Abstract: A system and method of recentering imaging devices and input controls includes a medical device having one or more end effectors, an imaging device, one or more input controls for teleoperating the one or more end effectors, and a control unit including one or more processors coupled to the end effectors, the imaging device, and the input controls. The control unit suspends teleoperated control of the end effectors by the input controls in response to a recentering request, determines a view recentering move for the imaging device so that the end effectors are contained within a view space of the imaging device, determines one or more input control recentering moves to provide positional and orientational harmony between each of the input controls and a corresponding one of the end effectors, executes the view and input control recentering moves, and reinstates teleoperated control of the end effectors by the input controls.

Abstract: System and methods of controlling a robotic system for manipulating anatomy of a patient during a surgical procedure include applying a force to the anatomy to generate a response by the anatomy. The response of the anatomy is measured and a characteristic of the anatomy is calculated based on the response. An instrument is autonomously controlled in relation to the anatomy based on the calculated characteristic.

Abstract: An end effector of a surgical tool may include a housing, a jaw support shaft, jaw members, an articulation member, and cam pulleys. The jaw members may be supported on the support shaft and may be pivotable about a pivot axis. The articulation member may have a slot and include articulation pins extending from it that are coupled to the jaw members. The slot may be adapted to receive the jaw support shaft to support the articulation member between the jaw members. The articulation member may be rotatable about the jaw support shaft to articulate the jaw members relative to the longitudinal axis. The cam pulleys may be mounted to the housing and coupled to the jaw members. The cam pulleys may be rotatable about the pivot axis to pivot the pair of jaw members between open and closed conditions.

Abstract: A shaft for a medical instrument for a minimally invasive procedure includes a proximal end that is mechanically connectable or connected with an operational device and a distal end that is connectable or connected with a tool, whereby the shaft comprises a bent portion and whereby no plane exists from which the center points of all cross-sections of the shaft are at a lesser distance than one-third of a diameter of the shaft.

Abstract: A remote center manipulator for use in minimally invasive robotic surgery includes a base link held stationary relative to a patient, an instrument holder, and a linkage coupling the instrument holder to the base link. First and second links of the linkage are coupled to limit motion of the second link to rotation about a first axis intersecting a remote center of manipulation. A parallelogram linkage portion of the linkage pitches the instrument holder around a second axis that intersects the remote center of manipulation. The second axis is angularly offset from the first axis by a non-zero angle other than 90 degrees.

Abstract: A robotic surgical system including a control system that controls the movement of a robotic arm is described. The robotic arm can be coupled to a tool assembly that includes an end effector positioned at a distal end of a shaft. The control system can assist with controlling the movement of the end effector and any tooling (e.g., cutting tool, boring tool, jaws, etc.) associated with the end effector, such as for either cutting through tissue or controlling a tension in the tissue. The tool assembly can include one or more sensors that measure a variety of forces or velocities associated with either the robotic arm or end effector. The control system can collect and monitor such sensed forces and velocities to determine and control one or more appropriate movement parameters associated with the robotic arm thereby controlling the cutting of tissue and preventing unwanted cutting of tissue. Furthermore, movement parameters associated with more than one robotic arm can be controlled by the control system.

Abstract: The present invention relates to a system (10) for guiding an instrument (12, 100, 100A, 100B, 112) in a body (14). The system (10) records an image where the instrument (12, 100, 100A,100B, 112) is identifiable and the instrument (12, 100, 100A, 100B, 112) records signals indicative of the type of tissue at the instrument (12, 100, 100A, 100B, 112). The system (10) determines the tissue type based on a signal from the instrument (12, 100, 100A, 100B, 112). The system (10) displays an image being a combined image of the body (14) and instrument (12, 100, 100A, 100B, 112) and an indication of tissue type at a position where the tissue type was determined. The present invention further relates to a method of displaying an image comprising tissue-type and instrument position in a body. The present invention further relates to an instrument and a software implemented method for being executed on a digital processor.

Abstract: An adapter assembly for connecting an end effector to a surgical instrument includes first, second, and third drive assemblies configured for converting rotational motion into linear motion. Each of the second and third drive assemblies includes a pair of rotatable drive shafts for longitudinally advancing and retracting respective second and third drive members.

Abstract: A micromanipulation system includes a micromanipulator that includes a handpiece, and a micromanipulation tool that includes a tool shaft and is operatively connected to the handpiece. The micromanipulator further includes an actuator assembly connected to the micromanipulation tool to provide manual control of the micromanipulation tool, and a force sensing system comprising a force sensor attached to the tool shaft. The force sensing system is configured to provide an output signal that indicates a force imposed on the tool shaft. The micromanipulation system also includes a processor that is in communication with the force sensing system, and is configured to receive the output signal and compensate for forces due to actuation of the micromanipulation tool to determine a force due to interaction of the micromanipulation tool with a region of interest. The processor outputs an indication of at least one of a magnitude and a direction of the determined force.

Abstract: A surgical instrument includes a distal portion. A force sensor is operatively mounted on the distal portion. The force sensor includes a wireless package, which wirelessly provides (1) identification information of the surgical instrument and (2) strain data related to the distal portion. A surgical end effector includes a jaw and the distal portion is on a non-contact portion of the jaw. The wireless package includes a surface acoustic wave strain sensor with identification information. The wireless package also includes a small folded antenna electrically coupled to the surface acoustic wave strain sensor with identification information. The identification information includes an identification of a type of surgical instrument and unique identification of the specific surgical instrument in the type of surgical instrument.

Abstract: An articulated hand-held medical instrument is provided. The instrument is primarily intended to be used in minimally invasive surgical procedures. The articulated instrument comprises a master-slave architecture whereby user hand movements on a proximal handle element are replicated on a distal end-effector. The proximal handle comprises a number of handle links joined by handle joints that correspond to a number of end-effector links joined by end-effector joints. The articulated hand-held medical instrument can be used in standard laparoscopic procedures in various port arrangements and through the use of standard equipment such as trocars, and movements inside the patient's body may be tracked using available endoscopic cameras.

Abstract: A sterile barrier assembly, mounting system, and method for kinematically coupling first and second surgical components together through the sterile barrier assembly so that positioning is repeatable and deterministic.

Abstract: Provided is a medical system comprising a controller unit configured to be capable of generating a first code or coded message; and a medical device unit configured to be capable of generating a second code or coded message, the medical device unit configured to be in electronic communication with the controller unit, wherein the controller unit is configured to lock the medical device unit from being used or reused if the first code or coded message does not match or is not identical to the second code or coded message. Also provided is a method of preventing use or reuse of a medical device unit as described herein.

Abstract: A telesurgical manipulator comprises an insertion axis mechanism including a base link and a carriage link movable relative to the base link. The carriage link receives a surgical instrument for movement relative to the base link. The base and carriage links are configured for telescoping motion with an extended configuration in which a portion of the carriage link extends beyond the base link. The manipulator also includes an instrument interface included in the carriage link coupled to the surgical instrument via a sterile adaptor that secures a sterile drape to the instrument interface. The sterile drape permits communication between the surgical instrument and the carriage link while maintaining a sterile barrier. The manipulator comprises a communication device on the insertion axis mechanism that wireles sly communicates with the surgical instrument with the sterile drape disposed therebetween and that wirelessly provides power to the surgical instrument with the sterile drape disposed therebetween.

Abstract: A gripping mechanism according to the present invention is provided with: two gripping pieces pivoted about a pivoting axis; a gripper main body that supports the gripping pieces at a distal-end portion; a pulley that is supported about a rotation axis that is parallel to the pivoting axis; an opening wire that is wound around the pulley that has one end secured to the gripping pieces or the gripper main body, and that causes tensile forces that cause the rotation axis to be moved in one direction pulley, wherein the pulley is disposed so that a resultant force of the tensile forces in the opening wire that acts on the rotation axis becomes greater than the pulling force, and so that a moment that causes the gripping pieces to be pivoted in the directions in which the gripping pieces are opened relative to each other is generated.

Abstract: A system for deploying a shape memory catheterization device within a patient, includes a catheter for endovascular insertion of the shape memory catheterization device. A heat source heats the shape memory catheterization device above the transition temperature. A transformation data generator includes a circuit driver for driving a circuit that includes at least one capacitive element of the shape memory catheterization device and a detection circuit for generating transformation data based on a capacitance of the at least one capacitive element, wherein the transformation data indicates a shape transformation of the shape memory catheterization device from a catheterization shape to a transformed shape.

Abstract: A medical manipulator system including: a medical manipulator having a joint; an operating section having an operating system; and a control unit controlling the medical manipulator according to an operation applied to the operating section. The operating section includes a switch enters or releases a command. The control unit determines whether a deviation between the joint and the operating system exceeds a threshold while the command is entered, carries out a first motion for moving the joint by a displacement corresponding to the displacement of the operating system if the deviation is equal to or smaller than the threshold, carries out a second motion for approaching the joint to the operating system angle if the deviation exceeds the threshold, and stops the motion for approaching the joint to the operating system angle when the command is released when the deviation exceeds the threshold.

Abstract: A medical instrument including a shaft and an actuated structure mounted at a distal end of the shaft can employ a pair of tendons connected to the actuated structure, extending down the shaft, and respectively wound around a capstan in opposite directions. A passive preload system may maintain minimum tensions in the tendons.

Abstract: Provided are systems and methods for precise intra-operative placement and positioning of components of hip prostheses, particularly with respect to avoiding acetabular prosthetic implant malpositioning in the human hip. In one embodiment the system includes at least a pair of electronic sensors as tilt and direction sensors, which are positioned on the patient's native bone structure and the prosthesis, plus at least one of an electronic angle sensor and an electronic leg length measurement unit, plus a computer processor running application software that is capable of receiving and using information from the various electronic sensors to calculate relevant angular relationships and, optionally, distance relationships. The system electronically measures a living subject's pelvic tilt and position while lying in the lateral decubitus position during the surgery.

Abstract: An intraluminal retractor includes a shapable element formed by a series of shaping segments. The shaping segments may be associated with one another in a relaxed configuration that imparts the shapable element with a linear, substantially linear or curvilinear shape to enable its insertion into an interior space within a subject's body. When actuated, the shaping segments may assume a contracted configuration that imparts the shapable element with a desired shape, which may move an organ within which or against which the shapable element is positioned, change a path of the organ and/or alter a shape of the organ. Methods for altering the locations, paths and/or shapes of organs are also disclosed.

Abstract: A steerable laser probe may include a handle having a handle distal end and a handle proximal end, an actuation lever of the handle, a flexible housing tube having a flexible housing tube distal end and a flexible housing tube proximal end, and an optic fiber disposed within an inner bore of the handle and the flexible housing tube. An actuation of the actuation lever may gradually curve the flexible housing tube and the optic fiber. An actuation of the actuation lever may gradually straighten the flexible housing tube and the optic fiber.

Abstract: A method, including selecting a first maximum radiofrequency (RF) power to be delivered by an electrode within a range of 70 W-100 W, and selecting a second maximum RF power to be delivered by the electrode within a range of 20 W-60 W. The method also includes selecting an allowable force on the electrode within a range of 5 g-50 g, selecting a maximum allowable temperature, of tissue to be ablated, within a range of 55° C.-65° C., and selecting an irrigation rate for providing irrigation fluid to the electrode within a range of 8-45 ml/min. The method further includes performing an ablation of tissue using the selected values by initially using the first power, switching to the second power after a predefined time between 3 s and 6 s, and terminating the ablation after a total time for the ablation between 10 s and 20 s.

Abstract: An assembly and method for performing the occlusion of the left atrial appendage including a delivery instrument being positioned in communicating relation with the interior of the left atrial appendage and disposing a distal end portion of the delivery instrument in covering relation to the entrance thereof. Occlusion material is movably connected to the delivery instrument and includes at least one elongated single strand of flexible material. A length of the single strand is progressively fed through the delivery instrument into the interior of the left atrial appendage and the flexibility thereof is sufficient to progressively form an arbitrarily intermingled array of occlusion material therein. The dimension and configuration of the formed arbitrarily intermingled array is sufficient to fill a predetermined portion of the interior of the left atrial appendage and thereby conform to the configuration thereof.

Abstract: An optical tracking system and a method using the same capable of detecting an exact spatial position and a direction of a target regardless of the distance from the target to be calculated is disclosed. The optical tracking system and a method using the same according to an embodiment of the present invention has an effect of expanding an available area by detecting an exact spatial position and a direction of a target regardless of the distance from the target to be calculated, as well as, a system downsizing is also achieved by significantly reducing size of the marker unit compared with conventional system.

Abstract: An example assembly for use with a vacuum system and an esophageal positioning device esophageal positioning device includes an introducer, in which the esophageal positioning device includes a handle, a first segment, a second segment and an articulation driving mechanism. The first segment being coupled to the handle. The second segment being pivotally connected to the first segment. The articulation driving mechanism being configured to pivot the second segment about the first segment upon articulation.

Abstract: A robotic surgical instrument comprising a shaft, an articulation attached to the distal end of the shaft, and a driving mechanism at the proximal end of the shaft. The articulation comprises a plurality of joints for articulating an end effector, the plurality of joints driveable by at least first and second pairs of driving elements. The driving mechanism comprises a pulley arrangement and a pulley drive. The pulley arrangement comprises first and second pulleys attached together such that their separation is fixed, wherein the first pair of driving elements is constrained to move around the first pulley, and the second pair of driving elements is constrained to move around the second pulley.

Abstract: Described herein is a surgical instrument holder for use with a robotic surgical system, for example, during spinal surgery. In certain embodiments, the surgical instrument holder is an interface between the robotic arm and a surgical instrument used during surgery. This interface may hold the surgical instrument precisely, rigidly, and in a stable manner while permitting a surgeon to easily and quickly install or withdraw the instrument in case of emergency.

Abstract: A surgical apparatus includes a handle, an elongate member and a switch actuator. The switch actuator includes an activation link and a switch plunger coupled to the activation link. An electric switch is mounted to the elongate member. A rotatable lock member is mounted to the elongate member and adapted for rotational movement between an unlocked condition and a locked condition. The rotatable lock member includes an actuator stop dimensioned to operatively engage the switch actuator to prevent movement of the switch actuator from a first longitudinal position to a second longitudinal position when in the unlocked condition, and to permit movement of the switch actuator to the second longitudinal position when rotated to the locked condition such that the switch plunger activates the switch. A loading unit is releasably couplable to the rotatable lock member and is secured relative to the elongate member when the rotatable lock member is in the locked condition.

Abstract: A medical tube is disclosed, which is configured to have an elongated implant inserted in the medical tube. The medical tube includes a tube having a proximal end opening where the tube is open at a proximal end of the tube. The tube can include a bent region where an intermediate portion in the longitudinal direction of the tube is bent and where a bent state is maintained, and a connection portion which is provided near the proximal end opening and to which a puncture needle having a sharp needle tip at a distal end of the puncture needle is connected from a needle tip side.

Abstract: An endovascular surgical tool includes a flexible, electrically-conductive corewire, a return conductor, a resistive heating element attached to the distal end of the corewire, and a therapeutic payload attached to the loop of the resistive heating element by a coil connecting member. The corewire includes at least one segment at its distal end which transitions from the substantially uniform cross-section of its proximal end to a smaller distal cross-section. The return conductor is electrically insulated from and bonded to the corewire. The resistive heating element includes a first terminal electrically connected to the corewire, a second terminal electrically connected to the return conductor, a helical coil, and a loop. The helical coil and the loop are electrically in series between the first terminal and the second terminal. The coil connecting member has a release temperature lower than a loop melting temperature of the loop of the resistive heating element.

Abstract: A surgical instrument includes a proximal control mechanism. The proximal control mechanism has an opening through which a resilient latch arm can be inserted to engage a locking surface of a fixed latch structure contained within the proximal control mechanism. The resilient latch arm is contained entirely within the proximal control mechanism when engaged. A release channel extends from an outer periphery of the proximal control mechanism to the resilient latch arm entrance opening. The release channel provides a passage through which a release tool can be inserted to engage the resilient latch arm and provides a fulcrum for the release tool where the release channel is joined to the outer periphery of the proximal control mechanism. The surgical instrument can be released by prying the resilient latch arm away from the locking surface of the fixed latch structure with the release tool used as a lever on the fulcrum.

Abstract: A surgical instrument includes an elongated shaft having a proximal structural member and a proximal drive member that is selectively movable with respect to the proximal structural member. A modular end effector is removably coupled to the elongated shaft, and has a distal structural member and a distal drive member that is operatively coupled to a pair of jaw members. A separable joint is defined between the elongated shaft and the end effector. The separable joint includes laterally prominent and laterally indented portions of each of the proximal and distal structural members and of each of the proximal and distal drive members. The structural members are interlocked to resist longitudinal separation and permit lateral separation. The drive members are movable relative to structural members to move the separable joint to a locked configuration wherein the drive members prohibit lateral separation of the structural members.

Abstract: A surgical device is provided that includes a tool assembly having an anvil assembly and a cartridge assembly configured to grasp tissue therebetween, the cartridge assembly including a plurality of surgical fasteners. A motor is configured to fire one or more surgical fasteners. A sensor determines a first parameter of the tool assembly and a control system adjusts a second parameter of the motor used to fire the one or more surgical fasteners based on the first parameter detected by the sensor.

Abstract: The present invention relates to a spring to return more quickly the jaws of a gripper assembly of a delivery system for deploying an embolic coil. Each of the jaws and spring are formed of shape memory alloy configured to be movable between a first position and a second position and returning to the first position, with the spring tension increasing the speed of the return to the first position of the jaws of the gripper assembly. The gripper assembly may be used to insert, retract, reconnect, and rapidly disconnect from the embolic coil.

Abstract: Provided are methods and systems for remotely controlling of robotic platforms in confined spaces or other like spaces not suitable for direct human operation. The control is achieved using multi-modal sensory data, which includes at least two sensory response types, such as a binocular stereoscopic vision type, a binaural stereophonic audio type, a force-reflecting haptic manipulation type, a tactile type, and the like. The multi-modal sensory data is obtained by a robotic platform positioned in a confined space and transmitted to a remote control station outside of the confined space, where it is used to generate a representation of the confined space. The multi-modal sensory data may be used to provide multi-sensory high-fidelity telepresence for an operator of the remote control station and allow the operator to provide more accurate user input. This input may be transmitted to the robotic platform to perform various operations within the confined space.

Abstract: Various exemplary methods and devices for tensioning grafts are provided. In general, a surgical device can include a grip and a frame. The frame can have two opposed segments. The segments can be spaced apart from one another and can each be configured to have at least one suture attached thereto. The sutures attached to the frame can each be configured to attach to a graft. The two segments can be configured to dynamically move toward and away from each other in response to tension that is applied to the sutures attached to the frame. The frame can include an indicator configured to provide an indication of the tension applied to the sutures. The grip can have at least one opening therein. The at least one opening can be configured to have a surgical instrument passed therethrough.

Abstract: Disclosed is a mechanical teleoperated device comprising i) a handle (30) placed in a proximal part of the device, having a plurality of handle links interconnected by respective handle joints, ii) an end effector (31) placed in a distal part of the device, having a plurality of end-effector links interconnected by respective end-effector joints, iii) a transmission system arranged to kinematically connect the end effector to the handle such that movements of the end effector correspond to movements of the handle, comprising at least one arrangement of a plurality of rotatable elements (41a-d) coaxially mounted together about an axis and arranged to rotate independently from each other, b) first transmission means comprising driving elements (62a-c) which are arranged to actuate in rotation of the plurality of rotatable elements (41a-d) based upon movements of the handle, c) second transmission means comprising driven elements (63a-c) which are arranged to be driven by rotation of the plurality of rotatable e

Abstract: A heavy-weight object such as a motor is installed separately from a movable portion to reduce the weight of the movable portion. The invention includes a support unit, a movable unit to which equipment is attached, and a drive unit interposed between the support unit and the movable unit. The movable unit has a first rotating member rotatably attached to the support unit about a first rotation axis line and a second rotating member rotatably attached to the first rotating member about a second rotation axis line orthogonal to the first rotation axis line. The support unit is provided with paired first brackets positioned so as to sandwich the first rotating member, and these first brackets are each provided with a first shaft configuring the first rotation axis line.

Abstract: Anchors for securing a medical device relative to a body portal, wherein the anchors may accommodate most any implantation trajectory through the portal. Such anchors may further secure the device along any such trajectory without imparting undesirable biasing forces that may shift the device from its intended implanted location. In some embodiments, the anchor is configured as a burr hole anchor including a spherical member contained in a socket of the anchor such that orientation of the spherical member is permitted about three mutually perpendicular axes.

Abstract: A catheter or guide wire manipulating device with two-point-clamping for vascular intervention is provided, comprising a thumb component (3), a forefinger component (4), a driving component (1) and a catheter/guide wire support component (2); the thumb component (3) comprises a pair of rollers (9, 10) configured to advance or retreat the catheter/guide wire; the thumb component (3) is configured to drive the catheter/guide wire to rotate clockwise or counterclockwise through a combination motion of the components; the forefinger component (4) is configured to implement the rotation and the advancement of the catheter/guide wire by moving manually away from the thumb component (3), and returning by a pull force of a spring (27) after being released; the driving component (2) is configured to drive the thumb component (3) and the forefinger component (4); the catheter/guide wire support component comprises a Y adapter fixation configured to install a Y adapter and an entry support configured to support and guid

Abstract: A steerable laser probe may include a handle, an actuation structure of the handle, a housing tube, a wire having a pre-formed curve, and an optic fiber disposed within the housing tube and an inner bore of the handle. The housing tube may include a first housing tube portion having a first stiffness and a second housing tube portion having a second stiffness. The second stiffness may be greater than the first stiffness. A compression of the actuation structure may curve or straighten the housing tube. A decompression of the actuation structure may curve or straighten the housing tube.

Abstract: A surgical instrument comprising an elongate shaft assembly that defines a shaft axis. A surgical end effector is pivotally coupled to the elongate shaft assembly for selective articulation relative to the elongate shaft assembly about an articulation axis that is transverse to the shaft axis. An articulation cable is coupled to the surgical end effector at a point of attachment and is journaled on a proximal pulley that is supported on the elongate shaft assembly. The proximal pulley defines a proximal pulley axis that is located a tension distance from the point of attachment. An articulation driver is coupled to the articulation cable for selectively causing the articulation cable to rotate about the proximal pulley in first and second articulation directions. An adjustable tensioning assembly interfaces with the proximal pulley to selectively adjust the tensioning distance.

Abstract: Apparatus (40) for compressing a transcatheter cardiac stent-valve (10) comprises: a first compressor stage (100) including a hollow channel (42) with a tapered interior surface configured for compressing a stent-valve in response to longitudinal advancement of the stent-valve within the channel; and a second compressor stage (102) comprising a crimper for compressing a portion of the stent-valve without longitudinal advancement.

Abstract: An apparatus for removing a needle from a needle holder, including a grasping unit for selectively grasping the needle; a receiving unit for receiving the needle holder, displaceably disposed relative to the grasping unit; a biasing member biasing the receiving unit in a first direction; and separating means for separating the entire needle from the needle holder. Preferably, the needle is heated to melt, soften, or otherwise weaken a material and/or adhesive connecting the needle with the needle holder. Preferably the heating is electrical heating, including completing an electrical circuit through the needle and passing current through the needle, and/or passing current through a heating element.

Abstract: A robotic system for manipulating a catheter with a plurality of steering wires longitudinally situated within a length of the catheter includes a user interface configured to display a view of an anatomical model and to receive one or more user inputs; a catheter manipulator assembly configured to linearly actuate one or more control members of a catheter; and a robotic controller configured to provide a view of an anatomical model to the user interface; accept one or more user inputs from the user interface; register the one or more user inputs to a coordinate system associated with the anatomical model; compute one or more actuator commands from the one or more registered inputs; and cause the catheter manipulator assembly to linearly actuate one or more control members of a catheter in accordance with the computed actuator commands.

Abstract: In one embodiment, the present invention is a method of positioning in a mammalian heart of a patient a blood pump including an inflow cannula, a pump housing and an outflow cannula, the method including forming an incision in a low-pressure location on the heart wall; passing the outflow cannula of the blood pump through the incision and into a left ventricle of a heart; positioning a tip of a guidewire into an aorta, distal to an aortic valve; advancing the tip through the aortic valve and into the left ventricle; connecting the tip to the outflow cannula; pulling the blood pump with the guidewire to advance at least a portion of the outflow cannula through the aortic valve and into the aorta; securing the blood pump to the heart, the aorta, or both; disconnecting the tip from the blood pump; and removing the guidewire from the patient.

Abstract: A device for determining a contour of a dental treatment area during treatment thereof includes a laser beam guidance system and an imaging system. The laser beam guidance system can guide a laser beam and, optionally, a scanning light to a dental treatment area, and the imaging system, which can include an adjustable focus image sensor, can obtain an image of the dental treatment area based on light rays reflected therefrom. The device also includes a computation system to compute a contour, e.g., a 2D contour, of a surface of the dental treatment area based on the image obtained by the imaging system and, optionally, geometries of one or more components of the laser beam guidance system and/or optical components associated with the imaging system.

Abstract: According to an aspect, a medical device includes a needle member having a curved portion, a handle coupled to the needle member, and a pusher member including a sheath and an extension member. The sheath may be bendable. The extension member is configured to be slidably coupled to a track of the handle such that extension member slides within the track during a medical procedure. The sheath defines a lumen configured to receive a portion of the needle member. The extension member is configured to be de-coupled from the track of the handle after the medical procedure. The sheath is configured to be de-coupled from the needle member after the medical procedure. In some examples, the sheath of the pusher member is configured to bend to conform to the curved portion when the sheath of the pusher member is moved over the curved portion of the needle member.

Abstract: The invention relates to a prosthesis (1) comprising a textile (2) of elongate shape defining a longitudinal axis A, and a reinforcing element comprising at least one semi-rigid elongate structure (8) connected to said textile, said structure being substantially parallel to said longitudinal axis A and having a distal end provided with at least one fastening element (4) distinct from said textile and capable of cooperating with a part of a tool (10) that is able to pass through said trocar, in order to temporarily couple said prosthesis to said tool.

Abstract: A surgical instrument includes a proximal control mechanism having an instrument control surface. The instrument control surface has two openings through which two resilient latch arms can be inserted to engage a fixed latch structure contained within the proximal control mechanism. The fixed latch structure provides two lead-in ramps that force the resilient latch arms onto locking surfaces. The resilient latch arms are contained entirely within the proximal control mechanism when engaged. Inward forces can be applied to two buttons to apply an outward force on the resilient latch arms and release them from the locking surfaces of the fixed latch structure. Each of the two buttons is accessible from one of two opposite outside surfaces of the proximal control mechanism.