An example system is disclosed for generating a model of a tubular anatomical structure. The system includes an anatomical measurement wire (“AMW”), a tracking system and a computing device. The AMW is configured to be navigated through the anatomical structure of a patient, and the AMW includes at least one sensor. The tracking system is configured to provide tracking data representing multiple positions of the sensor in a spatial coordinate system. The computing device is configured to generate a data point cloud based on the tracking data, generate a parametric model corresponding to at least a portion of the vessel based on the data point cloud and store the parametric model in non-transitory memory.

A system that compensates for movement during a surgical procedure on a patient includes a lidar array and a processor. The surgical procedure operates according to a surgical plan. The lidar array tracks the movement of the patient, a medical instrument, and/or a medical professional during the procedure. The processor modifies the surgical plan to compensate for one or more of the movements.

Systems and methods for operating a robotic surgical system are provided. The system includes a surgical tool, a manipulator comprising links for controlling the tool, a navigation system includes a tracker and a localizer to monitor a state of the tracker. Controller(s) determine a relationship between one or more components of the manipulator and one or more components of the navigation system by utilizing kinematic measurement data from the manipulator and navigation data from the navigation system. The controller(s) utilize the relationship to determine whether an error has occurred relating to at least one of the manipulator and the navigation system. The error is at least one of undesired movement of the manipulator, undesired movement of the localizer, failure of any one or more components of the manipulator or the localizer, and/or improper calibration data.

Devices, systems, and methods for a robot-assisted surgery. Navigable instrumentation, which are capable of being navigated by a surgeon using the surgical robot system, and navigation software allow for the navigated placement of interbody fusion devices or other surgical devices. The interbody implant navigation may involve navigation of access instruments (e.g., dilators, retractors, ports), disc preparation instruments, trials, and inserters.

A drill guide fixture may be configured to prepare a skull for attachment of a cranial insertion fixture. The drill guide fixture may include a central drill guide and a bone anchor guide at a base of the drill guide fixture. The central drill guide may define a central drill guide hole therethrough, wherein the central drill guide hole has a first opening at a base of the drill guide fixture and a second opening spaced apart from the base of the drill guide fixture. The bone anchor drill guide may define a bone anchor drill guide hole therethrough, and the bone anchor drill guide hole may be offset from the central drill guide hole in a direction that is perpendicular with respect to a direction of the central drill guide hole. Related cranial insertion fixtures, robotic systems, and methods are also discussed.

A surgical system for applying an energy applicator to a target tissue and methods operating the same are disclosed. The energy applicator extends from a surgical instrument. The surgical system comprises a sensor to measure external forces and torques placed on the surgical instrument. A surgical manipulator is configured to move the energy applicator in a manual mode in response to the external forces and torques. At least one controller is configured to: model the surgical instrument and the energy applicator as a virtual rigid body having a virtual mass; calculate, using impulse modeling, constraining forces and torques to be applied to the virtual rigid body; determine total forces and torques based on the external forces and torques and the constraining forces and torques; and advance the energy applicator in the manual mode based on the total forces and torques.

A system and method for navigation of a luminal network including receiving a computed tomography (CT) image data set, generating a three-dimensional (3D) model, displaying the 3D model in a user-interface on a display operatively connected to the computing device, and receiving an indication of a location of a tumor in the CT image data set. The system and method further including displaying the location of the tumor in the 3D model, receiving an indication of a margin around the tumor to achieve a desired therapy, generating a pathway to the tumor for navigation of a catheter, receiving a location of a sensor associated with a navigation catheter and registering the CT image data set with a luminal network of a patient, displaying the location of the sensor within the 3D model that substantially corresponds to the location of the sensor within the luminal network of the patient.

Certain aspects relate to systems and techniques for surgical robotic arm setup. In one aspect, there is provided a system including a first robotic arm configured to manipulate a medical instrument, a processor, and a memory. The processor may be configured to: determine a minimum stroke length of the first robotic arm that allows advancing of the medical instrument by the first robotic arm to reach a target region from an access point via a path, determine a boundary for an initial pose of the first robotic arm based on the minimum stroke length and a mapping stored in the memory, and during an arm setup phase prior to performing a procedure, provide an indication of the boundary during movement of the first robotic arm.

A navigation, tracking and guiding system for the positioning of operatory instruments inside the body of a patient. The system includes a control unit, a viewer and detecting means for determining the spatial position of the viewer. The system further includes a sensor associated to an operatory instrument and insertable inside the internal portion of the body of the patient. The control unit is configured to project on the viewer an image of the state of the internal portion.

A medical system includes an instrument, a display system, and a processing unit. The instrument includes an instrument shape sensor. The processing unit includes one or more processors. The processing unit is configured to, receive an anatomic model of a patient anatomy, receive shape sensor data from the instrument shape sensor while the instrument is positioned within the patient anatomy and registered to the anatomic model, determine a preferred fluoroscopic image plane for display on the display system based on the received shape sensor data and the area of interest, and provide an indication on the display system to guide positioning of a fluoroscopy system to obtain a fluoroscopic image in the preferred fluoroscopic image plane. An area of interest is identified in the anatomic model.