122 results about "Surgical probe" patented technology

A system for indicating a position within an object such as a head of a body of a patient. The position of a tip of a probe relative to a reference is determined. The position of reference points of the object relative to the reference is measured. The determined position is translated into an image coordinate system and an image of the object is displayed.

An ophthalmic surgical probe having a modular drive assembly and a skin that is removable from the drive assembly. This design simplifies probe manufacturing and provides greater manufacturing flexibility.

PCT No. PCT / GB96 / 00823 Sec. 371 Date Jan. 12, 1998 Sec. 102(e) Date Jan. 12, 1998 PCT Filed Apr. 3, 1996 PCT Pub. No. WO96 / 31790 PCT Pub. Date Oct. 10, 1996Magnetic tags or markers are disclosed, together with a variety of techniques by means of which such tags may be interrogated. In one aspect, the magnetic marker or tag which is characterized by carrying a plurality of discrete magnetically active regions in a linear array. In another aspect, the invention provides a method of interrogating a magnetic tag or marker within a predetermined interrogation zone, the tag comprising a high permeability magnetic material, for example to read data stored magnetically in the tag or to use the response of the tag to detect its presence and / or to determine its position within the interrogation zone, characterized in that the interrogation process includes the step of subjecting the tag sequentially to: (1) a magnetic field sufficient in field strength to sacurate the high permeability magnetic material, and (2) a magnetic null as herein defined. Applications of such techniques are describer, inter alia, in relation to (a) identifying articles to which tags are attached; (b) accurate determination of position, as in the location of surgical probes; and (c) totalisation of purchases, where cash item carries a tag coded with data representing its nature and its price.

An articulating optical surgical probe includes a handle sized to fit in a single hand and a single rigid cannula extending from the handle having a diameter of 20 Ga or less. The probe further includes a slotted tip at a distal end of the cannula and at least one optical fiber extending through the handle, the single rigid cannula and the slotted tip, and a pull-wire secured to the slotted tip. When the pull-wire exerts tension on the slotted tip, the slotted tip will deviate from straight to a bend angle controlled by the tension in the pull-wire. The slotted tip is formed from a resilient material that will restore to the straight position when the tension exerted by the pull-wire is released.

An intraoperative probe system for preferentially detecting beta radiation over gamma radiation emitted from a radiopharmaceutical is described. In one embodiment, the probe system of the present invention is a probe having an ion-implanted silicon charged-particle detector for generating an electrical signal in response to received beta particles. In such an embodiment, a preamplifier may be located in close proximity to the detector filters and amplifies the electrical signal. Furthermore, a wire may be used to couple the probe to a processing unit for amplifying and filtering the electrical signal, and a counter may be utilized to analyze the resulting electrical signal to determine the number of beta particles being received by the detector. Alternatively, the wire can be replaced with an infrared or radio transmitter and receiver for wireless operation of the probe.

A probe that facilitates the creation of lesions in bodily tissue. The probe includes a relatively short shaft and an inflatable therapeutic element.

The present invention discloses a method for determining the position and / or orientation of a catheter or other interventional access device or surgical probe using phase patterns in a magnetic resonance (MR) signal. In the method of the invention, global two-dimensional correlations are used to identify the phase pattern and orientation of individual microcoils, which is unique for each microcoil's position and orientation. In a preferred embodiment of the invention, tracking of interventional devices is performed by one integrated phase image projected onto the axial plane and a second image in an oblique plane through the center of the coil and normal to the coil plane. In another preferred embodiment, the position and orientation of a catheter tip can be reliably tracked using low resolution MR scans clinically useful for real-time interventional MRI applications. In a further preferred embodiment, the invention provides real-time computer control to track the position of endovascular access devices and interventional treatment systems, including surgical tools and tissue manipulators, devices for in vivo delivery of drugs, angioplasty devices, biopsy and sampling devices, devices for delivery of RF, thermal, microwave or laser energy or ionizing radiation, and internal illumination and imaging devices, such as catheters, endoscopes, laparoscopes, and related instruments.

Magnetic tags or markers are disclosed, together with a variety of techniques by means of which such tags may be interrogated. In one aspect, the magnetic marker or tag which is characterized by carrying a plurality of discrete magnetically active regions in a linear array. In another aspect, the invention provides a method of interrogating a magnetic tag or marker within a predetermined interrogation zone, the tag comprising a high permeability magnetic material, for example to read data stored magnetically in the tag or to use the response of the tag to detect its presence and / or to determine its position within the interrogation zone, characterized in that the interrogation process includes the step of subjecting the tag sequentially to: (1) a magnetic field sufficient in field strength to saturate the high permeability magnetic material, and (2) a magnetic mill as herein defined. Applications of such techniques are described, inter alia, in relation to (a) identifying articles to which tags are attached; (b) accurate determination of position, as in location of surgical probes, and (c) totalization of purchases, where each item carries a tag coded with data representing its nature and its price.

Magnetic tags or markers are disclosed, together with a variety of techniques by means of which such tags may be interrogated. In one aspect, the magnetic marker or tag which is characterized by carrying a plurality of discrete magnetically active regions in a linear array. In another aspect, the invention provides a method of interrogating a magnetic tag or marker within a predetermined interrogation zone, the tag comprising a high permeability magnetic material, for example to read data stored of the tag to detect its presence and / or to determine its position within the interrogation zone, characterized in that the interrogation process includes the step of subjecting the tag sequentially to: (1) a magnetic field sufficient in field strength to saturate the high permeability magnetic material, and (2) a magnetic null as herein defined. Applications of such techniques are described, inter alia, in relation to (a) identifying articles to which tags are attached; (b) accurate determination of position, as in the location of surgical probes; and (c) totalization of purchases, where each item carries a tag coded with data representing its nature and its place.

An optical surgical probe includes a handpiece, a light guide within the handpiece, and a multi-spot generator at a distal end of the handpiece. The handpiece is configured to optically couple to a light source. The light guide is configured to carry a light beam from the light source to a distal end of the handpiece. The multi-spot generator includes a faceted optical element with a faceted end surface spaced from a distal end of the light guide. The faceted end surface includes at least one facet oblique to a path of the light beam.

Devices and methods for treating rhinitis are described where the devices are configured to ablate a single nerve branch or multiple nerve branches of the posterior nasal nerves located within the nasal cavity. A surgical probe may be inserted into the sub-mucosal space of a lateral nasal wall and advanced towards a posterior nasal nerve associated with a middle nasal turbinate or an inferior nasal turbinate into a position proximate to the posterior nasal nerve where neuroablation of the posterior nasal nerve may be performed with the surgical probe. The probe device may utilize a visible light beacon that provides trans-illumination of the sub-mucosal tissue or an expandable structure disposed in the vicinity of the distal end of the probe shaft to enable the surgeon to visualize the sub-mucosal position of the distal end of the surgical probe from inside the nasal cavity using, e.g., an endoscope.

A probe that facilitates the creation of lesions in bodily tissue. The probe includes a relatively short shaft and an inflatable therapeutic element.

A surgical probe apparatus is disclosed including a handpiece which includes an optical system configured to deliver therapeutic light to provide treatment of an area of tissue; and at least one suction port configured to remove a byproduct of the treatment from the area of tissue in response to an applied vacuum.

A multifunction surgical probe is disclosed, one embodiment comprising: a handpiece, operable to receive a light beam from a laser; and a firing switch operable to provide a firing control signal to cause the laser to fire and emit the light beam. The surgical prove can further comprise an interface communicatively coupled to the firing switch and operable to communicate the firing control signal to the laser. The laser can be operably coupled to a surgical console operable to control the laser, and the interface can be communicatively coupled to the firing switch and operable to communicatively couple the surgical probe to the surgical console and to communicate the firing control signal to the surgical console. The surgical console can be operable to control the laser based on the firing control signal. The surgical probe can also comprise an interlock switch operable to prevent the firing switch from firing the laser and a standby switch operable to produce a standby control signal to switch the laser between a stand-by and a ready state. The firing switch can be a progressively actuated switch operable to, at a first point in its range of motion, provide an initializing control signal operable to initialize the laser in preparation for firing and then, at a second point in its range of motion, provide the firing control signal to cause the laser to fire.

A method for determining the position and / or orientation of a catheter or other interventional access device or surgical probe using phase patterns in a magnetic resonance (MR) signal. In the method of the invention, global two-dimensional correlations are used to identify the phase pattern around individual microcoils, which is unique for each microcoil's position and orientation. In one embodiment the position and orientation of a catheter tip can be reliably tracked using low resolution MR scans clinically useful for real-time interventional MRI applications. In a further embodiment, the invention provides real-time computer control to track the position of endovascular devices and interventional treatment systems, including surgical tools and tissue manipulators, devices for in vivo delivery of drugs, angioplasty devices, biopsy and sampling devices, devices for delivery of RF, thermal, microwave or laser energy or ionizing radiation, and internal illumination and imaging devices, such as catheters, endoscopes, laparoscopes, and related instruments.

Devices and methods for treating rhinitis are described where the devices are configured to ablate a single nerve branch or multiple nerve branches of the posterior nasal nerves located within the nasal cavity. A surgical probe may be inserted into the sub-mucosal space of a lateral nasal wall and advanced towards a posterior nasal nerve associated with a middle nasal turbinate or an inferior nasal turbinate into a position proximate to the posterior nasal nerve where neuroablation of the posterior nasal nerve may be performed with the surgical probe. The probe device may utilize a visible light beacon that provides trans-illumination of the sub-mucosal tissue or an expandable structure disposed in the vicinity of the distal end of the probe shaft to enable the surgeon to visualize the sub-mucosal position of the distal end of the surgical probe from inside the nasal cavity using, e.g., an endoscope.

A method for making a probe for placing a guidewire between two tissues in a patient's body may involve forming at least one bend in a thin, rigid tube having a proximal end and a distal end, flattening at least part of the tube closer to the distal end than the proximal end, and removing a portion of the upper surface of the flattened part of the tube to form an aperture. A probe for placing a guidewire between two tissues in a patient's body may include: a thin, rigid tube having a proximal straight portion, a flattened distal portion, a bend disposed between the proximal and distal portions, and a lumen passing through the proximal portion and at least part of the distal portion; and a curved, flexible tubular member disposed at least partially within the lumen of the tube.

A microsurgical probe tip and method of using same are disclosed. One embodiment of the microsurgical probe tip comprises: an outer cutting member, comprising a first tube having a wall, a closed end and a port formed in the wall near the closed end; an inner cutting member, comprising a second tube coaxial with and operable to move in a reciprocating motion within the first tube and having a first end operable to be coupled to a driving mechanism and a second end with a cutting edge for cutting tissue; a first alignment mark on the outer cutting member at a first predetermined position adjacent to the port; and a second alignment mark on the inner cutting member at a second predetermined position adjacent to the cutting edge of the inner cutting member, wherein the second alignment mark is visible through the port and operable to be aligned with the first alignment mark such that when the first and second alignment marks are aligned, a preferred relative positioning between the inner and outer cutting members is achieved. The microsurgical probe tip can further comprise one or more radial alignment marks on the inner cutting member, wherein the radial alignment marks are parallel to one another at fixed intervals from one another and positioned so that one or more of the radial alignment marks are visible through the port so as to indicate the relative lateral positioning between the inner cutting member and the outer cutting member. The radial alignment marks can be made by a method, or combination of methods, such as laser cutting, inkjet printing, and mechanical scribing. The driving mechanism can be a pneumatic driving mechanism, an electro-mechanical driving mechanism, and / or a magnetic driving mechanism. The microsurgical probe tip can further comprising a plurality of gauge marks on an outer surface of the outer cutting member, wherein the gauge marks are parallel to one another at a fixed interval (e.g., 1 millimeter) from one another and positioned so that the gauge marks can be used as a measuring tool in a surgical environment

A surgical probe with a tip shield (10) for lens removal by vibratory surgical instruments. The probe with tip shield (10) including a tip cap (60) disposed as a membrane covering the distal end (16) surface of a vibratory probe (52) to act to protect the lens capsule during operation. Direct contact between the metallic vibratory probe (52) and the lens capsule (68) is avoided by the interposed tip cap (60) even when the capsule (68) is aspirated by the central aspiration opening (64). Vibratory energy applied to probe tip (50) is transmitted to the lens tissue across the walls of tip cap (60) to provide protection of the lens capsule (68) while effectively fragmenting and liquefying the tissue by emulsification.

High-voltage pulses ablation systems and methods are used to ablate tissue and form lesions. A variety of different electrophysiology devices, such as catheters, surgical probes, and clamps, may be used to position one or more electrodes at a target location. Electrodes can be connected to power supply lines and, in some instances, the power to the electrodes can be controlled on an electrode-by-electrode basis. High-voltage pulse sequences provide a total amount of heating that is typically less than that which is observed with thermally-based radiofrequency energy ablation protocols.

The invention relates to a method, a cryosurgical probe, and a cryosurgical instrument for freezing a lesion on biological tissue. The method involves repeated cycles of freezing and thawing of the tissue to ensure maximum treatment effectiveness. The cryosurgical probe may be positioned on an end of a cryosurgical instrument, and facilitates the freezing of a lesion on biological tissue via the evaporation of a refrigerant. The cryosurgical probe includes a receiving end, a hollow portion, and a tissue contact end. The receiving end is adapted to receive the refrigerant. The tissue contact end includes an orifice adapted to expose the lesion to the refrigerant, and preferably includes a guard portion adapted to prevent excessive exposure of the biological tissue surrounding the lesion to the refrigerant. The hollow portion allows the flow of refrigerant from the receiving end to the tissue contact end, and includes at least one exhaust port.

High-voltage pulses ablation systems and methods are used to ablate tissue and form lesions. A variety of different electrophysiology devices, such as catheters, surgical probes, and clamps, may be used to position one or more electrodes at a target location. Electrodes can be connected to power supply lines and, in some instances, the power to the electrodes can be controlled on an electrode-by-electrode basis. High-voltage pulse sequences provide a total amount of heating that is typically less than that which is observed with thermally-based radiofrequency energy ablation protocols.

An enhanced flow ophthalmic surgical probe for ophthalmic microsurgery, such as vitrectomy, in an eye of a patient is disclosed. The enhanced flow probe includes a body, a needle, a cutter, and an optional stiffening sleeve. The needle, the cutter, and the optional stiffening sleeve each possess a widened diameter at its proximal portion relative to the diameter at its distal portion, thereby providing an enhanced ophthalmic surgical probe that allows adequate stiffness, reduced flow resistance, and an increased flow rate while maintaining a less invasive, large gauge diameter needle and cutter.

A surgical probe includes an articulated digit located at a distal end of a positioning shaft having a longitudinal axis. An actuator is located at a proximal end of the positioning shaft that is operatively connected to the articulated digit so as to move it between a continuous range of positions from an extended position to a substantially curved position while maintaining a kinesthetic relationship between a surgeon's finger engaging the actuator and the articulated digit. Preferably, the surgeons finger position and shape directly correspond to the position and shape of the articulated digit. A method is provided for probing, dissecting, and retracting anatomical structures.

An intraoperative probe system for preferentially detecting beta radiation over gamma radiation emitted from a radiopharmaceutical is described. In one embodiment, the probe system of the present invention is a probe having an ion-implanted silicon charged-particle detector for generating an electrical signal in response to received beta particles. In such an embodiment, a preamplifier may be located in close proximity to the detector filters and amplifies the electrical signal. Furthermore, a wire may be used to couple the probe to a processing unit for amplifying and filtering the electrical signal, and a counter may be utilized to analyze the resulting electrical signal to determine the number of beta particles being received by the detector. Alternatively, the wire can be replaced with an infrared or radio transmitter and receiver for wireless operation of the probe.

A surgical probe includes a cannula assembly, having a graded index (GRIN) fiber that is configured to receive a multi-spot light beam at a proximal end and to emit the multi-spot light beam at a distal end ; an adapter, having a distal end, configured to receive the cannula assembly, with the proximal end of the GRIN fiber, a proximal end, configured to couple to a light guide via a connector and to receive a light delivered by the light guide from a laser source to the adapter, and an interface, configured to couple the light delivered by the light guide to the proximal end of the GRIN fiber; wherein a length of the GRIN fiber is sufficiently long that the interface is outside a patient's eye during a photocoagulation procedure.

In particular embodiments of the present invention, an optical surgical probe includes a handpiece configured to optically couple to a light source and a cannula at a distal end of the handpiece. The probe further includes at least one light guide within the handpiece. The light guide is configured to carry a light beam from the light source to a distal end of the handpiece. The probe also includes a multi-spot generator in the cannula that includes a faceted optical adhesive with a faceted end surface spaced from a distal end of the light guide. The faceted end surface includes at least one facet oblique to a path of the light beam. In some embodiments, the probe also includes a high-conductivity ferrule at the distal end of the light guide. In other embodiments, the cannula is formed from a transparent material.

A hybrid lesion formation apparatus including a surgical probe component and clamp component that share a common electrical connector.

A cryosurgical probe system includes a fluid supply line connectable at an inlet section to a source of cryogenic fluid; a fluid connector assembly securely connected to an outlet section of the fluid supply line for receiving fluid from the outlet section of the fluid supply line; and, a detachable cryosurgical probe detachably connectable to the fluid connector assembly. The cryosurgical probe system includes the capability of providing return fluid flow.