A surgical instrument navigation system is provided that visually simulates a virtual volumetric scene of a body cavity of a patient from a point of view of a surgical instrument residing in the cavity of the patient. The surgical instrument navigation system includes: a surgical instrument; an imaging device which is operable to capture scan data representative of an internal region of interest within a given patient; a tracking subsystem that employs electro-magnetic sensing to capture in real-time position data indicative of the position of the surgical instrument; a data processor which is operable to render a volumetric, perspective image of the internal region of interest from a point of view of the surgical instrument; and a display which is operable to display the volumetric perspective image of the patient.

The invention relates to an assisting apparatus (2) for assisting a user in moving an insertion element (11) like a catheter to a target element within, for instance, a person (8). A target element representation representing the target element within the object in its three-dimensional position and three-dimensional orientation and with its size is generated based on a provided target element image. Moreover, a three-dimensional position of the insertion element is tracked, while the insertion element is moved to the target element, and the target element representation and the tracked position of the insertion element are displayed. The three-dimensional position and orientation of the target element relative to the actual position of the insertion element can therefore be shown to the user, while the insertion element is moved to the target element, which allows the user to more accurately and faster move the insertion element to the target element.

A hub for an optical shape sensing reference includes a hub body (606) configured to receive an elongated flexible instrument (622) with a shape sensing system coupled to the flexible instrument within a path formed in the hub body. A profile (630) is formed in the hub body in the path to impart a hub template configured to distinguish a portion of the elongated flexible instrument within the hub in shape sensing data. An attachment mechanism (616) is formed on the hub body to detachably connect the hub body to a deployable instrument such that a change in a position of the hub body indicates a corresponding change in the deployable device.

Systems and methods for supporting image-guided procedures include a device having an instrument usable to collect location data for one or more passageways and one or more processors coupled to the instrument. The one or more processors are configured to organize a plurality of points within the location data based on a corresponding insertion depth of the instrument when each of the plurality of points is collected, create a passageway tree based on the points, identify at least three non-collinear landmark locations within the passageway tree, create a seed transformation between one or more of the at least three non-collinear landmark locations and corresponding model locations in model data, and register, using the seed transformation, the plurality of points to the model data for the one or more passageways. In some embodiments, the at least three non-collinear landmark locations are based on a main branch point in the passageway tree.

A method for localizing a nodule of a patient includes inserting a delivery tool into tissue of a patient, such as lung tissue, releasing the magnetic fiducial into or adjacent a nodule from the delivery tool, and locating the magnetic fiducial with a localization tool.

The present disclosure provides a surgical robot including a control system, a force identification system, a robotic arm system and a navigation system, the robotic arm system including a robotic arm, a robotic arm terminal detachably connected to a trackable element. The navigation system acquires and provides a registration point of interest on an object to the robotic arm system. The robotic arm system controls movements of the robotic arm to drive the trackable element to move to the registration point of interest. The force identification system detects and provides a force applied to the robotic arm terminal to the control system. The control system determines whether the trackable element has moved to the registration point of interest on the object. The present disclosure also provides a method for bone registration of the surgical robot.

A medical instrument system includes actuators, a medical instrument, and a control system operably connected to the actuators. The medical instrument includes an end portion and transmission systems, each of which couples the end portion to an actuator of the actuators such that the actuators are operable to drive the transmission systems to move the end portion. The control system is configured to execute operations including determining a difference between a current configuration of the end portion and a desired configuration of the end portion, and operating the actuators to apply tensions to the transmission systems based on the difference and based on constant offset tensions. The constant offset tensions are independent of current tensions experienced by the transmission systems.

A processing device includes a processor, the processor being configured to: acquire a captured image of an inside of a lumen; acquire lumen structure information indicating a structure of the lumen; determine whether the captured image can be analyzed or not and output analysis allowability/non-allowability information indicating whether the captured image is in an analysis allowable state or not based on the captured image and first determination criteria; associate the analysis allowability/non-allowability information with the structure of the lumen based on the analysis allowability/non-allowability information and the lumen structure information to identify an analyzable portion and an unanalyzable portion of the structure of the lumen; and determine that the identified unanalyzable portion is a missed portion based on position and orientation information of a distal end of an insertion section to be inserted in the lumen and second determination criteria.

Systems, methods, and devices are disclosed for surgical instruments, systems, and methods for detecting skiving of a surgical instrument, such as an instrument used during a robotic or robot-assisted surgery. The embodiments disclosed herein may include one or more sensors adjacent to, coupled to, disposed on, or embedded into an instrument in order to measure deflection thereof during use that may indicate skiving of the instrument. A variety of sensors may be utilized, including strain gauges, resistance-based sensors, fiber optic cables, laser distance measurement units, ultrasonic distance measurement units, optical cable measurement units, etc. In some embodiments, multiple such sensors may be included in an instrument in order to measure magnitude and/or direction of deflection.

Robotic medical systems can enable manipulation of a single robotic arm and have other robotic arms follow its motion. A robotic medical system can include a first robotic arm for holding a first medical tool and a second robotic arm for holding a second medical tool separated from the first medical tool. The robotic medical system can be configured to obtain data corresponding to movement of the first robotic arm and cause movement of the second robotic arm according to the movement of the first robotic arm.