Surgical systems and methods for tracking physical objects near a target site during a surgical procedure are provided, the surgical system employs a navigation system and a surgical instrument; an instrument tracker is provided on the surgical instrument and a patient tracker is provided on the patient's target tissue; the system and method is configured to detect an error condition compromising accuracy of the navigation guidance and to track and monitor a tool-to-bone offset.

A system for constructing fluoroscopic-based three-dimensional volumetric data of a target area within a patient from two-dimensional fluoroscopic images including a structure of markers, a fluoroscopic imaging device configured to acquire a sequence of images of the target area and of the structure of markers, and a computing device. The computing device is configured to estimate a pose of the fluoroscopic imaging device for at least a plurality of images of the sequence of images based on detection of a possible and most probable projection of the structure of markers as a whole on each image of the plurality of images. The computing device is further configured to construct fluoroscopic-based three-dimensional volumetric data of the target area based on the estimated poses of the fluoroscopic imaging device.

A medical procedure system, including a medical instrument to be inserted into a body part, and including position-tracking transducers to provide position signals, a distal end, and at least one radiopaque marker, a position tracking sub-system to compute a position including at least one location and orientation of the distal end in a position-tracking sub-system coordinate frame responsively to the position signals, a fluoroscope to capture fluoroscopic images of an interior of the body part and the radiopaque marker(s), and a registration sub-system to render, to a display, the captured fluoroscopic images including at least one marker-image of the radiopaque marker(s), and at least one graphical representation indicative of the computed position of the distal end, receive user-alignment input aligning the graphical representation(s) with the marker-image(s), and register the position-tracking sub-system coordinate frame with a coordinate frame of the fluoroscope responsively to the received user-alignment input.

Described embodiments include a system that includes a display and a processor. The processor is configured to modify an image that includes a representation of a wall of an anatomical cavity, by overlaying an icon that represents an intrabody tool on a portion of the image that corresponds to a location of the intrabody tool within the anatomical cavity, and overlaying a marker on a portion of the representation of the wall that corresponds to a location at which the intrabody tool would meet the wall, were the intrabody tool to continue moving toward the wall in a direction in which the intrabody tool is pointing. The processor is further configured to display the modified image on the display. Other embodiments are also described.

A computer assisted orthopedic surgery system for soft tissue balancing and implant planning is provided. The system includes a three dimensional position tracking system, a robot, a display, and a computer. The computer is operatively in communication with the three dimensional position tracking system, the robot and the display. The computer includes a processor configured to acquire native gap data between a first bone and a second bone of a joint, simulate implant gap data between a first implant model on a first bone model of the first bone and a second implant model on a second bone model of the second bone of the joint based on an implant planning criteria to calculate a plurality of implant gap profiles, determine a best match of the plurality of implant gap profiles to the native gap profile to determine an optimized implant plan, and output the optimized implant plan.

A user control device for a surgical system. The surgical system includes a robotic manipulator to support and move a surgical instrument that has an energy applicator. One or more controllers operate the robotic manipulator in a semi-autonomous mode and calculate an instrument feed rate, which is the velocity at which the energy applicator advances along a tool path in the semi-autonomous mode. The user control device includes a housing configured as a pendant configured to be held in one hand of a user. A first control member is mounted to the housing and can be depressed to initiate operation of the robotic manipulator in the semi-autonomous mode. A second control member is mounted to the housing and can be depressed to modify the instrument feed rate in the semi-autonomous mode.

A surgical access device, such as in the form of a Veress needle or trocar/obturator, for use in providing access to a patient in a surgical setting is disclosed. The surgical access device incorporates one or more sensors to provide real-time data usable to evaluate an insertion position of the surgical access device and provide feedback to a live user or robotic insertion device. Additionally, a system and method for adjusting the flow of insufflation gas based on the real-time data and a sensed pressure at the surgical access device is described.

An intervention system employing an interventional robot (30), an interventional imaging modality (10) and an interventional controller (70). In 5 operation, the interventional controller (70) navigates an anatomical roadmap (82) of an anatomical region of a patient in accordance with an interventional plan to thereby control a navigation of the interventional robot (30) within the anatomical region in accordance with the anatomical roadmap (82). Upon a detection by the interventional controller (70) of an occurrence of the interventional controller (70) navigating 10 proximately to a critical anatomical location within the anatomical roadmap (82), the interventional controller (70) pauses the navigation of the interventional robot (30) within anatomical region and autonomously controls an operation of the interventional imaging modality (10) for generating an updated anatomical roadmap (82) of the anatomical region whereby the interventional controller (70) navigates the updated 15 anatomical roadmap (82) of the anatomical region in accordance with the interventional plan to thereby control a resumed navigation of the interventional robot (30) within the anatomical region.

Robotic surgical systems and methods for controlling movement of a tool relative to a tool path. An input is received from a force/torque sensor in response to user forces/torques manually applied to the tool by a user. A component of force is calculated tangential to the path based on the input. An effective feed rate is calculated to advance the tool along the path based on the tangential component. Virtual constraints are defined on movement of the tool along the path with respect to three degrees of freedom and based on the effective feed rate to promote movement of the tool along the path. Dynamics of the tool are virtually simulated based on the virtual constraints and the input from the force/torque sensor. The manipulator is commanded to advance the tool along the path based on the virtual simulation.

Systems and methods of visualizing a current view of a tool relative to a lesion by processing current fluoroscopic images from a current fluoroscopic sweep occurring after an initial fluoroscopic sweep. The processing includes determining the locations and/or orientations of a tool and a lesion in a current 3D reconstruction of the current fluoroscopic images or in a subset of the current fluoroscopic images, generating a 3D rendering based on the locations and/or orientations of the tool and the lesion, and displaying the 3D rendering. The locations and/or orientations of the tool and the lesion may be obtained from a user interface enabling a user to mark the current locations and/or orientations in the current 3D reconstruction or in a subset of the current fluoroscopic images, or by segmenting the current 3D reconstruction or a subset of the current fluoroscopic images.