Abstract: Methods and systems are disclosed for removing a tattoo from a subject's skin by application of a cold plasma that is delivered via a liquid-gas mixture. The plasma can be delivered in the form of gas bubbles, in which at least a portion of gas is in the form of a plasma.

Abstract: A system and apparatus for automatic smoke evacuation using an RF sensor. The system and apparatus utilizes an RF sensor for automatic activation of an evacuator that evacuates smoke and/or debris during the use of any electrosurgical instrument or surgical instrument that is capable of generating smoke and/or debris and capable of producing a radiofrequency during its operation. Exemplary embodiments of the system and apparatus for automatic smoke evacuation include both wired and wireless embodiments.

Abstract: An adapter for an electrosurgical instrument includes a socket and a stabilizer extending from the socket. The socket includes a mounting surface having a geometry arranged and disposed to accept a distal end of the electrosurgical instrument, and at least one retaining surface, which arranged and disposed to interact with a conformation of the electrosurgical instrument when the socket is mounted onto the electrosurgical instrument such that the socket mounts non-rotatably.

Abstract: A device for providing a magnetic treatment by evoking muscle contraction by a time-varying magnetic field and providing a RF treatment by heating biological structure. The device may provide a pressure treatment. The device includes an applicator having an RF electrode and a magnetic field generating device. The device may also include a main unit, a human machine interface, and a control unit. The control unit adjusts a signal provided to the RF electrode and creates an RF circuit, and also adjusts the signal provided to the magnetic field generating device and creates a magnetic circuit electrically insulated from the RF circuit. The RF circuit may include a power source and a power amplifier, and the magnetic circuit may include an energy storage to supply the magnetic field generating device with electric current.

Abstract: An electrosurgical instrument end effector includes an active electrode received by an insulating material, the active electrode including a primary suction aperture which provides access to a primary fluid channel extending from the active electrode, through the insulating material, to a lumen. The lumen is arranged to carry fluid to and from a surgical site when in use. The end effector further includes at least one additional fluid channel providing alternative access to the primary fluid channel from the active electrode, wherein the at least one additional fluid channel bypasses the primary suction aperture.

Abstract: A bipolar electrosurgical device is disclosed that operates in a mechanical cutting mode and a hemostasis mode. The device includes a housing and a blade assembly extending from the housing. The blade assembly forms a cutting tip and cutting window at a distal end region to provide mechanical cutting of tissue and first and second electrode assemblies to provide electrical energy to tissue. The first electrode assembly includes an outer shaft defining a first electrode surface and the second electrode assembly includes an electrode body extending along and electrically isolated from an outer shaft and defining a U-shape in cross section.

Abstract: Intrauterine devices and methods for facilitating deployment thereof using a bumper are disclosed. In one embodiment, an intrauterine device comprises a structure including a first central support member and a deployment mechanism coupled to the first central support member. The intrauterine device further comprises a bumper positioned at a distal end of a second central support member and at a more distal position relative to a distal end of the structure so as to prevent the distal end of the structure from contacting the fundus of the uterus of a patient during deployment of the deployment mechanism. In another embodiment, the intrauterine device comprises a bumper coupled to the deployment mechanism and configured to move from a more distal to a more proximal position relative to a distal end of the structure.

Abstract: The present invention provides a method of treating or alleviating erectile dysfunction in a patient. Multiple electrodes are placed within a segment of the internal iliac artery of the patient and against blood vessel wall of the internal iliac artery. Radiofrequency energy is released through at least one of the multiple electrodes to nearby tissues, so as to increase the temperature of the nearby tissues and induce a thermal alteration of the nearby tissues.

Abstract: Ablation systems of the present disclosure facilitate the safe formation of wide and deep lesions. For example, ablation systems of the present disclosure can allow for the flow of irrigation fluid and blood through an expandable ablation electrode, resulting in efficient and effective cooling of the ablation electrode as the ablation electrode delivers energy at a treatment site of the patient. Additionally, or alternatively, ablation systems of the present disclosure can include a deformable ablation electrode and a plurality of sensors that, in cooperation, sense the deformation of the ablation electrode, to provide a robust indication of the extent and direction of contact between the ablation electrode and tissue at a treatment site.

Abstract: A catheter has a multifunctional “virtual” tip electrode with a porous substrate and a multitude of surface microelectrodes. The surface microelectrodes are in close proximity to each other and in a variety of configurations so as to sense tissue for highly localized intracardiac signal detection, and high density local electrograms and mapping. The porous substrate allows for flow of conductive fluid for ablating tissue. The surface microelectrodes can be formed via a metallization process that allows for any shape or size and close proximity, and the fluid “weeping” from the porous substrate provides more uniform irrigation in the form of a thin layer of saline. The delivery of RF power to the catheter tip is based on the principle of “virtual electrode,” where the conductive saline flowing through the porous tip acts as the electrical connection between the tip electrode and the heart surface.

Abstract: Medical apparatus includes an insertion tube configured for insertion into a body cavity of a patient and a distal assembly, including a plurality of spines having respective proximal ends that are connected distally to the insertion tube. Each spine includes a rib extending along a length of the spine, a flexible polymer sleeve disposed over the rib and defining a lumen running parallel to the rib along the spine, and one or more electrodes disposed on the sleeve and configured to contact tissue within the body cavity.

Abstract: An electrosurgical system comprises a return electrode that includes a conductive element and a return conductor that forms a capacitive electrical connection with the conductive element. The conductive element is completely encompassed by one or more pads so that the conductive element is not exposed and so that the return electrode does not include an externally exposed electrical connection.

Abstract: An electrosurgical instrument for delivering electromagnetic energy to biological tissue, the instrument comprising an active tip having an electrically conductive protective hull mounted on an underside thereof. The hull has a smoothly contoured convex undersurface, and is formed as a shaped piece of electrically conductive bio-compatible material having a low coefficient of friction with biological tissue (e.g. stainless steel) which has the dual function of (i) physically protecting tissue that lies underneath the active tip, and (ii) providing an electrical connection between a coaxial feed line and the active tip.

Abstract: An apparatus capable of generating high power microwave frequency pulses for use with an electrosurgical device. The apparatus may be used for coagulating or ablating biological tissue. The apparatus includes an amplifier line-up comprising: a microwave signal generator for generating microwave radiation; a modulator arranged to pulse the microwave radiation; and an amplifier module arranged to increase the power of pulses of microwave radiation. The amplifier module works by providing a set of amplifiers that exhibit a gain that is greater than the total loss experienced at the components that divide the input signal and then combine the output signals. For example, if each amplifier in the array has a gain of 10 dBm, it is viable to use conventional power splitters and combiners to obtain an output microwave signal with substantially higher power than is provided by conventional electrosurgical generators.

Abstract: An exemplary ablation system is provided. The system is designed for safe and efficacious energy delivery into tissue by, for example, emitting energy in a controlled, repeatable manner that allows for feedback and energy emission titration based on sensed parameters (e.g., tissue temperature) measured during ablation. The system may include a switching antenna for both heating of target tissue and radiometry to monitor the temperature of the heated tissue. For example, the switching antenna may include a monopole formed by proximal and distal radiating elements, such that the proximal radiating element includes a short to defeat a choke action of the proximal radiating element. The system further includes a processor for calculating the temperature of the target tissue and estimating volume of the ablation lesion based on the target tissue temperature.

Abstract: An electrosurgical instrument for delivering microwave energy to biological tissue, in which a pair of conductive tuning elements are mounted in a radiating instrument tip to shape a microwave radiation profile of the instrument so that the radiation profile is constrained around the instrument tip. Such tuning elements may result in a radiation profile that is substantially spherical around the instrument tip, providing a well-defined ablation volume. The tuning elements act to improve the efficiency with which microwave energy can be delivered into target tissue.

Abstract: An electrosurgical apparatus and method for performing thermal treatment in the gastrointestinal tract, e.g. to ablate duodenal mucosal tissue. The apparatus comprises an instrument having a flexible cable and an applicator suitable for use with a gastroscope, which can be deployed within a patient to delivery energy in a targeted or otherwise controllable manner. The applicator can deliver microwave energy by radiation. The direct and depth-limited nature of microwave energy can be make it more effective than treatments that rely on thermal conduction. The applicator may include a radially extendable portion arranged to move an microwave energy delivery structure into contact with duodenal mucosal tissue at the treatment region. The applicator may comprise any of a balloon, bipolar radiator, movable paddle, and rotatable roller element.

Abstract: The modular microwave ablation system of the present disclosure includes a microwave instrument, a microwave generator, and one or more auxiliary modules that include circuitry for performing functions related to the operation of the microwave generator. The one or more auxiliary modules are removably connected to the microwave generator. The microwave generator includes a microwave signal generator that generates a microwave signal; a microwave generator controller in communication with the microwave signal generator; one or more terminals that connect to the one or more auxiliary modules, respectively; and a power supply and/or a power distribution module coupled to the microwave signal generator, the microwave generator controller, and the one or more terminals. The one or more terminals provide (1) power from the power supply and/or power distribution module to the one or more respective auxiliary modules and (2) communication signals to and from the one or more respective auxiliary modules.

Abstract: A treatment method for non-ablative tissue regeneration includes directing at least one laser pulse having a wavelength onto a tissue surface of a human or animal body, and controlling an energy delivery time ted of the at least one laser pulse, during which the second half of the pulse energy is delivered, to be sufficiently short, so that, given the wavelength and thus a corresponding penetration depth ? of the at least one laser pulse, a thermal exposure time texp of the tissue surface is smaller than 900 microseconds. The thermal exposure time texp of the tissue surface is defined as a time interval in which the temperature of the tissue surface is above T0+(Tmax?T0)/2, wherein T0 defines the initial temperature of the tissue surface, before the laser pulse arrives, and Tmax is a maximal temperature of the tissue surface.

Abstract: A method for operating a near-eye display device is provided, which includes: disposing the near-eye display device in front of an eye of a user; forming a display image through the near-eye display device; changing the display image to perform a short-distance vision examination on the eye; changing the display image to perform a long-distance vision examination on the eye; obtaining vision examination data of the user according to results of the short-distance vision examination and the long-distance vision examination, and storing the vision examination data; and according to the vision examination data, adjusting a system parameter of the near-eye display device.

Abstract: A display apparatus includes a display unit that displays a predetermined target object to be gazed at by a subject, a gaze point detection unit that detects a position of a gaze point of the subject who observes the display unit, a region setting unit that sets a specific region corresponding to the predetermined target object, a determination unit that determines whether the gaze point is present in the specific region, an arithmetic unit that calculates gaze point data on the basis of a determination result of the determination unit, and a display control unit that displays an index at a position corresponding to the gaze point on the display unit if the gaze point data meets a predetermined index display condition.

Abstract: A method of analyzing a visual field of an individual comprises the following steps: —measuring (S4) a first visual field (VF1) of said individual for a first set of oculo-postural parameters of said individual when said individual performs a first task; —measuring (S6) at least one additional visual field (VFi) of said individual for one additional set of said oculo-postural parameters of said individual when said individual performs an additional task; —determining (S8) a functional visual space based on said first visual field (VF1) and said at least one additional visual field (VFi), said functional visual space being an envelope of said first visual field and said at least one additional visual field. The additional task differs from said first task and/or said additional set of oculo-postural parameters differs from said first set of oculo-postural parameters. A corresponding ophthalmic lens is also proposed.

Abstract: A chart display device for a visual acuity test includes a chart display optical unit that emits a chart image generated by a chart display optical system to a front, and is rotatably coupled to a frame of the chart display device via a rotation shaft; a position indicator light source that indicates the height of an eye to be examined and emits a position identification light; a position detection sensor that detects the position identification light emitted from the position indicator light source, and thus detects the height of the eye to be examined; and a rotation driving unit that rotates the chart display optical unit around the rotation shaft, and thereby tilts an emission direction of the chart image so that the chart image emitted from the chart display optical unit is emitted in the direction of the eye to be examined.

Abstract: One or more devices, systems, methods and storage mediums for performing ablation planning and/or ablation performance are provided. Examples of applications for such devices, systems, methods and storage mediums include imaging, evaluating and diagnosing biological objects, such as, but not limited to, lesions and tumors, and such devices, systems, methods and storage mediums may be used for radiotherapy applications (e.g., to determine whether to place seed(s) for radiotherapy). Preferably, a medial axis or a center line for a predetermined biological object (e.g., a lesion or tumor) is determined/found, one or more target points are picked along the medial axis or center line, and the ablation or radiotherapy zones are defined and optimized. Security checks may be performed in one or more embodiments to ensure proper use of the equipment and patient information.

Abstract: A system and method are described herein for installing hardware in a bone outside an end-effector's tool path prior to modifying the bone. The method includes the installation of a first piece of hardware in the bone. The bone and a cut volume to be created in the bone is registered to a computer-assist device. A processor calculates whether the hardware is within the cut volume based on the geometry and POSE of the hardware relative to the POSE of the cut volume. A user is notified if the hardware is at or inside the cut volume based on the calculation. If so, a second piece of hardware is installed in the bone and the calculation is repeated to determine if the second piece of hardware is at or inside the cut volume. The surgical procedure may commence when an installed piece of hardware is installed outside the cut volume.

Abstract: Robotic systems and methods for robotic arthroplasty. The robotic system includes a machining station and a guidance station. The guidance station tracks movement of various objects in the operating room, such as a surgical tool, a humerus of a patient, and a scapula of the patient. The guidance station tracks these objects for purposes of controlling movement of the surgical tool relative to virtual cutting boundaries or other virtual objects associated with the humerus and scapula to facilitate preparation of bone to receive a shoulder implant system. In some versions, planning for placement of a stemless implant component is based on a future location of a stemmed shoulder implant to be placed in the humerus during a revision surgery.

Abstract: Systems and methods for simulating a three-dimensional orientation of a surgical hardware device about an insertion point of an anatomy using a diagnostic representation of the anatomy. The method including displaying the diagnostic representation of the anatomy; displaying a movable marker to represent the insertion point in the anatomy along with the diagnostic representation of the anatomy; moving the movable marker to the insertion point at a desired location in the anatomy as represented by the diagnostic representation of the anatomy; displaying a simulated surgical hardware device, along with the diagnostic representation of the anatomy, aligned with the insertion point of the diagnostic representation of the anatomy; rotating the simulated surgical hardware device about the insertion point; and designating the orientation of the surgical hardware device on the diagnostic representation of the anatomy relative to the insertion point at the desired location.

Abstract: A computer-implemented method and a system for computer guided surgery, which include a transposition of an action, planned in a virtual environment with respect to a virtual referential RP, to a physical action performed with a surgical tool in a real operating theatre environment for orthopedic surgery of a patient.

Abstract: Mobile virtual reality system for simulation, training or demonstration of a surgical robotic system can include a virtual reality processor. The processor can generate a virtual surgical robot and render the virtual surgical robot on a display. The virtual surgical robot can include a virtual surgical tool. A handheld user input device (UID) can sense a hand input from a hand. A foot input device can sense a foot input from a foot. The virtual reality processor can be configured to control a movement or action of the virtual surgical robot based on the hand input, and change which of the virtual surgical instruments is controlled by the one or more handheld UIDs based on the foot input. Other embodiments and aspects are disclosed and claimed.

Abstract: An instrument for use in a navigated surgical procedure, the instrument includes a proximal portion, a distal portion and a shaft extending therebetween. An angled instrument tip is positioned at an end of the distal portion of the instrument. A first tracking array is coupled to the proximal portion of the instrument and a surveillance array is coupled to the proximal portion of the instrument. The tracking array includes a plurality of tracking markers, and is configured to rotate with respect to a central axis of the instrument.

Abstract: An optical tracker usable with a surgical object, the optical tracker includes a tracker frame including a mounting body, which defines an instrument engaging aperture having a longitudinal axis, and an offset body protruding proximally from the mounting body. The instrument engaging aperture is configured to receive a proximal region of the surgical instrument such that the longitudinal axis of the tracker is aligned with an axis of the surgical instrument. The tracker may further include a tracking array coupled to the tracker frame and comprising a mounting fixture and a plurality of LED emitters coupled thereto. The optical tracker may further comprise at least three apex points defined by the tracker frame that extend to a height above the LED emitters.

Abstract: A system and method for a catheter in a luminal network including capturing images via an optical sensor, comparing the captured images to pre-operative images, identifying fiducials in the captured images that correspond to fiducials in the pre-operative images; and depicting the position of the catheter in a three-dimensional (3D) model or two-dimensional (2D) images derived from the pre-operative images.

Abstract: A method comprises the steps of: imaging a patient anatomy; selecting an implant strategy for at least one bone fastener having a first member; registering the imaging of the patient anatomy with imaging of a surgical driver; engaging the first member with tissue of the patient anatomy via the surgical driver according to the implant strategy; manipulating the patient anatomy; acquiring data points representative of a position of the first member relative to tissue; and retrieving the data points from a computer database for attaching a second member with the first member. Systems, spinal constructs, implants and surgical instruments are disclosed.

Abstract: A system and a method are disclosed that allow for generation of a model or reconstruction of a model of a subject based upon acquired image data. The image data can be acquired in a substantially mobile system that can be moved relative to a subject to allow for image acquisition from a plurality of orientations relative to the subject. The plurality of orientations can include a first and final orientation and a predetermined path along which an image data collector or detector can move to acquire an appropriate image data set to allow for the model of construction.

Abstract: A robotic arm according to various implementations includes: a tool driver configured to hold a surgical tool; a first section comprising a first end coupled to a base, a second end distal from first end; a first link that includes a motor configured to rotate at least a portion of the first section around a pitch axis; a second link coupled to the first link, the second link including a motor configured to rotate at least a portion of the first section around a roll axis; and a second section comprising: a first end coupled to the second end of the first section, a second end distal from the first end, a first link that includes a motor configured to rotate at least a portion of the second section around a roll axis, a second link coupled to the first link.

Abstract: A surgical robotic system includes a robotic arm having at least one surgical instrument and a control device coupled to the robotic arm and configured to control the robotic arm, the control device including one or more components. The surgical robotic system also includes a power supply having: a tower power supply chassis configured to supply first direct current to the robotic arm; a power distribution unit configured to supply second direct current to the one or more components; a first uninterruptable power supply device coupled to the tower power supply chassis and configured to receive a first alternating current from a first alternating current input; and a second uninterruptable power supply device coupled to the power distribution unit and configured to receive a second alternating current from a second alternating current input.

Abstract: A patient cart for a robot surgical system can include a mobile base having a frame adapted and configured to support a medical robot, one or more motive devices operatively connected to the frame, and one or more motors connected to the motive devices to drive the motive devices to move the frame. The patient cart can include a drive control interface connected to the frame and configured to sense a user input and to operate the one or more motors to move the one or more motive devices as a function of the user input.

Abstract: Devices, systems, and methods for positioning an end effector or remote center of a manipulator arm by floating a first set of joints within a null-perpendicular joint velocity sub-space and providing a desired state or movement of a proximal portion of a manipulator arm concurrent with end effector positioning by driving a second set of joints within a null-space orthogonal to the null-perpendicular space. Methods include floating a first set of joints within a null-perpendicular space to allow manual positioning of one or both of a remote center or end effector position within a work space and driving a second set of joints according to an auxiliary movement calculated within a null-space according to a desired state or movement of the manipulator arm during the floating of the joints. Various configurations for devices and systems utilizing such methods are provided herein.

Abstract: A surgical system and device for use with a computerized surgical manipulation system, wherein the computerized surgical manipulation system includes a robotic arm and a support coupled to the robotic arm for receiving various instruments, comprising a surgical device, wherein the surgical device includes an elongated shaft; and a control housing coupled to the elongated shaft, wherein the control housing is configured to attach to a motor housing having a notch, wherein the motor housing is coupled to the support; and a trocar pivotally coupled to the support such that the trocar can pivot away from axial alignment with the support, wherein the elongated shaft extends into the pivoted trocar, wherein the trocar containing the surgical device is pivoted into axial alignment with the support such that the notch receives the elongated shaft of the surgical device, and wherein the control housing engages the motor housing.

Abstract: Provided is a surgical robot arm, and more particularly, to a minimally invasive surgical robot arm that is formed in a modular manner for use in a laparoscopic surgery or other various surgeries.

Abstract: Techniques for monitoring control points of a computer-assisted device include one or more articulated arms having one or more control points and a control unit coupled to the one or more articulated arms. Each control point of the one or more control points is located based on a kinematic configuration of the one or more articulated arms. The control unit is configured to determine, during a movement of a table that causes a change in the kinematic configuration of the one or more articulated arms, an actual spatial configuration of the one or more control points; determine, based on a comparison of the actual spatial configuration with an expected spatial configuration of the one or more control points, whether to perform a remedial action; and perform the remedial action in response to a determination to perform the remedial action.

Abstract: Approaches for granting control of robotic surgery systems located at patient-side locations are disclosed. Prior to granting control, disclosed approaches verify one or more of: compatibility of a surgeon console with a patient-side robotic surgery system, that a two-way audio and/or video communication between the patient side and surgeon side has been established, and that at least one network connection between the surgeon console and the patient-side robotic surgery system satisfies one or more network condition criteria. Disclosed approaches safeguard patient safety.

Abstract: An adapter assembly for selectively interconnecting an end effector and a surgical device includes a housing configured to connect to the surgical device, a shaft assembly extending from the housing, a cable drive assembly, and a coupling member. The cable drive assembly includes a cable supported in the housing. The coupling member is secured to the cable and configured to connect to the end effector. The coupling member is movable relative to the shaft assembly in response to movement of the cable.

Abstract: The invention provides surgical instrument, for example surgical instrument for minimally invasive surgery, comprising: an elongate frame, at least one jaw element mounted movably at a distal end of the elongate frame, a trigger device to operate the at least one jaw element and arranged at a proximal end of the elongate frame, an actuation rod provided between the trigger device and the at least one jaw element to transfer movement of the trigger device to the at least one jaw element, a sensor to provide a sensor signal representative for a force exerted on the at least one jaw element, and a tactile feedback device to provide tactile feedback to the user on the basis of the sensor signal, wherein the tactile feedback device is mounted on the elongate frame.

Abstract: A glove donning system is disclosed herein. The glove donning system presents a pair of inflated gloves for a user to easily don, then resets to present another pair.

Abstract: A sterile drape according to an embodiment may include: a flexible film member including a first opening and a second opening and configured to cover the robot arm received through the second opening; and a resin molded member configured to close the first opening of the flexible film member. The resin molded member includes: an upper surface portion having a shape and a size fitted to an attachment surface of an attachment portion of the robot arm; a side surface portion extending downward from the upper surface portion; and a projection which projects outward from a lower edge of the side surface portion and to which the flexible film member is welded.

Abstract: A remote patient monitoring system having a main patient monitor and a remote patient monitor. The main patient monitor is configured to receive and collect one or more patient physiological parameters and to provide an alarm in response to an alarm trigger. The alarm trigger includes a determination that at least one of the collected patient physiological parameters has reached a predetermined value. The remote patient monitor has an alarm reset and is configured to be carried by a caregiver. It is also configured to receive a signal from the main patient monitor in response to the alarm and to transmit an indication about the alarm trigger. The indication includes one or more of a notification that the patient is being attended to, a request by the caregiver for additional help, or a message about resolution of the alarm trigger.

Abstract: An optical measurement system comprising an optical source configured for delivering sample light in an anatomical structure, such that the sample light is scattered by the anatomical structure, resulting in physiological-encoded signal light that exits the anatomical structure, an optical detector configured for detecting the physiological-encoded signal light, and a processor configured for acquiring a TOF profile derived from the physiological-encoded signal light, the initial TOF profile having an initial contrast-to-noise ratio (CNR) between a plurality of states of a physiological activity in the anatomical structure. The processor is further configured for applying one or more weighting functions to the initial TOF profile to generate a weighted TOF profile having a subsequent CNR greater than the initial CNR between the plurality of states of the physiological activity.

Abstract: Monitoring of one or more key indicators can provide powerful insights into the operation and state of different physical systems. For example, continuous monitoring of multiple analytes in a subject allows for detailed insights into personal health as well as allowing for the implementation of preventative health measures. Herein are described design and processing methods for a small wireless multi-analyte sensing platform that can be used to monitor multiple analytes such as glucose, lactate, Urea and other physicochemical quantities. The design techniques and processing methods presented herein can be used for a multitude of other applications and are not limited to those described here.

Abstract: Examples of the disclosure relate to an apparatus, an optical coherence tomography device, a wearable electronic device and method of forming an apparatus for optical coherence tomography. The apparatus comprises at least one layer of silicon dioxide and an integrated optoelectronic circuit. The integrated optoelectronic circuit comprises at least an interferometer configured for optical coherence tomography wherein the integrated optoelectronic circuit is formed within the at least one layer of silicon dioxide.