A system for controlling a robotic drive configured to move one or more elongated medical devices. The system may include a housing comprising a first surface and a second surface not co-planar with the first surface, a first control integrated with the first surface and manipulable by a first digit of a first hand of a user to select one of the one or more elongated medical devices, and a second control integrated with the second surface and manipulable by a second digit of the first hand of the user to instruct the robotic drive to move the selected elongated medical device in a first degree of freedom, wherein the first control and the second control are simultaneously manipulable by the first digit and the second digit.

A surgical instrument comprises a first member including a drive engageable with a first mating surface of a bone fastener. A second member is rotatable relative to the first member and includes an engagement element connectable with a second mating surface of the bone fastener. A part is disposed with the first member and being alternately connectable with an actuator and an adaptor attachable with an image guide. Systems, surgical adaptors, spinal implants and methods are disclosed.

Medical instruments having a translatable spool are disclosed. In one aspect, a medical instrument configured for use with a robotic system includes an instrument base configured to couple to a robotic drive mechanism of the robotic system and an elongate shaft coupled to the instrument base. The elongate shaft has a distal end. The medical instrument also includes a pull wire fixedly coupled to the distal end of the elongate shaft, the pull wire being configured to actuate the elongate shaft, and a rotatable spool in the instrument base. The rotatable spool is configured to direct the pull wire to the elongate shaft at an angle. The rotatable spool is configured to translate in coordination with actuation of the elongate shaft to control the angle of the pull wire relative to the elongate shaft.

A medical system comprises a display system, an elongate device, an imaging probe configured to extend within the elongate device, and a control system communicatively coupled to the display system. The control system is configured to display a graphical user interface via the display system. The graphical user interface includes a virtual navigation view and a fluoroscopic view. The control system is further configured to: display an image of the elongate device in the virtual navigation view; determine a position of an imaging probe marker in the virtual navigation view based on a position of the imaging probe displayed in the fluoroscopic view; determine a plane of orientation of the imaging probe marker in the virtual navigation view based on an orientation of the imaging probe displayed in the fluoroscopic view; and determine an orientation indicator for the imaging probe marker in the virtual navigation view.

An apparatus and methods of use thereof, the apparatus comprising: a medical device, configured to reside and to be manipulated within a first lumen; and a driving system, configured to manipulateand/or controlthe medical device, via a second lumen. The driving system comprising: a catheter, configured to be inserted intoand to navigateor to be navigatedwithin the second lumen; and a driver, configured to travel within the catheter, and to remotely manipulateand/or controlthe medical device residing in the first lumen.

An ultrasonic surgical instrument including an end effector having an ultrasonic blade, a shaft assembly that defines a longitudinal axis proximally extending from the end effector and an ultrasonic transducer assembly proximally extending from an acoustic waveguide in communication with the ultrasonic blade. The ultrasonic surgical instrument also includes a housing proximally projecting from the shaft assembly such that the ultrasonic transducer assembly is positioned within the housing and a carrier moveably supports the ultrasonic transducer assembly along the longitudinal axis. The carrier collectively moves the ultrasonic transducer assembly, the acoustic waveguide, and the end effector relative to the housing from a proximal, retracted position to a distal, extended position, for inserting the ultrasonic blade into a patient. The ultrasonic surgical instrument also includes an electrical cable extending through the housing at a cable port that transmits electrical communication with the ultrasonic transducer assembly.

The present application relates to the field of instruments, and provides a guidable and growable instrument and a surgical robot system. The guidable and growable instrument includes: a growable tube comprising an inner layer, an outer layer, and a fluid cavity between the inner layer and the outer layer, the fluid cavity being configured to accommodate a fluid. The growable tube includes a turnable region at a distal end, the inner layer and the outer layer are connected and turnable in the turnable region, a guide is arranged in a channel surrounded by the inner layer of the growable tube, and the distal end of the guide is bendable to drive the growable tube to turn. The guidable and growable instrument can better adapt to a gradually narrowed bent and complex orifice so as to reduce or avoid touch and friction with the orifice.

Certain aspects relate to systems, devices, and techniques for clot manipulation and removal. At least some of the devices for clot manipulation and removal can be robotically controlled. These devices can include one or more elongate members that can be robotically driven through a patient's vasculature. One such device can include a first elongate member that can serve as an access sheath, a second elongate member that can serve as a clot removal catheter, a third elongate member that can serve as a clot disruptor, and a fourth elongate member that can serve as a guidewire.

A vascular intervention robot having a line-contact roller mechanism is provided. The vascular intervention robot having a line-contact roller mechanism comprises: a roller module for translating a medical wire; and a rotation module for axially rotating the medical wire by rotating the roller module. The roller module can comprise: a translational motor providing a translational driving force for translating the medical wire; at least one drive roller receiving a translational driving force from the translational motor, arrayed in the length direction of the medical wire, and rolling-contacted with the lower part of the medical wire; and a guide roller provided in a number corresponding to the drive roller, arrayed above the drive roller and in the length direction of the medical wire, shifted to one side in the length direction of the medical wire with respect to the drive roller, and rolling-contacted with the upper part of the medical wire. Therefore, the vascular intervention robot having a line-contact roller mechanism can be provided which can minimize slip of the medical wire when the medical wire is axially rotated in accordance with the rotation of the roller module due to the rotation module, and also can minimize slip of the medical wire when translation-moved by means of the roller module.

Example embodiments relate to surgical systems and methods. The system includes an arm assembly and end-effector assembly. The arm assembly includes a first drive portion and wrist drive portion. The end-effector assembly is securable to and removable from the arm assembly. The end-effector assembly includes an instrument assembly and wrist assembly. The instrument assembly includes a first instrument, first instrument driven portion, and first instrument insulative portion. The first instrument driven portion is configured to move the first instrument relative to a first axis when the first instrument driven portion is driven by the first drive portion. The wrist assembly includes a wrist driven portion. The wrist driven portion is configured to move the first instrument relative to a second axis when the wrist driven portion is driven by the wrist drive portion. The end-effector assembly is secured to and removable from the arm assembly via a wrist connector portion.