1861results about "Laproscopes" 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.

Co-manipulation robotic systems are described herein that may be used for assisting with laparoscopic surgical procedures. The co-manipulation robotic systems allow a surgeon to use commercially-available surgical instruments while providing benefits associated with surgical robotics. Further, the co-manipulation robotic system may operate in multiple modes to enhance usability and safety, while allowing the surgeon to position the instrument directly with the instrument handle and further maintain the desired position of the instrument or a desired force applied by the instrument using the robot arm. For example, the robot arm may be moved automatically to maintain a constant tension force on an anatomical structure via the instrument in a constant tension mode.

Disclosed are a method, system, and device for removing smoke from laparoscope images based on a conditional diffusion model. The method includes: segmenting a video of a laparoscopic surgery according to the number of frames to form a data set; performing smoke rendering on the obtained laparoscope smokeless images, and synthesizing paired smoky images to obtain a synthetic data set containing the smokeless images and the smoky images; inputting the smokeless images into the conditional diffusion model for forward noise addition, and continuously adding noise until the smokeless images are completely noised; inputting the smoky images into a smoke sensing module to obtain smoke concentration and position information, then training a neural network, and continuously performing reverse denoising on the completely noised images using the trained neural network until clear smokeless images are outputted; and optimizing a smoke removal model through a multi-loss function fusion strategy.

Co-manipulation robotic systems are described herein that may be used for assisting with laparoscopic surgical procedures. The co-manipulation robotic systems allow a surgeon to use commercially-available surgical tools while providing benefits associated with surgical robotics. Advantageously, the surgical tools may be seamlessly coupled to the robot arms using a disposable coupler while the reusable portions of the robot arm remain in a sterile drape. Further, the co-manipulation robotic system may operate in multiple modes to enhance usability and safety, while allowing the surgeon to position the instrument directly with the instrument handle and further maintain the desired position of the instrument using the robot arm.

Co-manipulation robotic systems are described herein that may be used for assisting with surgical procedures, including laparoscopic surgery. The co-manipulation robotic systems allow a surgeon to use commercially-available surgical tools while providing benefits associated with surgical robotics. Advantageously, the surgical tools may be seamlessly coupled to the robot arms using a disposable coupler while the reusable portions of the robot arm remain in a sterile drape. Further, the co-manipulation robotic system may operate in multiple modes to enhance usability and safety, while allowing the surgeon to position the instrument directly with the instrument handle and further maintain the desired position of the instrument using the robot arm.

The invention provides a real-time three-dimensional imaging system in a thoracic surgery, and relates to the field of thoracic surgery auxiliary equipment, and the system comprises a multi-modal image collection module which is used for collecting multi-source data of tissues and organs in a thoracic cavity; the data core processor is used for processing and fusing the multi-source data collected by the multi-mode image acquisition module; the three-dimensional reconstruction module is used for generating a dynamically updated submillimeter-level precision three-dimensional model according to the processed and fused multi-source data and marking a dangerous structure and a safety boundary; and the augmented reality navigation module is used for superposing the three-dimensional model on an operation visual field through a holographic head-mounted display, and realizing real-time three-dimensional visual navigation in combination with instrument tracking and a multi-stage early warning mechanism. According to the invention, radiation-free and high-precision real-time three-dimensional visual navigation can be provided, and the precision and safety in the thoracic surgery can be ensured.

Co-manipulation robotic systems are described herein that may be used for assisting with surgical procedures, including laparoscopic surgery. The co-manipulation robotic systems allow a surgeon to use commercially-available surgical tools while providing benefits associated with surgical robotics. Advantageously, the surgical tools may be seamlessly coupled to the robot arms using a disposable coupler while the reusable portions of the robot arm remain in a sterile drape. Further, the co-manipulation robotic system may operate in multiple modes to enhance usability and safety, while allowing the surgeon to position the instrument directly with the instrument handle and further maintain the desired position of the instrument using the robot arm.

A targeting device (9) for the targeted guidance of a hollow needle (17) with an endoscopic-surgical operation. The targeting device (9) is fastened or can be fastened to an endoscopy unit (1) which extends essentially in an endoscopy longitudinal axis (L) and defines a viewing region (11). The targeting device (9) defines a plurality of hollow needle guides (21). Each of the hollow needle guides (21) each extends towards the viewing region (11) along a different polar angle (θ) with respect to the endoscope longitudinal axis (L). Each of the hollow needle guides (21) is open towards one of its two azimuthal sides over its entire length.

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.

Provided herein are imaging systems for a patient including an imaging probe and an imaging assembly. The imaging probe includes an elongate shaft with a rotatable optical core positioned within a lumen of the elongate shaft. The imaging probe further includes an optical assembly to direct light to tissue to be imaged and to collect reflected light from the tissue to be imaged. The system further includes an imaging assembly optically coupled to the imaging probe. The system further includes a processing unit with a processor and a memory coupled to the processor, and the memory stores instructions for the processor to perform an algorithm. The system records image data based on the reflected light collected by the optical assembly, such that the image data comprises data collected from a segment of a blood vessel during a pullback procedure. The algorithm can analyze the image 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.

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.

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.

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 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 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.

An access device for a minimally invasive procedure can include a port body defining an instrument channel for a medical instrument, a radial extension extending at least partially outward from the body in a radial direction. The radial extension can extend from a distal end of the port body. The radial extension can define an imaging device cavity defined therein spaced from the port body and opening distally from the radial extension. The imaging device cavity can be configured to receive an imaging device therein for providing images within a field of view that is at least partially distal of the port body.

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.

Provided herein are imaging systems for a patient including an imaging probe and an imaging assembly. Methods of performing an imaging procedure are also provided. The imaging probe includes: a first elongate shaft; a second elongate shaft positioned within a lumen of the first elongate shaft; a rotatable optical core positioned within a lumen of the second elongate shaft; and an optical assembly positioned proximate a distal end of the rotatable optical core. The optical assembly can direct light to tissue to be imaged and to collect reflected light from the tissue to be imaged. The imaging assembly can emit light into the imaging probe and receive the reflected light collected by the optical assembly.

An optical cannula system can include a cannula, a body, a first tube, a second tube, and a valve assembly. An outer cannula wall can define an interior space extending along an axis of the cannula. One or more inner cannula walls within the outer cannula wall can divide the interior space into a first channel and a second channel. A proximal portion of the cannula can be received within the body. The first and second tubes can extend from the body. The valve assembly can have a first configuration in which the first tube is in fluid communication with the first channel and the second tube is in fluid communication with the second channel. The valve assembly can have a second configuration in which the first tube is in fluid communication with the second channel and the second tube is in fluid communication with the first channel.

A stereotactic system for attachment to a skull of a patient can include a mounting device that can include a mounting base configured to be attached to the skull, a sheath removably attached to the mounting base, a guide frame, and a guide member. The guide frame has a frame body that removably attaches to the mounting base and receives the sheath, a plurality of arms extending outwardly from the frame body, and a plurality of fiducials attached to the plurality of arms. The guide member is received within the frame body and receives the sheath such that the sheath is pivotable relative to the mounting base within the guide member. The guide member is configured to fixedly secure the sheath to the mounting base.

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 discloses a thoracoscope minimally invasive cardiac surgery navigation system based on multi-modal image fusion, and the system comprises the steps: constructing a 5D heart digital twin containing an anatomical structure, a soft tissue boundary, metabolic activity and electrophysiological information through fusing preoperative CT, MRI, PET and intraoperative ultrasonic images; real-time dynamic registration is realized by using an electrocardio gating driven biomechanical model; superposing the multi-color coding navigation information to the visual field of the thoracoscope through a wavelength selection type spectroscope; a dynamic risk scoring model is constructed based on the distance, the speed and the tissue vulnerability, and three-level grading intervention is triggered; a miniature force feedback actuator is integrated to realize closed-loop control; and pre-operation virtual drilling and post-operation federal learning optimization are supported. The system remarkably improves the surgical precision and safety, and is suitable for high-difficulty heart minimally invasive surgeries such as mitral valve repair and atrial fibrillation ablation.

The invention discloses a joint dilator of an orthopedic knee arthroscope and a control method thereof, and relates to the technical field of medical instruments, the method comprises the following steps: acquiring a geometric center of a preset distraction range and a rotating fulcrum of the dilator, and constructing a preset Y axis according to the geometric center and the rotating fulcrum; when the spreader performs initial rotation by taking a preset Y axis as a rotation axis, the graph acquisition piece acquires an actual image contour in real time; comparing the actual image contour with the target image contour in real time; when the coincidence degree between the actual image contour and the target image contour is a second coincidence degree, the position of the preset Y axis is confirmed again according to the coincident contour between the actual image contour and the target image contour in the first coincidence degree, and an actual Y axis is set; the angle control device is combined with the actual Y axis to control the dilator, through the arrangement, it can be ensured that the dilated range of the dilator coincides with the range corresponding to the actual injury characteristic, and then the wound area of a patient is reduced.

A catheter steering system wherein the user interface device is a flexible shaft that can be manipulated by hand. The motion imparted on the flexible steering device is reflected in the motion of the catheter tip through an arrangement of pull wires or other mechanisms. Through this arrangement a more intuitive control of the catheter tip is obtained. In an example, a catheter control device includes a catheter port configured to receive the proximal end of a catheter that includes one or more pull wires for attachment to a swashplate, a swashplate, a steering shaft configured to bend in response to a force being applied to the steering shaft; and a mechanism configured to translate the bend of the steering shaft to movement of the swashplate to correspondingly move the distal tip of a catheter coupled to the swashplate.