Abstract: Systems and method for delivery and positioning of a sheet-like surgical implant to a target site including a means of deploying and orienting the sheet-like implant within the body.

Abstract: Embodiments of the present disclosure include a method for conditioning ex vivo pericardial tissue that has a parietal side and a fibrous side from which fibers extend. A blade assembly includes a blade head having a blade array and a face that defines gaps therein. The parietal side of the tissue is placed downward against a support plate, and a motor is operated to move the blade array with respect to the face. The face contacts the tissue such that the fibers protrude through the gaps and into the blade head. The blade array shears the fibers that protrude through the gaps into the blade head, yielding sheared fibers. Other embodiments are also described.

Abstract: Surgical tool systems and methods of use thereof for performing endoscopic surgical procedures, which systems include a handpiece and a surgical accessory which detachably connects to the handpiece. The surgical accessory has a distal end which defines a cutting head incorporating two different types of tissue-treating areas.

Abstract: An integrated hysteroscopic treatment system which includes an endoscopic viewing system, a fluid management system, a resecting device and a controller for operating all the systems.

Abstract: An ultrasonic instrument includes a body and a shaft assembly extending distally from the body. The shaft assembly includes an acoustic waveguide. The instrument further includes an end effector including an ultrasonic blade. The ultrasonic blade is in acoustic communication with the acoustic waveguide. The instrument further includes a sensor configured to sense at least one characteristic of the shaft assembly and/or the end effector. The end effector is configured to be activated at varying power levels based on the at least one characteristic sensed by the sensor.

Abstract: A surgical instrument end effector assembly includes a first jaw member defining an insulative tissue-contacting surface and first and second electrically-conductive tissue-contacting surfaces disposed on either side of the insulative surface. A second jaw member of the end effector assembly includes an ultrasonic blade body positioned to oppose the insulative surface of the first jaw member, and first and second electrically-conductive tissue-contacting surfaces disposed on either side of the ultrasonic blade body and positioned to oppose the first and second electrically-conductive surfaces, respectively, of the first jaw member. The first jaw member is movable relative to the second jaw member between a spaced-apart position and an approximated position to grasp tissue therebetween.

Abstract: A surgical access assembly includes a cannula, a valve housing attached to the cannula, and a valve assembly positioned in the valve housing. The valve assembly includes a centering mechanism with a hoop and fingers, a ring with a flange at one end of the ring, a retainer having first and second discs, a guard having a frame and flaps attached to the frame, and a seal with petals attached to a support. The guard is at least partially disposed in the first disc and the seal is at least partially disposed in the second disc.

Abstract: A surgical access assembly includes a housing, a tubular member, and a valve assembly. The tubular member extends from the housing. The valve assembly is positioned in the housing and includes a centering mechanism, a guard assembly disposed on a first side of the centering mechanism, and an instrument seal disposed on a second side of the centering mechanism. The instrument seal including petals that are arrange in an overlapping arrangement.

Abstract: An external adjustment device for non-invasively adjusting an adjustable implant, the external adjustment device including a controller in communication with an actuator associated with the implant and a sensor configured to receive information from or about the implant. The external adjustment device may include a power source and a display. The external adjustment device may include a magnetic element configured to generate a rotating magnetic field; and a driver configured to drive the magnetic element to generate the rotating magnetic field and configured to rotate a permanent magnet of an implant. Upon placing the external adjustment device in proximity to the implant, the magnetic element is configured to magnetically couple with the permanent magnet. The external adjustment device may be configured to non-invasively determine one or more of a magnetic coupling state and a stalled state of the magnetic element and the permanent magnet disposed within the implant.

Abstract: A modular poly-axial bone screw includes a poly-axial bone screw, a poly-axial tulip head, and a collet disposed within the tulip head, the collet interacting with the bone screw and tulip head providing an interference fit with the bone screw head to lock orientation of the tulip head on and relative to the bone screw. Inner configurations of the tulip head interact with outer configurations of the collet to lock axial and/or rotational position of the collet within and relative to the tulip head, and thus about the bone screw head. The collet also has a base configured to conform to a top of a bone screw, wherein the collet is configured to support the bone screw and the tulip head when a spine rod is fixed in the tulip head.

Abstract: The present disclosure generally relates to pedicle screws that can selectively lock polyaxial motion of a receiver head with a locking cap. The locking cap can allow locking of the polyaxial motion of the receiver member relative to the spherical head of the bone shank without having a rod placed in the rod slot of the receiver member. This can enable placement of the head of the pedicle screw in a desired position and orientation, locking the head in the desired position and orientation, and performing a maneuver, such as derotation, without a rod in place or any extra motion between the receiver member and the bone shank. In some embodiments, actuation of the locking cap can be achieved by rotating the locking cap relative to the receiver member, where rotation of the locking cap causes corresponding axial translation of the locking cap relative to the receiver member.

Abstract: A uniplanar bone anchor including a housing and a bone screw is provided. The lower region of the housing defines mating elements that mate with engaging elements on the bone screw to limit movement of the housing relative to the bone screw to a single plane.

Abstract: A surgical fastener provided with a curved cutter, an anterior wedge-like tip and a surgeon facing end. Among other things, the surgical fastener's cutter can cut bone or other tissue.

Abstract: A patient-specific jig for confirming a correct contour of a fixation element in an operative setting, the patient-specific jig including a jig body having a top end and a bottom end provided at opposite ends of a longitudinal axis of the jig body, and an inner contour guide disposed in a front surface of the jig body, the inner contour guide having a shaped cross-section and being shaped in a contoured curve along the longitudinal axis of the jig body, wherein the contoured curve conforms to a set of patient-specific geometric parameters.

Abstract: A rod reducer can comprise a reducing mechanism, a hinge mechanism, a handle mechanism and a bearing mechanism. The reducing mechanism can comprise a first elongate member extending along an axis to engage a bone anchor, and a second elongate member configured to slide along the first elongate member to engage a rod. The hinge mechanism can slidably couple the first and second elongate members such that the elongate members can translate against each other. The handle mechanism can comprise handles coupled to the hinge mechanism and configured to cause the first and second elongate members to translate relative to each other. The bearing mechanism can be configured to permit the handles to rotate about the axis independent of the elongate members. Methods of using the rotating rod reducer can include rotating the handles out of the way of adjacent levels of a spinal column being simultaneously reduced.

Abstract: A tether tensioner includes a handle assembly, an elongate member extending distally from the handle assembly, and an engaging portion. The handle assembly includes a stationary member, a trigger pivotably coupled to the stationary member, and a spool rotatably supported on the stationary member. The spool is configured to wrap a tether thereabout. The spool is operatively coupled with the trigger such that pivoting of the trigger relative to the stationary member causes rotation of the spool. The elongate member includes a channel configured to slidably receive a tether therethrough. The engaging portion is configured to receive a head portion of a bone screw such that a tether extends from the head portion disposed in the engaging portion to the spool through the channel of the elongate member.

Abstract: A bone plate apparatus comprises a first plate comprising one or more openings configured for use in securing the first plate to a portion of a bone, a second plate comprising one or more openings configured for use in securing the second plate to a portion of a bone, and a linking segment. The first plate is connected to the linking segment at a first articulating joint, and the second plate is connected to the linking segment at a second articulating joint.

Abstract: An orthopedic fixation system includes an orthopedic implant and a compression insert transitionable between a natural shape and an insertion shape. The orthopedic implant includes first and second plates with insert slots configured to receive therein a portion of the compression insert. The first and second plates secure with a bone in an opposed relationship while being separated by an expansion whereby the insert slots of the first and second plates align across the expansion. The compression insert, in the insertion shape, inserts into the insert slots of the first and second plates such that the compression insert spans the expansion. The compression insert, due to an attempted transition thereof from the insertion shape to the natural shape, delivers energy stored therein to the first plate and the second plate whereby the orthopedic implant affixes the bone.

Abstract: A slotted washer configured to secure a K-wire to a native bone, including: an upper arm with a screw hole; a lower arm with a screw hole; a connector connecting the upper arm with the lower arm; and a K-wire opening between the connector, lower arm, and upper arm configured to receive and compress the K-wire.

Abstract: The present disclosure provides medical instruments and medical instrument components having targeted torsional failure. Such targeted torsional failure helps prevent a surgeon from applying excessive torque that may damage an implant or bone, and also helps avoid the problems and complications that arise when medical instruments break within patients during surgical procedures. To provide such targeted torsional failure, the disclosed medical instrument components include a breakaway section designed so that the component breaks at a desired amount of torque, at a desired location, and in a desired way. The provided medical instrument components may also include a sleeve to increase side-loading strength that may otherwise be reduced due to the breakaway section. The increased side-loading strength may help prevent accidental bending-type failures. The presently disclosed medical instrument component therefore provides targeted torsional failure without sacrificing side-loading strength.

Abstract: A bone screw tightening device including a screw driver, the screw driver having along its axis a device for providing for radial bendability and at a same time preserving torsional stiffness along an axis of longitudinal extension of the screw.

Abstract: Disclosed is an isolated interface circuit for a modular energy system. A comparator is configured to couple to a switch and a reference voltage, and an output. A duplicate comparator is configured to couple to the switch and the reference voltage. An expander circuit is coupled to the comparator and the duplicate comparator. An isolator circuit is coupled to the expander circuit. A controller is coupled to the isolator circuit. The controller is configured to compare the output of the comparator with the output of the duplicate comparator and determine activation or deactivation of a surgical instrument coupled to the controller based on the comparison.

Abstract: Devices, systems, and methods for more efficiently ablating tissue with pulsed field ablation energy while minimizing collateral injury to non-target tissue. In one embodiment, a system for ablating tissue at a treatment site comprises: an energy delivery device; and a control unit including: a source of impedance-modifying fluid in fluid communication with the energy delivery device; an energy generator in electrical communication with the energy delivery device, the energy generator being configured to transmit energy to the energy delivery device and the energy delivery device being configured to deliver energy to the treatment site; and processing circuitry configured to control delivery of the impedance-modifying fluid from the energy delivery device to the treatment site. In one embodiment, a method for ablating tissue comprises delivering an impedance-modifying fluid to a treatment site and delivering pulsed field ablation energy to the treatment site.

Abstract: Example methods and apparatuses are disclosed for providing tissue ablation through electrolysis, electroporation, or a combination thereof. A pulse that has an element of decay may be applied to a target for tissue ablation while the decay is modulated. In some examples, apparatus including a controller and switches may be used to modulate the decay and/or selectively apply the pulse to the target. The apparatus may further include resistors and/or other elements to modulate a magnitude of the pulse and/or a slope of a decay of the pulse.

Abstract: A method of forming an energy delivery portion of a medical device includes contacting a distal portion of an electrode shaft with an insulating material, and heating the insulating material to couple the insulating material to the distal portion of the electrode shaft to form an insulation tip. The distal portion of the electrode shaft includes one or more surface contours to entrain the insulating material.

Abstract: Jaw members of end effector assemblies include sealing plates configured to direct the amount and flow of energy through the sealing plates. The sealing plates may have a height varying from a minimal height to a maximum height along a width or a length of the sealing plate and/or a sealing surface including at least two impedance zones having different impedance values.

Abstract: A surgical instrument includes a housing, energizable member, first activation switch, cable assembly, and second activation switch. The housing is operatively associated with the energizable member. The first activation switch is coupled to the energizable member and is selectively transitionable from an open condition to a closed condition. The cable assembly is coupled to the housing at a first end and includes a plug at a second, opposite end, the plug housing a second activation switch selectively transitionable from an open condition to a closed condition. The plug is adapted to connect to the source of electrosurgical energy, wherein transitioning of the first activation switch from the open condition to the closed condition transitions the second activation switch from the open condition to the closed condition such that the second activation switch communicates with the source of electrosurgical energy to initiate the supply of energy to the energizable member.

Abstract: A surgical mechanical arm comprising: an electrosurgical tool comprising: a first tool portion comprising a first surface; a second tool portion comprising a second surface, where said tool portions are mechanically coupled and configured to move relative to each other to change a separation between said first and second surfaces; a first elongated element electrically coupled to at least a part of said first tool portion which is electrically isolated from said second tool portion; and a second elongated element electrically coupled to at least a part of said first tool portion and mechanically coupled to and configured to actuate one or both of said tool portions to change said separation between said first and second surfaces.

Abstract: An electrosurgical forceps includes first and second shaft members pivotably coupled to one another via a pivot member such that pivoting of the first and second shaft members between spaced-apart and approximated positions pivots jaw members thereof between open and closed positions. A knife is translatable between retracted and extended positions. A knife deployment mechanism is operably coupled to the first shaft member and includes at least one trigger and at least one linkage coupling the at least one trigger with the knife such that pivoting of the at least one trigger relative to the first shaft member translates the knife between the retracted and extended positions. A knife lockout biased towards a locked position inhibits distal translation of the knife. The knife lockout is movable from the locked position to an unlocked position upon approximation of the jaw members to permit distal translation of the knife.

Abstract: Systems, device and methods treat target tissue to provide a therapeutic benefit to the patient. A tissue treatment device comprises a tissue treatment element constructed and arranged to treat target tissue, such as duodenal mucosa tissue.

Abstract: A medical system, comprising an ablation catheter is disclosed. The ablation catheter includes an elongate shaft with a proximal end, a distal end and a lumen disposed between the proximal end and the distal end. The ablation catheter also includes an expandable element in fluid communication with the lumen, a first temperature sensor operable to measure a first temperature; and a second temperature sensor operable to measure a second temperature. The first temperature sensor and the second temperature sensor are longitudinally separated from each other by at least a portion of the expandable element.

Abstract: A system and method for measuring a hydration level in human tissue. The system includes a coaxial probe have a first end configured to be in contract with human tissue and configured to be emit and receive signals associated with a spectroscopic technique and having a second end adapted to be coupled to transmit and receive circuitry. The system further includes a patch or other means coupled to the coaxial probe and configured to be adhered to human tissue so as to provide a force upon at least a portion of the coaxial probe configured to be in contact with human tissue. In embodiments, the system may further include means coupled to receive signals from the coaxial probe, for determining an amount of liquid within a portion of human tissue in contact with the first end of the probe.

Abstract: This application discloses a beauty instrument, including: a housing, where an air inlet hole and an air outlet hole are disposed on the housing; a beauty component, disposed in the housing; and a heat dissipation component, disposed in the housing, and including an airflow generation apparatus and a heat sink, where the heat sink has a first air outlet communicating with the air outlet hole, an air inlet communicating with an air outlet of the airflow generation apparatus, and a second air outlet that is located on a different side wall of the heat sink from the first air outlet, and a size of the second air outlet is less than a size of the first air outlet, where the heat sink absorbs heat, and the second air outlet allows a cooling airflow to flow to a plurality of locations of the heat sink through the air inlet.

Abstract: The present disclosure relates to a subtle cornea deformation identification method and device based on a pixel-level corneal biomechanical parameter, including the following steps: step 1, sampling and analyzing a dynamic video of corneal stress deformation in a historical database, and calculating pixel-level data; and step 2, configuring an ensemble classifier based on a sampling result and detecting a local change in corneal biomechanics, thus identifying a subtle cornea deformation. The present disclosure has high measurement accuracy and is capable of detecting a local subtle biomechanical change.

Abstract: The various embodiments herein provide a system and method for direct and consensual pupillary light reflex stimulation without cross-contamination of contralateral eye. The embodiments also provides a portable and easy-to-use system and method for eye stimulation of pupillary response assessment for medical evaluation. The system is a portable and head-mounted goggles system is provided for eye stimulation of pupillary response assessment. The head-mounted goggles system comprises a visor, a pair of LEDs, a pair of well-arrangement and two cameras. The well-arrangements are designed in such a way that the LEDs provide a narrow light cone only to the eye under observation and prevents the contralateral eye from being stimulated. The cameras are independent of each other and are configured to capture images and transmit the images to a remote computing device through wired and/or wireless means.

Abstract: A computer-implemented method for updating a surgical plan for placement of a joint implant is disclosed. The surgical plan is obtained, including an implant model, an implant size, and an initial value for each of a plurality of placement parameters. At least one knee performance equation is selected from a library based on the surgical plan information, wherein each knee performance equation relates an output response associated with a post-operative influence to the plurality of placement parameters. Each output response is calculated across a range of values for each of a subset of the plurality of placement parameters. A graphical representation of the output response across each range is displayed, and input related to a selected value for each placement parameter of the subset is received. The surgical plan is updated based on the selected values. Devices and non-transitory computer readable media for carrying out the method are also disclosed.

Abstract: In certain examples, an anatomical structure visualization system determines a distance between a point on an anatomical surface visible to an endoscope and a point on an embedded anatomical object that is visually occluded from the viewpoint of the endoscope by the anatomical surface. The anatomical structure visualization system may determine, based on the determined distance, a display parameter for a pixel of an image representative of a view of the anatomical surface from the viewpoint of the endoscope and assign the determined display parameter to the pixel of the image. The anatomical structure visualization system may similarly determine and assign display parameters to other pixels of the image and provide the image for display. The displayed image may provide a visualization of an anatomical structure at a surgical area, including a visualization of how deep the embedded anatomical object is positioned from the anatomical surface.

Abstract: A method and system for performing hip arthroplasty include analyzing images of a patient's hip joint in a plurality of positions to identify preoperative hip geometry. A statistical patient model predicts prosthetic hip implant performance based on the preoperative knee geometry and given prosthetic knee implant implantation parameters for a plurality of selected patient activities, each having a predefined motion profile to calculate an optimized surgical plan for performing the procedure using a computer assisted surgical system, which may use fiducial markers affixed to patient tissue. Hip geometry can be determined by angles between landmarks in the images, including sacral tilt, pelvic incidence, pelvic femoral angle, and ante-inclination angle in x-ray images. Implant performance criteria can include, for example, edge loading and range of motion of implant components.

Abstract: The invention relates to a method and device for planning a surgical procedure aiming to ablate a tissue in an anatomical area of interest of a patient. On the basis of a preoperative image of the anatomical area of interest and of a set of planning parameters (P), a simulated image is generated by a neural network that has been previously trained using learning elements corresponding, respectively, to a similar surgical procedure for ablating a tissue in an anatomical area of interest for another patient. Each learning element comprises a preoperative image of the anatomical area of interest of a patient, planning parameters (P) used for the surgical procedure on this patient, and a postoperative image of the anatomical area of interest of this patient after the surgical procedure. An estimated ablation region may be segmented in the simulated image in order to be compared with a segmented region to be treated in the preoperative image.

Abstract: Devices and methods for performing a surgical step or surgical procedure with visual guidance using an optical head mounted display are disclosed.

Abstract: Disclosed is a navigation system configured to track an object. The navigation system comprises a tracker configured to couple to the object and a localization device configured to track the tracker. The tracker and the localization device are configured to wirelessly communicate using a first communication method operable on a first spectrum and to wirelessly communicate using a second communication method operable on a second spectrum different from the first spectrum. The localization device utilizes the first communication method to track the tracker and utilizes the first communication method to manage an operating parameter of the tracker with respect to the second communication method.

Abstract: A medical system may comprise a catheter that includes an elongate body and a main lumen extending longitudinally through the elongate body. The medical system may also comprise a vision probe that includes a tube extendable through the main lumen of the catheter and comprising a flexible body having an outermost wall and an innermost wall, the innermost wall defining a central lumen. The flexible body contains a plurality of channels formed within the flexible body of the tube and separated from the central lumen by the innermost wall. The plurality of channels includes oblong channels for irrigation and suction and auxiliary channels. The oblong channels have concentric arc shaped surfaces forming an arcuate channel cross-section. The auxiliary channels have a different shape than the one or more oblong channels. The vision probe also includes an imaging system and illumination fibers running through respective auxiliary channels in the tube.

Abstract: A uterine manipulator includes a housing and a shaft extending distally from the housing. An end effector assembly is disposed at a distal end portion of the shaft. The end effector assembly includes a cervical cup and a uterine manipulating tip portion extending distally from the cervical cup. A position sensor is supported by the cervical cup. The position sensor is configured to identify a location of the cervical cup.

Abstract: PROTECTED NEEDLE WITH HIGH ULTRASOUND VISIBILITY FOR PERFORMING ULTRASOUND-GUIDED PERCUTANEOUS ELECTROLYSIS OR NEUROMODULATION TECHNIQUES, consisting of a dry puncture or acupuncture needle formed by a conductive metallic grip (2), coupled to the handle that connects it to the device that generates the electric current to be applied, and a body (3), also conductive and metallic, in the form of a cylindrical, thin and long rod, of variable length among 30, 40, 50, 60, 75 and 100 mm, with the blunt tip (4), where the body (3), and preferably also the grip (2), are both made of galvanized steel with high ultrasound visibility and in that, in addition, said body (3) is provided with a biocompatible electrically insulating protection layer (5) such as a Teflon coating, which covers practically its entire length, except for a working segment (6) of variable length (I) before the blunt tip (4).

Abstract: Various embodiments of an apparatus, methods, systems and computer program products described herein are directed to Registration Engine. The Registration Engine tracks positions of a fiducial marker relative to positions of an Augmented Reality (AR) headset device worn by a user. The Registration Engine receives respective registration landmarks that correspond with locations of a physical region of a patient's anatomy and the tracked positions of the fiducial marker. The Registration Engine generates an AR display of medical data at the AR headset device in alignment with the physical region of a patient's anatomy that corresponds with the respective registration landmarks.

Abstract: An apparatus comprising: a medical tool moveable to a desired orientation relative to a bone region for implantation of a medical implant; and an electronic orientation sensor transitionable between a first location fixed relative to the bone region of the patient and a second location on the medical tool; wherein, at the first location, the orientation sensor is adapted to record a reference orientation of the bone region of the patient, and, at the second location, the orientation sensor is adapted to determine an orientation of the medical tool relative to the reference orientation, wherein recording the reference orientation comprises measuring a gravity vector relative to the orientation sensor.

Abstract: The systems and methods described herein provide improved techniques for OCT guided robotic ophthalmic procedures. A method includes receiving, during OCT scanning of an eye, position data of a plurality of galvanometer scanners from a plurality of absolute and incremental encoders coupled to the corresponding galvanometer scanners. The method further includes receiving scan data related to one or more tissues of the eye. The method further includes determining, a set of first positions of the one or more tissues of the eye in a first 3D coordinate system. The method further includes determining, based on the set of first positions and a mapping between the first and a second 3D coordinate systems, a position in the second 3D coordinate system for a surgical instrument coupled to a robotic device. The method includes causing the robotic device to move the surgical instrument to the position in the second 3D coordinate system.

Abstract: A surgical robot system includes a surgical robot, a robot arm connected to such surgical robot, and an end-effector connected to the robot arm. A registration fixture is used in conjunction with various registration systems in the surgical robot system. Such registration systems likewise include a detachable base in the form of a detachable dynamic reference base, along with an associated mount, the dynamic reference base and mount having certain features which permit the dynamic reference base to be selectively attached, detached, and reattached at different phases of an operation, whether pre-operative or intra-operative, and such successive attachments are done without the dynamic reference base, and tracking markers associated therewith, losing registration. Related methods allow for the more efficient and effective performance of operations by virtue of the dynamic reference base maintaining its registration during attachments and reattachments.

Abstract: Catheter device and driving system configured to navigate the catheter through complex narrow tissue openings such as lung bronchi pathway openings of 3 millimeters or less. The device comprises a proximal catheter portion containing a hollow torque shaft, with a distal catheter portion connected to the proximal portion by an isolation transition coupler connected to this torque shaft. The distal position of the catheter is controlled by at least one steering cable/isolation coil arrangement. The system uses processor-controlled actuators that simultaneously rotate the torque shaft and the at least one steering cable/isolation coil in a 1:1 relationship, while also actuating the steering cable. The catheter is tipped by a tool plate, which can be equipped with various sensors and other instruments, connected to the outside via other conduits.

Abstract: Catheter device and driving system configured to navigate the catheter through complex narrow tissue openings such as lung bronchi pathway openings of 3 millimeters or less. The device comprises a proximal catheter portion containing a hollow torque shaft, with a distal catheter portion connected to the proximal portion connected to this torque shaft. The distal position of the catheter is controlled by at least one steering cable/tensioning cable arrangement. The system uses processor-controlled actuators that simultaneously rotate the torque shaft and the at least one steering cable/tensioning cable in a 1:1 relationship, while also actuating the steering cable. The catheter is tipped by a tool plate, which can be equipped with various sensors and other instruments and connected to the outside via other conduits.