The present disclosure presents a trajectory array guide system for defining a trajectory to a target location in the brain of a subject and for guiding an elongated tool along the trajectory. The trajectory array guide system can comprise: a base, an array guide, an imaging unit, and an elongated handle configured for connection with a stereotaxic navigation system. The present disclosure presents a method of using a trajectory array guide system for defining a trajectory to a target location in the brain of a subject and for guiding an elongated tool along the trajectory.

An electromagnetic intramedullary nail screw positioning system is used to assist an orthopaedic surgeon to correctly aligned a screw drill guide with a screw receiving aperture in an intramedullary nail during surgery. However due to the large number of different types of intramedullary nail, the system must be calibrated during each surgery. An improved calibration system is described that no longer requires the surgeon to perform the calibration during the surgery in order to save time and improve robustness. The system is periodically calibrated and a memory stores offset information for a range of nails types relative to a reference nail. During surgery, the surgeon enters a nail identifier, and the system looks up the associated offset and applies this offset to the measured signals to guide alignment of the screw drill guide with the screw receiving aperture.

A system for testing sutures includes a test bench having a rotatable table, a framework supporting the test bench and the rotatable table above a surface, and a continuous passive motion (CPM) machine mounted on the rotatable table. The CPM machine is configured to rotate between a first position in which the CPM machine is upright and located above the rotatable table and a second position in which the CPM machine is inverted and located below the rotatable table. The system includes a fluid supply subsystem for directing an infusion fluid toward the CPM machine, a pump for circulating the infusion fluid in the fluid supply subsystem, a heat exchanger for heating the infusion fluid, a fluid collection tray located below the CPM machine and the rotatable table, and a pressure monitoring subsystem for monitoring a pressure level of the infusion fluid.

An inertial sensor based surgical navigation system for knee replacement surgery is disclosed. Inertial sensors composed of six-degree-of-freedom inertial chips, whose measurements are processed through a series of integration, quaternion, and kalman filter algorithms, are used to track the position and orientation of bones and surgical instruments. The system registers anatomically significant geometry, calculates joint centers and the mechanical axis of the knee, develops a visualization of the lower extremity that moves in real time, assists in the intra-operative planning of surgical cuts, determines the optimal cutting planes for cut guides and the optimal prosthesis position and orientation, and finally navigates the cut guides and the prosthesis to their optimal positions and orientations using a graphical user interface.

A surgical instrument includes: an end effector; a power source; a motor coupled to the power source, the motor configured to actuate the end effector; and a controller operatively coupled to the motor and configured to control the motor based on a current draw of the motor and an angular velocity of the motor.

A method of compressing tissue during a surgical procedure is disclosed. The method comprises obtaining a surgical instrument comprising an end effector, wherein the end effector comprises a first jaw and a second jaw, establishing a communication pathway between the surgical instrument and a surgical hub, and inserting the surgical instrument into a surgical site. The method further comprises compressing tissue between the first jaw and the second jaw, determining a location of the compressed tissue with respect to at least one of the first jaw and the second jaw, communicating the determined location of the compressed tissue to the surgical hub, and displaying the determined location of the compressed tissue on a visual feedback device.

Disclosed is a system for determining a location and configuration of an expandable member. A flexible coil can be provided on a shape changing portion, such as an expandable portion, to measure a signal as the shape changes.

Systems and methods for ascertaining a position of an orthopedic element in space comprising: capturing a first and second images of an orthopedic element in different reference frames using a radiographic imaging technique, detecting spatial data defining anatomical landmarks on or in the orthopedic element using a deep learning network, applying a mask to the orthopedic element defined by an anatomical landmark, projecting the spatial data from the first image and the second image to define volume data, applying the deep learning network to the volume data to generate a reconstructed three-dimensional model of the orthopedic element; and mapping the three-dimensional model of the orthopedic element to the spatial data to determine the position of the three-dimensional model of the orthopedic element in three-dimensional space.

A surgical system includes a first surgical instrument having a selected configuration and an image guide disposed relative to a sensor to communicate a signal representative of a position of the image guide. A passive image guide is fixed with vertebral tissue and is disposed relative to the sensor to communicate a signal representative of a position of the passive image guide. The passive image guide includes a first surface. A second surgical instrument is connectable with the first surgical instrument and includes a second surface engageable with the first surface in a mating configuration to provide verification of the selected configuration. Surgical instruments, implants, spinal constructs and methods are disclosed.

A system and method for targeting a feature on a surgical device, includes a shape sensing element coupled to a surgical device. A guide system having a moveable guide aperture is coupled to the surgical device in communication with the shape sensing element. An interrogator is operable to poll the shape sensing element for information related to the deflection of the targeted feature coupled in communication with a portion of the shape sensing element. A data processor is operable to communicate with the interrogator and provide adjustment information to the user related to the change in shape of the shape sensing element, which is related to a translation of the guide aperture with respect to the first device end such that the guide axis is aligned with the target axis. The shape sensing element may comprise at least one optical fiber, which may comprise a set of Bragg Gratings.