A surgery supporting apparatus is capable of controlling a posture of a surgical instrument that is inserted into a body cavity and mechanically drivable. The apparatus includes a robot arm that can control the posture of the surgical instrument, which is attached to the robot arm via a gimbal mechanism.

A counterbalance mechanism in an ophthalmic laser system balances the weight of the laser beam delivery head and provides small, precise and repeatable variations in the net load exerted by the laser head on the patient's eye over a defined distance of travel. The counterbalance mechanism includes a balance beam pivotably mounted on a support block, with the laser head and a counterweight mounted on its two ends. The counterweight is movable along the balance beam via a linear motion bearing. A mechanical link links the counterweight to the support block; the link has a predefined length and is pivotable around its respective connection points on the support block and the counterweight. When the balance beam pivots, the link causes the counterweight to move along the balance beam, thereby changing the mechanical advantage of the counterweight and varies the counterbalancing force to provide variations in the net load.

A medical observation apparatus including: an arm including a plurality of links connected to each other via a joint, the arm having at least three or more degrees of freedom implemented by a rotation operation about a rotation axis; an imaging device supported by the arm; and an arm controller that controls an operation of the arm. When a posture of the arm is in a predetermined state, and when a predetermined input for moving the arm about a rotation axis orthogonal to a second axis that is a second rotation axis from a side of the arm on which the imaging device is supported and a third axis that is a third rotation axis from the side of the arm on which the imaging device is supported is detected, the arm controller makes one of the links corresponding to the third axis rotate about the third axis.

A surgery supporting apparatus is capable of controlling a posture of a first surgical instrument that is inserted into a body cavity and mechanically drivable, by using a second surgical instrument to be inserted into the body cavity. The apparatus comprises a robot arm configured to control the posture of the first surgical instrument attached to the robot arm. Instructions stored in a memory cause the apparatus to function as a control unit configured to control the motion of the robot arm such that the posture of the first surgical instrument is controlled in accordance with the posture of the second surgical instrument, in a case of a first mode, and controls the motion of the robot arm in accordance with a manipulation including contact to the robot arm, in a case of a second mode.

A medical holding device includes: an arm configured by coupling a plurality of links to each other by joints, the arm having at least seven or more degrees of freedom by rotational operations on rotation axes, and being configured to support a medical instrument; and an arm controller configured to control an operation of the arm. The arm has six degrees of freedom realized by rotational operations of six passive rotation axes that passively rotate and one or more degrees of freedom realized by rotational operations of one or more active rotation axes that actively rotate, and the arm controller is configured to rotate the active rotation axis so as to avoid a predetermined state of a posture of the arm.

This document provides surgical retractor devices and systems. For example, this document provides a weighted surgical retractor system. In one example embodiment, this document provides a weighted Deaver retractor system that includes a selectable amount of weight that can be releasably coupled to a shaft of the retractor. The surgical retractors provided herein can be used during a variety of surgical procedures, including surgical procedures performed on the abdomen, thoracic regions, limbs, and so on. In some embodiments, the surgical retractors provided herein are well-suited for retraction of the vaginal canal for hysterectomy surgery, and for other procedures for which vaginal retraction is necessary.

A stand includes first to fourth links, first to fourth joints, a front link, first to fifth extension links, and first to fourth extension joints. The first to fourth links are arranged in a parallelogram configuration, wherein the first and third links are arranged on opposite sides and the second and fourth joints are arranged in a diagonal direction. The front link extends from the first link. The first extension link is rotatably connected to the second joint. The second extension link is rotatably connected to the first extension joint. The third extension link is rotatably connected to the second extension joint. The fourth extension link is arranged between the third extension joint and the fourth extension joint. The fifth extension link is arranged between the first joint and the second extension joint. The first, fourth, and fifth extension links are in parallel with one another.

When the mass of the first moving body is defined as M1, the mass of the second moving body is defined as M2, the distance between a first intersection point of a perpendicular line from a rotation center of the rotation axis to the first moving body and a first gravity center of the first moving body when the distance between the first intersection point and the first gravity center in the first moving body is the shortest is defined as L1, and the distance between a second intersection point of a perpendicular line from the rotation center of the rotation axis to the second moving body and a second gravity center of the second moving body when the distance between the second intersection point and the second gravity center in the second moving body is the shortest is defined as L2, M2=(L1/L2)×M1 is satisfied.

Various embodiments provide systems and methods for controlling a catheter with a catheter positioning device by using a remote controller. As the catheter is advanced by the catheter positioning device, a counterweight may be adjusted to balance the catheter positioning system. In further embodiments, the counterweight may be configured to move to balance a sled member such that any total moment exerted on a sled base remains constant. In further embodiments, the counterweight may be controlled by a control system based on one or more sensors coupled with the catheter positioning system.

In an arm support apparatus, an weight attachment is provided for at least one specified link in links of a support member supporting a mount to be movable based on rotation of at least one of the links around a corresponding at least one of the joints. The at least one specified link is associated with at least one specified degree of freedom. The weight attachment is configured such that one or more weight members are attachable thereto. When the one or more weight members are attached to the weight attachment, the weight attachment is configured to substantially balance in weight with the mount on which the part of the arm is mounted while applying supporting force to the part of the arm mounted on the mount.