НАБОР ДЛЯ ПРОФИЛАКТИКИ ТРОМБОЭМБОЛИИ ЛЕГОЧНОЙ АРТЕРИИ И ИНТРАВЕНОЗНЫЙ ФИЛЬТР

... 1. Набор для профилактики тромбоэмболии легочной артерии, включающий фильтр, состоящий из корпуса, установленных в нем центрующего и фиксирующего фильтрующих конусообразных элементов, с совмещенными вершинами и направленными в одну сторону и выполненных из расходящихся гибких нитей, равномерно расположенных по окружности между друг другом, устройство для установки фильтра в полую вену, включающее буж-катетер, связанную с ним установочную канюлю, размещенный в ней с возможностью перемещения толкатель с рабочим блоком, предназначенным для соединения с корпусом фильтра, и устройство для извлечения фильтра из полой вены, включающее установочную канюлю, размещенный в ней с возможностью перемещения извлекатель с рабочим блоком, предназначенным для соединения с корпусом фильтра, отличающийся тем, что толкатель устройства для установки фильтра в полую вену снабжен ограничителем перемещения, а его рабочий блок выполнен в виде капсулы с установленным в ней зажимным патроном и механизма его осевого ...

Pulmonary nodule access devices and methods of using the same

In certain embodiments, a device is configured to be delivered to the site of a nodule in the lung or other body organ or lumen. The device can be configured to attach directly to the target nodule or to tissue adjacent the target nodule. The device can be configured t provide repeatable access to the site of the target nodule. In some embodiments, the device includes a guide wire that can extend proximal the device. In some embodiments, the device can include a channel portion through which medical devices and/or instruments can be navigated. In some embodiments, the device can be deployed in the wall of an airway or other body lumen to provide trans luminal access to a nodule outside of the lumen.

PROCEDURE AND DEVICES FOR THE PRODUCTION OF KOLLATERALEN CHANNELS IN THE LUNGS

Bronchoscopic repair of air leaks in a lung

Real-time automatic registration feedback

Real-time automatic registration feedback

Localization systems and methods of use

LOCALIZATION SYSTEMS AND METHODS OF USE A method for localizing a nodule of a patient includes inserting a delivery tool into tissue of a patient, such as lung tissue, releasing the magnetic fiducial into or adjacent a nodule from the delivery tool, and locating the magnetic fiducial with a localization tool. INSERTING THE DELIVERY LOCATING A NODULE TOOL INTOA LUNG OFA RELESINGTHEMAGNTICGUIDING THE DELIVERY TOOL FIDUCIL MARER FMANTHE THROUGH THE LUNG TO 1DEILE KRY TOOM THE POSITION THE MAGNETIC FIDUCIAL MARKER AT THE 108 NODULE LOCATED NODULE 106 LOCAINGTHE AGNTICLOCKING THE MAGNETIC LOCAINGTHE AGNTICPORTION OF THE FIDUCIAL MARKER WITH THE 10LOCALIZATION TOOL ONTO 110 LOCALIZATION TOOL THE MAGNETIC FIDUCIAL 110 s MARKER12 REMOVING THE NODULE ALONG WITH THE MAGNETIC FICUCIAL MARKER ...

Navigation of tubular networks

Abstract Methods and apparatuses provide improved navigation through tubular networks such as lung airways by providing improved estimation of location and orientation information of a medical instrument (e.g., an endoscope) within the tubular network. Various input data such as image data, EM data, and robot data are used by different algorithms to estimate the state of the medical instrument, and the state information is used to locate a specific site within a tubular network and/or to determine navigation information for what positions/orientations the medical instrument should travel through to arrive at the specific site. Probability distributions together with confidence values are generated corresponding to different algorithms are used to determine the medical instrument's estimated state.

RIGHT DOUBLE LUMEN ENDOBRONCHIAL TUBE

A right-sided double lumen tube (R-DLT) that is easy to position in a safe and effective manner so as to promote routine use thereof by all anesthesiologists. The R-DLT designed to facilitate the alignment of the lateral orifice thereof with the right upper lobe bronchus. The lateral orifice having an angular width of at least 80 degrees of 360 degrees of the circumference of a tube of the R-DLT.

DEVICES AND METHODS FOR PERCUTANEOUS INTRATUMORAL THERAPY DELIVERY

Percutaneous therapy or drug delivery devices are described herein. The device can include one or multiple lumens inside a cannula or catheter body. The device can include features for reducing or preventing backflow or reflux of infusate along the device insertion track, such as one or more bullet noses, over tubes, and/or micro-tips. The device can be used in any of a variety of treatment methods, including to inject cancer therapy medicinal products directly into pulmonary tumors or tumors located in other regions of the body. The device can include features to keep the distal tip secure during patient respiration or during other patient movement, and can reduce the incidence of reflux during therapy delivery.

MEDICAL IMAGING DEVICES AND SYSTEMS

The present disclosure relates generally to medical imaging devices, such as a real-time visualization and diagnostic and/or therapeutic tool assembly, which may include an ergonomic handle and catheter configured for dual-function use during a medical procedure. By way of non-limiting example, the medical device may be configured for use with a probe, such as one disposed at the distal end of the catheter, and delivered within a bronchoscope working channel to provide real-time visualization (e.g., radial ultrasound imaging) and manipulation (e.g., diagnostic biopsy sampling) of pulmonary nodules in peripheral regions of the lung. As disclosed herein, in various embodiments, one or more components of the medical imaging device may be configured to position a catheter with a first tool/instrument (e.g., a biopsy needle) within a peripheral region of the lung while maintaining real-time visualization of the pulmonary nodule (e.g., with a second tool/instrument, such as a radial ultrasound ...

SYSTEM AND METHOD FOR CLEANSING SEGMENTS OF A LUMINAL NETWORK

A method and system for instilling a medium into portions of a luminal network is provided. The method includes generating a model of a luminal network based on images of the luminal network, determining a location of a treatment target in the luminal network, navigating a bronchoscope through the bronchial tree to a target, guiding a catheter through the bronchoscope, dispensing medium to the target from a distal end of the catheter, and removing a quantity of medium from the luminal network.

Devices for lumen occlusion

For the operation of the design of the lung

PARIETAL LIP ABRASION BRUSH

다중 중재 절차를 계획하기 위한 시스템과 방법

... 해부학적 기준 프레임에서 표적 구조를 식별하는 것을 포함하는 중재 기기를 전개하는 방법. 본 방법은 중재 기기의 현재 위치에 관한 해부학적 기준 프레임에서의 표적 영역을 결정하는 것과 표적 영역 내의 중재 기기의 제1 결부 장소를 기록하는 것을 추가로 포함한다.

CATHETER SYSTEMS

A remotely operable medical system uses a sensor to measure a pose of a catheter and a control system coupled to a mechanical system. The control system has multiple operating modes including a holding mode in which the control system uses sensor feedback and operates the mechanical system to maintain a working configuration. A vision probe can be used to steer and pose the catheter, and then be removed and replaced with the medical probe when a medical task such as a lung biopsy is performed. Functionality for the system can be divided between the catheter and the vision probe. The sensor may include an electromagnetic sensor to measure a first section and a fiber shape sensor to measure a second smaller section.

METHOD AND APPARATUS FOR GUIDING AN INSTRUMENT TO A TARGET IN THE LUNG

The invention provides methods and apparatus for navigating a medical instrument to a target in the lung. In one embodiment, the invention includes inserting a bronchoscope into the lung, inserting a catheter into the lung through the working channel of the bronchoscope, inserting a tracked navigation instrument wire into the lung through the catheter, navigating the tracked navigation instrument through the lung to the target, advancing the catheter over the tracked navigation instrument to the target, removing the tracked navigation instrument from the catheter, and inserting a medical instrument into the catheter, thus bringing the medical instrument in proximity to the target.

TREATMENT PLANNING FOR LUNG VOLUME REDUCTION PROCEDURES

Methods and systems for planning a bronchoscopic lung volume reduction procedure, such as placement of a one-way valve or biosealant or energy delivery in a patient's lungs. The system may include a processor and programming operable on the processor for planning the lung volume reduction procedure. Planning the lung volume reduction procedure by the processor may include receiving patient volumetric images, analyzing the images to identify the lobes and airway tree of the lungs, displaying a three dimensional model of the lungs, generating and displaying a suggested treatment volume on the three dimensional model, receiving a selected treatment volume from a user, generating and displaying a suggested treatment location within the airway tree, receiving a selected treatment location within the airway tree from the user, receiving a selected treatment modality from the user, and displaying a treatment plan.

APPARATUS AND METHOD FOR RESECTING AND REMOVING SELECTED BODY TISSUE FROM A SITE INSIDE A PATIENT

An electrosurgery device according to an embodiment of the invention captures a lymph nodule and resects it. The lymph node is captured with a vacuum and resected it with an electrode, which minimizes bleeding and limits the potentially malignant node from coming into contact with surround tissue as it is resected and removed. This limits the potential for inadvertent cancer spread. An electrosurgery device according to an embodiment of the invention also allows several lymph nodes to be resected in a single procedure, each lymph node being easily indexed according to its nodal station and stored in a manner that limits the potential for cross-contamination. An electrosurgery device according to an embodiment of the invention further provides a collector for individually receiving resected lymph nodes. The collector may be easily detached and sent to pathology without interrupting resection of other lymph nodes.

METHODS AND DEVICES FOR MAINTAINING SURGICALLY CREATED CHANNELS IN A BODY ORGAN

This is directed to methods and devices suited for maintaining an opening in a wall of a body organ for an extended period. More particularly devices and methods are directed maintaining patency of channels that alter gaseous flow within a lung to improve the expiration cycle of, for instance, an individual having chronic obstructive pulmonary disease.

Interactive surgical system

A surgical instrument is disclosed. The surgical instrument includes an end effector, a user interface, and a control circuit. The end effector is configured to deploy staples into tissue grasped by the end effector and cut the grasped tissue during a firing stroke. The control circuit is configured to cause at least one parameter setting associated with the firing stroke to be displayed on the user interface, cause interpreted information relevant to the firing stroke to be displayed concurrently with the at least one parameter setting on the user interface, wherein the interpreted information is based on external data, and recommend an adjustment of the at least one parameter setting through the user interface, wherein the recommended adjustment is based on the interpreted information.

SYSTEMS AND METHODS FOR REGISTRATION OF A MEDICAL DEVICE USING A REDUCED SEARCH SPACE

A method comprises generating an image of a set of connected passageways of a patient anatomy and modeling the set of connected passageways of the patient anatomy as a structure of linked bounded-surface elements. The method also comprises receiving position information for a point on an instrument indicating a position of the point relative to the connected passageways and generating adjusted position information for the point including comparing the received position information to the structure of linked bounded-surface elements. The method also comprises creating an adjusted instrument image with the adjusted position information and generating a composite image including the image of the set of connected passageways and the adjusted instrument image.

SYSTEM AND METHOD FOR NAVIGATING TO TARGET AND PERFORMING PROCEDURE ON TARGET UTILIZING FLUOROSCOPIC-BASED LOCAL THREE DIMENSIONAL VOLUME RECONSTRUCTION

A system and method for navigating to a target using fluoroscopic-based three dimensional volumetric data generated from two dimensional fluoroscopic images, including a catheter guide assembly including a sensor, an electromagnetic field generator, a fluoroscopic imaging device to acquire a fluoroscopic video of a target area about a plurality of angles relative to the target area, and a computing device. The computing device is configured to receive previously acquired CT data, determine the location of the sensor based on the electromagnetic field generated by the electromagnetic field generator, generate a three dimensional rendering of the target area based on the acquired fluoroscopic video, receive a selection of the catheter guide assembly in the generated three dimensional rendering, and register the generated three dimensional rendering of the target area with the previously acquired CT data to correct the position of the catheter guide assembly.

PERCUTANEOUS ACCESS PATHWAY SYSTEM

An improved method and device are provided for forming and/or maintaining a percutaneous access pathway. The device generally comprises an access pathway and attachment device. The provided assembly substantially reduces the possibility of iatrogenic infection while accessing and/or re-accessing a body space.

METHODS AND DEVICES FOR DIAGNOSING, MONITORING, OR TREATING MEDICAL CONDITIONS THROUGH AN OPENING THROUGH AN AIRWAY WALL

Methods and devices for diagnosing, monitoring, and/or treating tissue through an opening or port through an airway wall are provided herein.

Surgical systems for proposing and corroborating organ portion removals

A surgical system for use in a surgical procedure is disclosed. The surgical system includes a surgical visualization system and a control circuit configured to propose a portion of an organ to resect based on visualization data from the surgical visualization system, determine a first value of a non-visualization parameter of the organ prior to resection of the portion, and determine a second value of the non-visualization parameter of the organ after resection of the portion. Resection of the portion is configured to yield an estimated capacity reduction of the organ.

Bronchial shutter with valve

Selon l'invention, l'obturateur bronchique (1) comprend un corps creux (2), dont la face avant (4) est ouverte et la face arrière (5) comporte au moins une valve (6) fermée dans son état normal, et susceptible d'être volontairement ou spontanément ouverte pour former un orifice de communication. Il comporte en outre des moyens de prise (7) spécialement dédiés à un guide (10), destiné à le mettre en place dans une bronche (16), lesdits moyens de prise (7) étant disposés du côté avant de ladite valve (6) et accessibles à travers ladite valve (6).

SYSTEMS FOR FILTERING LOCALIZATION DATA

STEERABLE SURGICAL CATHETER COMPRISING A BIOPSY DEVICE AT THE DISTAL END PORTION THEREOF

SYSTEMS AND NON-SURGICAL METHODS FOR DEVICE-AWARE FLEXIBLE TOOL REGISTRATION

СПОСОБ И СИСТЕМА ЛОКАЛИЗАЦИИ НА ОСНОВЕ ИЗОБРАЖЕНИЙ

... 1. Способ (30) локализации на основе изображений, содержащий этапы, на которых:формируют сканированное изображение (20), показывающее анатомическую область (40) тела;формируют траекторию (52) движения эндоскопа в пределах сканированного изображения (20) в соответствии с кинематическими характеристиками эндоскопа (51) иформируют виртуальные видеокадры (21a), показывающие виртуальное изображение траектории (52) движения эндоскопа в пределах сканированного изображения (20) в соответствии с оптическими характеристиками эндоскопа (51).2. Способ (30) локализации на основе изображений по п.1, дополнительно содержащий этапы, на которых:назначают расположения траектории (52) движения эндоскопа в пределах сканированного изображения (20) виртуальным видеокадрам (21a) ивыделяют, по меньшей мере, один характерный элемент виртуального кадра из каждого виртуального видеокадра (21a).3. Способ (30) локализации на основе изображений по п.2, дополнительно содержащий этап, на котором:формируют параметризованную ...

Coordinated delivery of copd treatment

Pulmonary nodule access devices and methods of using the same

Methods and systems for multi view pose estimation using digital computational tomography

The present invention discloses several methods related to intra-body navigation of a radiopaque instrument through natural body cavities. One of the methods discloses the pose estimation of the imaging device using multiple images of radiopaque instrument acquired in the different poses of imaging device and previously acquired imaging. The other method resolves the radiopaque instrument localization ambiguity using several approaches, such as radiopaque markers and instrument trajectory tracking.

System and method for cleansing segments of a luminal network

SYSTEM AND METHOD FOR CLEANSING SEGMENTS OF A LUMINAL A method of instilling a medium into portions of a luminal network comprising: generating a model of a luminal network based on images of the luminal network; determining a location of a treatment target in the luminal network; navigating a bronchoscope (50) through the bronchial tree to a target; guiding a catheter (115) through the bronchoscope (50); dispensing a medium to the target from a distal end of the catheter (115); and removing a volume of the medium from the luminal network. 602 Perorm CT scan on patient 604 Identify a treatment target Generate a pathway plan to registration 606 G points near target j Remove medium from target 626 608 Register patient airways with CT scan Determine volume of medium removed - 628 610 Generate a pathway plan to target NO Sufficient _ __ Ivolume of medium 630 remove? 612 Navigate bronchoscope with EM sensor YES through lungs to target Analyze removed medium to 632 1 dendify microbiomes 614 Guide ...

System and method of providing distance and orientation feedback while navigating in 3D

A system for navigating to a target, the system comprising an extended working channel having a lumen extending therethrough for receiving a tool, a computing device including a memory and at least one processor, a plurality of images stored in the memory, a program stored in the memory that, when executed by the at least one processor, presents a user interface. The user interface including, at least one image of the plurality of images depicting the target and a progression of the extended working channel through the airway, a probability treatment zone defining a probability distribution of a trajectory of the tool once deployed beyond an opening of the extended working channel displayed in the at least one image. The user interface is displayed on a display device.

Mechanical retraction via tethering for lung volume reduction

A device and method for reducing the volume of a tissue region, the device including a first fixation element, a second fixation element, and a tethering device, where the first and second fixation elements are slidably secured onto said tether, and the first and second fixation elements are radially self-expanding fixation elements.

Method and apparatus for treating tension pneumothorax using a rapid deployment chest port

The present disclosure provides apparatus and method for treating tension pneumothorax by using a rapid deployment chest port. The rapid deployment chest port can penetrate a patient's body to access a distressed pleural space. The rapid deployment chest port may create an airtight seal between the inside and outside of the patient's body and, when expanded, allow air or fluid to flow in one direction from inside the body to outside the body.

CHARACTERIZING BEHAVIOR OF ANATOMICAL STRUCTURES

This disclosure relates generally to systems and methods for characterizing a behavior of an anatomical structure. Tracking data can be generated by a tracking system to represent at least a location of at least one sensor in a three-dimensional tracking coordinate system over time. A motion model is generated to characterize the behavior of the anatomical structure over a plurality of time instances. For instance, the motion model includes at least one free parameter and a temporal parameter. Each free parameter estimating geometry of the anatomical structure derived from the tracking data, and the temporal parameter indexes the free parameter over the plurality of time instances. A visualization is generated to provide a sequence of graphical images based on the motion model to characterize behavior of the anatomical structure over time.

APPARATUS TO PROVIDE AN ADJUSTABLE MECHANISM FOR RADIAL ULTRASOUND PORT AND FLUSH PORT

The present disclosure relates generally to the field of medical devices. In particular, the present disclosure relates to an assembly with an adjustable ultrasound port and flush port for lateral and axial positioning of a radial ultrasound probe within a patient.

VASCULAR ISOLATION SYSTEMS AND METHODS

A system and method enabling the receipt of image data of a patient, identification of one or more locations within the image data depicting symptoms of lung disease, analyzing airways and vasculature proximate the identified locations, planning a pathway to the one or more locations, navigating an extended working channel to one of the locations, identifying the direction of blood flow within vasculature serving the location, positioning a catheter proximate the location, and temporarily isolating a portion of the identified vasculature serving the location depicting symptoms of lung disease.

MARKER PLACEMENT

A method for placing a set of one or more markers in a luminal network in a patient's body, the method comprising using at least one hardware processor for: receiving image data of the anatomy of a luminal network of a patient and a location of at least one target in said luminal network anatomy; obtaining a rule set defining one or more rules for placing said set of one or more markers in said luminal network anatomy and with respect to said at least one target; during a survey performed by a user via a navigation system in a portion of the luminal network surrounding said at least one target, acquiring, via said navigation system, sample-locations in the surveyed portion of the luminal network; and identifying a set of one or more marker locations for placing said set of one or more markers from said acquired sample-locations, which complies with said rule set.

MARKER PLACEMENT

A method for placing a set of one or more markers in a luminal network in a patient's body, the method comprising using at least one hardware processor for: receiving image data of the anatomy of a luminal network of a patient and a location of at least one target in said luminal network anatomy; obtaining a rule set defining one or more rules for placing said set of one or more markers in said luminal network anatomy and with respect to said at least one target; during a survey performed by a user via a navigation system in a portion of the luminal network surrounding said at least one target, acquiring, via said navigation system, sample-locations in the surveyed portion of the luminal network; and identifying a set of one or more marker locations for placing said set of one or more markers from said acquired sample-locations, which complies with said rule set.

METHODS FOR MARKING BIOPSY LOCATION

MINIMALLY INVASIVE LUNG VOLUME REDUCTION DEVICES, METHODS, AND SYSTEMS

A lung volume reduction system is disclosed comprising an implantable device adapted to be delivered to a lung airway of a patient in a delivery configuration and to change to a deployed configuration to bend the lung airway. The invention also discloses a method of bending a lung airway of a patient comprising inserting a device into the airway in a delivery configuration and bending the device into a deployed configuration, thereby bending the airway.

FLEXIBLE PNEUMOSTOMA MANAGEMENT SYSTEM AND METHODS FOR TREATMENT OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE

A flexible pneumostoma management device maintains the patency of a pneumostoma while controlling the flow of material through the pneumostoma. The pneumostoma management device includes a pneumostoma vent having a tube which enters the pneumostoma to allow gases to escape the lung, a flange and a filter/valve to control flow of materials through the tube. The flange is a thin flexible patch which conforms and attaches to the chest of the patient. The flange secures the tube in position in the pneumostoma. In alternate embodiments the pneumostoma management device comprises a vent tube and chest mount.

AN ACTIVE CANNULA FOR BIO-SENSING AND SURGICAL INTERVENTION

Disclosed is a surgical needle, or active cannula, that is capable of following a complex path through cavities and tissue within a patient's anatomy. The needle has a plurality of overlapping flexible tubes, each of which has a pre-formed curvature and a pre-determined flexibility. Each of the plurality of flexible tubes is selected based on their respective pre¬ formed curvature and flexibility so that a given overlap configuration causes the combination of overlapping flexible tubes to form a predetermined shape that substantially matches a desired path through the anatomy. By individually controlling the translation and angular orientation of each of the flexible tubes, the surgical needle may be guided through the anatomy according to the desired path.

PATHWAY PLANNING SYSTEM AND METHOD

A system and method for planning a pathway through an anatomical luminal network of a patient including memory storing a computer program configured to analyze and manipulate CT images, a processor configured to execute the computer program, and a display device configured to display a user interface of the computer program. The user interface includes a CT image window configured to display a slice of CT image data, a localizer window configured to display an image of at least one lung, the localizer window including a localizer configured to identify a location of the displayed slice relative to the at least one lung, and a target selection element configured to select a target from a displayed slice of CT image data in response to a user input.

의료용 로봇 시스템의 결함 반응 메커니즘을 위한 시스템 및 방법

... 로봇 시스템에서 결함에 대해 응답하는 시스템 및 방법이 본 명세서에서 제공된다. 일부 실시양태에서, 시스템은 선단부 및 말단부, 긴 몸체의 선단부에 결합된 백엔드 하우징, 및 제어 시스템을 포함한다. 백엔드 하우징은 긴 몸체의 말단부를 조작하도록 구성된 하나 이상의 액추에이터를 포함한다. 제어 시스템은 동작을 수행함으로써 로봇 시스템을 제어하도록 구성되고, 동작은 의료용 로봇 시스템의 동작 상태를 결정하는 것, 의료용 로봇 시스템의 하나 이상의 구성요소에서의 결함을 검출하는 것, 하나 이상의 휴리스틱을 따라 결함을 분류하는 것, 및 결함을 완화시키기 위해 하나 이상의 휴리스틱에 기반하여 의료용 로봇 시스템 상에 결함 반응 상태를 부과하는 것을 포함한다.

CATHETER SYSTEMS

METHODS AND DEVICES FOR CREATING COLLATERAL CHANNELS IN THE LUNGS

METHODS AND DEVICES FOR MAINTAINING SURGICALLY CREATED CHANNELS IN A BODY ORGAN

This is directed to methods and devices suited for maintaining an opening in a wall- of a body organ for an extended period. More particularly devices and methods are directed maintaining patency of channels that alter gaseous flow within a lung to improve the expiration cycle of, for instance, an individual having chronic obstructive pulmonary disease.

DEVICES FOR CREATING COLLATERAL CHANNELS

The devices disclosed herein are directed to altering gaseous flow within a lung (118) to improve the expiration cycle of, for instance, an individual having Chronic Obstructive Pulmonary Disease. More particularly, these devices produce openings or channels (112) through the airway wall so that oxygen depleted/carbon dioxide rich air is able to pass directly out of the lung tissue to facilitate both the exchange of oxygen ultimately into the blood and/or to decompress hyper-inflated lungs.

Method and Apparatus for Tissue Ablation

The present application discloses devices that ablate human tissue. The device comprises a catheter with a shaft through which an ablative agent can travel, a liquid reservoir and a heating component, which may comprise a length of coiled tubing contained within a heating element, wherein activation of said heating element causes said coiled tubing to increase from a first temperature to a second temperature and wherein the increase causes a conversion of liquid within the coiled tubing to vapor, a reusable cord connecting the outlet of the reservoir to the inlet of the heating component, and a single use cord connecting a pressure-resistant inlet port of a vapor based ablation device to the outlet of the heating component.

Elastic Tissue Reinforcing Fastener

A tissue fastener having fixed points of tissue attachment including a first elongate elastic component and a second elongate component having one or more elongate sections each adjacent section delineated by at least one frangible point.

Decompression Needle Assembly

The present invention is a decompression needle assembly having a needle that is removable received into to a catheter. The catheter can include a rigid portion and a deformable portion wherein the deformable portion can be multi-ported at its distal end. A one-way valve contained in a catheter hub attached to the catheter wherein the one way valve is in an open position when the needle is received in the catheter. Lateral catheter openings can be defined in the catheter and disposed adjacent to a distal end of the catheter. A plunger can be received within the needle and have an visual and auditory indicator that can be appreciated through the needle hub.

Systems and methods of registration for image-guided surgery

A method comprises segmenting first modality image data representing a model of one or more passageways within a patient; generating a first set of points based on the segmented image data; registering the first set of points to a second set of points obtained by a second modality by: determining a set of matches between the first and second sets of points, and discarding a first subset of the set of matches based on a heuristic to generate a modified set of matches by ignoring an associated set of matches between the first and second sets of points when computing a corrective motion for the second set of points—an ignored match is included in a second subset of the set of matches when computing a second corrective motion for the second set of points; and displaying a visual representation of the passageways based on the modified set of matches.

Mapping image display control device, method, and program

A mapping image display control device includes a lung region extraction unit 11 that extracts a lung region included in a three-dimensional image, a bronchus region extraction unit 12 that extracts a bronchus region included in the lung region, a branching position information acquisition unit 13 that acquires information about a branching position of the bronchus region, a reaching position information estimation unit 14 that estimates reaching position information about a position at which an extended line of a branch included in the bronchus region reaches a surface of the lung region on the basis of the information about the branching position, and a display control unit 15 that generates a mapping image in which the reaching position information is mapped to the surface of the lung region and that causes a display apparatus 3 to display the mapping image.

Methods of achieving lung volume reduction with removable anchored devices

A method of reducing the size of a lung by collapsing a target section of the lung includes delivering within a lung air passageway leading to the target section an intra-bronchial device. The device is deployed in a desired location and then the device is removed from the desired location. The device can be removed by gripping a portion of the device with a retractor device, which is used to draw the device proximally. Proximal movement releases anchors of the device from the passageway and the anchors can be collapsed into a removal configuration.

SELF-ASSEMBLING MAGNETIC ANASTOMOSIS DEVICE HAVING AN EXOSKELETON

The invention is an implantable magnetic anastomosis device having an exoskeleton that directs self-assembly. The design allows the device to be delivered in a linear configuration using a minimally-invasive technique, such as endoscopy or laparoscopy, whereupon the device self-assembles into, e.g., a polygon. A coupled set of polygons define a circumscribed tissue that can be perforated, or the tissue can be allowed to naturally necrose and perforate. The device can be used to create anastomoses in a variety of tissues, such as tissues found in the gastrointestinal, renal/urinary, and reproductive tracts. New procedures for using anastomoses, e.g., surgical bypass are also disclosed.

DEVICES AND METHODS FOR DELIVERY OF A THERAPEUTIC AGENT THROUGH A PNEUMOSTOMA

A pneumostoma management system includes a pneumostoma management device for maintaining the patency of a pneumostoma and a drug delivery device for pneumostoma care. The drug delivery device includes a therapeutic agent dispenser for supplying a therapeutic agent and a propellant at positive pressure, a tube for entering the pneumostoma and a limiting device for limiting the depth of insertion of the tube into a pneumostoma. The drug delivery device may be used to introduce therapeutic agents into the pneumostoma for direct treatment of the pneumostoma, treatment of the lung by way of collateral ventilation, and/or treatment of non-lung tissues by diffusion into the bloodstream.

SYSTEM AND METHOD FOR FLUOROSCOPIC CONFIRMATION OF TOOL IN LESION

A system and method for confirming placement of a biopsy tool in a target including a navigation component to track the position of a catheter navigated into a luminal network, and a catheter configured to receive a biopsy tool. The system and method receive a first plurality of fluoroscopic images, generate a first fluoroscopic three-dimensional reconstruction from the plurality of fluoroscopic images, and present a first slice of the 3D reconstruction depicting the catheter in relation to a target visible in the slice of the 3D reconstruction.

SYSTEMS AND METHODS FOR REGISTRATION OF A MEDICAL DEVICE USING A REDUCED SEARCH SPACE

A medical system comprises a flexible instrument including a sensor adapted to provide tracking data for a point on the instrument. The medical system further comprises a memory storing images of a patient anatomy and a processor. The processor is configured to identify connected anatomical structures in the stored images of the patient anatomy, generate an anatomical centerline model from the identified connected anatomical structures, select a set of points disposed on a set of anatomical centerlines of the anatomical centerline model, generate a first plurality of cylindrical linkage elements representing the connected anatomical structures, receive the tracking data corresponding to the point on the instrument when the instrument is positioned within at least one of the connected anatomical structures, and match the point on the instrument to one of the first plurality of cylindrical linkage elements. 19-. (canceled)10. A medical system comprising:a flexible instrument including a sensor adapted to provide tracking data for a point on the instrument;a memory storing images of a patient anatomy; and identify connected anatomical structures in the stored images of the patient anatomy;', 'generate an anatomical centerline model from the identified connected anatomical structures;', 'select a set of points disposed on a set of anatomical centerlines of the anatomical centerline model;', 'generate a first plurality of cylindrical linkage elements representing the connected anatomical structures;', 'receive the tracking data corresponding to the point on the instrument when the instrument is positioned within at least one of the connected anatomical structures; and', identifying a second plurality of cylindrical linkage elements of the first plurality of cylindrical linkage elements in a region of a point on the instrument; and', 'determining, for each cylindrical linkage element in the second plurality of cylindrical linkage elements of the first plurality of ...

STAPLING DEVICE WITH BOTH COMPULSORY AND DISCRETIONARY LOCKOUTS BASED ON SENSED PARAMETERS

A surgical stapling instrument is disclosed. The surgical stapling instrument includes an anvil configured to clamp a tissue, a stapler configured to drive surgical staples through tissue and form against the anvil, a first sensor to sense a first parameter of the surgical stapling instrument, and a second sensor to sense a second parameter of the surgical stapling instrument. A motor is coupled to the anvil. The motor is configured to move the anvil from a first position and a second position. A control circuit is coupled to the motor and the first and second sensor. The control circuit is configured to execute an electronic lockout process to prevent operation of the stapler based on the first and second sensed parameters.

Method and apparatus for sequential deployment of intra-tumoral agents

An intra-tumoral agent deployment apparatus for diagnosing and delivering targeted, sequential deployment of agents to an endo-bronchial and, or an intra-parenchymal tumor, said apparatus formed of, among other things, an elongated shaft assembly including: at least one lumen; an intra-tumoral probe wire for tumor traversal, slidably interposed there between or slidably disposed between any one of, or combination of the at least one lumen; and wherein the displacement of the intra-tumoral probe wire causes disruption of an endo-bronchial and, or an intra-parenchymal tumor tissue, and, or creating an inlet for deployment of at least a first agent comprising any one of a therapeutic agent and, or a delivery vehicle from the first lumen, and a subsequent second agent comprising any one of a therapeutic agent and, or a binding agent from any one of the first lumen, second lumen, and, or the delivery vehicle.

Method of compressing tissue within a stapling device and simultaneously displaying of the location of the tissue within the jaws

A surgical system is disclosed including an end effector, a control circuit, a closure member, and a firing member. The end effector includes a first jaw, a second jaw, and an electrode. The first jaw is rotatable relative to the second jaw between an open position and a close position to capture tissue therebetween. The electrode is configured to conduct a sub-therapeutic RF current to the tissue. The control circuit is operably coupled to the electrode. The control circuit is configured to measure impedance of the tissue over time based on the sub-therapeutic RF current. The closure member is configured to move the first jaw towards the second jaw at a closure rate based on the impedance of the tissue. The firing member is configured to move within the end effectors towards a fired position at a firing rate based on the impedance of the tissue.

Endoscopic stitching device

A stitching device includes a handle assembly and an elongate shaft assembly. The handle assembly includes a main rod and a drive conversion assembly including a cam wheel, a pivot block, first and second links, and a pawl. The pawl is operatively coupled to the main rod, and is configured to engage the pivot block to cause rotation of the pivot block which, in turn, causes reciprocating displacement of the first and second links. The elongate shaft assembly includes first and second blade drive members coupled to the cam wheel. The tool assembly includes first and second jaws and first and second blades. The first and second blades are operatively coupled with the respective first and second blade drive members, wherein axial displacement of the main rod transitions the first and second jaws between open and closed positions and causes reciprocating axial displacement of the first and second blades.

SURGICAL INSTRUMENT WITH ADAPTIVE CONFIGURATION CONTROL

SYSTEMS AND METHODS FOR WEIGHT-BASED REGISTRATION OF LOCATION SENSORS

SURGICAL INSTRUMENT COMPRISING A CONTROL SYSTEM THAT USES INPUT FROM A STRAIN GAGE CIRCUIT

СПОСОБ ЛЕЧЕНИЯ БРОНХОПЛЕВРОТОРАКАЛЬНЫХ СВИЩЕЙ ПРИ ФИБРОЗНО-КАВЕРНОЗНОМ ТУБЕРКУЛЕЗЕ ЛЕГКИХ

Изобретение относится к области медицины, а именно фтизиохирургии, и предназначено для лечения бронхоплевроторакальных свищей при фиброзно-кавернозном туберкулезе легких. Сущность способа состоит в проведении комплексной антибактериальной терапии легких в фазе прогрессирования в течение не более 8 месяцев до процесса стабилизации в легких, после чего осуществляют операцию - удаление одного легкого. При этом в случае послеоперационного удаления одного легкого и осложнения поздней несостоятельности его культи правого или левого главного бронха с формированием бронхоплевроторакальных свищей сначала трансплантируют живой дермальный эквивалент в бронхиальный свищевой ход. Затем дермальный эквивалент фиксируют в свищевом ходе путем обтурации просвета культи бронха эндобронхиально с одной стороны и закрытия места трансплантации интраплеврально через торакостому с другой стороны. Обтуратор, размером на 1/3 больше культи бронха, посередине обвязывают нитью с длиной концов не менее 40 см, затем его ...

Dynamic 3D lung map view for tool navigation inside the lung

Navigation of tubular networks

Methods and apparatuses provide improved navigation through tubular networks such as lung airways by providing improved estimation of location and orientation information of a medical instrument (e.g., an endoscope) within the tubular network. Various input data such as image data, EM data, and robot data are used by different algorithms to estimate the state of the medical instrument, and the state information is used to locate a specific site within a tubular network and/or to determine navigation information for what positions/orientations the medical instrument should travel through to arrive at the specific site. Probability distributions together with confidence values are generated corresponding to different algorithms are used to determine the medical instrument's estimated state.

Robotic systems for determining a pose of a medical device in luminal networks

Certain aspects relate to systems and techniques for navigation-assisted medical devices. Some aspects relate to correlating features of depth information generated based on captured images of an anatomical luminal network with virtual features of depth information generated based on virtual images of a virtual representation of the anatomical luminal network in order to automatically determine aspects of a pose of a medical device within the luminal network.

Biopsy apparatus and system

Certain aspects relate to biopsy apparatuses, systems and techniques for biopsy using a biopsy pattern. Some aspects relate to moving a distal portion of a medical instrument to one or more sample locations of the biopsy pattern and guiding the instrument to obtain tissue samples from the sample locations within the biopsy pattern. Some aspects relate to obtaining the biopsy pattern and adjusting the sample locations within the biopsy pattern based on various factors such as anatomical features.

INTRA-BRONCHIAL OBSTRUCTING DEVICE

Selon l'invention, l'obturateur bronchique (1) comprend un corps creux (2), dont la face avant (4) est ouverte et la face arrière (5) comporte au moins une valve (6) fermée dans son état normal, et susceptible d'être volontairement ou spontanément ouverte pour former un orifice de communication. II comporte en outre des moyens de prise (7) spécialement dédiés à un guide (10), destiné à le mettre en place dans une bronche (16), lesdits moyens de prise (7) étant disposés du côté avant de ladite valve (6) et accessibles à travers ladite valve (6).

IMPROVED AND/OR LONGER MINIMALLY INVASIVE LUNG VOLUME REDUCTION DEVICES AND THEIR DELIVERY

A lung volume reduction system is disclosed comprising an implantable device adapted to be delivered to a lung airway of a patient in a delivery configuration and to change to a deployed configuration to bend the lung airway. The invention also discloses a method of bending a lung airway of a patient comprising inserting a device into the airway in a delivery configuration and bending the device into a deployed configuration, thereby bending the airway.

For lung collapsed nested cannula device

BRONCHIAL OBTURATOR HAS VALVE

Electromagnetic field generator alignment

SURGICAL CLIP ARCHED LAPAROSCÓPICO

SYSTEM AND METHOD FOR ANALYSIS AND TREATMENT OF A BODY TISSUE

The invention provides a system and method for analysis and treatment of a tissue site. The system of the invention includes a probe unit containing one or more tissue sensing and monitoring probes configured to measure one or more parameters indicative of one or more states of the tissue site and one or more tissue treatment probes configured to deliver a treatment to the tissue site. A processor receives signals from the sensing and monitoring probes and determines whether the probe unit is located at the tissue site to be treated. The treatment and monitoring probes are activated in order to monitor the state of the tissue site while the treatment is being delivered to the tissue site. The processor receives signals from the sensing and monitoring probes during delivery of the treatment indicative of the state of the tissue site and determines, as the treatment is being carried out, any one or more of whether the treatment carried out so far is adequate, whether an additional treatment ...

Methods and devices for maintaining surgically created channels in a body organ

This is directed to methods and devices suited for maintaining an opening in a wall of a body organ for an extended period. More particularly devices and methods are directed maintaining patency of channels that alter gaseous flow within a lung to improve the expiration cycle of, for instance, an individual having chronic obstructive pulmonary disease.

VISUALIZATION OF SURGICAL DEVICES

A surgical visualization system is disclosed. The surgical visualization system is configured to identify one or more structure(s) and/or determine one or more distances with respect to obscuring tissue and/or the identified structure(s). The surgical visualization system can facilitate avoidance of the identified structure(s) by a surgical device. The surgical visualization system can comprise a first emitter configured to emit a plurality of tissue-penetrating light waves and a second emitter configured to emit structured light onto the surface of tissue. The surgical visualization system can also include an image sensor configured to detect reflected visible light, tissue-penetrating light, and/or structured light. The surgical visualization system can convey information to one or more clinicians regarding the position of one or more hidden identified structures and/or provide one or more proximity indicators.

SYSTEMS AND METHODS FOR INHIBITING SECRETION FLOW INTO A FUNCTIONAL ASSESSMENT CATHETER

Devices systems and methods are disclosed for preventing or inhibiting secretions from entering the lumen of a functional assessment catheter for the lungs, or removing collected secretions. The catheter comprises an expandable element, a cover, or an internal component configured to prevent or inhibit secretion flow into the lumen. The catheter alternatively or additionally comprises a distal end configured to facilitate air flow, absorb secretions or repel secretions away from the catheter tip. The catheter alternatively or additionally comprises an internal element such as a coilable wire, or an obturator configured to prevent secretions from being drawn into the lumen, or to actively remove the secretions. The catheter alternatively or additionally comprises an element to dry, aerate or aspirate the lung passageways.

Abrading device and method for creating abrasions on a membrane

An abrading device and method for irritating and blotting a membrane, particularly the pleural membrane. The method uses a device which is small enough to be inserted and withdrawn through a thoracoport. The device includes a proximal end configured to be gripped by a surgeon and a distal end configured to be inserted into the patient. A stainless steel shaft connects the distal and proximal ends of the abrading device. The distal end includes a series of nylon bristles. The bristles are attached to the device wire wrapped around the distal end of the device. The connecting shaft and wrapped wire are malleable. Once the device is inserted, the surgeon grips the proximal end and manipulates the device so that the series of nylon bristles abrades the walls of the pleural space. Once the abrading process is complete, the surgeon can easily withdraw the device back through the thoracoport.

Methods and devices for maintaining surgically created channels in a body organ

This is directed to methods and devices suited for maintaining an opening in a wall of a body organ for an extended period. More particularly devices and methods are directed maintaining patency of channels that alter gaseous flow within a lung to improve the expiration cycle of, for instance, an individual having chronic obstructive pulmonary disease.

Reversible tubal contraceptive device

Described are apparatus and methods for preventing sperm passage through a reproductive structure of a patient, and also for subsequently reversing the preventative measure in order to restore fertility to the patient. In some embodiments, the apparatus includes an elongate member arranged to form a frame having a distal and proximal opening and configured to be positioned within a lumen of the reproductive structure. The apparatus may also have a flow reducing member coupled to the frame such that when the frame is positioned within the lumen, the flow reducing member substantially impedes, reduces, or totally obstructs passage of sperm through the lumen.

X-RAY IMAGING DEVICE FOR MINIMALLY INVASIVE SURGERY

The present invention relates to an X-ray imaging device for minimally invasive surgery, the device including: a rod having a clamp module disposed at a first end of the rod and including a first clamp body, a second clamp body, and a clamp support; an X-ray emission module; an X-ray sensing module; and a manipulation module, in which the rod is inserted into the human body, X-rays are emitted from the X-ray emission module with the first end of the first clamp body and the first end of the second clamp body open with a lesion positioned therebetween in the human body, and the X-rays travel through the lesion and is then sensed by the X-ray sensing module.

Characterization of tissue irregularities through the use of mono-chromatic light refractivity

A surgical image acquisition system includes multiple illumination sources, each source emitting light at a specified wavelength, a light sensor to receive light reflected from a tissue sample illuminated by each of the illumination sources, and a computing system. The computing system may receive data from the light sensor when the tissue sample is illuminated by the illumination sources, and calculate structural data related to one or more characteristics of a structure within the tissue. The structural data may be a surface characteristic such as a surface roughness or a structure composition such as a collagen and elastin composition. The computer system may further transmit the structural data to a smart surgical device. The smart devices may include a smart stapler, a smart RF sealing device, or a smart ultrasonic cutting device. The system may include a controller and computer enabled instructions to accomplish the above.

BRONCHIAL VALVE AND PLUG

PROBLEM TO BE SOLVED: To provide a bronchial plug prevented from being located crosswise in bronchi when arranged and furthermore preventing a guide grip from crushing a flexible material of an edge which frequently only reassumes its initial shape at the release of the pressure of a clip when the edge of a communication orifice on the base side is gripped. SOLUTION: The bronchial plug 1 comprises a hollow body 2, the front side 4 of which is open and the back side 5 of which comprises at least one valve 6 closed in the normal state and adapted to be voluntarily or spontaneously opened to form the communication orifice 6A. The plug 1 further comprises a gripping means 7 exclusively used for a guide 10 adapted to position the plug 1 to a bronchus 16. The gripping means 7 is arranged on the front side of the valve 6 and accessible to an affected part through the valve 6. COPYRIGHT: (C)2011,JPO&INPIT ...

ЭЛЕКТРОХИРУРГИЧЕСКИЙ ЗОНД ДЛЯ ДОСТАВКИ РАДИОЧАСТОТНОЙ И МИКРОВОЛНОВОЙ ЭНЕРГИИ

СИСТЕМА РАЗМЕЩЕНИЯ И УСТРОЙСТВО РАЗМЕЩЕНИЯ КАТЕТЕРА

Группа изобретений относится к медицинской технике, а именно к устройству размещения и системе размещения, заставляющей катетер разместиться внутри тела. Устройство размещения, заставляющее катетер разместиться внутри тела, содержит вставной блок, блок передачи и элемент подачи. Вставной блок является гибким и способен вставляться в катетер и извлекаться из него. Вставной блок способен к наблюдению объекта, расположенного дистальнее, чем дистальный конец вставного блока. Блок передачи имеет первую соединительную часть, разъемно соединяемую с проксимальной концевой частью вставного блока и передает изображение, полученное путем наблюдения вставным блоком, или сигнал, полученный путем преобразования этого изображения. В элемент подачи вставляется вставной блок с возможностью извлечения из него. К элементу подачи прикреплена проксимальная концевая часть катетера с возможностью отсоединения. Элемент подачи включает в себя корпус блока подачи, в который является вставляемым вставной блок, и ...

Electromagnetic field generator alignment

Systems and methods for electromagnetic field generator alignment are disclosed. In one aspect, the system includes an electromagnetic (EM) sensor configured to generate, when positioned in a working volume of the EM field, one or more EM sensor signals based on detection of the EM field, the EM sensor configured for placement on a patient. The system may also include a processor and a memory storing computer-executable instructions to cause the processor to: determine a position of the EM sensor with respect to the field generator based on the one or more EM sensor signals, encode a representation of the position of the EM sensor with respect to the working volume of the EM field, and provide the encoded representation of the position to a display configured to render encoded data.

Actuating scalpel device

An actuating scalpel device (300) that is adapted to deploy a curved scalpel blade (400) in an elliptical or circular pathway is described in detail. The actuating scalpel (300) generally comprises a scalpel blade (400) that possesses a curved cutting edge (402), a probe tip housing (312) that fully contains said scalpel blade (400) when in a retracted position, a slot in said housing (312) through which said curved cutting edge (402) is adapted to extend and a driving member (334) connected to said scalpel blade (400). The linkages are configured to move said scalpel blade (400) in an elliptical path when said scalpel blade (400) is deployed to extend outside of said probe tip housing (312).

APPARATUS AND METHOD FOR RESECTING AND REMOVING SELECTED BODY TISSUE FROM A SITE INSIDE A PATIENT

Flexible pneumostoma management system and methods for treatment of chronic obstructive pulmonary disease

Systems and methods for detecting pleural invasion for surgical and interventional planning

SYSTEMS AND METHODS FOR DETECTING PLEURAL INVASION FOR SURGICAL AND INTERVENTIONAL PLANNING Provided are systems, devices, and methods for planning a medical procedure. An exemplary method includes receiving image data (S302) of a patient's chest, identifying the patient's lungs (S304) in the image data, determining locations of pleural surfaces of the patient's lungs in the image data, identifying a treatment target in the patient's lungs, generating a three-dimensional (3D) model (S310) of the patient's lungs based on the image data, the 3D model showing the pleural surfaces of the patient's lungs and the treatment target, determining whether the treatment target invades the pleural surfaces, displaying a view of the 3D model for viewing by a clinician, receiving input from the clinician regarding a plan (S314) for the medical procedure, and displaying the plan (S324) for the medical procedure. (.00 CDo C=) C=)) C7) m C),' C) / C~J CY)0 CY)C0 CC) ...

Electrosurgical probe for delivering RF and microwave energy

An energy delivery system for performing tissue ablation at the distal end of an Electromagnetic Navigation Bronchoscopy (ENB) instrument. The system is insertable through an instrument channel of a steerable instrument cord in an ENB instrument, and comprise a coaxial cable with a radiating tip portion. The tip portion comprises a first conductive element electrically connected to the coaxial cable' s inner conductor and a second conductive element electrically isolated from the inner conductor. The conductive elements are arranged to act as: an active electrode and a return electrode for delivering the RF energy into tissue surrounding the radiating tip portion, and an antenna for radiating the microwave energy as a localized microwave field. The system may be arranged to delivery energy according to a predetermined profile comprising interleaving periods of RF and microwave energy or a combination thereof, or a dynamic profile based on detected tissue impedance.

Devices for creating passages and sensing blood vessels

Devices and methods are disclosed for creating passages in tissue and detecting blood vessels in and around the passages. The devices may be used to create channels for altering gaseous flow within a lung to improve the expiration cycle of an individual, particularly individuals having Chronic Obstructive Pulmonary Disease (COPD). In addition, the devices may be used to sample tissue during biopsy or other medical procedures where perforating a blood vessel could result in injury to a patient.

Expandable apparatus for medical treatment

An expandable apparatus for medical treatment is provided. The expandable apparatus includes an expandable member, an air tube, a connector, a main body, a front cap and a long needle. The air tube guides air into the expandable member. The connector is coupled to the air tube to guide air into the air tube. The main body is coupled to the connector and includes an air inlet pipe into which the air for expanding the expandable member is supplied. The front cap is coupled to the main body such that the main body supports the connector. The front cap protects a junction between the air tube and the connector. The long needle extends from a rear end of the main body to the expandable member. The long needle supports the expandable member and the air tube. A marker is integrally provided on the long needle corresponding to a position of the expandable member.

Two-phase surgical procedure for creating a pneumostoma to treat chronic obstructive pulmonary disease

A two-phase surgical procedure is disclosed for creating a pneumostoma to treat chronic obstructive pulmonary disease The first phase is a procedure to induce creation of a localized pleurodesis and is preferably performed as an outpatient procedure. The second phase is a procedure to introduce a surgical instrument into the lung via the pleurodesis to create the pneumostoma. An interval of about one of more days between the first and second phases allows the formation of a stable pleurodesis to prevent pneumothorax during the procedure.

Methods and devices for diagnosing, monitoring, or treating medical conditions through an opening through an airway wall

Methods and devices for diagnosing, monitoring, and/or treating tissue through an opening or port through an airway wall are provided herein.

Active cannula for bio-sensing and surgical intervention

A method for guiding a surgical cannula having a plurality of overlapping flexible tubes includes determining a desired cannula path; selecting the plurality of flexible tubes, wherein each of the flexible tubes within the plurality has a pre-formed curvature and a flexibility; determining a final overlap configuration of the plurality of flexible tubes such that a resulting curvature of the overlap configuration substantially corresponds to the desired cannula path; and determining a plurality of intermediate overlap configurations of the plurality of flexible tubes. Each of the intermediate configurations correspond to the desired cannula path.

Method for treatment of emphysema

The present invention provides a method for treatment of emphysema, including: (a) a step of inserting and placing first through-hole forming means in emphysematous lung area, forming a first through-hole in the emphysematous lung area by puncture, and, after contact of the first through-hole forming means with pleura, detaching the pleura from the lung area to form a detachment space; (b) a step of inserting and placing second through-hole forming means in normal lung area, and forming a second through-hole in the lung area by puncture; and (c) a step of causing the first through-hole and the second through-hole to communicate with each other through the detachment space formed in the step (a).

Pulmonary nodule access devices and methods of using the same

In certain embodiments, a device is configured to be delivered to the site of a nodule in the lung or other body organ or lumen. The device can be configured to attach directly to the target nodule or to tissue adjacent the target nodule. The device can be configured to provide repeatable access to the site of the target nodule. In some embodiments, the device includes a guide wire that can extend proximal the device. The guide wire can be configured to engage with a catheter or other medical device to provided repeatable and dependable navigation to the site of the target nodule. In some embodiments, the device can include a channel portion through which medical devices and/or instruments can be navigated. In some embodiments, the device can be deployed in the wall of an airway or other body lumen to provide transluminal access to a nodule outside of the lumen.

Systems and Methods for Registration of a Medical Device Using Rapid Pose Search

A method comprises identifying linked anatomical structures in stored images of a patient anatomy and modeling a structure of linkage elements. Each linkage element corresponds to one of the linked anatomical structures. The method also includes modeling a portion of the patient anatomy as a plurality of search slabs and assigning each of the linkage elements to one of the plurality of search slabs. The method also includes receiving tracking data corresponding to a sensed instrument portion. The tracking data includes position information and orientation information for the sensed instrument portion. The method also includes identifying one of the plurality of search slabs which includes the position information for the sensed instrument portion and matching the sensed instrument portion to a matched linkage element from among the linkage elements assigned to the identified one of the plurality of search slabs.

Guide sheath and medical system

A guide sheath includes: an elongated member extending along a longitudinal axis; a manipulation wire extending along the longitudinal axis of the elongated member so as to be capable of advancing and retracting; a bent section formed of a thermoplastic resin in a tubular shape and configured to be bent in accordance with advance or retraction of the manipulation wire; and a first hard section provided at a distal end surface of the bent section and formed by cross-linking the thermoplastic resin to which a distal end section of the manipulation wire is fixed.

SYSTEM FOR CALIBRATING AN ELECTROMAGNETIC NAVIGATION SYSTEM

A system for calibrating an electromagnetic navigation system is provided. The system includes an antenna assembly having a substrate, multiple pairs of transmit coils, multiple receive coils, multiple input terminals, and multiple output terminals. The substrate includes multiple layers, and each of the transmit coils is deposited on a respective one of the layers and each of the receive coils is deposited on another respective one of the layers. Each of the pairs of transmit coils corresponds to a respective one of the receive coils. Each of the transmit coils is coupled to a respective one of the input terminals, and each of the receive coils is coupled to a respective one of the output terminals. 120-. (canceled)21. A system for calibrating an electromagnetic navigation system , comprising: a pair of transmit coils; and', 'a receive coil configured to receive signals transmitted from the pair of transmit coils; and, 'an antenna assembly, including measure a non-calibrated in-phase component of the received signals and a non-calibrated quadrature component of the received signals based on a first magnitude value and a first phase value of the received signals;', 'compute a calibrated phase value based on the non-calibrated in-phase component and the non-calibrated quadrature component; and', 'compute a calibrated magnitude value based on the calibrated phase value, the non-calibrated in-phase component, and the non-calibrated quadrature component., 'a memory including instructions that, when executed by a processor, cause the processor to22. The system according to claim 21 , further comprising a substrate including a plurality of layers claim 21 , wherein each transmit coil of the pair of transmit coils is deposited on a respective one of the plurality of layers.23. The system according to claim 22 , wherein the receive coil is disposed on one of the plurality of layers that is located in between the layers on which the pair of transmit coils are respectively ...

ONE-WAY VALVE DEVICES FOR ANCHORED IMPLANTATION IN A LUNG

An intra-bronchial device placed and anchored in an air passageway of a patient to collapse a lung portion associated with the air passageway. The device includes a support structure, an obstructing member carried by the support structure that reduces ventilation to the lung portion by preventing air from being inhaled into the lung portion, and at least one anchor carried by the support structure that anchors the obstruction device within the air passageway. The anchor may engage the air passageway wall by piercing or friction, include a stop dimensioned for limiting the piercing of the air passageway wall, and may be releasable from the air passageway for removal of the intra-bronchial device. The anchors may be carried by a peripheral portion of the support structure, or by a central portion of the support structure. The obstructing member may be a one-way valve. 1. A method of collapsing a portion of a lung , the method comprising:delivering a device to an interior of an airway in the lung, the device comprising a central support structure having a proximal end and a distal end, an occluding member carried on the central support structure and configured to allow exhalation of air past the occluding member and inhibit inhalation of air past the occluding member, a first anchor having a first anchor end, and a second anchor having a second anchor end, each of the first anchor and the second anchor configured to transition between a collapsed configuration and an expanded configuration, wherein the second anchor end is located distal to both the occluding member and the distal end of the central support structure when the first and second anchors are in the expanded configuration; anddeploying the device to a desired location within the airway such that at least one of the first anchor and the second anchor transitions to the expanded configuration and engages with an airway wall; andremoving the device from the airway by releasing the first anchor and the second ...

SYSTEMS AND METHODS FOR DEFORMATION COMPENSATION USING SHAPE SENSING

A medical system comprises a surgical device including a tracking system. The medical system also includes a memory storing anatomical data describing a patient anatomy. The medical system also includes a processor configured for generating a first model, that includes a set of anatomical passageways including a first proximal branch connected to a first distal branch, from the stored anatomical data describing the patient anatomy. The processor is also configured for determining, by the tracking system, a shape of an elongate flexible body of the surgical device positioned within the first proximal branch and the first distal branch of the set of anatomical passageways. The processor is also configured for computing, based on the determined shape of the elongate flexible body, a total set of forces acting on the set of anatomical passageways in response to the surgical device positioned within the first proximal branch and the first distal branch. The processor is also configured for deforming the first model into a second model of the anatomical passageways by adjusting at least one joint between branches in the set of anatomical passageways in the first model based on the total set of forces computed, to thereby change a pose of at least one branch through which the surgical device extends and at least one additional branch through which the surgical device does not extend. 19-. (canceled)10. A medical system comprising:a surgical device including a tracking system;a memory storing anatomical data describing a patient anatomy; and generating a first model, that includes a set of anatomical passageways including a first proximal branch connected to a first distal branch, from the stored anatomical data describing the patient anatomy;', 'determining by the tracking system a shape of an elongate flexible body of the surgical device positioned within the first proximal branch and the first distal branch of the set of anatomical passageways;', 'computing, based on the ...

SYSTEM FOR DETERMINING OPTIMAL TREATMENT MODALITY FOR LUNG VOLUME REDUCTION AND RELATED METHODS

A method and system for assisting a physician determine an optimal treatment modality for performing lung volume reduction on a patient. Optimal treatment modalities are determined based on physician preferences relating to the disease attributes and diagnostic patient information. The treatment modalities and patient data are graphically displayed. 1. A system for assisting a physician perform a lung volume reduction procedure on a patient comprising: (i) compute disease characteristics for bronchial segments, lung lobes, and lung fissures of the patient based on lung image information of the patient; and', '(ii) transform the lung image information into a non-anatomical shaped graphic indicative of the relative volume and disease characteristics of the bronchial segments, lung lobes, and fissures of the patient; and, 'a processor operable toa display in communication with the processor and operable to present the graphic.2. The system of claim 1 , wherein graphic comprises a donut-shaped graphic for each lung.3. The system of claim 2 , wherein each donut-shaped graphic comprises an inner ring and an outer ring corresponding to the lung lobes and bronchial segments claim 2 , respectively.4. The system of claim 3 , wherein each outer ring comprises a plurality of arcuate segments corresponding to the relative volume of each of the bronchial segments of the patient.5. The system of claim 4 , wherein each inner ring comprises a plurality of arcuate segments corresponding to the relative volume of each of the lung lobes of the patient.6. The system of claim 5 , wherein the processor is operable to compute a plurality radial segments extending through the inner and outer ring claim 5 , and corresponding to the presence of a fissure in the patent lung.7. The system of claim 6 , wherein the processor is operable to compute disease severity and to show the level disease severity within each bronchial segment.8. The system of claim 7 , wherein the disease severity is shown ...

Surgical visualization with proximity tracking features

A surgical visualization system is disclosed. The surgical visualization system is configured to identify one or more structure(s) and/or determine one or more distances with respect to obscuring tissue and/or the identified structure(s). The surgical visualization system can facilitate avoidance of the identified structure(s) by a surgical device. The surgical visualization system can comprise a first emitter configured to emit a plurality of tissue-penetrating light waves and a second emitter configured to emit structured light onto the surface of tissue. The surgical visualization system can also include an image sensor configured to detect reflected visible light, tissue-penetrating light, and/or structured light. The surgical visualization system can convey information to one or more clinicians regarding the position of one or more hidden identified structures and/or provide one or more proximity indicators.

BALLOON CATHETER

To provide a balloon catheter that enables a minimally invasive and effective pulmonary emphysema treatment. The balloon catheter includes: a first balloon that has at least a part of an external surface thereof come into contact with a biological tissue when expanded in living body; a second balloon expandable and contractible separately from the first balloon; a main body portion having a first lumen through which a fluid for expanding the first balloon can circulate and a second lumen through which a fluid for expanding the second balloon can circulate; and supply portions that supply the first balloon with an adhesive material for adhering the external surface of the first balloon to the biological tissue. 1. A balloon catheter comprising:a balloon, at least a part of an external surface of the balloon being brought into contact with a biological tissue when the balloon is expanded in living body;a main body portion having a lumen through which a fluid for expanding the balloon can circulate; anda supply portion for supplying the external surface of the balloon with an adhesive material, the adhesive material adhering the external surface of the balloon to the biological tissue.2. The balloon catheter according to claim 1 , wherein the balloon is provided so as to be expandable by injection of the adhesive material supplied through the lumen.3. The balloon catheter according to claim 1 , wherein the supply portion has a through hole penetrating from an inside of the balloon adhered to the biological tissue to the external surface of the balloon.4. The balloon catheter according to claim 2 , wherein the supply portion has a discharge portion provided in the main body portion claim 2 , the discharge portion discharging the adhesive material to the external surface of the balloon adhered to the biological tissue.5. The balloon catheter according to claim 1 , wherein at least a part of the external surface of the balloon is formed so as to have higher compliance ...

SURGICAL DEVICES AND METHODS OF USE THEREOF

In some embodiments, the instant invention provides a device including: (a) at least one sleeve composed of a material configured to exhibit a sufficient flexibility to reduce tissue damage; (b) a locking mechanism configured to secure the at least one sleeve into a position complementary to a bronchial airway; (c) a plurality of locatable elements; and where the size of the at least one sleeve is sufficient to be introduced into the bronchial airway. 1. A device , comprising:a) at least one sleeve composed of a material configured to exhibit a sufficient flexibility to reduce tissue damage;b) a locking mechanism configured to secure the at least one sleeve into a position complementary to a bronchial airway;c) a plurality of locatable elements; andwherein the size of the at least one sleeve is sufficient to be introduced into the bronchial airway.2. The device of claim 1 , further comprising at least one anchoring element claim 1 , where the at least one anchoring element is near or at an end of the at least one sleeve.3. The device of claim 2 , wherein the at least one anchoring element is selected from the group consisting of: a self-extendable stent claim 2 , an inflatable balloon claim 2 , and an anchoring hook.4. The device of claim 1 , wherein the plurality of locatable elements is selected from the group consisting of: radiopaque material elements claim 1 , ultrasound markers claim 1 , electromagnetic sensors claim 1 , NIR visible markers claim 1 , NIR fluorophore indocyanine green markers claim 1 , LED-based markers claim 1 , and any combination thereof.5. The device of claim 4 , wherein the radiopaque material elements are selected from the group consisting of: balls claim 4 , cones claim 4 , spirals claim 4 , and any combination thereof.6. The device of claim 1 , wherein the material is selected from the group consisting of hydrogel claim 1 , reverse thermogelling polymer claim 1 , and foam-based colloid.7. The device of claim 1 , further comprising a ...

Method of treating pleural abnormality

The invention relates to a method of treating pleural abnormalities in a subject in need thereof, comprising the steps of: (a) attaching a biodegradable polymeric membrane onto a pleural wound to elicit fibronectin from fibroblasts to cause fibrous adhesion; and (b) securing the membrane with securement products, including sutures, staples, and sealants. The present invention also relates to a biodegradable adhesion membrane used for treating pleural abnormalities, comprising: a biodegradable base material selected from the group consisting of polycaprolactone (PCL), polylactic acid or polylactide (PLA), polyhydroxybutyrate (PHB), poly(ethylene adipate), poly(butylene adipate) (PBA), chitosan, hyaluronic acid, and polyglycolic acid (PGA); wherein the thickness of the membrane is 0.1-1 mm.

BRUSH FOR ABRADING THE PARIETAL PLEURA

A disposable brush which allows the pleura to be abraded using pleuroscopy and allows surgeons to adjust the stiffness of the brush and the area to be abraded during the abrasion process includes a longitudinal body which supports rigid bristles and slides within a tubular member that is secured to a handle. A manually actuated slide is connected to the longitudinal body and is movable within a longitudinal lumen of the handle and cooperates with an indexing component supported on the edges of the lumen. Furthermore, the rigid bristles have elastically deformable cambers with different radii of curvature so as to form a flat fan-shaped brush in the deployed operating position outside the tubular member. The bristles of the brush extend laterally from the longitudinal axis. 1. A brush for the abrasion of the parietal pleura , the brush comprising:a longitudinal body carrying at one of its ends a plurality of strands forming the scraping member,a tubular body surrounding the longitudinal body,a handle secured to the tubular body and containing longitudinal displacement means of the other body, between at least one working position, in which the working member protrudes out of the free end of the tubular body, and one storage position, in which this member is completely retracted into the tubular body,wherein the means for displacing the longitudinal body carrying the strands, are constituted by a manually-actuated slide linked to the posterior end of the longitudinal body, which is opposite to that carrying the strands, said slide being movable in a longitudinal lumen of the handle and cooperating with indexing means carried by the edges of this lumen, whereas the strands include elastically deformable cambers and having different radii of curvature, so as to form, when they are retracted in the tubular body, a bundle of parallel strands and, when they are in the working position, out of the tubular body, a flat fan-shaped brush, whose strands extend laterally from ...

Systems and methods for using a robotic medical system

A medical system including a support structure including a proximal link and a distal link, and a base joint coupling the proximal link of the support structure to a base, wherein the proximal link is configured to rotate about a first axis associated with the base joint. The system also includes a linkage mechanism coupling the proximal link to the distal link. The system also includes an instrument support coupled to the distal link, wherein the instrument support has an orientation relative to the base in a first configuration of the support structure, and wherein the linkage mechanism maintains the orientation of the instrument support relative to the base as the support structure is moved into a second configuration in which the support structure is rotated relative to the base about the first axis and the distal link is extended from the proximal link.

Lung Volume Reduction Devices, Methods, and Systems

The invention provides improved medical devices, therapeutic treatment systems, and treatment methods for treatment of the lung. A lung volume reduction system includes an implantable device having an elongate body that is sized and shaped for delivery via the airway system to a lung airway of a patient. The implant is inserted and positioned while the implant is in a delivery configuration, and is reconfigured to a deployed configuration so as to locally compress adjacent tissue of the lung, with portions of the elongate body generally moving laterally within the airway so as to laterally compress lung tissue. A plurality of such implants will often be used to treat a lung of a patient. 1. A method of treating a lung of a patient having a lung with an airway , the method comprising:delivering a lung volume reduction implant through the airway of the lung in a delivery catheter, the lung volume reduction implant having an elongate body with a proximal portion defining a first local axis and a distal portion defining a second local axis, the lung volume reduction implant comprising a resilient material configured to naturally return the lung volume reduction implant to a desired configuration from a delivery configuration, wherein the lung volume reduction implant is elastically strained into the delivery configuration in the delivery catheter during delivery of the lung volume reduction implant through the airway of the lung;deploying the lung volume reduction implant in the lung by advancing the proximal portion of the lung volume reduction implant distally relative to the delivery catheter and distal to a distal end of the delivery catheter; andwherein the lung volume reduction implant naturally recoils from the delivery configuration toward the desired configuration during the deployment process such that the distal portion is urged laterally relative to the second local axis against a surrounding inner luminal surface of the airway and such that the proximal ...

Bronchoscopic repair of air leaks in a lung

Systems and devices for minimally invasively treating an air leak in a lung comprise the steps of detecting an air leak in a lung; locating an airway in fluid communication with the air leak, introducing a bronchoscope into a patient's airway to a position adjacent the target section and occluding an airway upstream of the air leak for a period of time. The airway occlusion device is preferably removed after the air leak has substantially permanently healed. The occluding device may be a one-way valve. The occluding device may also comprise strut members and anchors that penetrate an airway wall.

DYNAMIC 3D LUNG MAP VIEW FOR TOOL NAVIGATION INSIDE THE LUNG

A method for implementing a dynamic three-dimensional lung map view for navigating a probe inside a patient's lungs includes loading a navigation plan into a navigation system, the navigation plan including a planned pathway shown in a 3D model generated from a plurality of CT images, inserting the probe into a patient's airways, registering a sensed location of the probe with the planned pathway, selecting a target in the navigation plan, presenting a view of the 3D model showing the planned pathway and indicating the sensed location of the probe, navigating the probe through the airways of the patient's lungs toward the target, iteratively adjusting the presented view of the 3D model showing the planned pathway based on the sensed location of the probe, and updating the presented view by removing at least a part of an object forming part of the 3D model. 120-. (canceled)21. A method comprising:displaying a three-dimensional (3D) model of a lung generated from a plurality of CT images; andupdating the display of the 3D model by ghosting at least part of an object forming part of the 3D model.22. The method according to claim 21 , wherein ghosting the at least part of the object forming part of the 3D model includes displaying the at least part of the object forming part of the 3D model with a higher level of transparency than other parts of the 3D model.23. The method according to claim 21 , wherein ghosting the at least part of the object forming part of the 3D model includes removing from the display the at least part of the object forming part of the 3D model.24. The method according to claim 21 , further comprising:displaying, in the 3D model, a planned pathway and a sensed location of a probe, the probe including a location sensor; andadjusting the display of the 3D model and the planned pathway when the sensed location of the probe changes.25. The method according to claim 24 , further comprising:registering the sensed location of the probe with the planned ...

SYSTEMS AND METHODS OF POSE ESTIMATION AND CALIBRATION OF PERSPECTIVE IMAGING SYSTEM IN IMAGE GUIDED SURGERY

A method performed by a computing system comprises receiving, from a fluoroscopic imager, having a first set of parameters, first fluoroscopic image data of a first fiducial marker within a surgical coordinate space. The method comprises receiving a configuration of the first fiducial marker within the surgical coordinate space. The method comprises determining a second set of parameters of the fluoroscopic imager in the surgical coordinate space based on the first flouroscopic image data and the configuration of the first fiducial marker. In some embodiments, determining the second set of parameters comprises developing a calibrated model of the fiducial marker in the surgical coordinate space from the first fluoroscopic image data and the configuration of the first fiducial marker. 1. A method performed by a computing system comprising:receiving, from a fluoroscopic imager having a first set of parameters, first fluoroscopic image data of a fiducial marker within a surgical coordinate space;receiving a configuration of the fiducial marker within the surgical coordinate space;determining a second set of parameters of the fluoroscopic imager in the surgical coordinate space based on the first fluoroscopic image data and the configuration of the fiducial marker, wherein determining the second set of parameters comprises developing a calibrated model of the fiducial marker in the surgical coordinate space from the first fluoroscopic image data and the configuration of the fiducial marker;refining the calibrated model of the fiducial marker;registering, based on the refined calibrated model of the fiducial marker, a fluoroscopic imager reference frame to a surgical coordinate reference frame of the surgical coordinate space; anddetermining a pose of the fiducial marker in the surgical reference frame based on the registration.2. The method of claim 1 , further comprising:localizing the fiducial marker in the surgical coordinate space based on the configuration of the ...

KIT FOR REMOVING A TISSUE LESION

A kit for removing a tissue lesion includes an anchor for securing a tissue lesion, incision blades for creating an incision in tissue, a tissue resection device for creating a tissue core that includes the tissue lesion and a tissue dilator to help open a channel of sufficient volume to receive the tissue resection device. The tissue resection penetrates tissue, creates a tissue core that includes the tissue lesion and seals and dissects the tissue lesion from surrounding tissue. 1. A kit for removing a tissue lesion comprising:an anchor;one or more incision blades;a tissue dilator; anda tissue resection mechanism including,an outer tube having a helical coil disposed on a distal end, the coil including a first electrode;a central tube having a distal edge profile including one or more surface segments, at least one of surface segments including a second electrode, said central tube being slidably disposed within said outer tube and being position such that the second electrode opposes at least a portion the first electrode;a cutting tube including a cutting edge slidably disposed within said central tube, said cutting tube configured to advance at least as far as one of the coil segments.2. The kit of where the coil includes first and second contiguous coil segments claim 1 , the first coil segment including the first electrode.3. The kit of wherein the first coil segment comprises a generally planar open ring.4. The kit of wherein the first coil segment is helical and has a pitch of zero.5. The kit of wherein the second coil segment is helical and has a constant pitch.6. The kit of wherein the second coil segment has a variable pitch.7. The kit of wherein the first coil segment is helical and has a first pitch and the second coil segment is helical and has a second pitch claim 2 , at least one of the first and second pitches is variable.8. The kit of wherein the second coil segment includes the blunt tip.9. The kit of wherein the first and second electrodes have ...

Minimally invasive methods and apparatus

Methods and apparatus are provided to facilitate the minimally invasive removal of tissue biopsies and to facilitate the direct approach to anesthetizing the chest wall, in accordance with embodiments of the present invention. A pull-type cutting device 1 comprises two coaxially nested tubes, each extending from a proximal end 21 to a distal end 22 . The first tube 61 defines a guide wire lumen 23 for slidingly receiving a guide wire. The second tube 63 extends over the first tube 60 and coupled thereto at the distal end 22 defining an expandable portion 13 adjacent the distal end 22 . The second tube 63 defines an inflation lumen 25 extending from the shaft proximal end 21 to the expandable portion 13 . The inflation lumen 25 communicates inflation fluid from the proximal end 21 to the expandable portion 13 so as to inflate and deploy the expandable portion 13 . Disposed adjacent the shaft distal end 22 is a cutting head 10 comprising the expandable portion 13 having a cutting portion 11 distal from the shaft distal end 22.

Navigation of tubular networks

Methods and apparatuses provide improved navigation through tubular networks such as lung airways by providing improved estimation of location and orientation information of a medical instrument (e.g., an endoscope) within the tubular network. Various input data such as image data, EM data, and robot data are used by different algorithms to estimate the state of the medical instrument, and the state information is used to locate a specific site within a tubular network and/or to determine navigation information for what positions/orientations the medical instrument should travel through to arrive at the specific site. Probability distributions together with confidence values are generated corresponding to different algorithms are used to determine the medical instrument's estimated state.

Combining strain-based shape sensing with catheter control

Provided are robotic systems and methods for navigation of luminal network that can improve strain-based shape sensing. In one aspect, the system can compare strain-based shape data to shape data determined based on robotic data (e.g., kinematic model data, torque measurements, mechanical model data, command data, etc.) and adjust the strain-based shape data as necessary. Any portion of the strain-based shape data can be adjusted, weighted differently, or discarded based on the comparison. For example, data from trustworthy sources may indicate that the shape of an instrument exhibits or should exhibit one or more characteristics. If the system determines that any portion of the strain-based shape data is not in agreement with such characteristics, the system may adjust the portion of the strain-based shape data such that the adjusted strain-based shape data is in agreement with the characteristics of the instrument.

DEVICES FOR DELIVERING SUBSTANCES THROUGH AN EXTRA-ANATOMIC OPENING CREATED IN AN AIRWAY

Devices and methods for delivering substances to lung tissue through an extra-anatomic passage created in an airway. 120-. (canceled)21. A method for performing a procedure at a treatment site in a lung of a patient , the method comprising:creating an opening through an airway wall of the lung;enlarging the opening;advancing a catheter through the enlarged opening to access the treatment site in the lung beyond the airway wall; andperforming a procedure at the treatment site on a target tissue via the catheter.22. The method of claim 21 , wherein the step of creating the opening in the airway wall is performed with a piercing member.23. The method of claim 22 , wherein the piercing member is a wire.24. The method of claim 23 , wherein the step of performing the procedure comprises delivering a substance to the treatment site.25. The method of claim 23 , wherein at least one of the steps is performed through a bronchoscope.26. The method of claim 25 , wherein the catheter includes an obturator.27. The method of claim 21 , wherein the step of performing a procedure comprises treating the target tissue.28. The method of claim 27 , wherein the target tissue is a lung tumor.29. The method of claim 28 , wherein the treating is performed with RF energy.30. The method of claim 21 , wherein the step of enlarging is performed with a balloon.31. The method of claim 23 , wherein the step of performing a procedure comprises a biopsy.32. The method of claim 21 , further comprising placing a tubular structure in the enlarged opening prior to the step of advancing the catheter claim 21 , and wherein the catheter is advanced through the tubular structure.33. The method of claim 32 , wherein the tubular structure is placed using a guide-wire.34. A method for performing a procedure at a treatment site in a lung of a patient claim 32 , the method comprising:advancing a wire through an airway wall of the lung to create an opening;enlarging, the opening;advancing a catheter member ...

DEVICES AND METHODS FOR LUMEN OCCLUSION

A system may include an introducer sheath including a retention member configured to anchor the introducer sheath in a natural body lumen having a wall. The system may also have an elongate member extending along a longitudinal axis through a working channel of the introducer sheath. Additionally, the system may have a manipulating portion coupled to a distal end of the elongate member. The manipulating portion may include at least one selectively actuatable member configured to transition between an undeployed configuration and a deployed configuration. In the undeployed configuration, the at least one actuatable member may extend substantially parallel to the longitudinal axis and in at least one position in the deployed configuration, the at least one actuatable member may extend radially outwardly from the longitudinal axis. In the deployed configuration, the manipulating portion and elongate member may be configured to be proximally retracted toward the working channel of the introducer sheath so as to move a distal portion of the wall towards a proximal portion of the wall.

Lung Volume Reduction Devices, Methods, and Systems

The invention provides improved medical devices, therapeutic treatment systems, and treatment methods for treatment of the lung. A lung volume reduction system includes an implantable device having an elongate body that is sized and shaped for delivery via the airway system to a lung airway of a patient. The implant is inserted and positioned while the implant is in a delivery configuration, and is reconfigured to a deployed configuration so as to locally compress adjacent tissue of the lung, with portions of the elongate body generally moving laterally within the airway so as to laterally compress lung tissue. A plurality of such implants will often be used to treat a lung of a patient. 1. A method of treating a patient having a lung with an airway , the method comprising:deploying a lung implant to the airway of the lung;viewing a deployment position of the deployed lung implant;adjusting the deployment position of the deployed lung implant to an adjusted position, and wherein the adjusted position of the deployed lung implant bends the airway of the lung so as to locally compress lung tissue.2. The method of claim 1 , wherein adjusting the deployment position of the deployed lung implant comprises:coupling a distal end of a recapture device to a proximal end of the deployed lung implant;withdrawing at least the proximal end of the deployed lung implant into a catheter; andstraightening at least a portion of the deployed lung implant.3. The method of claim 2 , wherein the distal end of the recapture device comprises forceps for coupling with the proximal end of the deployed lung implant.4. The method of claim 2 , wherein the distal end of the recapture device comprises a balloon with an inflation port claim 2 , and wherein coupling the distal end of the recapture device to the proximal end of the deployed implant comprises positioning the balloon about the proximal end of the deployed implant claim 2 , inflating the balloon by pumping a fluid into the balloon via ...

Dynamic 3d lung map view for tool navigation inside the lung

A method for implementing a dynamic three-dimensional lung map view for navigating a probe inside a patient's lungs includes loading a navigation plan into a navigation system, the navigation plan including a planned pathway shown in a 3D model generated from a plurality of CT images, inserting the probe into a patient's airways, registering a sensed location of the probe with the planned pathway, selecting a target in the navigation plan, presenting a view of the 3D model showing the planned pathway and indicating the sensed location of the probe, navigating the probe through the airways of the patient's lungs toward the target, iteratively adjusting the presented view of the 3D model showing the planned pathway based on the sensed location of the probe, and updating the presented view by removing at least a part of an object forming part of the 3D model.

Systems and methods for providing proximity awareness to pleural boundaries, vascular structures, and other critical intra-thoracic structures during electromagnetic navigation bronchoscopy

Disclosed are systems, devices and methods for providing proximity awareness to an anatomical feature while navigating inside a patient's chest, an exemplary method including receiving image data of the patient's chest, generating a three-dimensional (3D) model of the patient's chest based on the received image data, determining a location of the anatomical feature based on the received image data and the generated 3D model, tracking a position of an electromagnetic sensor included in a tool, iteratively determining a position of the tool inside the patient's chest based on the tracked position of the electromagnetic sensor, and indicating a proximity of the tool relative to the anatomical feature, based on the determined position of the tool inside the patient's chest.

System and Methods For Sealing a Channel In Tissue

A system for performing a minimally invasive percutaneous procedure comprises a medical device comprising a hydrogel delivery needle () with a tip and a hydrogel outlet (), an injectable, shear-thinning, self-healing viscoelastic hydrogel that exhibits a storage modulus (G) of at least 600 Pa, and a tan δ (G″/G) from 0.1 to 0.6 in dynamic viscoelasticity measured by a rheometer at 1 Hz and 1% strain rate at 25° C. The system may also comprise a coaxial cannula () having a lumen configured for receipt of the hydrogel delivery needle (), wherein the hydrogel delivery needle comprises an adjustable positioning mechanism () configured to limit the advancement depth of the hydrogel delivery needle through the coaxial cannula to a predetermined depth distal to a distal-most end of the coaxial cannula. 1. A system for sealing a channel in tissue created during a minimally invasive percutaneous procedure , comprising:{'b': 4', '5', '6', '2', '4, 'a medical device comprising a hydrogel delivery needle () with a piercing tip () and a hydrogel outlet (), and a coaxial cannula () having an inner lumen configured for receipt of the hydrogel delivery needle (), and'}an injectable viscoelastic shear-thinning hydrogel.2. A system according to claim 1 , in which the injectable viscoelastic shear-thinning hydrogel exhibits a storage modulus (G′) of at least 400 Pa and a tan δ (G″/G′) from 0.1 to 0.8 in dynamic viscoelasticity measured by a rheometer at 1 Hz and 1% strain rate at 25° C.3. A system according to any preceding claim claim 1 , in which the injectable viscoelastic shear-thinning hydrogel exhibits a compressive modulus of greater than 200 Pa measured at a strain rate of 3 mm/min.4. A system according to any preceding claim claim 1 , in which the shear-thinning viscoelastic hydrogel is configured to exhibit an in-vivo residence time of at least 1 week.5645. A system according to any preceding claim claim 1 , in which the hydrogel outlet () is disposed on a side of the ...

Inducing tissue adhesions using surgical adjuncts and medicants

Tissue adhesions using surgical adjuncts and medicants are provided. In general, an implantable adjunct can have one or more medicants releasably retained therein that are configured to induce tissue adhesions. The adjunct can be configured to be applied to lung tissue in conjunction with surgical staples using a surgical stapler. Pleurodesis can be encouraged through delivery of the adjunct to the lung tissue.

Instrument image reliability systems and methods

Described herein are systems and methods related to image management. A system may include an instrument that includes an elongate body and an imaging device. The elongate body can be configured to be inserted into a luminal network. The imaging device may be positioned at a distal tip of the elongate body. The system may receive from the imaging device one or more images captured when the elongate body is within the luminal network. For each of the images, the system may determine one or more metrics that are indicative of a reliability of an image for localization of the distal tip of the elongate body within the luminal network. The system may determine a reliability threshold value for each of the one or more metrics. The system can utilize the one or more images based on whether the one or more metrics meet corresponding reliability threshold values.

METHODS AND DEVICES FOR ALTERING LUNG VOLUME

A medical device and methods for altering lung volume are disclosed. The medical device includes a coil formed of a biodegradable material including a first bioabsorbable material that is configured to deactivate a portion of a lung as the coil degrades. The method includes positioning a first coil adjacent a first target within a patient and permitting the first coil to degenerate such that a first bioabsorbable material deactivates a first portion of a lung. The first coil is formed of a biodegradable material and includes the first bioabsorbable material. 1. A medical device for altering lung volume , the medical device comprising:a coil formed of a biodegradable material and including a first bioabsorbable material, the first bioabsorbable material configured to deactivate a portion of a lung as the coil degrades.2. The medical device according to claim 1 , wherein the coil includes a core material formed of the biodegradable material and a first coating disposed over the core material.3. The medical device according to claim 2 , wherein the core material includes the first bioabsorbable material impregnated in the biodegradable material claim 2 , and the first coating is formed of a second bioabsorbable material configured to dissolve after a predetermined amount of time.4. The medical device according to claim 1 , wherein the coil includes a second bioabsorbable material coating the first bioabsorbable material claim 1 , the second bioabsorbable material configured to dissolve after a predetermined amount of time.5. The medical device according to claim 2 , wherein the coil includes a second coating disposed over the first coating.6. The medical device according to claim 5 , wherein the core material is formed of the biodegradable material claim 5 , the first coating is formed of the first bioabsorbable material claim 5 , and the second coating is formed of a second bioabsorbable material configured to dissolve after a predetermined amount of time.7. The ...

DYNAMIC 3D LUNG MAP VIEW FOR TOOL NAVIGATION INSIDE THE LUNG

A method for implementing a dynamic three-dimensional lung map view for navigating a probe inside a patient's lungs includes loading a navigation plan into a navigation system, the navigation plan including a planned pathway shown in a 3D model generated from a plurality of CT images, inserting the probe into a patient's airways, registering a sensed location of the probe with the planned pathway, selecting a target in the navigation plan, presenting a view of the 3D model showing the planned pathway and indicating the sensed location of the probe, navigating the probe through the airways of the patient's lungs toward the target, iteratively adjusting the presented view of the 3D model showing the planned pathway based on the sensed location of the probe, and updating the presented view by removing at least a part of an object forming part of the 3D model. 1. (canceled)2. A system comprising:a catheter;a processor; and determine a position of the catheter;', 'present, on a display, a three-dimensional (3D) lung map view of a 3D model showing at least one planned pathway to at least one target in a lung of a patient and the position of the catheter;', 'adjust the 3D lung map view; and', 'show, in the 3D lung map view, at least a part of an object in a way different from a way that other objects forming a part of the 3D model are shown., 'a memory having stored thereon instructions, which, when executed by the processor, cause the processor to3. The system of claim 2 , wherein the instructions claim 2 , when executed by the processor claim 2 , further cause the processor to display a line indicating a line of sight from a tip of the catheter in the 3D lung map view of the 3D model.4. The system of claim 3 , wherein the line intersects with the at least one target.5. The system of claim 2 , further comprising a sensor located at a tip of the catheter claim 2 , the position of the catheter being determined based on information from the sensor.6. The system of claim 2 , ...

SELF-ASSEMBLING MAGNETIC ANASTOMOSIS DEVICE HAVING AN EXOSKELETON

The invention is an implantable magnetic anastomosis device having an exoskeleton that directs self-assembly. The design allows the device to be delivered in a linear configuration using a minimally-invasive technique, such as endoscopy or laparoscopy, whereupon the device self-assembles into, e.g., a polygon. A coupled set of polygons define a circumscribed tissue that can be perforated, or the tissue can be allowed to naturally necrose and perforate. The device can be used to create anastomoses in a variety of tissues, such as tissues found in the gastrointestinal, renal/urinary, and reproductive tracts. New procedures for using anastomoses, e.g., surgical bypass are also disclosed. 1. An implantable device comprising:a plurality of magnetic segments; andan exoskeleton that covers a portion of the exterior of at least one of the magnetic segments,wherein the exoskeleton is adapted to direct the magnetic segments to self-assemble into a geometric shape.2. The implantable device of claim 1 , wherein the exoskeleton covers a portion of the exterior of at least two of the magnetic segments.3. The implantable device of claim 2 , wherein the exoskeleton is deformable to allow the magnetic segments to be aligned linearly.4. The implantable device of claim 1 , wherein the exoskeleton comprises a shape metal alloy.5. The implantable device of claim 4 , wherein the shape memory metal comprises a nickel alloy claim 4 , a copper alloy claim 4 , a zinc alloy claim 4 , a platinum alloy claim 4 , or a cobalt alloy.6. The implantable device of claim 1 , wherein the device comprises four or more magnetic segments and the device self-assembles into a polygon.7. The implantable device of claim 6 , wherein the polygon is a square claim 6 , a hexagon claim 6 , or an octagon.8. The implantable device of claim 7 , wherein a magnetic pole of each segment is normal to the face of the polygon.9. The implantable device of claim 6 , wherein each magnetic segment comprises first and second ...

Adjustable Length Medical Instrument Assembly with Localization Elements for Tracking Medical Instrument Extension

A medical instrument assembly including a handle assembly having a first handle portion and a second handle portion proximate the second end, wherein the second handle portion is slidably engaged with the first handle portion. A first localization element is attached to the first handle portion and a second localization element is attached to the second handle portion. A medical instrument is mechanically coupled to the second handle portion and a translation of the second handle portion with respect to the first handle portion causes a coincident and coextensive translation of the medical instrument. The amount of translation of the medical instrument is adapted to be determined by calculating the distance between the first localization element and the second localization element. The first and second localization elements may be electromagnetic sensors which positions may be determined by a navigation system.

Conveyor for implant having at least one cavity

A conveyor for an implant having at least one cavity, including a conveying handle, a conveying cable, and a core wire. The conveying cable is a tubular body, a proximal end of the core wire is connected to the conveying handle, and a distal end of the core wire penetrates a distal end of the conveying cable from a proximal end of the conveying cable; a first control is provided on the conveying handle, and when the implant is connected to the distal end of the conveying cable, the first control controls the distal end of the core wire to extend into the implant to straighten the curved implant, or the first control controls the core wire to withdraw from the implant to restore the implant to a preset shape. The conveyor can load and release the implant on the conveyor, and be used in the entire implanting process.

SYSTEMS AND METHODS FOR IMPAIRING SMOOTH MUSCLE TISSUE FUNCTION

Systems and methods for impairing smooth muscle tissue function using energy and/or pressure are described herein. The systems and/or methods may be used in some embodiments to target smooth muscle tissue in the bronchial passages. 1. A system for impairing the smooth muscle tissue of a bodily lumen , the system comprising:an elongated sheath having a proximal end and a distal end;a first balloon disposed on the sheath at the distal end thereof;a second balloon disposed on the sheath distal to the first balloon such that the first and second balloons isolate an internal volume therebetween when the first and second balloons are inflated against a wall lining a bodily lumen;a fluid source at the proximal end of the sheath;wherein the sheath includes a fluid delivery port between the first and second balloons;wherein the sheath includes a delivery lumen through which the fluid source supplies fluid through the sheath to the fluid delivery port;an energy source at the proximal end of the sheath; andan electrode operably connected to the energy source and that supplies energy received therefrom;wherein the electrode is disposed on the sheath between the first and second balloons such that, when the first and second balloons are inflated against a wall lining a bodily lumen and the fluid source delivers fluid through the delivery port to the isolated volume, energy supplied by the electrode is transferred through the fluid in the isolated volume to the wall lining the bodily lumen.2. The system of claim 1 , wherein the sheath further includes a return lumen different than the delivery lumen for removing fluid from the isolated volume.3. The system of claim 1 , further comprising at least one additional electrode operably connected to the energy source and disposed on the sheath between the first and second balloons.4. The system of claim 1 , further comprising at least one additional electrode operably connected to the energy source claim 1 , wherein at least one of the ...

METHOD AND SYSTEM FOR USE IN A LUNG ACCESS PROCEDURE TO AID IN PREVENTING PNEUMOTHORAX

A method for use in a lung access procedure to aid in preventing pneumothorax includes providing a cannula having a pair of balloons, the pair of balloons including a first balloon longitudinally spaced from a second balloon along the cannula; inserting the cannula along an access opening and through pleural layers of a patient, with the first balloon and the second balloon of the pair of balloons respectively positioned on opposite sides of the pleural layers; inflating the pair of balloons with a first amount of a two-component sealant to compress the pleural layers together; and inflating the pair of balloons with a second amount of the two-component sealant that is sufficient to rupture the pair of balloons so as to comingle a first sealant component and a second sealant component of the two-component sealant at the site of the pleural layers so as to adhere the pleural layers together. 1. A method for use in a lung access procedure to aid in preventing pneumothorax , comprising:providing a cannula having a pair of balloons, the pair of balloons including a first balloon longitudinally spaced from a second balloon along the cannula;inserting the cannula along an access opening and through pleural layers of a patient, with the first balloon and the second balloon of the pair of balloons respectively positioned on opposite sides of the pleural layers;inflating the pair of balloons with a first amount of a two-component sealant to compress the pleural layers together; andinflating the pair of balloons with a second amount of the two-component sealant that is sufficient to rupture the pair of balloons so as to comingle a first sealant component and a second sealant component of the two-component sealant at the site of the pleural layers so as to adhere the pleural layers together.2. The method of claim 1 , further comprising withdrawing the cannula and the pair of ruptured balloons along the access opening to aid in comingling the first sealant component and the ...

METHODS AND DEVICES FOR DIAGNOSING, MONITORING, OR TREATING MEDICAL CONDITIONS THROUGH AN OPENING THROUGH AN AIRWAY WALL

Methods and devices for diagnosing, monitoring, and/or treating tissue through an opening or port through an airway wall are provided herein. 120.-. (canceled)21. A bronchoscopic-based method of performing a procedure on a target in a lung , the method comprising:advancing a bronchoscope through a nose or mouth, and into a peripheral airway having an airway wall;creating an opening through the airway wall with a hole-making instrument; advancing a dissecting catheter through the opening in the airway wall, through a parenchymal tissue, and to the target;', 'advancing a tubular elongate instrument from the airway wall, through the parenchymal tissue, and to the target;', 'such that both the dissecting catheter and the tubular elongate instrument extend through the opening, through the parenchymal tissue and to the target, and the dissecting catheter being contained within the tubular elongate instrument; and', 'removing the dissecting catheter, leaving the tubular elongate instrument in place; and, 'creating an access tunnel from the opening in the airway wall to the target, wherein the target is spaced well beyond the opening, and wherein the step of creating an access tunnel comprisesperforming the procedure on the target through the access tunnel.22. The method of claim 21 , wherein the creating an access tunnel comprises creating a straight tunnel through the parenchymal tissue to the target.23. The method of claim 21 , wherein the target is a tissue.24. The method of claim 23 , wherein the step of performing the procedure is carried out by performing a treatment on the tissue.25. The method of claim 24 , wherein the step of performing a treatment comprises ablation.26. The method of claim 23 , wherein the step of performing the procedure comprises performing a biopsy.27. The method of claim 21 , wherein the step of creating the opening is performed with a wire.28. The method of claim 21 , further comprising the step of calculating a point of entry for the ...

Systems and methods for concomitant medical procedures

Systems and methods for performing concomitant medical procedures are disclosed. In one aspect, the method involves controlling a first robotic arm to insert a first medical instrument through a first opening of a patient and controlling a second robotic arm to insert a second medical instrument through a second opening of the patient. The first robotic arm and the second robotic arm are part of a first platform and the first opening and the second opening are positioned at two different anatomical regions of the patient.

NEEDLE ASSEMBLY FOR PLEURAL SPACE INSUFFLATION AND METHODS THEREOF

A needle assembly for pleural space insufflation is disclosed. The needle assembly has an outer shaft defining one or more pliable tissue receivers. The needle assembly also has a needle moveable within the outer shaft from a retracted position to an engaged position that does not extend past a distal end of the outer shaft. A method of pleural space insufflation is also disclosed. A parietal pleura is contacted with a distal end of an outer shaft that defines one or more pliable tissue receivers. The distal end of the outer shaft is pushed against the parietal pleura so that a portion of the parietal pleura enters the one or more pliable tissue receivers. A needle is advanced within the outer shaft so that the needle pierces the parietal pleura. 1. A needle assembly for pleural space insufflation , comprising:an outer shaft defining one or more pliable tissue receivers; anda needle moveable within the outer shaft from a retracted position to an engaged position that does not extend past a distal end of the outer shaft.2. The needle assembly of claim 1 , wherein the engaged position of the needle comprises a position where a tip of the needle is aligned with at least a portion of the one or more pliable tissue receivers.3. The needle assembly of claim 1 , wherein the outer shaft comprises a round shape.4. The needle assembly of claim 1 , wherein the needle comprises a fluid communication hole.5. The needle assembly of claim 1 , wherein the outer shaft comprises a material which is viewable by ultrasound.6. The needle assembly of claim 1 , wherein the outer shaft comprises a radiopaque material.7. The needle assembly of claim 1 , further comprising one or more needle guides.8. The needle assembly of claim 1 , further comprising a fluid seal in the outer shaft claim 1 , proximal to the one or more pliable tissue receivers. This application is a divisional application of U.S. patent application Ser. No. 15/731,093 filed on Apr. 17, 2017 and entitled “NEEDLE ASSEMBLY ...

SEALANT DELIVERY APPARATUS, AND SYSTEM AND METHOD FOR PREPARING SAME, FOR USE IN A LUNG PROCEDURE

A sealant delivery apparatus for use in a lung access procedure to aid in preventing pneumothorax includes a sealant applicator device and an injection needle assembly. The injection needle assembly has a hub and an elongate hollow stylet. The hub is configured for removable connection to the sealant applicator device. The elongate hollow stylet is configured to facilitate fluid communication with at least one output port of the sealant applicator device to receive a multi-component sealant. The elongate hollow stylet has a proximal portion, a distal portion having a closed distal end, and a plurality of side ports proximal to the closed distal end. The plurality of side ports radially extend from a lumen and through a side wall of the elongate hollow stylet in the distal portion. The plurality of side ports are in fluid communication with the at least one output port of the sealant applicator device.

PERCUTANEOUS ACCESS PATHWAY SYSTEM AND METHOD

An improved method and device are provided for forming and/or maintaining a percutaneous access pathway. The device generally comprises at least one of three type of components: access pathway, insertion device, and attachment device. In one embodiment, the device is used to form and/or maintain a percutaneous access pathway into the pleural cavity (i.e. tube thoracostomy). The provided assembly substantially reduces the possibility of iatrogenic infection while accessing and/or re-accessing a body space. 114.-. (canceled)15. A device for forming and/or maintaining a percutaneous access pathway into a body of a patient , comprising:an access pathway catheter configured to connect an internal portion of a body of a patient to an external environment, the access pathway catheter including a distal opening configured to extend at least partially into the internal portion of the body;an access pathway port configured to maintain a barrier between the internal portion of the body and the external environment when in a closed position, the access pathway port including at least one distal opening connecting to the access pathway catheter; andan attachment device connectable to the access pathway port and configured to selectively allow the access pathway port to open by opening one or more doors in the access pathway,wherein the access pathway port is configured to open only when the attachment device is attached to the access pathway port and to prohibit disconnection of the attachment device from the access pathway port when the access pathway port is open.16. The percutaneous access pathway of claim 15 , wherein the one or more doors in the access pathway includes a door in the access pathway port that is configured to be reversibly opened and closed.17. The percutaneous access pathway of claim 16 , wherein the access pathway is configured to enable opening of the door in the access pathway port only when the attachment device is connected to the access pathway port.18 ...

Method and Apparatus for Tissue Ablation

The present application discloses devices that ablate human tissue. The device comprises a catheter with a shaft through which an ablative agent can travel, a liquid reservoir and a heating component, which may comprise a length of coiled tubing contained within a heating element, wherein activation of said heating element causes said coiled tubing to increase from a first temperature to a second temperature and wherein the increase causes a conversion of liquid within the coiled tubing to vapor, a reusable cord connecting the outlet of the reservoir to the inlet of the heating component, and a single use cord connecting a pressure-resistant inlet port of a vapor based ablation device to the outlet of the heating component.

SYSTEM AND METHOD FOR A TISSUE RESECTION MARGIN MEASUREMENT DEVICE

Embodiments of the invention provide a system and method for resecting a tissue mass. The system for resecting a tissue mass includes a surgical instrument and a first sensor for measuring a signal corresponding to the position and orientation of the tissue mass. The first sensor is dimensioned to fit insider or next to the tissue mass. The system also includes a second sensor attached to the surgical instrument configured to measure the position and orientation of the surgical instrument. The second sensor is configured to receive the signal from the first sensor. A controller is in communication with the first sensor and/or the second sensor, and the controller executes a stored program to calculate a distance between the first sensor and the second sensor. Accordingly, visual, auditory, haptic or other feedback is provided to the clinician to guide the surgical instrument to the surgical margin. 1. A system for resecting a target tissue mass from a host tissue mass , wherein the host tissue mass is deformable , the system comprising:a surgical instrument;a first fiducial sensor dimensioned to fit at least one of inside of and next to the target tissue mass, the first fiducial sensor including a hook to anchor the first fiducial sensor at least one of inside of and next to the target tissue mass so that the first fiducial sensor remains in known spatial relation to the target tissue mass, the first fiducial sensor adapted to measure position of the first fiducial sensor within a first frame of reference;a second fiducial sensor coupled to the surgical instrument, the second fiducial sensor adapted to measure position of the second fiducial sensor within the first frame of reference; anda controller in communication with the first fiducial sensor and the second fiducial sensor, the controller being configured to:receive a three-dimensional tissue mass model and a three-dimensional virtual margin model;register the position of the first fiducial sensor, the second ...

SYSTEM AND METHOD FOR PLANNING SURGICAL RESECTION OF LESIONS BY A LINEAR CUTTING STAPLER

A method, system, medium, and implementations for computer-aided preoperative surgical planning are described. Input data acquired with respect to a part of a patient is received by the system. The part corresponds to an organ, e.g., lung, of the patient to be operated on and includes one or more lesions to be removed during an operation. Then, an anatomic 3D model of the part of the patient is generated. Based on the generated anatomic 3D model, a preoperative plan for linear-cutting stapler resection of the one or more lesions from the organ to be carried out during the operation is obtained. The stapler cartridge size and the staple length are estimated based on the preoperative plan. Further, the resection based on the preoperative plan is visualized. 1. A method implemented on at least one machine including at least one processor , memory , and communication platform capable of connecting to a network for preoperative planning , the method comprising:receiving input data acquired with respect to a part of a patient, wherein the part corresponds to an organ of the patient to be operated on and includes one or more lesions to be removed during an operation;generating an anatomic 3D model of the part;obtaining a preoperative plan for linear-cutting stapler resection of the one or more lesions from the organ to be carried out during the operation based on the generated anatomic 3D model;estimating a stapler cartridge size and a staple length based on the obtained preoperative plan; andvisualizing a resection based on the obtained preoperative plan.2. The method of claim 1 , wherein the organ corresponds to a lung of the patient claim 1 , and wherein the generating step comprises:estimating one or more lung segments of the patient;localizing the one or more lesions within the one or more lung segments;identifying one or more anatomies of interest either within the one or more lung segments or in proximity of the one or more lung segments; andderiving an anatomic ...

SYSTEM AND METHOD OF ACCESSING ENCAPSULATED TARGETS

Systems and methods for performing a minimally invasive procedure within anatomic passageways include an outer catheter including one or more first lumens, a sealing device coupled to the outer catheter, an inner instrument configured to be slideably deployed through one of the one or more first lumens, and one or more first sensors for detecting bleeding wherein the one or more first sensors are configured to be positioned distal to the sealing device. In some embodiments, the outer catheter includes a fiber optic shape sensor. In some embodiments, the inner instrument includes a second lumen, wherein a working instrument is configured to be slideably received through the second lumen. In some embodiments, the inner instrument or the working instrument includes a dilation device for expanding an opening in a surface of the anatomic passageways at a point of entry. In some embodiments, the inner instrument includes a biopsy needle. 1. A medical system for performing a minimally invasive procedure within an anatomic passageway , the system comprising:an outer catheter comprising one or more first lumens;a sealing device coupled to the outer catheter;an inner instrument configured to be slideably deployed through one of the one or more first lumens; andone or more first sensors for detecting bleeding wherein the one or more first sensors are configured to be positioned distal to the sealing device.2. The system of claim 1 , wherein at least one of the outer catheter or the inner instrument further comprises a tracking system claim 1 , wherein the tracking system includes at least one of a fiber optic shape sensor or an EM sensor.3. The system of claim 1 , wherein the at least one of the one or more first sensors is mounted near a distal end of the outer catheter claim 1 , on a sensing probe deployed through one of the one or more first lumens claim 1 , or near a distal end of the inner instrument.4. The system of claim 1 , wherein the inner instrument comprises a ...

Genetically-Associated Chronic Obstructive Pulmonary Disease Treatment

A method for treating a genetically associated chronic obstructive pulmonary disease. At least one implant is advanced into an airway of a lung having a genetically associated chronic obstructive pulmonary disease. The at least one implant is delivered into the lung to increase tension of the lung and thereby improve breathing function of the lung. 1. A method for treating a genetically associated chronic obstructive pulmonary disease , comprising:advancing at least one implant into an airway of a lung of a patient having alpha-1 antitrypsin deficiency; anddelivering the at least one implant into the lung to increase tension of the lung and thereby improve breathing function of the lung.2. The method of claim 1 , wherein the genetically associated chronic obstructive pulmonary disease causes uniformly diseased alveolus tissue distributed throughout at least one lower lobe the lung claim 1 , and wherein the advancing and the delivering of the at least one implant are performed so that the at least one implant locally compresses an associated at least one region of the uniformly diseased tissue.3. The method of claim 1 , wherein the genetically associated chronic obstructive pulmonary disease causes uniformly diseased alveolus distributed throughout a lower lobe of the lung claim 1 , and wherein the advancing and the delivering of the at least one implant are performed so that the at least one implant locally compresses a region of another lobe of the lung outside the uniformly diseased tissue.4. The method of claim 1 , further comprising:determining the patient has a chronic obstructive pulmonary disease, wherein a plurality of alternative therapies are available for treatment of a plurality of alternative types of the chronic obstructive pulmonary disease;identifying that the chronic obstructive pulmonary disease of the patient comprises alpha-1 antitrypsin deficiency from among a plurality of alternative chronic obstructive pulmonary diseases; andselecting ...

METHOD OF TREATING THE LUNGS

A method of treating a patient exhibiting a lung disease or pulmonary disorder by applying shock waves or acoustic pulses directed to impinge lung tissue of the lung or lungs exhibiting a lung disease or pulmonary disorder, has the steps of: activating an acoustic shock wave or acoustic wave generator or source to emit acoustic shock waves or pressure pulses from a fixed acoustic wave source or a handheld shock wave or pressure pulse head; and administering a plurality of acoustic waves in a pressure pulse or shock wave pattern within the lung tissue of less than 10.0 mJ/mm2 per shock wave, the plurality of acoustic waves in a pressure pulse or shock wave pattern being directed to a portion of the lung exhibiting the lung disease or pulmonary disorder. 1. A method of treating a patient exhibiting a lung disease or pulmonary disorder by applying shock waves or acoustic pulses directed to impinge lung tissue of the lung or lungs exhibiting a lung disease or pulmonary disorder , comprises the steps of:activating an acoustic shock wave or acoustic wave generator or source to emit acoustic shock waves or pressure pulses from a fixed acoustic wave source or a handheld shock wave or pressure pulse head; and{'sup': '2', "administering a plurality of acoustic waves in a pressure pulse or shock wave pattern from an exit window or membrane of the fixed acoustic wave source or a handheld shock wave or pressure pulse head coupled to the patient's skin of less than 10.0 mJ/mmper shock wave or pressure pulse toward the lung tissue, the plurality of acoustic waves in a pressure pulse or shock wave pattern being directed to a portion of the lung exhibiting the lung disease or pulmonary disorder."}2. The method of wherein the step of administering a plurality of acoustic waves delivered as shock waves or pressure pulses to the lung further reduces symptoms of the lung disease or pulmonary disorder.3. The method of wherein the lung disease or pulmonary disorder is one of asthma claim ...

SYSTEMS AND METHODS FOR REGISTRATION OF LOCATION SENSORS

Provided are systems and methods for registration of location sensors. In one aspect, a system includes an instrument and a processor configured to provide a first set of commands to drive the instrument along a first branch of the luminal network, the first branch being outside a path to a target within a model. The processor is also configured to track a set of one or more registration parameters during the driving of the instrument along the first branch and determine that the set of registration parameters satisfy a registration criterion. The processor is further configured to determine a registration between a location sensor coordinate system and a model coordinate system based on location data received from a set of location sensors during the driving of the instrument along the first branch and a second branch. 1. A system , comprising:a set of one or more processors; and provide instructions to display the luminal network via a display device,', 'receive an indication of a location of a target within the model coordinate system,', 'identify a first branch and a second branch in the luminal network, the first branch being outside the path to the target, the second branch being a part of the path to the target,', 'generate a set of instructions for driving the distal end of the instrument along the first branch, back to the path from the first branch, and along the second branch, wherein location data received from a set of one or more locations sensors during the driving of the instrument according to the instructions facilitates a registration between the a location coordinate system of the location data and the model coordinate system, and', 'determine a registration criterion for one or more registration parameters tracked during the driving of the instrument along the first branch., 'at least one computer-readable memory in communication with the set of processors and having stored thereon a model of a luminal network of a patient, the model comprising ...

Path-based navigation of tubular networks

Provided are systems and methods for path-based navigation of tubular networks. In one aspect, the method includes receiving location data from at least one of a set of location sensors and a set of robot command inputs, the location data being indicative of a location of an instrument configured to be driven through a luminal network. The method also includes determining a first estimate of the location of the instrument at a first time based on the location data, determining a second estimate of the location of the instrument at the first time based on the path, and determining the location of the instrument at the first time based on the first estimate and the second estimate.

Robotic system configured for navigation path tracing

Certain aspects relate to systems and techniques for navigation path tracing. In one aspect, a system displays a preoperative model of a luminal network is displayed. The system determines a position of an instrument within the luminal network relative to the preoperative model. Based on the position of the instrument relative to the preoperative model, the system determines whether to enter a path tracing mode. In path tracing mode the system displays visual indicia indicative of a path of the instrument with respect to the displayed preoperative model. The visual indicia may be used to visual the navigation path of the instrument and/or to extend the preoperative model.

DEVICES FOR DELIVERING SUBSTANCES THROUGH AN EXTRA-ANATOMIC OPENING CREATED IN AN AIRWAY

Devices and methods for delivering substances to lung tissue through an extra-anatomic passage created in an airway. 1. A system for performing a procedure on a patient through a bronchoscope in an area of a lung beyond and remote from an airway in the lung , the system comprising:an inspecting device configured to be advanced through the bronchoscope into the airway;a piercing member configured to extend through the bronchoscope to create an opening through the airway wall;a tubular member located about the piercing member, the tubular member configured to extend through the opening of the airway wall;a second device comprising an elongate flexible proximal shaft to access a treatment site in the lung beyond the airway wall, the second device configured to extend through the passageway of the tubular member when the piercing member is removed from the tubular member; andwherein the second device is further configured to perform the procedure at the treatment site.2. The system of claim 1 , wherein the second device comprises a needle.3. The system of claim 1 , wherein the second device is a biopsy tool for performing a biopsy.4. The system of claim 1 , wherein the tubular member comprises a polymer.5. The system of claim 1 , further comprising the bronchoscope.6. The system of claim 1 , wherein the piercing member comprises a piercing device having a conical tip and a lumen extending therethrough claim 1 , and an elongate wire extendable past the conical tip claim 1 , and wherein after the elongate wire creates the opening the conical tip may be driven into the opening gradually expanding the opening to allow the tubular member to be subsequently placed therethrough.7. The system of claim 1 , wherein the inspecting device is an imaging or ultrasound based device. This application is a divisional of U.S. patent application Ser. No. 16/451,597 filed Jun. 25, 2019, which is a continuation of U.S. patent application Ser. No. 14/336,686 filed on Jul. 21, 2014 (now U.S. ...

Robotically-assisted surgical device, robotically-assisted surgery method, and system

A robotically-assisted surgical device that assists minimally invasive robotic surgery with a surgical robot is configured to acquire volume data of a non-pneumoperitoneum state of a subject, perform a pneumoperitoneum simulation on the volume data of the non-pneumoperitoneum state to generate deformation information including movement of at least one point in the volume data of the non-pneumoperitoneum state caused by pneumoperitoneum, generate 3D data of a first virtual pneumoperitoneum state based on the volume data of the non-pneumoperitoneum state and the deformation information, derive a first planned position in the 3D data of the first virtual pneumoperitoneum state, derive a second planned position in the volume data of the non-pneumoperitoneum state based on the first planned position in the first virtual pneumoperitoneum state and the deformation information, and visualize the volume data of the non-pneumoperitoneum state with an annotation of information indicating the second planned position.

SYSTEMS AND METHODS FOR PROVIDING PROXIMITY AWARENESS TO PLEURAL BOUNDARIES, VASCULAR STRUCTURES, AND OTHER CRITICAL INTRA-THORACIC STRUCTURES DURING ELECTROMAGNETIC NAVIGATION BRONCHOSCOPY

Disclosed are systems, devices and methods for providing proximity awareness to an anatomical feature while navigating inside a patient's chest, an exemplary method including receiving image data of the patient's chest, generating a three-dimensional (3D) model of the patient's chest based on the received image data, determining a location of the anatomical feature based on the received image data and the generated 3D model, tracking a position of an electromagnetic sensor included in a tool, iteratively determining a position of the tool inside the patient's chest based on the tracked position of the electromagnetic sensor, and indicating a proximity of the tool relative to the anatomical feature, based on the determined position of the tool inside the patient's chest. 120-. (canceled)21. A method for providing proximity awareness to an anatomical feature while navigating inside a patient's chest , the method comprising:determining a location of the anatomical feature based on at least one of received image data of the patient's chest or a 3D model of the patient's chest;tracking a position of a microwave ablation device configured to deliver energy to tissue to create a growing ablation zone;indicating a proximity of the microwave ablation device relative to the anatomical feature, based on the tracked position of the microwave ablation device inside the patient's chest;tracking a position of a tool;indicating a proximity of the tool relative to the anatomical feature and a proximity of the tool relative to the microwave ablation device; anddetermining whether a boundary of the growing ablation zone created by the microwave ablation device is approaching the anatomical feature by determining whether the boundary of the growing ablation zone is approaching a predetermined distance from the anatomical feature.22. The method of claim 21 , further comprising:determining whether the microwave ablation device is within a predetermined distance from the anatomical ...

Method of hub communication with surgical instrument systems

A method for adjusting the operation of a clip applier using machine learning in a surgical suite is disclosed. The method comprises gathering data during surgical procedures, wherein the surgical procedures include the use of a clip applier comprising a crimping drive configured to be mechanically advanced through a crimping stroke. The method further comprises analyzing the gathered data to determine an appropriate operational adjustment of the clip applier and adjusting the operation of the clip applier to improve the operation of the clip applier.

Method for communicating with surgical instrument systems

A method for adjusting the operation of a surgical instrument using machine learning in a surgical suite is disclosed. The method comprises the steps of gathering data during surgical procedures, wherein the surgical procedures include the use of a surgical instrument, analyzing the gathered data to determine an appropriate operational adjustment of the surgical instrument, and adjusting the operation of the surgical instrument to improve the operation of the surgical instrument.

Lung volume-reducing elastic implant and instrument

A lung volume-reducing elastic implant ( 2 ) and a lung volume-reducing instrument; the lung volume-reducing elastic implant ( 2 ) is tubular and comprises a proximal implant end ( 201 ), an elastic deformation part ( 205 ) and a distal implant end ( 202 ); the elastic deformation part ( 205 ) is located between the proximal implant end ( 201 ) and the distal implant end ( 202 ), and the elastic deformation part ( 205 ) has a shape memory characteristic; the lung volume-reducing elastic implant ( 2 ) is opened at the proximal implant end ( 201 ); the elastic deformation part ( 205 ) is provided with a plurality of grooves ( 204 ) at intervals along the longitudinal direction thereof; each groove ( 204 ) communicates with the tube cavity of the elastic deformation part ( 205 ); the lung volume-reducing instrument comprises the lung volume-reducing elastic implant ( 2 ) and a delivery device ( 1 ) matching same; the delivery device ( 1 ) comprises a guidewire ( 101 ) and a hollow push piece ( 110 ); the lung volume-reducing elastic implant ( 2 ) is detachably connected to the distal end of the hollow push piece ( 110 ) via the proximal implant end ( 201 ); and the guidewire ( 101 ) passes through the tube cavity of the lung volume-reducing elastic implant ( 2 ) and the tube cavity of the hollow push piece ( 110 ). The lung volume-reducing instrument is more convenient for an operation and takes shorter time, and avoids damage to the inner wall of the bronchia, reducing the occurrence of pneumothorax.

PULMONARY ARTERY BANDING DEVICE

Pulmonary artery banding device includes an inflating handing ring, to be installed around the patient's pulmonary artery, an extending tube, and an insufflating button, the extending tube connecting insufflating button to the banding inflating ring, the banding ring being configured as a C-shape hydraulic sleeve forming a support for an inflating balloon, whose external wall is formed by a thin rigid silicon layer, and whose inside wall is formed by a thin flexible silicon layer, at the apart ends of the banding ring two brims being disposed to facilitate the size banding adjustment according with the pulmonary artery caliber. The banding ring is provided with holes for passage of sutures fixating the ring on the pulmonary artery of the patient; the insufflating button being configured as a cylindrical reservoir and being provided with holes for sutures. Also a method of using the banding ring for performing a medical procedure on a patient who is an infant or neonate. 2. The method of including the step of adjusting the banding device into a “C” shape to encircle the diameter of a blood vessel of an infant or neonate patient by suturing said first brim to said second brim.3. The method of claim 2 , wherein said banding ring further comprises a plurality of flanges extending from said external wall claim 2 , said method further comprising the step of securing the banding ring of the banding device to the blood vessel by suturing said flanges to the blood vessel.4. The method of claim 3 , further comprising the steps of:placing said insufflating button subcutaneously within the thoracic wall of the patient;securing holes in the insufflating button to the patient using sutures; andinjecting fluid in the insufflating button to inflate the hydraulic sleeve of the banding device to compress the blood vessel of the infant.5. The method of claim 1 , further comprising the step of securing the banding ring of the banding device to the blood vessel by suturing said flanges ...

Methods and devices for diagnosing, monitoring, or treating medical conditions through an opening through an airway wall

Methods and devices for diagnosing, monitoring, and/or treating tissue through an opening or port through an airway wall are provided herein.

SELF-ASSEMBLING MAGNETIC ANASTOMOSIS DEVICE HAVING AN EXOSKELETON

The invention is an implantable magnetic anastomosis device having an exoskeleton that directs self-assembly. The design allows the device to be delivered in a linear configuration using a minimally-invasive technique, such as endoscopy or laparoscopy, whereupon the device self-assembles into, e.g., a polygon. A coupled set of polygons define a circumscribed tissue that can be perforated, or the tissue can be allowed to naturally necrose and perforate. The device can be used to create anastomoses in a variety of tissues, such as tissues found in the gastrointestinal, renal/urinary, and reproductive tracts. New procedures for using anastomoses, e.g., surgical bypass are also disclosed. 120-. (canceled)21. A guide member for forming an implantable device having a plurality of magnetic segments , the guide member comprising:a shape memory material configured to secure the plurality of magnetic segments and to direct the magnetic segments to assemble into a geometric shape, the guide member including at least one set of opposing flanges, each set of opposing flanges configured to have a shape-memory position in which the opposing flanges are biased to be separated by a distance less than the thickness of a magnetic segment for securing at least one magnetic segment between the opposing flanges.22. A guide member according to claim 21 , wherein the guide member is further configured to be separable by a distance greater than the thickness of the magnetic segment below a first predetermined temperature to allow for insertion of the at least one magnetic segment between the opposing flanges while allowing the opposing flanges to return to the shape-memory position when the temperature returns above a second predetermined temperature higher than the first predetermined temperature.23. A guide member according to claim 21 , wherein the shape memory material comprises a biocompatible shape memory material.24. A guide member according to claim 21 , wherein the shape memory ...

Image-based airway analysis and mapping

Navigation of an instrument within a luminal network can include image-based airway analysis and mapping. Image-based airway analysis can include detecting one or more airways in an image captured within a luminal network and determining branching information indicative of how the current airway in which the image is captured branches into the detected “child” airways. Image-based airway mapping can include mapping the one or more detected airways to corresponding expected airways of the luminal network in the preoperative model.

Systems and methods for navigational bronchoscopy and selective drug delivery

Provided in accordance with the present disclosure is a diagnostic and a therapeutic bronchoscopy system for localized delivery of medication within the lungs. Specifically, systems and methods are disclosed for creating a functional and anatomical map of the lungs, diagnosing a condition within the lungs, generating a treatment plan for a target site within the lungs, navigating to the target site, administering a treatment directly to the target site for immediate absorption within the target site, and assessing the efficacy of the treatment.

TREATMENT OUTCOME PREDICTION FOR LUNG VOLUME REDUCTION PROCEDURES

Systems and methods for displaying a predicted outcome of a lung volume reduction procedure for a patient including a user interface, a processor, and programing operable on the processor for displaying a predicted outcome of the bronchoscopic lung volume reduction procedure on the user interface, wherein displaying the predicted outcome of the lung volume reduction procedure includes receiving patient data comprising volumetric images of the patient, analyzing the volumetric images to identify one or more features correlated to treatment outcome prediction, predicting an outcome for a treatment modality or treatment device using the one or more identified features, and displaying the predicted outcome on the user interface. 1. A system for displaying a predicted outcome of a lung volume reduction procedure for a patient comprising:a user interface;a processor;programing operable on the processor for displaying a predicted outcome of the bronchoscopic lung volume reduction procedure on the user interface;wherein displaying the predicted outcome of the lung volume reduction procedure comprises:receiving patient data comprising volumetric images of the patient;analyzing the volumetric images to identify one or more features correlated to treatment outcome prediction;predicting an outcome for a treatment modality or treatment device using the one or more identified features; anddisplaying the predicted outcome on the user interface.2. The system of further comprising receiving a selected treatment location within the airway tree from a user and predicting an outcome for a treatment modality or treatment device at the selected location using the one or more identified features.3. The system of wherein displaying the predicted outcome of the lung volume reduction procedure further comprises receiving a selected treatment modality from the user claim 1 , and wherein predicting an outcome for a treatment modality comprises predicting an outcome for the treatment modality ...

Lung Volume Reduction Devices, Methods, and Systems

The invention provides improved medical devices, therapeutic treatment systems, and treatment methods for treatment of the lung. A lung volume reduction system includes an implantable device having an elongate body that is sized and shaped for delivery via the airway system to a lung airway of a patient. The implant is inserted and positioned while the implant is in a delivery configuration, and is reconfigured to a deployed configuration so as to locally compress adjacent tissue of the lung, with portions of the elongate body generally moving laterally within the airway so as to laterally compress lung tissue. A plurality of such implants will often be used to treat a lung of a patient. 1. A drug eluting implant for deployment within an airway of a lung of a patient for treating the lung of the patient , the implant comprising:an elongate spring element having a proximal end and a distal end, the elongate spring element configured to transition between a constrained delivery configuration and an unconstrained deployed configuration, wherein the elongate spring element in the unconstrained deployed configuration is biased to bend the airway of the lung so as to laterally compress a portion of the lung;a drug eluting polymer or solvent coating on at least a portion of the elongate spring element; anda drug configured to provide a therapeutic effect in combination with lateral compression of the lung portion by the elongate spring element, wherein the coating is configured to regulate a slow release of the drug.2. The drug eluting implant of claim 1 , wherein the elongate spring element comprises a metal coil.3. The drug eluting implant of claim 1 , wherein the therapeutic effect comprises controlled tissue scarring.4. The drug eluting implant of claim 1 , wherein the drug comprises a small molecule drug claim 1 , peptide claim 1 , or protein.5. The drug eluting implant of claim 1 , wherein the coating comprises a drug eluting polymer.6. The drug eluting implant of ...

Coordinated delivery of copd treatment

Methods, systems and devices are disclosed for the efficient and coordinated delivery of COPD treatment to the lung(s) of a patient. A lung volume reduction system is disclosed comprising an implantable device adapted to be delivered to an airway of a patient in a constrained configuration and to change to a tissue-compressing configuration when deployed at a target zone to provide treatment to the lung airway. The invention further discloses a method of quickly and efficiently deploying the device using a single coordinated motion or signal which may be particularly useful when multiple devices are deployed at multiple target zones.

DEVICES, TREATMENTS AND METHODS TO RESTORE TISSUE ELASTIC RECOIL

Pulmonary treatment devices, systems and methods of use are provided which take into account the vast tissue damage of advanced COPD sufferers and provide treatments designed specifically to treat the particularly compromised lung tissues that are present in these patients. These treatments reduce trapped air volume, tension lung tissue and enhance lung elastic recoil. A variety of embodiments are provided, including pulmonary treatment devices that move portions of lung tissue around a rotational axis into a torqued configuration, anchoring such tissue in place for improved breathing mechanics. 1. A device for treating a lung comprising:a tissue engaging end configured to engage loose damaged tissue; anda stabilizing end configured to engage a lung passageway proximal to the loose damaged tissue so as to seat in the lung passagewaywherein a portion of the device is configured to deform so as to store energy,wherein the device is configured to re-tension a portion of the lung by pulling the tissue engaging end proximally toward the stabilizing end in the lung passageway and at least partially maintaining such pulling by recoil force provided by deformation of the portion configured to deform.2. A device as in claim 1 , wherein the portion configured to deform is configured to be elongated to store elastic recoil strain energy.3. A device as in claim 2 , wherein the portion configured to deform has a potential longitudinal elongation in a range of 10-200 mm.4. A device as in claim 3 , wherein the portion configured to deform has a length in a range of 5-75 mm in resting free space.5. A device as in claim 2 , wherein the stored elastic recoil strain energy is configured to reduce a distance between an engaged first location of loose damaged tissue and a second location within the lung passageway to increase tension in locations in the lung that are not between the first location and the second location.6. A device as in claim 1 , wherein the device has a potential ...

Method and Apparatus for Tissue Ablation

Ablation catheters and systems include multiple inline chambers for containing and heating an ablative agent. The heating chamber includes one or more channels to increase the contact surface area of the ablative agent with the walls of the heating chamber to provide more efficient heating. Induction heating is used to heat a chamber and vaporize a fluid within by wrapping a coil about a ferromagnetic chamber and providing an alternating current to the coil. A magnetic field is created in the area surrounding the chamber which induces electric current flow in the chamber, heating the chamber and vaporizing the fluid inside. Positioning elements help maintain the device in the proper position with respect to the target tissue and also prevent the passage of ablative agent to normal tissues.

Advanced flow bronchoscope

A bronchoscope includes a main shaft extending from a proximal end to a distal end having an aperture. The proximal end of the bronchoscope includes a plurality of ports. One port is a ventilation port in fluid communication with the main shaft via a ventilation tube. The ventilation tube includes a first portion and a second portion, wherein the second portion extends from the first portion to the main shaft. The second portion is disposed at angle of approximately 60-70 degrees relative to the first portion. Another port may be configured to receive an adapter that includes a first member and a second member, wherein the second member is rotatable relative to the first member to relocate a tool received by the adapter within the main shaft.

DYNAMIC 3D LUNG MAP VIEW FOR TOOL NAVIGATION INSIDE THE LUNG

A method for implementing a dynamic three-dimensional lung map view for navigating a probe inside a patient's lungs includes loading a navigation plan into a navigation system, the navigation plan including a planned pathway shown in a 3D model generated from a plurality of CT images, inserting the probe into a patient's airways, registering a sensed location of the probe with the planned pathway, selecting a target in the navigation plan, presenting a view of the 3D model showing the planned pathway and indicating the sensed location of the probe, navigating the probe through the airways of the patient's lungs toward the target, iteratively adjusting the presented view of the 3D model showing the planned pathway based on the sensed location of the probe, and updating the presented view by removing at least a part of an object forming part of the 3D model. 1. (canceled)2. A system for guiding navigation of a tool in a lung of a patient , comprising:an electromagnetic (EM) field generator configured to generate an electromagnetic field;a tool including an EM sensor configured to sense the electromagnetic field, wherein the tool is configured to be navigated inside a patient's lung;a processor in operative communication with the EM sensor;a display in operative communication with the processor; and determines a location of the tool based on the electromagnetic field sensed by the EM sensor;', "receives a navigation plan including at least one planned pathway to at least one target in the patient's lung;", "presents, on the display, a 3D lung map view of a three-dimensional (3D) model of the patient's lung showing the at least one planned pathway, the at least one target, and the determined location of the tool;", 'adjusts the 3D lung map view of the 3D model on the display as the tool is navigated through an airway of the lungs of the patient; and', 'removes at least a part of an object forming part of the 3D model from the 3D lung map view., 'a memory having stored ...

DYNAMIC 3D LUNG MAP VIEW FOR TOOL NAVIGATION INSIDE THE LUNG

A method for implementing a dynamic three-dimensional lung map view for navigating a probe inside a patient's lungs includes loading a navigation plan into a navigation system, the navigation plan including a planned pathway shown in a 3D model generated from a plurality of CT images, inserting the probe into a patient's airways, registering a sensed location of the probe with the planned pathway, selecting a target in the navigation plan, presenting a view of the 3D model showing the planned pathway and indicating the sensed location of the probe, navigating the probe through the airways of the patient's lungs toward the target, iteratively adjusting the presented view of the 3D model showing the planned pathway based on the sensed location of the probe, and updating the presented view by removing at least a part of an object forming part of the 3D model. 1. (canceled)2. A system comprising:a catheter;a sensor;a display;a processor; and receive information from the sensor;', 'determine a position of the catheter based on the information;', 'receive a three-dimensional (3D) model of the lungs of a patient;', 'present, on the display, a 3D lung map view of a 3D model showing at least one planned pathway to at least one target in the lungs and the position of the catheter;', 'adjust the 3D lung map view of the 3D model as the catheter is navigated through an airway of the lungs of the patient; and', 'remove at least a part of an object forming part of the 3D model from the 3D lung map view., 'a memory having stored thereon instructions, which, when executed by the processor, cause the processor to3. The system of claim 2 , wherein the sensor is located at the tip of the catheter.4. The system of claim 2 , wherein the instructions claim 2 , when executed by the processor claim 2 , further cause the processor to register the 3D model with the actual lungs of the patient.5. The system of claim 2 , wherein the instructions claim 2 , when executed by the processor claim 2 ...

Multi-rigid registration of magnetic navigation to a computed tomography volume

Devices, systems, methods, and computer-readable media for registering an electromagnetic registration of a luminal network to a 3D model of the luminal network include accessing a 3D model of a luminal network based on computed tomographic (CT) images of the luminal network, selecting a plurality of reference points within the 3D model of the luminal network, obtaining a plurality of survey points within the luminal network, dividing the 3D model of the luminal network and the luminal network into a plurality of regions, assigning a plurality of weights to the plurality of regions, determining an alignment of the plurality of reference points with the plurality of survey points based on the plurality of weights, and generating a registration based on the alignment, the registration enabling conversion of the plurality of survey points within the luminal network to points within the 3D model of the luminal network.

Multi-layer film welded articulated balloon

A method of fabrication of a medical balloon, and a balloon device useful for various medical balloon procedures, such as gastrointestinal, vascular, reproductive system, urinary system and pulmonary applications. At least two layers of a thermoplastic film are sealed at their peripheral edges and heat sealed at one or more locations inside an area enclosed by the sealed edges at predetermined locations, in one implementation of the balloon device. Such configuration enables the balloon to articulate to a desired shape upon inflation, with the desired shape being selected to accommodate a specific medical application.

DEVICE AND METHOD FOR ACCESS TO INTERIOR BODY REGIONS

A device and method is provided to gain access to interior body regions. The system includes a safety needle assembly, a stylet assembly, a blade assembly, an obturator assembly, and a dilator assembly. The safety needle assembly or stylet assembly accesses an interior body region, after which the blade assembly expands the pathway created by the safety needle assembly or stylet assembly. The obturator then further expands the pathway and delivers the dilator assembly to the desired location. The safety needle assembly, obturator assembly, and blade assembly are removed, leaving the dilator assembly in place for future procedures. 1. A method of accessing interior body regions , comprising: advancing said piercing device through a skin layer and into said interior body regions;', 'pushing a tab of said pushrod along a slot within said dilator assembly toward a distal end of said dilator assembly, wherein said pushing compresses a spring and urges said blade assembly toward a distal end of said obturator assembly, causing at least one blade of said blade assembly to deploy through a blade slot within a distal end of said obturator assembly;', 'rotating said tab of said pushrod along said slot, wherein said rotating does not change the position of said at least one blade, and wherein said rotating moves said tab from a first side of said slot to a second side of said slot, said first side and said second side separated by a dilator tab;', 'releasing said tab of said pushrod, wherein said releasing releases said spring, said spring urging said pushrod toward a proximal end of said dilator assembly;', 'advancing said at least one blade by pushing said obturator assembly toward said skin layer, cutting said skin layer near an outer diameter of said stylet assembly to create a skin nick and increase the size of said pathway; and', 'retracting said at least one blade by pushing said tab of said pushrod toward said distal end of said obturator assembly, rotating said tab of ...

DEVICES FOR DELIVERING SUBSTANCES THROUGH AN EXTRA-ANATOMIC OPENING CREATED IN AN AIRWAY

Devices and methods for delivering substances to lung tissue through an extra-anatomic passage created in an airway. 1. (canceled)2. A method for performing a procedure on a patient in an area of a lung beyond and remote from an airway in the lung , the method comprising:advancing a first device through a natural respiratory opening and into an airway in the lung;creating an opening through the airway wall of the lung with a piercing member;advancing a tubular member located about the piercing member into the opening such that a passageway through the tubular member extends through the airway wall;removing the piercing member from the tubular member such that the tubular member remains in the airway wall and the passageway of the tubular member provides an access path to a treatment site;advancing a second device through the passageway of the tubular member to access the treatment site in the lung beyond the airway wall, the second device comprising an elongate flexible proximal shaft; andperforming the procedure at the treatment site via the second device after advancing the second device through the passageway of the tubular member.3. The method of claim 2 , wherein the piercing member has a lumen.4. The method of claim 2 , wherein the step of performing the procedure comprises delivering a substance to the treatment site through the second device.5. The method of claim 2 , wherein at least one of the steps is performed through a bronchoscope.6. The method of claim 2 , wherein the piercing member includes an obturator.7. The method of claim 2 , wherein the step of performing the procedure comprises treating a suspected diseased tissue.8. The method of claim 7 , wherein the suspected diseased tissue is a lung tumor.9. The method of claim 2 , further comprising enlarging the opening with a balloon.10. The method of claim 2 , wherein the step of performing a procedure comprises a biopsy.11. The method of claim 10 , wherein the tubular member is placed using a guide- ...

Surgical hub spatial awareness to determine devices in operating theater

A surgical hub is disclosed. The surgical hub includes a processor and a memory coupled to the processor. The memory stores instructions executable by the processor to receive first image data from a first image sensor, the first image data represents a first field of view, receive second image data from a second image sensor, wherein the second image data represents a second field of view, and display, on a display coupled to the processor, a first image rendered from the first image data corresponding to the first field of view and a second image rendered from the second image data corresponding to the second field of view.

Functional indicators for robotic medical systems

A robotic medical system can include a patient platform configured to support a patient during a robotic medical procedure, a column supporting the patient platform, and an arm support coupled to the column with at least one robotic arm coupled to the arm support. The system can also include an indicator positioned on at least one of the arm support and the patient platform, wherein the indicator is configured to indicate state or identity information of the system. The indicator can be a visual indicator.

Mapping image display control device, method, and program

A mapping image display control device includes a lung region extraction unit 11 that extracts a lung region included in a three-dimensional image, a bronchus region extraction unit 12 that extracts a bronchus region included in the lung region, a branching position information acquisition unit 13 that acquires information about a branching position of the bronchus region, a reaching position information estimation unit 14 that estimates reaching position information about a position at which an extended line of a branch included in the bronchus region reaches a surface of the lung region on the basis of the information about the branching position, and a display control unit 15 that generates a mapping image in which the reaching position information is mapped to the surface of the lung region and that causes a display apparatus 3 to display the mapping image.

SYSTEMS AND METHODS FOR ASSESSING AIR LEAKS IN LUNG TISSUE

A medical system for testing air leaks in tissue includes a housing unit, a tubular member, a source of negative pressure, a source of positive pressure, and a pressure gauge. The housing unit defines an interior chamber configured for receipt of at least a portion of an organ. The tubular member is coupled to the housing unit and includes a first end portion configured to be coupled to the portion of the organ. The source of negative pressure is configured to be in fluid communication with the interior chamber of the housing unit. The source of positive pressure is configured to be in fluid communication with the portion of the organ via attachment to a second end portion of the tubular member. The pressure gauge is in communication with the interior chamber of the housing unit and the tubular member to determine a pressure differential therebetween. 1. A medical system for testing air leaks in tissue , comprising:a housing unit defining an interior chamber configured for receipt of at least a portion of an organ;a tubular member coupled to the housing unit and including a first end portion configured to be coupled to the portion of the organ, and a second end portion;a source of negative pressure configured to be in fluid communication with the interior chamber of the housing unit;a source of positive pressure configured to be in fluid communication with the portion of the organ via attachment to the second end portion of the tubular member; anda first pressure gauge in communication with the interior chamber of the housing unit and the tubular member to determine a pressure differential therebetween.2. The medical system according to claim 1 , wherein the housing unit is configured to simulate a chest cavity.3. The medical system according to claim 1 , wherein the housing unit defines at least one hole configured for receipt of a trocar.4. The medical system according to claim 1 , wherein the housing unit is configured to transition between a contracted state ...

Method of compressing tissue within a stapling device and simultaneously displaying the location of the tissue within the jaws

A method of compressing tissue during a surgical procedure is disclosed. The method comprises obtaining a surgical instrument comprising an end effector, wherein the end effector comprises a first jaw and a second jaw, establishing a communication pathway between the surgical instrument and a surgical hub, and inserting the surgical instrument into a surgical site. The method further comprises compressing tissue between the first jaw and the second jaw, determining a location of the compressed tissue with respect to at least one of the first jaw and the second jaw, communicating the determined location of the compressed tissue to the surgical hub, and displaying the determined location of the compressed tissue on a visual feedback device.

TREATMENT OUTCOME PREDICTION FOR LUNG VOLUME REDUCTION PROCEDURES

Systems and methods for displaying a predicted outcome of a lung volume reduction procedure for a patient including a user interface, a processor, and programing operable on the processor for displaying a predicted outcome of the bronchoscopic lung volume reduction procedure on the user interface, wherein displaying the predicted outcome of the lung volume reduction procedure includes receiving patient data comprising volumetric images of the patient, analyzing the volumetric images to identify one or more features correlated to treatment outcome prediction, predicting an outcome for a treatment modality or treatment device using the one or more identified features, and displaying the predicted outcome on the user interface. 1. A system for displaying a predicted outcome of a lung volume reduction procedure for a patient comprising:a user interface;a processor;programing operable on the processor for displaying a predicted outcome of the bronchoscopic lung volume reduction procedure on the user interface;wherein displaying the predicted outcome of the lung volume reduction procedure comprises:receiving patient data comprising volumetric images of the patient;analyzing the volumetric images to identify one or more features correlated to treatment outcome prediction;predicting an outcome for a treatment modality or treatment device using the one or more identified features; anddisplaying the predicted outcome on the user interface.2. The system of further comprising receiving a selected treatment location within the airway tree from a user and predicting an outcome for a treatment modality or treatment device at the selected location using the one or more identified features.3. The system of wherein displaying the predicted outcome of the lung volume reduction procedure further comprises receiving a selected treatment modality from the user claim 1 , and wherein predicting an outcome for a treatment modality comprises predicting an outcome for the treatment modality ...

THORACIC IMAGING, DISTANCE MEASURING, SURGICAL AWARENESS, AND NOTIFICATION SYSTEM AND METHOD

A method for enhanced surgical navigation, and a system performing the method and displaying graphical user interfaces associated with the method. A 3D spatial map of a surgical site is generated using a 3D endoscope including a camera source and an IR scan source. The method includes detecting a needle tip protruding from an anatomy and determining a needle protrusion distance corresponding to a distance between the needle tip and a surface of the anatomy using the 3D spatial map. A position of a surgical tool in the 3D spatial map is detected and a determination is made by the system indicative of whether the needle protrusion distance is sufficient for grasping by the surgical tool. A warning is generated when it is determined that the needle protrusion distance is not sufficient for grasping by the surgical tool. 1. A method for enhanced surgical navigation comprising:generating a 3D spatial map of a surgical site using a 3D endoscope, the 3D endoscope including a camera source and an IR scan source;detecting whether a needle tip of a needle is protruding from an anatomy in the 3D spatial map;determining a needle protrusion distance by measuring a distance between the needle tip and a surface of the anatomy using the 3D spatial map when the needle tip is protruding from the anatomy;detecting a position of a surgical tool in the 3D spatial map;determining whether the needle protrusion distance is sufficient for grasping by the surgical tool based on the detected position of the surgical tool;generating a warning when it is determined that the needle protrusion distance is not sufficient for grasping by the surgical tool based on the detected position of the surgical tool; andprojecting a needle exit location based on a current orientation of the needle when the needle tip is not protruding from the anatomy.2. The method of claim 1 , further comprising displaying an indication representing a best position on the needle tip to grasp.3. The method of claim 1 , ...

System and method for a tissue resection margin measurement device

Embodiments of the invention provide a system and method for resecting a tissue mass. The system for resecting a tissue mass includes a surgical instrument and a first sensor for measuring a signal corresponding to the position and orientation of the tissue mass. The first sensor is dimensioned to fit inside or next to the tissue mass. The system also includes a second sensor attacked to the surgical instrument configured to measure the position and orientation of the surgical instrument. The second sensor is configured to receive the signal from the first sensor. A controller is in communication with the first sensor and/or the second sensor, and the controller executes a stored program to calculate a distance between the first sensor and the second sensor. Accordingly, visual, auditory, haptic or other feedback is provided to the clinician to guide the surgical instrument to the surgical margin.

Method for usage of the shroud as an aspect of sensing or controlling a powered surgical device, and a control algorithm to adjust its default operation

A method for controlling a surgical instrument is disclosed. In at least one instance, the surgical instrument comprises a shroud and the operation of the surgical instrument is modified based on input from a sensing circuit configured to sense a parameter of the shroud. In certain instances, the surgical instrument comprises a strain gage circuit and the operation of the surgical instrument is modified based on input from the strain gage circuit.

Surgical instruments comprising button circuits

A surgical instrument is disclosed comprising an actuator and circuitry mounted on and/or embedded in the actuator.

MARKER PLACEMENT

A method for placing a set of one or more markers in a luminal network in a patient's body includes using at least one hardware processor for receiving image data of the anatomy of a luminal network of a patient and a location of at least one target in the luminal network anatomy, obtaining a rule set defining one or more rules for placing the set of one or more markers in the luminal network anatomy and with respect to the at least one target, during a survey performed by a user via a navigation module in a portion of the luminal network surrounding the at least one target, acquiring, via the navigation module, sample-locations in the surveyed portion of the luminal network, and identifying a set of one or more marker locations for placing the set of one or more markers from the acquired sample-locations, which complies with the rule set. 1. A system for navigating to a target through a luminal network , comprising:a navigation module configured to navigate through the luminal network; and a hardware processor; and', receive image data of an anatomy of the luminal network and a location of at least one target in the anatomy of the liminal network;', 'obtain a rule set defining one or more rules for placing a set of one or more markers in the anatomy of the luminal network and with respect to the at least one target;', 'receive, using the navigation module, tracked locations of a sensor navigated within the anatomy of the luminal network in the vicinity of the at least one target based on the received location of the at least one target;', 'generate a survey of sample locations for placing the at least one marker within the anatomy of the luminal network using the tracked locations of the sensor in the vicinity of the at least one target; and', 'identify, from the sample locations, one or more marker locations for placing the at least one marker that comply with the rule set., 'a storage device storing instructions, which when executed, cause the hardware processor ...

Interactive surgical system

A surgical instrument is disclosed. The surgical instrument includes an end effector, a user interface, and a control circuit. The end effector is configured to deploy staples into tissue grasped by the end effector and cut the grasped tissue during a firing stroke. The control circuit is configured to cause at least one parameter setting associated with the firing stroke to be displayed on the user interface, cause interpreted information relevant to the firing stroke to be displayed concurrently with the at least one parameter setting on the user interface, wherein the interpreted information is based on external data, and recommend an adjustment of the at least one parameter setting through the user interface, wherein the recommended adjustment is based on the interpreted information.

Surgical hub and modular device response adjustment based on situational awareness

A surgical system for use in a surgical procedure is disclosed. The surgical system includes a modular device, at least one data source, and a surgical hub configured to communicably couple to the at least one data source and the modular device. The surgical hub comprises a control circuit configured to receive data from the at least one data source. The data is determinative of a progress status the surgical procedure. The control circuit is further configured to adjust a response to a sensed parameter based on the progress status.

Method for operating surgical instrument systems

A method for adjusting the operation of a surgical instrument using machine learning in a surgical suite is disclosed.

SYSTEMS AND METHODS FOR SIMULATED PRODUCT TRAINING AND/OR EXPERIENCE

A virtual reality training system and method enabling virtual bronchoscopic navigation of a virtual patient following a pathway plan to a target. The pathway plan presented on a computer depicted in the virtual environment and simulating an actual bronchoscopic navigation. 1. A training system for a medical procedure comprising: presenting a virtual environment viewable in the VR headset replicating a bronchoscopic suite including a patient, bronchoscopic tools, a patient, and a fluoroscope;', "depicting at least one representation of a user's hand in the virtual environment;", 'providing instructions in the virtual environment viewable in the VR headset for performing a bronchoscopic navigation of the patient in the virtual environment;', 'enabling interaction with a bronchoscopic navigation software on a computer displayed in the virtual environment;', "enabling interaction with the bronchoscopic tools via the representation of the user's hand; and", 'executing a bronchoscopic navigation in the virtual environment, wherein as the bronchoscopic navigation is undertaken, a user interface on the computer displayed in the virtual environment is updated to simulate a bronchoscopic navigation on an actual patient., 'a virtual reality (VR) headset, including a processor and a computer readable recording media storing one or more applications thereon, the applications including instructions that when executed by the processor performs steps of2. A training system for a medical procedure comprising:a virtual reality (VR) headset; and presenting a virtual environment viewable in the VR headset replicating a bronchoscopic suite including a patient, bronchoscopic tools, a patient, and a fluoroscope;', 'providing instructions in the virtual environment viewable in the VR headset for performing a bronchoscopic navigation of the patient in the virtual environment;', 'enabling interaction with a bronchoscopic navigation software on a computer displayed in the virtual environment; ...

Methods for treating airways

This relates to treating airways in a lung to decrease asthmatic symptoms. The also includes steps of measuring a parameter of an airway at a plurality of locations in a lung, identifying at least one treatment site from at least one of the plurality of locations based on the parameter, and applying energy to the treatment site to reduce the ability of the site to narrow.

TREATMENT OUTCOME PREDICTION FOR LUNG VOLUME REDUCTION PROCEDURES

Systems and methods for displaying a predicted outcome of a lung volume reduction procedure for a patient including a user interface, a processor, and programing operable on the processor for displaying a predicted outcome of the bronchoscopic lung volume reduction procedure on the user interface, wherein displaying the predicted outcome of the lung volume reduction procedure includes receiving patient data comprising volumetric images of the patient, analyzing the volumetric images to identify one or more features correlated to treatment outcome prediction, predicting an outcome for a treatment modality or treatment device using the one or more identified features, and displaying the predicted outcome on the user interface. 1. A system for displaying a predicted outcome of a lung volume reduction procedure for a patient comprising:a user interface;a processor;programing operable on the processor for displaying a predicted outcome of the bronchoscopic lung volume reduction procedure on the user interface;wherein displaying the predicted outcome of the lung volume reduction procedure comprises:receiving patient data comprising volumetric images of the patient;analyzing the volumetric images to identify one or more features correlated to treatment outcome prediction;predicting an outcome for a treatment modality or treatment device using the one or more identified features; anddisplaying the predicted outcome on the user interface.2. The system of further comprising receiving a selected treatment location within the airway tree from a user and predicting an outcome for a treatment modality or treatment device at the selected location using the one or more identified features.3. The system of wherein displaying the predicted outcome of the lung volume reduction procedure further comprises receiving a selected treatment modality from the user claim 1 , and wherein predicting an outcome for a treatment modality comprises predicting an outcome for the treatment modality ...

Method and Apparatus for Tissue Ablation

Methods of ablating endometrial tissue are disclosed. The methods include providing an ablation device that has a catheter with a hollow shaft through which an ablative agent can travel, a first positioning element, and a second positioning element positioned on the catheter distal to the first positioning element. The second positioning element is a disc shaped wire mesh and has a diameter in a range of 0.1 mm to 10 cm.

Devices for obstructing passage of air or other contaminants into a portion of a lung and methods of use

Provided are devices, systems and methods of selectively controlling air flow into one or more section of a patient's lungs. In particular, the devices may be valve devices having an inner lumen configured to transition between a first diameter and a second diameter smaller than the first diameter to control the airflow through the valve.