A61B2090/363

Automating ultrasound examination of a vascular system

An ultrasound probe is guided to an optimal position on a patient's body by illuminating the patient's body with a laser, by displaying icons of the probe position and the optimal position on a 3-D model of the patient's body, or by playing an audio signal that varies according to distance of the probe position from the optimal position. In certain embodiments, the probe is guided to a series of optimal positions for conducting a vascular exam, responsive to a database of human anatomy and vasculature and responsive to a database of vascular exam procedures.

SYSTEM FOR NEURONAVIGATION REGISTRATION AND ROBOTIC TRAJECTORY GUIDANCE, ROBOTIC SURGERY, AND RELATED METHODS AND DEVICES

A surgical robot system includes a surgical robot, a robot arm connected to such surgical robot, and an end-effector connected to the robot arm. A registration fixture is used in conjunction with various registration systems in the surgical robot system. Such registration systems likewise include a detachable base in the form of a detachable dynamic reference base, along with an associated mount, the dynamic reference base and mount having certain features which permit the dynamic reference base to be selectively attached, detached, and reattached at different phases of an operation, whether pre-operative or intra-operative, and such successive attachments are done without the dynamic reference base, and tracking markers associated therewith, losing registration. Related methods allow for the more efficient and effective performance of operations by virtue of the dynamic reference base maintaining its registration during attachments and reattachments.

Adaptive positioning technology

A computer program element and a device are provided for processing a 2D projection image generated during a procedure of fracture treatment of a bone. The computer program element comprises sets of instructions for detecting the reference body in the 2D projection image, detecting at least one element out of the group consisting of an instrument, an implant and an anatomical structure in the 2D projection image, and identifying a current state of the element, determining a state of progress of the procedure of fracture treatment, and providing information regarding steps to be performed next.

Systems and methods for intra-operative image analysis

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.

Assessment of Soft Tissue Tension In Hip Procedures
20230141368 · 2023-05-11 ·

In one embodiment, the present disclosure relates to a method of evaluating soft tissue tension surrounding a hip of a patient using navigation and software to track positions of the femur and a pelvis of the patient in real time. The method begins with intra-operative reduction of a femoral implant into an acetabulum of a patient and retrieval of first coordinates of a femoral head center of the femoral implant when the femoral implant is in a reduced position. Performance of a shuck test follows where the femur is distracted relative to the acetabulum. Retrieval of second coordinates of the femoral head center occurs when the femoral implant is distracted from the acetabulum, and a difference between the first coordinates and the second coordinates in a coronal plane is used to determine a shuck length vector.

Medical tool guidance apparatus

A medical guidance apparatus (100) includes a base assembly (110) configured to be attached to a subject and a guide (150) configured to be removably mated with the base assembly (110). The base assembly (110) has an opening (160), and the guide (150) includes a rotatable ring (152) and an arc member (154). The arc member (154) includes a first end (162) and a second end (164), the first end of the arc member is connected to the rotatable ring (152) and the second end extends diametrically opposite to the first end across the rotatable ring. A probe holder (600) is mounted on the arc member (154) so as to hold a needle-like instrument (2161) at a desired angle relative to an axis (Ax) of the rotatable ring (152). In some embodiments, the arc member is monolithically integrated with the rotatable ring. In other embodiments, the arc member is pivotable and/or completely removable from the rotating ring.

Treatment instrument and high-voltage connectors for robotic surgical system

Described herein are methods and systems for using the treatment tip apparatuses and high-voltage connectors with robotic surgical systems. For example, retractable treatment tip apparatuses (e.g., devices, systems, etc.) including one, or more preferably a plurality, of electrodes that are protected by a housing (which may be retractable) until pressed against the tissue for deployment of the electrodes and delivery of a therapeutic treatment, are disclosed. In particular, these apparatuses may include a plurality of treatment needle electrodes and may be configured for the delivery of nanosecond pulsed electric fields. Also described herein are high-voltage connectors configured to provide high-voltage energy, such as nsPEF pulses, from a generator to the retractable treatment tip apparatuses.

CALIBRATION OF 2D IMAGES FOR DIGITAL TEMPLATING USING MONOMARKER
20230149114 · 2023-05-18 ·

A method of calibrating a frontal 2D image of a pelvis of a patient is disclosed. Frontal and lateral 2D images are received, where a fiducial marker is positioned on the patient’s suprapubic region during image capture. A first distance of the fiducial marker from the imaging detector is determined based on the fiducial marker’s measured diameter in the frontal image. A second distance of the fiducial marker from a coronal plane of the pelvis is determined based on the fiducial marker’s measured diameter in the lateral image. The second distance is corrected based on a rotational offset of the patient in the lateral image. A third distance of the coronal plane from the imaging detector in the frontal image is determined from the first distance and corrected second distance. A calibration factor for the frontal image is calculated from the third distance and used to scale the frontal image.

SYSTEMS, METHODS, AND DEVICES FOR PERFORMING A SURGICAL PROCEDURE USING A VIRTUAL GUIDE

Systems, methods and devices for performing a surgical procedure using a virtual guide are provided. The system may include a display configured to display an augmented image in an environment. A surgical landmark may be tracked and a parameter of the surgical landmark may be determined. A virtual guide for presentation within the augmented image may be generated and the display may present the virtual guide within the augmented image.

APPARATUS FOR FACILITATING ACQUISITION OF A SCAN AND INTRAORAL SCANNING PROCEDURES
20230139288 · 2023-05-04 ·

The present disclosure relates to scan gauges, a kit of scan gauges, and methods for facilitating the acquisition of a scan during an intraoral scanning procedure using an intraoral scanner, including: an elongate body having an attachment portion configured to attach the elongate body with an implant in a patient's mouth, the implant having a longitudinal axis, whereby the elongate body is adapted to extend substantially perpendicular to the longitudinal axis of the implant when mounted to the implant; the elongate body having a substantially planar upper surface and one or more side walls extending downwardly away from the upper surface; wherein the upper surface and the one or more side walls are observable in a resulting scan when the intraoral scanner scans the apparatus in a direction perpendicular to the upper surface.