Systems and methods are provided in which devices that are employed during a medical procedure are adaptively configured during the medical procedure, based on input or feedback that is associated with the current state, phase or context of the medical procedure. In some example embodiments, the input is obtained via the identification of one or more medical instruments present within a region of interest, and this input may be employed to determine configuration parameters for configuring the device. In other example embodiments, the input may be based on the image-based detection of a measure associated with the phase or context of the medical procedure, and this input may be employed to adaptively control the device based on the inferred context or phase of the medical procedure. In other embodiments, images from one imaging modality may be employed to adaptively switch to another imaging modality.

Certain aspects relate to systems and techniques for compensating for compression in elongated shafts of medical instruments. Medical instruments can include elongated shafts that may experience compression when articulated. The medical instruments can be attached to instrument positioning devices that are configured to move the medical instruments to compensate for this compression. For example, an instrument positioning device can advance a medical instrument to compensate for compression in an elongated shaft of the medical instrument. In some instances, the amount of compression is determined using a compression compensation parameter. The compression compensation parameter can be determined during a calibration process of the medical instrument.

The present invention provides a locally invasive surgical apparatus including a manipulator for scratching the bone at a fracture site, a drive arm on which the manipulator is mounted, and a controller for controlling the manipulator and the drive arm. Therefore, it is possible to carry out minimally invasive surgery during bone fracture surgery, thereby enabling simple and quick bone fracture surgery for a speedy recovery.

An endoscope with an optical channel is held and positioned by a robotic surgical system. A capture unit captures (1) a visible first image at a first time and (2) a visible second image combined with a fluorescence image from the light at a second time. An image processing system receives (1) the visible first image and (2) the visible second image combined with the fluorescence image and generates at least one fluorescence image. A display system outputs an output image including an artificial fluorescence image.

Portable surgical systems, methods, and kits are described. The surgical systems may include a camera configured to capture images, viewing equipment configured to receive and display the captured images, a processor, and a stand. The camera, the viewing equipment, the processor, and the stand are configured to be housed in a case. Surgery may be performed using the surgical system by retrieving surgical components from the case, assembling the retrieved surgical components into a surgical system, positioning a patient within the surgical system for surgery, configuring the surgical system, performing the surgery with the surgical system, reconfiguring the surgical system during the surgery, disassembling the surgical system after the surgery, and placing the components in the case.

Endoluminal robotic systems and corresponding methods include subsystems for visualization, navigation, pressure sensing, platform compatibility, and user interfaces. The user interfaces may be implemented by one or more of a console, haptics, image fusion, voice controls, remote support, and multi-system controls.

An insertion instrument includes a rotating member rotatable around a rotation axis, and adjacent portions adjacently provided on both sides of the rotating member in the direction along the rotation axis. The insertion instrument includes a cover tube forming a part of an outer surface of an insertion section and provided in an elastic deformation state so as to apply elastic force toward an inner peripheral side of the insertion section. A position of the rotating member in the direction along the rotation axis is adjusted by the elastic force, whereby a state where both ends of the rotating member in the direction along the rotation axis are located apart from the adjacent portions is maintained.

In a robot-assisted steerable medical device, such as a catheter, a magnetic connector hub is configured to establish mechanical and magnetic connection between a drive cable and an actuator, or between multiple modules in a single insert-and-twist motion. The connector hub creates a magnetic breakaway feature for automatically decoupling the actuator from the drive cable, while the catheter remains attached. This prevents damage to the catheter/tool and/or patient when an excessive force is applied, and adds a safety element and helps protect the patient. And when the breakaway occurs the system can be automatically reengaged catheter without damage, so that normal operation can resume. Connection can also be broken at any point in the operation based on threshold forces or emergency situations.

The length of an endoscope carried by a robotic arm is determined using computer vision. The endoscope is inserted through a trocar into a body cavity and mounted to a manipulator arm. The position of a fulcrum for movement of the endoscope at the trocar site is determined using input from a force/torque sensor. While images are captured using the endoscope, the manipulator arm withdraws the distal end of the endoscope intro the trocar. Image processing is used to determine when the distal end of the trocar becomes visible in the captured images. The position of the endoscope at the point where the trocar becomes visible is recorded, and the length of the endoscope is determined based on the recorded position.

A medical system has a treatment device having a reference-position designation portion, an endoscope acquiring a plurality of captured images, a storage device, a controller generating a plurality of display images corresponding to the captured images, and a display. The controller determines an arbitrary position in the display image as a reference position, detects a region in the display image where the treatment device is displayed as an excluded region and selects a reference image from a region in the display image excluding the excluded region, records the reference image in the storage device, calculates a relative position from the reference position to the reference image, detects the reference image from the plurality of display images after the reference image is generated, recognizes the reference position in the display image, and controls an operation of the endoscope to make the reference position to be coincided with a target position.