A self-adjustable surgical garment includes a front defining a centerline, a back, and two sides connecting the front and the back. The self-adjustable surgical garment also includes a strap having a first segment and a second segment, the second segment separable from the first segment. The first segment of the strap comprises a first strap and a second strap each comprising fastening portions, and wherein the second segment is a third strap which is removably coupled to both of the first strap and the second strap. The fastening portions are removably coupled to a portion of the garment such that a portion of the first segment is in a sterile zone. The region corresponding to a sterile zone of the wearer being at least partially defined as a region within ninety degrees in either direction of the centerline.
A method for assessing fluorescence imaging agent-based visual enhancement in a color image in which a fluorescence imaging agent signal is represented by a first color, the method including: identifying at least one first region of the color image that is encompassed by a portion of anatomy or pathology of interest in which the fluorescence imaging agent is present; identifying at least one second region of the color image that is not encompassed by the anatomy or pathology of interest; and determining a measure of visual enhancement of the anatomy or pathology of interest in the color image by comparing a contribution of the first color relative to other colors in the at least one first region to a contribution of the first color relative to the other colors in the at least one second region.
A method for operating a surgical robot includes providing a plurality of virtual haptic geometries associated with different steps of a surgical procedure, evaluating a plurality of criteria associated with a first virtual haptic geometry of the plurality of virtual haptic geometries, activating the first virtual haptic geometry of the plurality of virtual haptic geometries without activating a second virtual haptic geometry of the plurality of virtual haptic geometries in response to satisfaction of the plurality of criteria, and controlling the surgical robot to constrain movement of an end effector of the surgical robot to the first virtual haptic geometry in response to activating the first virtual haptic geometry.
G06F 3/01 - Input arrangements or combined input and output arrangements for interaction between user and computer
G06F 3/0346 - Pointing devices displaced or positioned by the user; Accessories therefor with detection of the device orientation or free movement in a 3D space, e.g. 3D mice, 6-DOF [six degrees of freedom] pointers using gyroscopes, accelerometers or tilt-sensors
G06F 3/0482 - Interaction with lists of selectable items, e.g. menus
G06F 3/04847 - Interaction techniques to control parameter settings, e.g. interaction with sliders or dials
4.
SYSTEM AND METHOD FOR IMPLANTABLE SENSOR REGISTRATION
A method for registering a sensor coordinate system of a first sensor of an implant to an anatomical coordinate system using a surgical system is provided. The implant includes a second sensor, and the surgical system includes a surgical navigation system. The first sensor has a predetermined spatial relationship relative to the implant when the implant is coupled to a bone of a patient. The method includes receiving at least one medical image defining the anatomical coordinate system, the at least one medical image including a first body segment and a second body segment forming a joint. In addition, the method includes determining a first angle of the joint based on motion data, determining a second angle of the joint based on surgical navigation system, comparing the first angle to the second angle, and selectively adjusting one or more parameters of the first sensor.
Systems and methods for microwave ablation of tissue. A probe includes a transmission line, and an electrical short provides a choke with a tube. A sheath may be coaxially disposed over the tube and define fluid ports, and a distal infusion path in fluid communication path with a proximal infusion path through an aperture in the tube. The choke may be floating with shorted conductive tubes coaxially disposed opposite a non-conductive tube. The probe may be a double- slot architecture with the choke at a position proximal to the proximal slot. Methods may include providing real-time estimations of tissue condition and/or lesion size. A frequency sweep may be performed from which the relative permittivity of the tissue may be determined. Distances to reflection points of tissue boundaries may be determined in a time domain spectrum, from which a characteristic of the ablation procedure may be provided on a display.
A61B 18/18 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
09 - Scientific and electric apparatus and instruments
10 - Medical apparatus and instruments
Goods & Services
Software for use with medical apparatus and instruments. Medical apparatus and instruments, equipment for external,
mechanical heart compression and decompression.
7.
DEFIBRILLATOR FOR ASSESSING A LIKELIHOOD OF PATIENT REFIBRILLATION
A device may include an electrocardiogram (ECG) signal input configured to receive ECG signals of a patient. A device may include an ECG analysis system, in communication with the ECG signal input, configured to receive patient ECG signals, analyse the patient ECG signals to generate an ECG refibrillation indicator representing a likelihood of refibrillation of the patient and use the ECG refibrillation indicator to choose treatment for the patient.
Fluid management systems are disclosed that include software-controlled, electro-mechanical devices used in combination with single-use or multi-use tubing sets. Functions of the fluid management systems can include fluid pressurization, fluid warming, fluid deficit monitoring (including flow-based and weight-based), suction, fluid collection, and fluid evacuation (including indirect-to-drain and direct-to-drain options). The systems can be configured based on the surgical environment (e.g., operating room or physician office) as well as other user needs and/or preferences.
A61M 5/44 - Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm rests having means for cooling or heating the devices or media
A61M 1/00 - Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
A medical device includes: an elongated tube having a wall defining a lumen for the elongated tube, wherein the wall of the elongated tube comprises a first opening; and a first actuating element coupled directly or indirectly to the wall of the elongated tube; wherein at least a part of the first actuating element and the first opening of the wall are located at a same longitudinal position with respect to a longitudinal axis of the elongated tube; and wherein the first actuating element is configured to change size to induce stress and/or displacement at the wall of the elongated tube to cause the elongated tube to bend.
A blade mounting assembly for coupling a saw blade to a surgical saw. The blade mounting assembly including a blade clamp guard and a blade clamp moveably coupled to a drive hub of the surgical saw. The blade clamp guard defining a recess and a blade clamp at least partially disposed within the recess. The blade clamp further comprising a safety indicator. The blade clamp may be configured to move relative to the blade camp guard, the blade clamp moving between a first position where the safety indicator is exposed and a second position where the safety indicator is concealed by the blade clamp guard. The blade mounting assembly may also comprise a biasing mechanism disposed between the blade clamp guard and the blade clamp. The biasing mechanism configured to urge the blade clamp guard away from the blade clamp.
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
11.
Adapter And Methods For Coupling A Surgical Handpiece To A Control Console
An adapter configured to receive a drive signal from a control console and to provide the drive signal to an ultrasonic surgical handpiece. The adapter includes a receptacle for receiving the ultrasonic surgical handpiece and providing the drive signal to the ultrasonic surgical handpiece. The adapter includes a module for detecting a presence of the ultrasonic surgical handpiece and a connector to be inserted into a receptacle of the control console to receive the drive signal from the control console. The adapter includes a radio-frequency identification device coupled to the connector and to a memory storing a maximum and minimum frequency for driving the ultrasonic surgical handpiece. The radio-frequency identification device transmits the maximum and minimum frequency from the memory to the control console via the connector using an RFID protocol in response to the module detecting the presence of the ultrasonic surgical handpiece.
A patient handling apparatus includes a patient support surface, a base, and a hydraulic circuit. The hydraulic circuit includes a pump, a fluid reservoir, and a hydraulic cylinder operable to selectively raise or lower the patient support surface or the base. The hydraulic circuit controls flow of fluid between the cylinder and the fluid reservoir to thereby control the movement of the base or patient support surface. In addition, the hydraulic circuit may include a manual bypass circuit configured to bypass the pump in response to a manual input, which allows manual extension or retraction of the cylinder, for example, when the pump is not operational. The hydraulic circuit may also include a pump bypass circuit configured to bypass the pump to allow fluid to discharge from the cap end to the fluid reservoir for faster evacuation of fluid from the cylinder, thereby increasing retraction speed of the rod.
A sponge counting system for maintaining an inventory of articles used during a medical or surgical procedure, where, in the event an article for which the status needs to be reconciled is left in a patient, the system generates a record that the article is in a partially reconciled state and when a subsequent procedure is performed, the scanner employed during the procedure has the records of the partially reconciled articles associated with the patient.
G16H 15/00 - ICT specially adapted for medical reports, e.g. generation or transmission thereof
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A61B 90/98 - Identification means for patients or instruments, e.g. tags using electromagnetic means, e.g. transponders
G06Q 10/08 - Logistics, e.g. warehousing, loading or distribution; Inventory or stock management
G06Q 10/0875 - Itemisation or classification of parts, supplies or services, e.g. bill of materials
G06Q 10/30 - Administration of product recycling or disposal
G16H 10/60 - ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
G16H 40/20 - ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
G16H 40/40 - ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the management of medical equipment or devices, e.g. scheduling maintenance or upgrades
G16Z 99/00 - Subject matter not provided for in other main groups of this subclass
14.
Patient Transport Apparatus With Adjustable Handle
A patient transport apparatus comprises a support structure. The support structure comprises a base, a frame, and a patient support surface to support a patient. One or more handle assemblies are coupled to the frame to maneuver the patient transport apparatus. Each handle assembly comprises a handle and a handle extension supporting the handle. The handle extension is configured to articulate relative to the frame from a stowed position to a use position such that the handle is adjacent to the frame in the stowed position and the handle is extended from the frame by the handle extension in the use position. The apparatus also includes a locking device comprising one or more locking elements configured to discretely lock and unlock the handle extension relative to the frame in the use position or the stowed position.
A system and a method for managing patient therapy protocols are disclosed. The system includes a patient support apparatus for supporting a patient, a first input device for use by a first caregiver, a location system for determining a location of the first caregiver, and a therapy management system. The therapy management system receives a location of the first caregiver and a selection of a patient therapy protocol, which includes a location requirement. The therapy management system then determines whether the first caregiver location input signal satisfies the location requirement before initiating the selected patient therapy protocol or notifying a second caregiver if the location of the first caregiver does not satisfy the location requirement.
G16H 10/60 - ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
G16H 20/30 - ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to physical therapies or activities, e.g. physiotherapy, acupressure or exercising
G16H 40/20 - ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
G16H 40/63 - ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for local operation
A patient support apparatus comprises a support structure, a user module, and a controller. The user module comprises a display and indicator panel that has a plurality of indicia, each associated with a monitored condition. First light emitters are arranged to project light to illuminate the indicia and second light emitters are arranged to project light off a reflective surface. The controller is coupled to the display and the light emitters, and is configured to, in response to a change in a state of one of the monitored conditions, generate on the display a state indicator corresponding to the change in the state and activate the light emitters such that a color of the light projected by the light emitters matches a color of the state indicator.
A61G 7/012 - Beds specially adapted for nursing; Devices for lifting patients or disabled persons having adjustable mattress frame raising or lowering of the whole mattress frame
A61G 7/10 - Devices for lifting patients or disabled persons, e.g. special adaptations of hoists thereto
A personal protection system for providing a sterile barrier around medical/surgical personnel. The system includes a helmet over which a hood or a toga suspended. The helmet has a chin bar that extends forward of the face of the individual wearing the system. At least one manually actuated control for regulating one aspect of operation of the system is mounted to the chin bar. Sometimes the control is a button that is depressed to control the operation of a helmet mounted fan that draws air into the hood or toga. A microphone may also be mounted to the chin bar.
A41D 13/002 - Professional, industrial or sporting protective garments, e.g. surgeons' gowns or garments protecting against blows or punches with controlled internal environment
A41D 13/11 - Protective face masks, e.g. for surgical use, or for use in foul atmospheres
A41D 13/12 - Surgeons' or patients' gowns or dresses
An example endoscopic camera assembly includes: a camera housing having a proximal end and a distal end; a ring coupled to the distal end of the camera housing; and a coupler cover extending around the ring, wherein the coupler cover is configured to prevent access to a first portion of the ring, wherein the coupler cover comprises one or more windows that provide access to a second portion of the ring, and wherein the ring is rotatable relative to the camera housing and the coupler cover, such that rotation of the ring adjusts an imaging parameter of the endoscopic camera assembly.
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
A61B 1/05 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances characterised by the image sensor, e.g. camera, being in the distal end portion
19.
Robotic Hand-Held Surgical Instrument Systems And Methods
A system is provided comprising a robotic instrument for use with a tool. In some versions, the robotic instrument comprises a hand-held portion to be held by a user and a tool support movably coupled to the hand-held portion to support the tool. The robotic instrument further includes an actuator assembly operatively attached to the tool support and the hand-held portion and configured to move the tool support relative to the hand-held portion in a plurality of degrees of freedom. The robotic instrument may includes a handle alignment member extending from the hand-held portion. At least a portion of the handle alignment member and a tool plane defined by the tool are aligned when the tool support has an optimal range of motion relative to the hand-held portion.
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A method includes generating a surgical plan for installation of a structure at a bone and controlling a controllable guide structure to guide a cutting tool to sculpt the bone and the structure based on the surgical plan. Sculpting the bone provides the bone with a bone mating surface and sculpting the structure provides the structure with a structure mating surface. The method also includes installing the structure on the bone by engaging the structure mating surface of the structure with the bone mating surface of the bone.
A medical device uses UWB units to infer a position of an adjunct positioned in proximity to an exterior portion of a patient's body. The position information can be used to provide CPR feedback to a rescuer. In other applications, the position information can be used to provide prompts to a user to change the position of the adjunct.
A wearable cardioverter defibrillator system includes a support structure that a patient can wear. The system also includes electrodes that contact the patient, and define two or more channels from which ECG signals are sensed. A processor may evaluate the channels by analyzing their respective ECG signals, to determine which contains less noise than the other(s). The analysis can be by extracting statistics from the ECG signals, optionally after first processing them, and then by comparing these statistics. These statistics may include tall peak counts, amplitudes of peaks compared to historical peak amplitudes, signal baseline shift, dwell time near a baseline, narrow peak counts, zero crossings counts, determined heart rates, and so on. Once the less noisy signal is identified, its channel can be followed preferentially or to the exclusion of other channels, for continuing monitoring and/or determining whether to shock the patient.
An example method includes generating first filtered data by applying a first filter to physiological parameter data representing the physiological parameter; generating second filtered data by applying a second filter to the physiological parameter data; and determining a first index by analyzing the first filtered data. The example method further includes determining that the first index is greater than a first threshold and lower than a second threshold; and in response to determining that the first index is greater than the first threshold and lower than the second threshold, displaying the second filtered data. Upon expiration of a time period after outputting the second filtered data, the method further includes determining a second index by analyzing the first filtered data; generating a first treatment recommendation by analyzing the second index; and displaying the first treatment recommendation.
medical computer apparatus incorporating hardware, software and medical console for housing applications, recording, processing, displaying, analyzing and transmitting of medical and surgical information, data and images
26.
METHOD AND APPARATUS FOR SUPPORTING AND STABILIZING A PATIENT DURING HIP DISTRACTION
A method for positioning a patient on a surgical table for a surgical procedure on a hip of the patient includes removably mounting a table extender to the surgical table in an operating room by releasably attaching mounts of the table extender to side rails of the surgical table, wherein the mounts are configured to mount the table extender in only one orientation with respect to the surgical table; and positioning the patient on the surgical table such that shoulders of the patient are supported by the surgical table and hips of the patient are supported by the table extender, wherein the table extender has a rectangular shape so that the hips of the patient are positioned entirely on the table extender.
An example method is performed by a first medical device and includes generating first data indicating a physiological parameter of a subject; generating a filter configured to remove an artifact associated with a treatment; and generating second data by applying the filter to the first data. The example method further includes determining that a second medical device is administering the treatment to the subject. In response to determining that the second medical device is administering the treatment to the subject, the first medical device outputs an indication that filtering is available; receives an input signal selecting the filtering; and in response to receiving the input signal, displays the second data.
A method of implant a knee prosthesis includes forming a bone void at an end of a bone, implanting a void filler in the bone void, and implanting a knee prosthesis onto the end of the bone so that a stem of the knee prosthesis is received by the void filler.
A system for delivering more than one energy waveform to a patient. The system comprising a first pair of electrodes and a second pair of electrodes adapted to be positioned on the patient and adapted to deliver energy to the patient, a stimulation pad comprising the first pair of electrodes and the second pair of electrodes, and a stimulation control unit in communication with the first and second pairs of electrodes. The stimulation control unit configured to combine a first energy waveform having a first frequency and a second energy waveform having a second frequency into a multiplexed signal, and deliver the multiplexed signal to the first pair of electrodes and the second pair of electrodes.
In an example, a bed exercise system is described. The bed exercise system includes a foot pad, a first elastic connector having a first end coupled to a first lateral side of the foot pad and a second end, and a second elastic connector having a first end coupled to a second lateral side of the foot pad and a second end. The bed exercise system also includes an anchor coupled to the second end of the first elastic connector and the second end of the second elastic connector. The anchor is configured to fasten, at a fixed position relative to a bed, the second end of the first elastic connector and the second end of the second elastic connector while (i) the foot pad is moved between a first position and a second position relative to a bed, and (ii) a tension on the first elastic connector and a tension on the second elastic connector increases as the foot pad moves from the first position to the second position.
A63B 21/04 - Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices using resilient force-resisters attached to static foundation
A63B 21/00 - Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices
A63B 21/055 - Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices using resilient force-resisters extension element type
A63B 23/035 - Exercising apparatus specially adapted for particular parts of the body for limbs, i.e. upper or lower limbs, e.g. simultaneously
A63B 21/16 - Supports for anchoring force-resisters
A63B 23/04 - Exercising apparatus specially adapted for particular parts of the body for limbs, i.e. upper or lower limbs, e.g. simultaneously for lower limbs
Systems and methods for detecting, characterizing, and addressing surgical smoke are disclosed. In some embodiments, a surgical system receives image data representing an image of a surgical environment and generates sets of values based on the received image. The sets of values may include representations of atmospheric light in the image and representations of contrast values in the image. The system may determine from the sets of values whether predetermined smoke severity criteria are met, and may responsively automatically engage and/or disengage one or more surgical devices, such as a surgical smoke evacuation system and/or an image processing system (e.g., a video enhancement feature) configured to improve quality of smoky surgical images.
A61B 18/00 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
G06T 3/40 - Scaling of a whole image or part thereof
G06T 7/73 - Determining position or orientation of objects or cameras using feature-based methods
G06V 10/56 - Extraction of image or video features relating to colour
G06V 10/60 - Extraction of image or video features relating to illumination properties, e.g. using a reflectance or lighting model
G06V 20/52 - Surveillance or monitoring of activities, e.g. for recognising suspicious objects
G16H 20/40 - ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
G16H 30/00 - ICT specially adapted for the handling or processing of medical images
An example method is performed by a medical device and includes detecting an analog signal indicating a physiological parameter of a subject; converting the analog signal to first data; and determining a treatment parameter characterizing a treatment administered to the subject by a second medical device. The method further includes generating a filter characterized by the treatment parameter; generating second data by applying the filter to the first data; and displaying, on a user interface, the first data and the second data, wherein the second data is emphasized on the user interface.
An example method is performed by a computing device executing instructions stored in data storage, and includes receiving physiologic monitoring data from a plurality of sensors coupled to a patient, receiving information indicating a measurement of patient motion during the patient care event, determining whether the measurement of patient motion is above a threshold, based on determining whether the measurement of patient motion is above the threshold, generating, for the physiologic monitoring data, a respective quality indicator, analyzing, by the computing device, (i) a combination of the physiologic monitoring data from the plurality of sensors and (ii) the respective quality indicator for the physiologic monitoring data to generate a response dependent upon the combination of the physiologic monitoring data as weighted by the respective quality indicator, and based on analyzing, outputting caregiver feedback by the computing device according to the response.
An example method is performed by a first medical device and includes generating first data indicating a physiological parameter of a subject; generating a filter configured to remove an artifact associated with a treatment; and generating second data by applying the filter to the first data. The example method further includes determining that a second medical device is administering the treatment to the subject. In response to determining that the second medical device is administering the treatment to the subject, the first medical device outputs an indication that filtering is available; receives an input signal selecting the filtering; and in response to receiving the input signal, displays the second data. .
An example method is performed by a medical device and includes detecting an analog signal indicating a physiological parameter of a subject; converting the analog signal to first data; and determining a treatment parameter characterizing a treatment administered to the subject by a second medical device. The method further includes generating a filter characterized by the treatment parameter; generating second data by applying the filter to the first data; and displaying, on a user interface, the first data and the second data, wherein the second data is emphasized on the user interface.
Various systems, methods, and devices related to modifying views of a multi-lead electrocardiogram (ECG), as well as identifying notations associated with the multi-lead ECG, are described. An example method includes displaying graphical elements in a first arrangement. The graphical elements respectively depict electrical signals indicative of an electrical activity of a heart. The example method further includes detecting a signal indicative of a display selection, and, based on the display selection, rearranging the graphical elements from the first arrangement to a second arrangement.
G06F 3/0346 - Pointing devices displaced or positioned by the user; Accessories therefor with detection of the device orientation or free movement in a 3D space, e.g. 3D mice, 6-DOF [six degrees of freedom] pointers using gyroscopes, accelerometers or tilt-sensors
G06F 3/0484 - Interaction techniques based on graphical user interfaces [GUI] for the control of specific functions or operations, e.g. selecting or manipulating an object, an image or a displayed text element, setting a parameter value or selecting a range
G06F 3/0488 - Interaction techniques based on graphical user interfaces [GUI] using specific features provided by the input device, e.g. functions controlled by the rotation of a mouse with dual sensing arrangements, or of the nature of the input device, e.g. tap gestures based on pressure sensed by a digitiser using a touch-screen or digitiser, e.g. input of commands through traced gestures
A radial head assembly is provided that includes a collar, an articular member, an articular head component, and stem that is configured to engage the articular head component. The articular member at least partially defines an articular space within the collar when disposed in the collar.
A distal femoral joint replacement system includes a femoral component having condylar articular surfaces, a stem extending from the femoral component, and a void filler for filling a bone void within a femur. The void filler includes a body and a plurality of legs extending from the body. The body has a sidewall defining an opening for receipt of the stem which extends along a length of the body and extends through the sidewall so as to form a side-slot in the sidewall that extends along an entire length of the sidewall. The plurality of legs each have a first end connected to the body and a second end remote from the body. The legs each have an outer surface that tapers between the first and second ends and is configured to register with a corresponding inner surface of a bone void when implanted in an end of the femur.
In one embodiment of the present invention, a fixation device including a sleeve member including an interior and an exterior surface along a length defined between a first end and a second end, and at least two openings positioned along the length and extending from the interior and through the exterior surface; and a filament including a first free end and a second free end and a length therebetween, the filament positioned relative to the sleeve member such that the free ends extend from the sleeve member at the first and second ends of the sleeve member, the filament being disposed inside the interior from the first end to a first opening, outside the sleeve member from the first opening to a second opening, and inside the interior from the second opening to the second end of the sleeve member.
A61B 17/04 - Surgical instruments, devices or methods, e.g. tourniquets for closing wounds, or holding wounds closed, e.g. surgical staples; Accessories for use therewith for suturing wounds; Holders or packages for needles or suture materials
42.
Robotic Hand-Held Surgical Instrument Systems And Methods
The present teachings generally include a hand-held surgical robotic system for supporting a surgical tool, the handheld surgical robotic system comprising a hand-held portion, a tool support movably coupled to the hand-held portion, the tool support configured to support a surgical tool, a plurality of actuators operatively interconnecting the tool support and the hand-held portion, the plurality of actuators configured to move the tool support relative to the hand-held portion in a plurality of degrees of freedom, a controller in communication with the plurality of actuators and a flexible circuit connecting the controller with each of the plurality of actuators, such that the flexible circuits are arranged to maintain the connection between the controller and the plurality actuators and/or an input module while the tool support is moved in the plurality of degrees of freedom relative to the hand-held portion.
A method for assessing fluorescence imaging agent-based visual enhancement in a color image in which a fluorescence imaging agent signal is represented by a first color, the method including: identifying at least one first region of the color image that is encompassed by a portion of anatomy or pathology of interest in which the fluorescence imaging agent is present; identifying at least one second region of the color image that is not encompassed by the anatomy or pathology of interest; and determining a measure of visual enhancement of the anatomy or pathology of interest in the color image by comparing a contribution of the first color relative to other colors in the at least one first region to a contribution of the first color relative to the other colors in the at least one second region.
Systems and methods for augmenting a vertebral body. An introducer device includes a shaft having a flexible distal portion with a pre-set curve in an unconstrained state. An input provided to an actuator to tension a pulling element to move the pre-set curve to a constrained state in which the distal portion and a flexible sheath conforming to the shaft at least partially straighten. The introducer device is removable from the sheath remaining offset from a longitudinal axis. A spacer hub facilitates proximal movement of the sheath relative to an access cannula expose a balloon through a syringe-style input. A hub of the access cannula may be adjustable to selectively adjust an interference surface relative to a datum. At least two radiopaque markers may be disposed on the sheath with relative positions between the markers viewable on lateral and A-P radiography to determine the location and/or curvature of the sheath.
An apparatus includes a hydraulic circuit that is configured to selectively open fluid communication between one portion of the hydraulic circuit and another portion of the hydraulic circuit, such as a reservoir, based on the flow of the hydraulic fluid in the one portion. When the flow of hydraulic fluid exceeds a selected threshold in the one portion of the hydraulic circuit, the flow of fluid urges the opening of a hydraulic component of the hydraulic circuit to allow fluid communication between the one portion and the reservoir to discharge fluid from the one portion.
Disclosed herein are patient-specific cutting guides for guiding a surgical instrument for resecting a portion of a glenoid of a patient. The cutting guides include a base portion having a contact surface shaped to substantially match at least a portion of a cavity of the glenoid. The base portion has a guide hole extending therethrough in which the guide hole has an axis coaxial with an axis of rotation. The cutting guides include one or more stabilization members extending outwardly from the base portion and having a contact surface shaped to substantially match an outer surface of a portion of a scapula of the patient. The stabilization members are oriented to take into account the patient's anatomy in orienting and stabilizing the guide with respect to the glenoid. The guide hole of the base portion is for guiding the surgical instrument to create a guide hole in the glenoid.
G16H 50/50 - ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for simulation or modelling of medical disorders
A surgical system includes a tracking system configured to intraoperatively track relative positions of bones of a joint, a user interface configured to obtain a user input indicating a post-operative value for the joint, and a computer programmed to generate, based on the relative positions of the bones and the post-operative value, a planned orientation for an implant to be implanted in the joint, and to generate a surgical plan based on the planned orientation for the implant.
A method of operating a surgical system includes controlling a robotic arm in a first control mode in which the robotic arm constrains movement of a surgical tool coupled to the robotic arm to a virtual geometry correlated with an anatomical feature, switching, responsive to the surgical tool crossing an exit boundary, from the first control mode to a second control mode, and controlling the robotic arm in the second control mode in which movement of the surgical tool is unconstrained by the virtual geometry.
Systems, methods and computer-program products are provided for aiding in positioning between a surgical object and a machine vision camera in a surgical environment. The machine vision camera senses a position and orientation of a surgical object in its field of view. Controller(s) virtually define a zone within the field of view that indicates a range of acceptable positions for the surgical object relative to a position of the machine vision camera. The controller(s) obtain an acceptable orientation range for the surgical object relative to an orientation of the machine vision camera. The controller(s) execute a GUI to simultaneously present, on the display device, representations of: the field of view; the zone within the field of view; the position of the surgical object relative to the zone; and a current angle difference between the surgical object and the machine vision camera.
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A61B 34/20 - Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
A method of smoothing a surface mesh includes determining first angles between a first direction and vectors normal to a plurality of faces defined in the surface mesh, determining a set of artifact vertices by including a first vertex of the surface mesh in the set of artifact vertices responsive to the first angles associated with faces adjacent to the first vertex satisfying a first condition, calculating a weighted value for a second vertex of the surface mesh based on a distance from the second vertex to a nearest artifact vertex in the set of artifact vertices, and generating a smoothed surface mesh by using the weighted value in a smoothing algorithm applied to the surface mesh.
A CPR device having a base member configured to be placed underneath a patient, a chest compression mechanism configured to deliver CPR chest compressions to the patient, a support leg configured to support the chest compression mechanism at a distance from the base member, a clamp mechanism coupled to the support leg, and a release mechanism coupled to the support leg and the clamp mechanism. The clamp mechanism is configured to attach the support leg to a lock component of the base member in a latch-closed configuration and to release the support leg from the lock component in a latch-open configuration. The clamp mechanism is further configured to transition from the latch-closed configuration to the latch-open configuration when the lock component of the base member impacts an external portion of the clamp mechanism without the release mechanism being pulled away from the base member.
A61H 31/00 - Artificial respiration or heart stimulation, e.g. heart massage
A61H 1/00 - Apparatus for passive exercising; Vibrating apparatus; Chiropractic devices, e.g. body impacting devices, external devices for briefly extending or aligning unbroken bones
A61H 31/02 - "Iron-lungs", whether or not combined with gas breathing means
53.
CATHETER HAVING HYPOTUBES JOINED BY LINK MEMBER AND METHOD OF MAKING THE SAME
A catheter (10) includes: a first tubular structure; a second tubular structure, wherein the first tubular structure (202) and the second tubular structure (204) are arranged serially with respect to each other along a longitudinal axis of the catheter; and a polymeric connector (220) located between (1) a part of the first tubular structure at an end of the first tubular structure and (2) a part of the second tubular structure at an end of the second tubular structure; wherein the polymeric connector is configured to couple the first tubular structure and the second tubular structure to each other, and/or to prevent the first tubular structure and the second tubular structure from separating from each other.
Robotic surgical systems and methods for guiding a tool along a path using hybrid automated/manual control. A manipulator supports a surgical tool and a sensor measures forces/torques applied to the tool. A control system commands the manipulator to perform an automated advancement of the tool along a predetermined tool path in a first path direction and according to a predetermined feed rate. During the automated advancement, an input is received from the sensor in response to user applied forces/torques to the tool. The control system evaluates an effect of the sensor input on the automated advancement of the tool to determine an effective feed rate and an effective path direction for the tool with respect to the tool path. The control system determines a commanded action for the manipulator and the tool with respect to the tool path based on the effective feed rate and effective path direction.
A bone cleaning assembly with cleaning elements that remove soft tissue from bone stock. The module also includes a clearing element that is periodically urged against the cleaning elements to remove bone stock trapped by the cleaning elements from the cleaning elements.
Systems for off-axis a vertebral body. A steerable assembly includes a steering instrument, a steering handle, and a trigger. A deflectable portion of the steering instrument and a distal portion of a deformable conduit are configured to be directed through and beyond the access cannula. A control surface of the trigger is configured to receive a pull or squeeze input to pivot the trigger to move the steering instrument to an operating mode in which increased tension on the steering instrument curves the deflectable portion of the steering instrument and the distal portion of the deformable conduit. A mounting block may be fixed within the steering handle, and a proximal end of the shaft may be fixed to the mounting block. The steering handle includes a guide movably supported within a void and coupled to the control element. A rear surface of the trigger engages the guide.
A computer-implemented method comprises: obtaining, by a computing system, anatomic data for a patient and comorbidity data for the patient; generating, by the computing system, based on the anatomic data for the patient and the comorbidity data for the patient, a recommendation regarding whether the patient should undergo a surgery as an inpatient procedure or an outpatient procedure; and outputting, by the computing system, the recommendation.
G16H 20/40 - ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
G16H 10/60 - ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
G16H 15/00 - ICT specially adapted for medical reports, e.g. generation or transmission thereof
G16H 40/20 - ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
G16H 50/20 - ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for computer-aided diagnosis, e.g. based on medical expert systems
58.
Fixation Devices And Prostheses For Soft Tissue Connection To The Same
An orthopedic assembly includes a tibial prosthesis that includes a body that defines an anterior side and a posterior side. The body further incudes a recess in the anterior side of the joint prosthesis and a plurality of openings that extend through the body from the anterior side to the posterior side thereof. At least a first and second opening of the openings are positioned at respective lateral and medial sides of a longitudinal axis of the tibial prosthesis. A modular insert is positioned within the recess of the body such that at least a portion of the modular insert is positioned between the openings of the body. The modular insert is formed separately from the tibial prosthesis and has a porous outer surface to promote tissue ingrowth.
A glenoid prosthesis includes a head portion and an anchor. The head portion includes a first surface adapted to contact a glenoid and an opposed second surface that is at least partially concave. The anchor extends from the first surface of the head portion and terminates at a distal end. At least one first circular member is disposed between the head portion and the distal end of the anchor and encircle the anchor. At least one second circular member is disposed between the head portion and the distal end of the anchor and encircles the anchor. The at least one first circular member is adapted to engage cortical bone of a glenoid and the at least one second circular member is adapted to engage cancellous bone of a glenoid when the glenoid prosthesis is implanted.
Robotic surgical systems and methods for guiding a tool along a path using hybrid automated/manual control. A manipulator supports a surgical tool and a sensor measures forces/torques applied to the tool. A control system commands the manipulator to perform an automated advancement of the tool along a predetermined tool path in a first path direction and according to a predetermined feed rate. During the automated advancement, an input is received from the sensor in response to user applied forces/torques to the tool. The control system evaluates an effect of the sensor input on the automated advancement of the tool to determine an effective feed rate and an effective path direction for the tool with respect to the tool path. The control system determines a commanded action for the manipulator and the tool with respect to the tool path based on the effective feed rate and effective path direction.
Techniques and systems are described for mixed reality bone graft cutting. A method comprises, receiving tracking input of a scene in which a target bone is positioned on a bone support member of a platform, wherein the platform that comprises a reference marker; generating registration data that registers the reference marker with a coordinate system; obtaining data defining a planned surface of die target bone; determining, based on the registration data, a position in the coordinate system for a virtual object representing the planned surface of the target bone; and while the target bone is positioned on the bone support member of the platform, causing a mixed reality (MR) visualization device to output the virtual object for display so that the virtual object appears to a user of the MR visualization device to pass through the target bone and indicates the planned surface of the target bone.
A method of method of manufacturing a surgical waste collection manifold with a volume collected datum and a rover type to ensure compatibility with a surgical waste collection rover is provided. The surgical waste collection rover including a vacuum pump and a receiver defining an opening. The method includes obtaining a second manifold. The second manifold having a second housing defining a surface, the housing defining a second manifold volume and a second outlet opening in fluid communication with the second manifold volume. The method may further include coupling a second circuit to the surface of the second manifold, the second circuit comprising a second memory device including a third memory bank and a fourth memory bank, the third memory bank including a fifth memory field and the fourth memory bank including a sixth memory field. The method may further include programming the fifth memory field with an encrypted first hash digest based on the rover type and programming the sixth memory field with an encrypted second hash digest based on the volume collected datum.
G08B 21/00 - Alarms responsive to a single specified undesired or abnormal condition and not otherwise provided for
A61B 50/30 - Containers specially adapted for packaging, protecting, dispensing, collecting or disposing of surgical or diagnostic appliances or instruments
An example method includes obtaining, by a processing system comprising one or more processors implemented in circuitry, ultrasound imaging data representing a non-viewable portion of a bone of a patient; identifying, by the processing system, based on the ultrasound imaging data, a soft tissue attachment point, wherein the soft tissue attachment point is a point on the non-viewable portion of the bone at which a soft tissue structure is attached to the bone; and causing, by the processing system, a Mixed Reality visualization device to display a virtual indicator superimposed on a viewable portion of the bone at a location corresponding to the soft tissue attachment point.
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
09 - Scientific and electric apparatus and instruments
10 - Medical apparatus and instruments
44 - Medical, veterinary, hygienic and cosmetic services; agriculture, horticulture and forestry services
Goods & Services
Tablet computers; covers for tablet computers; tablet
computer stands and mounts; downloadable and recorded
computer software used in the measuring of body parts;
downloadable and recorded computer software for receiving,
processing, generating, modelling, storing, displaying,
managing, retrieving, browsing, sharing and transmitting
medical and surgical information and images and patient
data; downloadable and recorded computer software for
providing clinical decision support; medical imaging
apparatus comprised primarily of computer hardware and
recorded computer software for operating medical imaging
apparatus sold as a unit. Medical imaging apparatus incorporating medical imaging
hardware and recorded software and replacement parts
therefor; surgical instruments. Providing medical information to medical professionals in
the form of reports for use during preoperative analysis,
surgical procedures and postoperative analysis and care.
67.
Display screen or portion thereof with a bed bay identification icon
Techniques for administering therapy and monitoring a subject based on communication between medical devices are described. An example method includes receiving, by an external defibrillator, data from a mechanical chest compression device that is administering chest compressions to a subject, determining, by the external defibrillator analyzing the data, a control parameter for controlling administration of a therapy to the subject by the external defibrillator, and administering, by the external defibrillator, the therapy to the subject in accordance with the control parameter. Another example method includes receiving, by a mechanical chest compression device, data from an external defibrillator that is administering a therapy to a subject, determining, by the mechanical chest compression device analyzing the data, a control parameter for controlling administration of chest compressions to the subject, and administering, by the mechanical chest compression device, the chest compressions to the subject in accordance with the control parameter.
A patient transport apparatus comprises a support structure. The support structure comprises a base, a frame, and a patient support surface to support a patient. One or more handle assemblies are coupled to the frame to maneuver the patient transport apparatus. The handle assemblies comprise one or more handles to be manipulated by a user. The handles are capable of being adjusted to facilitate maneuvering of the patient transport apparatus, such as pushing/pulling the patient transport apparatus along a floor surface, lifting the patient transport apparatus over obstacles, loading the patient transport apparatus into an emergency vehicle, and/or unloading the patient transport apparatus from the emergency vehicle.
Passively logging the temperature, among other environmental conditions, of an object is described. A passive temperature-logging device may be coupled to an object. The device may include a temperature sensor(s) for sensing a temperature of the object. In some examples, the passive temperature-logging device, and/or the object itself, may further include a memory(ies) and/or an output device(s). The memory is configured to store temperature data representing a history of temperatures sensed by the temperature sensor, and the output device is configured to provide an output based on the temperature data.
An example method includes obtaining one or more intraoperative images, wherein: a surgical site includes bones that are not substantially exposed through skin of the patient during the surgery, a connected K-wire is attached to one of the bones, an external portion of the connected K-wire is connected to a fixation device that is attached to the patient; performing a registration process system with corresponding positions in a virtual coordinate system; generating a visualization that includes the models of the bones superimposed on the surgical site; based on the changes to the positions of the external portion of the connected K-wire, updating positions of the models of the bones in the visualization to maintain correspondence between positions of the bones and the positions of the models of the bones.
A61B 34/10 - Computer-aided planning, simulation or modelling of surgical operations
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
In embodiments, a CPR chest compression system includes a retention structure that can retain the patient's body, and a compression mechanism that can perform automatically CPR compressions and releases to the patient's chest. The compression mechanism can pause the performing of the CPR compressions for a short time, so that an attendant can check the patient. The CPR system can include a user interface that can output a human-perceptible check patient prompt, to alert an attendant to check the patient during the pause. The compression mechanism can during a CPR session retreat a distance away from the patient's chest whereby the patient's chest can expand without active decompression of the patient's chest beyond the chest's natural resting position.
A tubular support structure for use in an elongate intravascular medical device comprises an elongate tubular body, a patterned frame structure formed within the elongate tubular body, an inner lumen axially disposed within the elongate tubular body, and a first set of floating tabs axially spaced apart along the patterned frame structure. Each of the first set of floating tabs has a cantilevered end affixed to the patterned frame structure and a free end configured for translating relative to the patterned frame structure and then engaging the patterned frame structure as the tubular support structure is laterally deflected in a first bending direction.
Techniques for administering therapy and monitoring a subject based on communication between medical devices are described. An example method includes receiving, by an external defibrillator, data from a mechanical chest compression device that is administering chest compressions to a subject, determining, by the external defibrillator analyzing the data, a control parameter for controlling administration of a therapy to the subject by the external defibrillator, and administering, by the external defibrillator, the therapy to the subject in accordance with the control parameter. Another example method includes receiving, by a mechanical chest compression device, data from an external defibrillator that is administering a therapy to a subject, determining, by the mechanical chest compression device analyzing the data, a control parameter for controlling administration of chest compressions to the subject, and administering, by the mechanical chest compression device, the chest compressions to the subject in accordance with the control parameter.
G16H 40/60 - ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
Systems and methods described herein relate to determining physiological parameters and associated reliability of the physiological parameters and displaying the data in a manner that conveys the reliability information to a user. The reliability index is determined and then used to determine one or more display attributes for displaying the underlying parameter data while also conveying the reliability information. The implementations described herein provide for displaying physiological parameters in a manner that is easily digested and understood while also conveying a reliability in such data, without filling or cluttering a display with background or additional data that is typically used in a manual method to evaluate the data on the display.
Techniques for pairing medical devices are described. An example method includes detecting a signal indicating a physiological parameter of a subject and determining, by analyzing the signal, that a second medical device is administering a treatment to the subject. In response to determining that the second medical device is administering the treatment to the subject, the method further includes pairing a first medical device with the second medical device. In response to pairing the first medical device with the second medical device, the method further includes transmitting data to the second medical device over a wireless channel.
G16H 40/40 - ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the management of medical equipment or devices, e.g. scheduling maintenance or upgrades
A waste disposal system for receiving pharmaceutical waste material including at least one of a solid phase pharmaceutical waste material and a liquid phase pharmaceutical waste material is provided. The waste receiver includes a receiver body defining an opening. The waster receiver further includes an inner surface defining a container volume in fluid communication with the opening, and an outer surface opposite the inner surface. The outer surface defines a lock passageway separate from the opening. The system further includes a bracket adapted to be secured to a fixed surface and a locking assembly coupled to the bracket and adapted to releasably secure the waste receiver to the fixed surface. The locking assembly includes a lock housing sized to be removably positioned at least partially within the lock passageway.
B09B 3/00 - Destroying solid waste or transforming solid waste into something useful or harmless
A61B 50/36 - Containers specially adapted for packaging, protecting, dispensing, collecting or disposing of surgical or diagnostic appliances or instruments for collecting or disposing of used articles
A61B 50/37 - Containers specially adapted for packaging, protecting, dispensing, collecting or disposing of surgical or diagnostic appliances or instruments for collecting or disposing of used articles for absorbent articles, e.g. bandages, garments, swabs or towels
A61B 50/39 - Containers specially adapted for packaging, protecting, dispensing, collecting or disposing of surgical or diagnostic appliances or instruments for collecting or disposing of used articles the containers containing antimicrobial, antiviral or disinfectant agents
A61M 5/32 - Syringes - Details - Details of needles pertaining to their connection with syringe or hub; Accessories for bringing the needle into, or holding the needle on, the body; Devices for protection of needles
A62D 3/30 - Processes for making harmful chemical substances harmless, or less harmful, by effecting a chemical change in the substances by reacting with chemical agents
A61B 50/00 - Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers
A61B 50/30 - Containers specially adapted for packaging, protecting, dispensing, collecting or disposing of surgical or diagnostic appliances or instruments
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A method comprises obtaining, by a computing system, one or more surgeon preference parameters that specify values of one or more surgical parameters, wherein the surgical parameters include one or more positioning parameters for a glenoid implant to be attached to a glenoid fossa of a patient during a surgery; determining, by the computing system, based on one or more anatomic parameters of the patient and the surgeon preference parameters, one or more suggested surgical options, each of the surgical options corresponding to a. different combination of the positioning parameters for the glenoid implant and types of glenoid implant; and outputting, by the computing system, for display, the one or more suggested surgical options.
G16H 50/50 - ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for simulation or modelling of medical disorders
80.
KINETIC ASSESSMENT AND ALIGNMENT OF THE MUSCULAR-SKELETAL SYSTEM AND METHOD THEREFOR
A system is disclosed herein for providing a kinetic assessment and preparation of a prosthetic joint comprising one or more prosthetic components. The system comprises a prosthetic component including sensors and circuitry configured to measure load, position of load, and joint alignment. The system further includes a remote system for receiving, processing, and displaying quantitative measurements from the sensors. The kinetic assessment measures joint alignment under loading that will be similar to that of a final joint installation. The kinetic assessment can use trial or permanent prosthetic components. Furthermore, adjustments can be made to the applied load magnitude, position of load, and joint alignment by various means to fine-tune an installation. The kinetic assessment increases both performance and reliability of the installed joint by reducing error that is introduced by elements that load or modify the joint dynamics not taken into account by prior assessment methods.
A61B 34/00 - Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
A61B 34/10 - Computer-aided planning, simulation or modelling of surgical operations
A61B 34/20 - Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A61F 2/46 - Special tools for implanting artificial joints
G06F 3/0481 - Interaction techniques based on graphical user interfaces [GUI] based on specific properties of the displayed interaction object or a metaphor-based environment, e.g. interaction with desktop elements like windows or icons, or assisted by a cursor's changing behaviour or appearance
Robotic surgical systems and methods for resection of an anatomy. The system includes a cutting tool, a manipulator configured to move the cutting tool, and a control system. The control system associates a target plane with the anatomy, the target plane delineating a portion of the anatomy to be resected from a portion of the anatomy to remain unresected. The control system controls the manipulator to align the cutting tool to the target plane. The control system controls the manipulator in an automated mode to perform at least one of the following actions: automatically resect along the target plane with the cutting tool, automatically retract the cutting tool along the target plane, and automatically change a pose of the cutting tool on the target plane. The user or control system can pre-assign whether to perform any of the actions in the manual or automated mode.
A method for performing a surgical procedure includes planning a resection of a bone of a patient. A volume of the bone is removed according to the planned resection using a surgical tool. As the bone is removed, data corresponding to a shape and volume of the removed bone is tracked with a computer system operatively coupled to the surgical tool. A prosthesis is implanted onto the bone of the patient based on the tracked data corresponding to the shape of the removed bone.
A61B 34/00 - Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
A61B 34/10 - Computer-aided planning, simulation or modelling of surgical operations
A61B 34/20 - Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A medical device (100) includes: an elongate member having a proximal end (112), a distal end (114), and a body (116) extending from the proximal end to the distal end; a blunt tip (182) at or coupled to the distal end of the elongate member; and a radiopaque coil (190) coupled to the elongate member; wherein the radiopaque coil is shapable and has a shape-retention characteristic, and wherein the shapable radiopaque coil with the shape-retention characteristic has a bending stiffness that is at least 10% of a bending stiffness of the medical device.
Robotic surgical systems and methods for resection of an anatomy. The system includes a cutting tool, a manipulator configured to move the cutting tool, and a control system. The control system associates a target plane with the anatomy, the target plane delineating a portion of the anatomy to be resected from a portion of the anatomy to remain unresected. The control system controls the manipulator to align the cutting tool to the target plane. The control system controls the manipulator in an automated mode to perform at least one of the following actions: automatically resect along the target plane with the cutting tool, automatically retract the cutting tool along the target plane, and automatically change a pose of the cutting tool on the target plane. The user or control system can selectively pre-assign whether to perform any of the actions in the manual or automated mode.
An imaging system for viewing a surgical site, the imaging system including a system controller configured to: receive and process video images of the surgical site captured by an endoscopic camera coupled to an endoscope to detect at least one video signature corresponding to at least one condition that interferes with a quality of the video images; and in response to detecting the at least one video signature corresponding to the at least one condition that interferes with the quality of the video images, control a fluid system to clean a tip of the endoscope based on at least one learned preference that was learned by the system controller from user action over time
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A61M 13/00 - Insufflators for therapeutic or disinfectant purposes
A61B 1/04 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances
A61B 1/015 - Control of fluid supply or evacuation
A61B 5/00 - Measuring for diagnostic purposes ; Identification of persons
A61B 1/313 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for introducing through surgical openings, e.g. laparoscopes
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
A system for implanting an expandable interbody implant into an intervertebral space includes an elongated tool, the distal end of which is removably securable to the implant. The proximal end of the tool has an attachment interface for detachable securement to a plurality of different modules, each of which is adapted to effectuate a different function of the delivery system. The different functions include: grasping the implant delivery tool, providing an impaction surface for driving the advancement of the implant, supplying a graft material into the implant, and actuating the expansion of the implant. One of the modules may include a fluid delivery system for supplying hydraulic fluid to expand the implant. A fluid reservoir of the fluid delivery system may be oriented transverse to the cannula that delivers the fluid to the implant. A grafting block can be used to help pre-pack the implant with graft material.
A surgical system and method involve a manipulator including a plurality of links and joints and a tool coupled to the manipulator. A navigation system includes a localizer, a first tracker coupled to the robotic manipulator or the tool, and a second tracker coupled to a workpiece. Controller(s) determine, from the navigation system, a pose of the tool relative to the workpiece. The controller(s) control the robotic manipulator to facilitate removal of a first portion from the workpiece with the tool and sense interaction between the tool and the workpiece during removal of the first portion to detect a density of the workpiece. The controller(s) control the robotic manipulator to facilitate removal of a second portion from the workpiece with the tool, wherein a cutting depth for the second portion is based, at least in part, on the detected density.
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
91.
SYSTEMS AND METHODS FOR GENERATING CUSTOMIZED CONTROL BOUNDARIES
A method includes providing a boundary defining a portion of a bone to be resected, determining a position of a tracked probe, obtaining a customized boundary by changing a shape of the boundary based on the position of the tracked probe, and guiding operation of a cutting tool in an area defined by the customized boundary.
A61B 34/00 - Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
G16H 50/50 - ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for simulation or modelling of medical disorders
G16H 20/40 - ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
G16H 30/20 - ICT specially adapted for the handling or processing of medical images for handling medical images, e.g. DICOM, HL7 or PACS
A61B 34/20 - Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
In an example, a urine collection device includes a covering defining a recessed receptacle and a fluid collection assembly positioned in the recessed receptacle. The fluid collection assembly includes (i) a foam sleeve including a bore, (ii) a shape retaining element positioned in the bore of the foam sleeve and defining a passage, and (iii) a tube extending through the passage defined by the shape retaining element. The shape retaining element can conform the fluid collection assembly to a curved configuration and maintain the curved configuration of the fluid collection assembly until the curved configuration is adjusted. The urine collection further includes a top sheet coupled to the covering. The top sheet and the covering define an internal chamber of the urine collection device. The top sheet is configured to draw urine into the internal chamber and toward the fluid collection assembly.
A61F 5/455 - Genital receptacles for collecting urine or discharge from female member
A61F 5/441 - Devices worn by the patient for reception of urine, faeces, catamenial or other discharge; Colostomy devices having deodorant means, e.g. filters
A61F 5/443 - Devices worn by the patient for reception of urine, faeces, catamenial or other discharge; Colostomy devices having hydrocolloid type seals, e.g. gels, starches, karaya gums
93.
PATIENT SUPPORT APPARATUS WITH OBSTRUCTION DETECTION
A patient support apparatus, such as a bed, cot, stretcher, etc., includes a frame, a plurality of force sensors adapted to detect a weight supported by the frame, an actuator, a control panel, and a controller. The controller is adapted to detect if a change in the weight exceeds a threshold amount while the actuator is moving a component of the patient support apparatus, to provide an indication to a user that contact with an obstruction has been made if the change in the weight exceeds the threshold amount, and to determine a location of the contact on the patient support apparatus. The controller may alternatively, or additionally, allow a user to change a value of the threshold, to display a recovery control on a touch screen, to use different threshold amounts for different locations, and/or take other actions in response to, and/or regarding, detecting an obstruction.
A61G 7/015 - Beds specially adapted for nursing; Devices for lifting patients or disabled persons having adjustable mattress frame divided into different adjustable sections, e.g. for Gatch position
A61G 7/012 - Beds specially adapted for nursing; Devices for lifting patients or disabled persons having adjustable mattress frame raising or lowering of the whole mattress frame
The present disclosure is directed to table mount for mounting a touchscreen device to a surgical table. The table mount includes a clamp configured to releasably secure the table mount to the table, an arm assembly, and a touchscreen device docking assembly connected to the arm assembly.
F16M 13/02 - Other supports for positioning apparatus or articles; Means for steadying hand-held apparatus or articles for supporting on, or attaching to, an object, e.g. tree, gate, window-frame, cycle
F16M 11/10 - Means for attachment of apparatus; Means allowing adjustment of the apparatus relatively to the stand allowing pivoting around a horizontal axis
F16M 11/20 - Undercarriages with or without wheels
95.
BATTERY MANAGEMENT FOR PATIENT SUPPORT APPARATUSES
A patient support apparatus, such as a bed, recliner, cot, stretcher, operating table, or the like, includes battery-powered circuitry whose functions are reduced, but not eliminated, as the battery charge level falls below a threshold. Electrical power may be cut off to one or more components of the battery-powered circuitry while still providing battery-supplied electrical power to the other components of the circuitry. A user interface provides battery status data, including a replacement status of a rechargeable battery, and allows a user to select different formats for displaying battery status data. Such formats include displays of battery charge level information not only in manners specific to the battery, but also in manners relative to the patient support apparatus, such as displays of how many, or how much of, one or more functions the patient support apparatus is able to perform based on the battery's current charge level.
A61G 7/005 - Beds specially adapted for nursing; Devices for lifting patients or disabled persons having adjustable mattress frame tiltable around transverse horizontal axis, e.g. for Trendelenburg position
A61G 7/015 - Beds specially adapted for nursing; Devices for lifting patients or disabled persons having adjustable mattress frame divided into different adjustable sections, e.g. for Gatch position
A method for coordinating the operation of a surgical instrument and a surgical pump to control fluid pressure in an internal anatomy of a patient during a surgical procedure includes: receiving video data captured by an imaging device configured to image the internal anatomy of the patient; automatically determining a presence of a surgical instrument in the internal anatomy of the patient based on the received video data; and in response to determining that the surgical instrument is present in the internal anatomy of the patient, initiating a suction associated with the surgical instrument prior to activation of the surgical instrument.
A61B 1/015 - Control of fluid supply or evacuation
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
A61B 1/317 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for introducing through surgical openings, e.g. laparoscopes for bones or joints, e.g. osteoscopes, arthroscopes
An implantable medical device includes an elongate member having a cross-sectional dimension that is less than 0.00085 inch, wherein the elongate member is made from a material comprising a platinum-tungsten alloy having a percentage of tungsten that is at least 10% by weight or alternatively the implantable medical device includes an elongate member made from a material comprising an alloy containing rhenium.
A method for coordinating the operation of a surgical instrument and a surgical pump to control fluid pressure in an internal anatomy of a patient during a surgical procedure includes: receiving video data captured by an imaging device configured to image the internal anatomy of the patient; automatically determining a presence of a surgical instrument in the internal anatomy of the patient based on the received video data; and in response to determining that the surgical instrument is present in the internal anatomy of the patient, initiating a suction associated with the surgical instrument prior to activation of the surgical instrument.
A61M 1/00 - Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
A61B 1/317 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for introducing through surgical openings, e.g. laparoscopes for bones or joints, e.g. osteoscopes, arthroscopes
A61B 18/12 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
In one embodiment of the present disclosure, an implant system for securing tissue to bone, including a first fixation member releasably engaged to a first inserter, the first fixation member having a throughbore adapted to accept a filament therethrough and a cannulation extending from a proximal end of the first fixation member to a distal end of the first fixation member, the first inserter positioned through the cannulation and having a distal tip extending distally beyond the distal end of the first fixation member, and a second fixation member releasably engaged to a second inserter different from the first inserter, the second fixation member having a size capable of being positioned within the bonehole.
A61B 17/04 - Surgical instruments, devices or methods, e.g. tourniquets for closing wounds, or holding wounds closed, e.g. surgical staples; Accessories for use therewith for suturing wounds; Holders or packages for needles or suture materials
100.
Surgical Systems And Methods For Providing Surgical Guidance With A Head-Mounted Device
A head-mounted device (HMD) for use with a navigation system. The navigation system includes a localizer and a bone tracker coupled to a physical bone. The localizer monitors the bone tracker to track a pose of the physical bone in a localizer coordinate system. Controller(s) obtain surgical plan data related to the physical bone. The surgical plan data includes a virtual model of the physical bone and cut volume data defining material to be removed from the physical bone in preparation for receiving an implant. The controller(s) register the HMD to the localizer coordinate system and provide, on the HMD display, computer-generated imagery representative of the surgical plan data, including the virtual model of the physical bone and the cut volume data. The controller(s) align and combine the computer-generated imagery with a real-world view of the physical bone.
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
