Abstract: MRI compatible localization and/or guidance systems for facilitating placement of an interventional therapy and/or device in vivo include: (a) a mount adapted for fixation to a patient; (b) a targeting cannula with a lumen configured to attach to the mount so as to be able to controllably translate in at least three dimensions; and (c) an elongate probe configured to snugly slidably advance and retract in the targeting cannula lumen, the elongate probe comprising at least one of a stimulation or recording electrode. In operation, the targeting cannula can be aligned with a first trajectory and positionally adjusted to provide a desired internal access path to a target location with a corresponding trajectory for the elongate probe. Automated systems for determining an MR scan plane associated with a trajectory and for determining mount adjustments are also described.

Abstract: A surgical implant planning computer positions an implant device relative to a bone of a patient. An initial image of a bone is obtained. An initial location data structure is obtained that contains data defining mapping between locations on the implant device and corresponding locations relative to the bone in the initial image. A target image of the bone of the patient is obtained. A transformation matrix is generated that transforms a contour of a portion of the bone in the initial image to satisfy a defined rule for conforming to a contour of a corresponding portion of the bone in the target image. A transformed location data structure is generated based on applying the transformation matrix to the initial location data structure. A graphical representation of the implant device is displayed overlaid at locations on the target image of the bone determined based on the transformed location data structure.

Abstract: A system and method for navigating to a target site in a patient is provided. The system includes an extended working channel and a tool usable with an electromagnetic navigation system. In particular, the extended working channel and the tool contain an electromagnetic sensor configured to provide location information within a patient of the extended working channel and the tool to the electromagnetic navigation system. The distance from the tool and the target site can then be determined and displayed to a clinician on a display device.

Abstract: An automatic detection of surgical instruments with respect to a type and a location thereof is provided with a detection system, which includes at least two surgical instruments, which each include at least one cavity extending along a longitudinal axis of the instrument and a proximal entry region to the cavity. An angle of the proximal entry region in relation to the longitudinal extension of the cavity is different in the two instruments. A sensor unit includes two electromagnetic sensors and is insertable into the cavity. One of the sensors extends axially in the cavity, and the other sensor is arranged in the entry region. A field generator generates an electromagnetic field. An analysis unit analyzes signals transmitted by the sensors to the analysis unit in accordance with the location thereof in the field of the field generator.

Abstract: An apparatus in a radiation therapy system includes: a base configured to support a first quality assurance phantom at a first position and a second quality assurance phantom at a second position; and at least one coupling element. The at least one coupling element is configured to: mate with at least one indexing feature of a first patient treatment couch of the radiation therapy system; and fix a position of the base relative to the first patient treatment couch.

Abstract: Techniques are disclosed for learning a machine learning model that maps control data, such as renderings of skeletons, and associated three-dimensional (3D) information to two-dimensional (2D) renderings of a character. The machine learning model may be an adaptation of the U-Net architecture that accounts for 3D information and is trained using a perceptual loss between images generated by the machine learning model and ground truth images. Once trained, the machine learning model may be used to animate a character, such as in the context of previsualization or a video game, based on control of associated control points.

Abstract: A virtual model a planned instrument attachment can be provided to ensure correct selection of a physical instrument attachment. An XR headset controller can generate a shape and a pose of the virtual model of the planned instrument attachment based on predetermined information associated with the planned instrument attachment and based on a pose of an instrument relative to the XR headset. An XR headset can display the virtual model on a see-through display screen of the XR headset that is configured to allow at least a portion of a real-world scene to pass therethrough.

Abstract: A microwave power control device can include: a microwave signal generator and a signal distribution circuitry connected to the microwave signal generator. The microwave signal generator is configured to generate microwave signals and transmit the microwave signals to the signal distribution circuitry; and the signal distribution circuitry is configured to distribute the microwave signals to n accelerating tubes according to a target microwave power distribution ratio, n being an integer greater than or equal to 2.

Abstract: Certain embodiments include a method for assisting a clinician in performing a medical procedure on a patient using augmented reality guidance. The method can include obtaining a three-dimensional model of an anatomic part of the patient. The method can also include aligning the three-dimensional model with data to form augmented reality guidance for the medical procedure. In addition, the method can include presenting the augmented reality guidance to the clinician during the medical procedure using an augmented reality three-dimensional display.

Abstract: A first acquisition unit acquires the current position of a carriage unit as information regarding the travel environment of the carriage unit. A second acquisition unit acquires a first upper limit value of the travel speed as appropriate travel conditions of the carriage unit corresponding to the current position acquired by the first acquisition unit. A third acquisition unit acquires a first measurement value of the travel speed as information regarding the travel state of the carriage unit. A travel state correction controller performs travel state correction control to make a correction to a travel state satisfying the appropriate travel conditions in a case where the travel state acquired by the third acquisition unit deviates from the appropriate travel conditions acquired by the second acquisition unit. That is, the travel state correction controller reduces the travel speed of the carriage unit in a case where the first measurement value exceeds the first upper limit value.

Abstract: A surgical arm is presented. The surgical arm comprises a first interface configured to receive a device for performing or assisting a surgical procedure and multiple adjustment members configured to adjust the surgical arm relative to a respective adjustment axis. The surgical arm further comprises at least two operating members configured to operate different ones of the adjustment members wherein the operating members are marked with different visual codings. Further a method for providing visual guidance for operating the surgical arm according to a pre-determined surgical approach is presented.

Abstract: A treatment method is disclosed capable of reducing the burden on a patient and enhancing the effect of killing tumor cells. The method includes administering an antibody-photosensitive substance into a vein; inserting an endoscope from a mouth, a nose, or an anus and bringing the endoscope to a vicinity of a tumor after the administering of the antibody-photosensitive substance into the vein; placing an optical fiber into the tumor or in the vicinity of the tumor; irradiating at least one of the tumor, the vicinity of the tumor, or a regional lymph node with a first near-infrared ray by the optical fiber; and irradiating the antibody-photosensitive substance bound to a tumor cell membrane in the tumor cell with a second near-infrared ray after the irradiating with the first near-infrared ray, the second near-infrared ray having a shorter wavelength than that of the first near-infrared ray.

Abstract: Devices, systems, and methods for catheterization through angionavigation, cardionavigation, or brain navigation to diagnose or treat diseased areas through direct imaging using tracking, such as radiofrequency, infrared, or ultrasound tracking, of the catheter through the patient's vascular anatomy. A steerable catheter with six degrees of freedom having at least a camera and fiber optic bundle, and one or more active or passive electromagnetic tracking sensors located on the catheter is guided through the vascular system under direct imaging. The direct imaging can be assisted with at least one of MRA imaging, CT angiography imaging, or 3DRA imaging as the roadmap acquired prior to or during 3D stereoangiovision. The system comprises RF transceivers to provide positioning information from the sensors, a processor executing navigation software to fuse the tracking information from the tracking sensors with the imaging roadmap, and a display to display the location of the catheter on the roadmap.

Abstract: A medical instrument includes a first device (108) including shape-sensed flexible instrument, a second device (102) disposed over the first device and a third device (109) disposed over the first device and a portion of the second device. The second and third devices include a geometric relationship such that a position of the second device and the third device is determined from shape sensing information of the first device and the geometric relationship.

Abstract: Embodiments of the present invention provide devices (tags), systems, and methods to determine structural integrity and other states of orthodontic-elements, such as orthodontic-brackets, orthodontic-archwires, orthodontic-expanders, orthodontic-elastic-bands, and orthodontic-power-chains, to name a few, in a non-invasive and contactless way, with respect to monitoring; and using comparatively safe and/or low energy electromagnetic radiation, such as radio waves. Negligible-sized backscatter-tags with sensors are implanted in or attached to such orthodontic-elements. Such arrangements may permit monitoring of forces acting on teeth by various orthodontic-elements. Using backscatter imaging technology, the structural integrity and other states of the orthodontic-elements may be monitored; which may allow non-invasive and contactless detection of problems such as cracking, bending, excessive pressure, improper temperature, and/or the like.

Abstract: A surgical instrument adaptor comprises a member including a first mating surface that is removably attachable with a surgical instrument and a second mating surface that is connectable with an actuator. An image guide is attachable with the member and oriented relative to a sensor to communicate a signal representative of a position of the surgical instrument. Systems, surgical instruments, spinal implants and methods are disclosed.

Abstract: A controller (240/340) for simultaneously tracking multiple interventional medical devices includes a memory (242/342) that stores instructions and a processor (241/341) that executes the instructions. When executed by the processor (241/341), the instructions cause the controller to execute a process that includes receiving timing information from a first signal emitted from an ultrasound probe (252/352) and reflective of timing when the ultrasound probe (252/352) transmits ultrasound beams to generate ultrasound imagery. The process executed by the controller also includes forwarding the timing information to be available for use by a first acquisition electronic component (232/332). The first acquisition electronic component (232/332) also receives sensor information from a first passive ultrasound sensor (S1) on a first interventional medical device (212/312).

Abstract: A medical imaging system including a microwave antenna array having a transmitting antenna and a plurality of receiving antennae, wherein the transmitting antenna is configured to transmit microwave signals so as to illuminate a body part of a patient and the receiving antennae are configured to receive the microwave signals following scattering within the body part; a processor configured to process the scattered microwave signals and generate an output indicative of the internal structure of the body part to identify a region of interest within the body part; and a biopsy device comprising a biopsy needle movable relative to the microwave antenna array; wherein the receiving antennae are further configured to receive microwave signals scattered or emitted by the biopsy needle and the processor is further configured to monitor a position of the biopsy needle and to guide the biopsy needle to the identified region of interest within the body part.

Abstract: An embodiment in accordance with the present invention provides a robot structure that includes an MRI-Safe pneumatic stepper motor and optical encoding technologies. The present invention includes a needle guide and a needle depth limiter. The needle for biopsy is inserted through the needle guide and the depth of inserting is limited by the needle depth limiter. The robot is configured to control this procedure. The robot structure is adapted for biopsy, a novel way of setting the depth of needle insertion, image-to-robot registration. The system includes control for the robot.

Abstract: A surgical implant planning computer positions an implant device relative to a bone of a patient. An initial image of a bone is obtained. An initial location data structure is obtained that contains data defining mapping between locations on the implant device and corresponding locations relative to the bone in the initial image. A target image of the bone of the patient is obtained. A transformation matrix is generated that transforms a contour of a portion of the bone in the initial image to satisfy a defined rule for conforming to a contour of a corresponding portion of the bone in the target image. A transformed location data structure is generated based on applying the transformation matrix to the initial location data structure. A graphical representation of the implant device is displayed overlaid at locations on the target image of the bone determined based on the transformed location data structure.

Abstract: A virtual model a planned instrument attachment can be provided to ensure correct selection of a physical instrument attachment. An XR headset controller can generate a shape and a pose of the virtual model of the planned instrument attachment based on predetermined information associated with the planned instrument attachment and based on a pose of an instrument relative to the XR headset. An XR headset can display the virtual model on a see-through display screen of the XR headset that is configured to allow at least a portion of a real-world scene to pass therethrough.

Abstract: A tool for positioning a workpiece with a surgical robot. The tool comprises a mount adapted to attach to the surgical robot. A first assembly is provided and extends along an axis. A pivot bearing is coupled to the mount and supports the first assembly for rotation and translation about the axis and for at least partial articulation relative to the mount. A second assembly is provided and comprises an interface adapted to attach to the workpiece. One of the first assembly and the second assembly comprises a coupler and the other of the first assembly and the second assembly comprises a receiver shaped to engage the coupler to align the second assembly and the first assembly along the axis.

Abstract: An attachment mechanism for a rotating surgical tool includes a mounting body defining a tool passage therein and configured for connection to a non-rotational component of the surgical tool, such that the tool passage is concentric about a rotational component of the surgical tool. The attachment mechanism further includes a ring arranged around the tool passage and rotatably connected to the mounting body. A mounting arm is attached to the ring such that rotation of the ring relative to the mounting body sets a desired circumferential position of the mounting arm relative to the tool passage, the mounting arm being configured to receive a tracking system emitter. An engagement mechanism is operable between the ring and the mounting body to maintain the desired circumferential position of the mounting arm.

Abstract: A system and method for navigating to a target site in a patient is provided. The system includes an extended working channel and a tool usable with an electromagnetic navigation system. In particular, the extended working channel and the tool contain an electromagnetic sensor configured to provide location information within a patient of the extended working channel and the tool to the electromagnetic navigation system. The distance from the tool and the target site can then be determined and displayed to a clinician on a display device.

Abstract: The present invention relates to an integrated system and method for in-situ 3-axis scanning and detecting defects in a CFRP composite (150) being loaded under static and cyclic test conditions. The system comprises a test system integrated with (10) a scanning system (20) that comprises a probe assembly (52) to generate eddy current on the surface of the CFRP composite (150) mounted on the test system, and a 3D scanner assembly (60) for movement of the probe assembly (50) over the entire surface area of the CFRP composite (150) along X-axis, Y-axis and Z-axis. An operator console (70) is connected to the test system and the scanning system (20) for controlling (3) mechanical test process in the test system and for controlling 3-dimensional movement of the probe assembly (52) along X-axis, Y-axis and Z-axis in a synchronous manner.

Abstract: A head-mounted display device interfaces with a medical device configured to perform an invasive procedure on a patient. The display device includes a frame for mounting on a person's head, a display, a wireless transceiver configured to communicate with a network, and a processing circuit. The processing circuit is coupled to the frame, the display and the wireless transceiver and receives input data relating to the medical device. The processing circuit retrieves from a memory an instruction relating to the medical device based on the input data and displays the instruction relating to the medical device on the display.

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: Methods, systems, and techniques are provided to a position determination device for determining a position of an instrument within a tubular structure. The position determination device comprises a first curvature values providing unit for providing first curvature values being indicative of first curvatures of the tubular structure at several first locations along the tubular structure and a second curvature values providing unit for providing second curvature values being indicative of second curvatures of the instrument at several second locations along the instrument. A position determination unit determines the position of the instrument within the tubular structure based on the first and second curvature values.

Abstract: A surgical instrument comprises a member defining a longitudinal axis and is connectable with a spinal implant. The member is connected to a handle disposed transverse relative to the axis and rotatable about the axis. An image guide is connected with the member and oriented relative to a sensor to communicate a signal representative of a position of the spinal implant. Systems, implants, spinal constructs and methods are disclosed.

Abstract: Devices and systems can be configured to guide an instrument to a target region. The guide system may include an imaging guide including a first segment, the first segment including a guide region and imaging coils surrounding the guide region; and a platform. The platform may include a first rail, a second rail disposed parallel to the first rail, and a positioning member disposed between the first rail and the second rail. The positioning member may include a positioning frame having an entry region. The positioning frame may be movably disposed with respect to the first and second rails in a first direction and a second direction that is perpendicular to the first direction. The platform may be disposed with respect to the imaging guide so that a position of the entry region is within the guide region.

Abstract: A system for tracking a piece of medical equipment intraoperatively using a collinear array of fiducial markers positioned at known fixed distances relative to each other on the medical equipment and a camera capturing an image on a single image plane. Representations of the fiducial markers are segmented from a captured image, 3D orientation and position of the medical equipment are calculated using the segmented representations, and the orientation and position of the medical equipment are tracked relative to the camera. The orientation and position of the medical equipment may be registered within a 3D virtual space. The system may be used as part of a surgical navigation system.

Abstract: Methods and systems are provided herein for a surgical optical system having a heads up display including, in accordance with various embodiments, an optical device, an image sensor optically coupled to the optical device to acquire image data from a field of view of the optical device, and a display device configured to display an acquired image representing the image data acquired by the image sensor.

Abstract: A surgical instrument adaptor comprises a member including a first mating surface that is removably attachable with a surgical instrument and a second mating surface that is connectable with an actuator. An image guide is attachable with the member and oriented relative to a sensor to communicate a signal representative of a position of the surgical instrument. Systems, surgical instruments, spinal implants and methods are disclosed.

Abstract: Three-dimensional imaging of a breast tissue is achieved by acquiring a series of X-ray projection images from various angles. A three-dimensional image constructed from the projection images by a computer provides information to the operator to select a coordinate point within the breast from which to obtain a biopsy sample. Acquisition of projection images and construction of three-dimensional images is continued during the insertion of the needle into the breast, during positioning the needle towards the coordinate point, during the sampling and after the sampling. The advantages of utilizing tomosynthesis for breast tissue imaging over stereo imaging include better image quality, easier coordinate measurements within a tissue, ease of use of the equipment by the medical personnel, and fewer image artifact problems.

Abstract: Systems and methods are disclosed for practicing suturing techniques on a training apparatus using a training tool. The training apparatus can include a three-dimensional tracking system to detect a position of the training tool. A processing unit can process the positional data to determine one or more performance parameters. The performance parameters can be output to a display.

Abstract: The present disclosure is directed to augmented reality navigation systems and methods of their use that, inter alia, address the need for systems and methods of robotic surgical system navigation with reduced distraction to surgeons. Augmented reality navigation systems disclosed herein enable a surgeon to maintain focus on a surgical site and/or surgical tool being used in a surgical procedure while obtaining a wide range of navigational information relevant to the procedure. Navigational information can appear in the augmented reality navigation system as being presented on virtual displays that sit in a natural field of view of a surgeon during a procedure. Navigational information can also appear to be overlaid over a patient's anatomy. Augmented reality navigation systems comprise a head mounted display comprising an at least partially transparent display screen, at least one detector connected to the head mounted display for identifying real-world features, and a computer subsystem.

Abstract: An apparatus includes a body, an upright member, a frame, and a plurality of field generating elements. The body is configured to be positioned between a patient's back and a backrest of a chair. The upright member extends upwardly from the body. The frame has a curved configuration configured to partially surround a patient's head. The field generating elements are configured to generate an electromagnetic field around a patient's head partially surrounded by the frame.

Abstract: In one aspect, a medical tracking system is described. The medical tracking system includes a first tracking system providing a first tracking region. The first tracking system is configured to track a tracked instrument within the first tracking region. The medical tracking system further includes a second tracking system providing a second tracking region. The second tracking system is configured to track the tracked instrument within the second tracking region. The medical tracking system also includes a processor coupled to the first tracking system and the second tracking system. The processor is configured to determine, based on data received from the first tracking system and data received from the second tracking system, transposition information to map data received from the first tracking system and data received from the second tracking system into a common space.

Abstract: Disclosed is a method for determining the relative arrangement of patient's jaws in a bite position when the patient's occlusion is not defined by natural teeth alone, where the method includes a step of obtaining a digital 3D representation including both surface data relating to dental tissue in one of the patient's jaws and surface data relating to a scan appliance arranged in relation to the jaw, where the scan appliance is configured for at least partly defining the patient's occlusion.

Abstract: A surgical instrument comprises a member connected with a spinal implant defining an axis. A first image guide is connected with the member and oriented relative to a sensor to communicate a signal representative of a position of the member. A second image guide is connected with the member and oriented to represent an angle measuring a second orientation of the axis relative to a first orientation. Systems, implants and methods are disclosed.

Abstract: A surgical instrument comprises an outer sleeve including an inner surface that defines a cavity. An inner shaft is fixed with the outer sleeve and extending within the cavity. The inner shaft includes a drive engageable with a first mating surface of a bone fastener. An inner sleeve is disposed between the inner shaft and the outer sleeve. The inner sleeve is rotatable relative to the outer sleeve and includes an element connectable with a second mating surface of the bone fastener. Systems, spinal implants and methods are disclosed.

Abstract: An attachment mechanism for a rotating surgical tool includes a mounting body defining a tool passage therein and configured for connection to a non-rotational component of the surgical tool, such that the tool passage is concentric about a rotational component of the surgical tool. The attachment mechanism further includes a ring arranged around the tool passage and rotatably connected to the mounting body. A mounting arm is attached to the ring such that rotation of the ring relative to the mounting body sets a desired circumferential position of the mounting arm relative to the tool passage, the mounting arm being configured to receive a tracking system emitter. An engagement mechanism is operable between the ring and the mounting body to maintain the desired circumferential position of the mounting arm.

Abstract: Methods and systems for providing navigational feedback during a surgical procedure. A user interface is displayed on a display for viewing position and orientation of a surgical tool in a surgical field during the surgical procedure. The position and orientation of the surgical tool is tracked by a medical navigation system coupled to the processor. The user interface includes a virtual representation of the surgical tool superimposed on an image of the surgical field. A selected intraoperative position and orientation of the surgical tool is used to intraoperatively create and store a waypoint in memory. Feedback is provided to indicate the stored position and orientation of the waypoint.

Abstract: A teleoperational medical system for performing a medical procedure in a surgical field includes a teleoperational assembly having a plurality of motorized surgical arms configured to assist in a surgical procedure. The motorized surgical arms have a motion limit defining a boundary beyond which the surgical arm cannot pass when the surgical arm is attached to a patient. The teleoperational medical system also includes a control system having a surgical threshold limit stored therein. The surgical threshold limit is an edge of a boundary to be potentially travelled by the surgical arm to suitably perform a surgical procedure. The control system is configured to compare the motion limit to the surgical threshold limit and notify an operator via an output device when the threshold limit is outside a range of motion bounded by the motion limit.

Abstract: In at least one embodiment, a method of surgical navigation is provided. The method includes receiving an external three-dimensional model of a surgical site from the viewpoint of a headset, wherein the external three-dimensional model is derived from reflected light. The method further includes aligning the external three-dimensional model with an internal three-dimensional model of the surgical site from the viewpoint of the headset, wherein the internal three-dimensional model is derived from medical imaging, and generating an aligned view. The method further includes providing the aligned view to the headset, and updating the aligned view in real-time while the headset is moved or the surgical site is moved or modified during a surgical procedure.

Abstract: A surgical instrument system includes a tool (2) including an elongate shaft which defines the tool axis. The shaft bears a plurality of marker rings (10, 11, 12) arranged in a predetermined pattern on the surface of the shaft so that they extend around the shaft axis. The system includes at least two receiving devices (14) which are spaced apart for receiving stereoscopic signals from the rings on the tool, and a data processor (16) for analyzing the signal from the rings and generating information relating to the position and orientation of the tool relative to the receiving device.

Abstract: Image data can be obtained with an imaging device. A location of the imaging device relative to a subject can be determined. A location of an instrument can be tracked relative to the subject using two or more tracking systems operating with different tracking modalities. Also, the tracked location of the instrument can be illustrated relative to the image data.

Abstract: Techniques and systems for determining a head position of a patient and controlling delivery of electrical stimulation to a target stimulation site based on the determined head position are described. In some examples, movement of the head of the patient may result in movement of a lead, through which the electrical stimulation may be delivered, relative to the target stimulation site. Thus, controlling delivery of the electrical stimulation based on the head position may improve the efficiency and efficacy of the electrical stimulation therapy.

Abstract: A method for calculating a motion vector field (MVF) in a reconstructed CT scan image, comprises: determining a region of interest (ROI) based on a vessel centreline in a first reconstructed CT scan image, wherein a motion vector field (MVF) for the ROI is to be calculated; determining at least two time control points for calculating the MVF; calculating a motion level factor of the ROI; calculating motion amounts of the MVF corresponding to each of the time control points; determining the direction of the MVF of the ROI; and calculating the MVF of the ROI according to the motion level factor, the motion amounts of the MVF corresponding to each of the time control points and the direction of the MVF.

Abstract: To connect conventional or laparoscopic instruments to a robot that can be used for medical applications, there can be a device that has a first and a second circular cylinder segment having a continuous center bore is connected with the angled first segment affixed to the free end of a robot arm. This connection can be by way of an articulated joint that can be rotated by 180°. On one end surface of the second segment, there can be a third segment in the form of a flange, having a bore that is coaxial with the continuous center bore in the second segment. There is also a rolling joint which can be used to allow the device to rotate. Around the bore of the flange, there can be supply technology and data technology connection elements and a locking mechanism for coupling end effectors on and off.