The various inventions relate to robotic surgical devices, consoles for operating such surgical devices, operating theaters in which the various devices can be used, insertion systems for inserting and using the surgical devices, and related methods.

Surgical devices and surgical systems are disclosed. The surgical device can comprise an actuator and a control circuit configured to adjust one or more functions of the surgical device based on a signal from a situationally-aware surgical hub. A surgical system can comprise a screen and a control circuit configured to communicate a priority level of a recommendation to the clinician on the display.

A system, method, and apparatus for displaying a fused reconstructed image with a multidimensional image are disclosed. An example imaging system receives a selection corresponding to a portion of a displayed multidimensional visualization of a surgical site. At the selected portion of the multidimensional visualization, the imaging system displays a portion of a three-dimensional image which corresponds to the selected multidimensional visualization such that the displayed portion of the at least one of the three-dimensional image or model is fused with the displayed multidimensional visualization.

The present invention provides a multi-viewpoint video image viewing system that allows a viewer to view a multi-viewpoint video content and removes in advance video images in which hands are hidden as a video image candidate. A first invention of the present application selects video images to be displayed on a video image display section in advance and presents the selected video images to a viewer by causing an information processing apparatus to perform hand-target image recognition on motion image (video image) data that includes image data captured with a plurality of video cameras and a frame string disposed in a time region to select video images showing a hand or not to select video images showing no hand.

Disclosed herein are immersive virtual and/or augmented reality education/training tools useable to teach operating room personnel any or all of scrubbing-in procedures, gowning/gloving procedures, and proper operating room etiquette. The training tools provide individuals with active practice in the operating room setting prior to the real-world applications, and thus allows the user to become more adept with the necessary procedures prior to entering the operating room. The disclosed virtual and/or augmented reality training will make for a better, less stressful, risk-reducing (e.e., infection of patient), operating room environment that is more conducive for both learning by the students and surgical performance by the experienced operating room personnel.

A server receives a request from a client device initiated from a user operating the client device. The server determines a user action identifier (ID) based on the request, the user action ID identifying a user physical action that was captured by one or more sensors. One or more image processing commands are determined based on the user action ID in view of a first medical image currently displayed at the client device. An image processing operation is performed based on the first medical image by executing the one or more image processing commands, generating a second medical image. The second medical image is transmitted to the client device to be presented to the user at the client device.

Various surgical hubs are disclosed. A surgical hub is for use with a surgical system in a surgical procedure performed in an operating room. The surgical hub comprises a control circuit configured to: determine bounds of the operating room; determine devices of the surgical system located within the bounds of the operating room; and pair the surgical hub with the devices of the surgical system located within the bounds of the operating room.

A multi-portal method for treating a subject's spine includes distracting adjacent vertebrae using a distraction instrument positioned at a first entrance along the subject to enlarge an intervertebral space between the adjacent vertebrae. An interbody fusion implant can be delivered into the enlarged intervertebral space. The interbody fusion implant can be positioned directly between vertebral bodies of the adjacent vertebrae while endoscopically viewing the interbody fusion implant using an endoscopic instrument. The patient's spine can be visualized using endoscopic techniques to view, for example, the spine, tissue, instruments, and implants before, during, and after implantation, or the like. The visualization can help a physician throughout the surgical procedure to improve patient outcome.

Disclosed is a computer-implemented method for planning a trajectory (11) through an anatomical body part (1), the trajectory (11) being usable for a medical procedure and the method comprising executing, on at least one processor of at least one computer, steps of: • a) acquiring (S1), at a processor, patient image data describing a medical image of a patient anatomical body part being the anatomical body part (1) in a patient's body; • b) acquiring (S2), at a processor, atlas trajectory data describing a model anatomical body part being a model of the patient anatomical body part, and describing the position of at least one predetermined trajectory through the model anatomical body part; • c) acquiring (S3), at a processor, critical structure data describing the position of at least one critical structure (5) in the model anatomical body part or in the patient anatomical body part; • d) determining (S4), by a processor and based on the patient image data and the atlas trajectory data and the critical structure, mapping data describing a mapping of the model anatomical body part, of the position of the at least one predetermined trajectory and of the position of the at least one critical structure (5) onto the medical image of the patient anatomical body part; • e) determining (S5), by a processor and based on the mapping data and the atlas trajectory data and the patient image data, analysis region data describing an analysis region in the patient image data, the analysis region (16) having a position in the patient anatomical body part fulfilling a predetermined spatial condition relative to the position of the mapped predetermined trajectory (6); • f) determining (S6), by the processor and based on the patient image data and the atlas trajectory data and the analysis region data and the critical structure data, straight trajectory data describing a straight line trajectory (11) through the patient anatomical body part having a position fulfilling a predetermined spatial condition relative to the position of at least one critical structure (5) in the patient anatomical body part.

A device for robot-assisted surgery with at least one coupling unit (100) of a manipulator arm (16) comprising a first transmitting means (102). A sterile cover (38) comprising a sterile lock (200) serves to shield the manipulator arm (16) from a sterile area (39). The sterile lock (200) is connectable both to the coupling unit (100) and to the sterile unit (400). The sterile lock (200) has at least one lock flap (208, 210) which in a closed state shields the first transmitting means (102) in a sterile manner. The sterile unit (400) comprising a second transmitting means (406) has sterile flaps (402, 404) which in a closed state shield the second transmitting means (406) in a sterile manner. When connecting the sterile unit (400) to the sterile lock (200) the lock flap (208, 210) and the sterile flap (402, 404) are opened so that a direct transmission between the first transmitting means (102) and the second transmitting means (406) is possible. When separating the sterile unit (400) from the sterile lock (200) the lock flaps (208, 210) and the sterile flap (402, 404) are each automatically closed and locked so that they shield the first transmitting means (102) and the second transmitting means (406) from the sterile area (39). Further, the invention relates to a sterile lock (200) and a method for robot-assisted surgery.