885results about "Controlling energy of instrument" patented technology

Systems, methods, and instrumentalities are disclosed for displaying a magnitude and location of a resulting tissue tension from an applied force to an instrument and a resulting tissue reaction. A surgical stapling device for monitoring and adapting to tissue tension during a surgical stapling procedure may measure strain on at least one component of the surgical stapling device resultant from one or more of an opposed force applied by a user and a force resisted by tissue associated with the tissue tension. The device may determine a location of the tissue tension based on historical surgical data, the opposed force, and the resisted force. The device may highlight the location of the tissue tension to aid in real-time surgical decision-making.

Surgical systems and related computer-implemented methods are provided, including during performance of a surgical procedure on a patient, receiving, at a first surgical system, a first dataflow from a second surgical system, the first dataflow including first data regarding a measured patient parameter that the first surgical system is configured to use in performing a function during the performance of the surgical procedure. The computer-implemented methods including determining that a trigger event occurred during the performance of the surgical procedure such that a sum of a first bandwidth of the first dataflow and a second bandwidth of a second dataflow exceeds an available bandwidth, and in response to determining that the trigger event occurred, and during the performance of the surgical procedure, adjusting at least one of the first and second dataflows such that the sum of the first and second bandwidths does not exceed the available bandwidth.

Devices, systems, and techniques for synchronization of the operational envelopes of independent surgical devices. An example device may receive a user surgical control input. The device may send an indication of a preferred operational envelope to a negotiating surgical device. The device may constrain operation responsive to the user surgical control input based on a reduced operational envelope that is determined by a response, from the negotiating surgical device, to the indication of the preferred operational envelope. The reduced operational envelope may result in a greater constraint on the operation responsive to the user surgical control input than the preferred operational envelope.

Systems, methods, and instrumentalities are disclosed for dynamically determining an activation mode (e.g., energy modality and / or energy level) of a surgical instrument based on monitored data. The surgical instrument may be a combination energy device capable of delivering ultrasonic energy and radiofrequency energy. The surgical instrument may monitor data associated with a surgical procedure. The surgical instrument may select an activation mode from the plurality of activation modes based on the monitored data. The surgical instrument may deliver energy of an energy modality associated with the selected activation mode. Monitored data may include visual data, electrical data, and / or mechanical data.

Systems, methods, and instrumentalities associated with inter-connectivity of data flows between various surgical devices and / or systems are disclosed. The surgical devices and / or surgical systems may be interrelated or independent smart surgical devices and / or surgical systems. Data sourced by a first surgical device / system may be communicated to and / or accessible by a second surgical device / system for interactive use and storage. The data exchange may be bi-directional or unidirectional, which, for example, may enable the surgical devices / systems to interface and use each other's data. The data exchange may affect one or multiple surgical device / system's operation.

The device includes a handle, a catheter, an end effector, and a deflection drive assembly. The end effector includes at least one electrode. The deflection drive assembly includes an input member, a translation assembly coupled to the end effector, and a rack and pinion assembly. The rack and pinion assembly is configured to drive the translation assembly to deflect the end effector away from the longitudinal axis at an angle, and is configured to convert rotational motion of the pinion from the input member into linear motion of the rack to either push the translation member distally or pull it proximally, or convert linear motion of the rack from the input member into rotational motion of the pinion to move a first end of the translation member proximally and a second end of the translation member distally.

Systems, methods, and instrumentalities associated with adaptation of operation associated with monitoring of surgical devices. A first surgical device may monitor operation of a second surgical device. The monitoring of the second surgical device may affect the operation of the first surgical device (e.g., impact data generation). The first surgical device or the second surgical device may change its operating configuration, for example, based on the monitoring.

Devices, systems, and techniques for synchronized motion of independent surgical devices. An example first surgical instrument may have a movable component. The first surgical instrument may receive a motion control parameter. The motion control parameter may be one or more of: a force relative to a tissue contact shared between the first surgical instrument and the second surgical instrument; or a positional relationship between the first surgical instrument and the second surgical instrument. The first surgical instrument may sense a motion event caused by a user control input to a second surgical instrument. The first surgical instrument may autonomously adjust motion of the movable component based on the motion control parameter and the motion event.

Devices, systems, and techniques for functional restriction of a device based on information from another independent system. An example first surgical device may determine that the first surgical device is capable of obtaining medical information from a second surgical device. The first surgical device may receive the medical information from the second surgical device. The first surgical device may determine that the medical information satisfies a condition. Determining that the medical information satisfies a condition may involve determining that operation of the first surgical device and operation of the second surgical device have created a negative feedback loop that negatively impacts patient health. The first surgical device may limit functional capabilities of the first surgical device based on the medical information satisfying the condition.

Devices, systems, and techniques for alignment and distortion compensation of reference planes used by surgical devices. A first surgical instrument may include a processor and an electromagnetic (EM) sensor. The first surgical instrument may sense, using the EM sensor, a predicted location of the EM sensor. The predicted location may be distorted by an EM field. The first surgical instrument may receive, from a second surgical instrument, a coordinate system associated with imaging of an area around the EM sensor. The first surgical instrument may determine an adjusted location of the EM sensor based on the received coordinate system.

Systems, methods, and instrumentalities are disclosed for dynamically determining an activation mode (e.g., energy modality and / or energy level) of a surgical instrument based on monitored data. The surgical instrument may be a combination energy device capable of delivering ultrasonic energy and radiofrequency energy. The surgical instrument may monitor data associated with a surgical procedure. The surgical instrument may select an activation mode from the plurality of activation modes based on the monitored data. The surgical instrument may deliver energy of an energy modality associated with the selected activation mode. Monitored data may include visual data, electrical data, and / or mechanical data.

Systems, methods, and instrumentalities are disclosed for dynamically determining an activation mode (e.g., energy modality and / or energy level) of a surgical instrument based on monitored data. The surgical instrument may be a combination energy device capable of delivering ultrasonic energy and radiofrequency energy. The surgical instrument may monitor data associated with a surgical procedure. The surgical instrument may select an activation mode from the plurality of activation modes based on the monitored data. The surgical instrument may deliver energy of an energy modality associated with the selected activation mode. Monitored data may include visual data, electrical data, and / or mechanical data.

Devices, systems, and techniques for synchronized motion of independent surgical devices to maintain relational field of views. A first imaging device may receive a video data stream captured by a second imaging device. The first imaging device may be located on a first side of an anatomical barrier and the second imaging device may be located on a second side of the anatomical barrier. The first side and the second side may be opposing sides of the anatomical barrier. The first imaging device may determine, based on the video data stream, a coupled field of view between the first imaging device and the second imaging device. The first imaging device may determine, based on the video data stream, that the second imaging device has moved. The first imaging device may adjust an imaging parameter of the first imaging device to maintain the coupled field of view.

Systems, methods, and instrumentalities are disclosed for dynamically determining an activation mode (e.g., energy modality and / or energy level) of a surgical instrument based on monitored data. The surgical instrument may be a combination energy device capable of delivering ultrasonic energy and radiofrequency energy. The surgical instrument may monitor data associated with a surgical procedure. The surgical instrument may select an activation mode from the plurality of activation modes based on the monitored data. The surgical instrument may deliver energy of an energy modality associated with the selected activation mode. Monitored data may include visual data, electrical data, and / or mechanical data.

A surgical smart system for an operating room may collect data on surgical procedures and equipment. Upon identifying specific surgical equipment, the surgical smart system may present various interaction levels—minimal, intermittent, or full. The system may dynamically choose an interaction level based on a surgical manifest and equipment use. The system may monitor the equipment's performance, adjusting interaction levels based on equipment usage patterns and its impact on patient physiology. Operational data may be displayed on an interface and archived in a database, creating a digital record of the equipment's use during surgery.

In examples, a first surgical device may be configured to detect a user operation at the first surgical device. The first surgical device may obtain data associated with the user operation. The first surgical device may determine, based on the data, whether the user operation is associated with a second surgical device separate from the first surgical device. The first surgical device may generate a control signal for controlling the second surgical device based on the determination that the user operation is associated with the second surgical device.

Systems, methods, and instrumentalities are disclosed for dynamically determining an activation mode (e.g., energy modality and / or energy level) of a surgical instrument based on monitored data. The surgical instrument may be a combination energy device capable of delivering ultrasonic energy and radiofrequency energy. The surgical instrument may monitor data associated with a surgical procedure. The surgical instrument may select an activation mode from the plurality of activation modes based on the monitored data. The surgical instrument may deliver energy of an energy modality associated with the selected activation mode. Monitored data may include visual data, electrical data, and / or mechanical data.

Devices, systems, and techniques for a shared set of object registrations for devices with independent reference planes. An example imaging device may capture a first imaging data stream of a visualized surgical structure. The imaging device may communicate registration information with another surgical imaging device capturing a second imaging data stream of the visualized surgical structure. The imaging device may identify, based on the registration information, a first location, within the first imaging data stream, associated with the visualized surgical structure. The first location may be determinable based on: a first reference geometry associated with a field of view of the first surgical imaging device, a second reference geometry associated with a field of view of the second surgical imaging device, a transformation between the first reference geometry and the second reference geometry, and a reference landmark common to the first imaging data stream and the second imaging data stream.

A system is disclosed including an ablation probe that includes an antenna, a display, and a controller in communication with the ablation probe and the display. The controller comprises a memory and is operable to receive first and second inputs indicative of an amount of time and a power level, respectively, to energize the ablation probe, retrieve, from the memory, a predicted ablation zone corresponding to the first and second inputs, display, on the display, an image representative of the ablation probe, and overlay, on the image, the predicted ablation zone, energize the ablation probe at the power level, and dynamically overlay, on the image, a progressive ablation zone based on the ablation probe being energized, wherein a size of the progressive ablation zone is retrieved from the memory based on the amount of time the ablation probe has been energized at the power level.

Systems, methods, and instrumentalities associated with shared or surrendered control (e.g., partial or full control) of a surgical system are described. Surgical systems may identify other surgical systems that support image porting and remote control. One of surgical systems may receive from another surgical system a request associated with redirection of imaging and / or a control interface to that surgical system. The surgical system may start sending imaging and / or indication of controls to the other surgical system, which may then display imaging and / or and the control interface of the first surgical system. One of the surgical systems after evaluate control settings may start monitor patient biomarker data based on the evaluated control settings. A surgical system may terminate remote control, for example, based on the patient biomarker data crossing a threshold. The surgical system may send a notification that indicates that it is taking control.

The invention relates to the technical field of laser medical treatment, and discloses a thulium laser emission control system and method.The system comprises a tissue feedback acquisition module, a parameter identification module, a control strategy module, a laser control module and an execution control module; according to the method, thermal response data of a target tissue under the action of laser are collected in real time, thermal parameters of the target tissue are dynamically calculated, a control target and constraint conditions are constructed based on the parameters, and a laser control parameter combination matched with the tissue state is determined and used for adjusting the output power, pulse width and frequency of a thulium laser. And real-time control and parameter updating in the laser emission process are realized. According to the invention, accurate matching of laser output parameters and tissue thermal states is realized, laser power, pulse width and frequency can be dynamically adjusted in the treatment process, the real-time performance and response capability of laser treatment are improved, and the safety, treatment effect and individual adaptability of urinary surgery are significantly enhanced.

Devices, systems, and techniques for coordinated control of therapeutic treatment effects. An example device may select a therapeutic treatment from a database of a plurality of therapeutic treatments. The device may select a corresponding medical data stream relevant to the therapeutic treatment. The medical data stream may be produced by a surgical monitoring device. The device may determine, based on the medical data stream, qualitative feedback information about the therapeutic treatment.

Examples herein may allow healthcare professionals (HCPs) (e.g., surgeons) to be notified about leakage current in surgical devices. In examples, an electronic station within a surgical system may include a communications interface configured to connect to a plurality of patient monitoring devices. The electronic station may detect a leakage current associated with a patient monitoring device of the plurality of patient monitoring devices. The electronic station may determine a mechanism to compensate for the leakage current associated with the patient monitoring device. The electronic station may perform the mechanism to compensate for the leakage current associated with the patient monitoring device.

An end effector for a catheter including a flexible circuit including a plurality of electrodes is herein disclosed. The flexible circuit is positioned at least partially within an insulative material. In some examples, the end effector includes a framework spaced from the flexible circuit and one or more position sensing loops.

The present invention discloses a method and device for determining ablation parameters for high-frequency pulse electric field ablation. The method comprises: acquiring collected medical image data containing depth information, determining a corresponding lesion box containing three-dimensional information of the lesion based on the medical image data; analyzing and segmenting the lesion box to obtain the contour and depth of the lesion and the contour of the electrode used to ablate the lesion; starting from a plurality of equally spaced points on the boundary of the electrode contour, emitting a preset number of rays to the surrounding area, obtaining the number of intersections between the rays and the lesion box to determine whether the electrode and the lesion are in contact; when the electrode and the lesion are in contact, determining the corresponding ablation parameters based on the contour and depth of the lesion, the ablation parameters including pulse voltage, pulse width, number of pulse trains, and number of discharges. The present invention solves the problem of inaccurate ablation parameter determination in the prior art.

The title of the invention is "using blood conductivity to control cardiac ablation". Methods and systems provide lesion size assessment for ablation in tissue, such as cardiac tissue. The lesion size assessment is based on parameters including blood conductivity, hot spot temperature, catheter tip temperature, and current data of radio frequency (RF) ablation energy used, such as power, duration, temperature, irrigation, and contact force.

Systems, methods, and instrumentalities are disclosed for displaying a magnitude and location of a resulting tissue tension from an applied force to an instrument and a resulting tissue reaction. A surgical stapling device for monitoring and adapting to tissue tension during a surgical stapling procedure may measure strain on at least one component of the surgical stapling device resultant from one or more of an opposed force applied by a user and a force resisted by tissue associated with the tissue tension. The device may determine a location of the tissue tension based on historical surgical data, the opposed force, and the resisted force. The device may highlight the location of the tissue tension to aid in real-time surgical decision-making.

The invention discloses a laser depilation dynamic parameter adjustment method based on skin typing recognition, and relates to the technical field of laser depilation, and the method comprises the steps: constructing a three-dimensional skin model of a depilation region through multi-dimensional data cross validation; detecting local pigmentation caused by friction in each area; detecting the blood flow signal intensity of capillary vessels around the hair follicles, judging the period of the hair and generating a hair follicle activity thermodynamic diagram in real time; a three-dimensional energy focus is formed through double-beam crossing; skin curved surface data are obtained through a pressure sensor, liquid crystal molecules in a light valve are driven to be arranged, and light spots are adjusted to be in the shape attached to an unhairing area; the basal metabolic rate of the patient is measured through a noninvasive bioelectrical impedance analysis technology, and the energy density is adjusted based on the basal metabolic rate; and establishing a digital twinborn model, and integrating depilation data, skin state and hormone level information. A three-dimensional energy focus is formed through double-beam crossing, energy is accurately focused on the root of the hair follicle, and epidermis damage is avoided.

A pulsed field ablation (PFA) system includes a composite electrode, a body-surface electrode, a PFA generator, and a processor. The composite electrode is coupled to a distal end of a catheter configured for insertion into an organ of a patient. The body-surface electrode is configured to be attached to a skin of the patient. The PFA generator is configured to be electrically connected to the composite electrode of the catheter and to the body-surface electrode, and to generate Direct-Current (DC) PFA pulses. The processor is configured to control the PFA generator to apply the DC PFA pulses between the composite electrode and the body-surface electrode while the composite electrode is placed in contact with target tissue of the organ and the body-surface electrode is in contact with the skin of the patient.

A lithotripsy device can include a lithotripter configured to deliver lithotripsy energy to tissue located at least partially within a body channel. The lithotripsy device can include a working passage positionable at least partially within the body channel, the working passage at least partially defining a suction opening. The lithotripsy device can include a suction device connectable to the working passage upstream of the suction opening and configured to generate a suction flow to motivate movement of the tissue or portions thereof toward the suction opening. The lithotripsy device can include a controller in communication with the lithotripter and with the suction device, where the controller can be configured to operate the suction device to generate the suction flow at a suction energy configured to offset the lithotripsy energy to reduce or eliminate retropulsion of the tissue when the lithotripsy energy is delivered to the tissue.