2220 results about "Restorative surgery" patented technology

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 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.

The invention involves a system and method for increasing positional accuracy of surgical systems that utilize magnetic or electromagnetic sensors to provide positional awareness to a surgeon or robot performing the surgery. The system takes advantage of electromagnetic tracking through sensors. These sensors are very accurate and repeatable, while being compact enough to not inhibit surgical procedures. The accuracy and repeatability of the sensors is <1 mm within a predetermined 6 inch×6 inch performance motion box. The system is constructed and arranged to map the distortion patterns of the sensor and, in real time, correct the distortion pattern to provide accurate location of anatomical structures for performance of a surgery.

The invention relates to the technical field of medical hygiene, and particularly discloses a hygiene visual intelligent monitoring and guiding system suitable for surgical hand disinfection, hand motion data is collected by fusing a multi-modal motion capture module with a depth camera and an inertial sensor, and a high-risk area identification module analyzes the risk of microbial residues in finger seams and fingernail edges. The three-dimensional motion modeling module constructs a biomechanical model to calculate a trajectory, the dynamic compliance guiding module marks deviation in real time through optical projection, the multi-source data fusion module integrates a risk value and a spectral data evaluation effect, and the intelligent decision engine module outputs an operation matching degree and a correction instruction based on a neural network. Omnibearing monitoring, accurate risk assessment, real-time action guidance and quantitative effect evaluation of the hand disinfection process of an operator are realized, the standardization and effectiveness of surgical hand disinfection operation are finally improved, and the infection risk of a surgical site is reduced.

The invention relates to the technical field of auxiliary diagnosis and treatment systems, in particular to an intelligent auxiliary diagnosis and treatment system for doctors. Comprising a system initialization and role service registration module, a user input analysis and intention recognition module, an intelligent routing and professional tool set selection module, an SSE streaming response initialization and workflow starting module, a knowledge graph retrieval and reasoning module, a diagnosis and treatment logic reasoning and scheme generation module and a streaming result output and node state updating module. A dynamic knowledge update triggering and verifying module; according to the invention, on the system integration level, efficient integration of multi-professional medical resources is realized based on role-as-a-service architecture, and complete coverage of multi-professional knowledge modules of internal medicine, surgery, oncology and the like is ensured through a role service registration validity evaluation mechanism.

The present disclosure relates to surgical systems, devices and methods for planning and performing surgical procedures, including bone fracture repair. The systems and methods disclosed herein can be utilized to establish physical models of anatomical structures.

An anvil buttress loading system includes an anvil assembly having a snap clip disposed on a tissue facing surface, a loading tool including a clip roller extending proximally from a support plate, and an anvil buttress including a buttress body. The snap clip is movable between closed and open positions having generally concave and convex shapes, respectively, relative to the tissue facing surface. The anvil buttress is releasably retained on the loading tool and is transferrable from the loading tool to the anvil assembly such that the buttress body is captured between the snap clip and the tissue facing surface of the anvil assembly. The snap clip is movable from the closed position to the open position by the clip roller when advancing the loading tool onto the anvil assembly and from the open position to the closed position when separating the loading tool from the anvil assembly.

The invention provides a large model collaborative reasoning and dynamic optimization method for oral clinical decision, and belongs to the field of artificial intelligence. A structured thinking chain auditing reasoning mechanism is constructed, and multi-source evidence fusion and traceable output are realized through a planner, an actuator and a verifier; designing a dynamic expert routing and risk gating mechanism, packaging a large language model, a knowledge graph, image analysis and the like into pluggable experts, dynamically selecting and fusing according to context, and supporting security degradation when evidence is insufficient; a continuous optimization closed loop driven by multi-source feedback is established, doctor adoption and editing behaviors and patient follow-up results are converted into multi-dimensional rewards, a model is updated in combination with reinforcement learning and preference alignment, and meanwhile, elastic weight consolidation and knowledge distillation are introduced to prevent catastrophic forgetting. The method effectively solves the problems of uninterpretability, uncredibility, static solidification and single capability of the model, significantly improves the transparency, robustness and safety of decision making, and is suitable for orthodontics, implantation, maxillofacial surgery and other high-risk scenes.

The invention discloses a breast surgery puncture positioning system, which relates to the technical field of image positioning, and is characterized in that a preoperative medical image and an intraoperative ultrasonic image of a patient are acquired to generate a three-dimensional model, an optimal puncture path is planned by receiving a needle insertion point of a user, and the spatial pose of a puncture needle is tracked; the optimal puncture path and the position and posture of the puncture needle are displayed on the real-time ultrasonic image in an overlapped mode, real-time deviation is calculated, the puncture needle is guided and adjusted to the target focus, and real-time compensation is carried out based on the respiratory signal and / or the displacement of the reference datum. Through the multi-modal image fusion and real-time dynamic tracking technology, the puncture precision and hit rate are remarkably improved, meanwhile, the system intelligently plans a safe path and provides an AR navigation interface, the operation difficulty and dependence on doctor experience are greatly reduced, physiological displacement interference is overcome through respiratory gating and a motion compensation mechanism, and the system has the advantages of being high in accuracy and high in reliability. Accuracy and reliability in the whole operation process are guaranteed, and finally standardized and safe mammary gland puncture diagnosis and treatment operation is achieved.

A surgical stapling instrument is configured to dissect tissue, apply a linear staple line along one side of the tissue dissection and apply a suture, such as a purse string suture, to the other side of the tissue dissection. The instrument comprises an elongate shaft, first and second jaws configured to open and close and a cutting element. The instrument includes a first row of staples in each of the first and second jaws having a suture extending therethrough and a second row of staples in the second jaw. A drive member is configured to translate distally through the end effector to dissect tissue with the cutting element, drive the second row of staples into the tissue on one side of the dissection and to apply the first row of staples and suture in combination to form a purse string suture on the other side of the tissue dissection.

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

Surgical systems and methods involve a robotic arm comprising a plurality of links and joints and a surgical tool supported and moveable by the robotic arm and being configured to interact with an anatomy. Controller(s) coupled to the robotic arm are configured to estimate robotic arm deflection based on the tool interaction and / or characterize tool-anatomy interaction based on estimated arm deflection. To estimate the robotic arm deflection, the controller(s) input the pose of the surgical tool and the tool interaction force to a machine learning model. To characterize the interaction of the surgical tool with the anatomy, the controllers(s) input an operating parameter of the surgical tool and the estimated deflection into a machine learning model.

Surgical instruments, systems, and methods for performing an osteotomy are disclosed herein. A surgical system includes a body with a distal end, a proximal end, a first surface, and a second surface. The surgical system can include cutting blades positioned on the first surface and / or the second surface. The surgical system can include columns of cutting blades positioned on the first surface and / or the second surface. The surgical system can include rows of cutting blades positioned on the first surface and / or the second surface.

The invention aims at providing a breast surgery retractor capable of avoiding skin scald, and relates to the field of medical surgical instruments, the breast surgery retractor comprises a fixing device, the fixing device comprises a first sliding rail, a supporting rod, a limiting stopper and a pressing plate, and the fixing device is used for adjusting the position and angle of the surgery retractor, so that the surgery retractor is more practical; the auxiliary device comprises a second sliding block, a second sliding rail, a third sliding rail and a first auxiliary drag hook assembly and assists the heat dissipation plate in traction, and the operation difficulty is reduced; the isolation device comprises a second auxiliary drag hook assembly, a traction rod, a shifting block, a sleeve, a connecting rod and a diaphragm, the skin can be isolated through the diaphragm, and the skin is prevented from being scalded due to heat conduction of metal. The problem that a metal drag hook easily scalds the skin is solved.

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.

A method of manufacturing a surgical instrument that includes a tissue contacting surface operable to apply ultrasonic energy or RF energy to tissue. The method includes applying a hydrophobic coating that includes silicone to a base surface of the tissue contacting surface to form an applied coating layer having a coating application thickness. The method also includes removing portions of the applied coating layer with a resiliently biased mechanical coating removal tool to form a plurality of removed portions of coating. A removal depth of each removed portion of the plurality of removed portions can each be from 50% to 100% of the coating application thickness such that from 10% to 50% of the applied coating layer is removed from the base surface.

A surgical system for determining breakthrough depth of a bore in a bone passing through a proximal cortical layer of bone and a distal cortical layer of bone. The surgical system includes an instrument for coupling to a cutting tool. A sensor is coupled to the instrument to generate one or more depth measurements of the cutting tool as the cutting tool cuts through the bone. The breakthrough depth is determined based on depth measurements made after the cutting tool passes through the proximal cortical layer of bone. The breakthrough depth is optionally based on a type of bone being cut, bone hardness, and cutting tool selection.

The invention belongs to the technical field of medical equipment, and provides a bipolar electrotome control method and device, electrosurgical equipment and a storage medium, and the method comprises the steps: obtaining an output voltage, an output current and a tissue temperature; determining a feature vector based on the output voltage, the output current and the tissue temperature; inputting a plurality of feature vector values in the feature vectors into a trained full-connection neural network to obtain a closure degree predicted value, a carbonization risk predicted value and a quality score predicted value; determining a dynamic output power based on the closure degree predicted value, the carbonization risk predicted value, a feature vector and a basic output power; based on the dynamic output power and a preset condition, determining a safe output power through a safe output power calculation formula; controlling the closing action of the bipolar electrotome based on the closing degree predicted value, the safe output power and the closing quality score value; the efficiency of controlling the bipolar electrotome to perform the closing action is improved, the problem of excessive carbonization of tissues is reduced, and the operation safety is greatly improved.

Surgical systems and methods for manipulation of an anatomy that includes cortical and cancellous bone. A surgical manipulator has a robotic arm to move an instrument with an energy applicator. A sensor senses forces / torques applied to the energy applicator. Controller(s) obtain a tool path for the energy applicator to traverse. A segment of the tool path transitions into, or between, cortical bone and cancellous bone. The controller(s) control the manipulator to advance the energy applicator along the tool path according to a first feed rate to manipulate the cortical or cancellous bone and detect, with the sensor, a change in the forces / torques being indicative of the transition. In response to detection of this change, the controller(s) control the manipulator to advance the energy applicator along the tool path according to a second feed rate, greater / less than the first feed rate.

An apparatus for performing a medical procedure including an electrosurgical unit (10) for generating radiofrequency energy, an interventional wire (2, 2', 2'', 2''') including a distal tip portion (17) configured to deliver the radiofrequency energy to tissue during the medical procedure and an activator (7) to activate delivery of the radiofrequency energy from the electrosurgical unit (10) to the interventional wire (2, 2', 2'', 2'''). The distal tip portion (17) of the interventional wire (2) includes a core wire in a tubular structure. A distal tip structure or element at the end of the core wire delivers the radiofrequency energy to tissue.

An instrument system includes a first cut guide and an actuation instrument. The actuation instrument includes an upper portion having a handle and a first cannulation, and a lower portion releasably couplable with the upper portion. The lower portion includes a shaft, a second cannulation, wherein the second cannulation is coaxial and in fluid communication with the first cannulation, and a paddle configured to abut a resected surface of a first bone. The instrument system also includes a compression mechanism releasably couplable with the lower portion, the compression assembly couplable with the first bone and a second bone The compression assembly includes an actuator configured to bias at least one of the first bone and the second bone toward the other of the first bone and the second bone. A method for using the instrument system is also disclosed herein.

A method of reclaiming portions of a surgical kit having a surgical instrument includes disassembling the surgical instrument and determining a disposal methodology of the surgical kit. Furthermore, reclaiming further includes verifying reuse capacity of a portion of the surgical instrument and determining a waste stream for the portion of the surgical instrument. The method also includes disassembling the portion of the surgical instrument from a remainder of the surgical instrument at a predetermined region of the surgical instrument to thereby reclaim the portion of the surgical instrument according to the waste stream.

A surgical system includes an ultrasound device and a surgical instrument. The ultrasound device includes a shaft having a body defining a longitudinal axis and including a lumen extending coaxially therethrough, and an ultrasound sensor assembly configured to enable ultrasound imaging of a field of view. The ultrasound sensor assembly is disposed at a distal end portion of the body of the shaft, offset relative to the longitudinal axis, and oriented such that the field of view is offset relative to the longitudinal axis. The surgical instrument is configured for removable insertion through the lumen of the body of the shaft and to extend distally from the distal end portion of the body of the shaft.

The invention provides a sectional type blocking balloon which comprises a balloon catheter, a guide wire catheter, a near-end blocking balloon and a far-end blocking balloon, the near-end blocking balloon and the far-end blocking balloon are sequentially arranged on the balloon catheter, the guide wire catheter is arranged in the balloon catheter in a penetrating mode, and the near-end blocking balloon and the far-end blocking balloon are sequentially arranged on the far-end blocking balloon. A near-end balloon charging and discharging tube and a far-end balloon charging and discharging tube which are used for conveying filling media to the near-end blocking balloon and the far-end blocking balloon respectively are arranged in the balloon catheter, and the portion, between the near-end blocking balloon and the far-end blocking balloon, of the balloon catheter is an exclusive operation area. While the proximal end and the distal end are blocked, a surgical blood vessel repairing operation space is reserved, and the limitation that the proximal end and the distal end of a blood vessel need to be dissociated for blocking in a traditional surgical operation is avoided. The operation efficiency is improved, the workload of medical staff is reduced, and the device is suitable for being widely used and popularized.

An orthopaedic joint replacement system is shown and described. The system includes a number of prosthetic components configured to be implanted into a patient's knee. The system also includes a number of surgical instruments configured for use in preparing the bones of the patient's knee to receive the implants. A number of methods for using the surgical instruments to prepare the bones is also disclosed.

The utility model relates to a surgical instrument. The surgical instrument is characterized in that a nail abutting seat is provided with an inserting groove; the separation assembly comprises: a body member for contacting tissue; one end of a plug connector is connected to the main body piece, and the plug connector is matched with the plug groove; the elastic piece is connected to the inserting piece, and the elastic piece is stressed to deform in the process of inserting the inserting piece into the inserting groove; wherein the nail abutting seat is further provided with a first clamping piece, the elastic piece is provided with a second clamping piece, and the first clamping piece is matched with the second clamping piece, so that the separating assembly is assembled on the nail abutting seat. The separation assembly of the surgical instrument is simple in structure and convenient and fast to assemble.

The present disclosure provides systems including a cannulated surgical drill tool with electrical conductivity sensing capabilities, and surgical techniques for using such tools in minimally invasive surgical procedures for accessing the SI joint via a posterior approach using an electrical conductivity feedback to facilitate accurate placement into or across the SI joint. For example, the cannulated surgical drill tool may include one or more pairs of electrodes at its distal penetration tip configured to measure electrical conductivity of tissue in contact with the distal tip during a drilling procedure and may emit an alert indicative of the measured electrical conductivity, and accordingly, the type of tissue in contact with the distal tip of the cannulated surgical drill tool, in real-time.

A method for registering a 3D medical image in relation to a frame of reference can include determining a relative location of a surgical instrument based on receiving, by one or more processors, tracking data of the surgical instrument. The method can include tracking, by the one or more processors, for target movement and adjusting the surgical instrument to align with a location of interest. The method can include delivering, by the one or more processors, procedure to the location of interest through the surgical instrument and receiving a threshold for the procedure and a parameter that is detected during the procedure. The method can include causing, by the one or more processors, the surgical instrument to terminate the procedure which is responsive to the parameter satisfying the threshold.

A surgical navigation system is provided to create a plan to correct a deformed spinal alignment. A processor is configured to obtain a first set of image data associated with a deformed alignment in a spine of a patient from at least one imaging device. The processor is also configured to process the first set of image data to identify a set of deformed alignment parameters associated with the deformed alignment. The processor is further configured to identify a set of corrected alignment parameters. The processor is also configured to process the first set of image data, the set of deformed alignment parameters, and the set of corrected alignment parameters to generate a correction plan to surgically manipulate the deformed alignment to the preferred alignment. The processor is additionally configured to provide navigation through the correction plan to facilitate surgical manipulation of a patient spine to the preferred alignment. The processor is also configured to receive information relating to forces on a rod-link reducer or surgical implants from strain gauges to aid the correction plan.

The present disclosure relates to a surgical system comprising: a control circuit; and an output circuit coupled to the control circuit and configured to deliver energy to an output terminal for delivery to a patient, the output terminal configured to be coupled to an electrosurgical apparatus having two jaws with corresponding electrodes, wherein the control circuit is configured to: deliver a first therapeutic electrosurgical energy pulse to biological tissue in electrical communication with the two electrodes of the electrosurgical apparatus, wherein the first therapeutic electrosurgical energy pulse is followed by a first dwell time; determine an amount of energy delivered to the jaws during the first therapeutic electrosurgical energy pulse; calculate a second dwell time based on the determined amount of energy delivered during the first therapeutic electrosurgical energy pulse, wherein the second dwell time is less than the first dwell time; and deliver a second therapeutic electrosurgical energy to the biological tissue.