An improved guide for a medical needle is disclosed herein. An aligning element for aligning a needle guide, which is equipped for longitudinally guiding a medical needle, includes a connecting element for arranging the aligning element on the needle guide, and a light-guiding element for a predetermined diffusion of light. The light-guiding element only generates a predetermined light pattern relative to the diffusion of light in a pose predetermined by the geometry of the apparatus. Such an aligning element may be used in a treatment arrangement for longitudinally guiding a needle and in a method for aligning a needle guide.

A positioning system comprising a first working element having a first tubular shaft, a second working element having a second tubular shaft, an arcuate element having a holding element and an arcuate rail, wherein the arcuate rail is disposed on the holding element and the holding element is adapted to be fixed on the receiving section by means of a fastening element, and a guiding element having a holding section and a guiding section, wherein the holding section is guided on the rail and the guiding section receives the second shaft, the holding section having a locking element securing the guiding element to the rail, wherein the locking element in a locking position blocks displacement of the holding section in a transverse direction and in a release position allows displacement of the holding section in the transverse direction.

A craniocerebral operation passage is provided, including a guide device, a trocar, and an outer sheath. The guide device is used for penetrating into the brain of a patient; a connection hole is provided in the middle of the trocar and passes through the trocar in a direction of a central axis of the trocar; the connection hole and the trocar are coaxially disposed; the trocar can sheathe on a periphery of the guide device through the connection hole and can slide in a lengthwise direction of the guide device; the outer sheath is internally hollow for providing an operation passage; and the outer sheath can sheathe the periphery of the trocar. The craniocerebral operation passage is accurately located and can effectively protect brain tissues of a patient.

A needle guide comprising a base to which a pair of horizontal slide bars are secured, the horizontal slide bars including a channel opening running between the bars, a needle stabilizer with a central tube is slideably engaged with the pair of horizontal slide bars, wherein the needle stabilizer extends through the channel opening and has the ability to change positions along a length of the horizontal slide bar, an angular ruler is secured to the base and located proximal to the needle stabilizer to allow accurate adjustment of the angle of the externally adjustable needle guide and one or more virtual visualization bars to aid in visualization using radiography, ultrasound, or magnetic resonance (or any other medical imaging technology) to visualize the virtual visualization bars.

Aspects of the present disclosure describe medical device placement, including devices, systems and methods for placing catheters, such as epidural catheters, or other medical devices, such as needles, using a guide on a sterile ultrasound sheath.

Various methods and ultrasound imaging systems are provided for automatically calculating and displaying a setting for an adjustable needle guide. An exemplary method includes acquiring an image including a target with an ultrasound probe and displaying the image on a display device. The method includes receiving an input, via a user interface, identifying the target in the image. The method includes automatically calculating, with a processor, the setting for an adjustable needle guide that is configured to be attached to the ultrasound probe based on the identified target in the image, wherein the setting is at least one of an angle measurement for the adjustable needle guide or one of a plurality of angular positions for the adjustable needle guide. The method includes displaying the setting for the adjustable needle guide on the display device.

Insertion devices, systems, and methods for inserting a needle into a target tissue in an individual in need thereof are disclosed herein. Also disclosed herein are needle cartridges comprising a needle, a plate, and a needle holder. Also disclosed herein are methods of introducing a catheter into a target tissue in an individual in need thereof.

In an embodiment, the present disclosure relates to a system for performing arthrography, comprising a physical grid positioned on skin of a patient proximate a region of interest of a joint on which the arthrography is to be performed, and processing circuitry configured to receive medical images of the patient, the received medical images being acquired by a same imaging modality and having visible a portion of the physical grid, determine a trajectory between an entry point identified on the physical grid and a target point identified within the region of interest of the joint, and generate a target entry angle based on the determined trajectory between the identified entry point and the identified target point, wherein a needle guide device, configured to releasably-hold a needle, is positionable according to the identified entry point and target entry angle.

Devices and methods for the treatment of chronic total occlusions are provided. One disclosed embodiment comprises a method of facilitating treatment via a vascular wall defining a vascular lumen containing an occlusion therein. The method includes inserting an intramural crossing device into the vascular lumen, positioning at least the distal tip of the crossing device in the vascular wall, advancing an orienting device over the crossing device such that an orienting element of the orienting device resides in the vascular wall, inserting a reentry device, and re-entering the true vascular lumen.

A fixed angle instrument includes an elongate guide extending from a proximal end to a distal end, the guide having a proximal portion extending along a longitudinal axis and a distal portion extending transverse to the longitudinal axis. The instrument further includes a shaft disposed within the guide extending through the proximal portion of the guide along the longitudinal axis. The instrument further includes an intermediate element coupled to the shaft, the intermediate element having at least one bulbous link. The instrument further includes a distal element coupled to a distal end of the intermediate element.