Implementations described herein are directed toward an improved orthopedic arthroscopy system that reduces the number of necessary arthroscopic portals while at the same time improving endoscopic visualization and instrumentation capability within the joint space. Main embodiments of the disclosed system replace the traditional rod endoscope with a rotatable, optical cannula through which instruments can be used to manipulate tissue and perform surgery. By adding the cannula rotation capability, visualization of instrument tool tip can be easily adjusted. The disclosed system would eliminate the need for unnecessary wrist rotation by the surgeon thereby making it easier to coordinate hand position while performing surgical tasks.

A surgical system comprises a manipulator arm, configured to secure to a base, and an actuator assembly. The actuator assembly includes an instrument mounting bracket and a plurality of actuator disks supported on a first end of the instrument mounting bracket. The surgical system also includes a surgical instrument including a plurality of interface disks supported on a face of the surgical instrument. The plurality of interface disks is configured to mate with the plurality of actuator disks. The instrument also includes an attachment mechanism configured to removably attach the surgical instrument to the actuator assembly and an instrument body tube extending from the face of the surgical instrument. The instrument body tube is capable of passing by or passing through the instrument mounting bracket when the surgical instrument is attached to the instrument mounting bracket.

An endoscope system includes an endoscope that captures a living tissue in a body cavity, and an image processing unit. The endoscope includes an objective lens provided on a front side of a light receiving surface of an image sensor and configured to simultaneously form images of the living tissue, obtained through a plurality of windows, on the light receiving surface as the captured image. The image processing unit includes a three-dimensional expansion processor configured to calculate different directions of a feature part visible through the plurality of windows based on position information in each of images of the feature part, which is distinguishably identified from other parts and included in common in the plurality of images obtained through the plurality of windows in the captured image captured by the endoscope, and to expand two-dimensional information of the images of the feature part to three-dimensional information.

An imaging device (010, 10, 110) comprises a first optical system (020, 20, 120) at a distal end of the imaging device, a second optical system (080, 80, 180) towards the proximal end of the imaging device, and a sensor (074, 74, 174) at the proximal end of the imaging device. The first and second optical systems and the sensor are aligned along a common longitudinal axis. The first optical system is or comprises one or more reflective and/or refractive optical components (24, 124; 22, 122) symmetrically and/or coaxially arranged with respect to the longitudinal axis, and the second optical system comprises one or more reflective and/or refractive optical components (24, 124; 22, 122) for focussing incident light towards the sensor. A calibration system (200) and method for calibrating such an imaging device, and a method of processing image data obtained from such an imaging device are also provided.

In general, devices, systems, and methods for multi-source imaging are provided.

A system for performing a minimally invasive procedure comprises a flexible catheter with a lumen extending therethrough. The system also comprises an elongate instrument sized for passage through the lumen and an optical coherence tomographic sensor coupled to the elongate instrument. The system also comprises a control system that includes one or more processors. The control system is configured to receive sensor data from the optical coherence tomographic sensor, profile a tissue based on the received sensor data, generate an output signal based on the profiled tissue, and based on receipt of the output signal, determine a distance between the elongate instrument and the profiled tissue.

Systems, devices, and methods for controlling cooperative surgical instruments with variable surgical site access trajectories are provided. Various aspects of the present disclosure provide for coordinated operation of surgical instruments accessing a common surgical site from different approach and/or separate body cavities to achieve a common surgical purpose. For example, various methods, devices, and systems disclosed herein can enable the coordinated treatment of tissue by disparate minimally invasive surgical systems that approach the tissue from varying anatomical spaces and must operate differently, but in concert with one another, to effect a desired surgical treatment.

A surgical device includes a plurality of cameras integrated therein. The view of each of the plurality of cameras can be integrated together to provide a composite image. A surgical tool that includes an integrated camera may be used in conjunction with the surgical device. The image produced by the camera integrated with the surgical tool may be associated with the composite image generated by the plurality of cameras integrated in the surgical device. The position and orientation of the cameras and/or the surgical tool can be tracked, and the surgical tool can be rendered as transparent on the composite image. A surgical device may be powered by a hydraulic system, thereby reducing electromagnetic interference with tracking devices.

An imaging system, such as a surgical microscope, laparoscope, or endoscope or integrated with these devices, includes an illuminator providing patterned white light and/or fluorescent stimulus light. The system receives and images light hyperspectrally, in embodiments using a hyperspectral imaging array, and/or using narrowband tunable filters for passing filtered received light to an imager. Embodiments may construct a 3-D surface model from stereo images, and will estimate optical properties of the target using images taken in patterned light or using other approximations obtained from white light exposures. Hyperspectral images taken under stimulus light are displayed as fluorescent images, and corrected for optical properties of tissue to provide quantitative maps of fluorophore concentration. Spectral information from hyperspectral images is processed to provide depth of fluorophore below the tissue surface. Quantitative images of fluorescence at depth are also prepared. The images are displayed to a surgeon for use in surgery.

A medical observation system, a control method, and a program are provided, which are capable of easily reducing the possibility that illumination light directly enters an eye by accident. A medical observation system 1 includes: an imaging unit 21 that captures an object and generates an image signal; a light output unit 22 that outputs illumination light in a capturing direction of the imaging unit 21; a determining unit 942 that determines the usage state of the imaging unit 21; and an illumination controller 944 that controls illumination light emitted by the light output unit 22 based on a determination result of the determining unit 942.