摘要:
Described is a medical assembly and delivery devices for performing minimally invasive medical procedures. In particular, described is a controllable articulating directional tip assembly consisting of interlocking segments creating an articulating directional tip and various components utilized with the directional tip for various tissue alterations and/or viewing within a tissue cavity such as, for example, non-soft tissue alterations such as bone within a non-soft tissue cavity. In particular, the disclosed device could be utilized as an osteotome device for altering, such as cutting, bone.
摘要:
Method of determination of access areas from 3D patient images The invention relates to amethod for automatically determining at least one pre-operative portal for arthroscopy from acquired pre-operative medical images of a bone of a patient, the method comprising the following steps: i)constructing a 3Dsurface(S) of the bone from the 3D image of the bone; ii)determining anatomical landmarks of the bone from the 3D surface; iii)determining a bone reference coordinate system (Rbone); iv)selecting at least one predetermined portal in a database of positions of predetermined portals; v)determining a transform between the bone reference coordinate system (Rbone) and the model coordinate system (Ratlas) so that the bone of the patient and the bone of the reference person are matched in size, in position and/or shape; vi)inferring from the transform and the at least one predetermined portal the pre-operative portal.
摘要:
A multiple-purpose surgical instrument having a reflecting, rendering, and sizing tool to increase visibility and provide three-dimensional depth perception of a surgical site so that realization of a condition of the surgical site and safety are enhanced during an arthroscopic or laparoscopic procedure.
摘要:
Method of determination of access areas from 3D patient images The invention relates to amethod for automatically determining at least one pre-operative portal for arthroscopy from acquired pre-operative medical images of a bone of a patient, the method comprising the following steps: i)constructing a 3Dsurface(S) of the bone from the 3D image of the bone; ii)determining anatomical landmarks of the bone from the 3D surface; iii)determining a bone reference coordinate system (Rbone); iv)selecting at least one predetermined portal in a database of positions of predetermined portals; v)determining a transform between the bone reference coordinate system (Rbone) and the model coordinate system (Ratlas) so that the bone of the patient and the bone of the reference person are matched in size, in position and/or shape; vi)inferring from the transform and the at least one predetermined portal the pre-operative portal.
摘要:
Hand-held minimally dimensioned diagnostic devices having integrated distal end visualization are provided. Also provided are systems that include the devices, as well as methods of using the devices, e.g., to visualize internal tissue of a subject.
摘要:
The illumination system described below comprises an arthroscope, endoscope or other suitable surgical tool and an attachable cannula comprising a transparent or semi-transparent material capable of carrying light from the proximal end of the cannula to the distal end of the cannula, thereby illuminating the surgical field. The surgical field is thus illuminated through components that do not occupy space that may otherwise by used for the optics of the arthroscope. The arthroscopic illumination system further comprises one or more illumination sources disposed at the proximal end of the cannula. The illumination source may be optically coupled with the cannula at the hub or other appropriate location. The cannula comprises a sterilizable polymer which functions as a waveguide. A waveguide is a material medium that confines and guides light.
摘要:
A retractor instrument for minimally invasive surgery may include a housing with a longitudinal axis, an arm extending from a distal end of the housing, and an actuation mechanism, wherein actuation of the actuation mechanism causes radial expansion of the arm relative to the longitudinal axis. The device may be adapted for use with an endoscope or arthroscope or may be an integral part of one such scope. A method of performing surgery in constrained areas within the body is also included and may be applicable to the carpal tunnel of a wrist and palm or the cubital tunnel of an elbow.
摘要:
The devices and methods shown provide for the minimization of extravasation during arthroscopic surgery. The extravasation minimization device allows a surgeon to drain excess fluids from the soft tissue surrounding the surgical field while also providing a stable surgical portal for arthroscopic surgical instruments.