In some embodiments, an insertion device for a robotic surgery apparatus can include one or more guides configured to receive and/or engage a plurality of control links. The one or more guides can each include a plurality of channels. The insertion device can include a tool interface configured to engage one or more surgical tools for performing a surgical procedure. At least one control link of the first, second, or third pluralities of control links can be overlapping, coaxially aligned, or otherwise placed in a nested configuration with respect to another control link of the first, second, or third pluralities of control links. One or more of the plurality of first, second, or third control links can be configured to be actuated to adjust spatial position of the tool interface to facilitate repositioning of the surgical tool.
A61B 90/11 - 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 avec des guides pour aiguilles ou instruments, p. ex. des glissières courbes ou des articulations à rotule
2.
SURGICAL ROBOTIC SYSTEM AND METHOD FOR LAPAROSCOPIC INSTRUMENTS AND CAMERA NAVIGATION
A surgical robotic system includes a surgical robotic arm having a surgical device and an instrument drive unit configured to actuate the surgical device. The system also includes a surgeon console configured to receive user input to control at least one of the surgical robotic arm or the surgical device. The system further includes a control tower coupled to the surgical robotic arm and the surgeon console. The control tower includes a storage device and a controller configured to store a plurality of checkpoints on the storage device. Each checkpoint of the plurality of checkpoints includes image data of a surgical site and position data corresponding to a prior position of the surgical robotic arm during a surgical procedure. The controller is also configured to output a graphical user interface (GUI) on a display screen. The GUI is configured to display the image data of at least one checkpoint of the plurality of checkpoints and to receive user input selecting the checkpoint. The controller is further configured to control the surgical robotic arm to move the surgical robotic arm to the prior position based on the selected checkpoint.
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
3.
SURGICAL ROBOTIC SYSTEM AND METHOD FOR DEPLOYING A PROBE OF A MULTIFUNCTION SURGICAL INSTRUMENT
A surgical system includes a surgical instrument which includes first and second jaw members where at least one of the first or second jaw members is movable relative to the other of the first or second jaw members from a spaced apart position to an approximated position to grasp tissue therebetween. At least one of the first or second jaw members is also adapted to connect to a source of energy for conducting energy through tissue grasped between the first and second jaw members to treat tissue. The surgical instrument also includes a probe adapted to connect to a source of energy for conducting energy through tissue in contact with the probe to treat tissue. The probe is movable from a retracted position to a deployed position. The system also includes a camera configured to capture a video of a tissue and the surgical instrument and a monitor configured to display the video of the tissue and the surgical instrument, and a virtual representation of the probe in the deployed position.
A61B 17/29 - Pinces pour la chirurgie faiblement invasive
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
4.
BIODEGRADABLE TRIBLOCK COPOLYMERS AND IMPLANTABLE MEDICAL DEVICES MADE THEREFROM
A biodegradable triblock copolymer comprising: an A-B-A′ structure wherein the A and A′ blocks each include polylactide, the B block includes from about 55 to about 100 mole percent of polytrimethylene carbonate and 0 to about 45 mole percent polylactide, and the biodegradable triblock copolymer overall includes from about 15 to about 25 mole percent of the polytrimethylene carbonate and from about 75 to about 85 mole percent of the polylactide. Also provided are compositions and implantable medical devices made therefrom.
C08G 63/64 - Polyesters contenant à la fois des groupes ester carboxylique et des groupes carbonate
A61L 17/12 - Homopolymères ou copolymères de l'acide glycolique ou lactique
A61L 27/18 - Matériaux macromoléculaires obtenus par des réactions autres que celles faisant intervenir uniquement des liaisons non saturées carbone-carbone
A61L 27/58 - Matériaux au moins partiellement résorbables par le corps
A61L 31/06 - Matériaux macromoléculaires obtenus autrement que par des réactions faisant intervenir uniquement des liaisons non saturées carbone-carbone
A61L 31/14 - Matériaux caractérisés par leur fonction ou leurs propriétés physiques
C08G 63/85 - Germanium, étain, plomb, arsenic, antimoine, bismuth, titane, zirconium, hafnium, vanadium, niobium, tantale ou leurs composés
A uterine manipulator includes a housing and a shaft extending distally from the housing. An end effector assembly is disposed at a distal end portion of the shaft. The end effector assembly includes a cervical cup and a uterine manipulating tip portion extending distally from the cervical cup. A position sensor is supported by the cervical cup. The position sensor is configured to identify a location of the cervical cup.
A61B 34/20 - Systèmes de navigation chirurgicaleDispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p. ex. pour la stéréotaxie sans cadre
A61B 5/00 - Mesure servant à établir un diagnostic Identification des individus
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 17/29 - Pinces pour la chirurgie faiblement invasive
A61B 17/42 - Instruments ou procédés de gynécologie ou d'obstétrique
A61B 34/00 - Chirurgie assistée par ordinateurManipulateurs ou robots spécialement adaptés à l’utilisation en chirurgie
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
A61B 90/50 - Supports pour instruments chirurgicaux, p. ex. bras articulés
6.
REMOVABLE LUNG ISOLATION DEVICE FOR LOCALIZED DRUG THERAPY
A system and method of applying therapy to a patient including navigating a dual lumen catheter to a desired segmental bronchus, inflating a balloon located on a distal portion of the catheter via a first tube of the dual lumen catheter to isolate the segmental bronchus, injecting a therapeutic medium into the isolated segmental bronchus via a second tube of the dual lumen catheter, and retracting the dual lumen catheter to leave the balloon indwelling, wherein the balloon retains the injected therapeutic medium in the isolated segmental bronchus.
An example sensor includes an electrode assembly including an electrode well and an electrically conductive material disposed within the electrode well, the electrically conductive material comprising abrasive particles. The abrasive particles are configured to displace at least a portion of a layer on or of skin of a patient upon application of the sensor to the skin of the patient.
A61B 5/259 - Moyens adhésifs, p. ex. garnitures ou bandes adhésives conducteurs, p. ex. gels
A61B 5/266 - Électrodes bioélectriques à cet effet caractérisées par les matériaux des électrodes contenant des électrolytes, gels ou pâtes conducteurs
A61B 5/28 - Électrodes bioélectriques à cet effet spécialement adaptées à des utilisations particulières pour l’électrocardiographie [ECG]
A61B 5/291 - Électrodes bioélectriques à cet effet spécialement adaptées à des utilisations particulières pour l’électroencéphalographie [EEG]
8.
REMOVABLE LUNG ISOLATION DEVICE FOR LOCALIZED DRUG THERAPY
A system and method of applying therapy to a patient including navigating a dual lumen catheter to a desired segmental bronchus, inflating a balloon located on a distal portion of the catheter via a first tube of the dual lumen catheter to isolate the segmental bronchus, injecting a therapeutic medium into the isolated segmental bronchus via a second tube of the dual lumen catheter, and retracting the dual lumen catheter to leave the balloon indwelling, wherein the balloon retains the injected therapeutic medium in the isolated segmental bronchus.
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
Surgical stapling devices have a surgical buttress attached to an anvil jaw member, a cartridge jaw member, or both. In use, the surgical buttress reinforces a staple line formed upon application of staples from the surgical stapling device and minimizes leaks which may exude from the staple line and/or tissue being stapled by the surgical stapling device.
A system for performing a surgical procedure includes a catheter including a camera and an electromagnetic sensor and a workstation operably coupled to the catheter, the workstation including a memory storing instructions, which when executed cause a processor to receive pre-procedure images of a patient's anatomy, generate a 3D representation of the patient's anatomy, identify first anatomical landmarks within the generated 3D representation, identify a location of the EM sensor within a reference coordinate frame, receive real-time images from the camera, identify second anatomical landmarks within the received real-time images corresponding to the identified first anatomical landmarks, identify a location of the camera within the reference coordinate frame using the identified second anatomical landmarks corresponding to the identified first anatomical landmarks, and register a location of the catheter to the 3D representation using the identified locations of the EM sensor and the camera within the reference coordinate frame.
A61B 34/20 - Systèmes de navigation chirurgicaleDispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p. ex. pour la stéréotaxie sans cadre
11.
SYSTEM AND METHOD FOR MACHINE LEARNING METHOD TO VERIFY CONSISTENT STAPLE LINE DELIVERY
A powered surgical stapler includes a staple cartridge having a plurality of staples. The stapler also includes a motor configured to eject the plurality of staples to form a staple line and a sensor configured to measure a property of the motor during ejection of the plurality of staples. The stapler also includes a memory storing a model profile and software instructions implementing a machine learning algorithm and a controller configured to generate a stapling profile based on the measured at least one property of the motor and time, classify the stapling profile using the machine learning algorithm based on the model profile to output a similarity score, and output a prompt indicating whether the staple line is properly formed based on the similarity score.
A receptacle of a surgical generator, a plug of a surgical instrument, and a surgical system are configured such that the plug is insertable into the receptacle in a first orientation to electrically connect a plurality of plug contacts to a plurality of first receptacle contacts and in a second orientation to electrically connect the plurality of plug contacts to a plurality of second receptacle contacts. The second orientation is rotated 180 degrees relative to the first orientation. The same electrical functions are provided from the surgical generator to the plug in each of the first and second orientations.
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
13.
SYSTEM AND METHOD FOR PROCESSING COMBINED DATA STREAMS OF SURGICAL ROBOTS
A surgical robotic system includes a first robotic arm having a first instrument and a first sensor; a second robotic arm may include a second instrument and a second sensor; a laparoscopic camera configured to capture intraoperative imaging data; and a surgeon console having a handle controller configured to receive user input to actuate at least one of the first robotic arm or the second robotic arm. The system also includes a controller configured to: control at least one of the first robotic arm or of the second robotic arm based on the user input and a control algorithm; receive a plurality of data streams, which may include sensor data from the first sensor and the second sensor, operational data, user input data, external vision data, and/or internal imaging data from the laparoscopic camera; predict occurrence of an event based on the plurality of data streams; and adjust the control algorithm based on the predicted occurrence of the event.
A system and method of adjusting control parameters for a catheter including receiving sensor data from a sensor on a distal portion of a catheter, detecting a location of the distal portion of the catheter within a luminal network of a patient, determining a shape of the catheter within the luminal network of the patient, modifying control parameters of a drive motor operably coupled to the catheter based on the detected location of the distal portion of the catheter and the determined shape of the catheter within the luminal network of the patient.
A61B 34/20 - Systèmes de navigation chirurgicaleDispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p. ex. pour la stéréotaxie sans cadre
A61B 34/10 - Planification, simulation ou modélisation assistées par ordinateur d’opérations chirurgicales
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
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
In some examples, a system is configured to determine a non-cerebral autoregulation status value of a patient using machine learning. In some examples, processing circuitry of the system is configured to determine, using a neural network algorithm that has been trained via machine learning training, an individualized adjustment value that is individualized for the patient, including inputting physiological data associated with the patient. The processing circuitry may determine a non-cerebral autoregulation status of the patient based on a cerebral autoregulation value of the patient based on the non-cerebral autoregulation status value of the patient and the adjustment value.
An electrosurgical forceps includes first and second shaft members and first and second jaw members extending distally from the respective first and second shaft members. A pivot couples the first and second shaft members with one another such that the first and second shaft members are movable relative to one another between a spaced-apart position and an approximated position to move the first and second jaw members relative to one another between an open position and a closed position. The jaw members are configured to facilitate tissue treatment, tissue division, and blunt tissue dissection.
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
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
B60P 3/04 - Véhicules adaptés pour transporter, porter ou comporter des charges ou des objets spéciaux pour transporter des animaux
A system includes an energy source configured to generate therapeutic energy, a treatment probe, an ultrasound imaging device configured to generate ultrasound images, a second tracking sensor configured to track a location of the ultrasound imaging device, and a tracking system configured to receive location information from the first and second tracking sensors and to overlay the ultrasound images with a graphical representation of the treatment probe on a display based on the location information. The treatment probe includes an antenna configured to treat tissue with the therapeutic energy and a first tracking sensor integrated in the antenna and configured to track a location of a distal tip of the antenna.
A61B 8/12 - Diagnostic utilisant des ondes ultrasonores, sonores ou infrasonores dans des cavités ou des conduits du corps, p. ex. en utilisant des cathéters
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 18/18 - 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 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
A61B 90/98 - Moyens d’identification pour les patients ou les instruments, p. ex. étiquettes utilisant des moyens électromagnétiques, p. ex. transpondeurs
A system and method of adjusting control parameters for a catheter including receiving sensor data from a sensor on a distal portion of a catheter, detecting a location of the distal portion of the catheter within a luminal network of a patient, determining a shape of the catheter within the luminal network of the patient, modifying control parameters of a drive motor operably coupled to the catheter based on the detected location of the distal portion of the catheter and the determined shape of the catheter within the luminal network of the patient.
A61M 25/01 - Introduction, guidage, avance, mise en place ou maintien en position des cathéters
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
A guidewire comprising: a core wire; an elongated member extending along a longitudinal axis and defining: an inner surface defining an inner lumen, a plurality of openings disposed along the elongated member, each opening extending from an outer surface of the elongated member towards the inner surface, a first locking recess extending through the elongated member from the outer surface to the inner surface, a second locking recess extending from the inner surface towards a second location on the outer surface, wherein the first locking recess and the second locking recess defines a locking channel; and a locking element disposed within the locking channel and affixed to the elongated member, the locking element defining an aperture configured to receive the core wire, wherein the locking element is configured to inhibit unintended proximal movement of the core wire along the longitudinal axis relative to the elongated member.
Treatment of aneurysms can be improved by delivering an occlusive implant (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 expandable member that releasably engages the occlusive implant to an engagement portion of a conduit. When the expandable member is collapsed, the conduit is disengaged from a proximal hub of the occlusive implant. The conduit and expandable member may then be retracted while the occlusive implant remains at the treatment site.
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
An example system includes a memory; a plurality of electrodes; sensing circuitry configured to: sense, via at least two electrodes of the plurality of electrodes, electrical signals from a patient; and generate, based on the electrical signals, one or more electroencephalography (EEG) signals; and processing circuitry configured to: receive, from the sensing circuitry, one or more EEG signals; and apply the one or more EEG signals to a machine learning (ML) model to determine one or more characteristics of a brain event, the ML model being trained on training EEG data and simulated EEG data.
An electrosurgical forceps includes first and second shaft members pivotably coupled to one another via a pivot member such that pivoting of the first and second shaft members between spaced-apart and approximated positions pivots jaw members thereof between open and closed positions. A knife is translatable between retracted and extended positions. A knife deployment mechanism is operably coupled to the first shaft member and includes at least one trigger and at least one linkage coupling the at least one trigger with the knife such that pivoting of the at least one trigger relative to the first shaft member translates the knife between the retracted and extended positions. A knife lockout biased towards a locked position inhibits distal translation of the knife. The knife lockout is movable from the locked position to an unlocked position upon approximation of the jaw members to permit distal translation of the knife.
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
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 end effector assembly of a surgical device for shallow depth ablation includes first and second jaw members movable between open and closed positions and including hemicylindrical surfaces that cooperate to define a cylindrical cavity in the closed position for capturing tissue therebetween. At least one electrode array includes a plurality of first and second electrode portions disposed on or within at least one of the hemicylindrical surfaces and extending annularly at least partially thereabout. The plurality of first and second electrode portions are configured to be energized with electrosurgical energy at different potentials to thereby conduct electrosurgical energy between adjacent first and second electrode portions and through captured tissue to affect shallow depth ablation of captured tissue in the closed position of the first and second jaw members.
A61B 17/29 - Pinces pour la chirurgie faiblement invasive
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
24.
SURGICAL STAPLING DEVICE WITH ANVIL TILT INDICATOR
A circular stapling device (10) includes a handle assembly (12) having an indicator assembly (80) that includes a clicker assembly (82) and a biasing member (84). The clicker assembly (82) provides an audible and/or tactile signal to a clinician when an anvil assembly (20) of the stapling device (10) is moved from a clamped position towards an open position a distance sufficient to allow an anvil head (56) of the anvil assembly (20) to pivot in relation to a reload assembly (18) of the stapling device (10) from an operative position to a tilted reduced profile position. The signal is provided to the clinician while the anvil assembly (20) is locked onto the stapling device (10).
A61B 17/115 - Agrafeuses pour réaliser une anastomose, p. ex. en une seule opération
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 17/11 - Instruments, dispositifs ou procédés chirurgicaux pour refermer les plaies ou les maintenir ferméesAccessoires utilisés en liaison avec ces opérations pour réaliser l'anastomoseBoutons pour anastomose
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 video laryngoscope with blade identification is disclosed. The video laryngoscope may be capable of identifying a blade that has been coupled to the video laryngoscope. Identification of the blade may be based on an image from a camera of the video laryngoscope. The blade identification may be automatic. Blade identification may be performed via image recognition rules and/or machine learning (ML) models. Additionally, an image may be the only information used to determine blade identification. Based on the blade identification, various settings of the video laryngoscope may be adjusted (e.g., lighting or camera settings). Determined blade identification may be sent to a facility computer for maintaining patient records, procedure records, and/or inventory. Additionally, blade identification may be used in determining a video classification of intubation (VCI) score.
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 1/05 - 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
Disclosed is a video laryngoscope that automatically adjusts display of a portion of an acquired image. The video laryngoscope may detect patient anatomy and/or a tool present in an image captured by a camera of the video laryngoscope. Detection of patient anatomy and/or a tool may be performed via image recognition rules and/or machine learning (ML) models. Based at least on the detected tool(s), a portion of the acquired image may be selected for display. For example, a display region of an acquired image may be selected to include both detected patient anatomy and a portion of a detected tool. Display of the acquired images may be progressively adjusted as a detected tool moves toward or away from the patient anatomy, until a maximum or minimum display region is reached.
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
A surgical access assembly includes a housing, a tubular member, and a valve assembly. The tubular member extends from the housing. The valve assembly is positioned in the housing and includes a centering mechanism, a guard assembly disposed on a first side of the centering mechanism, and an instrument seal disposed on a second side of the centering mechanism. The instrument seal including petals that are arrange in an overlapping arrangement.
A surgical access device includes a cannula body, an obturator assembly, and a fixation mechanism. The fixation mechanism includes at least one wing, a first plurality of magnets disposed on the elongated portion of the obturator assembly, and a second plurality of magnets disposed on the at least one wing. The at least one wing is coupled to the elongated portion of the cannula body and is movable between a first position where the at least one wing is parallel to the longitudinal axis, and a second position where the at least one wing is disposed at an angle to the longitudinal axis. A predetermined amount of translation of the elongated portion of the obturator assembly within a channel of the elongated portion of the cannula body causes the at least one wing to move from the first position to the second position.
An example system includes processing circuitry; and an endovascular device includes an expandable substrate configured to be delivered endovascularly to a trial therapy delivery location in a patient; one or more first electrodes positioned on the expandable substrate, wherein the one or more first electrodes are configured to deliver nerve tissue stimulation trial therapy to a target nerve tissue of the patient; and one or more second electrodes positioned on the expandable substrate, wherein the one or more second electrodes are configured to sense one or more activation signals of the target nerve tissue, wherein the processing circuitry is configured to determine whether activation of the target nerve tissue at the trial therapy delivery location satisfies a target nerve tissue activation threshold based on the one or more sensed activation signals.
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 1/372 - Aménagements en relation avec l'implantation des stimulateurs
Disclosed is a video laryngoscope that automatically adjusts display of a portion of an acquired image. The video laryngoscope may detect patient anatomy and/or a tool present in an image captured by a camera of the video laryngoscope. Detection of patient anatomy and/or a tool may be performed via image recognition rules and/or machine learning (ML) models. Based at least on the detected tool(s), a portion of the acquired image may be selected for display. For example, a display region of an acquired image may be selected to include both detected patient anatomy and a portion of a detected tool. Display of the acquired images may be progressively adjusted as a detected tool moves toward or away from the patient anatomy, until a maximum or minimum display region is reached.
G16H 30/40 - TIC spécialement adaptées au maniement ou au traitement d’images médicales pour le traitement d’images médicales, p. ex. l’édition
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
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
31.
ELECTRODE CONFIGURATIONS FOR ENDOVASCULAR THERAPY DEVICE
In some examples, an endovascular medical device system includes an elongated body configured to be introduced in a blood vessel of a patient. The system includes an expandable structure at a distal portion of the elongated body. The expandable structure includes an expandable body portion including a plurality of interconnected struts. The expandable structure further includes a plurality of electrode attachment elements, where each electrode attachment element of the plurality of electrode attachment elements includes a first projection and a second projection branching off of at least one strut of the plurality of interconnected struts. In some examples, the system includes one or more electrodes coupled to the expandable structure via the plurality of electrode attachment elements. In some examples, each electrode of the one or more electrodes is configured to receive the first projection and the second projection to couple the respective electrode to the expandable structure.
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.
IMAGE-GUIDED NAVIGATION SYSTEM FOR A VIDEO LARYNGOSCOPE
A video laryngoscope navigation system is provided that identifies an anatomical feature in an image signal from a camera of a video laryngoscope. Based on the identified anatomical feature, a steering indicator is overlaid on a displayed image of the image signal. In an embodiment, the steering indicator is representative of a steering direction for the camera to orient the camera towards the identified anatomical feature.
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
The technology relates to systems and methods for an endoscope with a collapsible working channel and implementing a virtual anchor in an endoscope with a steerable tip. An example endoscope includes a proximal end, a steerable distal tip including an articulating segment, and a collapsible working channel, positioned on an outer surface of the endoscope, capable of selectively collapsing and expanding to receive a surgical tool. The collapsible working channel includes a proximal opening and a distal opening positioned proximally from the articulating segment. Virtual anchoring may include setting a reference image frame, identifying a landmark feature, determining a first position of the landmark feature, receiving an updated image frame; identifying the landmark feature in the updated image frame, determining a second position of the landmark feature, and based on a difference between the first position and the second position: generating corrective steering signals or shifting a cropped region.
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
34.
SURGICAL ROBOTIC SYSTEM AND METHOD FOR OPTICAL MEASUREMENT OF END EFFECTOR PITCH, YAW, AND JAW ANGLE
A surgical robotic system includes an instrument having a shaft defining a longitudinal axis and an end effector pivotable relative to the shaft at a yaw angle, the end effector including a pair of jaws pivotable at a pitch angle and openable to a jaw angle. The system also includes a first imaging device configured to obtain a first image of the end effector along a first axis; a second imaging device configured to obtain a second image of the end effector along a second axis; and a third imaging device configured to obtain a third image of the end effector along a third axis, wherein each of the first, second, and third axes are transverse relative to each other.
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 example system includes processing circuitry; and an endovascular device includes an expandable substrate configured to be delivered endovascularly to a trial therapy delivery location in a patient; one or more first electrodes positioned on the expandable substrate, wherein the one or more first electrodes are configured to deliver nerve tissue stimulation trial therapy to a target nerve tissue of the patient; and one or more second electrodes positioned on the expandable substrate, wherein the one or more second electrodes are configured to sense one or more activation signals of the target nerve tissue, wherein the processing circuitry is configured to determine whether activation of the target nerve tissue at the trial therapy delivery location satisfies a target nerve tissue activation threshold based on the one or more sensed activation signals.
A61N 1/375 - Aménagements structurels, p. ex. boîtiers
A61F 2/00 - Filtres implantables dans les vaisseaux sanguinsProthèses, c.-à-d. éléments de substitution ou de remplacement pour des parties du corpsAppareils pour les assujettir au corpsDispositifs maintenant le passage ou évitant l'affaissement de structures corporelles tubulaires, p. ex. stents
A61F 2/95 - Instruments spécialement adaptés pour insérer ou retirer les stents ou les endoprothèses déployables couvertes
A61M 25/01 - Introduction, guidage, avance, mise en place ou maintien en position des cathéters
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
36.
SYSTEMS AND METHODS FOR ELECTRICALLY CHARGING INTERVENTIONAL DEVICES EX VIVO
Medical systems for depositing fibrin on a medical device ex vivo are disclosed herein. According to some embodiments, the present technology includes a medical system comprising a vascular implant and a package defining a reservoir configured to receive the vascular implant and a volume of blood. The package can include an electrode disposed within the reservoir. The medical system can further include a current generator configured to be electrically coupled to the electrode. Activation of the current generator while the vascular implant and blood are present in the reservoir can cause current to flow through the blood and vascular implant, thereby applying an electrical charge to the vascular implant.
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
37.
SYSTEMS AND METHODS FOR MITIGATING COLLISION OF A ROBOTIC SYSTEM
Systems and methods are provided to mitigate potential collisions between a person and a robotic system. In various embodiments, a robotic surgical system includes a robotic linkage including joints, an endoscope coupled to a distal portion of the robotic linkage and configured to capture stereoscopic images, and a controller in communication with the endoscope. The controller executes instructions to analyze the stereoscopic images from the endoscope to identify a human-held tool in the stereoscopic images and to estimate a type and/or pose of the human-held tool, infer a position of a person holding the human-held tool based on the type and/or pose of the human-held tool, determine a spatial relationship between the person and the robotic linkage based on the inferred position of the person, and generate a warning of a potential collision between the person and the robotic linkage based on the determined spatial relationship.
G06T 7/70 - Détermination de la position ou de l'orientation des objets ou des caméras
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 17/00 - Instruments, dispositifs ou procédés chirurgicaux
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 method of automatically assigning foot pedals of a robotic surgical system to surgical instruments of a surgical robot of the robotic surgical system includes: receiving a signal that a first electrosurgical pedal is actuated; determining a number of electrosurgical instruments connected to the surgical robot in response to actuation of the first electrosurgical foot pedal; assigning the first electrosurgical foot pedal to a first electrosurgical instrument connected to the surgical robot after the first electrosurgical foot pedal is actuated; and delivering electrosurgical energy to the first electrosurgical instrument in response to actuation of the first electrosurgical foot pedal after assigning the first electrosurgical foot pedal to the first electrosurgical instrument.
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
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 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
A61B 90/96 - Moyens d’identification pour les patients ou les instruments, p. ex. étiquettes utilisant des symboles, p. ex. du texte utilisant des codes-barres
A61B 90/98 - Moyens d’identification pour les patients ou les instruments, p. ex. étiquettes utilisant des moyens électromagnétiques, p. ex. transpondeurs
39.
VESSEL SEALING INSTRUMENT WITH SEAL PLATES FOR DIRECTING THE FLOW OF ENERGY
Jaw members of end effector assemblies include sealing plates configured to direct the amount and flow of energy through the sealing plates. The sealing plates may have a height varying from a minimal height to a maximum height along a width or a length of the sealing plate and/or a sealing surface including at least two impedance zones having different impedance values.
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
An example system includes a memory; a plurality of electrodes; sensing circuitry configured to: generate one or more electroencephalography (EEG) signals; and processing circuitry configured to: receive, from the sensing circuitry, one or more EEG signals sensed during a first period of time; generate, based on the one or more EEG signals sensed during the first period of time, a personalized baseline stroke score; receive, from the sensing circuitry, one or more EEG signals sensed during a second period of time; determine, based on the one or more EEG signals sensed during the second period of time, a second stroke score, the second period of time being after the first period of time; generate a stroke metric indicative of a stroke status of the patient based on a comparison of the personalized baseline stroke score to the second stroke score; and store the stroke metric in the memory.
G16H 50/30 - 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 calcul des indices de santéTIC 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 l’évaluation des risques pour la santé d’une personne
A61B 5/00 - Mesure servant à établir un diagnostic Identification des individus
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 40/67 - 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
41.
VALVE ASSEMBLY AND RETAINER FOR SURGICAL ACCESS ASSEMBLY
A surgical access assembly includes a cannula, a valve housing attached to the cannula, and a valve assembly positioned in the valve housing. The valve assembly includes a centering mechanism with a hoop and fingers, a ring with a flange at one end of the ring, a retainer having first and second discs, a guard having a frame and flaps attached to the frame, and a seal with petals attached to a support. The guard is at least partially disposed in the first disc and the seal is at least partially disposed in the second disc.
F16K 13/02 - Autres types structuraux de dispositifs obturateursAgencements pour obturer dont les deux faces d'obturation ont la forme de petits segments de cylindre avec organe mobile monté sur articulation à pivot
F16K 99/00 - Matière non prévue dans les autres groupes de la présente sous-classe
42.
DEVICES, SYSTEMS, AND METHODS FOR THE TREATMENT OF VASCULAR DEFECTS
Devices and methods for treating vascular defects, such as, for example, balloon-type aneurysms, are described herein. In one embodiment, an apparatus includes an insertion portion and an expandable implant. The expandable implant is configured to be deployed in an aneurysm and is coupled to the insertion portion. The expandable implant has a first portion and a second portion coupled to the first portion. The expandable implant is movable between a first configuration in which the first portion and the second portion are substantially linearly aligned and a second configuration in which the second portion at least partially overlaps the first portion.
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
43.
GRAPHICAL USER INTERFACE FOR PRESCREENED IN-VIVO STUDIES
A system for presenting prescreened in-vivo studies includes at least one processor and at least one memory storing instructions. The instructions, when executed by the processor(s), cause the system at least to: access prescreened in-vivo studies of at least a portion of gastrointestinal tracts (GIT) of patients, where each of the prescreened in-vivo studies includes respective in-vivo images; access, for each of the prescreened in-vivo studies, respective prescreening information generated prior to the respective in-vivo images being read by a healthcare professional, where the respective prescreening information includes information on whether one or more GIT conditions were indicated by image prescreening processing of the respective in-vivo images; and provide a graphical user interface configured to present a listing for each of the prescreened in-vivo studies, where the graphical user interface is configured to present, in each listing, one or more graphical indications corresponding to whether the GIT condition(s) were indicated.
G16H 15/00 - TIC spécialement adaptées aux rapports médicaux, p. ex. leur création ou leur transmission
G16H 30/40 - TIC spécialement adaptées au maniement ou au traitement d’images médicales pour le traitement d’images médicales, p. ex. l’édition
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
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
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 5/00 - Mesure servant à établir un diagnostic Identification des individus
G06V 10/764 - Dispositions pour la reconnaissance ou la compréhension d’images ou de vidéos utilisant la reconnaissance de formes ou l’apprentissage automatique utilisant la classification, p. ex. des objets vidéo
G06V 10/82 - Dispositions pour la reconnaissance ou la compréhension d’images ou de vidéos utilisant la reconnaissance de formes ou l’apprentissage automatique utilisant les réseaux neuronaux
The technology relates to systems and methods for an endoscope with a collapsible working channel and implementing a virtual anchor in an endoscope with a steerable tip. An example endoscope includes a proximal end, a steerable distal tip including an articulating segment, and a collapsible working channel, positioned on an outer surface of the endoscope, capable of selectively collapsing and expanding to receive a surgical tool. The collapsible working channel includes a proximal opening and a distal opening positioned proximally from the articulating segment. Virtual anchoring may include setting a reference image frame, identifying a landmark feature, determining a first position of the landmark feature, receiving an updated image frame; identifying the landmark feature in the updated image frame, determining a second position of the landmark feature, and based on a difference between the first position and the second position: generating corrective steering signals or shifting a cropped region.
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
An autoregulation monitoring device may display, on a graph on the display screen, a blood pressure signal of a patient; indicate, on the graph, an autoregulation threshold that separates an intact autoregulation area of the graph and an impaired autoregulation area of the graph. The device may indicate, on the graph, a plurality of threshold offsets that are each separated from the autoregulation threshold, wherein each one of the plurality of threshold offsets is selectable by a user. The device may receive an indication of user input that corresponds to selection of a threshold offset from the plurality of threshold offsets and may update the autoregulation threshold on the graph based on the selected threshold offset.
A61B 5/00 - Mesure servant à établir un diagnostic Identification des individus
A61B 5/021 - Mesure de la pression dans le cœur ou dans les vaisseaux sanguins
A61B 90/92 - Moyens d’identification pour les patients ou les instruments, p. ex. étiquettes utilisant des codes de couleurs
G06F 3/04847 - Techniques d’interaction pour la commande des valeurs des paramètres, p. ex. interaction avec des règles ou des cadrans
G06F 3/0488 - Techniques d’interaction fondées sur les interfaces utilisateur graphiques [GUI] utilisant des caractéristiques spécifiques fournies par le périphérique d’entrée, p. ex. des fonctions commandées par la rotation d’une souris à deux capteurs, ou par la nature du périphérique d’entrée, p. ex. des gestes en fonction de la pression exercée enregistrée par une tablette numérique utilisant un écran tactile ou une tablette numérique, p. ex. entrée de commandes par des tracés gestuels
46.
ACCURATE DETERMINATION OF RESPIRATORY RATES USING DEPTH-BASED CAMERA SYSTEM
Methods for improving the accurate determination of respiratory rate, the respiratory rate being measured or monitored from depth measurements from a non-contact monitoring system. The methods include analyzing a waveform obtained from a respiratory parameter and discarding data that does not meet criteria. The respiratory rate may be obtained from an original waveform, a processed waveform, or from a power spectrum derived from the original or processed waveform.
A forceps is provided and includes a housing having a shaft. An end effector assembly operatively connects to a distal end of the shaft and includes a pair of first and second jaw members. One or both of the first and second jaw members is movable relative to the other jaw member from a clamping position to an open position. A resilient member operably couples to at least one of the first and second jaw members. The resilient member is configured to bias the first and second jaw members in the clamping position and provide a closure force on tissue disposed therebetween.
A61B 17/29 - Pinces pour la chirurgie faiblement invasive
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
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
48.
DEPTH SENSING VISUALIZATION MODES FOR NON-CONTACT MONITORING
The present invention relates to the field of medical monitoring, and, in particular, to non-contact detecting and monitoring of patient breathing. Systems, methods, and computer readable media are described for calculating a change in depth of a region of interest (ROI) on a patient and assigning one or more visual indicators to at least a portion of a graphic based on the calculated changes in depth and/or based on a tidal volume signal generated for the patient. In some embodiments, the systems, methods, and/or computer readable media can display the visual indicators overlaid onto at least the portion in real-time and/or can display the tidal volume signal in real-time. The systems, methods, and/or computer readable media can trigger an alert and/or an alarm when a breathing abnormality is detected.
A surgical instrument end effector assembly includes a first jaw member defining an insulative tissue-contacting surface and first and second electrically-conductive tissue-contacting surfaces disposed on either side of the insulative surface. A second jaw member of the end effector assembly includes an ultrasonic blade body positioned to oppose the insulative surface of the first jaw member, and first and second electrically-conductive tissue-contacting surfaces disposed on either side of the ultrasonic blade body and positioned to oppose the first and second electrically-conductive surfaces, respectively, of the first jaw member. The first jaw member is movable relative to the second jaw member between a spaced-apart position and an approximated position to grasp tissue therebetween. The first and second electrically-conductive surfaces of the second jaw member are movable, independent of the first jaw member, relative to the first jaw member and the ultrasonic blade body between a retracted position and an extended position.
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 17/29 - Pinces pour la chirurgie faiblement invasive
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 system for monitoring autoregulation includes an oxygen saturation sensor configured to obtain an oxygen saturation signal indicative of an oxygen saturation of a patient. The system also includes a controller having a processor configured to receive a blood pressure signal indicative of a blood pressure of the patient and the oxygen saturation signal, determine a change in the oxygen saturation signal and a change in the blood pressure signal over a period of time, and provide an indication that the patient's autoregulation is intact if the oxygen saturation changes by more than an oxygen saturation threshold and if the blood pressure changes by less than a blood pressure threshold during the period of time.
A61B 5/00 - Mesure servant à établir un diagnostic Identification des individus
A61B 5/021 - Mesure de la pression dans le cœur ou dans les vaisseaux sanguins
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
G16H 50/30 - 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 calcul des indices de santéTIC 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 l’évaluation des risques pour la santé d’une personne
51.
OBLIQUE TIP ENDOSCOPE WITH ZERO DEGREE FIELD ANGLE
Systems, apparatuses, and methods are discussed herein for an endoscope. The endoscope has a distal tip with an oblique portion and a flat portion, the oblique portion defines a plane that forms an angle between and including 20 and 40 degrees to a central axis of the endoscope. A related sheath may have similar features at the distal tip.
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 1/015 - Commande de l'alimentation en fluide ou de l'évacuation de fluide
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 1/07 - 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 dispositifs d'éclairement utilisant des moyens conduisant la lumière, p. ex. des fibres optiques
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 1/317 - 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 l'introduction dans des incisions chirurgicales, p. ex. laparoscopes pour les os ou les articulations, p. ex. ostéoscopes, arthroscopes
G02B 23/24 - Instruments pour regarder l'intérieur de corps creux, p. ex. endoscopes à fibres
G02B 23/26 - Instruments pour regarder l'intérieur de corps creux, p. ex. endoscopes à fibres utilisant des guides de lumière
52.
ACTUATION MECHANISMS FOR SURGICAL INSTRUMENTS AND SURGICAL INSTRUMENTS INCORPORATING THE SAME
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.
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
Surgical instruments and apparatus; surgical and medical apparatus and instruments for use in general surgery; sutures; medical devices for closing wounds; surgical instruments and apparatus used for reinforcing wound closure devices; related medical devices and apparatus.
A surgical instrument and surgical end effector assembly include first and second jaw members configured to cooperate to grasp tissue therebetween. The jaw member includes a compression pad defining a longitudinally extending channel and including a first electrode disposed within the channel. The second jaw member includes a second electrode. With the first and second jaw members grasping tissue, the second electrode extends into the channel of the compression pad, compresses the compression pad, and is disposed in alignment with the first electrode. The first and second electrodes are adapted to connect to a source of electrosurgical energy and configured to conduct electrosurgical energy therebetween and through tissue to electrically cut the tissue.
An endoscope cleaning device includes a base, a battery pack, and a pull tab. The base includes a cylindrical body defining a canal. The battery pack includes a battery and a heating mechanism thermally coupled to the cylindrical body. The pull tab includes a body and an annular seal detachably coupled to the body. The annular seal is in registration with the canal of the cylindrical body. The pull tab is partially received within the battery pack to inhibit electrical communication between the battery and the heating mechanism. The body of the pull tab is removably supported with respect to the base and the battery pack such that when the pull tab is pulled by a user, the annular seal detaches from the body of the pull tab and remains with respect to the cylindrical body to form a fluid-tight seal against the endoscope.
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
B08B 1/14 - LingettesÉléments absorbants, p. ex. écouvillons ou éponges
A time-synchronized video imaging system includes an environmental camera that acquires environmental images of a patient while a video laryngoscope acquires airway images of the patient. A monitor receives the airway images from the video laryngoscope and the environmental images from the environmental camera. The monitor time-synchronizes the airway images and the environmental images to each other to generate a combined view video file of the time-synchronized airway images and environmental images to permit review of macro or environmental effects on a patient intubation.
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
A method of controlling a tool of a surgical robot with a processing unit such that the tool follows input of the input handle of a user console includes receiving movement of the input handle in a master frame of the user console, translating the movement of the input handle in the master frame to movement of the tool in a camera frame of a camera providing real-time images of a surgical site, translating the movement of the tool in the camera frame to movement of the tool in a world frame defined in a surgical theater, translating the movement of the tool in the world frame to movement of the tool in a tool frame which is defined by an arm supporting the tool, and transmitting control commands to a motor controlling the tool such that the tool follows movement of the input handle.
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 system for performing a surgical procedure includes a catheter including an ablation therapy delivering portion configured to deliver ablation therapy to an area of interest and an aperture configured to deliver a therapeutic agent to the area of interest, and a workstation operably coupled to the catheter, the workstation including an ablation therapy source operably coupled to the ablation therapy delivering portion of the catheter, a fluid source operably coupled to the aperture of the catheter, and a memory and a processor, the memory storing instruction, which when executed by the processor cause the processor to generate and deliver ablation therapy to the area of interest and deliver a therapeutic agent to the area of interest.
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 neurological treatment apparatus includes a first endovascular device comprising a plurality of first electrodes extending along a first length in a distal portion of the first device, the distal portion of the first device being configured for endoluminal navigation into cerebral vasculature, and a second endovascular device comprising a plurality of second electrodes extending along a second length in a distal portion of the second device, configured for endoluminal navigation into the cerebral vasculature, such that electrostimulative current may be passed between the first and second electrodes.
A61N 1/36 - Application de courants électriques par électrodes de contact courants alternatifs ou intermittents pour stimuler, p. ex. stimulateurs cardiaques
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
A61N 1/05 - Électrodes à implanter ou à introduire dans le corps, p. ex. électrode cardiaque
A method and system for reducing divergence between computed tomography images and a patient using three-dimensional reconstructions. The method utilizes cone beam imaging or three-dimensional fluoroscopy to supplement or supplant pre-operative computed tomography imaging.
A61B 34/20 - Systèmes de navigation chirurgicaleDispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p. ex. pour la stéréotaxie sans cadre
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
A61B 6/12 - Agencements pour détecter ou localiser des corps étrangers
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 90/00 - 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
G06T 7/30 - Détermination des paramètres de transformation pour l'alignement des images, c.-à-d. recalage des images
A system for performing a surgical procedure includes a catheter including an ablation therapy delivering portion configured to deliver ablation therapy to an area of interest and an aperture configured to deliver a therapeutic agent to the area of interest, and a workstation operably coupled to the catheter, the workstation including an ablation therapy source operably coupled to the ablation therapy delivering portion of the catheter, a fluid source operably coupled to the aperture of the catheter, and a memory and a processor, the memory storing instruction, which when executed by the processor cause the processor to generate and deliver ablation therapy to the area of interest and deliver a therapeutic agent to the area of interest.
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 18/18 - 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 18/02 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci par refroidissement, p. ex. techniques cryogéniques
A method for a surgeon to control a mobile cart, setup arm, or robotic arm of a surgical robotic system, which enables the surgeon to make adjustments without scrubbing into the bedside (a sterile environment) from the surgeon console (a non-sterile environment). The method also includes using analytics and intra-operative guidance to inform the surgeon how to adjust the components of the surgical robotic system to improve efficiency in preparing the system for optimal performance.
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
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
65.
INSERTS, SPLINES, AND METHODS FOR REDUCING AND/OR ELIMINATING SPLINE CRASH IN SURGICAL INSTRUMENTS
Inserts and features to reduce or prevent spline crash in surgical staplers and/or to minimize damage resulting from spline crash in surgical staplers. An insert for a surgical stapler includes a body and spline covers. The body is configured to fit within a bore of a shell assembly and the spline covers extend inward from the body. Each of the spline covers are sized and dimensioned to cap a distal portion of splines of the shell assembly. A shell assembly for a surgical stapler includes shell splines that are disposed on an inner wall of an inner housing portion that defines a bore. The shell splines include a lead spline that has a leading end positioned distal of a leading end of each of the other shell splines.
A surgical navigation system includes a navigation catheter and a computing device. The computing device is configured to register data detected by a sensor in a luminal network to CT data of the luminal network, and detect when the catheter is located at a node of the luminal network. The computing device is further configured to determine coordinates of the detected node, determine a difference between the determined coordinates of the node and expected coordinates of the node, and determine if the difference between the determined coordinates and the expected coordinates is greater than a predetermined threshold.
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
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 34/10 - Planification, simulation ou modélisation assistées par ordinateur d’opérations chirurgicales
A control system, including a controller having a display and a handle detachably coupled to the display and including an input device, a motor assembly, wherein the display is detachably coupled to the motor assembly, the motor assembly including a drive motor in communication with the handle, and a catheter drive detachably coupled to the motor assembly, wherein actuation of the drive motor effectuates movement of a catheter operatively coupled to the catheter drive.
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
A61M 25/01 - Introduction, guidage, avance, mise en place ou maintien en position des cathéters
68.
SURGICAL END EFFECTOR ASSEMBLIES AND SURGICAL INSTRUMENTS FOR ENERGY-BASED TISSUE CUTTING
A surgical end effector assembly includes first and second jaw members each having a tissue contacting surface. At least one of the jaw members is movable relative to the other between a spaced apart position and an approximated position. The second jaw member includes a cutting electrode extending from the second jaw member towards the first jaw member. The first jaw member includes a jaw body defining a slot. At least one retainer, at least one overhang of a tissue contacting plate, and/or at least one channel in communication with the slot facilitates engagement and retention of a compression pad at least partially within the slot. In the approximated position, the cutting electrode and the compression pad are configured to grasp tissue therebetween.
A control system, including a controller having a display and a handle detachably coupled to the display and including an input device, a motor assembly, wherein the display is detachably coupled to the motor assembly, the motor assembly including a drive motor in communication with the handle, and a catheter drive detachably coupled to the motor assembly, wherein actuation of the drive motor effectuates movement of a catheter operatively coupled to the catheter drive.
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 34/20 - Systèmes de navigation chirurgicaleDispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p. ex. pour la stéréotaxie sans cadre
70.
SYSTEM AND METHOD FOR UPDATING REGISTRATION AND LOCALIZATION DURING SURGICAL NAVIGATION
A surgical navigation system includes a navigation catheter and a computing device. The computing device is configured to register data detected by a sensor in a luminal network to CT data of the luminal network, and detect when the catheter is located at a node of the luminal network. The computing device is further configured to determine coordinates of the detected node, determine a difference between the determined coordinates of the node and expected coordinates of the node, and determine if the difference between the determined coordinates and the expected coordinates is greater than a predetermined threshold.
A61B 6/12 - Agencements pour détecter ou localiser des 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 robotic arm with a linear transmission mechanism for a surgical robotic system. The robotic arm includes a first link pivotally coupled to a second link at a first joint and a holder pivotally coupled to the second link at a second joint.
A surgical robotic system for use in a minimally invasive surgical procedure includes a trocar for facilitating passage of a surgical instrument into a body cavity. The surgical trocar has a memory having stored therein information about the surgical trocar, and a conductive coil configured to inductively couple to another conductive coil in a surgical robotic arm, whereby the conductive coil of the surgical trocar communicates the information about the surgical trocar to the conductive coil of the surgical robotic arm.
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 90/98 - Moyens d’identification pour les patients ou les instruments, p. ex. étiquettes utilisant des moyens électromagnétiques, p. ex. transpondeurs
Implementations described herein discloses, a method of AI based video tagging for alarm management includes receiving, using a processor, a video stream, the video stream comprising a sequence of images for at least a portion of a patient, determining, using the processor, a physiological parameter for the patient based on the sequence of images, detecting, using machine learning, presence of a noise object and setting a interaction-flag to a positive value in response to detecting the noise object, comparing a quality level of the sequence of images with a threshold quality level, and modifying an alarm level based on the value of the interaction-flag and comparison of the quality level of the sequence of depth images with the threshold quality level.
A surgical robotic system includes an instrument drive unit having at least one motor. The system also includes a surgical instrument having at least one pulley, an end effector pivotable about the at least one pulley, and a cable wrapped about the at least one pulley and actuatable by the at least one motor. The system further includes a controller configured to calculate an estimated damage score for the cable, compare the estimated damage score to a threshold, and output an alert in response to the estimated damage score exceeding the threshold.
A surgical end effector assembly includes first and second jaw members configured to grasp tissue therebetween. The second jaw member includes a cutting electrode. The first jaw member includes a jaw body, a compression pad, and at least one spring operably coupling the compression pad with the jaw body. The first and second jaw members are configured to cooperate to grasp tissue between the cutting electrode and the compression pad.
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
76.
SURGICAL ROBOTIC SYSTEM AND METHOD FOR VELOCITY-BASED FORCE FEEDBACK IN HANDLE CONTROLLER
A surgical robotic system may include a robotic arm and an instrument drive unit. The system also includes an instrument coupled to and actuatable by the instrument drive unit. The instrument includes a first jaw member and a second jaw member, where at least one of the jaw members is movable relative to the other jaw member from an open to a closed jaw position. The system further includes a surgeon console having a handle controller with a handle and a paddle pivotably movable relative to the handle from an open paddle position to a paddle closed position. Movement of the paddle is used to control movement of at least one of the first or second jaw members. The handle controller also includes a feedback motor configured to provide force feedback to the paddle based on a position and a velocity of the paddle relative to the handle.
A pressure resistant medical cable enclosure is provided, including a clamshell, a printed circuit board, and at least one overmold, wherein the clamshell is configured for assembly over the printed circuit board for a medical cable, one overmold provided at least partially around the clamshell layer with minimal overlap between the overmold and the printed circuit board in the vertical direction.
H02G 3/04 - Tubes ou conduits de protection, p. ex. échelles à câbles ou goulottes de câblage
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
H05K 7/14 - Montage de la structure de support dans l'enveloppe, sur cadre ou sur bâti
78.
VIDEO LARYNGOSCOPE AND MEDICAL DEVICE WIRELESS VIDEO TRANSFER
A video laryngoscope system where a video laryngoscope automatically connects to one or more medical devices within a patient environment. The video laryngoscope may automatically, upon startup and without further user input, perform an unfamiliar wireless connection process for each of a plurality of external devices to establish a wireless connection to each of the plurality of external devices. The video laryngoscope may then transmit, via the established wireless connections, images captured by the video-laryngoscope camera to the plurality of external devices.
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
79.
VIDEO LARYNGOSCOPE AND MEDICAL DEVICE WIRELESS VIDEO TRANSFER
A video laryngoscope system where a video laryngoscope automatically connects to one or more medical devices within a patient environment. The video laryngoscope may automatically, upon startup and without further user input, perform an unfamiliar wireless connection process for each of a plurality of external devices to establish a wireless connection to each of the plurality of external devices. The video laryngoscope may then transmit, via the established wireless connections, images captured by the video-laryngoscope camera to the plurality of external devices.
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
80.
ELECTROSURGICAL SYSTEMS AND METHODS INCORPORATING A JAW POSITION SENSOR TO FACILITATE TISSUE SEALING
An electrosurgical generator includes a processor and non-transitory computer-readable storage medium storing instructions that, when executed by the processor, cause the electrosurgical generator to supply electrosurgical energy to tissue grasped between first and second jaw members of an electrosurgical instrument according to a tissue sealing algorithm, determine whether the tissue sealing algorithm has been completed, determine a status of a sensor indicative of a position of the first and second jaw members, and determine whether the grasped tissue has been effectively sealed based on the determination of whether the tissue sealing algorithm has been completed and the determination of the status of the sensor.
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 18/12 - 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 18/08 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci par chauffage à l'aide de sondes chauffées électriquement
81.
ELECTROSURGICAL FORCEPS INCLUDING A THICK TISSUE SENSOR
A surgical instrument includes a housing, a shaft, an end effector assembly, a drive assembly, and a tissue sensor assembly. The end effector assembly has a first jaw and a second jaw movable relative to one another between an open configuration wherein the first and second jaws define a first jaw aperture angle greater than a pre-determined jaw aperture angle and a closed configuration wherein the first and second jaws define a second jaw aperture angle less than the pre-determined jaw aperture angle. The drive assembly includes a drive tube extending through the shaft that is configured to move the first and second jaws between the open and closed configurations. The tissue sensor assembly includes a tissue flag coupled to the drive assembly and translatable with the drive tube, and a tissue flag sensor coupled to the housing for detecting movement of the tissue flag.
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 17/29 - Pinces pour la chirurgie faiblement invasive
82.
Surgical stapling device with firing lockout mechanism
A surgical stapling device includes a tool assembly and a drive assembly for actuating the tool assembly. The tool assembly includes a cartridge assembly having a staple cartridge and an anvil assembly that supports a lockout mechanism. The staple cartridge includes a cartridge body and an actuation sled and knife assembly that includes an actuation sled and a knife. The actuation sled and knife assembly is movable in relation to the cartridge body to eject staples from the cartridge body and to cut tissue. The anvil assembly supports a lockout mechanism that includes a lockout member that is movable between a locked position and an unlocked position. The drive assembly is movable from a retracted position to an advanced position to move the actuation sled and knife assembly from its retracted position to its advanced position. In the locked position, the lockout member obstructs movement of the drive assembly from its retracted position towards its advanced position.
Systems, devices, and methods for detaching an implantable device from a delivery system are disclosed herein. One aspect of the present technology, for example, is directed toward an elongated shaft having an inner surface that defines a lumen that extends distally from the proximal portion to an opening at a distal terminus of a distal portion. In some embodiments the distal portion includes an inner polymer structure having a first portion and a second portion positioned distal of the first portion along the length of the inner polymer structure. The first portion can have a first stiffness and the second portion can have a second stiffness less than the first stiffness. The distal portion can further include an outer polymer structure disposed around the inner polymer structure and a coil wound around the inner polymer structure and disposed within the outer polymer structure.
An adapter assembly includes a switch actuator, an actuation bar, and a latch. The switch actuator is movable between a proximal position, in which the switch actuator actuates a switch, and a distal position. The latch is movable between a first position, in which the latch permits proximal movement of the switch actuator, and a second position, in which the latch prevents proximal movement of the switch actuator. The latch is configured to move from the first position toward the second position in response to the actuation bar moving toward a proximal position.
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
85.
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
Systems and methods for removal of clot material from vessel lumens are disclosed. A medical device assembly can include a catheter having a lumen and a distal portion configured to be positioned at or adjacent a treatment site within a vessel. An expandable member has a first portion coupled to the distal portion of the catheter, and a second portion extending away from the catheter distal portion. An elongate shaft extends through the lumen of the catheter, and the second portion of the expandable member is releasably coupled to the shaft. When the shaft is slidably moved relative to the surrounding catheter, the second portion of the expandable member can be released from the shaft, and the shaft can be withdrawn or removed.
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
87.
SYSTEM AND METHOD FOR UPDATING REGISTRATION AND LOCALIZATION DURING SURGICAL NAVIGATION
A surgical navigation system includes a navigation catheter and a computing device. The navigation catheter includes a force sensor. The computing device is configured to register location data of the navigation catheter to image data of the luminal network, receive force measurements from the force sensor, compare the force measurements to expected force measurements and determine whether the force measurements deviate from expected force measurements along the path, and update registration of the location data to the image data if it is determined that a force measurement deviates from an expected force measurement along the path.
A61B 34/20 - Systèmes de navigation chirurgicaleDispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p. ex. pour la stéréotaxie sans cadre
A61B 34/10 - Planification, simulation ou modélisation assistées par ordinateur d’opérations chirurgicales
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
88.
SURGICAL INSTRUMENTS, SYSTEMS, AND METHODS INCORPORATING AN OFFSET END EFFECTOR
A surgical system includes an elongated assembly and an articulation joint defined in the elongated assembly. The elongated assembly articulates about the articulation joint. The articulation joint defines a central axis and a distal side portion. An offsetting member extends from the distal side portion of the articulation joint. An end effector is supported by the offsetting member. The end effector includes a blade and a jaw member movable relative to the blade between a spaced-apart position and an approximated position for clamping tissue. The offsetting member offsets the end effector with respect to the central axis of the articulation joint. An actuation cable extends through the central axis of the articulation joint. The actuation cable is operably coupled to the jaw member to pivot the jaw member with respect to the blade between the spaced-apart position and the approximated position.
A system includes a processor and a memory. The memory stores a neural network, which when executed by the processor automatically segments structures in computed tomography images of an anatomical structure, receives an indication of errors within the automatic segmentation, updates parameters of the neural network based upon the indicated errors, and updates the segmentation based upon the updated parameters of the neural network.
The present disclosure provides systems and methods for calibrating a medical device utilizing LED emission by characterizing the spectrum distribution of the LED emission and mapping such characterized spectrum distribution to calibration coefficients, e.g., gamma coefficients
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
A61B 5/1495 - Étalonnage ou test des sondes in vivo
91.
INVENTORY SYSTEMS AND METHODS FOR DETECTING AND COUNTING POTENTIALLY RETAINED SURGICAL ITEMS
An inventory system configured for detecting and counting potentially retained surgical items within a body of a patient includes a tag configured to transmit a return signal including an electrical characteristic when energized, a signal generator configured to generate an energizing signal for the tag, an antenna operably coupled to the signal generator and configured to receive at least the return signal transmitted by the tag, a processor, and a memory. The memory includes instructions stored thereon, which, when executed by the processor, cause the inventory system to energize the tag by the energizing signal, receive the return signal from the tag by the antenna, and determine a presence of the beacon tag based on the electrical characteristic.
G16H 40/20 - 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 ou l’administration de ressources ou d’établissements de soins de santé, p. ex. pour la gestion du personnel hospitalier ou de salles d’opération
A61B 90/98 - Moyens d’identification pour les patients ou les instruments, p. ex. étiquettes utilisant des moyens électromagnétiques, p. ex. transpondeurs
G06K 19/07 - Supports d'enregistrement avec des marques conductrices, des circuits imprimés ou des éléments de circuit à semi-conducteurs, p. ex. cartes d'identité ou cartes de crédit avec des puces à circuit intégré
G06K 19/077 - Détails de structure, p. ex. montage de circuits dans le support
H04W 4/80 - Services utilisant la communication de courte portée, p. ex. la communication en champ proche, l'identification par radiofréquence ou la communication à faible consommation d’énergie
92.
SURGICAL ROBOTIC SYSTEM AND METHOD FOR DIGITAL TWIN GENERATION
A surgical robotic system includes a plurality of robotic arms each of which includes a surgical instrument, and a surgeon console configured to receive input to control a robotic arm of the plurality of robotic arms. The system also includes a controller configured to generate a 3D virtual model that may include a plurality of virtual arms replicating the plurality of robotic arms, where the 3D virtual model is moved in response to the input, and a display screen configured to display the 3D virtual model.
A surgical stapling device includes a drive assembly and a tool assembly having an anvil and a cartridge assembly that is pivotably coupled to the anvil for movement between an open position and a clamped position. The cartridge assembly includes a staple cartridge and a channel member that defines a cavity that receives the staple cartridge. The channel member includes a channel lock that is positioned on a proximal portion of the channel member. The drive assembly is movable between a drive advanced position and a drive retracted position and engages the channel lock in the drive retracted position to retain the tool assembly in the open position.
A surgical robotic system is configured to output a recommendation for use of an access port based on a determined habitus of a patient. The system includes a robotic arm including at least one joint having a sensor. The system also includes a controller configured to receive a measured torque of the joint from the sensor and determine a habitus of the patient based on the measured torque.
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
96.
CATHETER DEFINING LONGITUDINALLY ARRANGED AND FLUIDICALLY CONNECTED OPENINGS AT A DISTAL REGION
Systems and methods for removing clots via aspiration are disclosed herein. A catheter includes an elongate body defining a lumen. The distal region includes a distal openings region, a proximal openings region and a thrombus interface region between the distal and the proximal openings regions. The distal and proximal openings regions each includes one or more openings in fluid communication with the lumen. In use, the catheter is positioned from a proximal side of the clot so that the distal openings region positioned at least partially distal of the clot and the proximal openings region positioned at least partially proximal of the clot. An aspiration catheter is positioned with its distal end at the proximal end of the clot. The clot is then withdrawn in the proximal direction with a combination of aspiration applied to one or more of the catheter or the aspiration catheter.
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
Implementations described herein disclose a method of monitoring motion of a patient, the method includes receiving, using a processor, a video stream, the video stream comprising a sequence of images for at least a portion of a patient, dividing the video stream into a plurality of temporal video sequences, each of the temporal video sequences having a plurality of frames each being apart from each other, generating a matrix of depth difference frames, and determining a machine learning (ML) input feature matrix based on the matrix of depth difference frames.
A surgical robotic system is configured to enable user confirmation of whether one or more access ports are standard or longer length (e.g., bariatric type access ports). The system includes a surgeon console having one or more hand controllers and a head tracking device configured to detect surgeon's attempt to actuate an end effector of an instrument disposed within the access port. The system prevents actuation of the end effector until the insertion depth of the instrument is sufficient or the user confirms that the access port is of standard length, e.g., less than a preset length threshold.
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
B25J 13/06 - Postes de commande, p. ex. pupitres, tableaux de contrôle
G05B 19/4155 - Commande numérique [CN], c.-à-d. machines fonctionnant automatiquement, en particulier machines-outils, p. ex. dans un milieu de fabrication industriel, afin d'effectuer un positionnement, un mouvement ou des actions coordonnées au moyen de données d'un programme sous forme numérique caractérisée par le déroulement du programme, c.-à-d. le déroulement d'un programme de pièce ou le déroulement d'une fonction machine, p. ex. choix d'un programme
G06F 3/01 - Dispositions d'entrée ou dispositions d'entrée et de sortie combinées pour l'interaction entre l'utilisateur et le calculateur
99.
CONTEXTUALIZATION OF SUBJECT PHYSIOLOGICAL SIGNAL USING MACHINE LEARNING
Implementations described herein disclose a method of monitoring motion of a patient, the method includes receiving, using a processor, a video stream, the video stream comprising a sequence of images for at least a portion of a patient, dividing the video stream into a plurality of temporal video sequences, each of the temporal video sequences having a plurality of frames each being apart from each other, generating a matrix of depth difference frames, and determining a machine learning (ML) input feature matrix based on the matrix of depth difference frames.
A robotic electromechanical surgical instrument includes a housing, an elongated shaft that extends distally from the housing, a wrist assembly supported on the elongated shaft, an end effector coupled to the wrist assembly, a universal joint assembly supported within the wrist assembly, and cables coupled to the wrist assembly. The elongated shaft defines a longitudinal axis. The wrist assembly includes a first joint coupled to a second joint. The universal joint assembly is rotatable to actuate a function of the end effector. The plurality of cables is movable to manipulate the first and second joints to enable the universal joint assembly and the wrist assembly to articulate relative to the longitudinal axis.
