A system for altering an energizable instrument for performing a procedure on the subject. The instrument may be tracked during a procedure and a controller may alter operation thereof during the selected procedure. The energizable instrument may have energy provided to a working end to heat a working end to a selected temperature for various procedures such as cutting, coagulation, vaporization, or the like.

Certain aspects relate to systems and techniques for docking medical instruments. For example, a medical system can include an instrument drive mechanism having a drive output that rotates and engages a corresponding drive input on a robotic medical instrument, a motor configured to rotate the drive output, and a torque sensor configured to measure torque imparted on the drive output. The robotic medical instrument can include a pre-tensioned pull wire actuated by the drive input. The system can activate the motor associated with the drive output to rotate the drive output in response to a torque signal from the torque sensor associated with the drive output in order to align the drive output with the drive input.

Techniques are described for guiding a joint replacement surgery. In some examples, a system includes a visualization device comprising one or more sensors; and processing circuitry configured to determine, based on data generated by the one or more sensors, one or more size parameters of a bone resection surface viewable via the visualization device; select, based on the one or more size parameters of the bone resection surface and from a plurality of implants, an implant; and output for display, via the visualization device, a graphical representation of the selected implant relative to the bone resection surface.

A system and method that acquire (i) at least a reference image including one of a preoperative image of a surgical site with skeletal and articulating bones and a contralateral image on an opposite side of the patient from the surgical site, and (ii) at least an intraoperative image of the site after an implant has been affixed to the articulating bone. The system preferably generates at least one reference stationary point on at least the skeletal bone in the reference image and at least one intraoperative stationary point on at least the skeletal bone in the intraoperative image. The location of the implant is identified in the intraoperative image, preferably including the position of first and second centers of rotation, which are digitally represented and copied into the reference image to analyze at least one of offset and length differential.

This invention is a system and method for utilizing artificial intelligence to operate a surgical robot (e.g., to perform a laminectomy), including a surgical robot, an artificial intelligence guidance system, an image recognition system, an image recognition database, and a database of past procedures with sensor data, electronic medical records, and imaging data. The image recognition system may identify the tissue type present in the patient and if it is the desired tissue type, the AI guidance system may remove a layer of that tissue with the end effector on the surgical robot, and have the surgeon define the tissue type if the image recognition system identified the tissue as anything other than the desired tissue type.

In one embodiment a medical tracking system, including a catheter to be inserted into blood vessels of a body-part of a living subject, and including a flexible shaft having a deflectable distal end, and a location tracking transducer in the distal end configured to output a signal indicative of a location of the transducer, a tracking subsystem to track locations of the distal end over time responsively to the signal, a display, and processing circuitry to add the tracked locations of the distal end to a movement log, and render to the display an image of at least part of the body-part with a representation of a length of the shaft of the catheter in at least one blood vessel of the body-part, with respective positions along the length of the shaft being located in the image responsively to respective ones of the tracked locations from the movement log.

A guidewire, which can be used with a surgical navigation system, is provided. An elongate tube body defines a tube lumen and has longitudinally spaced proximal and distal body ends. The tube body includes a first longitudinal biasing portion including at least one first-direction helical cut therealong. The tube body also includes a second longitudinal biasing portion, including at least one second-direction helical cut therealong. The first direction is radially opposite the first direction. A core wire is at least partially located inside the tube lumen and has longitudinally spaced proximal and distal core wire ends. A tracking sensor is located at least partially within the tube lumen.

A surgical robotic arm control system and a control method thereof are provided. The surgical robotic arm control system includes a surgical robotic arm, an image capturing unit, and a processor. The surgical robotic arm has multiple joint axes. The image capturing unit obtains a first image. The processor executes a spatial environment recognition module to generate a first environment information image, a first direction information image, and a first depth information image according to the first image. The processor executes a spatial environment image processing module to calculate path information according to the first environment information image, the first direction information image, and the first depth information image. The processor executes a robotic arm motion feedback module to operate the surgical robotic arm to move according to the path information.

Penetrative access devices for assisting users in performing any one or more of various medical procedures that require inserting a needle into a patient, such as for vascular access, pneumothorax decompression, catheterization, abscess draining, etc. In some embodiments, a penetrative access device of this disclosure is a handheld device that is fully self-contained in that it contains all of the hardware and software needed to perform the penetrative access. In some embodiments, a penetrative access device of this disclosure is a handheld device that cooperates, within a penetrative access system, with one or more devices external to the penetrative access device in providing the requisite penetrative access features. Various related methods are also disclosed, including methods of using a penetrative access device/system of the disclosure, methods of performing access operations, and methods of contactlessly calibrating needle-tip location for accurate needle-tip guidance.

The invention relates to a medical instrumentation, comprising a hand-held, integrated, medical navigation system which comprises an optical detection unit having a camera, a data processing unit and an optical display unit, the data processing unit being coupled to the detection unit and the display unit, it being possible for location and/or orientation data of a medical marking device which is detectable with the detection unit to be processed by the data processing unit and information relating thereto to be represented on the display unit, the instrumentation comprising an illumination unit with which light is emittable in the direction of the marking device detectable with the detection unit.