A first guide member includes a horizontal body portion and a pair of upright portions. The horizontal body portion has an arcuate configuration and includes a first horizontal surface, a front surface, a rear surface, and a second horizontal surface. The first horizontal surface is flat. The first upright body portion includes a first inwardly extending portion. A first engagement surface of the first inwardly extending portion is configured to rest on a ridge of the alveolar arch of the patient. The second upright body portion includes a second inwardly extending portion. A second engagement surface of the second inwardly extending portion is configured to rest on a ridge of the alveolar arch of the patient. The first guide member lacks a component configured to extend along a lingual or palatal side of the alveolar arch of the patient.

A bone plate and one or more locking assemblies that help prevent screw backout without impinging on therapeutically valuable settling of the screws. In some cases, the locking assembly is configured to be attached to the plate, to be securely but efficiently locked, to be readily unlocked for revision surgery, and/or to reduce the possibility of operator error in installation by providing simplified visible and tactile indicia of the locked and unlocked positions.

A method for anastomosing an alimentary tract according to a first aspect of the invention includes a first step of inserting an endoscope into an alimentary tract through a natural opening in a state where a distal end part of a tube body is coupled to an outer periphery of a distal end part of the endoscope; a second step of making a hole in a tract wall of the alimentary tract; a third step of inserting the tube body through the hole; a fourth step of grasping the distal end part of the tube body disposed through the hole; a fifth step of separating the tube body from an outer periphery of the distal end part of the endoscope; and a sixth step of delivering the treatment part up to the hole after the fifth step.

The invention relates to an assembly (10) comprising an OCT device (20) for scanning an object region volume (22) arranged in an object region (18) using an OCT scanning beam (21), an object (24) with a section, which can be arranged in the object region (18) and which can be located in the object region volume (22) by means of the OCT device (20), in the object region volume (22), and a calculating unit (60) which is connected to the OCT device (20) and contains a computer program for ascertaining a 3D reconstruction of the object region volume (22) and for ascertaining the position of the section of the object (24) in the object region volume (22) by processing OCT scanning information obtained by scanning the object region volume (22) using the OCT device (20). According to the invention, the computer program has a calculation routine for ascertaining a target area (90) in the 3D reconstruction of the object region volume (22), said calculation routine determining a reference variable for the object (24) relative to the target area (90). The object (24) is designed as a surgical instrument which has a capillary with an opening for discharging a medium. The calculation routine of the computer program is used to ascertain an actual value of the volume of the medium discharged through the opening of the capillary in the target area by comparing data of the target area in the 3D reconstruction of the object region volume (22) and/or by comparing scanning information of the target area obtained by scanning the object region volume (22) using the OCT device (20) prior to and while discharging the medium. The invention also relates to a computer program and to a method for determining the volume of a medium discharged in an object region (18) through an opening by means of a surgical instrument with a capillary.

A catheter system for ablation of tissue around a blood vessel, e.g., the pulmonary artery, to reduce neural activity of nerves surrounding the blood vessel. The catheter system includes an elongate shaft having a proximal portion coupled to a handle, and a distal portion. The distal portion includes a transducer and an expandable anchor, which may be actuated to transition between a collapsed delivery state and an expanded deployed state where the anchor centralizes the transducer within the blood vessel. The transducer may be actuated to emit energy to reduce neural activity of the nerves surrounding the blood vessel. Systems and method are further provided for confirming that neural activity of the nerves surround the blood vessel has been sufficiently reduced.

The invention relates to a surgical robotic system comprising a robotic arm (1) holding an end-effector (11) and a control unit (13) configured to controllably move the robotic arm and maintain the end-effector (11) in at least one target position relative to a patient, wherein the control unit is configured to: (i) based on a first input continuously applied by a user onto the robotic arm (1), activate a hand guiding mode wherein the robotic arm is freely movable by the user; (ii) based on a second input different from the first input, continuously applied by the user onto the robotic arm (1), activate a computed trajectory mode wherein the robotic arm moves to a target position according to a computed trajectory; (iii) when the computed trajectory is activated, detect that the end-effector (11) meets at least one predetermined safety condition and automatically switch to a servo-controlled mode wherein the robotic arm (1) is automatically movable to maintain the end-effector (11) in the target position relative to a tracker attached to the patient.

A bone resection guide for removal of a portion of a bone of a patient. The bone resection guide includes a resecting section and a drilling section. The resecting section has a bone-facing surface, an extension engaging surface, opposed to the bone-facing surface, and at least one resecting slot extending therethrough between the bone-facing surface and the extension engaging surface. The drilling section has a connecting surface, a tool engaging surface, opposed to the connecting surface, and a plurality of guiding bores extending therethrough from the tool engaging surface to the connecting surface. The drilling section is engageable with the resecting section with the connecting surface of the drilling section facing the extension engaging surface of the resecting section and the plurality of guiding bores being aligned with the at least one resecting slot when the drilling and resecting sections are engaged and secured together.

Systems, methods and devices for use in tracking are described, using optical modalities to detect spatial attributes or natural features of objects, such as, tools and patient anatomy. Spatial attributes or natural features may be known or may be detected by the tracking system. The system, methods and devices can further be used to verify a calibration of a tool either by a computing unit or by a user. Further, the disclosure relates to detection of spatial attributes, including depth information, of the anatomy for purposes of registration or to create a 3D surface profile of the anatomy.

A forceps includes a handle, a shaft having a proximal end coupled to the handle, and an end effector assembly coupled to a distal end of the shaft. The forceps includes a first jaw member and a second jaw member for grasping tissue therebetween. One or both of the first and second jaw members may include one or more needles extending therefrom. The one or more needles are in fluid communication with a fluid conduit extending along one or both of the first and second jaw members. The fluid conduit couples to a source of contrast agent to enable selective delivery of the contrast agent through the one or more needles.

A method for creating a camera model for a camera of a surgical microscope includes positioning a calibration object in an initial pose in an observation region of the camera, determining a pose delta for reaching a first pose for the calibration object in a measurement space of the camera starting from the initial pose, positioning the calibration object in the first pose in accordance with the determined pose delta, making a recording of the calibration object in the first pose with the camera, positioning the calibration object in at least one further pose, making a recording of the calibration object in the at least one further pose, and creating a camera model based on the recordings made, the first pose and the at least one further pose being chosen with a distribution in the measurement space such that a camera model is obtained which represents the entire measurement space.