Embodiments include devices and methods configured to fractionally resect skin and/or fat. Fractional resection is applied as a stand-alone procedure in anatomical areas that are off-limits to conventional plastic surgery due to the poor tradeoff between the visibility of the incisional scar and amount of enhancement obtained. Fractional resection is also applied as an adjunct to established plastic surgery procedures such as liposuction, and is employed to significantly reduce the length of incisions required for a particular application. The shortening of incisions has application in both the aesthetic and reconstructive realms of plastic surgery.

A surgical device (10) includes a handle (122) and a rotatable assembly (130) coupled and rotatable with respect to the handle (122). The surgical device (10) further includes a switch (126) coupled to the handle (122) and having a plurality of positions. A first inductor (1122) is coupled to the switch (126) and a second inductor (1102) is coupled to the rotatable assembly (130). A current signal propagating through the first inductor (1122) and/or a current signal propagating through the second inductor (1102) changes based on a position of the switch (126).

A method of analysis using mass spectrometry and/or ion mobility spectrometry is disclosed comprising: (a) using a first device to generate smoke, aerosol or vapour from a target in vitro or ex vivo cell population; (b) mass analysing and/or ion mobility analysing said smoke, aerosol or vapour, or ions derived therefrom, in order to obtain spectrometric data; and (c) analysing said spectrometric data in order to identify and/or characterise said target cell population or one or more cells and/or compounds present in said target cell population.

Various aspects of a generator, ultrasonic device, and method for estimating a state of an end effector of an ultrasonic device are disclsoed. The ultrasonic device includes an electromechanical ultrasonic system defined by a predetermined resonant frequency, including an ultrasonic transducer coupled to an ultrasonic blade. A control circuit measures a complex impedance of an ultrasonic transducer, wherein the complex impedance is defined as

[00001]$Z_g(t)=\frac{V_g\left(t\right)}{I_g\left(t\right)}.$

The control circuit receivs a complex impedance measurement data point and compares the complex impedance measurement data point to a data point in a reference complex impedance characteristic pattern. The control circuit then classifies the complex impedance measurement data point based on a result of the comparison analysis and assigns a state or condition of the end effector based on the result of the comparison analysis.

In accordance with some embodiments of the invention there is provided an acoustic mirror (200, 600, 700, 800), including an ultrasound beam deflecting surface (306) and a base couplable to an ultrasound catheter (102) comprising an ultrasound beam emitting surface (104). When the acoustic mirror is mounted on the ultrasound catheter the deflecting surface is angled in relation to ultrasound beam emitting surface and configured to (i) at least partially interfere with a path of propagation of an ultrasound beam mitted from the emitting surface and (ii) deflect the ultrasound beam impinging on the deflecting surface. Other embodiments are also described.

A medical device includes: an expansion body, a shaft portion, and an electrode portion, the expansion body includes a recessed portion defining a receiving space configured to receive a biological tissue, a proximal side upright portion of the recessed portion includes a first surface facing the receiving space and a second surface opposite to the first surface, a distal side upright portion of the recessed portion includes a third surface facing the receiving space and a fourth surface opposite to the third surface, the proximal side upright portion is an electrode arrangement portion in which the electrode portion is arranged, the distal side upright portion is an opposing surface portion opposing the electrode portion, the expansion body includes a heat insulation layer at least on the third surface or the fourth surface so as to oppose the electrode portion with the receiving space.

A vibration transmission member includes: a main body that extends from a front end toward a proximal end of the vibration transmission member to define a longitudinal axis direction and that has a proximal end to which an ultrasonic transducer configured to generate ultrasonic vibration is connected; and an end effector that is installed at a front end of the main body and that has a curved shape which curves in a first direction toward the front end of the vibration transmission member, the first direction being orthogonal to the longitudinal axis direction, the end effector being configured to apply the ultrasonic vibration to a body tissue to treat the body tissue.

A cover member includes: a sheath that is formed in a cylindrical shape for receiving a shaft; and a tubular portion that is attached to a distal end of the sheath. The tubular portion being formed such that an outer dimension of a distal end portion of the tubular portion in a first direction is smaller than an outer dimension of a proximal end portion of the tubular portion in the first direction and/or an outer dimension of the distal end portion in a second direction is smaller than an outer dimension of the proximal end portion in the second direction.

An image processing apparatus includes a processor including hardware, the processor being configured to: estimate, based on image information from a medical device that includes at least an endoscope, a plurality of procedure actions of an operator of the endoscope; perform different supports respectively for procedures by the operator, according to an estimation result of the procedure actions; and output a display for the supports to a display.

A method for adjusting the operation of a surgical instrument using machine learning in a surgical suite is disclosed. The method comprises the steps of gathering data during surgical procedures, wherein the surgical procedures include the use of a surgical instrument, analyzing the gathered data to determine an appropriate operational adjustment of the surgical instrument, and adjusting the operation of the surgical instrument to improve the operation of the surgical instrument.