Systems, devices, and methods for performing Lapidus bunionectomy procedures are disclosed. An example method includes inserting a plurality of metatarsal pins into the first metatarsal at a first predetermined spacing relative to the first tarsometatarsal (TMT) joint, excising the first TMT joint by cutting the bases of the first metatarsal and the first cuneiform proximate the first TMT joint, inserting a plurality of cuneiform pins into the first cuneiform at a second predetermined spacing relative to the first TMT joint, compressing the first TMT joint using a compressor block such that a cut face of the first metatarsal contacts a cut face of the first cuneiform, and fixing the first TMT joint using a bone plate and a plurality of bone screws. At least one of the plurality of bone screws may be a cross screw extending at an angle of less than 90 degrees relative to the bone plate and may anchor the resected first TMT joint to the second metatarsal or the second cuneiform to prevent recurrence of the bunion.

A guide hole structure can include a body defining one or more guide holes through the body between a first surface and a second surface. The guide hole structure can include one or more contact area reducing features forming and/or extending from an inner surface of the body to form the one or more guide holes. The one or more contact area reducing features can be configured to reduce a contact area of a shaft inserted into and/or through the one or more guide holes.

An external needle guide can include a skin contact portion for attaching to skin of a patient and a needle guide portion for guiding a needle into a vessel of the patient. The external needle guide provides an accurate placement of a needle into the vessel (e.g., a good puncture), which reduces the failures of the vessel. Furthermore, because of the accurate placement of the needles and the ease of placement of the external needle guide, a patient and/or another person can insert the needles into the vessel with one hand. An external needle guide can also include an anchor portion that secures a needle to the external needle guide, preventing unwanted movement of the needle and damage to the vessel.

An intra-cardiac introducer device includes a sheath having an inner wall and an outer wall spaced apart from the inner wall to define a sheath space, the sheath defining a distal end and a proximal end and arranged to penetrate cardiac tissue. A hub is connected to the proximal end of the sheath, an intracardiac stabilization balloon is coupled to the distal end of the sheath, and an external stabilization disc is slidingly positioned along the sheath. The cardiac tissue is sandwiched between the intracardiac stabilization balloon and the external stabilization disc to secure the position of the sheath in the cardiac tissue.

The present invention relates to a customized surgical guide device and a customized surgical guide generating method and program. A customized surgical guide generating method comprises the steps of: acquiring body surface data and treatment area data from medical image data by a computer; a first shape data generating step, wherein the first shape data is data which corresponds to the shape of the body part cover; a target point setting step of setting one or more target points; setting individual first points on the body surface accessible to the target point with a medical tool; setting a guide tube length on the basis of a distance from the first point to the target point; and generating final shape data in which one or more guide tubes are combined to the first shape data by applying the guide tube length to the first point.

A depth stop assembly for use with a biopsy device targeting cannula includes a depth stop and a thumbwheel. The depth stop is configured to receive the targeting cannula. The depth stop has a lock to selectively restrict axial movement of the targeting cannula relative to the depth stop. The thumbwheel is motion-coupled to the depth stop. The thumbwheel has a circumferential finger gripping area.

It is an object of the invention to provide for a system that can be used to improve a cancer related clinical workflow compared to the current cancer related clinical workflow. This object is achieved by an image guided system configured for supporting a combined biopsy and treatment procedure using image guidance to bring a needle from a defined location to a predetermined end location in a subject of interest. The image guidance system comprises a medical imaging system configured for acquisition of medical images of a region of interest in the subject of interest, wherein the medical images are used to determine a current position of the predetermined end location. The image guidance system further comprises needle guidance system configured for defining a needle position in space and thereby defining the defined location and configured for guiding a biopsy and treatment needle into the region of interest. The image guidance system also comprises a user interface system configured for supporting both the biopsy and treatment procedure, such that a patient setup needs to be executed only once. The user interface system comprises a calibration unit for aligning the needle guidance system with the medical images.

A device to be used by an operator which may grasp objects in a sterile or non-sterile field, and may facilitate the precise placement and passage of a needle or pin into tissues while using X-ray guidance. The device provides a secure hold while keeping the hands remote from the radiation field, and by permitting non-obstructed viewing of the held instrument and tissues. A radiolucent hammer may be used to help drive a needle into firm tissues without obscuring visualization.

A double-sided needle groove, a frame body and a puncture frame, wherein the double-sided needle groove has an axisymmetric outer contour, and is provided at one side with at least one needle slot a (1) and at the other side with at least one needle slot b (2); and the needle slot b (2) is fan-shaped. The double-sided needle groove is provided with one or more needle slots a (1) having a fixed needle insertion angle and a needle slot b (2) having an adjustable needle insertion angle, and the needle slot a (1) and the needle slot b (2) respectively correspond to the diameters of puncture needles and may be designed to meet multiple width specifications. During the performance of a B-ultrasound puncture operation, based on operation requirements of a surgeon for a fixed or adjustable angle, there is only a need to switch front and back sides of the double-sided needle groove, thus avoiding the need for an additional puncture frame, and switch the needle slots according to the diameters of the puncture needles. As can be seen, the double-sided needle groove can be applied to various types of B-ultrasound puncture operations and can effectively reduce the number of accessories in the puncture operations, thereby providing fast installation, saving resources and reducing costs.

A surgical method including positioning an optical probe within a tissue at a target location in a body of a patient; emitting electromagnetic radiation from the optical probe toward the tissue; and receiving a spectra at the optical probe; generating, based on the spectra, by a tissue classification system, a diagnosis classification indicative of a condition of the tissue and treating the tissue with a treatment modality selected based on the diagnosis classification. The spectra is generated by the tissue in response to the emitted electromagnetic radiation.