Described herein is a surgical instrument guide for use with a robotic surgical system, for example, during spinal surgery. In certain embodiments, the guide is attached to or is part of an end effector of a robotic arm, and provides a rigid structure that allows for precise preparation of patient tissue (e.g., preparation of a pedicle) by drilling, tapping, or other manipulation, as well as precise placement of a screw in a drilled hole or affixation of a prosthetic or implant in a prepared patient situation.

A system and method of operating a minimally invasive cutting instrument includes a surgical cutting instrument. The surgical cutting instrument includes a drive unit, an end effector located at a distal end of the instrument, and a garage for housing the cutting blade when the cutting blade is not in use. The end effector includes gripping jaws and a cutting blade. To perform a cutting operation, the instrument extends the cutting blade from a first position to a second position, retracts the cutting blade from the second position to a third position between the first and second positions, and further retracts the cutting blade to the first position. While the cutting blade is not in use, the cutting blade is maintained in the first position using a restraining mechanism in the drive unit, force or torque applied by a motor or other active actuator to the drive unit, or both.

A method and device handle having a slide assembly are disclosed for controlling rotational speed of a catheter assembly under various rotational loads. The method includes: driving a catheter assembly at a target rotational speed in a first direction; detecting an actual rotational speed of the catheter assembly in the first direction; comparing the target rotational speed and the actual rotational speed of the catheter assembly in the first direction; and stopping the driving of the catheter assembly in the first direction before a completion of predetermined number of rotations in the first direction when the actual rotational speed decreases a predetermined value over a predetermined time frame.

Disclosed herein are techniques for preparation of a bone structure wherein a robotically controlled cutting bur is utilized for both milling the entry point at the outer cortical region and cannulation of the cancellous bone region for receipt of an implant. A robotic manipulator supports and moves the cutting bur and one or more controllers analyze measurements from sensors and, in response, control the robotic manipulator and/or the cutting bur for purposes such as landmark detection to determine entry point, avoiding tool skiving at entry point, and avoidance of cortical wall breach during cannulation. Also described are techniques for managing feed rate, rotational cutting speed, or mode of operation depending on operational conditions surrounding various stages of cannulation. A control interface is also provided to enable the user to manage or adjust cutting bur operation and feed rate.

An atherectomy system includes a drive mechanism that is adapted to rotatably actuate an atherectomy burr and a controller that is adapted to regulate operation of the drive mechanism. In some cases, the drive mechanism includes a drive cable that is coupled with the atherectomy burr and an electric drive motor that is adapted to rotate the drive cable. The controller is adapted to regulate operation of the electric drive motor such that the drive mechanism emulates one or more performance parameters of an air turbine.

A medical instrument comprises an elongate flexible body including a proximal section and a steerable distal section. The instrument also comprises a control tendon extending within the elongate flexible body. The instrument also comprises an axially variable stiffening mechanism including a first conduit extending through a second conduit. The axially variable stiffening mechanism is adjustable between a first state in which an actuation of the control tendon produces a first bend radius in the steerable distal section and a second state in which the actuation of the control tendon produces a second bend radius in the steerable distal section. The second bend radius is different than the first bend radius.

Computer-assisted surgical systems and methods for assisting with tool alignment using one or more mixed reality displays are disclosed. The system may provide for obtaining an existing surgical plan that may include specific patient information and data about the surgical procedure. The system may receive from a tracking system, locational information of a patient bone and determine, based on the surgical plan and the locational information, a preferred location and angle for use of a surgical device. Once determined, the system may display on a mixed reality display one or more visual indicators associated with the preferred location and the preferred angle.

An endoluminal punch system including a sheath and dilator. The endoluminal punch may include energy delivery system capable of being transmitted from the proximal end to the distal end of the endoluminal punch to assist with tissue crossing and incisions. The dilator may include selectively deployable cutting mechanism to create incisions in tissue that are larger than their basic external diameter. The system may also be configured to reduce the risk of generating plastic emboli during insertion of the endoluminal punch.

A method for controlling an operation of an ultrasonic blade of an ultrasonic electromechanical system is disclosed. The method includes providing an ultrasonic electromechanical system comprising an ultrasonic transducer coupled to an ultrasonic blade via an ultrasonic waveguide; applying, by an energy source, a power level to the ultrasonic transducer; determining, by a control circuit coupled to a memory, a mechanical property of the ultrasonic electromechanical system; comparing, by the control circuit, the mechanical property with a reference mechanical property stored in the memory; and adjusting, by the control circuit, the power level applied to the ultrasonic transducer based on the comparison of the mechanical property with the reference mechanical property.

A surgical device includes a power source and a motor coupled to the power source. The device also includes a drive shaft having a proximal drive shaft having a proximal end portion coupled to the motor and a distal end portion, a proximal index gear coupled to the distal end portion of the proximal drive shaft, a distal drive shaft having a proximal end portion and a distal end portion, a distal index gear coupled to the proximal end portion of the distal drive shaft, a spring member biasedly coupling the proximal index gear and the distal index gear. The device also includes a force measurement sensor configured to measure rotation of the proximal index gear and the distal index gear. The device further includes a controller coupled to the force measurement sensor and configured to determine a force applied to the drive shaft based on a difference between rotation of the proximal index gear and the distal index gear.