11633results about "Trocar" patented technology

A holographic augmented reality ultrasound needle guide system and method includes an augmented reality display such as a headset wearable by a user. The augmented reality display is configured to depict a virtual ultrasound image. The augmented reality display is further configured to allow a user to select a desired reference point on the virtual ultrasound image. The system is configured to depict a holographic needle guide based on the selection of the desired reference point. The system is also configured to adjust a trajectory of the holographic needle guide to avoid intersecting undesired anatomical structures. The augmented reality display is further configured to stamp the holographic needle guide into a selectively locked trajectory and position.

The invention belongs to the technical field of medical robots, and particularly relates to a mammary gland puncture surgical robot navigation system and device based on multi-modal image fusion. The multi-mode image data are registered and fused, high-precision three-dimensional reconstruction of the mammary gland tissue is achieved, more visual and accurate surgical navigation information is provided for doctors, the position of the puncture needle is tracked in real time, space registration is conducted on the puncture needle and the image data, and therefore the precision and safety of the surgery are improved, and the operation efficiency is improved. Meanwhile, puncture force feedback information of a puncture needle in the needle moving process is collected in real time, the implementation effectiveness of a puncture navigation path is evaluated, when it is found that the puncture path has risks, dynamic adjustment is conducted immediately, a new puncture path bypassing an obstacle area and reaching a focus is planned again, and the risk of the puncture path is avoided. And if the safe path cannot be obtained, the system automatically stops needle insertion and gives an acousto-optic early warning prompt, so that the surgical risk caused by manual misoperation in the traditional surgery is avoided.

A surgical tool including an inelastic and elastic cable to impart a bend to a shaft. A steering assembly is coupled to the shaft and configured to cause longitudinal displacement of the shaft relative to the body to tension the cables to bend the shaft bendable section in a direction of the flexible inelastic cable. The surgical tool may include an active tip with one of the cables being configured to supply energy to the active tip. The surgical tool may be a shaver that includes a shaver shaft having a flexible section configured to be aligned with a shaft bendable section with the motor of the shaver supported on a cradle of a body. The shaft bendable section may be formed by links with the flexible inelastic cable being arcuately spaced apart from tabs within sockets that engage adjacent links.

The invention relates to the technical field of medical intelligent image recognition data processing, and discloses an image recognition and data analysis fused ultrasonic venipuncture system which comprises a multi-modal image acquisition module, an intelligent analysis processing module, a real-time navigation execution module and a complication early warning module. By arranging a multi-mode fusion sensing end, when vein puncture real-time navigation is carried out, through ultrasonic image, thermodynamic distribution and optical characteristic three-mode data collaborative registration, the consistency of deep blood vessel recognition is guaranteed, meanwhile, a three-dimensional topological model containing blood vessel elastic parameters is dynamically constructed, blood vessel position deviation can be calibrated in real time in the puncture process, and the accuracy of vein puncture is improved. The accuracy of blood vessel positioning is guaranteed, puncture positioning errors of complex cases are further reduced, whether angle or depth deviation occurs in a puncture path or not is judged in real time by arranging a dynamic navigation end, a compensation path can be planned in real time through a blood vessel elastic characteristic matrix, and it is guaranteed that the angle errors are reduced when a needle body enters a blood vessel.

Disclosed herein is an ultrasound system for accessing a vasculature of a patient. The ultrasound system is configured to depict an enhanced ultrasound image of a subcutaneous portion of the patient including an icon surrounding a target vessel depicted on the display. The icon indicates to a clinician the target vessel is within range of a percentage vessel occupancy or vessel purchase length depending on a size of cannula or angle of insertion. The icon can also indicate blood flow strength, vessel type, or vessel deformation. The enhanced image can further include cannula trajectory guidelines and visual alerts for the clinician if the cannula tip can potentially backwall the vessel. Additional icons can indicate obstructions disposed on the cannula trajectory.

An angled intraosseous access system including a guide block and / or a guide plate is disclosed. The system includes a driver having a body, and including a needle assembly rotatably coupled thereto, the needle assembly defining a needle axis. One of the guide block or the guide plate is configured to engage a skin surface and align the needle assembly axis at a predetermined angle relative to the skin surface to access the medullary cavity at the predetermined angle. Advantageously, the angled needle of the intraosseous access system can mitigate pain during infusion and mitigate backwalling.

An introducer assembly includes an elongate sheath sized for insertion into a blood vessel of a patient and a hub. The hub can be coupled to a proximal portion of the sheath and can include a first hub portion and a second hub portion. The hub can include various features to facilitate breaking apart or separating the introducer assembly from a patient. For example, the first hub portion can have a first notch which can facilitate breaking, splitting, or fracturing the hub. The second hub portion can partially surround the first hub portion and can include two wings and an opening disposed above the first notch. The first hub portion can be formed from a first material and second hub portion can be formed from a second material. In some embodiments, the second material can be stiffer than the first material to facilitate fracturing the hub.

A system, apparatus and method directed to placing a medical instrument in a patient body, where the system includes the medical instrument having a first optical fiber, a console and an interconnect having a second optical fiber to receive incident light from the console and propagate the incident light to the medical instrument. The interconnect includes a predetermined bend along its length, such that logic of the console may determine a positioning and an orientation of the medical instrument relative to the predetermined bend. Additionally, the logic may generate a display of the medical instrument based on the reflected light signals and the determination of the positioning and the orientation of the medical instrument relative to the predetermined bend, where the display may be rendered as an overlay on an ultrasound image.

A method of operating a catheter assembly including monitoring a gap feedback signal indicative of a distance between a first tissue contact surface and a second tissue contact surface. Producing, via a user interface of the catheter assembly, a graphical depiction of the first tissue contact surface and the second tissue contact surface spaced apart from the first tissue contact surface by the distance. Producing, via the user interface of the catheter assembly, a gap distance warning when the gap feedback signal indicates that the distance is outside of a target gap range.

To provide a device assembly and a method for treating heart failure by normalizing an elevated blood pressure in the left atrium of the heart of a mammal.SOLUTION: Disclosed herein is a transcatheter interatrial septum excision device assembly configured to create a sized interatrial aperture between right and left atria of a heart for relief of an elevated left atrial pressure. The device assembly comprises a delivery catheter, a tissue stabilizer attached to a first catheter having a central lumen and a penetrating tip that permits passage of a guidewire, and a cutter attached to a second catheter having a central lumen that permits passage of the first catheter. Alternative configurations comprise a (third) catheter having a central lumen that permits passage of the components to and from the right atrium, a tissue retention mechanism, and an optional coaxial alignment mechanism.SELECTED DRAWING: Figure 1

The invention discloses an automatic vein and artery puncture control method, which is used for realizing high-precision puncture through precise control, and comprises the following steps of: after determining to start automatic vein and artery puncture control, collecting a blood vessel ultrasonic image; aiming at the target blood vessel ultrasonic image data, establishing a static artery blood vessel detection model based on a lightweight deep network and a target detection algorithm; the blood vessel detection model is used for detecting and positioning blood vessels; collecting a blood vessel image to be detected and positioned in real time, and obtaining the position and category of the blood vessel based on the trained blood vessel detection model; determining a target blood vessel position based on blood vessel positioning and classification, wherein the target blood vessel position is a puncture target position; planning a puncture path based on the target blood vessel position, including vein puncture path planning and artery puncture path planning; and converting the path and the control parameters based on puncture path planning. The invention further discloses a device and a system, which have low requirements on working environment, can adapt to dynamic environment, are convenient to popularize, reduce puncture difficulty and labor intensity and are portable.

The invention discloses a lung puncture navigation system for pneumology department, which relates to the technical field of lung puncture navigation and comprises a data collection module, a data processing module, a calculation module and a navigation module. The method has the advantages that the focus position can be accurately positioned in real time by collecting the lung image data and the respiratory movement data of the patient and utilizing calculation of respiratory compensation, the need of adjusting the position of a puncture needle for multiple times is avoided, the optimal puncture path can be calculated, and the puncture accuracy is improved. Therefore, intelligent biopsy puncture path planning can be carried out according to specific conditions of the patient, biopsy risks are reduced, focus position changes caused by respiratory movement can be accurately compensated through real-time respiratory compensation application, and it is ensured that navigation precision and biopsy effects are not affected by the respiratory movement.

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.

The invention provides a catheter tip accurate positioning method and system based on electrocardiogram guidance. The method is applied to a control module of a catheter tip accurate positioning device. The method comprises the following steps: acquiring a standard electrocardiogram corresponding to a to-be-positioned patient, and constructing P-wave baseline features of the patient according to the standard electrocardiogram; when the catheter is inserted into a preset area of a patient, electrocardiogram detection information sent by an electrocardiogram sensing module of the device is obtained and analyzed, and waveform information of P waves is obtained; obtaining first change information and second change information according to the P-wave baseline characteristics and the waveform information so as to obtain first position information corresponding to the catheter; if it is confirmed that the P wave is obviously increased when the catheter is inserted according to the P wave variability information and it is confirmed that the distance between the catheter and the right atrium is smaller than the preset distance according to the first position information, pushing of the catheter is stopped, and accurate positioning of the catheter tip is completed. The accuracy of catheterization is improved through electrocardiogram guidance, and the safety and accuracy of overall operation are improved.

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.

An intraosseous system and methods for accessing a medullary cavity. The intraosseous system can include an access assembly and an advancement assembly. The access assembly can include an obturator assembly coupled to a needle assembly. The advancement assembly can include a housing having an inner wall and a drive screw coupled to an energy source. The drive screw can include a threaded portion extending from a drive screw head. The threaded portion can extend into the housing. The advancement assembly can further include an advancement nut threadably engaged with the threaded portion of the drive screw. The advancement nut can include an outer surface configured to slide along the inner wall a predetermined distance without rotating. The advancement assembly can further include a socket configured for attachment to the access assembly.

Implantable devices for fixation of curved bone such as the pelvic ring pubic symphysis and acetabulum, and methods for the use of the devices are disclosed. The implantable devices are convertible between a flexible state and a rigid state, and include an elongate structure having a proximal bone interface, a main body, and a distal bone interface. In a flexible state, the devices may be inserted along, and conform to a curved pathway, and in the rigid state, the devices may support the mechanical loads required to fixate a fracture.

The invention relates to a motion trail planning system and method for interventional puncture surgery, and the system comprises a camera module which is used for collecting the motion trail of an instrument in an external environment and generating a first image; the image equipment is used for acquiring the movement track of the instrument in the internal environment and generating a second image; the preprocessing module is used for generating an external three-dimensional coordinate and an internal three-dimensional coordinate based on the first image and the second image, and forming a data pair of the movement track of the instrument based on the external three-dimensional coordinate and the internal three-dimensional coordinate; the control module comprises a machine learning unit and a trajectory planning unit; the machine learning unit is used for training a deep learning model based on the data of the instrument movement track and generating a prediction path based on the trained deep learning model; and the trajectory planning unit is used for optimizing and adjusting the predicted path. According to the method, the movement track of the interventional puncture operation of the specific target part can be accurately predicted and planned.

A deflectable catheter is disclosed that includes a proximal handle, an elongated catheter shaft extending distally from the proximal handle and including a deflectable distal end portion, a drive mechanism associated with the proximal handle for deflecting the distal end portion of the catheter shaft between a first position where the distal end portion of the catheter shaft is aligned with an axis of the catheter shaft and a second position where the distal end portion of the catheter shaft is deflected angularly away from the axis of the catheter shaft, and indicator means associated with the drive mechanism for providing a visual indication of the position of the drive mechanism, which corresponds to a degree of curved deflection of the deflectable distal end portion of the catheter shaft.

Systems and methods for removal of thrombus from a blood vessel in a body of a patient are disclosed herein. The method can include: providing a thrombus extraction device including a proximal self-expanding member formed of a unitary fenestrated structure, a distal substantially cylindrical portion formed of a net-like filament mesh structure, and an inner shaft member connected to a distal end of the net-like filament mesh structure; advancing a catheter constraining the thrombus extraction device through a vascular thrombus, deploying the thrombus extraction; retracting the thrombus extraction device to separate a portion of the thrombus from the vessel wall and to capture the portion of the thrombus within the net-like filament mesh structure; and withdrawing the thrombus extraction device from the body to remove thrombus from the patient.

An intraosseous access device can include a constant-torque spring assembly disposed in a housing, a drive shaft extending from the housing, and an intraosseous needle coupled to the drive shaft configured to provide intraosseous access to a medullary cavity of a patient. A method of using an intraosseous access device can include inserting a distal end of the intraosseous needle through skin at an insertion site of a patient and applying a contacting force to a bone beneath the insertion site with the distal end of the intraosseous needle. The contacting force can initiate a winding of a ribbon of the constant-torque spring assembly from an output spool onto a storage spool, thereby initiating drilling rotation of the intraosseous needle. The method can further include drilling through the bone until the intraosseous needle enters a medullary cavity of the patient.

An ultrasound probe for sustained spatial attention. The ultrasound probe can include a display screen on a visible side of the ultrasound probe, the display screen coupled to ultrasound imaging components in the ultrasound probe, the ultrasound imaging components configured to capture live subcutaneous images and render the live subcutaneous images on the display screen. The ultrasound probe can further include one or more needle trajectories depicted on the display over the live subcutaneous images, the one or more needle trajectories configured to assist a user in guided insertion of a needle into an anatomical target under the ultrasound probe. The ultrasound probe can further include a light-pattern projector on the visible side of the ultrasound probe adjacent the display screen, the light-pattern projector configured to project a light pattern corresponding to a subcutaneous depth accessible by a needle.

A magnetic-based tracking system for tracking an ultrasound probe. The tracking system can create a three-dimensional visualization. The tracking system can include a reference device including a reference magnet and an ultrasound probe including an ultrasound acoustic transducer or acoustic array that acquires ultrasound images. The reference device can include a magnetometer that detects a magnetic field generated by the reference magnet. The ultrasound probe can couple a first ultrasound image with a first magnetic field strength, wherein both of the first ultrasound image is received and the first magnetic field strength is detected at a first time. The system can include a console including a processor and non-transitory computer-readable medium having stored thereon a plurality of processor executed logic modules that perform operations including receiving and recording a plurality of coupling of ultrasound images and detected magnetic field strengths to generate a 3D visualization from the ultrasound images.

The present invention relates to a pericardiothoracic puncture and effusion drainage device and method thereof, belonging to the technical field of medical puncture equipment. The device includes: a puncture mechanism and an effusion drainage mechanism, the effusion drainage mechanism includes: a sealing disk, on which a liquid inlet tube and a liquid outlet tube are penetrated, the liquid inlet tube is coupled to the puncture mechanism via a hose fluid, and the liquid outlet tube is used to couple to an external effusion storage container; a cylinder, which is rotationally coupled to the occluding disk and is provided with a first chamber and a second chamber; wherein the device is suitable for extracting and discharging effusion from the first chamber and the second chamber alternately by using the liquid inlet tube and the liquid outlet tube via the relative rotation of the occluding disk and the cylinder. In this way, uninterrupted fluid extraction can be achieved in the pericardiothoracic puncture and effusion drainage device.

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.

An angled intraosseous access system includes a guide assembly including a guide block and a guide plate. The system can include a driver and a needle assembly rotatably coupled thereto. The guide assembly is configured to align the needle at a predetermined angle relative to the medullary cavity. Advantageously, the angled needle of the intraosseous access system can mitigate pain during infusion and mitigate backwalling.

The invention discloses an implanter and a dynamic glucometer, and relates to the technical field of medical equipment.The implanter comprises a shell, a needle returning assembly, an implanting assembly and a transmitting key assembly; the needle returning assembly comprises a needle returning cap, a needle returning driving element and an implantation launching support, the needle returning driving element is located between the needle returning cap and the implantation launching support, the needle returning cap is used for being connected with an emitter, and the implantation launching support is provided with a through hole for the emitter to penetrate through; the implantation assembly comprises an implantation fixing support and an emission driving element, the implantation fixing support is fixed to the shell, the needle returning cap and the implantation fixing support are connected with the implantation emission support in a clamped mode, and the emission driving element is located between the implantation fixing support and the implantation emission support; and the transmitting key assembly is in contact with the implantation fixing bracket. The dynamic glucometer comprises an emitter and an implanter, the emitter is located in the shell, and the emitter is connected with the needle returning assembly. The implanter can be reset, and the effectiveness of the implanter can be conveniently detected in the production process.

The invention provides a dynamic compensation augmented reality surgical navigation system based on respiratory movement prediction, and the system comprises a medical image processing unit which is used for generating a lesion three-dimensional model and planning a puncture path; the respiratory motion prediction module is used for analyzing a three-dimensional displacement sequence of the registration marker through a time sequence feature extraction network and a long-distance dependence modeling network so as to predict a respiratory trajectory; the dynamic compensation AR module is used for constructing a three-dimensional deformation field based on respiration prediction data and updating an AR virtual path in real time; the mechanical arm cooperative control module is used for adjusting the laser pointing pose in real time according to the breathing prediction data and the dynamic AR path; a closed-loop data interaction architecture realizes real-time cooperation of respiration prediction, dynamic compensation and mechanical arm control.

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.

The invention belongs to the field of medical technology and information technology, and discloses an AR-guided infusion port puncture navigation system, which collects and marks historical data of a large number of puncture operations, and uses a deep learning algorithm to train a model so as to identify a correct operation mode. The visual angle, motion trail, gesture change, force and space coordinate data of an operator are captured in real time, rapidly analyzed and input into a model for real-time judgment, a multi-sensory feedback mechanism is integrated on an AR interface, visual, auditory and tactile feedback is provided in real time according to a model judgment result, the operator is guided to adjust actions, and the real-time performance of the operator is improved. The feedback data in the operation process are continuously collected, the feedback effect is regularly evaluated, the model is iteratively optimized, and a continuously improved closed loop mechanism is formed, so that the accuracy and efficiency of medical operation are improved, the medical risk is reduced, the method can be widely applied to clinical teaching, skill training and actual operation, and the medical service quality is remarkably improved.