Disclosed is an offset selector for determining an offset between an anchoring section and a joint section of a joint implant component. The offset selector comprising a reference portion for determining an offset, a first adjustment device for implementing the offset, and a second adjustment device for adjusting the orientation of the offset to the reference portion. The first and the second adjustment devices are coupled to each another. One of the first adjustment device and a second adjustment device are connected to the reference portion and the other one of the first adjustment device and the second adjustment device is connected to an adjustment portion. The adjustment portion being movable relative to the reference portion.

A passive surgical manipulator for holding and positioning a surgical instrument is described. The passive surgical manipulator has a frame, a first suspension arm arrangement connecting the frame in an articulated manner to a first joint, and a second suspension arm arrangement connecting the frame in an articulated manner to a second joint. The two suspension arm arrangements are implemented so that the first joint is displaceable in a first motion plane and the second joint is displaceable in a second motion plane. Also, a first actuating device has a first interface, a second actuating device has a second interface, a third actuating device has a third interface, and a fourth actuating device has a fourth interface for temporarily receiving a corresponding interface of a handheld drive unit for transferring an actuating motion to displace the first and second joints.

Multi-directional drilling of a bone to create a perforation of bone cortex. The disclosure presents methods of using a drill having a measurement system to advance a drill bit through a bone with detection of penetration or eruption of the leading edge of the drill bit through the exterior of the cortex layer of the bone. In this regard, operation of the drill may be controlled to limit soft tissue damage adjacent to the distal side of the bone. The drill bit may be at least partially retracted through a first bore, repositioned, and one or more additional bores may be created, all while monitoring for penetration of the leading edge of the drill bit relative to the cortical layer. In turn, a perforated distal side of the cortical layer of the bone may be created that creates a desired weakness in the bone, which may be useful in various operations including when performing a corticotomy or the like.

A system for evaluating the evolution of a subject's bone structure, including an implantable medical device and a calculation module for computing a parameter representative of the bone structure. The implantable medical device has a distraction body and reflector(s). The distraction body distracts osteotomically separated bone section bodies and includes first/second blocks for implantation and attachment to first/second bone sections, the second bone section separated from the first bone section by an osteotomy, and an actuator for adjusting space between the first/second blocks, enabling distraction between the first/second bone sections. Each reflector reflects an electromagnetic signal and is embedded in a surrounding tissue when the distraction body is attached to the bone. The parameter is computed from the reflected signal, of an excitation signal including a frequency in the characteristic frequency range of each reflector, the reflected signal being representative of a dielectric constant of the surrounding tissue.

The surgical robotic system includes a robotic arm having one or more joints, each having a motor and at least one torque sensor and a velocity sensor. The system also includes a main controller, which outputs a drive command to the motor thereby actuating the motor. The system further includes a safety observer, which receives a measured velocity of the motor from the sensor, calculates an observed velocity, and detects a failure in operation of the at least one joint based on the observed velocity and the measured velocity.

A surgical instrument includes a housing having an elongated shaft extending distally from the housing and configured to support an end effector assembly at a distal end thereof. The end effector assembly including first and second jaw members, each jaw member including a tissue sealing plate disposed thereon. A force gauge is disposed on one or both the tissue sealing plates of the first and second jaw members. The force gauge is configured to measure a force associated with the one (or both) tissue sealing plate and communicate the force measurement to an electrosurgical energy source. The electrosurgical energy source is configured to correlate the force measurement to an amount of tension on tissue disposed between the first and second jaw members and alert a user if the amount of tension falls outside a particular range.

A drape for covering a robotic surgical system includes a first end portion, a second end portion, and an intermediate portion extending between the first and second end portion. The first end portion defines a cavity therein and has an outer surface and an inner surface and defines an inlet through the outer and inner surfaces. The cavity is dimensioned for receipt of an instrument drive unit and is in fluid communication with the inlet. The second end portion has an outer surface and an inner surface and defines an outlet through the outer and inner surfaces. The second end portion defines a cavity therein that is in fluid communication with the outlet. The intermediate portion defines an elongated conduit therethrough dimensioned for receipt of a surgical robotic arm.

Systems and methods are provided for measuring depth, position, and/or angle of a cannula in a medical drug delivery device. In particular, a drug delivery device having a cannula is positioned adjacent to tissue, a voltage pulse is provided to the cannula, a charge is measured at an electrode in the drug delivery device, and the depth of penetration of the cannula is determined based in part on the charge at the first electrode. Systems and methods described herein can be used to determine subcutaneous insertion depth in a wearable bolus injector. In some implementations, insertion depth determination is achieved through capacitive sensors which measure needle depth in a drug delivery device.

Methods and devices are provided for preparing and implanting tissue scaffolds. Various embodiments of scribing tools are provided that are configured to mark one or more predetermined shapes around a defect site in tissue. The shape or shapes marked in tissue can be used to cut a tissue scaffold having a shape that matches the shape or shapes marked in tissue. In one embodiment, the scribing tool used to mark a shape in tissue can also be used to cut the tissue scaffold.

Systems and methods for controlled sympathectomy procedures for neuromodulation are disclosed. A system for controlled micro ablation procedures is disclosed. A guidewire including one or more sensors or electrodes for accessing and recording physiologic information from one or more anatomical sites within the parenchyma of an organ as part of a physiologic monitoring session, a diagnostic test, or a neuromodulation procedure is disclosed. A guidewire including one or more sensors and/or a means for energy delivery, for performing a neuromodulation procedure within a small vessel within a body is disclosed.