Systems, methods, and devices are disclosed for surgical instruments, systems, and methods for detecting skiving of a surgical instrument, such as an instrument used during a robotic or robot-assisted surgery. The embodiments disclosed herein may include one or more sensors adjacent to, coupled to, disposed on, or embedded into an instrument in order to measure deflection thereof during use that may indicate skiving of the instrument. A variety of sensors may be utilized, including strain gauges, resistance-based sensors, fiber optic cables, laser distance measurement units, ultrasonic distance measurement units, optical cable measurement units, etc. In some embodiments, multiple such sensors may be included in an instrument in order to measure magnitude and/or direction of deflection.

A surgical drill for use with a drill bit. The drill includes a handpiece with a motor and a brake mechanism. The brake mechanism is a sliding rack adjacent a first end and a second end with a stop adjacent the drill bit. An actuator is mounted to the handpiece and a plunger is coupled to the actuator. A sensor asserts a signal when the drill bit penetrates bone. When the sensor asserts the signal indicting the drill bit penetrated bone, the actuator moves the plunger into engagement with the rack to prevent further insertion of the drill bit.

This invention is directed to devices and methods for surgical access to the body, and particularly to surgical drills for accessing a body cavity and methods therefor. In general, a surgical drill is utilized to gain access to a body cavity or part, such as where bone and/or other hard tissues need to be pierced. For example, the skull and other bones with internal cavities may require surgical access to treat body portions contained within the bone. Further in general, it may be generally desirable to create access holes or openings which may be as small as possible and at a particular direction and/or trajectory. In this manner the access hole or opening may be utilized to guide another device, such as a treatment device, to a particular target along the established trajectory of the access hole or opening.

Devices and methods used to obtain core tissue samples are disclosed. The devices may be configured to drill into cortical bone and saw a hole into a bone lesion and/or bone marrow while obtaining the core tissue sample. The devices can include a motor and a clutch configured to rotate a trocar having a tip configured for drilling and an outer coax cannula having a trephine tip configured for sawing. The core tissue sample may be received within an inner cannula as an intermediate cannula cuts a hole in the bone lesion and/or bone marrow. The devices can include a spacer.

A motorized surgical instrument is disclosed. The surgical instrument includes a displacement member, a motor coupled to the displacement member, a control circuit coupled to the motor, a position sensor coupled to the control circuit, and a timer circuit coupled to the control circuit. The timer circuit is configured to measure elapsed time and to to receive, from the position sensor, a position of the displacement member in a current zone during a set time interval, measure displacement of the displacement member at a set time at the end of the set time interval, wherein the measured displacement is defined as the distance traveled by the displacement member during the set time interval at a set command velocity for the current zone, and set a command velocity of the displacement member for a subsequent zone based on the measured displacement of the displacement member within the current zone.

Multi-directional drilling of a bone to create a perforation of bone cortex. The disclosure presents methods of using a drill having a measurement system to advance a drill bit through a bone with detection of penetration or eruption of the leading edge of the drill bit through the exterior of the cortex layer of the bone. In this regard, operation of the drill may be controlled to limit soft tissue damage adjacent to the distal side of the bone. The drill bit may be at least partially retracted through a first bore, repositioned, and one or more additional bores may be created, all while monitoring for penetration of the leading edge of the drill bit relative to the cortical layer. In turn, a perforated distal side of the cortical layer of the bone may be created that creates a desired weakness in the bone, which may be useful in various operations including when performing a corticotomy or the like.

A handheld surgical instrument includes a motor that transmits rotational movement to a drill bit of the handheld surgical instrument. The drill bit extends through a depth measurement module with a depth measurement extension, and a cannula, which extends forward from the drill to measure bore depth. The depth measurement extension is moveably mounted to the drill so as to extend into the rotor bore of the motor. As the drill advances forward, the depth measurement extension remains static. As a result of the advancement of the drill, the rotor extends over the proximal end of the depth measurement extension. A controller is configured to determine a breakthrough time and a breakthrough displacement of the drill bit based on displacement data and derived signals. The controller is further configured to determine a proper length of a screw to be used in a fixation surgical procedure based on the displacement data.

A medical device system configured to dynamically switch motor control protocols while a motor within a handheld device is operating to increase efficiency of the motor operation and to provide improved reliability and performance is disclosed. In at least one embodiment, the medical device system may be configured to dynamically switch motor control protocols while the motor is operating based on input from one or more sensors configured to monitor a motor, including, but not limited to, monitoring a magnetic flux field of the motor or monitoring current to the motor. The medical device system may dynamically switch motor control protocols between motor control protocols, including, but not limited to, Six-Step Commutation, Hall-Based Sinusoidal Commutation and Field Oriented Commutation.

The present disclosure relates to a surgical system for treating an anatomical structure according to a plurality of target planes and/or axes, comprising: a robotic device (1) comprising: an end effector (2) defining a current plane or axis, an actuation unit (11) coupled to the end effector (2), a tracking unit (3) configured to determine a pose of the current plane or axis, a control unit coupled to the tracking unit and configured to control the actuation unit (11) to align the current plane or axis of the end effector (2) with each one of the plurality of target planes and/or axes to treat the anatomical structure, the robotic device being operable in at least the following modes: a working mode wherein a treatment is being performed with the end effector constrained to one target plane or axis by the actuation unit, and a waiting mode wherein no treatment is being performed and the actuation unit is operable to move the end effector in alignment with another target plane or axis, wherein the control unit is further configured to: (a) determine that the robotic device (1) is in the waiting mode; (b) detect a triggering force applied to the end effector (2) and/or the actuation unit (11) in at least one first direction; (c) as a result of determination (a) and detection (b), trigger a position change of the end effector (2) by the actuation unit (11) to align the current plane or axis with a next target plane or axis.

A medical device for penetrating a bone structure including a processing unit having a transfer function that associates an electrical conductivity value S with a depth value d, wherein the processing unit is configured to detect a threshold selected from amongst an absolute threshold, a relative threshold and a critical gradient, and to emit a warning signal and/or control signal responsive to detection of the threshold.