Methods and systems for treating osteochondral defects (OCDs) are disclosed. The methods include collecting surface data of a joint using image-free methods, generating a three-dimensional (3D) healthy bone model based on the surface data and a database of healthy bone anatomies, defining a boundary of the OCD on the joint, and generating a 3D implant model based on the 3D healthy bone model and the boundary. The method may also include manufacturing an implant based on the 3D implant model, generating an implantation plan, resecting the joint according to the implantation plan, and placing the implant into the resected cavity. The 3D implant model may include a first and second porous layer separated by a nonporous layer. A polymer material is overmolded onto the second porous layer and treated to exhibit properties that mimic cartilage, while the first porous layer allows the implant to fuse to patient bone.

A method to guide in preparation of a bone relies on an instrument having a shaft with a working end and a stop member. The shaft is free to translate along an axis. Surgical planning data is registered to the bone to determine intra-operative coordinates of the desired axis and depth. The instrument holder is positioned by the bone so the stop member contacts the instrument holder to prevent translating beyond the desired depth. Alternatively, an arm is manipulated to align the instrument with the desired axis. The working end rests on the bone to define a linear separation to the desired depth. By proximally translating the instrument holder to contact the stop member and distally translating the instrument holder along the shaft, the stop member physically stops translating beyond the desired depth. A surgical system for performing the methods is provided; a reamer or impactor are also disclosed.

A surgery assistance device includes an arm, a control device, and an operation device. The arm holds an endoscope and adjusts a position of the endoscope. The control device controls a display to display an image captured by the endoscope. The operation device rotates the image without causing a positional displacement of the endoscope.

A surgical instrument is disclosed. The surgical instrument includes a shaft, a sensing array and a fluid detection circuit. The sensing array is positioned within the shaft. The fluid detection circuit is electrically coupled to the sensing array, and is configured to determine when a fluid originating from an environment external to the shaft is present within the shaft.

Provided is a control device that electrically controls a medical observation apparatus configured to capture an image of an observation target and includes a voice recognition section, a recognized-information processing section, a switch input reception section, and a control section. The voice recognition section recognizes a voice inputted from outside. Based on a result of recognition by the voice recognition section, the recognized-information processing section determines processing to be executed by the medical observation apparatus. The switch input reception section receives an input of an operation signal based on an operation performed on a switch. Upon detecting a first operation signal received by the switch input reception section or upon acquiring information regarding processing determined by the recognized-information processing section, the control section causes the voice recognition section to start voice recognition processing and causes the medical observation apparatus to execute the processing determined by the recognized-information processing section.

An adapter set is provided with an adapter placed between a robot arm and a surgical instrument, and a stopper mounted on the adapter. The stopper includes a rotation restricting part configured to restrict a rotation of a driving transmission member of the adapter. The driving transmission member includes a first member that includes an engaging depressed part configured to fit together with a driven member of the surgical instrument and another engaging depressed part that is provided separately from the engaging depressed part and is configured to fit together with the rotation restricting part of the stopper, and a second member that includes an engaging depressed part configured to fit together with a driving member. The stopper is configured to be removed from the adapter after the driving member fits together with the second member of the adapter.

A method for determining a suitable set of parameters for operating a light source within a photo-thermal targeted treatment system for targeting a chromophore embedded in a medium is disclosed. The method includes, before administration of a treatment protocol: 1) administering at least one laser pulse from the light source at a preset power level to a location to be treated, the preset power level being below a known damage threshold; 2) measuring a skin surface temperature at the location to be treated, following administration of the at least one laser pulse; 3) estimating a relationship between the parameters for operating the light source and the skin surface temperature; and 4) defining a safe operating range for the parameters for operating the light source in order to avoid thermal damage to the medium at the location to be treated while still effectively targeting the chromophore in administering the treatment protocol.

A control console for a powered surgical tool. The console includes a transformer that supplies the drive signal to the surgical tool. A linear amplifier with active resistors selectively ties the ends of the transformer primary winding between ground and the open circuit state. Feedback voltages from the transformer windings regulate the resistances of the active resistors.

A foot pedal for a robotic surgical system includes a base plate, a foot plate, a first biasing member, and a second biasing member. The foot plate is pivotally coupled to the base plate and has uncompressed, partially compressed, and fully compressed positions. The first biasing member is configured to urge the foot plate towards the uncompressed position when the foot plate is between the fully compressed and uncompressed positions. The second biasing member is configured to urge the foot plate towards the uncompressed position when the foot plate is between the fully compressed and partially compressed positions. Methods for using the foot pedal to control a tool and a camera of a surgical robot are also disclosed.

A medical manipulator according to an embodiment may include an arm base including a first engagement portion and a manipulator arm including a distal end portion to support a surgical tool and a proximal end portion including a second engagement portion. One of the first and second engagement portions includes a shaft member and the other includes an engagement member engageable with the shaft member such that the engagement member engaged with the shaft member is rotatable with respect to the shaft member. The arm base includes a restriction portion to restrict rotation of the manipulator arm about the shaft member to which the engagement member is engaged. The proximal end portion of the manipulator arm is fixed to the restriction portion of the arm base with a fixing member in a state where restriction portion stops the rotation of the manipulator arm.