A method for performing an efficient and thorough percutaneous discectomy includes making into the patient a percutaneous incision, which is a small stab wound, no more than approximately 10 mm in length. A stimulated combination neuro-monitoring dilating probe is passed through an approximately 10 mm or less skin incision and into a patient's disc space to establish a safe path and trajectory through Kambin's Triangle. Once a neuro-monitoring dilating probe is in the disc space, a second dilator is placed over the neuro-monitoring dilating probe and impacted into the disc space. Neuro-monitoring dilating probe may then be removed. An access portal optionally combined with a force dissipation device may then be placed over the second dilator and into the disc space. The second dilator is removed and then discectomy instruments may be placed through the access portal to perform the discectomy.

A method for marking an entry position for an injection apparatus on a surface of a patient positioned inside a patient receiving region of a magnetic resonance device. The method includes providing a virtual entry position, introducing a marking apparatus into the patient receiving region, acquiring time-resolved MR image data from the marking apparatus by the magnetic resonance device, ascertaining a current position of the marking apparatus based on the time-resolved MR image data, iteratively changing the current position of the marking apparatus using the virtual entry position and the current position, and delivering the liquid from the marking apparatus when the current position matches the virtual entry position.

A high contrast instrument, such as a radiopaque portion, can be captured and/or viewed in an image that is acquired with an imaging system, such as with a fluoroscopic imaging system. A statistical model can be used to assist in identifying a possible or probable location of a target. A user may move the instrument coil to the statistically probable location of the target to, for example, perform a procedure or carry out a task.

Methods, apparatus, and systems are provided for facilitating the navigation of a catheter between first and second locations within a subject based on display of serial images corresponding to positions of the catheter at successive incremental times. Image production includes sensing catheter positions to produce location data for each time increment. For each position P.sub.i, the corresponding location data is processed to respectively produce an image I.sub.i reflecting the position of the catheter at a time T.sub.i. Each image I.sub.i is successively displayed at a time equal to T.sub.i+d, where d is an image processing visualization delay. Upon a condition that the catheter is displaced to a selected interim location between the first and second locations, the processing of the location data is switched from being performed by a first process associated with a first visualization delay to a second process associated with a second different visualization delay.

An apparatus for acoustically detecting the location of a distal end of a tube relative to a body conduit into which the tube is being inserted is provided. The apparatus including a speaker positioned to generate a sound pulse in the tube and a sensor for detecting a sound pulse in the tube at a distal position relative to the speaker, and for generating a signal corresponding to the detected sound pulse.

In a photoacoustic image generation apparatus and an operation method of the photoacoustic image generation apparatus, all positions of an insert during puncture can be accurately grasped on an image after an examination. A photoacoustic image generation apparatus includes a photoacoustic image generation unit that generates a photoacoustic image based on a detection signal acquired by detecting a photoacoustic wave emitted from a tip portion of an insert inserted into a subject using acoustic wave detection means, and a control unit that causes a storage unit to store position information of the tip portion of a puncture needle on the photoacoustic image in response to a predetermined trigger during a step of collecting a cell of the subject at the tip portion of the puncture needle in cytology.

A system for detecting a position of a long medical device includes a model acquisition portion that acquires a blood vessel model, a correspondence detection portion 1 that detects a position of a long medical device inserted into a blood vessel and detects a correspondence between the blood vessel model and the position of the long medical device, and a display portion that displays the position of the long medical device in association with the blood vessel model on the basis of a detection result of the correspondence detection portion.

An apparatus and method to enable clinicians to verify needle or catheter location within an anatomic site by relying upon combined sensing of two signals, such as a pressure signal and a heart rate pulse signal, in which the detection of a correlation between both signals is identified to confirm location of the needle or catheter.

Even when an insertion object is inserted to a deep position of a subject or even when the insertion object is inserted into the subject at an angle close to a right angle, it is possible to confirm the position of the insertion object in a photoacoustic image. The insertion object is, for example, a hollow puncture needle 15 that includes an opening at a tip thereof. The puncture needle 15 includes a light guide member 152 that guides light emitted from a first light source to the vicinity of the opening, and a light emitting portion 153 that is provided in the vicinity of the opening and emits the light. First photoacoustic waves, which are caused by the light emitted from the light emitting portion 153, are generated in the puncture needle 15. A first photoacoustic image is generated on the basis of the first photoacoustic waves.

The present invention is advantageous in that the shape of the catheter can be sensed by detecting the position of bending of the catheter body, the direction thereof, the angle thereof, and the curvature thereof through a triplet calculation of information regarding three wavelengths that have undergone a transition along respective FBGs provided on three optical cores.