Measurement of a leading edge of an instrument passing from a first medium having a first density to a second medium having a second density using a displacement sensor alone. In particular, a displacement signal, a velocity signal, and an acceleration signal measured from or derived from a displacement sensor are analyzed to determine when the leading edge of the instrument passes from the first material to the second material as the leading edge of the instrument is advanced relative to the material. For instance, the measurement may be used to output an occurrence signal that indicates to a user that the instrument has passed from the first medium to the second medium. Additionally, a length measurement of the path of the instrument when passing from the first medium to the second medium may be recorded, and/or the instrument may be controlled (e.g., the instrument may be stopped).

Systems and methods related to use of a measurement system in conjunction with a powered instrument for determination of the placement of a tool portion relative to the anatomy of a patient utilizing the powered instrument. The measurement system may include a displacement sensor that indicates the relative displacement of the tool portion relative to the anatomy. The system may also include a sensor for monitoring a tool drive signal representative of a tool drive parameter that is characteristic of the tool portion acting on the anatomy. The tool drive signal may be analyzed relative to a given amount of axial displacement as measured by the displacement sensor to avoid false indications of placement based on noise and or other artifacts in the tool drive signal that may result from characteristics of the anatomy and/or operational behaviors of the surgeon utilizing the instrument.

Systems, methods, software and techniques for generating a milling path for a tool of a surgical system are provided. The milling path is designed to remove a resection volume associated with an anatomical volume. A reference guide is defined with respect to the resection volume. Sections are defined along the reference guide in succession. Each section intersects the reference guide at a different intersection point and is at a specified orientation relative to the reference guide at the intersection point. Each section further intersects the resection volume. A section path is generated to be bounded within each section and defined relative to the resection volume. A plurality of transition segments are generated and each transition segment connects section paths of successive sections along the reference guide.

The present application provides an automatic knife stop device and a system for fibula cutting, a computer equipment, and a medium. The device includes: an acquisition module; a threshold module; and a judgment module. The present application can avoid the destruction of blood vessels during shaping and greatly improve the success rate of surgery, while greatly improve the robustness of the control system by increasing the strength of the force feedback signal.

A surgical instrument assembly may include a processor, a surgical instrument configured to operate on an anatomical structure, and a display coupled to the processor and attached to the surgical instrument. The processor can be configured to determine a position of the medical imaging device, from which the medical imaging device can generate an X-ray image that includes holes of an intramedullary nail shown as circles, for instance perfect circles. In an example, the processor identifies the intramedullary nail, so as to determine an intramedullary nail identity, and determines the position of the medical imaging device based on a portion of at least two locking holes of the intramedullary nail and based on the intramedullary nail identity.

Methods and system for characterizing ligament properties using elastography are disclosed. An ultrasound system capable of performing shear wave elasticity imaging and/or supersonic shear imaging may retrieve one or more images from a proposed surgical site. The one or more images may be provided to a surgical planning system that identifies one or more properties of ligaments proximate to the surgical site. Musculoskeletal simulations may be performed using the identified properties to preoperatively identify a surgical plan. Preoperative identification of a surgical plan may enable a surgeon to select from more fine-tuning options for a joint replacement than conventional systems.

An orthopedic implantation operation system includes a power drill mechanism and a linear advancing mechanism. The linear advancing mechanism includes a linear motor; the linear motor is connected with the power drill mechanism to drive the power drill mechanism to make a linear reciprocating motion to realize the advancement motion of the surgical tool. The present invention provides the driving force of the linear reciprocating motion of the power drill mechanism through a linear advancing mechanism, and combines with a power drill mechanism to clamp surgical tools such as a guide pin, reamer, tap and a vertebral pedicle screw, etc. so as to realize the operation of orthopedic implantation. Compared with artificial orthopedic implantation operations, the operation is stable, the impact on the human body is small, and the operation efficiency and accuracy of orthopedic implantation operations are higher, avoiding accidental injuries that may be caused by manual orthopedic implantation.

Systems, methods, and devices are disclosed for surgical instruments, systems, and methods for preventing skiving of a drilling instrument during a robotic or robot-assisted surgery are disclosed. In one embodiment, a scan of a patient's anatomy can be performed to produce a model of the bone to be drilled into and analysis of the surface can determine if the curvature is such that, if a target trajectory for a bore were followed, skiving of the drilling instrument is likely. If so, an alternate anti-skiving trajectory can be determined. The anti-skiving trajectory of a bore differs from the target trajectory by at least one of entry point, diameter, axis, or depth.

A surgical drill for drilling a hole in a workpiece includes a housing, a probe moveably mounted to the housing, and a transducer assembly. The transducer assembly includes a gear coupled to the probe and at least two rotational sensor devices coupled to the gear to determine an amount of movement of a probe relative to a housing to determine a bore depth of the hole. The gear has a reference point having an angular path of rotation about a gear axis subdivided into separate first and second arcuate regions. A first sensor device is configured to detect a rotational position of the reference point in the first arcuate region, and a second sensor device is configured to detect a rotational position of the reference point in at least the second arcuate region, with the first sensor device incapable of detecting the reference point in the second arcuate region.

A drill bit (20, 420, 520, 620, 720, 820, 920, 1020) is provided that includes a connector (32, 232, 532, 632, 732, 832, 932, 1032), which includes a shank (34), configured to receive torque; a proximal electrically-conductive coupler (36, 436, 536, 636, 736, 836, 936, 1036), which is disposed at a distal end (28) of the shank (34), rotationally fixed with respect to the shank (34); and a distal electrically-conductive coupler (38, 238, 438, 538, 838, 738, 838, 938, 1038). The distal electrically-conductive coupler is rotationally fixed with respect to the proximal electrically-conductive coupler, electrically isolated from the proximal electrically-conductive coupler, and shaped so as to define a distal-electrically-conductive external contact surface (62, 862, 962, 1062). The drill bit further includes a drill shaft (30, 130, 230, 330, 430, 830) including an electrically-conductive outer electrode (44) and an electrically-conductive inner electrode (46, 146, 246, 346, 846). Other embodiments are also described.