Techniques for segmenting a percutaneous medical procedure based on one or more determinable phases. The techniques may include obtaining a first set of features over a first time period. The first set of features may be derived from instrument telemetry data corresponding to an endoluminal scope instrument. The technique may also include obtaining a second set of features over the first time period. The second set of features may be derived from instrument telemetry data corresponding to a percutaneous needle instrument. Based on the first set of features and the second set of features, the techniques may classify at least a portion of the first time period as a first phase of the percutaneous medical procedure.

A robotic cutting guide system for computer-assisted surgery is provided. The robotic cutting guide includes a robotic guide assembly having a cutting guide, a three-dimensional position tracking system for tracking a position of a first bone of a joint, a second bone of the joint, and the robotic guide assembly, and a controller operatively in communication with the robotic guide assembly and the three-dimensional position tracking system. The controller is configured to position the cutting guide adjacent one of the first and second bones of the joint, and then reposition the cutting guide adjacent the other one of the first and second bones of the joint, based on the tracked position of the first and second bones of the joint and the robotic guide assembly.

A surgical instrument comprising a shaft, an end effector, a housing, a drive assembly, and a manually-driven actuator is disclosed. The end effector comprises a first jaw and a second jaw rotatable relative to the first jaw between an open position and a clamped position. The housing comprises a rotary input movable by a motor. The drive assembly is operably engaged with the rotary input. The drive assembly is movable by the motor in a motorized mode of operation to transition the second jaw toward the clamped position. The drive assembly is movable in a non-motorized mode of operation by the manually-driven actuator to permit a transition of the second jaw toward the open position to release tissue between the first jaw and the second jaw.

Systems and methods are described to determine joint center of rotation during a procedure. Joint center measurements may be useful to determine other clinically relevant measurements and/or to assist with replacement surgery.

A system for controlling a medical image capture device during surgery, the system including: circuitry configured to receive a first image of the surgical scene, captured by the medical image capture device from a first viewpoint, and additional information of the scene; determine, for the medical image capture device, in accordance with the additional information and previous viewpoint information of surgical scenes, one or more candidate viewpoints from which to obtain an image of the surgical scene; provide, in accordance with the first image of the surgical scene, for each of the one or more candidate viewpoints, a simulated image of the surgical scene from the candidate viewpoint; control the medical image capture device to obtain an image of the surgical scene from the candidate viewpoint corresponding to a selection of one of the one or more simulated images of the surgical scene.

A method for surgically treating a spine comprising the steps of: pre-operatively imaging vertebral tissue; displaying a first image of a surgical treatment configuration for the vertebral tissue from a mixed reality display and/or a second image of a surgical strategy for implementing the surgical treatment configuration with the vertebral tissue from the mixed reality display; determining a surgical plan for implementing the surgical strategy; and intra-operatively displaying a third image of the surgical plan with the vertebral tissue from the mixed reality display. Systems, spinal constructs, implants and surgical instruments are disclosed.

A tissue suturing guidance system includes an image capturing device, a display, and a processor in communication with the image capturing device and the display. The image capturing device is configured to capture a suture site. The display is configured to display an image of the suture site. The processor is configured to: determine, based on the image of the suture site, a geometric tissue representation of the suture site; access measured properties of the suture site; determine, based on the measured properties of the suture site, a biomechanical tissue representation of the suture site; and generate, based on the geometric tissue representation and biomechanical tissue representation of the suture site, a suturing configuration for the suture site.

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.

A device for providing joint replacement robotic surgery information comprises: a memory unit configured to store surgery plan information set before surgery including a cutting path of a surgical target bone; a target acquisition unit configured to acquire positions of a plurality of cutting target points forming the cutting path based on the surgery plan information; a robot position calculation unit configured to calculate a current cutting position of the surgical robot among the cutting target points based on surgery progress of the surgical robot; a graphic user interface (GUI) providing unit configured to generate graphics that represent surgery progress information including a current cutting position of the surgical robot and positions of the cutting target points on a virtual bone model corresponding to the surgical target bone; and a display unit configured to display the virtual bone model and the surgery progress information.

Aspects of the present disclosure relate to systems, devices and methods for performing a surgical step or surgical procedure for example with visual guidance using a head mounted display or with a surgical navigation system or with a surgical robot. A computer processor can be configured to determine the pose of a first vertebra with an attached first marker and a second vertebra with an attached second marker. The computer processor can be configured to determine the pose of at least one vertebra interposed or adjacent to the first and second vertebrae with attached markers, e.g. fiducial markers.