A surgical instrument navigation system is provided that visually simulates a virtual volumetric scene of a body cavity of a patient from a point of view of a surgical instrument residing in the cavity of the patient. The surgical instrument navigation system includes: a surgical instrument; an imaging device which is operable to capture scan data representative of an internal region of interest within a given patient; a tracking subsystem that employs electro-magnetic sensing to capture in real-time position data indicative of the position of the surgical instrument; a data processor which is operable to render a volumetric, perspective image of the internal region of interest from a point of view of the surgical instrument; and a display which is operable to display the volumetric perspective image of the patient.

A hub for an optical shape sensing reference includes a hub body (606) configured to receive an elongated flexible instrument (622) with a shape sensing system coupled to the flexible instrument within a path formed in the hub body. A profile (630) is formed in the hub body in the path to impart a hub template configured to distinguish a portion of the elongated flexible instrument within the hub in shape sensing data. An attachment mechanism (616) is formed on the hub body to detachably connect the hub body to a deployable instrument such that a change in a position of the hub body indicates a corresponding change in the deployable device.

The present disclosure provides catheters for electroporation systems. One catheter includes a plurality of catheter electrodes disposed along a portion of a distal end of the electroporation catheter. The plurality of catheter electrodes includes a plurality of first type catheter electrodes adapted for use with an electroporation generator during an electroporation procedure and a plurality of second type catheter electrodes adapted for use with an electroporation generator during an electroporation procedure and for use with a diagnostic subsystem. The plurality of first type catheter electrodes is positioned at a distal end of the electroporation catheter. Each second type catheter electrode is adjacent another second type catheter electrode.

A medical supporting arm according to the present disclosure includes a supporting arm and a calculation unit. The supporting arm supports an oblique-viewing endoscope. The calculation unit calculates a rotation angle of the oblique-viewing endoscope around an axis in a longitudinal direction, and an insertion amount of the oblique-viewing endoscope into a human body on the basis of a first expression that defines coordinates of a subject in a coordinate system in which an insertion opening allowing the oblique-viewing endo scope to be inserted into the human body serves as an origin, and a second expression that defines the coordinates of the subject positioned in an optical axis direction of an objective lens disposed at a distal end of the oblique-viewing endoscope in a coordinate system in which the distal end of the oblique-viewing endoscope serves as an origin.

The technology disclosed herein is directed to a medical manipulator system having a medical device. The medical device such as endoscope or other surgical instrument includes an elongated insertion portion. A holder assembly includes an articulated arm carrying the medical device that is attached thereto and is actuated following movement of the medical device and holds the medical device in a stationary state at a desired position. A position/attitude detection unit detects positions and attitudes of the elongated insertion portion in plurality states into which the medical device is caused to swing about a constraint point. A constraint point estimation unit estimates a position of the constraint point based on the positions and attitudes of the insertion portion as detected by the position/attitude detection unit.

A medical image processing device acquires an endoscopic image obtained by imaging a subject with an endoscope, detects a gravity direction in the endoscopic image on the basis of the endoscopic image, generates a gravity direction indication indicating the gravity direction, and displays the gravity direction indication on a display. An endoscope system includes the medical image processing device and the endoscope.

A catheter calibration system includes a calibration chamber, a receiver and a processor. The calibration chamber is configured to generate a calibration magnetic field that oscillates at a first frequency. The calibration chamber includes a cavity for inserting a distal end of a catheter having one or more magnetic-field sensors. The receiver is configured to be connected to the catheter, to receive from the catheter one or more signals, which are generated by the one or more magnetic-field sensors in response to the calibration magnetic field, and to convert the one or more signals into one or more respective intermediate frequency (IF) signals having a second frequency that is lower than the first frequency. The processor is configured to receive the one or more IF signals from the receiver and to calculate catheter navigation calibration data from the one or more IF signals.

A medical puncture device system includes a puncture device, a sensor, and an indicator system. The puncture device is configured to create a puncture through patient tissue and into an internal patient cavity to enable a medical tool to be inserted through the puncture into the cavity. The sensor is configured to generate a signal indicative of motion of the puncture device through the tissue into the cavity. The indicator system is operable by a controller to produce human-perceptible feedback in response to the signal generated by the sensor.

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

A puncture planning apparatus has: a simulation unit that simulates movement of an organ and a puncture needle by simulation using an organ model; and a planning unit that plans, based on the simulation result, how to move the puncture needle when an actual organ is punctured. The simulation unit executes a plurality of times of the simulation of an operation to advance the puncture needle while correcting an angle of the puncture needle so as to follow the movement of the target segment due to deformation of the organ, conditions of an advancement speed of the puncture needle are changed for each of the plurality times of the simulation, and the planning unit performs planning using the best simulation result out of the plurality of simulation results acquired under different conditions of the advancement speed.