A medical/surgical microscope with two cameras configured to capture two dimensional images of specimens being observed. The medical/surgical microscope is secured to a control apparatus configured to adjust toe-in of the two cameras to insure the convergence of the images. The medical/surgical microscope includes a computer system with a non-transitory memory apparatus for storing computer program code configured for digitally rendering real-world medical/surgical images. The medical/surgical microscope has an illumination system with controls for focusing and regulating the lighting of a specimen. The medical/surgical microscope is configured for real-time video display with the function of recording and broadcasting simultaneously during surgery.

A surgical system includes a robot main body, a slave controller, a display device that displays an endoscopic image, and an manipulation input device. The robot main body includes an entry guide having a plurality of guide bores, an entry guide support device that supports the entry guide, an instrument manipulator that has a surgical instrument provided at a distal end and is inserted into the entry guide, and an endoscope manipulator that has an endoscopic camera provided at a distal end and is inserted into the entry guide. The slave controller operates the robot main body such that the surgical instrument advances from an exit of the entry guide after the endoscopic camera advances from the exit of the entry guide and starts capturing in response to input of a body cavity insertion manipulation received by the manipulation input device.

A surgical device for providing haptic feedback includes a housing having a cavity defined therein configured to receive a finger of a user and an elongated shaft configured to extend through the housing and into the cavity and configured to support a spring thereon and a pressure contact. A fluid-filled sensor is included that has a plurality of tubes configured to extend from the cavity, each tube includes a fluid-filled bladder at both ends thereof joined by a fluid channel therebetween. Each tube is configured to contain a fluid therein such that when a user's finger is engaged between the fluid-filled bladder at the proximal end of the tubes and the pressure contact, changes in pressure in the fluid-filled bladders at a distal end of the tubes is correspondingly registered in the fluid-filled bladders at the proximal end of the tubes providing haptic feedback to the user.

Haptic feedback from a robotic surgical tool can be adjusted based on intra-operative assessment of the accuracy of a pre-operative surgical navigational plans. Navigational reference points are identified in at least one pre-operative image. At least one haptic response is identified for interactions between at least one robotic surgical tool and at least one navigational reference point. At least one intra-operative image is compared to the pre-operative image to determine the relative position of at least two corresponding navigational reference points in the images. The reference points' relative position determines a confidence level in the accuracy of the pre-operative navigational reference point. The haptic response is adjusted in timing, location, type, or amplitude based upon the confidence level. Tolerances and surgical navigation plan may also be updated and altered based on the confidence level.

Apparatus and methods are provided for performing a medical procedure using a stapler apparatus including a reusable handle portion including a shaft include proximal and distal ends, a disposable end effector attached to the distal end of the shaft of the reusable handle carrying one or more staples. For example, the end effector may include first and second jaws movable relative to one another between open and closed positions, the first jaw carrying a cartridge which includes the one or more staples. A Doppler sensor, cutting element, thermal element, and/or grasper may be provided on the end effector. The end effector is introduced into a patient's body, tissue is positioned/locked between the jaws, and a plurality of staples are deployed into the tissue. The Doppler sensor is used to confirm that blood flow has discontinued in the stapled tissue, and the cutting element is actuated to sever the stapled tissue.

A system and method for performing a non-fluoroscopic transseptal procedure may comprise a catheter and a device comprising a sheath, an introducer and a transducer embedded on the introducer and configured to perform a measurement during the non-fluoroscopic transseptal procedure. In this system, the transducer may be embedded on the outer surface of the introducer, or embedded on the inner surface of the introducer, or embedded within the introducer. The transducer may be a ring transducer or a circular transducer. The measurement is based on a plurality of ultrasonic pulses transmitted from the transducer, and the measurement determines a location of the catheter and/or a puncture location. In another embodiment, the transducer is embedded on a needle instead of an introducer.

A controller includes an attachment member and an interface. The attachment member is configured to secure the controller to a hand of a clinician. The interface includes a first controller that is configured to operate an imaging device of a surgical system. The controller can secure about a finger of a clinician and be engagable by a thumb of the same hand of the clinician. Alternatively, the controller can be disposed in a palm of a hand of a clinician and engaged by a finger of the hand.

A system includes a console assembly, a trocar assembly operably coupled to the console assembly, a camera assembly operably coupled to the console assembly having a stereoscopic camera assembly, and at least one rotational positional sensor configured to detect rotation of the stereoscopic camera assembly about at least one of a pitch axis or a yaw axis. The console assembly includes a first actuator and a first actuator pulley operable coupled to the first actuator. The trocar assembly includes a trocar having an inner and outer diameter, and a seal sub-assembly comprising at least one seal and the seal sub-assembly operably coupled to the trocar. The camera assembly includes a camera support tube having a distal and a proximal end, the stereoscopic camera operably coupled to the distal end of the support tube and a first and second camera module having a first and second optical axis.

Described herein are methods and systems for determining force in a robotic surgical system. In some embodiments, a force applied by a robotic component (e.g. a robotic arm, a segment of a robotic arm, or a joint of a robotic arm) is determined. Also described herein are methods and systems for providing visual (e.g., direction and magnitude) feedback to a user without the need for direct haptic feedback. Such visual feedback may be presented to the user in conjunction with haptic feedback.

In some embodiments, a stereoscopic imaging apparatus includes a tubular housing having a bore extending longitudinally through the housing. First and second image sensors are disposed proximate a distal end of the bore, each including a light sensitive elements on a face and mounted facing laterally outward. The apparatus further includes a first beam steering element associated with the first image sensor and a second beam steering element associated with the second image sensor. The beam steering elements receive light from first and second perspective viewpoints and direct the received light onto the faces of the image sensors forming first and second images. Either the first and second beam steering elements or the first and second image sensors are moveable to cause a change a spacing between or an orientation of the perspective viewpoints to cause sufficient disparity between the first and second images to provide image data including three-dimensional information.