Systems, devices, and methods for surgical illumination and imaging of ophthalmologic structures within a human eye are disclosed. In various embodiments, an emitter, imaging sensor, and a system control image processor are configured to irradiate ophthalmologic structures with near infrared light, detect near-infrared scatter from the irradiated ophthalmologic structures and visible light in real-time and generate or otherwise cause an image to be displayed on the user display that includes the detected near-infrared scatter from the irradiated ophthalmologic structures displayed in real-time. In one or more embodiments, the image is a virtual image of the irradiated ophthalmologic structures generated at least based on near-infrared light scattering coefficients of the irradiated ophthalmologic structures. In certain embodiments, the image displayed on the user display includes the detected near-infrared scatter from the irradiated ophthalmologic structures overlaid on a real-time view from a surgical microscope.

A myringotomy device includes a housing; an elongated tube extending from the housing; and a retractable cutting tool extendable through the elongated tube, the cutting tool comprising a blade. The cutting tool is configured such that when advanced, the blade of the cutting tool extends beyond a distal end of the elongated tube. The cutting tool is also configured such that when retracted, the blade is retracted into the elongated tube and a fluid conduit is created from the distal end of the elongated tube to the housing.

A generator, ultrasonic device, and method of determining a temperature of an ultrasonic blade are disclosed. A control circuit coupled to a memory determines an actual resonant frequency of an ultrasonic electromechanical system comprising an ultrasonic transducer coupled to an ultrasonic blade by an ultrasonic waveguide. The actual resonant frequency is correlated to an actual temperature of the ultrasonic blade. The control circuit retrieves from the memory a reference resonant frequency of the ultrasonic electromechanical system. The reference resonant frequency is correlated to a reference temperature of the ultrasonic blade. The control circuit then infers the temperature of the ultrasonic blade based on the difference between the actual resonant frequency and the reference resonant frequency.

Examples of the present disclosure describe systems and methods for implementing real-time artificial intelligence (AI) for physical biopsy marker detection. In aspects, the physical characteristics for one or more biopsy site markers may be used to train an AI component of an ultrasound system. The trained AI may be configured to identify deployed markers. When information relating to the characteristics of a deployed marker is input into the ultrasound system, the trained AI may process the received information to create one or more estimated images of the marker, or identify echogenic properties of the marker. During an ultrasound of the site comprising the deployed marker, the AI may use the estimated images and/or identified properties to detect the shape and location of the deployed marker.

A stereoscopic camera with fluorescence visualization is disclosed. An example stereoscopic camera includes a visible light source, a near-infrared light source, and a near-ultraviolet light source. The stereoscopic camera also includes a light filter assembly having left and right filter magazines positioned respectively along left and right optical paths and configured to selectively enable certain wavelengths of light to pass through. Each of the left and right filter magazines includes an infrared cut filter, a near-ultraviolent cut filter, and a near-infrared bandpass filter. A controller of the camera is configured to provide for a visible light mode, an indocyanine green (“ICG”) fluorescence mode, and a 5-aminolevulinic acid (“ALA”) fluorescence mode by synchronizing the activation of the light sources with the selection of the filters. A processor of the camera combines image data from the different modes to enable fluorescence emission light to be superimposed on visible light stereoscopic images.

A surgical visualization feedback system is disclosed. The surgical visualization feedback system comprises an emitter assembly configured to emit electromagnetic radiation toward an anatomical structure. The emitter assembly comprises a structured light emitter configured to emit a structured light pattern on a surface of the anatomical structure and a spectral light emitter configured to emit spectral light capable of penetrating the anatomical structure. The surgical visualization feedback system further comprises a waveform sensor assembly configured to detect reflected electromagnetic radiation corresponding to the emitted electromagnetic radiation and a control circuit in signal communication with the waveform sensor assembly. The control circuit is configured to receive an input corresponding to a selected surgical procedure, determine an identity of a targeted structure within the anatomical structure based on the selected surgical procedure and the reflected electromagnetic radiation, and confirm the determined identity of the targeted structure through a user input.

Systems, methods, and computer-readable media are disclosed for automated endoscopic device control systems. In one embodiment, an example endoscopic device control system may include memory that stores computer-executable instructions, and at least one processor configured to access the memory and execute the computer-executable instructions to determine a first image from an endoscopic imaging system comprising a camera and a scope, determine, using the first image, that a first condition is present, determine a first response action to implement using a first endoscopic device, and automatically cause the first endoscopic device to implement the first response action.

A method for disengagement detection of a surgical instrument of a surgical robotic system, the method comprising: determining whether a user's head is unstable prior to disengagement of a teleoperation mode; determining whether a pressure release has occurred relative to at least one of a first user input device or a second user input device for controlling a surgical instrument of the surgical robotic system during the teleoperation mode; and in response to determining the user's head is unstable or determining the pressure release has occurred, determining whether a distance change between the first user input device and the second user input device indicates the user is performing an unintended action prior to disengagement of the teleoperation mode.

An endarterectomy device configured to remove plaque from an occluded artery is disclosed. The endarterectomy device uses an adjustable wire loop end effector to establish and advance a dissection plane in the subadventitial space of the artery. The endarterectomy device is passed down the length of an artery in the subadventitial plane, adjusting the size of the wire loop end effector as needed to navigate the artery and dissect a plaque column, until the end of the plaque is reached. The wire loop end effector is then used as a plaque cutter to transect the distal end of the plaque column. The endarterectomy device is further configured along its length with support arms that facilitate removal of the plaque column as the device is removed from the artery.

Devices, systems, and methods are provided for control over automated movement of catheters and other elongate bodies. Fluid and/or pull-wire drive systems can be used to provide robotically coordinated lateral bending motions and a processor of the system can generate synchronized actuator drive signals to move the tool along an at least partially laterally constrained path, with the path optionally extending along the axis of a virtual model of the catheter that has been driven in silico into alignment with a target tissue adjacent an open workspace such as an open chamber of the heart.