1741results about "Computer-aided surgery" patented technology

A shape-sensing system can include a stylet, an optical interrogator, a console, and a display screen. The stylet can include an optical fiber with fiber Bragg grating (“FBG”) sensors along a length of the optical fiber. The optical interrogator can be configured to send input optical signals into the optical fiber and receive FBG sensor-reflected optical signals from the optical fiber. The console can be configured to convert the reflected optical signals with the aid of filtering algorithms of some optical signal-converter algorithms into plottable data for displaying plots thereof on the display screen. The plots can include a plot of curvature vs. time for each FBG sensor of a selection of the FBG sensors for identifying a distinctive change in strain of the optical fiber as the stylet is advanced into a superior vena cava of a patient.

Methods and systems are described which allow a classification of first and second objects in an X-ray projection image. A respective representation and localization of both objects are determined by applying the models to match the objects in the X-ray image and a spatial relation of the classified objects is obtained. Such methods and systems take advantage of artificial intelligence.

A high-density mapping catheter comprising a catheter shaft comprising a proximal end and a distal end, the catheter shaft defining a catheter shaft longitudinal axis extending between the proximal end and the distal end, a flexible tip portion (10) fixed adjacent to the distal end of the catheter shaft, the flexible tip portion comprising a flexible framework comprising nonconductive material forming a plurality of electrode-carrying arms (188, 190, 192, 194), wherein each of the plurality of electrode-carrying arms (188, 190, 192, 194) converges with at least one other of the plurality of electrode-carrying arms at a distal end of the flexible tip portion (10), and a plurality of microelectrodes (196) mounted on the flexible framework and forming a flexible, planar array of microelectrodes (196) adapted to conform to tissue, wherein the plurality of microelectrodes (196) are mapping electrodes, wherein the flexible framework is configured to facilitate relative movement among at least some of the plurality of microelectrodes (196) relative to other of the plurality of microelectrodes (196), and wherein the nonconductive material insulates each of the plurality of microelectrodes (196) from other of the plurality of microelectrodes (196).

To provide a catheter having a variable arcuate distal part with improved contraction and bending radius characteristics, along with greater durability.SOLUTION: A catheter with a variable circular loop responsive to a contraction wire for coiling is supported by a member having a tapered distal section that transitions from a circular cross-section to a generally rectangular cross-section while maintaining a uniform cross-sectional area along the entire tapered length for improved coiling characteristics. A radially constrictive sleeve prevents separation of the contraction wire from the support member to minimize misshaping of the loop during contraction.SELECTED DRAWING: Figure 1

Systems and methods are provided for multi-schema analysis of patient specific anatomical features from medical images. The system may receive medical images of a patient and metadata associated with the medical images indicative of a selected pathology, and automatically classify the medical images using a segmentation algorithm. The system may use an anatomical landmark detection algorithm leveraging Deep Reinforcement Learning (DRL) techniques to automatically locate one or more anatomical landmarks associated with the patient specific anatomical feature within the medical images. A 3D surface mesh model may be generated representing the patient specific anatomical features including the located one or more anatomical landmarks. The located one or more anatomical landmarks may be used to guide placement of a 3D model of a medical device that may be fused with the 3D surface mesh model to generate a patient specific 3D model of the medical device.

An ultrasound imaging system configured to generate a three-dimensional (3D) ultrasound image of a target area. The ultrasound imaging system includes a console including one or more processors and non-transitory computer readable medium having stored thereon one or more logic modules, and an ultrasound probe configured to acquire a plurality of ultrasound images of a target area. The ultrasound probe can be coupled to the console by an ultrasound probe connector having optical fiber including one or more core fibers. The console is configured to generate the 3D ultrasound image by stitching together the plurality of ultrasound images, starting from a point of reference. The point of reference can be the ultrasound probe, one or more anatomical targets, an elongate medical device, a reference magnet, or one or more accelerometers.

Embodiments disclosed herein are directed to a multi-function adapter system for placing a distal tip of a catheter at a target location. The system is configured to maintain one or more electrical communication pathways with the catheter distal tip during a placement procedure. Two or more electrical pathways can be cross-referenced to determine accuracy. The electrical pathways can include a clip and first tether that provides a versatile electrical pathway in that the clip can be selectively coupled with either a saline column, stylet, guidewire, or needle. A flushing adapter can include a second tether formed integrally therewith and provide a second electrical pathway with a saline column. The stylet or guidewire can be fixedly coupled with the flushing adapter and can provide a second electrical pathway with the second tether. These electrical pathways can provide a fail-safe system to ensure electrical communication with the distal tip of the catheter.

Needle-guiding systems and methods can facilitate establishing vascular access with a nonmagnetic needle. For example, a method of a needle-guiding system can include detecting and registering registration marks about a patient by patient-facing cameras of an alternative reality (“AR”) device, the AR device thereby establishing its location and orientation relative to a target area of the patient. The method can also include anchoring ultrasound images of the target area as viewed through a display screen of the AR device, the ultrasound images anchored about the patient relative to either an instant or previous location and orientation of the ultrasound probe; and providing an instant virtual needle trajectory of the needle as viewed through the display screen of the AR device, thereby indicating to a clinician whether the needle is properly oriented for establishing vascular access to a target vessel of the ultrasound images.

Aspects of the present disclosure relate to flexible catheters for electrophysiological mapping and ablation using high-density electrode arrays. These catheters can be used to detect the electrophysiological properties of tissue in contact with the electrodes and perform monopolar and bipolar ablation of the tissue.

The invention discloses a radio frequency ablation electrode control method which comprises the following steps: S1, initializing an ablation temperature target value, a safety limit value and a power adjusting range, and loading a pre-stored anal fistula ablation three-stage feature library and impedance-temperature correlation degree thresholds of all stages; s2, collecting the electrode temperature, the electrode-tissue impedance and the ablation duration in real time, and judging the current ablation stage according to the matching relationship between the ablation duration and the three-stage feature library; s3, formulating a state judgment rule according to the current stage; s4, a fuzzy PID algorithm is adopted to calculate a power basic adjusting amount, a power dynamic compensation amount is calculated, and final output power is determined; and S5, repeating the steps S2-S4 to realize closed-loop control, triggering first-level early warning when the parameters are close to the boundary, triggering second-level alarm when the parameters exceed the safety limit value, and recording abnormal data. The stage adaptability is high, the problem of temperature adjustment lag can be solved, the adjustment precision is accurate enough, and the ablation effect can be improved.

An electrode assembly for a catheter includes a central spline assembly, a first frame assembly, and a second frame assembly. The central spline assembly includes a first electrode portion that includes first electrodes, and a central spline end portion. The central spline assembly includes a spline frame support aperture. Each of the first and second frame assemblies include an understructure member that extends through the spline frame support aperture.

Various embodiments are directed to sensor apparatuses and methods thereof. An example sensor apparatus includes a plurality of capacitors and sensor circuitry. The plurality of capacitors including a first substrate having a plurality of first electrodes, a second substrate having a second electrode, and a dielectric material, and with the plurality of first electrodes and the second electrode being separated by the dielectric material. The plurality of first electrodes are aligned with respect to the second electrode such that each of plurality of first electrodes form one of the plurality of capacitors with the second electrode. The sensor circuitry is coupled to the plurality of capacitors to differentiate between normal and shear forces applied to apparatus based on a pattern of impedance responses of each of the plurality of capacitors formed by the second electrode and the plurality of first electrodes.

A catheter configured to guide and support a balloon catheter for use in and around a pulmonary vein and its ostium, has an elongated shaft and a distal assembly, the elongated shaft including a proximal portion with a first flexibility and a distal portion including a second flexibility greater than the first flexibility, the distal assembly including an elbow portion and a generally circular portion generally transverse to the longitudinal axis, the generally circular portion including a third flexibility greater than the second flexibility. Single axis location sensors and sensing ring electrodes are carried on the generally circular portion.

The disclosed technology includes an end effector for a medical probe. The end effector can comprise an expandable distal end assembly extending along a longitudinal axis. The expandable distal end assembly can extend radially outward from the longitudinal axis and define an outer diameter. The end effector can further comprise a distal tip extending distally from the expandable distal end assembly along the longitudinal axis over a tip length greater than the outer diameter. The distal tip can be fixed longitudinally in relation to the expandable distal end assembly and be deflectable with respect to the longitudinal axis. The tip can comprise an electrode configured to deliver ablative energy to tissue or receive signals from tissue.

An apparatus for controlling an electroporation catheter is provided. The electroporation catheter includes a distal end, a proximal end, a plurality of splines extending from the distal end to the proximal end, and a plurality of electrodes arranged on the plurality of splines and defining at least one quadripolar array, each quadripolar array defined by four electrodes of the plurality of electrodes. The apparatus includes a pulse generator coupled to the electroporation catheter, and a computing device coupled to the pulse generator, the computing device operable to control the pulse generator to selectively energize the electrodes defining the at least one quadripolar array according to a first energization pattern, and selectively energize the electrodes defining the at least one quadripolar array according to a second energization pattern, wherein the first and second energization patterns are different from one another.

The present disclosure provides a target region positioning method, an electronic device and a computer readable storage medium, the target region positioning method comprising: acquiring, by a camera, a target image comprising a skin surface region corresponding to a reaction bone; wherein the reaction bone is a bone having a target feature; identifying the skin surface region from the target image; determining first device coordinate information of a center position of the skin surface region in a device coordinate system; determining second device coordinate information of a center position of a target region comprising a lesion in the device coordinate system according to the first device coordinate information and predetermined first position relationship information; wherein the first position relationship information is position relationship information between the center position of the skin surface region and the center position of the target region.

Needle-guiding systems and methods can facilitate establishing vascular access with a nonmagnetic needle. For example, a method of a needle-guiding system can include detecting and registering registration marks about a patient by patient-facing cameras of an alternative reality ("AR") device, the AR device thereby establishing its location and orientation relative to a target area of the patient. The method can also include anchoring ultrasound images of the target area as viewed through a display screen of the AR device, the ultrasound images anchored about the patient relative to either an instant or previous location and orientation of the ultrasound probe; and providing an instant virtual needle trajectory of the needle as viewed through the display screen of the AR device, thereby indicating to a clinician whether the needle is properly oriented for establishing vascular access to a target vessel of the ultrasound images.

In one embodiment, a catheter includes a shaft assembly having a proximal and distal end, which comprises a deflectable segment including lumens running longitudinally therein, electrodes disposed at the distal end, a connector disposed at the proximal end for coupling to processing circuitry, cables disposed in first respective ones of the lumens, each cable electrically coupled to the connector and a respective group of the electrodes, wherein each cable includes a bundle of wires, each wire connected to a respective one of the electrodes in the respective group, an electrical shielding surrounding the bundle, and an electrically insulating jacket surrounding the shielding and sized to allow longitudinal movement of the respective cable within the respective lumen, respective elongated members disposed in second respective ones of the lumens, and connected to the distal end, and a manipulator connected to the elongated members to actuate the distal end via the elongated members.

The present invention discloses a device, which includes a catheter and an end effector. The size and structure of at least a portion of the catheter are configured to be assembled in the inner cavity of the cardiovascular system. The end effector is positioned at the distal end of the catheter. The end effector includes a panel, a plurality of mapping electrodes positioned on a first surface of the panel, and a plurality of ablation electrodes positioned on the first surface of the panel. The mapping electrodes are configured to sense the potential in the tissue contacting the mapping electrodes. The ablation electrodes are operable to ablate the tissue contacting the ablation electrodes.

The invention discloses lithotripsy equipment and a control method thereof. The lithotripsy equipment comprises a lithotripsy device, an optical tracking device, a display and control device and an ultrasonic imaging device, the lithotripsy device comprises a mechanical arm module, a shock wave module and a control module; the mechanical arm module and the shock wave module are both electrically connected with the control module, and the control module and the optical tracking device are both electrically connected with the display and control device. The ultrasonic imaging device comprises a handheld ultrasonic probe; the handheld ultrasonic probe is in communication connection with the display and control device; the mechanical arm module comprises a mechanical arm, the shock wave module comprises a shock wave generator, and the shock wave generator is arranged at the front end of the mechanical arm; and a plurality of optical reflection markers are arranged on the backs of the handheld ultrasonic probe and the shock wave generator. According to the lithotripsy equipment provided by the embodiment of the invention, the intelligent degree of the extracorporeal shock wave lithotripsy machine is improved, the extracorporeal shock wave lithotripsy treatment process is simplified, and the treatment positioning precision is improved.

Devices, systems and methods are provided for treating conditions of the heart, particularly the occurrence of arrhythmias, more particularly atrial fibrillation. Therapeutic pulsed electric field energy is delivered to portions the heart to provide tissue modification, particularly to the entrances to the pulmonary veins in the treatment of atrial fibrillation. Such tissue modification creates a lesion or series of lesions which act as a conduction block within the tissue to prevent the transmission of aberrant electrical signals. Cardiovascular lesion analysis systems and methods provide information related to the effectiveness of the treatment during the procedure so as to create an electrical blockade within the heart that will remain durable and effective long-term.

Techniques and systems are described for mixed reality (MR) guidance of an ultrasound probe. A system may obtain reference data depicting a bone of a patient; determine a physical location of an ultrasound probe; generate, based on first ultrasound data generated by the ultrasound probe, registration data that registers virtual locations on the bone of the patient as depicted in the reference data with corresponding physical locations on the bone of the patient; generate virtual guidance based on the reference data, the registration data, and the physical location of the ultrasound probe, wherein the virtual guidance provides guidance to a clinician regarding how the ultrasound probe is positioned relative to a target position at which the ultrasound probe is able to generate second, ultrasound data that provides information regarding a soft tissue structure of the patient; and cause a MR visualization device to output the virtual guidance to the clinician.

A machine accesses a first image captured prior to initiation of a procedure, where the first image depicts a set of instruments, as well as a second image captured after initiation of the procedure, where the second image depicts a proper subset of the set of instruments depicted in the first image. From the first and second images, the machine may determine that an instrument among the set of instruments depicted in the first image is not depicted among the proper subset of the set of instruments in the second image, and then cause presentation of a notification that indicates the instrument not depicted in the second image is missing. Alternatively, or additionally, the machine may determine whether an instrument among the set of instruments was used in the procedure, and then cause presentation of a notification that indicates whether the instrument was used in the procedure.

A method and system for scanning are provided. The method may include obtaining one or more images of a target subject acquired by an imaging device; determining a three-dimensional (3D) geometric model of the target subject based on the one or more images; obtaining an anatomical structure model of at least a portion of the target subject; obtaining a combination model by combining the 3D geometric model of the target subject and the anatomical structure model of at least a portion of the target subject; and determining one or more scanning parameters of the target subject based on the combination model.

A method for collecting usage data of an endodontic instrument. The method includes the following steps: acquiring data relating to the shape of a root canal to be treated; at regular intervals, acquiring data relating to the working depth of the instrument in the root canal; at regular intervals, acquiring data relating to the stress undergone by the instrument during work; and producing a database linking each data item acquired.

A laparoscopic imaging apparatus is described herein. The laparoscopic imaging apparatus includes a shaft having a proximal end opposite a distal end, wherein the proximal end is configured for attachment to an actuator, and the distal end is configured for attachment of a laparoscopic tool and for insertion into patient anatomy. The laparoscopic tool pivots on a first gimbal apparatus that is actuable from the actuator at the proximal end of the shaft, to rotate the laparoscopic tool about a longitudinal axis of the shaft and, further, to rotate the laparoscopic tool about at least a second axis that is orthogonal to the longitudinal axis.

A video laryngoscope navigation system is provided that identifies an anatomical feature in an image signal from a camera of a video laryngoscope. Based on the identified anatomical feature, a steering indicator is overlaid on a displayed image of the image signal. In an embodiment, the steering indicator is representative of a steering direction for the camera to orient the camera towards the identified anatomical feature.

A medical device comprising a handle comprising a first actuator coupled to a first set of articulation cables; and a second actuator coupled. The device may include a shaft comprising a distal articulation section configured to bend with a distal articulation deflection angle and a distal articulation radius, wherein actuation of the first articulation member is configured to induce the distal articulation deflection angle in the distal articulation section. The device may further include a balloon configurable in a deflated state and an inflated state.

An endovascular device, including an elongated flexible sheath defining a lumen with an inner opening sized for enabling selective advancement of an endovascular instrument therethrough, the sheath having at least a first region and a second region; an electrode within the first region of the sheath; and a constrictor associated with the first region of the sheath, the constrictor being configured, while at least the first region and the second region of the sheath are positioned within a body and in response to an input received from outside the body, to reversibly narrow the lumen of the sheath in an area adjacent the electrode to thereby bring the electrode into contact with an adjacent portion of the endovascular instrument.

A processor acquires a surgical field image of a surgical field containing a target area inside the body and an ultrasound probe; acquire a first three-dimensional image based on an ultrasound image group; derive first positional relationship information indicating a position and orientation of the first three-dimensional image within the surgical field image; derive second positional relationship information indicating a positional relationship between a position within the first three-dimensional image and a position within a second three-dimensional image by performing image analysis on the first three-dimensional image and the second three-dimensional image, the second three-dimensional image having been generated on the basis of a tomographic image group; and generate a composite image with preparation information superimposed onto a corresponding position that corresponds to the target area within the surgical field image on the basis of the first positional relationship information and the second positional relationship information.