Systems and methods may be used for performing a robotic revision knee arthroplasty. For example, a robotic surgical device may be used to perform a cut. The cut may be planned to remove an existing implant based on information about the existing implant (e.g., reference points on the existing implant, an implant type, a maker of the implant, degradation information about the implant, a failure reason for the implant, or the like). In an example, a new plan may be developed for a new implant to replace the existing implant.
A system for tracking a surgical implant relative to a bone in computer-assisted surgery, may have a processing unit; and a non-transitory computer-readable memory communicatively coupled to the processing unit and comprising computer-readable program instructions executable by the processing unit for: obtaining a virtual model of the surgical implant, the virtual model including at least one landmark of the surgical implant, the at least one landmark being configured to be inside the bone; tracking the surgical implant, via an optical non-radiographic tracking device, as the surgical implant is inserted into the bone; calculating a location of the at least one landmark relative to the bone using the virtual model of the surgical implant and tracking data from the tracking of the surgical implant; and outputting the location of the at least one landmark relative to the bone.
A61B 34/10 - Computer-aided planning, simulation or modelling of surgical operations
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
3.
METHODS FOR ALIGNING SENSOR-ENABLED PROSTHESIS DURING ROBOTICALLY-ASSISTED ARTHROPLASTY
A method for registering output of sensor-enabled implants with a bone axis during robotically-assisted arthroplasty procedures comprises registering anatomy of a patient to a surgical tracking system, determining a bone axis of a bone of the anatomy using the surgical tracking system, preparing the bone to receive a prosthetic implant including an orientation sensor, inserting the prosthetic implant into the bone, obtaining orientation output from the orientation sensor, and shifting the orientation output from the orientation sensor to align with the bone axis. A system for registering output of sensor-enabled implants with a bone axis during robotically-assisted arthroplasty procedures comprises a surgical robot comprising an arm configured to move within a coordinate system, a tracking system configured determine locations of one or more trackers in the coordinate system, a sensor-enabled implant configured to implanted into anatomy and output orientation data, and a controller for the surgical robot.
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A61B 90/50 - Supports for surgical instruments, e.g. articulated arms
A61F 2/46 - Special tools for implanting artificial joints
4.
ROBOTIC SYSTEM WITH FORCE MONITORING FOR COMPUTER-ASSISTED SURGERY SYSTEM
A system for monitoring a force of an end effector of a robot on a bone in computer-assisted surgery, may have computer-readable program instructions executable by a processing unit for: obtaining tool tracking data for an end effector of the robot arm in a frame of reference of a bone; and continuously tracking and outputting the position and orientation of the end effector in the frame of reference, using the tool tracking data, and concurrently obtaining force sensor data pertaining to at least one force being applied by the robot arm on the bone.
A61B 34/10 - Computer-aided planning, simulation or modelling of surgical operations
A61B 34/20 - Surgical navigation systemsDevices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
5.
FLUOROSCOPIC ROBOTIC PROSTHETIC IMPLANT SYSTEM AND METHODS
Techniques for robotically guiding a cup-shaped implant or instrument are provided. In an example, the technique can include a combination of the following operations. Acquiring a calibration image including a cup-shaped element in a first orientation. Identifying a first elliptical outline of the cup-shaped element. Acquiring a navigation image including the cup-shaped element in a second orientation. Identifying a second elliptical outline of the cup-shaped element. Aligning a coordinate system of a robotic system to a patient, and positioning an implant or instrument based on a pre-operative plan within the coordinate system.
A robotized computer-assisted surgery system may include a processing unit and a non-transitory computer-readable memory communicatively coupled to the processing unit and comprising computer-readable program instructions executable by the processing unit for obtaining readings from some capacitive sensors representative of at least one object within range; generating a surface model of the at least one object from the readings; and continuously tracking and outputting the position and orientation of the at least one object relative to the robot arm, using the readings and the surface model.
An interface for a robotic arm comprising: a body having a first axial face adapted to be connected to a distal face of a link of a robotic arm, a second axial face adapted to be connected to a proximal face of an end effector, the second axial face having a geometry differing from a geometry of the proximal face of the end effector so as to define a peripheral band in the second axial face, the peripheral band facing distally. A connection configuration is provided for the interface to be fixed to the link and for the end effector to be fixed to the interface. Circuitry is embedded in the body. At least one light source in the peripheral band, the at least one light source connected to the circuitry to produce light in a distal direction of the robotic arm.
A system for creating at least one model of a bone and implanted implant comprises a processing unit; and a non-transitory computer-readable memory communicatively coupled to the processing unit and comprising computer-readable program instructions executable by the processing unit for: obtaining at least one image of at least part of a bone and of an implanted implant on the bone, the at least one image being patient specific, obtaining a virtual model of the implanted implant using an identity of the implanted implant, overlaying the virtual model of the implanted implant on the at least one image to determine a relative orientation of the implanted implant relative to the bone in the at least one image, and generating and outputting a current bone and implant model using the at least one image, the virtual model of the implanted implant and the overlaying.
A knee arthroplasty instrument may include a tensioning instrument and at least a first sensor. The tensioning instrument can optionally include a tibial component configured to engage the tibia and a femoral component configured to engage the femur. The femoral component can be movably coupled to the tibial component to place the knee joint in tension by separating the tibia and the femur. The first sensor can be coupled to the tensioning instrument and can be configured to collect first data regarding a torque of the tensioning instrument when separating the tibia and the femur.
The present subject matter provides an orthopedic instrument may include a first end portion, a handle portion and an optical tracker. The first end portion is configured as a validation device having at least a first surface configured to validate a first resected surface of a bone of the knee. The first end portion has one or more surfaces with a plurality of teeth configured to remove material from the first resected surface. The handle portion is coupled to the first end portion. The optical tracker is coupled to the handle portion.
Various aspects of methods, systems, and use cases may be used to prevent dislocation of a joint replacement implant by limiting movement of the joint replacement implant to safe zones of movement. In some examples, the joint replacement implant includes a ball, an intermediate shell adapted to receive the ball and engage with a shell mobility structure protruding from the ball, and an outer shell adapted to receive the intermediate shell and provide fixation of the implant within a portion of a joint of a patient. For example, the interaction between the ball, the intermediate shell, and the outer shell prevent dislocation of the ball, and therefore dislocation of the joint replacement implant.
A system for tracking a surgical tool relative to a bone in computer-assisted surgery, comprising: a processing unit; and a non-transitory computer-readable memory communicatively coupled to the processing unit and comprising computer- readable program instructions executable by the processing unit for: tracking the surgical tool relative to the bone; merging virtual models of the surgical tool and the bone to the surgical tool and the bone in the tracking; calculating a location of a working end of the surgical tool relative to the bone using the tracking, in a concealed condition of the working end of the surgical tool relative to the bone; and outputting the location of the working end of the surgical tool relative to the bone.
A system for tracking a surgical tool relative to a bone in computer-assisted surgery, comprising: a processing unit; and a non-transitory computer-readable memory communicatively coupled to the processing unit and comprising computer-readable program instructions executable by the processing unit for: tracking the surgical tool relative to the bone; merging virtual models of the surgical tool and the bone to the surgical tool and the bone in the tracking; calculating a location of a working end of the surgical tool relative to the bone using the tracking, in a concealed condition of the working end of the surgical tool relative to the bone; and outputting the location of the working end of the surgical tool relative to the bone.
A61B 34/20 - Surgical navigation systemsDevices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A technique for predicting bone resection issues during robotic surgery is provided. The technique includes accessing robotic surgery resection parameters and receiving landmarks from the distal end of a patient's femur. A 3D model of the distal femur is generated based on the landmarks. A virtual robotic resection of the distal femur is simulated using the model and parameters. Analysis of the simulated resection predicts possible issues like notching of the trochlea. Warnings are generated if problems are predicted, allowing the surgeon to adjust the plan pre-operatively. By simulating the robotic bone resection, potential problems can be anticipated and avoided through appropriate changes to the surgical plan.
A61B 34/10 - Computer-aided planning, simulation or modelling of surgical operations
G16H 50/20 - ICT specially adapted for medical diagnosis, medical simulation or medical data miningICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for computer-aided diagnosis, e.g. based on medical expert systems
15.
SYSTEMS, METHODS, AND APPARATUSES FOR TIBIAL MECHANICAL AXIS DIGITIZATION
A system may include an implantable device having at least a first sensor configured to collect first data regarding one or more characteristics of a bone of a patient, wherein the implantable device is configured for implantation in a medullary canal of the tibia. The system may include an attachment member configured to couple with the implantable device when the implantable device is implanted in the medullary canal of the tibia. The system may further include a targeting device moveably coupled to the attachment member, wherein the targeting device is configured to reference a distal anatomy of a leg, and wherein the targeting device has at least a second sensor configured to collect second data regarding at least a position of the targeting device.
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A61B 34/00 - Computer-aided surgeryManipulators or robots specially adapted for use in surgery
A61B 34/20 - Surgical navigation systemsDevices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
A resection system for the proximal tibia may include an implantable device having at least a first sensor configured to collect first data regarding one or more characteristics of a bone of a patient, wherein the implantable device is configured for implantation in a medullary canal of the tibia. The resection system may also include a cutting tool, a second sensor configured to collect second data regarding at least an angle of the cutting tool and a controller. The controller can be configured to: determine a first position of the implantable device from the first data, determine an orientation of a mechanical axis of the tibia based at least in part on the first data; and determine an orientation for the cutting tool relative to the tibia based upon the second data and at least one of the orientation of the mechanical axis and the first data.
A61B 34/20 - Surgical navigation systemsDevices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
17.
IMPLANTABLE SENSOR FOR DETERMINING ORIENTATION AND MOVEMENT OF BONE
An implantable sensing device may include a housing. An implantable sensing device may include onboard electronics including one or more sensors carried by the housing. An implantable sensing device may include one or more anchoring features coupled to the housing and extending outward thereof, wherein the one or more anchoring features are configured to engage with the bone at a medullary canal thereof to couple the implantable device with the bone.
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A61B 34/00 - Computer-aided surgeryManipulators or robots specially adapted for use in surgery
A61B 34/20 - Surgical navigation systemsDevices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
A61B 17/72 - Intramedullary devices, e.g. pins or nails
18.
IMPLANTABLE SENSOR FOR DETERMINING ORIENTATION AND MOVEMENT OF BONE
An implantable sensing device may include a housing. An implantable sensing device may include onboard electronics including one or more sensors carried by the housing. An implantable sensing device may include one or more anchoring features coupled to the housing and extending outward thereof, wherein the one or more anchoring features are configured to engage with the bone at a medullary canal thereof to couple the implantable device with the bone.
A system may include an implantable device having at least a first sensor configured to collect first data regarding one or more characteristics of a bone of a patient, wherein the implantable device is configured for implantation in a medullary canal of the tibia. The system may include an attachment member configured to couple with the implantable device when the implantable device is implanted in the medullary canal of the tibia. The system may further include a targeting device moveably coupled to the attachment member, wherein the targeting device is configured to reference a distal anatomy of a leg, and wherein the targeting device has at least a second sensor configured to collect second data regarding at least a position of the targeting device.
A resection system for the proximal tibia may include an implantable device having at least a first sensor configured to collect first data regarding one or more characteristics of a bone of a patient, wherein the implantable device is configured for implantation in a medullary canal of the tibia. The resection system may also include a cutting tool, a second sensor configured to collect second data regarding at least an angle of the cutting tool and a controller. The controller can be configured to: determine a first position of the implantable device from the first data, determine an orientation of a mechanical axis of the tibia based at least in part on the first data; and determine an orientation for the cutting tool relative to the tibia based upon the second data and at least one of the orientation of the mechanical axis and the first data.
A surgical assistance system includes a processing unit; and a non-transitory computer-readable memory communicatively coupled to the processing unit and comprising computer-readable program instructions executable by the processing unit for: obtaining a video feed of a surgical procedure and monitoring the surgical procedure from the video feed; detecting, from an image processing of the video feed, a condition requiring a deviation from the surgical procedure, the deviation being defined as being outside of a standard surgical flow; and outputting a recommendation of deviation by intra-operatively providing the recommendation to an operator of the surgical procedure.
Instrument systems for performing total ankle arthroplasties comprise an instrument adapter, a talus reaming guide and a talar trial system. The instrument adapter comprises a coupler for attaching to a robotic surgical arm, an extension arm extending from the coupler, a talus resection block attached to the extension arm, including a talus cutting guide surface, and an interface for receiving another instrument. The talus reaming guide comprises a second attachment member for coupling to the interface, and a reaming hoop for confining movement of a reamer. The talar trial system comprises a talar adapter for connecting to the interface, and a talar trial couplable to the talar adapter, the talar trial including a talar bearing surface. The talus resection block can serve as a universal instrument adapter for mounting the talus reaming guide, the talar trial system and a tibia resection block for performing a total ankle arthroplasty.
A reference jig comprises a base adapted to be secured to a distal end of a bone. An adjustment mechanism has a bracket, one or more rotational joints operatively mounting the bracket to the base, whereby the bracket is rotatable in two or more rotational degrees of freedom relative to the base, and one or more translational joints. A landmark alignment unit is operatively connectable to the bracket by the at least one translational joint, the landmark alignment unit having a bone alignment component configured to be aligned with at least one bone landmark.
A gap balancing assembly includes an alignment plateau adapted to abut against an articular surface of a first bone, and at least one gap spacer portion adapted to space the articular surface from a second bone, the at least one gap spacer portion having a thickness profile. A spacer member has a first contact surface for being abutted against said tibial alignment plateau, and a second contact surface oriented and spaced relative to the first contact surface to correspond to the thickness profile of the at least one gap spacer portion, the second contact surface adapted to contact a cut guide to align same with the articular surface of the first bone.
A system for tracking at least one bone in robotized computer-assisted surgery, comprises a processing unit and a non-transitory computer-readable memory communicatively coupled to the processing unit and comprising computer-readable program instructions executable by the processing unit for: obtaining backscatter images of the at least one bone from a tracking device in a coordinate system; generating a three-dimensional geometry of a surface of the at least one bone from the backscatter images, the three-dimensional geometry of the surface being in the coordinate system; determining a position and orientation of the at least one bone in the coordinate system by matching the three-dimensional geometry of the surface of the at least one bone to a three-dimensional model of the bone; controlling an automated robotized variation of at least one of a position and orientation of the tracking device as a function of a processing of the backscatter images; and continuously outputting the position and orientation of the at least one bone in the coordinate system to a robot driver controlling a robot arm supporting a surgical tool in the coordinate system for altering the bone.
A61B 34/20 - Surgical navigation systemsDevices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
A61B 34/10 - Computer-aided planning, simulation or modelling of surgical operations
G01B 11/25 - Measuring arrangements characterised by the use of optical techniques for measuring contours or curvatures by projecting a pattern, e.g. moiré fringes, on the object
G16H 40/60 - ICT specially adapted for the management or administration of healthcare resources or facilitiesICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A61B 90/96 - Identification means for patients or instruments, e.g. tags coded with symbols, e.g. text using barcodes
26.
TROLLEY INTEGRATED STABILIZATION SYSTEM COMBINED WITH WHEELS
A trolley can be configured to maneuver an implement around a floor. The trolley can include a frame that can be configured to attach to the implement and a first wheel assembly that can be attached to the frame opposite the implement. A second wheel assembly can be attached to the frame opposite the implement. The first and second wheel assemblies can have a hollow center shaft. A first stabilizer cartridge can be inserted into the hollow center shaft of the first wheel assembly. A second stabilizer cartridge can be inserted into the hollow center shaft of the second wheel assembly. An actuator module can be attached to the frame and the first and second stabilizer cartridges. The actuator module can move the first and second stabilizer cartridges within the hollow center shaft of the first and second wheel assemblies, respectively.
Patient-specific guide systems and methods for performing bone resections for ankle arthroplasties comprises a bone guide body and a bone resection block. The bone guide body comprises a patient-specific surface for engaging a surface of a talus or a tibia, and a first pin hole and a first socket in the bone guide body. The bone resection block is removably insertable into the first socket, receives a first pin that can be inserted in the first pin hole, and includes a resection guide surface. The system further comprises a floating bone trial that attaches to the bone resection block via a floating bone guide. The floating bone trail receives a chamfer spacer and guide for further resecting the bone. The system further comprises a stylus for engagement with the resection guide surface to confirm resection depth. The bone guide body includes alignment pin and resection block snap lock features.
A modular medical device platform can include a chassis forming a plurality of rack bays each including a pair of drawer slides, a plurality of controller modules each including a drawer enclosure including flanges couplable to the pair of drawer slides with the rack bay of the plurality of rack bays, and a plurality of module locks affixed to the chassis and aligned with each rack bay of the plurality of rack bays. Each module lock of the plurality of module locks can include an electrical connector and a locking mechanism adapted to automatically lock a controller module of the plurality of controller modules as the controller module is slid into the rack bay on the pair of drawer slides.
G16H 40/40 - ICT specially adapted for the management or administration of healthcare resources or facilitiesICT specially adapted for the management or operation of medical equipment or devices for the management of medical equipment or devices, e.g. scheduling maintenance or upgrades
A61B 50/36 - Containers specially adapted for packaging, protecting, dispensing, collecting or disposing of surgical or diagnostic appliances or instruments for collecting or disposing of used articles
29.
Systems and methods for co-operative control of robotically-positioned surgical instruments
A reamer attachment system for attaching a reamer to a robotic arm comprises a reaming guide comprising a guide shaft and a collar attached to the guide shaft, a reamer shaft extending through the collar to articulate against the collar, and a reamer lock couplable to the reamer shaft to engage the collar and prevent axial displacement of the reamer shaft relative to the collar while permitting the reamer shaft to articulate against the collar. A method for collaborative reaming of a bone between a surgical robot and a surgeon comprises positioning a reamer guide at a location in a coordinate system for the surgical robot system using a robotic arm of the surgical robot, coupling a reamer to the reamer guide such that a reamer axis passes through the location, constraining movement of the reamer along the reamer axis, and pivoting the reamer at the location to remove bone.
A system for computer-assisted guidance in glenohumeral joint surgery may have a processor unit, and a non-transitory computer-readable memory communicatively coupled to the processor and comprising computer-readable program instructions executable by the processor unit for: obtaining a natural range of motion profile for the glenohumeral joint by tracking movement of a humerus relative to a scapula of the glenohumeral joint in a non-invasive natural state, registering intra-operatively the humerus and the scapula to a referential system, fitting the natural range of motion profile to the humerus and the scapula in the referential system, creating an intraoperative range of motion profile for the glenohumeral joint by tracking movement of the humerus relative to the scapula of the glenohumeral joint intraoperatively, and outputting the intraoperative range of motion for the glenohumeral joint as a function of the natural range of motion.
A61B 8/00 - Diagnosis using ultrasonic, sonic or infrasonic waves
G16H 20/40 - ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
31.
METHOD AND SYSTEM FOR VALIDATING BONE ALTERATIONS IN COMPUTER-ASSISTED SURGERY
A system for validating bone alterations during computer-assisted surgery, comprises a processing unit; and a non-transitory computer-readable memory communicatively coupled to the processing unit and comprising computer-readable program instructions executable by the processing unit for: registering a surface of a bone in a coordinate system using a geometry of a patient specific tracker device on the surface of the bone; tracking a tool relative to the bone in the coordinate system as a function of implant geometry and of a planned implant position and orientation on the bone; and validating at least one alteration to the bone using a mating geometry of a validation tracker device applied to an altered surface of the bone.
A system for tracking an end effector of a robot in computer-assisted surgery, may have: a processing unit; and a non-transitory computer-readable memory communicatively coupled to the processing unit and comprising computer-readable program instructions executable by the processing unit for: obtaining referential tracking data for a first part of a robot using optical tracking relative to a frame of reference, and concurrently obtaining tool tracking data for an end effector of the robot arm in the frame of reference; and continuously tracking and outputting the position and orientation of the end effector in the frame of reference, using the tool tracking data, and concurrently adjusting the position and orientation of the end effector in the frame of reference when the referential tracking data indicates a movement of the first part of the robot and/of the optical tracking, in the frame of reference.
A system for tracking an end effector of a robot in computer-assisted surgery, may have: a processing unit; and a non-transitory computer-readable memory communicatively coupled to the processing unit and comprising computer- readable program instructions executable by the processing unit for: obtaining referential tracking data for a first part of a robot using optical tracking relative to a frame of reference, and concurrently obtaining tool tracking data for an end effector of the robot arm in the frame of reference; and continuously tracking and outputting the position and orientation of the end effector in the frame of reference, using the tool tracking data, and concurrently adjusting the position and orientation of the end effector in the frame of reference when the referential tracking data indicates a movement of the first part of the robot and/of the optical tracking, in the frame of reference.
A surgical sensor system for collecting internal patient data comprises a prosthetic implant comprising a housing, a sensor disposed within the housing and an internal power device connected to the sensor; and an external interrogation device comprising a wireless power signal generator for activating with the internal power device of the prosthetic implant. A method of remotely interacting with a sensor device implanted in anatomy with an orthopedic device comprises generating a wireless powering signal, activating the sensor device with the wireless power signal, collecting sensor data from the sensor device, and wirelessly communicating the sensor data from the sensor device using a low-power wireless signal. A method comprises generating wireless powering signals within an operating room using an interrogation device, activating electronics within a sensor-enabled orthopedic device with the signals, collecting data from the electronics, and wirelessly communicating data from the electronics to the interrogation device.
A method of positioning posterior resection guides in a three-dimensional coordinate system using robotic arms to perform partial knee arthroplasties comprises connecting a first tracking device for a surgical tracking system of the robotic arm to a femur, connecting a second tracking device for the surgical tracking system of the robotic arm to a tibia, manually positioning the tibia relative to the femur to a desired orientation to perform a posterior resection, manually determining a position for the posterior resection guide to perform the posterior resection, digitizing a reference point for the posterior resection guide in the three-dimensional coordinate system for a location of a feature of the posterior resection guide, moving the posterior resection guide to the location in the three-dimensional coordinate system with the robotic arm, and resecting a posterior portion of a condyle of the femur using the posterior resection guide to guide a cutting instrument.
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A61B 17/16 - Instruments for performing osteoclasisDrills or chisels for bonesTrepans
A61B 17/56 - Surgical instruments or methods for treatment of bones or jointsDevices specially adapted therefor
36.
Method and system for pre-operative implant sizing
A system for sizing an implant for a patient pre-operatively comprises a processor unit. A non-transitory computer-readable memory may be communicatively coupled to the processing unit and comprising computer-readable program instructions executable by the processing unit for obtaining at least one radiographic patient image of at least one patient bone with a scale marker relative to the bone, the scale marker having a known geometry, setting a scale of the at least one radiographic patient image using the known geometry of the scale marker, generating a three-dimensional bone model representative of the at least one patient bone using the at least one radiographic patient image and the scale, identifying an implant size and/or an implant model using implant models and dimensions of the three-dimensional bone model based on said scale, and outputting the implant size and/or the implant model for the patient.
A61B 34/10 - Computer-aided planning, simulation or modelling of surgical operations
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
37.
Patient-specific instrumentation for implant revision surgery
A system for creating at least one model of a bone and implanted implant comprises a processing unit; and a non-transitory computer-readable memory communicatively coupled to the processing unit and comprising computer-readable program instructions executable by the processing unit for: obtaining at least one image of at least part of a bone and of an implanted implant on the bone, the at least one image being patient specific, obtaining a virtual model of the implanted implant using an identity of the implanted implant, overlaying the virtual model of the implanted implant on the at least one image to determine a relative orientation of the implanted implant relative to the bone in the at least one image, and generating and outputting a current bone and implant model using the at least one image, the virtual model of the implanted implant and the overlaying.
An on-bone robotic system may have a bone anchor device configured to be received in a bone, the bone anchor device including at least one sensor for tracking an orientation of the bone. A robotic tool unit may be releasably connected to the bone anchor device, the robotic tool unit including one or more actuators for displacing a surgical implement of the robotic tool unit relative to the bone when the robotic tool unit is connected to the bone anchor device. The on-bone robotic system includes one or more joints enabling a degree(s) of freedom of movement of the surgical implement relative to the bone anchor device. The on-bone robotic system includes a processor for operating the at least one actuator as a function of the tracking of the bone by the sensor.
An on-bone robotic system may have a bone anchor device configured to be received in a bone, the bone anchor device including at least one sensor for tracking an orientation of the bone. A robotic tool unit may be releasably connected to the bone anchor device, the robotic tool unit including one or more actuators for displacing a surgical implement of the robotic tool unit relative to the bone when the robotic tool unit is connected to the bone anchor device. The on-bone robotic system includes one or more joints enabling a degree(s) of freedom of movement of the surgical implement relative to the bone anchor device. The on-bone robotic system includes a processor for operating the at least one actuator as a function of the tracking of the bone by the sensor.
An impaction adaptor connectable to a surgical drill and a surgical impactor can include a body comprising a proximal portion defining a body bore and including a first plurality of projections; and a distal portion connected to the proximal portion and insertable into the surgical impactor; a shaft located at least partially within the body bore and engageable with the surgical drill to be driven to rotate within the body bore; and a driving body located at least partially within the body bore and secured to the shaft, the driving body including a plurality of second projections rotatably engageable with the first projections to cause translation of the driving body relative to the body to deliver an impaction force to the surgical impactor in response to rotation of the shaft.
An on-bone robotic system may have a bone anchor device configured to be received in a bone, the bone anchor device including at least one sensor for tracking an orientation of the bone. A robotic tool unit may be releasably connected to the bone anchor device, the robotic tool unit including one or more actuators for displacing a surgical implement of the robotic tool unit relative to the bone when the robotic tool unit is connected to the bone anchor device. The on-bone robotic system includes one or more joints enabling a degree(s) of freedom of movement of the surgical implement relative to the bone anchor device. The on-bone robotic system includes a processor for operating the at least one actuator as a function of the tracking of the bone by the sensor.
A device for registering a bone for a robotic shoulder arthroplasty with a surgical robot. The device can include a first portion engageable with a first portion of a bone and can include a second portion engageable with a second portion of the bone, the second portion connected to the first portion and rotatable with respect to the first portion. The device can include a registration device connectable to the first portion and configured to interface with the surgical robot for registration of the device and the bone. The device can include an actuator engageable with the first portion and the second portion to move the second portion toward a closed position away from an open position.
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
43.
Fluoroscopic robotic prosthetic implant system and methods
Techniques for robotically guiding a cup-shaped implant or instrument are provided. In an example, the technique can include a combination of the following operations. Acquiring a calibration image including a cup-shaped element in a first orientation. Identifying a first elliptical outline of the cup-shaped element. Acquiring a navigation image including the cup-shaped element in a second orientation. Identifying a second elliptical outline of the cup-shaped element. Aligning a coordinate system of a robotic system to a patient, and positioning an implant or instrument based on a pre-operative plan within the coordinate system.
Techniques for robotically guiding a cup-shaped implant or instrument are provided. In an example, the technique can include a combination of the following operations. Acquiring a calibration image including a cup-shaped element in a first orientation. Identifying a first elliptical outline of the cup-shaped element. Acquiring a navigation image including the cup-shaped element in a second orientation. Identifying a second elliptical outline of the cup-shaped element. Aligning a coordinate system of a robotic system to a patient, and positioning an implant or instrument based on a pre-operative plan within the coordinate system.
An reaming system can be connectable to a robotic surgical system including an end effector of a robotic arm. The reaming system can include a reaming guide and a reamer. The reaming guide can include a body releasably couplable to the end effector at a proximal portion of the body and a housing located at a distal portion of the body. The reamer can be operable to ream bone. The reamer can include a support releasably couplable to the housing to secure the reamer to the reaming guide and the end effector. The reamer can include a cutting head connected to the support, the cutting head rotatable with respect to the housing when the support is coupled to the housing.
Systems that may be used for performing a robotic revision knee arthroplasty are disclosed. Such systems can optionally include a processor that can: intraoperatively receive a plurality of position data obtained by a robotic surgical device after a primary implant has been removed from a bone, the plurality of position data correspond to a plurality of landmarks of the bone of a patient, the plurality of landmarks include a position of an intramedullary canal of the bone; select from a database having a plurality of mean models of a corresponding bone a mean model that comprises a best match based upon the plurality of landmarks of the bone; generate an updated model by altering the mean model to fit an anatomy of the bone of the patient based upon the plurality of landmarks; and output to a user interface the updated model for use during the robotic revision knee arthroplasty.
Systems that may be used for performing a robotic revision knee arthroplasty are disclosed. Such systems can optionally include a processor that can: intraoperatively receive a plurality of position data obtained by a robotic surgical device after a primary implant has been removed from a bone, the plurality of position data correspond to a plurality of landmarks of the bone of a patient, the plurality of landmarks include a position of an intramedullary canal of the bone; select from a database having a plurality of mean models of a corresponding bone a mean model that comprises a best match based upon the plurality of landmarks of the bone; generate an updated model by altering the mean model to fit an anatomy of the bone of the patient based upon the plurality of landmarks; and output to a user interface the updated model for use during the robotic revision knee arthroplasty.
An reaming system can be connectable to a robotic surgical system including an end effector of a robotic arm. The reaming system can include a reaming guide and a reamer. The reaming guide can include a body releasably couplable to the end effector at a proximal portion of the body and a housing located at a distal portion of the body. The reamer can be operable to ream bone. The reamer can include a support releasably couplable to the housing to secure the reamer to the reaming guide and the end effector. The reamer can include a cutting head connected to the support, the cutting head rotatable with respect to the housing when the support is coupled to the housing.
A system for tracking at least one object in computer-assisted surgery may include a processing unit and a non-transitory computer-readable memory communicatively coupled to the processing unit and comprising computer- readable program instructions executable by the processing unit for: obtaining orientation data from at least one inertial sensor unit on at least one object; concurrently obtaining position and orientation data for a robot arm relative to a frame of reference; registering the at least one object with the robot arm to determine a position of the at least one object in the frame of reference; and continuously tracking and outputting the position and orientation of the at least one object in the frame of reference, using the orientation data from the at least one inertial sensor unit on the at least one object and the position and orientation data for the robot arm.
A system for tracking at least one object in computer-assisted surgery may include a processing unit and a non-transitory computer-readable memory communicatively coupled to the processing unit and comprising computer-readable program instructions executable by the processing unit for: obtaining orientation data from at least one inertial sensor unit on at least one object; concurrently obtaining position and orientation data for a robot arm relative to a frame of reference; registering the at least one object with the robot arm to determine a position of the at least one object in the frame of reference; and continuously tracking and outputting the position and orientation of the at least one object in the frame of reference, using the orientation data from the at least one inertial sensor unit on the at least one object and the position and orientation data for the robot arm.
A coupler can connect one or more instruments to a robotic surgical arm. The coupler can include a base and an actuator. The base can be securable to the robotic surgical arm. The actuator can be operable to release or secure the stem to the base and the robotic surgical arm.
A device for registering a bone for a robotic knee arthroplasty with a surgical robot can include a plate and a registration device. The plate can be engageable with the bone and can include a lateral portion, a medial portion, and a hinge. The registration device can be connected to the plate and can be configured to interface with the surgical robot for registration of the plate and the bone.
A computer-assisted surgery system for obtaining a distance between at least two fixed points relative to a bone comprises a first accelerometer unit located at a first fixed location on the bone, and producing first acceleration data during a movement of the bone. A second accelerometer unit is located at a second fixed location on the bone, and simultaneously producing second acceleration data during the movement. A gyroscope unit is fixed to the bone and simultaneously producing angular rates of change of said movement. A processor unit obtains the acceleration data and the angular rates of change for calculating the distance between the first fixed position and the second fixed position on the bone using a distance value of a distance vector between the accelerometer units. An interface outputs the distance between the first fixed position and the second fixed position relative to the bone. A method for calculating a distance between at least two points on a bone is provided.
Systems and methods for determining position and orientation of a bone of an anatomical feature are described. These include the use of a wearable holder configured to be mounted about an outer-skin surface of the anatomical feature, such that the anatomical feature and the bone are positioned in fixed relation with respect to the wearable holder when the wearable holder is mounted about the anatomical feature. Reference marker arrays are fixedly mounted to the wearable holder, each being positioned on the wearable holder to identify a landmark of the bone within the wearable holder when the wearable holder is mounted to the anatomical feature. The position and orientation of the reference markers are trackable to determine position and orientation of the wearable holder in a reference coordinate system, thereby enabling position and orientation of the landmarks on the bone to be determined.
A61B 34/00 - Computer-aided surgeryManipulators or robots specially adapted for use in surgery
A61B 34/20 - Surgical navigation systemsDevices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
The present disclosure can include a system including a surgical arm, a retractor connected to the surgical arm, a force sensor mounted on the surgical arm, the force sensor configured to receive sensor data indicating force on the retractor from the force sensor, and a magnetorheological fluid actuator for actuating the surgical arm, the actuator configured to actuate according to the received sensor data, and adjust the surgical arm according to the received sensor data so as to maintain a constant retraction force. The present disclosure can additionally include a method for retracting tissue including applying force to the tissue with a magnetorheological fluid actuator to induce a retraction force, sensing a change in force applied to the tissue using a force sensor, and maintaining the retraction force by adjusting the force applied to the tissue.
A jig for revision surgery includes a body defining a contact surface(s) negatively corresponding to an articular surface of a primary implant. The body is configured to be coupled in a unique complementary coupling via engagement of the contact surface with the articular surface. A cut guide(s) is in the body, the cut guide(s) positioned relative to the at least one contact surface so as to be aligned with an underside of the primary implant or of a revision implant.
ABSTRACT A jig for revision surgery includes a body defining a contact surface(s) negatively corresponding to an articular surface of a primary implant. The body is configured to be coupled in a unique complementary coupling via engagement of the contact surface with the articular surface. A cut guide(s) is in the body, the cut guide(s) positioned relative to the at least one contact surface so as to be aligned with an underside of the primary implant or of a revision implant. ¨ 17 ¨ Date Recue/Date Received 2022-02-16
To address technical problems facing knee arthroplasty resection validation, the present subject matter provides a tracked knee arthroplasty instrument for objective measurement of resection depth. By performing a precise comparison between the location of the tracked knee arthroplasty instrument and a reference location, the knee arthroplasty instrument measures and validates each tibial and femoral resection. To address technical problems facing validation of joint laxity following knee arthroplasty, the tracked knee arthroplasty instrument is shaped to validate the flexion gap and extension gap. When the tracked knee arthroplasty instrument is inserted between the resected tibial plateau and femoral head, the instrument shape validates whether the desired flexion gap and extension gap have been achieved.
To address technical problems facing knee arthroplasty resection validation, the present subject matter provides a tracked knee arthroplasty instrument for objective measurement of resection depth. By performing a precise comparison between the location of the tracked knee arthroplasty instrument and a reference location, the knee arthroplasty instrument measures and validates each tibial and femoral resection. To address technical problems facing validation of joint laxity following knee arthroplasty, the tracked knee arthroplasty instrument is shaped to validate the flexion gap and extension gap. When the tracked knee arthroplasty instrument is inserted between the resected tibial plateau and femoral head, the instrument shape validates whether the desired flexion gap and extension gap have been achieved.
A computer-assisted surgery system for guiding alterations to a bone, comprises a trackable member secured to the bone. The trackable member has a first inertial sensor unit producing orientation-based data. A positioning block is secured to the bone, and is adjustable once the positioning block is secured to the bone to be used to guide tools in altering the bone. The positioning block has a second inertial sensor unit producing orientation-based data. A processing system providing an orientation reference associating the bone to the trackable member comprises a signal interpreter for determining an orientation of the trackable member and of the positioning block. A parameter calculator calculates alteration parameters related to an actual orientation of the positioning block with respect to the bone.
A61B 34/20 - Surgical navigation systemsDevices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
G01C 21/16 - NavigationNavigational instruments not provided for in groups by using measurement of speed or acceleration executed aboard the object being navigatedDead reckoning by integrating acceleration or speed, i.e. inertial navigation
A61B 17/00 - Surgical instruments, devices or methods
Techniques for securing an instrument to a surgical robot are provided. In an example, an apparatus can include a first portion, a second portion and a collar. The first portion can attach to an end of an arm of the surgical robot and can include a first rod extending away from the arm. The second portion can hold the surgical instrument and can include a second rod extending away from the surgical instrument. The collar can slidably adjust along an aligned axis of the first and second portions secure interfaces of the portions and to allow engagement and dis-engagement of the interfaces with each other.
Embodiments of a system and method for surgical tracking and control are generally described herein. A system may include a robotic arm configured to allow interactive movement and controlled autonomous movement of an end effector, a cut guide mounted to the end effector of the robotic arm, the cut guide configured to guide a surgical instrument within a plane, a tracking system to determine a position and an orientation of the cut guide, and a control system to permit or prevent interactive movement or autonomous movement of the end effector.
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A61B 90/11 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis with guides for needles or instruments, e.g. arcuate slides or ball joints
A surgical system to limit the use of fasteners may have a lockable surgical support arm including a base couplable to a surgical table and a plurality of lockable joints configured to maintain a position of a distal end of the surgical support arm. An instrument having a guide surface may be coupled to the distal end of the surgical support arm. A patient-specific support having an instrument engagement portion and an anatomy contacting surface, the instrument engagement portion configured to receive a portion of the instrument and the anatomy contacting surface contoured to match a contour of an anatomical surface of a patient. When coupled to the patient-specific support, the surgical support arm and the patient-specific support position the guide surface of the instrument in a predetermined location and orientation relative to the anatomical surface of the patient, such as without fasteners.
A system for controlling a tourniquet pressure may have a processing unit and a non-transitory computer-readable memory communicatively coupled to the processing unit and comprising computer-readable program instructions executable by the processing unit. The system may obtain ultrasound readings indicative of a blood flow in a limb having a tourniquet applying pressure on the limb; determine characteristic(s) of the blood flow from the ultrasound readings; and adjust a tourniquet pressure as a function of the at least one characteristic of the blood flow. An integrated robotic surgery system is also provided.
A method or system for using an augmented reality device may include displaying information in a surgical field. A method may include receiving an indication of a location of a landmark on a bone of a patient, retrieving a planned location of the landmark on the bone of the patient and receiving information corresponding to the location or the planned location. The location or the planned location may be displayed as a virtual indication using an augmented reality display of the augmented reality device, for example while permitting the surgical field to be viewed through the augmented reality display.
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
67.
ROBOTIC DEVICE AND STERILIZATION UNIT FOR SURGICAL INSTRUMENT
A method or system for storing an instrument, such as in a sterile environment. For example, a surgical robotic system may include a surgical robotic arm and a sterilization unit enclosing the sterile environment and storing the instrument. A processor may be used to determine that the instrument is needed (e.g., during a surgical procedure or portion of a surgical procedure or for a future surgical procedure or portion of a future surgical procedure). The processor may provide access to the instrument.
A61B 34/00 - Computer-aided surgeryManipulators or robots specially adapted for use in surgery
A61B 50/30 - Containers specially adapted for packaging, protecting, dispensing, collecting or disposing of surgical or diagnostic appliances or instruments
A spike for a bone axis digitizer device may include a leading member having a pointy end configured for penetrating a bone or cartilage, the leading member defining a penetration axis. An anti-rotation feature may project laterally from a surface of the leading member. The spike has a first penetration segment and a second penetration segment, the first penetration segment including the pointy end and configured for leading a penetration of the spike in the bone or cartilage, and the second penetration segment having the at least one anti-rotation feature. A bone axis digitizer device with the spike may also be provided.
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
Disclosed herein are surgical guides, surgical supports, surgical systems, and methods of use thereof. The surgical guides, supports, and systems discloses herein can include an instrument and a patient-specific support. The instrument can be connectable to a surgical support arm and include a guide surface. The patient-specific support can comprise an instrument engagement portion and an anatomy contacting surface. The instrument engagement portion can be configured to receive a portion of the instrument and the anatomy contacting surface contoured to match a contour of an anatomical surface of a patient. When coupled to the patient-specific support, the surgical support arm and the patient-specific support can position the instrument and the guide surface in a predetermined location and orientation relative to the anatomical surface of the patient with increased stability.
A61B 17/56 - Surgical instruments or methods for treatment of bones or jointsDevices specially adapted therefor
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A spike for a bone axis digitizer device may include a leading member having a pointy end configured for penetrating a bone or cartilage, the leading member defining a penetration axis. An anti-rotation feature may project laterally from a surface of the leading member. The spike has a first penetration segment and a second penetration segment, the first penetration segment including the pointy end and configured for leading a penetration of the spike in the bone or cartilage, and the second penetration segment having the at least one anti-rotation feature. A bone axis digitizer device with the spike may also be provided.
A system for controlling a tourniquet pressure may have a processing unit and a non-transitory computer-readable memory communicatively coupled to the processing unit and comprising computer-readable program instructions executable by the processing unit. The system may obtain ultrasound readings indicative of a blood flow in a limb having a tourniquet applying pressure on the limb; determine characteristic(s) of the blood flow from the ultrasound readings; and adjust a tourniquet pressure as a function of the at least one characteristic of the blood flow. An integrated robotic surgery system is also provided.
A61B 5/021 - Measuring pressure in heart or blood vessels
A61B 5/0295 - Measuring blood flow using plethysmography, i.e. measuring the variations in the volume of a body part as modified by the circulation of blood therethrough, e.g. impedance plethysmography
A system for tracking at least one bone in robotized computer-assisted surgery, comprises a processing unit and a non-transitory computer-readable memory communicatively coupled to the processing unit and comprising computer-readable program instructions executable by the processing unit for: obtaining backscatter images of the at least one bone from a tracking device in a coordinate system; generating a three-dimensional geometry of a surface of the at least one bone from the backscatter images, the three-dimensional geometry of the surface being in the coordinate system; determining a position and orientation of the at least one bone in the coordinate system by matching the three-dimensional geometry of the surface of the at least one bone to a three-dimensional model of the bone; controlling an automated robotized variation of at least one of a position and orientation of the tracking device as a function of a processing of the backscatter images; and continuously outputting the position and orientation of the at least one bone in the coordinate system to a robot driver controlling a robot arm supporting a surgical tool in the coordinate system for altering the bone.
A61B 34/20 - Surgical navigation systemsDevices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
A61B 34/10 - Computer-aided planning, simulation or modelling of surgical operations
G16H 40/60 - ICT specially adapted for the management or administration of healthcare resources or facilitiesICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
G01B 11/25 - Measuring arrangements characterised by the use of optical techniques for measuring contours or curvatures by projecting a pattern, e.g. moiré fringes, on the object
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A61B 90/96 - Identification means for patients or instruments, e.g. tags coded with symbols, e.g. text using barcodes
There is described a system and a method for assisting a user manipulating an object during a surgery, the method comprising: tracking the object in a sterile field in which surgery is being performed at a location using a tracking device which generates tracking data; processing the tracking data using a processing device located outside the sterile field to generate position and orientation information related to the object; and sending the position and orientation information related to the object to a displaying device positioned in the sterile field adjacent to the location at which the surgery is being performed, for display to the user.
A61B 34/20 - Surgical navigation systemsDevices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A61B 17/00 - Surgical instruments, devices or methods
A61B 34/10 - Computer-aided planning, simulation or modelling of surgical operations
A61B 34/00 - Computer-aided surgeryManipulators or robots specially adapted for use in surgery
A gap balancing assembly includes an alignment plateau adapted to abut against an articular surface of a first bone, and at least one gap spacer portion adapted to space the articular surface from a second bone, the at least one gap spacer portion having a thickness profile. A spacer member has a first contact surface for being abutted against said tibial alignment plateau, and a second contact surface oriented and spaced relative to the first contact surface to correspond to the thickness profile of the at least one gap spacer portion, the second contact surface adapted to contact a cut guide to align same with the articular surface of the first bone.
A gap balancing assembly includes an alignment plateau adapted to abut against an articular surface of a first bone, and at least one gap spacer portion adapted to space the articular surface from a second bone, the at least one gap spacer portion having a thickness profile. A spacer member has a first contact surface for being abutted against said tibial alignment plateau, and a second contact surface oriented and spaced relative to the first contact surface to correspond to the thickness profile of the at least one gap spacer portion, the second contact surface adapted to contact a cut guide to align same with the articular surface of the first bone.
A system for tracking at least one tool and/or at least one bone during computer-assisted surgery includes a processing unit; and a non-transitory computer-readable memory communicatively coupled to the processing unit and comprising computer-readable program instructions executable by the processing unit for: tracking at least one tool and/or at least one bone with at least one image-capture device, with the image-capture device being at a first orientation during a surgical procedure, detecting a change in orientation of the at least one image-capture device from the first orientation, quantifying the change in orientation of the at least one image-capture device from the first orientation, and tracking of the at least one tool and/or of the at least one bone with the at least one image-capture device as a function of the quantifying of the change in orientation of the image-capture device from the first orientation.
A robotic surgical system can include an end effector coupled to a robotic arm. A reamer operable to ream bone can be coupled to the end effector (e.g., via a retainer). The reamer can include a primary driveshaft and a cutting head. The primary driveshaft can be rotatable about a first axis of rotation and the cutting head can be rotatable about a second axis of rotation, for example parallel to and offset from the first axis of rotation.
A robotic surgical system can include an end effector coupled to a robotic arm. A reamer operable to ream bone can be coupled to the end effector (e.g., via a retainer). The reamer can include a primary driveshaft and a cutting head. The primary driveshaft can be rotatable about a first axis of rotation and the cutting head can be rotatable about a second axis of rotation, for example parallel to and offset from the first axis of rotation.
Devices, systems and methods for controlling gap height for posterior resection in a partial knee arthroplasty can comprise A) use robotic surgery planning software to adjust an extension gap to suit a flexion gap to manually position a manual posterior cut guide; B) use a surgical navigation system to determine a femur rotation axis to properly manually position a manual posterior cut guide; C1) use shims to adjust the position of a manual posterior cut guide; C2) use a robotically-guided femur and tibia partial cut guide block to position a robot-configured posterior cut guide relative to the distal end of a femur; and D) use a robotically-guided femur and tibia partial cut guide block to guide pin holes for a robot-configured posterior cut guide relative to the distal end of a femur.
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A61B 90/50 - Supports for surgical instruments, e.g. articulated arms
A61B 17/16 - Instruments for performing osteoclasisDrills or chisels for bonesTrepans
A61B 17/56 - Surgical instruments or methods for treatment of bones or jointsDevices specially adapted therefor
80.
DEVICES AND METHODS FOR POSTERIOR RESECTION IN ROBOTICALLY ASSISTED PARTIAL KNEE ARTHROPLASTIES
Devices, systems and methods for controlling gap height for posterior resection in a partial knee arthroplasty can comprise A) use robotic surgery planning software to adjust an extension gap to suit a flexion gap to manually position a manual posterior cut guide; B) use a surgical navigation system to determine a femur rotation axis to properly manually position a manual posterior cut guide; C1) use shims to adjust the position of a manual posterior cut guide; C2) use a robotically- guided femur and tibia partial cut guide block to position a robot-configured posterior cut guide relative to the distal end of a femur; and D) use a robotically-guided femur and tibia partial cut guide block to guide pin holes for a robot-configured posterior cut guide relative to the distal end of a femur.
A surgical tool assembly may include a first component, a second component, a tracker device connected at least to the first component. A quick connect system for releasably connecting the first component to the second component, the quick connect system including a male and female engagement, a latch mechanism for latching the first component to the second component. Complementary features are on the first component and on the second component to ensure a planned positional alignment between the first component and the second component upon latching of the male and female engagement, for tracking of the second component with the tracker device.
There is described an ultrasound tracking system for tracking a position and orientation of an anatomical feature in computer-assisted surgery. The system generally has: an ultrasound imaging system having a phased-array ultrasound probe unit for emitting ultrasound signals successively towards different portions of said anatomical feature, measuring echo signals returning from said portions of said anatomical feature and generating respective imaged echo datasets; a coordinate tracking system tracking coordinates of said ultrasound phased array probe unit during said measuring, and generating corresponding coordinate datasets; and a controller being communicatively coupled to said ultrasound imaging system and said coordinate tracking system, said controller performing the steps of: registering said imaged echo datasets in a common coordinate system based on said coordinate datasets; and tracking said position and orientation of said anatomical feature based on said registering.
A surgical tool assembly may include a first component, a second component, a tracker device connected at least to the first component. A quick connect system for releasably connecting the first component to the second component, the quick connect system including a male and female engagement, a latch mechanism for latching the first component to the second component. Complementary features are on the first component and on the second component to ensure a planned positional alignment between the first component and the second component upon latching of the male and female engagement, for tracking of the second component with the tracker device.
There is described an ultrasound tracking system for tracking a position and orientation of an anatomical feature in computer-assisted surgery. The system generally has: an ultrasound imaging system having a phased-array ultrasound probe unit for emitting ultrasound signals successively towards different portions of said anatomical feature, measuring echo signals returning from said portions of said anatomical feature and generating respective imaged echo datasets; a coordinate tracking system tracking coordinates of said ultrasound phased array probe unit during said measuring, and generating corresponding coordinate datasets; and a controller being communicatively coupled to said ultrasound imaging system and said coordinate tracking system, said controller performing the steps of: registering said imaged echo datasets in a common coordinate system based on said coordinate datasets; and tracking said position and orientation of said anatomical feature based on said registering.
A reamer attachment system for attaching a reamer to a robotic arm comprises a reaming guide comprising a guide shaft and a collar attached to the guide shaft, a reamer shaft extending through the collar to articulate against the collar, and a reamer lock couplable to the reamer shaft to engage the collar and prevent axial displacement of the reamer shaft relative to the collar while permitting the reamer shaft to articulate against the collar. A method for collaborative reaming of a bone between a surgical robot and a surgeon comprises positioning a reamer guide at a location in a coordinate system for the surgical robot system using a robotic arm of the surgical robot, coupling a reamer to the reamer guide such that a reamer axis passes through the location, constraining movement of the reamer along the reamer axis, and pivoting the reamer at the location to remove bone.
Instrument systems for performing total ankle arthroplasties comprise an instrument adapter, a talus reaming guide and a talar trial system. The instrument adapter comprises a coupler for attaching to a robotic surgical arm, an extension arm extending from the coupler, a talus resection block attached to the extension arm, including a talus cutting guide surface, and an interface for receiving another instrument. The talus reaming guide comprises a second attachment member for coupling to the interface, and a reaming hoop for confining movement of a reamer. The talar trial system comprises a talar adapter for connecting to the interface, and a talar trial couplable to the talar adapter, the talar trial including a talar bearing surface. The talus resection block can serve as a universal instrument adapter for mounting the talus reaming guide, the talar trial system and a tibia resection block for performing a total ankle arthroplasty.
Instrument systems for performing total ankle arthroplasties comprise an instrument adapter, a talus reaming guide and a talar trial system. The instrument adapter comprises a coupler for attaching to a robotic surgical arm, an extension arm extending from the coupler, a talus resection block attached to the extension arm, including a talus cutting guide surface, and an interface for receiving another instrument. The talus reaming guide comprises a second attachment member for coupling to the interface, and a reaming hoop for confining movement of a reamer. The talar trial system comprises a talar adapter for connecting to the interface, and a talar trial couplable to the talar adapter, the talar trial including a talar bearing surface. The talus resection block can serve as a universal instrument adapter for mounting the talus reaming guide, the talar trial system and a tibia resection block for performing a total ankle arthroplasty.
A reamer attachment system for attaching a reamer to a robotic arm comprises a reaming guide comprising a guide shaft and a collar attached to the guide shaft, a reamer shaft extending through the collar to articulate against the collar, and a reamer lock couplable to the reamer shaft to engage the collar and prevent axial displacement of the reamer shaft relative to the collar while permitting the reamer shaft to articulate against the collar. A method for collaborative reaming of a bone between a surgical robot and a surgeon comprises positioning a reamer guide at a location in a coordinate system for the surgical robot system using a robotic arm of the surgical robot, coupling a reamer to the reamer guide such that a reamer axis passes through the location, constraining movement of the reamer along the reamer axis, and pivoting the reamer at the location to remove bone.
Instrument systems for performing total ankle arthroplasties comprise an instrument adapter, a talus reaming guide and a talar trial system. The instrument adapter comprises a coupler for attaching to a robotic surgical arm, an extension arm extending from the coupler, a talus resection block attached to the extension arm, including a talus cutting guide surface, and an interface for receiving another instrument. The talus reaming guide comprises a second attachment member for coupling to the interface, and a reaming hoop for confining movement of a reamer. The talar trial system comprises a talar adapter for connecting to the interface, and a talar trial couplable to the talar adapter, the talar trial including a talar bearing surface. The talus resection block can serve as a universal instrument adapter for mounting the talus reaming guide, the talar trial system and a tibia resection block for performing a total ankle arthroplasty.
A reamer attachment system for attaching a reamer to a robotic arm comprises a reaming guide comprising a guide shaft and a collar attached to the guide shaft, a reamer shaft extending through the collar to articulate against the collar, and a reamer lock couplable to the reamer shaft to engage the collar and prevent axial displacement of the reamer shaft relative to the collar while permitting the reamer shaft to articulate against the collar. A method for collaborative reaming of a bone between a surgical robot and a surgeon comprises positioning a reamer guide at a location in a coordinate system for the surgical robot system using a robotic arm of the surgical robot, coupling a reamer to the reamer guide such that a reamer axis passes through the location, constraining movement of the reamer along the reamer axis, and pivoting the reamer at the location to remove bone.
A method for spine tracking in computer-assisted surgery, the method includes: obtaining, at a computer-assisted surgical system, at least one image of at least part of the spine and at least one surgical device; determining, at the computer-assisted surgical system, a three-dimensional position and orientation of the at least one surgical device relative to the spine from the at least one image to create a referential system; tracking, at the computer-assisted surgical system, the at least one surgical device altering a first vertebra of the spine for attachment of a spinal screw to the first vertebra, in the referential system; and tracking, at the computer-assisted surgical system, the spine in the referential system with a trackable reference attached to the spinal screw of the first vertebra.
A humerus cutting assembly includes a guide frame having an attachment member adapted to be secured to a humerus adjacent to a humeral head. A cutting guide is releasably connected to the guide frame, the cutting guide configured to guide a tool in altering the humeral head. One or more inertial sensor units is on the cutting guide, the inertial sensor unit tracking an orientation of the cutting guide relative to the humerus based on the releasable connection between the cutting guide and the guide frame.
Abstract A method for spine tracking in computer-assisted surgery, the method includes: obtaining, at a computer-assisted surgical system, at least one image of at least part of the spine and at least one surgical device; determining, at the computer-assisted surgical system, a three-dimensional position and orientation of the at least one surgical device relative to the spine from the at least one image to create a referential system; tracking, at the computer- assisted surgical system, the at least one surgical device altering a first vertebra of the spine for attachment of a spinal screw to the first vertebra, in the referential system; and tracking, at the computer-assisted surgical system, the spine in the referential system with a trackable reference attached to the spinal screw of the first vertebra. Date Recue/Date Received 2020-12-16
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A61B 17/70 - Spinal positioners or stabilisers, e.g. stabilisers comprising fluid filler in an implant
ABSTRACT A humerus cutting assembly includes a guide frame having an attachment member adapted to be secured to a humerus adjacent to a humeral head. A cutting guide is releasably connected to the guide frame, the cutting guide configured to guide a tool in altering the humeral head. One or more inertial sensor units is on the cutting guide, the inertial sensor unit tracking an orientation of the cutting guide relative to the humerus based on the releasable connection between the cutting guide and the guide frame. 33 Date Recue/Date Received 2020-12-11
A61B 34/20 - Surgical navigation systemsDevices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
A61B 90/11 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis with guides for needles or instruments, e.g. arcuate slides or ball joints
Patient-specific instrumentation for reverse shoulder surgery includes a jig having a contact surface including a patient-specific surface portion negatively shaped as a function of a glenoid surface and configured to be applied against the glenoid surface in unique complementary engagement. A first throughbore opens into the contact surface, the first throughbore having an axis corresponding to a first altered bone plane in the glenoid surface. A second throughbore opens into the contact surface, the second throughbore having an axis corresponding to a second altered bone plane in the glenoid surface. The axes of the first throughbore and of the second throughbore are not parallel to one another.
There is described a system for tracking at least one tool relative to a bone in computer-assisted surgery. The system generally has a processing unit; and a non-transitory computer-readable memory communicatively coupled to the processing unit and comprising computer-readable program instructions executable by the processing unit for: continuously emitting an electromagnetic field in a surgical volume incorporating at least one electromagnetic sensor on a bone and/or tool; continuously receiving a signal indicative of a position and/or orientation of the electromagnetic sensor relative to the emitting of electromagnetic field; processing the signal to determine the position and/or orientation of the at least one electromagnetic sensor; obtaining geometrical data relating the at least one electromagnetic sensor to the bone and/or tool; and continuously tracking and outputting a first position and/or orientation of the bone and/or tool using the geometrical data and the position and/or orientation of the at least one electromagnetic sensor.
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A61B 17/56 - Surgical instruments or methods for treatment of bones or jointsDevices specially adapted therefor
A surgical assistance system includes a processing unit; and a non-transitory computer-readable memory communicatively coupled to the processing unit and comprising computer-readable program instructions executable by the processing unit for: obtaining a video feed of a surgical procedure and monitoring the surgical procedure from the video feed; detecting, from an image processing of the video feed, a condition requiring a deviation from the surgical procedure, the deviation being defined as being outside of a standard surgical flow; and outputting a recommendation of deviation by intra-operatively providing the recommendation to an operator of the surgical procedure.
ABSTRACT Patient-specific instrumentation for reverse shoulder surgery includes a jig having a contact surface including a patient-specific surface portion negatively shaped as a function of a glenoid surface and configured to be applied against the glenoid surface in unique complementary engagement. A first throughbore opens into the contact surface, the first throughbore having an axis corresponding to a first altered bone plane in the glenoid surface. A second throughbore opens into the contact surface, the second throughbore having an axis corresponding to a second altered bone plane in the glenoid surface. The axes of the first throughbore and of the second throughbore are not parallel to one another. Date Recue/Date Received 2020-11-04
A surgical assistance system includes a processing unit; and a non-transitory computer-readable memory communicatively coupled to the processing unit and comprising computer-readable program instructions executable by the processing unit for: obtaining a video feed of a surgical procedure and monitoring the surgical procedure from the video feed; detecting, from an image processing of the video feed, a condition requiring a deviation from the surgical procedure, the deviation being defined as being outside of a standard surgical flow; and outputting a recommendation of deviation by intra-operatively providing the recommendation to an operator of the surgical procedure.
A system for validating bone alterations during computer-assisted surgery, comprises a processing unit; and a non-transitory computer-readable memory communicatively coupled to the processing unit and comprising computer-readable program instructions executable by the processing unit for: registering a surface of a bone in a coordinate system using a geometry of a patient specific tracker device on the surface of the bone; tracking a tool relative to the bone in the coordinate system as a function of implant geometry and of a planned implant position and orientation on the bone; and validating at least one alteration to the bone using a mating geometry of a validation tracker device applied to an altered surface of the bone.
