191 results about "Microsurgery" patented technology

Rotating microneedles and microneedle arrays are disclosed that “drill” holes into a biological barrier, such as skin. The holes can of controlled depth and diameter and suitable for microsurgery, administering drugs and withdrawal of body fluids.

A minimally invasive, fluoroscopically guided system is disclosed for stabilizing the articular facet joints of adjacent vertebrae. Ring and dowel implants are disclosed for installation into the facet joint. The invention includes a novel spine surgical training aid used in the initial surgeon training process for refreshing the surgeon's perspective of the critical three dimensional anatomy of the vertebrae. The invention also includes a surgical kit having a range of size-specific drills, inserters, impactors and custom-length long k-wires matched to the internal diameter of the instrumentation system.

A method and device for electrical emulation of pulsed laser is disclosed. The device utilizes high voltage electrical discharges of sub-microsecond duration in a liquid medium to produce cavitation bubbles of sub-millimeter size for use in high speed precision cutting. Such bubbles are produced by a micro-electrode (1.6) having a central wire having a diameter of 1 microns to 100 microns embedded in an insulator. A coaxial electrode (1.9) surrounds the insulator, and may be spaced from the outer surface of the insulator to provide a path for removing tissue.

Micro-electromechanical tools for minimally invasive techniques including microsurgery. These tools utilize composite shape memory alloy (SMA), shape memory polymer (SMP) and combinations of SMA and SMP to produce catheter distal tips, actuators, etc., which are bistable. Applications for these structures include: 1) a method for reversible fine positioning of a catheter tip, 2) a method for reversible fine positioning of tools or therapeutic catheters by a guide catheter, 3) a method for bending articulation through the body's vasculature, 4) methods for controlled stent delivery, deployment, and repositioning, and 5) catheters with variable modulus, with vibration mode, with inchworm capability, and with articulated tips. These actuators and catheter tips are bistable and are opportune for in vivo usage because the materials are biocompatible and convenient for intravascular use as well as other minimal by invasive techniques.

Rotating microneedles and microneedle arrays are disclosed that “drill” holes into a biological barrier, such as skin. The holes can of controlled depth and diameter and suitable for microsurgery, administering drugs and withdrawal of body fluids.

Featured are surgical devices that provide enhanced perceptual feedback to a medical practitioner in the form of e.g. tactile sensations or auditory feedback, and methods of use of the devices. The devices and methods of the present invention are particularly suitable for microsurgery applications including ophthalmic or neurosurgical procedures. Use of the present devices and methods will enhance user feedback, allowing for improved perception, thereby increasing performance, speed, and accuracy of surgical procedures.

An ophthalmic endoprobe including a hand-piece and a cannula assembly having a longitudinal axis is provided. The cannula assembly including an inner tube concentric with an outer tube; wherein the hand-piece may further include a motor powered by a pneumatic energy source, the motor providing motion to a transmission shaft; and a transmission system to couple the shaft motion to the cannula assembly; wherein the transmission system provides a counter-rotating motion to the inner tube and the outer tube about the longitudinal axis of the cannula. A fluid console for use in endoscopic ophthalmic microsurgery including a pneumatics module to obtain a pneumatic force from an external source and provide an adjustable pneumatic force; a scanning module coupled to the pneumatics module; and an endoprobe coupled to the scanning module is also provided.

A method and device for electrical emulation of pulsed laser is disclosed. The device utilizes high voltage electrical discharges of sub-microsecond duration in a liquid medium to produce cavitation bubbles of sub-millimeter size for use in high speed precision cutting. Such bubbles are produced by a micro-electrode (1.6) having a central wire having a diameter of 1 microns to 100 microns embedded in an insulator. A coaxial electrode (1.9) surrounds the insulator, and may be spaced from the outer surface of insulator to provide a path for removing tissue.

A kit management system for use in microsurgery is disclosed. The kit management system includes a plurality of tubing, surgical instruments, connectors, an instrument tray, a connector tray, and a tubing organizer. A tubing organizer for removably receiving and holding a plurality of tubing in a spaced relationship during microsurgery is also disclosed.

A surgical device and procedure are provided for performing microsurgery, including a capsulotomy of a lens capsule of an eye. The device has an elastically deformable cutting element mounted within an elastomeric suction cup. The suction cup is attached to an arm for manipulating the device. The device can be inserted into the anterior chamber of the eye, through a corneal incision, to cut a piece from the anterior portion of the lens capsule of the eye. The device is secured against the lens capsule using suction applied by one or more suction elements. The device is then removed from the eye, with the cut piece of membrane retained within the device by suction.

A kit management system for use in microsurgery is disclosed. The kit management system includes a plurality of tubing, surgical instruments, connectors, an instrument tray, a connector tray, and a tubing organizer. A tubing organizer for removably receiving and holding a plurality of tubing in a spaced relationship during microsurgery is also disclosed.

The present invention relates to a stereoscopic three dimensional visualization system, and particularly to a stereoscopic three dimensional visualization system for microdentistry, microsurgery, or industrial applications. In one exemplary embodiment, the present invention provides a plurality of cameras configured to provide a first stereoscopic image to a dentist or other professional and a second stereoscopic image to an assistant that has approximately the same focal point, but that is rotated by a predetermined angle from the first stereoscopic image. In one exemplary embodiment three cameras are utilized to create the stereoscopic images.

Surgical stereo vision systems and methods for microsurgery are described that enable hand-eye collocation, high resolution, and a large field of view. A digital stereo microscope apparatus, an operating system with a digital stereo microscope, and a method are described using a display unit located over an area of interest such that a human operator places hands, tools, or a combination thereof in the area of interest and views a magnified and augmented live stereo view of the area interest with eyes of the human operator substantially collocated with the hands of the human operator.

A microsurgery simulator simulates various microsurgical procedures (e.g., nerve reapproximation, ear drain deployment) that utilize a surgical microscope. A surrogate surgical microscope includes a mobile device and an eye piece. A physical surrogate surgical interface represents an interface between a user and a simulated surgical scenario. Sensors sense the user's manipulation of the surrogate surgical interface. A surgical simulation generator generates a real time 3D surgical simulation based on the sensed manipulation. The generator renders the real time surgical simulation into a real time computer graphics generated video representation that is displayed on a screen of the mobile device. A processor of the mobile device is configured to perform at least a portion of a computational analysis that is used to generate the real time computer graphics generated video representation.

A microsurgical instrument is described for ophthalmologic microsurgery in the eye which comprises a housing configured as a handle with a functional unit supporting a probe and a rod co-axially supported in the probe having a head piece configured as a grasping element with two arms that can be brought into a spread apart first position and a second closed position, wherein each arm has a recess which upon closing are flush pressed together thereby forming a larger recess for unobstructed grasping, retaining and holding microstructures such as blood vessels without squeezing or pinching the microstructures.

An enhanced flow ophthalmic surgical probe for ophthalmic microsurgery, such as vitrectomy, in an eye of a patient is disclosed. The enhanced flow probe includes a body, a needle, a cutter, and an optional stiffening sleeve. The needle, the cutter, and the optional stiffening sleeve each possess a widened diameter at its proximal portion relative to the diameter at its distal portion, thereby providing an enhanced ophthalmic surgical probe that allows adequate stiffness, reduced flow resistance, and an increased flow rate while maintaining a less invasive, large gauge diameter needle and cutter.

A vitreous removing apparatus for intraocular surgery comprising an outer tube and an inner tube concentric with the outer tube. The outer tube includes a tubular body and a tubular cutting-zone section. The tubular body has a larger internal diameter than an internal diameter of the cutting-zone section. The inner tube has an inner body and a distal cutting end. The inner body has an outer diameter which is essentially equal to an outer diameter of the distal cutting end. A method for performing intraocular surgery comprising reciprocating a distal cutting end of an inner tubular body within a tubular cutting-zone section of an outer tubular body.

Surgical stereo vision systems and methods for microsurgery are described that enable hand-eye collocation, high resolution, and a large field of view. A digital stereo microscope apparatus, an operating system with a digital stereo microscope, and a method are described using a display unit located over an area of interest such that a human operator places hands, tools, or a combination thereof in the area of interest and views a magnified and augmented live stereo view of the area interest with eyes of the human operator substantially collocated with the hands of the human operator.

In order to develop an electric probe for microsurgery, which is provided in particular in ophthalmology for intraocular treatments of the eye, in such a way that the probe is constructed in a simple manner, can be produced inexpensively, is easy and safe to handle, and at the same time can be used for multiple functions as an illuminated intraocular probe, it is suggested that the electric probe comprises an outer electrode, an inner electrode and a light guide. The inner electrode has a contoured electrode end face and projects out over a front end of the light guide or is embedded in the light guide so as to terminate with it. When the electrodes and light guide are constructed cylindrically, the hollow space remaining between the electrodes and the light guide is provided as a suction channel for sucking out tissue particles, and in various embodiment forms, including an embodiment as an illuminating endoprobe, the electric probe is connected to an operating and controlling device by which pre-defined, changeable parameter sets which are adapted depending on the probe characteristics can be adjusted and retrieved.

This system is composed by mechanical telemanipulators, with master-slave configurations, working together with suitable solutions for image acquisition and display, which are able to transmit, with optional magnification, images from the surgical area to the surgeon. Therefore, the surgeon's capacities and comfort are increased by enhancing the surgeon's motor and visual skills as well as the ergonomics while doing different surgical tasks through access incisions on the patient body. Aside from offering improved performance during procedures involving microsurgical techniques, this system also brings safety, intuitiveness, and cost-effectiveness advantages over current alternatives. Due to the compatibility with current visualization systems for microsurgery, together with the light weight and the compact configuration of the mechanical telemanipulator, this surgical system can be very easily brought to and removed from the surgical area, which enables its intermittent use on several surgical procedures requiring microsurgical techniques. Therefore, it does not require drastic changes in the workflow and setup of current operating rooms and can be more easily adopted by several surgical teams.

The invention provides an ergonomic handle for precision, surgical, and dental tools including electro-surgical devices and surgical devices used in microsurgery designed to facilitate the positioning of the user's hand grip comprising a longitudinally extending body substantially oval in cross-section and being provided with four, substantially concave indentations positioned towards the proximal end of the handle, a first concave indentation being provided along a top surface of the handle, second and third indentations being provided along lateral surfaces, and a fourth indentation being provided along the bottom surface of the body respectively and positioned relative to each other to provide a contiguous interface respectively with the user's thumb, index finger and middle finger.

This system is composed by mechanical telemanipulators, with master-slave configurations, working together with suitable solutions for image acquisition and display, which are able to transmit, with optional magnification, images from the surgical area to the surgeon. Therefore, the surgeon's capacities and comfort are increased by enhancing the surgeon's motor and visual skills as well as the ergonomics while doing different surgical tasks through access incisions on the patient body. Aside from offering improved performance during procedures involving microsurgical techniques, this system also brings safety, intuitiveness, and cost-effectiveness advantages over current alternatives. Due to the compatibility with current visualization systems for microsurgery, together with the light weight and the compact configuration of the mechanical telemanipulator, this surgical system can be very easily brought to and removed from the surgical area, which enables its intermittent use on several surgical procedures requiring microsurgical techniques. Therefore, it does not require drastic changes in the workflow and setup of current operating rooms and can be more easily adopted by several surgical teams.

The invention discloses a kind of microsurgery robot controlling system having force feeling. It comprises operation level, controlling strategy level and execution level. Wherein, the operation level comprises top management system computer and master hand operating system, to monitor and control the system information, and to record the working area map display and the doctors' operating information; the controlling strategy level comprises master-slave hand position projection module, activation algorism module, main hand communication module and image collect and display module, to complete the calculation of motion and force projection between the main hand and the subhand;execution level comprises motion controlled unit, alternating current servo-driver, generator and compact disk, to complete the input of the main operation hand moving signal and the adjoin switch signal, and to output the actuating controlling signal to the suboperation hand and realize the robot movement. The invention can replace the main doctor to complete the basic motion of the operation, increase the force feedback function, make the doctor know the patient's condition more actually. The open standardized software system and modularized hardware structure, breaks the conventional binding relation of robot's software and hardware.

In order to develop an electric probe for microsurgery, which is provided in particular in ophthalmology for intraocular treatments of the eye, in such a way that the probe is constructed in a simple manner, can be produced inexpensively, is easy and safe to handle, and at the same time can be used for multiple functions as an illuminated intraocular probe, it is suggested that the electric probe comprises an outer electrode, an inner electrode and a light guide. The inner electrode has a contoured electrode end face and projects out over a front end of the light guide or is embedded in the light guide so as to terminate with it. When the electrodes and light guide are constructed cylindrically, the hollow space remaining between the electrodes and the light guide is provided as a suction channel for sucking out tissue particles, and in various embodiment forms, including an embodiment as an illuminating endoprobe, the electric probe is connected to an operating and controlling device by which pre.-defined, changeable parameter sets which are adapted depending on the probe characteristics can be adjusted and retrieved.

The present invention relates to a method and apparatus for laser-based surgery and treatment, in particular of the human body. Inter alia, the present disclosure teaches an apparatus having a femtosecond laser that emits at least one pulse of laser energy having a pulse duration of less than 100 femtoseconds and a fiber optical channel for conducting said emitted pulse of laser energy to a vicinity of a human body to irradiate a localized area of said human body to effect at least one of microsurgery, neurosurgery, treatment of cardiovascular disease, treatment of the skin, tissue removal for biopsy, cutting of a mucous membrane, disintegration or vaporization of a gallstone or a kidney stone, and orthopedic surgery.

The invention provides an ergonomic handle for precision, surgical, and dental tools including electro-surgical devices and surgical devices used in microsurgery designed to facilitate the positioning of the user's hand grip comprising a longitudinally extending body substantially oval in cross-section and being provided with four, substantially concave indentations positioned towards the proximal end of the handle, a first concave indentation being provided along a top surface of the handle, second and third indentations being provided along lateral surfaces, and a fourth indentation being provided along the bottom surface of the body respectively and positioned relative to each other to provide a contiguous interface respectively with the user's thumb, index finger and middle finger.

A surgical device and procedure are provided for smoothly and easily accessing tissue to perform microsurgery, including a capsulotomy of a lens capsule of an eye. The device includes a handpiece with a tip for insertion into an incision in the cornea of the eye. A sliding element is disposed within the handpiece and a suction cup is mounted to the sliding element. The sliding element can be translated to move the suction cup into and out of the handpiece. A compression mechanism associated with the suction cup and the handpiece compresses the suction cup for deployment through the tip of the handpiece. The suction cup can expand inside the anterior chamber into a cutting position on the lens capsule. A cutting element mounted to the suction cup is used to cut a portion of the lens capsule and to remove the portion from the eye.

A surgical kit and method for transanal endoscopic surgical techniques. A medical instrument having an obturator tip with an insufflation channel and a tube for an optical device. A medical instrument having an insufflation channel and tube for an optical device, whereby a pressure system is used, such that auxiliary tools can be used to remove a tumor from a transanal cavity. A method for using the surgical kit and medical instruments individually and / or in sequence, whereby said surgical kit and medical instruments are used to access the transanal cavity by using a natural opening of the body.