A device for securing an ablation tool may have a backbone and a securing portion including a body and a cover, the body slides along the backbone to a lower position and then the cover affixedly receives a head member of the ablation tool. In another version, a leg portion is removably attachable to the securing portion and an upper portion projects out of the opening in the body portion from above and removably attaches to the leg portion that fits into the opening from below. In another version, a rotatable securing portion has a first portion pivotably connected to the leg portion, a second portion affixedly receive the head member when the securing portion rotates closed and a third portion affixedly attaches to the leg portion when the securing portion rotates closed. If the head member does not fit with the cover, a one-piece or two-piece adaptor is used.

An end effector for use with a surgical device is provided. The end effector includes a drive assembly, a driver, a needle assembly and a biasing element. The driver is disposed in mechanical cooperation with the drive assembly. Rotation of the drive assembly in a first direction causes distal translation of the driver with respect to the drive assembly. The needle assembly is disposed in mechanical cooperation with the driver. Distal translation of the driver causes a corresponding distal translation of the needle assembly. The biasing element is disposed in mechanical cooperation with the needle assembly and is configured to bias the needle assembly proximally.

Penetrative access devices for assisting users in performing any one or more of various medical procedures that require inserting a needle into a patient, such as for vascular access, pneumothorax decompression, catheterization, abscess draining, etc. In some embodiments, a penetrative access device of this disclosure is a handheld device that is fully self-contained in that it contains all of the hardware and software needed to perform the penetrative access. In some embodiments, a penetrative access device of this disclosure is a handheld device that cooperates, within a penetrative access system, with one or more devices external to the penetrative access device in providing the requisite penetrative access features. Various related methods are also disclosed, including methods of using a penetrative access device/system of the disclosure, methods of performing access operations, and methods of contactlessly calibrating needle-tip location for accurate needle-tip guidance.

An introducer assembly having a handle, at least one fiber operatively coupling at least one handle with one or more functions of the handle; and having a fiber routing system that allows a predetermined amount of slack to be created during assembly in at least one fiber so as to delay by a desired amount of time actuation of the one or more functions of the handle associated with the at least one fiber during operation of the handle.

A system and method for ensuring safe and tolerable insertion of a needle into a subject's body according to a preplanned or continuously monitored sequence of insertion steps. The system comprises a gripping device for gripping the needle in order to perform robotic insertion steps, yet for releasing the grip between such insertion steps, until the next insertion step is initiated. Thereby, the robot has full control of the needle during insertion steps, but does not constrain the needle between insertions, such that movement of the subject can cause neither damage nor discomfort. The gripping and insertion steps may be coordinated to keep in synchronization with the subject's breathing cycles, such that the insertion steps may be performed in the same segment of each cycle of motion of the subject's chest. The gripper can either fully disconnect from the needle, or can partially disconnect but constrain motion within limits.

A system for determining the position and orientation of a medical device relative to an image space during image-guided medical procedures. The system comprises a flexible pad mounted on the subject such that a part covers the region of interest. The pad incorporates detectable registration members. Prior to the procedure, the device is coupled to the pad, which is then rigidized, so that there is no movement of the registration members relative to each other and relative to the device. The fixed relationship between the device and the registration members is determined from initial images, for example using detectable markers attached to the device, enabling the pose of the device relative to the image space of images of the region of interest to be determined later, even if the device is remote from the region of interest. This minimizes exposure of the subject and medical staff to radiation.

The disclosed system relates to the device, system and methods for the characterization of a substrate based on force sensing. More specifically, force sensing is used to extract a force profile upon substrate insertion that allows for the characterization of the substrate along the axis of insertion of the force sensing probe. Force sensing can be provided by a load cell or strain gauge device or equivalent force sensing measure. The force system can contain a magnetic coupling method in order to provide contact between the probe and force sensing apparatus. The disclosed invention can be included in a system that includes hardware and software to process the data from the force sensor. The hardware and software can also be coupled with a data repository and corresponding methods in order to map real-time force sensing data with known force sensing data in order to provide positional information based on the particular known substrate.

An injector for transcutaneously introducing a sensor into a patient, including a cannula, a base element, a sliding element arranged displaceably on the base element, for transcutaneously introducing the cannula into the patient in an injection direction, and including an ejection element for automatically pulling the cannula out of the patient counter to the injection direction by the ejection element in an ejection operation. The injector has a locking element for the ejection element such that, in a delivery state, the ejection element is lockable in an energy-charged state, and the sliding element and the locking element are configured to interact indirectly or directly in order, in an injection state, when the cannula is introduced transcutaneously into the patient, to release the locking of the ejection element in order automatically to start the ejection operation.

Systems and methods for minimally invasive procedures include a computer-assisted system comprising a manipulator assembly configured to couple to a cannula and a controller coupled to the manipulator assembly. The cannula has a lumen configured to receive a shaft of an instrument. The controller is configured to position a remote center of motion for the manipulator assembly at a first location relative to the cannula, and in response to an indication to reposition the remote center of motion relative to the cannula, reposition the remote center of motion to a second location relative to the cannula while constraining the second location to be located along the cannula. The second location is different from the first location.

A processing device (1) and method for determining a position and/or orientation for a multi-hole grid template in a medical interventional procedure is disclosed. An anatomical spatial information processing unit (2) receives and/or processes data representative of a target spatial volume in the body, and a grid position sampler (4) generates candidate positions of the grid template. A quality calculator (5) calculates, for each candidate, a quality metric indicating the suitability of the candidate position of the grid template for the interventional procedure. A position selector (6) selects the position and/or orientation from the candidates based on the quality metric. For each candidate, an spatial relationship between each grid hole trajectory and the target volume is determined, and the quality metric takes, at least, this spatial relationship into account.