An apparatus (10) serves for attachment of a light receiving device (24) for light analysis on an instrument (11) or an instrument component (12) during surgery by the surgery user of a surgical instrument (11) or their assistant. The apparatus (10) is preferably configured to releasably attach the light receiving device (24) on the instrument (11) or the instrument component (12). The apparatus (10) can comprise a light receiving device (24) and an electrode (15) fixed relative thereto. The electrode (15) can alternatively also be part of the instrument (11). The apparatus (10) can be releasably attachable to the instrument (11) or the instrument component (12) and can form an adapter for attachment of the light receiving device (24) on the instrument (11) or the instrument component (12) or can also be configured as part of the instrument (10).

Devices, systems and methods are provided for treating conditions of the reproductive tract. A number of conditions can afflict the lining and cell layers deeper within the anatomical structures. For example, cervical intraepithelial neoplasia (CIN), also known as cervical dysplasia, is a condition involving abnormal growth of cells on the surface of the cervix that could potentially lead to cervical cancer in situ (CIS). Other conditions include human papillomavirus (HPV)-related cervical disease, various endometrial diseases, acute and chronic cervicitis, and various infections (e.g. trichomoniasis) to name a few. In some embodiments, treatments eliminate diseased, damaged, abnormal or otherwise undesired cells leaving the tissue framework intact. This allows the tissue to regenerate in a normal fashion, avoiding the formation of scar tissue. When the tissue framework is left intact, the framework structure repopulates with healthy cells, regenerating the normal tissue without altering the structural properties.

A fluid stream is directed toward tissue to generate a plurality of shedding clouds. The fluid stream can be scanned such that the plurality of shedding clouds arrive a different overlapping locations. Each of the plurality of shedding clouds can remove a portion of the tissue. In many embodiments, an apparatus to ablate tissue comprises a source of pressurized fluid, and a nozzle coupled to the source of pressurized fluid to release a fluid stream, in which the fluid stream generates a plurality of shedding clouds.

A surgical tool including an inelastic and elastic cable to impart a bend to a shaft. A steering assembly is coupled to the shaft and configured to cause longitudinal displacement of the shaft relative to the body to tension the cables to bend the shaft bendable section in a direction of the flexible inelastic cable. The surgical tool may include an active tip with one of the cables being configured to supply energy to the active tip. The surgical tool may be a shaver that includes a shaver shaft having a flexible section configured to be aligned with a shaft bendable section with the motor of the shaver supported on a cradle of a body. The shaft bendable section may be formed by links with the flexible inelastic cable being arcuately spaced apart from tabs within sockets that engage adjacent links.

The present disclosure provides, according to some embodiments, methods and systems for selectively reducing, blocking or inhibiting at least part of the neural activity in an organ of a subject. In preferred embodiments, the method and system are used for selectively blocking at least part of the neural activity in a duodenum of a subject in need thereof. According to some embodiments, the selective blocking occurs through use of laser radiation. According to some embodiments, the selective blocking occurs through use of ultrasound energy. According to some embodiments, the selective blocking comprises causing damage to at least part of sensory nerves located within a target area while maintaining functional activity of tissue surrounding the sensory nerves by means of shielding it from the effects of laser radiation. According to some embodiments, the sensory nerves include neurons configured to transmit signals triggered by food passing through the duodenum, such as, but not limited to, neurohormonal signals.

A surgical system comprising a steering tool and a powered tool. The steering tool includes a shaft defining a bore with a bendable section, an inelastic cable, and an elastic cable. The elastic cable may be arcuately spaced from the inelastic cable. The powered tool comprising a tube assembly with a tube flexible section, a working head, and a motor. The tube assembly is configured to be removably disposed through the shaft such that the tube flexible section is seated within the bore of the bendable section of the steering tool. The elastic cable is configured to be placed in tension, and the inelastic cable causes the shaft bendable section and the tube flexible section to bend towards the inelastic cable while the inelastic cable and the elastic cable remaining in tension to resist radial loading on the working head. Methods for using the surgical system are also disclosed.

A laser atherectomy device includes a light delivery catheter equipped with sensors for monitoring physical characteristics at a laser application site. An integrated control unit utilizing data from said sensors is provided to optimally adjust laser energy parameters and to provide for safe and efficacious ablation of the blood vessel occlusion.

A surgical robotic system comprising: a robotic arm; a tool drive coupled to the robotic arm; a cannula interface configured to couple a cannula to the tool drive, the cannula interface having a fluid pathway in communication with an interior lumen of the cannula; and an insufflation pathway coupled to the robotic arm, the insufflation pathway having a distal end coupled to the fluid pathway and a proximal end coupled to a surgical insufflator.

A modular energy system includes modules, at least two having a transceiver timer. The modules communicate data messages over an internal bus. A first module obtains a transmission time from its transceiver timer, which it appends to the message, and transmits the appended message over the internal data bus. The second module receives the data message, obtains a receipt time from its transceiver timer, and extracts the transmission time from the message. A smart surgical system includes a plurality of surgical subsystems including a modular energy system all in mutual data communication over a system data bus. The components of the smart surgical system may each have a transceiver timer. The components of the smart surgical system transmit and receive data across the system data bus using the respective transceiver timers in a manner like the communications between the modular energy system modules.

An instrument includes an ultrasonic blade, a first fluid port, an irrigation member, a second fluid port, and a fluid communication assembly. The ultrasonic blade defines a distal opening. The ultrasonic blade is operable in a first mode to emulsify tissue that is distally positioned relative to the ultrasonic blade. The ultrasonic blade is further operable in a second mode to transect and seal tissue that is transversely positioned relative to the ultrasonic blade. The first fluid port is in communication with the distal opening of the ultrasonic blade. The irrigation member is positioned adjacent to the distal end of the ultrasonic blade. The second fluid port is in communication with the irrigation member. The fluid communication assembly is configured to couple the first fluid port with a fluid source, couple the first fluid port with a suction source, and couple the second fluid port with the fluid source.