The present invention is directed to a surgical marking guide. The surgical marking guide can be configured for use in the harvest of a nipple areolar complex graft, the implant of a nipple areolar complex graft, or both the harvest and implant of a nipple areolar complex. Methods of use of the surgical marking guide are also disclosed herein.

A method for determining oxygen saturation includes emitting light from sources into tissue; detecting the light by detectors subsequent to reflection; and generating reflectance data based on detecting the light. The method includes determining a first subset of simulated reflectance curves from a set of simulated reflectance curves stored in a tissue oximetry device for a coarse grid; and fitting the reflectance data points to the first subset of simulated reflectance curves to determine a closest fitting one of the simulated reflectance curves. The method includes determining a second subset of simulated reflectance curves for a fine grid based on the closest fitting one of the simulated reflectance curves; determining a peak of absorption and reflection coefficients from the fine grid; and determining an absorption and a reflectance coefficient for the reflectance data points by performing a weighted average of the absorption coefficients and reflection coefficients from the peak.

Disclosed herein are devices (e.g., needles (e.g., hollow needles), hollow staples, articles, apparatuses, and systems), kits, and methods for treating skin and skin conditions, for example, by promoting skin tightening, such as by reducing skin laxity and reducing tissue area or volume.

Imaging systems projecting augmented information on a physical object that at a minimum include a processor, a memory device operably connected to the processor, a projector operably coupled to the processor, and a distance-measuring device operably connected to the processor. The memory device stores augmented image information, and the processor is configured to project augmented image information onto the physical object. The distance-measuring device is configured to measure the distance to the physical object. The processor uses distance measurement information from the distance measuring device to adjust scaling of the augmented image information. The processor provides the scale adjusted augmented image information to the projector. System can also be used for fluorescence imaging during open surgery, for endoscopic fluorescence imaging and for registration of surgical instruments.

A method for navigational support of a person performing a resection on a patient following extraction of a resectate includes recording a first surface data set of the resectate using an ex vivo scan appliance, and determining a second surface data set of the extraction region using a recording instrument. The second surface data set covers at least one part of the remaining tissue surface of the extraction region of the resectate in the patient. The method also includes registering the first surface data set of the resectate with the second surface data set of the extraction region based on corresponding surface features of the resectate and the remaining tissue surface in the extraction region, and performing at least one support measure that supports the navigation in the extraction region relative to the resectate, using the registration.

Spinal correction surgical techniques and methodologies for correction of scoliosis using non fusion anterior scoliosis correction, including soft tissue releases, unique correction techniques such as de-rotation, and unique single and dual anchor screw/cord applications.

A computer-assisted medical device is configured and used to endoluminally navigate to a location in the gastrointestinal system and there treat certain body lumen wall areas while avoiding other body lumen wall areas. Embodiments ablate the inner mucosal layer and sub-mucosal nerve plexus of the stomach, duodenum and jejunum to effect treatment of insulin resistance and metabolic disorders, such as Type II diabetes (T2D), polycystic ovarian syndrome (PCOS), non-alcoholic steatohepatitis (NASH), non-alcoholic fatty liver disease (NAFLD), congestive heart failure (CHF) and obstructive sleep apnea (OSA). Various sensors are used to assist a clinical operator to navigate from the mouth through the pyloric sphincter and into and through the duodenum and/or jejunum. Various sensors are used to map and identify portions of the duodenum and/or jejunum. Various lumen wall ablation devices and methods are described. Various post-treatment assessments are described.

A surgical camera system includes a camera with at least one sensor configured to capture image data comprising a first range of wavelengths and a second range of wavelengths. An excitation light source emits an excitation emission at an excitation wavelength. A controller is in communication with the at least one sensor of the camera. The controller is configured to process the image data from the at least one sensor and detect at least one fluorescent portion of the image data in response to a fluorescent emission generated by a fluorescent agent in the second range of wavelengths. The controller is further configured to generate enhanced image data demonstrating the at least one fluorescent portion of the surgical implement in the image data.

An endoluminal traversing system and tissue crossing system are described wherein the access systems are controlled by actuators that allow for robotic control of system functions. The robotic system can be configured for full manual control over the actuators, full computerized control, or a combination of human and computer (AI, neural net, rule set) guidance.

Anchor delivery systems include markings on the surfaces of the delivery device which are visually exposed to the user through openings or fenestrations in the anchor, providing visual feedback to the user on the progress of the anchor's insertion. A suture-locking plug is deformable within the anchor tip, thereby enhancing suture entrapment within the tip of the anchor. A compliant component of the handle places the handle components in tension, thereby absorbing built-in axial looseness in the handle. The handle further includes a spin cavity which allows for free spin of the inserter shaft to finalize insertion of the anchor into bone when the anchor has not been fully seated flush with or below the cortical bone surface.