Treatment systems are provided, which comprise a treatment element applying a treatment to a tissue, a stimulation element optically stimulating nerves in the tissue, a sensing unit sensing an electrical signal produced by nerves in the tissue in response to the optical stimulation, and a control unit controlling the application of the treatment according to the sensed signal. The systems and methods are used to avoid damaging nerves by sensing them during operation and immediately before local treatment application and preventing energy emission when the treatment tool is too close to specified nerves. Additional electric stimulation may be provided to enable avoidance of nerve damages on a larger scale, the treatment may be applied by a cold laser, and the control unit may control the treatment in realtime and in a closed loop and immediate prevent further treatment upon sensing optically stimulated nerves.

Systems and methods for enhanced implantation of an electrode lead for neuromuscular electrical stimulation of tissue associated with control of the lumbar spine for treatment of back pain, in a midline-to-lateral manner are provided. The implanted lead may be secured within the patient and used to restore muscle function of local segmental muscles associated with the lumbar spine stabilization system without disruption of the electrode lead post-implantation due to anatomical structures.

An arthroscopic cutting probe includes an elongated shaft assembly having a distal end, a proximal end, and a longitudinal axis therebetween. A working end at the distal end of the elongated shaft assembly includes a first active electrode and a second active electrode The shaft assembly is rotates the first electrode relative to the second electrode about the longitudinal axis, and a return electrode is carried on the shaft assembly proximal of the working end. The first and second active electrodes are electrically coupled to each other and electrically isolated from the return electrode.

A microsurgical bipolar forceps may include an actuation structure, a hypodermic tube, a first electrical conductor, and a second electrical conductor. The actuation structure may include an actuation structure distal end, an actuation structure proximal end, and a plurality of actuation limbs. The hypodermic tube may be disposed in the actuation structure. The first electrical conductor may be disposed in the hypodermic tube and the actuation structure wherein the first electrical conductor is electrically connected to a bipolar cord. The second electrical conductor may be disposed in the hypodermic tube and the actuation structure wherein the second electrical conductor is electrically connected to the bipolar cord. A compression of the actuation structure may be configured to decrease a distance between a first jaw of the first electrical conductor and a second jaw of the second electrical conductor.

An access device for accessing an intervertebral disc having an outer shield comprising an access shield with a larger diameter (˜16-30 mm) that reaches from the skin down to the facet line, with an inner shield having a second smaller diameter (˜5-12 mm) extending past the access shield and reaches down to the disc level. This combines the benefits of the direct visual microsurgical/mini open approaches and the percutaneous, “ultra-MIS” techniques.

One embodiment of the present invention relates to an electrosurgical handpiece that has a first main body and a second main body. A squeezable handle connects to and across the first main body and the second main body such that, when the handle is unsqueezed, the first main body and the second main body assume a first position relative to one another. When the handle is squeezed, the first main body and the second main body assumes a second position relative to one another. An active electrosurgical electrode is slidingly mounted within the second main body and extends from the second end. A spacer is positioned around and in sliding engagement with the smaller diameter region of the first main body.

Pump heads for peristaltic pump assemblies are provided. For example, a pump head for a peristaltic pump comprises an occlusion bed, a rotor guide, a rotor assembly positioned between the occlusion bed and the rotor guide, and a pathway for tubing. The pathway comprises an inlet portion, an outlet portion, and a connecting portion that connects the inlet and outlet portions. The inlet portion is defined between the occlusion bed and the rotor guide, the outlet portion is defined between the occlusion bed and the rotor guide, and the connecting portion is defined between the occlusion bed and the rotor assembly. Further, the occlusion bed is movable with respect to the rotor guide and the rotor assembly. In exemplary embodiments, the pump head urges fluid flow through the tubing to supply a cooling fluid to a medical probe assembly for delivering energy to a patient's body.

A computer-assisted surgery system may have a robotic arm including a surgical tool and a processor communicatively connected to the robotic arm. The processor may be configured to receive, from a neural monitor, a signal indicative of a distance between the surgical tool and a portion of a patient's anatomy including nervous tissue. The processor may be further configured to generate a command for altering a degree to which the robotic arm resists movement based on the signal received from the neural monitor; and send the command to the robotic arm.

Noninvasive neuromodulation combines transcutaneous electrical modulation with heat and/or focused ultrasonic energy. A noninvasive neuromodulation device includes a first bipole electrode pair aligned along a first axis and a second bipole electrode pair aligned along a second axis, the first axis and the second axis defining a plane. A focused ultrasound (FUS) transducer can direct a focused ultrasound beam along a third axis that intersects the plane. A controller is electrically coupled to the first and second bipole electrode pairs and to the focused ultrasound transducer. The controller is configured to apply electrical energy having a frequency of between about 1 Hz to about 100 MHz to the first and second bipole electrode pairs, and to cause the FUS transducer to emit a focused ultrasound beam having a frequency of between about 20 kHz to about 10 MHz.

A laser operation device includes an elongated catheter, a light irradiator configured to irradiate a laser in front of a tip of the catheter, a lens disposed at a front of the light irradiator and allowing the laser to pass therethrough, a wire configured to steering the lens by pulling one side of the lens, and an elastic body configured to give an elastic force to restore the lens against a tension of the wire, wherein when the lens is steered, the laser passes through the lens and is refracted.