a minimally invasive manner, and/or used to detect bending in an instrument such as an arthroscope or tissue removing burr shaft, for example. The tracked location and/or flexibility data provided by the FOSS device can also be used to automatically control the location and/or operation of a surgical instrument during a surgical proceeding to facilitate improved surgical accuracy and patient outcomes.

Abstract: Connectors and release mechanisms are provided. Connectors can include a distally positioned locking stud with a tapered head portion and an array of coupling studs. The locking stud can exhibit an axis of symmetry along its length. The array of coupling studs can extend radially outward in a plane orthogonal to the axis of symmetry of the locking stud. A connector socket can include a coupling socket configured to receive one of the coupling studs when the coupling socket moves along a first direction, and a hinged release mechanism. The release mechanism can be configured to oppose a biasing force that is directed opposite the first direction. An application of a release force on the release mechanism in the direction of the biasing force can release the engagement of the connector and connector socket and cause the coupling socket to move opposite the first direction.

Abstract: A method for controlling a surgical device includes accessing identification information from an identification device of at least one interchangeable accessory. The method further includes configuring an operating configuration of at least one surgical device in response to the identification information. The control instruction is communicated for an actuator of the at least one surgical device via a first port of a plurality of ports of a connection interface. The first port of the connection interface is distinguished from the plurality of ports of the connection interface by displaying an identification symbol identifying the interchangeable accessory on a display screen.

Abstract: A system for providing a medical treatment, including a first medical instrument and a second medical instrument is disclosed. The first medical instrument includes a first operator interface configured to define a plurality of operating parameters of the first medical instrument. The second medical instrument includes a second operator interface configured to define a subset of the plurality of operating parameters. The first operator interface is configured for placement and use outside of a sterile field and the second operator interface is configured for placement and use within the sterile field. The second operator interface is attached to or attachable to a handle of the second medical instrument. The handle is configured for manipulation by a hand of the operator and the second operator interface is configured for interaction with one or more extremities of the same hand.

Abstract: Devices, systems, and methods are provided in which movement of a tool is controlled based on sensed parameters. In one embodiment, an electromechanical tool is provided having an instrument shaft and an end effector formed thereon. The electromechanical tool is configured to be mounted on an electromechanical arm, and the electromechanical tool is configured to move with or relative to the electromechanical arm and perform surgical functions. A controller is operatively coupled to the electromechanical arm and the electromechanical tool and is configured to retard advancement of the electromechanical tool toward a tissue surface based on a sensed amount of displacement of a tissue surface, a strain on the tissue of the patient, the temperature of the electromechanical tool, or the like.

Abstract: Multi-arm surgical robotic platforms and systems are provided. The platforms and systems may comprise a support structure or a frame and an operating table mounted to the support structure or the frame. A plurality of robotic arms may be mounted to the support structure or the frame and may be capable of manipulating an emitter and a detector to obtain between and including 0 to 360-degree imaging of a patient on the operating table.

Abstract: An actuation assembly of a surgical instrument includes an actuation mechanism and an output mechanism. The actuation mechanism includes a piston assembly configured for positive and negative actuation. The output mechanism includes a fluid vessel in fluid communication with a fluid line connected to the piston assembly, a piston sealingly and slidably disposed within the fluid vessel, and a driver coupled to the piston. In response to positive actuation of the piston assembly, the pressurized fluid flows into the fluid vessel to move the piston to translate the driver in one direction. In response to negative actuation, the pressurized fluid exits the fluid vessel into the fluid line to allow the piston to translate the driver in an opposite direction.

Abstract: Systems and methods for determining a safety layer for an anatomical element are provided. A cutting tool contacting the anatomical element at a first surface may be detected and dimensional information about the anatomical element may be received. A safety layer may be determined for the anatomical element based on the dimensional information and the detected contact between the cutting tool and the anatomical element at the first surface.

Abstract: A method identifies an anomaly condition in operating a hand-held, mechanically unconstrained master device for controlling a robotic system for medical or surgical teleoperation. The method includes detecting or calculating the velocity vector of a point belonging to or integral with the master device, or of a virtual point uniquely and rigidly associated with the master device. A detectable anomaly condition is identified and recognized and/or discriminated based on the detected velocity vector, or based on a vector component. The detectable anomalies include master device excessive angular or linear velocity, inability to follow by the slave device, excessive vibrations or involuntary or abnormal opening of the master device. Each detectable anomaly is associated with a system state change to be performed if the anomaly is detected. The state change includes exiting or suspension from the teleoperation state. A robotic system for medical or surgical teleoperation performs the method.

Abstract: An actuation mechanism comprising a first jaw rotatable about a jaw axis and comprising a first jaw engagement portion, a second jaw rotatable about the jaw axis and comprising a second jaw engagement portion, and a driver rotatable about a drive axis parallel to the jaw axis and comprising a first drive engagement portion and a second drive engagement portion; wherein the first jaw engagement and drive engagement portions are slidably engageable with one another and the second jaw engagement and drive engagement portions are slidably engageable with one another; whereby, when the first jaw engagement portion is engaged with the first drive engagement portion and the second jaw engagement portion is engaged with the second drive engagement portion, rotation of the driver about the drive axis causes rotation of the first jaw in a first sense and the second jaw in an opposite sense.

Abstract: Provided is a navigation device for guiding a coil location, a brain stimulating device comprising same, and a bio-navigation robot system. The navigation device for guiding a coil location comprises: a 3D camera unit for capturing an image of a user to obtain a 3D camera image; and a location data calculating unit for mapping the camera image to a 3D medical image including brain region information or mapping the 3D medical image to the camera image to obtain a mapped image and calculating location data of a brain region to be stimulated from the mapped image.

Abstract: A system for controlling a magnetic microdevice to move within a fluidic environment, comprising an imaging device, a multi-axis electromagnet for generating a magnetic field based on sinusoidal current signals, and a controller for controlling the multi-axis electromagnet based on a machine-learning model, and wherein for training the machine-learning model, the controller is configured to receive images of the fluidic environment and the magnetic microdevice from the imaging device, determine a state comprising position information of the magnetic microdevice based on the images, calculate a measure of performance associated with a first set of sinusoidal current signals previously inputted to the multi-axis electromagnet, wherein the calculated measure of performance is used to adjust parameters of the machine-learning model, and generate based on the position information and the first set of sinusoidal current signals using the machine-learning model, a second set of sinusoidal current signals as inputs f

Abstract: A medical co-working space configured to perform patient intake, including limited physiological assessment, and manage access to rooms, storage and medical products during a physician clinic schedule.

Abstract: Systems, methods, and computer program products for customized medical kit assembly and inventory management are disclosed. A method may include receiving, from a user device, an input associated with a selection of a set of medical devices for a medical kit. The set of medical devices may be dispensed from a storage location in response to receiving the input. The set of medical devices dispensed from the storage location may be packaged at a packaging location to form the medical kit. The medical kit may be dispensed from a fulfillment location.

Abstract: A packaging system utilizing a thin, planar sheet of material that is folded to have a base and at least three sidewalls. At least one mounting feature is integrated into at least one sidewall to secure at least one medical device component, wherein the at least one medical device component is mountable onto the at least one sidewall.

Abstract: A container (10) for holding a primary sharp object, the container (10) including a cushioning layer (20), the cushioning layer (20) having a pre-formed indentation (25), the indentation (25) being configured to receive and hold the primary sharp object therein.

Abstract: Orthopedic device caddies and kits including orthopedic device caddies. In one example, the orthopedic device caddy includes a caddy body, an elongated opening extending into the caddy body including an alignment portion and an orthopedic device retention portion. The orthopedic device retention portion of the elongated opening holds an orthopedic device having an orthopedic device engagement feature. The alignment portion of the elongated opening aligns an instrument engagement feature of an orthopedic instrument relative to the orthopedic device engagement feature.

Abstract: An intermittent catheter package including a plurality of components and a catheterization tray configured to facilitate a catheterization procedure. The plurality of components include a urinary catheter fluidly connected to a urine-drainage bag and a sampling-port access device configured to fluidly connect to a urine-sampling port of the urinary catheter or the urine-drainage bag for aseptic collection of one or more urine samples. The catheterization tray includes at least a first compartment, a second compartment, a third compartment, and a fourth compartment. The second compartment is connected to the third compartment Step-by-step surface instructions for performing the catheterization procedure are incorporated into the catheterization tray.

Abstract: Systems and methods for managing surgical sponges. A dispenser assembly coupled to a main support includes an internal or first storage location to removably receive a carton of sponge sorters, and an external or second storage location to removably support a carton of surgical draping. At least one arm may be supported on the housing and movable between an undeployed position and a deployed position. The arm may include weighing means to measure a weight of the surgical sponge being disposed in a sponge sorter supported by the arm. The arm may be a cantilever and abeam load cell may be disposed within a channel of a beam. A processor may determine fluid weight based on measured weight and dry weight correlated with the surgical sponge being counted out as detected with a data reader. The processor may estimate blood loss to be displayed on a display.

Abstract: The inventive concept relates to an eyeball and eyelid protector including an eyeball cover that covers an eyeball, and an eyelid protection part that is bent and extends from one side of the eyeball cover to protect any one of an upper eyelid and a lower eyelid.

Abstract: A force-sensing rib clip comprises an upper shell, a lower shell and a rib clip. The upper shell comprises an elongate body, an exterior surface of the elongate body, a rib-receiving channel extending along an interior surface of the upper shell and a ridge extending along the rib-receiving channel. The lower shell is configured to mate with the exterior surface. The load cell is positioned between the upper shell and the lower shell. A method of receiving feedback during a rib retraction procedure comprises attaching a force-sensing rib clip to a first rib bone, inserting a rib retractor into an intercostal space between the first rib bone and a second rib bone, applying retraction force to the first rib bone and the second rib bone through the force-sensing rib clip, outputting force-sensor data from the force-sensing rib clip to an interrogation device, and displaying force indicia on the interrogation device.

Abstract: An adapter for removably coupling a tracker to a surgical handpiece includes a proximal member having an interface configured to engage and prevent rotation of the proximal member relative to the surgical handpiece, a distal member slidably and rotatably coupled to the proximal member, a biasing member disposed between the proximal distal members and configured to urge the proximal and distal members in opposing directions, and a tracking array mount coupled to the distal member. The biasing member is configured to be compressed by a reference feature of the end effector and the surgical handpiece when the distal member is disposed on the end effector and the end effector is coupled to the surgical handpiece, the compressed biasing member creating a frictional force between the distal and proximal members that resists rotation of the distal member relative to the proximal member.

Abstract: An augmented reality (AR) system and method for obtaining and displaying measurements from a patient during a medical procedure is provided.

Abstract: Disclosed are surgical apparatuses including a hydrogel-based ultrasonography probe stabilizer to enable ultrasound imaging of organs (e.g., the heart) during a surgery such as cardiac surgery. Procedures for ultrasonic imaging during surgery are also described such as contacting an organ with an ultrasonography probe stabilizer during a surgery such that the stabilizer is able to hold on to and dynamically conform to the organ (e.g., a rapidly beating heart) during surgery to provide clearer and wider view sonograms of dynamic, moving organs.

Abstract: Disclosed is a lead delivery system that includes a lead delivery device having a trigger configured to activate a lead advancer to advance a lead into a patient. The lead delivery device also includes a cannula configured to receive the lead. The canula extends through the lead delivery device and has a distal end through which the lead is deployed into the patient.

Abstract: A system for marking a biopsy site includes a biopsy site marker, a needle, and a fluid source. The biopsy site marker includes a non-absorbable marker element and a bioabsorbable carrier. The marker element is at least partially disposed within the carrier. The needle includes a marker lumen sized to receive the biopsy site marker. The fluid source is configured to communicate a pressurized fluid to the needle to advance the biopsy site marker through a portion of the needle and into the marker lumen.

Abstract: Disclosed herein are tissue marking devices and methods that enables marking a target tissue more than 24 hours prior to surgery. The tissue marking device includes a hook assembly having a compressed configuration and a deployed configuration and a handle assembly for positioning the hook assembly in a targeted tissue. The hook assembly may include a hook body comprising at least two hooks and a thread connected to the hook body. The handle assembly may include a handle body, a needle having a lumen, and a stylet having a lumen.