Abstract: A gas-cooled laser apparatus comprises a casing, a laser energy generator disposed of the casing for generating a laser beam, a low-pressure zone and a high-pressure zone provided within the casing. The low-pressure zone generates a vacuuming action while producing a first gaseous stream. The high-pressure zone generates a second gaseous stream. The first and second gaseous streams travel within the casing in the opposite directions. One of the gaseous streams utilized to cool the laser generator is at least partially drawn from a skin treated site by the laser beam. One of the streams drawn from the skin treated site is adapted to vacuum any skin debris generated by the interaction between the laser beam and the skin and directs the debris into the casing interior for further filtration and disposal.

Abstract: A device and method of using the device to detect the presence and composition of clots and other target objects in a circulatory vessel of a living subject is described. In particular, devices and methods of detecting the presence and composition of clots and other target objects in a circulatory vessel of a living subject using in vivo photoacoustic flow cytometry techniques is described.

Abstract: A method for determining a destructive tear in real tissue of a real eye by simulation includes providing an evaluation unit with at least one item of information characterizing the real tissue of the eye. Using the evaluation unit, the method includes using the information to create an at least two-dimensional digital tissue model of the eye tissue. The method includes simulating a tearing action on the tissue using a simulated surgical instrument and/or a simulated point where the instrument acts on the tissue, particularly for actions that could potentially cause tearing during a real ophthalmic surgical procedure. The evaluation unit is then provided with information regarding the reaction of the tissue model to the simulated action. Using the evaluation unit, the method includes using the reaction information and the simulated tearing action to determine a potential tear line in the real tissue.

Abstract: Systems and methods for planning a surgical procedure are provided. Information corresponding to an examination of a patient and an image of patient may be received. The information and the image may be inputted into an analytical model figured to identify a pathology location. A needed surgical modification of the patient anatomy may be automatically identified. At least a portion of an anatomical element in a three-dimensional model of the patient anatomy may be automatically labeled.

Abstract: Aspects of the disclosure include systems and methods for planning and/or performing an ablation procedure. Volumetric image data including a needle, such as a physical ablation needle or a virtual needle, can be analyzed to segment the needle within the volume. A first cross-sectional, two-dimensional view of the volume showing a first plane in which an axis defined by the needle lies can be generated and displayed. The view can be manipulated to display a generated second cross-sectional, two-dimensional view of the volume showing a second plane through the volume in which the longitudinal axis defined by the virtual needle lies, wherein the second plane is different from the first plane. Additional segmented features such as lesions in the image data, treatment regions, isotherms, and the like can be included in views to be analyzed from a plurality of views that include the needle.

Abstract: A surgical navigation system includes a tracking system for tracking the patient and preferably a medical instrument. A 3-D surface scanner can create a 3-D surface recording of an intracorporeal anatomy of the patient while being tracked by the tracking system. A control unit processes the 3-D surface recording and the pose of the tracked 3-D surface scanner and of the patient, determine a pose of the 3-D surface recording vis-à-vis the patient by way of the detected and tracked pose, complement a digital 3-D anatomy model of the patient with the 3-D surface recording at the determined pose, and output a view of the complemented digital 3-D model for surgical navigation that represents a current 3-D model for navigation. A system can include the navigation system and a surgical robot. A navigation method and a computer-readable storage medium can be used with the navigation system.

Abstract: Transducer-based systems can be configured to display a graphical representation of a transducer-based device, the graphical representation including graphical elements corresponding to transducers of the transducer-based device, and also including between graphical elements respectively associated with a set of the transducers and respectively associated with a region of space between the transducers of the transducer-based device. Selection of graphical elements and/or between graphical elements can cause activation of the set of transducers associated with the selected elements. Selection of a plurality of graphical elements and/or between graphical elements can cause visual display of a corresponding activation path in the graphical representation. Visual characteristics of graphical elements and between graphical elements can change based on an activation-status of the corresponding transducers.

Abstract: A system comprises a flexible instrument, an input device, an insertion drive system comprising a drive motor, and a control system configured to selectively switch between a computer assisted mode and a manual mode. In the computer assisted mode, the control system causes the drive motor to move the flexible instrument along an insertion axis in response to one or more signals received from the input device. In the manual mode, the control system causes the drive motor to become off or inactive to allow the flexible instrument to be manually moved along the insertion axis.

Abstract: A surgical robotic system having multiple robotic arm carts includes color indicator lights. The same colors are used to represent various elements on a graphical user interface to allow for easy identification and correlation between GUI elements and the robotic arm carts.

Abstract: A multi-arm robotic surgical system having an endoscopic camera (C) coupled to a robotic arm and a plurality of surgical instruments each detachably coupled to a robotic arm. The multi-arm robotic surgical system further comprises of a surgeon console having a master controller, a left-hand controller and a right-hand controller, a three-dimensional (3D) HD monitor, a two-dimensional (2D) touch screen monitor, a pair of trackable 3D glasses to be worn by the surgeon, a head tracking camera, a foot pedal controller, a control panel for performing emergency system functions, an electrosurgical unit interface, an image processor configured to process a 3D image data received from the endoscopic camera (C), a digital device configured to prepare an image data by using the processed 3D image data received from the image processor and superimposing it with a 2D overlay including a status of the plurality of surgical instruments and display on the 3D HD monitor and a patient side staff 3D monitor.

Abstract: Medical therapeutic and diagnostic devices, systems, and methods help guide transcatheter heart therapies with reference to 3D image data by viewing a plurality of planar images that are generated digitally from the 3D image data. Input used by the clinical team to manipulate the image planes within the worksite may be used to direct movement of the therapeutic or diagnostic tool itself by setting a target axis of a tool in alignment with a line of intersection between two imaging planes, by using a point at which three image planes intersect as a target point, and by transmitting commands to a transcatheter robot system supporting the tool to move in the worksite into alignment with the target axis and target point.

Abstract: A surgical robotic system is paired with an imaging system that may operate in a plurality of imaging modes, including white light and near infrared (NIR) light. The robotic system includes a plurality of robotic arms, one of which controls a laparoscopic camera providing video data based on the selected imaging mode to an image processing device. One or more other arms control one or more corresponding robotic instruments, which include fiducial markers formed from a fluorescent material detectable in the NIR imaging mode. The markers allow for visualization of the instruments in the NIR imaging mode, which is monochromatic. The image processing device also generates masked or virtual overlays of the instrument and registers the overlays with the instruments in the monochromatic video feed, providing additional visualization. Registration of the overlays is performed using fiducial markers, which act like landmarks for aligning the overlay to the actual image of the instrument in the video feed.

Abstract: A surgical system having a surgical instrument having a connection portion including a connector connectable to a robot arm for mounting of the surgical instrument to the robot arm so that the instrument can be robotically manipulated by the robot arm to adjust a position of the instrument via a first communication from a remote central processing unit to the robot arm. A remotely actuated power pack is loadable into a compartment of the instrument for powering the instrument. The power pack has a first motor and a first engagement member operatively connected to the first motor and removably engageable with a first movable member of the instrument when the power pack is loaded into the instrument, the power pack effecting movement of the first movable member from a first position to a second position to effect a first function of the instrument.

Abstract: A robotic surgical system includes a surgical apparatus including a first robot arm to move a medical instrument, an arm base to support a proximal end of the first robot arm, and a second robot arm to move the arm base, and a monitoring controller configured or programmed to monitor whether or not a monitoring point set with respect to the arm base or the second robot arm is within a monitoring area, and change the monitoring area based on a posture of the second robot arm.

Abstract: A micromanipulator comprising: a first frame portion defining an axial direction extending from a first proximal end to a first distal end; a second frame portion; a tool holder coupled to the second frame portion; a first connecting portion coupling the second frame portion and the first frame portion at the first distal end in resilient pivotable coupling; and a second connecting portion coupling the second frame portion and the first frame portion at the first proximal end in resilient pivotable coupling. The first frame portion, the second frame portion, the first connecting portion, and a second connecting portion form a flexural frame. The flexural frame is resiliently biased to a first frame state in which the tool holder is in a retracted position.

Abstract: The invention relates to a device for covering at least one area of the body of a patient during a medical procedure, wherein the device has a flat, thin, sterile drape and a marking grid connected to the drape, which has markings for determining a position in CT and/or MRI scans, wherein the marking grid is attached to the drape via a detachable connection so that it can be removed from the drape during the course of the medical procedure without the need to remove the drape from the patient.

Abstract: Various implementations include an operating table anti-skid pad. The pad includes a body having a longitudinal axis, a first edge, and a second edge spaced apart and opposite from the first edge. The body further has a third edge extending between the first edge and the second edge and a fourth edge opposite and spaced apart from the third edge. The body includes non-viscoelastic, resiliently deformable material having a rate of recovery of 2.0 seconds or less.

Abstract: A bifurcated navigation control system is configured to identify a navigation condition associated with a navigation of a component of a computer-assisted medical system component along a path from an initial location to a target location; determine, based on the navigation condition, a propulsion limitation configured to be imposed on operator-provided commands related to a propulsion of the component during the navigation of the component along the path; and direct the component to navigate, in a bifurcated navigation control mode, along at least part of the path from the initial location to the target location. In the bifurcated navigation control mode, the bifurcated navigation control system is configured to autonomously control a steering of the component while allowing operator control of the propulsion of the component based on the operator-provided commands as limited by the propulsion limitation.

Abstract: Provided is a surgical operating system, comprising a surgical tool, an optical sensor arranged on or in the surgical tool and configured to measure a distance (8-x) of the surgical tool from a tissue for a plurality of directions (6-x) and/or for a plurality of mutually separated punctiform spatial regions (7-x), an optical coherence tomography measuring device connected to the optical sensor and configured to determine the respective distance (8-x) from the tissue for the plurality of directions (6-x) and/or punctiform spatial regions (7-x) by means of the sensor and to provide the determined distances (8-x). Also provided are a surgical tool and a method for safeguarding a surgical operation.

Abstract: A medical image viewer can render to a display, a three-dimensional view of patient anatomy, a multi planar reconstruction (MPR) view of the patient anatomy, and an intra-operational view. Some of the views can be synchronized to show a common focal point of the anatomy. Other embodiments are described and claimed.

Abstract: A multi-axis tumor excision marker system is configured to deposit markers along multiple axes radially about a tumor to define a boundary of margin tissue for excision. A catheter may deploy a marker extension that extends to a margin tissue boundary for depositing the marker. The marker extension may be a shape memory material that extends radially outward from catheter opening or may be directed radially outward by a guide head. The radiopaque marker may be a phase change marker, such as an adhesive that changes from a liquid to a solid. A marker may be a discrete marker and may have an extension portion that extends from an anchor portion. An envelopment marker has a plurality of marker extensions that each extend along an offset axis from each other. A spiral maker includes a maker extension that spirals around the margin boundary tissue.

Abstract: The present application discloses an automatic cleaning device based on a decontamination robot and an automatic cleaning method, belonging to the field of mechanical automation engineering technology. The device includes a cleaning head, a cleaning seat, a protective housing and a cleaning module; wherein the cleaning head is fixedly mounted in the cleaning seat; the cleaning seat is rotationally connected with the cleaning module, and the cleaning module drives the cleaning seat and the cleaning head to realize up-and-down reciprocating motion. The protective housing passes through the cleaning head and cleaning seat and is fixedly connected with the cleaning module, which can prevent harmful substances caused by cleaning from entering the inner cavity of the cleaning module and causing damage to the mechanism.

Abstract: The present invention relates to a method for recommending an orthodontic treatment plan by separating a tooth object from three-dimensional oral scan data and automatically determining a positional abnormality of a tooth.

Abstract: A magnetic traction device for impacted tooth, comprising a first magnetic component fixed to a normal tooth and a second magnetic component fixed to an impacted tooth. There is an attractive magnetic force between the first and second magnetic components, thereby pulling the impacted tooth toward the direction of the normal tooth where the first magnetic component is located.

Abstract: Methods of directly bonding a non-sliding archform to a patient's teeth are disclosed herein. An IDB tray with wells sized and shaped to form orthodontic brackets can be filled with a fluid, such as an adhesive or bonding agent. The IDB tray with the fluid-filled wells can be placed over the teeth of the patient. The fluid in the wells can contact the surfaces of the teeth. The fluid can be cured by way of exposure to UV light, forming orthodontic brackets and bonding the orthodontic brackets to the patient's teeth.

Abstract: A rotary instrument including a body with a first end and a second end. A tip connects to and extends from the first end of the body, the tip having a first end and a second end. The instrument further includes a protrusion extending circumferentially from an outer surface of at least a portion of the body. Methods and systems for preparing a prosthesis for insertion using the rotary instrument are also disclosed.

Abstract: A drill bit and method for normalizing bone is provided. The drill bit has a non-round drill bit core that is adapted to cut hard bone and to not cut soft bone. The drill bit has a cutting edge which may be positioned within a compression zone of the non-round drill bit core. The rotational speed of the drill bit and the profile of the drill bit core are tuned so that hard bone recovers into a cutting zone defined by the cutting edge while soft bone remains outside of the cutting zone. The insertion torque of the drill bit can be measured to determine when the normalization is adequate.

Abstract: A processing method and apparatus for ultrafast laser deposition of a multilayer film including a diamond-like carbon film, an anti-reflection film and an anti-fingerprint film includes: generating primary plasma by first excitement on a target material with a femtosecond or picosecond pulsed laser beam as a pre-pulse; and generating secondary plasma by second excitement on the target material under plasma grating, formed by allowing two femtosecond pulsed laser beams to intersect at a small include angle for interaction in the primary plasma, for deposition to coat a film.

Abstract: Method for acquiring a model of a dental arch of a user (U), said method comprising the following steps: a) at an update time, extra-oral acquisition, with a portable scanner (12), by the user, of a digital three-dimensional model (8) of said arch, and optionally division of the model of the arch so as to isolate one portion (30) of the model of the arch, so as to obtain an “updated model”, the updated model thus possibly being the acquired model or the portion of the acquired model isolated by division, the object represented by the updated model being called the “updated object”.

Abstract: An intraoral scanner includes a probe housing disposed at a distal end of an elongate wand. The intraoral scanner further includes a window structure coupled to the probe housing. The window structure and the probe housing form an interior volume. The window structure has a concave transverse cross section. The intraoral scanner further includes optical components disposed within the interior volume. The optical components include a first camera having a first orientation and a second camera having a second orientation that is different than the first orientation. The first camera and the second camera are to capture images of dental sites.

Abstract: An upper arch model of a user is obtained. A lower arch model of the user is obtained. An image associated with an oral anatomy of the user is obtained. The image, the upper arch model, and the lower arch model are analyzed to determine a relative alignment between an upper arch of the user and a lower arch of the user. An oral insert is generated, having a plurality of fluid nozzles and a plurality of fluid manifolds for the user based on the analysis of the image, the upper arch model, and the lower arch model.

Abstract: A device for dispensing interdental cleaner strands, the device comprising, in some embodiments, a front end for dispensing an interdental cleaner strand and plurality of threader ports for communicating the interdental cleaner strand into the front end. In one example, a rotating wheel may be operated by a user to advance an interdental cleaner strand into one or more threader ports.

Abstract: An oral irrigator (100) for cleaning a user's oral cavity and a method of using the oral irrigator (100) are disclosed. The oral irrigator (100) may have a reservoir (111) for storing a fluid and a tip (120) or nozzle that is in fluid communication with the reservoir (111) so that the fluid can be pumped from the reservoir (111) to the tip (120). The oral irrigator (100) may also include a pump (153) for pumping the fluid, a motor (152) for driving the pump (153), and a control module (154) for controlling the operation of the motor (152) in accordance with a mode selected by a user. The modes may include a continuous spray mode whereby the fluid is only pumped from the reservoir (111) to the tip (120) while a user is actuating an activation member (112). The modes may also include automatic spray modes whereby the fluid is pumped in accordance with pre-defined treatment protocols.

Abstract: A water outlet device with a detachable water outlet terminal comprises a body, a first water outlet terminal, and a second water outlet terminal. The body has an operating member movably connected to a second connecting opening and configured to alternatively open or close the second connecting opening. The operating member has a locked state and a released state. When a first water outlet terminal is not supplied with water, the operating member is in the released state, and the operating member is configured to be moved relative to the second connecting opening to open the second connecting opening for installation of a second water outlet terminal. When the first water outlet terminal is supplied with the water, the operating member is in the locked state, and the operating member is inhibited from moving relative to the second connecting opening to close the second connecting opening.

Abstract: The dental care device comprises a drive mechanism and a customized mouthpiece. The drive mechanism comprises a first motor connection point, a second motor connection point, and one or more motors. The customized mouthpiece is configured to couple with the drive mechanism, and comprises: a first region including a first mouthpiece connection point configured to engage with the first motor connection point; a second region including a second mouthpiece connection point configured to engage with the second motor connection point; and a third region connection the first region and the second region, such that the first region can be moved independently of the second region.

Abstract: A variety of medical and non-medical devices are exploited by users to address a wide range of conditions. However, in the vast majority of instances the device has a limited number of options with respect to its fit for the user and its performance. Further, the determination of target performance and fit are established on a qualitative basis rather than a quantitative basis. In many instances these combinations lead to low user acceptance of the device due to the resulting performance and fit issues. Accordingly, it would enhance performance and user acceptance if a quantitative determination provided a recommended type where options exist, and this determination provided the basis of a custom designed device to the user's specific anatomical and/or performance requirements.

Abstract: The present disclosure comprises micropatterned fabric, meshes, textiles, and implantable devices which may include having one substrate including a mesh, a second substrate having a microstructured surface, and a fibrous layer disposed therebetween. The fibrous layer comprises a plurality of randomly oriented fibers. The devices having the microstructured surface may include a plurality of first level microfeatures and a plurality of second level microfeatures wherein the plurality of second level microfeatures are disposed hierarchically the first level microfeatures.

Abstract: According to exemplary embodiments of the present disclosure, devices, systems, and methods for endoscopic procedures may include an end effector of a grasping system having a first arm and a second arm. The first and second arms may extend from a common proximal joint. The first and second arms may be formed of a self-expanding material and may have a spring force to set the arms in an unconstrained open position. The first and second arms may have an arc shape such that a distal tip of each first and second arm are configured to close as the first and second arms are actuated to a constrained closed position. A catheter may include a locating element at a distal end of a flexible tube. The locating element may be configured for locating the grasping system.

Abstract: A system for tissue repair includes a tissue fixation device having two adjustable self-locking loops, a tensioning device having one fixed loop and one adjustable self-locking loop and a connector having one fixed loop.

Abstract: Improved breast prostheses, methods of making breast prostheses, and methods of treatment using such breast prostheses are described.

Abstract: An apparatus for injecting an implant for eye disease to regulate the intraocular pressure includes a cannula having an internal space. The cannula includes a first segment including one end; a second segment connected to the first segment; and a third segment connected to the second segment, and including an opening for the implant on a side. The opening for the implant is spaced a predetermined distance apart from one end of the cannula to provide a structure for allowing the insertion of only part of the implant and easy separation of the cannula and the implant in the eye.

Abstract: An intraocular lens (IOL) has a small, central lens suspended within a pliable housing and, when the housing is filled with liquid, is coaxially aligned with a second small lens embedded in the wall of the housing. The suspension is on a dome- or other-shaped webbing attached to an inner circumference of the wall. When filled with liquid, forces squeezing or pulling the equator of the housing, as with ciliary muscles in the eye, adjust a distance between the lenses in order to adjust focus. Optional haptics may project from points on or above and below the equator. A recess in the posterior hemisphere of the housing can keep cell growth away from an optical axis of the lens system. A third small lens can be embedded in an opposite wall of the housing and coaxially aligned with the other lenses to form a three-lens, ultra-zoom system.

Abstract: An accommodating intraocular lens (IOL) is formed from an anterior or posterior half molded as a chambered, polymer sack with a mouth opening smaller than its largest width that is mated to another half molded as a pliable bowl having a rim larger than the rest of the half. The resulting shell has a seam that is parallel to and does not cross or touch the equator such that the IOL is asymmetric between its front and back. A circular depression around the optical axis can be made in the anterior and/or posterior half such that a surrounding capsular bag seals against the rim of the depression, and an interior of the depression(s) does not touch the capsular bag.

Abstract: A prosthetic heart valve is provided. The prosthetic heart valve includes a central body portion and a tether-capture arm that extends from the central body portion. The tether capture arm forms a U-shaped tether-capture notch captures and retains a tether that spans the native heart valve annulus.

Abstract: The present invention provides a prosthetic heart valve, including a stent, prosthetic leaflets and an occlusion mechanism. Both the prosthetic leaflets and the occlusion mechanism are connected to the stent. The occlusion mechanism is able to extend outwards away from the stent and fill up a recessed portion of a native valve annulus, thereby closely fitting the prosthetic heart valve against the native valve annulus and effectively preventing paravalvular leakage.

Abstract: Provided are devices and methods for augmenting mitral valve function. A cardiac valve prosthesis device comprises a stent frame assembly having an atrial portion and a ventricular portion, a peripheral ring attached to the stent frame assembly, which divides the stent frame assembly into the atrial and ventricular portions, and a plurality of valve leaflets fixedly coupled to the stent frame assembly. The peripheral ring fits over a native mitral valve annulus when the prosthesis device is implanted in a native mitral valve. The peripheral ring limits the protrusion of the stent frame assembly into a ventricular chamber and reduces the effect on ventricular outflow or excursion of a native leaflet by such protrusion.

Abstract: In some examples, a prosthetic heart valve for implantation within a native heart valve includes a radially expandable frame and a valvular structure. The frame includes an annular main body having an inflow end and an outflow end. The main body is radially expandable between a radially compressed state and a radially expanded state. The valvular structure includes a plurality of leaflets disposed within and coupled to the frame. The frame includes a plurality of frame anchors coupled to the main body. Each frame anchor is configured to be positioned on or around a pair of free edges of two of the native leaflets of the native heart valve. In some examples, a prosthetic heart valve delivery assembly includes a prosthetic heart valve and a delivery apparatus for delivering the prosthetic heart valve to an implantation site.

Abstract: A prosthetic valve can include a radially expandable and compressible frame having a plurality of struts, each strut having a first end, a second end, and a length extending from the first end to the second end. Each strut further including a plurality of recesses disposed on one or more longitudinal edges of the strut and extending into a width of the strut. The prosthetic valve further including a valvular structure disposed within and coupled to the frame, the valvular structure comprising a plurality of leaflets, and a skirt mounted to the frame via one or more sutures. The recesses retain the one or more sutures and prevent the one or more sutures from sliding along the length of the strut.

Abstract: Systems and methods for the placement of an endoluminal device are provided. A delivery system for endoluminal devices includes a delivery catheter comprising an imaging sensor and a position sensor. The position sensor is located at a known distance from the imaging sensor and configured to sense relative position to an element with a position code that is readable by the position sensor. The delivery catheter is configured for mounting an endoluminal device on the delivery catheter at a known distance from the imaging sensor or position sensor. The imaging sensor, the position sensor, or both the imaging sensor and the position sensor can be used for intravascular imaging of an anatomical location, guidance for deployment of the endoluminal device, confirmation of the placement of the endoluminal device at the anatomical location, or any combination thereof.

Abstract: A prosthetic valve delivery system may include a handle, an inner catheter extending through an outer catheter, a nosecone attached to the inner catheter, and a balloon. The balloon may have a proximal portion fixed to the outer catheter, a distal portion fixed to either the nosecone or the inner catheter, and a center portion. A prosthetic heart valve may be configured to be received over the center portion of the balloon. A steering wire may have a proximal end operably coupled to the handle and a distal end coupled to the steering ring to form a deflection point, the deflection point being positioned distal to a point at which the proximal portion of the balloon is fixed to the distal end portion of the outer catheter.