The invention provides systems and methods for monitoring a status of targeted tissue undergoing a procedure via a medical device, such as, for example, a tenotomy, and further providing feedback associated with one or more parameters of the targeted tissue in real-time to thereby indicate a completeness of the procedure to an operator of the medical device. The invention also provides devices with a magnetic coupling of components and methods of use of such devices.

A medical apparatus comprises an instrument channel arranged to be inserted into the body of a patient to enable a medical instrument to be inserted through the instrument channel into the body of the patient. It further comprises at least one support structure arranged to be located around the body of the patient, a plurality of guide ports each arranged to be inserted into the body of the patient, a plurality of control linkages each of which is at least partly supported on the at least one support structure, and a plurality of control actuators. Each of the control linkages may be arranged to extend through one of the guide ports, to be connected to the medical instrument, and to be moved by a respective one of the control actuators thereby to manipulate the medical instrument within the body of the patient.

An endoluminal punch with a penetrating stylet and a vibration generator. The vibration generator is operable to cause vibrations and rapid reciprocation of the distal tip of the stylet to facilitate penetration of the stylet through resistant body tissue such as the fossa ovalis. The vibration generator may also be operable to cause vibration of the distal tip of the punch itself, to facilitate passage of the punch through an initial perforation created by the stylet.

Devices and methods for an autovance intraosseous device. The autovance intraosseous device can include a trigger activated system or pressure activated system that causes a needle to advance distally for a predetermined distance. The predetermined distance ensures a needle tip extends through the bone cortex, to access the medullary cavity, without penetrating a far wall of the medullary cavity. The advancement can be driven by a spring based system or an electric motor.

A telescoping assembly such as an endobronchial ultrasound needle (EBUS) assembly includes a motor coupled to a biopsy needle within a telescoping housing to rotate (such as to oscillate) the needle during tissue harvest to improve harvesting.

An apparatus for penetrating bone and accessing bone marrow is provided. The apparatus may include a penetrator assembly and a powered drill. The penetrator assembly may include a trocar having a stylet. The penetrator assembly may also include an outer penetrator having a hollow cannula and a luer lock attachment. The powered drill may include a housing enclosing a motor and a power supply and associated circuitry. The powered drill may also include a connector receptacle for receiving a penetrator assembly connector of the penetrator assembly. The connector receptacle may releasably lock the penetrator assembly connector into place with the powered drill. The power supply may include a rechargeable battery within the housing for supplying power to the motor. A battery indicator may be provided to indicate a level of the battery.

A method for penetrating bone and accessing bone marrow is provided. The method may include inserting a penetrator assembly with a powered drill to penetrate the bone into the bone marrow. The penetrator assembly may include a trocar having a stylet. The penetrator assembly may also include an outer penetrator having a hollow cannula and a luer lock attachment. The powered drill may include a housing enclosing a motor and a power supply and associated circuitry. The powered drill may also include a connector receptacle for receiving a penetrator assembly connector of the penetrator assembly. The connector receptacle may releasably lock the penetrator assembly connector into place with the powered drill. The power supply may include a rechargeable battery within the housing for supplying power to the motor. A battery indicator may be provided to indicate a level of the battery.

A method of forming an access opening through a psoas muscle to a patient's spine includes laterally inserting a stimulating dilator into the psoas muscle. The stimulating dilator has a stimulation channel formed in an outer surface thereof. An electrical pulse is transmitted into the stimulating dilator to locate a position of a nerve in the patient's psoas muscle. The stimulating dilator is laterally inserted through the psoas muscle and toward the patient's spine in a way that avoids the nerve. A stimulating probe is inserted into the stimulation channel along the outer surface of the stimulating dilator while transmitting an electrical pulse into the stimulating probe to verify the position of the nerve.

The present disclosure provides a modular instrument system for accessing a site within a patient's body, such as for example, to inject or remove material. In one exemplary embodiment, an access device is coupled to an adapter and power drilled into a site within a patient. Once the access device is in position, the adapter may be further attached to other instruments, or to an injection or extraction system. The adapter may accommodate various other connectors to make the instrument system compatible with a variety of other surgical instruments and tools.

A percutaneous introducer, particularly for flexible drainage tubes and with various profiles, includes a main body, the main body having a longitudinally extended tubular element arranged in the distal portion of the main body. The tubular element has a terminal arranged at the distal end of the tubular element. The percutaneous introducer has a sliding body which includes a longitudinally extended obturator arranged in the distal portion of the sliding body, the obturator being inserted and being movable longitudinally within the tubular element of the main body. The obturator includes a cutting blade arranged and fixed at the distal end of the obturator. The percutaneous introducer includes a return and positioning spring adapted to return the cutting blade to a retracted position within its seat, following the controlled exit of the cutting blade through a passage slot arranged in the terminal of the tubular element.