A robotic system is configured to automatically trigger a robotic action based on an identified phase of a medical procedure. The robotic system includes a video capture device; a robotic manipulator; one or more sensors; an input device; and control circuitry. The control circuitry is configured to: determine a first status of the robotic manipulator based on sensor data from the one or more sensors; identify a first input from the input device for initiating a first action of the robotic manipulator; perform a first analysis of a video of a patient site captured by the video capture device; identify a first phase of the medical procedure based at least in part on the first status of the robotic manipulator, the first input, and the first analysis of the video; and trigger a first automatic robotic action of the robotic manipulator based on the identified first phase.

A laser delivery device may include a connector portion at a proximal end of the laser delivery device and an optical fiber connecting the connector portion to a distal end of the laser delivery device. The connector portion may include a capillary at least partially surrounding a proximal portion of the optical fiber, and the capillary may include dimples on at least a portion of a circumferential surface thereof.

A laser delivery device may include a connector portion at a proximal end of the laser delivery device and an optical fiber connecting the connector portion to a distal end of the laser delivery device. The connector portion may include a capillary at least partially surrounding a proximal portion of the optical fiber, and the capillary may include dimples on at least a portion of a circumferential surface thereof.

A suction or other component of an endoscope system may be cycled on and off or otherwise controlled without requiring direct user input, such as automatically or semi-automatically using a current or historical state of a laser generator, a blurriness or other information from an image of the working area, a count of fragments of a calculi stone, an intraoperative pressure, an intraoperative temperature, or one or more other characteristics of the laser generator or the targeted calculi stone.

A single-use or reusable cap or an objective head to a scope can be used for integrating a laser fiber within the objective head but outside a working channel of the scope. The endoscope maintains an attached or embedded permanent laser fiber to ablate particulates that are suctioned into the endoscope assembly via a suction conduit. With such integration, there is no need to manipulate the laser fiber into a working channel; rather, a practitioner, e.g., physician, can move the medical device, including the laser fiber, as an entire unit into the patient toward the target stone and allow for suction of the stone through a working channel without blocking of the working channel by the laser fiber.

A single-use or reusable cap or an objective head to a scope can be used for integrating a laser fiber within the objective head but outside a working channel of the scope. The endoscope maintains an attached or embedded permanent laser fiber to ablate particulates that are suctioned into the endoscope assembly via a suction conduit. With such integration, there is no need to manipulate the laser fiber into a working channel; rather, a practitioner, e.g., physician, can move the medical device, including the laser fiber, as an entire unit into the patient toward the target stone and allow for suction of the stone through a working channel without blocking of the working channel by the laser fiber.

A multi-channel endoscope can include a control section and an insertion end. The endoscope can include a user control mechanism. The control section can include at least one working channel and a channel within the control section. The working channel can accommodate at least one medical instrument which can fracture a target object into fragments. A catheter, such as a fluidic catheter, can extend from and retract to an originating proximal position at the insertion end of the endoscope. A vacuum pressure source or an irrigation source can be coupled to a proximal end of the channel. The user control mechanism can control the position of the catheter with respect to the endoscope and can be used to operate the vacuum pressure source or irrigation source.

The present invention aims to provide a basket catheter that easily transmits rotational torque on a proximal side to a basket part and can remove a captured foreign matter. The basket catheter (1) has a distal side and a proximal side, has an outer tubular member (2), an inner tubular member (3) disposed in a lumen of the outer tubular member (2) and an expandable basket part (10) disposed on the distal side of the inner tubular member (3) and including elastic wires (15). The inner tubular member (3) includes a hollow coil body (4) formed of a wire wound spirally. In the above basket catheter (1), the elastic wires (15) and the inner tubular member (3) are preferably connected together through a tubular connector (20).

A medical device may include an elongated body, a balloon positioned at a distal portion of the elongated body, and one or more pressure-wave emitters positioned along a central longitudinal axis of the elongated body within the balloon. The one or more pressure-wave emitters may be configured to propagate pressure waves radially outward through the fluid to fragment a calcified lesion at the target treatment site. The at least one of the one or more pressure-wave emitters may include an electronic emitter comprising a first electrode and a second electrode. The first electrode and the second electrode may be arranged to define a spark gap between the first electrode and the second electrode, and the second electrode may comprise a portion of a hypotube.

Systems and methods for treating tissue by concentrating a laser emission to at least one depth at a fluence sufficient to create an ablation volume in at least a portion of the target tissue and controlling pulse width within the picosecond regime to provide a desired mechanical pressure in the form of shock waves and/or pressure waves.