Abstract: A multifunctional laryngoscope is provided that includes a handle comprising a proximal end and a distal end and a display screen on the handle. The laryngoscope includes a laryngoscope camera at the distal end of the handle and an introducer comprising an orientation sensor at a distal end of the introducer. The laryngoscope includes a processor programmed to execute instructions for receiving from a steering input a steering command in a first reference frame, and mapping the steering command to a second reference frame oriented to the distal end of the introducer based on an orientation signal from the orientation sensor.

Abstract: Systems, devices, methods, and computer program products for identifying and mitigating image-to-body divergence are disclosed herein. In some embodiments, a method includes receiving sensor data from a medical device while the medical device is inserted within an anatomic region of a patient and after it has been registered to an anatomic model of the anatomic region, where the anatomic model is based on previously-obtained image data of the anatomic region and includes a virtual path extending throughout the anatomic model to an anatomic structure of interest, and where sensor data indicates a location of at least a portion of the medical device; comparing the sensor data to a corresponding portion of the virtual path; based at least in part on the comparison, producing a divergence classifier indicative of a divergence of the anatomic region from the anatomic model; and generating an alert when the divergence classifier exceeds a predetermined threshold.

Abstract: Exemplary methods of forming a coating of material on a substrate may include forming a plasma of a first precursor and an oxygen-containing precursor. The first precursor and the oxygen-containing precursor may be provided in a first flow rate ratio. The methods may include depositing a first layer of material on the substrate. While maintaining the plasma, the methods may include adjusting the first flow rate ratio to a second flow rate ratio. The methods may include depositing a second layer of material on the substrate.

Abstract: A multifunctional laryngoscope is provided that includes a handle comprising a proximal end and a distal end and a display screen on the handle. The laryngoscope includes a laryngoscope camera at the distal end of the handle and an introducer comprising an orientation sensor at a distal end of the introducer. The laryngoscope includes a processor programmed to execute instructions for receiving from a steering input a steering command in a first reference frame, and mapping the steering command to a second reference frame oriented to the distal end of the introducer based on an orientation signal from the orientation sensor.

Abstract: A catheter includes: a shaft for insertion into an organ of a patient, and first and second position sensors. The shaft includes: (a) an inner shaft, which is configured to be deflected relative to an axis of the shaft, and (b) an outer shaft, which is coupled to a distal tip of the catheter and is configured to be: (i) coaxially disposed around the inner shaft, (ii) deflected together with the inner shaft, and (iii) rotated about the axis relative to the inner shaft. The first position sensor is coupled to the distal tip and is configured to produce a first signal, and the second position sensor is coupled to the inner shaft, and is configured to produce a second signal.

Abstract: According to one embodiment of the present disclosure, an electronic device for processing an endoscopic image may comprise a memory configured to store instructions and at least one processor electronically connected to the memory and configured to execute at least a portion of the instructions, wherein the at least one processor obtains an indicator associated with at least one lesion by operating in at least one of a plurality of operation modes.

Abstract: An image acquisition unit acquires an endoscopic image imaged by an endoscope inserted inside a subject. An operation detail determination unit determines one or more operation details from among a predetermined plural number of operation details based on the endoscopic image acquired in the image acquisition unit. An operation control unit controls a movement of the endoscope based on the determined operation details. An operation detail determination unit determines one or more operation details by inputting input data acquired from the endoscopic image acquired in the image acquisition unit to one or more into operation selection models generated by machine learning using, as training data, an image for learning, which is an endoscopic image imaged in the past, and a label indicating an operation detail for an endoscope that has imaged the image for learning.

Abstract: In some embodiments, devices, systems, and methods for advancing and positioning tethered capsule microendoscopes are provided. In some embodiments, a device for capsule endomicroscopy is provided, comprising: a tether having a proximal end and distal end; an optical fiber disposed within the tether; a tube enclosing at least a portion of the tether, the tube having a proximal end and a distal end, a diameter of the tube being larger than the diameter of the tether; a housing coupled to the distal end of the tether and the distal end of the tube; and an optical element disposed within the housing, the optical element being optically coupled to the distal end of the optical fiber and configured to direct light received from the optical fiber toward a periphery of the housing.

Abstract: A system and method for determining position of a steerable assembly within tissue of an animal body utilizes an elongated body structure with an implement arranged at a distal end thereof, and a premagnetized material proximate to the distal end. A signal indicative of a length of insertion of the elongated body structure into the tissue is used with a signal indicative of (i) force, strain, shape of a sensor associated with the elongated body structure and/or (ii) directionality of magnetic field applied to the premagnetized material, to determine a three-dimensional (3D) trajectory of the steerable assembly. The 3D trajectory is superimposed on a 3D model of the tissue to determine position of the steerable assembly within the tissue.

Abstract: An exemplary embodiment relates to a measuring method (50) and to a measuring device (10) in order to determine a length or an area within a scene (32) which are characterized at least partially by a real start point (40-2) and a real end point (42-2), wherein the measurement takes place using at least two images (18, 20) and it is thereby not necessary for the real start point (40-2) and the real end point (42-2) to be imaged in one of the images (18, 20).

Abstract: To provide a sensor-equipped hood capable of detecting force applied to the hood without narrowing an operating field viewed through the hood. A sensor-equipped hood protrudes from a tip end portion of an endoscope main body, and is attached to the tip end portion. The sensor-equipped hood includes a transparent tubular hood main body and a fiber Bragg grating (FBG) sensor fixed to a first fixing point of the hood main body and having a Bragg grating. In the FBG sensor, the wavelength of reflected light at the Bragg grating changes based on fluctuation of the first fixing point in the hood main body.

Abstract: An image processing system includes at least one processor including hardware. The processor performs a process that acquires, as a processing target image sequence, images captured in a time series manner with an inside of a living body by an endoscope imaging device, a process based on a database generated by using a plurality of in-vivo images captured at earlier timings than timings at which the processing target image sequence is captured, and a process that determines, when a bleeding has been occurring inside the living body, a kind of a desirable bleeding stopping treatment for a blood vessel on which the bleeding has been occurring based on the processing target image sequence and the database to present, to a user, the determined type of the bleeding stopping treatment.

Abstract: A medical device for debridement can include an elongate housing, a shaft extending through the housing and distally therefrom, a drive to manipulate the cutter, and a collapsible handle than can to couple with the housing. An elongate grip of the handle can turn aft and be at least partially disposed in the elongate housing for use of the device with pen grip. The elongate grip of the handle can turn fore and extend distally from the housing for use of the device with pistol grip.

Abstract: A method performed by a computing system comprises receiving a fluoroscopic image of a patient anatomy while a portion of a medical instrument is positioned within the patient anatomy. The fluoroscopic image has a fluoroscopic frame of reference. The portion has a sensed position in an anatomic model frame of reference. The method further comprises identifying the portion in the fluoroscopic image and identifying an extracted position of the portion in the fluoroscopic frame of reference using the identified portion in the fluoroscopic image. The method further comprises registering the fluoroscopic frame of reference to the anatomic model frame of reference based on the sensed position of the portion and the extracted position of the portion.

Abstract: An instrument drive system configured to attach to an instrument channel of an endoscope assembly and manage a relative feed position of an instrument using two drive wheels and a device application in a controller. The instrument drive system is attached directly to the instrument channel of the endoscope assembly. operation of the instrument drive system is proximate to the endoscope assembly and an inputs-controls and a deflection control thereof.

Abstract: A method performed by a computing system comprises receiving a fluoroscopic image of a patient anatomy while a portion of a medical instrument is positioned within the patient anatomy. The fluoroscopic image has a fluoroscopic frame of reference. The portion has a sensed position in an anatomic model frame of reference. The method further comprises identifying the portion in the fluoroscopic image and identifying an extracted position of the portion in the fluoroscopic frame of reference using the identified portion in the fluoroscopic image. The method further comprises registering the fluoroscopic frame of reference to the anatomic model frame of reference based on the sensed position of the portion and the extracted position of the portion.

Abstract: A learning data creation apparatus, a method, a program, and a medical image recognition apparatus are provided. The learning data creation apparatus includes a first processor, and a memory that stores learning data for machine learning. The first processor acquires a first medical image from a modality, detects each of a target region and a reference region from the acquired first medical image, determines whether or not the detected target region and the reference region are in contact, measures a size of the target region based on a size of the reference region in a case where a contact is determined, and stores, in the memory, as the learning data, a pair of the first medical image including the target region of which the size is measured, and the measured size of the target region.

Abstract: A single-use electronic endoscope has a hub, a shaft extending from the hub, flexible or rigid as desired, and an expandable distal tip extending from the shaft. Within the distal tip, an image sensor provides a field of view external from the endoscope. Illuminating elements or light guides within the distal tip emit light to illuminate the field of view. The distal tip also has a variable profile working channel that permits tools to be passed from the hub and into the field of view. The expandable working channel changes cross-sectional shape from a generally noncircular shape to a shape to accommodate the cross-sectional shape of the tool when expanded.

Abstract: Disclosed herein are systems and techniques for compensating for insertion of an instrument into a working channel of another instrument in a surgical system. According to one embodiment, a method of compensation includes: detecting insertion of an insertable instrument into a working channel of a flexible instrument; detecting, based on a data signal from at least one sensor, a position change of a distal portion of the flexible instrument from an initial position: generating a control signal based on the detected position change; and adjusting a tensioning of a pull wire based on the control signal to return the distal portion to the initial position.

Abstract: A system comprises a processor and a memory storing computer-readable instructions that, when executed by the processor, cause the system to: define a subregion of a model of an anatomic region, the subregion including a plurality of virtual tissue structures and corresponding to an area surrounding a tip of an image capture probe located within the anatomic region; compare a tissue structure in an image received from the image capture probe to at least a portion of virtual tissue structures of the plurality of virtual tissue structures; based on the comparison, determine a respective similarity measure between the image and each virtual tissue structure; identify a closest matched virtual tissue structure based on the determined similarity measures; and based on identifying the closest matched virtual tissue structure, register the image to the model to determine a virtual position for the image capture probe with respect to the model.

Abstract: Apparatus comprising: a sleeve adapted to be slid over the exterior of an endoscope; a proximal balloon secured to the sleeve; an inflation/deflation tube carried by the sleeve and in fluid communication with the interior of the proximal balloon; a push tube slidably mounted to the sleeve; and a distal balloon secured to the distal end of the push tube, the interior of the distal balloon being in fluid communication with the push tube, wherein the distal balloon is capable of assuming a deflated condition and an inflated condition, and further wherein when the distal balloon is in its deflated condition, an axial opening extends therethrough, the axial opening being sized to receive the endoscope therein, and when the distal balloon is in its inflated condition, the axial opening is closed down.

Abstract: There is provided herein an optical system for a tip section of a multi-sensor endoscope, the system comprising: a front-pointing camera sensor; a front objective lens system; a side-pointing camera sensor; and a side objective lens system, wherein at least one of said front and side objective lens systems comprises a front and a rear sub-systems separated by a stop diaphragm, said front sub-system comprises, in order from the object side, a first front negative lens and a second front positive lens, said rear sub-system comprises, in order from the object side, a first rear positive lens, an achromatic sub-assembly comprising a second rear positive lens and a third rear negative lens, wherein the following condition is satisfied: f(first rear positive lens)?1.8f, where f is the composite focal length of the total lens system and f(first rear positive lens) is the focal length of said first rear positive lens.

Abstract: The present disclosure relates to an endoscopic surgery system, an image processing apparatus, and an image processing method that enable better endoscopic observation. Motion components at the time of imaging are estimated on the basis of an image captured by an endoscope, a degree of reliability indicating a degree that the motion components are motion components for the entire image is set, and a correction amount used when correction processing of correcting a blur is performed on the image is controlled according to the degree of reliability. For example, in a case where the motion components are single motion components, the degree of reliability is set to 1.0, and in a case where the motion components are a plurality of motion components, the degree of reliability is set to 0.0. The present technology can be applied to, for example, an endoscopic surgery system used in surgery using an endoscope.

Abstract: A method for identifying a connection between a first channel and at least one second channel located in a rinsing device. The method including: applying a first testing pressure to the first channel; reading in a first pressure signal representing a first pressure in the at least one second channel; and detecting the connection between the first channel and the at least second channel when the first pressure is one or more of at a predetermined first ratio to the testing pressure and above a predetermined first threshold.

Abstract: An articulated bending section body has a number of segments including a proximal end segment, a distal end segment and a number of intermediate segments. Each intermediate segment has a central passage adapted in cross-sectional shape to receive and support the exterior surface of a bendable tubular member providing a working channel of the endoscope. The cross-sectional shape includes a number of sectors of a circular periphery having a shared center and the same radius, the total length of the sectors being longer than half of the circular periphery. The cross-sectional shape comprises at least one outwardly extending lobe. The exterior surface of the bendable tubular member providing the working channel of the endoscope forms a closed lumen adjacent but separated from the working channel of the endoscope.

Abstract: A robotic surgical assembly includes a support, one macro-positioning arm, connected to the support and having a plurality of degrees of freedom. The macro-positioning arm includes a support member, at least two micro-positioning devices, each having a plurality of motorized degrees of freedom, connected in cascade to the support member of the macro-positioning arm, and at least two medical instruments. Each instrument is connected in cascade to each of the micro-positioning devices and includes a jointed device having a plurality of motorized degrees of freedom including a plurality of rotational joints. Each of the at least two medical instruments has a shaft, suitable for distancing the jointed device from the micro-positioning devices by a predetermined distance in a shaft direction (X-X).

Abstract: Disclosed herein are endoscope assemblies, and more particularly endoscopes with a working channel for use in hysteroscopy, and methods of use thereof. Devices and systems related to an integrated hysteroscopic treatment system including an endoscopic viewing system, a fluid management system, a resecting device and a controller for operating all the systems. Also disclosed are integrated hysteroscopic treatment systems that include an endoscopic viewing system, a fluid management system, a resecting device and a controller for operating all the systems.

Abstract: A method performed by a computing system comprises receiving a collected set of spatial information for a distal portion of an instrument at a plurality of locations within a set of anatomic passageways and receiving a set of position information for a reference portion of the instrument when the distal portion of the instrument is at each of the plurality of locations. The method also comprises determining a reference set of spatial information for the distal portion of the instrument based on the collected set of spatial information and the set of position information for the reference portion of the instrument and registering the reference set of spatial information with a set of anatomical model information.

Abstract: One objective is to provide an image processing device, a control method, and a storage medium capable of suitably presenting information about a position currently being photographed in endoscopic inspection. To achieve the objective, the image processing device 1X includes a panoramic image acquiring unit 43X and a display control unit 46X. The panoramic image acquiring unit 43X acquires a panoramic image Ip, in which a wall surface in a lumen is expanded in a planar shape, based on plural captured images Ic which were acquired by photographing the lumen by a photographing unit provided in an endoscope in a first photographing process. The display control unit 46X displays on the display device 2 photographed position information relating to a photographed position of the lumen in a second photographing process in association with the panoramic image Ip.

Abstract: An endoscope insertion shape observation apparatus includes a processor, and the processor: detects a travelling direction of a first position detection member and a travelling direction of a second position detection member out of plural position detection members provided in an insertion portion inserted into a lumen of a subject, the first position detection member being provided on a distal end side of a bending portion of the insertion portion, the second position detection member being provided on a proximal end side of the bending portion; detects a stretch start timing in which the lumen starts stretching, based on detection results of the travelling directions and finds position coordinates of a predetermined position of the bending portion in the detected stretch start timing as a manual compression point; and causes a compression position display that indicates the position found as the manual compression point to be presented on a monitor.

Abstract: A method and medical system for estimating the deformation of an anatomic structure that comprises generating a first model of at least one anatomical passageway from anatomical data describing a patient anatomy and determining a shape of a device positioned within the branched anatomical passageways. The method and medical system also comprise generating a second model of the plurality of branched anatomical passageways by adjusting the first model relative to the determined shape of the device.

Abstract: A platform and methods of use, for providing active, pre-determined, fully controlled, precise delivery of nano- or micro-particles in biological tissue. The platform comprises the following modules: (A) one or more nano- or micro-particles comprising embedded logic and various MEM components; (B) a delivery and retraction module, configured to deliver and retract the particles; (C) an external signal generator; (D) an imaging module, configured to monitor said particles; and (E) an integration module configured to receive inputs from other modules and provide output control commands to other modules. The modules are configured to interact/communicate with each other and are internally controlled, externally controlled or both.

Abstract: A surgical visualization system may be field programmable. The surgical visualization system may include a field programable gate array (FPGA) and a processor. The FPGA may be configured to transform sensor information of backscattered laser light into real-time information of particle movement (e.g., blood cells) in a portion of a surgical field. The processor may be configured to receive an input and, based on that input, to reconfigure the logic elements of the FPGA, changing the operation of the FPGA from a first transform to a second transform. For example, the logic elements of the FPGA may be configured to assess particle movement at a selectable depth and then reconfigured, at the request of a surgeon, to assess aggregate particle movement over multiple depths.

Abstract: In some embodiments, an apparatus can include a robotic arm cart for transporting, delivering, and securing robotic arms to a surgical table having a table top. The arm cart can include an arm container and a base. The arm container can be configured to receive and contain one or more robotic arms. The arm cart can include a first coupling member configured to engage with a second coupling member associated with a surgical table such that, when the first coupling member is engaged with the second coupling member, the one or more robotic arms can be releasably coupled with the surgical table. The arm cart can provide for movement of the one or more robotic arms in at least one of a lateral, longitudinal, or vertical direction relative to the table top prior to the securement of the one or more robotic arms to the surgical table.

Abstract: A system for controlled sympathectomy procedures is disclosed. A system for controlled micro ablation procedures is disclosed. Methods for performing a controlled surgical procedure are disclosed. A system for performing controlled surgical procedures in a minimally invasive manner is disclosed. An implantable device for monitoring and/or performing a neuromodulation procedure is disclosed.

Abstract: Improved ingestible event markers are provided. Aspects of the markers may include the presence of a matrix layer that includes a binder and source of an electron acceptor. Alternatively or in addition to the matrix layer, aspects of the markers may include a large surface area electrode having a surface area that exceeds the surface area of the circuitry of the marker. Aspects further include methods of making and using the ingestible event markers.

Abstract: Disclosed is a system and method for tracking an instrument. The instrument may be tracked with one or more trackable members. The trackable members may be held relative to a handle to which the instrument is attached.

Abstract: A compact multi-lumened hysteroscope, a single-use tissue resector, and a medical system employing the same for diagnosis and therapeutic treatment of uterine tissue, such as polyps and fibroids.

Abstract: The present invention provides a mechanism which can avoid narrowing of a range in which a continuum robot can be driven and suppress damage to the continuum robot and an object. A continuum robot control apparatus controlling an operation of a continuum robot having a bendable portion bending in response to driving of at least some of a plurality of wires includes an external force estimating unit configured to estimate an external force applied to the bendable portion based on compressive/tensile forces applied to two or more wires of the plurality of wires, and a driving control unit configured to control driving of the wires to be driven based on the external force estimated by the external force estimating unit.

Abstract: Endoscopic image analysis, endoscopic procedure analysis, and/or component control systems, methods and techniques are disclosed that can analyze images of an endoscopic system and/or affect an endoscopic system to enhance operation, user and patient experience, and usability of image data and other case data.

Abstract: A system, method, and apparatus for a robot system that manipulates the surface of an object effect programmed manipulation goals such as reaching specific locations on the surface of the object, displacing the surface of the object, applying a predetermined force and torque to the surface of the object, dynamically changing the contact point between the robot and the object, and applying force to structures below the surface of the object. The system and method determine the state of the object through a sensing method that includes, without limitation: torque and force measurement, visible light sensors, range and depth sensors, ultrasound sensors, thermographic sensors, and worktable force measurement.

Abstract: A mediated-reality system for surgical applications incorporates pre-operative images and real-time captured images of a surgical site into a visualization presented on a head-mounted display worn by a surgeon during a surgical procedure. The mediated-reality system tracks the surgeon's head position and generates real-time images of the surgical site from a virtual camera perspective corresponding to the surgeon's head position to mimic the natural viewpoint of the surgeon. The mediated-reality system furthermore aligns the pre-operative images with the real-time images from the virtual camera perspective and presents a mediated-reality visualization of the surgical site with the aligned pre-operative three-dimensional images or a selected portion thereof overlaid on the real-time images representing the virtual camera perspective.

Abstract: A system comprises a medical tool including a shaft having proximal and distal ends and an articulatable distal portion coupled to the distal end of the shaft. The system also comprises a processing unit including one or more processors. The processing unit is configured to determine a target in a medical environment. The articulatable distal portion is directed toward the target. The processing unit is also configured to determine a motion of at least a portion of the shaft, and in response to the determined motion, control a pose of the articulatable distal portion so that the articulatable distal portion remains directed toward the target.

Abstract: An endoscope includes an insertion portion, a distal end rigid member, and a channel tube. The distal end rigid member is provided on a distal end side with respect to the bending portion of the insertion portion, and includes an illumination window, an observation window, and a treatment instrument opening. As the distal end rigid member moves relative to the bending portion in a distal end direction of a longitudinal axial direction, the distal end rigid member can change from a first state in which a distance between a proximal end surface of the distal end rigid member and a distal end surface of the bending portion is fixed to a first distance to a second state in which the distance is equal to a second distance longer than the first distance.

Abstract: The present invention relates to a system and a method for calibration between coordinate systems of a 3D camera and a medical imaging apparatus. The calibration system includes a calibration tool having markers and a reference point that is aligned with a center of the medical imaging apparatus to serve as an origin of the coordinate system. Positions of the markers in the coordinate system of the medical imaging apparatus are calculated according to relative positions of the markers with respect to the reference point. A 3D camera captures images to determine positions of the markers in the coordinate system of the 3D camera. A calculation device calibrates the coordinate system of the 3D camera and the coordinate system of the medical imaging apparatus using the positions of the markers in the coordinate system of the 3D camera and the p in the coordinate system of the medical imaging apparatus.

Abstract: The various inventions relate to robotic surgical devices, consoles for operating such surgical devices, operating theaters in which the various devices can be used, insertion systems for inserting and using the surgical devices, and related methods. A positionable camera is disposed therein, and the system is configured to execute a tracking and positioning algorithm to re-position and re-orient the camera tip.

Abstract: A processor of an operation supporting device acquires pre-operation data including position information of a feature portion of an inside of a body cavity of a subject, which is generated before an operation, and a procedure in the operation, which is planned before the operation, and acquires an endoscope image generated in the operation. The processor generates real-time data including real-time position information of the feature portion of the inside of the body cavity, based at least on the pre-operation data and the endoscope image, and generates an image to be displayed on the endoscope image in a superimposed manner, based on the real-time data. The processor recognizes a real-time scene based at least on the procedure planned before the operation and the real-time data.

Abstract: A plurality of devices that provide examination/diagnosis and/or treatment benefits to a patient are presented. The device including a plurality of light sources that provide for the emission of light in a plurality of wavelength ranges, wherein the plurality of light sources are activated by a sensor, configured to determine a proximity of the device to a patient, to control an application of a voltage to selected one of the plurality of light sources for a predetermined time period.

Abstract: An imaging system includes: a solid-state imaging device that transmits an imaging signal of a continuous image that has been captured; and a control device that processes the imaging signal transmitted from the solid-state imaging device, and to control an operation of the solid-state imaging device. The solid-state imaging device includes: a pixel unit that acquires the imaging signal; a register that stores a setting value that defines the operation of the solid-state imaging device; a processing circuit that converts the imaging signal into a digital imaging signal; a frame configuration circuit that generates a serial digital transmission signal that is acquired by embedding a synchronizing signal synchronized with a horizontal synchronizing signal of the captured image in the digital imaging signal as a first serial clock signal; and a data transmission unit that transmits data of the digital transmission signal.

Abstract: Certain aspects relate to systems and techniques for navigation path tracing. In one aspect, a system displays a preoperative model of a luminal network is displayed. The system determines a position of an instrument within the luminal network relative to the preoperative model. Based on the position of the instrument relative to the preoperative model, the system determines whether to enter a path tracing mode. In path tracing mode the system displays visual indicia indicative of a path of the instrument with respect to the displayed preoperative model. The visual indicia may be used to visual the navigation path of the instrument and/or to extend the preoperative model.