A multi-stage dilator and cannula assembly for use in surgical procedures, including minimally invasive surgical procedures, to provide tissue dilation and opening of a portal to enable the surgeon to access and provide treatment to anatomical feature of interest.

Described herein are systems and apparatus of surgical instruments engineered for integration with robotic surgical systems to enhance precision in surgical procedures. Also described herein are methods of using such surgical instruments in performing surgical procedures. The use of such surgical instruments reduce complications arising from misalignment during surgery. The disclosed technology assists in stages of a surgical procedure that require a precise trajectory to be followed. Surgical instrument guides are attached to a universal surgical instrument guide, which is engineered to attach directly or indirectly with a robotic arm of a robotic surgical system. Surgical instruments can then be precisely guided along an axis defined by the universal surgical instrument guide. Individual instruments are easily inserted and removed from the channel of the universal surgical instrument guide, thus allowing a range of instruments to be used throughout a procedure while maintaining the surgical trajectory.

An image guided surgical system includes a marker attachable to and removable from an elongated surgical tool having a shaft, and at least one camera, and an image processing system in communication with the camera configured to obtain an image of the surgical tool. The image processing system is configured to operate in a calibration mode to generate a template and display the template on a display device and to receive a user input, after the image of the surgical tool is aligned to the template, to adjust a length of the template to substantially match a length of the surgical tool. A storage device in communication with the image processing system is included to store calibration information that associates a position of the marker with a position of the tip of the shaft of the surgical tool based on the adjusted length of the template.

Orthopedic implants, systems, instruments, and methods. A bi-portal lumbar interbody fusion system may include an expandable interbody implant and minimally invasive pedicle-based intradiscal fixation implants. The interbody and intradiscal implants may be installed with intelligent instrumentation capable of repeatably providing precision placement of the implants. The bi-portal system may be robotically-enabled to guide the instruments and implants along desired access trajectories to the surgical area.

A positioning tracking member, a method for recognizing a maker (20), a storage medium, and an electronic device. By directly sticking a positioning tracking member onto the body of a patient, a rigid connection between the positioning tracking member and the human body is not required, thereby avoiding damage to the human body. Furthermore, in combination with a recognition algorithm of the maker (20), recognition of the maker (20) in the image space is quickly achieved by comparing the actual size of each candidate connected region in a three-dimensional medical model with that of the marker (20), the recognition speed being high and the recognition accuracy being high.

A specimen marking clip is provided that is adapted to selectively attach to tissue inside of a patient and corresponding tissue that has been excised from the patient for analysis. Sutures may be associated with the clips to help ensure correct in vivo and ex vivo sample orientation. In vivo clips may remain in the patient's body if necessary.

Systems and methods are disclosed that utilize a robotic device supporting and moving a cutting tool in at least three degrees of freedom. A control system commands the robotic device to control or constrain movement of the cutting tool. A first tracker is coupled to the robotic device and a second tracker is coupled to an anatomy. The second tracker includes three markers that generate optical signals and a non-optical sensor that generates non-optical signals. A navigation system with an optical sensor is in communication with the control system. The navigation system receives, with the optical sensor, the optical signals from one or more of the three markers and receives the non-optical signals from the non-optical sensor. The navigation system communicates position data indicative of a position of the anatomy to the control system to control cutting of the anatomy based on the received optical and non-optical signals.

Systems and methods of tracking the position of an endoscope within a patient's body during an endoscopic procedure is disclosed. The devices and methods include determining a position of the endoscope within the patient in the endoscope's coordinate system, capturing in an image fiducial markers attached to the endoscope by an external optical tracker, transforming the captured fiducial markers from the endoscope's coordinate system to the optical tracker's coordinate system, projecting a virtual image of the endoscope on a model of the patient's organ, and projecting or displaying the combined image.

In certain embodiments, the systems, apparatus, and methods disclosed herein relate to robotic surgical systems with built-in navigation capability for patient position tracking and surgical instrument guidance during a surgical procedure, without the need for a separate navigation system. Robotic based navigation of surgical instruments during surgical procedures allows for easy registration and operative volume identification and tracking. The systems, apparatus, and methods herein allow re-registration, model updates, and operative volumes to be performed intra-operatively with minimal disruption to the surgical workflow. In certain embodiments, navigational assistance can be provided to a surgeon by displaying a surgical instrument's position relative to a patient's anatomy. Additionally, by revising pre-operatively defined data such as operative volumes, patient-robot orientation relationships, and anatomical models of the patient, a higher degree of precision and lower risk of complications and serious medical error can be achieved.

A tracker system for determining poses of at least two vertebrae and a computer-implemented method of using the tracker system are presented. The tracker system comprises a first and second trackers, trackable in 5 degrees of freedom (DOF), and attachable to a first and second vertebra, respectively. A tracking coordinate system is registered in 6 DOF with an image coordinate system associated with first image data taken by a medical imaging system and indicative of the first and second vertebra. The method includes receiving intraoperative tracking data and determining, from the received intraoperative tracking data, tracker poses of the first tracker and the second tracker in 5 DOF. Further still, the method comprises determining, from the tracker poses and based on the registration of the tracking coordinate system with the image coordinate system, poses of the first vertebra and the second vertebra in 5 DOF.