A surgical robotic platform operates within a constrained space of an imaging scanner in which a patient resides. The platform includes a gross positioning stage configured to be located outside of the constrained space An end-effector having a rotatable shaft is extendable from the gross positioning stage and into the constrained space of the imaging scanner. The shaft has a proximal end operatively coupled to the positioning stage outside of the constrained space and a distal end configured to be located in the constrained space. The distal end has a medical instrument gripper for holding a medical instrument used in a percutaneous procedure. The end-effector further includes a joint arrangement operatively coupling the shaft to the medical gripper for providing motion to the medical instrument gripper for enabling position and/or orientation control of the medical instrument. A drive module controls the joint arrangement.

Methods and systems for performing a surgery within an internal cavity of a subject are provided herein. An example method for controlling a robotic assembly of a surgical robotic system includes, while at least a portion of the robotic assembly is disposed in an interior cavity of a subject, receiving a first control mode selection input from an operator and changing a current control mode of the surgical robotic system to a first control mode in response to the first control mode selection input; while the surgical robotic system is in the first control mode, receiving a first control input from hand controllers; in response to receiving the first control input, changing a position and/or an orientation of: at least a portion of the camera assembly, of at least a portion of the robotic arm assembly, or both, while maintaining a stationary position of instrument tips of the end effectors disposed at distal ends of the robotic arms.

Example embodiments relate to robotic arm assemblies. Embodiments of the robotic arm assembly include a shoulder segment and upper arm segment having a motor drive portion. Embodiments also include a shoulder coupling joint assembly connecting the upper arm segment to the shoulder segment. Shoulder coupling joint assembly includes a distal shoulder joint subassembly connected to the upper arm segment. The distal shoulder joint subassembly includes a distal shoulder joint forming a first axis. The distal shoulder joint subassembly includes a shoulder planetary gear assembly. Embodiments include an elbow coupling joint assembly connecting the upper arm segment to the forearm segment. The elbow coupling joint assembly includes a proximal elbow joint subassembly connected to the upper arm segment. The proximal elbow joint subassembly includes a proximal elbow joint forming a second axis. The proximal elbow joint subassembly includes an elbow planetary gear assembly.

Disclosed herein are endoscope assemblies, and more particularly endoscopes with a working channel for use in hysteroscopy, and methods of use thereof. Devices and systems related to an integrated hysteroscopic treatment system including an endoscopic viewing system, a fluid management system, a resecting device and a controller for operating all the systems. Also disclosed are integrated hysteroscopic treatment systems that include an endoscopic viewing system, a fluid management system, a resecting device and a controller for operating all the systems.

Methods and systems are provided useful in various procedures, including hair harvesting and implantation, and further including computer-implemented and/or robotic hair transplantation. Methodologies are provided which enable a tool, such as a hair harvesting or a hair implantation tool, to proceed at least under a partial computer control in a selected direction of travel along a donor or recipient area of the patient, as well as changing direction of travel based on desired harvesting and/or implantation criteria.

The invention relates to a system for navigating a surgical instrument (1), comprising a processor configured for: obtaining a first 3D medical image of a first volume (V1) of a patient's body, said first volume (V1) comprising a reference marker (M), registering the first 3D image with said reference marker (M), obtaining a second 3D medical image of a second volume (V2) of the patient's body, said second volume (V2) being different from the first volume (V1) and not containing the reference marker (M) in its entirety, said first and second 3D images being obtained by a single imaging device, registering the second 3D medical image with the first 3D medical image, obtaining a virtual position of the surgical instrument (1) with respect to the reference marker (M) from a tracking system, determining a virtual position of the surgical instrument (1) with respect to the second 3D medical image.

A method for referencing a tracking system's coordinate frame to a rigid body's coordinate frame is disclosed. The method involves obtaining a 3D model depicting some of the surfaces of the rigid body. A probe is provided with an affixed tracking reference component. A second tracking reference component is attached to the rigid body. The method involves tracking locations of the probe as it moves along surfaces of the rigid body and then determining a transform that relates the probe locations to the 3D model of the rigid body. In one embodiment the rigid body is a dental mandible or maxilla of a patient and the 3D model is a surface extracted from a computed tomography image of the patient's jaw and teeth.

The invention relates to a detection apparatus and a method for detecting and manipulating a blood vessel under the skin of part of the body of a patient, which comprises a treatment chamber for accommodating the body part, a data processing control device, a vascular structure measuring device for detecting the position and/or dimensions of vascular structure data of the blood vessel in the treatment chamber by measurement, a vascular manipulation device for changing the position and/or dimension of the blood vessel, wherein the control device is designed to control the vascular manipulation device as a function of the vascular structure data.

A surgical instrument system for treatment of an anatomical structure comprises an instrument and/or a patient specific instrument. The instrument and/or the patient specific instrument comprises an integrated measurement system for tracking the instrument and/or the patient specific instrument relative to the anatomical structure. The integrated measurement system comprises a tracking system, which comprises a shadow imaging tracking system comprising an optical source, a shadow-generating device and a patient specific instrument sensor. An initial position of the instrument or the patient specific instrument is registerable by the patient specific instrument sensor. The shadow-generating device is arranged between the optical source and the imaging device for generating a shadow. The shadow imaging tracking system is configured to compute the elevation of the source from the pattern the shadow casts on the surface of the imaging device. The integrated measurement system comprises an inertial measurement unit to determine the patient's position.

A medical apparatus can include an instrument comprising a shaft and a jaw assembly coupled to an end of the shaft; an image capture device; and a controller operably coupled to the image capture device to receive image data from the image capture device. The image data is from images of material gripped between jaw members of the jaw assembly and captured by the image capture device, with the controller programmed to process the received image data using at least one of optical flow and digital image correlation. A medical apparatus can include an instrument comprising a shaft, and a jaw assembly coupled to an end of the shaft, the jaw assembly comprising a pair of jaw members having opposing surfaces configured to grasp material between the opposing surfaces, wherein at least a portion of the opposing surface of a first jaw member of the pair of jaw members is transparent.