A braided vaso-occlusive member formed out of first plurality of filaments interwoven with a second plurality of filaments, wherein filaments of the first plurality are helically wound in a first rotational direction along an elongate axis of the braided member, and filaments of the second plurality are wound in a second rotational direction opposite the first rotational direction, such that filaments of the first plurality cross over and/or under filaments of the second plurality at each of a plurality cross-over locations axially spaced along the elongate axis of the braided member, wherein at each cross-over location, the filaments of the first plurality cross over at least two consecutive filaments of the second plurality, then cross under only a single filament of the second plurality, and then cross over at least two additional consecutive filaments of the second plurality.

Presented herein are systems, methods, and architectures related to augmented reality (AR) surgical visualization of one or more dual-modality probe species in tissue. As described herein, near infrared (NIR) images are detected and rendered in real time. The NIR images are registered and/or overlaid with one or more radiological images (e.g., which were obtained preoperatively/perioperatively) by a processor [e.g., that uses an artificial neural network (ANN) or convolutional neural network (CNN) reconstruction algorithm] to produce a real-time AR overlay (3D representation). The AR overlay is displayed to a surgeon in real time. Additionally, a dynamic motion tracker tracks the location of fiducial tracking sensors on/in/about the subject, and this information is also used by the processor in producing (e.g., positionally adjusting) the AR overlay. The real-time AR overlay can improve surgery outcomes, for example, by providing additional real-time information about a surgical site via an intuitive visual interface.

An intracorporeal marker delivery system includes a delivery device including a delivery cannula and a plunger. The delivery cannula has an inner lumen, a distal tip, and a discharge opening in communication with the inner lumen. A radiographically detectable marker having a fibrous-body and a radiographically detectable marker element coupled to the fibrous body is disposed within and pushable by the plunger through the inner lumen of the delivery cannula. An MRI detectable distal tip plug is disposed at least in part within a distal portion of the inner lumen distal to the radiographically detectable marker, and configured to partially occlude the discharge opening in the delivery cannula. An ultrasound detectable short term marker is interposed between the radiographically detectable marker and the MRI detectable distal tip plug in the inner lumen of the delivery cannula.

Method and system form a correlated view of human or other animal anatomy using at least one transparent display screen associated with an electronic mobile device. The view relates an optical view with other electromagnetic spectrum images with a non-optical electromagnetic image of selected portions of human or other animal anatomy. At least three visible position markers associate with selected positions of a predetermined portion of human or other animal anatomy. The disclosure forms a correlated view of the predetermined portion of human or other animal anatomy by relating said at least one non-optical electromagnetic image of the at least three visible position markers with a visual image of said at least three visible position markers. The view correlates the size and dimensions of the optical view and non-optical electromagnetic image of the predetermined portion of human or other animal anatomy.

A peroperative probe for guiding a manual excision tool. The probe includes a detection head, an optical fiber for the reception and guidance of a signal emitted by radioactive tracers and fluorescent molecules in a tissue area, a photo-detector for converting the emitted signal into an electrical signal, a transmitter for transmitting information carried by the electrical signal to an analysis equipment, and a fastener for attaching the probe onto the manual excision tool, so that the excision tool can be used to remove a portion of tissue from the tissue area emitting the signal.

A radiation finder tool assists in locating tissue of interest within a patient. The radiation finder tool includes a body and a plurality of radiation detectors. The body has a distal end, a proximal end. A lengthwise axis of the radiation finder tool extends between the proximal end and the distal end of the body. The plurality of radiation detectors is oriented serially along the lengthwise axis, e.g., stacked one after the other along the lengthwise axis. Each radiation detector of the plurality of radiation detectors has a different field of view for radiation detected by that radiation detector. Each field of view of the plurality of radiation detectors has the lengthwise axis at its center.

A marker deployment tool may comprise a marker cannula having a lateral deployment aperture, a push rod slidably disposed within the marker cannula and a scalloped tip coupled to the distal end of the marker cannula. The scalloped tip may have a push rod recess configured to receive a portion of the distal end of the push rod such that the push rod does not appreciably extend out of the lateral deployment aperture when the push rod is actuated distally. The marker deployment tool may further comprise a magnet at or near the distal end. This magnet may be used in combination with a magnet or plurality of magnets disposed about an access chamber in a tissue sample holder to assist the user in aligning the marker deployment tool. The access chamber in the tissue sample holder may also include a valve, two valves, or a removable plug.

The present invention relates to a respiratory gating system for a patient using a natural breathing method during radiation therapy, and a method for emitting radiation thereby. A respiratory gating system allowing radiation to be emitted by orienting to the position, which varies according to a patient's breathing, of a subject on which treatment is to be carried out, comprises: a breathing respirator for allowing the patient's respiration amount to be measured; external markers to be respectively adhered to triangulation points outside the human body of the surrounding region of the subject, of the patient, on which treatment is to be carried out; an image diagnosis device for imaging the region of the subject of the patient on which treatment is to be carried out, by photographing the same; and a computer program programmed so as to calculate, as position coordinates, the change in position of the subject on which treatment is to be carried out, according to the respiration amount measured by the computed tomography equipment and the each external marker, through a triangulation method and dual polynomial equations, and to transmit the position coordinates, which changes in real time, to radiation therapy equipment, wherein radiation is emitted by the respiratory gating system, and there is an effect of further increasing the accuracy and stability of the entire radiation therapy result by tracking, in real time, the movement of an organ, which is the subject on which treatment is to be carried out according to breathing, through a respiratory gating system which uses natural breathing rather than a breathing method through the training of the patient.

Systems, methods, and devices are provided for assisting or performing guided interventional procedures using custom templates. The system uses pre-procedure scans of a patient's anatomy to identify targets and critical structures. A template is then manufactured containing guide elements. During a procedure, the template may be aligned to the patient and instruments passed though the guide elements and into various targets. The template may be aligned using one or more of, for example, a position sensing system or a live imaging modality to register the patient to the template. The system makes optional use of devices designed to immobilize or track an organ during therapy.

Self-locating active markers (SLAMs) can locate themselves with respect to patient's internal anatomy and be physically located and visible in an operating room (OR) coordinate space, which can increase precision of co-registration between augmented reality (AR) systems and medical imaging. Each SLAM may include 9-axis accelerometers and ultrasound technology to locate themselves by orientation and distance to internal skeletal and/or soft tissue anatomy. Multiple SLAMS affixed to skin near operative site at a location visible to a surgical navigation system and/or the surgeon's AR Headset during a procedure may report relative distance changes between their location and internal skeletal anatomy in order to maintain surgical navigation system or AR coordinate system co-registration to the imaged internal coordinate systems. Sequential time of flight calculations from ultrasound array alone or in combination with 9-axis accelerometer data may be used.