There is provided a medical control apparatus including an illumination control unit that performs, based on a detection result of brightness relating to imaging, a first control of controlling brightness of a light source of an observation device for observing an observation target and a second control of controlling brightness of an illumination apparatus that irradiates the observation target with illumination light from an outside of the observation device.

Methods and systems for performing ablation are disclosed. An example system for performing ablation on a tissue includes a catheter having at least one lumen in which a first optical fiber configured to carry a first light beam is disposed and a second optical fiber configured to carry a second light beam is disposed, and a processor being configured to measure a volume of blood within the target site of the tissue using a blood perfusion sensor, determine that the volume of blood within the target site is below a predetermined threshold based on one or more characteristics detected by the blood perfusion sensor, each characteristic being associated with at least one of the first light beam and the second light beam, and perform the ablation on the target site of the tissue when the volume of blood within the target site is below the predetermined threshold.

An end effector includes first and second jaw members moveable relative to one another. Each of the first and second jaw members including a tissue contacting surface opposing the tissue contacting surface of the other jaw member. The end effector includes a detection assembly that is disposed within the first or second jaw member that is configured to detect an attribute of tissue between the first and second jaw members. The detection assembly may include a light source configured to emit light towards tissue between the first and second jaw members or may include an ultrasound transducer configured to emit ultrasound energy towards tissue between the first and second jaw members.

The invention relates to a method, an image processor (26) and a medical observation device (1), such as a microscope or endoscope, for observing an object (4) containing a bolus of at least one fluorophore (12). The object (4) is preferably live tissue comprising several types (16, 18, 20) of tissue. According to the method, a set (34) of component signals (36) is provided. Each component signal (36) represents a fluorescence intensity development of the fluorophore (12) over time in a different type of tissue. A time series (8) of input frames (10) is accessed, one input frame (10) after the other. The input frames (10) represent electronically coded still images of the object (4) at subsequent time. Each input frame (10) contains at least one observation area (22) comprising at least one pixel (23). In the observation area (22) of the current input frame (10) of the time series (8), a fluorescent light intensity (I) is determined over at least one fluorescence emission wavelength (15) of the fluorophore (12). This fluorescent light intensity (I.sub.1) is joined with the fluorescence light intensities (I.sub.n) of the observation area (22) of preceding input frames (10) of the time series (8) to generate a time sequence (40) of fluorescent light intensities (I.sub.1, I.sub.n) of the observation area (22). This time sequence (40) is decomposed on in a preferably linear combination (72) of at least some of the component signals (36) of the set (34). A new set (34) of component signals (36) is provided which includes only those component signals (36) which are present in the combination (72). An output frame (46) is generated, in which the observation area (22) is assigned a color from a color space depending on the combination (72) of component signals (36).

A medical device may include an ablation device configured to deliver ablation energy to a treatment site. The medical device may further include a probe device configured to deliver excitation radiation to the treatment site. Further the medical device may include a radiation-receiving device configured to receive photoluminescence radiation emitted from the treatment site in response to the treatment site being illuminated by the excitation radiation and to generate a detection signal in response to the received photoluminescence radiation. Additionally, the excitation radiation may be different from the ablation energy.

A medical device may include an ablation device configured to deliver ablation energy to a treatment site. The medical device may further include a probe device configured to deliver excitation radiation to the treatment site. Further the medical device may include a radiation-receiving device configured to receive photoluminescence radiation emitted from the treatment site in response to the treatment site being illuminated by the excitation radiation and to generate a detection signal in response to the received photoluminescence radiation. Additionally, the excitation radiation may be different from the ablation energy.

Embodiments of a surgical laser system comprise a laser source (102), a laser fiber (104), a photodetector (106) and a controller (108). The laser source is configured to generate laser energy (1 10). The laser fiber is optically coupled to the laser source and is configured to discharge the laser energy generated by the laser source. The photodetector is configured to generate an output signal (1 12) that is indicative of an intensity level of electromagnetic energy feedback (114) that is produced in response to the discharge of the laser energy. The controller is configured to control the laser source based on the output signal.

A system, device, and method for controlling operation of a surgical tool (214) during a surgical procedure are described. For example, the system includes a tool assembly (210) and a surgical system (100). The tool assembly includes a rotating tool (214) and a sleeve (212) for holding the rotating tool. The surgical system includes a navigation system (200) configured to track at least a portion of the rotating tool and determine position information for the rotating tool, an alignment module (222) configured to receive the position information and determine whether the rotating tool is in a proper position for drilling a hole into a target bone (240), a robotic control component (220) configured to actuate and advance the rotating tool if the rotating tool is in the proper position, and a monitor (226) configured to determine if the rotating tool is advancing into the target bone along a predetermined path.

Aspects of the present disclosure are presented for a surgical instrument having one or more sensors at or a near an end effector and configured to aide in the detection of tissues and other materials and structures at a surgical site. The detections may then be used to aide in the placement of the end effector and to confirm which objects to operate on, or alternatively, to avoid. Examples of sensors include laser sensors used to employ Doppler shift principles to detect movement of objects at the surgical site, such as blood cells; resistance sensors to detect the presence of metal; monochromatic light sources that allow for different levels of absorption from different types of substances present at the surgical site, and near infrared spectrometers with small form factors.

A medical instrument has an elongated channel configured to support a staple cartridge, the staple cartridge comprising a plurality of staples. The medical instrument also has an anvil mechanically coupled to the elongated channel, wherein the anvil comprises an exterior surface extending between a proximal end and a distal end. In addition, the medical instrument has at least one electrical circuit at least partially positioned on the exterior surface of the anvil, an indicator system comprising at least one indicator, and a logic circuit electrically in electrical communication with the at least one electrical circuit and the indicator system, wherein the logic circuit is configured to activate the at least one indicator when an electrical continuity of the at least one electrical circuit is interrupted.