Gewebestabilisierungsvorrichtung zur Verwendung in der Chirurgie

Tragvorrichtung für medizinische Geräte und/oder Gegenstände zur höhenverstellbaren Befestigung an einem im Wesentlichen vertikalen Rohr

Die Erfindung betrifft eine Tragvorrichtung (1) für medizinische Geräte und/oder Gegenstände zur höhenverstellbaren Befestigung an einem im Wesentlichen vertikalen Rohr (2), umfassend:einen Grundkörper (3) mit einer Aufnahme (4) für das Rohr (2),wenigstens ein Tragelement (5) für medizinische Geräte und/oder Gegenstände, undeinen selbsttätigen Feststellmechanismus (6) zur lösbaren Fixierung der Tragvorrichtung (1) an dem Rohr (2).Die Erfindung betrifft ferner ein Stativ mit einem Rohr (2) und einer erfindungsgemäßen Tragvorrichtung (1).

Optical probes for corridor surgery

Optical probes for port-based corridor surgery are provided, including a device comprising: a surgical tool mounting adaptor configured for mounting to a surgical tool; an optical probe attached to the surgical tool mounting adaptor, the optical probe comprising: an optical interface end; an optical output end, distal the optical interface end, the optical output end comprising illumination optics and collection optics, the illumination optics configured to illuminate tissue proximal the optical output end, the collection optics configured to collect an optical signal from the tissue; one or more illumination optical fibers configured to convey illumination light from the optical interface end to the illumination optics; and, one or more collection optical fibers configured to convey the optical signal collected by the collection optics to the optical interface end.

EQUIPMENT FOR THE ATTACHMENT OF ACCESSORY EQUIPMENT AT A SURGICAL ADJUSTMENT MECHANISM

DEVICE AND PROCEDURE AS A CHECK OF A DISTANT DEVICE

CASING DEVICE FOR THE ADJUSTMENT OF BRONCHOSKOPEN

Surgical equipment holder

A surgical equipment holder is disclosed. The surgical equipment holder includes a first arm pivotable relative to a base, a second arm pivotably coupled to the first arm and an end effector pivotable relative to the second arm. The surgical equipment holder may also include features on the first arm and the second arm configured to allow enhanced cleanability of the surgical instrument holder. The surgical equipment holder also includes a lever configured to actuate between a locked and unlocked position by use of a single hand by an operator. The end effector of the surgical equipment holder is configured to support and finely adjust the position of any number of surgical accessories during surgical procedures.

ULTRASOUND POSITIONING DEVICE

Systems and methods can include a system for positioning an ultrasound probe proximal to anatomy of a patient on a radiation couch including a substantially planar base including engagement features to directly or indirectly index the substantially planar base to the radiation couch and a centrally located guide extending longitudinally along a top side of the base, a probe holder, configured to be coupled to, to translate longitudinally, and to be user accessed and user-controlled from within, a central region of the substantially planar base, a clamp, configured to localize the probe holder at a specified location along a translation path in the central region of the substantially planar base, leg supports shaped to accommodate a patient's legs from behind, the pair of leg supports being shaped and arranged to provide a space therebetween that can accommodate an ultrasound probe holder. Attorney Docket No. 4186.025US1 39 SERIAL NO.: 15/898,486 DOCKET NO.: 4186.025US1 REPLACEMENT SHEET ...

Surgical equipment holder

A surgical equipment holder is disclosed. The surgical equipment holder includes a first arm pivotable relative to a base, a second arm pivotably coupled to the first arm and an end effector pivotable relative to the second arm. The surgical equipment holder may also include features on the first arm and the second arm configured to allow enhanced cleanability of the surgical instrument holder. The surgical equipment holder also includes a lever configured to actuate between a locked and unlocked position by use of a single hand by an operator. The end effector of the surgical equipment holder is configured to support and finely adjust the position of any number of surgical accessories during surgical procedures.

Robotic arm cart and uses therefor

In some embodiments, an apparatus can include a robotic arm cart for transporting, delivering, and securing robotic arms to a surgical table having a table top on which a patient can be disposed. The arm cart can include an arm container and a base. The arm container can be configured to receive and contain one or more robotic arms. The arm cart can include a first coupling member configured to engage with a second coupling member associated with a surgical table such that, when the first coupling member is engaged with the second coupling member, the one or more robotic arms can be releasably coupled with the surgical table. The arm cart can provide for movement of the one or more robotic arms in at least one of a lateral, longitudinal, or vertical direction relative to the table top prior to the securement of the one or more robotic arms to the surgical table.

EXTERNAL FIXATION SYSTEM

Systems and methods for heart valve therapy

Prosthetic heart valves described herein can be deployed using a transcatheter delivery system and technique to interface and anchor in cooperation with the anatomical structures of a native heart valve. Deployment systems and methods for using the deployment systems described herein facilitate accurately and conveniently controllable percutaneous, transcatheter techniques by which the prosthetic heart valves can be delivered and deployed within a patient.

TABLE ADAPTERS FOR MOUNTING ROBOTIC ARMS TO A SURGICAL TABLE

In some embodiments, an apparatus can include a surgical table and an adapter coupled thereto. The adapter includes an interface structure, a first link member pivotally coupled to the interface structure at a first joint, and coupled to a second link member of the adapter at a second joint. The second link member can also be coupleable to a robotic arm via a coupling. The first joint can allow the first link member to rotate about a first axis defined in a vertical direction relative to the table top, and the second joint can allow the second link member and a robotic arm coupled thereto to move in a vertical direction relative to the table top. The first link member and the second link member collectively provide for movement of the robotic arm in at least one of a lateral, longitudinal or vertical direction relative to the table top.

ROBOTIC ARM CART HAVING LOCKING SWIVEL JOINTS AND OTHER POSITION ADJUSTMENT FEATURES AND USES THEREFOR

Apparatuses and methods described herein relate to arm carts for transporting and securing a robotic arm to a surgical table. In some embodiments, an arm cart may include an arm support having two joints that can be manipulated to move an arm into a position in which a coupler of the arm is engageable with a coupling site of a surgical table. In some embodiments, an arm cart may include an arm support that is rotatable and translatable to permit movement of an attachment area for receiving and attaching a coupling site of a surgical table to a coupler attached to an arm. In some embodiments, an arm cart may include an arm support that releasably couples to a middle segment of the arm positioned at least two segments away from an end of the arm having a coupler for coupling to a coupling site of a surgical table.

UNIVERSAL NAVIGATION INSTRUMENT ADAPTER

A device or system to adapt navigation trackers from various manufacturers to a variety of instruments to be navigated during a surgical procedure is disclosed. An adapter for coupling a navigation tracking array to an instrument including a drive shaft and a tracking device holder. The drive shaft can include a handle interface, an instrument connection, and an intermediate section including a circular locking groove extends proximally from a positioning flange. The tracking device holder can be configured to secure a navigation tracking array to the drive shaft and include an elongated body and a locking button. The elongated body can include an inner bore extending along a longitudinal length of the elongated body and adapted to receive the intermediate section of the drive shaft. The locking button can retain the tracking device holder along the drive shaft while allowing for rotation about the longitudinal axis.

GUIDANCE SYSTEM MOUNTS FOR SURGICAL INTRODUCERS

A delicate tissue retraction system having a retractor, an introducer and a clamp mechanism. The retractor has a hollow retractor passage extending along a longitudinal axis from a proximal retractor end to a distal retractor end. The introducer has an introducer channel extending from a proximal introducer end to a distal introducer end. The introducer is configured to be removably installed within the retractor such that the proximal introducer end and distal introducer end are located along the longitudinal axis and the distal introducer end extends beyond the distal retractor end. The clamp mechanism is located on the introducer and includes a clamp axially aligned with the introducer channel, and control member configured to move the clamp between an open position and a closed position. The clamp may be used to hold a navigation probe inside the introducer, and a registration indicator may confirm the proper installation of the probe.

MODULAR RAIL ADAPTER SYSTEM

A modular rail adapter that automates latching an adapter to a DIN rail without the need for users to manually latch adapter to a rail. Users simply snap the adapter to the DIN rail in one, continuous movement using a built-in, self-latching catch mechanism. The present adapter eliminates, or greatly reduces the adapter clearance gap to enable a simple, safe, cost effective and user- friendly snap-on mechanism that doesn't require users to remember to latch the accessory being attached to a DIN rail.

METHOD AND APPARATUS FOR RETRACTING TISSUE

A surgical retractor includes a retractor blade and a gripping element releasably coupled to the retractor blade. The gripping element has a textured surface for engaging and gripping tissue. The gripping element may be released from the retractor blade intraoperatively. The surgical retractor may also have an optical illumination element such as an optical waveguide that is magnetically and releasably coupled to the retractor.

SURGICAL INSTRUMENT UNIT SUITABLE FOR MINI-INVASIVE SURGERY

Surgical instrument unit suitable for mini-invasive surgery, consisting of a multivalve device with adjustable separator for accessing the patient internally and with at least one simultaneous approach system consisting of a number of components which includes a surgical operating device composed of control means, a movement transmission element and working grippers equipping needle grippers composed of control means, a head connection sheath with connecting needle arranged inside it and the working head; and a cauterization device which comprises control means, a movement transmission element and the cauterizer.

CATHETER CLIPS

A device for gripping a catheter, including a first jaw having a first exterior side and a first radial passage. The device has a second jaw having a second exterior side, opposite the first exterior side, and a second radial passage. The device also has a resilient joint connecting the first and second jaws so that manual compression of the first exterior side toward the second exterior side causes relative rotation between the first and second jaws that mutually aligns the first and second radial passages, such that the catheter can be inserted through the first and second radial passages, and so that releasing the manual compression causes the first and second jaws to rotate so that the first and second radial passages are no longer mutually aligned and so that the catheter passes through and is gripped by the device along mutually aligned first and second central axes.

A TISSUE STABILIZATION DEVICE FOR USE DURING SURGERY

In accordance with the present invention there is provided a device for stabilizing moving tissue, such as a beating heart, so as to facilitate surgical procedures on such tissue. The device includes a tube having a proximal end, a distal end and a lumen extending therebetween. The tube is connected to a suctio n source so as to draw air through the tube from the distal end to the proximal en d. The device further includes at least one foot connected to the distal end of the tube. The foot extends laterally from the tube. In a preferred embodiment the device includes a pair of feet which are spaced apart laterally from each other. Each foot has a proximal surface, and a distal surface for making contact with t he tissue. In one preferred embodiment the device includes a filter on said distal surface of each foot whereby particulate material is substantially prevented fro m entering said lumen of said tube. In another embodiment distal surface of the fo ot comprises a plurality of pegs extending ...

A TISSUE STABILIZATION DEVICE FOR USE DURING SURGERY

In accordance with the present invention there is provided a device for stabilizing moving tissue, such as a beating heart, so as to facilitate surgical procedures on such tissue. The device includes a tube having a proximal end, a distal end and a lumen extending therebetween. The tube is connected to a suction source so as to draw air through the tube from the distal end to the proxima l end. The device further includes at least one foot connected to the distal end of the tube. The foot extends laterally from the tube. In a preferred embodiment th e device includes a pair of feet which are spaced apart laterally from each other. Each foot has a proximal surface, and a distal surface for making contact wi th the tissue. In one preferred embodiment the device includes a filter on said distal surface of each foot whereby particulate material is substantially prevented from entering said lumen of said tube. In another embodiment distal surface of th e foot comprises a plurality of pegs extending ...

INSTRUMENTAL SURGICAL EQUIPMENT, SUITABLE FOR MINIMUM INVASIVE SURGICAL INTERVENTION

Medical robotic and/or catheter control system

SURGICAL RETAINING ARM THAT CAN BE AUTOMATICALLY RETIGHTENED

의료 장치를 고정시키기 위한 기기 및 이의 관련 방법

... 본 발명은 의료 장치를 고정시키기 위한 기기에 관한 것이다. 특히, 본 발명은 의료 장치를 원하는 방식으로 고정시키기 위한 기기에 관한 것인데, 여기서 기기는 기다란 본체, 고정 영역, 의료 장치 부착 영역, 및 연결 영역을 구비한다. 그러한 기기는 특정 의료 장치(예컨대, 마이크로파 에너지 전달 장치)를 유리한 위치에 고정시키면서 그러한 의료 장치에 의해 의료 시술(예컨대, 말초 폐 조직의 절제)을 수행하는 데 유용하다.

'grampo tensor de ação rápida de dispositivo retrator de ferida'

QUICK-ACTION TENSIONING CLIP OF A WOUND RETRACTOR

A quick-action tensioning clip of a wound retractor, with at least one braceable seat for at least one holding arm and/or for a joint ball of a holding arm, is made available which can be operated safely, easily and quickly and which requires only low operating forces and at the same time safely and permanently generates high clamping forces, this being achieved by the fact that, in order to generate the tensioning force, it is equipped with a toggle catch composed of two joint levers which are connected to each other via a connecting joint and which, at their free ends, are articulated via attachment joints on component parts of the quick-action tensioning clip that can be mechanically moved away from or towards one another.

DEVICE AND SYSTEM INCLUDING MECHANICAL ARMS

A device sized and shaped for insertion into a body comprising: at least one mechanical limb comprising: a support segment; a first flexible section extending from the support segment and terminating in a coupling section; and a second flexible section extending from the coupling section and terminating in a tool or a connector for a tool; wherein a long axis of one or more of the flexible sections is bendable in a single bending plane; wherein a long axis length of the first flexible section is at least double a maximum extent of the first flexible section perpendicular to a flexible section long axis; wherein a long axis length of the second flexible section is at least double a maximum extent of the second flexible section perpendicular to a flexible section long axis.

PROTECTIVE SHIELD ASSEMBLY

A shield assembly for protecting against airborne droplets and other fluids, particularly excreted from humans. The shield assembly may generally comprise a shield, one or more support plates or members, a stand, and, optionally, a frame for holding the shield. The shield can be pivotally engaged with the stand, allowing a user of the shield assembly to change the pitch of the shield. The shield assembly may be engaged with a medical table, bed, or gurney, or alternatively may be engaged with a portable, moveable base. A user may position the shield assembly such that the shield thereof is disposed between the user's face and a source of airborne droplets or fluids.

Guiding trocar and system for connecting to a guiding trocar

Guiding tube, in particular a trocar, for receiving and guiding a medical instrument, wherein the guiding tube includes engaging members for engaging an instrument inside the tube and a substantially spherically shaped ball member provided on an outer surface of said tube, wherein the engaging members are provided movable with respect to the tube in a direction having a radial component, seen with respect to the longitudinal axis of the tube, upon compression of the ball member.

SURGICAL TROCARS AND IMAGE ACQUISITION METHOD USING THE SAME

Surgical trocars, and image acquisition method using the same, include a body having a passage configured to receive at least one surgical instrument, and at least one camera movably coupled to an outer wall of the body.

Energy delivery systems and uses thereof

The present invention relates to comprehensive systems, devices and methods for delivering energy to tissue for a wide variety of applications, including medical procedures (e.g., tissue ablation, resection, cautery, vascular thrombosis, treatment of cardiac arrhythmias and dysrhythmias, electrosurgery, tissue harvest, etc.). In certain embodiments, systems, devices, and methods are provided for treating a tissue region (e.g., a tumor) through application of energy.

Method and devices for implantation of biologic constructs

Systems for delivering a sheet-like implant including a means of deploying and orienting the sheet-like implant within the body.

SURGICAL RETRACTOR

Optical probes for corridor surgery

Cannula attachment devices and methods for a surgical robotic system

A tissue stabilization device for use during surgery having asegmented shaft

Coupler to attach robotic arm to surgical table

In some embodiments, an apparatus can include a coupler for coupling a robotic arm to a surgical table having a table top on which a patient can be disposed. The coupler can include a first portion configured to couple to a surgical table and a second portion configured to couple to a robotic arm. The second portion may include a post that may translate into the first portion. The first portion may comprise a locking mechanism having one or more stages to constrain movement of the second portion relative to the first portion in six degrees of freedom. The coupler can thus provide secure coupling of the robotic arm to the surgical table.

CATHETER CLIPS

A device for gripping a catheter, including a first jaw having a first exterior side and a first radial passage. The device has a second jaw having a second exterior side, opposite the first exterior side, and a second radial passage. The device also has a resilient joint connecting the first and second jaws so that manual compression of the first exterior side toward the second exterior side causes relative rotation between the first and second jaws that mutually aligns the first and second radial passages, such that the catheter can be inserted through the first and second radial passages, and so that releasing the manual compression causes the first and second jaws to rotate so that the first and second radial passages are no longer mutually aligned and so that the catheter passes through and is gripped by the device along mutually aligned first and second central axes.

WIRE GUIDES AND ANCHORS FOR ENDOSCOPY

A wire guide system is provided for use during a endoscopic surgical procedures. The wire guide system includes a cylindrical shaft having a hollow chamber along a longitudinal axis of the cylindrical shaft, a flange fit disposed around the cylindrical shaft and a seal disposed around the cylindrical shaft and abutting the flange. The system may also include an anchor affixed to the cylindrical shaft and having an aperture from which at least one of a sensor, a light, a camera, tissue and/or organs may be suspended therefrom and at least one cable extending from one end of the cylindrical shaft to another end of the cylindrical shaft through the hollow chamber.

METHOD AND APPARATUS FOR ATTACHING TISSUE TO BONE, INCLUDING THE PROVISION AND USE OF A NOVEL KNOTLESS SUTURE ANCHOR SYSTEM

Apparatus for securing an object to bone, the apparatus comprising: an anchor, the anchor comprising: a body comprising an opening for receiving a filament therein; and a locking element movably mounted to the body for selectively locking the filament to the body; and an inserter for deploying the anchor in bone, the inserter comprising: a handle; an overtube extending distally from the handle; a carriage movably mounted to the handle; a shaft movably mounted within the overtube and connected to the carriage and releasably connected to the body of the anchor, the shaft being hollow; and a rod movably mounted within the shaft and connected to the locking element.

A TISSUE STABILIZATION DEVICE FOR USE DURING SURGERY HAVING SPHERICAL CURVED FEET

In accordance with the present invention there is provided a device for stabilizing and/or manipulating moving tissue, such as a beating heart, so a s to facilitate surgical procedures on such tissues. The device includes a tube having a proximal end, a distal end and a lumen extending therebetween. The tube is operatively connected to a suction source so as to draw air through the tube from the distal end to the proximal end. The device further includes at least one foot operatively connected to the distal end of the tube. The foot extends laterally from the tube. In a preferred embodiment the device includes a pair of feet which are spaced apart laterally from each other. Each foot has a proximal surface, an d a distal surface for making contact with the tissue. The distal surface of eac h foot has an outer perimeter having a substantially spherical profile. This spherical profile helps the device make better contact with the tissue, so the tissue can be more effectively manipulated.

QUICKLY ACTING CLAMP RANORASShIRITELNOGO DEVICE

MEDICAL DEVICE FOR CONSTRAINING A SEGMENT HUMAN ARTICULAR, CORRESPONDING SYSTEM, METHOD AND USES THEREOF

HOLDER FACILITY FOR HOLDING A MEDICAL INSTRUMENT

A holder facility for holding a medical instrument includes a first receiving element, a second receiving element, and at least three diaphragm elements. The at least three diaphragm elements within a diaphragm layer are arranged between the first and second receiving elements about a common rotation axis. The first and second receiving elements each have an opening for receiving the medical instrument. The first and second receiving elements are movable around about the common rotation axis relative to one another. Each of the at least three diaphragm elements is forcibly moved by mechanical coupling. For a movement of the first receiving element relative to the second receiving element about the common rotation axis, there is a forcibly-guided movement of the at least three diaphragm elements such that the at least three diaphragm elements hold a medical instrument arranged in the opening of the first and second receiving elements. 115-. (canceled)16. A holder facility for holding a medical instrument , the holder comprising:a first receiving element;a second receiving element; andat least three diaphragm elements, the at least three diaphragm elements being arranged about a common axis of rotation of the first receiving element and the second receiving element within a diaphragm layer between the first receiving element and the second receiving element,wherein the common axis of rotation runs essentially at right angles to the diaphragm layer,wherein the first receiving element and the second receiving element each have an opening to receive the medical instrument,wherein the first receiving element and the second receiving element are movable around relative to one another about the common axis of rotation,wherein each of the at least three diaphragm elements comprises at least one first coupling element,wherein the first receiving element, the second receiving element, or the first receiving element and the second receiving element each comprise at least one ...

System of accessories for use with bronchoscopes

A clip or flexible handles extension facilitate simultaneous retention and operation of a bronchoscope and associated bronchoscopic tools held in one hand to allow operation by a single practitioner. Also provided is an adapter for the connection port of the working channel of a bronchoscope which performs both sealing and tool-locking functions. Also disclosed is a guide sheath arrangement with a reduced flexibility proximal portion to facilitate insertion of tools into the guide sheath.

Screw driver system

A screw driver system includes a screw driving bit and a guide clamp. The screw driving bit includes a unitary body having a first end and a second end with a longitudinal axis defined therebetween and an outer surface having a cylindrical portion between the first and second ends. The screw driving bit includes a first circumferential groove and a second circumferential groove that are affixed in coaxially positioned arrangement about the longitudinal axis on the outer surface of the cylindrical portion each having a bottom surface. The bottom surface of the first circumferential groove defines a first outer diameter that is larger than a second outer diameter defined by the second circumferential groove. The guide clamp includes a jaw for holding the screw driving bit. When engaged with the first circumferential groove, the guide clamp prevents rotation of the screw driving bit. When engaged with the second circumferential groove, the guide clamp does not prevent rotation of the screw ...

UNIVERSAL HOLDER FOR AN INSERTABLE MEDICAL TOOL

A holder apparatus for enabling secure coupling of a variety of medical tool types, having different head member configurations, to a medical device. The apparatus has at least two housing portions that open and close to receive the head member, and an adjustment mechanism that adjusts to the height and/or shape of the head member, such that there is no relative movement between the housing portions and the head member. The adjustment mechanism may be a ratchet mechanism, a semi-flexible fastener, or a moldable material disposed on one or more of the housing portions. There may be a locking mechanism to lock together the housing portions, and a tightening mechanism to secure the grip of the housing portions on the head member. The housing portions may be configured to allow removal of at least a portion of the medical tool from the device.

ACCESS ASSEMBLY FOR ANTERIOR AND LATERAL SPINAL PROCEDURES

The present invention is directed to methods and instrumentation for performing surgery on the spine along its lateral aspect (side) and generally by a lateral, anterior or an anterolateral surgical approach, such that the instruments enter the body from an approach that is other than posterior and make contact with the spine along its lateral aspect. The present invention provides for the entire surgical procedure to be performed through a relatively small incision and may be performed in either the thoracic or lumbar spine. 110. An access assembly () for anterior , lateral and anterolateral spinal procedures comprising:{'b': 12', '26', '24', '26', '84', '86', '80', '81', '26', '24', '28', '88', '90', '81, 'a needle assembly (), including a cannula () and a needle member (), said cannula () formed as a tubular member having a first end (), a second end () and a central portion (), a lumen () extending through said cannula (), said needle member () having a point end (), a second end () and a central portion () having an outer diameter sized to fit through said lumen (),'}{'b': 14', '12', '14', '12', '14', '24', '81', '26', '28', '24', '86', '26, 'a handle assembly () for providing directional control of said needle assembly () during insertion thereof, said handle assembly () being removable and re-securable to said needle assembly (), said handle assembly () securing said needle member () within said lumen () of said cannula () having said point () of said needle member () extending beyond an end point of said second end () of said cannula ().'}21014301412302481. The access assembly () for anterior claim 1 , lateral and anterolateral spinal procedures of wherein said handle assembly () includes a clamp portion () for securing said handle assembly () to said needle assembly () claim 1 , said clamp portion () simultaneously positioning said needle member () within said lumen ().31086263288243432343014. The access assembly () for anterior claim 2 , lateral and ...

Surgical Accessory Clamp and System

A surgical accessory clamp, method of use, and a robotic surgical system including the clamp are disclosed. A surgical accessory may be attached and removed from a manipulator arm during a surgical procedure without requiring the use of an intermediate sterile accessory clamp, thus removing the need for a detachable accessory mount or adaptor that needs cleaning and sterilization and allowing for greater efficiency and cost-effectiveness. The present invention further allows for easy removal and attachment of instruments, tools, or accessories to the robotic surgical system without breach of sterility.

Tissue stabilization device for use during surgery having spherical curved feet

In accordance with the present invention there is provided a device for stabilizing and/or manipulating moving tissue, such as a beating heart, so as to facilitate surgical procedures on such tissues. The device includes a tube having a proximal end, a distal end and a lumen extending therebetween. The tube is operatively connected to a suction source so as to draw air through the tube from the distal end to the proximal end. The device further includes at least one foot operatively connected to the distal end of the tube. The foot extends laterally from the tube. In a preferred embodiment the device includes a pair of feet which are spaced apart laterally from each other. Each foot has a proximal surface, and a distal surface for making contact with the tissue. The distal surface of each foot has an outer perimeter having a substantially spherical profile. This spherical profile helps the device make better contact with the tissue, so the tissue can be more effectively manipulated.

ARTICULATING STABILIZER ARM WITH ADJUSTABLE LENGTH

A reusable flexible arm stabilizes tissues during surgical procedures. The stabilizer arm switches between a flexible state for conforming to a desired curvature and a rigid state for maintain a desired positioning. A suspension length provided by the stabilizer arm is also adjustable. The arm has an articulating portion with successive articulating links each having a central passage. A length adjustable portion has successive length-adjustable links each having a central passage. A tension cable extends through the central passages between a proximal one of the length-adjustable links and a distal one of the articulating links. A base member captures the length-adjustable links at a position corresponding to a desired extension length of the arm. A control mechanism is movable between a retracted position and an extended position to selectably separate the captured length-adjustable links, thereby adjusting a tension in the tension cable and a rigidity of the stabilizer arm.

Surgical light and uses thereof

Provided herein are surgical lighting devices, systems, and methods. In particular, provided herein are sterile surgical lights and uses thereof.

Clamping device and clamping arrangement for a medical instrument

A clamping device and method for human-medicine or veterinary-medicine applications for the frictionally engaged locking of at least two holding segments, the clamping device has a first holding segment, a second holding segment; a driveable spindle, via which a rotational movement can be converted into an axial longitudinal movement for spindle-locking the second holding segment, and a threaded plate. In this case, the threaded plate can be moved axially in the opposite direction during the spindle movement, wherein, by counter-movement of the threaded plate, at least one wedge body is moveable in a ramp system, in order to clamp the first holding segment.

MEDICAL DEVICE SUPPORT AND METHOD OF USE

A stabilizing base includes one or more legs and a platform attached to the one or more legs. One or more of a height of the platform relative to an operating table, a position of the platform along a width of the operating table, a position of the platform along a length of the operating table, and an angular position of the platform relative to the operating table can be adjusted.

МЕДИЦИНСКАЯ СИСТЕМА

Группа изобретений относится к медицине. Медицинская роботизированная хирургическая система для применения хирургической медицинской процедуры к живому существу содержит медицинское устройство для выполнения хирургической медицинской процедуры, систему крепления для крепления медицинского устройства к стене и/или к потолку помещения, элемент фиксации для жесткого крепления медицинского устройства к базисному устройству, пассивный элемент сопряжения между системой крепления и медицинским устройством. Медицинское устройство выполнено с возможностью выполнения перемещения относительно базисного устройства для применения хирургической медицинской процедуры. Медицинское устройство содержит медицинское роботизированное устройство и/или устройство управления катетером. Система крепления является системой подвешивания для подвешивания медицинского устройства на стене и/или потолке помещения. Элемент сопряжения выполнен с возможностью обеспечения сопряжения при перемещении медицинского устройства ...

ДЕРЖАТЕЛЬ ИНСТРУМЕНТА

Группа изобретений относится к области медицинской техники, а именно к держателю инструмента для крепления медицинского инструмента на шарнирно–сочлененной руке с телом, фиксирующим устройством для фиксации медицинского инструмента на теле и соединительным элементом для установки тела на шарнирно–сочлененной руке. Держатель инструмента для крепления медицинского инструмента на шарнирно-сочлененной руке содержит тело, фиксирующее устройство для фиксации медицинского инструмента на теле и соединительный элемент для установки тела на шарнирно-сочлененной руке. Фиксирующее устройство содержит снабженный наружной резьбой стержень, который выполнен в зоне первой контактной поверхности, выполненной на теле, приемный диск и блокирующий элемент. Приемный диск имеет сквозное отверстие, вторую контактную поверхность и приемную канавку. Через сквозное отверстие приемный диск насаживается на резьбовой стержень с возможностью вращения вокруг резьбового стержня. Вторая контактная поверхность в положении ...

Устройство крепления уретерореноскопа в роботическом модуле

Полезная модель относится к медицине, а именно к урологии, и может быть применима для выполнения оперативного лечения пациентов с камнями в мочевыводящих путях с использованием роботизированного ассистента. Устройство крепления уретерореноскопа в роботическом модуле содержит хомут, скобы, выполненные в виде сборной конструкции, винт, вал с прорезью. На (фиг.2) представлена скоба с двумя фиксирующими зубьями, отверстием для фиксации корпуса уретерореноскопа (на чертеже не показан) и ободом, препятствующим выскальзыванию уретерореноскопа из хомута во время перемещения. Технический результат заключается в обеспечении жесткого крепления уретерореноскопа в роботическом модуле, благодаря чему получается высокая точность при дроблении камня, снижение риска повреждения мочевыводящих путей пациента, уменьшение вероятности миграции камня, более точный контроль за движениями, снижение напряженности рук врача, полное исключение тремора. 2 ил.

Haltevorrichtung zum Halten eines portablen Medizingeräts

Die Erfindung betrifft eine Haltevorrichtung (10) zum Halten eines portablen Medizingeräts und zum Einführen in eine Montageschiene. Die Haltevorrichtung umfasst dabei einen Grundkörper (21) mit einer Grundfläche (22); mindestens ein Führungselement (40) mit einem Führungsprofil, wobei das mindestens eine Führungselement (40) entlang einer Längsachse des Grundkörpers (21) ausgebildet ist und sich vom Grundkörper (21) aus in eine Einführungsrichtung (A) erstreckt und wobei das mindestens eine Führungselement (40) in eine Führung (31a,b) in der Montageschiene einführbar ist; mindestens ein Fixiermittel (23a,b,c) zum Fixieren des portablen Medizingeräts über einen Adapter an der Haltevorrichtung (10); ein Arretiermittel (50), das zumindest teilweise entlang der Einführungsrichtung (A) zwischen einer ersten Arretierposition und einer zweiten Arretierposition bewegbar ist; mindestens ein Spannmittel (60), wobei das mindestens eine Spannmittel (60) zumindest teilweise entlang der Einführungsrichtung ...

Device for tracking movement of human limb to perform orientation and position determination of small elements e.g. small surgical instruments, has base element comprising clasp element for wedging fastening with to-be tracked element

The device has an element connected with a base element (10) to-tracked. A set of reflection elements (18) is connected with the base element, where the reflection elements are arranged with a spatial spacing from each other to simultaneously perform a position determination and orientation determination of the to-be tracked element. The base element comprises a clasp element (12) for wedging fastening with the to-be tracked element. The reflection elements are connected with the base element over a rod-shaped intermediate element (16).

Haltevorrichtung für ein Endoskop

Eine Haltevorrichtung für ein Endoskop, das einen flexiblen Einführabschnitt zum Einführen in eine menschliche Körperöffnung aufweist, ist dazu ausgebildet, eine an dem Einführabschnitt des Endoskops gebildete Schlaufe zu halten. Ein Endoskop-System umfasst ein Endoskop und eine derartige Haltevorrichtung. Bei einem Verfahren zum Anpassen der Länge eines flexiblen Einführabschnitts eines Endoskops wird an dem flexiblen Einführabschnitt eine Schlaufe gebildet, wobei an der Schlaufe eine derartige Haltevorrichtung angebracht wird.

Device for surgical assistance

Device and method for guiding a medical instrument

Robot mounting arrangement

SURGICAL ACCESSORY CLAMP AND SYSTEM

DEVICE AND METHODS FOR PLACING EXTERNAL FIXATION ELEMENTS

Method and apparatus for retracting tissue

A surgical retractor includes a retractor blade and a gripping element releasably coupled to the retractor blade. The gripping element has a textured surface for engaging and gripping tissue. The gripping element may be released from the retractor blade intraoperatively. The surgical retractor may also have an optical illumination element such as an optical waveguide that is magnetically and releasably coupled to the retractor.

Surgical retractor

A surgical retractor assembly is provided that can assume both open and closed positions, and is easily convertible from one position to the other. The retractor assembly involves an arcuate frame member that can be engaged to an arcuate connector, which together form a generally circular or elliptical retractor frame assembly. The frame member has a groove for the insertion of one or more mobile carriages that hold retractor blade posts and allow the posts to move in multiple directions. The carriages may be locked to prevent movement in one or more directions, as well.

Cart for robotic arms and method and apparatus for registering cart to surgical table

In some embodiments, an apparatus can include a cart for a surgical robotic arm having a coupler releasably coupleable to a coupling site on a surgical table. The cart can include a base and a first engagement feature. The base can be freely movably on a support surface between a first location remote from the surgical table and a second location adjacent the surgical table. The first engagement feature can be configured for engagement with a second engagement feature associated with the surgical table such that, when the first engagement feature and the second engagement feature are engaged, the coupler of the robotic arm is disposed in a position in which the coupler of the robotic arm can be engaged by the coupler of the surgical table.

Clamp for a medical device

The present invention provides a clamp (10) for clamp for retaining a medical device in a medical apparatus. The clamp (10) includes a pair of opposed gripping elements (16). At least one of the gripping elements is substantially rotatably moveable to grip and apply a compressive force on a portion of the medical device when the portion it is placed between the gripping elements. The compressive force increases when the at least one of the gripping elements rotates in one direction and reduces when it rotates in an opposite direction.

Support arm apparatus used to support medical device

A support arm apparatus used to support a medical device, comprising: a support arm (1) having a first end part and a second end part, and a hollow cavity extending from the first end part to the second end part, the support arm (1) defining a longitudinal axis (x); a bearing component (2) disposed on the second end part of the support arm (1); a ball joint (3) disposed on the first end part of the support arm (1), the ball joint (3) comprising a ball head (4) and a ball socket (5); a connecting component (6) connected to the ball head (4), configured so as to be used to connect to a medical device (10); and a locking apparatus (30), the locking apparatus (30) comprising a manipulating element (11) and a locking element (12) movingly disposed in the hollow cavity, the locking element (12) being capable of being manipulated in a direction locking the ball head (4) by the manipulating element (11). This type of support arm apparatus enables a position and orientation of a medical apparatus ...

SURGICAL HOLDER FOR A LAPAROSCOPE OR THE LIKE

UNIVERSAL HOLDER FOR AN INSERTABLE MEDICAL TOOL

A holder apparatus for enabling secure coupling of a variety of medical tool types, having different head member configurations, to a medical device. The apparatus has at least two housing portions that open and close to receive the head member, and an adjustment mechanism that adjusts to the height and/or shape of the head member, such that there is no relative movement between the housing portions and the head member. The adjustment mechanism may be a ratchet mechanism, a semi-flexible fastener, or a moldable material disposed on one or more of the housing portions. There may be a locking mechanism to lock together the housing portions, and a tightening mechanism to secure the grip of the housing portions on the head member. The housing portions may be configured to allow removal of at least a portion of the medical tool from the device.

UNIVERSAL VAGINAL SPECULUM

CANNULA ATTACHMENT DEVICES AND METHODS FOR A SURGICAL ROBOTIC SYSTEM

A robotic surgical system may include a cannula attachment device or cannula mount having a locking mechanism configured to pivot between an unlocked position and a locked over-center position. The locking mechanism may actuate a clamp or other feature that is configured to move between a closed position and an open position. The clamp may include a locating structure with one or more tapered surfaces that is configured to mate with a corresponding structure disposed on a portion of a cannula when the cannula is positioned in the cannula attachment device. The locating structure may guide the cannula into the attachment device, as well as assist with orientating the cannula relative to the attachment device.

SUPPORT ARM APPARATUS FOR SUPPORTING MEDICAL INSTRUMENT

A support arm apparatus used to support a medical device, comprising: a support arm (1) having a first end part and a second end part, and a hollow cavity extending from the first end part to the second end part, the support arm (1) defining a longitudinal axis (x); a bearing component (2) disposed on the second end part of the support arm (1); a ball joint (3) disposed on the first end part of the support arm (1), the ball joint (3) comprising a ball head (4) and a ball socket (5); a connecting component (6) connected to the ball head (4), configured so as to be used to connect to a medical device (10); and a locking apparatus (30), the locking apparatus (30) comprising a manipulating element (11) and a locking element (12) movingly disposed in the hollow cavity, the locking element (12) being capable of being manipulated in a direction locking the ball head (4) by the manipulating element (11). This type of support arm apparatus enables a position and orientation of a medical apparatus ...

VERSATILE MULTI-ARM ROBOTIC SURGICAL SYSTEM

A robotic surgical system comprising at least two robotic arms having co-ordinate systems known relative to each other, one of the arms carrying an X-ray source, and the other an imaging detector plate. The arms are disposed to enable an image to be generated on the region of interest of a subject. One of the arms can additionally or alternatively carry a surgical tool or tool holder, such that the pose of the tool is known in the same co-ordinate system as that of an image generated by the X-ray source and detector. Consequently, any surgical procedure planned on such an X-ray image can be executed by the tool with high accuracy, since the tool position is known in the image frame of reference. This enables the surgeon to accurately position his tool in a real-time image without the need for an external registration procedure.

END EFFECTOR FOR A POSITIONING DEVICE

An end effector is provided for connecting to a positioning arm of a positioning device of a medical navigation system. The end effector comprises a mating component for connecting to an output flange of the positioning arm, a handle portion having a first end and a second end, the first end extending from the mating component, the handle portion including a cable cut-out at the first end, and a camera mount connected to the second end of the handle portion.

A TISSUE STABILIZATION DEVICE FOR USE DURING SURGERY HAVING A SEGMENTED SHAFT

In accordance with the present invention there is provided a device for stabilizing moving tissue, such as a beating heart, so as to facilitate surgical procedures on such tissue. The device includes a tube having a proximal end, a distal end and a lumen extending therebetween. The tube has a flexible hose extending through the lumen of the tube between its distal and proximal ends. Th e hose having a proximal end connected to a suction source so as to draw air through the tube from its distal end to its proximal end. The tube is made up of a plurality of segments which are detachable from one another. The device further includes at least one foot connected to the distal end of the tube. The foot ext ends laterally from the tube. In a preferred embodiment the device includes a pair of feet which are spaced apart laterally from each other. Each foot has a proximal surface, and a distal surface for making contact with the tissue.

UNIVERSAL HOLDER FOR AN INSERTABLE MEDICAL TOOL

TOGETHER Of SURGICAL LIGHTING

La présente invention concerne un socle répartiteur (10) stérilisable et stérile, pour ensemble d'éclairage chirurgical, comportant : - au moins une base pourvue d'au moins un connecteur (30) apte à assurer la connexion électrique et mécanique d'au moins un dispositif d'éclairage (1), et - au moins un dispositif d'accrochage mécanique apte à assurer l'accrochage de la base sur un instrument de chirurgie et/ou sur le champ stérile d'opération.

위대장 내시경용 침대

... 본 발명은 위 내시경의 경우, 환자의 머리를 기울일 수 있고, 대장 내시경의 경우, 환자와의 거리를 좁힐 수 있도록 하는 위대장 내시경용 침대에 관한 것이다. 이를 위해, 위대장 내시경용 침대는 적어도 환자의 몸통과 엉덩이 부분을 지지하는 중앙본체와, 중앙본체를 기준으로 피칭 운동이 가능하도록 환자의 엉덩이 쪽에서 피칭축에 의해 중앙본체와 결합되는 하부본체와, 중앙본체를 기준으로 하부본체를 피칭 운동시키는 피칭결합유닛을 포함한다.

ROBOTIC ARM CART WITH FINE POSITION ADJUSTMENT FEATURES AND USES THEREFOR

Some embodiments described herein relate to an arm cart operable to transport a robotic arm to and/or from a surgical table. The robotic arm can be coupled to the arm cart via a connector. The connector can be slideably mounted to the arm cart such that the connector and the robotic arm, collectively, can move relative to the arm cart. For example, when the arm cart is adjacent to the surgical table, the connector and the robotic arm can be movable to provide final, fine adjustments to align the robotic arm with a coupling portion of the surgical table. 1. A method , comprising:moving an arm cart containing a robotic arm from a storage location to a surgical table, a coupling portion of the robotic arm in a first position approximately aligned with a coupling portion of the surgical table;after moving the arm cart to the surgical table, moving the robotic arm within the arm cart from the first position to a second position in which the coupling portion of the robotic arm is exactly aligned with the coupling portion of the surgical table; andcoupling the robotic arm to the surgical table.2. The method of claim 1 , wherein the storage location is a first storage location claim 1 , the method further comprisingmoving the arm cart, without the robotic arm, from the surgical table to a second storage location.3. The method of wherein:moving the arm cart to the surgical table comprises placing the coupling portion of the robotic arm in contact with the coupling portion of the surgical table;at least one of the coupling portion of the robotic arm or the coupling portion of the surgical table comprises a chamfer; andmoving the robotic arm from the first position to the second position comprises continuing to move the arm cart towards the surgical table until the chamfer urges the robotic arm from the first position to the second position.4. The method of claim 1 , wherein moving the robotic arm from the first position to the second position comprises moving the robotic arm ...

SURGICAL INSTRUMENTS, SYSTEMS AND METHODS OF USE

A surgical instrument includes a mount body, a joint member, an arm, and a working end. The mount body has a top portion, a distal end, a proximal end and a bottom portion. The joint member is pivotally mounted at a distal end portion of the mount body, to allow positioning of a proximal portion of an arm extending distally from the joint member. The joint member is also configured to at least partially constrain movement of the proximal portion of the arm to a plane. The working end is mounted to a distal end portion of the arm. The surgical instrument can be configured as a heart stabilizer or a heart positioner. The joint member may further be configured as a slotted ball, a disk member, or a combination thereof.

Access assembly for anterior and lateral spinal procedures

The present invention is directed to methods and instrumentation for performing surgery on the spine along its lateral aspect (side) and generally by a lateral, anterior or an anterolateral surgical approach, such that the instruments enter the body from an approach that is other than posterior and make contact with the spine along its lateral aspect. The present invention provides for the entire surgical procedure to be performed through a relatively small incision and may be performed in either the thoracic or lumbar spine.

Chirurgisches Gerät

Ein chirurgisches Gerät (11) umfassend einen Schaft (13), eine Wundhakenklinge (15) und eine Befestigungsvorrichtung (17), um die Wundhakenklinge abneestigen. Das chirurgische Gerät ist so angeordnet, dass in einer ersten Stellung die Befestigungsvorrichtung die Klinge an dem Schaft befestigt, wodurch die Klinge relativ zu dem Schaft rotieren kann, während in einer zweiten Stellung das Befestigungsmittel die Klinge an dem Schaft befestigt, so dass die Klinge relativ dazu fixiert wird.

Halterung für eine Ablage

Die Erfindung betrifft eine Halterung zur Anbringung einer Ablage an der Infusionsstange eines medizinischen Gerätes, z. B. einer Dialysemaschine. Mit dieser Halterung wird dem Anwender eine Ablagefläche für Gebrauchsgegenstände an der Dialysemaschine zur Verfügung gestellt, Eine an der Infusionsstange zu befestigende Ablage ist insbesondere erforderlich bei Dialysemaschinen, deren Bildschirm nicht im Maschinengeshäuse integriert ist, sondern an der Infusionsstange befestigt wird. Hier kann nämlich die Oberfläche der Maschine nicht mehr als Ablagefläche verwendet werden. Die Halterung ist einfach ohne Zuhilfenahme von Werkzeugen anzubringen und zu entfernen.

Isolierhülse für einen tischmontierten Retraktor

Es wird ein chirurgisches Retraktorsystem (10) offenbart, das zwischen den Retraktorklingen (42) und dem chirurgischen Tisch (16) mit einer Isolierung versehen ist. Insbesondere kann das chirurgische Retraktorsystem (10) eine Verbindungsklemme (21) mit einer Isolierhülse (74) aufweisen, die innerhalb einer Öffnung (77) eines der Klemmelemente (52, 54) vorgesehen ist. Alternativ dazu können andere Komponenten des chirurgischen Retraktorsystems (10) isolierende Eigenschaften haben.

AUSSENFIXATEUR

TILTABLE CLIP

SYSTEM FROM ACCESSORIES FOR USE WITH BRONCHOSKOPEN

Robotic arm cart with fine position adjustment features and uses therefor

Some embodiments described herein relate to an arm cart operable to transport a robotic arm to and/or from a surgical table. The robotic arm can be coupled to the arm cart via a connector. The connector can be slideably mounted to the arm cart such that the connector and the robotic arm, collectively, can move relative to the arm cart. For example, when the arm cart is adjacent to the surgical table, the connector and the robotic arm can be movable to provide final, fine adjustments to align the robotic arm with a coupling portion of the surgical table.

Robotic arm cart and uses therefor

In some embodiments, an apparatus can include a robotic arm cart for transporting, delivering, and securing robotic arms to a surgical table having a table top on which a patient can be disposed. The arm cart can include an arm container and a base. The arm container can be configured to receive and contain one or more robotic arms. The arm cart can include a first coupling member configured to engage with a second coupling member associated with a surgical table such that, when the first coupling member is engaged with the second coupling member, the one or more robotic arms can be releasably coupled with the surgical table. The arm cart can provide for movement of the one or more robotic arms in at least one of a lateral, longitudinal, or vertical direction relative to the table top prior to the securement of the one or more robotic arms to the surgical table.

Multi-shield spinal access system

An access device for accessing an intervertebral disc having an outer shield comprising an access shield with a larger diameter (~16-30 mm) that reaches from the skin down to the facet line, with an inner shield having a second smaller diameter (~5-12mm) extending past the access shield and reaches down to the disc level. This combines the benefits of the direct visual microsurgical/mini open approaches and the percutaneous, "ultra-MIS" techniques.

Surgical instrument and method of use

A surgical instrument includes an element connectable with a fixture. A first member is independently and selectively movable relative to the element and includes a part engageable with an incision in a cranial-caudal orientation relative to a body to space apart tissue. A second member is independently and selectively movable relative to the element and includes a part engageable with tissue of an anterior portion of the incision relative to the body. A third member is independently and selectively movable relative to the element and includes a part engageable with tissue of a posterior portion of the incision relative to the body. Systems and methods are disclosed.

POLE CLAMP ASSEMBLY FOR MEDICAL DEVICES

A pole clamp assembly is configured to facilitate removable coupling of one or more medical devices to a support structure. The pole clamp assembly includes a pole clamp that is configured to selectively grip the supporting structure. The pole clamp includes a fastener hub and a locking mechanism. A docking member is configured to operably couple a medical device of the one or more medical devices to the pole clamp. The docking member includes structure defining a fastener hub aperture and one or more recesses into which a portion of the locking mechanism can selectively reside. The locking mechanism is shiftable between a non-engaged position in which the docking member is rotatable relative to the pole clamp, and an engaged position in which rotation of the docking member relative to the pole clamp is inhibited.

OPTICAL PROBES FOR CORRIDOR SURGERY

Optical probes for port-based corridor surgery are provided, including a device comprising: a surgical tool mounting adaptor configured for mounting to a surgical tool; an optical probe attached to the surgical tool mounting adaptor, the optical probe comprising: an optical interface end; an optical output end, distal the optical interface end, the optical output end comprising illumination optics and collection optics, the illumination optics configured to illuminate tissue proximal the optical output end, the collection optics configured to collect an optical signal from the tissue; one or more illumination optical fibers configured to convey illumination light from the optical interface end to the illumination optics; and, one or more collection optical fibers configured to convey the optical signal collected by the collection optics to the optical interface end.

ENDOSCOPIC SUTURING SYSTEM HAVING EXTERNAL INSTRUMENT CHANNEL

A distal cap apparatus for use with an endoscope, having a proximal end and a distal end and a longitudinal axis extending therebetween, includes a mount configured for mounting to the distal end of the endoscope, and a strap connected to the mount and configured for banding about the distal end of the endoscope when the distal end of the endoscope is received in the mount. The mount defines a strap slot configured to receive an end of the strap to configure the strap in the banded configuration. The strap may be elastic. The strap may be a continuous band. In one embodiment, a distal cap apparatus includes a mount having a strap and a buckle for adjusting a size of a loop formed at least partially by the strap about the distal end of the endoscope.

PATIENT POSITIONING SYSTEM

A system for positioning a patient on a treatment couchtop for SBRT is provided. The system includes a patient support panel and at least one positioning/fixation component for releasable mounting on the patient support panel at a desired position to immobilize a portion of the patient's body. The patient support panel includes a pair of longitudinally extending side rails having a series of longitudinally spaced indexing apertures for receipt of a locking bar for mounting a positioning/fixation component thereon at a discrete index position. The at least one positioning component includes a pair of clamping mechanisms for releasably securing that component to the side rails at any longitudinal position along the side rails.

Overlapping Retractor Blade Assemblies

A retractor assembly for percutaneous surgery in a patient includes first and second retractor portions positionable opposite one another in an incision of the patient. A working channel extends between the first and second retractor portions and provides access to a location within the patient adjacent to distal ends of the first and second retractor portions. The first and second retractor portions are movable relative to one another to adjust the size of the working channel. In addition, the first and second retractor portions are further configured to longitudinally overlap with one another such that the working channel is peripherally surrounded or enclosed by the first and second retractor portions as the working channel is adjusted across a plurality of different sizes. In another form, a method is directed to retracting tissue for percutaneous access to a surgical site. However, other embodiments, forms and applications are also envisioned.

Surgical tool holder

Apparatuses are provided to hold surgical tools during surgery. Such apparatuses may be fixed to a patient's body and include a base member, tool engagement member and one or more intermediary members. Each member may be attached to another by a knob and mating engagement section. Fixation between members may be provided individually for each attachment or may be provided so as to fix more than one attachment at a time.

Control of device including mechanical arms

A method of jointed device movement inside a body comprising: measuring movement of at least one input object portion; mapping the measured input object portion movement to a jointed device portion movement; and moving the device portion according to mapped measured movements.

Trocar holder

A trocar holder for a manipulator of a robotic surgical system. The trocar holder comprises a base element for securing the trocar holder to the manipulator and a clamp element which is replaceably connected to the base element via a coupling mechanism. Two limbs movable relative to each other in a clamp plane are formed on the clamp element. The limbs are connected via a spine and have free tips. The trocar holder also has a clamp mechanism for opening and closing the limbs and a receiving element for a trocar.

POLE CLAMP ASSEMBLY FOR MEDICAL DEVICES

A pole clamp assembly is configured to facilitate removable coupling of one or more medical devices to a support structure. The pole clamp assembly includes a pole clamp that is configured to selectively grip the supporting structure. The pole clamp includes a fastener hub and a locking mechanism. A docking member is configured to operably couple a medical device of the one or more medical devices to the pole clamp. The docking member includes structure defining a fastener hub aperture and one or more recesses into which a portion of the locking mechanism can selectively reside. The locking mechanism is shiftable between a non-engaged position in which the docking member is rotatable relative to the pole clamp, and an engaged position in which rotation of the docking member relative to the pole clamp is inhibited. 1. A pole clamp assembly configured to couple a medical device to a supporting structure , the pole clamp assembly comprising:a pole clamp configured to selectively grip the supporting structure, the pole clamp including a fastener hub and a locking mechanism; anda docking member coupled to the pole clamp and configured to operably couple to the medical device, the docking member including structure defining a fastener hub aperture and one or more recesses into which a portion of the locking mechanism can selectively reside, wherein the locking mechanism is shiftable between a non-engaged position in which the docking member is rotatable relative to the pole clamp, and an engaged position in which rotation of the docking member relative to the pole clamp is inhibited.2. The pole clamp assembly of claim 1 , wherein the locking mechanism includes a lock body pivotable about a first end between the engaged position and the non-engaged position.3. The pole clamp assembly of claim 1 , wherein the locking mechanism is biased towards the engaged position.4. The pole clamp assembly of claim 1 , wherein the docking member includes a docking member body configured ...

ROBOT MOUNTING ARRANGEMENT

A surgical robotic system comprising: a surgical robot arm () having at least six degrees of freedom, the arm having a distal end for attachment to a surgical tool () and a proximal end; and a mounting structure () configured to mate to the proximal end of the arm for holding the proximal end of the arm spatially fixed, the mounting structure comprising an electrical connection for powering the surgical robot arm; wherein the system comprises a manually operable latching mechanism () whereby the arm can be attached to and released from the mounting structure. 1. A surgical robotic system comprising:a surgical robot arm having at least six degrees of freedom, the arm having a distal end configured to attach to a surgical tool and a proximal end; anda mounting structure embedded within an item of operating theatre furniture or embedded within the floor, wall or ceiling of an operating theatre and configured to mate to the proximal end of the arm so as to hold the proximal end of the arm spatially fixed, the mounting structure comprising an electrical connection configured to power the robot arm;wherein the system comprises a manually operable latching mechanism whereby the arm can be attached to and released from the mounting structure.2. The surgical robotic system of wherein the manually operable latching mechanism is integral with the surgical robot arm.3. The surgical robotic system of claim 1 , wherein the manually operable latching mechanism is integral with the mounting structure.4. The surgical robotic system of claim 1 , wherein the mounting structure comprises a socket.5. The surgical robotic system of claim 1 , wherein the mounting structure has side walls that abut the proximal end of the arm when the arm is engaged with the mounting structure.6. The surgical robotic system of claim 1 , wherein the mounting structure comprises a frustoconical socket.7. The surgical robotic system of wherein the mounting structure comprises a communication connection ...

Surgical visualization systems and related methods

Surgical visualization systems and related methods are disclosed herein, e.g., for providing visualization during surgical procedures. Systems and methods herein can be used in a wide range of surgical procedures, including spinal surgeries such as minimally-invasive fusion or discectomy procedures. Systems and methods herein can include various features for enhancing end user experience, improving clinical outcomes, or reducing the invasiveness of a surgery. Exemplary features can include access port integration, hands-free operation, active and/or passive lens cleaning, adjustable camera depth, and many others.

ROBOTIC SYSTEM AND METHOD FOR SPINAL AND OTHER SURGERIES

The present invention relates to a method, such as a surgical method for assisting a surgeon for placing screws in the spine using a robot attached to a passive structure. The present invention also related to a method, such as a surgical method for assisting a surgeon for removing volumes in the body of a patient using a robot attached to a passive structure and to a device to carry out said methods. The present invention further concerns a device suitable to carry out the methods according to the present invention. 1. A robotic surgical system comprising:a robot comprising an end-effector for holding a surgical tool for use in a surgical procedure;a controller for controlling the position of the end-effector, wherein the end-effector can be manually and freely positioned by the surgeon during the operation; and measuring, by the processor a position of the surgical tool held by the end effector and a position of a bone of a patient;', 'determining by the processor a change in the position of the bone; and', 'automatically adjusting via the robot the position of the end effector based at least in part on a change in the position of the bone such that a spatial relationship between the end effector and the bone remains substantially unaltered as at least a portion of the operation is performed, thereby ensuring the surgical tool remains aligned with a trajectory., 'a measurement system with a computer processor for2. The system of claim 1 , wherein the robot allows positioning of the surgical tool by the surgeon with at least four degrees of freedom.3. The system of claim 1 , wherein the position of the bone is a position of a marker placed in spatial relation to the bone.4. The system of claim 1 , wherein the measurement system is an optical tracking system comprising a camera claim 1 , fixed measurement system claim 1 , or template-based tracking system.5. The system of claim 4 , wherein the measurement system comprises a first marker attached to the robotic ...

SURGICAL FIXATION SYSTEMS, METHODS, AND DEVICES

A spinal stabilization system includes a plurality of anchors and at least one bridge. Each anchor includes a clamp configured to engage an anatomical element, the clamp movable between a fully open position and a fully closed position; a locking screw configured to selectively prevent the clamp from being moved into the fully open position; and a bridge interface. The at least one bridge is a rigid member having a first end and a second end opposite the first end, each of the first end and the second end having an anchor interface. The bridge interface is configured to receive the anchor interface. 1. A spinal stabilization system , comprising: a clamp configured to engage an anatomical element, the clamp movable between a fully open position and a fully closed position;', 'a locking screw configured to selectively prevent the clamp from being moved into the fully open position; and', 'a bridge interface; and, 'a plurality of anchors, each anchor comprisingat least one bridge comprising a rigid member having a first end and a second end opposite the first end, each of the first end and the second end comprising an anchor interface;wherein the bridge interface is configured to receive the anchor interface.2. The spinal stabilization system of claim 1 , wherein a first one of the plurality of anchors has a first height claim 1 , and a second one of the plurality of anchors has a second height different than the first height.3. The spinal stabilization system of claim 1 , wherein a first one of the plurality of anchors has a first height less than 10 cm claim 1 , and a second one of the plurality of anchors has a second height greater than or equal to 10 cm.4. The spinal stabilization system of claim 1 , wherein each anchor further comprises a spring that biases the clamp toward the fully closed position.5. The spinal stabilization system of claim 1 , wherein the clamp comprises:a first contact surface opposite and facing a second contact surface; anda plurality of ...

CONSTRAINT DEVICE AND METHOD OF TRAINING FOR USE OF LAPAROSCOPIC INSTRUMENTS

A passive constraint device is disclosed which attaches to a laparoscopic instrument to kinematically constrain the user from over-gripping the instrument and to train the user in proper handling of the instrument. Passive constraint devices include three degrees of freedom adjustment of a palm rest and clamps to the laparoscopic instrument. An active constraint device is disclosed which attaches to a laparoscopic instrument to dynamically constrain a user from over-gripping the instrument and provide resistive feedback to a user to train the user in proper handling of the instrument. Active constraint devices include a finger guard that, in one embodiment, is elastic and, in other embodiments, is solid but connects to finger loops of a laparoscopic instrument via elastic connectors. Methods of use include a method for training surgical residents in the proper handling of laparoscopic instruments using passive and active constraint devices during residency training. 1. A method for training for use of a laparoscopic instrument in a surgical procedure , the method comprising:controlling a laparoscopic instrument during a procedure with a constraint device attached to the laparoscopic instrument, the constraint device restricting extension of an instrument operator's fingers through a finger hole of the laparoscopic instrument to for proper grip of the laparoscopic instrument during operation.2. The method of claim 1 , wherein the constraint device includes a finger guard and an attachment clip claim 1 , the attachment clip orienting the finger guard over the finger hole when attached to the laparoscopic instrument.3. The method of claim 2 , wherein the finger guard is composed of a flexible material and provides a resistive force against the instrument operator's fingers during control of the laparoscopic instrument.4. The method of claim 3 , the attachment clip includes a circular frame and an attachment prong extending from the circular frame, and', 'the attachment ...

MODULAR CLAMPS FOR MOUNTING SURGICAL MANIPULATORS

A system generally includes a surgical manipulator configured to control motion of a surgical tool, and a clamping apparatus having a mounting location configured to support the surgical manipulator and couple to a mounting structure. The clamping apparatus may include a body, a first jaw coupled to the body and configured to engage a first portion of the mounting structure, and a second jaw coupled to the body and configured to engage a second portion of the mounting structure. At least one of the first jaw and the second jaw may be movably coupled to the body and configured to move along a non-linear path to clamp mounting structures of different sizes. A lever may be pivotably coupled to the body and may be movable between a unclamped position and a clamped position. Alternatively, a motor may be operable to attach the clamping apparatus to the mounting structure. 1. A system , comprising:a surgical manipulator configured to control motion of a surgical tool; and a body;', 'a first jaw coupled to the body and configured to engage a first portion of the mounting structure; and', 'a second jaw coupled to the body and configured to engage a second portion of the mounting structure,, 'a clamping apparatus having a mounting location configured to support the surgical manipulator and couple to a mounting structure, the clamping apparatus comprisingwherein at least one of the first jaw and the second jaw is movably coupled to the body and configured to move along a non-linear path to clamp mounting structures of different sizes.2. The system of claim 1 , wherein the non-linear path is arcuate.3. The system of claim 1 , wherein the mounting structure comprises a rail claim 1 , and wherein the first jaw is configured to abut an upper portion of the rail and the second jaw is configured to abut a lower portion of the rail when the clamping apparatus is in the clamped mechanical state.4. The system of claim 1 , wherein the non-linear path is configured to move the at least ...

SLIDING ACCESSORY RAIL FOR HOLDING EQUIPMENT AT A PATIENT SUPPORT

The present invention relates to holding equipment at an operating table. In order to removably provide equipment at a patient support, a holding device () is provided that comprises an accessory rail () and at least a first portion () of a coupling is provided. The accessory rail is configured as an attachment interface () for temporal attachment of equipment () at a patient support (). The accessory rail is rigidly connected to the first portion of the coupling. The first portion of the coupling is configured to provide, in interaction with a second portion () of the coupling, a movable connection for connecting the accessory rail to a patient support, wherein the movable connection is configured to provide a horizontal sliding movement of the accessory rail in relation to the patient support. The provision of a movable connection allows, for example, to temporarily move or even remove the accessory rail together with mounted equipment. For example, during an intervention procedure, for certain phases, the equipment is not needed or a different configuration is needed, and wider access to the patient is required. The equipment can then easily be removed and put back in place. 1. A holding device , comprising:an accessory rail; andat least a first portion of a coupling;wherein the accessory rail is configured as an attachment interface for temporal attachment of equipment at a patient support;wherein the accessory rail is rigidly connected to the first portion of the coupling;wherein the first portion of the coupling is configured to provide, in interaction with a second portion of the coupling, a movable connection for connecting the accessory rail to a patient support;wherein the movable connection is configured to provide a horizontal sliding movement of the accessory rail in relation to the patient support, wherein the first portion of the coupling is configured to be movable in relation to the second portion; andwherein the accessory rail provides an ...

MEDICAL DEVICE STABILIZING APPARATUS AND METHOD OF USE

A stabilizing apparatus for a transcatheter delivery system includes a housing having an aperture to receive the transcatheter delivery system. An engagement member is disposed in the housing. A biasing element urges the engagement member against a surface of the transcatheter delivery system when the transcatheter delivery system is placed in the housing. 1. A system for delivering an implantable medical device , comprising:a transcatheter delivery system including a catheter configured to deliver the implantable medical device; a housing having an aperture that receives the transcatheter delivery system;', 'an engagement member disposed in the housing; and', 'a biasing element that urges the engagement member against a surface of the transcatheter delivery system in the housing;', 'wherein the stabilizing apparatus passively clamps and fixes a position of the transcatheter delivery system relative to the housing by releasing the engagement member., 'a stabilizing apparatus for the transcatheter delivery system, the apparatus comprising2. The system of claim 1 , wherein the transcatheter delivery system further includes a handle for controlling movement of the catheter.3. The system of claim 2 , wherein the biasing element urges the engagement member against a surface of the handle to secure the handle against rotational movement relative to the engagement member.4. The system of claim 2 , wherein the handle of the catheter is releasably mounted on the stabilizing apparatus.5. The system of claim 1 , further comprising a table claim 1 , wherein the housing is coupled to a base that can be disposed on the table and coupled to the table.6. The system of claim 5 , wherein the base is coupled to the table with a clamp.7. The system of claim 1 , further comprising a door connected to the housing claim 1 , wherein the door has a first position and a second position claim 1 , wherein the door covers the aperture and engages the housing when the door is in the second ...

ROBOTIC SYSTEM AND METHOD FOR SPINAL AND OTHER SURGERIES

The present invention relates to a method, such as a surgical method for assisting a surgeon for placing screws in the spine using a robot attached to a passive structure. The present invention also related to a method, such as a surgical method for assisting a surgeon for removing volumes in the body of a patient using a robot attached to a passive structure and to a device to carry out said methods. The present invention further concerns a device suitable to carry out the methods according to the present invention. 1. A robotic surgical system for assisting a surgeon in preparing a hole in a spine of a patient and placing a screw in the hole during an operation , the robotic surgical system comprising:a processor configured to store a trajectory for placement of the screw in the vertebra;an end-effector in electronic communication with the processor; anda surgical tool affixed to the end effector,wherein the processor is configured to control a position of the surgical tool and the end-effector as a surgeon places a screw along a planned trajectory2. The system of claim 1 , wherein the processor is configured to:measure a position of the vertebra of the patient;determine a change in the position of the vertebra3. The system of claim 2 , wherein the processor is further configured to:automatically adjust the position of the end-effector based at least in part on a change in the determined position of the vertebra such that a spatial relationship between the end-effector and the vertebra remains substantially unaltered as at least a portion of the operation is performed, thereby ensuring the surgical tool remains aligned with a trajectory as a hole in the vertebra is prepared and a screw is placed in the hole.4. The system of claim 1 , wherein the robotic surgical system includes a display to provide graphical feedback regarding the position of the patient.5. The system of claim 1 , wherein the surgical tool is a tube.6. The system of claim 1 , wherein the robotic ...

Clamping Device And Clamping Arrangement For A Medical Instrument

A clamping device and method for human-medicine or veterinary-medicine applications for the frictionally engaged locking of at least two holding segments, the clamping device has a first holding segment, a second holding segment; a driveable spindle, via which a rotational movement can be converted into an axial longitudinal movement for spindle-locking the second holding segment, and a threaded plate. In this case, the threaded plate can be moved axially in the opposite direction during the spindle movement, wherein, by counter-movement of the threaded plate, at least one wedge body is moveable in a ramp system, in order to clamp the first holding segment. 1. A holding system for human-medicine or veterinary-medicine applications comprising: a first holding segment,', 'a second holding segment; and', 'a driveable spindle, via which a rotational movement can be converted into an axial longitudinal movement for spindle-locking the second holding segment wherein a threaded plate can be moved in the opposite direction during the spindle movement., 'a clamping device for frictionally engaged locking of at least two holding segments, the clamping device having2. The holding system according to claim 1 , wherein the first holding segment is a base column connectable in a proximal region of the clamping device.3. The holding system according to claim 1 , wherein a housing is pivotably arranged around a transverse axis and around an axis of the first holding segment.4. The holding system according to claim 1 , wherein a holding device is connectable by a coupling device in a distal region of the clamping device claim 1 , wherein the holding device comprises at least the second holding segment and another holding segment claim 1 , which are pivotably connected to one another by a central joint.5. The holding system according to claim 4 , wherein the clamping device comprises a drive unit for activation of the spindle claim 4 , the drive unit being selected from the group ...

Guidewire management clip

A method for managing a guidewire in preparation for a surgical operation, comprising attaching a block of resilient polymer to a coiled tube which contains a guidewire; attaching to the block of resilient polymer a card having printed information concerning the guidewire on a planar surface of the card; removing the guidewire from the coiled tube; removing the block of resilient polymer from the coiled tube while keeping the card having printed information attached to the block of resilient polymer; coiling the guidewire into a flat spiral form; capturing, in a slot formed in the block of resilient polymer, a plurality of portions of the guidewire, which portions are adjacent to and parallel with each other, thereby maintaining the guidewire in the flat spiral form.

CONTROL OF DEVICE INCLUDING MECHANICAL ARMS

A method of initializing the layout of one or more robotic arms controllable by an input object, comprising: entering a paused mode, in which control of movement of the robotic arms by the input object is paused; measuring an input object initialization layout, defined by the layout of at least one segment of the input object; actuating at least a portion of the robotic arms to match the input object initialization layout; and entering a controlled mode, in which movements of the input object control the robotic arms. 1. A method of controlling , using gesture recognition , an operation mode of a surgical system including at least one surgical arm insertable into the body , the method comprising:detecting movement of at least one user body portion; andcontrolling said at least one surgical arm based on the detected movement, wherein said controlling comprises controlling movement of said at least one surgical arm and/or transferring between modes of operation of said at least one surgical arm.2. The method according to claim 1 , wherein said detecting comprises collecting images obtained by a motion detection camera.3. The method according to claim 1 , wherein said detecting comprises collecting data from one or more motion sensors attached to the user.4. The method according to claim 1 , wherein transferring between modes of operation comprises transferring between a pause mode in which surgical arm movement is paused claim 1 , and a motion control mode in which the surgical arm moves according to detected user movements.5. The method according to claim 1 , wherein said detecting comprises detecting movement of a leg and/or foot of the user.6. The method according to claim 5 , wherein said detecting comprises detecting whether the user has lifted or lowered their knee and/or lifted or lowered their foot claim 5 , and transferring between said modes of operation based on whether lifting or lowering were detected.7. The method according to claim 1 , wherein said ...

MEDICAL DEVICE STABILIZING APPARATUS AND METHOD OF USE

The present disclosure provides a stabilizing system for a medical device. The stabilizing system includes a table and a stabilizing unit. The table includes a table having a base member and an upper member. The upper member is removably mounted on top of an upper portion of the base member. The upper member includes an inverted T-shaped slot. The stabilizing unit includes a base portion and a support member. The base portion has side rails. The support member is disposed on the base portion. The support member is configured to receive and support a catheter assembly comprising a catheter and a catheter handle. The stabilizing unit is mounted to the upper member of the table by sliding the side rails into the inverted T-shaped slot. 1. A stabilizing system comprising: a base member having an upper portion;', 'an upper member removably mounted on top of the upper portion of the base member;', 'wherein the upper member includes an inverted T-shaped slot;, 'a table comprising a base portion having side rails;', 'a support member disposed on the base portion, wherein the support member is configured to receive and support a catheter assembly comprising a catheter and a catheter handle; and, 'a stabilizing unit comprisingwherein the stabilizing unit is mounted to the upper member of the table by sliding the side rails into the inverted T-shaped slot.2. The stabilizing system of wherein the side rails are secured within the inverted T-shaped slot by frictional engagement.3. The stabilizing system of wherein the support member has a locked condition where the support member is configured to engage the catheter assembly and an unlocked condition where the support member is configured to disengage the catheter assembly.4. The stabilizing system of wherein the support member is configured to retain the handle of the catheter assembly.5. The stabilizing system of wherein the support member is configured to retain a shaft of the catheter of the catheter assembly.6. The ...

SURGICAL RETRACTOR HAVING CLAMPING MECHANISM

A clamp for a surgical retractor system. The clamp has a tapered conically shaped washer against and through which clamping force is applied to place the clamp in a clamped position. The clamping force is applied by a cam head connected to a central shaft. A locking pin connects the cam head to the shaft. Apertures are provided in the clamp for receiving rod ends of a surgical retractor. Such apertures are circular and are positioned to be closer to the top and bottom edges of the clamp portion of the clamp than to the end edge of the clamp portion. 1. A clamping apparatus for use in a surgical retractor , the apparatus comprising:a shaft having a first end and a second end;a first clamp carried by the shaft, the first clamp comprising a first passage having a first surface broken by two legs of the first clamp that are separated by a first gap;a second clamp carried by the shaft, the second clamp comprising a second passage having a second surface broken by two legs of the second clamp that are separated by the second gap; anda cam lever comprising a cam head pivotally attached to the first end of the shaft for rotation about a pivot axis perpendicular to the axis of the shaft, the cam head having an eccentric outer surface that results in a distance between the pivot axis and an upper surface of the first clamp being greater when the cam lever is rotated about the pivot axis to a clamping position than when the cam lever is rotated about the pivot axis to a non-clamping position, wherein the eccentric outer surface of the cam head comprises a flat, planar surface that compresses an upper end of the first clamp when the cam lever is rotated about the pivot axis to the clamping position.2. The clamping apparatus of claim 1 , wherein the first clamp is rotatable about an axis of the shaft relative to the second clamp.3. The clamping apparatus of claim 1 , wherein the second end of the shaft comprises threads and the clamping apparatus further comprises a nut ...

DEPTH LIMITER FOR SUTURING DEVICES AND METHODS THEREOF

A depth limiter for surgical suturing is disclosed. The depth limiter has a tissue stop. The depth limiter also has at least one attachment point coupled to the tissue stop and configured to removably engage a surgical suturing device to position the tissue stop relative to a tissue bite area of the surgical suturing device. A further depth limiter for surgical suturing is disclosed. The depth limiter has a tissue stop. The depth limiter also has at least one attachment point coupled to the tissue stop and configured to engage a surgical suturing device to position the tissue stop relative to a tissue bite area of the surgical suturing device. 1. A depth limiter for surgical suturing , comprising:a tissue stop; andat least one attachment point coupled to the tissue stop and configured to removably engage a surgical suturing device to position the tissue stop relative to a tissue bite area of the surgical suturing device.2. The depth limiter of claim 1 , wherein the tissue stop comprises a tissue grip.3. The depth limiter of claim 1 , wherein the tissue stop comprises a shape configured to be substantially parallel to a travel path of a suturing needle of the suturing device which the at least one attachment point is configured to engage.4. The depth limiter of claim 1 , wherein the tissue stop comprises a relief channel.5. The depth limiter of claim 1 , further comprising a depth indicator.6. The depth limiter of claim 1 , wherein the at least one attachment point comprises a pair of opposing shaft clips.7. The depth limiter of claim 6 , wherein each of the opposing shaft clips is symmetrical with the other.8. The depth limiter of claim 1 , wherein the at least one attachment point comprises a shaft clip.9. The depth limiter of claim 8 , wherein the shaft clip is configured to extend at least 180 degrees around a shaft of the surgical suturing device which the at least one attachment point is configured to removably engage.10. The depth limiter of claim 1 , wherein ...

ROBOTIC SYSTEM AND METHOD FOR SPINAL AND OTHER SURGERIES

The present invention relates to a method, such as a surgical method for assisting a surgeon for placing screws in the spine using a robot attached to a passive structure. The present invention also related to a method, such as a surgical method for assisting a surgeon for removing volumes in the body of a patient using a robot attached to a passive structure and to a device to carry out said methods. The present invention further concerns a device suitable to carry out the methods according to the present invention. 1. A robotic surgical system for use during a surgical procedure on a patient , said system comprising:a robot comprising an end-effector for holding a surgical tool for use in the surgical procedure;a controller for controlling the position of the end-effector, wherein the end-effector can be manually and freely positioned by the surgeon during the operation; anda measurement system with a computer processor for measuring, by the processor, a position of the surgical tool held by the end effector and a position of a bone of a patient;wherein the computer processor stores a location of the target volume to be removed, wherein a stay-in zone is defined based at least in part on the target volume,wherein the processor controls a position of the robot such that the surgical tool enters the target volume and remains in the stay-in zone.2. The robotic surgical system of wherein based on a position of the tool in the target volume claim 1 , a repulsive/wall-like force is provided to a surgeon manipulating the surgical tool to inform the surgeon of the position of the surgical instrument inside the stay-in zone.3. The robotic surgical system of claim 1 , wherein the surgical instrument is a drill.4. The robotic surgical system of claim 1 , wherein the processor is configured to prevent removal of a portion of the surgical instrument from the target volume thereby keeping the portion of the surgical instrument within the target volume until the surgeon ...

ROBOTIC SYSTEMS, DEVICES AND METHODS FOR PERFORMING DENTAL PROCEDURES ON PATIENTS

A system for performing a dental procedure includes a hand piece having a robot arm that extends along a first axis, and a medical tool coupled with a distal end of the robot arm. The system includes a first gimbal coupled with the robot arm for rotating the robot arm and the medical tool about the first axis, a second gimbal coupled with the robot arm for tilting the medical tool up and down relative to the first axis, and a third gimbal coupled with the robot arm for moving the medical tool up and down along a second axis that is perpendicular to the first axis. The hand piece includes a turret that supports the robot arm and rotates within a plane that is perpendicular to the second axis. The system has a first motor coupled with the first shaft for extending and retracting the first shaft along the first axis, a second motor coupled with the first shaft for rotating the first shaft around the first axis, a third motor coupled with the panning linkage for moving he first shaft to the left and the right within the plane that is perpendicular to the second axis, a fourth motor coupled with the second shaft for extending and retracting the second shaft along the first axis, and a fifth motor coupled with the third shaft for extending and retracting the third shaft along the first axis.

DENTAL AEROSOL PROTECTION SYSTEM

A dental aerosol protection system includes an aerosol collection funnel and one or more protective transparent shields. A proximal attachment end of the aerosol collection funnel can be configured to fit into a fitting of a high-vacuum evacuator (HVE) conduit. A distal end thereof defines an opening having a cross-sectional area that is greater than a diameter of the proximal attachment end to collect aerosols emanating from the patient's mouth. The aerosol collection funnel is positionable with respect to a mouth of a patient via an adjustable arm operably coupled to the aerosol collection funnel or the fitting of the HVE conduit. The shield or shields can be positioned with respect to the mouth of the patient via a boom coupled to an aperture defined through the shield. The boom can be coupled to the shield(s) via a flexible shield support member. 1. A dental aerosol protection system , comprising:an aerosol collection funnel, comprising a distal collection end and a proximal attachment end, wherein the proximal attachment end is configured to fit into a fitting of a high-vacuum evacuator (HVE) conduit, and wherein an aperture extends longitudinally through the funnel from the proximal attachment end to the distal collection end; and wherein the distal collection end defines an opening having a cross-sectional area that is greater than a diameter of the proximal attachment end; anda shield comprising a transparent portion,wherein the aerosol collection funnel is positionable with respect to a mouth of a patient via an adjustable arm operably coupled to the aerosol collection funnel or the fitting of the HVE conduit, andwherein the shield is positional with respect to the mouth of the patient via a boom coupled to an aperture defined through the shield.2. The dental aerosol protection system of claim 1 , wherein the boom is a self-balancing boom and wherein a first end of the boom is secured to a rigid structure adjacent to the patient and the opposing second end ...

SURGICAL RETRACTOR SYSTEMS AND METHODS

Embodiments herein are generally directed to surgical retractor systems. In some embodiments, these retractor systems may be used in spinal fusion or other procedures that utilize a transforaminal approach. 1. A handheld retractor comprising:first and second handles;first and second arms respectively associated with the first and second handles;a pivotal connection between the first and second handles and the first and second arms;first and second universal mounts respectively associated with the first and second arms, the first and second universal mounts each comprising an interface member coupled to a rotatable shaft, wherein the interface member comprises a distal surface having a plurality of protrusions and receptacles; andfirst and second blade members each comprising a connector body and a blade extending therefrom, the connector body having an internal cavity configured to reversibly receive the rotatable shaft therein, wherein the first and second blade members comprise a plurality of protrusions and receptacles configured to intermesh with the plurality of protrusions and receptacles of the interface member.2. The handheld retractor of claim 1 , wherein a pivot point is located on each of the first and second arms that allow the first and second handles to be angled relative to the blades claim 1 , thereby conforming to a patient's anatomy.3. The handheld retractor of claim 1 , wherein the handheld retractor provides for radial movement of the blades.4. The handheld retractor of claim 1 , further comprising a spring-loaded button mechanism configured to lock the first and second blade members to the first and second universal mounts claim 1 , respectively claim 1 , at any desired position.5. The handheld retractor of claim 4 , wherein the spring-loaded button mechanism includes a depressable button and a spring positioned within a cavity in the button.6. The handheld retractor of claim 5 , wherein a spring is provided within a cavity in the universal ...

MULTI-SHIELD SPINAL ACCESS SYSTEM

An access device for accessing an intervertebral disc having an outer shield comprising an access shield with a larger diameter (˜16-30 mm) that reaches from the skin down to the facet line, with an inner shield having a second smaller diameter (˜5-12 mm) extending past the access shield and reaches down to the disc level. This combines the benefits of the direct visual microsurgical/mini open approaches and the percutaneous, “ultra-MIS” techniques. 1. An access device for accessing an intervertebral disc , comprising:a) an outer shield having a substantially tubular portion, a length adapted to extend from an incision to an articular process, a proximal end portion, a distal end portion, an outer surface, and a longitudinal throughbore defining an inner surface,b) an inner shield having i) a first substantially tubular portion having a proximal end portion, a distal end portion, a longitudinal throughbore defining an inner surface, and an outer surface defining a diameter, and ii) a longitudinal flange extending distally from the distal end portion of the substantially tubular portion,wherein the outer surface of the inner shield substantially nests within the inner surface of the outer shield so that the flange extends distally past the distal end portion of the outer shield.2. The device of wherein the outer surface of the inner shield substantially nests within the inner surface of the outer shield so that the distal end portion of the substantially tubular portion of the inner shield extends distally past the distal end of the outer shield.3. The device of wherein the proximal end portion of the substantially tubular portion of the inner shield comprises a stop adapted to abut the proximal end portion of the outer shield claim 1 , the stop being adapted to prevent excessive distal movement of the inner shield.4. The device of wherein the stop extends substantially radially about the proximal end portion of the substantially tubular portion of the inner shield.5 ...

MINIMALLY INVASIVE SURGICAL ASSEMBLY AND METHODS

A minimally invasive surgical assembly broadly includes an outer hollow needle which has an outer diameter of 3.0 mm or smaller, and a coaxial surgical instrument having a shaft which extends through the outer hollow needle. The coaxial surgical instrument includes end effectors at the end of the shaft which are biased to an open position such that when the end effectors of the surgical instrument extended out of the needle they open, and they are closed by relative movement of the needle over them. The assembly preferably includes a first fixing element which is used to fix the relative location of the surgical instrument and the needle. The assembly also preferably includes a second fixing element which moves relative to the needle and is located on the outside thereof and which is used to fix the relative location of the needle to the patient. 1. A surgical assembly , comprising:a hollow needle having an outer diameter of 3 mm or smaller and a sharp distal end;a surgical instrument having a shaft which extends through said hollow needle, said surgical instrument being movable relative to said hollow needle and including end effectors at an end of said shaft which are biased to an open position such that when said end effectors extend out of said needle said end effectors automatically open relative to each other, and when said hollow needle extends over said end effectors, said end effectors are automatically forced into a closed position; anda first fixing means coupled to said surgical instrument and said needle for fixing a relative location of said surgical instrument and said needle, wherein said fixing means comprises at least one of notches, grooves, or screw elements.2. A surgical assembly according to claim 1 , wherein said hollow needle has an inner surface and said shaft has an outer surface claim 1 , and said outer surface and said inner surface are sized so that at least a portion of said shaft closely slides against said inner surface of said needle ...

MINIMALLY INVASIVE SURGICAL ASSEMBLY AND METHODS

A minimally invasive surgical assembly broadly includes an outer hollow needle which has an outer diameter of 3.0 mm or smaller, and a coaxial surgical instrument having a shaft which extends through the outer hollow needle. The coaxial surgical instrument includes end effectors at the end of the shaft which are biased to an open position such that when the end effectors of the surgical instrument extended out of the needle they open, and they are closed by relative movement of the needle over them. The assembly preferably includes a first fixing element which is used to fix the relative location of the surgical instrument and the needle. The assembly also preferably includes a second fixing element which moves relative to the needle and is located on the outside thereof and which is used to fix the relative location of the needle to the patient. 1. A surgical assembly , comprising: a) a hollow needle having an outer diameter of substantially 2 mm or smaller and a sharp distal end for creating a puncture incision in the human body; and b) a surgical instrument having a shaft which extends through said hollow needle , said surgical instrument being movable relative to said hollow needle and including end effectors at an end of said shaft which are biased to a first position such that when said end effectors extend out of said needle said end effectors automatically open relative to each other , and when said hollow needle extends over said end effectors , said end effectors are automatically forced into a second position , wherein said end effectors have opposed distal tips that are substantially separated from one from one another in the first position and that are disposed in proximate contact to one another in the second position and wherein the end effectors are movable relative to the outer hollow needle to a retracted position wherein the distal tips of the end effectors are positioned proximal relative to the sharp distal end of the outer hollow needle to ...

Guiding Trocar and System for Connecting to a Guiding Trocar

Guiding tube, in particular a trocar, for receiving and guiding a medical instrument, wherein the guiding tube comprises engaging members for engaging an instrument inside the tube and a substantially spherically shaped ball member provided on an outer surface of said tube, wherein the engaging members are provided movable with respect to the tube in a direction having a radial component, seen with respect to the longitudinal axis of the tube, upon compression of the ball member. 1. A guiding tube for receiving and guiding a medical instrument , wherein the guiding tube comprises engaging members for engaging an instrument inside the tube and a substantially spherically shaped ball member provided on an outer surface of said tube , wherein the engaging members are provided movable with respect to the tube in a direction having a radial component , seen with respect to the longitudinal axis of the tube , upon compression of the ball member.2. The guiding tube according to claim 1 , wherein the ball member comprises a plurality of mutually movable claim 1 , substantially wedge shaped parts claim 1 , wherein the wedge shaped parts form the ball member.3. The guiding tube according to claim 2 , wherein an engaging member is located at a radially inward end of at least one of the wedge shaped parts.4. The guiding tube according to claim 3 , wherein the inward end of the wedge shape part has a height claim 3 , seen in the direction of the longitudinal axis of the tube claim 3 , that is larger than a height of the engaging member claim 3 , wherein the wedge part comprises a bridge part for connection with the tube at the inward end claim 3 , wherein the height of the bridge corresponds to the height of the engaging member.5. The guiding tube according to claim 2 , wherein a wedge shaped part comprises two side walls under angle with respect to each other claim 2 , the side walls being shaped as a circular segment having an inner edge and an arc shaped outer edge claim 2 , ...

ULTRASOUND POSITIONING DEVICE, SYSTEM, AND METHOD

Systems and methods can include a system for positioning an ultrasound probe proximal to anatomy of a patient on a radiation couch including a substantially planar base including engagement features to directly or indirectly index the substantially planar base to the radiation couch and a centrally located guide extending longitudinally along a top side of the base, a probe holder, configured to be coupled to, to translate longitudinally, and to be user-accessed and user-controlled from within, a central region of the substantially planar base, a clamp, configured to localize the probe holder at a specified location along a translation path in the central region of the substantially planar base, leg supports shaped to accommodate a patient's legs from behind, the pair of leg supports being shaped and arranged to provide a space therebetween that can accommodate an ultrasound probe holder. 1. A system for positioning an ultrasound probe proximal to anatomy of a patient on a radiation couch , the system comprising:a substantially planar base including engagement features to directly or indirectly index the substantially planar base to the radiation couch and a centrally located guide extending longitudinally along a top side of the base;a probe holder, configured to be coupled to, to translate longitudinally, and to be user-accessed and user-controlled from within, a central region of the substantially planar base;a clamp, configured to localize the probe holder at a specified location along a translation path in the central region of the substantially planar base; andleg supports shaped to accommodate a patient's legs from behind, the pair of leg supports being shaped and arranged to provide a space therebetween that can accommodate an ultrasound probe holder.2. The system of comprising an indexing bar for providing a transversely aligned interface between the substantially planar base and the radiation couch claim 1 , the indexing bar including protrusions on a ...

HEAD STABILIZATION SYSTEM AND METHOD WITH ARC FEATURES

Exemplary head stabilization devices or head fixation devices (HFDs) include a central head support for providing subjacent support to a head of a patient, and multiple lateral head supports for providing lateral support to the head of the patient. The central head support includes a cushion with one or more chambers that are fillable with a material. Similarly, the lateral head supports include respective pads with chambers that are fillable with a material. In some instances, the cushion and the pads used with the HFDs can include ports that permit pressure control by way of controlling a fluid volume within specific chambers of the cushion and/or pads. 1. A medical device for supporting and stabilizing a head of a patient during a medical procedure , wherein the medical device is configured to connect with an operating table directly or indirectly via one or more intermediate structures , wherein the medical device comprises:(a) a central head support configured to provide subjacent support to the head of the patient; '(i) a first chamber configured to receive a select one of a first fluid and a first shape-conforming material;', '(b) a cushion connectable with the central head support, wherein the cushion is configured to contact the head of the patient, wherein the cushion comprises(c) two or more lateral head supports, wherein each of the two or more lateral head supports is configured to provide lateral support to the head of the patient; and (i) a second chamber configured to receive a second fluid, and', '(ii) a third chamber configured to receive a second shape-conforming material., '(d) two or more pads configured to contact the head of the patient, wherein each of the two or more pads is connectable with a respective one of the two or more lateral head supports, wherein each of the two or more pads comprises2. The device of claim 1 , wherein the first fluid and the second fluid are the same.3. The device of claim 1 , wherein the first shape-conforming ...

PROBE HOLDER FOR ULTRASOUND IMAGING DEVICE

Systems and methods can include a system for positioning an ultrasound probe proximal to anatomy of a patient on a radiation couch including a substantially planar base including engagement features to directly or indirectly index the substantially planar base to the radiation couch and a centrally located guide extending longitudinally along a top side of the base, a probe holder, configured to be coupled to, to translate longitudinally, and to be user-accessed and user-controlled from within, a central region of the substantially planar base, a clamp, configured to localize the probe holder at a specified location along a translation path in the central region of the substantially planar base, leg supports shaped to accommodate a patient's legs from behind, the pair of leg supports being shaped and arranged to provide a space therebetween that can accommodate an ultrasound probe holder. 1. A method for using a probe holder for positioning an ultrasound probe at a specified location along a longitudinal translation path within a central region of a radiation couch or overlay thereupon , the central region being located between lateral regions that are arranged to be underlying a patient's legs , the method comprising:user-accessing and user-controlling, from within the central region, a probe holder for translating the probe longitudinally toward and away from a portion of the patient; andclamping, from within the central region, the probe holder at a specified location along the translation path in the central region.2. The method of comprising rotating an actuator on a clamp to increase a frictional force associated with the probe holder.3. The method of claim 2 , wherein translating the probe longitudinally includes using transversely outwardly facing protrusions to interface with corresponding longitudinal grooves.4. The method of wherein clamping comprises reducing a clearance within a groove.5. The method of comprising automatically engaging or retaining the ...

GUIDE DEVICE SUITABLE FOR PERFORMING TEMPOROMANDIBULAR JOINT ARTHROSCOPY

A guide device for TMJ arthroscopy including one or more pairs of arms pivotly connected at one end to a working cannula holder and defining a working cannula axis; and at the opposite end to at one or more arms via one or more pivot connections to form with the arm one or more adjustable parallelograms, an end of the arm is connected to an irrigation cannula holder defining an irrigation cannula axis, the irrigation cannula axis intersecting with the working cannula axis at an intersection, intersection and one or more of the pivot connections between connecting the arms are located at opposing vertices of one or more of the adjustable parallelograms. 1. A guide device useful for assisting in performance of TMJ arthroscopy , comprising:a working channel holder defining a working channel axis and an irrigation channel holder defining an irrigation channel axis, said working channel axis and said irrigation channel axis substantially intersecting at an intersection that is within a specific empty volume, at an intersection angle;a plurality of linkages mutually connected by a plurality of parallel-axis revolute joints, said revolute joints defining the vertices of a plurality of parallelograms having sides with fixed lengths with angles changeable by rotation of said linkages around said revolute joints;wherein a first of said plurality of parallelograms comprises as vertices two of said revolute joints that are connected to said working channel holder;wherein a second of said plurality of parallelograms comprises as vertices two of said revolute joints that are connected to said irrigation channel holder; andwherein a third of said plurality of parallelograms comprises said intersection as a vertex; andwherein said parallelograms are physically linked so that the distance of said intersection from said working channel holder and from said irrigation channel holder remains constant while said intersection angle changes during said rotation of said linkages around ...

SURGICAL ADAPTOR AND METHOD

A surgical adaptor comprises a first member is attachable to a first surgical instrument having a projection that defines an axis, A second member is attachable to a second surgical instrument such that the second surgical instrument is movable in at least two degrees of freedom relative to the axis. Surgical systems, instruments and methods are disclosed. 1. A surgical adaptor comprising:a first member attachable to a first surgical instrument having a projection that defines an axis; anda second member attachable to a second surgical instrument such that the second surgical instrument is movable in at least two degrees of freedom relative to the axis.213-. (canceled)14. A surgical adaptor as recited in claim 1 , wherein the second member includes a gear surface engageable with a gear surface of the second surgical instrument to dispose the first surgical instrument in a selected orientation relative to the second surgical instrument.15. A surgical adaptor as recited in claim 1 , wherein the second member includes radial splines engageable with longitudinal splines of the second surgical instrument to dispose the first surgical instrument in a selected orientation relative to the second surgical instrument.16. A surgical adaptor as recited in claim 1 , wherein the second member includes radial splines engageable with spaced apart gear surfaces of the second surgical instrument to dispose the first surgical instrument in a selected orientation relative to the second surgical instrument.1720-. (canceled)21. A surgical adaptor as recited in claim 1 , wherein the first surgical instrument is a retractor arm and the second surgical instrument is a retractor blade.22. A surgical adaptor as recited in claim 1 , wherein:the projection is positioned in an opening of the first member and the second surgical instrument is received within a recess of the second member; andthe second member includes a gear surface engageable with a gear surface of the second surgical instrument ...

Robotic surgical systems and methods for rod bending

The disclosed technology relates to a rod bending machine for use with a robotic surgical system in an operating room. The system which is capable to bend rods for surgeries directly in the operating room. The rigidity of the rods is such that the robotic arm alone would have to be huge to provide sufficient forces and torques. This invention introduces bending module integrated into robotic system which allows free bending of rods within limits required for surgeries.

Energy delivery systems and uses thereof

The present invention relates to comprehensive systems, devices and methods for delivering energy to tissue for a wide variety of applications, including medical procedures (e.g., tissue ablation, resection, cautery, vascular thrombosis, treatment of cardiac arrhythmias and dysrhythmias, electrosurgery, tissue harvest, etc.). In certain embodiments, systems, devices, and methods are provided for treating a tissue region (e.g., a tumor) through application of energy.

TABLE ADAPTERS FOR MOUNTING ROBOTIC ARMS TO A SURGICAL TABLE

In some embodiments, an apparatus can include a surgical table and an adapter coupled thereto. The adapter includes an interface structure, a first link member pivotally coupled to the interface structure at a first joint, and coupled to a second link member of the adapter at a second joint. The second link member can also be coupleable to a robotic arm via a coupling. The first joint can allow the first link member to rotate about a first axis defined in a vertical direction relative to the table top, and the second joint can allow the second link member and a robotic arm coupled thereto to move in a vertical direction relative to the table top. The first link member and the second link member collectively provide for movement of the robotic arm in at least one of a lateral, longitudinal or vertical direction relative to the table top. 1. An apparatus , comprising:an adapter coupleable to, and supportable by, a surgical table below a table top of the surgical table, the surgical table having a support coupled to the table top and a base coupled to the support, the table top having a first side, a second side opposite the first side, a first end and a second end opposite the first end,the adapter configured to be coupled to a first robotic arm and a second robotic arm, the first robotic arm being disposed on a first side of the support associated with the first side of the table top when coupled to the adapter and the second robotic arm being disposed on a second side of the support associated with the second side of the table top opposite the first side of the support when coupled to the adapter, the adapter configured to move each of the first robotic arm and the second robotic arm when coupled thereto between a first position in which the adapter and the robotic arms are disposed beneath a plane defined by a bottom surface of the table top such that no portion of the adapter, the first robotic arm or the second robotic arm is disposed outside an outer perimeter ...

ATTACHMENT MECHANISM FOR DOCKING CANNULAS TO SURGICAL ROBOTIC ARMS

An apparatus for attachment of a cannula to a robotic surgical system, the apparatus comprising: a clamp operable to transition between an open position configured to receive a cannula and a closed position to attach the cannula to a robotic surgical system; an actuator operable to transition the clamp between the open position and the closed position; and a linking member pivotally coupled to the camp at a first pivot point and the actuator at a second pivot point, and wherein in the closed position, the second pivot point is over center relative to the first pivot point. 1. An apparatus for attachment of a cannula to a robotic surgical system , the apparatus comprising:a clamp operable to transition between an open position configured to receive a cannula and a closed position to attach the cannula to a robotic surgical system;an actuator operable to transition the clamp between the open position and the closed position; anda linking member pivotally coupled to the camp at a first pivot point and the actuator at a second pivot point, and wherein in the closed position, the second pivot point is over center relative to the first pivot point.2. The apparatus of wherein in the closed position claim 1 , the second pivot point is over center relative to the first pivot point by an angle of one degree or less.3. The apparatus of wherein having the second pivot point over center relative to the first pivot point causes the clamp to increasingly force itself to the closed position with any increasing load applied to the cannula attached to the robotic surgical system.4. The apparatus of wherein having the second pivot point over center relative to the first pivot point prevents the clamp from transitioning to the open position when a force is applied to the cannula attached to the robotic surgical system.5. The apparatus of wherein the clamp comprises a first end rotatably coupled to a base member at a third pivot point and a second end that rotates to a forward position ...

EQUIPMENT CLIP FOR UROLOGY AND METHODS FOR USE

The present disclosure provides a device for holding at least one conduit. The device includes a ring having a first end and a second end. The device also includes a first clamping jaw extending from the first end of the ring. The device also includes a second clamping jaw extending from the first end of the ring. A first clamping surface of the first jaw contacts a second clamping surface of the second jaw in a first position, and the first clamping surface is spaced apart from the second clamping surface in a second position. The device transitions from the first position to the second position in response to application of an external force applied to an exterior surface of the ring between the first end and the second end. The device also includes a channel including an inlet positioned at the second end of the ring. The channel is configured to releasably receive the at least one conduit via the inlet, and the channel prevents the at least one conduit from contacting the first end of the ring. 1a ring having a first end and a second end;a first clamping jaw extending from the first end of the ring, wherein the first clamping jaw includes a first clamping surface;a second clamping jaw extending from the first end of the ring, wherein the second clamping jaw includes a second clamping surface, wherein the first clamping surface contacts the second clamping surface in a first position, wherein the first clamping surface is spaced apart from the second clamping surface in a second position, wherein the device transitions from the first position to the second position in response to application of an external force applied to an exterior surface of the ring between the first end and the second end; anda channel including an inlet positioned at the second end of the ring, wherein the channel is configured to releasably receive the at least one conduit via the inlet, and wherein the channel prevents the at least one conduit from contacting the first end of the ring.. ...

SUSPENSION SYSTEM FOR REMOTE CATHETER GUIDANCE

A robotic catheter system includes an arch-shaped suspension system comprising a first and second vertical span, a horizontal span between the pair of vertical spans, and at least one robotic catheter head coupled to the horizontal span. The arch-shaped suspension system can include a pair of linear guide blocks that can be attached to a patient bed and in some embodiments the linear guide blocks can be configured to slidably move along a rail. The arch-shaped suspension system can be moved to allow for proper placement of the arch-shaped suspension system for use on a patient or for placing the system away from a patient or for storage. In some embodiments the robotic catheter system can include a suspension system cart for storing and moving the arch-shaped suspension system.

SURGICAL EQUIPMENT HOLDER

A surgical equipment holder is disclosed. The surgical equipment holder includes a first arm pivotable relative to a base, a second arm pivotably coupled to the first arm and an end effector pivotable relative to the second arm. The surgical equipment holder may also include features on the first arm and the second arm configured to allow enhanced cleanability of the surgical instrument holder. The surgical equipment holder also includes a lever configured to actuate between a locked and unlocked position by use of a single hand by an operator. The end effector of the surgical equipment holder is configured to support and finely adjust the position of any number of surgical accessories during surgical procedures. 1. A surgical equipment holder , comprising:a first arm pivotable relative to a base;a second arm pivotably coupled to the first arm;an end effector pivotable relative to the second arm; and a) that the first arm does not pivot relative to the base, the second arm does not pivot relative to the first arm when the lever is in the locked position; and', 'b) the first arm may be pivoted relative to the base, the second arm may be pivoted relative to the first arm, and the end effector may be pivoted relative to the second arm when the lever is in the unlocked position., 'a lever movable between a locked position and an unlocked position and configured such that2. The surgical equipment holder of claim 1 , wherein the end effector does not pivot relative to the second arm when the lever is in the locked position.3. The surgical equipment holder of claim 1 , wherein the end effector may be pivoted relative to the second arm when the lever is in the locked position.4. The surgical equipment holder of further comprising a spring coupled to the lever.5. The surgical equipment holder of wherein the lever is configured to be in an unlocked position when the lever is squeezed towards the second arm.6. The surgical equipment holder of wherein the lever is configured to ...

Endoscope treatment system

The endoscope treatment system includes an endoscope treatment tool that has an operating section including a distal end and a proximal end, and a sheath that is connected to the distal end of the operating section and is formed with a lumen into which the guide wire is capable of being inserted; a guide wire holder that has a tube member, in which the guide wire is accommodated, and that is circumferentially wound; and a fixing member that couples the operating section to the guide wire holder so that the distal end and the proximal end of the operating section are located outside the circumference of the guide wire holder.

Fiducial marker

A medical marking device, consisting of a radiotransparent plate having a first plurality of radiopaque elements embedded therein in a first predefined pattern and a second plurality of optical reflectors positioned on a surface in proximity to the plate in a second predefined pattern. The device also includes a sigmoid mounting arm having a first end connected to the radiotransparent plate and a second end containing one or more fastening receptacles.

DENTAL TREATMENT ROBOT

A dental treatment robot is provided. The robot comprises: a head fixing unit for fixing a head of a patient; a jaw fixing unit for fixing a jaw of the patient in an opened state; a tooth fixing unit for fixing a treatment target tooth or a tooth around the treatment target tooth; a robot arm capable of moving in directions of at least three axes; a handpiece that is detachably attached to the robot arm and includes a rotating part for tooth preparation; and a base whose movement is fixed. The head fixing unit, the jaw fixing unit, and the tooth fixing unit are connected and fixed to the base, and the robot arm moves on the basis of the bae to carry out the tooth preparation. 1. A dental treatment robot , comprising:a head fixing unit configured to fix a head of a patient;a jaw fixing unit configured to fix a jaw of the patient in an opened state;a tooth fixing unit configured to fix a treatment target tooth or a tooth around the treatment target tooth;a robot arm capable of moving in directions of at least three axes;a handpiece that is detachably attached to the robot arm and includes a rotating part for tooth preparation; anda base whose movement is fixed,wherein the head fixing unit, the jaw fixing unit, and the tooth fixing unit are connected and fixed to the base, and the robot arm moves on the basis of the base to carry out the tooth preparation.2. The dental treatment robot of claim 1 , wherein the robot arm repeatedly moves in a straight line defined by two inputted endpoints to remove tooth decay claim 1 ,wherein the robot arm repeatedly moves in the straight line in a state in which a direction of a longitudinal axis of the tooth is aligned parallel to a z-axis, andwherein the robot arm moves stepwise in the z-axis direction.3. The dental treatment robot of claim 2 , wherein the handpiece includes a camera claim 2 , and the camera is configured to transmit an image of a treatment area to a monitor.4. The dental treatment robot of claim 3 , wherein the ...

AN ADJUSTABLE ARM FOR A PATIENT MONITORING DEVICE

The application describes an adjustable arm for a patient monitoring device to be placed on a surface portion of a patient's body, said arm comprising: at least first and second arm parts; abase to which the first arm part is connected and which includes mounting means for mounting it relative to a patient support platform; and holding means for receiving the patient monitoring device, to which the second arm part is connected; the arm parts, the base and the holding means being articulated by means of joints therebetween, which joints are fixable against movement when the patient monitoring device is in use; wherein the joints between the first arm part and the base and between second arm part and the holding means comprise multidirectional joints; wherein the base has a fixed portion and a tillable portion, the fixed portion comprising the mounting means and the first arm part being connected to the tillable portion, whereby when the said joints are fixed the adjustable arm can maintain the patient monitoring device in position on the patient surface portion while allowing for movement of the patient monitoring device due to respiration. 1. An adjustable arm for a patient monitoring device to be placed on a surface portion of a patient's body , said arm comprising: at least first and second arm parts; a base to which the first arm part is connected and which includes mounting means for mounting it relative to a patient support platform; and holding means for receiving the patient monitoring device , to which the second arm part is connected; the arm parts , the base and the holding means being articulated by means of joints therebetween , which joints are fixable against movement when the patient monitoring device is in use; wherein the joints between the first arm part and the base and between second arm part and the holding means comprise multidirectional joints; wherein the base has a fixed portion and a tiltable portion , the fixed portion comprising the ...

PATIENT-MOUNTED SURGICAL SUPPORT

Surgical support instruments are described herein that can couple to, e.g., an implanted anchor and provide a platform for coupling other surgical implements thereto. In one embodiment, an instrument can include an elongate body having opposed projections extending laterally from a distal portion thereof that can at least partially surround a shank of an implantable anchor such that a longitudinal axis of the elongate body is laterally offset from a longitudinal axis of the anchor. The instrument can further include a lock configured to exert a drag force on a head of the anchor to control polyaxial movement of the instrument relative to the anchor. Further, a proximal portion of the elongate body can be configured to receive a retractor assembly including a plurality of tissue manipulating implements and selectively lock the retractor assembly at any of a plurality of positions along a length of the elongate body. 1. A surgical instrument , comprising:an elongate body;opposed projections extending laterally from a distal portion of the elongate body that are configured to at least partially surround a shank of an implantable anchor at a position distal of a proximal head of the anchor such that a longitudinal axis of the elongate body is laterally offset from a longitudinal axis of the anchor; anda lock configured to exert a drag force on the head of the anchor to control polyaxial movement of the instrument relative to the anchor;wherein a proximal portion of the elongate body is configured to receive a retractor assembly including a plurality of tissue manipulating implements and selectively lock the retractor assembly at any of a plurality of positions along a length of the proximal portion of the elongate body.2. The instrument of claim 1 , wherein the lock is configured to translate relative to the elongate body and contact an upper portion of the proximal head of the anchor.3. The instrument of claim 2 , further comprising a biasing element disposed within a ...

Systems and Methods for Mounting Medical Equipment

Systems, devices and methods are described for mounting medical equipment on IV poles, bed rails and other supporting structures in medical facilities including operating rooms and critical care sections. A system including a mounting hanger and corresponding equipment housing is disclosed that allows quick mounting and dismounting of equipment from a supporting structure. The novel structural design of mounting hanger including a symmetrical t-slot feature and a plunger lock allows a piece of equipment to be mounted on a supporting structure in multiple orientations as per the requirement which allows a user to optimize the placement of equipment in the medical environment. 1. (canceled)2. (canceled)3. (canceled)4. A system for mounting medical equipment on a pole , the system comprising:at least one mounting hanger comprising a first planar portion positioned in a first plane and a second planar portion positioned in a second plane, wherein the first planar portion is configured to be attached to a surface of the medical equipment, wherein the first plane is different from the second plane, and wherein the first planar portion is connected to the second planar portion; anda pole clamp comprising an open area to receive a surface of the pole and an attachment surface configured to be removably attached to the second planar portion.5. The system of claim 4 , wherein the first planar portion comprises a plunger lock.6. The system of claim 5 , wherein the plunger lock is configured to lock the first planar portion of the at least one mounting hanger with the surface of the medical equipment.7. The system of claim 4 , wherein the second planar portion comprises at least one opening configured to receive an attachment mechanism extending from the attachment surface of pole clamp.8. The system of claim 4 , wherein the medical equipment comprises a plurality of receiver sections claim 4 , wherein each of the plurality of receiver sections comprises an opening and a ...

Medical fastening device and medical device

a medical fastening device for an electromagnetic sensor with a clamping element and with a sensor mount and to a medical device with such a fastening device, with an electromagnetic sensor and with a medical instrument. The clamping element has a counterpiece and a pressing piece movable relative to the clamping element, wherein the counterpiece has a lateral opening, which frees a free mounting area, which is itself at least partially enclosed by the counterpiece in a frame-like manner. The counterpiece has a depression, which points towards the mounting area and is arranged opposite the pressing piece, wherein the counterpiece is provided with an opening arranged opposite the depression. The pressing piece is movable in the opening in the direction of the depression of the counterpiece.

WEIGHTLESS TRACTION SYSTEM

A system for translating a constant traction load to an object such as a medical device or a patient includes a plurality of independently rotatable, coaxially aligned spools, each housing a constant force spring fixed at respective ends to the spool and to a rigid member, a plurality of flexible biasing members each coupled on their respective first ends to a spool and at least partially wound around the spool. A plurality of connectors are connected to the respective other ends of the biasing members, which may comprise wire rope. The connectors are configured to quickly couple to and decouple, directly or indirectly, from the object to which the traction load is being delivered. A guide provides a partial path for one or more of the biasing members to the object. A selected load may be applied by coupling one or more of the reversible couplers tensioned by the constant force springs to the object, without use of gravitational loading. 1. A system for translating a constant load to an object requiring traction , comprising:plurality of independently rotatable, coaxially aligned spools, each housing a constant force spring that is fixed to the spool at a first end, and fixed to a rigid member that is independent from the spool at a second end;a corresponding plurality of relatively inelastic, flexible biasing members, each coupled on a first end to one of the spools and at least partially wound around the spool associated with the constant force spring;a corresponding plurality of connectors, each connector attached to a second end of one of the relatively inelastic, flexible biasing members, and each including a reversible couplers configured to quickly couple to and decouple from the object;a guide providing a partial path for one or more of the biasing members to the object; andwherein, a desired load may be applied to the object by selectively coupling one or more of the reversible couplers to the object, such that when the object is coupled to the one or more ...

An apparatus for holding an endoscope

An apparatus for holding an endoscope is disclosed. The apparatus includes a vertical arm mounted on a platform, a gas spring arm unit moves up and down in a space when fitted on a movable horizontal arm, a connecting means configured to lock the position of gas spring arm unit and the horizontal arm in order to obtain a predetermined position of the endoscope using one or more screws, a rail slider configured to move the endoscope in forward and backward direction in the space, a clamping unit configured to hold the endoscope by one of a clamp and a holding tube, wherein the vertical arm is configured to support the apparatus for holding the endoscope.

SURGICAL INSTRUMENT CONNECTORS AND RELATED METHODS

Connectors for connecting or linking one instrument or object to one or more other instruments or objects are disclosed herein. In some embodiments, a connector can include a first arm with a first attachment feature for attaching to a first object, such as a surgical access device, and a second arm with a second attachment feature for attaching to a second object, such as a support. The connector can have an unlocked state, in which the position and orientation of the access device can be adjusted relative to the support, and a locked state in which movement of the access device relative to the support is prevented or limited. Locking the connector can also be effective to clamp or otherwise attach the connector to the access device and the support, or said attachment can be independent of the locking of the connector. 1. A connector , comprising:at least one arm having a plurality of nested segments and an attachment feature for attaching an instrument to the arm; anda handle, wherein the handle is movable between a first position in which the plurality of nested segments are movable relative to one another and a second position in which the plurality of nested segments are fixed relative to one another.2. The connector of claim 1 , wherein the at least one arm comprises first and second arms having respective first and second attachment features claim 1 , wherein the attachment features are movable in one or more degrees of freedom relative to one another when the handle is in the first position claim 1 , and wherein said one or more degrees of freedom are locked when the handle is in the second position.3. The connector of claim 2 , wherein:movement of the handle to the second position is effective to lock movement of the first arm, lock movement of the second arm, lock the first attachment feature to a first instrument, and lock the second attachment feature to a second instrument; andmovement of the handle to the first position is effective to restore movement ...

Multi-Purpose Litter Clamp and Attachments

A multi-purpose litter clamp comprises a clamp that preferably spans below the litter connecting to opposing longitudinal litter poles on opposite sides of the litter. The clamp can attach rigidly and securely to both sides of the litter. In many embodiments, all but a few inches of the litter's longitudinal poles are covered with a nylon fabric that make up the ‘bed’ of the litter. A plurality of clamp accessories can facilitate rapid and effective attachment and/or removal of medical equipment connected to a patient directly to the litter on which the patient lies, either during transport and/or while in a field hospital.

APPARATUSES FOR SECURING A MEDICAL DEVICE AND RELATED METHODS THEREOF

The present invention relates to an apparatus for securing a medical device. In particular, the present invention relates to apparatuses for securing medical devices in a desired manner, wherein the apparatuses having an elongated main body, an anchoring region, a medical device attachment region, and a connection region. Such apparatuses are useful for securing a particular medical device (e.g., a microwave energy delivery device) in a favorable position while conducting a medical procedure with such a medical device (e.g., ablation of peripheral lung tissue). 1. An apparatus for securing a medical device , comprisingan elongated main body having a main body proximal end and a main body distal end, wherein the length of the main body is greater than the width of the main body, wherein the length of the main body is expandable or retractable, wherein the main body has a length less that is extendable to 2 meters and retractable to 0.2 meters, wherein the main body has a width that is between 0.005 meters and 0.3 meters,an anchoring region engaged with the main body proximal end, wherein the anchoring region is configured to lock onto an anchorable region, wherein upon locking with an anchorable region the anchoring region and elongated main body are locked into a fixed position, wherein the length of the medical device attachment region proximal end is expandable or retractable,', 'wherein the medical device attachment region proximal end is elongated such that the length of the medical device attachment region proximal end is greater than the width of the medical device attachment region proximal end, wherein the medical device attachment region proximal end has a length less that is extendable to 2 meters and retractable to 0.5 meters, wherein the medical device attachment region proximal end has a width that is between 0.025 meters and 0.3 meters,', 'wherein the medical device attachment region distal end is configured to secure a medical device, and, 'a medical ...

Orthopedic clamping devices

An orthopedic clamp for affixing at least two fixation members relative to each other is disclosed. The clamp includes a first clamp comprising first outer and inner jaws that define first clamping surfaces that form a first recess, and a second clamp comprising second outer and inner jaws that define second clamping surfaces that form a second recess. The clamps also include a post extending from the second outer jaw and through the second inner jaw, the first inner jaw and the first outer jaw. The post defines a clamping axis, and the second recess defines an axis that intersects the clamping axis. The clamp further includes a clamping nut threadably coupled to the post configured to exert a clamping force to the first and second clamps to fix at least one of a first fixation member within the first recess and a second fixation member within the second recess.

Systems and assemblies for mounting a surgical accessory to robotic surgical systems, and providing access therethrough

A mount assembly for use with a robotic system is provided and includes a housing for coupling to a robot arm; a coupling assembly supported by the housing and including first and second arms, the coupling assembly transitionable between open and closed configurations, wherein in the closed configuration the first and second arms are configured to secure a surgical accessory; a release assembly supported by the housing and engagable with the coupling assembly, the release assembly transitionable between a locked configuration and an unlocked configuration; and a communication assembly supported by the housing and configured for communication with the robotic system with respect to a status of the coupling assembly corresponding to the open and closed configuration thereof and a status of the release assembly corresponding to the locked and unlocked configuration thereof.

Ovulation tester

An ovulation tester contains: a first body and a second body. The first body is cylindrical and includes a first connecting portion, a first holding disc, and a switch. The switch has a first coupling section which corresponds to a second coupling section of the first body, between the switch and the first holding disc are defined a power supply assembly and a light-emitting element below the power supply assembly, and between the light-emitting element and the first holding disc is defined a light diffuser. The second body is cylindrical and is connected with the first body, the second body includes a second connecting portion for corresponding to the first connecting portion of the first body, a second holding disc for corresponding to the first connecting portion of the first body, and at least one lens in the inner wall thereof below the second holding disc.

END EFFECTOR FOR A POSITIONING DEVICE

An end effector is provided for connecting to a positioning arm of a positioning device of a medical navigation system. The end effector comprises a mating component for connecting to an output flange of the positioning arm, a handle portion having a first end and a second end, the first end extending from the mating component, the handle portion including a cable cut-out at the first end, and a camera mount connected to the second end of the handle portion. 1. An end effector for connecting to a positioning arm of a positioning device of a medical navigation system , the end effector comprising:a mating component for connecting to an output flange of the positioning arm;a handle portion having a first end and a second end, the first end extending from the mating component, the handle portion including a cable cut-out at the first end;a camera mount connected to the second end of the handle portion;a mechanical interface located at the second end of the handle portion; anda scope clamp arm connected to the mechanical interface for clamping a scope having a first camera,wherein the scope clamp is connectable to a scope with a fastening ring for clamping a scope in position adjacent the camera mount, the scope having an illuminator at a distal end of the scope that is connectable to at least one light pipe.2. (canceled)3. The end effector according to claim 1 , wherein the scope includes an exoscope and the first camera is mountable on a proximal end of the exoscope.4. The end effector according to claim 3 , wherein the first camera is a surgical site camera for displaying a magnified image of a surgical site claim 3 , cables leading to the first camera and the at least one light pipe being positionable through the cable cut-out.5. (canceled)6. (canceled)7. (canceled)8. (canceled)9. (canceled)10. (canceled)11. The end effector according to claim 1 , further comprising:a trigger mechanism located adjacent the mating component for mechanically communicating with the ...

Repositionable medical instrument support systems, devices, and methods

The disclosure herein provides repositionable medical instrument support systems, devices, and methods. A repositionable medical instrument support system comprises a frame for rigidly connecting the system to a patient support, a ball and socket joint configured to provide three degrees of rotational freedom, a frame mounting arm configured to releasably mount the ball and socket joint to the frame, a sliding joint configured to provide one degree of translational freedom, a connecting arm configured to connect the sliding joint to the ball and socket joint, and a docking member configured to engage a medical instrument to support the medical instrument during a medical procedure.

METHOD AND APPARATUS FOR ATTACHING TISSUE TO BONE, INCLUDING THE PROVISION AND USE OF A NOVEL KNOTLESS SUTURE ANCHOR SYSTEM

Apparatus for securing an object to bone, the apparatus comprising: an anchor, the anchor comprising: a body comprising an opening for receiving a filament therein; and a locking element movably mounted to the body for selectively locking the filament to the body; and an inserter for deploying the anchor in bone, the inserter comprising: a handle; an overtube extending distally from the handle; a carriage movably mounted to the handle; a shaft movably mounted within the overtube and connected to the carriage and releasably connected to the body of the anchor, the shaft being hollow; and a rod movably mounted within the shaft and connected to the locking element. 121.-. (canceled)22. Apparatus for securing an object to bone , the apparatus comprising: a body having a distal end, a proximal end and a passageway extending at least partially between the distal end and the proximal end, wherein the body comprises a generally cylindrical outer surface having a recess, and further wherein the passageway of the body is off-center from the cylindrical outer surface of the body at the recess; and', 'a movable element movably disposed in the passageway of the body., 'an anchor comprising23. The apparatus of wherein the recess is formed along a portion of the cylindrical outer surface of the body so as to provide a substantially flat surface around a portion of the perimeter of the cylindrical outer surface of the body.24. The apparatus of wherein the passageway of the body is disposed within the body so as to be diametrically opposed to the substantially flat surface.25. The apparatus of wherein the movable element is generally cylindrical.26. The apparatus of wherein the passageway of the body comprises a distal section and a proximal section claim 22 , the distal section of the passageway having a wider diameter than the proximal section of the passageway.27. The apparatus of further comprising an actuation element for moving the movable element proximally within the ...

EXPANDABLE CARRIAGE WITH ADJUSTABLE CROSS NUT

An apparatus for adjustably positioning an extremity or body part such as knees, hands, or feet for a surgical procedure comprising a carriage including a base adapted to engage a track for selective positioning there along, an arm configured to pivotably attach to the base, and a socket formed by the joining of the base and arm, the socket configured to accept a ball of an extremity holder. The apparatus further comprises a clamping assembly and an adjustable cross nut assembly. The adjustable cross nut assembly provides clocking and/or adjustable positioning of an internal thread start to provide optimal positioning of the handle that achieves the clamping effect, as the threads are subject to wear and plastic deformation due to use over time. 1. A carriage assembly for securing an extremity holder to a track , said carriage assembly comprising:a base comprising a body comprising a step formed in an upper surface having a hinge portion, a socket and a recess, and a track portion formed on a lower surface adapted to engage the track with movement there-along, said base having a rod opening located on a side thereof extending through said base to said step, said hinge portion comprising a first knuckle formed at one end of said step , said first knuckle having an opening dimensioned to receive a pin extending through said first knuckle and extending at least partially through said base;an arm comprising a first arm side having an arm hinge portion, a socket portion, and a protrusion, said arm hinge portion having a second knuckle formed at an end of said first arm side having an opening dimensioned to receive said pin to operably connect to said hinge portion of said base, said protrusion dimensioned to be received in said recess of said base when said arm is in a closed position, said arm further comprising a second arm side having a sleeve head receiver with at least one mirrored rotational inhibitor and a cross nut opening aligned with said rod opening when said ...

Robotic Hand-Held Surgical Instrument Systems And Methods

A system is provided comprising a robotic instrument for use with a tool. In some versions, the robotic instrument comprises a hand-held portion to be held by a user and a tool support movably coupled to the hand-held portion to support the tool. A plurality of actuators operatively interconnect the tool support and the hand-held portion to move the tool support in three degrees of freedom relative to the hand-held portion. An optional constraint assembly may operatively interconnect the tool support and the hand-held portion to constrain movement of the tool support relative to the hand-held portion in three degrees of freedom. A guidance array assists users in positioning the tool and/or portions of the instrument.

SUSPENSION SYSTEM FOR REMOTE CATHETER GUIDANCE

A robotic catheter system includes an arch-shaped suspension system comprising a first and second vertical span, a horizontal span between the pair of vertical spans, and at least one robotic catheter head coupled to the horizontal span. The arch-shaped suspension system can include a pair of linear guide blocks that can be attached to a patient bed and in some embodiments the linear guide blocks can be configured to slidably move along a rail. The arch-shaped suspension system can be moved to allow for proper placement of the arch-shaped suspension system for use on a patient or for placing the system away from a patient or for storage. In some embodiments the robotic catheter system can include a suspension system cart for storing and moving the arch-shaped suspension system. 120.-. (canceled)21. An arch-shaped suspension system comprising:a first vertical span, a second vertical span, a horizontal span, and at least one robotic catheter head;wherein the horizontal span comprises a catheter clamp, a first end and a second end,wherein a first end of the horizontal span is coupled to the first vertical span and a second end of the horizontal span is coupled to the second vertical span, wherein the at least one robotic catheter head is operably connected to the horizontal span, wherein the catheter clamp comprises an open position and a closed position, and wherein the catheter clamp is configured to allow the at least one robotic catheter head to freely move along the horizontal span when in the open position and secured to the horizontal span when in the closed position.22. The arch-shaped suspension system according to further comprising a first linear guide block coupled to the first vertical span and a second linear guide block coupled to the second vertical span.23. The arch-shaped suspension system according to wherein the first and second linear guide blocks further comprise a guide housing and at least one roller.24. The arch-shaped suspension system ...

CONTROL OF DEVICE INCLUDING MECHANICAL ARMS

A method of jointed device movement inside a body comprising: measuring movement of at least one input object portion; mapping the measured input object portion movement to a jointed device portion movement; and moving the device portion according to mapped measured movements. 1. A surgical system comprising: [ a support portion;', 'an separably bendable first flexible portion coupled to said support portion;', 'a second flexible portion, separably bendable of said first flexible portion, coupled to said first flexible portion; and', 'at least one actuator configured to bend said first and said second flexible portions,, 'at least one surgical device articulated limb, which limb comprises, a support segment;', 'a first segment coupled to said support segment by a first joint;', 'a second segment coupled to said first segment by a second joint; and', 'at least one sensor configured to measure a first input device angle between said first segment and said support segment and measures a second input device angle between said first segment and said second segment; and, 'an input device, comprising at least one input device articulated limb, which input device limb comprises, receive a signal from said at least one sensor;', bend said first flexible portion, based on said first input device angle; and', 'bend said second flexible portion, based said second input device angle., 'send at least one control signal instructing said at least one actuator to], 'a controller configured to], 'a surgical device sized and shaped for insertion into a human body comprising2. The system of claim 1 , wherein said control signal instructs said actuator:to bend said first flexible portion such that an surgical device first angle measured between a surgical device effective first segment and a surgical device support segment corresponds to said first input device angle; andto bend said second flexible portion such that an surgical device second angle measured between said surgical device ...

SCREW DRIVER SYSTEM

Provided are a screw driver system and a screw driving bit. The screw driving bit includes a body having a first end and a second end with a longitudinal axis defined therebetween and an outer surface between the first and second ends. The screw driving bit includes a first circumferential groove and a second circumferential groove that are affixed in coaxially positioned arrangement about the longitudinal axis on the outer surface of the body each having a bottom surface. The bottom surface of the first circumferential groove defines a first outer diameter that is larger than a second outer diameter defined by the second circumferential groove. The guide clamp includes a jaw for holding the screw driving bit. When engaged with the first circumferential groove, the guide clamp prevents rotation of the screw driving bit. When engaged with the second circumferential groove, the guide clamp does not prevent rotation of the screw driving bit. 1. A screw driver system comprising: a unitary body having a first end and a second end and defining a longitudinal axis between the first end and the second end, wherein the body having an outer surface between the first end and the second end;', 'a shaft engaging portion at the first end configured to couple to the shaft;', 'a screw engaging portion at the second end, the screw engaging portion shaped and configured to engage a head of a screw; and', wherein each of the circumferential grooves having side walls and a bottom surface,', 'wherein the bottom surface of the first circumferential groove defining a first outer diameter and the bottom surface of the second circumferential groove defining a second outer diameter,', 'wherein the second circumferential groove is deeper than the first circumferential groove, whereby the second outer diameter is smaller than the first outer diameter; and, 'a first circumferential groove and a second circumferential groove provided on the outer surface of the body,'}], 'a screw driving bit ...

Surgical guide and methods of use

A surgical guide comprising a body including an inner surface that defines a cavity configured for disposal of a surgical instrument. The body further defining an opening communicating with the cavity. A connector disposable with the opening and engageable with a surgical robot. A release is engageable with the connector. Systems, spinal constructs, implants and surgical instruments are disclosed.

Accessory Clamp Having a Rod Clamp and an Accessory Interface

An accessory clamp for use with a rod includes an accessory interface and a corresponding rod clamp. The accessory interface includes at least one of at least one accessory hook and at least one accessory T-slot. By one approach, at least one of the accessory hooks comprises a pivoting accessory hook. By one approach the rod clamp can comprise a universal rod clamp. As one example in these regards, the universal rod clamp can include a selectively variable gripping surface to accommodate a variety of rod diameters. By one approach the accessory interface and the corresponding rod clamp can pivot with respect to one another. 1. An accessory clamp for use with a rod , comprising: at least one pivoting accessory hook having a pivoting range of at least 90° but no more than 300°; and', 'at least one accessory T-slot; and, 'an accessory interface having a pair of gripping arms that pivot with respect to one another, wherein each of the gripping arms includes at least a first and second rod-receiving recess and wherein the first and second rod-receiving recesses are sized differently from one another to thereby accommodate a variety of rod diameters;', 'an adjustable latch that is configured to lock the gripping arms in place on the rod., 'a universal rod clamp that is operably coupled to the accessory interface and having2. An accessory clamp for use with a rod , comprising:an accessory interface; a pair of gripping arms that pivot with respect to one another, wherein each of the gripping arms includes at least a first and second rod-receiving recess and wherein the first and second rod-receiving recesses are sized differently from one another to thereby accommodate a variety of rod diameters;', 'an adjustable latch that is configured to lock the gripping arms in place on the rod., 'a universal rod clamp that is operably coupled to the accessory interface and having3. The accessory clamp of wherein the accessory interface includes at least one of:at least one accessory ...

Surgical retaining arm that can be automatically retightened

A surgical device for stabilizing tissue or positioning organs, or for positioning and holding surgical instruments and devices during a surgical intervention, includes a main body and a flexible arm. The flexible arm can be fastened to the main body, which can be brought into different positions and/or locations and which can be locked in a desired positioning by a tightening mechanism. The tightening mechanism can be tightened and/or released self-actingly and/or by an energy source. In a locked state of the flexible arm, the tightening mechanism has a retightening reserve, and the flexible arm can be automatically retightened in order to maintain its locked state, in particular by an introduction of energy from the energy source or self-actingly, by utilization of the retightening reserve. A retightening mechanism for use in the surgical device automatically retightens a flexible arm when in a locked state to maintain its locked state.

Method and Devices for Hysterectomy

A device sized and shaped for insertion into a body comprising: at least one mechanical limb comprising: a support segment; a first flexible section extending from the support segment and terminating in a coupling section; and a second flexible section extending from the coupling section and terminating in a tool or an connector for a tool; wherein one or more of the flexible sections is bendable by at least 120°; wherein a long axis length of the first flexible section is at least double a maximum extent of the first flexible section perpendicular to a flexible section long axis; wherein a long axis length of the second flexible section is at least double a maximum extent of the second flexible section perpendicular to a flexible section long axis. 159-. (canceled)60. A device sized and shaped for insertion into a body comprising: a support segment;', wherein the first flexible section is bendable by at least 120°; and', 'wherein a length of the first flexible section measured along a long axis of the first flexible section is at least double a maximum extent of the first flexible section perpendicular to the long axis of the first flexible section;, 'a first flexible section extending from the support segment and terminating in a first coupling section;'}, wherein the second flexible section is bendable by at least 120°; and', 'wherein a length of the second flexible section measured along a long axis of the second flexible section is at least double a maximum extent of the second flexible section perpendicular to the long axis of the second flexible section;', includes a plurality of coupled links where pivoting of the flexible section links bends the flexible section in a bending plane thereof; and', 'is rotatable, about a long axis of the at least one flexible section, independently of the other flexible section; and, 'wherein at least one of the flexible sections], 'a second flexible section extending from the first coupling segment and terminating in a second ...

COMPUTER-ASSISTED SHOULDER SURGERY AND METHOD

A humerus cutting assembly includes a guide frame having an attachment member adapted to be secured to a humerus adjacent to a humeral head. A cutting guide is releasably connected to the guide frame, the cutting guide configured to guide a tool in altering the humeral head. One or more inertial sensor units is on the cutting guide, the inertial sensor unit tracking an orientation of the cutting guide relative to the humerus based on the releasable connection between the cutting guide and the guide frame. 1. A humerus cutting assembly comprising:a guide frame having an attachment member adapted to be secured to a humerus adjacent to a humeral head, anda cutting guide releasably connected to the guide frame, the cutting guide configured to guide a tool in altering the humeral head;at least one inertial sensor unit on the cutting guide, the inertial sensor unit tracking an orientation of the cutting guide relative to the humerus based on the releasable connection between the cutting guide and the guide frame.2. The humerus cutting assembly according to claim 1 , wherein the attachment member includes a plate configured to be applied against the humerus.3. The humerus cutting assembly according to claim 2 , wherein the attachment member includes at least one fastener to secure the plate to the humerus.4. The humerus cutting assembly according to claim 2 , wherein the plate includes at least one patient-specific surface being a negative of a corresponding surface of the humerus.5. The humerus cutting assembly according to claim 1 , wherein the guide frame has an elongated arm configured to be connected to a portion of an arm of the humerus claim 1 , away from the humerus.6. The humerus cutting assembly according to claim 5 , including a clamp at an end of the elongated arm configured to be connected to the portion of the arm of the humerus.7. The humerus cutting assembly according to claim 6 , wherein the clamp has biased jaws.8. The humerus cutting assembly according ...

REPOSITIONABLE MEDICAL INSTRUMENT SUPPORT SYSTEMS, DEVICES, AND METHODS

The disclosure herein provides repositionable medical instrument support systems, devices, and methods. A repositionable medical instrument support system comprises a frame for rigidly connecting the system to a patient support, a ball and socket joint configured to provide three degrees of rotational freedom, a frame mounting arm configured to releasably mount the ball and socket joint to the frame, a sliding joint configured to provide one degree of translational freedom, a connecting arm configured to connect the sliding joint to the ball and socket joint, and a docking member configured to engage a medical instrument to support the medical instrument during a medical procedure. 1. A repositionable medical instrument support system , the system comprising:a frame for rigidly connecting the system to a patient support;a ball and socket joint configured to provide three degrees of rotational freedom, the ball and socket joint comprising a ball member and an actuator, wherein the ball member is at least partially surrounded by a clamping member, wherein the clamping member is adjustable through a continuous range to vary a first friction force between the clamping member and the ball member, and wherein the actuator is configured to apply a variable actuating force to the clamping member to create the first friction force between the ball member and the clamping member;a frame mounting arm configured to mount the ball and socket joint to the frame;a sliding joint configured to provide one degree of translational freedom, the sliding joint comprising a support coupling and a support bar passing through the support coupling, wherein a resilient member positioned between the support coupling and support bar creates a second friction force between the support coupling and the support bar;a connecting arm configured to connect the sliding joint to the ball and socket joint; anda docking member configured to engage a medical instrument to support the medical instrument ...

SURGICAL INTRODUCER WITH GUIDANCE SYSTEM RECEPTACLE

An introducer system for use with a navigation probe. The introducer system has an introducer and a probe retainer configured to selectively connect to the introducer. The probe retainer includes a receiver configured to receive a navigation probe shaft and limit movement of the navigation probe shaft in the lateral direction. A first clamp and a second clamp are connected to the receiver with the receiver located between the first clamp and the second clamp. Each of the first clamp and the second clamp is selectively engageable with respective portions of the introducer sidewall to hold the receiver at a fixed location relative to the introducer. The receiver, the first clamp, and the second clamp are configured to provide a visual path through the probe retainer and into the introducer passage. 1. An introducer system for use with a navigation probe having a navigation element and a navigation probe shaft having a diameter and terminating at a distal probe tip , the introducer system comprising:an introducer having a sidewall extending along a longitudinal axis and forming an introducer passage extending from a proximal introducer end to a distal introducer end, the introducer passage having a first diameter in a lateral direction that is orthogonal to the longitudinal axis; and a receiver having a receiver passage configured to receive the navigation probe shaft, the receiver passage having a second diameter in the lateral direction that is less than the first diameter, the second diameter being sized to limit movement of the navigation probe shaft in the lateral direction,', 'a lock movable between a first position in which the lock allows the navigation probe shaft to be inserted through the receiver while the probe retainer is connected to the proximal introducer end, and a second position in which the lock allows the navigation probe shaft to be removed from the receiver while the probe retainer is connected to the proximal introducer end., 'a probe retainer ...

Surgical visualization systems and related methods

Surgical visualization systems and related methods are disclosed herein, e.g., for providing visualization during surgical procedures. Systems and methods herein can be used in a wide range of surgical procedures, including spinal surgeries such as minimally-invasive fusion or discectomy procedures. Systems and methods herein can include various features for enhancing end user experience, improving clinical outcomes, or reducing the invasiveness of a surgery. Exemplary features can include access port integration, hands-free operation, active and/or passive lens cleaning, adjustable camera depth, and many others.

SURGICAL RETRACTOR HAVING CLAMPING MECHANISM

A clamp for a surgical retractor system. The clamp has a tapered conically shaped washer against and through which clamping force is applied to place the clamp in a clamped position. The clamping force is applied by a cam head connected to a central shaft. A locking pin connects the cam head to the shaft. Apertures are provided in the clamp for receiving rod ends of a surgical retractor. Such apertures are circular and are positioned to be closer to the top and bottom edges of the clamp portion of the clamp than to the end edge of the clamp portion. 1. A clamping apparatus comprising:an upper clamp comprising an upper clamp top side, an upper clamp bottom side, and a first passage having a first surface broken by two legs of the upper clamp that are separated by a first gap;a lower clamp comprising a lower clamp top side, a lower clamp bottom side, and a second passage having a second surface broken by two legs of the lower clamp that are separated by a second gap;a shaft comprising a shaft upper portion and a shaft lower portion, wherein the shaft extends through the upper clamp top side, the upper clamp bottom side, the lower clamp top side, and the lower clamp bottom side;a cam lever comprising a cam head pivotally attached to the shaft upper portion; anda lower device secured to the shaft lower portion via a coupling, wherein the coupling permits adjusting a clamping force between by the cam head and the lower device by permitting movement of the lower device along the shaft lower portion;wherein the cam head comprises a cam head outer surface that causes the cam head to apply the clamping force between the cam head and the lower device when the cam lever is rotated to a clamping position.2. The clamping apparatus of claim 1 , wherein:the shaft lower portion comprises threads;the lower device comprises threads; andthe coupling comprises the threads of the lower device engaged with the threads of the shaft lower portion.3. The clamping apparatus of claim 1 , ...

PATIENT-MOUNTED SURGICAL SUPPORT

Surgical support instruments are described herein that can couple to, e.g., an implanted anchor and provide a platform for coupling other surgical implements thereto. In one embodiment, an instrument can include an elongate body having opposed projections extending laterally from a distal portion thereof that can at least partially surround a shank of an implantable anchor such that a longitudinal axis of the elongate body is laterally offset from a longitudinal axis of the anchor. The instrument can further include a lock configured to exert a drag force on a head of the anchor to control polyaxial movement of the instrument relative to the anchor. Further, a proximal portion of the elongate body can be configured to receive a retractor assembly including a plurality of tissue manipulating implements and selectively lock the retractor assembly at any of a plurality of positions along a length of the elongate body. 1. A surgical instrument , comprising:an elongate body;opposed projections extending laterally from a distal portion of the elongate body that are configured to at least partially surround a shank of an implantable anchor at a position distal of a proximal head of the anchor such that a longitudinal axis of the elongate body is laterally offset from a longitudinal axis of the anchor; anda lock configured to cause exertion of a drag force on the head of the anchor to couple the instrument to the anchor;wherein a proximal portion of the elongate body is configured to receive a retractor assembly including a plurality of tissue manipulating implements and selectively lock the retractor assembly at any of a plurality of positions along a length of the proximal portion of the elongate body.2. The instrument of claim 1 , wherein the lock is configured to translate relative to the elongate body.3. The instrument of claim 2 , further comprising a biasing element disposed within a lumen of the elongate body and configured to urge the lock into contact with the ...

CONTROL OF DEVICE INCLUDING MECHANICAL ARMS

A method of initializing the layout of one or more robotic arms controllable by an input object, comprising: entering a paused mode, in which control of movement of the robotic arms by the input object is paused; measuring an input object initialization layout, defined by the layout of at least one segment of the input object; actuating at least a portion of the robotic arms to match the input object initialization layout; and entering a controlled mode, in which movements of the input object control the robotic arms. 1. A method of providing feedback during surgery to a user controlling , via an input device , movement of a surgical device limb , the surgical device limb comprising at least two spaced apart joints , said method comprising:identifying one or more disallowed anatomical regions in the patient's body in which movement of said surgical device limb should be restricted or avoided; said identifying based on calculation of a position and not on contact with tissue;upon said user attempting movement of at least one of said joints of said surgical device limb to said one or more disallowed anatomical regions, providing feedback to said user via said input device, said feedback including at least one of force feedback, visual feedback, audible feedback.2. The method according to claim 1 , wherein said identifying comprises collecting images by an imager inserted into the patient's body.3. The method according to claim 1 , wherein said identifying comprises producing an anatomical map according to CT and/or MRI scans of the patient.4. The method according to claim 1 , wherein said input device comprises avatar input arms and wherein said feedback is in the form of force resistance in response to the user's manipulation of said avatar input arms.5. The method according to claim 4 , wherein said avatar input arm is shaped to reflect a shape of said surgical device limb.6. The method according to claim 1 , comprising moving said surgical device limb within the ...

MULTI-SHIELD SPINAL ACCESS SYSTEM

An access device for accessing an intervertebral disc having an outer shield comprising an access shield with a larger diameter (˜16-30 mm) that reaches from the skin down to the facet line, with an inner shield having a second smaller diameter (˜5-12 mm) extending past the access shield and reaches down to the disc level. This combines the benefits of the direct visual microsurgical/mini open approaches and the percutaneous, “ultra-MIS” techniques. 134.-. (canceled)35. A method of accessing a surgical site in a patient , comprising:making an incision in a skin of the patient;percutaneously inserting through the incision a multi-tool having a main body;navigating insertion of the multi-tool using a navigation array coupled to the main body of the multi-tool;inserting one or more dilators over the main body of the multi-tool to dilate the incision;inserting an access device percutaneously through the dilated incision to position a distal end of the access device at the surgical site; andremoving the one or more dilators and the main body from a working channel of the access device.36. The method of claim 35 , further comprising detecting the presence claim 35 , proximity claim 35 , health claim 35 , or other attributes of nerve tissue using a sensor of the multi-tool.37. The method of claim 35 , further comprising delivering energy to a target tissue using an energy delivery element of the multi-tool.38. The method of claim 37 , wherein delivering the energy comprises ablating osseous bone tumor tissue.39. The method of claim 35 , wherein the dilators are inserted over the main body while the navigation array is coupled to the main body.40. The method of claim 35 , further comprising removing a K-wire from the multi-tool after inserting the multi-tool through the incision and before inserting the access device.41. The method of claim 35 , further comprising detaching a handle from the main body of the multi-tool after inserting the multi-tool through the incision and ...

REFERENCE DEVICE FOR REAL-TIME TRACKING OF BONE AND/OR SURGICAL OBJECTS IN COMPUTER-ASSISTED SURGERY

Reference device () for real-time tracking of bone and/or surgical objects in computer-assisted surgery, the device () comprising: A) an upper member () having at least one circular cylindrical hole () penetrating through the upper member () from the upper surface () to the lower surface (), wherein the hole () defines a circular cylindrical reference element () having a diameter d and a height h, the ratio between the diameter d and the height h of the reference element () is minimum 1/3, and B) a lower member () configured to cover the lower orifices () of the holes (); and wherein C) the upper member () is configured as a plate shaped body. 139-. (canceled)40. A reference device for real-time tracking of bone and/or surgical objects in computer-assisted surgery , the device comprising:an upper member having an upper surface, a lower surface and at least one circular cylindrical hole penetrating through the upper member from the upper surface to the lower surface so that the hole has an upper orifice at the upper surface and a lower orifice at the lower surface; anda lower member configured to cover the lower orifice of the hole;wherein the hole defines a circular cylindrical reference element having a diameter d and a height h,wherein a ratio between the diameter d and the height h of the reference element is a minimum of 1:3, andwherein the upper member is a plate shaped body.41. The reference device according to claim 40 , wherein the upper member comprises a radiopaque material at least at a periphery of the hole and/or the lower member is made of a radiolucent material.42. The reference device according to claim 40 , wherein the reference device further comprises an attachment means for loosenably securing the reference device to one or more of a medical implant claim 40 , surgical instrument claim 40 , surgical tool and an operation table.43. The reference device according to claim 40 , wherein the reference device is integrated in one or more of a medical ...

METHOD AND DEVICES FOR HYSTERECTOMY

A device sized and shaped for insertion into a body includes at least one mechanical limb including a support segment, a first flexible section extending from the support segment and terminating in a coupling section, and a second flexible section extending from the coupling section and terminating in a tool or an connector for a tool. One or more of the flexible sections is bendable by at least 120°. A long axis length of the first flexible section is at least double a maximum extent of the first flexible section perpendicular to a flexible section long axis. A long axis length of the second flexible section is at least double a maximum extent of the second flexible section perpendicular to a flexible section long axis. 1. (canceled)2. A device sized and shaped for insertion into a body , comprising: [ a support segment;', 'a first coupling segment; and', wherein the first flexible section includes:', 'a first set of links,', 'wherein the first set of links includes an articulated configuration of pivoting links configured to allow the first flexible section to bend along a first bending plane by at least 120°,, 'a first flexible section,'}, 'wherein the first flexible section is configured to be rotatable about a long axis of the support segment;, 'a first limb member comprising, a second coupling segment; and', wherein the second flexible section includes:', 'a second set of links,', 'wherein the second set of links includes another articulated configuration of pivoting links configured to allow the second flexible section to bend along a second bending plane by at least 120°,, 'a second flexible section,'}, 'wherein the second flexible section is configured to be rotatable about a long axis of the first coupling segment;', 'wherein the second limb member extends from the first coupling segment and terminates at the second coupling segment;', 'wherein the first flexible section is configured to bend and rotate independently from bending and rotation of the second ...

Method and device for positioning and stabilization of bony structures during maxillofacial surgery

A maxillofacial or cranial-facial surgical stabilizer comprising a head frame fully or partially surrounding the head of a patient at an angle running from ears to temple, and that is fixated to the skull of the patient by multiple screws and/or ear holders and screws. One or more flexible/locking arms are removably attached to the head frame for holding and positioning a plurality of interchangeable instruments or accessories. One flexible/locking arm is a medial/center arm accessorized with a dental arch mold. A method of using a head frame to position the pieces of bones during maxillofacial or cranio-facial surgery is also provided.

BONE GRAFT DELIVERY SYSTEM AND METHOD FOR USING SAME

A bone graft delivery system can include an elongate tube and a handle having a trigger and a ratcheting mechanism. The trigger is actuated to deliver bone graft material through the tube. The bone graft delivery system can further include a distal tip at a distal end of the tube. The tip has one or more openings to deliver the bone graft material to a desired location and includes a surface suitable to act as a rasp for decorticating bone. A method for delivering bone graft material to a desired surgical location includes providing a bone graft delivery device, positioning the device adjacent the surgical location, decorticating bone, and delivering bone graft material to the surgical location. 1. A bone graft delivery system , comprising: an elongate tube;', 'a lumen extending through the elongate tube, the lumen having a uniform cross-section along an entire length of the lumen from a proximal end of the lumen to a distal end of the lumen; and', 'a plunger configured to be received in the lumen, the plunger comprising a plurality of notches; and, 'a bone graft delivery device comprisingan interbody device configured to be removably coupled to the bone graft delivery device;wherein the plunger is configured to advance through the lumen of the elongate tube to advance bone graft material through the lumen.2. The system of claim 1 , wherein the interbody device comprises an interbody cage.3. The system of claim 1 , wherein the bone graft delivery device comprises an attachment member claim 1 , wherein the interbody device is configured to be removably coupled to the attachment member.4. The system of claim 1 , wherein the distal end of the elongate tube is configured to be removably coupled to the interbody device.5. The system of claim 4 , wherein the distal end of the elongate tube comprises alternating ridges and recesses and the interbody device comprises corresponding recesses and ridges claim 4 , wherein the ridges and recesses of the elongate tube are ...

MEDICAL DEVICE

A medical device has a first hinge part () including two hinge arms (), which are arranged at a distance apart, and a hinge pin (), which is extended between the hinge arms along a longitudinal axis (). A second hinge part () is in certain areas accommodated between the two hinge arms and is passed through by a hinge cavity (). The hinge pin is accommodated in a pivotably movably in the hinge cavity. The hinge pin and the hinge cavity have a central contact region () with contact between hinge pin and hinge cavity. Clearance regions () border the contact region on both sides and are extended up to the hinge arms, without touching contact between hinge pin and hinge cavity, in order to ensure an exclusively central force transmission between the hinge pin and the hinge cavity. 1. A medical device comprising a hinge arrangement comprising:a first hinge part comprising two hinge arms, which are arranged at a distance apart;a second hinge part, the hinge arrangement being configured for a pivot motion of the first hinge part in relation to the second hinge part; anda hinge pin extending between the hinge arms along a longitudinal axis to define a pivot axis of the hinge arrangement, wherein:{'b': 15', '16, 'the second hinge part is, in certain areas accommodated between the two hinge arms ( ) and passes through a hinge cavity and is pivotably movable in the hinge cavity; and'}the hinge pin has a central contact region with a touching contact between hinge pin and hinge cavity and clearance regions, which border the contact region on both sides and are extended up to the hinge arms, without touching contact between hinge pin and hinge cavity, in order to ensure an exclusively central force transmission between the hinge pin and the hinge cavity.2. A medical device according to claim 1 , wherein the hinge cavity is configured as a stepped bore having a centrally arranged guide bore which has a smaller cross section than clearance bores which border the guide bore on both ...

Suspension system for remote catheter guidance

A robotic catheter system includes an arch-shaped suspension system comprising a first and second vertical span, a horizontal span between the pair of vertical spans, and at least one robotic catheter head coupled to the horizontal span. The arch-shaped suspension system can include a pair of linear guide blocks that can be attached to a patient bed and in some embodiments the linear guide blocks can be configured to slidably move along a rail. The arch-shaped suspension system can be moved to allow for proper placement of the arch-shaped suspension system for use on a patient or for placing the system away from a patient or for storage. In some embodiments the robotic catheter system can include a suspension system cart for storing and moving the arch-shaped suspension system.

SURGICAL TOOL-POSITIONING DEVICES AND RELATED METHODS

The disclosure describes assemblies for use during image-guided procedures and can include turret arms and/or longitudinally extending and laterally extending cooperating devices for holding surgical tools such as trajectory guides. 1. A surgical assembly , comprising:a head fixation frame comprising an upwardly extending right member and an upwardly extending left member, the right member and the left member configured to reside on opposing sides of a head of a patient, wherein the right member and the left member each comprise at least one head fixation member extending laterally inward toward each other;an arcuate support member coupled to the head fixation frame, wherein, in use, the arcuate support member resides adjacent to but longitudinally spaced apart from the right and left members of the head fixation frame and the patient, wherein the arcuate support member comprises inner and outer arcuate perimeters and a planar upper surface;at least one turret arm attached to the arcuate support member, wherein the at least one turret arm comprises opposing first and second end portions with an arcuate segment therebetween, and wherein the at least one turret arm is configured to place the first end portion and the arcuate segment above the arcuate support member, wherein the at least one turret arm is lockable to the arcuate support member at different lateral positions between the right and left members of the head fixation frame; anda trajectory guide assembly attached to the arcuate segment of the at least one turret arm, wherein the trajectory guide assembly is positionally adjustable along a length of the arcuate segment.2. The surgical assembly of claim 1 , wherein the trajectory guide assembly comprises a turret attachment arm defining an elongate slot claim 1 , wherein the turret attachment arm extends off an outer perimeter of a semi-circular base portion of the trajectory guide assembly claim 1 , wherein the turret attachment arm is perpendicular to the ...

Accessory Support And Coupling Systems For An Accessory Support

The present disclosure provides a coupling system for coupling a medical accessory to an accessory support is provided. The present disclosure also provides a system for powering a medical accessory with an accessory support. 1. A coupling system for a medical accessory , said coupling system comprising:an accessory support having a power distribution system; a first coupling portion, and', 'a first electrical connector for electrically coupling said power distribution system of said accessory support to the medical accessory; and, 'a first component supported by and electrically coupled to said accessory support, with said first component comprising,'} a second coupling portion configured for being removably coupled to said first coupling portion of said first component, and', 'a second electrical connector for electrically coupling the medical accessory to said first electrical connector;, 'a second component configured to support the medical accessory and be electrically coupled to the medical accessory, said second component comprising,'}wherein said first coupling portion and said second coupling portion are configured to allow rotating motion of said second component relative to said first component in at least one degree of freedom between a first position and a second position, wherein said second component is supported by said first component in said first and second positions, and wherein, during use, said second component rotates relative to said first component in at least one degree of freedom between said first and second positions such that said first and second electrical connectors are connected in said second position.2. A coupling system as set forth in wherein said first component is configured to prevent downward movement of said second component relative to said first component when said second component is supported by said first component.3. A coupling system as set forth in wherein said first component is further configured to prevent ...

Device for performing a surgical procedure and method

A device including a first member extending along an axis between a first end and a second end. The first end includes a first portion spaced apart from a second portion by a gap extending parallel to the axis. An inner surface of the first portion and an inner surface of the second portion defining a cavity. A pivoting member is movably disposed in the cavity and includes an inner surface defining a passageway. A second member is disposed within the passageway. The pivoting member is movable between a first orientation such that the gap has a first width and the pivoting member is rotatable to a selected trajectory relative to the axis and a second orientation such that the gap has a second width that is less than the first width and the second member is fixed in the selected trajectory. Methods of use are disclosed.

Tissue Force Sensor Systems and Methods of Use

The disclosure provides tissue force sensor systems and methods for tissues, e.g., laryngeal tissue. The systems include a top housing including on an upper side an attachment mechanism for connecting the top housing to a medical device, e.g., a laryngoscope, and on a lower side a first cavity for receiving a top portion of a force measurement device such as a load cell; a bottom housing including on a lower side an attachment mechanism for connecting the bottom housing to a handle, holding system, or suspension system for holding or supporting the medical device, and on an upper side a second cavity for receiving a bottom portion of the force measurement device; and an attachment device for connecting the top housing to the bottom housing. 1. A tissue force sensor system comprisinga top housing comprising on an upper side thereof an attachment mechanism for connecting the top housing to a medical device, and on a lower side thereof a first cavity for receiving a top portion of a force measurement device;a bottom housing comprising on a lower side thereof an attachment mechanism for connecting the bottom housing to a handle, holding system, or suspension system for holding or supporting the medical device and on an upper side thereof a second cavity for receiving a bottom portion of the force measurement device; andan attachment device for slidably connecting the top housing to the bottom housing along a central axis of the top and bottom housings, wherein the first and second cavities are sized such that the top and bottom housings do not contact each other when a force measurement device is arranged within the first and second cavities.2. The system of claim 1 , wherein the medical device is a laryngoscope claim 1 , and wherein the system is configured to sense force on a laryngeal tissue.3. The system of claim 1 , further comprising a force measurement device arranged between the top and bottom housings within the first and second cavities.4. The system of claim ...

Accessory Support And Coupling Systems For An Accessory Support

The present disclosure provides a coupling system for coupling a medical accessory to an accessory support is provided. The present disclosure also provides a system for powering a medical accessory with an accessory support.

Disposable Modular Patella Protector/Clamp

A disposable modular patella protector and clamp is disclosed, providing the ability for a surgeon to shift the procedure sequence of the implantation of the patella from the end of a total knee replacement procedure to anytime during the procedure by providing a modular clamp that holds and protects the patella prosthesis and prepared patella. The clamp may be positioned in a manner in which it does not obstruct the patella or the prosthesis, allowing the surgeon to attend to other elements of the procedure while the bone cement is allowed to cure.

UNIVERSAL NAVIGATION INSTRUMENT ADAPTER

A device or system to adapt navigation trackers from various manufacturers to a variety of instruments to be navigated during a surgical procedure is disclosed. An adapter for coupling a navigation tracking array to an instrument including a drive shaft and a tracking device holder. The drive shaft can include a handle interface, an instrument connection, and an intermediate section including a circular locking groove extends proximally from a positioning flange. The tracking device holder can be configured to secure a navigation tracking array to the drive shaft and include an elongated body and a locking button. The elongated body can include an inner bore extending along a longitudinal length of the elongated body and adapted to receive the intermediate section of the drive shaft. The locking button can retain the tracking device holder along the drive shaft while allowing for rotation about the longitudinal axis. 1. A universal adapter for coupling a navigation tracking array to an instrument , the universal adapter comprising:a drive shaft including a proximal handle interface, a distal instrument connection, and an intermediate section extending proximally from a distal positioning flange and including an enlarged diameter and a circular locking groove; and an elongated body including an inner bore extending along a longitudinal length of the elongated body and adapted to receive the intermediate section of the drive shaft; and', 'a locking button engagable with the circular locking groove to retain the tracking device holder in a fixed axial position along a longitudinal axis of the drive shaft while allowing for rotation of the tracking device holder about the longitudinal axis., 'a tracking device holder configured to secure a navigation tracking array to the drive shaft, the tracking device holder comprising2. The universal adapter of claim 1 , wherein the locking button includes a biasing mechanism to maintain contact with the circular locking groove and ...

SURGICAL TOOL WITH FEEDBACK

A surgical tool including a handle, a functional tool, and a torque limiter is described. The handle is sized and dimensioned for manipulation by a surgeon in a surgical environment. The functional tool is supported by the handle. The torque limiter is supported by the handle and is located between the handle and the functional tool. The torque limiter permits the handle and the functional tool to move relative to each other based on an amount of force applied to the functional tool. 1. A surgical tool , comprising:a handle sized and dimensioned for manipulation by a surgeon in a surgical environment;a functional tool supported by the handle, the functional tool configured to operate on a patient's tissue; anda torque limiter supported by the handle and being located between the handle and the functional tool, the torque limiter permitting the handle and the functional tool to move relative to each other based on an amount of force applied to the functional tool.2. The surgical tool of claim 1 , further comprising a shaft connected to the handle and the functional tool claim 1 , the shaft having a first segment claim 1 , and a second segment claim 1 , the first segment being connected to the handle claim 1 , and the second segment being connected to the functional tool claim 1 , the torque limiter being positioned between the first segment claim 1 , and the second segment claim 1 , the torque limiter movably connecting the first segment to the second segment.3. The surgical tool of claim 1 , wherein the torque limiter includes a first member claim 1 , and a second member coupled together claim 1 , the first member uncoupling from the second member based on the amount of force applied to the functional tool.4. The surgical tool of claim 1 , wherein the torque limiter includes a control unit claim 1 , a sensor claim 1 , two coupled members claim 1 , and an actuator claim 1 , the sensor generating a first signal indicative of the amount of force applied to the ...

Surgical Retraction Frame, Surgical Retraction Systems, and Methods of Using Same

A frame for supporting one or more surgical tools during a surgical procedure. The frame is connectable to a surgical table and has at least one transverse support assembly and at least one longitudinal support assembly. Each longitudinal support assembly extends between and is coupled to the first transverse support assembly and either a second transverse support assembly or a support post that is spaced from the first transverse support assembly relative to a longitudinal axis of the table. Each longitudinal support assembly has a shaft and at least one connector that is coupled to the shaft and configured to engage and support a surgical tool. The frame is connectable to the surgical table such that the first and second transverse support assemblies and the at least one longitudinal support assembly are spaced from the surgical table in an upward direction. 1. A frame for supporting one or more surgical tools during a surgical procedure , the frame being connectable to a surgical table and comprising:first and second transverse support assemblies, each transverse support assembly being configured to extend from a proximal side of a surgical table to an opposed distal side of the surgical table and having a shaft with a central axis, wherein the second transverse support assembly is spaced from the first transverse support assembly relative to a longitudinal axis of the surgical table, wherein the proximal and distal sides of the surgical table extend between opposed first and second ends of the surgical table, and wherein the proximal side of the surgical table is spaced apart from the distal side of the surgical table relative to a transverse axis that is substantially perpendicular to the longitudinal axis of the surgical table; andat least one longitudinal support assembly extending between and operatively coupled to the first and second transverse support assemblies, wherein the at least one longitudinal support assembly comprises a shaft and at least one ...

DEVICE FOR SURGICAL ASSISTANCE

A device for surgical assistance is disclosed. The device comprising one or more rails, and a plurality of side posts. The rails are configured to attach to a hand table via one or more engagement members. The plurality of the side post comprises an upper part and a lower part. The lower part of the said side post is engaged to the rails via a clamp mechanism. The upper part of the said side post is configured to hold surgical equipment. Further, each of the side post is height adjustable. The device further comprises a rail extension system, which is attached to an end portion of rails lying close to a trunk portion of the patient. 1. A device for surgical assistance , the device comprisinga rail system comprising one or more rails, said rails are removably attached to a hand table via one or more clamps, wherein the hand table is adapted to support a portion of a user's body; and a plurality of side posts, each side post comprising an upper part and a lower part, wherein the lower part of the side post is engaged to the rails via one or more engagement members, and the upper part of the said side posts are configured to hold one or more surgical equipment required for performing a surgery.2. The device of claim 1 , wherein the engagement member is a spring lock clamp.3. The device of claim 2 , wherein the spring lock clamp comprises a ball bearing surface claim 2 , wherein the ball bearing surface is interfaced with the rail for reducing friction and permits free gliding of the side posts over the rail.4. The device of claim 2 , wherein the rail comprises a slot to accommodate the spring lock clamp claim 2 , said spring lock clamp further enables a longitudinal movement of the side posts over the rail.5. The device of claim 1 , wherein the longitudinal movement of the side posts over the rail is controlled via a slide lock system.6. The device of claim 1 , wherein the side posts are configured to hold any one or more surgical equipment including a tissue ...

SURGICAL INSTRUMENTS, SYSTEMS AND METHODS OF USE

A surgical instrument includes a mount body, a joint member, an arm, and a working end. The mount body has a top portion, a distal end, a proximal end and a bottom portion. The joint member is pivotally mounted at a distal end portion of the mount body, to allow positioning of a proximal portion of an arm extending distally from the joint member. The joint member is also configured to at least partially constrain movement of the proximal portion of the arm to a plane. The working end is mounted to a distal end portion of the arm. The surgical instrument can be configured as a heart stabilizer or a heart positioner. The joint member may further be configured as a slotted ball, a disk member, or a combination thereof. 1. A surgical instrument comprising:a mount body having a top portion, a distal end, a proximal end and a bottom portion;a joint member pivotally mounted at a distal end portion of the mount body to allow positioning of a proximal portion of an arm extending distally from the joint member, the joint member configured to at least partially constrain movement of the proximal portion of the arm to a plane; and a working end mounted to a distal end portion of the arm, wherein the surgical instrument is a stabilizer and the working end comprises a pair of contact members.2. The instrument of claim 1 , wherein the joint member comprises a first joint member and a second joint member claim 1 , wherein the first joint member confines movement of the proximal portion of the arm to yawing claim 1 , and the second joint member confines movement of the proximal portion of the arm to pitching.3. The instrument of claim 1 , wherein the joint member pivotally mounted at the distal end portion of the mount body is a disk member.4. The instrument of claim 1 , wherein the joint member further comprises a slotted ball.5. The instrument of claim 4 , wherein the joint member is a disk member claim 4 , and the slotted ball is connected to the disk member.6. The instrument of ...

Mounting device for medical equipment

A medical equipment mounting device, for example a patch unit holder, is provided for holding medical equipment on a fixed structure. The mounting device includes a housing, a knob, and a locking ledge. The housing has an opening to receive and mount to a fixed structure. The knob has a ramp for defining a height of the locking ledge and functions as a push-button to cause the locking ledge to engage or release the fixed structure. The ramp of the knob is shaped to provide multiple discrete heights for the locking ledge. This configuration allows for the mounting device to be universal in mounting to various fixed structures, particularly various bedrail sizes.

Surgical retractor having clamping mechanism

A clamp for a surgical retractor system. The clamp has a tapered conically shaped washer against and through which clamping force is applied to place the clamp in a clamped position. The clamping force is applied by a cam head connected to a central shaft. A locking pin connects the cam head to the shaft. Apertures are provided in the clamp for receiving rod ends of a surgical retractor. Such apertures are circular and are positioned to be closer to the top and bottom edges of the clamp portion of the clamp than to the end edge of the clamp portion.

Multi-shield spinal access system

An access device for accessing an intervertebral disc having an outer shield comprising an access shield with a larger diameter (˜16-30 mm) that reaches from the skin down to the facet line, with an inner shield having a second smaller diameter (˜5-12 mm) extending past the access shield and reaches down to the disc level. This combines the benefits of the direct visual microsurgical/mini open approaches and the percutaneous, “ultra-MIS” techniques.

Surgical instrument connectors and related methods

Connectors for connecting or linking one instrument or object to one or more other instruments or objects are disclosed herein. In some embodiments, a connector can include a first arm with a first attachment feature for attaching to a first object, such as a surgical access device, and a second arm with a second attachment feature for attaching to a second object, such as a support. The connector can have an unlocked state, in which the position and orientation of the access device can be adjusted relative to the support, and a locked state in which movement of the access device relative to the support is prevented or limited. Locking the connector can also be effective to clamp or otherwise attach the connector to the access device and the support, or said attachment can be independent of the locking of the connector.

Systems and Methods for Mounting Medical Equipment

Systems, devices and methods are described for mounting medical equipment on IV poles, bed rails and other supporting structures in medical facilities including operating rooms and critical care sections. A system including a mounting hanger and corresponding equipment housing is disclosed that allows quick mounting and dismounting of equipment from a supporting structure. The novel structural design of mounting hanger including a symmetrical t-slot feature and a plunger lock allows a piece of equipment to be mounted on a supporting structure in multiple orientations as per the requirement which allows a user to optimize the placement of equipment in the medical environment.