5063results about "Surgical saws" patented technology

The teachings generally provide for a hand-held medical robotic system for use with a surgical tool, the system comprising an instrument comprising a hand-held portion, a tool support coupled to the hand-held portion, and an actuator assembly operatively interconnecting to move the tool support in a plurality of degrees of freedom to place the surgical tool and a localizer. The system additionally comprises a control system configured to determine a state of the surgical tool and determine a position and / or orientation of a reference coordinate system relative to a known coordinate system, activate a guided mode based on a first relationship criteria between the state of the surgical tool and the reference coordinate system, and deactivate the guided mode based on a second relationship criteria between the state of the surgical tool and the reference coordinate system, wherein the first relationship criteria and the second relationship criteria are different.

An apparatus, system, and method are disclosed for remediating a condition present in a patient's foot. In some implementations, a resection guide includes a bone engagement feature configured to engage at least a portion of at least one foot bone to position the resection guide. The bone engagement feature may be least partially determined based on a model of the patient's foot, which is defined based on medical imaging of the patient's foot. The resection guide further includes a resection feature that extends through the resection guide from a superior side of the resection guide to an inferior side. The resection feature is configured to guide a cutting tool to form a first osteotomy in a first bone along a first trajectory. Additionally, the resection guide includes a first bone attachment feature configured to engage the first bone and a second bone attachment feature configured to engage a second bone.

Systems, devices, and techniques can be used to perform an osteotomy on a bone of a foot, to realign a cut bone portion relative to an adjacent bone portion, and / or to fixate a moved position of the cut bone portion relative to the adjacent bone portion for fusion. In some examples, the disclosed devices and techniques can be used as part of a metatarsal correction procedure in which a metatarsal is treated to correct a bunion deformity.

The invention discloses an endoscope with a built-in grabbing mechanism, and relates to the technical field of medical instruments. According to the technical scheme, the device comprises a clamp assembly, a driving outer pipe and a driving inner wire; the grabbing mechanism further comprises a grabbing mechanism shell, a first moving seat and a second moving seat, wherein the first moving seat and the second moving seat are arranged in the grabbing mechanism shell. The near end of the driving outer tube is connected with the first moving seat, and the near end of the driving inner wire is connected with the second moving seat; when the second moving seat is fixed relative to the grabbing mechanism shell, the first moving seat moves towards the far end direction relative to the grabbing mechanism shell so as to control the clamp assembly to execute the clamping action. According to the invention, the clamping action is carried out while forward extension is carried out, so that high-precision operation is facilitated, and tissues can be accurately clamped; and moreover, the grabbing mechanism is integrated in the endoscope handle, so that accurate single-hand control is facilitated, meanwhile, the clamping action is controlled in a button mode, the human engineering is met, and operation is convenient.

A patient specific instrument is disclosed for correcting a condition present in a patient. The patient specific instrument includes a body that includes an inferior side having a bone engagement surface shaped to match a first surface of a first bone and a second surface of a second bone of a joint. The instrument also includes a superior side having a first guide feature and a second guide feature that together, with the bone engagement surface overlying the first surface and the second surface, are positioned to guide resection of the first bone and the second bone during a surgical osteotomy for correcting the condition. The body is configured to seat transverse to the joint with the bone engagement surface engaging the first surface of the first bone and the second surface of the second bone.

A metatarsus adductus technique may involve cutting an end of one or both of a second metatarsal and an intermediate cuneiform to create a wedge-shaped opening between the end of the second metatarsal and the intermediate cuneiform. The method may further involve cutting an end of one or both of a third metatarsal and a lateral cuneiform to also create a wedge-shaped opening between the end of the third metatarsal and the lateral cuneiform. The second metatarsal and the third metatarsal can then be moved in a transverse plane to close a metatarsus adductus angle. Movement of the second and third metatarsal may close the wedge-shaped openings forming during bone cutting. With the second and third metatarsals appropriately realigned, the clinician can fixate the moved position of the second metatarsal and the third metatarsal.

Systems and methods for joint replacement are provided. The systems and methods include a surgical orientation device and at least one orthopedic fixture. The surgical orientation device and orthopedic fixtures can be used to locate the orientation of an axis in the body, to adjust an orientation of a cutting plane or planes along a bony surface, to distract a joint, or to otherwise assist in an orthopedic procedure or procedures.

Systems and methods for calculating external bone loss for alignment of pre-diseased joints comprising: generating a three-dimensional (“3D”) computer model of an operative area from at least two two-dimensional (“2D”) radiographic images, wherein at least a first radiographic image is captured at a first position, and wherein at least a second radiographic image is captured at a second position, and wherein the first position is different than the second position; identifying an area of bone loss on the 3D computer model; and applying a surface adjustment algorithm to calculate an external missing bone surface fitting the area of bone loss.

The invention discloses a flexible mechanical arm driving system for minimally invasive interventional surgery, a flexible mechanical arm comprises a hollow first sleeve assembly which is coaxially configured, the first sleeve assembly comprises an inner tube and an outer tube, the inner tube and the outer tube are thin-walled tubes, the inner tube is arranged in the outer tube in a penetrating manner, and the inner tube and the outer tube are fixedly connected at the far end part; the inner tube and the outer tube are each provided with a straight tube section at the near end and a deformation section at the far end, and the deformation sections can be bent and deformed when the inner tube is pushed / pulled. The driving system comprises an instrument assembly and a driving module assembly; a driving driven module is arranged in the instrument assembly, and the flexible mechanical arm is connected with the driving driven module; a driving driving module and a PCB control board are arranged in the driving module assembly, the driving driving module is in transmission connection with the driving driven module, and the driving module assembly is used for driving the flexible mechanical arm to do linear, rotating and bending movement. The driving device is used for driving the coaxial antagonism tubular flexible mechanical arm to achieve bending, rotating and linear motion, full-automatic control can be achieved, and the control accuracy and safety are high.

Systems and methods related to an orthopedic tensor for a knee joint. The tensor is motorized and operates in a force control mode and a displacement control mode. A control system controls the tensor in the force control mode to apply forces to the knee joint until a predetermined force is reached. The control system captures a plurality of force-displacement data pairs from the tensor as a result of the forces applied by the tensor in the force control mode. Control of the tensor is switched from the force control mode to the displacement control mode to perform an extension test whereby a displacement of the tensor is progressively decreased according to displacements from the plurality of force-displacement data pairs until the knee joint can reach an acceptable full extension pose during, or after completion of, the extension test.

The invention provides a unicompartmental knee arthroplasty robot navigation and positioning system and method. The system comprises a preoperative planning module, a positioning and navigation module and a mechanical arm control module. The preoperative planning module is used for carrying out knee joint segmentation and reconstruction according to the obtained knee joint medical image, carrying out preoperative planning and determining a unicompartmental knee arthroplasty scheme; the positioning navigation module is used for registering the intraoperative solid knee joint and the preoperative knee joint three-dimensional model according to the navigator and the tracer, and tracking the poses of the osteotomy tool and the solid knee joint in real time; and the mechanical arm control module is used for planning a motion path of the mechanical arm and controlling the mechanical arm to execute the motion path. In this way, the mechanical arm can be controlled to assist in completing the osteotomy operation of unicompartmental knee arthroplasty in a preoperative planning and intraoperative optical navigation mode, and the problems that the operation level is uneven and the operation effect is not expected due to different individuals in the current manual operation are solved.

The invention relates to the technical field of medical apparatus and instruments, and discloses a multi-degree-of-freedom flexible arthroscope bite forceps which comprise a handle shell, a rigid connecting pipe is fixedly connected to the front end of the handle shell, and a driving handle is hinged to the rear end of the handle shell; the bite forceps assembly comprises a flexible pipe and a bite forceps head, one end of the flexible pipe is connected with the rigid connecting pipe, the bite forceps head is detachably connected with the other end of the flexible pipe, and the driving handle is connected with the bite forceps head and is configured to enable the bite forceps head to be meshed when the driving handle is pinched; the control assembly comprises two control pieces, the two control pieces are arranged in the handle shell respectively, the top ends of the two control pieces stretch out of the handle shell to be fixedly connected with a rotary knob, and the two control pieces are connected with the bite forceps head respectively and are configured to drive the bite forceps head to conduct vertical / transverse angle adjustment when the rotary knob is manually screwed. Multi-degree-of-freedom rotation operation of the arthroscope bite forceps is achieved, the operation flexibility of surgeons is guaranteed, and the operation efficiency is improved.

Disclosed herein is a patella clamp configured to grip a patient's patella. The patella clamp includes a clamping assembly, a ratchet arm assembly, and a handle assembly. The clamping assembly includes first and second patella grip portions mounted in opposing relationship. In use, actuation of the handle assembly moves the second patella grip portion towards the first patella grip portion to clamp the patient's patella. The handle assembly is configured to be moveably adjustable (e.g., rotatable) relative to the clamping assembly. In addition, and / or alternatively, the patella clamp may be configured as a tracking patella clamp arranged and configured to be used in an orthopedic computer-assisted and / or robotic surgical surgery to enable a surgeon to view a virtual patella model to visualize patella preparation steps in a computer-based environment prior to making the preparations on the patient.

The present disclosure is a femoral preparation guide and a kit of surgical components related to the femoral preparation guide. The femoral preparation guide is for use on a condyle of a femur during a surgical procedure in which the condyle receives a femoral condylar implant. The femoral preparation guide includes a posterior portion for fitting over a posterior region of the condyle and a distal portion for fitting over a distal region of the condyle. The distal portion is at an angle relative to the posterior portion. The distal portion includes first and second resections slots for receiving cutting tools that provide two resections of the condyle. The first and second resections slots being at angles relative to each other.

Systems and methods for joint replacement are provided. The systems and methods include a surgical orientation device, a reference sensor device, and at least one orthopedic fixture. The surgical orientation device, reference sensor device, and orthopedic fixtures can be used to locate the orientation of an axis in the body, to adjust an orientation of a cutting plane or planes along a bony surface, or otherwise to assist in an orthopedic procedure(s).

A method of designing an orthopedic implant comprising: (a) iteratively evaluating possible shapes of a dynamic orthopedic implant using actual anatomical shape considerations and kinematic shape considerations; and, (b) selecting a dynamic orthopedic implant shape from one of the possible shapes, where the dynamic orthopedic implant shape selected satisfies predetermined kinematic and anatomical constraints.

Surgical systems and methods for tracking physical objects near a target site during a surgical procedure are provided, the surgical system employs a navigation system and a surgical instrument; an instrument tracker is provided on the surgical instrument and a patient tracker is provided on the patient's target tissue; the system and method is configured to detect an error condition compromising accuracy of the navigation guidance and to track and monitor a tool-to-bone offset.

The invention relates to the technical field of neurosurgical intelligent operations, and discloses a neuroendoscopic surgery intelligent puncture positioning system based on image navigation, and the system comprises a preoperative modeling module which constructs a preoperative tissue model and a corresponding elastic tensor field based on a three-dimensional medical image of a patient; the image fusion module is used for receiving the data of the preoperative modeling module, collecting intraoperative endoscopic images, predicting the tensor disturbance of tissues through a deep learning model, and feeding back the updated tensor disturbance to the tensor updating module; and the tensor updating module is in two-way communication with the image fusion module and is used for superposing tensor disturbance obtained by processing the intraoperative image with the preoperative tensor. Through fusion of an image navigation technology and preoperative modeling, a three-dimensional positioning frame based on neuroendoscopy operation requirements is constructed, intelligent planning and real-time correction of a puncture path are realized, important brain regions and vascular structures are effectively avoided, intra-operative risks are reduced, and positioning precision and safety are improved.

A rotary tool includes a tool body and a powered rotary cutting tooltip that is oriented and positioned relative to the tool body by a plurality of processor-controlled actuators that provide degrees of freedom. The processor uses a surgical tracking system to identify the pose of the tool body and the tooltip relative to a patient's anatomy and controls the actuators to maintain the tooltip within a predetermined cutting plan to compensate for deviation of a surgeon's hand or a robotic arm controlling the tool body during a cutting operation.

The invention discloses a blocking sheathing canal device for bleeding in a robot bronchoscope operation and a bronchoscope system, and belongs to the technical field of medical instruments. The blocking sheathing canal device comprises a guide pipeline, a blocking balloon, a medium channel and a pressure device; a pipe cavity is formed in the guide pipeline, and the robot bronchoscope enters a focus position through the pipe cavity; the blocking balloon is arranged at the far end of the guiding pipeline, can expand and deform in the radial direction of the guiding pipeline in the pressure state and is used for blocking the bronchus or / and the lumen; the medium channel is arranged on the guide pipeline, the pressure device is communicated with the near end of the medium channel, and a pressure medium is injected into the plugging balloon through the medium channel; under the bleeding condition, the balloon can be rapidly inflated through the pressure device at the near end of the guide pipeline, so that the balloon is expanded and deformed to completely block the gap between the guide pipeline and the bronchus, the emergency bleeding in the robot bronchoscope operation is blocked, and the safety of the robot bronchoscope operation is improved; and popularization and application of the robot bronchoscope operation are promoted.

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.

A method of implanting a shoulder prosthesis assembly is provided where the method includes advancing by rotation a base member, that includes a cylindrical member and a helical structure, into a resection face of a humerus of a patient such that the helical structure is submerged in and engages cancellous bone of and does not extend distally of an epiphysis of the humerus, the cylindrical member being accessible at the resection face of the humerus when the base member is so advanced; advancing a locking device into the base member until at least one elongate member spans a space between adjacent portions of the helical structure to contact the cancellous bone in the space; and inserting a retention portion of a reverse articular insert into the cylindrical member of the base member to directly connect the reverse articular insert with the cylindrical member of the base member.

The invention provides a visual catheter with perfusion and suction functions, the catheter comprises a catheter body and a camera shooting assembly, the catheter body comprises an operation part and an intubation tube from the near end to the far end, the camera shooting assembly comprises a camera installed at the head end of the intubation tube, and the operation part is connected with the camera shooting assembly. The operation part comprises an operation part shell, and a perfusion joint, a suction joint and an instrument inlet which are arranged on the operation part shell; a main channel extending in the longitudinal direction, at least one liquid drainage channel and at least one instrument channel allowing instruments to pass through are arranged in the cannula, and the main channel, the liquid drainage channel and the instrument channel are arranged in a separated mode.

The present disclosure provides a meniscal allograft transplantation system and methods of use.

The invention discloses a constipation patient defaecation device and mobile terminal integrated system based on endoscope visualization and air bag assistance, and relates to the technical field of medical instruments, the constipation patient defaecation device comprises a display terminal, a connecting line, an operating handle and a comprehensive pipe, and the two ends of the operating handle are connected with the connecting line and the comprehensive pipe respectively. According to the non-invasive, high-safety and portable constipation patient defecation device, through the integrated design of endoscope real-time visual positioning, air bag auxiliary mechanical defecation and mobile terminal data interaction, the invasive operation pain is reduced, the defecation time is shortened, the complication risk is reduced, and the constipation patient defecation efficiency is improved. The pressure sensor monitors the internal pressure of the air bag in real time and feeds back the internal pressure to the dynamic pressure upper limit module and the mobile terminal in real time, and double protection of a hardware pressure release valve and software pressure limiting is triggered when the pressure exceeds the limit. The problems of high intestinal injury risk, low treatment efficiency, limited application scene and the like caused by operation blindness, function singleness or high invasiveness in the prior art are solved.

The present application relates to a kind of snare cutting knives for endoscope, including proximal handle, tube body assembly, cutting assembly and limiting component;Proximal handle is equipped with limiting sliding slot;The proximal end of tube body assembly is connected with proximal handle, and the distal end of tube body assembly is equipped with insulating protection tube;Cutting assembly includes cutting ring and cutting head, and cutting head is set to the distal end of cutting ring;Limiting component includes sliding part and limiting control wire, sliding part is slidably arranged in limiting sliding slot, and the proximal end of limiting control wire is fixedly connected with sliding part, and sliding part is used to drive limiting control wire axial movement;When limiting control wire moves to the distal end of insulating protection tube, cutting head and insulating protection tube abut each other and are fixed;When limiting control wire exits insulating protection tube, cutting head can continue to move relative to insulating protection tube.

The invention relates to an adjustable electric intracavity cutting stitching instrument, and relates to the technical field of stitching instruments. The device comprises a handle, a rotating head, a suturing rod and a suturing head, the suturing rod is connected with the handle, the suturing rod is sleeved with an outer pipe, the handle is used for driving the outer pipe to move in the length direction of the suturing rod, and the rotating head is rotationally connected to the handle, fixed to the outer pipe and used for driving the outer pipe to drive the suturing rod to rotate. The sewing head is rotatably connected to the end, away from the handle, of the sewing rod through a rotating assembly, a driving assembly is arranged on the sewing rod, connected with the rotating assembly and used for driving the rotating assembly to rotate, a handle and a rotating motor are arranged on the rotating head, the rotating motor is connected with the driving assembly through an electromagnetic clutch, and the handle is rotatably connected to the rotating head. And the base is fixed with the driving assembly. According to the invention, manual or automatic adjustment can be carried out according to conditions so as to realize the effect of accurate control or rapid control.

An example method includes obtaining, by one or more processors, a target atlas of a particular patient on which an arthroplasty procedure is to be performed; selecting, by the one or more processors and based on a comparison of values of the target atlas and a plurality of reference atlases of other patients on which the arthroplasty procedure has been performed, at least one reference atlas of the plurality of reference atlases of the other patients; and determining, by the one or more processors and based on the selected at least one reference atlas, one or both of an implant size and an implant alignment for the particular patient.

The invention relates to the technical field of medical instruments, and discloses a pedal control type urinary surgery ureteroscope perfusion pressure pulse adjusting device which is characterized in that the piston head in the middle of three groups of piston heads is inserted into a liquid injection cavity, and the piston heads on the two sides are inserted into a pressure cavity; the three sets of piston heads can inject liquid and high-pressure gas into the control valve cavity from the liquid injection cavity and the pressure cavity. A pedal control mechanism is innovatively introduced, a worker treads a pedal frame in a reciprocating mode, controls liquid to clean a lens and flushes broken stones in a matched mode, the rhythm of treading flushing can be better controlled through autonomous reciprocating treading of a doctor, the situation that an assistant needs to repeatedly use an injector and an extension tube for pushing injection in a traditional urinary surgery is avoided, and the working efficiency is improved. The problems that doctors need to be frequently matched with nurses, the examination concentration of the doctors is easily affected are solved, operation is more efficient, and the problem that the injectors are repeatedly replaced is solved.