Ultrasound device configured to carry out a HIFU treatment and to detect in real time during the HIFU treatment the temperature distribution in the area of treatment, comprising: an ultrasound probe comprising at least an array of piezoelectric or CMUT transducers, —piloting means of said ultrasound probe, computing means configured to receive and store said raw ultrasound signals reflected by said tissues and acquired by each of said piezoelectric or CMUT transducers, to process said reflected raw ultrasound signals in order to generate an ultrasound image, as well as to carry out other processing on said raw ultrasound signals reflected by said tissues, characterized in that computer programs are loaded on said computing means, configured to carry out the method for determining the actual acoustic heating rate of tissues, comprising the following steps: a) identifying, inside an ultrasound image (14), a region of interest (15) inside which an area to be treated (16) is provided, b) assigning a starting temperature distribution, by means of which a temperature value is assigned to each point of ROI, c) emitting a high intensity ultrasound beam (100) focused on a focal point (11) contained in said ROI for a predetermined time interval, and subsequently a broadband ultrasound pulse (200), and detecting the ultrasound signal reflected and/or emitted by the tissues under treatment, d) carrying out the frequency transform of said reflected ultrasound signal in response to said broadband ultrasound pulse (200), in order to obtain a reference frequency spectrum (200s), e) repeating steps c) and d) iteratively, thus obtaining a frequency spectrum for each iteration, f) assuming that the temperature at the focus (11) is equal to a predetermined temperature and function of the tissue in the treatment step when the frequency spectrum (202s) detected in response to a broadband ultrasound pulse (202) comprises a plurality of peaks (2021) not provided in the reference frequency spectrum (200s), g) determining the actual acoustic heating rate Q as a function of said predetermined temperature, of the intensity of said high intensity ultrasound beam (100).

An arthroscopic system includes a hand piece with a motor drive. an elongate shaft assembly is detachably secured to a distal end of the hand piece, and the elongate shaft assembly includes an outer sleeve and an inner sleeve rotatably mounted in the outer sleeve. The inner sleeve couples to the motor drive when the elongate shaft assembly is attached to the hand piece, and an inner distal cutting window on the inner sleeve moves in and out of alignment with an outer distal cutting window on the outer sleeve as the motor drive rotates the inner sleeve. A distal electrode is disposed on an outer surface of the outer sleeve at a location opposite to that of the outer distal cutting window, and the outer sleeve member is rotatable relative to the hand piece when the hub is secured to the hand piece such that a user can hold the hand piece in one hand and rotate the outer sleeve to selectively place the outer distal cutting window or the distal electrode in an upward orientation relative to the user while continuing to hold the hand piece in the one hand.

A master manipulator includes a first master manipulator module, a second master manipulator module, and a third master manipulator module which are perpendicular to each other, an output end of the third master manipulator module is connected to an input end of the second master manipulator module; an output end of the second master manipulator module is connected to an input end of the first master manipulator module; the first master manipulator module can be connected to a main controller. The minimally invasive surgery robot master manipulator is simple and compact in structure, and can realize a high-precision surgical operation; moreover, the master manipulator modules are located above a transverse third master arm, thereby reducing the size of each master manipulator in a vertical direction, and effectively avoiding interference between the master manipulator and other components in the vertical direction.

A needle guide comprising a base to which a pair of horizontal slide bars are secured, the horizontal slide bars including a channel opening running between the bars, a needle stabilizer with a central tube is slideably engaged with the pair of horizontal slide bars, wherein the needle stabilizer extends through the channel opening and has the ability to change positions along a length of the horizontal slide bar, an angular ruler is secured to the base and located proximal to the needle stabilizer to allow accurate adjustment of the angle of the externally adjustable needle guide and one or more virtual visualization bars to aid in visualization using radiography, ultrasound, or magnetic resonance (or any other medical imaging technology) to visualize the virtual visualization bars.

Disclosed are apparatus and method for forming passage extending along a plane crossing an organ's volumetric region from an entry point to an opposing exit point at a surface of the organ, and for passing a tension member around the volumetric region by pulling the tension member from the exit point to the entry point through the passage. The apparatus can include a rigid outer tube with a tip for penetrating the organ and reach a penetration depth; an inner needle with elastic body configured to pass straightened through outer tube lumen and to partially protrude and voluntarily flex to a curved form greater than the diameter of the volumetric region; and a tension member passer with a pulling portion for engaging with portion of tension member and for pulling the tension member when withdrawn.

A computer visual guidance system for guiding a surgeon through an arthroscopic debridement of a bony pathology, wherein the computer visual guidance system is configured to: (i) receive a 2D image of the bony pathology from a source; (ii) automatically analyze the 2D image so as to determine at least one measurement with respect to the bony pathology; (iii) automatically annotate the 2D image with at least one annotation relating to the at least one measurement determined with respect to the bony pathology so as to create an annotated 2D image; and (iv) display the annotated 2D image to the surgeon so as to guide the surgeon through the arthroscopic debridement of the bony pathology.

An example rotational joint assembly for a robotic medical system, the rotational joint assembly comprising at least one arm segment and a rotational joint provided at one end of the arm segment. The rotational joint is to allow the arm segment to rotate about a rotational axis. The rotational joint comprising a brake to lock rotation of the arm segment at the rotational joint and an actuator to selectively engage or disengage the brake. The actuator comprising a cam having two stable regions separated by two transition regions, the two stable regions comprising a first stable region corresponding to engagement of the brake and a second stable region corresponding to disengagement of the brake.

This disclosure relates to surgical devices and methods for repairing bone defects. The defect indicators disclosed herein may be utilized to indicate a precise location of the defect associated with an articular surface of a joint.

An exemplary embodiment relates to an end effector (1), in particular a robot end effector, a device (20) with an operating element (25) for controlling an end effector (1), a robot with at least one end effector (1) and a medical telemanipulation system.

An exemplary embodiment provides a steering gear (13) for a surgical instrument (1), which can be arranged at the proximal end (3) of a shaft (2) that defines a longitudinal axis (B) and has a bending mechanism (9) at the distal end (5). The steering gear (13) has two controllable and adjustable motorised drives and is designed to transfer the adjustment angles of the two controllable and adjustable motorised drives to a spatial alignment of a swash plate (14) which is designed to control the distal bending mechanism (9) of the surgical instrument (1). The swash plate (14) is arranged in a steering ring (19), and each of the two controllable and adjustable motorised drives has a drive shaft (17a, 17b) driven by a motor (17, 17′), each of which is connected to the steering ring (19) directly and operatively connected via a force transmitter (16, 16′), wherein the two force transmitters (16, 16′) which are arranged on the drive shafts (17a, 17b) each define a drive axis (C, C′), directly contacting the steering ring (19) at an effective section (W). The steering ring (19) is cardanically suspended on a fastening device which has position sensors (23, 24, 25) on its cardan axes. Furthermore, a surgical instrument (1) with a steering gear (13) and a method for controlling the position of a steering ring (19) of a steering gear (13) are disclosed.