A method for characterizing a state of an end effector of an ultrasonic device is disclosed. The ultrasonic device including an electromechanical ultrasonic system defined by a predetermined resonant frequency. The electromechanical ultrasonic system further including an ultrasonic transducer coupled to an ultrasonic blade. The method including applying, by an energy source, a power level to the ultrasonic transducer; measuring, by a control circuit coupled to a memory, an impedance value of the ultrasonic transducer; comparing, by the control circuit, the impedance value to a reference impedance value stored in the memory; classifying, by the control circuit, the impedance value based on the comparison; characterizing, by the control circuit, the state of the electromechanical ultrasonic system based on the classification of the impedance value; and adjusting, by the control circuit, the power level applied to the ultrasonic transducer based on the characterization of the state of the end effector.

Apparatus, systems, and methods for detecting the presence of a metallic surgical instrument. A metal detector for detecting insertion of a metallic surgical device into a hollow tube may include a switch, resonant circuit and a controller. The resonant circuit has a capacitor and a coil mounted to the hollow tube. The controller turn on the switch for a preselected time to temporarily provide a current to the resonant circuit and analyzes a resulting decaying voltage waveform originating from the resonant circuit when the switch is turned off in order to determine the presence and longitudinal depth of the metallic surgical device in the hollow tube.

A surgical instrument system (1) for treatment of an anatomical structure (3, 5) comprises an instrument (8) and/or a patient specific instrument (2, 4) for performing the treatment on the anatomical structure. The instrument (8) and/or the patient specific instrument (2, 4) comprises an integrated measurement system (20, 40, 80) for tracking the instrument (8) and/or the patient specific instrument (2, 4) relative to the anatomical structure (3, 5), whereby the integrated measurement system comprises a tracking system (6, 10), which comprises a shadow imaging tracking system.

Various surgical systems are disclosed. A surgical system can include a surgical robot and a surgical hub. The surgical robot can include a control unit in signal communication with a control console and a robotic tool. The surgical hub can include a display. The surgical hub can be in signal communication with the control unit. A facility can include a plurality of surgical hubs that communicate data from the surgical robots to a primary server. To alleviate bandwidth competition among the surgical hubs, the surgical hubs can include prioritization protocols for collecting, storing, and/or communicating data to the primary server.

A surgical robotic system includes a surgical console having a display and a user input device configured to generate a user input and a surgical robotic arm, which includes a surgical instrument configured to treat tissue and being actuatable in response to the user input and a video camera configured to capture video data that is displayed on the display. The system also includes a control tower coupled to the surgical console and the surgical robotic arm. The control tower is configured to process the user input to control the surgical instrument and to record the user input as input data; communicate the input data and the video data to at least one machine learning system configured to generate a surgical process evaluator; and execute the surgical process evaluator to determine whether the surgical instrument is properly positioned relative to the tissue.

An orthopedic implantation operation system includes a power drill mechanism and a linear advancing mechanism. The linear advancing mechanism includes a linear motor; the linear motor is connected with the power drill mechanism to drive the power drill mechanism to make a linear reciprocating motion to realize the advancement motion of the surgical tool. The present invention provides the driving force of the linear reciprocating motion of the power drill mechanism through a linear advancing mechanism, and combines with a power drill mechanism to clamp surgical tools such as a guide pin, reamer, tap and a vertebral pedicle screw, etc. so as to realize the operation of orthopedic implantation. Compared with artificial orthopedic implantation operations, the operation is stable, the impact on the human body is small, and the operation efficiency and accuracy of orthopedic implantation operations are higher, avoiding accidental injuries that may be caused by manual orthopedic implantation.

A method includes obtaining, via one or more processors, three-dimensional data representing a patient's bone, obtaining, via the one or more processors, three-dimensional data representing at least portions of a patient specific bone jig, the patient specific bone jig having an inner surface portion matched to an outer surface portion of the patient's bone, obtaining, via the one or more processors, image data representing the at least portions of the patient specific bone jig registered to the patient's bone, and generating, via the one or more processors, data representing a location and an orientation of the patient's bone based on the obtained image data, the obtained three-dimensional data representing the patient specific bone jig, and the obtained three-dimensional data representing the patient's bone. In another embodiment, a patient specific bone jig with predetermined spatial indicia registered to a portion of the patient's bone may be employed with point sampling.

Devices and methods for treating rhinitis are provided. An integrated therapy and imaging device is provided for single handheld use. The device may have a hollow elongated cannula, a therapeutic element coupled to a distal portion of the cannula, an imaging assembly coupled to the cannula to provide visualization of the therapeutic element, and an articulating region operably coupled to the imaging assembly to articulate the imaging assembly. The imaging assembly may be articulated so as to translate vertically, laterally, axially, and/or rotationally.

A surgical instrument assembly configured to display a representation of the surgical instrument relative to a trajectory (e.g., a desired trajectory for drilling into an implant) based image data from an image sensor (e.g., a camera). For example, the surgical instrument assembly may be configured to determine a desired trajectory (e.g., a central axis of a distal hole of an intramedullary nail) based on X-ray image data representing at least one fiducial marker (e.g., an array of ArUco markers) and representing an anatomical structure and/or an implant. The surgical instrument assembly may in real time display a representation of the orientation and/or position of the surgical instrument (e.g., the orientation and position of a drill bit of the surgical instrument) in relation to the desired trajectory based on image sensor data that is generated based on an orientation of the at least one fiducial marker detected by an image sensor.

Systems, devices, and methods for identifying a region of interest are provided. A plurality of skeletal landmarks may be identified from an image received from an imaging device. A pose of a patient may be determined based on the plurality of skeletal landmarks. A region of interest may be identified on the patient based on the determined pose. Instructions may be automatically provided to the controller to adjust a pose of a surgical instrument relative to the region of interest. The plurality of skeletal landmarks may be tracked for movement. The region of interest may be updated when movement of the plurality of skeletal landmarks is detected.