A surgical stapling device includes a staple cartridge having a cartridge body, staples, an actuation sled assembly, and a locking member. The actuation sled assembly includes an actuation sled and a knife that is pivotably supported on the actuation sled and movable between a lowered position and a raised position. The locking member is movable between a locked position in which the locking member retains the actuation sled assembly in a sled retracted position and an unlocked position in which the actuation sled assembly can move to a sled advanced position. The knife is positioned to move the locking member from the locked position to the unlocked position as the knife moves from the lowered position to the raised position.
A powered stapling device includes an adapter assembly that includes an outer tube, a shifter mechanism, an articulation gear, and a rotate gear. The rotate gear is secured to the outer tube such that rotation of the rotate gear causes rotation of the outer tube. The shifter mechanism includes a shifter shaft that supports a shifter gear. The shifter shaft is movable to move the shifter gear between a rotate position in which rotation of the articulation gear causes rotation of the rotate gear and the outer tube and an articulate position in which the shifter gear prevents or locks rotation of the rotate gear and the outer tube.
Traditionally, synthetic training data is unavailable or minimally available for training one or more machine-learning (ML) models for non-contact monitoring of a specific patient. To address this issue, a digital twin of the specific patient is generated within a virtual environment representative of a physical environment. In aspects, both the digital twin and the virtual environment can be altered in multiple ways to generate synthetic training data, which can be used to train and/or update one or more ML models for the specific patient. Based on depth data captured by a depth camera, the one or more ML models may recognize a posture, presence, and/or movement of the specific patient in the physical environment.
G16H 10/60 - TIC spécialement adaptées au maniement ou au traitement des données médicales ou de soins de santé relatives aux patients pour des données spécifiques de patients, p. ex. pour des dossiers électroniques de patients
A61B 5/11 - Mesure du mouvement du corps entier ou de parties de celui-ci, p. ex. tremblement de la tête ou des mains ou mobilité d'un membre
G16H 40/63 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement local
G16H 50/20 - TIC spécialement adaptées au diagnostic médical, à la simulation médicale ou à l’extraction de données médicalesTIC spécialement adaptées à la détection, au suivi ou à la modélisation d’épidémies ou de pandémies pour le diagnostic assisté par ordinateur, p. ex. basé sur des systèmes experts médicaux
G16H 50/50 - TIC spécialement adaptées au diagnostic médical, à la simulation médicale ou à l’extraction de données médicalesTIC spécialement adaptées à la détection, au suivi ou à la modélisation d’épidémies ou de pandémies pour la simulation ou la modélisation des troubles médicaux
G16H 30/40 - TIC spécialement adaptées au maniement ou au traitement d’images médicales pour le traitement d’images médicales, p. ex. l’édition
4.
OBJECT LOCALIZATION USING WIRELESS RANGING IN MINIMALLY INVASIVE ROBOTIC SURGERY
An object tracking system for use in a surgical procedure includes a resonant tracker marker, and a plurality of antennas connected to a controller. The controller changes at least one antenna between a first operating condition and a second operating condition. In the first operating condition, at least one antenna is activated such that the at least one antenna becomes a transmitter antenna, wherein the transmitter antenna broadcasts an excitation signal to charge up first, second and third resonant tanks of the resonant tracker marker. In the second operating condition, all of the antenna are activated such that each antenna becomes a receiver antenna, wherein the receiver antennas receive a return signal from the first, second and third resonant tanks of the resonant tracker marker.
A61B 34/20 - Systèmes de navigation chirurgicaleDispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p. ex. pour la stéréotaxie sans cadre
Articulating endoscopes include an elongate shaft assembly having a plurality of tubular conduits extending from a camera assembly, proximally through a central lumen of a wrist assembly, proximally through a proximal outer tube, and through to a housing. A distal end of each tubular conduit is hermetically sealed against the camera assembly. A proximal end of each of a pair of optical fiber bundles extends through a respective one of the plurality of tubular conduits. A proximal end of an electrical cable extends through one of the plurality of tubular conduits. Each tubular conduits is fabricated from a super elastic alloy.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
An ablation system includes an ablation device configured to ablate a target, and a computing device. The ablation device includes fiber Bragg gratings for monitoring temperature. The computing device is configured to calculate temperature measurements based on light reflected from the fiber Bragg gratings during application of microwave ablation energy to the target and filter the temperature measurements to remove noise.
A61B 18/18 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci par application de radiations électromagnétiques, p. ex. de micro-ondes
A61B 18/00 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci
A surgical stapling device includes a tool assembly including an anvil assembly, a cartridge assembly, and a drive assembly. The drive assembly includes a working member that moves forward to push an actuation sled of the cartridge assembly forward to push staple pushers upwards, pushing staples into tissue located above the cartridge assembly. The actuation sled may be grounded or supported by a channel member of the cartridge assembly or the working member. When the actuation sled experiences forces exerted by the staple pushers onto the actuation sled during firing of the stapling device, such forces are directed towards the channel member or the working member via a sled support component instead of towards a tissue gap compression member.
An inventory system configured for detecting and counting surgical items includes an RFID tag affixed to a surgical item, a signal generator (120) including a display, a surgical access portal, a processor, and a memory. The RFID tag is configured to transmit a return signal when energized. The surgical access portal (300) includes a cannula defining a passageway configured for accessing a surgical site, and an antenna (110) in communication with the signal generator, the antenna configured to receive the return signal transmitted by the RFID tag. The antenna is supported on the cannula and surrounds the passageway. The memory includes instructions stored on the memory, which when executed by the processor cause the system to energize the RFID tag as the surgical item passes through the passage of the cannula, receive the return signal from the antenna, and provide a count based on the return signal.
G16H 40/40 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour la gestion d’équipement ou de dispositifs médicaux, p. ex. pour planifier la maintenance ou les mises à jour
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
A61B 90/98 - Moyens d’identification pour les patients ou les instruments, p. ex. étiquettes utilisant des moyens électromagnétiques, p. ex. transpondeurs
10.
SURGICAL ROBOTIC SYSTEM AND METHOD FOR CALIBRATION OF JAWED INSTRUMENTS
A surgical robotic system includes a robotic arm and an instrument for use in surgical procedures. The instrument includes a coupler, a drive rod, a spring, and a pair of opposing jaws. The robotic arm includes an instrument drive unit having a motor, a torque sensor, and a position sensor. The controller of the system is configured to actuate the motor to move the jaws to a closed position and to receive torque and position data from the sensors. The controller then determines a change in slope point from the data and identifies a calibrated coupler position based on the change in slope point. The system is able to control movement of the jaws based on the calibrated coupler position, providing precise and accurate surgical procedures.
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 17/29 - Pinces pour la chirurgie faiblement invasive
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
A tool assembly of a surgical stapling device includes a reload assembly and a channel member that defines a cavity to receive the reload assembly. The reload assembly includes a staple cartridge and a shipping cover that is secured to the staple cartridge. The shipping cover includes structure to obstruct removal of the shipping cover from the staple cartridge until after the reload assembly is loaded into the cavity defined by the channel member.
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
A61B 17/072 - Agrafeuses chirurgicales pour appliquer une rangée d'agrafes en une seule opération, p. ex. agrafes appliquées simultanément
12.
ANVIL BUTTRESS LOADING FOR A SURGICAL STAPLING APPARATUS
A surgical stapling system includes an end effector and a buttress loading assembly. The end effector includes an anvil assembly. The buttress loading assembly includes an anvil buttress and an anvil buttress loader. The anvil buttress loader supports the anvil buttress and includes a support plate and a sled. The support plate includes a flexible locking arm. The sled is coupled to the support plate by the flexible locking arm. The sled supports the anvil buttress and is configured to slide the anvil buttress onto the anvil assembly. The sled is configured to move relative to the support plate when the flexible locking arm is uncoupled from the sled.
A61B 17/072 - Agrafeuses chirurgicales pour appliquer une rangée d'agrafes en une seule opération, p. ex. agrafes appliquées simultanément
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
13.
AUGMENTED REALITY SIMULATED SETUP AND CONTROL OF ROBOTIC SURGICAL SYSTEMS WITH INSTRUMENT OVERLAYS
A system for workspace augmentation includes an augmented reality device. The augmented reality headset includes an imaging device configured to capture images of a real-world environment, a display configured to display a composite view, a processor, and a memory. The memory includes instructions stored thereon, which, when executed by the processor, cause the system to: capture a real-world environment that includes an object by the imaging device, identify the object in the captured image, determine information relating to the object, render an overlay including the information relating to the object, and display the information relating to the object on the display. The object includes a surgical instrument of a robotic surgical system.
A61B 34/00 - Chirurgie assistée par ordinateurManipulateurs ou robots spécialement adaptés à l’utilisation en chirurgie
A61B 34/20 - Systèmes de navigation chirurgicaleDispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p. ex. pour la stéréotaxie sans cadre
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
G06V 10/70 - Dispositions pour la reconnaissance ou la compréhension d’images ou de vidéos utilisant la reconnaissance de formes ou l’apprentissage automatique
G06V 20/20 - ScènesÉléments spécifiques à la scène dans les scènes de réalité augmentée
14.
SURGICAL ROBOTIC SYSTEM AND METHOD FOR DISPLAYING INCREASED LATENCY
A surgical robotic system includes a surgical robotic arm having an instrument and an instrument drive unit configured to actuate the instrument, and a surgeon console configured to receive user input to control at least one of the surgical robotic arm or the instrument. The system also includes a camera configured to capture a video feed and a video processing device configured to receive the video feed, calculate a latency of the video feed, and display the latency of the video feed.
A61B 34/20 - Systèmes de navigation chirurgicaleDispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p. ex. pour la stéréotaxie sans cadre
G16H 40/67 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement à distance
15.
SURGICAL ROBOTIC SYSTEM AND METHOD FOR REGISTERING MULTIPLE DISTRIBUTED ROBOTIC ARMS BY FUSING ROBOT KINEMATICS AND VISION
A surgical robotic system and method provide for registering multiple distributed robotic arms using a combination of robot kinematics and vision-based tracking. The system includes a plurality of robotic arms, mobile carts, surgical instruments, and a stereoscopic camera configured to capture images of the surgical site. Features on instruments are identified in stereo images, matched, and projected into 3D coordinates. Forward kinematics calculates instrument poses, which are aligned with vision-based detections through iterative closest point (ICP) algorithms and pose graph optimization. This multi-sensor fusion ensures accurate registration of robotic arms and instruments in a unified coordinate frame. A digital twin is generated to represent the real-time configuration and movements of the system, enabling advanced capabilities such as augmented reality, collision avoidance, and enhanced surgical planning. The system improves instrument tracking, localization, and persistent labeling, enhancing precision and safety in minimally invasive surgeries.
Devices, systems, and methods for delivering a stent to a treatment site within a blood vessel are disclosed herein. According to some embodiments, a stent pusher includes a proximal core wire, a distal core wire, and a pusher ring between the proximal core wire and the distal core wire. The distal core wire is configured to transition between a first configuration in which the distal core wire forms a substantially straight first structure and a second configuration in which the distal core wire forms a coiled second structure having a larger diameter and a smaller length than the first structure.
A61F 2/966 - Instruments spécialement adaptés pour insérer ou retirer les stents ou les endoprothèses déployables couvertes possédant une gaine extérieure avec un mouvement longitudinal relatif entre la gaine extérieure et la prothèse, p. ex. utilisant une tige poussoir
A61F 2/82 - Dispositifs maintenant le passage ou évitant l’affaissement de structures tubulaires du corps, p. ex. stents
A61F 2/86 - Stents ayant une forme caractérisée par des éléments filiformesStents ayant une forme caractérisée par une structure de type filet ou de type à mailles
17.
Articulating Multifunction Surgical Instruments Such as For Use in Surgical Robotic Systems
A surgical instrument includes a housing including four input actuators, a shaft assembly including a proximal shaft and an articulating section disposed at a distal end of the proximal shaft, and an end effector assembly coupled to the articulating section. Articulation of the articulating section articulates the end effector assembly relative to the proximal shaft. The end effector assembly includes a proximal body, first and second jaw members extending distally from the proximal body, and an energizable element selectively deployable relative to the first and second jaw members from a retracted position to a deployed position, wherein the energizable element extends distally from the first and second jaw members. At least one of the first or second jaw members is movable relative to the other and the proximal body from a spaced-apart position to an approximated position to grasp tissue therebetween.
An adapter assembly of a surgical robotic system includes an elongate body configured to receive a surgical loading unit and an elongate loading bar coupled to the elongate body and configured to selectively lock the surgical loading unit to the adapter assembly. The elongate loading bar has a distal end defining a slot therein configured for receipt of an articulation link of the surgical loading unit upon an improper insertion of the surgical loading unit into the adapter assembly. The surgical robotic system is configured to automatically move the elongate loading bar between loading and unloading positions to allow for one-handed loading/unloading of the surgical loading unit.
A surgical instrument includes an end effector assembly having first and second jaw members configured to grasp tissue therebetween. The first jaw member including first and second electrically conductive tissue contacting plate portions configured to conduct Radio Frequency (RF) energy through tissue and the second jaw member including first and second ultrasonic tissue contacting plate portions configured to produce ultrasonic vibration energy and transmit the ultrasonic vibration energy to tissue. A surgical system includes an end effector assembly configured to grasp tissue and a surgical generator configured to output RF treatment energy, output an ultrasonic drive signal, sense RF energy feedback, sense ultrasonic energy feedback, and control the outputs based upon the feedback.
A61B 18/12 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci par chauffage en faisant passer des courants à travers les tissus à chauffer, p. ex. des courants à haute fréquence
A61B 18/00 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci
A surgical robotic system includes a robotic arm having an instrument drive unit and an access port configured to be secured to the robotic arm. The system also includes an instrument configured to couple to the instrument drive unit, where the instrument drive unit is configured to actuate the instrument. The system also includes a controller configured to: instruct the robotic arm to advance the instrument into the access port; instruct the instrument drive unit to calibrate the instrument inside the access port; determine a type of the access port during calibration of the instrument; and store the type of the access port in a memory.
An ablation system includes an ablation device configured to ablate a target, an imaging device, and a computing device. The imaging device is configured to capture images of a surgical site, in real time, including the target and the ablation device positioned relative to the target. The computing device includes a display configured to display a user interface. The user interface includes the images of the surgical site in real time and a simulation of ablation growth overlayed onto the images of the surgical site. Dimensions of the simulation of ablation growth may be based on expected ablation zone sizes for a fixed power setting at different energy application durations.
A61B 8/00 - Diagnostic utilisant des ondes ultrasonores, sonores ou infrasonores
A61B 18/18 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci par application de radiations électromagnétiques, p. ex. de micro-ondes
22.
Q-FACTOR CONTROL FOR USE WITH RETAINED SURGICAL ITEM DETECTION SYSTEM
An interrogation and detection system for detection of surgical implements within a patient's body includes an RF tag configured to transmit a return signal when energized, a signal generator configured to generate an energizing signal for the RF tag, an antenna operably coupled to the signal generator and configured to receive the return signal transmitted by the RF tag, a processor, and a memory. The memory includes instructions stored thereon, which when executed by the processor, cause the system to receive the return signal, detect an impedance of the antenna based on the return signal, and determine a ratio of real impedance to reactive impedance based on the detected impedance.
A61B 90/98 - Moyens d’identification pour les patients ou les instruments, p. ex. étiquettes utilisant des moyens électromagnétiques, p. ex. transpondeurs
H01Q 7/00 - Cadres ayant une distribution du courant sensiblement uniforme et un diagramme de rayonnement directif perpendiculaire au plan du cadre
H04B 5/77 - Systèmes de transmission en champ proche, p. ex. systèmes à transmission capacitive ou inductive spécialement adaptés à des fins spécifiques pour l'interrogation
A drive assembly for an adapter assembly of a surgical device includes an input shaft, a middle shaft, and an output shaft. The input shaft includes a proximal portion configured for operable engagement with a drive member of a handle assembly and a distal portion including a first castellated portion. The middle shaft includes a proximal portion having a first lobed portion in operable engagement with the first castellated portion of the input shaft, and a distal portion having a second lobed portion. The output shaft includes a proximal portion having a second castellated portion in operable engagement with the second lobed portion.
A61B 17/115 - Agrafeuses pour réaliser une anastomose, p. ex. en une seule opération
F16D 3/30 - Joints de Hooke ou autres joints avec organe intermédiaire équivalent auquel chaque pièce d'accouplement est reliée par pivot ou par glissement dans lesquels l'accouplement est spécialement adapté pour fournir un rapport de vitesse constant
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
An electrosurgical system includes an electrosurgical generator configured to supply electrosurgical energy, and an electrosurgical instrument capable of delivering the electrosurgical energy for treating tissue, such as a tissue sealing operation and a tissue cutting operation. A controller module is configured to receive at least a first initiation request for a the tissue sealing operation. In some instances, the controller module is configured to receive a second initiation request for a tissue cutting operation. The controller module is configured to controllably operate the electrosurgical generator to selectively supply energy for the tissue sealing operation or the tissue cutting operation.
A61B 18/12 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci par chauffage en faisant passer des courants à travers les tissus à chauffer, p. ex. des courants à haute fréquence
The technology relates to a surgical instrument. The surgical instrument may include a shaft assembly comprising a firing rod; a motor coupled to the firing rod and configured to drive the firing rod distally and retract the firing rod proximally; a tool assembly including an end effector; a processor; and memory storing instructions that, when executed by the processor, causes the surgical instrument to perform operations. The operations may include detecting a coupling of the tool assembly to the shaft assembly; based on detecting the coupling of the tool assembly to the shaft assembly, activating the motor to retract the firing rod proximally; monitoring a motor characteristic of the motor during retraction of the firing rod; and based on the monitored motor characteristic crossing a motor-characteristic threshold within a threshold distance, indicating a proper connection of the tool assembly to the shaft assembly.
A patient monitoring sensor having a communication interface, through which the patient monitoring sensor can communicate with a monitor is provided. The patient monitoring sensor includes a light-emitting diode (LED) communicatively coupled to the communication interface and a detector, communicatively coupled to the communication interface, capable of detecting light. The patient monitoring sensor includes a layer of material is provided over the LED on the patient-side of the sensor to reduce transmission of heat therefrom to the skin of the patient.
A61B 5/00 - Mesure servant à établir un diagnostic Identification des individus
A61B 5/1455 - Mesure des caractéristiques du sang in vivo, p. ex. de la concentration des gaz dans le sang ou de la valeur du pH du sang en utilisant des capteurs optiques, p. ex. des oxymètres à photométrie spectrale
Treatment of aneurysms can be improved by delivering an occlusive member (e.g., an expandable braid) to an aneurysm sac in conjunction with an embolic element (e.g., coils, embolic material). A treatment system for such treatment can include an electrolytically corrodible core wire having a proximal portion, a distal portion, and a detachment zone between the proximal portion and the distal portion. An occlusive member having a proximal hub is coupled to the core wire distal portion. A conduit extends along at least a portion of the core wire. The conduit has a lumen configured to pass an embolic element therethrough.
A61B 17/12 - Instruments, dispositifs ou procédés chirurgicaux pour ligaturer ou comprimer par un autre moyen les parties tubulaires du corps, p. ex. les vaisseaux sanguins ou le cordon ombilical
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
B23P 19/04 - Machines effectuant simplement l'assemblage ou la séparation de pièces ou d'objets métalliques entre eux ou des pièces métalliques avec des pièces non métalliques, que cela entraîne ou non une certaine déformationOutils ou dispositifs à cet effet dans la mesure où ils ne sont pas prévus dans d'autres classes pour assembler ou séparer des pièces
28.
INSTRUMENT LEVEL OF USE INDICATOR FOR SURGICAL ROBOTIC SYSTEM
A surgical robotic system includes a robotic arm having an instrument and an instrument drive unit configured to couple to and to actuate the instrument. The system also includes a display configured to output a graphical user interface and a surgeon console including a handle controller configured to control the robotic arm and the instrument. The system further includes a processor configured to calculate a current level of use of the instrument based on movement of the handle controller and to output on the graphical user interface an indicator showing the current level of use of the instrument.
B25J 13/02 - Moyens de commande à préhension manuelle
B25J 19/00 - Accessoires adaptés aux manipulateurs, p. ex. pour contrôler, pour observerDispositifs de sécurité combinés avec les manipulateurs ou spécialement conçus pour être utilisés en association avec ces manipulateurs
An endovascular therapy system includes an endovascular device. The endovascular device includes an elongated body configured to be introduced into vasculature of a patient. The endovascular device includes an expandable structure at a distal portion of the elongated body. The therapy system (e.g., the endovascular device) can include a plurality of electrodes carried by the expandable structure. The elongated body can be configured to transform between a body delivery configuration and a body deployed configuration. In the body deployed configuration, the distal portion of the elongated body defines a coiled portion. The coiled portion can be located proximal of the expandable structure. The coiled portion is configured to limit or prevent an axial force applied to the elongated body from being transferred to the expandable structure or the plurality of electrodes when the expandable structure and the elongated body are positioned within the vasculature of the patient.
A61N 1/05 - Électrodes à implanter ou à introduire dans le corps, p. ex. électrode cardiaque
A61N 1/36 - Application de courants électriques par électrodes de contact courants alternatifs ou intermittents pour stimuler, p. ex. stimulateurs cardiaques
A61N 1/375 - Aménagements structurels, p. ex. boîtiers
31.
CONFIGURATIONS OF COIL FOR ENDOVASCULAR THERAPY SYSTEM
An endovascular therapy system includes an endovascular device. The endovascular device includes an elongated body configured to be introduced into vasculature of a patient. The endovascular device includes a coil structure at a distal portion of the elongated body. The coil structure includes at least a first coil portion and a second coil portion. The first coil portion can be configured to carry a plurality of electrodes. The second coil portion can be formed from a coiled wire such that the second coil portion together with the coiled wire defines a coiled coil. The coiled wire can extend distally of a distal end of the first coil portion and be configured to anchor the elongated body and the coil structure within the vasculature of the patient.
A61N 1/05 - Électrodes à implanter ou à introduire dans le corps, p. ex. électrode cardiaque
A61N 1/36 - Application de courants électriques par électrodes de contact courants alternatifs ou intermittents pour stimuler, p. ex. stimulateurs cardiaques
32.
SYSTEM FOR FLUOROSCOPIC TRACKING OF A CATHETER TO UPDATE THE RELATIVE POSITION OF A TARGET AND THE CATHETER IN A 3D MODEL OF A LUMINAL NETWORK
A system and method for confirming placement of a biopsy tool in a target including a navigation component to track the position of a catheter navigated into a luminal network, and a catheter configured to receive a biopsy tool. The system and method receive a first plurality of fluoroscopic images, generate a first fluoroscopic three-dimensional reconstruction from the plurality of fluoroscopic images, and present a first slice of the 3D reconstruction depicting the catheter in relation to a target visible in the slice of the 3D reconstruction.
A61B 10/04 - Instruments endoscopiques, p. ex. instruments de type cathéther
A61B 5/06 - Dispositifs autres que ceux à radiation, pour détecter ou localiser les corps étrangers
A61B 6/00 - Appareils ou dispositifs pour le diagnostic par radiationsAppareils ou dispositifs pour le diagnostic par radiations combinés avec un équipement de thérapie par radiations
A surgical instrument that includes a shaft assembly and an articulation mechanism with an articulation link configured to couple to a tool assembly. The articulation mechanism includes a cam disk with at least two slots, and a drive plate with at least two cam members receivable in the corresponding at least two slots providing for articulation of the tool assembly.
A surgical stapling device includes a tool assembly including an anvil assembly, a cartridge assembly, and a drive assembly. The cartridge assembly includes a deployable knife that is movable from a lowered position to a raised position in response to movement of the drive assembly from a drive retracted position towards a drive advanced position. The tool assembly supports a lockout member that is movable from a locked position to an unlocked position in response to advancement of the drive assembly from the drive retracted position towards the drive advanced position when a knife and/or actuation sled is present. The lockout member is provided to prevent firing of the stapling device when a knife and/or actuation sled is not present in the tool assembly.
Calcium-binding compositions and methods of treating vascular calcifications using the calcium-binding compositions are disclosed herein. The calcium-binding compositions include a water-soluble biopolymer, such as collagen, and a calcium-binder. The methods of treating vascular calcifications include delivering a calcium-binding composition including a water- soluble biopolymer, such as collagen, and a calcium-binder to a treatment site.
Electromagnetic (EM) sensing elements are incorporated into a multi-nodal catheter system for use with endoluminal surgical systems and methods. The catheter system includes a flexible catheter, a flexible substrate coupled to the flexible catheter, first EM sensing elements coupled to the flexible substrate in different orientations at a first position of the flexible catheter, and second EM sensing elements coupled to the flexible substrate in different orientations at the second position of the flexible catheter. The surgical system includes an EM field generator with antennas emitting EM fields. The surgical system may determine EM field strengths at positions within a sensing volume, build a neural network model, receive EM field signals from the EM sensing elements, estimate positions of the EM sensing elements by processing the EM field signals with the neural network model, and display a representation of the flexible catheter based on the estimated positions.
A61B 5/06 - Dispositifs autres que ceux à radiation, pour détecter ou localiser les corps étrangers
A61B 5/00 - Mesure servant à établir un diagnostic Identification des individus
A61B 34/20 - Systèmes de navigation chirurgicaleDispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p. ex. pour la stéréotaxie sans cadre
37.
SYSTEM AND METHOD FOR DETERMINING A DEVICE-SPECIFIC OPERATING CONFIGURATION FOR A MICROWAVE GENERATOR
A microwave generator includes a microwave signal generator configured to deliver a microwave signal to a microwave instrument coupled to the microwave generator and a generator controller storing a plurality of resistance value indicators. A device ID reader is configured to measure a resistance of the coupled microwave instrument. The generator controller is configured to compare the measured resistance of the coupled microwave instrument with the plurality of resistance value indicators to identify a type of the coupled microwave instrument. An instrument monitoring controller is configured to communicate a data request to the coupled microwave instrument based on the identified type of the coupled microwave instrument. The generator controller is configured to set at least one operating threshold of the microwave generator based on one of an operating configuration corresponding to one of the plurality of resistance value indicators or data communicated from the coupled microwave instrument.
A61B 18/18 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci par application de radiations électromagnétiques, p. ex. de micro-ondes
A61B 18/00 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci
38.
ARTICULATING ULTRASONIC SURGICAL INSTRUMENTS AND SYSTEMS
An ultrasonic surgical instrument includes an ultrasonic transducer and an ultrasonic waveguide coupled to the ultrasonic transducer and extending therefrom. The ultrasonic waveguide includes a proximal body portion coupled to and extending distally from the ultrasonic transducer and defining a longitudinal axis. The ultrasonic waveguide further includes a distal body portion defining a blade, and a plurality of spheres of material arranged in a series. The plurality of spheres of material extend between and interconnect the proximal body portion and the distal body portion. At least one sphere of material of the plurality of spheres of material is configured to articulate relative to at least one other sphere of material of the plurality of spheres of material to thereby articulate the distal body portion from an aligned orientation on the longitudinal axis to an articulated orientation angled off the longitudinal axis.
A61B 17/22 - Instruments pour comprimer les ulcères ou similaires placés sur les organes internes du corpsInstruments pour curer les cavités des organes du corps, p. ex. des osInstruments, dispositifs ou procédés chirurgicaux pour l'élimination ou la destruction invasives des calculs utilisant des vibrations mécaniquesInstruments, dispositifs ou procédés chirurgicaux pour l'élimination non prévue ailleurs des obstructions dans les vaisseaux sanguins
Thrombectomy devices and associated methods and systems are disclosed herein. According to some embodiments, the present technology includes a thrombectomy device including a tubular member having a proximal end region configured to be disposed extracorporeally and a distal end region configured to be disposed at an intravascular treatment site. The tubular member can include a sidewall defining a lumen extending from the proximal end region to the distal end region, and a plurality of side openings in the sidewall in the distal end region. The thrombectomy device can further include at least one adjustable flap configured to at least partially cover a side opening of the plurality of side openings of the tubular member. The adjustable flap may have a first end coupled to the tubular member and a free second end.
A61B 17/22 - Instruments pour comprimer les ulcères ou similaires placés sur les organes internes du corpsInstruments pour curer les cavités des organes du corps, p. ex. des osInstruments, dispositifs ou procédés chirurgicaux pour l'élimination ou la destruction invasives des calculs utilisant des vibrations mécaniquesInstruments, dispositifs ou procédés chirurgicaux pour l'élimination non prévue ailleurs des obstructions dans les vaisseaux sanguins
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
An ultrasonic surgical instrument includes a housing, an elongate shaft having an articulating portion, an end effector extending distally from the elongate shaft, and a transducer assembly disposed at least partially within the elongate shaft. The end effector includes a jaw and an ultrasonic blade. The transducer assembly includes a proximal transducer and a distal transducer coupled by a connector. The ultrasonic blade receives ultrasonic energy produced by transducer assembly.
A61B 17/22 - Instruments pour comprimer les ulcères ou similaires placés sur les organes internes du corpsInstruments pour curer les cavités des organes du corps, p. ex. des osInstruments, dispositifs ou procédés chirurgicaux pour l'élimination ou la destruction invasives des calculs utilisant des vibrations mécaniquesInstruments, dispositifs ou procédés chirurgicaux pour l'élimination non prévue ailleurs des obstructions dans les vaisseaux sanguins
A surgical system includes at least one audio sensor configured to sense audio during a surgical procedure and to output audio data based on the sensed audio. The surgical system further includes a computing device operably coupled to the at least one audio sensor and configured to receive the output audio data from the at least one audio sensor. The computing device includes a processor and memory storing instructions that, when executed by the processor, cause the processor to determine at least one of a cause or a location of a sound based at least on the output audio data and to output an indication of the at least one of the cause or location of the sound.
A system for performing a surgical procedure includes a controller including a memory and a processor, the memory storing instructions, which when executed by the processor cause the processor to receive a plurality of pre-procedure images of a patient's anatomy, label anatomical structures within at least a portion of the pre-procedure images, generate a three-dimensional reconstruction of the patient's anatomy using the plurality of pre-procedure images, receive an image captured by the camera, identify anatomical structures within the image captured by the camera to labeled anatomical structures within the plurality of pre-procedure images, identify an image from the plurality of pre-procedure images that corresponds to the image captured by the camera, and register the location where the image was captured by the camera to the three-dimensional reconstruction of the patient's anatomy.
A61B 34/10 - Planification, simulation ou modélisation assistées par ordinateur d’opérations chirurgicales
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A61B 1/05 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments combinés avec des dispositifs photographiques ou de télévision caractérisés par le fait que le capteur d'images, p. ex. l'appareil photographique, est placé dans la partie de l'extrémité distale
A61B 34/20 - Systèmes de navigation chirurgicaleDispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p. ex. pour la stéréotaxie sans cadre
Devices, systems, and methods control a movement or instrument function of a robotic arm of a surgical robotic system. The devices include a graphic user interface. The graphic user interface includes one or more foot pedal images on a touchscreen display and assigns a control input for a specific movement or instrument function of the surgical robotic system to the foot pedal images. The graphic user interface is further configured to receive a touch input at a location where the foot pedal images are displayed on the touchscreen display, generate input data based on receiving the touch input, and send the input data to a surgical console of the surgical robotic system.
A surgical robotic system includes a robotic controller; a camera connected to the robotic controller; and an electrosurgical instrument connected to the robotic controller, the electrosurgical instrument including an end effector configured to grasp tissue. At least a portion of the end effector includes a mechanochromatic material. The camera is configured to observe the end effector as it grasps tissue and transmit an image of the mechanochromatic material to the robotic controller. The robotic controller determines a force applied to the tissue while the end effector grasps tissue based on the color of the mechanochromatic material in the transmitted image.
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
A61B 34/00 - Chirurgie assistée par ordinateurManipulateurs ou robots spécialement adaptés à l’utilisation en chirurgie
45.
IMPLANT FOR COMPETING BLOOD VESSEL TO PROMOTE FISTULA MATURATION AND METHOD THEREOF
An implant is used in a competing vein of a primary vein of an arteriovenous (AV) fistula to promote maturation of the AV fistula. The implant includes a blood flow restrictor configured to be delivered to a selected location in the competing vein and engage a wall of the competing vein at the selected location. The blood flow restrictor enables blood in the competing vein to flow therethrough, while reducing a volumetric blood flow rate as the blood flows therethrough. The blood flow restrictor is biodegradable in the competing vein so that as the blood flow restrictor biodegrades in the competing vein over time, the volumetric blood flow rate through the longitudinal orifice increases.
A61B 17/12 - Instruments, dispositifs ou procédés chirurgicaux pour ligaturer ou comprimer par un autre moyen les parties tubulaires du corps, p. ex. les vaisseaux sanguins ou le cordon ombilical
A61L 31/14 - Matériaux caractérisés par leur fonction ou leurs propriétés physiques
A61M 1/36 - Autre traitement du sang dans une dérivation du système circulatoire naturel, p. ex. adaptation de la température, irradiation
An adapter for use with a surgical robotic system or a handheld powered surgical instrument couples a stapler loading unit to an instrument drive unit. The adapter may include a storage device storing a torque and/or current threshold that is used by a controller to limit torque imparted on the adapter during retraction of the stapler loading unit to prevent damage to the loading unit or the adapter.
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
A medical device monitoring system includes a monitor and a medical device. The monitor includes an infrared emitter that transmits a first infrared signal, the first infrared signal comprising identification information of the monitor, a second infrared signal comprising the identification information, and a time gap between the first infrared signal and the second infrared signal and a controller that activates the infrared emitter and that sets the time gap the first infrared signal and the second infrared signal. The monitor communication circuitry. The medical device includes a medical sensor and an infrared receiver disposed on the video laryngoscope and that receives the first infrared signal and the second infrared signal. The medical device also includes communication circuitry that communicates the acquired airway images to the monitor communication circuitry when a processor validates a pairing between the video laryngoscope and the monitor.
A61B 1/267 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments pour les voies respiratoires, p. ex. laryngoscopes, bronchoscopes
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A61B 1/04 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments combinés avec des dispositifs photographiques ou de télévision
48.
METHOD AND APPARATUS FOR IMPLANTATION OF A MEDICAL ELECTRICAL LEAD
A medical device system is provided for guiding implantation of a medical electrical lead. The system includes processing circuitry configured to receive first patient body image data and second patient body image data and register the first patient body image data and the second patient body image data. The processing circuitry may be further configured to receive a signal from at least one location sensor disposed at a known distance from a feature of a removable outer sheath of a delivery tool configured to deliver an extravascular lead to an implant site of a patient via a non-transvenous pathway. The processing circuitry may determine from the location sensor signal a location of a feature of the removable outer sheath in a coordinate system space corresponding to the second patient body image data.
A61B 34/20 - Systèmes de navigation chirurgicaleDispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p. ex. pour la stéréotaxie sans cadre
A61B 34/00 - Chirurgie assistée par ordinateurManipulateurs ou robots spécialement adaptés à l’utilisation en chirurgie
A surgical robotic system includes a robotic arm having a surgical instrument. The surgical robotic system also includes a surgeon console including a pair of hand controllers for controlling the robotic arm and the surgical instrument. The system further includes a sensor, which may be 3D printed, disposed on tissue and configured to measure at least one parameter pertaining to the tissue. The system additionally includes a controller configured to receive sensor data from the sensor, the sensor data including the at least one parameter and control at least one of the robotic arm or the surgical instrument based on the sensor data.
A61B 34/32 - Robots chirurgicaux opérant de façon autonome
A61B 5/00 - Mesure servant à établir un diagnostic Identification des individus
A61B 34/00 - Chirurgie assistée par ordinateurManipulateurs ou robots spécialement adaptés à l’utilisation en chirurgie
A61B 34/20 - Systèmes de navigation chirurgicaleDispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p. ex. pour la stéréotaxie sans cadre
A61B 34/35 - Robots chirurgicaux pour la téléchirurgie
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
A61L 31/14 - Matériaux caractérisés par leur fonction ou leurs propriétés physiques
50.
ROBOTIC SURGICAL STAPLER SYSTEM WITH FORCE FEEDBACK
Systems and methods measure a compression force on a target tissue with an electromechanical surgical stapler prior to completing a staple firing and cutting procedure with the electromechanical surgical stapler. When the compression force on the target tissue is identified as being greater than a predetermined maximum compression force threshold for the end effector of the surgical stapler, the system and method provides for remedial actions including recommendations for replacing the surgical stapler with a surgical stapler having a larger predetermined maximum compression force threshold. The system and method also provides for virtual marking of the target tissue so that the replacement surgical stapler can return to the same location of the target tissue.
A powered surgical device includes a handle assembly that includes a linear position sensor in the form of a linear potentiometer for identifying a position of a rack within the handle assembly. The linear potentiometer provides a signal indicative of the position of the rack to a controller to control operation of a motor or motors positioned within the handle assembly to control various functions of the surgical device. The linear potentiometer supports a lever assembly that is coupled to a slide of the linear potentiometer to selectively couple and decouple the slide from the rack. The lever assembly facilitates the use of a linear potentiometer having a shorter length.
A61B 17/072 - Agrafeuses chirurgicales pour appliquer une rangée d'agrafes en une seule opération, p. ex. agrafes appliquées simultanément
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
A surgical stapling device includes a cartridge assembly for accommodating tissues of different thicknesses. The cartridge assembly includes a channel member and a staple cartridge that is received in the channel member for movement between positions to change a size of a tissue gap defined between the staple cartridge and an anvil of the stapling device. The cartridge assembly also includes features formed on pushers or a cartridge body of the staple cartridge of the cartridge assembly to improve staple formation when stapling thin tissue.
A system and method for planning surgical procedure including a treatment zone setting view presenting at least one slice of a 3D reconstruction generated from CT image data including a target. The treatment zone setting view presenting a treatment zone marker defining a location and a size of a treatment zone and configured to adjust the treatment zone marker in response to a received user input. The system and method further including a volumetric view presenting a 3D volume derived from the 3D reconstruction and a 3D representation of the treatment zone marker relative to structures depicted in the 3D volume.
A61B 6/00 - Appareils ou dispositifs pour le diagnostic par radiationsAppareils ou dispositifs pour le diagnostic par radiations combinés avec un équipement de thérapie par radiations
A61B 6/12 - Agencements pour détecter ou localiser des corps étrangers
A61B 6/46 - Agencements pour l’interface avec l’opérateur ou avec le patient
A61B 18/00 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci
A61B 34/00 - Chirurgie assistée par ordinateurManipulateurs ou robots spécialement adaptés à l’utilisation en chirurgie
A61B 34/10 - Planification, simulation ou modélisation assistées par ordinateur d’opérations chirurgicales
A61B 90/10 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures pour la chirurgie stéréotaxique, p. ex. système stéréotaxique à cadre
A61N 5/10 - RadiothérapieTraitement aux rayons gammaTraitement par irradiation de particules
G06F 3/0481 - Techniques d’interaction fondées sur les interfaces utilisateur graphiques [GUI] fondées sur des propriétés spécifiques de l’objet d’interaction affiché ou sur un environnement basé sur les métaphores, p. ex. interaction avec des éléments du bureau telles les fenêtres ou les icônes, ou avec l’aide d’un curseur changeant de comportement ou d’aspect
G06F 3/04842 - Sélection des objets affichés ou des éléments de texte affichés
G06F 3/04847 - Techniques d’interaction pour la commande des valeurs des paramètres, p. ex. interaction avec des règles ou des cadrans
Treatment devices and associated methods and systems are disclosed herein. According to some embodiments, the present technology includes a treatment device including a tubular member having a proximal end region configured to be disposed extracorporeally and a distal end region configured to be disposed at an intravascular treatment site. The tubular member can include a sidewall defining a lumen extending from the proximal end region to the distal end region, and a plurality of side openings in the sidewall in the distal end region.
A61B 17/22 - Instruments pour comprimer les ulcères ou similaires placés sur les organes internes du corpsInstruments pour curer les cavités des organes du corps, p. ex. des osInstruments, dispositifs ou procédés chirurgicaux pour l'élimination ou la destruction invasives des calculs utilisant des vibrations mécaniquesInstruments, dispositifs ou procédés chirurgicaux pour l'élimination non prévue ailleurs des obstructions dans les vaisseaux sanguins
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
55.
SURGICAL ROBOTIC SYSTEM AND METHOD FOR AUTOMATIC PORT AND TASK SPACE REPOSITIONING
A surgical robotic system for automatic port repositioning includes a robotic arm coupled to an access port inserted through an incision, the access port is equipped with sensors to detect tissue deformation. Using imaging or force sensors, the system monitors tension around the port and calculates motion vectors to perform micro-adjustments, or "port burping," to relieve strain without disrupting surgery. The robotic arm executes these adjustments gradually, ensuring smooth operation. Additionally, the system monitors task and workspace volumes to keep instruments within safe zones, using algorithms like SLAM and bump detection. If instruments approach workspace limits, the system autonomously adjusts the port's position to expand the task space, minimizing manual intervention and enhancing surgical efficiency.
A61B 34/32 - Robots chirurgicaux opérant de façon autonome
A61B 34/20 - Systèmes de navigation chirurgicaleDispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p. ex. pour la stéréotaxie sans cadre
An electrosurgical system, device, and method includes an electrosurgical generator capable of supplying electrosurgical energy, and an electrosurgical instrument capable of delivering the electrosurgical energy for treating tissue, such as a tissue sealing operation and a tissue cutting operation. A controller is configured to receive a request to initiate delivery of electrosurgical energy, and to controllably operate the electrosurgical generator to selectively supply energy for the tissue sealing operation or the tissue cutting operation.
A surgical instrument includes a shaft including a longitudinally extending slot, a drive element slidably disposed within the shaft, a drive link, and a body. The drive link includes a first portion external of the shaft and a second portion extending through the slot to engage the drive element within the shaft. The drive link defines a depth, a width greater than the depth, and a length. The depth of the drive link is less than the width of the slot to enable the drive link to extend through the slot. The width of the drive link is greater than the width of the slot. The body is disposed about at least a portion of the shaft. The first portion of the drive link is coupled to the body such that translation of the body along the shaft translates the drive element through the shaft.
A surgical robotic system for tissue thickness measurement using a grasping instrument during stapling procedures includes a robotic arm equipped with a grasping instrument operable in a first mode for tissue manipulation and a second mode for measuring tissue thickness. The system utilizes sensors to collect data on jaw position and motor torque during clamping and calculates tissue thickness based on this information. A stapling instrument, controlled by the same or another robotic arm, is then configured to deploy staples according to the measured tissue thickness. The system can select an appropriate stapler cartridge based on pre-set ranges associated with different tissue thicknesses. Additionally, the system may provide feedback to the user through a surgeon console, displaying the recommended stapler cartridge and guiding tissue measurement. This approach aims to improve precision in stapling procedures and optimize patient outcomes.
G16H 40/63 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement local
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
The disclosure relates to systems and methods for tracheal tube guidance with ultrasound input. A method for tracheal tube guidance includes receiving an ultrasound image of a subject's trachea, providing the image as input into a trained model, and receiving as output a segmentation of tissue structure in the ultrasound image. The segmentation is displayed on the ultrasound image, prompting a user confirmation. Upon receiving the user confirmation, the system identifies potentially compatible tracheal tubes based on tracheal measurements from the segmentation.
Liquid embolic compositions, systems, and methods for occluding a treatment site are provided. In some embodiments, a system for occluding a treatment site includes a first precursor composition (Part A) including a first polymer (Polymer A) having a first reactive group (Reactive Group A), and a second precursor composition (Part B) including a second polymer (Part B) having a second reactive group (Reactive Group B). Mixing of Part A and B can cause a covalent crosslinking reaction between the Reactive Group A and Reactive Group B to form an embolic composition. The embolic composition is solvent free, hydrophobic, and immiscible with blood. The embolic composition has an initial viscosity that permits hand injection via a microcatheter to a treatment site and cures to an occlusive, soft solid.
Aspects of this disclosure describe methods and systems for evaluating phrenic nerve stimulation based on acoustics. A stimulation lead, for pacing the phrenic nerve(s), and an acoustic sensor, for detecting sounds or vibrations, may be placed in a patient. The stimulation lead may stimulate phrenic nerve(s) to cause movement of the diaphragm, resulting in an associated acoustic signal. The acoustic sensor may detect the acoustic signal associated with the diaphragm movement. Other acoustics may be detected by the acoustic sensor, such as heart sounds. The portion of the acoustic signal associated with diaphragm movement may be identified for analysis of the phrenic nerve stimulation. Stimulation parameters of the phrenic nerve stimulation may be modified or adjusted accordingly.
A61N 1/36 - Application de courants électriques par électrodes de contact courants alternatifs ou intermittents pour stimuler, p. ex. stimulateurs cardiaques
A61B 5/00 - Mesure servant à établir un diagnostic Identification des individus
A61B 5/08 - Dispositifs de mesure pour examiner les organes respiratoires
A61B 5/11 - Mesure du mouvement du corps entier ou de parties de celui-ci, p. ex. tremblement de la tête ou des mains ou mobilité d'un membre
A61B 5/113 - Mesure du mouvement du corps entier ou de parties de celui-ci, p. ex. tremblement de la tête ou des mains ou mobilité d'un membre se produisant au cours de la respiration
A medical monitoring system includes a first sensor with a first light emitter to emit a first light and a first set of multiple light detectors. The medical monitoring system also includes a second sensor with a second light emitter to emit a second light and a second set of multiple light detectors. The medical monitoring system further includes a processing system with one or more processors, as well as memory storing instructions that, when executed by the processing system, cause the processing system to determine respective regional oxygen saturation values within multiple tissue regions of a patient based on signals received from the first set of multiple light detectors and the second set of multiple light detectors.
A61B 5/1455 - Mesure des caractéristiques du sang in vivo, p. ex. de la concentration des gaz dans le sang ou de la valeur du pH du sang en utilisant des capteurs optiques, p. ex. des oxymètres à photométrie spectrale
An ultrasonic surgical instrument (10) includes a housing (112) having an elongated shaft (150) extending therefrom with an ultrasonic transducer (140) disposed therein. The ultrasonic transducer (140) is operably coupled to a waveguide (154). An ultrasonic blade (162) made from a first metal is operably coupled to the waveguide (154) and extends therefrom. The ultrasonic blade (162) is configured to vibrate upon activation of the ultrasonic transducer (140) to treat tissue. A second, dissimilar metal (500) is disposed on the ultrasonic blade. A thermocouple (600) is formed by a first electrical lead (520) extending from a reference junction (153) and a second electrical lead (510) coupled to the second, dissimilar metal (500). The thermocouple (600) is configured to detect a temperature difference between reference junction (153) and the portion of the blade (162) supporting the second, dissimilar metal (500). The thermocouple (600) derives a temperature at the second, dissimilar metal (500) from a voltage generated at a junction between the first metal and the second, dissimilar metal and a temperature at the reference junction (153).
Systems, devices, and methods for thrombectomy are disclosed herein. According to some embodiments, the present technology includes a method including disposing a medical device within a vessel at or adjacent a treatment site. The medical device can include a tubular member defining a lumen extending between a proximal portion and a distal portion of the tubular member, the tubular member having one or more side openings and a distal opening in the distal portion. The method can further include applying negative pressure to the tubular member, where the negative pressure is configured to transition the distal opening of the tubular member from an open configuration in which the distal opening is in fluid communication with the lumen to a closed configuration in which the distal opening is at least partially closed, thereby reducing fluid communication with the lumen.
A61B 17/22 - Instruments pour comprimer les ulcères ou similaires placés sur les organes internes du corpsInstruments pour curer les cavités des organes du corps, p. ex. des osInstruments, dispositifs ou procédés chirurgicaux pour l'élimination ou la destruction invasives des calculs utilisant des vibrations mécaniquesInstruments, dispositifs ou procédés chirurgicaux pour l'élimination non prévue ailleurs des obstructions dans les vaisseaux sanguins
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
65.
DEVICES AND METHODS FOR VISUALIZING INTRAVASCULAR PROCEDURES
Devices and methods for visualizing intravascular procedures are disclosed herein. According to some embodiments, the present technology includes a medical device comprising an elongate shaft having a proximal portion and a distal portion configured to be intravascularly positioned at a treatment site within a blood vessel lumen. The medical device can further include a visualization element disposed at the distal portion of the elongate shaft. The visualization element can have a first state in which the visualization element has a first level of radiopacity and a second state in which the visualization element has a second level of radiopacity different than the first level.
Systems, devices, and methods for electrical stimulation and removal of electrical stimulation components are disclosed herein. According to some embodiments, the present technology includes a medical device assembly including an expandable member configured to be positioned in a blood vessel. The medical device assembly can further include a lead body having a plurality of electrodes in a distal end region of the lead body, where the electrodes are configured to deliver therapeutic stimulation to surrounding tissue. The medical device assembly can further include one or more engagement members configured to releasably couple the lead body to the expandable member.
Methods for enhancing the image of a subject, such as a patient, in a video non-contact monitoring system to provide an enhanced image with clear distinction of the subject from the background. The methods include applying a histogram equalization transform, such as a contrast limited adaptive histogram equalization (CLAHE) transform, to the depth data obtained from a camera of the monitoring system. In some embodiments, the enhanced image of the subject is merged with an overlay image of a monitored physiological parameter determined by the non-contact patient monitoring system.
An example system includes a first lead configured to be positioned in or beside a left internal jugular vein (IJV) of a patient to deliver a first stimulation signal to a first vagus nerve, the first lead including one or more first segmented electrodes positioned on a distal portion of the first lead and a first anchoring mechanism; a second lead configured to be positioned in or beside a right IJV of the patient to deliver a second stimulation signal to a second vagus nerve, the second lead including one or more second segmented electrodes positioned on a distal portion of the second lead and a second anchoring mechanism; and circuitry configured to deliver electrical energy to the first lead to deliver the first stimulation signal and the second lead to deliver the second stimulation signal to provide bilateral stimulation to the first vagus nerve and the second vagus nerve.
A61N 1/36 - Application de courants électriques par électrodes de contact courants alternatifs ou intermittents pour stimuler, p. ex. stimulateurs cardiaques
A61N 1/05 - Électrodes à implanter ou à introduire dans le corps, p. ex. électrode cardiaque
A stent delivery system can include a core assembly sized for insertion into a corporeal lumen and configured for advancing a stent toward a treatment location in the corporeal lumen. The core assembly can include a proximal restraint having a bumper section, a distal section distal to the bumper section, a lumen extending through the bumper and distal sections, and an undercut section including a recess at least partially surrounding the lumen. The recess can abut and/or be formed in the bumper and/or distal sections.
A61F 2/95 - Instruments spécialement adaptés pour insérer ou retirer les stents ou les endoprothèses déployables couvertes
A61F 2/962 - Instruments spécialement adaptés pour insérer ou retirer les stents ou les endoprothèses déployables couvertes possédant une gaine extérieure
A surgical stapling device includes an elongate body that supports a tool assembly including a cartridge assembly having a replaceable staple cartridge. The tool assembly is supported on the elongate body and supports a lockout mechanism. The lockout mechanism is provided to prevent firing of the stapling device when an actuation sled of the cartridge assembly is not positioned in a proximal portion of the stapling device and when a knife is not supported on the actuation sled.
A system comprising: a therapy delivery element; and processing circuitry configured to: receive a first image of a body of a patient illustrating locations of one or more anatomical markers within the body; receive a second image of the body illustrating vasculature within the body of the patient; determine a location of a target treatment site; select, based on the location of the target treatment site, the locations of the one or more anatomical markers, and the vasculature of the patient, an index location on at least one anatomical marker, the index location corresponding to the target treatment site and being at or around a blood vessel of the vasculature of the patient; and cause the therapy delivery element to deliver a stimulation signal to tissue of the patient at a location in the vasculature at or around the index location.
G16H 20/40 - TIC spécialement adaptées aux thérapies ou aux plans d’amélioration de la santé, p. ex. pour manier les prescriptions, orienter la thérapie ou surveiller l’observance par les patients concernant des thérapies mécaniques, la radiothérapie ou des thérapies invasives, p. ex. la chirurgie, la thérapie laser, la dialyse ou l’acuponcture
A61B 5/00 - Mesure servant à établir un diagnostic Identification des individus
A61B 34/20 - Systèmes de navigation chirurgicaleDispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p. ex. pour la stéréotaxie sans cadre
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
A61N 1/05 - Électrodes à implanter ou à introduire dans le corps, p. ex. électrode cardiaque
G16H 30/40 - TIC spécialement adaptées au maniement ou au traitement d’images médicales pour le traitement d’images médicales, p. ex. l’édition
72.
INTEGRATED MECHANICAL THROMBECTOMY AND ASPIRATION DEVICE PRODUCED FROM A SINGLE ELEMENT
Systems and methods for removing obstructions from bodily lumens are disclosed herein. A device for removing an obstruction may comprise a tubular body defining a lumen fluidically coupled to a suction source. The device may further comprise an aspiration region comprising a plurality of sidewall openings in fluid communication with the lumen and a mechanical engagement region disposed distal to the aspiration region. The mechanical engagement region may comprise an expandable member configured to expand radially outward. In some aspects, the expandable member is integrally formed with the tubular body.
A61B 17/221 - Dispositifs de préhension des calculs en forme de boucles ou de paniers
A61B 17/22 - Instruments pour comprimer les ulcères ou similaires placés sur les organes internes du corpsInstruments pour curer les cavités des organes du corps, p. ex. des osInstruments, dispositifs ou procédés chirurgicaux pour l'élimination ou la destruction invasives des calculs utilisant des vibrations mécaniquesInstruments, dispositifs ou procédés chirurgicaux pour l'élimination non prévue ailleurs des obstructions dans les vaisseaux sanguins
In some examples, a catheter includes an elongated body including a proximal portion and a distal portion. The elongated body includes an inner liner, an outer jacket, a structural support member positioned between at least a portion of the inner liner and at least a portion of the outer jacket, and an expandable member coupled to the structural support member at the distal portion of the elongated body. The expandable member may be configured to expand radially outward, e.g., to engage a clot within vasculature of a patient.
A61B 17/221 - Dispositifs de préhension des calculs en forme de boucles ou de paniers
A61B 17/22 - Instruments pour comprimer les ulcères ou similaires placés sur les organes internes du corpsInstruments pour curer les cavités des organes du corps, p. ex. des osInstruments, dispositifs ou procédés chirurgicaux pour l'élimination ou la destruction invasives des calculs utilisant des vibrations mécaniquesInstruments, dispositifs ou procédés chirurgicaux pour l'élimination non prévue ailleurs des obstructions dans les vaisseaux sanguins
A61F 2/01 - Filtres implantables dans les vaisseaux sanguins
A video laryngoscope system includes one or more wireless hubs. A wireless hub of the system includes a transmitter that transmits a signal to a video laryngoscope to initiate wireless pairing of the wireless hub and the video laryngoscope. Upon wireless pairing, the video laryngoscope can stream acquired images to the wireless hub operating in a streaming operating mode or can transfer the acquired images to a memory of the wireless hub in a data transfer operating mode.
H04N 23/661 - Transmission des signaux de commande de la caméra par le biais de réseaux, p. ex. la commande via Internet
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A61B 1/267 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments pour les voies respiratoires, p. ex. laryngoscopes, bronchoscopes
H04N 5/77 - Circuits d'interface entre un appareil d'enregistrement et un autre appareil entre un appareil d'enregistrement et une caméra de télévision
H04N 7/18 - Systèmes de télévision en circuit fermé [CCTV], c.-à-d. systèmes dans lesquels le signal vidéo n'est pas diffusé
A powered or robotic surgical stapler includes a housing with an integrated motor, a removable cartridge assembly containing staples, an anvil assembly for staple deformation, and a lockout mechanism which may be disposed in the cartridge or a loading unit including the same. The stapler further incorporates a drive assembly connected to the motor, a sensor to measure motor or drive assembly parameters, and a processor for operational management. The processor executes an interlock verification process, moving the drive assembly to specific positions to assess the lockout mechanism's status, whether a staple ejecting sled is missing, or the cartridge has been fired, based on sensor data. Depending on the lockout mechanism's state, the processor enables or disables the firing process to eject staples.
The technology relates to an electrosurgical generator (ESG) that includes a feedback controller for implementing closed-loop control of one or more output radio-frequency currents supplied to one or more surgical instruments. The surgical instruments are used in a monopolar energy pathway that includes a neutral electrode for returning the current to the ESG. The feedback controller monitors a rolling total average of the heat energy (in amperes- squared*time) supplied by the ESG (and optionally, by other ESGs) and compares the total average to a threshold heat energy associated with the neutral electrode. The feedback controller outputs a total current that can be supplied by the ESG(s) to remain below the threshold. The ESG (or ESGs) adjusts the RF current output(s) based on the total current output by the feedback controller.
A61B 18/12 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci par chauffage en faisant passer des courants à travers les tissus à chauffer, p. ex. des courants à haute fréquence
A61B 18/16 - Électrodes neutres ou passives pour mise à la terre
A61B 18/00 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci
A robotic surgical system and method, the system including a navigation catheter having a first sensor and configured for endoluminal navigation, a robotic arm having a laparoscopic camera and a second sensor, and a computing system including a processor and a memory, the memory storing instructions that when executed by the processor cause the processor to detect a position and orientation of the first sensor as the catheter is navigated into a luminal network towards a target, register the luminal network to a three-dimensional (3D) model of the luminal network and a pathway plan for navigation of the luminal network, detect the second sensor, determine a position and orientation of the laparoscopic camera, determine when the first sensor is within a field of view of the laparoscopic camera, and display a representation of a location of the first sensor on a laparoscopic image captured by the laparoscopic camera.
A61B 34/10 - Planification, simulation ou modélisation assistées par ordinateur d’opérations chirurgicales
A61B 34/20 - Systèmes de navigation chirurgicaleDispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p. ex. pour la stéréotaxie sans cadre
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
A stent delivery system includes a core member and a coupling assembly rotatably coupled to the core member distal segment. The coupling assembly includes first and second plates and first and second spacers. The first plate is rotatably coupled to the core member and includes an outer surface having three or more projections separated by recesses. The first spacer is coupled to the core member and disposed between the first plate and a proximal restraint. The second plate is rotatably coupled to the core member and includes an outer surface having three or more projections separated by recesses. The second spacer is coupled to the core member and disposed between the first plate and the second plate. A stent extends along the core member distal segment such that an inner surface of the stent is engaged by one or more projections of the first plate or the second plate.
A61F 2/966 - Instruments spécialement adaptés pour insérer ou retirer les stents ou les endoprothèses déployables couvertes possédant une gaine extérieure avec un mouvement longitudinal relatif entre la gaine extérieure et la prothèse, p. ex. utilisant une tige poussoir
A61F 2/90 - Stents ayant une forme caractérisée par des éléments filiformesStents ayant une forme caractérisée par une structure de type filet ou de type à mailles caractérisés par une structure de type filet ou de type à mailles
A61F 2/95 - Instruments spécialement adaptés pour insérer ou retirer les stents ou les endoprothèses déployables couvertes
79.
SURGICAL ROBOTIC SYSTEM AND METHOD FOR CONTROL AND SYNCHRONIZATION OF CAMERA IMAGE SENSOR VIDEO OUTPUT AND ILLUMINATION
A surgical robotic system (10) and method (100) for optimizing laparoscopic imaging by dynamically adjusting the imaging parameters of a laparoscopic camera (51) based on camera movement. The system includes a robotic arm (40) holding a laparoscopic camera, a video processing device (56), and a processor (96) that compares consecutive frames from the video feed to detect motion. When movement is detected, the system increases the camera's frame rate to capture detailed video without motion artifacts. In contrast, when the camera is stationary, the frame rate is reduced, minimizing power consumption and heat generation. Additionally, light sources (86) can be synchronized with the camera's operation to further enhance efficiency. This adaptive control allows the laparoscopic camera to maintain optimal imaging quality while reducing the risk of overheating, ensuring safe operation during minimally invasive surgical procedures.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A61B 1/12 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments avec système de refroidissement ou de rinçage
A61B 34/20 - Systèmes de navigation chirurgicaleDispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p. ex. pour la stéréotaxie sans cadre
An endovascular device includes an elongated body, an expandable structure, and an electrode array. The elongated body is configured to be introduced into a blood vessel of a patient. The electrode array includes a flexible polymer packaging and one or more electrodes electrically coupled to the elongated body. The flexible polymer packaging is coupled to expandable structure and the one or more electrodes. In some examples, the expandable structure is a non-tubular expandable structure configured to bend around a longitudinal axis. In some examples, the expandable structure is a tubular expandable structure, and the one or more electrodes are embedded in the flexible polymer packaging. In some examples, the expandable structure is mechanically coupled to the elongated body and configured to be positioned within a stent.
A61N 1/05 - Électrodes à implanter ou à introduire dans le corps, p. ex. électrode cardiaque
A61N 1/36 - Application de courants électriques par électrodes de contact courants alternatifs ou intermittents pour stimuler, p. ex. stimulateurs cardiaques
A system comprises memory and processing circuitry coupled to the memory. The processing circuitry is configured to: receive a recipe file of a device; receive a software bill of materials (SBOM) of the device; and generate a digital twin of the device based on the recipe file and the SBOM.
G06F 9/455 - ÉmulationInterprétationSimulation de logiciel, p. ex. virtualisation ou émulation des moteurs d’exécution d’applications ou de systèmes d’exploitation
The present disclosure describes a dermal patch including at least a support layer and a medicament depot including a medicament. The dermal patch is configured to support, protect, and/or medicate a wound during a healing process.
The present disclosure describes a dermal patch including at least a support layer and a medicament depot including a medicament. The dermal patch is configured to support, protect, and/or medicate a wound during a healing process.
A surgical robotic system (10) provides customizable haptic and force feedback to enhance surgeon control and precision. The system includes one or more robotic arms (40) with attached surgical tools (50, 51) and a surgeon console equipped with display screens (32, 34) and input devices, such as handle controllers (38a, 38b), that replicate the surgeon's movements. The input devices feature haptic and force feedback assemblies, allowing the user to receive tactile feedback during surgery. The system is configured to tailor feedback settings based on individual user profiles, which can be created and calibrated via a user- specific logon process. Calibration is achieved through simulated object manipulation or real-time adjustment during surgery. Additionally, the feedback can be dynamically adjusted depending on the tissue type or critical structures being operated on. User profiles are stored locally and/or in the cloud, enabling seamless access across multiple robotic systems.
A61B 34/00 - Chirurgie assistée par ordinateurManipulateurs ou robots spécialement adaptés à l’utilisation en chirurgie
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
A surgical instrument includes a housing having a shaft extending therefrom with an end effector at a distal end thereof. The end effector includes first and second jaw members moveable between a spaced apart configuration and a closed position to grasp tissue between jaw members. A drive assembly including a drive rod is associated with the movable jaw member. A spring having a spring rate “k” is operably associated with the drive rod and is configured to offload forces associated therewith during actuation thereof. The spring includes a first length wherein adjacent coils thereof are spaced a distance relative to one another such that the spring offloads forces associated with the drive rod as per the spring rate “k” of the spring and a fully compressed length wherein the adjacent coils of the spring abut one another and the forces associated with the drive rod are transferred through the spring.
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
86.
DERMAL PATCH AND SYSTEMS, KITS, AND METHODS ASSOCIATED THEREWITH
The present disclosure describes a dermal patch including at least a support layer and a medicament depot including a medicament. The dermal patch is configured to support, protect, and/or medicate a wound during a healing process.
Cerebral autoregulation is a physiological process that ensures stable and adequate blood flow to the brain, despite fluctuations in systemic blood pressure. Non-invasive measurement of cerebral blood flow and related parameters is complex and challenging, often requiring an invasive arterial line (A-line). Using concurrent PPG and ECG signals as inputs to one or more machine learning models, methods and systems non-invasively determine blood pressure (BP) output, including waveform morphology, MAP trending, and predicted BP in mmHg, and real-time quality metrics associated therewith. Based on the BP output, along with other inputs, non-invasive monitoring of cerebral autoregulation is provided.
Traditionally, the risk or progression of health conditions such as acute kidney injury (AKI) or congenital heart failure (CHF) are evaluated based on laboratory tests. While being worn by a patient, an interstitial patient monitor having a plurality of working electrodes continuously monitors a plurality of analytes in interstitial tissue of a patient. In this way, the interstitial patient monitor can promote early detection of health conditions such as AKI and CHF without laboratory tests.
A61B 5/145 - Mesure des caractéristiques du sang in vivo, p. ex. de la concentration des gaz dans le sang ou de la valeur du pH du sang
A61B 5/1486 - Mesure des caractéristiques du sang in vivo, p. ex. de la concentration des gaz dans le sang ou de la valeur du pH du sang en utilisant des procédés chimiques ou électrochimiques, p. ex. par des moyens polarographiques en utilisant des électrodes enzymatiques, p. ex. avec oxydase immobilisée
89.
DERMAL PATCH AND SYSTEMS, KITS, AND METHODS ASSOCIATED THEREWITH
The present disclosure describes a dermal patch including at least a support layer and a medicament depot including a medicament. The dermal patch is configured to support, protect, and/or medicate a wound during a healing process.
A medical image display apparatus for displaying medical images of a lung on a screen includes a network interface receiving positional information of a navigation instrument from a position sensor of the navigation instrument, a video stream from an optical sensor of the navigation instrument, and medical images from an imaging device, a memory storing a plurality of medical images and instructions, a processor executing the instructions, and a display dynamically displaying images on the screen. The instructions, when executed by the processor, cause the medical image display apparatus to determine whether status information indicates a pathway reviewing mode, a target management mode, or a navigation mode. The instructions, when executed by the processor, further cause the display to dynamically select and update images, which are displayed on the screen, among the plurality of medical images based on the positional information of the navigation instrument and status information.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A61B 1/267 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments pour les voies respiratoires, p. ex. laryngoscopes, bronchoscopes
A61B 5/00 - Mesure servant à établir un diagnostic Identification des individus
A61B 5/06 - Dispositifs autres que ceux à radiation, pour détecter ou localiser les corps étrangers
A61B 34/00 - Chirurgie assistée par ordinateurManipulateurs ou robots spécialement adaptés à l’utilisation en chirurgie
A61B 34/20 - Systèmes de navigation chirurgicaleDispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p. ex. pour la stéréotaxie sans cadre
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
G06F 3/14 - Sortie numérique vers un dispositif de visualisation
G06T 11/60 - Édition de figures et de texteCombinaison de figures ou de texte
91.
SYSTEM AND METHOD FOR TESTING PLUME CAPTURE PERFORMANCE OF A PLUME EVACUATION DEVICE
A method for testing plume capture performance of a plume evacuation device includes measuring a first baseline particle concentration within an enclosure and measuring a first particle concentration within the enclosure while causing the plume evacuation device to perform a first plurality of cuts to the tissue without evacuating plume from the enclosure. The method also includes measuring a second baseline particle concentration within the enclosure and measuring a second particle concentration within the enclosure while causing the plume evacuation device to perform a second plurality of cuts to the tissue and while evacuating plume from the enclosure. The method also includes calculating a percentage of plume captured by the plume evacuation device based on the measured first and second baseline particle concentrations and the measured first and second particle concentrations.
A61B 18/00 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci
92.
SURGICAL ROBOTIC SYSTEM FOR REAL-TIME USER FEEDBACK INSTRUMENT ALIGNMENT
A surgical robotic system provides real-time feedback to users regarding the alignment between a surgical instrument's end effector and a control input device. The system includes a robotic arm with an instrument with an end effector that has multiple degrees of freedom, such as pitch, roll, yaw, and jaw angle, and a control input device that has multiple degrees of freedom that correspond to the degrees of freedom of the end effector. The system determines the orientation of both the end effector and the control input device and calculates any misalignment between them. A feedback indicator, which may be visual, auditory, or haptic, informs the user of the degree of misalignment. This feedback assists in training and clinical applications by enhancing the predictability of instrument movements and ensuring accurate alignment during surgical procedures.
A61B 34/20 - Systèmes de navigation chirurgicaleDispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p. ex. pour la stéréotaxie sans cadre
A61B 34/00 - Chirurgie assistée par ordinateurManipulateurs ou robots spécialement adaptés à l’utilisation en chirurgie
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
The technology relates to a cable for a multimodal surgical tool having jaw electrodes that use a bipolar energy modality and a cutting electrode that uses a monopolar energy modality. The cable includes a first wire connected to a first jaw electrode, a second wire connected to a second jaw electrode, and a third wire connected to the cutting electrode. The cable includes a conductive shield between the third wire and the first and second wires to mitigate the effects of parasitic capacitance between the third wire and the first and second wires when the third wire is energized. The conductive shield encloses either the third wire or the first and second wires, along with a drain wire that is in contact with the conductive shield.
A61B 18/00 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci
A61B 18/12 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci par chauffage en faisant passer des courants à travers les tissus à chauffer, p. ex. des courants à haute fréquence
94.
INTERSTITIAL POTASSIUM SENSOR FOR ELECTROCHEMICAL MULTI-SENSOR
Traditionally, the risk or progression of health conditions such as acute kidney injury (AKI) or congenital heart failure (CHF) are evaluated based on blood tests. While being worn by a patient, an interstitial patient monitor having at least one working electrode continuously monitors at least potassium in interstitial fluid of a patient. In this way, the interstitial patient monitor can promote early detection of health conditions such as AKI and CHF without laboratory blood tests.
A61B 5/145 - Mesure des caractéristiques du sang in vivo, p. ex. de la concentration des gaz dans le sang ou de la valeur du pH du sang
A61B 5/1473 - Mesure des caractéristiques du sang in vivo, p. ex. de la concentration des gaz dans le sang ou de la valeur du pH du sang en utilisant des procédés chimiques ou électrochimiques, p. ex. par des moyens polarographiques invasifs, p. ex. introduits dans le corps par un cathéter
A61B 5/1486 - Mesure des caractéristiques du sang in vivo, p. ex. de la concentration des gaz dans le sang ou de la valeur du pH du sang en utilisant des procédés chimiques ou électrochimiques, p. ex. par des moyens polarographiques en utilisant des électrodes enzymatiques, p. ex. avec oxydase immobilisée
An acoustic respiratory monitoring system (105) detects, monitors, and/or tracks acoustic features of respiratory conditions for a human patient. Acoustic respiratory data is derived from breathing sound captured by a sensor array (410) comprising a plurality of acoustic sensor elements (412). A plurality of logical channels is determined based on the acoustic respiratory data. An adventitious feature is detected in the breathing sound using the plurality of logical channels, and an indication of an abnormal respiratory sound is provided via a user interface (800), in response to detecting the adventitious feature. The sensor array (410) may be integrated with a wearable article (560), such as a shirt, vest, or belt, for example.
A method and system of forming a sensor includes coupling a mid-point of a conductor to a substrate and rotating the substrate to draw the conductor from a spool, forming a wound region. The wound region includes conductors extending respectively to spools. A filar is coupled to the substrate, and the spools are rotated to form a twisted pair around the filar. Tension applied to the twisted pair is at least partially transferred to the filar to reduce strain on the conductors. The sensor may be incorporated into a medical device having an elongated body. The sensor includes a coil with a wound region, a filar coupled to the wound region, and a twisted pair wrapped or braided around the filar. This construction improves mechanical durability, enables use of thinner or higher-conductivity conductors, and supports compact, modular integration into medical devices such as catheters or endoluminal tools.
A61B 5/0215 - Mesure de la pression dans le cœur ou dans les vaisseaux sanguins par des moyens introduits dans le corps
A61B 34/20 - Systèmes de navigation chirurgicaleDispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p. ex. pour la stéréotaxie sans cadre
97.
DEVICES, SYSTEMS, AND METHODS FOR TREATING ANEURYSMS
Devices, systems, and methods for treating aneurysms are disclosed herein. According to some embodiments, the present technology includes a treatment system comprising a delivery shaft, a manipulation shaft slidably positioned within the lumen of the delivery shaft, and an occlusive device configured for implantation within the aneurysm. The occlusive device can comprise a plurality of filaments that are secured to one another at a proximal end of the occlusive device by a cured material. The occlusive device can comprise inner and outer layers of braided filaments, wherein the proximal end region of the inner layer has an exposed portion that extends proximally beyond the proximal end region of the outer layer, and wherein the cured material extends into and fills interstices between the braided filaments at the proximal end regions of the inner and outer layers.
A61B 17/12 - Instruments, dispositifs ou procédés chirurgicaux pour ligaturer ou comprimer par un autre moyen les parties tubulaires du corps, p. ex. les vaisseaux sanguins ou le cordon ombilical
3D imaging systems and methods at least minimize image artifacts caused by radiopaque fiducials. The methods include performing a 3D Fourier transform on 2D images of a 3D medical scan, filtering the Fourier images with a background filter, yielding a background image, segmenting the Fourier images based on the background image, modifying the Fourier images based on the segmented images, and reconstructing the volume based on the modified Fourier images. The systems may include a motorized location board which, after a tomographic scan, causes fiducials to travel from outside a field of view to inside the field of view. Alternatively, a fiducial board may be inserted into a receptacle of a location board after the tomographic scan. Thereafter, a non-tomographic scan is performed. The non-tomographic scan and fiducials are used to locate features in the non-tomographic scan and display information on the non-tomographic scan based on the located features.
A system for extending the visual capabilities and working channel of a bronchoscope including a probe having optic and/or tracking capabilities at a distal tip thereof and capable of being advanced through the working channel of a standard bronchoscope. The probe also includes a working channel through which various diagnostic and treatment tools may be advanced.
A61B 5/06 - Dispositifs autres que ceux à radiation, pour détecter ou localiser les corps étrangers
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A61B 1/012 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments caractérisés par les conduits internes ou par leurs accessoires
A61B 1/018 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments caractérisés par les conduits internes ou par leurs accessoires destinés à recevoir des instruments
A61B 1/12 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments avec système de refroidissement ou de rinçage
A61B 1/267 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments pour les voies respiratoires, p. ex. laryngoscopes, bronchoscopes
100.
SOFTWARE BASED PATH PLANNING FOR CARDIAC PROCEDURES
A system for a transcatheter mitral valve replacement procedure, including a catheter, a computing device including a processor and a memory, the memory storing an application including instructions that when executed by the processor cause the processor to receive pre-procedure images of a heart, display the pre-procedure images, display a user interface, display an indication of a location of a fossa ovalis on the user interface, display an indication of a location for deployment of a mitral valve replacement prosthetic on the user interface, determine one or more waypoints for advancement or articulation of the catheter, and display on the user interface a pathway for advancement or articulation of the catheter to traverse the fossa ovalis and arrive at the location for deployment of the mitral valve replacement prosthetic.
A61B 34/10 - Planification, simulation ou modélisation assistées par ordinateur d’opérations chirurgicales
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
