Abstract: The present invention relates to a joining member for an anastomosis system for realizing anastomosis between first and second hollow structures, such as end-to-side anastomosis. The joining member is annular and is adapted for joining the first and second hollow structures. The joining member includes a plurality of interconnected loops forming the annular body and a plurality of joining elements for joining the hollow structures connected to the annular body at locations where adjacent loops are interconnected to each other, and wherein the loops are configured to permit radial expansion of said annular body to expand said joining member from a first position to a second position having a second, larger diameter than the first position.

Abstract: Systems and methods are described herein for tracking an elongate instrument or other medical instrument in an image.

Abstract: An endoscope system is provided with a graphical orientation indicator. An endoscope includes a flexible tubular body with a steerable distal end having a camera. A controller for the endoscope presents a user interface that displays a view from the camera and a graphical orientation indicator visually representing an orientation of the distal end of the endoscope.

Abstract: The present invention discloses a capsule endoscope, which comprises an enclosure, and an imaging unit, a data processing unit and an antenna unit arranged in the enclosure. The enclosure comprises a cylindrical middle enclosure and two hemispherical covers connected to both ends of the middle enclosure, and the antenna unit is arranged close to the inner surface of the middle enclosure. The antenna unit is arranged close to the inner surface of the middle enclosure. Such arrangement can save internal space and improve the space utilization, and also, the arrangement of the antenna unit does not affect the layout of the imaging unit.

Abstract: A suture transfer device and method of use provides the suture transfer device to facilitate passage of suture through a channel bored through a bone. The suture transfer device may also be installed upon a surgical drill. The device extends through bone tissue providing a temporarily installed suture passage with an overall cylindrical configuration and a linear trough, the device can be included on a bone drill during the drilling process, with the device deployed within the drilled channel within the bone upon completion of the drilled channel in the bone, providing smooth passage of one or more sutures during tissue repair through the linear trough, the device further removed upon completion of the surgery without disruption of the suture or sutures. Kits are also provided.

Abstract: A steerable instrument for endoscopic and/or invasive type of applications, such as in surgery, which has an elongated tubular body having a proximal end part with a first actuation flexible zone having a first diameter and a distal end part having a first distal flexible zone having a second diameter that is different from the first diameter. A cylindrical diameter adaptation section is arranged to connect the proximal end part to the distal end part such that a flexion in a radial direction relative to a longitudinal center axis of the longitudinal tubular body of the first actuation flexible zone results in an amplified or attenuated flexion of the first distal flexible zone.

Abstract: Embodiments of a system, a machine-accessible storage medium, and a computer-implemented method are described in which operations are performed. The operations comprising receiving a plurality of image frames associated with a video of an endoscopy procedure, generating a probability estimate for one or more image frames included in the plurality of image frames, and identifying a transition in the video when the endoscopy procedure transitions from a first phase to a second phase based, at least in part, on the probability estimate for the one or more image frames. The probability estimate includes a first probability that one or more image frames are associated with a first phase of the endoscopy procedure.

Abstract: An endoscope system includes circuitry configured to monitor a characteristic of an endoscope including an imaging device and a scope coupled to the imaging device, wherein the characteristic is indicative of whether the scope is inserted in a living body or not, in the event that the characteristic satisfies a predetermined condition, control a focus of the endoscope system in a first manner and, in the event that the characteristic does not satisfy the predetermined condition, control the focus of the endoscope system in a second manner, different from the first manner.

Abstract: Disclosed herein is an apparatus for driving a display, including a main color detector configured to detect a main color of a unit pixel based on a red image signal, a green image signal, and a blue image signal, a color difference calculator configured to calculate an image signal difference among the red image signal, the green image signal, and the blue image signal, and a weight calculator configured to calculate a weight for the red image signal, the green image signal, and the blue image signal based on the image signal difference.

Abstract: A method for fluorescence imaging includes receiving first fluorescence imaging data, receiving a user input selecting a reference region associated with the first fluorescence imaging data, determining a reference fluorescence intensity level based on the reference region, receiving second fluorescence imaging data, determining a relative fluorescence intensity level of a region associated with the second fluorescence imaging data that is relative to the reference fluorescence intensity level, and displaying an indication of the relative fluorescence intensity level.

Abstract: An exemplary system includes a memory storing instructions and a processor communicatively coupled to the memory. The processor is configured to execute the instructions to receive, from a sensor of a surgical instrument, environmental condition information associated with the surgical instrument and detected by the sensor while the surgical instrument is disconnected from an external power source, the surgical instrument including circuitry configured to be powered and operate only while the surgical instrument is connected to the external power source, determine, based on the environmental condition information, an operational condition of the surgical instrument, and provide a notification indicating the determined operational condition of the surgical instrument.

Abstract: A method for controlling an output of an energy module of a modular energy system. The energy module can comprise a plurality of amplifiers configured to generate a drive signal at a frequency range and a plurality of ports coupled to the plurality of amplifiers. The method includes determining to which port of the plurality of ports the surgical instrument is connected, selectively coupling an amplifier of the plurality of amplifiers to the port of the plurality of ports to which the surgical instrument is connected, and controlling the amplifier to deliver the drive signal for driving the energy modality to the surgical instrument through the port.

Abstract: The present invention relates to a cover having a plurality of moveable, external, angled projecting elements for use with flexible medical scoping devices such as endoscopes or enteroscopes. The invention includes the cover with an over cuff and use of the disposable removable covering in methods of medical scoping procedures or examinations. The invention also includes an applicator for assisting in placing the covering about or over a medical device and a kit of parts.

Abstract: Disclosed are devices for pericardial access to the heart, including direct access to the left atrium. In certain embodiments, the device may comprise a device and/or an atrial appendage (AA) portal having a configuration such that the distal end of the device and/or the portal can access an atrial appendage while the proximal end of the device and/or portal can extend to outside of the subject. The devices and methods may also include a pericardial portal for emplacement of the device and/or the AA portal. Also, methods for using such devices and/or AA portals and pericardial portals to perform surgery on the heart, and systems (e.g., kits) comprising these devices and/or portals in combination with other therapeutic devices are disclosed.

Abstract: A control device includes: a light source configured to generate light by drive current applied; a light source controller configured to apply the drive current to the light source; a signal generator configured to generate a signal according to light received; an optical path switch configured to switch an optical path of light generated by the light source; a determination circuit configured to determine whether a signal generated by the signal generator is a periodic signal that periodically changes in signal intensity; and a function controller configured to perform control in which performance of a predetermined function is prohibited when the determination circuit determines that the signal is not the periodic signal and in which the performance of the predetermined function is permitted when the determination circuit determines that the signal is the periodic signal.

Abstract: In some embodiments, an insertion device for a robotic surgery apparatus can include one or more guides configured to receive and/or engage a plurality of control links. The one or more guides can each include a plurality of channels. The insertion device can include a tool interface configured to engage one or more surgical tools for performing a surgical procedure. At least one control link of the first, second, or third pluralities of control links can be overlapping, coaxially aligned, or otherwise placed in a nested configuration with respect to another control link of the first, second, or third pluralities of control links. One or more of the plurality of first, second, or third control links can be configured to be actuated to adjust spatial position of the tool interface to facilitate repositioning of the surgical tool.

Abstract: An endoscope bonding structure includes a distal end rigid member, a tubular body, and a bonding agent. The distal end rigid member includes a first outer diameter part and a second outer diameter part. The tubular body includes a first inner diameter part and a second inner diameter part. An outer diameter of an outer periphery of the second outer diameter part decreases as a distance increases toward a proximal end side. The tubular body is fitted to an outer periphery in a state in which the tubular body is pressed to a distal end side.

Abstract: A surgical instrument is disclosed. The surgical instrument includes a control unit and a staple cartridge including a transponder. The control unit is configured to transmit a first wireless signal to the transponder and to receive a second wireless signal from the transponder to determine one of a first electronic state and a second electronic state of the transponder based on the second wireless signal.

Abstract: A fixation device for folding a seal member includes a frame having a horizontal portion and an upright portion, a press assembly secured to the upright portion of the frame, and a nest assembly secured to the horizontal portion of the frame. The press assembly includes a handle assembly and an anvil assembly operably connected to the handle assembly. The nest assembly includes a clamping assembly, a folding assembly supported on the clamping assembly, a support assembly supported on the folding assembly, and a nest member. The support assembly includes a support plate and a seal clamp for securing a seal member.

Abstract: Multiple sets of framing for a video may define different positioning of multiple viewing windows for a video. The multiple viewing windows may be used to provide different punchouts of the video within a graphical user interface. The graphical user interface may enable creation/change in the sets of framing for the video. The graphical user interface for the punchouts may include a single timeline representation for the video. Framing indicators that represent different sets of framing for the video may be presented along the single timeline representation at different times.

Abstract: A holding device is a holding device that holds the medical device, and includes an arm configured to have a holder, which holds the medical device, at a distal end, a base configured to rotatably support the arm by a first joint, a disk attached to the arm, and a brake attached to the base and configured to press the disk, in which a distance between a center of rotation of the disk and a region where the brake presses the disk is changed depending on a rotation angle of the first joint.

Abstract: A system (502) includes an elongate ultrasound imaging probe (504) with a long axis and a top side that extends along the long axis. The elongate ultrasound imaging probe includes an elongate tubular handle (606; 1606), a head (1608), an elongate tubular shaft (608; 1610) between the elongate tubular handle and the head, and a transducer array (514) disposed in the head and configured to transmit in a sagittal plane, which is a plane that cuts through the long axis of the elongate tubular shaft, only in a direction extending out from the top side. The elongate tubular handle is both not centered on the elongate tubular shaft and not shifted down in the sagittal plane away from the top.

Abstract: A trocar assembly includes a trocar housing that defines a working chamber, and a cannula having opposing proximal and distal ends and defining a lumen that extends between the proximal and distal ends. One or more windows are defined in the cannula at or near the distal end, and one or more compliant deflection devices are arranged at or near the distal end and at least partially receivable within the one or more windows. Each compliant deflection device includes a radial biasing member that extends radially inward toward a centerline of the cannula.

Abstract: A method for controlling an output of an energy module of a modular energy system is disclosed. The modular energy system includes a header module, the energy module, and a secondary module communicably coupled together. The energy module configured to provide an output driving an energy modality deliverable by a surgical instrument connected thereto. The method includes causing the energy module to provide the output driving the energy modality delivered by the surgical instrument; sensing a parameter associated with the secondary module; receiving the parameter as sensed by the secondary module at the energy module; and adjusting the output of the energy module from a first state to a second state according to the received parameter.

Abstract: An electrical stimulation device according to an embodiment includes: an elongated element having working channels; a plurality of electrical stimulators each including a longitudinal member extending along the longitudinal direction of the working channel, and a tip which is installed at the distal end of the longitudinal member and configured to apply electrical stimulation to a subject; and a control unit that independently controls the plurality of electrical stimulators to vary the range of electric stimulation applied to the subject.

Abstract: The present disclosure provides an actuation device that comprises: (a) a device body that comprises a first fixation mechanism configured to affix a proximal end of a first elongate member of an accessory device to the device body, (b) an actuator that comprises an operable mechanism and a second fixation mechanism configured to affix a proximal end of a second elongate member of the accessory device to the actuator, wherein the operable mechanism is configured to move the second elongate member relative to the first elongate member, and (c) a fastener configured to attach the device body to an endoscope. The present disclosure further provides endoscopic systems comprising an actuation device of this type in an assembly with an endoscope and an accessory device, and also provides kits that comprise an actuation device of this type and one or more accessory devices.

Abstract: A surgical system is disclosed including a replaceable staple cartridge stored in a packaging that includes a first RFID tag including first encrypted information. The replaceable staple cartridge includes a second RFID tag including second encrypted information. A retainer includes a third RFID tag including third encrypted information. A controller includes a first key to decrypt the first encrypted information. The controller releases a second key if the first encrypted information is recognized. The controller uses the second key to decrypt the second encrypted information. The controller releases a third key if the second encrypted information is recognized. The controller uses the third internal key to decrypt the third encrypted information. The controller prevents a surgical instrument from performing a staple firing stroke if at least one of the first encrypted information, the second encrypted information, and the third encrypted information is unable to be recognized.

Abstract: A system may comprise a control device configured to receive user inputs and a manipulator system including an actuator configured to receive and drive a steerable device. The system may also comprise a control system communicatively coupled to the manipulator system. The control system may be configured to track a virtual user-instructed position based on a first user input, determine a device position of a portion of the steerable device, and determine a position discrepancy in a first direction between the determined device position and the virtual user-instructed position. The control system may also be configured to receive a second user input commanding motion of the steerable device in a second direction, opposite the first direction. In response to the second user input, the position discrepancy may be reduced based on an aspect of the second user input and a catch-up profile.

Abstract: A switch according to one or more embodiments may include a movable unit movable in response to an operation. A drive unit is drivable in response to movement of the movable unit. The switch may include an operation-linked unit movable in response to the movement of the movable unit and an operation follower unit spaced from the operation-linked unit to move in response to movement of the operation-linked unit with a magnetic force between the operation follower unit and the operation-linked unit. At least one of the operation-linked unit or the operation follower unit is magnetic. The drive unit is drivable in response to movement of the operation follower unit. The operation follower unit accommodated in a chamber is spaced from the operation-linked unit.

Abstract: The present invention relates to a capsule-type endoscope assembly which can be assembled or disassembled in a digestive organ of an examinee, and a capsule-type endoscope system using the same. A capsule-type endoscope of the present invention can be actively operated by the application of an external magnetic field. In addition, according to the present invention, after an examinee has separately swallowed various diagnosis and treatment devices modularized according to a purpose of diagnosis and treatment, the diagnosis and treatment devices can be assembled in a digestive organ of the examinee. Therefore, a function of a capsule-type endoscope can be extended to various diagnosis and treatment areas conventionally covered by a conventional general endoscope.

Abstract: An energy module for driving electrosurgical and/or ultrasonic surgical instruments is disclosed. The energy module can include an amplifier assembly that is configured to drive a variety of different energy modalities for one or more surgical instruments connected thereto. The energy module can further include a relay assembly for selectively coupling one or more of the amplifiers to different ports to which the surgical instruments are connectable. The amplifier assembly can include amplifiers for driving ultrasonic, bipolar, and/or monopolar energy.

Abstract: An image processing device for an endoscope includes a processor. The processor receives, as input, a generated image acquired by performing predetermined processing on an image pickup signal acquired by an endoscope, analyzes a withdrawing speed of the endoscope based on at least one of the generated image and information relating to an operation state of the endoscope, detects a lesion part from the generated image, performs a diagnosis support action on the lesion part, decides a factor affecting the diagnosis support action based on an analysis result of the withdrawing speed, and outputs the factor.

Abstract: An elongated medical device includes an elongated tubular element with a series of flexibility enhancing features along a length of the elongated tubular element. Each flexibility enhancing feature may include a circumferential series of cuts. The cuts of one flexibility enhancing feature may be offset relative to the cuts of a longitudinally adjacent flexibility enhancing feature. The flexibility enhancing features may be grouped into two or more interleaved sets, with each set of circumferential cuts being offset relative to the next set of circumferential cuts. Methods for manufacturing such elongated medical devices are also disclosed.

Abstract: Systems and methods are described herein for tracking an elongate instrument or other medical instrument in an image.

Abstract: An adjustment tool configured to adjust an intervertebral implant comprises a housing, a traveler member, a tether member, and a drive member. The traveler member is coupled to the housing. A proximal end of the tether member is coupled to the traveler, and a distal end of the tether member is configured to couple to the implant. The tether member is substantially linearly fixed to the traveler and rotatable relative to the traveler. The drive member is configured to transition between 1.) a first position in which the drive member is coupled to the tether such that rotation of the drive member causes rotation of the tether relative to the traveler, and 2.) a second position in which the drive member is coupled to the traveler such that rotation of the drive member causes rotation of the traveler relative to the housing.

Abstract: A remote control apparatus (a doctor-side control apparatus) according to an embodiment is provided at a position away from a medical manipulator including an arm to which a medical instrument is attached and is configured to remotely operate the medical manipulator. Each of a plurality of wheels that are provided at a bottom surface of the control apparatus is configured to move a control apparatus main body in a first direction parallel to a floor surface on which the control apparatus main body is placed and in a second direction parallel to the floor surface and orthogonal to the first direction.

Abstract: A method of testing an impedance-sensitive system with a switching device, wherein the method comprises: switching the disconnecting device into the on-state configured to permit transmission of energy via the coil; implementing a first measurement with the impedance-sensitive system; switching the disconnecting device into the off-state configured to permit damping of the external positioning signal that couples into the coil so as to reduce the undesirable oscillations of the coil; implementing a second measurement with the impedance-sensitive system; performing a comparison of the first measurement and the second measurement; performing a verification of the comparison with a target specification; and displaying a correct function and/or a malfunction depending on the verification.

Abstract: An electronic endoscope system includes an electronic endoscope, a processor that includes an evaluation unit, and a monitor. The evaluation unit includes an image evaluation value calculation unit that calculates an image evaluation value indicating an intensity of lesion in the living tissue for each of a plurality of images of the living tissue, and a lesion evaluation unit that calculates a representative evaluation value of the image evaluation value from the image evaluation values of the plurality of images corresponding to a plurality of sections for each of the plurality of sections in which a region of the organ is divided using information of an imaging position in the organ whose image is captured and evaluates an extent of the lesion in a depth direction inside the organ using the representative evaluation value.

Abstract: A surgical scope employing a multi-spectrum ring illuminated surgical camera with a ring lens and a plurality of sources of light set behind the camera and positioned radially about the longitudinal axis of the lens and/or scope.

Abstract: An articulating structure includes a joint unit including a front segment and a rear segment that are connected in series and perform relative rotation with respect to a rotation portion, and an elastic member interposed between the front segment and the rear segment, and a wire that passes through the front segment and the rear segment in a lengthwise direction of the joint unit, wherein the front segment rotates relative to the rear segment in one direction when the wire is pulled rearward, and the elastic member elastically deforms by a pressing force by the rotation of the front segment to provide a force that resists the pressing force.

Abstract: A capsule-type endoscope capable of two-way communication includes an RFID receiving antenna receiving an RFID signal, a first matching circuit for impedance matching with the RFID receiving antenna, a human body communication electrode comprised of a ground electrode and a signal electrode transmitting a signal for human body communication, and a second matching circuit for impedance matching with the human body communication electrode.

Abstract: Systems and methods may use an augmented reality device during a surgical procedure. The systems and methods may use an augmented reality display of an augmented reality device to present or project a virtual feature during a surgical procedure while permitting physical aspects of a surgical field to be viewed through the augmented reality display. The virtual feature may include aspects of a preoperative plan, a surgical device, an anatomical aspect of a patient, etc.

Abstract: A medical imaging system comprises a teleoperational assembly which includes a medical instrument including an instrument tip and an imaging instrument including an imaging instrument tip. The medical imaging system also comprises a processing unit including one or more processors. The processing unit may be configured to determine an instrument tip position for the instrument tip, determine an instrument tip position error relative to the imaging instrument, and determine at least one instrument tip bounding volume based on the determined instrument tip position, the determined instrument tip position error, and a ratio between an error radius of the instrument tip position error and a size of a display screen.

Abstract: A region of interest located in a first part to be observed is detected from a medical image at a first timing. In a case where a tip portion of an endoscope moves from the first part to be observed toward a second part to be observed and then moves to the first part to be observed again, a return determination unit performs first determination processing for determining whether the tip portion has returned to the first part to be observed, by using a medical image acquired a second timing. A display control unit performs display control of a monitor by using a determination result of the return determination unit.

Abstract: An endoscope end cap, including a sleeve member, protrusion elements, and a movable sleeve. The sleeve member is connected to the front end of an endoscope, the sleeve member, the protrusion elements, and the movable sleeve are connected in sequence, and the movable sleeve can move freely on the outer surface of the endoscope. When the endoscope is inserted for examination, the end cap is easy to enter and does not scratch the digestive tract since the end cap has a cylinder-like structure which is smooth and has no angularity; when the endoscope is being withdrawn, the movable sleeve moves distally and abuts against the sleeve member, so as to support the protrusion elements to enable the protrusion elements to dilate the inner wall of the intestine, improving the quality of single endoscope examination, and reducing discomfort of a patient, operation risk, and operation time.

Abstract: Methods for resetting a fuse in a surgical instrument are disclosed.

Abstract: Methods, non-transitory computer readable media, and arthroscopic video segmentation apparatuses and systems that facilitate improved, automatic segmentation analysis of videos of arthroscopic procedures are disclosed. With this technology, a video feed of an arthroscopic surgery can be automatically segmented using machine learning models and one or more tags related to the segments can be associated with the video feed. The generated videos can be output in real time to provide segmented information related to the surgical procedure or can be saved with the one or more segments tagged for playback for training or informational purposes.

Abstract: A surgical system includes a bronchoscope, an extended working channel defining an elongated passageway and adapted to extend through the bronchoscope, and a valve in fluid communication with the passageway of the extended working channel. The surgical system further includes an elongated surgical instrument configured and dimensioned to be inserted through the extended working channel. During operation, a fluid is able to flow from the valve and through the extended working channel such that the fluid travels within an annular area surrounding the elongated surgical instrument positioned within the extended working channel.

Abstract: A system includes a treatment probe, a first tracking sensor configured to track a location of the treatment probe, an ultrasound imager, a second tracking sensor configured to track a location of the ultrasound imager, and a tracking system. The ultrasound imager generates real-time ultrasound images. The tracking system receives location information from the first and second tracking sensors, tracks the location of the treatment probe and the location of the ultrasound imager, and displays the real-time ultrasound images and a representation of the treatment probe in one or more pre-stored images.

Abstract: In an imaging system, a differential signal transmission circuit is configured to output a first signal to a first signal line in an image output period and is configured to output a second signal to a second signal line in the image output period. The first signal and the second signal are included in a differential signal. A signal output circuit is configured to output a second clock signal to the first signal line in a blanking period different from the image output period and is configured to output a second control signal to the second signal line in the blanking period. In a PLL, connection between a charge pump and a loop filter is controlled on the basis of the second control signal output to the second signal line.