127 results about "Mini invasive surgery" patented technology

A robotic system for minimally invasive surgery includes a surgical tool and a docking station for restraining movement of the surgical tool to four degrees of freedom about an incision point in a patient. The docking station includes a plurality of actuators for moving the surgical tool relative to the incision in the patient, and a controller operably connected to the actuators so that movement of the surgical tool may be collaboratively controllable both actively by the controller and manually by a surgeon. Desirably, the surgical tool and the docking station are releasably attachable together. Also disclosed is a computer implemented method employing a first docking station attachable to a suturing surgical tool and a second docking station attachable to gripping surgical tool for autonomously tying a knot in suturing.

A medical system that allows a mentor to teach a pupil how to use a robotically controlled medical instrument. The system may include a first handle that can be controlled by a mentor to move the medical instrument. The system may further have a second handle that can be moved by a pupil to control the same instrument. Deviations between movement of the handles by the mentor and the pupil can be provided as force feedback to the pupil and mentor handles. The force feedback pushes the pupil's hand to correspond with the mentor's handle movement. The force feedback will also push the mentor's hand to provide information to the mentor on pupil's movements. The mentor is thus able to guide the pupil's hands through force feedback of the pupil handles to teach the pupil how to use the system.

In one embodiment of the invention, a method for a minimally invasive surgical system is disclosed. The method includes capturing and displaying camera images of a surgical site on at least one display device at a surgeon console; switching out of a following mode and into a masters-as-mice (MaM) mode; overlaying a graphical user interface (GUI) including an interactive graphical object onto the camera images; and rendering a pointer within the camera images for user interactive control. In the following mode, the input devices of the surgeon console may couple motion into surgical instruments. In the MaM mode, the input devices interact with the GUI and interactive graphical objects. The pointer is manipulated in three dimensions by input devices having at least three degrees of freedom. Interactive graphical objects are related to physical objects in the surgical site or a function thereof and are manipulatable by the input devices.

An access and cannulation device includes a mounting element such as the anastomosis mounting element disclosed in U.S. application Ser. No. 08 / 714,615 (now U.S. Pat. No. 5,868,763) and U.S. application Ser. No. 09 / 200,796. The device is used to provide access therethrough and via an incision to the interior of a hollow anatomical structure such as a vessel, an organ or the like during surgery, especially minimally invasive surgery. It includes a flexible sleeve with a suture therein for closing the sleeve and locating edges of the structure adjacent to the incision in position for proper healing after completion of a surgical procedure. A tool is also disclosed for manipulating the device to configure it for the surgery and to close it after completion of the surgery whereby the edges of the wall of the structure adjacent to an incision are approximated to promote proper healing.

A single body port or body flange access device having an oval shape and associated stabilizer anchor for performing laparoscopic surgery is disclosed. The device is slipped into the body anchor stabilizer first so that the anchor stabilizer lifts up fat and peritoneum inside the body thereby keeping the operating area clear and acting to hold the body flange in place. The device further has a plurality of crisscrossing conduits assuming the shape of a cone through which surgical instruments may be inserted. The instruments are manipulated so that triangulation is obtained using one patient body flange while standard surgical procedures are performed on the patient. Due the oval shape of the device, the device minimally rotates while instruments are manipulated.

An annuloplasty repair segment and template for heart valve annulus repair. The elongate flexible template may form a distal part of a holder that also has a proximal handle. Alternatively, the template may be releasably attached to a mandrel that slides within a delivery sheath, the template being released from the end of the sheath to enable manipulation by a surgeon. A tether connecting the template and mandrel may also be provided. The template may be elastic, temperature responsive, or multiple linked segments. The template may be aligned with the handle and form a two- or three-dimensional curve out of alignment with the handle such that the annuloplasty repair segment attached thereto conforms to the curve. The template may be actively or passively converted between its straight and curved positions. The combined holder and ring is especially suited for minimally-invasive surgeries in which the combination is delivered to an implantation site through a small access incision with or without a cannula, or through a catheter passed though the patient's vasculature.

An imaging system is provided for use with minimally invasive surgery. The imaging system comprises a platform which is anchored to a wall of a patient cavity. The platform comprises a plurality of transceivers which transmit energy toward the surgical site and receive reflected energy. The transceivers transmit rasterized image information to a computer which then displays the image information in real time, enabling a surgeon to view the surgical site on a display device. The transceivers can transmit and receive different types of energy, and the computer can then combine image information from the various different energy types to provide overlaid images of the surgical site. In addition, the computer controls the relative positions of the transceivers so that the images provided to the surgeon will not be affected by movement of the platform or by movement of structures (i.e., organs) at the surgical site.

A single body port or body flange access device and method for performing laparoscopic surgery are disclosed. The device comprises a plurality of crisscrossing conduits through which surgical instruments may be inserted. The instruments are manipulated so that triangulation is obtained using one patient body flange while standard surgical procedures are performed on the patient.

The invention is directed to an instrument for use in minimally invasive hip surgery. In particular, the instrument is useful for both alignment and insertion / impaction of an acetabular shell. Furthermore, the instrument is suitable for assuring the shell is impacted with the proper abduction and version in left or right hips.

A robotic surgical system includes a master manipulator, slave robotic units having a surgical instrument for performing a Minimal Invasive Surgery (MIS), and a control system for electrically associating the master manipulator with the slave robotic units. The slave robotic unit includes the driving mechanisms which are more compact than those of the conventional MIS system. In use, the existing surgical instruments used in the conventional MIS procedure can be applied to the slave robotic unit. Moreover, by using the pivotal mechanism of the driving mechanisms, a pivot point of the surgical instrument is allowed to be shifted with respect to an incision of a patient. So, the patient's tissues surrounding the surgical instrument are not excessively affected by the surgical instrument during the procedure.

The dilation introducer has a locked assembled configuration for placement of the dilation introducer against a patient's bone tissue to be treated, and an unlocked, collapsed configuration for dilating the patient's soft tissue down to the bone tissue to be treated to a desired degree of dilation to permit minimally invasive surgical procedures on the patient's bone tissue to be treated. Dilator tubes are successively released and advanced to progressively expand the patient's soft tissue down to the bone tissue to be treated. A method for a minimally invasive procedure utilizing the telescoping dilation introducer to insert a bone fixation device into a patient's spine for posterior spine fusion is also provided.

The invention discloses a micromanipulator for enterocoelia minimally invasive surgery, relating to a micromanipulator for minimally invasive surgery. The invention solves the problem of the shortage of micromanipulators in surgical equipment of existing enterocoelia minimally invasive surgery. In the invention, a lower clutch dial is installed on the upper end face of a tooth-form central spindle of a driving box, an upper-finger upper clutch dial of a traction mechanism of the upper finger at the tail end of the surgical equipment is contacted with a corresponding lower clutch dial of the driving box; a lower-finger upper clutch dial of the traction mechanism of the upper finger at the tail end of the surgical equipment is contacted with the corresponding lower clutch dial of the driving box; a wrist upper clutch dial of the traction mechanism of the wrist at the tail end of the surgical equipment is contacted with the corresponding lower clutch dial of the driving box; and an autorotation upper clutch dial of an autorotation mechanism at the tail end of the surgical equipment is contacted with the corresponding lower clutch dial of the driving box. The micromanipulator of the invention is convenient for rapidly exchanging surgery tools, thereby increasing the nimbleness of surgery action, and meeting the requirements in various aspects such as size, function and clamping force an the like on the micromanipulator, thus being applicable to enterocoelia minimally invasive surgery.

A minimally invasive approach for surgery on portions of the heart and great vessels. A parasternal incision is made extending across a predetermined number of costal cartilages, e.g., a right parasternal incision extending from the lower edge of the second costal cartilage to the superior edge of the fifth costal cartilage. One or more costal cartilages, e.g., the third and fourth, are then excised to provide access to the portion of the heart or great vessels of interest, for example between a point approximately three centimeters above supra annular ridge and the mid ventricular cavity, and a desired procedure completed. A minimally invasive procedure for repair or replacement of the aortic valve is disclosed that includes making a transverse incision of about 10 cm in length over the second or third intercostal space in the thorax of the patient, dividing the sternum transversely following the incision, retracting the transversely divided sternum, exposing the ascending aorta, and incising the ascending aorta to provide access to an area adjacent the aortic valve.

The invention relates to a nasal endoscope minimally invasive operation navigating system based on an augmented reality technique, comprising an infrared tracking camera, a three-dimensional scanner, a three-dimensional stereoscopic display, which are respectively connected with a computer, and a nasal endoscope which is connected with the three-dimensional stereoscopic display. Patient encephalic organization and a three-dimensional model of blood vessel and face skin are rebuilt by the computer; then, a first transition matrix of a three-dimensional scanner coordinate system and an infrared tracking camera coordinate system is multiplied by a second transition matrix of a three-dimensional scanner coordinate system and a three-dimensional model coordinate system of the face skin, the obtained result is multiplied by a third real time data of the position and the posture of the nasal endoscope which is obtained by the infrared tracking camera, a three-dimensional model image which is corresponding to an image which is captured by the nasal endoscope is real time rendered through the computer by the obtained data, and the image is real time overlapped with the image which is captured by the nasal endoscope and is displayed on the three-dimensional stereoscopic display, thereby realizing the blending of true and false images.

A shunt system for controlling the flow of fluid from one region of a patient to a different region of the patient's body. The shunt system includes endoscopic placement features so that the system can be placed endoscopically in a minimally invasive surgery. Also provided is a single fluid flow control device having flow control characteristics previously obtainable only by connecting in series two or more shunt system components. In addition, the shunt system includes a selectively engageable locking mechanism that allows the system to be assembled quickly and easily, without the need for sutures or adhesives. The present assembly process minimizes the possibility of any unintended fluid leakage from the device.

A fluid delivery cannula which provides an interface between an access point or port site in the body of a patient and a working channel which may receive tools or instruments used during surgical procedures which may be less invasive surgical procedures than traditional open procedures. The cannula allows introduction of fluid(s) into the port site and then into tissue generally at or near that location within the body of the patient. The fluid delivery cannula includes an expandable sleeve that may itself comprise a cannula through which a needle, or trocar assembly is inserted. At least one fluid passageway, is defined, for example, in either the expandable sleeve itself, or defined, by the combination of the needle or trocar assembly and the expandable sleeve. Visual identifiers are used with the fluid delivery cannula to visually distinguish the location of the fluid passageway relative to an adjacent area.

A laterovertically expandable scaffolding is provided for supporting an intervertebral disc space using a minimally invasive procedure. The scaffolding can be configured to provide a low-profile entry in a collapsed configuration through the single point of entry through the annulus. The expanding including laterally expanding at least a portion of a first support and at least a portion of a second support away from each other; and, vertically expanding at least a portion of the first support or at least a portion of the second support for a distraction of the intervertebral space. The lateral movement can include a rotation at a point of intersection between the first support and the second support, the intersection being biased anteriorly in the intevertebral space to facilitate the adding of the grafting material.

A surgical procedure for replacing a destructed hip joint with an artificial joint is disclosed. The present invention provides a two-incision minimally invasive surgery for total hip arthroplasty. This method comprises positioning of the patient on a lateral decubitus position and a series of surgical techniques including a first skin incision over the anterior side of the trochanteric area of the femur (ranging from 3 cm to 10 cm), intermuscular dissection between the Gluteus muscle (Gluteus minimus and medius) and Tensor fascia lata muscle, incision of the anterior joint capsule, osteotomy of the femoral neck, removal of the femoral head and neck, acetabular reaming and socket insertion, secondary skin incision over the Gluteus maximus muscle (ranging from 1 cm to 6 cm), dissection through the muscle fiber of the Gluteus maximus, intermuscular dissection between the Gluteus medius and Piriformis, partial incision of the joint capsule, femoral reaming, femoral stem insertion, femoral head insertion, joint capsule closure and skin closure.

A system for mini-invasive surgery in a body cavity that is easily positioned and hooked including at least one detachable surgical endoclamp (10), assembled with an introduction guide (20) and at an initially open position; and at a naturally closed position when detached from the introduction guide (20) by a detachment mechanism; the endoclamp (10) comprising a portion of ferromagnetic material; a cylindrically-shaped introduction guide (20) assembled with the detachable surgical endoclamp (10), the introduction guide (20) comprising a mechanism to detach the endoclamp (10); and at least one remote traction component (30) for the endoclamp (10), acting through the application of an electromagnetic field over the ferromagnetic portion of the endoclamp (10).

The present invention relates to an easy-to-control tool for minimally invasive surgery and a method for using the same. In accordance with an aspect of the present invention, there is provided a tool for minimally invasive surgery and a method for using the same comprising, a main shaft, a first control shaft and a second control shaft positioned in sequence from one end of the main shaft, a first actuating shaft and a second actuating shaft positioned in sequence from the other end of the main shaft, an adjustment handle positioned around one end of the second control shaft, an end effector positioned around one end of the second actuating shaft, a pitch control part positioned around one position of the positions between the main shaft and the first control shaft, between the first control shaft and the second control shaft, and between the second control shaft and the adjustment handle, for transferring a motion of the adjustment handle in a pitch direction to the end effector, a first yaw control part and a second yaw control part positioned around the other positions of the positions between the main shaft and the first control shaft, between the first control shaft and the second control shaft, and between the second control shaft and the adjustment handle, respectively, for transferring a motion of the adjustment handle in a yaw direction to the end effector, a pitch actuating part positioned around one position of the positions between the main shaft and the first actuating shaft, between the first actuating shaft and the second actuating shaft, and between the second actuating shaft and the end effector, a first yaw actuating part and a second yaw actuating part positioned around the other positions of the positions between the main shaft and the first actuating shaft, between the first actuating shaft and the second actuating shaft, and between the second actuating shaft and the end effector, respectively, and a pitch cable, a first yaw cable, and a second yaw cable for transferring motions from the pitch control part, the first yaw control part, and the second yaw control part to the pitch actuating part, the first yaw actuating part, and the second yaw actuating part.

A guide and remote traction system for mini-invasive surgery in a body cavity that is easily positioned and hooked and causes lower injury, comprising:at least one detachable surgical endoclamp (10) with hooking means (11, 12), assembled with an introduction guide (20) and at an initially open position; and at a naturally closed position when detached from said introduction guide (20) by a detachment mechanism; said endoclamp (10) comprising a portion of ferromagnetic material at the end opposed to said hooking means (11, 12);a cylindrically-shaped introduction guide (20) assembled with said detachable surgical endoclamp (10), said introduction guide (20) comprising a mechanism to detach said endoclamp (10); and at least one remote traction means (30) for said endoclamp (10), acting through the application of an electromagnetic field over the ferromagnetic portion of said endoclamp (10).

Medical software tools platform utilizes a surgical display to provide access to specific medical software tools, such as medically-oriented applications or tools, that can assist those in the operating room, such as a surgeon or surgical team, with a surgery. In particular, an optical sensor located within an endoscopic camera may register subtle differences in color characteristics reflected from a tissue surface and in turn transmit the information to a medical image processing system. Moreover, the new tools are intended to help surgeons better determine the boundaries between healthy and diseased regions during surgical procedures. Various tools are intended to be used in procedures where indocyanine green (ICG) fluorescent dye is used. Intraoperative fluorescence imaging is commonly used during minimally invasive procedures to enable surgeons to visualize tissue perfusion and anatomical structures. The term perfusion refers to the passage of blood and tissue fluid through the capillary bed. Intraoperative fluorescence imaging can also be used to improve visualization of vessels and structures, which, in turn, may reduce the risk of complications during minimally invasive surgeries.

The present invention provide for improved optical entry systems and methods for minimally invasive surgery. According to some aspects of the disclosure, an obturator and trocar are merged to provide a device that can be used with an integrated visualization means (e.g. laparoscope) to provide optical entry into a patient's body cavity. Further, a reconfigurable tip is configured to be in an entry state and a visualization state. Said aspects and associated method steps can significantly reduce the complexity of the entry process and do not require removal and reinsertion of surgical instruments which eliminates the need for valves in the trocar and reduces the possibility of contamination of the visualization means' objective lens.

Mechanical elements and / or adhesive is used in conjunction with or in place of suction to releasably attach elements of a system for manipulating a heart during cardiac surgery to the heart. The elements of the heart manipulation system are disclosed in the application Ser. No. 09 / 087,511 filed on May 29, 1998 and in the patent application Ser. No. 08 / 936,184 filed on Sep. 17, 1997. One form of the system can be used in minimally invasive surgery.

A duel lumen catheter is provided for use in minimally invasive surgery. The catheter generally includes a first tube defining an operative lumen and a second tube terminating proximally of the first tube and defining an inflation lumen. In one embodiment, the first and second tubes are concentric. In an alternative embodiment, the first and second tubes are separate and extend parallel to each other. The first and second tubes are provided with inflation ports adjacent their respective distal ends. There is also provided a method for performing minimally invasive surgery by inserting the catheter through the esophagus of a patient, insufflating the stomach and performing a surgical operation through the catheter and external to the stomach.

The invention relates to a medical continuously-applied titanium clip, which is mainly suitable for clipping blood vessels during a surgery on a human body. The medical continuously-applied titanium clip comprises a handle part and a clip rod part, and is characterized in that: the handle part is provided with a titanium clip in-place clipping device and a handle clip resetting device which are positioned inside the handle part; the titanium clip in-place clipping device is positioned at the rear end of the clip rod part and connected with the clip rod part; the handle clip resetting device is matched and connected with the titanium clip in-place clipping device; the push rod connector of the titanium clip is connected with the push rod of the titanium clip through a push rod pin; and a clipping ejector rod connector is connected with a clipping ejector rod through an ejector rod pin. The medical continuously-applied titanium clip is applicable to mini-invasive surgeries, can be applied continuously and fully automatically during surgical operation, is convenient and reliable in use and avoids influencing the filling of the titanium clip even through wrong operation occurs. The titanium clip has a protective device, allows a clip rod to rotate 360 DEG and can reduce surgical time, the amount of bleeding and surgical risks.

A single body port or body flange access device having an oval shape and associated stabilizer anchor for performing laparoscopic surgery is disclosed. The device is slipped into the body anchor stabilizer first so that the anchor stabilizer lifts up fat and peritoneum inside the body thereby keeping the operating area clear and acting to hold the body flange in place. The device further has a plurality of crisscrossing conduits assuming the shape of a cone through which surgical instruments may be inserted. The instruments are manipulated so that triangulation is obtained using one patient body flange while standard surgical procedures are performed on the patient. Due the oval shape of the device, the device minimally rotates while instruments are manipulated.

The present invention is generally related to the art of minimally invasive surgery, and more specifically to reduced or single port laparoscopic surgery. This invention is a system of instruments that generally comprises of a surgical end effector, a receiver unit connected to the base of such an end effector, an external control link and an applicator for the control link. The entire system enables a surgeon at the time of his or her choosing, to externally control the end effector to manipulate organs, with minimal interference in the procedure at hand. In a preferred embodiment, the surgical end effector may be a mechanical atraumatic tissue grasping component enabling the retraction of internal organs.

Minimally invasive surgical devices and related tools are provided. The devices include image acquisition devices and forceps, scissors, clamps, ultrasound probes, lasers, cautery devices, staplers, knives, suturing devices, rivet drivers, ligation devices, aspiration devices, injection devices, biopsy devices, radiotherapy devices; and radioactive emitter loading devices.. Other devices useful for internal procedures in a patient's body or for facilitating such procedures are also provided.

The invention belongs to the technical field of medical equipment, and discloses a virtual-reality-based real endoscopic minimally invasive surgery simulation training method, which comprises a geometric modeling module, a drawing module, a visual rendering module, a physical modeling module, a display module, an operation module, a collision detection module, an update image module and a feedbackmodule. The three-dimensional image information is obtained by the geometric modeling module, and the model is improved by the visual rendering module. The virtual surgical instrument is rendered bythe rendering module. Physically significant constraints are added to the model through the physical modeling module; the simulated endoscopic minimally invasive surgical site is displayed by the display module, and the movement of surgical instruments in the virtual environment is controlled by the operation module. Collision detection is used to judge whether the two models collide and determinethe collision point. The feedback module is used to realize the interaction of the reaction force of the object in the virtual environment; and the interaction of the visual part is completed throughthe image update module.