5553 results about "Restorative surgery" patented technology

The invention relates to the technical field of image processing, and discloses an AR technology-based precise positioning method and system for minimally invasive surgery of hepatobiliary surgery. The method comprises the steps that blood vessel network data are extracted through a medical image sequence, a three-dimensional structure diagram is generated, operation target points are marked, and a coordinate system is established; collecting dynamic data for mapping matching, and establishing a real-time tracking model; constructing an augmented reality scene and implanting a navigation path; acquiring an instrument position calculation track, and comparing with a navigation map to generate an instruction; constructing a projection interface to display the key area; recording the whole process and evaluating the operation quality. By establishing the real-time tissue deformation tracking model, a multi-source data fusion accurate positioning mechanism and an intelligent operation quality evaluation system, the accuracy and reliability of operation navigation are effectively improved.

Devices and methods for articulating a distal end of a surgical device are provided. In one exemplary embodiment, the device includes an articulation joint that includes both an inner guide and an outer sleeve. The inner guide includes one channel extending therethrough that receives both a cutting mechanism and a closure band. Further, an outer surface of the inner guide, in conjunction with the outer sleeve, can define two additional channels that each receive an articulation band for articulating an end effector coupled to the articulation joint. The outer surface of the inner guide can include a plurality of ribs that also help define the two additional channels. Further, the outer sleeve can include a plurality of slots formed in it to improve flexibility and stability. Additional configurations of articulation joints, and configurations of components of a surgical device, are also provided, as are methods for using the same.

A noninvasive patient-specific method is provided to aid in the analysis, diagnosis, prediction or treatment of hemodynamics of the cardiovascular system of a patient. Coronary blood flow and pressure can be predicted using a 3-D patient image-based model that is implicitly coupled with a model of at least a portion of the remaining cardiovascular system. The 3-D patient image-based model includes at least a portion of the thoracic aorta and epicardial coronaries of the patient. The shape of one or more velocity profiles at the interface of the models is enforced to control complex flow features of recirculating or retrograde flow thereby minimizing model instabilities and resulting in patient-specific predictions of coronary flow rate and pressure. The invention allows for patient-specific predictions of the effect of different or varying physiological states and hemodynamic benefits of coronary medical interventions, percutaneous coronary interventions and surgical therapies.

A surgical staple includes a middle section extending between a first end and a second end; a first side section extending from the first end and being configured to be inserted into a bone; and a second side section extending from the second end and being configured to be inserted into a bone; wherein the first side section and the second side section cantilever away from the middle section, and the surgical staple is selectively movable between a relaxed configuration where the first side section and the second side section cantilever away from the middle section, and an opened configuration where the first side section and the second side section are substantially parallel to each other.

The invention relates to the technical field of vascular surgery, in particular to a vascular surgery interventional intracavity treatment postoperative complication prediction and management system which integrates data acquisition, processing, model training, prediction analysis, comprehensive decision and early warning management and is specially designed for vascular surgery interventional intracavity treatment. The system monitors the postoperative physiological indexes of a patient in real time through multiple sensors, combines clinical data and disease history, carries out physiological sequence prediction and image analysis by utilizing RNN and CNN models, and accurately evaluates the risk of complications. The comprehensive decision-making module generates a personalized management scheme, and the early warning management module monitors in real time and pushes early warning and suggestions in time when abnormity occurs. The system not only improves the prediction accuracy and the management effect, but also optimizes the medical resource configuration, enhances the patient experience, contributes to the development of precise medical treatment and intelligent management, and effectively solves the key problem of postoperative complication prediction and management.

Disclosed is a surgical end effector for use with a surgical instrument. The surgical end effector comprises a jaw, and a staple cartridge seatable in the jaw. The staple cartridge comprises a sensor array configured to take measurements corresponding to a parameter associated with a function of the surgical instrument, a processor, and a memory storing program instructions. The memory storing program instructions that, when executed by the processor, cause the processor to perform an initial calibration of the sensor array, determine an initial adjustment to the measurements based on the initial calibration, perform an in-use calibration of the sensor array, and modify the initial adjustment based on the in-use calibration.

The present disclosure provides a surgical instrument, which comprises a lockout assembly that can be unlocked by a surgical staple cartridge, wherein the lockout assembly prevents a pair of closure plates and a firing bar of the surgical instrument from advancing distally when in a locked position, and allows the pair of closure plates and the firing bar to advance distally when in an unlocked position.

A surgical fastener applier having a housing containing a compartment therein, an elongated member extending distally from the housing and first and second jaws. A firing mechanism is positioned within the housing movable to a second position to effect firing of fasteners. A power pack is removably loadable into the compartment, the power pack having one or both of a) a first motor and a first engagement member removably engageable with the firing mechanism when the power pack is loaded into the compartment to effect movement of the firing mechanism; and b) a second motor and a second engagement member removably engageable with an articulating mechanism in the housing of the surgical fastener applier to effect movement of an articulation mechanism to effect articulation. One or both of a firing position and an articulation position are tracked during the surgical procedure. Sensors are provided to detect select parameters and instrument functions.

The present disclosure provides a staple cartridge for a surgical instrument having a staple and a staple pusher. The staple pusher has a recess forming a pocket in its top surface for receiving at least the backspan of the staple. The pocket is at least partially surrounded by a circumferential supporting element in the staple pusher body to support the backspan. The pocket provides additional vertical space and support for the staple such that a smaller staple cartridge may provide a substantially similar performance as conventional staple cartridges, allowing for a more compact and maneuverable surgical instrument. In addition, the pocket in the staple pusher allows for a staple having a larger bend radius than conventional staples, thereby providing additional support for the staple and minimizing malformation of the staple during use.

A method for determining one or more of selection, positioning or placement of a surgical implant, the method includes:predicting function of an impaired anatomical structure in an unimpaired condition;predicting post-operative function of the structure for one or more implants;selecting one or more of the implant, the implant position, or the implant location to improve the predicted post-operative function.

The embodiment of the invention discloses an oral and maxillofacial surgical image recognition and diagnosis method and system based on deep learning, and the method comprises the steps: firstly obtaining an oral and maxillofacial three-dimensional image data set of a target patient, then carrying out the image feature extraction processing of the three-dimensional image data set, and obtaining a hierarchical image feature set; comprising local anatomical structure features and global spatial distribution features, and then calling a pre-trained multi-scale feature fusion network to perform multi-scale feature fusion on the hierarchical image feature set to generate a fusion feature map. And performing focus area identification processing based on the fusion characteristic spectrum, determining position information and form description information of an oral and maxillofacial abnormal area of the target patient, generating a diagnosis report according to the position information and form description information of the oral and maxillofacial abnormal area, and transmitting the diagnosis report to medical terminal equipment for display. Therefore, the accuracy and efficiency of oral and maxillofacial surgery image diagnosis are improved.

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.

The invention relates to the field of intelligent management, and particularly discloses a nutrition management system and method for a patient in a hepatobiliary and pancreatic surgery in a perioperative period, which uses a data analysis and coding technology based on deep learning to perform data arrangement and multi-dimensional time sequence association on vital sign data, and performs semantic embedding and association on a current test result at the same time. And then, fine-grained cross-modal coding is performed on the vital sign multi-dimensional time sequence association features and the test item semantic association features, so that a nutrition management scheme is intelligently generated based on semantic cross-modal coding representation and operation type labels. In this way, the physiological status and inspection characteristics of each patient can be comprehensively captured, and then an exclusive nutrition treatment scheme is made for the patient in a tailored mode. In addition, real-time monitoring and flexible adjustment of patient conditions are supported, and it is ensured that appropriate intervention measures are taken at critical moments.

A gripper for holding surgical tools is provided. The gripper incorporates a concentric and adjustable shutter mechanism that allows the gripper to hold tools of multiple different circumferences and tools that do not have perfectly circular circumferences. In the context of a centrally coordinated robotic system and, in particular, a surgical robotic system, the disclosed gripper allows the robotic system to deploy a large variety of surgical tools without regard to their circumference or precise circumferential dimensions. A robotic system using the disclosed gripper is able to deploy a wide variety of tools while always keeping the tools centered in the work area due to the concentric shutter design.

A surgical anchor device for being anchored on the mucous membrane of the inner wall of the intestine, the device having a temporary anchor element presenting anchoring that can be modified in a controlled manner and having a first substantially cylindrical multiply-perforated wall presenting properties of radial elasticity whereby the first wall presents an outer diameter that can be varied in controlled manner, wherein a portion of the inner surface of the first wall is lined with an independent leakproof inner sheath having only its longitudinal ends fastened to the anchor element to define a suction chamber between the inner sheath and the first wall, the temporary anchor element being coupled to a flexible or semi-rigid tube extending outside the anchor element, an open end of the injection-suction tube opening out into the suction chamber enabling air to be injected into or sucked out from the suction chamber.

The invention discloses an intelligent cavity operation navigation method and system based on multi-mode perception fusion, and relates to the technical field of surgical medical treatment. Firstly, bionic instrument posture data and cavity environment data are obtained; then, based on the bionic instrument posture data and the orifice environment data, the target curvature of each section is calculated through a bionic kinematics model, and the magnetorheological fluid pressure is dynamically adjusted to control the local rigidity; meanwhile, the cavity point cloud topological graph is converted into an obstacle density graph, and path weight matrixes of different paths are quantified based on a swarm intelligence algorithm; and finally, according to the target curvature, the local rigidity and the path weight matrix, driving a bionic instrument to execute compliant motion and cooperative obstacle avoidance operation. According to the method, multi-modal data (curvature, rigidity and contact force) are fused through a bionic kinematics model, navigation deviation correction is achieved in combination with a curvature-force nonlinear mapping model and three-dimensional Euclidean distance monitoring, and the navigation precision is improved in combination with a path re-planning mechanism.

The invention relates to the technical field of medical health assessment information, in particular to a construction method and system based on an anorectal surgery postoperative nursing rehabilitation assessment model. The method comprises the following steps: acquiring postoperative health data of an anorectal surgery patient; performing postoperative wound morphological image scanning on the postoperative health data of the anorectal surgery patient to obtain a wound morphological structure image; performing postoperative wound area measurement and calculation on the wound morphological structure image to generate postoperative wound area data; and performing granulation tissue feature recognition on the wound morphological structure image according to the postoperative wound area data to obtain granulation tissue feature data. According to the method, through a data processing technology, a feature mapping technology and a mode recognition technology, an anorectal surgery postoperative nursing rehabilitation evaluation model is constructed based on granulation tissue growth information, step number fatigue evaluation data and postoperative defecation index data; the comprehensive functional index postoperative nursing rehabilitation evaluation of the patient is realized, so that the evaluation accuracy is improved.

The invention relates to the field of postoperative rehabilitation management, in particular to a postoperative rehabilitation management system for hand and foot surgical patients. The postoperative rehabilitation management system for the patient in the hand and foot surgery department comprises a data monitoring module, a rehabilitation plan prediction module and a rehabilitation plan dynamic adjustment module. By comprehensively analyzing the postoperative data of the patient, including the wound healing condition and the function recovery progress, the recovery trend of the patient in the postoperative training period can be predicted, a scientific initial function recovery training plan is generated, and clear guidance is provided for rehabilitation training of the patient; in the actual training process, the system further performs real-time dynamic adjustment on the rehabilitation training plan by comparing the difference between the actual recovery condition and the prediction trend; the method ensures that the rehabilitation training plan is always consistent with the actual recovery state of the patient, so that the rehabilitation effect is maximized, the rehabilitation time is shortened, and the risk of complications is reduced.

The invention provides a recombinant XVII type collagen and application thereof, and relates to the technical field of protein engineering. The novel recombinant human XVII type collagen is obtained by optimizing and screening collagen structural domain sequences of the human XVII type collagen and then combining the sequences. The recombinant human XVII type collagen is consistent with the corresponding part of the amino acid sequence of the human XVII type collagen, does not generate immunological rejection when being applied to a human body, and can be widely applied to the industries of surgical medical treatment and medical beauty. In addition, the recombinant human XVII type collagen is high in stability, and the problem of protein degradation in the process of expressing recombinant protein by pichia pastoris can be avoided. In addition, the recombinant human XVII type collagen also has the effects of high biological activity, high biological safety, promotion of cell proliferation and differentiation and promotion of hair growth, and can be applied to the field of cosmetics or medicines as a functional component.

The invention discloses a spinal surgery postoperative patient rehabilitation intelligent management system and method, and relates to the technical field of spinal surgery postoperative rehabilitation management, and the system can carry out real-time analysis on implant displacement characteristics, and can carry out early warning on potential deviation of an implant in advance. The first analysis module can calculate the risk index Fx of the implant, so that timely correction or adjustment is promoted, the risk of implant deviation is reduced, and the occurrence rate of postoperative complications is reduced. And the second analysis module is specially used for extracting wear characteristics of the implant, constructing an implant wear index Ms, and helping a doctor to intervene in time by monitoring the wear condition of the implant in real time so as to avoid dysfunction or risk caused by wear of the implant. And the third analysis module calculates a comprehensive fusion index ZRh by extracting bone grafting area change characteristics, bone mineral density and rehabilitation bone healing information, so that a doctor can know bone mineral density change and rehabilitation conditions of a patient, a treatment scheme is adjusted, and a rehabilitation effect is improved.

Apparatus and methods are described for use in securing a first bone relative to a second bone using a pair of surgical staples or, alternatively, a surgical staple and a bone screw. When a pair of staples are used, one of the legs of one of the staples may pass between the legs of the another of the staples. When a staple and a bone screw are used, the bone screw may pass between the legs of the staple. A guide tool can be used during the drilling of the holes for the legs of the staples or the legs of the staple and a bone screw. The guide tool provides guides for drilling guide holes for the staples or for the screw and staple.

The present disclosure provides a staple cartridge for a surgical instrument, such as a tissue sealing instrument. The staple cartridge includes a housing and one or more staple assemblies within the housing. The staple assemblies each include one or more staple pushers and associated staples. The staple pushers and housing include coupling elements configured to cooperate with each other to retain the staple assemblies to the housing prior to use in surgery. The coupling elements, along with other components of the cartridge and instrument, result in a smaller staple cartridge relative to conventional devices, allowing for a more compact and maneuverable surgical instrument.

Apparatus and associated methods relate to controlling electrical power of an electrotherapeutic signal that is provided to a biological tissue engaged by an electrosurgical instrument during a medical procedure. Electrical power—a product of a voltage difference across and an electrical current conducted by the engaged biological tissue—is controlled according to a therapeutic schedule. The electrotherapeutic schedule can be reduced or terminated in response to a termination criterion being met. In some examples, the termination criterion is a current characteristic, such as, for example, a decrease in current conducted by the engaged biological tissue. In some examples, the termination criterion is a biological tissue resistance characteristic, such as, for example, an increase in the biological tissue resistance that exceeds a predetermined delta resistance value.

The invention provides an anorectal surgery postoperative care rehabilitation evaluation method and system. Wherein a vibration sensor is constructed through a machine tool machining vibration monitoring technology, vibration frequency offset of the dressing after absorbing wound seepage is detected in real time, and the vibration frequency offset is associated with dressing weight variation; meanwhile, an optical scattering measurement technology is adopted for carrying out scattering spectrum analysis on wound exudate, and the protein concentration index is analyzed. And carrying out time sequence correlation on the weight change data corresponding to the vibration frequency offset and the protein concentration index to generate a seepage component dynamic change curve. And through a wireless transmission unit in the remote measurement system, performing remote synchronous comparison on the dynamic change curve and a preset healing stage reference curve, and when the vibration frequency offset exceeding the standard seepage amount continuously appears in the curve and the protein concentration index breaks through the threshold range, triggering a remote early warning signal of wound healing abnormity. According to the technical scheme provided by the invention, the nursing rehabilitation efficiency and precision are improved.

The invention discloses a surgical instrument, and belongs to the field of medical instruments. The surgical instrument comprises a handle assembly, the handle assembly comprises a handle shell and a driving assembly located in the handle shell, and the driving assembly is suitable for providing driving force for an end executing assembly; the manual reset assembly is suitable for being matched with a clutch wrench, and the clutch wrench can be operated to release the transmission connection of the driving assembly through the manual reset assembly; the shielding shell is detachably arranged on the outer side of the handle assembly in a covering mode; the clutch transmission part is arranged on the shielding shell, the clutch transmission part comprises a clutch trigger rod, the near side end part of the clutch trigger rod is in transmission connection with the clutch wrench in an operable mode, and the far side end part of the clutch trigger rod is in transmission connection with the manual reset assembly in an operable mode. Manual resetting of the surgical instrument is safe and reliable, part of structures can be reused, and reused components make sterile contact with the outside in the manual resetting process.

Adapters for surgical drilling systems, and methods of use, are provided for performing surgical procedures, such as surgical drilling into bony structures, while guided by a conductivity sensing system. The adapters may be configured to be coupled to a surgical drilling tool such as a conventional surgical drill and a drill bit having conductivity sensing capabilities, or a surgical hand tool having conductivity sensing capabilities. The adapters further include a controller configured to receive one or more signal indicative of measured electrical conductivity and / or penetration depth measurement, detect a condition associated with a change of measured electrical conductivity based on the signal, and arrest advancement of the surgical drilling tool responsive to detection of the condition.

The invention discloses a calculation method and system for the optimal placement orientation of an acetabular cup in a total hip joint operation, and belongs to the field of surgical instruments. The calculation method comprises the steps that CT data of a patient is obtained, a three-dimensional model is constructed, point locations in the three-dimensional model are recognized, a three-dimensional coordinate system is established according to a pelvis mark point and a femoral head rotation center point, and the optimal placement orientation of the acetabular cup is calculated; and determining the initial position of femoral motion according to the femoral head rotation center point and the femoral mark point. And drawing a space femoral neck movement range according to the femoral form and a preset hip joint movement range. The centroid of the curved surface is calculated based on the space femoral neck movement range, the rotation center point of the femoral head serves as the starting point and extends towards the centroid to form a ray, and the orientation of the ray in three-dimensional coordinates serves as the optimal placement orientation of the acetabular cup. According to the method, the individualized thighbone shape and the joint movement range of a patient are considered, the optimal acetabulum orientation is given according to different prostheses, and a definite operation target and guidance are given to an operator, so that the dislocation risk after hip replacement is reduced, and the acetabular cup placement reliability is greatly improved.

The invention provides a micromolecular recombinant XVII type collagen as well as a preparation method and application thereof, and relates to the technical field of protein engineering. The novel recombinant human XVII type collagen is obtained by optimizing and screening a plurality of spiral region sequences such as a collagen structural domain, a C-terminal region and a middle region of the human XVII type collagen. The amino acid composition of the recombinant XVII type collagen is consistent with that of a natural collagen alpha1 chain, immunological rejection is not generated when the recombinant XVII type collagen is applied to a human body, the recombinant XVII type collagen can be widely applied to surgical medical treatment and medical beauty industries, the molecular weight of the collagen is small, efficient secretion soluble expression in eukaryotic host cells such as pichia pastoris can be achieved, and the recombinant XVII type collagen has a good application prospect. And industrial large-scale production is carried out. According to the present invention, the verification results show that the micromolecular recombinant XVII type collagen further has basement membrane anti-aging activity, wherein the basement membrane anti-aging activity specifically comprises the improvement of the expression levels of the IV type collagen, the VII type collagen and the XVII type collagen;

The invention discloses an intelligent auxiliary training system based on postoperative rehabilitation activities of hepatobiliary and pancreatic surgery, and relates to the technical field of postoperative rehabilitation training.The intelligent auxiliary training system comprises a multi-source data acquisition module used for periodically or real-timely acquiring multi-type feature data related to postoperative rehabilitation; the feature processing and weight adjusting module is used for performing unified processing on the feature data; the index-action causal map construction module is used for constructing a causal association structure between the physiological indexes and the rehabilitation training actions in the input feature data; the graph neural network inference module outputs a graph neural network embedded tensor through a graph attention mechanism; the rehabilitation action risk calculation module is used for calculating the risk score of each candidate rehabilitation action at the current moment; the action screening and high-risk generation module is used for bringing the rehabilitation actions of which the risk values exceed a threshold value into a high-risk action set and marking the rehabilitation actions; according to the invention, the rehabilitation recommendation better conforms to the dynamic characteristics of postoperative changes of the patient.